WorldWideScience

Sample records for standard approach techniques

  1. Fault estimation - A standard problem approach

    DEFF Research Database (Denmark)

    Stoustrup, J.; Niemann, Hans Henrik

    2002-01-01

    This paper presents a range of optimization based approaches to fault diagnosis. A variety of fault diagnosis problems are reformulated in the so-called standard problem set-up introduced in the literature on robust control. Once the standard problem formulations are given, the fault diagnosis...... problems can be solved by standard optimization techniques. The proposed methods include (1) fault diagnosis (fault estimation, (FE)) for systems with model uncertainties; FE for systems with parametric faults, and FE for a class of nonlinear systems. Copyright...

  2. Nanorobotics current approaches and techniques

    CERN Document Server

    Ferreira, Antoine

    2013-01-01

    Nanorobot devices now perform a wide variety of tasks at the nanoscale in a wide variety of fields including but not limited to fields such as manufacturing, medicine, supply chain, biology, and outer space. Nanorobotics: Current Approaches and Techniques is a comprehensive overview of this interdisciplinary field with a wide ranging discussion that includes nano-manipulation and industrial nanorobotics, nanorobotics in biology and medicine, nanorobotic sensing, navigation and swarm behavior, and protein and DNA-based nanorobotics. Also included is the latest on topics such as bio-nano-actuators and propulsion and navigation of nanorobotic systems using magnetic fields. Nanorobotics: Current Approaches and Techniques is an ideal book for scientists, researchers, and engineers actively involved in applied and robotic research and development.

  3. Variability of diagnostic approach, surgical technique, and medical management for children with biliary atresia in Canada - Is it time for standardization?

    Science.gov (United States)

    Stagg, Hayden; Cameron, Brian H; Ahmed, Najma; Butler, Alison; Jimenez-Rivera, Carolina; Yanchar, Natalie L; Martin, Steve R; Emil, Sherif; Anthopoulos, George; Schreiber, Richard A; Laberge, Jean-Martin

    2017-05-01

    The Canadian 4-year native liver survival rate for biliary atresia (BA) after Kasai Portoenterostomy (KP) is 39%. The Canadian Biliary Atresia Registry (CBAR) was used to examine variability of surgical and medical management of BA. Gastroenterologists and surgeons in all 14 Canadian pediatric tertiary centers were invited to complete an online survey of their BA management practices. Of gastroenterologists, diagnostic procedures included liver biopsy (92%), HIDA scan (58%), and percutaneous cholangiogram (46%). Surgeons reported Roux-en-Y lengths of 20-50cm with 78% avoiding diathermy at the portal plate; 16% performed laparoscopic exploration, but none laparoscopic KP. Postoperative corticosteroids and antibiotics were used by 24% and 85% of gastroenterologists, respectively, with similar rates for surgeons. At discharge, gastroenterologists prescribed oral antibiotics (80%), and ursodeoxycholic acid (95%), while surgeons reported lower rates (62% and 55%). Considerable variation existed in follow-up monitoring. No center had a standard protocol for evaluating suspected cholangitis. There was a lack of consensus for defining failed KP and referral criteria for transplant evaluation. In Canada, treatment of BA is not centralized, and there is variability in diagnostic approaches and management. Collaboration through CBAR will allow for implementation and evaluation of standardized surgical and medical management with a goal to improve outcomes. Survey study. Level IV evidence. Copyright © 2017 Elsevier Inc. All rights reserved.

  4. ELISA technique standardization for strongyloidiasis diagnosis

    International Nuclear Information System (INIS)

    Huapaya, P.; Espinoza, I.; Huiza, A.; Universidad Nacional Mayor de San Marcos, Lima; Sevilla, C.

    2002-01-01

    To standardize ELISA technique for human Strongyloides stercoralis infection diagnosis a crude antigen was prepared using filariform larvae obtained from positive stool samples cultured with charcoal. Harvested larvae were crushed by sonication and washed by centrifugation in order to obtain protein extracts to be used as antigen. Final protein concentration was 600 μg/mL. Several kinds of ELISA plates were tested and antigen concentration, sera dilution, conjugate dilution and cut off were determined to identify infection. Sera from patients with both hyper-infection syndrome and intestinal infection demonstrated by parasitological examination were positive controls and sera from people living in non-endemic areas with no infection demonstrated by parasitological examination were negative controls. Best values were 5 μg/mL for antigen, 1/64 for sera, 1/1000 for conjugate; optical density values for positive samples were 1,2746 (1,1065 - 1,4206, DS = 0,3284) and for negative samples 0,4457 (0,3324 - 0,5538, DS = 0,2230). Twenty sera samples from positive subjects and one hundred from negative subjects were examined, obtaining 90% sensitivity and 88% specificity. The results show this technique could be useful as strongyloidiasis screening test in population studies

  5. The approach of mammography technique

    International Nuclear Information System (INIS)

    Luo Xiaomei; Pan Bitao; He Jiejun; Liu Mingjuan

    2007-01-01

    Objective: To study the mammography technique to improved the film' s quality and to meet the clinical application. Methods: The mammography of 500 cases were classified according to their age, breast type and project- ed position. The highlights and quality control of the mammography technique were summarized. Results: Among the 500 cases, 95% met the clinical diagnostic demands. Of the grand type, 17.2% were dense type, 43.4% were adenoid type, atrophy and degeneration type were 10% and 29.4% respectively. The grand type and age range overlapped a lot. Routine MLO and CCM position of bilateral breasts mammography could mostly meet the diagnostic demands. Conclusion: The quality of mammography is the precondition of exact clinical diagnosis. Sufficient pre-exam preparation, suitable position and parameter were the key point of high quality mammography. (authors)

  6. Fault estimation - A standard problem approach

    DEFF Research Database (Denmark)

    Stoustrup, J.; Niemann, Hans Henrik

    2002-01-01

    This paper presents a range of optimization based approaches to fault diagnosis. A variety of fault diagnosis problems are reformulated in the so-called standard problem set-up introduced in the literature on robust control. Once the standard problem formulations are given, the fault diagnosis pr...

  7. Video Coding Technique using MPEG Compression Standards ...

    African Journals Online (AJOL)

    Some application areas of video compression focused on the problem of optimizing storage space and transmission bandwidth (BW). The two dimensional discrete cosine transform (2-D DCT) is an integral part of video and image compression, which is used in Moving Picture Expert Group (MPEG) encoding standards.

  8. Standard Approaches to the Acetabulum Part 2: Ilioinguinal Approach.

    Science.gov (United States)

    Gänsslen, A; Grechenig, S T; Nerlich, M; Müller, M; Grechenig, W

    2016-01-01

    The ilioinguinal approach is one of the standard approaches in the treatment of displaced acetabular fractures used during the last decades (9). The meta-analysis of Giannoudis et al. showed that 21.9% of acetabular fractures were historically treated using this approach (3). One of the disadvantages of this study was, that studies focussing especially on posterior wall stabilization and studies dealing with more complex fracture types treated by extended approaches were integrated. Thus, these fracture types were overrepresented. Re-analysis excluding these data lead to an increase of the rate of anterior approaches to 25.9%. More recent data (years 2005-2007) from the German multicenter study showed that presently in almost 45% of the cases the single ilioinguinal approach was used and only 38% of patients were stabilized via the KocherLangenbeck approach (11). Historically, the Smith-Peterson approach (15, 17) and the iliofemoral approach were used to treat acetabular fractures. In the 60ies, based on the work by Letournel and Judet, the ilioinguinal approach was developed for acetabular fracture fixation (9). It is an extrapelvic approach resulting in an indirect reconstruction concept of the acetabulum without direct visualization of the articular acetabulum. The ilioinguinal approach was the standard anterior approach during the last 30-40 years. An important advantage is the reduced soft tissue detachment of periarticular muscles with only a small risk of developing heterotopic bone formation. The aim of the second part of "Standard approaches to the acetabulum" is to report on the special topics indication, positioning, exposure, incision, dissection, the anatomical basis of osteosynthesis and present results using ilioinguinal approach.

  9. Standard Establishment Through Scenarios (SETS): A new technique for occupational fitness standards.

    Science.gov (United States)

    Blacklock, R E; Reilly, T J; Spivock, M; Newton, P S; Olinek, S M

    2015-01-01

    An objective and scientific task analysis provides the basis for establishing legally defensible Physical Employment Standards (PES), based on common and essential occupational tasks. Infrequent performance of these tasks creates challenges when developing PES based on criterion, or content validity. Develop a systematic approach using Subject Matter Experts (SME) to provide tasks with 1) an occupationally relevant scenario considered common to all personnel; 2) a minimum performance standard defined by time, distance, load or work. Examples provided here relate to the development of a new PES for the Canadian Armed Forces (CAF). SME of various experience are selected based on their eligibility criteria. SME are required to define a reasonable scenario for each task from personal experience, provide occupational performance requirements of the scenario in sub-groups, and discuss and agree by consensus vote on the final standard based on the definition of essential. A common and essential task for the CAF is detailed as a case example of process application. Techniques to avoid common SME rating errors are discussed and advantages to the method described. The SETS method was developed as a systematic approach to setting occupational performance standards and qualifying information from SME.

  10. Standardized fluoroscopy-based technique to measure intraoperative cup anteversion.

    Science.gov (United States)

    Zingg, Matthieu; Boudabbous, Sana; Hannouche, Didier; Montet, Xavier; Boettner, Friedrich

    2017-10-01

    Direct anterior approach (DAA) with the patient lying supine has facilitated the use of intraoperative fluoroscopy and allows for standardized positioning of the patient. The current study presents a new technique to measure acetabular component anteversion using intraoperative fluoroscopy. The current paper describes a mathematical formula to calculate true acetabular component anteversion based on the acetabular component abduction angle and the c-arm tilt angle (CaT). The CaT is determined by tilting the c-arm until an external pelvic oblique radiograph with the equatorial plane of the acetabular component perpendicular to the fluoroscopy receptor is obtained. CaT is determined by direct reading on the C-arm device. The technique was validated using a radiopaque synbone model comparing the described technique to computed tomography anteversion measurement. The experiment was repeated 25 times. The difference in anteversion between the two measuring techniques was on average 0.2° (range -3.0-3.1). The linear regression coefficients evaluating the agreement between the experimental and control methods were 0.99 (95%CI 0.88-1.10, p < 0.001) and 0.33 (95%CI -1.53-2.20, p = 0.713) for the slope and intercept, respectively. The current study confirms that the described three-step c-arm acetabular cup measuring technique can reproducibly and reliably assess acetabular component anteversion in the supine position, as compared to CT-imaging. © 2017 Orthopaedic Research Society. Published by Wiley Periodicals, Inc. J Orthop Res 35:2307-2312, 2017. © 2017 Orthopaedic Research Society. Published by Wiley Periodicals, Inc.

  11. An approach to setting radiation standards

    International Nuclear Information System (INIS)

    Adler, H.I.; Weinberg, A.M.

    1978-01-01

    To quantify the concept of a radiation dose which is small compared with the natural background it is suggested that this figure should be interpreted as the standard deviation (weighted with the exposed population) of the natural background. It is considered that this use of the variation in natural background radiation is less arbitrary and requires fewer unfounded assumptions than some current approaches to standard-setting. The standard deviation is an easily calculated statistic that is small compared with the mean value for natural exposures of populations. It is an objectively determined quantity and its significance is generally understood. Its determination does not omit any of the pertinent data. If, as a result of new measurements, additional information on the variance in natural background becomes available, the appropriate adjustment of the standard deviation is readily made and does not require new decisions and debate. (U.K.)

  12. Business jet approach noise abatement techniques - Flight test results

    Science.gov (United States)

    Putnam, T. W.; Burcham, F. W.

    1976-01-01

    Operational techniques for reducing approach noise from business jet aircraft were evaluated in flight by measuring the noise generated by five such aircraft during modified approaches. Approaches with 4-deg glide slopes were approximately 4.0 EPNdB quieter than approaches with standard 3-deg glide slopes. Noise reductions for low-drag 3-deg approaches varied widely among the airplanes tested; the fleet-weighted reduction was 8.5 EPNdB. Two-segment approaches resulted in noise reductions of 7.0 EPNdB to 8.5 EPNdB 3 nautical miles and 5 nautical miles from touchdown. Pilot workload increased progressively for the 4-deg, low-drag 3-deg, and two-segment approach.

  13. Radiation safety standards : an environmentalist's approach

    International Nuclear Information System (INIS)

    Murthy, M.S.S.S.

    1977-01-01

    An integrated approach to the problem of environmental mutagenic hazards leads to the recommendation of a single dose-limit to the exposure of human beings to all man-made mutagenic agents including chemicals and radiation. However, because of lack of : (1) adequate information on chemical mutagens, (2) sufficient data on their risk estimates and (3) universally accepted dose-limites, control of chemical mutagens in the environment has not reached that advanced stage as that of radiation. In this situation, the radiation safety standards currently in use should be retained at their present levels. (M.G.B.)

  14. Standardization of P-33 by the TDCR efficiency calculation technique

    CSIR Research Space (South Africa)

    Simpson, BRS

    2004-02-01

    Full Text Available and Isotopes 60 (2004) 465?468 The standardization of 33P by the TDCR efficiency calculation technique B.R.S. Simpson*, W.M. Morris Radioactivity Standards Laboratory, CSIR?NML, 15 Lower Hope Road, Rosebank, Cape Town 7700, South Africa Abstract The activity... allowed). 2. Review of the TDCR efficiency calculation technique A LS source is viewed by a three-phototube detection system and the double-tube coincidence counting rate Nd and the triple-tube rate Nt are recorded simulta- neously. If N0 is the 33P...

  15. [How to write an andrological paper: standardization, mechanics and techniques].

    Science.gov (United States)

    Huang, Yu-Feng; Lu, Jin-Chun

    2010-12-01

    Andrological research papers not only reflect the current status and academic level of andrology, but also constitute an important communication platform for researchers and clinicians engaged in this field and contribute significantly to the development of andrology. It would be made easier to write a high-quality andrological paper once the author observes the basic requirements of research papers, adheres to the use of standard scientific terminology, knows the special writing mechanics, and equips himself with some essential writing techniques. Based on the long experience of editorship, we present a detailed introduction of the standardization, mechanics and techniques of writing an andrological paper.

  16. Paediatric sutureless circumcision-an alternative to the standard technique.

    LENUS (Irish Health Repository)

    2012-01-31

    INTRODUCTION: Circumcision is one of the most commonly performed surgical procedures in male children. A range of surgical techniques exist for this commonly performed procedure. The aim of this study is to assess the safety, functional outcome and cosmetic appearance of a sutureless circumcision technique. METHODS: Over a 9-year period, 502 consecutive primary sutureless circumcisions were performed by a single surgeon. All 502 cases were entered prospectively into a database including all relevant clinical details and a review was performed. The technique used to perform the sutureless circumcision is a modification of the standard sleeve technique with the use of a bipolar diathermy and the application of 2-octyl cyanoacrylate (2-OCA) to approximate the tissue edges. RESULTS: All boys in this study were pre-pubescent and the ages ranged from 6 months to 12 years (mean age 3.5 years). All patients had this procedure performed as a day case and under general anaesthetic. Complications included: haemorrhage (2.2%), haematoma (1.4%), wound infection (4%), allergic reaction (0.2%) and wound dehiscence (0.8%). Only 9 (1.8%) parents or patients were dissatisfied with the cosmetic appearance. CONCLUSION: The use of 2-OCA as a tissue adhesive for sutureless circumcisions is an alternative to the standard suture technique. The use of this tissue adhesive, 2-OCA, results in comparable complication rates to the standard circumcision technique and results in excellent post-operative cosmetic satisfaction.

  17. A novel wireless modulation technique for inter-standard communications

    NARCIS (Netherlands)

    Bekkaoui, A.; Haartsen, J.C.

    2006-01-01

    A new technique is presented with permits transceivers of different radio standards to communicate with each other. Applications are found in unlicensed bands where radios using different technologies, like for example Bluetooth, ZigBee, or WLAN IEEE 802.11, have to share the same radio spectrum. If

  18. Different approaches of high speed data transmission standards

    OpenAIRE

    M. Ehlert

    2004-01-01

    A number of standards addresses the problem of high-speed data transmission on serial or serial-parallel data lines. Serial-parallel data transmission means the transmitted information is distributed on parallel data lines. Even though several standards exist, there are only a few basic techniques used in most of these standards. This paper is giving an overview of these different basic techniques used in the physical layer of today’s data transmission standards, for exam...

  19. Standardization of surgical techniques used in facial bone contouring.

    Science.gov (United States)

    Lee, Tae Sung

    2015-12-01

    Since the introduction of facial bone contouring surgery for cosmetic purposes, various surgical methods have been used to improve the aesthetics of facial contours. In general, by standardizing the surgical techniques, it is possible to decrease complication rates and achieve more predictable surgical outcomes, thereby increasing patient satisfaction. The technical strategies used by the author to standardize facial bone contouring procedures are introduced here. The author uses various pre-manufactured surgical tools and hardware for facial bone contouring. During a reduction malarplasty or genioplasty procedure, double-bladed reciprocating saws and pre-bent titanium plates customized for the zygomatic body, arch and chin are used. Various guarded oscillating saws are used for mandibular angloplasty. The use of double-bladed saws and pre-bent plates to perform reduction malarplasty reduces the chances of post-operative asymmetry or under- or overcorrection of the zygoma contours due to technical faults. Inferior alveolar nerve injury and post-operative jawline asymmetry or irregularity can be reduced by using a guarded saw during mandibular angloplasty. For genioplasty, final placement of the chin in accordance with preoperative quantitative analysis can be easily performed with pre-bent plates, and a double-bladed saw allows more procedural accuracy during osteotomies. Efforts by the surgeon to avoid unintentional faults are key to achieving satisfactory results and reducing the incidence of complications. The surgical techniques described in this study in conjunction with various in-house surgical tools and modified hardware can be used to standardize techniques to achieve aesthetically gratifying outcomes. Copyright © 2015 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.

  20. [Total hip replacement from a MIS-AL approach (comparison with a standard anterolateral approach)].

    Science.gov (United States)

    Kubes, J; Landor, I; Podskubka, A; Majernícek, M

    2009-08-01

    Minimally invasive surgery (MIS) techniques have recently become a powerful and effective marketing instruments that are often perceived by the patient as the criterion of the surgeon's and institution's standard. In addition to studies reporting the benefits of minimally invasive procedures, some authors have recently found no such benefits or even pointed out some disadvantages. In this paper we present our own view of this issue. Our definition of minimally invasive surgery: a minimally invasive procedure is such that an optimally placed incision using anatomical intervals without damage to muscle insertions allows us to gain a good view of the operating field and to safely perform the planned surgery. Because of this optimal approach it is possible to make skin incisions shorter. Between April 21, 2005, and December 28, 2006, the first 40 MIS hip procedures were performed at the Department of Orthopaedic Surgery of the ILF Bulovka. Forty patients who, in the same period, were operated on from an anterolateral standard approach and who met the same indication criteria, including age, comprised a control group. In both groups all routinely used types of implants were included. For objective assessment of potential differences between surgical outcomes of the two techniques, the following para- meters were recorded: operating time, peri-operative blood loss, pre- and post-operative Hb levels, Hb level on the first post- operative morning, amount of blood drained away with a Redon drain, number of anodyne applications (indirect evaluation of post-operative pain) and length of hospital stay. The parameters were compared for the cemented and the uncemented implants separately. The results were evaluated using the paired t-test, with the significance level set at a value of pMIS-AL results with those of the standard total hip replacement procedure did not show any significant differences, not even during further follow-up; by the end of 2008 no implant failure or

  1. Reef Fish Survey Techniques: Assessing the Potential for Standardizing Methodologies.

    Directory of Open Access Journals (Sweden)

    Zachary R Caldwell

    Full Text Available Dramatic changes in populations of fishes living on coral reefs have been documented globally and, in response, the research community has initiated efforts to assess and monitor reef fish assemblages. A variety of visual census techniques are employed, however results are often incomparable due to differential methodological performance. Although comparability of data may promote improved assessment of fish populations, and thus management of often critically important nearshore fisheries, to date no standardized and agreed-upon survey method has emerged. This study describes the use of methods across the research community and identifies potential drivers of method selection. An online survey was distributed to researchers from academic, governmental, and non-governmental organizations internationally. Although many methods were identified, 89% of survey-based projects employed one of three methods-belt transect, stationary point count, and some variation of the timed swim method. The selection of survey method was independent of the research design (i.e., assessment goal and region of study, but was related to the researcher's home institution. While some researchers expressed willingness to modify their current survey protocols to more standardized protocols (76%, their willingness decreased when methodologies were tied to long-term datasets spanning five or more years. Willingness to modify current methodologies was also less common among academic researchers than resource managers. By understanding both the current application of methods and the reported motivations for method selection, we hope to focus discussions towards increasing the comparability of quantitative reef fish survey data.

  2. Compressed air injection technique to standardize block injection pressures.

    Science.gov (United States)

    Tsui, Ban C H; Li, Lisa X Y; Pillay, Jennifer J

    2006-11-01

    Presently, no standardized technique exists to monitor injection pressures during peripheral nerve blocks. Our objective was to determine if a compressed air injection technique, using an in vitro model based on Boyle's law and typical regional anesthesia equipment, could consistently maintain injection pressures below a 1293 mmHg level associated with clinically significant nerve injury. Injection pressures for 20 and 30 mL syringes with various needle sizes (18G, 20G, 21G, 22G, and 24G) were measured in a closed system. A set volume of air was aspirated into a saline-filled syringe and then compressed and maintained at various percentages while pressure was measured. The needle was inserted into the injection port of a pressure sensor, which had attached extension tubing with an injection plug clamped "off". Using linear regression with all data points, the pressure value and 99% confidence interval (CI) at 50% air compression was estimated. The linearity of Boyle's law was demonstrated with a high correlation, r = 0.99, and a slope of 0.984 (99% CI: 0.967-1.001). The net pressure generated at 50% compression was estimated as 744.8 mmHg, with the 99% CI between 729.6 and 760.0 mmHg. The various syringe/needle combinations had similar results. By creating and maintaining syringe air compression at 50% or less, injection pressures will be substantially below the 1293 mmHg threshold considered to be an associated risk factor for clinically significant nerve injury. This technique may allow simple, real-time and objective monitoring during local anesthetic injections while inherently reducing injection speed.

  3. A Standardization Approach to Adjusting Pretest Item Statistics.

    Science.gov (United States)

    Chang, Shun-Wen; Hanson, Bradley A.; Harris, Deborah J.

    This study presents and evaluates a method of standardization that may be used by test practitioners to standardize classical item statistics when sample sizes are small. The effectiveness of this standardization approach was compared through simulation with the one-parameter logistic (1PL) and three parameter logistic (3PL) models based on the…

  4. A standardized approach for iris color determination.

    Science.gov (United States)

    Niggemann, Birgit; Weinbauer, Gerhard; Vogel, Friedhelm; Korte, Rainhart

    2003-01-01

    Latanoprost, the phenyl-substituted prostaglandin F2alpha, has been found to be an effective agent for glaucoma therapy. This prostaglandin derivative exerts ocular hypotensive activity but is also associated with an untoward side effect, namely iris color changes. Latanoprost provoked iris color changes in cynomolgus monkeys and in multicenter clinical trials. Until now photographs were taken and compared with color plates to document these changes. The disadvantage of this method is obvious, i.e., the color luminance varies between measurements due to changes in the developer. Furthermore, subjective comparison of color changes relative to color plates rendered judgment subject to impression and opinion rather than to objective data. Therefore, a computerized method using a 3-CCD video camera attached to a slit lamp was developed. The signals were transferred to a computer and a single frame, which was "frozen" by means of a "grabber card." Camera and the computer had previously been calibrated and color plates were measured to check the standard conditions. They were evaluated by a software program displaying average color (as red, green, and blue values) of the selected area. This method provides a fast and accurate way to quantify color changes in the iris of both experimental animals and clinical trials.

  5. A no-gold-standard technique for objective assessment of quantitative nuclear-medicine imaging methods.

    Science.gov (United States)

    Jha, Abhinav K; Caffo, Brian; Frey, Eric C

    2016-04-07

    The objective optimization and evaluation of nuclear-medicine quantitative imaging methods using patient data is highly desirable but often hindered by the lack of a gold standard. Previously, a regression-without-truth (RWT) approach has been proposed for evaluating quantitative imaging methods in the absence of a gold standard, but this approach implicitly assumes that bounds on the distribution of true values are known. Several quantitative imaging methods in nuclear-medicine imaging measure parameters where these bounds are not known, such as the activity concentration in an organ or the volume of a tumor. We extended upon the RWT approach to develop a no-gold-standard (NGS) technique for objectively evaluating such quantitative nuclear-medicine imaging methods with patient data in the absence of any ground truth. Using the parameters estimated with the NGS technique, a figure of merit, the noise-to-slope ratio (NSR), can be computed, which can rank the methods on the basis of precision. An issue with NGS evaluation techniques is the requirement of a large number of patient studies. To reduce this requirement, the proposed method explored the use of multiple quantitative measurements from the same patient, such as the activity concentration values from different organs in the same patient. The proposed technique was evaluated using rigorous numerical experiments and using data from realistic simulation studies. The numerical experiments demonstrated that the NSR was estimated accurately using the proposed NGS technique when the bounds on the distribution of true values were not precisely known, thus serving as a very reliable metric for ranking the methods on the basis of precision. In the realistic simulation study, the NGS technique was used to rank reconstruction methods for quantitative single-photon emission computed tomography (SPECT) based on their performance on the task of estimating the mean activity concentration within a known volume of interest

  6. A no-gold-standard technique for objective assessment of quantitative nuclear-medicine imaging methods

    International Nuclear Information System (INIS)

    Jha, Abhinav K; Frey, Eric C; Caffo, Brian

    2016-01-01

    The objective optimization and evaluation of nuclear-medicine quantitative imaging methods using patient data is highly desirable but often hindered by the lack of a gold standard. Previously, a regression-without-truth (RWT) approach has been proposed for evaluating quantitative imaging methods in the absence of a gold standard, but this approach implicitly assumes that bounds on the distribution of true values are known. Several quantitative imaging methods in nuclear-medicine imaging measure parameters where these bounds are not known, such as the activity concentration in an organ or the volume of a tumor. We extended upon the RWT approach to develop a no-gold-standard (NGS) technique for objectively evaluating such quantitative nuclear-medicine imaging methods with patient data in the absence of any ground truth. Using the parameters estimated with the NGS technique, a figure of merit, the noise-to-slope ratio (NSR), can be computed, which can rank the methods on the basis of precision. An issue with NGS evaluation techniques is the requirement of a large number of patient studies. To reduce this requirement, the proposed method explored the use of multiple quantitative measurements from the same patient, such as the activity concentration values from different organs in the same patient. The proposed technique was evaluated using rigorous numerical experiments and using data from realistic simulation studies. The numerical experiments demonstrated that the NSR was estimated accurately using the proposed NGS technique when the bounds on the distribution of true values were not precisely known, thus serving as a very reliable metric for ranking the methods on the basis of precision. In the realistic simulation study, the NGS technique was used to rank reconstruction methods for quantitative single-photon emission computed tomography (SPECT) based on their performance on the task of estimating the mean activity concentration within a known volume of interest

  7. NET European Network on Neutron Techniques Standardization for Structural Integrity

    International Nuclear Information System (INIS)

    Youtsos, A.

    2004-01-01

    Improved performance and safety of European energy production systems is essential for providing safe, clean and inexpensive electricity to the citizens of the enlarged EU. The state of the art in assessing internal stresses, micro-structure and defects in welded nuclear components -as well as their evolution due to complex thermo-mechanical loads and irradiation exposure -needs to be improved before relevant structural integrity assessment code requirements can safely become less conservative. This is valid for both experimental characterization techniques and predictive numerical algorithms. In the course of the last two decades neutron methods have proven to be excellent means for providing valuable information required in structural integrity assessment of advanced engineering applications. However, the European industry is hampered from broadly using neutron research due to lack of harmonised and standardized testing methods. 35 European major industrial and research/academic organizations have joined forces, under JRC coordination, to launch the NET European Network on Neutron Techniques Standardization for Structural Integrity in May 2002. The NET collaborative research initiative aims at further development and harmonisation of neutron scattering methods, in support of structural integrity assessment. This is pursued through a number of testing round robin campaigns on neutron diffraction and small angle neutron scattering - SANS and supported by data provided by other more conventional destructive and non-destructive methods, such as X-ray diffraction and deep and surface hole drilling. NET also strives to develop more reliable and harmonized simulation procedures for the prediction of residual stress and damage in steel welded power plant components. This is pursued through a number of computational round robin campaigns based on advanced FEM techniques, and on reliable data obtained by such novel and harmonized experimental methods. The final goal of

  8. Sequential Bayesian technique: An alternative approach for ...

    Indian Academy of Sciences (India)

    This paper proposes a sequential Bayesian approach similar to Kalman filter for estimating reliability growth or decay of software. The main advantage of proposed method is that it shows the variation of the parameter over a time, as new failure data become available. The usefulness of the method is demonstrated with ...

  9. Sequential Bayesian technique: An alternative approach for ...

    Indian Academy of Sciences (India)

    MS received 8 October 2007; revised 15 July 2008. Abstract. This paper proposes a sequential Bayesian approach similar to Kalman filter for estimating reliability growth or decay of software. The main advantage of proposed method is that it shows the variation of the parameter over a time, as new failure data become ...

  10. The Development of the Standard Lithuanian Language: Ecolinguistic Approach

    Directory of Open Access Journals (Sweden)

    Vaida Buivydienė

    2014-06-01

    Full Text Available The theory of standard languages is closely linked with the standardization policy and prevailing ideology. The language ideology comprises its value, experience and convictions related to language usage and its dis - course being influenced at institutional, local and global levels. Recently, in the last decades, foreign linguists have linked the theories of the development of standard lan- guages and their ideologies with an ecolinguistic approach towards language standardization phenomena. The article is based on Einar Haugen ’s theory about the development of standard languages and ecolinguistic statements and presents the stages of developing the standard language as well as the factors having an influ - ence on them. In conclusion, a strong political and social impact has been made on the development of the standard Lithuanian language. The stages of the progress of the standard Lithuanian language have rapidly changed each other, some have been held very close to one another and some still have been taken part.

  11. A statistical approach to traditional Vietnamese medical diagnoses standardization

    International Nuclear Information System (INIS)

    Nguyen Hoang Phuong; Nguyen Quang Hoa; Le Dinh Long

    1990-12-01

    In this paper the first results of the statistical approach for Cold-Heat diagnosis standardization as a first work in the ''eight rules diagnoses'' standardization of Traditional Vietnamese Medicine are briefly described. Some conclusions and suggestions for further work are given. 3 refs, 2 tabs

  12. Assessment of Snared-Loop Technique When Standard Retrieval of Inferior Vena Cava Filters Fails

    International Nuclear Information System (INIS)

    Doody, Orla; Noe, Geertje; Given, Mark F.; Foley, Peter T.; Lyon, Stuart M.

    2009-01-01

    Purpose To identify the success and complications related to a variant technique used to retrieve inferior vena cava filters when simple snare approach has failed. Methods A retrospective review of all Cook Guenther Tulip filters and Cook Celect filters retrieved between July 2006 and February 2008 was performed. During this period, 130 filter retrievals were attempted. In 33 cases, the standard retrieval technique failed. Retrieval was subsequently attempted with our modified retrieval technique. Results The retrieval was successful in 23 cases (mean dwell time, 171.84 days; range, 5-505 days) and unsuccessful in 10 cases (mean dwell time, 162.2 days; range, 94-360 days). Our filter retrievability rates increased from 74.6% with the standard retrieval method to 92.3% when the snared-loop technique was used. Unsuccessful retrieval was due to significant endothelialization (n = 9) and caval penetration by the filter (n = 1). A single complication occurred in the group, in a patient developing pulmonary emboli after attempted retrieval. Conclusion The technique we describe increased the retrievability of the two filters studied. Hook endothelialization is the main factor resulting in failed retrieval and continues to be a limitation with these filters.

  13. [Study on standardization of cupping technique: elucidation on the establishment of the National Standard Standardized Manipulation of Acupuncture and Moxibustion, Part V, Cupping].

    Science.gov (United States)

    Gao, Shu-zhong; Liu, Bing

    2010-02-01

    From the aspects of basis, technique descriptions, core contents, problems and solutions, and standard thinking in standard setting process, this paper states experiences in the establishment of the national standard Standardized Manipulation of Acupuncture and Moxibustion, Part V, Cupping, focusing on methodologies used in cupping standard setting process, the method selection and operating instructions of cupping standardization, and the characteristics of standard TCM. In addition, this paper states the scope of application, and precautions for this cupping standardization. This paper also explaines tentative ideas on the research of standardized manipulation of acupuncture and moxibustion.

  14. DEVELOPING THE CONCEPTUAL APPROACH TO STANDARDIZATION OF VOCATIONAL EDUCATION

    Directory of Open Access Journals (Sweden)

    V. I. Blinov

    2013-01-01

    Full Text Available The paper analyzes educational standards as the key concept of modern education; their interrelation with the national qualifications system and professional standards being considered. The authors denote the reasons for changing the conceptual approach to the standard developments, and demonstrate the possible ways of educational quality assurance.Diversification and mobility of the modern qualifications along with the fast technological changes affects the educational content and knowledge acquisition, and requires the variable and flexible educational  curricula and management. The global development trends, concerning the educational quality standards, involve their orientation on the learning outcomes, which should be taken into account while developing the Federal State Educational Standards of the fourth generation. The authors reveal the structure of the future standard, outline its implementation stages, and demonstrate the mechanism guaranteeing the regulatory legal provision of professional education. 

  15. Extending and simplifying the standard Köhn-pipette technique for grain size analysis

    Science.gov (United States)

    Hirsch, Florian; Raab, Thomas

    2014-05-01

    Grain size distribution is a fundamental parameter to characterize physical properties of soils and sediments. Manifold approaches exist and according to the DIN ISO 11277 soil texture is analyzed by default with the combined pipette sieving and sedimentation method developed by Köhn. With this standard technique subfractions of sand and silt as well as the total clay content can be determined but the differentiation of clay subfractions is impossible. As the differentiation of the clay subfractions yields relevant information about pedogenesis, we present a protocol basing on standard techniques of granulometry with easy to handle and low cost equipment. The protocol was tested on a set of soil samples to cover the range of grain size distributions. We used a three-step procedure for achieving the grain size distribution of soil samples taking into account the subfractions of sand, silt and clay by a combination of sedimentation, centrifugal sedimentation and wet sieving. The pipetting was done with a piston-stroke pipette instead of the referred complex pipette from the DIN ISO 11277. Our first results show that the applied protocol is less prone to operating errors than the standard Köhn-pipette technique. Furthermore, even a less experienced laboratory worker can handle 10 samples in one day. Analyses of a luvisol profile, sampled in high spatial resolution, showed that the lessivation process is characterized by translocation of fine clay from the eluvial horizon to the illuvial horizon. Therefore our protocol is a fast alternative to detect lessivation, which is otherwise only clearly identifiable by micromorphological investigation and not by the standard Köhn-pipette technique.

  16. Approaches to setting organism-based ballast water discharge standards

    Science.gov (United States)

    Lee, Henry; Reusser, Deborah A.; Frazier, Melanie

    2013-01-01

    As a vector by which foreign species invade coastal and freshwater waterbodies, ballast water discharge from ships is recognized as a major environmental threat. The International Maritime Organization (IMO) drafted an international treaty establishing ballast water discharge standards based on the number of viable organisms per volume of ballast discharge for different organism size classes. Concerns that the IMO standards are not sufficiently protective have initiated several state and national efforts in the United States to develop more stringent standards. We evaluated seven approaches to establishing discharge standards for the >50-μm size class: (1) expert opinion/management consensus, (2) zero detectable living organisms, (3) natural invasion rates, (4) reaction–diffusion models, (5) population viability analysis (PVA) models, (6) per capita invasion probabilities (PCIP), and (7) experimental studies. Because of the difficulty in synthesizing scientific knowledge in an unbiased and transparent fashion, we recommend the use of quantitative models instead of expert opinion. The actual organism concentration associated with a “zero detectable organisms” standard is defined by the statistical rigor of its monitoring program; thus it is not clear whether such a standard is as stringent as other standards. For several reasons, the natural invasion rate, reaction–diffusion, and experimental approaches are not considered suitable for generating discharge standards. PVA models can be used to predict the likelihood of establishment of introduced species but are limited by a lack of population vital rates for species characteristic of ballast water discharges. Until such rates become available, PVA models are better suited to evaluate relative efficiency of proposed standards rather than predicting probabilities of invasion. The PCIP approach, which is based on historical invasion rates at a regional scale, appears to circumvent many of the indicated problems

  17. Standardization approaches in absolute quantitative proteomics with mass spectrometry.

    Science.gov (United States)

    Calderón-Celis, Francisco; Encinar, Jorge Ruiz; Sanz-Medel, Alfredo

    2017-07-31

    Mass spectrometry-based approaches have enabled important breakthroughs in quantitative proteomics in the last decades. This development is reflected in the better quantitative assessment of protein levels as well as to understand post-translational modifications and protein complexes and networks. Nowadays, the focus of quantitative proteomics shifted from the relative determination of proteins (ie, differential expression between two or more cellular states) to absolute quantity determination, required for a more-thorough characterization of biological models and comprehension of the proteome dynamism, as well as for the search and validation of novel protein biomarkers. However, the physico-chemical environment of the analyte species affects strongly the ionization efficiency in most mass spectrometry (MS) types, which thereby require the use of specially designed standardization approaches to provide absolute quantifications. Most common of such approaches nowadays include (i) the use of stable isotope-labeled peptide standards, isotopologues to the target proteotypic peptides expected after tryptic digestion of the target protein; (ii) use of stable isotope-labeled protein standards to compensate for sample preparation, sample loss, and proteolysis steps; (iii) isobaric reagents, which after fragmentation in the MS/MS analysis provide a final detectable mass shift, can be used to tag both analyte and standard samples; (iv) label-free approaches in which the absolute quantitative data are not obtained through the use of any kind of labeling, but from computational normalization of the raw data and adequate standards; (v) elemental mass spectrometry-based workflows able to provide directly absolute quantification of peptides/proteins that contain an ICP-detectable element. A critical insight from the Analytical Chemistry perspective of the different standardization approaches and their combinations used so far for absolute quantitative MS-based (molecular and

  18. Minimally Invasive Double Lung Transplantation Technique (Anteroaxillary Approach

    Directory of Open Access Journals (Sweden)

    Basar Sareyyupoglu

    2012-04-01

    Full Text Available Lung transplantation has been performed through several approaches in the past. Sternothoracotomy is the most widely used approach for double lung transplantation. Although bilateral anterolateral thoracotomy for double lung transplantation has been described in the past, this approach has not widely adopted worldwide. The %u2018anteroaxillary approach%u2019 utilizes a limited incision compared to others, preserves sternal anatomy as well as thoracic arteries, and provides an excellent exposure to hilum. We would like to present our standard approach at University of Pittsburgh through anteroaxillary incision.

  19. Technique for fabrication of gradual standards of radiographic image blachening density

    International Nuclear Information System (INIS)

    Borovin, I.V.; Kondina, M.A.

    1987-01-01

    The technique of fabrication of gradual standards of blackening density for industrial radiography by contact printing from a negative is described. The technique is designed for possibilities of industrial laboratoriesof radiation defectoscopy possessing no special-purpose sensitometric equipment

  20. 'Standard Shona' Approach to Teaching ChiShona Abandoned Or ...

    African Journals Online (AJOL)

    This study was undertaken to establish whether ChiShona teachers in Zimbabwe have abandoned the formerly 'Standard Shona' approach to ChiShona teaching. It was conducted in five provinces of Zimbabwe in the years 1997-2016. The study took a qualitative paradigm, with longitudinal study as the method. Interviews ...

  1. The standardized surgical approach improves outcome of gallbladder cancer

    Directory of Open Access Journals (Sweden)

    Igna Dorian

    2007-05-01

    Full Text Available Abstract Background The objective of this study was to examine the extent of surgical procedures, pathological findings, complications and outcome of patients treated in the last 12 years for gallbladder cancer. Methods The impact of a standardized more aggressive approach compared with historical controls of our center with an individual approach was examined. Of 53 patients, 21 underwent resection for cure and 32 for palliation. Results Overall hospital mortality was 9% and procedure related mortality was 4%. The standardized approach in UICC stage IIa, IIb and III led to a significantly improved outcome compared to patients with an individual approach (Median survival: 14 vs. 7 months, mean+/-SEM: 26+/-7 vs. 17+/-5 months, p = 0.014. The main differences between the standardized and the individual approach were anatomical vs. atypical liver resection, performance of systematic lymph dissection of the hepaticoduodenal ligament and the resection of the common bile duct. Conclusion Anatomical liver resection, proof for bile duct infiltration and, in case of tumor invasion, radical resection and lymph dissection of the hepaticoduodenal ligament are essential to improve outcome of locally advanced gallbladder cancer.

  2. Is the Standard Monte Carlo Power Iteration Approach the Wrong Approach? Part 2

    Energy Technology Data Exchange (ETDEWEB)

    Booth, Thomas E. [Los Alamos National Laboratory

    2012-07-11

    The recent work 'Is the Standard Monte Carlo Power Iteration Approach the Wrong Approach?' speculated that the second eigenfunction could be built using essentially the same 'building brick' approach that obtained the first eigenfunction in LA-UR-12-21928. This note shows that the speculation was at least partially correct, but not complete.

  3. Basic prediction techniques in modern video coding standards

    CERN Document Server

    Kim, Byung-Gyu

    2016-01-01

    This book discusses in detail the basic algorithms of video compression that are widely used in modern video codec. The authors dissect complicated specifications and present material in a way that gets readers quickly up to speed by describing video compression algorithms succinctly, without going to the mathematical details and technical specifications. For accelerated learning, hybrid codec structure, inter- and intra- prediction techniques in MPEG-4, H.264/AVC, and HEVC are discussed together. In addition, the latest research in the fast encoder design for the HEVC and H.264/AVC is also included.

  4. Factor Analysis vs. Fuzzy Sets Theory: Assessing the Influence of Different Techniques on Sen's Functioning Approach

    OpenAIRE

    Sara Lelli

    2001-01-01

    This paper explores a couple of specific operational interpretations of Sen's approach in view of assessing the extent to which the results originated by the implementation of Sen's concepts are influenced by the choice of the specific technique. By means of a survey based on a representative sample of Belgian individuals, seven achieved functioning's are identified via each technique and subsequently confronted. To structure the information and to facilitate comparisons, standard multivariat...

  5. Preliminary detection of explosive standard components with Laser Raman Technique

    International Nuclear Information System (INIS)

    Botti, S.; Ciardi, R.

    2008-01-01

    Presently, our section is leader of the ISOTREX project (Integrated System for On-line TRace EXplosives detection in solid, liquid and vapour state), funded in the frame of the PASR 2006 action (Preparatory Action on the enhancement of the European industrial potential in the field of Security Research Preparatory Action) of the 6. EC framework. ISOTREX project will exploit the capabilities of different laser techniques as LIBS (Laser Induced Breakdown Spectroscopy), LPA (Laser Photo Acustic) and CRDS (Cavity Ring Down Spectroscopy) to monitor explosive traces. In this frame, we extended our investigation also to the laser induced Raman effect spectroscopy, in order to investigate its capabilities and possible future integration. We analysed explosive samples in bulk solid phase, diluted liquid phase and as evaporated films over suitable substrate. In the following, we present the main results obtained, outlining preliminary conclusions [it

  6. IAEA safety standards and approach to safety of advanced reactors

    International Nuclear Information System (INIS)

    Gasparini, M.

    2004-01-01

    The paper presents an overview of the IAEA safety standards including their overall structure and purpose. A detailed presentation is devoted to the general approach to safety that is embodied in the current safety requirements for the design of nuclear power plants. A safety approach is proposed for the future. This approach can be used as reference for a safe design, for safety assessment and for the preparation of the safety requirements. The method proposes an integration of deterministic and risk informed concepts in the general frame of a generalized concept of safety goals and defence in depth. This methodology may provide a useful tool for the preparation of safety requirements for the design and operation of any kind of reactor including small and medium sized reactors with innovative safety features.(author)

  7. Application of the Sampling Selection Technique in Approaching Financial Audit

    Directory of Open Access Journals (Sweden)

    Victor Munteanu

    2018-03-01

    Full Text Available In his professional approach, the financial auditor has a wide range of working techniques, including selection techniques. They are applied depending on the nature of the information available to the financial auditor, the manner in which they are presented - paper or electronic format, and, last but not least, the time available. Several techniques are applied, successively or in parallel, to increase the safety of the expressed opinion and to provide the audit report with a solid basis of information. Sampling is used in the phase of control or clarification of the identified error. The main purpose is to corroborate or measure the degree of risk detected following a pertinent analysis. Since the auditor does not have time or means to thoroughly rebuild the information, the sampling technique can provide an effective response to the need for valorization.

  8. Technology and Technique Standards for Camera-Acquired Digital Dermatologic Images: A Systematic Review.

    Science.gov (United States)

    Quigley, Elizabeth A; Tokay, Barbara A; Jewell, Sarah T; Marchetti, Michael A; Halpern, Allan C

    2015-08-01

    Photographs are invaluable dermatologic diagnostic, management, research, teaching, and documentation tools. Digital Imaging and Communications in Medicine (DICOM) standards exist for many types of digital medical images, but there are no DICOM standards for camera-acquired dermatologic images to date. To identify and describe existing or proposed technology and technique standards for camera-acquired dermatologic images in the scientific literature. Systematic searches of the PubMed, EMBASE, and Cochrane databases were performed in January 2013 using photography and digital imaging, standardization, and medical specialty and medical illustration search terms and augmented by a gray literature search of 14 websites using Google. Two reviewers independently screened titles of 7371 unique publications, followed by 3 sequential full-text reviews, leading to the selection of 49 publications with the most recent (1985-2013) or detailed description of technology or technique standards related to the acquisition or use of images of skin disease (or related conditions). No universally accepted existing technology or technique standards for camera-based digital images in dermatology were identified. Recommendations are summarized for technology imaging standards, including spatial resolution, color resolution, reproduction (magnification) ratios, postacquisition image processing, color calibration, compression, output, archiving and storage, and security during storage and transmission. Recommendations are also summarized for technique imaging standards, including environmental conditions (lighting, background, and camera position), patient pose and standard view sets, and patient consent, privacy, and confidentiality. Proposed standards for specific-use cases in total body photography, teledermatology, and dermoscopy are described. The literature is replete with descriptions of obtaining photographs of skin disease, but universal imaging standards have not been developed

  9. Anterior Colporrhaphy Technique and Approach Choices: Turkey Evaluation

    Directory of Open Access Journals (Sweden)

    Serdar Aydın

    2016-09-01

    Full Text Available Aim: To evaluate the diversity in techniques and approaches for anterior colporrhaphy among operators in Turkey. Methods: A survey evaluating the preoperative examination, technique of anterior colporrhaphy, operation choice and postoperative care was presented to surgeons. We contacted via directly, mail or telephone. We used 28 item questionnaire. Results: Majority (87.9% was composed of young gynecologists. Urologists composed of the 9.5% of the study population. The rate of paravaginal defect evaluation was 75.9% and mostly by inspection the presence of vaginal rugae. The use of transperineal 3D pelvic floor ultrasonography was low (5.7%. The evaluation of levator ani muscle defect was 46.6%. The usage of the transperineal 3D ultrasonography for levator ani muscle defect was 19 percent of operators. There were diversity in use of hydrodissection, fascial plication, excision of vaginal mucosa and suture choice. Usage of mesh for anterior colporrhaphy was limited (17.8% and mostly in recurrent cases (12.2%. Paravaginal defect repair rate was 31.9%. The urinary catheter was generally removed one or two day after operation. Vaginal pack usually removed 24 hours after. Conclusion: Several techniques and approaches for anterior vaginal wall repair among operators in Turkey. The variety of techniques suggested that there is no consensus on best surgical technique.

  10. A standardized technique for high-pressure cooling of protein crystals.

    Science.gov (United States)

    Quirnheim Pais, David; Rathmann, Barbara; Koepke, Juergen; Tomova, Cveta; Wurzinger, Paul; Thielmann, Yvonne

    2017-12-01

    Cryogenic temperatures slow down secondary radiation damage during data collection from macromolecular crystals. In 1973, cooling at high pressure was identified as a method for cryopreserving crystals in their mother liquor [Thomanek et al. (1973). Acta Cryst. A29, 263-265]. Results from different groups studying different crystal systems indicated that the approach had merit, although difficulties in making the process work have limited its widespread use. Therefore, a simplified and reliable technique has been developed termed high-pressure cooling (HPC). An essential requirement for HPC is to protect crystals in capillaries. These capillaries form part of new sample holders with SPINE standard dimensions. Crystals are harvested with the capillary, cooled at high pressure (220 MPa) and stored in a cryovial. This system also allows the usage of the standard automation at the synchrotron. Crystals of hen egg-white lysozyme and concanavalin A have been successfully cryopreserved and yielded data sets to resolutions of 1.45 and 1.35 Å, respectively. Extensive work has been performed to define the useful working range of HPC in capillaries with 250 µm inner diameter. Three different 96-well crystallization screens that are most frequently used in our crystallization facility were chosen to study the formation of amorphous ice in this cooling setup. More than 89% of the screening solutions were directly suitable for HPC. This achievement represents a drastic improvement for crystals that suffered from cryoprotection or were not previously eligible for cryoprotection.

  11. Standard concentration infusions in paediatric intensive care: the clinical approach.

    Science.gov (United States)

    Perkins, Joanne; Aguado-Lorenzo, Virginia; Arenas-Lopez, Sara

    2017-05-01

    The use of standard concentrations of intravenous infusions has been advocated by international organisations to increase intravenous medication safety in paediatric and neonatal critical care. However, there is no guidance on how to identify and implement these infusions leading to great interunit variability. To identify the most appropriate clinical concentrations required by our paediatric intensive care unit (PICU) population with regard to accuracy of delivery and overall fluid allowance. Firstly a matrix was used to balance the concentration, dose and infusion volume (weight range 1.5-50 kg). Results were further refined considering: patient fluid allowance based on fluid volume targets, infusion pump accuracy and challenging each infusion against clinical scenarios requiring administration of multiple drug infusions found in PICU. Consideration was given to the standard concentrations routinely used in adults, in order to assess whether alignment with paediatrics was possible for some of the concentrations proposed. Finally a risk assessment of the infusions was conducted using the NPSA 20 tool. Twenty-five drugs identified as the most commonly used intravenous infusions in the unit. For the majority of the medicines, three weight bands of standard concentrations were necessary to cover the children's weight ranges and kept within predefined fluid requirements and accuracy of delivery. This work shows a patient focused systematic approach for defining and evaluating standardised concentrations in intensive care children. © 2016 Royal Pharmaceutical Society.

  12. MIMO wireless networks channels, techniques and standards for multi-antenna, multi-user and multi-cell systems

    CERN Document Server

    Clerckx, Bruno

    2013-01-01

    This book is unique in presenting channels, techniques and standards for the next generation of MIMO wireless networks. Through a unified framework, it emphasizes how propagation mechanisms impact the system performance under realistic power constraints. Combining a solid mathematical analysis with a physical and intuitive approach to space-time signal processing, the book progressively derives innovative designs for space-time coding and precoding as well as multi-user and multi-cell techniques, taking into consideration that MIMO channels are often far from ideal. Reflecting developments

  13. Transforaminal Approach in Thoracal Disc Pathologies: Transforaminal Microdiscectomy Technique

    Directory of Open Access Journals (Sweden)

    Sedat Dalbayrak

    2014-01-01

    Full Text Available Objective. Many surgical approaches have been defined and implemented in the last few decades for thoracic disc herniations. The endoscopic foraminal approach in foraminal, lateral, and far lateral disc hernias is a contemporary minimal invasive approach. This study was performed to show that the approach is possible using the microscope without an endoscope, and even the intervention on the discs within the spinal canal is possible by having access through the foramen. Methods. Forty-two cases with disc hernias in the medial of the pedicle were included in this study; surgeries were performed with transforaminal approach and microsurgically. Extraforaminal disc hernias were not included in the study. Access was made through the Kambin triangle, foramen was enlarged, and spinal canal was entered. Results. The procedure took 65 minutes in the average, and the mean bleeding amount was about 100cc. They were mobilized within the same day postoperatively. No complications were seen. Follow-up periods range between 5 and 84 months, and the mean follow-up period is 30.2 months. Conclusion. Transforaminal microdiscectomy is a method that can be performed in any clinic with standard spinal surgery equipment. It does not require additional equipment or high costs.

  14. Standardized approach for developing probabilistic exposure factor distributions

    Energy Technology Data Exchange (ETDEWEB)

    Maddalena, Randy L.; McKone, Thomas E.; Sohn, Michael D.

    2003-03-01

    The effectiveness of a probabilistic risk assessment (PRA) depends critically on the quality of input information that is available to the risk assessor and specifically on the probabilistic exposure factor distributions that are developed and used in the exposure and risk models. Deriving probabilistic distributions for model inputs can be time consuming and subjective. The absence of a standard approach for developing these distributions can result in PRAs that are inconsistent and difficult to review by regulatory agencies. We present an approach that reduces subjectivity in the distribution development process without limiting the flexibility needed to prepare relevant PRAs. The approach requires two steps. First, we analyze data pooled at a population scale to (1) identify the most robust demographic variables within the population for a given exposure factor, (2) partition the population data into subsets based on these variables, and (3) construct archetypal distributions for each subpopulation. Second, we sample from these archetypal distributions according to site- or scenario-specific conditions to simulate exposure factor values and use these values to construct the scenario-specific input distribution. It is envisaged that the archetypal distributions from step 1 will be generally applicable so risk assessors will not have to repeatedly collect and analyze raw data for each new assessment. We demonstrate the approach for two commonly used exposure factors--body weight (BW) and exposure duration (ED)--using data for the U.S. population. For these factors we provide a first set of subpopulation based archetypal distributions along with methodology for using these distributions to construct relevant scenario-specific probabilistic exposure factor distributions.

  15. New approaches in intelligent control techniques, methodologies and applications

    CERN Document Server

    Kountchev, Roumen

    2016-01-01

    This volume introduces new approaches in intelligent control area from both the viewpoints of theory and application. It consists of eleven contributions by prominent authors from all over the world and an introductory chapter. This volume is strongly connected to another volume entitled "New Approaches in Intelligent Image Analysis" (Eds. Roumen Kountchev and Kazumi Nakamatsu). The chapters of this volume are self-contained and include summary, conclusion and future works. Some of the chapters introduce specific case studies of various intelligent control systems and others focus on intelligent theory based control techniques with applications. A remarkable specificity of this volume is that three chapters are dealing with intelligent control based on paraconsistent logics.

  16. Standardization of proton-induced x-ray emission technique for analysis of thick samples

    Science.gov (United States)

    Ali, Shad; Zeb, Johar; Ahad, Abdul; Ahmad, Ishfaq; Haneef, M.; Akbar, Jehan

    2015-09-01

    This paper describes the standardization of the proton-induced x-ray emission (PIXE) technique for finding the elemental composition of thick samples. For the standardization, three different samples of standard reference materials (SRMs) were analyzed using this technique and the data were compared with the already known data of these certified SRMs. These samples were selected in order to cover the maximum range of elements in the periodic table. Each sample was irradiated for three different values of collected beam charges at three different times. A proton beam of 2.57 MeV obtained using 5UDH-II Pelletron accelerator was used for excitation of x-rays from the sample. The acquired experimental data were analyzed using the GUPIXWIN software. The results show that the SRM data and the data obtained using the PIXE technique are in good agreement.

  17. [Abdominothoracic esophageal resection according to Ivor Lewis with intrathoracic anastomosis : standardized totally minimally invasive technique].

    Science.gov (United States)

    Runkel, N; Walz, M; Ketelhut, M

    2015-05-01

    The clinical and scientific interest in minimally invasive techniques for esophagectomy (MIE) are increasing; however, the intrathoracic esophagogastric anastomosis remains a surgical challenge and lacks standardization. Surgeons either transpose the anastomosis to the cervical region or perform hybrid thoracotomy for stapler access. This article reports technical details and early experiences with a completely laparoscopic-thoracoscopic approach for Ivor Lewis esophagectomy without additional thoracotomy. The extent of radical dissection follows clinical guidelines. Laparoscopy is performed with the patient in a beach chair position and thoracoscopy in a left lateral decubitus position using single lung ventilation. The anvil of the circular stapler is placed transorally into the esophageal stump. The specimen and gastric conduit are exteriorized through a subcostal rectus muscle split incision. The stapler body is placed into the gastric conduit and both are advanced through the abdominal mini-incision transhiatally into the right thoracic cavity, where the anastomosis is constructed. Data were collected prospectively and analyzed retrospectively. A total of 23 non-selected consecutive patients (mean age 69 years, range 46-80 years) with adenocarcinoma (n = 19) or squamous cell carcinoma (n = 4) were surgically treated between June 2010 and July 2013. Neoadjuvant therapy was performed in 15 patients resulting in 10 partial and 4 complete remissions. There were no technical complications and no conversions. Mean operative time was 305 min (range 220-441 min). The median lymph node count was 16 (range 4-42). An R0 resection was achieved in 91 % of patients and 3 anastomotic leaks occurred which were successfully managed endoscopically. There were no postoperative deaths. The intrathoracic esophagogastric anastomosis during minimally invasive Ivor Lewis esophagectomy can be constructed in a standardized fashion without an additional thoracotomy

  18. A comparison between two lateral cephalometry techniques (standard and natural head position

    Directory of Open Access Journals (Sweden)

    Hedayati Z. Assistant Professor. Sang S. DMD

    2003-06-01

    Full Text Available Statement of Problem: Cephalometric findings are of high importance in making decision about orthodontic treatment plans and orthognathic surgeries. Natural head position (NHP is considered as a useful and exact radiographic technique."nAim: The aim of the present study was to compare two techniques, namely Standard and NHP, in lateral"ncephalometry."nMaterials and Methods: In this cross- sectional study, performed in Shiraz. 138 randomly selected students {70 males .and 68 females, age ranging from (13-15. were evaluated clinically and radiographically. None of them had a history of orthodontic treatment, head and face fracture or surgical operations. Lateral cephalograms were taken in both standard and natural head position techniques, for each student. For statistical analysis, l-lest for paired samples, was done."nResults: This study showed that in anterior-posterior dimension, among angles with significant differences in two techniques, those of standard one were more reliable, whereas in vertical dimension."nstatistical differences showed natural technique as more useful one."nConclusion: Due to the fact that natural cephalometry requires more patient cooperation, more time and a higher complex technique, it is not suggested, except when different clinical and cepholomeiric findings are observed.

  19. Laryngeal mask airway insertion in children: comparison between rotational, lateral and standard technique.

    Science.gov (United States)

    Ghai, Babita; Makkar, Jeetinder Kaur; Bhardwaj, Neerja; Wig, Jyotsna

    2008-04-01

    The purpose of the study was to compare the success and ease of insertion of three techniques of laryngeal mask airway (LMA) insertion; the standard Brain technique, a lateral technique with cuff partially inflated and a rotational technique with cuff partially inflated. One hundred and sixty-eight ASA I and II children aged 6 months to 6 years undergoing short elective surgical procedures lasting 40-60 min were included in the study. A standard anesthesia protocol was followed for all patients. Patients were randomly allocated into one of the three groups i.e. standard (S), rotational (R) and lateral (L). The primary outcome measure of the study was success rate at the first attempt using three techniques of LMA insertion. Secondary outcomes measures studied were overall success rate, time before successful LMA insertion, complications and maneuvers used to relieve airway obstruction. Successful insertion at the first attempt was significantly higher in group R (96%) compared with group L (84%) and group S (80%) (P = 0.03). Overall success rate (i.e. successful insertion with two attempts) was 100% for group R, 93% for group L and 87% for group S (P = 0.03). Time for successful insertion was significantly lower in group R compared with group L and S (P insertion and lowest incidence of complications and could be the technique of first choice for LMA insertion in pediatric patients.

  20. Applying Standard Independent Verification and Validation (IVV) Techniques Within an Agile Framework: Is There a Compatibility Issue?

    Science.gov (United States)

    Dabney, James B.; Arthur, James Douglas

    2017-01-01

    Agile methods have gained wide acceptance over the past several years, to the point that they are now a standard management and execution approach for small-scale software development projects. While conventional Agile methods are not generally applicable to large multi-year and mission-critical systems, Agile hybrids are now being developed (such as SAFe) to exploit the productivity improvements of Agile while retaining the necessary process rigor and coordination needs of these projects. From the perspective of Independent Verification and Validation (IVV), however, the adoption of these hybrid Agile frameworks is becoming somewhat problematic. Hence, we find it prudent to question the compatibility of conventional IVV techniques with (hybrid) Agile practices.This paper documents our investigation of (a) relevant literature, (b) the modification and adoption of Agile frameworks to accommodate the development of large scale, mission critical systems, and (c) the compatibility of standard IVV techniques within hybrid Agile development frameworks. Specific to the latter, we found that the IVV methods employed within a hybrid Agile process can be divided into three groups: (1) early lifecycle IVV techniques that are fully compatible with the hybrid lifecycles, (2) IVV techniques that focus on tracing requirements, test objectives, etc. are somewhat incompatible, but can be tailored with a modest effort, and (3) IVV techniques involving an assessment requiring artifact completeness that are simply not compatible with hybrid Agile processes, e.g., those that assume complete requirement specification early in the development lifecycle.

  1. Working with text tools, techniques and approaches for text mining

    CERN Document Server

    Tourte, Gregory J L

    2016-01-01

    Text mining tools and technologies have long been a part of the repository world, where they have been applied to a variety of purposes, from pragmatic aims to support tools. Research areas as diverse as biology, chemistry, sociology and criminology have seen effective use made of text mining technologies. Working With Text collects a subset of the best contributions from the 'Working with text: Tools, techniques and approaches for text mining' workshop, alongside contributions from experts in the area. Text mining tools and technologies in support of academic research include supporting research on the basis of a large body of documents, facilitating access to and reuse of extant work, and bridging between the formal academic world and areas such as traditional and social media. Jisc have funded a number of projects, including NaCTem (the National Centre for Text Mining) and the ResDis programme. Contents are developed from workshop submissions and invited contributions, including: Legal considerations in te...

  2. New approaches in intelligent image analysis techniques, methodologies and applications

    CERN Document Server

    Nakamatsu, Kazumi

    2016-01-01

    This book presents an Introduction and 11 independent chapters, which are devoted to various new approaches of intelligent image processing and analysis. The book also presents new methods, algorithms and applied systems for intelligent image processing, on the following basic topics: Methods for Hierarchical Image Decomposition; Intelligent Digital Signal Processing and Feature Extraction; Data Clustering and Visualization via Echo State Networks; Clustering of Natural Images in Automatic Image Annotation Systems; Control System for Remote Sensing Image Processing; Tissue Segmentation of MR Brain Images Sequence; Kidney Cysts Segmentation in CT Images; Audio Visual Attention Models in Mobile Robots Navigation; Local Adaptive Image Processing; Learning Techniques for Intelligent Access Control; Resolution Improvement in Acoustic Maps. Each chapter is self-contained with its own references. Some of the chapters are devoted to the theoretical aspects while the others are presenting the practical aspects and the...

  3. Standard techniques for presentation and analysis of crater size-frequency data

    Science.gov (United States)

    1978-01-01

    In September 1977, a crater studies workshop was held for the purpose of developing standard data analysis and presentation techniques. This report contains the unanimous recommendations of the participants. This first meeting considered primarily crater size-frequency data. Future meetings will treat other aspects of crater studies such as morphologies.

  4. Skin Absorbed Doses from Full Mouth Standard Intraoral Radiography in Bisecting Angle and Paralleling techniques

    Energy Technology Data Exchange (ETDEWEB)

    Nah, Kyung Soo; Kim, Ae Ji [Dept. of Oral Radiology, College of Dentistry, Pusan National University, Pusan (Korea, Republic of); Doh, Shi Hong [Dept. of Applied physics . National Fisheries University of Pusan Department of Radiotherapy, Pusan (Korea, Republic of); Kim, Hyun Ja [Dept. of Oral Radiology, Baptist Hospital, Pusan (Korea, Republic of); Yoo, Meong Jin [Dept. of Radiology, College of Dentistry, Pusan National University, Pusan (Korea, Republic of)

    1990-08-15

    This study was performed to measure the skin absorbed doses from full mouth standard intraoral radiography(14 exposures) in bisecting angle and paralleling techniques. Thermoluminescent dosimeters were used in a phantom. Circular tube collimator (60 mm in diameter, 20 cm in length) and rectangular collimator (35 mm X 44 mm, 40 cm in length) were set for bisecting angle and paralleling techniques respectively. All measurement sites were classified into 8 groups according to distance from each point of central rays. The results were as follows: 1. The skin absorbed doses from the paralleling technique were significantly decreased than those from the bisecting technique in both points at central ray and points away from central ray. The percentage rats of decrease were greater at points away from central ray than those at central ray. 2. The skin absorbed doses at the lens of eye, parotid gland, submandibular gland and thyroid region were significantly decreased in paralleling technique, but those of the midline of palate remained similar in both techniques. 3. The highest doses were measured at the site 20 mm above the point of central ray for the mandibular premolars in bisecting angle technique and at the point of central ray for the mandibular premolars in paralleling techniques. The lowest doses were measured at the thyroid region in both techniques.

  5. Skin Absorbed Doses from Full Mouth Standard Intraoral Radiography in Bisecting Angle and Paralleling techniques

    International Nuclear Information System (INIS)

    Nah, Kyung Soo; Kim, Ae Ji; Doh, Shi Hong; Kim, Hyun Ja; Yoo, Meong Jin

    1990-01-01

    This study was performed to measure the skin absorbed doses from full mouth standard intraoral radiography(14 exposures) in bisecting angle and paralleling techniques. Thermoluminescent dosimeters were used in a phantom. Circular tube collimator (60 mm in diameter, 20 cm in length) and rectangular collimator (35 mm X 44 mm, 40 cm in length) were set for bisecting angle and paralleling techniques respectively. All measurement sites were classified into 8 groups according to distance from each point of central rays. The results were as follows: 1. The skin absorbed doses from the paralleling technique were significantly decreased than those from the bisecting technique in both points at central ray and points away from central ray. The percentage rats of decrease were greater at points away from central ray than those at central ray. 2. The skin absorbed doses at the lens of eye, parotid gland, submandibular gland and thyroid region were significantly decreased in paralleling technique, but those of the midline of palate remained similar in both techniques. 3. The highest doses were measured at the site 20 mm above the point of central ray for the mandibular premolars in bisecting angle technique and at the point of central ray for the mandibular premolars in paralleling techniques. The lowest doses were measured at the thyroid region in both techniques.

  6. A modified frenectomy technique: a new surgical approach.

    Science.gov (United States)

    Kadkhodazadeh, Mahdi; Amid, Reza; Kermani, Mehdi Ekhlasmand; Hosseinpour, Sepanta

    2018-01-01

    The frenum is a mucosal fold that attaches the lips or cheeks to the alveolar mucosa, gingiva, and underlying periosteum. Consequences of an abnormal frenal attachment include gingival recession, decreased vestibular depth, decreased range of lip movement, and involvement of interdental papilla, causing a diastema. Several methods to eliminate ectopic frenal attachments have been suggested, including frenectomy (elimination) and frenotomy (repositioning). This case report describes the use of a modified frenectomy technique in a 15-year-old girl with excess gingiva between the maxillary central incisors, which exhibited a 3-mm diastema. First, a semilunar primary incision was made in the palatal surface at a 5-mm distance from the tip of the papilla. Next, sulcular incisions were made around the tooth, and the papilla was transposed to the buccal via a papilla preservation flap. After complete elimination of frenal attachments in the bone, the flap was repositioned and sutured to the palatal surface. Afterward, the frenum was classically cut and sutured. Through this approach, the position of the frenum was changed apically without invading the papilla. At the 3-month follow-up, it was found that the modified technique (combination of papilla preservation flap and frenotomy) had minimized the surgical scar on the buccal surface, preserved the papilla, and yielded optimal esthetic results.

  7. Elemental analyses of goundwater: demonstrated advantage of low-flow sampling and trace-metal clean techniques over standard techniques

    Science.gov (United States)

    Creasey, C. L.; Flegal, A. R.

    The combined use of both (1) low-flow purging and sampling and (2) trace-metal clean techniques provides more representative measurements of trace-element concentrations in groundwater than results derived with standard techniques. The use of low-flow purging and sampling provides relatively undisturbed groundwater samples that are more representative of in situ conditions, and the use of trace-element clean techniques limits the inadvertent introduction of contaminants during sampling, storage, and analysis. When these techniques are applied, resultant trace-element concentrations are likely to be markedly lower than results based on standard sampling techniques. In a comparison of data derived from contaminated and control groundwater wells at a site in California, USA, trace-element concentrations from this study were 2-1000 times lower than those determined by the conventional techniques used in sampling of the same wells prior to (5months) and subsequent to (1month) the collections for this study. Specifically, the cadmium and chromium concentrations derived using standard sampling techniques exceed the California Maximum Contaminant Levels (MCL), whereas in this investigation concentrations of both of those elements are substantially below their MCLs. Consequently, the combined use of low-flow and trace-metal clean techniques may preclude erroneous reports of trace-element contamination in groundwater. Résumé L'utilisation simultanée de la purge et de l'échantillonnage à faible débit et des techniques sans traces de métaux permet d'obtenir des mesures de concentrations en éléments en traces dans les eaux souterraines plus représentatives que les résultats fournis par les techniques classiques. L'utilisation de la purge et de l'échantillonnage à faible débit donne des échantillons d'eau souterraine relativement peu perturbés qui sont plus représentatifs des conditions in situ, et le recours aux techniques sans éléments en traces limite l

  8. Standardization of the Descemet membrane endothelial keratoplasty technique: Outcomes of the first 450 consecutive cases.

    Science.gov (United States)

    Satué, M; Rodríguez-Calvo-de-Mora, M; Naveiras, M; Cabrerizo, J; Dapena, I; Melles, G R J

    2015-08-01

    To evaluate the clinical outcome of the first 450 consecutive cases after Descemet membrane endothelial keratoplasty (DMEK), as well as the effect of standardization of the technique. Comparison between 3 groups: Group I: (cases 1-125), as the extended learning curve; Group II: (cases 126-250), transition to technique standardization; Group III: (cases 251-450), surgery with standardized technique. Best corrected visual acuity, endothelial cell density, pachymetry and intra- and postoperative complications were evaluated before, and 1, 3 and 6 months after DMEK. At 6 months after surgery, 79% of eyes reached a best corrected visual acuity of≥0.8 and 43%≥1.0. Mean preoperative endothelial cell density was 2,530±220 cells/mm2 and 1,613±495 at 6 months after surgery. Mean pachymetry measured 668±92 μm and 526±46 μm pre- and (6 months) postoperatively, respectively. There were no significant differences in best corrected visual acuity, endothelial cell density and pachymetry between the 3 groups (P > .05). Graft detachment presented in 17.3% of the eyes. The detachment rate declined from 24% to 12%, and the rate of secondary surgeries from 9.6% to 3.5%, from group I to III respectively. Visual outcomes and endothelial cell density after DMEK are independent of the technique standardization. However, technique standardization may have contributed to a lower graft detachment rate and a relatively low number of secondary interventions required. As such, DMEK may become the first choice of treatment in corneal endothelial disease. Copyright © 2014 Sociedad Española de Oftalmología. Published by Elsevier España, S.L.U. All rights reserved.

  9. Assessing the service quality of Iran military hospitals: Joint Commission International standards and Analytic Hierarchy Process (AHP) technique.

    Science.gov (United States)

    Bahadori, Mohammadkarim; Ravangard, Ramin; Yaghoubi, Maryam; Alimohammadzadeh, Khalil

    2014-01-01

    Military hospitals are responsible for preserving, restoring and improving the health of not only armed forces, but also other people. According to the military organizations strategy, which is being a leader and pioneer in all areas, providing quality health services is one of the main goals of the military health care organizations. This study was aimed to evaluate the service quality of selected military hospitals in Iran based on the Joint Commission International (JCI) standards and comparing these hospitals with each other and ranking them using the analytic hierarchy process (AHP) technique in 2013. This was a cross-sectional and descriptive study conducted on five military hospitals, selected using the purposive sampling method, in 2013. Required data collected using checklists of accreditation standards and nominal group technique. AHP technique was used for prioritizing. Furthermore, Expert Choice 11.0 was used to analyze the collected data. Among JCI standards, the standards of access to care and continuity of care (weight = 0.122), quality improvement and patient safety (weight = 0.121) and leadership and management (weight = 0.117) had the greatest importance, respectively. Furthermore, in the overall ranking, BGT (weight = 0.369), IHM (0.238), SAU (0.202), IHK (weight = 0.125) and SAB (weight = 0.066) ranked first to fifth, respectively. AHP is an appropriate technique for measuring the overall performance of hospitals and their quality of services. It is a holistic approach that takes all hospital processes into consideration. The results of the present study can be used to improve hospitals performance through identifying areas, which are in need of focus for quality improvement and selecting strategies to improve service quality.

  10. Innovative techniques, sensors, and approaches for imaging biofilms at different scales.

    Science.gov (United States)

    Neu, Thomas R; Lawrence, John R

    2015-04-01

    Confocal laser scanning microscopy has become a standard technique for the investigation of hydrated interfacial microbial communities at the microscale. Multiphoton and spinning-disk microscopes provide new options for in situ imaging. Progress has been made in imaging structural aspects as well as interactions and processes. Advanced fluorescence techniques such as lifetime imaging and correlation spectroscopy are also available. Newly developed target-specific probes allow investigation of new aspects of microbial communities. Several new laser-based techniques are available including nanoscopy and mesoscale techniques. Nanoscopy techniques offer access to unprecedented resolution of hydrated microbiological samples at the scale of fluorescent gene products and macromolecules. Mesoscale approaches are important to address larger features and statistical issues of microbiological samples. This review presents the state of the art in situ biofilm imaging and assesses the pros and cons of laser-based imaging techniques in combination with a variety of sensor types at different scales. Copyright © 2015 Elsevier Ltd. All rights reserved.

  11. Disciplining standard-setting : Which approach to choose (if any)?

    NARCIS (Netherlands)

    Kanevskaia, Olia; Jacobs, Kai; Blind, Knut

    In the world of continuous globalization, standards play a crucial role in transnational economic development. Being the drivers of harmonization and innovation, standards do not only facilitate production and exchange in goods and services, but also carry significant policy implications and create

  12. Disciplining standard-setting : Which approach to choose (if any)

    NARCIS (Netherlands)

    Kanevskaia, Olia

    2017-01-01

    In the world of continuous globalization, standards play a crucial role in transnational economic development. Being the drivers of harmonization and innovation, standards do not only facilitate production and exchange in goods and services, but also carry significant policy implications and create

  13. An Approach to Establishing International Quality Standards for Medical Travel

    Directory of Open Access Journals (Sweden)

    Ondřej eKácha

    2016-03-01

    Full Text Available Traveling abroad to receive a non-elective treatment is expanding each year. Such rising popularity of medical travel and the absence of clear minimum quality requirements in this area urgently calls for setting international standards to ensure good practice and patient safety. The aim of this study is to identify the key domains in medical travel where such quality standards should be established. Drawing from the evidence-based OECD framework and an extensive literature review, this study proposes three critical areas for international quality standards in medical travel: minimum standards of health care facilities and third-party agencies, financial responsibility and patient-centeredness. Several cultural challenges are subsequently introduced that may pose a barrier to the development of the guidelines and should be additionally taken into consideration. Establishing international quality standards in medical travel enhances the benefits to patients and providers, which is urgently needed given the rapid growth in this industry.

  14. A survey on development of neutron standards and neutron measurement technique corresponding to various fields

    International Nuclear Information System (INIS)

    Matsumoto, Tetsuro

    2007-01-01

    Various uses of neutrons are being watched in many fields such as industry, medical technology and radiation protection. Especially, high energy neutrons above 15 MeV are important in a radiation exposure issue of an aircraft and a soft error issue of a semiconductor. Therefore neutron fluence standards for the high energy region are very important. However, the standards are not almost provided all over the world. Three reasons are mainly considered: (1) poor measurement techniques for the high energy neutrons, (2) a small number of high energy neutron facilities and (3) lack of nuclear data for high energy particle reactions. In this paper, the present status of the measurement techniques, the facilities and the nuclear data is investigated and discussed. In NMIJ/AIST, the 19.0-MeV neutron fluence standard will be established by 2010, and development of high energy neutron standards above 20 MeV is also examined. An outline of the development of the high energy neutron standards is also shown in this paper. (author)

  15. Quench correction in liquid scintillation counting by a combined internal standard-samples channels ratio technique

    International Nuclear Information System (INIS)

    Dahlberg, E.

    1982-01-01

    A well-known problem in liquid scintillation counting (LSC) is that radioactivity cannot be measured with 100% efficiency, e.g., due to ''quenching'', which thus needs be corrected for. Three methods (viz., those of internal standard (IS), samples channels ratio (SCR), and external standard channels ratio (ESCR) are in common use to accomplish quench correction. None of these methods is ideal. This paper shows that a combination of the IS and SCR methods (IS-SCR) ameliorates the major disadvantages of both techniques and the disadvantage of the SCR technique at low count rates have been eliminated in the IS-SCR method, which also has a low volume dependence compared to the IS and ESCR methods. The IS-SCR method is not affected by time-dependent diffusion of solutes and solvents into the walls of plastic counting vials, which is a major drawback of the ESCR technique. Used with a simple linear regression technique, the IS-SCR quench curves may be linearized over wide ranges of efficiencies. In view of the wide-spread application of LSC, the IS-SCR technique is therefore likely to be useful to many investigators. 2 figures, 2 tables

  16. Comparison of far lateral approach versus presigmoidal approach for exposing inferior clivus by virtual reality technique

    Directory of Open Access Journals (Sweden)

    Ke TANG

    2018-01-01

    Full Text Available Objective To compare the three-dimensional anatomic differences of far lateral approach versus presigmoidal approach to expose inferior clivus by virtual reality technique. Methods CT and MRI image data of 15 cadaver heads (30 sides were inputted into Vitrea virtual reality system to establish three-dimensional anatomy model of posterior cranial fossa. Three points including anterior edges of bilateral tubercula jugulare and tubercula pharyngeum were selected to form a plane. The region of inferior clivus was defined as area under the aforementioned plane. The anterior edge of intersection curve between the plane and the clivus was selected as skull base landmark to expose. The mastoidale and posterior edge of occipital condyle articular surface were selected as craniotomy landmarks of presigmoidal and far lateral approaches. Cylinder with 1 cm diameter was outlined to simulate surgical approach, of which the axis passed through the aforementioned craniotomy landmarks. The superior edge of bottom surface of cylinder on the side of skull base was located in the aforementioned landmark of skull base. Anatomic exposures of the above two approaches were compared by paired t test. Results The far lateral approach located at the lateral edge of foramen magnum, anterior to the cerebellum, lateral to the brain stem, medial to the jugular bulb, lateral and inferior to the accessory nerve, involved hypoglossal nerve and reached inferior clivus. Bone drilling through presigmoidal approach began with mastoidale. The approach passed through inferior edge of jugular bulb, anterior to the sigmoid sinus, inferior to the accessory nerve, involved hypoglossal nerve at the lateral edge of foramen magnum, reached inferior clivus anterior to the brain stem. The volumes of surgical route [(4629.80 ± 81.00 mm3 vs. (2622.60 ± 72.58 mm3; t = 91.532, P = 0.000] and route involving hypoglossal nerve [(10.15 ± 0.17 mm3 vs. (7.15 ± 0.20 mm3; t = 52.413, P = 0

  17. Review of Potential Characterization Techniques in Approaching Energy and Sustainability

    Directory of Open Access Journals (Sweden)

    David J. LePoire

    2014-03-01

    Full Text Available Societal prosperity is linked to sustainable energy and a healthy environment. However, tough global challenges include increased demand for fossil fuels, while approaching peak oil production and uncertainty in the environmental impacts of energy generation. Recently, energy use was identified as a major component of economic productivity, along with capital and labor. Other environmental resources and impacts may be nearing environmental thresholds, as indicated by nine planetary environmental boundaries, many of which are linked to energy production and use. Foresight techniques could be applied to guide future actions which include emphasis on (1 energy efficiency to bridge the transition to a renewable energy economy; (2 continued research, development, and assessment of new technologies; (3 improved understanding of environment impacts including natural capital use and degradation; (4 exploration of GDP alternative measures that include both economic production and environmental impacts; and (5 international cooperation and awareness of longer-term opportunities and their associated potential scenarios. Examples from the U.S. and the international community illustrate challenges and potential.

  18. Improving automobile fuel economy: new standards, new approaches

    Science.gov (United States)

    1991-12-01

    This report examines the major issues associated with developing new fuel : economy standards. It builds on work that the Office of Technology Assessment : conducted for its report, "Energy Technology Choices: Shaping Our Future." 118p.

  19. An Approach to Establishing International Quality Standards for Medical Travel.

    Science.gov (United States)

    Kácha, Ondřej; Kovács, Beáta E; McCarthy, Cormac; Schuurmans, Angela A T; Dobyns, Christopher; Haller, Elisa; Hinrichs, Saba; Ruggeri, Kai

    2016-01-01

    The number of individuals traveling abroad is increasing annually. The rising popularity of medical travel and the absence of clear minimum quality requirements in this area urgently call for the development of international standards to ensure good practice and patient safety. The aim of this study is to identify the key domains in medical travel where quality standards should be established. Drawing from the evidence-based OECD framework and an extensive literature review, this study proposes three critical areas for consideration: minimum standards of health-care facilities and third-party agencies, financial responsibility, and patient centeredness. Several cultural challenges have been introduced that may pose a barrier to development of the guidelines and should be taken into consideration. Establishing international quality standards in medical travel enhances benefits to patients and providers, which is an urgent necessity given the rapid growth in this industry.

  20. Advanced Packaging Materials and Techniques for High Power TR Module: Standard Flight vs. Advanced Packaging

    Science.gov (United States)

    Hoffman, James Patrick; Del Castillo, Linda; Miller, Jennifer; Jenabi, Masud; Hunter, Donald; Birur, Gajanana

    2011-01-01

    The higher output power densities required of modern radar architectures, such as the proposed DESDynI [Deformation, Ecosystem Structure, and Dynamics of Ice] SAR [Synthetic Aperture Radar] Instrument (or DSI) require increasingly dense high power electronics. To enable these higher power densities, while maintaining or even improving hardware reliability, requires advances in integrating advanced thermal packaging technologies into radar transmit/receive (TR) modules. New materials and techniques have been studied and compared to standard technologies.

  1. Impact of Standardized Communication Techniques on Errors during Simulated Neonatal Resuscitation.

    Science.gov (United States)

    Yamada, Nicole K; Fuerch, Janene H; Halamek, Louis P

    2016-03-01

    Current patterns of communication in high-risk clinical situations, such as resuscitation, are imprecise and prone to error. We hypothesized that the use of standardized communication techniques would decrease the errors committed by resuscitation teams during neonatal resuscitation. In a prospective, single-blinded, matched pairs design with block randomization, 13 subjects performed as a lead resuscitator in two simulated complex neonatal resuscitations. Two nurses assisted each subject during the simulated resuscitation scenarios. In one scenario, the nurses used nonstandard communication; in the other, they used standardized communication techniques. The performance of the subjects was scored to determine errors committed (defined relative to the Neonatal Resuscitation Program algorithm), time to initiation of positive pressure ventilation (PPV), and time to initiation of chest compressions (CC). In scenarios in which subjects were exposed to standardized communication techniques, there was a trend toward decreased error rate, time to initiation of PPV, and time to initiation of CC. While not statistically significant, there was a 1.7-second improvement in time to initiation of PPV and a 7.9-second improvement in time to initiation of CC. Should these improvements in human performance be replicated in the care of real newborn infants, they could improve patient outcomes and enhance patient safety. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

  2. Alternative calibration techniques for counteracting the matrix effects in GC-MS-SPE pesticide residue analysis - a statistical approach.

    Science.gov (United States)

    Rimayi, Cornelius; Odusanya, David; Mtunzi, Fanyana; Tsoka, Shepherd

    2015-01-01

    This paper investigates the efficiency of application of four different multivariate calibration techniques, namely matrix-matched internal standard (MMIS), matrix-matched external standard (MMES), solvent-only internal standard (SOIS) and solvent-only external standard (SOES) on the detection and quantification of 20 organochlorine compounds from high, low and blank matrix water sample matrices by Gas Chromatography-Mass Spectrometry (GC-MS) coupled to solid phase extraction (SPE). Further statistical testing, using Statistical Package for the Social Science (SPSS) by applying MANOVA, T-tests and Levene's F tests indicates that matrix composition has a more significant effect on the efficiency of the analytical method than the calibration method of choice. Matrix effects are widely described as one of the major sources of errors in GC-MS multiresidue analysis. Descriptive and inferential statistics proved that the matrix-matched internal standard calibration was the best approach to use for samples of varying matrix composition as it produced the most precise average mean recovery of 87% across all matrices tested. The use of an internal standard calibration overall produced more precise total recoveries than external standard calibration, with mean values of 77% and 64% respectively. The internal standard calibration technique produced a particularly high overall standard deviation of 38% at 95% confidence level indicating that it is less robust than the external standard calibration method which had an overall standard error of 32% at 95% confidence level. Overall, the matrix-matched external standard calibration proved to be the best calibration approach for analysis of low matrix samples which consisted of the real sample matrix as it had the most precise recovery of 98% compared to other calibration approaches for the low-matrix samples. Copyright © 2014 Elsevier Ltd. All rights reserved.

  3. Comparison of two head-up displays in simulated standard and noise abatement night visual approaches

    Science.gov (United States)

    Cronn, F.; Palmer, E. A., III

    1975-01-01

    Situation and command head-up displays were evaluated for both standard and two segment noise abatement night visual approaches in a fixed base simulation of a DC-8 transport aircraft. The situation display provided glide slope and pitch attitude information. The command display provided glide slope information and flight path commands to capture a 3 deg glide slope. Landing approaches were flown in both zero wind and wind shear conditions. For both standard and noise abatement approaches, the situation display provided greater glidepath accuracy in the initial phase of the landing approaches, whereas the command display was more effective in the final approach phase. Glidepath accuracy was greater for the standard approaches than for the noise abatement approaches in all phases of the landing approach. Most of the pilots preferred the command display and the standard approach. Substantial agreement was found between each pilot's judgment of his performance and his actual performance.

  4. Standardization for climate change. Approaches and perspectives. Final report

    International Nuclear Information System (INIS)

    Weterings, R.

    1995-01-01

    The results of a project, aimed at support of the environmental quality target for climate policy on a national level (Follow-up Memorandum Climatic Change of the Dutch government) and on an international level (elaboration of the UN Framework Convention on Climate Change). In order to generate ideas for standards of the climate policy a workshop was held on Environmental Quality and Climate. During the workshop standards of climatic change were highlighted from different points of view. Those views and perspectives are analyzed and the results are presented in this report. 4 figs., 31 refs

  5. The implementation of a standardized approach to laparoscopic rectal surgery

    DEFF Research Database (Denmark)

    Aslak, Katrine Kanstrup; Bulut, Orhan

    2012-01-01

    laparoscopic surgery on an intention-to-treat basis for rectal cancer. The results were retrospectively reviewed from a prospectively collected database. Operative steps and instrumentation for the procedure were standardized. A standard perioperative care plan was used. RESULTS: The following procedures were...... performed: low anterior resection (n = 26), low anterior resection with loop-ileostomy (n = 39), Hartmann's operation (n = 14), and abdominoperineal resection (n = 21). The median length of hospital stay was 7 days; 9 patients were readmitted There were 9 cases of conversion to open surgery. The overall...

  6. Standard setting and quality of assessment: A conceptual approach ...

    African Journals Online (AJOL)

    Quality performance standards and the effect of assessment outcomes are important in the educational milieu, as assessment remains the representative ... not be seen as a methodological process of setting pass/fail cut-off points only, but as a powerful catalyst for quality improvements in HPE by promoting excellence in ...

  7. An approach to establishing international quality standards for medical travel

    NARCIS (Netherlands)

    Lácha, O.; Kovács, B.E.; McCarthy, C.; Schuurmans, A.T.; Dobyns, C.; Haller, E.; Hinrichs, S.; Ruggeri, K.

    2016-01-01

    Traveling abroad to receive a non-elective treatment is expanding each year. Such rising popularity of medical travel and the absence of clear minimum quality requirements in this area urgently calls for setting international standards to ensure good practice and patient safety. The aim of this

  8. Next Generation Space Interconnect Standard (NGSIS): a modular open standards approach for high performance interconnects for space

    Science.gov (United States)

    Collier, Charles Patrick

    2017-04-01

    The Next Generation Space Interconnect Standard (NGSIS) effort is a Government-Industry collaboration effort to define a set of standards for interconnects between space system components with the goal of cost effectively removing bandwidth as a constraint for future space systems. The NGSIS team has selected the ANSI/VITA 65 OpenVPXTM standard family for the physical baseline. The RapidIO protocol has been selected as the basis for the digital data transport. The NGSIS standards are developed to provide sufficient flexibility to enable users to implement a variety of system configurations, while meeting goals for interoperability and robustness for space. The NGSIS approach and effort represents a radical departure from past approaches to achieve a Modular Open System Architecture (MOSA) for space systems and serves as an exemplar for the civil, commercial, and military Space communities as well as a broader high reliability terrestrial market.

  9. Teaching Standard English Usage: A Dialect-Based Approach.

    Science.gov (United States)

    Schierloh, Jane McCabe

    1991-01-01

    In a Cleveland (Ohio) program, writing instruction for adults who speak nonstandard English is based on respect for students' spoken language as a dialect. Adapting foreign language instructional techniques such as translation, teachers avoided formal grammar terms and used extensive oral practice. (SK)

  10. Is the Standard Monte Carlo Power Iteration Approach the Wrong Approach?

    Energy Technology Data Exchange (ETDEWEB)

    Booth, Thomas E [Los Alamos National Laboratory

    2012-06-05

    The power iteration method is the standard Monte Carlo approach for obtaining the eigenfunctions of a nuclear system, but the power method sometimes converges very slowly. Most discussions give a mathematical reason for the slow convergence of the Monte Carlo power method using the same concepts and terminology as when the power method is applied to a deterministic problem. This note first looks at why the convergence is slow from an intuitive Monte Carlo neutron perspective. Second, this note proposes building an eigenfunction intuitively in a cumulative (and noniterative) neutron by neutron manner that tends to better direct neutrons to where the neutrons need to be. Third, a very similar method for building the second eigenfunction is speculatively proposed.

  11. Longitudinal analysis of standardized test scores of students in the Science Writing Heuristic approach

    Science.gov (United States)

    Chanlen, Niphon

    The purpose of this study was to examine the longitudinal impacts of the Science Writing Heuristic (SWH) approach on student science achievement measured by the Iowa Test of Basic Skills (ITBS). A number of studies have reported positive impact of an inquiry-based instruction on student achievement, critical thinking skills, reasoning skills, attitude toward science, etc. So far, studies have focused on exploring how an intervention affects student achievement using teacher/researcher-generated measurement. Only a few studies have attempted to explore the long-term impacts of an intervention on student science achievement measured by standardized tests. The students' science and reading ITBS data was collected from 2000 to 2011 from a school district which had adopted the SWH approach as the main approach in science classrooms since 2002. The data consisted of 12,350 data points from 3,039 students. The multilevel model for change with discontinuity in elevation and slope technique was used to analyze changes in student science achievement growth trajectories prior and after adopting the SWH approach. The results showed that the SWH approach positively impacted students by initially raising science achievement scores. The initial impact was maintained and gradually increased when students were continuously exposed to the SWH approach. Disadvantaged students who were at risk of having low science achievement had bigger benefits from experience with the SWH approach. As a result, existing problematic achievement gaps were narrowed down. Moreover, students who started experience with the SWH approach as early as elementary school seemed to have better science achievement growth compared to students who started experiencing with the SWH approach only in high school. The results found in this study not only confirmed the positive impacts of the SWH approach on student achievement, but also demonstrated additive impacts found when students had longitudinal experiences

  12. Minimally Invasive Double Lung Transplantation Technique (Anteroaxillary Approach)

    OpenAIRE

    Basar Sareyyupoglu; Orhan Yucel; Yoshiya Toyoda

    2012-01-01

    Lung transplantation has been performed through several approaches in the past. Sternothoracotomy is the most widely used approach for double lung transplantation. Although bilateral anterolateral thoracotomy for double lung transplantation has been described in the past, this approach has not widely adopted worldwide. The %u2018anteroaxillary approach%u2019 utilizes a limited incision compared to others, preserves sternal anatomy as well as thoracic arteries, and provides an excellent exposu...

  13. Looking beyond RtI Standard Treatment Approach: It's Not Too Late to Embrace the Problem-Solving Approach

    Science.gov (United States)

    King, Diane; Coughlin, Patricia Kathleen

    2016-01-01

    There are two approaches for providing Tier 2 interventions within Response to Intervention (RtI): standard treatment protocol (STP) and the problem-solving approach (PSA). This article describes the multi-tiered RtI prevention model being implemented across the United States through an analysis of these two approaches in reading instruction. It…

  14. Segmented arch or continuous arch technique? A rational approach

    Directory of Open Access Journals (Sweden)

    Sergei Godeiro Fernandes Rabelo Caldas

    2014-04-01

    Full Text Available This study aims at revising the biomechanical principles of the segmented archwire technique as well as describing the clinical conditions in which the rational use of scientific biomechanics is essential to optimize orthodontic treatment and reduce the side effects produced by the straight wire technique.

  15. Effect of active learning techniques on students' choice of approach ...

    African Journals Online (AJOL)

    The purpose of this article is to report on empirical work, related to a techniques module, undertaken with the dental students of the University of the Western Cape, South Africa. I will relate how a range of different active learning techniques (tutorials; question papers and mock tests) assisted students to adopt a deep ...

  16. Objective Assessment of Patient Inhaler User Technique Using an Audio-Based Classification Approach.

    Science.gov (United States)

    Taylor, Terence E; Zigel, Yaniv; Egan, Clarice; Hughes, Fintan; Costello, Richard W; Reilly, Richard B

    2018-02-01

    Many patients make critical user technique errors when using pressurised metered dose inhalers (pMDIs) which reduce the clinical efficacy of respiratory medication. Such critical errors include poor actuation coordination (poor timing of medication release during inhalation) and inhaling too fast (peak inspiratory flow rate over 90 L/min). Here, we present a novel audio-based method that objectively assesses patient pMDI user technique. The Inhaler Compliance Assessment device was employed to record inhaler audio signals from 62 respiratory patients as they used a pMDI with an In-Check Flo-Tone device attached to the inhaler mouthpiece. Using a quadratic discriminant analysis approach, the audio-based method generated a total frame-by-frame accuracy of 88.2% in classifying sound events (actuation, inhalation and exhalation). The audio-based method estimated the peak inspiratory flow rate and volume of inhalations with an accuracy of 88.2% and 83.94% respectively. It was detected that 89% of patients made at least one critical user technique error even after tuition from an expert clinical reviewer. This method provides a more clinically accurate assessment of patient inhaler user technique than standard checklist methods.

  17. Approaching standard by designing a basic safety function

    OpenAIRE

    Baudoin , James; Bello , Jean-Paul

    2014-01-01

    This document is intended to guide designers to perform machinery control systems with only one or a few "basic safety functions such as emergency stop or movable guard.Among the available standards for machinery design, EN ISO 13849-1 is the one providing recommendations to design safety related parts of control systems (SRP/CS) implementing different types of energy such as electric, hydraulic or pneumatic.This document is based on the implementation of the simplified method of EN ISO 13849...

  18. Coset Space Dimensional Reduction approach to the Standard Model

    International Nuclear Information System (INIS)

    Farakos, K.; Kapetanakis, D.; Koutsoumbas, G.; Zoupanos, G.

    1988-01-01

    We present a unified theory in ten dimensions based on the gauge group E 8 , which is dimensionally reduced to the Standard Mode SU 3c xSU 2 -LxU 1 , which breaks further spontaneously to SU 3L xU 1em . The model gives similar predictions for sin 2 θ w and proton decay as the minimal SU 5 G.U.T., while a natural choice of the coset space radii predicts light Higgs masses a la Coleman-Weinberg

  19. Standard practice for monitoring atmospheric SO2 using the sulfation plate technique

    CERN Document Server

    American Society for Testing and Materials. Philadelphia

    1997-01-01

    1.1 This practice covers a weighted average effective SO2 level for a 30-day interval through the use of the sulfation plate method, a technique for estimating the effective SO2 content of the atmosphere, and especially with regard to the atmospheric corrosion of stationary structures or panels. This practice is aimed at determining SO2 levels rather than sulfuric acid aerosol or acid precipitation. 1.2 The results of this practice correlate approximately with volumetric SO2 concentrations, although the presence of dew or condensed moisture tends to enhance the capture of SO2 into the plate. 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.

  20. Comparisons of neural networks to standard techniques for image classification and correlation

    Science.gov (United States)

    Paola, Justin D.; Schowengerdt, Robert A.

    1994-01-01

    Neural network techniques for multispectral image classification and spatial pattern detection are compared to the standard techniques of maximum-likelihood classification and spatial correlation. The neural network produced a more accurate classification than maximum-likelihood of a Landsat scene of Tucson, Arizona. Some of the errors in the maximum-likelihood classification are illustrated using decision region and class probability density plots. As expected, the main drawback to the neural network method is the long time required for the training stage. The network was trained using several different hidden layer sizes to optimize both the classification accuracy and training speed, and it was found that one node per class was optimal. The performance improved when 3x3 local windows of image data were entered into the net. This modification introduces texture into the classification without explicit calculation of a texture measure. Larger windows were successfully used for the detection of spatial features in Landsat and Magellan synthetic aperture radar imagery.

  1. A Risk and Standards Based Approach to Quality Assurance in Australia's Diverse Higher Education Sector

    Science.gov (United States)

    Australian Government Tertiary Education Quality and Standards Agency, 2015

    2015-01-01

    The Australian Government Tertiary Education Quality and Standards Agency's (TEQSA's) role is to assure that quality standards are being met by all registered higher education providers. This paper explains how TEQSA's risk-based approach to assuring higher education standards is applied in broad terms to a diverse sector. This explanation is…

  2. One-step (standard) versus two-step surgical approach in adolescent idiopathic scoliosis posterior spinal fusion: Which is better?

    Science.gov (United States)

    Ramirez, Norman; Valentin, Pablo; García-Cartagena, Manuel; Samalot, Solais; Iriarte, Ivan

    2016-07-01

    A retrospective cohort study with IRB approval. Significant blood loss remains an important concern in terms of the performance of the posterior spinal fusion in adolescent idiopathic scoliosis. Several strategies have been reported to minimize blood loss during surgery. In order to address the need to minimize blood loss without sacrificing the quality of the fusion, in our hospital, we adopted a two-step surgical approach. This surgical approach consist of the exposure and instrumentation of the lumbar region prior to and followed by an extension of the surgical incision to the thoracic region for its subsequent instrumentation. The main purpose of this study was to compare a two-step surgical approach with the one-step (standard) approach. This study was a review of all the data on consecutive posterior spinal fusion surgeries performed by a specific two-surgeon team during 2004-2013. Demographics, surgical variables, radiographic findings, and outcomes regarding blood loss, morbidity, and the duration of the procedure were evaluated. Eighty-five patients underwent the standard surgical exposure, and 41 patients underwent the two-step surgical technique. With the exception of BMI, neither group showed any statistically preoperative variable significant differences. None of the postoperative outcome variables were statistically significant between both surgical approaches. No differences were detected in terms of using a two-step surgical approach versus the one-step standard surgical approach regarding perioperative blood loss, surgical time, or complications. Level of evidence III.

  3. Comprehensive Shoulder US Examination: A Standardized Approach with Multimodality Correlation for Common Shoulder Disease

    Science.gov (United States)

    Sheehan, Scott E.; Orwin, John F.; Lee, Kenneth S.

    2016-01-01

    Shoulder pain is one of the most common musculoskeletal conditions encountered in primary care and specialty orthopedic clinic settings. Although magnetic resonance (MR) imaging is typically the modality of choice for evaluating the soft-tissue structures of the shoulder, ultrasonography (US) is becoming an important complementary imaging tool in the evaluation of superficial soft-tissue structures such as the rotator cuff, subacromial-subdeltoid bursa, and biceps tendon. The advantages of US driving its recent increased use include low cost, accessibility, and capability for real-time high-resolution imaging that enables dynamic assessment and needle guidance. As more radiologists are considering incorporating shoulder US into their practices, the development of a standardized approach to performing shoulder US should be a priority to facilitate the delivery of high-quality patient care. Familiarity with and comfort in performing a standardized shoulder US examination, as well as knowledge of the types of anomalies that can be evaluated well with US, will enhance the expertise of those working in musculoskeletal radiology practices and add value in the form of increased patient and health care provider satisfaction. This review describes the utility and benefits of shoulder US as a tool that complements MR imaging in the assessment of shoulder pain. A standardized approach to the shoulder US examination is also described, with a review of the basic technique of this examination, normal anatomy of the shoulder, common indications for shoulder US, and characteristic US findings of common shoulder diseases—with select MR imaging and arthroscopic correlation. Online supplemental material is available for this article. ©RSNA, 2016 PMID:27726738

  4. Outcome of a standardized technique of preputial preservation surgery for phimosis: A single institutional experience

    Directory of Open Access Journals (Sweden)

    Kamalesh Pal

    2014-01-01

    Full Text Available Introduction: Pathological phimosis or preputial stenosis is a distressing problem in children leading to recurrent balanoposthitis, ballooning of prepuce, and rarely back pressure changes in the urinary tract. Circumcision has been the standard of care for such situations, although recently, various alternatives to circumcision have been reported in the literature. Most of these techniques are often complex and are met with poor acceptance. Moreover, besides personal preferences (in Hindus, advantages of preputial preservation is increasingly being realized recently. Materials and Methods: A prospective study was carried out in which a simple standardized technique of preputioplasty (dorsal slit was used in 40 pediatric preputial stenosis cases. The outcome of this procedure including cosmesis and parental satisfaction was evaluated. Results: The average duration of this procedure was from 10 to 25 min with no intraoperative complications. The cosmetic outcome was good in 62.5%, satisfactory in 30%, and poor in 7.5% of cases. All of the boys had retractable prepuce with no functional problems. There was 100% parental satisfaction. None of the patients required a redo procedure or circumcision. Conclusion: A dorsal slit of adequate length i.e.; 1/3 rd the length from the corona to the tip leads to a satisfactory cosmetic outcome in more than 92% of cases. Preputioplasty is a safe and simple alternative to more radical procedure of circumcision.

  5. A New Approach to Concrete Mix Design Using Computer Techniques

    African Journals Online (AJOL)

    In addition such a model can be used to generate data on mix proportions and their corresponding compressive strength, thereby furnishing useful information for general purpose, safe-ready-to-use mix design. Such data were generated and checked against values obtainable from standard mix design practice and found ...

  6. Closing the gap: accelerating the translational process in nanomedicine by proposing standardized characterization techniques

    Science.gov (United States)

    Khorasani, Ali A; Weaver, James L; Salvador-Morales, Carolina

    2014-01-01

    On the cusp of widespread permeation of nanomedicine, academia, industry, and government have invested substantial financial resources in developing new ways to better treat diseases. Materials have unique physical and chemical properties at the nanoscale compared with their bulk or small-molecule analogs. These unique properties have been greatly advantageous in providing innovative solutions for medical treatments at the bench level. However, nanomedicine research has not yet fully permeated the clinical setting because of several limitations. Among these limitations are the lack of universal standards for characterizing nanomaterials and the limited knowledge that we possess regarding the interactions between nanomaterials and biological entities such as proteins. In this review, we report on recent developments in the characterization of nanomaterials as well as the newest information about the interactions between nanomaterials and proteins in the human body. We propose a standard set of techniques for universal characterization of nanomaterials. We also address relevant regulatory issues involved in the translational process for the development of drug molecules and drug delivery systems. Adherence and refinement of a universal standard in nanomaterial characterization as well as the acquisition of a deeper understanding of nanomaterials and proteins will likely accelerate the use of nanomedicine in common practice to a great extent. PMID:25525356

  7. Study of the standard direct costs of various techniques of advanced endoscopy. Comparison with surgical alternatives.

    Science.gov (United States)

    Loras, Carme; Mayor, Vicenç; Fernández-Bañares, Fernando; Esteve, Maria

    2018-03-12

    The complexity of endoscopy has carried out an increase in cost that has a direct effect on the healthcare systems. However, few studies have analyzed the cost of advanced endoscopic procedures (AEP). To carry out a calculation of the standard direct costs of AEP, and to make a financial comparison with their surgical alternatives. Calculation of the standard direct cost in carrying out each procedure. An endoscopist detailed the time, personnel, materials, consumables, recovery room time, stents, pathology and medication used. The cost of surgical procedures was the average cost recorded in the hospital. Thirty-eight AEP were analyzed. The technique showing lowest cost was gastroscopy + APC (€116.57), while that with greatest cost was ERCP with cholangioscopy + stent placement (€5083.65). Some 34.2% of the procedures registered average costs of €1000-2000. In 57% of cases, the endoscopic alternative was 2-5 times more cost-efficient than surgery, in 31% of cases indistinguishable or up to 1.4 times more costly. Standard direct cost of the majority of AEP is reported using a methodology that enables easy application in other centers. For the most part, endoscopic procedures are more cost-efficient than the corresponding surgical procedure. Copyright © 2018 The Author(s). Published by Elsevier Ltd.. All rights reserved.

  8. Closing the gap: accelerating the translational process in nanomedicine by proposing standardized characterization techniques.

    Science.gov (United States)

    Khorasani, Ali A; Weaver, James L; Salvador-Morales, Carolina

    2014-01-01

    On the cusp of widespread permeation of nanomedicine, academia, industry, and government have invested substantial financial resources in developing new ways to better treat diseases. Materials have unique physical and chemical properties at the nanoscale compared with their bulk or small-molecule analogs. These unique properties have been greatly advantageous in providing innovative solutions for medical treatments at the bench level. However, nanomedicine research has not yet fully permeated the clinical setting because of several limitations. Among these limitations are the lack of universal standards for characterizing nanomaterials and the limited knowledge that we possess regarding the interactions between nanomaterials and biological entities such as proteins. In this review, we report on recent developments in the characterization of nanomaterials as well as the newest information about the interactions between nanomaterials and proteins in the human body. We propose a standard set of techniques for universal characterization of nanomaterials. We also address relevant regulatory issues involved in the translational process for the development of drug molecules and drug delivery systems. Adherence and refinement of a universal standard in nanomaterial characterization as well as the acquisition of a deeper understanding of nanomaterials and proteins will likely accelerate the use of nanomedicine in common practice to a great extent.

  9. Open Partial Nephrectomy in Renal Cancer: A Feasible Gold Standard Technique in All Hospitals

    Directory of Open Access Journals (Sweden)

    J. M. Cozar

    2008-01-01

    Full Text Available Introduction. Partial nephrectomy (PN is playing an increasingly important role in localized renal cell carcinoma (RCC as a true alternative to radical nephrectomy. With the greater experience and expertise of surgical teams, it has become an alternative to radical nephrectomy in young patients when the tumor diameter is 4 cm or less in almost all hospitals since cancer-specific survival outcomes are similar to those obtained with radical nephrectomy. Materials and Methods. The authors comment on their own experience and review the literature, reporting current indications and outcomes including complications. The surgical technique of open partial nephrectomy is outlined. Conclusions. Nowadays, open PN is the gold standard technique to treat small renal masses, and all nonablative techniques must pass the test of time to be compared to PN. It is not ethical for patients to undergo radical surgery just because the urologists involved do not have adequate experience with PN. Patients should be involved in the final treatment decision and, when appropriate, referred to specialized centers with experience in open or laparoscopic partial nephrectomies.

  10. Comparative analysis of photograph-based clinical goniometry to standard techniques.

    Science.gov (United States)

    Crasto, Jared A; Sayari, Arash J; Gray, Robert R-L; Askari, Morad

    2015-06-01

    Assessment of joint range of motion (ROM) is an accepted evaluation of disability as well as an indicator of recovery from musculoskeletal injuries. Many goniometric techniques have been described to measure ROM, with variable validity due to inter-rater reliability. In this report, we assessed the validity of photograph-based goniometry in measurement of ROM and its inter-rater reliability and compared it to two other commonly used techniques. We examined three methods for measuring ROM in the upper extremity: manual goniometry (MG), visual estimations (VE), and photograph-based goniometry (PBG). Eight motions of the upper extremity were measured in 69 participants at an academic medical center. We found visual estimations and photograph-based goniometry to be clinically valid when tested against manual goniometry (r avg. 0.58, range 0.28 to 0.87). Photograph-based measurements afforded a satisfactory degree of inter-rater reliability (ICC avg. 0.77, range 0.28 to 0.96). Our study supports photograph-based goniometry as the new standard goniometric technique, as it has been clinically validated, is performed with greater consistency and better inter-rater reliability when compared with manual goniometry. It also allows for better documentation of measurements and potential incorporation into medical records in direct contrast to visual estimation.

  11. MATLAB Toolboxes for Reference Electrode Standardization Technique (REST) of Scalp EEG.

    Science.gov (United States)

    Dong, Li; Li, Fali; Liu, Qiang; Wen, Xin; Lai, Yongxiu; Xu, Peng; Yao, Dezhong

    2017-01-01

    Reference electrode standardization technique (REST) has been increasingly acknowledged and applied as a re-reference technique to transform an actual multi-channels recordings to approximately zero reference ones in electroencephalography/event-related potentials (EEG/ERPs) community around the world in recent years. However, a more easy-to-use toolbox for re-referencing scalp EEG data to zero reference is still lacking. Here, we have therefore developed two open-source MATLAB toolboxes for REST of scalp EEG. One version of REST is closely integrated into EEGLAB, which is a popular MATLAB toolbox for processing the EEG data; and another is a batch version to make it more convenient and efficient for experienced users. Both of them are designed to provide an easy-to-use for novice researchers and flexibility for experienced researchers. All versions of the REST toolboxes can be freely downloaded at http://www.neuro.uestc.edu.cn/rest/Down.html, and the detailed information including publications, comments and documents on REST can also be found from this website. An example of usage is given with comparative results of REST and average reference. We hope these user-friendly REST toolboxes could make the relatively novel technique of REST easier to study, especially for applications in various EEG studies.

  12. a Standardized Approach to Topographic Data Processing and Workflow Management

    Science.gov (United States)

    Wheaton, J. M.; Bailey, P.; Glenn, N. F.; Hensleigh, J.; Hudak, A. T.; Shrestha, R.; Spaete, L.

    2013-12-01

    An ever-increasing list of options exist for collecting high resolution topographic data, including airborne LIDAR, terrestrial laser scanners, bathymetric SONAR and structure-from-motion. An equally rich, arguably overwhelming, variety of tools exists with which to organize, quality control, filter, analyze and summarize these data. However, scientists are often left to cobble together their analysis as a series of ad hoc steps, often using custom scripts and one-time processes that are poorly documented and rarely shared with the community. Even when literature-cited software tools are used, the input and output parameters differ from tool to tool. These parameters are rarely archived and the steps performed lost, making the analysis virtually impossible to replicate precisely. What is missing is a coherent, robust, framework for combining reliable, well-documented topographic data-processing steps into a workflow that can be repeated and even shared with others. We have taken several popular topographic data processing tools - including point cloud filtering and decimation as well as DEM differencing - and defined a common protocol for passing inputs and outputs between them. This presentation describes a free, public online portal that enables scientists to create custom workflows for processing topographic data using a number of popular topographic processing tools. Users provide the inputs required for each tool and in what sequence they want to combine them. This information is then stored for future reuse (and optionally sharing with others) before the user then downloads a single package that contains all the input and output specifications together with the software tools themselves. The user then launches the included batch file that executes the workflow on their local computer against their topographic data. This ZCloudTools architecture helps standardize, automate and archive topographic data processing. It also represents a forum for discovering and

  13. THE DECOMPOSITION OF POVERTY: A DISTRIBUTIVE APPROACH TO LIVING STANDARDS

    Directory of Open Access Journals (Sweden)

    Mbu Daniel Tambi

    2012-04-01

    Full Text Available This study attempts to carry out a comprehensive analysis of the evolution of poverty trends using national household consumption survey I and II collected in 1996 and 2001 respectively. The theoretical decomposition frameworks propelling the study are motivated mainly by the Shapley value while empirical estimates are obtained from DAD 4.4. From our findings, we observe that Rural forest and Rural highlands regions were hardest hit by poverty and inequality trends in Cameroon. The result shows that the within-regions effects were found to be more instrumental in accounting for changes in all the classes of poverty measures than the inter-sector population shift effects in the period under review. While the between-region effects were systematically contributing in alleviating poverty in the Rural forest and Rural highlands and at the same time aggravating poverty in Yaounde, Douala. Based on our result, we suggest that policies and strategies for reducing poverty/inequality should place particular emphasis on the countryside and on a region-by-region approach such as decentralization, increase provision of rural extension services (roads, electricity, markets, portable water.

  14. Approaches for optimizing the calibration standard of Tewameter TM 300.

    Science.gov (United States)

    Miteva, Maria; Richter, Stefan; Elsner, Peter; Fluhr, Joachim W

    2006-11-01

    Calibration of devices measuring transepidermal water loss (TEWL) is in intensive discussion. Comparative studies revealed that comparable measuring systems, e.g. open and closed chamber systems, do not always deliver the same results, even when expressing the measured values in SI units, namely in g/m(2)/h. Therefore, adequate and reliable calibration procedures need to be established. We were able to test the reliability of a multi-step calibration algorithm for an open chamber system such as Tewameter TM 300. In order to achieve reliable measurements, the maintenance of stable microclimate conditions without air turbulences is mandatory. The TEWL values should be compared with those determined gravimetrically on heated skin simulators. The reproducibility of the results is warranted by consecutive measurements on different adjacent spots of a defined area. Preheating of the probe sensors is an effective approach for shortening the measuring time and gaining a rapid steady-state. The accurate calibration of the probe can be checked under laboratory conditions any time. The critical point of the calibration and ultimately the accuracy of in vivo measurements maintain the steady functional capacity of the probes during the entire duration of continuous studies. The studied calibration procedure ensures these requirements.

  15. Are neck nodal volumes drawn on CT slices covered by standard three-field technique?

    Science.gov (United States)

    Sanguineti, Giuseppe; Culp, Laura R; Endres, Eugene J; Bayouth, John E

    2004-07-01

    Several definitions have been proposed in the past few years on how to contour the various neck nodal levels on CT slices. However, whether the resulting nodal volumes would have been covered by standard techniques is unknown. The purpose of this study was to clarify this issue. Eight patients (N0-N1) with head-and-neck cancer from various primary sites referred to us for definitive radiotherapy were included in this study. Two observers contoured the level Ib-V neck nodal volumes on planning CT according to seven reported definitions. Each observer also drew blocks on digitally reconstructed radiographs for the initial (on-cord) phase of a standard three-field technique (parallel opposed lateral fields and AP supraclavicular field) for three different clinical settings: "medium" larynx (to cover upper, mid, and low jugular nodes), "big" larynx (same as for medium, plus posterior cervical nodes), and "tonsil" (same as for big plus retropharyngeal nodes). Fields blocks were concentrically reduced 5 mm in all directions as a surrogate for the clinical target volume to planning target volume expansion. A plan was created for each of the clinical settings, delivering 2 Gy to the International Commission on Radiation Units and Measurements reference point. The coverage of the nodal levels according to the various definitions was investigated throughout the analysis of the volume receiving 50%, 80%, and 95% of the prescribed dose (V(50), V(80), and V(95), respectively) and dose covering at least 95% of the volume (D(95)) values extracted from their cumulative dose-volume histograms in the three clinical settings. The V(50) coverage of levels III and IV was adequate for all definitions and trials. For level V, about 3-5% of the volume was outside the 50% isodose of those trials that targeted the posterior cervical chain. Coverage of level Ib was highly dependent on the definition, with up to 21% of the volume outside the standard tonsillar fields. For level II, although

  16. Bulbar urethroplasty using the dorsal approach: current techniques

    Directory of Open Access Journals (Sweden)

    Barbagli Guido

    2003-01-01

    Full Text Available INTRODUCTION: The use of flaps or grafts is mandatory in patients with longer and complex strictures. In 1995-96 we described a new dorsal onlay graft urethroplasty. Over time, our original technique was better defined and changed. Now this procedure (also named Barbagli technique has been greeted with a fair amount of enthusiasm in Europe and in the United States. SURGICAL TECHNIQUE: The patient is placed in normal lithotomy position, and a midline perineo-scrotal incision is made. The bulbar urethra is then free from the bulbo-cavernous muscles, and is dissected from the corpora cavernosa. The urethra is completely mobilized from the corpora cavernosa, it is rotated 180 degrees, and is incised along its dorsal surface. The graft (preputial skin or buccal mucosa or the flap is fixed and quilted to the tunica albuginea of the corporal bodies. The right mucosal margin of the opened urethra is sutured to the right side of the patch-graft. The urethra is rotated back into its original position. The left urethral margin is sutured to the left side of the patch graft and to the corporal bodies, and the grafted area is entirely covered by the urethral plate. The bulbo-cavernous muscles are approximated over the grafted area. A 16F silicone Foley catheter is left in place. COMMENTS: Dorsal onlay graft urethroplasty is a versatile procedure that may be combined with various substitute materials like preputial skin, buccal mucosa grafts or pedicled flaps.

  17. The posterior transtriceps approach for elbow arthrography: a forgotten technique?

    International Nuclear Information System (INIS)

    Lohman, M.; Borrero, C.; Casagranda, B.; Rafiee, B.; Towers, J.

    2009-01-01

    To evaluate the technical feasibility of performing elbow MR arthrography via a posterior approach through the triceps. The images of 19 patients with elbow MR arthrography via a posterior transtriceps approach were retrospectively studied. The injections were performed by four musculoskeletal radiologists, using fluoroscopic guidance and a 22- or 25-gauge needle. The fluoroscopic and subsequent MR images were reviewed by two musculoskeletal radiologists and evaluated for adequacy of joint capsular distention, degree and location of contrast leakage, and presence of gas bubbles. The injection was diagnostic in all 19 patients, with a sufficient amount of contrast agent seen in the elbow joint. No significant contrast leakage occurred in 12 patients who received injections of 8 cc or less of contrast agent, but moderate contrast leakage occurred in 6/7 patients who received injections of greater than 8 cc. Contrast leakage generally occurred within the triceps myotendinous junction. No gas bubbles were identified in the injected joints. Patients often present for MR arthrography of the elbow with medial or lateral elbow pain. Contrast leakage during a radiocapitellar approach may complicate evaluation of the lateral collateral ligament or the common extensor tendon origin. Transtriceps MR arthrography offers an alternative to the more commonly used radiocapitellar approach. With injected volumes not exceeding 8 cc, the risk of significant contrast leakage is small. An advantage of the transtriceps injection is that contrast leakage through the posterior needle tract does not interfere with evaluation of the lateral structures. (orig.)

  18. A standardized infrared imaging technique that specifically detects UCP1-mediated thermogenesis in vivo.

    Science.gov (United States)

    Crane, Justin D; Mottillo, Emilio P; Farncombe, Troy H; Morrison, Katherine M; Steinberg, Gregory R

    2014-07-01

    The activation and expansion of brown adipose tissue (BAT) has emerged as a promising strategy to counter obesity and the metabolic syndrome by increasing energy expenditure. The subsequent testing and validation of novel agents that augment BAT necessitates accurate pre-clinical measurements in rodents regarding the capacity for BAT-derived thermogenesis. We present a novel method to measure BAT thermogenesis using infrared imaging following β3-adrenoreceptor stimulation in mice. We show that the increased body surface temperature observed using this method is due solely to uncoupling protein-1 (UCP1)-mediated thermogenesis and that this technique is able to discern differences in BAT activity in mice acclimated to 23 °C or thermoneutrality (30 °C). These findings represent the first standardized method utilizing infrared imaging to specifically detect UCP1 activity in vivo.

  19. A Modular Approach Utilizing Decision Tree in Teaching Integration Techniques in Calculus

    Directory of Open Access Journals (Sweden)

    Edrian E. Gonzales

    2015-08-01

    Full Text Available – This study was conducted to test the effectiveness of modular approach using decision tree in teaching integration techniques in Calculus. It sought answer to the question: Is there a significant difference between the mean scores of two groups of students in their quizzes on (1 integration by parts and (2 integration by trigonometric transformation? Twenty-eight second year B.S. Computer Science students at City College of Calamba who were enrolled in Mathematical Analysis II for the second semester of school year 2013-2014 were purposively chosen as respondents. The study made use of the non-equivalent control group posttest-only design of quasi-experimental research. The experimental group was taught using modular approach while the comparison group was exposed to traditional instruction. The research instruments used were two twenty-item multiple-choice-type quizzes. Statistical treatment used the mean, standard deviation, Shapiro-Wilk test for normality, twotailed t-test for independent samples, and Mann-Whitney U-test. The findings led to the conclusion that both modular and traditional instructions were equally effective in facilitating the learning of integration by parts. The other result revealed that the use of modular approach utilizing decision tree in teaching integration by trigonometric transformation was more effective than the traditional method.

  20. Subcutaneous injection technique: an evidence-based approach.

    Science.gov (United States)

    Ogston-Tuck, Sherri

    2014-09-23

    Injections are routinely administered by nurses in acute care settings and in the community. Nurses require a thorough understanding of anatomy and physiology, pharmacological principles and equipment, and potential risks to the patient of injections. Nurses should also take an active approach to patient assessment before injecting medicines. This article, the first of two, provides an evidence-based review of injection administration, with particular reference to subcutaneous injections, and suggests a framework for best practice.

  1. Skeletal muscle proteomics: current approaches, technical challenges and emerging techniques

    LENUS (Irish Health Repository)

    Ohlendieck, Kay

    2011-02-01

    Abstract Background Skeletal muscle fibres represent one of the most abundant cell types in mammals. Their highly specialised contractile and metabolic functions depend on a large number of membrane-associated proteins with very high molecular masses, proteins with extensive posttranslational modifications and components that exist in highly complex supramolecular structures. This makes it extremely difficult to perform conventional biochemical studies of potential changes in protein clusters during physiological adaptations or pathological processes. Results Skeletal muscle proteomics attempts to establish the global identification and biochemical characterisation of all members of the muscle-associated protein complement. A considerable number of proteomic studies have employed large-scale separation techniques, such as high-resolution two-dimensional gel electrophoresis or liquid chromatography, and combined them with mass spectrometry as the method of choice for high-throughput protein identification. Muscle proteomics has been applied to the comprehensive biochemical profiling of developing, maturing and aging muscle, as well as the analysis of contractile tissues undergoing physiological adaptations seen in disuse atrophy, physical exercise and chronic muscle transformation. Biomedical investigations into proteome-wide alterations in skeletal muscle tissues were also used to establish novel biomarker signatures of neuromuscular disorders. Importantly, mass spectrometric studies have confirmed the enormous complexity of posttranslational modifications in skeletal muscle proteins. Conclusions This review critically examines the scientific impact of modern muscle proteomics and discusses its successful application for a better understanding of muscle biology, but also outlines its technical limitations and emerging techniques to establish new biomarker candidates.

  2. Standardization of Berberis aristata extract through conventional and modern HPTLC techniques

    Directory of Open Access Journals (Sweden)

    Dinesh K. Patel

    2012-05-01

    Full Text Available Objective: Berberis aristata (Berberidaceae is an important medicinal plant, found in the different region of the world. It has significant medicinal value in the traditional Indian and Chinese system of medicine. The aim of the present investigation includes qualitative and quantitative analysis of Berberis aristata extract. Methods: Present study includes determination of phytochemical analysis, solubility test, heavy metal analysis, antimicrobial study and quantitative analysis by HPTLC method. Results: Preliminary phytochemical analysis showed the presence of carbohydrate, glycoside, alkaloid, protein, amino acid, saponin, tannin and flavonoid. Solubility in water and alcohal were found to be 81.90% in water and 84.52% in 50% in alcohal. Loss on drying was found to be 5.32%. Total phenol and flavonoid content were found to be 0.11% and 2.8%. Level of lead, arsenic, mercury and cadmium complies the standard level. E. coli and salmonella was found to be absent whereas total bacterial count, yeast and moulds contents were found to be under the limit. Content of berberine was found to be 13.47% through HPTLC techniques. Conclusions: The results obtained from the present studies could be used as source of valuable information which can play an important role for the food scientists, researchers and even the consumers for its standards.

  3. Dosimetric comparison of intensity modulated radiotherapy techniques and standard wedged tangents for whole breast radiotherapy

    International Nuclear Information System (INIS)

    Fong, Andrew; Bromley, Regina; Beat, Mardi; Vien, Din; Dineley, Jude; Morgan, Graeme

    2009-01-01

    Full text: Prior to introducing intensity modulated radiotherapy (IMRT) for whole breast radiotherapy (WBRT) into our department we undertook a comparison of the dose parameters of several IMRT techniques and standard wedged tangents (SWT). Our aim was to improve the dose distribution to the breast and to decrease the dose to organs at risk (OAR): heart, lung and contralateral breast (Contra Br). Treatment plans for 20 women (10 right-sided and 10 left-sided) previously treated with SWT for WBRT were used to compare (a) SWT; (b) electronic compensators IMRT (E-IMRT); (c) tangential beam IMRT (T-IMRT); (d) coplanar multi-field IMRT (CP-IMRT); and (e) non-coplanar multi-field IMRT (NCP-IMRT). Plans for the breast were compared for (i) dose homogeneity (DH); (ii) conformity index (CI); (iii) mean dose; (iv) maximum dose; (v) minimum dose; and dose to OAR were calculated (vi) heart; (vii) lung and (viii) Contra Br. Compared with SWT, all plans except CP-IMRT gave improvement in at least two of the seven parameters evaluated. T-IMRT and NCP-IMRT resulted in significant improvement in all parameters except DH and both gave significant reduction in doses to OAR. As on initial evaluation NCP-IMRT is likely to be too time consuming to introduce on a large scale, T-IMRT is the preferred technique for WBRT for use in our department.

  4. Cost minimisation analysis of using acellular dermal matrix (Strattice™) for breast reconstruction compared with standard techniques.

    Science.gov (United States)

    Johnson, R K; Wright, C K; Gandhi, A; Charny, M C; Barr, L

    2013-03-01

    We performed a cost analysis (using UK 2011/12 NHS tariffs as a proxy for cost) comparing immediate breast reconstruction using the new one-stage technique of acellular dermal matrix (Strattice™) with implant versus the standard alternative techniques of tissue expander (TE)/implant as a two-stage procedure and latissimus dorsi (LD) flap reconstruction. Clinical report data were collected for operative time, length of stay, outpatient procedures, and number of elective and emergency admissions in our first consecutive 24 patients undergoing one-stage Strattice reconstruction. Total cost to the NHS based on tariff, assuming top-up payments to cover Strattice acquisition costs, was assessed and compared to the two historical control groups matched on key variables. Eleven patients having unilateral Strattice reconstruction were compared to 10 having TE/implant reconstruction and 10 having LD flap and implant reconstruction. Thirteen patients having bilateral Strattice reconstruction were compared to 12 having bilateral TE/implant reconstruction. Total costs were: unilateral Strattice, £3685; unilateral TE, £4985; unilateral LD and implant, £6321; bilateral TE, £5478; and bilateral Strattice, £6771. The cost analysis shows a financial advantage of using acellular dermal matrix (Strattice) in unilateral breast reconstruction versus alternative procedures. The reimbursement system in England (Payment by Results) is based on disease-related groups similar to that of many countries across Europe and tariffs are based on reported hospital costs, making this analysis of relevance in other countries. Copyright © 2013 Elsevier Ltd. All rights reserved.

  5. A Critical Appraisal of Techniques, Software Packages, and Standards for Quantitative Proteomic Analysis

    Science.gov (United States)

    Lawless, Craig; Hubbard, Simon J.; Fan, Jun; Bessant, Conrad; Hermjakob, Henning; Jones, Andrew R.

    2012-01-01

    Abstract New methods for performing quantitative proteome analyses based on differential labeling protocols or label-free techniques are reported in the literature on an almost monthly basis. In parallel, a correspondingly vast number of software tools for the analysis of quantitative proteomics data has also been described in the literature and produced by private companies. In this article we focus on the review of some of the most popular techniques in the field and present a critical appraisal of several software packages available to process and analyze the data produced. We also describe the importance of community standards to support the wide range of software, which may assist researchers in the analysis of data using different platforms and protocols. It is intended that this review will serve bench scientists both as a useful reference and a guide to the selection and use of different pipelines to perform quantitative proteomics data analysis. We have produced a web-based tool (http://www.proteosuite.org/?q=other_resources) to help researchers find appropriate software for their local instrumentation, available file formats, and quantitative methodology. PMID:22804616

  6. 77 FR 63763 - Regulatory Capital Rules: Standardized Approach for Risk-Weighted Assets; Market Discipline and...

    Science.gov (United States)

    2012-10-17

    ... 324 RIN 3064-AD96 Regulatory Capital Rules: Standardized Approach for Risk-Weighted Assets; Market Discipline and Disclosure Requirements; Initial Regulatory Flexibility Analysis AGENCY: Federal Deposit Insurance Corporation. ACTION: Initial regulatory flexibility analysis. SUMMARY: On August 30, 2012, the...

  7. 77 FR 12454 - Standard Instrument Approach Procedures, and Takeoff Minimums and Obstacle Departure Procedures...

    Science.gov (United States)

    2012-03-01

    ... DEPARTMENT OF TRANSPORTATION Federal Aviation Administration 14 CFR Part 97 [Docket No. 30829; Amdt. No. 3467] Standard Instrument Approach Procedures, and Takeoff Minimums and Obstacle Departure Procedures; Miscellaneous Amendments AGENCY: Federal Aviation Administration (FAA), DOT. ACTION: Final rule...

  8. Flow Diversion versus Standard Endovascular Techniques for the Treatment of Unruptured Carotid-Ophthalmic Aneurysms.

    Science.gov (United States)

    Di Maria, F; Pistocchi, S; Clarençon, F; Bartolini, B; Blanc, R; Biondi, A; Redjem, H; Chiras, J; Sourour, N; Piotin, M

    2015-12-01

    Over the past few years, flow diversion has been increasingly adopted for the treatment of intracranial aneurysms, especially in the paraclinoid and paraophthalmic carotid segment. We compared clinical and angiographic outcomes and complication rates in 2 groups of patients with unruptured carotid-ophthalmic aneurysms treated for 7 years by either standard coil-based techniques or flow diversion. From February 2006 to December 2013, 162 unruptured carotid-ophthalmic aneurysms were treated endovascularly in 138 patients. Sixty-seven aneurysms were treated by coil-based techniques in 61 patients. Flow diverters were deployed in 95 unruptured aneurysms (77 patients), with additional coiling in 27 patients. Complication rates, clinical outcome, and immediate and long-term angiographic results were retrospectively analyzed. No procedure-related deaths occurred. Four procedure-related thromboembolic events (6.6%) leading to permanent morbidity in 1 case (1.6%) occurred in the coiling group. Neurologic complications were observed in 6 patients (7.8%) in the flow-diversion group, resulting in 3.9% permanent morbidity. No statistically significant difference was found between complication (P = .9) and morbidity rates (P = .6). In the coiling group (median follow-up, 31.5 ± 24.5 months), recanalization occurred at 1 year in 23/50 (54%) aneurysms and 27/55 aneurysms (50.9%) at the latest follow-up, leading to retreatment in 6 patients (9%). In the flow-diversion group (mean follow-up, 13.5 ± 10.8 months), 85.3% (35/41) of all aneurysms were occluded after 12 months, and 74.6% (50/67) on latest follow-up. The retreatment rate was 2.1%. Occlusion rates between the 2 groups differed significantly at 12 months (P < .001) and at the latest follow-up (P < .005). Our retrospective analysis shows better long-term occlusion of carotid-ophthalmic aneurysms after use of flow diverters compared with standard coil-based techniques, without significant differences in permanent morbidity

  9. Integrated approach to model decomposed flow hydrograph using artificial neural network and conceptual techniques

    Science.gov (United States)

    Jain, Ashu; Srinivasulu, Sanaga

    2006-02-01

    This paper presents the findings of a study aimed at decomposing a flow hydrograph into different segments based on physical concepts in a catchment, and modelling different segments using different technique viz. conceptual and artificial neural networks (ANNs). An integrated modelling framework is proposed capable of modelling infiltration, base flow, evapotranspiration, soil moisture accounting, and certain segments of the decomposed flow hydrograph using conceptual techniques and the complex, non-linear, and dynamic rainfall-runoff process using ANN technique. Specifically, five different multi-layer perceptron (MLP) and two self-organizing map (SOM) models have been developed. The rainfall and streamflow data derived from the Kentucky River catchment were employed to test the proposed methodology and develop all the models. The performance of all the models was evaluated using seven different standard statistical measures. The results obtained in this study indicate that (a) the rainfall-runoff relationship in a large catchment consists of at least three or four different mappings corresponding to different dynamics of the underlying physical processes, (b) an integrated approach that models the different segments of the decomposed flow hydrograph using different techniques is better than a single ANN in modelling the complex, dynamic, non-linear, and fragmented rainfall runoff process, (c) a simple model based on the concept of flow recession is better than an ANN to model the falling limb of a flow hydrograph, and (d) decomposing a flow hydrograph into the different segments corresponding to the different dynamics based on the physical concepts is better than using the soft decomposition employed using SOM.

  10. A Component Approach to Collaborative Scientific Software Development: Tools and Techniques Utilized by the Quantum Chemistry Science Application Partnership

    Directory of Open Access Journals (Sweden)

    Joseph P. Kenny

    2008-01-01

    Full Text Available Cutting-edge scientific computing software is complex, increasingly involving the coupling of multiple packages to combine advanced algorithms or simulations at multiple physical scales. Component-based software engineering (CBSE has been advanced as a technique for managing this complexity, and complex component applications have been created in the quantum chemistry domain, as well as several other simulation areas, using the component model advocated by the Common Component Architecture (CCA Forum. While programming models do indeed enable sound software engineering practices, the selection of programming model is just one building block in a comprehensive approach to large-scale collaborative development which must also address interface and data standardization, and language and package interoperability. We provide an overview of the development approach utilized within the Quantum Chemistry Science Application Partnership, identifying design challenges, describing the techniques which we have adopted to address these challenges and highlighting the advantages which the CCA approach offers for collaborative development.

  11. Video-assisted thoracoscopic surgery (VATS) lobectomy using a standardized anterior approach

    DEFF Research Database (Denmark)

    Hansen, Henrik Jessen; Petersen, René Horsleben; Christensen, Merete

    2011-01-01

    Lobectomy using video-assisted thoracoscopic surgery (VATS) still is a controversial operation despite its many observed benefits. The controversy may be due to difficulties performing the procedure. This study addresses a standardized anterior approach facilitating the operation.......Lobectomy using video-assisted thoracoscopic surgery (VATS) still is a controversial operation despite its many observed benefits. The controversy may be due to difficulties performing the procedure. This study addresses a standardized anterior approach facilitating the operation....

  12. The “excluding” suture technique for surgical closure of ventricular septal defects: A retrospective study comparing the standard technique

    Directory of Open Access Journals (Sweden)

    Roy Varghese

    2016-01-01

    Conclusion: Surgical closure of VSDs can be accomplished by placing sutures along the margins or away with comparable results. The incidence of CHB, however, seems to be less when the “excluding” technique is employed.

  13. A Creative Approach to the Common Core Standards: The Da Vinci Curriculum

    Science.gov (United States)

    Chaucer, Harry

    2012-01-01

    "A Creative Approach to the Common Core Standards: The Da Vinci Curriculum" challenges educators to design programs that boldly embrace the Common Core State Standards by imaginatively drawing from the genius of great men and women such as Leonardo da Vinci. A central figure in the High Renaissance, Leonardo made extraordinary contributions as a…

  14. External Peer Review of Assessment: An Effective Approach to Verifying Standards?

    Science.gov (United States)

    Bloxham, Sue; Hudson, Jane; den Outer, Birgit; Price, Margaret

    2015-01-01

    There is growing international concern to regulate and assure standards in higher education. External peer review of assessment, often called external examining, is a well-established approach to assuring standards. Australian higher education is one of several systems without a history of external examining for undergraduate programmes that is…

  15. Integrated management system - management standards evolution and the IAEA new approach

    International Nuclear Information System (INIS)

    Oliveira, Dirceu Paulo de; Zouain, Desiree Moraes

    2007-01-01

    The management standards application began in military and nuclear areas towards the end of Second World War, when some westerns countries developed quality standards to improve their means to assess suppliers' conditions to assure their products conformance, which was increasingly complex and required a higher degree of reliability. Afterwards, the quality standards application was extended to the consumer market focused on consumers' requirements satisfaction. Coming along the society crescent concern about quality of life, other management standards were developed, such as those dealing with environmental and sustainable development, occupational health and safety, social accountability and so on. As a consequence, the management process became complex. The management system integrated form approach makes possible the compatibility of distinct and complementary interests from several functions and disciplines involved and supply the absence of the organizations' holistic approach. According to this integrated management approach, the Agency - 'International Atomic Energy Agency' (IAEA) - decided to review the structure of the 50-C-Q standard - 'Quality Assurance for Safety in Nuclear Power Plants and Other Nuclear Installations', from 1996, publishing in 2006 the new GS-R-3 standard - 'The Management System for Facilities and Activities - Safety Requirements'. This work presents a brief evolution of management standards and integrated management approach, showing the Agency's new vision concerning this issue with the GS-R-3 standard publication. (author)

  16. To Teach Standard English or World Englishes? A Balanced Approach to Instruction

    Science.gov (United States)

    Farrell, Thomas S. C.; Martin, Sonia

    2009-01-01

    This article suggests that English language teachers should consider all varieties of English, not just British Standard English or American Standard English. In order to better prepare students for the global world, and to show them that their own English is valued, teachers can implement a balanced approach that incorporates the teaching and…

  17. Reduced Rate of Dehiscence After Implementation of a Standardized Fascial Closure Technique in Patients Undergoing Emergency Laparotomy

    DEFF Research Database (Denmark)

    Tolstrup, Mai-Britt; Watt, Sara Kehlet; Gögenur, Ismail

    2017-01-01

    is lacking. We aimed to investigate whether this technique would reduce the rate of dehiscence. METHODS: A standardized procedure of closing the midline laparotomy by using a "small steps" technique of continuous suturing with a slowly absorbable (polydioxanone) suture material in a wound-suture ratio...

  18. Robot-assisted repair of tricuspid leaflet prolapse using standard valvuloplasty techniques.

    Science.gov (United States)

    Seder, Christopher W; Suri, Rakesh M; Rehfeldt, Kent; Pislaru, Sorin; Burkhart, Harold M

    2012-11-01

    While minimally invasive approaches are used routinely to correct severe mitral regurgitation due to leaflet prolapse, isolated tricuspid valve prolapse is less frequent and usually addressed via sternotomy. A 34-year-old female presented with exertional dyspnea and severe tricuspid regurgitation due to an unsupported anterior leaflet causing prolapse, a tethered septal leaflet, and dilated annulus. Herein, the technique is described of a robot-assisted tricuspid valve repair using established open valvuloplasty principles. The robotic repair was performed by the placement of Gore-Tex neochordae from the anterior papillary muscle to the anterior tricuspid leaflet, plication of the anteroseptal and anteroposterior commissures, closure of an anterior leaflet cleft, and the insertion of an annuloplasty band. The patient had an uncomplicated hospital course and was dismissed home on the third postoperative day.

  19. Rule-based Approach on Extraction of Malay Compound Nouns in Standard Malay Document

    Science.gov (United States)

    Abu Bakar, Zamri; Kamal Ismail, Normaly; Rawi, Mohd Izani Mohamed

    2017-08-01

    Malay compound noun is defined as a form of words that exists when two or more words are combined into a single syntax and it gives a specific meaning. Compound noun acts as one unit and it is spelled separately unless an established compound noun is written closely from two words. The basic characteristics of compound noun can be seen in the Malay sentences which are the frequency of that word in the text itself. Thus, this extraction of compound nouns is significant for the following research which is text summarization, grammar checker, sentiments analysis, machine translation and word categorization. There are many research efforts that have been proposed in extracting Malay compound noun using linguistic approaches. Most of the existing methods were done on the extraction of bi-gram noun+noun compound. However, the result still produces some problems as to give a better result. This paper explores a linguistic method for extracting compound Noun from stand Malay corpus. A standard dataset are used to provide a common platform for evaluating research on the recognition of compound Nouns in Malay sentences. Therefore, an improvement for the effectiveness of the compound noun extraction is needed because the result can be compromised. Thus, this study proposed a modification of linguistic approach in order to enhance the extraction of compound nouns processing. Several pre-processing steps are involved including normalization, tokenization and tagging. The first step that uses the linguistic approach in this study is Part-of-Speech (POS) tagging. Finally, we describe several rules-based and modify the rules to get the most relevant relation between the first word and the second word in order to assist us in solving of the problems. The effectiveness of the relations used in our study can be measured using recall, precision and F1-score techniques. The comparison of the baseline values is very essential because it can provide whether there has been an improvement

  20. Projection techniques to approach the nuclear many-body problem

    International Nuclear Information System (INIS)

    Sun, Yang

    2016-01-01

    Our understanding of angular–momentum-projection goes beyond quantum-number restoration for symmetry-violated states. The angular–momentum-projection method can be viewed as an efficient way of truncating the shell-model space which is otherwise too large to handle. It defines a transformation from the intrinsic system, where dominant excitation modes in the low-energy region are identified with the concept of spontaneous symmetry breaking, to the laboratory frame with well-organized configuration states according to excitations. An energy-dictated, physically-guided shell-model truncation can then be carried out within the projected space and the Hamiltonian is thereby diagonalized in a compact basis. The present article reviews the theory of angular–momentum-projection applied in the nuclear many-body problem. Angular momentum projection emerges naturally if a deformed state is treated quantum-mechanically. To demonstrate how different physical problems in heavy, deformed nuclei can be efficiently described with different truncation schemes, we introduce the projected shell model and show examples of calculation in a basis with axial symmetry, a basis with triaxiality, and a basis with both quasiparticle and phonon excitations. Technical details of how to calculate the projected matrix elements and how to build a workable model with the projection techniques are given in the appendix. (invited comment)

  1. New approaches for investigating paintings by ion beam techniques

    International Nuclear Information System (INIS)

    Beck, L.; Viguerie, L. de; Walter, Ph.; Pichon, L.; Gutierrez, P.C.; Salomon, J.; Menu, M.; Sorieul, S.

    2010-01-01

    Up to now, among the IBA techniques, only PIXE has been used for analyzing paintings. However, quantitative PIXE analysis is sometimes difficult to interpret due to the layered structure, the presence of varnish and organic binder and, in some cases, discoloration of the pigments has been observed due to the interaction of the ion beam with the compounds. In order to improve the characterization of paintings, we propose some alternative experimental procedures. First of all, backscattering spectrometry (BS) and PIXE are simultaneously combined in order to collect complementary information such as layer thickness and organic compound quantification. The simultaneous PIXE and BS experiments also have the advantage of being able to analyze the same area in one experiment. This combination, implemented with an external beam, was directly applied on paintings and on painting cross-sections for the study of Italian Renaissance masterpieces. We have obtained valuable results not only on the pigment itself but also, for the first time, on the binder to pigment proportion which is not well documented in the ancient recipes. Moreover, in order to restrain beam damages due to the ion stopping power, we propose to analyze very thin painting cross-sections by a combination of PIXE-RBS and Scanning Transmission Ion Microscopy (STIM).

  2. A new approach to electrical impedance imaging technique

    International Nuclear Information System (INIS)

    Afroj Quadir, K.; Nasir, F.; Rahman, M.; Rabbani, K.S.

    2004-09-01

    It is possible to obtain a 2 dimensional (2D) image of a volume conductor, to locate a few widely separated objects, by driving ac constant currents through two orthogonal pairs of electrodes and measuring the resulting potential differences between several diagonally placed electrodes at the centre and back-projecting their impedance values along equi-potential lines. This has been termed as Pigeon Hole Imaging (PHI). Experimental verification has been attempted using a small insulating object placed at different locations in a saline filled 2D phantom. For a 6 x 6 matrix, the image in 16 pixels in close proximity of the diagonal along which electrodes are arranged, coincide with the object positions, while they do nt for the remaining 20 pixels. We applied a new technique where image smearing patterns have been used to correct the images in 14 of these pixels while 6 pixels near the two opposite comers still remain uncertain. Thus 30 pixels out of 36 give the right object position which may be termed a success. The concept may be extended further to higher order matrices by increasing the number of diagonal electrodes. The present work mainly concentrates on the feasibility of localization of a single small object in one matrix position of the image. (author)

  3. New approaches for investigating paintings by ion beam techniques

    Energy Technology Data Exchange (ETDEWEB)

    Beck, L., E-mail: Lucile.beck@cea.f [Centre de Recherche et de Restauration des Musees de France (C2RMF), CNRS-UMR 171, Palais du Louvre - Porte des Lions, 14 quai Francois Mitterrand, 75001 Paris (France); Viguerie, L. de; Walter, Ph.; Pichon, L. [Centre de Recherche et de Restauration des Musees de France (C2RMF), CNRS-UMR 171, Palais du Louvre - Porte des Lions, 14 quai Francois Mitterrand, 75001 Paris (France); Gutierrez, P.C. [Centro de Micro-Analisis de Materiales (CMAM), Universidad Autonoma de Madrid, Campus de Cantoblanco, E-28049 Madrid (Spain); Salomon, J.; Menu, M. [Centre de Recherche et de Restauration des Musees de France (C2RMF), CNRS-UMR 171, Palais du Louvre - Porte des Lions, 14 quai Francois Mitterrand, 75001 Paris (France); Sorieul, S. [Centre d' Etudes Nucleaires de Bordeaux-Gradignan, IN2P3, UMR 5797, Universite de Bordeaux 1, Chemin du Solarium BP120, 33175 Gradignan Cedex (France)

    2010-06-15

    Up to now, among the IBA techniques, only PIXE has been used for analyzing paintings. However, quantitative PIXE analysis is sometimes difficult to interpret due to the layered structure, the presence of varnish and organic binder and, in some cases, discoloration of the pigments has been observed due to the interaction of the ion beam with the compounds. In order to improve the characterization of paintings, we propose some alternative experimental procedures. First of all, backscattering spectrometry (BS) and PIXE are simultaneously combined in order to collect complementary information such as layer thickness and organic compound quantification. The simultaneous PIXE and BS experiments also have the advantage of being able to analyze the same area in one experiment. This combination, implemented with an external beam, was directly applied on paintings and on painting cross-sections for the study of Italian Renaissance masterpieces. We have obtained valuable results not only on the pigment itself but also, for the first time, on the binder to pigment proportion which is not well documented in the ancient recipes. Moreover, in order to restrain beam damages due to the ion stopping power, we propose to analyze very thin painting cross-sections by a combination of PIXE-RBS and Scanning Transmission Ion Microscopy (STIM).

  4. Effective approach toward Intrusion Detection System using data mining techniques

    Directory of Open Access Journals (Sweden)

    G.V. Nadiammai

    2014-03-01

    Full Text Available With the tremendous growth of the usage of computers over network and development in application running on various platform captures the attention toward network security. This paradigm exploits security vulnerabilities on all computer systems that are technically difficult and expensive to solve. Hence intrusion is used as a key to compromise the integrity, availability and confidentiality of a computer resource. The Intrusion Detection System (IDS plays a vital role in detecting anomalies and attacks in the network. In this work, data mining concept is integrated with an IDS to identify the relevant, hidden data of interest for the user effectively and with less execution time. Four issues such as Classification of Data, High Level of Human Interaction, Lack of Labeled Data, and Effectiveness of Distributed Denial of Service Attack are being solved using the proposed algorithms like EDADT algorithm, Hybrid IDS model, Semi-Supervised Approach and Varying HOPERAA Algorithm respectively. Our proposed algorithm has been tested using KDD Cup dataset. All the proposed algorithm shows better accuracy and reduced false alarm rate when compared with existing algorithms.

  5. Triangle of Safety Technique: A New Approach to Laparoscopic Cholecystectomy

    Directory of Open Access Journals (Sweden)

    Abdulrahman F. M. S. Almutairi

    2009-01-01

    dissection of the Calot's triangle can lead to such injuries. The aim of the authors in this study is to present a new safe triangle of dissection. Patients and Method. 501 patients under went LC in the following approach; The cystic artery is identified and mobilized from the gall bladder (GB medial wall down towards the cystic duct which would simultaneously divide the medial GB peritoneal attachment. This is then followed by dividing the lateral peritoneal attachment. The GB will be unfolded and the borders of the triangle of safety (TST are achieved: cystic artery medially, cystic duct laterally and the gallbladder wall superiorly. The floor of the triangle is then divided to delineate both cystic duct and artery in an area relatively far from CBD. Results. There were little significant immediate or delayed complications. The mean operating time was 68 minutes, nearly equivalent to the conventional method. Conclusions. Dissection at TST appears to be a safe procedure which clearly demonstrates the cystic duct and may help to reduce the CBD injuries.

  6. Development of Standardized Mobile Tracer Correlation Approach for Large Area Emission Measurements (DRAFT UNDER EPA REVIEW)

    Science.gov (United States)

    Foster-wittig, T. A.; Thoma, E.; Green, R.; Hater, G.; Swan, N.; Chanton, J.

    2013-12-01

    Improved understanding of air emissions from large area sources such as landfills, waste water ponds, open-source processing, and agricultural operations is a topic of increasing environmental importance. In many cases, the size of the area source, coupled with spatial-heterogeneity, make direct (on-site) emission assessment difficult; methane emissions, from landfills for example, can be particularly complex [Thoma et al, 2009]. Recently, whole-facility (remote) measurement approaches based on tracer correlation have been utilized [Scheutz et al, 2011]. The approach uses a mobile platform to simultaneously measure a metered-release of a conservative gas (the tracer) along with the target compound (methane in the case of landfills). The known-rate tracer release provides a measure of atmospheric dispersion at the downwind observing location allowing the area source emission to be determined by a ratio calculation [Green et al, 2010]. Although powerful in concept, the approach has been somewhat limited to research applications due to the complexities and cost of the high-sensitivity measurement equipment required to quantify the part-per billion levels of tracer and target gas at kilometer-scale distances. The advent of compact, robust, and easy to use near-infrared optical measurement systems (such as cavity ring down spectroscopy) allow the tracer correlation approach to be investigated for wider use. Over the last several years, Waste Management Inc., the U.S. EPA, and collaborators have conducted method evaluation activities to determine the viability of a standardized approach through execution of a large number of field measurement trials at U.S. landfills. As opposed to previous studies [Scheutz et al, 2011] conducted at night (optimal plume transport conditions), the current work evaluated realistic use-scenarios; these scenarios include execution by non-scientist personnel, daylight operation, and full range of atmospheric condition (all plume transport

  7. Validation of standardized and structured EHR data in the dual model approach.

    Science.gov (United States)

    Rinner, Christoph; Duftschmid, Georg

    2009-01-01

    We present a W3C XML Schema-based method to validate standardized EHR data against semantic constraints that build the knowledge layer within the dual model approach. The approach was tested with three EN/ISO13606 archetypes and an HL7 CDA implementation guide for diabetes therapies.

  8. A direct sensitivity approach to predict hourly ozone resulting from compliance with the National Ambient Air Quality Standard.

    Science.gov (United States)

    Simon, Heather; Baker, Kirk R; Akhtar, Farhan; Napelenok, Sergey L; Possiel, Norm; Wells, Benjamin; Timin, Brian

    2013-03-05

    In setting primary ambient air quality standards, the EPA's responsibility under the law is to establish standards that protect public health. As part of the current review of the ozone National Ambient Air Quality Standard (NAAQS), the US EPA evaluated the health exposure and risks associated with ambient ozone pollution using a statistical approach to adjust recent air quality to simulate just meeting the current standard level, without specifying emission control strategies. One drawback of this purely statistical concentration rollback approach is that it does not take into account spatial and temporal heterogeneity of ozone response to emissions changes. The application of the higher-order decoupled direct method (HDDM) in the community multiscale air quality (CMAQ) model is discussed here to provide an example of a methodology that could incorporate this variability into the risk assessment analyses. Because this approach includes a full representation of the chemical production and physical transport of ozone in the atmosphere, it does not require assumed background concentrations, which have been applied to constrain estimates from past statistical techniques. The CMAQ-HDDM adjustment approach is extended to measured ozone concentrations by determining typical sensitivities at each monitor location and hour of the day based on a linear relationship between first-order sensitivities and hourly ozone values. This approach is demonstrated by modeling ozone responses for monitor locations in Detroit and Charlotte to domain-wide reductions in anthropogenic NOx and VOCs emissions. As seen in previous studies, ozone response calculated using HDDM compared well to brute-force emissions changes up to approximately a 50% reduction in emissions. A new stepwise approach is developed here to apply this method to emissions reductions beyond 50% allowing for the simulation of more stringent reductions in ozone concentrations. Compared to previous rollback methods, this

  9. Standardization of MIP technique in three-dimensional CT portography: usefulness in evaluation of portosystemic collaterals in cirrhotic patients

    International Nuclear Information System (INIS)

    Kim, Jong Gi; Kim, Yong; Kim, Chang Won; Lee, Jun Woo; Lee, Suk Hong

    2003-01-01

    To assess the usefulness of three-dimensional CT portography using a standardized maximum intensity projection (MIP) technique for the evaluation of portosystemic collaterals in cirrhotic patients. In 25 cirrhotic patients with portosystemic collaterals, three-phase CT using a multide-tector-row helical CT scanner was performed to evaluate liver disease. Late arterial-phase images were transferred to an Advantage Windows 3.1 workstation (Gener Electric). Axial images were reconstructed by means of three-dimensional CT portography, using both a standardized and a non-standardized MIP technique, and the respective reconstruction times were determined. Three-dimensional CT portography with the standardized technique involved eight planes, namely the spleno-portal confluence axis (coronal, lordotic coronal, lordotic coronal RAO 30 .deg. C, and lordotic coronal LAO 30 .deg. C), the left renal vein axis (lordotic coronal), and axial MIP images (lower esophagus level, gastric fundus level and splenic hilum). The eight MIP images obtained in each case were interpreted by two radiologists, who reached a consensus in their evaluation. The portosystemic collaterals evaluated were as follows: left gastric vein dilatation; esophageal, paraesophageal, gastric, and splenic varix; paraumbilical vein dilatation; gastro-renal, spleno-renal, and gastro-spleno-renal shunt; mesenteric, retroperitoneal, and omental collaterals. The average reconstruction time using the non-standardized MIP technique was 11 minutes 23 seconds, and with the standardized technique, the time was 6 minutes 5 seconds. Three-dimensional CT portography with the standardized technique demonstrated left gastric vein dilatation (n=25), esophageal varix (n=18), paraesophageal varix (n=13), gastric varix (n=4), splenic varix (n=4), paraumbilical vein dilatation (n=4), gastro-renal shunt (n=3), spleno-renal shunt (n=3), and gastro-spleno-renal shunt (n=1). Using three-dimensional CT protography and the non-standardized

  10. Development, improvement and calibration of neutronic reaction rates measurements: elaboration of a standard techniques basis

    International Nuclear Information System (INIS)

    Hudelot, J.P.

    1998-06-01

    In order to improve and to validate the neutronics calculation schemes, perfecting integral measurements of neutronics parameters is necessary. This thesis focuses on the conception, the improvement and the development of neutronics reaction rates measurements, and aims at building a base of standard techniques. Two subjects are discussed. The first one deals with direct measurements by fission chambers. A short presentation of the different usual techniques is given. Then, those last ones are applied through the example of doubling time measurements on the EOLE facility during the MISTRAL 1 experimental programme. Two calibration devices of fission chambers are developed: a thermal column located in the central part of the MINERVE facility, and a calibration cell using a pulsed high flux neutron generator and based on the discrimination of the energy of the neutrons with a time-of-flight method. This second device will soon allow to measure the mass of fission chambers with a precision of about 1 %. Finally, the necessity of those calibrations will be shown through spectral indices measurements in core MISTRAL 1 (UO 2 ) and MISTRAL 2 (MOX) of the EOLE facility. In each case, the associated calculation schemes, performed using the Monte Carlo MCNP code with the ENDF-BV library, will be validated. Concerning the second one, the goal is to develop a method for measuring the modified conversion ratio of 238 U (defined as the ratio of 238 U capture rate to total fission rate) by gamma-ray spectrometry of fuel rods. Within the framework of the MISTRAL 1 and MISTRAL 2 programmes, the measurement device, the experimental results and the spectrometer calibration are described. Furthermore, the MCNP calculations of neutron self-shielding and gamma self-absorption are validated. It is finally shown that measurement uncertainties are better than 1 %. The extension of this technique to future modified conversion ratio measurements for 242 Pu (on MOX rods) and 232 Th (on

  11. 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.

  12. Household energy consumption versus income and relative standard of living: A panel approach

    International Nuclear Information System (INIS)

    Joyeux, Roselyne; Ripple, Ronald D.

    2007-01-01

    Our fundamental premise is that energy consumption at the household level is a key indicator of standard of living. We employ state-of-the-art panel cointegration techniques to evaluate the nature of the relationship between income measures and energy consumption measures for seven East Indian Ocean countries. The general finding is that income and household electricity consumption are not cointegrated. Given this finding, we conclude that standard of living measures that rely on income measures and do not include household-level energy consumption information will necessarily miss important indications of both levels and changes of standard of living

  13. Modification of the cranial closing wedge ostectomy technique for the treatment of canine cruciate disease. Description and comparison with standard technique.

    Science.gov (United States)

    Wallace, A M; Addison, E S; Smith, B A; Radke, H; Hobbs, S J

    2011-01-01

    To describe a modification of the cranial closing wedge ostectomy (CCWO) technique and to compare its efficacy to the standard technique on cadaveric specimens. The standard and modified CCWO technique were applied to eight pairs of cadaveric tibiae. The following parameters were compared following the ostectomy: degrees of plateau levelling achieved (degrees), tibial long axis shift (degrees), reduction in tibial length (mm), area of bone wedge removed (cm²), and the area of proximal fragment (cm²). The size of the removed wedge of bone and the reduction in tibial length were significantly less with the modified CCWO technique. The modified CCWO has two main advantages. Firstly a smaller wedge is removed, allowing a greater preservation of bone stock in the proximal tibia, which is advantageous for implant placement. Secondly, the tibia is shortened to a lesser degree, which might reduce the risk of recurvatum, fibular fracture and patella desmitis. These factors are particularly propitious for the application of this technique to Terrier breeds with excessive tibial plateau angle, where large angular corrections are required. The modified CCWO is equally effective for plateau levelling and results in an equivalent tibial long-axis shift. A disadvantage with the modified technique is that not all of the cross sectional area of the distal fragment contributes to load sharing at the osteotomy.

  14. Robotic Spent Fuel Monitoring – It is time to improve old approaches and old techniques!

    Energy Technology Data Exchange (ETDEWEB)

    Tobin, Stephen Joseph [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Dasari, Venkateswara Rao [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Trellue, Holly Renee [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)

    2016-12-13

    This report describes various approaches and techniques associated with robotic spent fuel monitoring. The purpose of this description is to improve the quality of measured signatures, reduce the inspection burden on the IAEA, and to provide frequent verification.

  15. New Approaches to Underwater Surface Preparation and Painting (USPPT) Techniques (CD-ROM)

    National Research Council Canada - National Science Library

    Ledda, Jeffrey

    2006-01-01

    ...: 1 CD-ROM; 4 3/4 in.; 25.4 MB. ABSTRACT: This paper summarizes Oceaneering's findings for the ONR work entitled "New Approaches to Underwater Surface Preparation and Painting Techniques, Phase 2 Final Report...

  16. Standardized Approach to Quantitatively Measure Residual Limb Skin Health in Individuals with Lower Limb Amputation

    Science.gov (United States)

    Rink, Cameron L.; Wernke, Matthew M.; Powell, Heather M.; Tornero, Mark; Gnyawali, Surya C.; Schroeder, Ryan M.; Kim, Jayne Y.; Denune, Jeffrey A.; Albury, Alexander W.; Gordillo, Gayle M.; Colvin, James M.; Sen, Chandan K.

    2017-01-01

    Objective: (1) Develop a standardized approach to quantitatively measure residual limb skin health. (2) Report reference residual limb skin health values in people with transtibial and transfemoral amputation. Approach: Residual limb health outcomes in individuals with transtibial (n = 5) and transfemoral (n = 5) amputation were compared to able-limb controls (n = 4) using noninvasive imaging (hyperspectral imaging and laser speckle flowmetry) and probe-based approaches (laser doppler flowmetry, transcutaneous oxygen, transepidermal water loss, surface electrical capacitance). Results: A standardized methodology that employs noninvasive imaging and probe-based approaches to measure residual limb skin health are described. Compared to able-limb controls, individuals with transtibial and transfemoral amputation have significantly lower transcutaneous oxygen tension, higher transepidermal water loss, and higher surface electrical capacitance in the residual limb. Innovation: Residual limb health as a critical component of prosthesis rehabilitation for individuals with lower limb amputation is understudied in part due to a lack of clinical measures. Here, we present a standardized approach to measure residual limb health in people with transtibial and transfemoral amputation. Conclusion: Technology advances in noninvasive imaging and probe-based measures are leveraged to develop a standardized approach to quantitatively measure residual limb health in individuals with lower limb loss. Compared to able-limb controls, resting residual limb physiology in people that have had transfemoral or transtibial amputation is characterized by lower transcutaneous oxygen tension and poorer skin barrier function. PMID:28736682

  17. Standardized Approach to Quantitatively Measure Residual Limb Skin Health in Individuals with Lower Limb Amputation.

    Science.gov (United States)

    Rink, Cameron L; Wernke, Matthew M; Powell, Heather M; Tornero, Mark; Gnyawali, Surya C; Schroeder, Ryan M; Kim, Jayne Y; Denune, Jeffrey A; Albury, Alexander W; Gordillo, Gayle M; Colvin, James M; Sen, Chandan K

    2017-07-01

    Objective: (1) Develop a standardized approach to quantitatively measure residual limb skin health. (2) Report reference residual limb skin health values in people with transtibial and transfemoral amputation. Approach: Residual limb health outcomes in individuals with transtibial ( n  = 5) and transfemoral ( n  = 5) amputation were compared to able-limb controls ( n  = 4) using noninvasive imaging (hyperspectral imaging and laser speckle flowmetry) and probe-based approaches (laser doppler flowmetry, transcutaneous oxygen, transepidermal water loss, surface electrical capacitance). Results: A standardized methodology that employs noninvasive imaging and probe-based approaches to measure residual limb skin health are described. Compared to able-limb controls, individuals with transtibial and transfemoral amputation have significantly lower transcutaneous oxygen tension, higher transepidermal water loss, and higher surface electrical capacitance in the residual limb. Innovation: Residual limb health as a critical component of prosthesis rehabilitation for individuals with lower limb amputation is understudied in part due to a lack of clinical measures. Here, we present a standardized approach to measure residual limb health in people with transtibial and transfemoral amputation. Conclusion: Technology advances in noninvasive imaging and probe-based measures are leveraged to develop a standardized approach to quantitatively measure residual limb health in individuals with lower limb loss. Compared to able-limb controls, resting residual limb physiology in people that have had transfemoral or transtibial amputation is characterized by lower transcutaneous oxygen tension and poorer skin barrier function.

  18. Standardization of the PCR technique for the detection of delta toxin in Staphylococcus spp.

    Directory of Open Access Journals (Sweden)

    C. Marconi

    2005-06-01

    Full Text Available Coagulase-negative staphylococci (CNS, components of the normal flora of neonates, have emerged as important opportunistic pathogens of nosocomial infections that occur in neonatal intensive care units. Some authors have reported the ability of some CNS strains, particularly Staphylococcus epidermidis, to produce a toxin similar to S. aureus delta toxin. This toxin is an exoprotein that has a detergent action on the membranes of various cell types resulting in rapid cell lysis. The objectives of the present study were to standardize the Polymerase Chain Reaction (PCR technique for the detection of the gene responsible for the production of delta toxin (hld gene in staphylococcal species isolated from catheters and blood cultures obtained from neonates, and to compare the results to those obtained with the phenotypic synergistic hemolysis method. Detection of delta toxin by the phenotypic and genotypic method yielded similar results for the S. aureus isolates. However, in S. epidermidis, a higher positivity was observed for PCR (97.4% compared to the synergistic hemolysis method (86.8%. Among CNS, S. epidermidis was the most frequent isolate and was a delta toxin producer. Staphylococcus simulans and S. warneri tested positive by the phenotypic method, but their positivity was not confirmed by PCR for the hld gene detection. These results indicate that different genes might be responsible for the production of this toxin in different CNS species, requiring highly specific primers for their detection. PCR was found to be a rapid and reliable method for the detection of the hld gene in S. aureus and S. epidermidis.

  19. "Heidelberg standard examination" and "Heidelberg standard procedures" - Development of faculty-wide standards for physical examination techniques and clinical procedures in undergraduate medical education.

    Science.gov (United States)

    Nikendei, C; Ganschow, P; Groener, J B; Huwendiek, S; Köchel, A; Köhl-Hackert, N; Pjontek, R; Rodrian, J; Scheibe, F; Stadler, A-K; Steiner, T; Stiepak, J; Tabatabai, J; Utz, A; Kadmon, M

    2016-01-01

    The competent physical examination of patients and the safe and professional implementation of clinical procedures constitute essential components of medical practice in nearly all areas of medicine. The central objective of the projects "Heidelberg standard examination" and "Heidelberg standard procedures", which were initiated by students, was to establish uniform interdisciplinary standards for physical examination and clinical procedures, and to distribute them in coordination with all clinical disciplines at the Heidelberg University Hospital. The presented project report illuminates the background of the initiative and its methodological implementation. Moreover, it describes the multimedia documentation in the form of pocketbooks and a multimedia internet-based platform, as well as the integration into the curriculum. The project presentation aims to provide orientation and action guidelines to facilitate similar processes in other faculties.

  20. Expert training with standardized operative technique helps establish a successful penile prosthetics program for urologic resident education.

    Science.gov (United States)

    King, Ashley B; Klausner, Adam P; Johnson, Corey M; Moore, Blake W; Wilson, Steven K; Grob, B Mayer

    2011-10-01

    The challenge of resident education in urologic surgery programs is to overcome disparity imparted by diverse patient populations, limited training times, and inequalities in the availability of expert surgical educators. Specifically, in the area of prosthetic urology, only a small proportion of programs have full-time faculty available to train residents in this discipline. To examine whether a new model using yearly training sessions from a recognized expert can establish a successful penile prosthetics program and result in better outcomes, higher case volumes, and willingness to perform more complex surgeries. A recognized expert conducted one to two operative training sessions yearly to teach standardized technique for penile prosthetics to residents. Each session consisted of three to four operative cases performed under the direct supervision of the expert. Retrospective data were collected from all penile prosthetic operations before (February, 2000 to June, 2004: N = 44) and after (July, 2004 to October, 2007: N = 79) implementation of these sessions. Outcomes reviewed included patient age, race, medical comorbidities, operative time, estimated blood loss, type of prosthesis, operative approach, drain usage, length of stay, and complications including revision/explantation rates. Statistical analysis was performed using Student's t-tests, Fisher's tests, and survival curves using the Kaplan-Meier technique (P value ≤ 0.05 to define statistical significance). Patient characteristics were not significantly different pre- vs. post-training. Operative time and estimated blood loss significantly decreased. Inflatable implants increased from 19/44 (43.2%, pre-training) to 69/79 (87.3%, post-training) (P prosthetics surgery. © 2011 International Society for Sexual Medicine.

  1. Strain analysis in CRT candidates using the novel segment length in cine (SLICE) post-processing technique on standard CMR cine images.

    Science.gov (United States)

    Zweerink, Alwin; Allaart, Cornelis P; Kuijer, Joost P A; Wu, LiNa; Beek, Aernout M; van de Ven, Peter M; Meine, Mathias; Croisille, Pierre; Clarysse, Patrick; van Rossum, Albert C; Nijveldt, Robin

    2017-12-01

    Although myocardial strain analysis is a potential tool to improve patient selection for cardiac resynchronization therapy (CRT), there is currently no validated clinical approach to derive segmental strains. We evaluated the novel segment length in cine (SLICE) technique to derive segmental strains from standard cardiovascular MR (CMR) cine images in CRT candidates. Twenty-seven patients with left bundle branch block underwent CMR examination including cine imaging and myocardial tagging (CMR-TAG). SLICE was performed by measuring segment length between anatomical landmarks throughout all phases on short-axis cines. This measure of frame-to-frame segment length change was compared to CMR-TAG circumferential strain measurements. Subsequently, conventional markers of CRT response were calculated. Segmental strains showed good to excellent agreement between SLICE and CMR-TAG (septum strain, intraclass correlation coefficient (ICC) 0.76; lateral wall strain, ICC 0.66). Conventional markers of CRT response also showed close agreement between both methods (ICC 0.61-0.78). Reproducibility of SLICE was excellent for intra-observer testing (all ICC ≥0.76) and good for interobserver testing (all ICC ≥0.61). The novel SLICE post-processing technique on standard CMR cine images offers both accurate and robust segmental strain measures compared to the 'gold standard' CMR-TAG technique, and has the advantage of being widely available. • Myocardial strain analysis could potentially improve patient selection for CRT. • Currently a well validated clinical approach to derive segmental strains is lacking. • The novel SLICE technique derives segmental strains from standard CMR cine images. • SLICE-derived strain markers of CRT response showed close agreement with CMR-TAG. • Future studies will focus on the prognostic value of SLICE in CRT candidates.

  2. Differences in Approach between Nuclear and Conventional Seismic Standards with regard to Hazard Definition - CSNI Integrity And Ageing Working Group

    International Nuclear Information System (INIS)

    Djaoudi, Ali; Labbe, Pierre; Murphy, Andrew; Kitada, Yoshio

    2008-01-01

    . - Introduction of the displacement based method considered as an advanced technique by the conventional industry (need for accurate modelling and introduction of the actual nonlinearities more realistic design performance assessment), is neither considered as efficient nor sufficiently conservative to be used for the nuclear structures and components. Use of displacement based methods by the nuclear industry need a definition of new acceptance criteria. - Considering the difference in approaches on safety objective, hazard definition and the methodologies, one cannot consider that nuclear seismic hazards determination and design standards are lagging behind developments in similar standards for conventional facilities

  3. Comparison of anthropometry with photogrammetry based on a standardized clinical photographic technique using a cephalostat and chair.

    Science.gov (United States)

    Han, Kihwan; Kwon, Hyuk Joon; Choi, Tae Hyun; Kim, Jun Hyung; Son, Daegu

    2010-03-01

    The aim of this study was to standardize clinical photogrammetric techniques, and to compare anthropometry with photogrammetry. To standardize clinical photography, we have developed a photographic cephalostat and chair. We investigated the repeatability of the standardized clinical photogrammetric technique. Then, with 40 landmarks, a total of 96 anthropometric measurement items was obtained from 100 Koreans. Ninety six photogrammetric measurements from the same subjects were also obtained from standardized clinical photographs using Adobe Photoshop version 7.0 (Adobe Systems Corporation, San Jose, CA, USA). The photogrammetric and anthropometric measurement data (mm, degree) were then compared. A coefficient was obtained by dividing the anthropometric measurements by the photogrammetric measurements. The repeatability of the standardized photography was statistically significantly high (p=0.463). Among the 96 measurement items, 44 items were reliable; for these items the photogrammetric measurements were not different to the anthropometric measurements. The remaining 52 items must be classified as unreliable. By developing a photographic cephalostat and chair, we have standardized clinical photogrammetric techniques. The reliable set of measurement items can be used as anthropometric measurements. For unreliable measurement items, applying a suitable coefficient to the photogrammetric measurement allows the anthropometric measurement to be obtained indirectly.

  4. Teaching emergent bilingual students flexible approaches in an era of new standards

    CERN Document Server

    Proctor, C Patrick; Hiebert, Elfrieda H

    2016-01-01

    Recent educational reform initiatives such as the Common Core State Standards (CCSS) largely fail to address the needs--or tap into the unique resources--of students who are developing literacy skills in both English and a home language. This book discusses ways to meet the challenges that current standards pose for teaching emergent bilingual students in grades K-8. Leading experts describe effective, standards-aligned instructional approaches and programs expressly developed to promote bilingual learners' academic vocabulary, comprehension, speaking, writing, and content learning. Innovative

  5. A hybrid electron and photon IMRT planning technique that lowers normal tissue integral patient dose using standard hardware.

    Science.gov (United States)

    Rosca, Florin

    2012-06-01

    To present a mixed electron and photon IMRT planning technique using electron beams with an energy range of 6-22 MeV and standard hardware that minimizes integral dose to patients for targets as deep as 7.5 cm. Ten brain cases, two lung, a thyroid, an abdominal, and a parotid case were planned using two planning techniques: a photon-only IMRT (IMRT) versus a mixed modality treatment (E+IMRT) that includes an enface electron beam and a photon IMRT portion that ensures a uniform target coverage. The electron beam is delivered using a regular cutout placed in an electron cone. The electron energy was chosen to provide a good trade-off between minimizing integral dose and generating a uniform, deliverable plan. The authors choose electron energies that cover the deepest part of PTV with the 65%-70% isodose line. The normal tissue integral dose, the dose for ring structures around the PTV, and the volumes of the 75%, 50%, and 25% isosurfaces were used to compare the dose distributions generated by the two planning techniques. The normal tissue integral dose was lowered by about 20% by the E+IMRT plans compared to the photon-only IMRT ones for most studied cases. With the exception of lungs, the dose reduction associated to the E+IMRT plans was more pronounced further away from the target. The average dose ratio delivered to the 0-2 cm and the 2-4 cm ring structures for brain patients for the two planning techniques were 89.6% and 70.8%, respectively. The enhanced dose sparing away from the target for the brain patients can also be observed in the ratio of the 75%, 50%, and 25% isodose line volumes for the two techniques, which decreases from 85.5% to 72.6% and further to 65.1%, respectively. For lungs, the lateral electron beams used in the E+IMRT plans were perpendicular to the mostly anterior/posterior photon beams, generating much more conformal plans. The authors proved that even using the existing electron delivery hardware, a mixed electron/photon planning

  6. Risk Management Standards: Towards a contemporary, organisation-wide management approach

    OpenAIRE

    Koutsoukis, Nikitas-Spiros

    2010-01-01

    Risk management has been progressively evolving into a systemic approach for organisational decision making in today’s dynamic economic environment of the global era. In this context, risk management is reaching beyond its traditional finance and insurance application context and is entering the sphere of generic, organisation-wide management approaches. In support of this argument we consider four generic risk management standards issued at the institutional, national or international level...

  7. Exposure therapy augmentation: A review and extension of techniques informed by an inhibitory learning approach.

    Science.gov (United States)

    Weisman, Jaclyn S; Rodebaugh, Thomas L

    2018-02-01

    Although exposure therapy is often considered a gold standard behavioral intervention for pathological anxiety, questions remain surrounding the mechanisms underlying exposure interventions, and some individuals are characterized by suboptimal treatment outcomes. Recently, a formulation known as the inhibitory learning theory, which is grounded in basic science principles of extinction learning and memory, has been proposed to provide a more parsimonious mechanistic explanation for the effects of exposure than previous, habituation-based models [Craske, M.G., Kircanski, K., Zelikowsky, M., Mystkowski, J., Chowdhury, N., & Baker, A. 2008. Optimizing inhibitory learning during exposure therapy. Behaviour Research and Therapy, 46, 5-27; Craske, M.G., Treanor, M., Conway, C.C., Zbozinek, T., & Vervliet, B. 2014. Maximizing exposure therapy: An inhibitory learning approach. Behaviour Research and Therapy, 58, 10-23]. Strategies informed by this theory are proposed to maximize extinction learning by fostering the development of new, non-threat associations between stimuli in memory and enhancing the accessibility and retrieval of these safety-based associations. This comprehensive review serves as a critical examination of the empirical literature regarding major tenets of inhibitory learning theory and the potential for such techniques to augment exposure therapy for anxiety disorders. Limitations of the extant research, as well as potential future directions, are explored. Copyright © 2017 Elsevier Ltd. All rights reserved.

  8. Using a business model approach and marketing techniques for recruitment to clinical trials.

    Science.gov (United States)

    McDonald, Alison M; Treweek, Shaun; Shakur, Haleema; Free, Caroline; Knight, Rosemary; Speed, Chris; Campbell, Marion K

    2011-03-11

    Randomised controlled trials (RCTs) are generally regarded as the gold standard for evaluating health care interventions. The level of uncertainty around a trial's estimate of effect is, however, frequently linked to how successful the trial has been in recruiting and retaining participants. As recruitment is often slower or more difficult than expected, with many trials failing to reach their target sample size within the timescale and funding originally envisaged, the results are often less reliable than they could have been. The high number of trials that require an extension to the recruitment period in order to reach the required sample size potentially delays the introduction of more effective therapies into routine clinical practice. Moreover, it may result in less research being undertaken as resources are redirected to extending existing trials rather than funding additional studies.Poor recruitment to publicly-funded RCTs has been much debated but there remains remarkably little clear evidence as to why many trials fail to recruit well, which recruitment methods work, in which populations and settings and for what type of intervention. One proposed solution to improving recruitment and retention is to adopt methodology from the business world to inform and structure trial management techniques.We review what is known about interventions to improve recruitment to trials. We describe a proposed business approach to trials and discuss the implementation of using a business model, using insights gained from three case studies.

  9. Standard Test Method for Determining Thermal Neutron Reaction Rates and Thermal Neutron Fluence Rates by Radioactivation Techniques

    CERN Document Server

    American Society for Testing and Materials. Philadelphia

    2008-01-01

    1.1 The purpose of this test method is to define a general procedure for determining an unknown thermal-neutron fluence rate by neutron activation techniques. It is not practicable to describe completely a technique applicable to the large number of experimental situations that require the measurement of a thermal-neutron fluence rate. Therefore, this method is presented so that the user may adapt to his particular situation the fundamental procedures of the following techniques. 1.1.1 Radiometric counting technique using pure cobalt, pure gold, pure indium, cobalt-aluminum, alloy, gold-aluminum alloy, or indium-aluminum alloy. 1.1.2 Standard comparison technique using pure gold, or gold-aluminum alloy, and 1.1.3 Secondary standard comparison techniques using pure indium, indium-aluminum alloy, pure dysprosium, or dysprosium-aluminum alloy. 1.2 The techniques presented are limited to measurements at room temperatures. However, special problems when making thermal-neutron fluence rate measurements in high-...

  10. [Health protection for rural workers: the need to standardize techniques for quantifying dermal exposure to pesticides].

    Science.gov (United States)

    Selmi, Giuliana da Fontoura Rodrigues; Trapé, Angelo Zanaga

    2014-05-01

    Quantification of dermal exposure to pesticides in rural workers, used in risk assessment, can be performed with different techniques such as patches or whole body evaluation. However, the wide variety of methods can jeopardize the process by producing disparate results, depending on the principles in sample collection. A critical review was thus performed on the main techniques for quantifying dermal exposure, calling attention to this issue and the need to establish a single methodology for quantification of dermal exposure in rural workers. Such harmonization of different techniques should help achieve safer and healthier working conditions. Techniques that can provide reliable exposure data are an essential first step towards avoiding harm to workers' health.

  11. Standard techniques for presentation and analysis of crater size-frequency data. [on moon and planetary surfaces

    Science.gov (United States)

    Arvidson, R.; Boyce, J.; Chapman, C.; Cintala, M.; Fulchignoni, M.; Moore, H.; Soderblom, L.; Neukum, G.; Schultz, P.; Strom, R.

    1979-01-01

    In September 1977 a crater studies workshop was held for the purpose of developing standardized data analysis and presentation techniques. The present report contains the unanimous recommendations of the participants. Recommendations are devoted primarily to crater size-frequency data and refer to cumulative and relative size-frequency distribution plots and to morphological analysis.

  12. Does leaf chemistry differentially affect breakdown in tropical vs temperate streams? Importance of standardized analytical techniques to measure leaf chemistry

    Science.gov (United States)

    Marcelo Ard& #243; n; Catherine M. Pringle; Susan L. Eggert

    2009-01-01

    Comparisons of the effects of leaf litter chemistry on leaf breakdown rates in tropical vs temperate streams are hindered by incompatibility among studies and across sites of analytical methods used to measure leaf chemistry. We used standardized analytical techniques to measure chemistry and breakdown rate of leaves from common riparian tree species at 2 sites, 1...

  13. Portable optical frequency standard based on sealed gas-filled hollow-core fiber using a novel encapsulation technique

    DEFF Research Database (Denmark)

    Triches, Marco; Brusch, Anders; Hald, Jan

    2015-01-01

    A portable stand-alone optical frequency standard based on a gas-filled hollow-core photonic crystal fiber is developed to stabilize a fiber laser to the 13C2H2 P(16) (ν1 + ν3) transition at 1542 nm using saturated absorption. A novel encapsulation technique is developed to permanently seal...

  14. Psychovisual masks and intelligent streaming RTP techniques for the MPEG-4 standard

    Science.gov (United States)

    Mecocci, Alessandro; Falconi, Francesco

    2003-06-01

    In today multimedia audio-video communication systems, data compression plays a fundamental role by reducing the bandwidth waste and the costs of the infrastructures and equipments. Among the different compression standards, the MPEG-4 is becoming more and more accepted and widespread. Even if one of the fundamental aspects of this standard is the possibility of separately coding video objects (i.e. to separate moving objects from the background and adapt the coding strategy to the video content), currently implemented codecs work only at the full-frame level. In this way, many advantages of the flexible MPEG-4 syntax are missed. This lack is due both to the difficulties in properly segmenting moving objects in real scenes (featuring an arbitrary motion of the objects and of the acquisition sensor), and to the current use of these codecs, that are mainly oriented towards the market of DVD backups (a full-frame approach is enough for these applications). In this paper we propose a codec for MPEG-4 real-time object streaming, that codes separately the moving objects and the scene background. The proposed codec is capable of adapting its strategy during the transmission, by analysing the video currently transmitted and setting the coder parameters and modalities accordingly. For example, the background can be transmitted as a whole or by dividing it into "slightly-detailed" and "highly detailed" zones that are coded in different ways to reduce the bit-rate while preserving the perceived quality. The coder can automatically switch in real-time, from one modality to the other during the transmission, depending on the current video content. Psychovisual masks and other video-content based measurements have been used as inputs for a Self Learning Intelligent Controller (SLIC) that changes the parameters and the transmission modalities. The current implementation is based on the ISO 14496 standard code that allows Video Objects (VO) transmission (other Open Source Codes

  15. The periumbilical approach in ventriculoperitoneal shunt placement: technique and long-term results.

    Science.gov (United States)

    Recinos, Pablo F; Pindrik, Jonathan A; Bedri, Mazen I; Ahn, Edward S; Jallo, George I; Recinos, Violette Renard

    2013-05-01

    low infection rates, and has cosmetically appealing results. It may be considered as an alternative option to standard VP shunt placement techniques.

  16. A Gold Standards Approach to Training Instructors to Evaluate Crew Performance

    Science.gov (United States)

    Baker, David P.; Dismukes, R. Key

    2003-01-01

    The Advanced Qualification Program requires that airlines evaluate crew performance in Line Oriented Simulation. For this evaluation to be meaningful, instructors must observe relevant crew behaviors and evaluate those behaviors consistently and accurately against standards established by the airline. The airline industry has largely settled on an approach in which instructors evaluate crew performance on a series of event sets, using standardized grade sheets on which behaviors specific to event set are listed. Typically, new instructors are given a class in which they learn to use the grade sheets and practice evaluating crew performance observed on videotapes. These classes emphasize reliability, providing detailed instruction and practice in scoring so that all instructors within a given class will give similar scores to similar performance. This approach has value but also has important limitations; (1) ratings within one class of new instructors may differ from those of other classes; (2) ratings may not be driven primarily by the specific behaviors on which the company wanted the crews to be scored; and (3) ratings may not be calibrated to company standards for level of performance skill required. In this paper we provide a method to extend the existing method of training instructors to address these three limitations. We call this method the "gold standards" approach because it uses ratings from the company's most experienced instructors as the basis for training rater accuracy. This approach ties the training to the specific behaviors on which the experienced instructors based their ratings.

  17. An alternative to the standard spatial econometric approaches in hedonic house price models

    DEFF Research Database (Denmark)

    von Graevenitz, Kathrine; Panduro, Toke Emil

    2015-01-01

    Omitted, misspecified, or mismeasured spatially varying characteristics are a cause for concern in hedonic house price models. Spatial econometrics or spatial fixed effects have become popular ways of addressing these concerns. We discuss the limitations of standard spatial approaches to hedonic...

  18. A Principles-Based Approach to Teaching International Financial Reporting Standards (IFRS)

    Science.gov (United States)

    Persons, Obeua

    2014-01-01

    This article discusses the principles-based approach that emphasizes a "why" question by using the International Accounting Standards Board (IASB) "Conceptual Framework for Financial Reporting" to question and understand the basis for specific differences between IFRS and U.S. generally accepted accounting principles (U.S.…

  19. [Comparison study on polymerase chain reaction (PCR) and standard culture technique in detecting mycobacterium tuberculosis to diagnose of joint tuberculosis].

    Science.gov (United States)

    Sun, Yong-sheng; Wen, Jian-min; Lü, Wei-xin; Lou, Si-quan; Jiao, Chang-geng; Yang, Su-min; Xu, Hai-bin; Duan, Yong-zhuang

    2009-07-01

    To study the role of PCR technique in detection of mycobacterium tuberculosis in the samples from joint tuberculosis, and to evaluate the clinical value of PCR in diagnosis of joint tuberculosis. From June 1993 to August 2001, PCR was used to detect DNA of mycobacterium tuberculosis, and the standard culture was applied to detect mycobacterium tuberculosis. Mycobacterium tuberculosis were respectively blindly by the two techniques in the samples obtained from 95 patients with joint tuberculosis (55 males and 40 females, the age ranging from 2 to 75 years, with an average of 34 years). The positive rate of mycobacterium tuberculosis detection was calculated. In the detection of mycobacterium tuberculosis, positive rate was 82% (78/95) in PCR technique, and 16% (15/95) in standard culture technique. There were statistical differences between the two groups (chi2=67, Ptechnique is a rapid, simple, sensitive and specific method for detection of mycobacterium tuberculosis in the samples of joint tuberculosis, showing more marked advantages than the standard culture technique. It is valuable in the early rapid diagnosis and differential diagnosis of joint tuberculosis.

  20. Do Energy Efficiency Standards Improve Quality? Evidence from a Revealed Preference Approach

    Energy Technology Data Exchange (ETDEWEB)

    Houde, Sebastien [Univ. of Maryland, College Park, MD (United States); Spurlock, C. Anna [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States)

    2015-06-01

    Minimum energy efficiency standards have occupied a central role in U.S. energy policy for more than three decades, but little is known about their welfare effects. In this paper, we employ a revealed preference approach to quantify the impact of past revisions in energy efficiency standards on product quality. The micro-foundation of our approach is a discrete choice model that allows us to compute a price-adjusted index of vertical quality. Focusing on the appliance market, we show that several standard revisions during the period 2001-2011 have led to an increase in quality. We also show that these standards have had a modest effect on prices, and in some cases they even led to decreases in prices. For revision events where overall quality increases and prices decrease, the consumer welfare effect of tightening the standards is unambiguously positive. Finally, we show that after controlling for the effect of improvement in energy efficiency, standards have induced an expansion of quality in the non-energy dimension. We discuss how imperfect competition can rationalize these results.

  1. Strain analysis in CRT candidates using the novel segment length in cine (SLICE) post-processing technique on standard CMR cine images

    Energy Technology Data Exchange (ETDEWEB)

    Zweerink, Alwin; Allaart, Cornelis P.; Wu, LiNa; Beek, Aernout M.; Rossum, Albert C. van; Nijveldt, Robin [VU University Medical Center, Department of Cardiology, and Institute for Cardiovascular Research (ICaR-VU), Amsterdam (Netherlands); Kuijer, Joost P.A. [VU University Medical Center, Department of Physics and Medical Technology, Amsterdam (Netherlands); Ven, Peter M. van de [VU University Medical Center, Department of Epidemiology and Biostatistics, Amsterdam (Netherlands); Meine, Mathias [University Medical Center, Department of Cardiology, Utrecht (Netherlands); Croisille, Pierre; Clarysse, Patrick [Univ Lyon, UJM-Saint-Etienne, INSA, CNRS UMR 5520, INSERM U1206, CREATIS, Saint-Etienne (France)

    2017-12-15

    Although myocardial strain analysis is a potential tool to improve patient selection for cardiac resynchronization therapy (CRT), there is currently no validated clinical approach to derive segmental strains. We evaluated the novel segment length in cine (SLICE) technique to derive segmental strains from standard cardiovascular MR (CMR) cine images in CRT candidates. Twenty-seven patients with left bundle branch block underwent CMR examination including cine imaging and myocardial tagging (CMR-TAG). SLICE was performed by measuring segment length between anatomical landmarks throughout all phases on short-axis cines. This measure of frame-to-frame segment length change was compared to CMR-TAG circumferential strain measurements. Subsequently, conventional markers of CRT response were calculated. Segmental strains showed good to excellent agreement between SLICE and CMR-TAG (septum strain, intraclass correlation coefficient (ICC) 0.76; lateral wall strain, ICC 0.66). Conventional markers of CRT response also showed close agreement between both methods (ICC 0.61-0.78). Reproducibility of SLICE was excellent for intra-observer testing (all ICC ≥0.76) and good for interobserver testing (all ICC ≥0.61). The novel SLICE post-processing technique on standard CMR cine images offers both accurate and robust segmental strain measures compared to the 'gold standard' CMR-TAG technique, and has the advantage of being widely available. (orig.)

  2. The Programmatic Approach; a Flexible and Complex Tool to Achieve Environmental Quality Standards

    Directory of Open Access Journals (Sweden)

    M.N. Boeve

    2012-11-01

    Full Text Available This contribution focuses on the integrated or programmatic approaches at both the European and national level, which are used as a tool to attain environmental quality standards. These approaches leave much room for flexibility with respect to the choice of measures to be adopted in order to achieve the quality standards. However, difficulties can arise while implementing the integrated or programmatic approach. Instruments or measures which are laid down in other relevant EU legislation can for instance restrict flexibility in the choice of measures. Furthermore, the polluter pays principle requires a fair allocation of costs in situations where multiple polluters have contributed to the pollution. In the Netherlands the principle of égalité devant les charges publiques applies. In principle, polluters will not have a right to compensation for the costs of environmental measures. However, in special circumstances, liability in damages based on a breach of égalité could be an issue.

  3. The standard laboratory module approach to automation of the chemical laboratory

    International Nuclear Information System (INIS)

    Hollen, R.M.; Erkkila, T.H.

    1993-01-01

    Automation of the technology and practice of environmental laboratory automation has not been as rapid or complete as one might expect. Confined to autosamplers and limited robotic systems, our ability to apply production concepts to environmental analytical analysis is not great. With the impending remediation of our hazardous waste sites in the US, only the application of production chemistry techniques will even begin to provide those responsible with the necessary knowledge to accomplish the cleanup expeditiously and safely. Tightening regulatory requirements have already mandated staggering increases in sampling and characterization needs with the future only guaranteeing greater demands. The Contaminant Analysis Automation Program has been initiated by our government to address these current and future characterization by application of a new robotic paradigm for analytical chemistry. By using standardized modular instruments, named Standard Laboratory Modules, flexible automation systems can rapidly be configured to apply production techniques to our nations environmental problems at-site

  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. Evaluation of the overlapping of posterior teeth in two techniques of improved interproximal panoramic program and standard panoramic

    Directory of Open Access Journals (Sweden)

    Goodarzi pour D

    2010-06-01

    Full Text Available "nBackground and Aims: Overlapping of the proximal surfaces of posterior teeth in the panoramic radiography is a major concern. Therefore, an option has been developed in the panoramic unit of Planmeca Promax, namely improved interproximal mode. This mode causes lower horizental angle with the teeth contact region during the unit rotation decreasing overlapping of the panoramic images of the posterior teeth especially premolar teeth. The present study was done to compare the overlapping of posterior teeth using two techniques of improved interproximal panoramic program and standard panoramic. "nMaterials and Methods: In this diagnostic study, 32 patients requiring panoramic radiographies at their posterior teeth during their routine diagnosis and treatment process with the mean age of 27.3 years were participated. No patients showed crowding of posterior teeth or missed and restored posterior teeth. The participants' panoramic radiographies were randomly taken by two techniques of improved interproximal panoramic and standard panoramic using Planmeca Promax device. The overlapping of the panoramic images was blindly assessed by an oral radiologist. The overlapping in both techniques was reported by frequency and percentage. The comparisons were done by Chi-square test between two techniques and the odds ratio of overlapping was estimated using regression analysis. "nResults: In standard panoramic techniques, 38.5% (148 contacts of 384 contacts of the proximal surfaces overlapped while the overlapping of the proximal surfaces was observed in 18.8% (72 contacts of 384 overall contacts in improved interproximal technique. Significant differences were noted between two techniques regarding overlapping (P<0.001. Also 66.4% and 39.1% of 4-5 teeth contacts overlapped in standard and improved techniques. The values were reported to be 39.1% and 12.5% in contacts of 5-6 teeth and 10.2% and 4.7% in the contacts of 6-7 teeth in both techniques

  6. Modeling Academic Performance Evaluation Using Soft Computing Techniques: A Fuzzy Logic Approach

    OpenAIRE

    Ramjeet Singh Yadav; Vijendra Pratap Singh

    2011-01-01

    We have proposed a Fuzzy Expert System (FES) for student academic performance evaluation based on fuzzy logic techniques. A suitable fuzzy inference mechanism and associated rule has been discussed. It introduces the principles behind fuzzy logic and illustrates how these principles could be applied by educators to evaluating student academic performance. Several approaches using fuzzy logic techniques have been proposed to provide a practical method for evaluating student academic performanc...

  7. 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.

  8. Standardized approaches to the investigation of syncope: Canadian Cardiovascular Society position paper.

    Science.gov (United States)

    Sheldon, Robert S; Morillo, Carlos A; Krahn, Andrew D; O'Neill, Blair; Thiruganasambandamoorthy, Venkatesh; Parkash, Ratika; Talajic, Mario; Tu, Jack V; Seifer, Colette; Johnstone, David; Leather, Richard

    2011-01-01

    Syncope is a very common presentation in the emergency department, and the combination of a wide differential diagnosis, a range of prognoses, and infrequent documentation of the faint leads to a high proportion of patients being admitted. These problems are mirrored in the investigation of inpatients with syncope, for which the high proportion of patients with benign outcomes and the profound risk aversion of health care providers make for expensive and inefficient assessment. Difficulties such as this in health services delivery can be improved by standardized approaches, such as guidelines, pathways, and checklists. Accordingly, emergency department decision rules, specialized syncope-monitoring units, and formal diagnostic algorithms have been developed to provide standardized approaches to the investigation of syncope. To provide guidance in the management of syncope, the Canadian Cardiovascular Society commissioned a position paper on standardized approaches to syncope investigation in adults. A primary panel first reviewed the literature systematically, then undertook iterative syntheses of data, and finally took positions with specific recommendations according to the GRADE framework. This paper summarizes the evidence and its quality and makes recommendations on the specific approaches meriting adoption. The position paper was then reviewed by a secondary panel, which provided suggestions for revisions leading to the final document as presented here. Overall, the position group concluded that there is little persuasive evidence that emergency department syncope rules and diagnostic syncope units provide efficient care and improved outcomes but that formal diagnostic algorithms with specialist support show promise. Copyright © 2011. Published by Elsevier Inc.

  9. Development of sulfide calibration standards for the laser ablation inductively-coupled plasma mass spectrometry technique

    Science.gov (United States)

    Wilson, S.A.; Ridley, W.I.; Koenig, A.E.

    2002-01-01

    The requirements of standard materials for LA-ICP-MS analysis have been difficult to meet for the determination of trace elements in sulfides. We describe a method for the production of synthetic sulfides by precipitation from solution. The method is detailed by the production of approximately 200 g of a material, PS-1, with a suite of chalcophilic trace elements in an Fe-Zn-Cu-S matrix. Preliminary composition data, together with an evaluation of the homogeneity for individual elements, suggests that this type of material meets the requirements for a sulfide calibration standard that allows for quantitative analysis. Contamination of the standard with Na suggests that H2S gas may prove a better sulfur source for future experiments. We recommend that calibration data be collected in whatever mode is closest to that employed for the analysis of the unknown material, because of variable fractionation effects as a function of analytical mode. For instance, if individual spot analyses are attempted on unknown sample, then a raster of several individual spot analyses, not a continuous scan, should be collected and averaged for the standard. Hg and Au are exceptions to the above and calibration data should always be collected in a scanning mode. Au is more heterogeneously distributed than other trace metals and large-area scans are required to provide an average value for calibration purposes. We emphasize that the values given in Table 1 are preliminary values. Further chemical characterization of this standard, through a round-robin analysis program, will allow the USGS to provide both certified and recommended values for individual elements. The USGS has developed PS-1 as a potential new LA-ICP-MS standard for use by the analytical community, and requests for this material should be addressed to S. Wilson. However, it is stressed that an important aspect of the method described here is the flexibility for individual investigators to produce sulfides with a wide range

  10. A review of the three-dimensional cell culture technique: Approaches, advantages and applications.

    Science.gov (United States)

    Zhang, Weijie; Zhuang, Ai; Gu, Ping; Zhou, Huifang; Fan, Xianqun

    2016-01-01

    Cell culture is a core and basic technique in biotechnology and is widely applied in biology, medicine, drug research and development. Traditional two-dimensional cell culture methods have undergone great developments. However, with in-depth basic research, higher requirements are needed to better mimic the in vivo environment to accurately observe cell behavior and explore its mechanisms. To comply with this situation, the three-dimensional cell culture technique emerged and has made profound advances in sustaining inherent cell properties. Here, we briefly review the development of this technique, including the main approaches to form three-dimensional microtissues, and its application and potential for future clinical therapies.

  11. Standard practice for examination of welds using the alternating current field measurement technique

    CERN Document Server

    American Society for Testing and Materials. Philadelphia

    2007-01-01

    1.1 This practice describes procedures to be followed during alternating current field measurement examination of welds for baseline and service-induced surface breaking discontinuities. 1.2 This practice is intended for use on welds in any metallic material. 1.3 This practice does not establish weld acceptance criteria. 1.4 The values stated in either inch-pound units or SI units are to be regarded separately as standard. The values stated in each system might not be exact equivalents; therefore, each system shall be used independently of the other. 1.5 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.

  12. Stakeholder approach, Stakeholders mental model: A visualization test with cognitive mapping technique

    Directory of Open Access Journals (Sweden)

    Garoui Nassreddine

    2012-04-01

    Full Text Available The idea of this paper is to determine the mental models of actors in the firm with respect to the stakeholder approach of corporate governance. The use of the cognitive map to view these diagrams to show the ways of thinking and conceptualization of the stakeholder approach. The paper takes a corporate governance perspective, discusses stakeholder model. It takes also a cognitive mapping technique.

  13. Minimally Invasive Surgical Approach to Distal Fibula Fractures: A Technique Tip

    Directory of Open Access Journals (Sweden)

    Tyler A. Gonzalez

    2017-01-01

    Full Text Available Wound complications following ankle fracture surgery are a major concern. Through the use of minimally invasive surgical techniques some of these complications can be mitigated. Recent investigations have reported on percutaneous fixation of distal fibula fractures demonstrating similar radiographic and functional outcomes to traditional open approaches. The purpose of this manuscript is to describe in detail the minimally invasive surgical approach for distal fibula fractures.

  14. Relationship between alveolar bone measured by 125I absorptiometry with analysis of standardized radiographs: 2. Bjorn technique

    International Nuclear Information System (INIS)

    Ortman, L.F.; McHenry, K.; Hausmann, E.

    1982-01-01

    The Bjorn technique is widely used in periodontal studies as a standardized measure of alveolar bone. Recent studies have demonstrated the feasibility of using 125 I absorptiometry to measure bone mass. The purpose of this study was to compare 125 I absorptiometry with the Bjorn technique in detecting small sequential losses of alveolary bone. Four periodontal-like defects of incrementally increasing size were produced in alveolar bone in the posterior segment of the maxilla of a human skull. An attempt was made to sequentially reduce the amount of bone in 10% increments until no bone remained, a through and through defect. The bone remaining at each step was measured using 125 I absorptiometry. At each site the 125 I absorptiometry measurements were made at the same location by fixing the photon source to a prefabricated precision-made occlusal splint. This site was just beneath the crest and midway between the borders of two adjacent teeth. Bone loss was also determined by the Bjorn technique. Standardized intraoral films were taken using a custom-fitted acrylic clutch, and bone measurements were made from the root apex to coronal height of the lamina dura. A comparison of the data indicates that: (1) in early bone loss, less than 30%, the Bjorn technique underestimates the amount of loss, and (2) in advanced bone loss, more than 60% the Bjorn technique overestimates it

  15. Integrated BMS-MMC Balancing Technique Highlighted by a Novel Space-Vector Based Approach for BEVs Application

    Directory of Open Access Journals (Sweden)

    Gianluca Brando

    2017-10-01

    Full Text Available This paper proposes a new mathematical model of modular multilevel converters for battery electric vehicles with space-vectors enabling a critical analysis of cell balancing for the battery management system. In particular, the requirements for power balancing and the actual number of degrees of freedom of the control are investigated. The paper shows that the traditional approach of cell balancing is a special case of the proposed control methodology. Numerical analyses with Matlab/Simulink™ highlight the reasons of the slow response of the standard balancing technique for specific operating conditions of the battery electric vehicle. The paper suggests potential improvements that could be introduced through the proposed generalised approach.

  16. Free-field reciprocity calibration of laboratory standard (LS) microphones using a time selective technique

    DEFF Research Database (Denmark)

    Rasmussen, Knud; Barrera Figueroa, Salvador

    2006-01-01

    Although the basic principle of reciprocity calibration of microphones in a free field is simple, the practical problems are complicated due to the low signal-to-noise ratio and the influence of cross talk and reflections from the surroundings. The influence of uncorrelated noise can be reduced...... by conventional narrow-band filtering and time averaging, while correlated signals like cross talk and reflections can be eliminated by using time-selective postprocessing techniques. The technique used at DPLA overcomes both these problems using a B&K Pulse analyzer in the SSR mode (steady state response......) and an FFT-based time-selective technique. The complex electrical transfer impedance is measured in linear frequency steps from a few kHz to about three times the resonance frequency of the microphones. The missing values at low frequencies are estimated from a detailed knowledge of the pressure...

  17. A standard data set for performance analysis of advanced IR image processing techniques

    NARCIS (Netherlands)

    Weiss, A.R.; Adomeit, U.; Chevalier, P.; Landeau, S.; Bijl, P.; Champagnat, F.; Dijk, J.; Göhler, B.; Landini, S.; Reynolds, J.P.; Smith, L.N.

    2012-01-01

    Modern IR cameras are increasingly equipped with built-in advanced (often non-linear) image and signal processing algorithms (like fusion, super-resolution, dynamic range compression etc.) which can tremendously influence performance characteristics. Traditional approaches to range performance

  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. The Effect of Long-Term Therapeutics, Prophylaxis and Screening Techniques on Aircrew Medical Standards.

    Science.gov (United States)

    1981-03-01

    350. voel RA, Kirch DC, LeFree MT, Rainwater JO, Jensen DP, Steele PP. Thallium-201 myocardial perfusion scintiaraphy: results of standard aad multi...Reference 3. Further Reference 4.Security Clasification of Document A;ARD4"P-3 10 ISBN 92-835-0288-4 UNCLASSIFIE) 5 Originator Advi,,ory Group for

  20. Large-scale bi-level strain design approaches and mixed-integer programming solution techniques.

    Science.gov (United States)

    Kim, Joonhoon; Reed, Jennifer L; Maravelias, Christos T

    2011-01-01

    The use of computational models in metabolic engineering has been increasing as more genome-scale metabolic models and computational approaches become available. Various computational approaches have been developed to predict how genetic perturbations affect metabolic behavior at a systems level, and have been successfully used to engineer microbial strains with improved primary or secondary metabolite production. However, identification of metabolic engineering strategies involving a large number of perturbations is currently limited by computational resources due to the size of genome-scale models and the combinatorial nature of the problem. In this study, we present (i) two new bi-level strain design approaches using mixed-integer programming (MIP), and (ii) general solution techniques that improve the performance of MIP-based bi-level approaches. The first approach (SimOptStrain) simultaneously considers gene deletion and non-native reaction addition, while the second approach (BiMOMA) uses minimization of metabolic adjustment to predict knockout behavior in a MIP-based bi-level problem for the first time. Our general MIP solution techniques significantly reduced the CPU times needed to find optimal strategies when applied to an existing strain design approach (OptORF) (e.g., from ∼10 days to ∼5 minutes for metabolic engineering strategies with 4 gene deletions), and identified strategies for producing compounds where previous studies could not (e.g., malate and serine). Additionally, we found novel strategies using SimOptStrain with higher predicted production levels (for succinate and glycerol) than could have been found using an existing approach that considers network additions and deletions in sequential steps rather than simultaneously. Finally, using BiMOMA we found novel strategies involving large numbers of modifications (for pyruvate and glutamate), which sequential search and genetic algorithms were unable to find. The approaches and solution

  1. Admissions Standards and the Use of Key Marketing Techniques by United States' Colleges and Universities.

    Science.gov (United States)

    Goldgehn, Leslie A.

    1989-01-01

    A survey of admissions deans and directors investigated the use and perceived effectiveness of 15 well-known marketing techniques: advertising, advertising research, a marketing plan, market positioning, market segmentation, marketing audit, marketing research, pricing, program and service accessibility, program development, publicity, target…

  2. A Model Driven Approach to domain standard specifications examplified by Finance Accounts receivable/ Accounts payable

    OpenAIRE

    Khan, Bahadar

    2005-01-01

    This thesis was written as a part of a master degree at the University of Oslo. The thesis work was conducted at SINTEF. The work has been carried out in the period November 2002 and April 2005. This thesis might be interesting to anyone interested in Domain Standard Specification Language developed by using the MDA approach to software development. The Model Driven Architecture (MDA) allows to separate the system functionality specification from its implementation on any specific technolo...

  3. Standardized patients' preferences for pharmacist interactive communication style: A mixed method approach.

    Science.gov (United States)

    Guirguis, Lisa M; Nusair, Mohammad B

    2016-01-01

    Interactive communication approaches may help to shift pharmacy practice toward more patient-centered care. One example of such an approach is the 3 prime questions (3PQs). Patients' preferences for pharmacists' interactive communication styles were not identified in the literature. The purpose of this paper was to explore standardized patient (SP) preferences, satisfaction, and perceptions of pharmacists' communication style and changes in pharmacist to standardized patient talk-time ratio. Mixed methods, before and after evaluation. SPs were hired from the University of Alberta's Standardized Patient Program, Canada. Twelve SPs and 10 pharmacists. SPs were video recorded interacting with the same pharmacists before and after pharmacist training on the 3PQs. SPs participated in an open-ended interview using stimulated recall on videos of their pharmacist encounters. Explore SP preferences, satisfaction, and perceptions of pharmacists' communication style, in addition to changes in pharmacist to standardized patient talk-time ratio before and after the intervention Generally SPs were satisfied with pharmacists' interactive communication style post training. Qualitative themes varied with SPs' preference for an interactive approach (58%, i.e., Conversation with Equals, Double Check, and Manageable Information) or traditional approach (33%, i.e., Expected Information, Shouldn't the Pharmacist Know, and Feels Uncomfortable) and improvements in item scores varied by type of prescription. Pharmacists' use of the 3PQs increased patient talk time for scenarios with new chronic and acute medication, though pharmacists still dominated the conversation. Just over half of SPs preferred an interactive communication style, although a third of SPs preferred a communication style that focused on information provision. Patients had more time to talk in some interactive encounters. Pharmacists may need to be aware of patient expectations when using the 3PQs. Copyright © 2016

  4. International intercomparison of standards for low collision kerma rates in air by means of low dose TLD techniques

    International Nuclear Information System (INIS)

    Spanne, P.; Carlsson, C.A.; Carlsson, G.A.

    1984-01-01

    An international intercomparison of standards for calibration of radiation protection instruments is described. The intercomparison involved collision kerma rates in air in the range 5.7 to 7.400 μGy.h -1 and was performed using low dose TLD techniques with TL-LiF dosemeters. The dosemeters were specifically tested with regard to their dose rate dependence, but none was found. (author)

  5. Advantages of the paramedian approach for lumbar epidural analgesia with catheter technique. A clinical comparison between midline and paramedian approaches.

    Science.gov (United States)

    Blomberg, R G; Jaanivald, A; Walther, S

    1989-09-01

    Forty-nine patients, scheduled for transurethral resection of the prostate or a bladder neoplasm on 50 occasions, were studied. The patients were randomly allocated to one of the two methods of puncture, midline or paramedian. Technical difficulties and the occurrence of complications were recorded. The extent of sensory and motor blockade was also compared. The paramedian approach was associated with a lower frequency of technical problems compared to the midline approach. Statistically significant differences were demonstrated between the two techniques for the following factors: repeated attempts at needle insertion; difficulty in identification of the epidural space; resistance to introduction of the catheter; resistance to injection through the epidural catheter; and the production of paraesthesiae (nine patients in the midline group compared to only one patient in the paramedian group, p less than 0.01). The catheter entered a vessel at first in two patients in each group. No significant differences were demonstrated between the groups in the extent of sensory and motor blockade. The study supports the view that the paramedian approach has technical advantages over the midline approach for lumbar epidural analgesia with catheter technique.

  6. Peculiarities of Professional Training Standards Development and Implementation within Competency-Based Approach: Foreign Experience

    Directory of Open Access Journals (Sweden)

    Desyatov Tymofiy

    2015-12-01

    Full Text Available The article analyzes the development of competency-based professional training standards and their implementation into educational process in foreign countries. It determines that the main idea of competency-based approach is competency-and-active learning, which aims at complex acquirement of diverse skills and ways of practice activities via mastering respective competences. The article states that competency is the product of competence due to which a person successfully realizes themselves in different spheres of their professional engagement, gains social independence and becomes mobile and qualified. The article also dwells on the international experience of professional and training standards development, it analyses specific internal national, as well as external all-European and worldwide conceptions of professional and training standards development, conceptual foundations of competency-based approach in national higher education within the framework of global information society formation. It highlights specific aspects of standards development based on activity-oriented technologies and professional competence assessment. The article states that within the framework of competency-based teaching and training, quality-assuring actions have to ensure the correspondence of standards and learning outcomes. It informs that the labour market is represented by employers, trade unions and the government. The article explores the fact that in Russia, Ukraine and many other countries the employers and the trade unions do not collaborate to formulate their needs with regard to professional training standards, that is why the government and its administration bodies have to do the task of predicting labour market needs on their own.

  7. The Suprameatal Approach: A Safe Alternative Surgical Technique for Cochlear Implantation

    NARCIS (Netherlands)

    Postelmans, Job T. F.; Tange, Rinze A.; Stokroos, Robert J.; Grolman, Wilko

    2010-01-01

    Objective: To report on surgical complications arising post-operatively in 104 patients undergoing cochlear implantation surgery using the suprameatal approach (SMA). Second, to examine the advantages and disadvantages of the SMA technique compared with the classic mastoidectomy using the posterior

  8. Solving Inverse Kinematics – A New Approach to the Extended Jacobian Technique

    Directory of Open Access Journals (Sweden)

    M. Šoch

    2005-01-01

    Full Text Available This paper presents a brief summary of current numerical algorithms for solving the Inverse Kinematics problem. Then a new approach based on the Extended Jacobian technique is compared with the current Jacobian Inversion method. The presented method is intended for use in the field of computer graphics for animation of articulated structures. 

  9. A systems approach to accepted standards of care: Shifting the blame

    Directory of Open Access Journals (Sweden)

    David G. Glance

    2011-09-01

    Full Text Available In healthcare, from a legal perspective, the standard ofacceptable practice has been generally set by the courts anddefined as healthcare professionals acting in a manner thatis widely accepted by their peers as meeting an acceptablestandard of care. This view, however, reflects the state ofhow practice “is” rather than what it “ought to be”. What isought to be depends on whether you take a “person” or“system” oriented approach to practice.The increasing pressures of lack of money and resources,and an ever-increasing need for care are bringing pressureon the health services to move to a system approach andthis is gaining acceptance both with clinicians and thuseventually the courts.A systems-type approach to healthcare will, by necessity,embrace clinical protocols and guidelines supported byclinical information systems. It will also see blame for errorsshifting from clinicians to the organisations that employthem.This paper argues that a continued use of a person-basedapproach to healthcare, developed through an historicalrecord of practice by individual clinicians, is no longeradequate defence in a case of supposed negligence.When the healthcare system has codified clinical guidelinesand digital data gathered across thousands of clinicians andtheir patients, it is possible to compute adequate levels ofcare and expect clinicians and the healthcare system ingeneral to meet these minimum standards.Future negligence decisions will rely on a systems-basedbest practice standard of care determined through evidencerather than opinion

  10. Evaluation of a standard breast tangent technique: a dose-volume analysis of tangential irradiation using three-dimensional tools

    International Nuclear Information System (INIS)

    Krasin, Matthew; McCall, Anne; King, Stephanie; Olson, Mary; Emami, Bahman

    2000-01-01

    Purpose: A thorough dose-volume analysis of a standard tangential radiation technique has not been published. We evaluated the adequacy of a tangential radiation technique in delivering dose to the breast and regional lymphatics, as well as dose delivered to underlying critical structures. Methods and Materials: Treatment plans of 25 consecutive women with breast cancer undergoing lumpectomy and adjuvant breast radiotherapy were studied. Patients underwent two-dimensional (2D) treatment planning followed by treatment with standard breast tangents. These 2D plans were reconstructed without modification on our three-dimensional treatment planning system and analyzed with regard to dose-volume parameters. Results: Adequate coverage of the breast (defined as 95% of the target receiving at least 95% of the prescribed dose) was achieved in 16 of 25 patients, with all patients having at least 85% of the breast volume treated to 95% of the prescribed dose. Only 1 patient (4%) had adequate coverage of the Level I axilla, and no patient had adequate coverage of the Level II axilla, Level III axilla, or the internal mammary lymph nodes. Conclusion: Three-dimensional treatment planning is superior in quantification of the dose received by the breast, regional lymphatics, and critical structures. The standard breast tangent technique delivers an adequate dose to the breast but does not therapeutically treat the regional lymph nodes in the majority of patients. If coverage of the axilla or internal mammary lymph nodes is desired, alternate beam arrangements or treatment fields will be necessary

  11. Phytochemical analysis and standardization of Strychnos nux-vomica extract through HPTLC techniques

    Directory of Open Access Journals (Sweden)

    Dinesh Kumar Patel

    2012-05-01

    Full Text Available Objective: The objective is to develop a noval qualitative and quantitative method by which we can determine different phytoconstituents of Strychnos nux-vomica L. Methods: To profile the phyconstituents of Strychnos nux-vomica, in the present study hydroalcoholic extract of Strychnos nux-vomica was subjected to preliminary phytochemical analysis, antimicrobial activities against certain pathogenic microorganisms, solubility test, loss on drying and pH value. Extract was also subjected to the quantitative analysis including total phenol, flavonoid and heavy metal analysis. Quantitative analysis was performed through HPTLC methods using strychnine and brucine as a standard marker. Results: Phytochemical analysis revealed the presence of alkaloid, carbohydrate, tannin, steroid, triterpenoid and glycoside in the extract. Total flavonoid and phenol content of Strychnos nux-vomica L extract was found to be 0.40 % and 0.43%. Result showed that the level of heavy metal (lead, arsenic, mercury and cadmium complie the standard level. Total bacterial count, yeast and moulds contents were found to be under the limit whereas E. coli and salmonella was found to be absent in the extract. Content of strychnine and brucine were found to be 4.75% and 3.91%. Conclusions: These studies provide valluable information for correct identification and selection of the drug from various adulterations. In future this study will be helpful for the quantitative analysis as well as standardization of the Strychnos nux-vomica L.

  12. A Simple low-cost device enables four epi-illumination techniques on standard light microscopes.

    Science.gov (United States)

    Ishmukhametov, Robert R; Russell, Aidan N; Wheeler, Richard J; Nord, Ashley L; Berry, Richard M

    2016-02-08

    Back-scattering darkfield (BSDF), epi-fluorescence (EF), interference reflection contrast (IRC), and darkfield surface reflection (DFSR) are advanced but expensive light microscopy techniques with limited availability. Here we show a simple optical design that combines these four techniques in a simple low-cost miniature epi-illuminator, which inserts into the differential interference-contrast (DIC) slider bay of a commercial microscope, without further additions required. We demonstrate with this device: 1) BSDF-based detection of Malarial parasites inside unstained human erythrocytes; 2) EF imaging with and without dichroic components, including detection of DAPI-stained Leishmania parasite without using excitation or emission filters; 3) RIC of black lipid membranes and other thin films, and 4) DFSR of patterned opaque and transparent surfaces. We believe that our design can expand the functionality of commercial bright field microscopes, provide easy field detection of parasites and be of interest to many users of light microscopy.

  13. The k0-based neutron activation analysis: a mono standard to standardless approach of NAA

    International Nuclear Information System (INIS)

    Acharya, R.; Nair, A.G.C.; Sudarshan, K.; Goswami, A.; Reddy, A.V.R.

    2006-01-01

    The k 0 -based neutron activation analysis (k 0 -NAA) uses neutron flux parameters, detection efficiency and nuclear constants namely k 0 and Q 0 for the determination of concentration of elements. Gold ( 197 Au) or any other element having suitable nuclear properties is used as external or internal single comparator. This article describes the principle of k 0 -NAA and standardization of method by characterization of reactor irradiation sites and calibration of efficiency of the detector and applications. The method was validated using CRMs obtained from USGS, IAEA and NIST. The applications of method includes samples like gemstones (ruby, beryl and emerald), sediments, manganese nodules and encrustations, cereals, and medicinal and edible leaves. Recently, a k-o-based internal mono standard INAA (IM-NAA) method using in-situ relative efficiency has been standardized by us for the analysis of small and large samples of different shapes and sizes. The method was applied to a new meteorite sample and large size wheat samples. Non-standard size and shape samples of nuclear cladding materials namely zircaloy 2 and 4, stainless steels (SS 316M and D9) and 1S aluminium were analysed. Standard-less analysis of these cladding materials was possible by mass balance approach since all the major and minor elements were amenable to NAA. (author)

  14. Deep round window insertion versus standard approach in cochlear implant surgery.

    Science.gov (United States)

    Nordfalk, Karl Fredrik; Rasmussen, Kjell; Bunne, Marie; Jablonski, Greg Eigner

    2016-01-01

    The aim of this study was to compare the outcomes of vestibular tests and the residual hearing of patients who have undergone full insertion cochlear implant surgery using the round window approach with a hearing preservation protocol (RW-HP) or the standard cochleostomy approach (SCA) without hearing preservation. A prospective study of 34 adults who underwent unilateral cochlear implantation was carried out. One group was operated using the RW-HP (n = 17) approach with Med-El +Flex(SOFT) electrode array with full insertion, while the control group underwent a more conventional SCA surgery (n = 17) with shorter perimodiolar electrodes. Assessments of residual hearing, cervical vestibular-evoked myogenic potentials (cVEMP), videonystagmography, subjective visual vertical/horizontal (SVH/SVV) were performed before and after surgery. There was a significantly (p < 0.05) greater number of subjects who exhibited complete or partial hearing preservation in the deep insertion RW-HP group (9/17) compared to the SCA group (2/15). A higher degree of vestibular loss but a lower degree of vertigo symptoms could be seen in the RW-HP group, but the differences were not statistically significant. It is possible to preserve residual hearing to a certain extent also with deep insertion. Full insertion with hearing preservation was less harmful to residual hearing particularly at 125 Hz (p < 0.05), than was the standard cochleostomy approach.

  15. Standardization of the radioimmunoassay technique for the determination of human gastrin and its clinical application

    International Nuclear Information System (INIS)

    Peig Ginabredra, M.G.

    1989-01-01

    It was developed and standardized a system of radioimmunoassay for the determination of gastrin, employing synthetic human gastrin for radioiodination and preparation of standard as well as specific antibody raised rabbits. The hormone was labeled with 125 I by the Cloramine T techique and purified by anion exchange chromatography in QAE-Sephadex A-25, being determined its specific activity. The tracer thus obtained was submitted to analysis of purity by poliacrilamide gel eletrophoresis and precipitation of proteins by trichloroacetic acid. Its stability evaluated according to the time of storage, being its purity and adequation for the use in radioimmunoassay also compared to a tracer obtained from a commercial diagnosis kit. The assays were performed by incubation of radioiodinated gastrin, standard gastrin prepared in plasma free from this hormone (from zero to 500 pmol/l) or samples to be assayed with the antiserum for 4 days at 4 0 C. The separation between the free gastrin and the gastrin bound to the antibody was carried out by adsorption of the free hormone to the charcoal, whose ideal concentration was previously determined. Plasma free from gastrin was obtained from time-expired blood bank plasma submitted to extraction with charcoal. When performed the quality control, this radioimmunoassay was shown specific, accurate, precise and sensitive, allowing the performance of valid assays. Its validation was even confirmed by clear discrimination not only of the gastrin concentration in subjects with very low levels (gastrectomized) and extremely high levels (Zollinger-Ellison syndrome) as well as gastrin concentrations in subjects with other diseases, such as Chagas disease, pernicious anemia and chronic renal failure. (author) [pt

  16. Characterization of the neutron sources storage pool of the Neutron Standards Laboratory, using Montecarlo Techniques

    International Nuclear Information System (INIS)

    Campo Blanco, X.

    2015-01-01

    The development of irradiation damage resistant materials is one of the most important open fields in the design of experimental facilities and conceptual nucleoelectric fusion plants. The Neutron Standards Laboratory aims to contribute to this development by allowing the neutron irradiation of materials in its calibration neutron sources storage pool. For this purposes, it is essential to characterize the pool itself in terms of neutron fluence and spectra due to the calibration neutron sources. In this work, the main features of this facility are presented and the characterization of the storage pool is carried out. Finally, an application is shown of the obtained results to the neutron irradiation of material.

  17. Spheroids Formation on Non-Adhesive Surfaces by Liquid Overlay Technique: Considerations and Practical Approaches.

    Science.gov (United States)

    Costa, Elisabete C; de Melo-Diogo, Duarte; Moreira, André F; Carvalho, Marco P; Correia, Ilídio J

    2018-01-01

    Scalable and reproducible production of 3D cellular spheroids is highly demanded, by pharmaceutical companies, for drug screening purposes during the pre-clinical evaluation phase. These 3D cellular constructs, unlike the monolayer culture of cells, can mimic different features of human tissues, including cellular organization, cell-cell and cell-extracellular matrix (ECM) interactions. Up to now, different techniques (scaffold-based and -free) have been used for spheroids formation, being the Liquid Overlay Technique (LOT) one of the most explored methodologies, due to its low cost and easy handling. Additionally, during the last few decades, this technique has been widely investigated in order to enhance its potential for being applied in high-throughput analysis. Herein, an overview of the LOT advances, practical approaches, and troubleshooting is provided for those researchers that intend to produce spheroids using LOT, for drug screening purposes. Moreover, the advantages of the LOT over the other scaffold-free techniques used for the spheroids formation are also addressed. Highlights • 2D cell culture drawbacks are summarized; • spheroids mimic the features of human tissues; • scaffold-based and scaffold-free technologies for spheroids production are discussed; • advantages of LOT over other scaffold-free techniques are highlighted; • LOT advances, practical approaches and troubleshooting are underlined. © 2017 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

  18. Process-outcome interrelationship and standard setting in medical education: the need for a comprehensive approach.

    Science.gov (United States)

    Christensen, Leif; Karle, Hans; Nystrup, Jørgen

    2007-09-01

    An outcome-based approach to medical education compared to a process/content orientation is currently being discussed intensively. In this article, the process and outcome interrelationship in medical education is discussed, with specific emphasis on the relation to the definition of standards in basic medical education. Perceptions of outcome have always been an integrated element of curricular planning. The present debate underlines the need for stronger focus on learning objectives and outcome assessment in many medical schools around the world. The need to maintain an integrated approach of process/content and outcome is underlined in this paper. A worry is expressed about the taxonomy of learning in pure outcome-based medical education, in which student assessment can be a major determinant for the learning process, leaving the control of the medical curriculum to medical examiners. Moreover, curricula which favour reductionism by stating everything in terms of instrumental outcomes or competences, do face a risk of lowering quality and do become a prey for political interference. Standards based on outcome alone rise unclarified problems in relationship to licensure requirements of medical doctors. It is argued that the alleged dichotomy between process/content and outcome seems artificial, and that formulation of standards in medical education must follow a comprehensive line in curricular planning.

  19. A systematic approach to the training in the nuclear power industry: The need for standard

    International Nuclear Information System (INIS)

    Wilkinson, J.D.

    1995-01-01

    The five elements of a open-quotes Systematic Approach to Trainingclose quotes (SAT) are analysis, design, development, implementation and evaluation. These elements are also present in the effective application of basic process control. The fundamental negative feedback process control loop is therefore an excellent model for a successful, systematic approach to training in the nuclear power industry. Just as standards are required in today's manufacturing and service industries, eg ISO 9000, so too are control standards needed in the training industry and in particular in the training of nuclear power plant staff. The International Atomic Energy Agency (IAEA) produced its TECDOC 525 on open-quotes Training to Establish and Maintain the Qualification and Competence of Nuclear Power Plant Operations Personnelclose quotes in 1989 and the American Nuclear Society published its open-quotes Selection, Qualification, and Training of Personnel for Nuclear Power Plants, an American National Standardclose quotes in 1993. It is important that community colleges, training vendors and organizations such as the Instrument Society of America (ISA), who may be supplying basic or prerequisite training to the nuclear power industry, become aware of these and other standards relating to training in the nuclear power industry

  20. New pricing approaches for bundled payments: Leveraging clinical standards and regional variations to target avoidable utilization.

    Science.gov (United States)

    Hellsten, Erik; Chu, Scally; Crump, R Trafford; Yu, Kevin; Sutherland, Jason M

    2016-03-01

    Develop pricing models for bundled payments that draw inputs from clinician-defined best practice standards and benchmarks set from regional variations in utilization. Health care utilization and claims data for a cohort of incident Ontario ischemic and hemorrhagic stroke episodes. Episodes of care are created by linking incident stroke hospitalizations with subsequent health service utilization across multiple datasets. Costs are estimated for episodes of care and constituent service components using setting-specific case mix methodologies and provincial fee schedules. Costs are estimated for five areas of potentially avoidable utilization, derived from best practice standards set by an expert panel of stroke clinicians. Alternative approaches for setting normative prices for stroke episodes are developed using measures of potentially avoidable utilization and benchmarks established by the best performing regions. There are wide regional variations in the utilization of different health services within episodes of stroke care. Reconciling the best practice standards with regional utilization identifies significant amounts of potentially avoidable utilization. Normative pricing models for stroke episodes result in increasingly aggressive redistributions of funding. Bundled payment pilots to date have been based on the costs of historical service patterns, which effectively 'bake in' unwarranted and inefficient variations in utilization. This study demonstrates the feasibility of novel clinically informed episode pricing approaches that leverage these variations to target reductions in potentially avoidable utilization. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  1. Review. Evidence-based complementary oncology. Innovative approaches to optimize standard therapy strategies.

    Science.gov (United States)

    Beuth, Josef; Schierholz, Joerg Michael

    2007-01-01

    Cancer diseases demand diagnostic and therapeutic measures with proven quality, safety and efficacy. The basis for evaluation is clinical studies representing levels I or II (randomized controlled trials (RCT) or epidemiological cohort studies) in accordance with recommendations of the Centre for Evidence-based Medicine, University of Oxford, UK Regarding these claims, surgery, chemo-, radio- and hormone therapy have emerged as the gold standard in the treatment of carcinomas. These therapies have proven their cancer destructive potencies and their curative feasibilities, dependent on the particular cancer entity and stage. Complementary therapies are recommended to support and optimize the scientifically-based cancer standard treatment. Complementary medicine is currently widely debated by the oncological community, because the required scientific proof of safety and effectiveness for most of the therapeutic approaches has not yet been definitively provided. In the past years, basic research and clinical evaluation of defined complementary therapeutic concepts in oncology have been intensified in an attempt to integrate these procedures into evidence-based medicine. Scientifically-based therapies of complementary medicine cannot replace the well studied conventional cancer-destructive therapies such as surgery, chemo-, radio- or hormone therapy. Accordingly, they are by no means "alternative therapies". Complementary approaches in oncology that are recommended as additional to standard cancer destructive therapies claim to optimize this therapy. A great body of data emerging from scientifically sound clinical trials prove that defined complementary procedures are beneficial for the patients.

  2. A NEW RULE-BASED APPROACH FOR COMPUTER CHESS PROGRAMMING USING GP-ARTIFICIAL TECHNIQUES : PECP

    OpenAIRE

    HANEDAN, Y.Güney; SERTBAŞ, Ahmet

    2012-01-01

    In this paper, we use a brand new chess engine programming technique which we name PECP (Positional Evolutionary Chess Programming), that brings the Artificial Intelligence and Genetic Programming approaches together, to construct a chess endgame analyzing engine. Throughout the paper, the technique and the algorithm are discussed in detail. Also,  using PECP, an  example program (RETI V1.0)  aimed to prove the correctness and performance of the rule-based theory and algorithm is written in P...

  3. In search of standards to support circularity in product policies: A systematic approach.

    Science.gov (United States)

    Tecchio, Paolo; McAlister, Catriona; Mathieux, Fabrice; Ardente, Fulvio

    2017-12-01

    The aspiration of a circular economy is to shift material flows toward a zero waste and pollution production system. The process of shifting to a circular economy has been initiated by the European Commission in their action plan for the circular economy. The EU Ecodesign Directive is a key policy in this transition. However, to date the focus of access to market requirements on products has primarily been upon energy efficiency. The absence of adequate metrics and standards has been a key barrier to the inclusion of resource efficiency requirements. This paper proposes a framework to boost sustainable engineering and resource use by systematically identifying standardization needs and features. Standards can then support the setting of appropriate material efficiency requirements in EU product policy. Three high-level policy goals concerning material efficiency of products were identified: embodied impact reduction, lifetime extension and residual waste reduction. Through a lifecycle perspective, a matrix of interactions among material efficiency topics (recycled content, re-used content, relevant material content, durability, upgradability, reparability, re-manufacturability, reusability, recyclability, recoverability, relevant material separability) and policy goals was created. The framework was tested on case studies for electronic displays and washing machines. For potential material efficiency requirements, specific standardization needs were identified, such as adequate metrics for performance measurements, reliable and repeatable tests, and calculation procedures. The proposed novel framework aims to provide a method by which to identify key material efficiency considerations within the policy context, and to map out the generic and product-specific standardisation needs to support ecodesign. Via such an approach, many different stakeholders (industry, academics, policy makers, non-governmental organizations etc.) can be involved in material efficiency

  4. A Lifecycle Approach to Brokered Data Management for Hydrologic Modeling Data Using Open Standards.

    Science.gov (United States)

    Blodgett, D. L.; Booth, N.; Kunicki, T.; Walker, J.

    2012-12-01

    The U.S. Geological Survey Center for Integrated Data Analytics has formalized an information management-architecture to facilitate hydrologic modeling and subsequent decision support throughout a project's lifecycle. The architecture is based on open standards and open source software to decrease the adoption barrier and to build on existing, community supported software. The components of this system have been developed and evaluated to support data management activities of the interagency Great Lakes Restoration Initiative, Department of Interior's Climate Science Centers and WaterSmart National Water Census. Much of the research and development of this system has been in cooperation with international interoperability experiments conducted within the Open Geospatial Consortium. Community-developed standards and software, implemented to meet the unique requirements of specific disciplines, are used as a system of interoperable, discipline specific, data types and interfaces. This approach has allowed adoption of existing software that satisfies the majority of system requirements. Four major features of the system include: 1) assistance in model parameter and forcing creation from large enterprise data sources; 2) conversion of model results and calibrated parameters to standard formats, making them available via standard web services; 3) tracking a model's processes, inputs, and outputs as a cohesive metadata record, allowing provenance tracking via reference to web services; and 4) generalized decision support tools which rely on a suite of standard data types and interfaces, rather than particular manually curated model-derived datasets. Recent progress made in data and web service standards related to sensor and/or model derived station time series, dynamic web processing, and metadata management are central to this system's function and will be presented briefly along with a functional overview of the applications that make up the system. As the separate

  5. Selection of suitable e-learning approach using TOPSIS technique with best ranked criteria weights

    Science.gov (United States)

    Mohammed, Husam Jasim; Kasim, Maznah Mat; Shaharanee, Izwan Nizal Mohd

    2017-11-01

    This paper compares the performances of four rank-based weighting assessment techniques, Rank Sum (RS), Rank Reciprocal (RR), Rank Exponent (RE), and Rank Order Centroid (ROC) on five identified e-learning criteria to select the best weights method. A total of 35 experts in a public university in Malaysia were asked to rank the criteria and to evaluate five e-learning approaches which include blended learning, flipped classroom, ICT supported face to face learning, synchronous learning, and asynchronous learning. The best ranked criteria weights are defined as weights that have the least total absolute differences with the geometric mean of all weights, were then used to select the most suitable e-learning approach by using TOPSIS method. The results show that RR weights are the best, while flipped classroom approach implementation is the most suitable approach. This paper has developed a decision framework to aid decision makers (DMs) in choosing the most suitable weighting method for solving MCDM problems.

  6. Evaluation of Visualization Using a 50/50 (Contrast Media/Glucose 5% Solution) Technique for Radioembolization as an Alternative to a Standard Sandwich Technique.

    Science.gov (United States)

    Paprottka, Karolin J; Todica, Andrei; Ilhan, Harun; Rübenthaler, Johannes; Schoeppe, Franziska; Michl, Marlies; Heinemann, Volker; Bartenstein, Peter; Reiser, Maximilian F; Paprottka, Philipp M

    2017-11-01

    Radioembolization (RE) with 90 yttrium ( 90 Y) resin microspheres generally employs a sandwich technique with separate sequential administration of contrast medium (CM), followed by vehicle (e.g., glucose 5% [G5] solution), then 90 Y resin microspheres (in G5), then G5, and then CM again to avoid contact of CM and microspheres under fluoroscopic guidance. This study evaluates the visualization quality and safety of a modified sandwich technique with a 50/50-mixture of CM (Imeron 300) and G5 for administration of 90 Y resin microspheres. A retrospective analysis of 81 RE procedures in patients with primary or secondary liver tumors was performed. The quality of angiographic visualization of the hepatic vessels was assessed before the first injection and immediately before the whole dose has been injected. Visualization and flow rate were graded on a 5-point scale: 1 = very good to 5 = not visible/no antegrade flow. Univariate logistic regression models and multiple linear regression models were used to evaluate the prognostic variables associated with visualization and flow scores. Visualization quality was inversely related to flow rate, the lower the flow rate the better the grade of the visualization. Visualization quality was also inversely related to body-mass-index (BMI). Performing RE with the 50/50-CM/G5 mixture resulted in a mean injection time for 1 GBq of 15 min. No clinically significant adverse events, including radiation-induced liver disease were reported. RE with a 50/50-mixture of CM and G5 for administration of 90 Y resin microspheres in a modified sandwich technique is a safe administration alternative and provides good visualization of hepatic vessels, which is inversely dependent on flow rate and BMI. Injection time was reduced compared with our experience with the standard sandwich technique.

  7. Model-Based Data Integration and Process Standardization Techniques for Fault Management: A Feasibility Study

    Science.gov (United States)

    Haste, Deepak; Ghoshal, Sudipto; Johnson, Stephen B.; Moore, Craig

    2018-01-01

    This paper describes the theory and considerations in the application of model-based techniques to assimilate information from disjoint knowledge sources for performing NASA's Fault Management (FM)-related activities using the TEAMS® toolset. FM consists of the operational mitigation of existing and impending spacecraft failures. NASA's FM directives have both design-phase and operational-phase goals. This paper highlights recent studies by QSI and DST of the capabilities required in the TEAMS® toolset for conducting FM activities with the aim of reducing operating costs, increasing autonomy, and conforming to time schedules. These studies use and extend the analytic capabilities of QSI's TEAMS® toolset to conduct a range of FM activities within a centralized platform.

  8. Standard practice for evaluation of hydrogen uptake, permeation, and transport in metals by an electrochemical technique

    CERN Document Server

    American Society for Testing and Materials. Philadelphia

    1997-01-01

    1.1 This practice gives a procedure for the evaluation of hydrogen uptake, permeation, and transport in metals using an electrochemical technique which was developed by Devanathan and Stachurski. While this practice is primarily intended for laboratory use, such measurements have been conducted in field or plant applications. Therefore, with proper adaptations, this practice can also be applied to such situations. 1.2 This practice describes calculation of an effective diffusivity of hydrogen atoms in a metal and for distinguishing reversible and irreversible trapping. 1.3 This practice specifies the method for evaluating hydrogen uptake in metals based on the steady-state hydrogen flux. 1.4 This practice gives guidance on preparation of specimens, control and monitoring of the environmental variables, test procedures, and possible analyses of results. 1.5 This practice can be applied in principle to all metals and alloys which have a high solubility for hydrogen, and for which the hydrogen permeation is ...

  9. Pyrite: A blender plugin for visualizing molecular dynamics simulations using industry-standard rendering techniques.

    Science.gov (United States)

    Rajendiran, Nivedita; Durrant, Jacob D

    2018-05-05

    Molecular dynamics (MD) simulations provide critical insights into many biological mechanisms. Programs such as VMD, Chimera, and PyMOL can produce impressive simulation visualizations, but they lack many advanced rendering algorithms common in the film and video-game industries. In contrast, the modeling program Blender includes such algorithms but cannot import MD-simulation data. MD trajectories often require many gigabytes of memory/disk space, complicating Blender import. We present Pyrite, a Blender plugin that overcomes these limitations. Pyrite allows researchers to visualize MD simulations within Blender, with full access to Blender's cutting-edge rendering techniques. We expect Pyrite-generated images to appeal to students and non-specialists alike. A copy of the plugin is available at http://durrantlab.com/pyrite/, released under the terms of the GNU General Public License Version 3. © 2017 Wiley Periodicals, Inc. © 2017 Wiley Periodicals, Inc.

  10. Pilot workload during approaches: comparison of simulated standard and noise-abatement profiles.

    Science.gov (United States)

    Elmenhorst, Eva-Maria; Vejvoda, Martin; Maass, Hartmut; Wenzel, Jürgen; Plath, Gernot; Schubert, Ekkehart; Basner, Mathias

    2009-04-01

    A new noise-reduced landing approach was tested--a Segmented Continuous Descent Approach (SCDA)-with regard to the resulting workload on pilots. Workload of 40 pilots was measured using physiological (heart rate, blood pressure, blink frequency, saliva cortisol concentration) and psychological (fatigue, sleepiness, tension, and task load) parameters. Approaches were conducted in A320 and A330 full-flight simulators during night shift. SCDA was compared to the standard Low Drag Low Power (LDLP) procedure as reference. Mean heart rate and blood pressure during the SCDA were not elevated, but were partly, even significantly, reduced (on average by 5 bpm and 4 mmHg from the flying captain). Cortisol levels did not change significantly with mean values of 0.9 to 1.2 ng ml(-1). Landing was the most demanding segment of both approaches as indicated by significant increases in heart rate and decreases in blink frequency. Subjective task load was low. Both approach procedures caused a similar workload level. Interpreting the results, methodological limitations have to be considered, e.g., the artificial and controlled airspace situation in the flight simulator. Nevertheless, it can be concluded that under these ideal conditions, the SCDA is operable without a higher workload for pilots compared to the common LDLP.

  11. Lateral transzygomatic middle fossa approach and its extensions: surgical technique and 3D anatomy.

    Science.gov (United States)

    Chotai, Silky; Kshettry, Varun R; Petrak, Alex; Ammirati, Mario

    2015-03-01

    Various approaches to lesions involving the middle fossa and cavernous sinus (CS), with and without posterior fossa extension have been described. In the present study, we describe the surgical technique for the extradural lateral tranzygomatic middle fossa approach and its extensions, highlight relevant 3D anatomy. Simulations of the lateral transzygomatic middle fossa approach and its extensions were performed in four silicon-injected formalin fixed cadaveric heads. The step-by-step description and relevant anatomy was documented with 3D photographs. The lateral transzygomatic middle fossa approach is particularly useful for lesions involving the middle fossa with and without CS invasion, extending to the posterior fossa and involving the clinoidal region. This approach incorporates direct lateral positioning of patient, frontotemporal craniotomy with zygomatic arch osteotomy, extradural elevation of the temporal lobe, and delamination of the outer layer of the lateral CS wall. Extradural drilling of the sphenoid wing and anterior clinoid process allows entry into the CS through the superior wall and exposure of the clinoidal segment of the ICA. Posteriorly, drilling the petrous apex allows exposure of the ventral brainstem from trigeminal to facial nerve and can be extended to the interpeduncular fossa by division of the superior petrosal sinus. The present study illustrates 3D anatomical relationships of the lateral transzygomatic middle fossa approach with its extensions. This approach allows wide access to different topographic areas (clinoidal region and clinoidal ICA, the entire CS, and the posterior fossa from the interpeduncular fossa to the facial nerve) via a lateral trajectory. Precise knowledge of technique and anatomy is necessary to properly execute this approach. Copyright © 2014 Elsevier B.V. All rights reserved.

  12. Systematic Approach to Design Tailor Made Fuel Blends That Meets ASTM Standards

    DEFF Research Database (Denmark)

    Intikhab, S.; Kalakul, Sawitree; H., Choudhury

    2015-01-01

    blends [1]. The main architecture in MINLP has four structures viz., (i) problem definition (ii) property model identification (iii) mixture blend design and (iv) model-based verification. These structures are further subdivided in to sub-problems and a decomposition based solution approach was adopted...... point, vapor pressure, and heat content were determined using analytical instruments according to their respective American Society for Testing and Materials (ASTM) standards. Most of the properties complied well with the industry standards. However, model gasoline had a comparatively low RVP....... On the other hand, model diesel had a significantly higher cloud point and pour point than what is recommended. This deviation will have an impact on the cold flow properties of the fuels. For both fuels, different additives along with their composition have also been determined using the same computational...

  13. A HOLISTIC APPROACH FOR INSPECTION OF CIVIL INFRASTRUCTURES BASED ON COMPUTER VISION TECHNIQUES

    Directory of Open Access Journals (Sweden)

    C. Stentoumis

    2016-06-01

    Full Text Available In this work, it is examined the 2D recognition and 3D modelling of concrete tunnel cracks, through visual cues. At the time being, the structural integrity inspection of large-scale infrastructures is mainly performed through visual observations by human inspectors, who identify structural defects, rate them and, then, categorize their severity. The described approach targets at minimum human intervention, for autonomous inspection of civil infrastructures. The shortfalls of existing approaches in crack assessment are being addressed by proposing a novel detection scheme. Although efforts have been made in the field, synergies among proposed techniques are still missing. The holistic approach of this paper exploits the state of the art techniques of pattern recognition and stereo-matching, in order to build accurate 3D crack models. The innovation lies in the hybrid approach for the CNN detector initialization, and the use of the modified census transformation for stereo matching along with a binary fusion of two state-of-the-art optimization schemes. The described approach manages to deal with images of harsh radiometry, along with severe radiometric differences in the stereo pair. The effectiveness of this workflow is evaluated on a real dataset gathered in highway and railway tunnels. What is promising is that the computer vision workflow described in this work can be transferred, with adaptations of course, to other infrastructure such as pipelines, bridges and large industrial facilities that are in the need of continuous state assessment during their operational life cycle.

  14. a Holistic Approach for Inspection of Civil Infrastructures Based on Computer Vision Techniques

    Science.gov (United States)

    Stentoumis, C.; Protopapadakis, E.; Doulamis, A.; Doulamis, N.

    2016-06-01

    In this work, it is examined the 2D recognition and 3D modelling of concrete tunnel cracks, through visual cues. At the time being, the structural integrity inspection of large-scale infrastructures is mainly performed through visual observations by human inspectors, who identify structural defects, rate them and, then, categorize their severity. The described approach targets at minimum human intervention, for autonomous inspection of civil infrastructures. The shortfalls of existing approaches in crack assessment are being addressed by proposing a novel detection scheme. Although efforts have been made in the field, synergies among proposed techniques are still missing. The holistic approach of this paper exploits the state of the art techniques of pattern recognition and stereo-matching, in order to build accurate 3D crack models. The innovation lies in the hybrid approach for the CNN detector initialization, and the use of the modified census transformation for stereo matching along with a binary fusion of two state-of-the-art optimization schemes. The described approach manages to deal with images of harsh radiometry, along with severe radiometric differences in the stereo pair. The effectiveness of this workflow is evaluated on a real dataset gathered in highway and railway tunnels. What is promising is that the computer vision workflow described in this work can be transferred, with adaptations of course, to other infrastructure such as pipelines, bridges and large industrial facilities that are in the need of continuous state assessment during their operational life cycle.

  15. T-Fix endoscopic meniscal repair: technique and approach to different types of tears.

    Science.gov (United States)

    Barrett, G R; Richardson, K; Koenig, V

    1995-04-01

    Endoscopic meniscus repair using the T-Fix suture device (Acufex Microsurgical, Inc, Mansfield, MA) allows ease of suture placement for meniscus stability without the problems associated with ancillary incisions such as neurovascular compromise. It is ideal for the central posterior horn tears that are difficult using conventional techniques. Vertical tears, bucket handle tears, flap tears, and horizontal tears can be approached using a temporary "anchor stitch" to stabilize the meniscus before T-Fix repair. The basic method of repair and our approach to these different types of tears is presented.

  16. Performance analysis of air-standard Diesel cycle using an alternative irreversible heat transfer approach

    International Nuclear Information System (INIS)

    Al-Hinti, I.; Akash, B.; Abu-Nada, E.; Al-Sarkhi, A.

    2008-01-01

    This study presents the investigation of air-standard Diesel cycle under irreversible heat transfer conditions. The effects of various engine parameters are presented. An alternative approach is used to evaluate net power output and cycle thermal efficiency from more realistic parameters such as air-fuel ratio, fuel mass flow rate, intake temperature, engine design parameters, etc. It is shown that for a given fuel flow rate, thermal efficiency and maximum power output increase with decreasing air-fuel ratio. Also, for a given air-fuel ratio, the maximum power output increases with increasing fuel rate. However, the effect of the thermal efficiency is limited

  17. Two-loop renormalization in the standard model, part II. Renormalization procedures and computational techniques

    Energy Technology Data Exchange (ETDEWEB)

    Actis, S. [Deutsches Elektronen-Synchrotron (DESY), Zeuthen (Germany); Passarino, G. [Torino Univ. (Italy). Dipt. di Fisica Teorica; INFN, Sezione di Torino (Italy)

    2006-12-15

    In part I general aspects of the renormalization of a spontaneously broken gauge theory have been introduced. Here, in part II, two-loop renormalization is introduced and discussed within the context of the minimal Standard Model. Therefore, this paper deals with the transition between bare parameters and fields to renormalized ones. The full list of one- and two-loop counterterms is shown and it is proven that, by a suitable extension of the formalism already introduced at the one-loop level, two-point functions suffice in renormalizing the model. The problem of overlapping ultraviolet divergencies is analyzed and it is shown that all counterterms are local and of polynomial nature. The original program of 't Hooft and Veltman is at work. Finite parts are written in a way that allows for a fast and reliable numerical integration with all collinear logarithms extracted analytically. Finite renormalization, the transition between renormalized parameters and physical (pseudo-)observables, are discussed in part III where numerical results, e.g. for the complex poles of the unstable gauge bosons, are shown. An attempt is made to define the running of the electromagnetic coupling constant at the two-loop level. (orig.)

  18. Standard Test Methods for Total Normal Emittance of Surfaces Using Inspection-Meter Techniques

    CERN Document Server

    American Society for Testing and Materials. Philadelphia

    1971-01-01

    1.1 These test methods cover determination of the total normal emittance (Note) of surfaces by means of portable, inspection-meter instruments. Note 1—Total normal emittance (εN) is defined as the ratio of the normal radiance of a specimen to that of a blackbody radiator at the same temperature. The equation relating εN to wavelength and spectral normal emittance [εN (λ)] is where: L b(λ, T) = Planck's blackbody radiation function = c1π −1λ−5(ec2/λT − 1)−1, c1 = 3.7415 × 10−16 W·m 2, c2 = 1.4388 × 10−2 m·K, T = absolute temperature, K, λ = wavelength, m, Lb(λ, T)dλ = Δπ −1T4, and Δ = Stefan-Boltzmann constant = 5.66961 × 10 −8 W·m2·K−4 1.2 These test methods are intended for measurements on large surfaces when rapid measurements must be made and where a nondestructive test is desired. They are particularly useful for production control tests. 1.3 The values stated in SI units are to be regarded as standard. No other units of measu...

  19. Watermarking Techniques Using Least Significant Bit Algorithm for Digital Image Security Standard Solution- Based Android

    Directory of Open Access Journals (Sweden)

    Ari Muzakir

    2017-05-01

    Full Text Available Ease of deployment of digital image through the internet has positive and negative sides, especially for owners of the original digital image. The positive side of the ease of rapid deployment is the owner of that image deploys digital image files to various sites in the world address. While the downside is that if there is no copyright that serves as protector of the image it will be very easily recognized ownership by other parties. Watermarking is one solution to protect the copyright and know the results of the digital image. With Digital Image Watermarking, copyright resulting digital image will be protected through the insertion of additional information such as owner information and the authenticity of the digital image. The least significant bit (LSB is one of the algorithm is simple and easy to understand. The results of the simulations carried out using android smartphone shows that the LSB watermarking technique is not able to be seen by naked human eye, meaning there is no significant difference in the image of the original files with images that have been inserted watermarking. The resulting image has dimensions of 640x480 with a bit depth of 32 bits. In addition, to determine the function of the ability of the device (smartphone in processing the image using this application used black box testing. 

  20. Orientation and mobility training for adults with low vision: a new standardized approach.

    Science.gov (United States)

    Zijlstra, G A Rixt; Ballemans, Judith; Kempen, Gertrudis I J M

    2013-01-01

    Orientation and mobility training aims to facilitate independent functioning and participation in the community of people with low vision. (1) To gain insight into current practice regarding orientation and mobility training, and (2) to develop a theory-driven standardized version of this training to teach people with low vision how to orientate and be safe in terms of mobility. STUDY OF CURRENT PRACTICE: Insight into current practice and its strengths and weaknesses was obtained via reviewing the literature, observing orientation and mobility training sessions (n = 5) and interviewing Dutch mobility trainers (n = 18). Current practice was mainly characterized by an individual, face-to-face orientation and mobility training session concerning three components: crystallizing client's needs, providing information and training skills. A weakness was the lack of a (structured) protocol based on evidence or theory. NEW THEORY-DRIVEN TRAINING: A new training protocol comprising two face-to-face sessions and one telephone follow-up was developed. Its content is partly based on the components of current practice, yet techniques from theoretical frameworks (e.g. social-cognitive theory and self-management) are incorporated. A standardized, tailor-made orientation and mobility training for using the identification cane is available. The new theory-driven standardized training is generally applicable for teaching the use of every low-vision device. Its acceptability and effectiveness are currently being evaluated in a randomized controlled trial.

  1. Studying cell-surface interactions in vitro: a survey of experimental approaches and techniques.

    Science.gov (United States)

    Michaelis, Stefanie; Robelek, Rudolf; Wegener, Joachim

    2012-01-01

    A better understanding of the interactions of animal (or human) cells with in vitro surfaces is the key to the successful development, improvement and optimization of biomaterials for biomedical or biotechnological purposes. State-of-the-art experimental approaches and techniques are a prerequisite for further and deeper insights into the mechanisms and processes involved in cell-surface adhesion. This chapter provides a brief but not complete survey of optical, mechanical, electrochemical and acoustic devices that are currently used to study the structural and functional properties of the cell-surface junction. Each technique is introduced with respect to the underlying principles before example data are discussed. At the end of the chapter all techniques are compared in terms of their strengths, limitations and technical requirements.

  2. Reformulation linearization technique based branch-and-reduce approach applied to regional water supply system planning

    Science.gov (United States)

    Lan, Fujun; Bayraksan, Güzin; Lansey, Kevin

    2016-03-01

    A regional water supply system design problem that determines pipe and pump design parameters and water flows over a multi-year planning horizon is considered. A non-convex nonlinear model is formulated and solved by a branch-and-reduce global optimization approach. The lower bounding problem is constructed via a three-pronged effort that involves transforming the space of certain decision variables, polyhedral outer approximations, and the Reformulation Linearization Technique (RLT). Range reduction techniques are employed systematically to speed up convergence. Computational results demonstrate the efficiency of the proposed algorithm; in particular, the critical role range reduction techniques could play in RLT based branch-and-bound methods. Results also indicate using reclaimed water not only saves freshwater sources but is also a cost-effective non-potable water source in arid regions. Supplemental data for this article can be accessed at http://dx.doi.org/10.1080/0305215X.2015.1016508.

  3. Peyton’s four-step approach for teaching complex spinal manipulation techniques – a prospective randomized trial

    Directory of Open Access Journals (Sweden)

    Gertraud Gradl-Dietsch

    2016-11-01

    Full Text Available Abstract Background The objectives of this prospective randomized trial were to assess the impact of Peyton’s four-step approach on the acquisition of complex psychomotor skills and to examine the influence of gender on learning outcomes. Methods We randomly assigned 95 third to fifth year medical students to an intervention group which received instructions according to Peyton (PG or a control group, which received conventional teaching (CG. Both groups attended four sessions on the principles of manual therapy and specific manipulative and diagnostic techniques for the spine. We assessed differences in theoretical knowledge (multiple choice (MC exam and practical skills (Objective Structured Practical Examination (OSPE with respect to type of intervention and gender. Participants took a second OSPE 6 months after completion of the course. Results There were no differences between groups with respect to the MC exam. Students in the PG group scored significantly higher in the OSPE. Gender had no additional impact. Results of the second OSPE showed a significant decline in competency regardless of gender and type of intervention. Conclusions Peyton’s approach is superior to standard instruction for teaching complex spinal manipulation skills regardless of gender. Skills retention was equally low for both techniques.

  4. Unreamed intramedullary nailing of femoral shaft fractures: operative technique and early clinical experience with the standard locking option.

    Science.gov (United States)

    Krettek, C; Rudolf, J; Schandelmaier, P; Guy, P; Könemann, B; Tscherne, H

    1996-05-01

    Nailing techniques have changed in recent years in ways which are not just limited to omitting the reaming process. These changes concern positioning patients, techniques of reduction and selecting implants. Techniques of approach and exposure have been modified to new, less-invasive procedures to fulfill technical, functional and cosmetic requirements. In addition, techniques have been developed to avoid fragment diastasis, rotational and sagittal malalignment, and leg-length discrepancy. Finally, simple algorithms have been elaborated for the management of specific fracture patterns (bilateral shaft fractures, ipsilateral tibial fractures or associated femoral neck fractures) and to determine the number and location of locking bolts. We developed these algorithms, techniques and procedures in a series of 133 femoral shafts, which were stabilized with the AO unreamed femoral nail (URFN) in a prospective study between 1991 and 1994. Of these, the first 57 cases with a mean follow-up of 17.9 months (range, 5-44) after injury were reviewed. Fractures were classified according to Müller's 1990 system: 12 type A, 29 type B and 16 type C. Closed soft-tissue injuries were classified by our classification of 1982: 17 type C 0/I, 42 type C II. Of 15 open fractures, six were OI, six OII, two OIIIA and one was OIIIB by Gustilo's classification of 1984. The major complications were two broken locking bolts, one nail breaking after 9 weeks, one case of osteitis and one of intra-operative lung embolism.

  5. Characterization of the storage pool of the Neutron Standards Laboratory of CIEMAT, using Monte Carlo techniques

    Energy Technology Data Exchange (ETDEWEB)

    Campo B, X.; Mendez V, R.; Embid S, M. [Centro de Investigaciones Energeticas, Medioambientales y Tecnologicas, Av. Complutense 40, 28040 Madrid (Spain); Vega C, H. R. [Universidad Autonoma de Zacatecas, Unidad Academica de Estudios Nucleares, Cipres No. 10, Fracc. La Penuela, 98060 Zacatecas (Mexico); Sanz G, J., E-mail: xandra.campo@ciemat.es [Universidad Nacional de Educacion a Distancia, Escuela Tecnica Superior de Ingenieros Industriales, C. Juan del Rosal 12, 28040 Madrid (Spain)

    2014-08-15

    Neutron Standards Laboratory of CIEMAT in Spain is a brand new irradiation facility, with {sup 241}Am-Be (185 GBq) and {sup 252}Cf (5 GBq) calibrated neutron sources which are stored in a water pool with a concrete cover. From this storage place an automated system is able to take the selected source and place it in the irradiation position, 4 m over the ground level and in the geometrical center of the Irradiation Room with 9 m (length) x 7.5 m (width) x 8 m (height). For calibration or irradiation purposes, detectors or materials can be placed on a bench but it is possible to use the pool (1.0 m x 1.5 m and more than 1.0 m depth) for long time irradiations in thermal neutron fields. For this reason it is essential to characterize the pool itself in terms of neutron spectrum. In this document, the main features of this facility are presented and the characterization of the storage pool in terms of neutron fluence rate and neutron spectrum has been carried out using simulations with MCNPX-2.7.e code. The MCNPX-2.7.e model has been validated using experimental measurements outside the pool (Bert hold LB6411). Inside the pool, the fluence rate decreases and the spectra is thermalized with the distance to the {sup 252}Cf source. This source predominates and the effect of the {sup 241}Am-Be source in these magnitudes is not shown until positions closer than 20 cm from it. (author)

  6. Characterization of the storage pool of the Neutron Standards Laboratory of CIEMAT, using Monte Carlo techniques

    International Nuclear Information System (INIS)

    Campo B, X.; Mendez V, R.; Embid S, M.; Vega C, H. R.; Sanz G, J.

    2014-08-01

    Neutron Standards Laboratory of CIEMAT in Spain is a brand new irradiation facility, with 241 Am-Be (185 GBq) and 252 Cf (5 GBq) calibrated neutron sources which are stored in a water pool with a concrete cover. From this storage place an automated system is able to take the selected source and place it in the irradiation position, 4 m over the ground level and in the geometrical center of the Irradiation Room with 9 m (length) x 7.5 m (width) x 8 m (height). For calibration or irradiation purposes, detectors or materials can be placed on a bench but it is possible to use the pool (1.0 m x 1.5 m and more than 1.0 m depth) for long time irradiations in thermal neutron fields. For this reason it is essential to characterize the pool itself in terms of neutron spectrum. In this document, the main features of this facility are presented and the characterization of the storage pool in terms of neutron fluence rate and neutron spectrum has been carried out using simulations with MCNPX-2.7.e code. The MCNPX-2.7.e model has been validated using experimental measurements outside the pool (Bert hold LB6411). Inside the pool, the fluence rate decreases and the spectra is thermalized with the distance to the 252 Cf source. This source predominates and the effect of the 241 Am-Be source in these magnitudes is not shown until positions closer than 20 cm from it. (author)

  7. Comparison of four different techniques to evaluate the elastic properties of phantom in elastography: is there a gold standard?

    Science.gov (United States)

    Oudry, Jennifer; Lynch, Ted; Vappou, Jonathan; Sandrin, Laurent; Miette, Véronique

    2014-10-07

    Elastographic techniques used in addition to imaging techniques (ultrasound, resonance magnetic or optical) provide new clinical information on the pathological state of soft tissues. However, system-dependent variation in elastographic measurements may limit the clinical utility of these measurements by introducing uncertainty into the measurement. This work is aimed at showing differences in the evaluation of the elastic properties of phantoms performed by four different techniques: quasi-static compression, dynamic mechanical analysis, vibration-controlled transient elastography and hyper-frequency viscoelastic spectroscopy. Four Zerdine® gel materials were tested and formulated to yield a Young's modulus over the range of normal and cirrhotic liver stiffnesses. The Young's modulus and the shear wave speed obtained with each technique were compared. Results suggest a bias in elastic property measurement which varies with systems and highlight the difficulty in finding a reference method to determine and assess the elastic properties of tissue-mimicking materials. Additional studies are needed to determine the source of this variation, and control for them so that accurate, reproducible reference standards can be made for the absolute measurement of soft tissue elasticity.

  8. Standardization of the Fricke gel dosimetry method and tridimensional dose evaluation using the magnetic resonance imaging technique

    International Nuclear Information System (INIS)

    Cavinato, Christianne Cobello

    2009-01-01

    This study standardized the method for obtaining the Fricke gel solution developed at IPEN. The results for different gel qualities used in the preparation of solutions and the influence of the gelatin concentration in the response of dosimetric solutions were compared. Type tests such as: dose response dependence, minimum and maximum detection limits, response reproducibility, among others, were carried out using different radiation types and the Optical Absorption (OA) spectrophotometry and Magnetic Resonance (MR) techniques. The useful dose ranges for Co 60 gamma radiation and 6 MeV photons are 0,4 to 30,0 Gy and 0,5 to 100,0 Gy , using OA and MR techniques, respectively. A study of ferric ions diffusion in solution was performed to determine the optimum time interval between irradiation and samples evaluation; until 2,5 hours after irradiation to obtain sharp MR images. A spherical simulator consisting of Fricke gel solution prepared with 5% by weight 270 Bloom gelatine (national quality) was developed to be used to three-dimensional dose assessment using the Magnetic Resonance Imaging (MRI) technique. The Fricke gel solution prepared with 270 Bloom gelatine, that, in addition to low cost, can be easily acquired on the national market, presents satisfactory results on the ease of handling, sensitivity, response reproducibility and consistency. The results confirm their applicability in the three-dimensional dosimetry using MRI technique. (author)

  9. The 'Pull' Technique for Removal of Peritoneal Dialysis Catheters: A Call for Re-Evaluation of Practice Standards.

    Science.gov (United States)

    Grieff, Marvin; Mamo, Elizabeth; Scroggins, Gina; Kurchin, Alexander

    2017-01-01

    ♦ BACKGROUND: The most commonly used peritoneal dialysis (PD) catheters have silicon tubing with attached Dacron cuffs. The current standard of care for PD catheter removal is by complete surgical dissection, withdrawing both the tubing and the cuffs. The intention is to avoid infection of any residual part of the catheter. We retrospectively analyzed our results with the alternative 'pull' technique, by which the silicon tube is pulled out, leaving the Dacron cuffs within the abdominal wall. This technique never gained popularity due to concern that the retained cuffs would get infected. ♦ METHODS: We reviewed our experience from an 18-month period, between January 2014 and June 2015. There were 46 catheter removals in 40 patients. All the catheters were of the double-cuffed coiled Tenckhoff type (Covidien, Dublin, Ireland). ♦ RESULTS: Of the 46 catheter removals by the 'pull' technique, there was only 1 case of retained cuff infection. ♦ CONCLUSIONS: The 'pull' technique is a safe method for Tenckhoff catheter removal with low risk of infection. We strongly recommend it as the procedure of choice. Copyright © 2017 International Society for Peritoneal Dialysis.

  10. Approaches for quantifying reactive and low-volatility biogenic organic compound emissions by vegetation enclosure techniques - part A.

    Science.gov (United States)

    Ortega, John; Helmig, Detlev

    2008-06-01

    The high reactivity and low vapor pressure of many biogenic volatile organic compounds (BVOC) make it difficult to measure whole-canopy fluxes of BVOC species using common analytical techniques. The most appropriate approach for estimating these BVOC fluxes is to determine emission rates from dynamic vegetation enclosure measurements. After scaling leaf- and branch-level emission rates to the canopy level, these fluxes can then be used in models to determine BVOC influences on atmospheric chemistry and aerosol processes. Previously published reports from enclosure measurements show considerable variation among procedures with limited guidelines or standard protocols to follow. This article reviews this literature and describes the variety of enclosure types, materials, and analysis techniques that have been used to determine BVOC emission rates. The current review article is followed by a companion paper which details a comprehensive enclosure technique that incorporates both recommendations from the literature as well as insight gained from theoretical calculations and practical experiences. These methods have yielded new BVOC emission data for highly reactive monoterpenes (MT) and sesquiterpenes (SQT) from a variety of vegetation species.

  11. 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.

  12. [The standard implantation of a total hip prosthesis via two incisions (the Yale Technique)].

    Science.gov (United States)

    Kipping, Robert

    2009-09-01

    Implantation of a total hip endoprosthesis with minimal trauma to the soft tissue. The need for visual aids (e.g., navigation or X-rays) during the procedure is frequently avoided. All kinds of coxarthrosis for every age group, for every variation of bone construction, and even in obese patients. Extremely dysplastic hip joints involving the development of a secondary socket and the necessity of reconstruction of the acetabular socket (e.g., in the Harris method). Using a fixed lateral position, a small entry incision is made between the tensor fasciae latae and the sartorius muscles and the prosthesis socket is put into place. Via a second dorsal incision, after stripping the exterior rotators, the prosthesis stem and ball are implanted and the two parts of the prosthesis are attached. Full weight bearing allowed immediately. A luxation prophylaxis, in the form of a self-developed hip bodice (the so-called Yale bandage), is used until the end of the 4th postoperative week. Discharge from hospital is possible after just a few days. Upon discharge, the patient is sent to a rehabilitation facility, either as a resident or as an outpatient, for approximately 3 weeks. Return to the workplace, with only light physical activity, is possible once the wound has healed completely; this could be as soon as 14 days after the operation. Checkups are made after 4 weeks, 6 months, 1 year and then every year; these checkups include a full examination, X-rays and laboratory tests. Full exposure to sport or heavy manual labor is usually approved after the 6-month checkup. Between October 2004 and April 2006, a total of 221 patients underwent surgery using this new technique (of these 15 patients underwent two-stage bilateral hip joint replacements). Patients were followed up for a minimum of 12 months and a maximum of 30 months. The Harris Hip Score improved from an average of 45.25 preoperatively to 96.4 postoperatively.

  13. Data structure techniques for the graphical special unitary group approach to arbitrary spin representations

    International Nuclear Information System (INIS)

    Kent, R.D.; Schlesinger, M.

    1987-01-01

    For the purpose of computing matrix elements of quantum mechanical operators in complex N-particle systems it is necessary that as much of each irreducible representation be stored in high-speed memory as possible in order to achieve the highest possible rate of computations. A graph theoretic approach to the representation of N-particle systems involving arbitrary single-particle spin is presented. The method involves a generalization of a technique employed by Shavitt in developing the graphical group approach (GUGA) to electronic spin-orbitals. The methods implemented in GENDRT and DRTDIM overcome many deficiencies inherent in other approaches, particularly with respect to utilization of memory resources, computational efficiency in the recognition and evaluation of non-zero matrix elements of certain group theoretic operators and complete labelling of all the basis states of the permutation symmetry (S N ) adapted irreducible representations of SU(n) groups. (orig.)

  14. National Cancer Institute Biospecimen Evidence-Based Practices: a novel approach to pre-analytical standardization.

    Science.gov (United States)

    Engel, Kelly B; Vaught, Jim; Moore, Helen M

    2014-04-01

    Variable biospecimen collection, processing, and storage practices may introduce variability in biospecimen quality and analytical results. This risk can be minimized within a facility through the use of standardized procedures; however, analysis of biospecimens from different facilities may be confounded by differences in procedures and inferred biospecimen quality. Thus, a global approach to standardization of biospecimen handling procedures and their validation is needed. Here we present the first in a series of procedural guidelines that were developed and annotated with published findings in the field of human biospecimen science. The series of documents will be known as NCI Biospecimen Evidence-Based Practices, or BEBPs. Pertinent literature was identified via the National Cancer Institute (NCI) Biospecimen Research Database ( brd.nci.nih.gov ) and findings were organized by specific biospecimen pre-analytical factors and analytes of interest (DNA, RNA, protein, morphology). Meta-analysis results were presented as annotated summaries, which highlight concordant and discordant findings and the threshold and magnitude of effects when applicable. The detailed and adaptable format of the document is intended to support the development and execution of evidence-based standard operating procedures (SOPs) for human biospecimen collection, processing, and storage operations.

  15. Time transfer capability of standard small form factor pluggable laser modules based on photon counting approach

    Science.gov (United States)

    Trojanek, Pavel; Prochazka, Ivan; Blazej, Josef

    2017-05-01

    We are reporting on timing parameters of commonly used standard Small Form Factor Pluggable (SFP) laser modules using single photon counting method. Photon counting is a promising approach for laser time transfer via optical fiber communication hardware. The sub-picosecond precision and stability may be achieved. We have performed several experiments with the aim to measure main parameters of the modules, such as time delay precision, time stability and temperature stability, all being critical for optical time transfer applications. Two standard 16 and 10 Gbit/s at 850 nm SFP modules were examined. The ultimate precision of possible time transfer of 800 fs for averaging times of hours was achieved. The modules together with their driving circuits exhibited very good temperature stability. The temperature drift as low as 300+/-200 fs/K was measured. The achieved timing parameters will enable to use the standard SFP modules for a new method of two way time transfer where the time differences between two distant time scales are measured in parallel to data transfer on existing optical data links without any communication interference.

  16. Applied anatomy of a new approach of endoscopic technique in thyroid gland surgery.

    Science.gov (United States)

    Liu, Hong; Xie, Yong-jun; Xu, Yi-quan; Li, Chao; Liu, Xing-guo

    2012-10-01

    To explore the feasibility and safety of transtracheal assisted sublingual approach to totally endoscopic thyroidectomy by studying the anatomical approach and adjacent structures. A total of 5 embalmed adult cadavers from Chengdu Medical College were dissected layer by layer in the cervical region, pharyngeal region, and mandible region, according to transtracheal assisted sublingual approach that was verified from the anatomical approach and planes. A total of 15 embalmed adult cadavers were dissected by arterial vascular casting technique, imaging scanning technique, and thin layer cryotomy. Then the vessel and anatomical structures of thyroid surgical region were analyzed qualitatively and quantitatively. Three-dimensional visualization of larynx artery was reconstructed by Autodesk 3ds Max 2010(32). Transtracheal assisted sublingual approach for totally endoscopic thyroidectomy was simulated on 5 embalmed adult cadavers. The sublingual observed access was located in the middle of sublingual region. The geniohyoid muscle, mylohyoid seam, and submental triangle were divided in turn in the middle to reach the plane under the plastima muscles. Superficial cervical fascia, anterior body of hyoid bone, and infrahyoid muscles were passed in sequence to reach thyroid gland surgical region. The transtracheal operational access was placed from the cavitas oris propria, isthmus faucium, subepiglottic region, laryngeal pharynx, and intermediate laryngeal cavit, and then passed from the top down in order to reach pars cervicalis tracheae where a sagittal incision was made in the anterior wall of cartilagines tracheales to reach a ascertained surgical region. Transtracheal assisted sublingual approach to totally endoscopic thyroidectomy is anatomically feasible and safe and can be useful in thyroid gland surgery.

  17. Olfactory groove meningiomas from neurosurgical and ear, nose, and throat perspectives: approaches, techniques, and outcomes.

    Science.gov (United States)

    Spektor, Sergey; Valarezo, Javier; Fliss, Dan M; Gil, Ziv; Cohen, Jose; Goldman, Jose; Umansky, Felix

    2005-10-01

    To review the surgical approaches, techniques, outcomes, and recurrence rates in a series of 80 olfactory groove meningioma (OGM) patients operated on between 1990 and 2003. Eighty patients underwent 81 OGM surgeries. Tumor diameter varied from 2 to 9 cm (average, 4.6 cm). In 35 surgeries (43.2%), the tumor was removed through bifrontal craniotomy; nine operations (11.1%) were performed through a unilateral subfrontal approach; 18 surgeries (22.2%) were performed through a pterional approach; seven surgeries (8.6%) were carried out using a fronto-orbital craniotomy; and 12 procedures (14.8%) were accomplished via a subcranial approach. Nine patients (11.3%) had undergone surgery previously and had recurrent tumor. Total removal was obtained in 72 patients (90.0%); subtotal removal was achieved in 8 patients (10.0%). Two patients, one with total and one with subtotal removal, had atypical (World Health Organization Grade II) meningiomas, whereas 78 patients had World Health Organization Grade I tumors. There was no operative mortality and no new permanent focal neurological deficit besides anosmia. Twenty-five patients (31.3%) experienced surgery-related complications. There were no recurrences in 75 patients (93.8%) 6 to 164 months (mean, 70.8 mo) after surgery. Three patients (3.8%) were lost to follow-up. In two patients (2.5%) with subtotal removal, the residual evidenced growth on computed tomography and/or magnetic resonance imaging 1 year after surgery. One of them had an atypical meningioma. The second, a multiple meningiomata patient, was operated on twice in this series. A variety of surgical approaches are used for OGM resection. An approach tailored to the tumor's size, location, and extension, combined with modern microsurgical cranial base techniques, allows full OGM removal with minimal permanent morbidity, excellent neurological outcome, and very low recurrence rates.

  18. Standardized Approaches to Syncope Evaluation for Reducing Hospital Admissions and Costs in Overcrowded Emergency Departments

    Science.gov (United States)

    Shin, Tae Gun; Jo, Ik Joon; Sim, Min Seob; Park, Seung-Jung

    2013-01-01

    Purpose The evaluation of syncope is often disorganized and ineffective. The objective of this study was to examine whether implementation of a standardized emergency department (ED) protocol improves the quality of syncope evaluation. Materials and Methods This study was a prospective, non-randomized study conducted at a 1900-bed, tertiary teaching hospital in South Korea. We compared two specific periods, including a 12-month observation period (control group, January-December 2009) and a 10-month intervention period after the implementation of standardized approaches, comprising risk stratification, hospital order sets and establishment of a syncope observational unit (intervention group, March-December 2010). Primary end points were hospital admission rates and medical costs related to syncope evaluation. Results A total of 244 patients were enrolled in this study (116 patients in the control group and 128 patients in the intervention group). The admission rate decreased by 8.3% in the intervention group (adjusted odds ratio 0.31, 95% confidence interval 0.13-0.70, p=0.005). There was a cost reduction of about 30% during the intervention period [369000 Korean won (KRW), interquartile range (IQR) 240000-602000 KRW], compared with the control period (542000 KRW, IQR 316000-1185000 KRW). The length of stay in the ED was also reduced in the intervention group (median: 4.6 hours vs. 3.4 hours). Conclusion Standardized approaches to syncope evaluation reduced hospital admissions, medical costs and length of stay in the overcrowded emergency department of a tertiary teaching hospital in South Korea. PMID:23918559

  19. An integrated approach using orthogonal analytical techniques to characterize heparan sulfate structure.

    Science.gov (United States)

    Beccati, Daniela; Lech, Miroslaw; Ozug, Jennifer; Gunay, Nur Sibel; Wang, Jing; Sun, Elaine Y; Pradines, Joël R; Farutin, Victor; Shriver, Zachary; Kaundinya, Ganesh V; Capila, Ishan

    2017-02-01

    Heparan sulfate (HS), a glycosaminoglycan present on the surface of cells, has been postulated to have important roles in driving both normal and pathological physiologies. The chemical structure and sulfation pattern (domain structure) of HS is believed to determine its biological function, to vary across tissue types, and to be modified in the context of disease. Characterization of HS requires isolation and purification of cell surface HS as a complex mixture. This process may introduce additional chemical modification of the native residues. In this study, we describe an approach towards thorough characterization of bovine kidney heparan sulfate (BKHS) that utilizes a variety of orthogonal analytical techniques (e.g. NMR, IP-RPHPLC, LC-MS). These techniques are applied to characterize this mixture at various levels including composition, fragment level, and overall chain properties. The combination of these techniques in many instances provides orthogonal views into the fine structure of HS, and in other instances provides overlapping / confirmatory information from different perspectives. Specifically, this approach enables quantitative determination of natural and modified saccharide residues in the HS chains, and identifies unusual structures. Analysis of partially digested HS chains allows for a better understanding of the domain structures within this mixture, and yields specific insights into the non-reducing end and reducing end structures of the chains. This approach outlines a useful framework that can be applied to elucidate HS structure and thereby provides means to advance understanding of its biological role and potential involvement in disease progression. In addition, the techniques described here can be applied to characterization of heparin from different sources.

  20. Russian Language Development Assessment as a Standardized Technique for Assessing Communicative Function in Children Aged 3–9 Years

    Directory of Open Access Journals (Sweden)

    Prikhoda N.A.,

    2016-10-01

    Full Text Available The article describes the Russian Language Development Assessment, a standardized individual diagnostic tool for children aged from 3 to 9 that helps to assess the following components of a child’s communicative function: passive vocabulary, expressive vocabulary, knowledge of semantic constructs with logical, temporal and spatial relations, passive perception and active use of syntactic and morphological features of words in a sentence, active and passive phonological awareness, active and passive knowledge of syntactic structures and categories. The article provides descriptions of content and diagnostic procedures for all 7 subtests included in the assessment (Passive Vocabulary, Active Vocabulary, Linguistic Operators, Sentence structure, Word Structure, Phonology, Sentence Repetition. Basing on the data collected in the study that involved 86 first- graders of a Moscow school, the article analyzes the internal consistency and construct validity of each subtest of the technique. It concludes that the Russian Language Development Assessment technique can be of much use both in terms of diagnostic purposes and in supporting children with ASD taking into account the lack of standardized tools for language and speech development assessment in Russian and the importance of this measure in general.

  1. A comparative study of standard vs. high definition colonoscopy for adenoma and hyperplastic polyp detection with optimized withdrawal technique.

    Science.gov (United States)

    East, J E; Stavrindis, M; Thomas-Gibson, S; Guenther, T; Tekkis, P P; Saunders, B P

    2008-09-15

    Colonoscopy has a known miss rate for polyps and adenomas. High definition (HD) colonoscopes may allow detection of subtle mucosal change, potentially aiding detection of adenomas and hyperplastic polyps. To compare detection rates between HD and standard definition (SD) colonoscopy. Prospective, cohort study with optimized withdrawal technique (withdrawal time >6 min, antispasmodic, position changes, re-examining flexures and folds). One hundred and thirty patients attending for routine colonoscopy were examined with either SD (n = 72) or HD (n = 58) colonoscopes. Groups were well matched. Sixty per cent of patients had at least one adenoma detected with SD vs. 71% with HD, P = 0.20, relative risk (benefit) 1.32 (95% CI 0.85-2.04). Eighty-eight adenomas (mean +/- standard deviation 1.2 +/- 1.4) were detected using SD vs. 93 (1.6 +/- 1.5) with HD, P = 0.12; however more nonflat, diminutive (9 mm) hyperplastic polyps was 7% (0.09 +/- 0.36). High definition did not lead to a significant increase in adenoma or hyperplastic polyp detection, but may help where comprehensive lesion detection is paramount. High detection rates appear possible with either SD or HD, when using an optimized withdrawal technique.

  2. The transverse technique; a complementary approach to the measurement of first-trimester uterine artery Doppler.

    Science.gov (United States)

    Drouin, Olivier; Johnson, Jo-Ann; Chaemsaithong, Piya; Metcalfe, Amy; Huber, Janie; Schwarzenberger, Jill; Winters, Erin; Stavness, Lesley; Tse, Ada W T; Lu, Jing; Lim, Wan Teng; Leung, Tak Yeung; Bujold, Emmanuel; Sahota, Daljit; Poon, Liona C

    2017-10-04

    The objectives of this study were to 1) define the protocol for the first-trimester assessment of the uterine artery pulsatility index (UtA-PI) using the new transverse technique, 2) evaluate UtA-PI measured by the transverse approach versus that obtained by the conventional sagittal approach, and 3) determine if accelerated onsite training (both methods) of inexperienced sonographers can achieve reproducible UtA-PI measurements compared to that measured by an experienced sonographer. The study consists of 2 parts conducted in 2 centers (Part 1, Calgary, Canada and Part 2, Hong Kong). Part 1 Prospective observational study of women with singleton pregnancies between 11-13+6 weeks' gestation. UtA-PI measurements were performed using the 2 techniques (4 sonographers trained in both methods, 10 cases each) and measurement indices (PI), time required and subjective difficulty to obtain satisfactory measurements were compared. One sample t-test and Wilcoxon rank sign test was used when appropriate. Bland-Altman difference plots were used to assess measurement agreement, and intra-class correlation (ICC) was used to evaluate measurement reliability. A target plot was used to assess measures of central tendency and dispersion. Part 2 One experienced and three inexperienced sonographers prospectively measured the UtA-PI at 11-13+6 weeks' gestation in two groups of women (42 and 35, respectively), with singleton pregnancies using both approaches. Inexperienced sonographers underwent accelerated on-site training by the experienced sonographer. Measurement approach and sonographer order were on a random basis. ICC, Bland-Altman and Passing-Bablok analyses were performed to assess measurement agreement, reliability and effect of accelerated training. Part 1 We observed no difference in the mean time to acquire the measurements (Sagittal: 118 seconds vs Transverse: 106 seconds, p=0.38). The 4 sonographers reported the transverse technique was subjectively easier to perform (p=0

  3. Concept of Draft International Standard for a Unified Approach to Space Program Quality Assurance

    Science.gov (United States)

    Stryzhak, Y.; Vasilina, V.; Kurbatov, V.

    2002-01-01

    For want of the unified approach to guaranteed space project and product quality assurance, implementation of many international space programs has become a challenge. Globalization of aerospace industry and participation of various international ventures with diverse quality assurance requirements in big international space programs requires for urgent generation of unified international standards related to this field. To ensure successful fulfillment of space missions, aerospace companies should design and process reliable and safe products with properties complying or bettering User's (or Customer's) requirements. Quality of the products designed or processed by subcontractors (or other suppliers) should also be in compliance with the main user (customer)'s requirements. Implementation of this involved set of unified requirements will be made possible by creating and approving a system (series) of international standards under a generic title Space Product Quality Assurance based on a system consensus principle. Conceptual features of the baseline standard in this system (series) should comprise: - Procedures for ISO 9000, CEN and ECSS requirements adaptation and introduction into space product creation, design, manufacture, testing and operation; - Procedures for quality assurance at initial (design) phases of space programs, with a decision on the end product made based on the principle of independence; - Procedures to arrange incoming inspection of products delivered by subcontractors (including testing, audit of supplier's procedures, review of supplier's documentation), and space product certification; - Procedures to identify materials and primary products applied; - Procedures for quality system audit at the component part, primary product and materials supplier facilities; - Unified procedures to form a list of basic performances to be under configuration management; - Unified procedures to form a list of critical space product components, and unified

  4. Approaches, techniques, and information technology systems in the restaurants and foodservice industry: a qualitative study in sales forecasting.

    OpenAIRE

    Green, Yvette N. J.; Weaver, Pamela A.

    2008-01-01

    This is a study of the approaches, techniques, and information technology systems utilized for restaurant sales forecasting in the full-service restaurant segment. Companies were examined using a qualitative research methods design and long interviews to gather information on approaches, techniques, and technology systems utilized in the sales forecasting process. The results of the interviews were presented along with ensuing discussion.

  5. Single-port one-stage bilateral thoracoscopic sympathicotomy for severe hyperhidrosis: prospective analysis of a standardized approach

    Science.gov (United States)

    2013-01-01

    Background Primary palmar and/or axillary focal hyperhidrosis is a frequent disorder characterized by excessive sweating beyond physiological needs, often leading to a substantial impairment of quality of life. Over the years several minimally invasive surgical treatments have been described, however results vary, and due to a lack of uniform surgical approach, technique and nomenclature are often difficult to compare. In this prospective study we sought to evaluate the safety and effectiveness of our standardized technique of single-port, one-stage bilateral thoracoscopic sympathicotomy. Methods On a prospective basis a hundred consecutive patients with severe or intolerable primary hyperhidrosis underwent one-stage bilateral single-port thoracoscopic sympathicotomy. Primary outcome was measured in pre- vs. post-operative Hyperhidrosis Disease Severity Scale scores. Location and extend of compensatory hyperhidrosis, and satisfaction with the procedure were registered. Results A significant reduction in mean Hyperhidrosis Disease Severity Scale score (3.69 ± 0.47 preoperatively vs. 1.06 ± 0.34 postoperatively) (p 80% reduction in sweat production was achieved. Compensatory hyperhidrosis was seen in 27 patients (27%). It was rated as mild by 21 patients (78%) and as moderate by 6 (22%) of these patients. No severe compensatory hyperhidrosis was reported. Major complications, such as intraoperative bleeding, infections, and Horner’s syndrome were not observed. Conclusions Highly selective sympathicotomy at well-defined levels with a one-stage bilateral single-port transaxillary thoracoscopic approach is a save procedure, with excellent and reproducible immediate results in the treatment of primary palmar and/or axillary hyperhidrosis. PMID:24279511

  6. Statistical approach to Higgs boson couplings in the standard model effective field theory

    Science.gov (United States)

    Murphy, Christopher W.

    2018-01-01

    We perform a parameter fit in the standard model effective field theory (SMEFT) with an emphasis on using regularized linear regression to tackle the issue of the large number of parameters in the SMEFT. In regularized linear regression, a positive definite function of the parameters of interest is added to the usual cost function. A cross-validation is performed to try to determine the optimal value of the regularization parameter to use, but it selects the standard model (SM) as the best model to explain the measurements. Nevertheless as proof of principle of this technique we apply it to fitting Higgs boson signal strengths in SMEFT, including the latest Run-2 results. Results are presented in terms of the eigensystem of the covariance matrix of the least squares estimators as it has a degree model-independent to it. We find several results in this initial work: the SMEFT predicts the total width of the Higgs boson to be consistent with the SM prediction; the ATLAS and CMS experiments at the LHC are currently sensitive to non-resonant double Higgs boson production. Constraints are derived on the viable parameter space for electroweak baryogenesis in the SMEFT, reinforcing the notion that a first order phase transition requires fairly low-scale beyond the SM physics. Finally, we study which future experimental measurements would give the most improvement on the global constraints on the Higgs sector of the SMEFT.

  7. Surgical approach to right colon cancer: From open technique to robot. State of art

    Science.gov (United States)

    Fabozzi, Massimiliano; Cirillo, Pia; Corcione, Francesco

    2016-01-01

    This work is a topic highlight on the surgical treatment of the right colon pathologies, focusing on the literature state of art and comparing the open surgery to the different laparoscopic and robotic procedures. Different laparoscopic procedures have been described for the treatment of right colon tumors: Totally laparoscopic right colectomy, laparoscopic assisted right colectomy, laparoscopic facilitated right colectomy, hand-assisted right colectomy, single incision laparoscopic surgery colectomy, robotic right colectomy. Two main characteristics of these techniques are the different type of anastomosis: Intracorporeal (for totally laparoscopic right colectomy, single incision laparoscopic surgery colectomy, laparoscopic assisted right colectomy and robotic technique) or extracorporeal (for laparoscopic assisted right colectomy, laparoscopic facilitated right colectomy, hand-assisted right colectomy and open right colectomy) and the different incision (suprapubic, median or transverse on the right side of abdomen). The different laparoscopic techniques meet the same oncological criteria of radicalism as the open surgery for the right colon. The totally laparoscopic right colectomy with intracorporeal anastomosis and even more the single incision laparoscopic surgery colectomy, remain a technical challenge due to the complexity of procedures (especially for the single incision laparoscopic surgery colectomy) and the particular right colon vascular anatomy but they seem to have some theoretical advantages compared to the other laparoscopic and open procedures. Data reported in literature while confirming the advantages of laparoscopic approach, do not allow to solve controversies about which is the best laparoscopic technique (Intracorporeal vs Extracorporeal Anastomosis) to treat the right colon cancer. However, the laparoscopic techniques with intracorporeal anastomosis for the right colon seem to show some theoretical advantages (functional, technical

  8. Image evaluation of HIV encephalopathy: a multimodal approach using quantitative MR techniques

    Energy Technology Data Exchange (ETDEWEB)

    Prado, Paulo T.C.; Escorsi-Rosset, Sara [University of Sao Paulo, Radiology Section, Internal Medicine Department, Ribeirao Preto School of Medicine, Sao Paulo (Brazil); Cervi, Maria C. [University of Sao Paulo, Department of Pediatrics, Ribeirao Preto School of Medicine, Sao Paulo (Brazil); Santos, Antonio Carlos [University of Sao Paulo, Radiology Section, Internal Medicine Department, Ribeirao Preto School of Medicine, Sao Paulo (Brazil); Hospital das Clinicas da FMRP-USP, Ribeirao Preto, SP (Brazil)

    2011-11-15

    A multimodal approach of the human immunodeficiency virus (HIV) encephalopathy using quantitative magnetic resonance (MR) techniques can demonstrate brain changes not detectable only with conventional magnetic resonance imaging (MRI). The aim of this study was to compare conventional MRI and MR quantitative techniques, such as magnetic resonance spectroscopy (MRS) and relaxometry and to determine whether quantitative techniques are more sensitive than conventional imaging for brain changes caused by HIV infection. We studied prospectively nine HIV positive children (mean age 6 years, from 5 to 8 years old) and nine controls (mean age 7.3 years; from 3 to 10 years), using MRS and relaxometry. Examinations were carried on 1.5-T equipment. HIV-positive patients presented with only minor findings and all control patients had normal conventional MR findings. MRS findings showed an increase in choline to creatine (CHO/CRE) ratios bilaterally in both frontal gray and white matter, in the left parietal white matter, and in total CHO/CRE ratio. In contrast, N-acetylaspartate to creatine (NAA/CRE) ratios did not present with any significant difference between both groups. Relaxometry showed significant bilateral abnormalities, with lengthening of the relaxation time in HIV positive in many regions. Conventional MRI is not sensitive for early brain changes caused by HIV infection. Quantitative techniques such as MRS and relaxometry appear as valuable tools in the diagnosis of these early changes. Therefore, a multimodal quantitative study can be useful in demonstrating and understanding the physiopathology of the disease. (orig.)

  9. Software engineering techniques applied to agricultural systems an object-oriented and UML approach

    CERN Document Server

    Papajorgji, Petraq J

    2014-01-01

    Software Engineering Techniques Applied to Agricultural Systems presents cutting-edge software engineering techniques for designing and implementing better agricultural software systems based on the object-oriented paradigm and the Unified Modeling Language (UML). The focus is on the presentation of  rigorous step-by-step approaches for modeling flexible agricultural and environmental systems, starting with a conceptual diagram representing elements of the system and their relationships. Furthermore, diagrams such as sequential and collaboration diagrams are used to explain the dynamic and static aspects of the software system.    This second edition includes: a new chapter on Object Constraint Language (OCL), a new section dedicated to the Model-VIEW-Controller (MVC) design pattern, new chapters presenting details of two MDA-based tools – the Virtual Enterprise and Olivia Nova, and a new chapter with exercises on conceptual modeling.  It may be highly useful to undergraduate and graduate students as t...

  10. A multi-technique approach for detecting and evaluating material inconsistencies in historical banknotes.

    Science.gov (United States)

    Del Hoyo-Meléndez, Julio M; Gondko, Klaudia; Mendys, Agata; Król, Maſgorzata; Klisiſska-Kopacz, Anna; Sobczyk, Joanna; Jaworucka-Drath, Anda

    2016-09-01

    The identification of forged and genuine historical banknotes is an important problem for private collectors and researchers responsible for the care of numismatic collections. This paper presents a research approach for detecting material differences in historical banknotes through the use of microfading spectrometry along with other techniques such as hyperspectral image analysis, Fourier-transform infrared spectroscopy, and X-ray fluorescence spectrometry. Microfading spectrometry results showed higher sensitivity to light irradiation for an overprint ink used on a suspicious banknote relative to its counterparts. In addition, the spectrocolorimetric changes experienced by the paper substrates during microfade testing also provided a way for discriminating between two groups of banknotes. These variations have been confirmed after analyzing the spectral and physico-chemical data obtained using the abovementioned complementary techniques. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  11. Approaches to Increasing Ethical Compliance in China with Drug Trial Standards of Practice

    DEFF Research Database (Denmark)

    Rosenberg, Jacob

    2016-01-01

    researchers, and strong reinforcement by Chinese journal editors not to publish studies with these flaws, then research ethics and publication standards will probably improve. Other solutions to foster ethical practice of drug trials are discussed including Chinese initiatives directed at managing conflict......Zeng et al.'s Ethics Review highlights some of the challenges associated with clinical research in China. They found that only a minority of published clinical trials of anti-dementia drugs reported that they fulfilled the basic ethical principles as outlined in the Declaration of Helsinki....... With recent reports of scientific misconduct from China, there is an urgent need to find approaches to compel researchers to adhere to ethical research practices. This problem does not call for a simple solution, but if forces are joined with governmental regulations, education in ethics issues for medical...

  12. Marketing moxie for librarians fresh ideas, proven techniques, and innovative approaches

    CERN Document Server

    Watson-Lakamp, Paula

    2015-01-01

    Robust, resilient, and flexible marketing is an absolute necessity for today's libraries. Fortunately, marketing can be fun. Through this savvy guide, you'll discover a wealth of fresh, actionable ideas and approaches that can be combined with tried-and-true marketing techniques to serve any library. Focusing on building platforms rather than chasing trends, the book offers low- and no-budget ideas for those in small libraries as well as information that can be used by libraries that have a staff of professionals. The guide opens with an overview of the basics of marketing and continues throug

  13. A multi-technique approach for the characterization of Roman mural paintings

    Science.gov (United States)

    Toschi, Francesco; Paladini, Alessandra; Colosi, Francesca; Cafarelli, Patrizia; Valentini, Veronica; Falconieri, Mauro; Gagliardi, Serena; Santoro, Paola

    2013-11-01

    In the frame of an ongoing archeological study on the Sabina area, a countryside close to Rome, white and red samples of roman wall paintings have been investigated by combining X-ray diffraction and different spectroscopic methodologies, namely laser induced breakdown spectroscopy, μ-Raman and Fourier transform infrared attenuated total reflectance spectroscopy. The used multi-technique approach has allowed the unambiguous identification of the red pigment as red ochre and has provided insight on the provenance of both the pigment and the material used for the realization of the wall paintings. The experimental results have confirmed some assumptions on the use of local materials in roman rural architecture.

  14. A new approach of watermarking technique by means multichannel wavelet functions

    Science.gov (United States)

    Agreste, Santa; Puccio, Luigia

    2012-12-01

    The digital piracy involving images, music, movies, books, and so on, is a legal problem that has not found a solution. Therefore it becomes crucial to create and to develop methods and numerical algorithms in order to solve the copyright problems. In this paper we focus the attention on a new approach of watermarking technique applied to digital color images. Our aim is to describe the realized watermarking algorithm based on multichannel wavelet functions with multiplicity r = 3, called MCWM 1.0. We report a large experimentation and some important numerical results in order to show the robustness of the proposed algorithm to geometrical attacks.

  15. A Modified Stoppa (Technique Approach for Treatment of Pediatric Acetabular Fractures

    Directory of Open Access Journals (Sweden)

    Mehmet Elmadag

    2013-01-01

    Full Text Available Pediatric acetabular fractures are rare, and anterior column fractures are even rarer. Generally, conservative treatment is applied. If there is displacement of more than 2 mm or findings of instability or fragments within the joint, then surgical treatment is applied. Anterior and posterior approaches may be used in surgical treatment. With pediatric patients, even greater care should be taken in the choice of surgery to be performed according to the fracture pattern to avoid postoperative triradiate cartilage damage. Therefore, minimally invasive surgery is more appropriate. We herein present a case of an acetabulum anterior column posterior hemitransverse fracture following a traffic accident, which was treated surgically using a modified Stoppa (technique approach.

  16. Multidimensional Poverty Indices and First Order Dominance Techniques: An Empirical Comparison of Different Approaches

    DEFF Research Database (Denmark)

    Hussain, M. Azhar; Permanyer, Iñaki

    2018-01-01

    In this paper we contrast different perspectives to the measurement of multidimensional poverty. Using data from 38 Demographic and Health Surveys around the developing world, we have compared the performance of two broad approaches: multidimensional poverty indices and first order dominance tech...... gradient that exists between countries, it can be proposed as a viable alternative to the MPI with the advantage of not having to rely on the somewhat arbitrary and normatively binding assumptions that underpin the construction of UNDP’s index.......In this paper we contrast different perspectives to the measurement of multidimensional poverty. Using data from 38 Demographic and Health Surveys around the developing world, we have compared the performance of two broad approaches: multidimensional poverty indices and first order dominance...... techniques (FOD). Our empirical findings suggest that the FOD approach might be a reasonable cost-effective alternative to the United Nations Development Program (UNDP)’s flagship poverty indicator: the Multidimensional Poverty Index (MPI). To the extent that the FOD approach is able to uncover the socio-economic...

  17. Demonstration of a 10 V programmable Josephson voltage standard system based on a multi-chip technique

    Energy Technology Data Exchange (ETDEWEB)

    Yamada, T; Sasaki, H; Yamamori, H; Shoji, A [National Institute of Advanced Industrial Science and Technology, 1-1-1 Umezono, Tsukuba 305-8568 (Japan)], E-mail: yamada-takahiro@aist.go.jp

    2008-03-01

    We have demonstrated a programmable Josephson voltage standard (PJVS) operation up to 10.84 V using a multi-chip technique. We combined two PJVS chips fabricated using NbN/(TiN{sub x}/NbN){sub 2} junction technology. Each PJVS chip was mounted on a single chip carrier using bonding wire, and the two chip carriers were connected by a simple Cu lead wire, and mounted on a cryocooler. High-precision measurements confirmed flat voltage steps for all 22 cells, with a peak-to-peak variation of 100 nV and wide margins of at least 0.35 mA. We also confirmed the stability of the voltage steps in spite of a temperature and RF frequency variation of {+-} 0.1 K and {+-} 0.1 GHz, respectively.

  18. Bowel sparing in pediatric cranio-spinal radiotherapy: a comparison of combined electron and photon and helical TomoTherapy techniques to a standard photon method

    International Nuclear Information System (INIS)

    Harron, Elizabeth; Lewis, Joanne

    2012-01-01

    The aim of this study was to compare the dose to organs at risk (OARs) from different craniospinal radiotherapy treatment approaches available at the Northern Centre for Cancer Care (NCCC), with a particular emphasis on sparing the bowel. Method: Treatment plans were produced for a pediatric medulloblastoma patient with inflammatory bowel disease using 3D conformal 6-MV photons (3DCP), combined 3D 6-MV photons and 18-MeV electrons (3DPE), and helical photon TomoTherapy (HT). The 3DPE plan was a modification of the standard 3DCP technique, using electrons to treat the spine inferior to the level of the diaphragm. The plans were compared in terms of the dose-volume data to OARs and the nontumor integral dose. Results: The 3DPE plan was found to give the lowest dose to the bowel and the lowest nontumor integral dose of the 3 techniques. However, the coverage of the spine planning target volume (PTV) was least homogeneous using this technique, with only 74.6% of the PTV covered by 95% of the prescribed dose. HT was able to achieve the best coverage of the PTVs (99.0% of the whole-brain PTV and 93.1% of the spine PTV received 95% of the prescribed dose), but delivered a significantly higher integral dose. HT was able to spare the heart, thyroid, and eyes better than the linac-based techniques, but other OARs received a higher dose. Conclusions: Use of electrons was the best method for reducing the dose to the bowel and the integral dose, at the expense of compromised spine PTV coverage. For some patients, HT may be a viable method of improving dose homogeneity and reducing selected OAR doses.

  19. A STUDY ON ENGLISH TEACHERS’ TEACHING APPROACHES, METHODS, AND TECHNIQUES AT A STATE SENIOR HIGH SCHOOL IN ENREKANG, INDONESIA

    Directory of Open Access Journals (Sweden)

    Ita Sarmita Samad

    2016-11-01

    Full Text Available This research was aimed at identifying the approaches, methods and techniques used by the English teachers at a state senior high school in Enrekang, Indonesia in teaching English as a foreign language. Furthermore, the consistency of the approaches, methods, and techniques is also identifed. This research applied explorative qualitative research design. The subjects were all of the English teachers in that school. They were chosen through purpossive sampling technique. They were interviewed and observed to get data regarding their teaching approach, method, and technique. Their lesson plan were copied to gain supporting data. Based on fndings and discussion, the approaches used by teacher 1 were communicative and behaviorism approach. Teacher 2 applied systemic functional linguistic and constructivism/ cognitivism. Most of the techniques used by teacher 1 reflected behaviorism approach or principles of grammar translation method while the techniques used by teacher 2 reflected both of behaviorism and constructivism. In the case of the consistency, the English teachers still showed a considerable inconsistency. Yet, comparing with teacher 1, teacher 2 was more consistent. It is concluded that the two English teachers still need further upgrading regarding approaches, methods, and techniques of teaching English as a foreign language.

  20. Comparison of Standard and Novel Signal Analysis Approaches to Obstructive Sleep Apnoea Classification

    Directory of Open Access Journals (Sweden)

    Aoife eRoebuck

    2015-08-01

    Full Text Available Obstructive sleep apnoea (OSA is a disorder characterised by repeated pauses in breathing during sleep, which leads to deoxygenation and voiced chokes at the end of each episode. OSA is associated by daytime sleepiness and an increased risk of serious conditions such as cardiovascular disease, diabetes and stroke. Between 2-7% of the adult population globally has OSA, but it is estimated that up to 90% of those are undiagnosed and untreated. Diagnosis of OSA requires expensive and cumbersome screening. Audio offers a potential non-contact alternative, particularly with the ubiquity of excellent signal processing on every phone.Previous studies have focused on the classification of snoring and apnoeic chokes. However, such approaches require accurate identification of events. This leads to limited accuracy and small study populations. In this work we propose an alternative approach which uses multiscale entropy (MSE coefficients presented to a classifier to identify disorder in vocal patterns indicative of sleep apnoea. A database of 858 patients was used, the largest reported in this domain. Apnoeic choke, snore, and noise events encoded with speech analysis features were input into a linear classifier. Coefficients of MSE derived from the first 4 hours of each recording were used to train and test a random forest to classify patients as apnoeic or not.Standard speech analysis approaches for event classification achieved an out of sample accuracy (Ac of 76.9% with a sensitivity (Se of 29.2% and a specificity (Sp of 88.7% but high variance. For OSA severity classification, MSE provided an out of sample Ac of 79.9%, Se of 66.0% and Sp = 88.8%. Including demographic information improved the MSE-based classification performance to Ac = 80.5%, Se = 69.2%, Sp = 87.9%. These results indicate that audio recordings could be used in screening for OSA, but are generally under-sensitive.

  1. Strategic approaches and assessment techniques-Potential for knowledge brokerage towards sustainability

    International Nuclear Information System (INIS)

    Sheate, William R.; Partidario, Maria Rosario

    2010-01-01

    The role of science in policy and decision-making has been an issue of intensive debate over the past decade. The concept of knowledge brokerage has been developing in this context contemplating issues of communication, interaction, sharing of knowledge, contribution to common understandings, as well as to effective and efficient action. For environmental and sustainability policy and decision-making the discussion has addressed more the essence of the issue rather than the techniques that can be used to enable knowledge brokerage. This paper aims to contribute to covering this apparent gap in current discussion by selecting and examining empirical cases from Portugal and the United Kingdom that can help to explore how certain environmental and sustainability assessment approaches can contribute, if well applied, to strengthen the science-policy link. The cases show that strategic assessment approaches and techniques have the potential to promote knowledge brokerage, but a conscious effort will be required to design in genuine opportunities to facilitate knowledge exchange and transfer as part of assessment processes.

  2. Population-genetic approach to standardization of radiation and non-radiation factors

    International Nuclear Information System (INIS)

    Telnov, I.

    2006-01-01

    population level. Of 65 analyses of association between diseases and unfavorable effects and various genetic polymorphic systems, 27 had negative results. Other 38 had significant, i.e. positive results. Respective G.S.R.R. varied accordingly in the range from 1.2 to 2.5. Averaged G.S.R.R. for some genetic systems ranged from 1.4 to 1.9. More stable and closer values of averaged G.S.R.R. calculated for various categories of effects: pathologies due to radiation and non-radiation factors - 1.51; non-tumor (1,47) and tumor (1,54) diseases; average life expectancy - 1.34. Population-averaged or integral value of G.S.R.R. was about 1.5. This value can be used as genetic predisposition coefficient (C.G.P.) for correction in averaging of environmental population level factors. Such correction can be done by decreasing of permissible standard value by the value of C.G.P. to calculate population-genetic standard. It should be noted that population-genetic standards decrease risk of development of unfavorable consequences due to effect of environmental factors in individuals with genetic predisposition to the general population level. An important advantage of this approach is that there is no need to account for all existing variations of genetic predisposition to multiform unfavorable environmental factors

  3. Population-genetic approach to standardization of radiation and non-radiation factors

    Energy Technology Data Exchange (ETDEWEB)

    Telnov, I. [Southern Urals Biophysics Institute, Ozersk (Russian Federation)

    2006-07-01

    characteristics on population level. Of 65 analyses of association between diseases and unfavorable effects and various genetic polymorphic systems, 27 had negative results. Other 38 had significant, i.e. positive results. Respective G.S.R.R. varied accordingly in the range from 1.2 to 2.5. Averaged G.S.R.R. for some genetic systems ranged from 1.4 to 1.9. More stable and closer values of averaged G.S.R.R. calculated for various categories of effects: pathologies due to radiation and non-radiation factors - 1.51; non-tumor (1,47) and tumor (1,54) diseases; average life expectancy - 1.34. Population-averaged or integral value of G.S.R.R. was about 1.5. This value can be used as genetic predisposition coefficient (C.G.P.) for correction in averaging of environmental population level factors. Such correction can be done by decreasing of permissible standard value by the value of C.G.P. to calculate population-genetic standard. It should be noted that population-genetic standards decrease risk of development of unfavorable consequences due to effect of environmental factors in individuals with genetic predisposition to the general population level. An important advantage of this approach is that there is no need to account for all existing variations of genetic predisposition to multiform unfavorable environmental factors.

  4. Late effects of craniospinal irradiation for standard risk medulloblastoma in paediatric patients: A comparison of treatment techniques

    International Nuclear Information System (INIS)

    Leman, J.

    2016-01-01

    Background: Survival rates for standard risk medulloblastoma are favourable, but craniospinal irradiation (CSI) necessary to eradicate microscopic spread causes life limiting late effects. Aims: The aim of this paper is to compare CSI techniques in terms of toxicity and quality of life for survivors. Methods and materials: A literature search was conducted using synonyms of ‘medulloblastoma’, ’craniospinal’, ‘radiotherapy’ and ‘side effects’ to highlight 29 papers that would facilitate this discussion. Results and discussion: Intensity modulated radiotherapy (IMRT), tomotherapy and protons all provide CSI which can reduce dose to normal tissue, however photon methods cannot eliminate exit dose as well as protons can. Research for each technique requires longer term follow up in order to prove that survival rates remain high whilst reducing late effects. Findings/conclusion: Proton therapy is the superior method of CSI in term of late effects, but more research is needed to evidence this. Until proton therapy is available in the UK IMRT should be utilised. - Highlights: • Craniospinal irradiation is vital in the treatment of medulloblastoma. • Survivors often suffer long term side effects which reduce quality of life. • Tomotherapy, IMRT and proton therapy reduce late effects by sparing normal tissue. • Proton therapy offers superior dose distribution but further research is necessary. • IMRT should be employed for photon radiotherapy.

  5. Anterior approach white line advancement: technique and long-term outcomes in the correction of blepharoptosis.

    Science.gov (United States)

    Schulz, C B; Nicholson, R; Penwarden, A; Parkin, B

    2017-12-01

    PurposeAnterior approach white line advancement presents a novel surgical option for correction of blepharoptosis. The technique draws on several advantages of other approaches. The aim of this study was to present outcomes using this technique at a minimum follow-up of 18 months.Patients and methodsParticipants having undergone anterior approach white line advancement ptosis correction at a single institution were retrospectively recruited at a minimum of 18 months' follow-up. A total of 18 independent eyelid measurements were recorded at final review. Outcomes included long-term rate of surgical success, upper eyelid margin-reflex distance (MRD1) at both early and late post-operative follow-up, inter-eyelid asymmetry, complications, re-operation rate, patient satisfaction, and quality-of-life improvement using the Glasgow Benefit Inventory (GBI). Pre- and post-operative MRD1, as well as inter-eyelid asymmetry, were compared using a two-tailed t-test.ResultsIn total, 82 eyelids of 47 participants were included with a mean follow-up of 2.3 years (range 1.5-3.7). Surgical success was achieved in 91.5%, with a final mean MRD1 of 3.5 mm (95% confidence 3.2-3.7). An increase of 2.4 mm (2.1-2.8) in eyelid height was observed between baseline and long-term follow-up (P<0.0001). No significant change was observed between early and late post-operative follow-up. Pre-operative asymmetry was reduced from 1.0 mm (0.7-1.3) to 0.4 mm (0.3-0.5; P<0.0001). Patient satisfaction was 95.7% with a mean GBI score of +21.8 (13.2-30.3).ConclusionsAnterior approach white line advancement presents an excellent option for patients undergoing ptosis correction with favourable long-term results. Comparisons are made with other techniques with respect to anatomical, functional, and surgical factors.

  6. Severe Gynecomastia: New Technique Using Superior Pedicle NAC Flap Through a Circumareolar Approach.

    Science.gov (United States)

    Ibrahiem, Saad Mohamed Saad

    2016-06-01

    : Gynecomastia is defined as benign proliferation of glandular breast tissue in men. Gynecomastia causes considerable emotional discomfort because of limitation of everyday activity especially in young men. Surgical treatment of gynecomastia significantly contributes to an increase in social activity and an improvement of social acceptance and emotional comfort, and thus significantly improves satisfaction from personal life in men who underwent this intervention. Various surgical techniques were suggested to treat gynecomastia, but most of them end with visible scars especially in severe degree gynecomastia. The aim of many plastic surgeons is to advocate new techniques treating severe gynecomastia (grade II B and III according to Simon et al) with less visible scars. The author proposed a new technique combining both surgery and liposuction for treating grade II B and III gynecomastia using only circumareolar approach. This study evaluates aesthetic results after surgery and assessment of the incidence of early and late postoperative complications. The patient was marked preoperatively while standing. Under general anesthesia, ultrasound-assisted liposuction of the periglandular area and de-epithelialization of excess skin were performed. A superiorly based nipple areola complex flap was created based on the subdermal plexus. The excess glandular tissue was resected through the lower half of the circle of the de-epithelialized area. Closure of the wound was done after insertion of 14-French redivac. This treatment protocol was applied to 27 patients, 18 to 53 years of age, from February 2008 till now. Among these patients, 4 were classified as type IIB and 23 as type III. Follow-up ranged from 3 months to 4 years. Complications were the following: 1 hematoma, 1 wound dehiscence, 1 loss of nipple areola complex, 2 cases of hypertrophied scars, and 3 minor aesthetic problems near areolae. A new periareolar approach for correction of severe-grade gynecomastia

  7. Standardized in vivo model for studying novel regenerative approaches for multitissue bone-ligament interfaces.

    Science.gov (United States)

    Padial-Molina, Miguel; Rodriguez, Juan C; Volk, Sarah L; Rios, Hector F

    2015-07-01

    The regeneration of the original structure and function of bone-ligament interfaces remains a major challenge in biomedical research. A preclinical model that maintains physiologic mechanical loads and controls for other external factors, such as microbial influence, is of great value for testing novel regenerative materials, provided that studies are performed by highly trained researchers with proper regard for animal welfare. The tooth root fenestration preclinical model is an ideal tool for hard tissue evaluation by micro-computed tomography, histological techniques and RNA analyses. The procedure starts with an extraoral incision lateral to the mandible and reflection of the masseter muscle. Superficial lateral mandibular bone is removed with standardized dimensions to expose the roots of the teeth and to eliminate periodontal ligament and cementum to expose the tooth dentin. The testing material can subsequently be applied to the defect and the flap can be repositioned and secured back in place. At specific time points, samples are collected and processed according to the subsequent analyses to be performed, which can include descriptive histology, histomorphometry, immunostaining, 3D bone imaging, electron microscopy, gene expression analyses and safety assessments.

  8. Assessing the cleanliness of surfaces: Innovative molecular approaches vs. standard spore assays

    Energy Technology Data Exchange (ETDEWEB)

    Cooper, M.; Duc, M.T. La; Probst, A.; Vaishampayan, P.; Stam, C.; Benardini, J.N.; Piceno, Y.M.; Andersen, G.L.; Venkateswaran, K.

    2011-04-01

    A bacterial spore assay and a molecular DNA microarray method were compared for their ability to assess relative cleanliness in the context of bacterial abundance and diversity on spacecraft surfaces. Colony counts derived from the NASA standard spore assay were extremely low for spacecraft surfaces. However, the PhyloChip generation 3 (G3) DNA microarray resolved the genetic signatures of a highly diverse suite of microorganisms in the very same sample set. Samples completely devoid of cultivable spores were shown to harbor the DNA of more than 100 distinct microbial phylotypes. Furthermore, samples with higher numbers of cultivable spores did not necessarily give rise to a greater microbial diversity upon analysis with the DNA microarray. The findings of this study clearly demonstrated that there is not a statistically significant correlation between the cultivable spore counts obtained from a sample and the degree of bacterial diversity present. Based on these results, it can be stated that validated state-of-the-art molecular techniques, such as DNA microarrays, can be utilized in parallel with classical culture-based methods to further describe the cleanliness of spacecraft surfaces.

  9. Posterior malleolar fracture: technique and clinical ex-perience of the posterolateral approach

    Directory of Open Access Journals (Sweden)

    HUANG Ruo-kun

    2012-04-01

    Full Text Available 【Abstract】Objective: To introduce the postero-lateral surgical approach to the posterior malleolar fracture and report its clinical outcomes in 32 cases. Methods: This study consisted of 32 cases, 22 males and 10 females with the mean age of 48 years (range, 21-63 years, suffering from posterior malleolar fracture. All cases were treated with the posterolateral surgical approach to the ankle. The average follow-up period was 28 months (range, 24-35 months. The clinical outcomes of these cases were evaluated on the basis of the Olerud-Molander Ankle (OMA score and plain radiographs. Results: All cases showed radiological evidence of bony union at follow-up. The average OMA score was 82 points; 21 cases had excellent scores (90-100 points, 9 good (61-90 points, and 2 fair (31-60 points. The excellent-to-good rate was 93.8%. Although most cases did not show any wound dehiscence or necrosis, one patient had a su-perficial infection which healed after using antibiotic dress-ing and one had sural cutaneous nerve injury that under-went spontaneous remission without any treatment after three months. In addition, one presented with mild symp-toms of peroneal tendonitis that disappeared after plate removal. Conclusion: The posterolateral approach offers an effective technique for fracture reduction and fixation of large posterior malleolar fragments. Key words: Ankle injuries; Dislocations; Fracture fixation, internal

  10. Rainfall Prediction of Indian Peninsula: Comparison of Time Series Based Approach and Predictor Based Approach using Machine Learning Techniques

    Science.gov (United States)

    Dash, Y.; Mishra, S. K.; Panigrahi, B. K.

    2017-12-01

    Prediction of northeast/post monsoon rainfall which occur during October, November and December (OND) over Indian peninsula is a challenging task due to the dynamic nature of uncertain chaotic climate. It is imperative to elucidate this issue by examining performance of different machine leaning (ML) approaches. The prime objective of this research is to compare between a) statistical prediction using historical rainfall observations and global atmosphere-ocean predictors like Sea Surface Temperature (SST) and Sea Level Pressure (SLP) and b) empirical prediction based on a time series analysis of past rainfall data without using any other predictors. Initially, ML techniques have been applied on SST and SLP data (1948-2014) obtained from NCEP/NCAR reanalysis monthly mean provided by the NOAA ESRL PSD. Later, this study investigated the applicability of ML methods using OND rainfall time series for 1948-2014 and forecasted up to 2018. The predicted values of aforementioned methods were verified using observed time series data collected from Indian Institute of Tropical Meteorology and the result revealed good performance of ML algorithms with minimal error scores. Thus, it is found that both statistical and empirical methods are useful for long range climatic projections.

  11. Layout techniques to enhance the radiation tolerance of standard CMOS technologies demonstrated on a pixel detector readout chip

    CERN Document Server

    Snoeys, W; Burns, M; Campbell, M; Cantatore, E; Carrer, N; Casagrande, L; Cavagnoli, A; Dachs, C; Di Liberto, S; Formenti, F; Giraldo, A; Heijne, Erik H M; Jarron, Pierre; Letheren, M F; Marchioro, A; Martinengo, P; Meddi, F; Mikulec, B; Morando, M; Morel, M; Noah, E; Paccagnella, A; Ropotar, I; Saladino, S; Sansen, Willy; Santopietro, F; Scarlassara, F; Segato, G F; Signe, P M; Soramel, F; Vannucci, Luigi; Vleugels, K

    2000-01-01

    A new pixel readout prototype has been developed at CERN for high- energy physics applications. This full mixed mode circuit has been implemented in a commercial 0.5 mu m CMOS technology. Its radiation tolerance has been enhanced by designing all NMOS transistors in enclosed geometry and introducing guardrings wherever necessary. The technique is explained and its effectiveness demonstrated on various irradiation measurements on individual transistors and on the prototype. Circuit performance started to degrade only after a total dose of 600 krad-1.7 Mrad depending on the type of radiation. 10 keV X-rays, /sup 60/Co gamma-rays, 6.5 MeV protons, and minimum ionizing particles were used. Implications of this layout approach on the circuit design and perspectives for even deeper submicron technologies are discussed. (20 refs).

  12. Needle position analysis in cases of paralysis from transforaminal epidurals: consider alternative approaches to traditional technique.

    Science.gov (United States)

    Atluri, Sairam; Glaser, Scott E; Shah, Rinoo V; Sudarshan, Gururau

    2013-01-01

    Transforaminal technique for epidural steroid injections, unlike other approaches, is uniquely associated with permanent, bilateral, lower extremity paralysis. To review the literature and analyze the reported cases of paralysis from lumbar transforaminal epidural steroid injections to possibly establish a cause and to prevent this complication. Eighteen cases of paralysis from transforaminal epidural injection have been reported. We could analyze the position of the needle within the neural foramen based on the available images and/or description among 10 of these 18 cases. Five cases were performed with computed tomography guidance and 12 cases were performed with fluoroscopic guidance [unknown in one case]. Additionally, other variables associated with the procedure, including the technique, were also examined. Analysis of the needle position in the neural foramen in cases of paralysis from transforaminal epidural steroid injections. This analysis is based on images and/or description provided in published reports. Paralysis in these cases seems to be associated with a well performed traditional safe triangle approach with good epidural contrast spreads. Analyzed data shows that 77.7% of the time, the needle was in the superior part of the foramen. In 71.4% of the cases, the needle was in the anterior part of the foramen. This coincides with the location of the radicular artery in the foramen. In 22.2%, the needle was in the midzone (neither in the superior nor inferior zone). No level was spared as this event occurred at every foramen from T12 to S1. Ten of these events happened during a left-sided procedure and 8 during a right-sided procedure. No relation to this complication was noted when other variables like type and size of the needles, side of the injection, local anesthetic, contrast, or volume of injectate were taken into consideration. Only 18 cases of paralysis from transforaminal epidurals have been reported. Out of these, only 10 cases included

  13. Development, improvement and calibration of neutronic reaction rate measurements: elaboration of a base of standard techniques; Developpement, amelioration et calibration des mesures de taux de reaction neutroniques: elaboration d`une base de techniques standards

    Energy Technology Data Exchange (ETDEWEB)

    Hudelot, J.P

    1998-06-19

    In order to improve and to validate the neutronic calculation schemes, perfecting integral measurements of neutronic parameters is necessary. This thesis focuses on the conception, the improvement and the development of neutronic reaction rates measurements, and aims at building a base of standard techniques. Two subjects are discussed. The first one deals with direct measurements by fission chambers. A short presentation of the different usual techniques is given. Then, those last ones are applied through the example of doubling time measurements on the EOLE facility during the MISTRAL 1 experimental programme. Two calibration devices of fission chambers are developed: a thermal column located in the central part of the MINERVE facility, and a calibration cell using a pulsed high flux neutron generator and based on the discrimination of the energy of the neutrons with a time-of-flight method. This second device will soon allow to measure the mass of fission chambers with a precision of about 1 %. Finally, the necessity of those calibrations will be shown through spectral indices measurements in core MISTRAL 1 (UO{sub 2}) and MISTRAL 2 (MOX) of the EOLE facility. In each case, the associated calculation schemes, performed using the Monte Carlo MCNP code with the ENDF-BV library, will be validated. Concerning the second one, the goal is to develop a method for measuring the modified conversion ratio of {sup 238}U (defined as the ratio of {sup 238}U capture rate to total fission rate) by gamma-ray spectrometry of fuel rods. Within the framework of the MISTRAL 1 and MISTRAL 2 programmes, the measurement device, the experimental results and the spectrometer calibration are described. Furthermore, the MCNP calculations of neutron self-shielding and gamma self-absorption are validated. It is finally shown that measurement uncertainties are better than 1 %. The extension of this technique to future modified conversion ratio measurements for {sup 242}Pu (on MOX rods) and

  14. A unique approach for reducing specimen labeling errors: combining marketing techniques with performance improvement.

    Science.gov (United States)

    Simpson, J B

    2001-01-01

    Challenged with persistent specimen labeling errors that were resistant to improvement efforts, our organization selected "reducing specimen labeling errors" as an indicator for a hospital-wide error reduction goal. Modeling quality improvement guidelines published in the institute of Medicine's report "To Err is Human, Building a Safer Health System," a multidisciplinary task force "error proofed" processes. The task force created new standards and crafted an implementation plan using an internal marketing strategy to change current practices and reinforce patient safety as a core value within our institution. This unique approach reduced errors by 41% and provided learning opportunities that will be valuable in more challenging patient safety initiatives such as medication error reduction.

  15. Approaching bathymetry estimation from high resolution multispectral satellite images using a neuro-fuzzy technique

    Science.gov (United States)

    Corucci, Linda; Masini, Andrea; Cococcioni, Marco

    2011-01-01

    This paper addresses bathymetry estimation from high resolution multispectral satellite images by proposing an accurate supervised method, based on a neuro-fuzzy approach. The method is applied to two Quickbird images of the same area, acquired in different years and meteorological conditions, and is validated using truth data. Performance is studied in different realistic situations of in situ data availability. The method allows to achieve a mean standard deviation of 36.7 cm for estimated water depths in the range [-18, -1] m. When only data collected along a closed path are used as a training set, a mean STD of 45 cm is obtained. The effect of both meteorological conditions and training set size reduction on the overall performance is also investigated.

  16. Fast correction approach for wavefront sensorless adaptive optics based on a linear phase diversity technique.

    Science.gov (United States)

    Yue, Dan; Nie, Haitao; Li, Ye; Ying, Changsheng

    2018-03-01

    Wavefront sensorless (WFSless) adaptive optics (AO) systems have been widely studied in recent years. To reach optimum results, such systems require an efficient correction method. This paper presents a fast wavefront correction approach for a WFSless AO system mainly based on the linear phase diversity (PD) technique. The fast closed-loop control algorithm is set up based on the linear relationship between the drive voltage of the deformable mirror (DM) and the far-field images of the system, which is obtained through the linear PD algorithm combined with the influence function of the DM. A large number of phase screens under different turbulence strengths are simulated to test the performance of the proposed method. The numerical simulation results show that the method has fast convergence rate and strong correction ability, a few correction times can achieve good correction results, and can effectively improve the imaging quality of the system while needing fewer measurements of CCD data.

  17. Rational approach, technique and selection criteria treating lumbar disk herniations by oxygen-ozone therapy.

    Science.gov (United States)

    Muto, Mario; Giurazza, Francesco; Silva, Ricardo Pimentel; Guarnieri, Gianluigi

    2016-12-01

    Radicular lumbar back pain is an important public health problem not yet benefiting from a unequivocal treatment approach. Medical and physical therapies represent the first solution; however, when these fail, the second therapeutic step is still controversial and mini-invasive treatments may play an important role. In these cases oxygen-ozone therapy has been proved to be a very safe and effective option that is widely used with different modalities. This paper, by reviewing oxygen-ozone therapy literature data, aims to describe the rationale of oxygen-ozone therapy for the treatment of lumbar disk herniations, propose an effective procedural technique and clarify patient selection criteria; furthermore, complications and follow-up management are also considered. © The Author(s) 2016.

  18. Standardization of Unani polyherbal formulation, Qurse-e-Hummaz: A comprehensive approach

    Directory of Open Access Journals (Sweden)

    Y T Kamal

    2016-01-01

    Full Text Available Background: An increase in the awareness about the advantages of the traditional system of medicines has led to the commercialization of the formulations used for the treatments. Manufacture of these medicines to meet this increasing demand has resulted in a decline in their quality, primarily due to a lack of adequate regulations pertaining to this sector of medicine. Hence, it is necessary to come up with a systematic approach to develop well-designed methodologies for the standardization of polyherbal formulations which are used in traditional systems of medicine. Materials and Methods: Qurs-e-Hummaz formulations were prepared by a qualified “Hakim” (Unani medical practitioner of Faculty of Unani Medicine, Hamdard University, as per the formula and instruction given in National Formulary of Unani Medicine. Results: Various quality control parameters such as organoleptic evaluations (color, odor, taste, and consistency, physicochemical evaluations (loss on drying, disintegration time, moisture content, total ash, acid insoluble ash, water soluble ash, pH of 1 and 10% solution, extractive values, water soluble matter, alcohol-soluble matter, and total phenolic content and thin layer chromatography fingerprint profiling have been carried out in triplicate. The evaluation of contaminants such as heavy metals, aflatoxins, pesticide residues, and microbial contamination has also been carried out in the formulation. Conclusion: Help in maintaining the quality and batch to batch consistency of many important polyherbal formulations.

  19. A perturbative approach to the redshift space correlation function: beyond the Standard Model

    Energy Technology Data Exchange (ETDEWEB)

    Bose, Benjamin; Koyama, Kazuya, E-mail: benjamin.bose@port.ac.uk, E-mail: kazuya.koyama@port.ac.uk [Institute of Cosmology and Gravitation, University of Portsmouth, Burnaby Road, Portsmouth, Hampshire, PO1 3FX (United Kingdom)

    2017-08-01

    We extend our previous redshift space power spectrum code to the redshift space correlation function. Here we focus on the Gaussian Streaming Model (GSM). Again, the code accommodates a wide range of modified gravity and dark energy models. For the non-linear real space correlation function used in the GSM we use the Fourier transform of the RegPT 1-loop matter power spectrum. We compare predictions of the GSM for a Vainshtein screened and Chameleon screened model as well as GR. These predictions are compared to the Fourier transform of the Taruya, Nishimichi and Saito (TNS) redshift space power spectrum model which is fit to N-body data. We find very good agreement between the Fourier transform of the TNS model and the GSM predictions, with ≤ 6% deviations in the first two correlation function multipoles for all models for redshift space separations in 50Mpc h ≤ s ≤ 180Mpc/ h . Excellent agreement is found in the differences between the modified gravity and GR multipole predictions for both approaches to the redshift space correlation function, highlighting their matched ability in picking up deviations from GR. We elucidate the timeliness of such non-standard templates at the dawn of stage-IV surveys and discuss necessary preparations and extensions needed for upcoming high quality data.

  20. A perturbative approach to the redshift space correlation function: beyond the Standard Model

    Science.gov (United States)

    Bose, Benjamin; Koyama, Kazuya

    2017-08-01

    We extend our previous redshift space power spectrum code to the redshift space correlation function. Here we focus on the Gaussian Streaming Model (GSM). Again, the code accommodates a wide range of modified gravity and dark energy models. For the non-linear real space correlation function used in the GSM we use the Fourier transform of the RegPT 1-loop matter power spectrum. We compare predictions of the GSM for a Vainshtein screened and Chameleon screened model as well as GR. These predictions are compared to the Fourier transform of the Taruya, Nishimichi and Saito (TNS) redshift space power spectrum model which is fit to N-body data. We find very good agreement between the Fourier transform of the TNS model and the GSM predictions, with <= 6% deviations in the first two correlation function multipoles for all models for redshift space separations in 50Mpch <= s <= 180Mpc/h. Excellent agreement is found in the differences between the modified gravity and GR multipole predictions for both approaches to the redshift space correlation function, highlighting their matched ability in picking up deviations from GR. We elucidate the timeliness of such non-standard templates at the dawn of stage-IV surveys and discuss necessary preparations and extensions needed for upcoming high quality data.

  1. Multi-criteria approach with linear combination technique and analytical hierarchy process in land evaluation studies

    Directory of Open Access Journals (Sweden)

    Orhan Dengiz

    2018-01-01

    Full Text Available Land evaluation analysis is a prerequisite to achieving optimum utilization of the available land resources. Lack of knowledge on best combination of factors that suit production of yields has contributed to the low production. The aim of this study was to determine the most suitable areas for agricultural uses. For that reasons, in order to determine land suitability classes of the study area, multi-criteria approach was used with linear combination technique and analytical hierarchy process by taking into consideration of some land and soil physico-chemical characteristic such as slope, texture, depth, derange, stoniness, erosion, pH, EC, CaCO3 and organic matter. These data and land mapping unites were taken from digital detailed soil map scaled as 1:5.000. In addition, in order to was produce land suitability map GIS was program used for the study area. This study was carried out at Mahmudiye, Karaamca, Yazılı, Çiçeközü, Orhaniye and Akbıyık villages in Yenişehir district of Bursa province. Total study area is 7059 ha. 6890 ha of total study area has been used as irrigated agriculture, dry farming agriculture, pasture while, 169 ha has been used for non-agricultural activities such as settlement, road water body etc. Average annual temperature and precipitation of the study area are 16.1oC and 1039.5 mm, respectively. Finally after determination of land suitability distribution classes for the study area, it was found that 15.0% of the study area has highly (S1 and moderately (S2 while, 85% of the study area has marginally suitable and unsuitable coded as S3 and N. It was also determined some relation as compared results of linear combination technique with other hierarchy approaches such as Land Use Capability Classification and Suitability Class for Agricultural Use methods.

  2. A Multi-techniques Approach to assess reprocessing of Single-use electrosurgical pencils.

    Science.gov (United States)

    Tessarolo, Francesco; Torres, Sebastian; Ballesteros, Luis; Rigoni, Marta; Piccoli, Federico; Caola, Iole; Montoya, Yesid; Nollo, Giandomenico

    2015-01-01

    Reprocessing and reuse of single-use electrosurgical pencils (EPs) is a diffused practice in countries with limited access to healthcare subvention system and in developing countries. However, safety and efficacy issues are associated to this practice, requiring specific methods for checking the reprocessed device before clinical re-use. This study aimed at defining a set of testing methods for assessing thermal and surface characteristics of reprocessed single-use EPs and evaluating the suitability of these techniques for revealing modifications between brand new and reprocessed single-use EPs. We reported a multi-technique approach based on optical and electron microscopy, X-rays spectroscopy and thermal analysis. The assessment of a total of 30 variables of interest on both brand new and reprocessed devices, allowed to identify the most informative ones. Seven of the evaluated variables were found to differentiate the reprocessed device from the new ones in a significant way. The presented methods deserve potential for tracking modifications during the device lifecycle.

  3. An integrated spectroscopic approach for the non-invasive study of modern art materials and techniques

    Science.gov (United States)

    Rosi, F.; Miliani, C.; Clementi, C.; Kahrim, K.; Presciutti, F.; Vagnini, M.; Manuali, V.; Daveri, A.; Cartechini, L.; Brunetti, B. G.; Sgamellotti, A.

    2010-09-01

    A non-invasive study has been carried out on 18 paintings by Alberto Burri (1915-1995), one of Italy’s most important contemporary painters. The study aims to demonstrate the appropriate and suitable use of portable non-invasive instrumentation for the characterization of materials and techniques found in works dating from 1948 to 1975 belonging to the Albizzini Collection. Sampling of any kind has been forbidden, in order to maintain the integrity of the paintings. Furthermore, the material heterogeneity of each single artwork could potentially result in a poorly representative sampling campaign. Therefore, a non-invasive and in situ analytical approach has been deemed mandatory, notwithstanding the complexity of modern materials and challenging data interpretation. It is the non-invasive nature of the study that has allowed for the acquisition of vast spectral data (a total of about 650 spectra including XRF, mid and near FTIR, micro-Raman and UV-vis absorption and emission spectroscopies). In order to better handle and to extrapolate the most meaningful information from these data, a statistical multivariate analysis, namely principal component analysis (PCA), has been applied to the spectral results. In particular, the possibility of combining elemental and molecular information has been explored by uniting XRF and infrared spectra in one PCA dataset. The combination of complementary spectroscopic techniques has allowed for the characterization of both inorganic and organic pigments, extenders, fillers, and binders employed by Alberto Burri.

  4. A heuristic ranking approach on capacity benefit margin determination using Pareto-based evolutionary programming technique.

    Science.gov (United States)

    Othman, Muhammad Murtadha; Abd Rahman, Nurulazmi; Musirin, Ismail; Fotuhi-Firuzabad, Mahmud; Rajabi-Ghahnavieh, Abbas

    2015-01-01

    This paper introduces a novel multiobjective approach for capacity benefit margin (CBM) assessment taking into account tie-line reliability of interconnected systems. CBM is the imperative information utilized as a reference by the load-serving entities (LSE) to estimate a certain margin of transfer capability so that a reliable access to generation through interconnected system could be attained. A new Pareto-based evolutionary programming (EP) technique is used to perform a simultaneous determination of CBM for all areas of the interconnected system. The selection of CBM at the Pareto optimal front is proposed to be performed by referring to a heuristic ranking index that takes into account system loss of load expectation (LOLE) in various conditions. Eventually, the power transfer based available transfer capability (ATC) is determined by considering the firm and nonfirm transfers of CBM. A comprehensive set of numerical studies are conducted on the modified IEEE-RTS79 and the performance of the proposed method is numerically investigated in detail. The main advantage of the proposed technique is in terms of flexibility offered to an independent system operator in selecting an appropriate solution of CBM simultaneously for all areas.

  5. A Heuristic Ranking Approach on Capacity Benefit Margin Determination Using Pareto-Based Evolutionary Programming Technique

    Directory of Open Access Journals (Sweden)

    Muhammad Murtadha Othman

    2015-01-01

    Full Text Available This paper introduces a novel multiobjective approach for capacity benefit margin (CBM assessment taking into account tie-line reliability of interconnected systems. CBM is the imperative information utilized as a reference by the load-serving entities (LSE to estimate a certain margin of transfer capability so that a reliable access to generation through interconnected system could be attained. A new Pareto-based evolutionary programming (EP technique is used to perform a simultaneous determination of CBM for all areas of the interconnected system. The selection of CBM at the Pareto optimal front is proposed to be performed by referring to a heuristic ranking index that takes into account system loss of load expectation (LOLE in various conditions. Eventually, the power transfer based available transfer capability (ATC is determined by considering the firm and nonfirm transfers of CBM. A comprehensive set of numerical studies are conducted on the modified IEEE-RTS79 and the performance of the proposed method is numerically investigated in detail. The main advantage of the proposed technique is in terms of flexibility offered to an independent system operator in selecting an appropriate solution of CBM simultaneously for all areas.

  6. A novel technique combining laparoscopic and endovascular approaches using image fusion guidance for anterior embolization of type II endoleak

    OpenAIRE

    Zubair, M. Mujeeb; Chinnadurai, Ponraj; Loh, Francis E.; Loh, Thomas M.; Lumsden, Alan B.; Bechara, Carlos F.

    2016-01-01

    Type II endoleak (T2E) leading to aneurysm sac enlargement is one of the challenging complications associated with endovascular aneurysm repair. Recent guidelines recommend embolization of T2E associated with aneurysmal sac enlargement. Various percutaneous and endovascular techniques have been reported for embolization of T2E. We report a novel technique for T2E embolization combining laparoscopic and endovascular approaches using preoperative image fusion. We believe our technique provides ...

  7. Developing a Virtual Teach-To-Goal™ Inhaler Technique Learning Module: A Mixed Methods Approach.

    Science.gov (United States)

    Wu, Meng; Woodrick, Nicole M; Arora, Vineet M; Farnan, Jeanne M; Press, Valerie G

    Most hospitalized patients with asthma or chronic obstructive pulmonary disease misuse respiratory inhalers. An in-person educational strategy, teach-to-goal (TTG), improves inpatients' inhaler technique. To develop an effective, portable education intervention that remains accessible to hospitalized patients postdischarge for reinforcement of proper inhaler technique. A mixed methods approach at an urban academic hospital was used to iteratively develop, modify, and test a virtual teach-to-goal ™ (V-TTG ™ ) educational intervention using patient end-user feedback. A survey examined access and willingness to use technology for self-management education. Focus groups evaluated patients' feedback on access, functionality, and quality of V-TTG ™ . Forty-eight participants completed the survey, with most reporting having Internet access; 77% used the Internet at home and 82% used the Internet at least once every few weeks. More than 80% reported that they were somewhat or very likely to use V-TTG ™ to gain skills to improve their health. Most participants reported smartphone access (73%); half owned laptop computers (52%). Participants with asthma versus chronic obstructive pulmonary disease were more likely to own a smartphone, have a data plan, and have daily Internet use (P platform and delivery, Internet access, and technological literacy; functionality-usefulness, content, and teaching strategy; and quality-clarity, ease of use, length, and likability. V-TTG ™ is a promising educational tool for improving patients' inhaler technique, iteratively developed and refined with patient input. Patients in our urban, academic hospital overwhelmingly reported access to platforms and willingness to use V-TTG ™ for health education. Copyright © 2017 American Academy of Allergy, Asthma & Immunology. Published by Elsevier Inc. All rights reserved.

  8. A risk-based approach for developing standards for irrigation with reclaimed water.

    Science.gov (United States)

    Troldborg, Mads; Duckett, Dominic; Allan, Richard; Hastings, Emily; Hough, Rupert L

    2017-12-01

    A generalised quantitative risk assessment (QRA) is developed to assess the potential harm to human health resulting from irrigation with reclaimed water. The QRA is conducted as a backward calculation starting from a pre-defined acceptable risk level at the receptor point (defined as an annual infection risk of 10 -4 for pathogens and by reference doses (RfD) for chemical hazards) and results in an estimate of the corresponding acceptable concentration levels of the given hazards in the effluent. In this way the QRA is designed to inform the level of water treatment required to achieve an acceptable risk level and help establish reclaimed water quality standards. The QRA considers the exposure of human receptors to microbial and chemical hazards in the effluent through various exposure pathways and routes depending on the specific irrigation scenario. By considering multiple pathways and routes, a number of key aspects relevant to estimating human exposure to recycled water can be accounted for, including irrigation and crop handling practices (e.g., non-edible vs edible, spray vs. drip, withholding time) and volumes consumed (directly vs indirectly). The QRA relies on a large number of inputs, many of which were found to be highly uncertain. A possibilistic approach, based on fuzzy set theory, was used to propagate the uncertain input values through the QRA model to estimate the possible range of hazard concentrations that are deemed acceptable/safe for reclaimed water irrigation. Two scenarios were considered: amenity irrigation and irrigation of ready-to-eat food crops, and calculations were carried out for six example hazards (norovirus, Cryptosporidium, cadmium, lead, PCB118 and naphthalene) and using UK-specific input values. The human health risks associated with using reclaimed water for amenity irrigation were overall deemed low, i.e. the calculated acceptable concentration levels for most of the selected hazards were generally far greater than levels

  9. [An integral approach to insomnia in primary care: Non-pharmacological and phytotherapy measures compared to standard treatment].

    Science.gov (United States)

    Viniegra Domínguez, M Adela; Parellada Esquius, Neus; Miranda de Moraes Ribeiro, Rafaela; Parellada Pérez, Laura Mar; Planas Olives, Carme; Momblan Trejo, Cristina

    2015-01-01

    Insomnia is a sleep disorder in which there is an inability to fall asleep or to stay asleep. At some point in life, 50% of adults suffer from it, usually in stress situations. To evaluate the impact of sleep hygiene measures, relaxations techniques, and herbal medicine to deal with insomnia, compared with standard measures (drug treatment). An experimental, retrospective, non-randomized study was conducted by means of a review of patients diagnosed with insomnia (2008-2010). Patients in the intervention group (IG) received an integrative approach (hygiene measures, relaxation techniques, and herbal medicine) and a control group (CG) with conventional treatment. A comparison was made of the resources used in the two groups (average monthly visits pre- and post-diagnosis), type of prescribed drug therapy and total dose. Sleep quality was evaluated at 18-24 months (Epworth test). A total of 48 patients were included in the IG and 47 in the CG (70% women, mean age 46 years (SD: 14.3). Average monthly visit pre-diagnosis was 0.54 (SD: 0.42) in the IG and 0.53 (SD: 0.53) in the CG (P=.88). Post-diagnosis it was 0.36 (SD: 0.24) and 0.65 (SD: 0.46), respectively (P<.0001), with a statistically significant reduction being observed in the IG. More than half (52.5%) of the IG patients and 93.6% in the CG had received a benzodiazepine (P<.0001). Alprazolam and lorazepam were the most prescribed in the CG and with higher cumulative dose. In the subsequent evaluation, 17% of patients in the IG and 5% in CG did not have insomnia. Severe insomnia was present in 13% of patients in the IG and none in CG (P<.0001). The integrative approach to insomnia may be worthwhile as it reduces resource use and side effects, as well as dependence to benzodiazepines. Copyright © 2014 Elsevier España, S.L.U. All rights reserved.

  10. Should hand-assisted retroperitoneoscopic nephrectomy replace the standard laparoscopic technique for living donor nephrectomy? A meta-analysis.

    Science.gov (United States)

    Elmaraezy, Ahmed; Abushouk, Abdelrahman Ibrahim; Kamel, Moaz; Negida, Ahmed; Naser, Omar

    2017-04-01

    We performed this meta-analysis to compare hand-assisted retroperitoneoscopic (HARP) and traditional laparoscopic (TLS) techniques for living donor nephrectomy. We searched PubMed, Cochrane Central, EMBASE, and Web of science for prospective studies, comparing HARP and TLS techniques. Data were extracted from eligible studies and pooled as risk ratios (RR) or standardized mean difference (SMD), using RevMan software (version 5.3 for windows). We performed a sensitivity analysis to test the robustness of our evidence and a subgroup analysis to stratify intraoperative complications on Clavien-Dindo score. Seven studies (498 patients) were included in the final analysis. HARP was superior to TLS in terms of shortening the operative duration (SMD = -0.84, 95% CI [-1.18 to -0.50]) and warm ischemia time (SMD = -0.93, 95% CI [-1.13 to -0.72]). There was no significant difference between HARP and TLS in terms of blood loss (SMD = 0.13, 95% CI [-0.50 to 0.76]), hospital stay (SMD = -0.27, 95% CI [-0.70 to 0.15]) or graft survival (RR = 0.97, 95% CI [0.92 to 1.02]). The overall risk ratio of intraoperative complications did not differ significantly between the two groups (RR = 0.62, 95% CI [0.31 to 1.21]). Our meta-analysis shows that HARP was associated with a shorter surgery duration and less warm ischemia time than TLS. However, no significant differences were found between the two groups in terms of graft survival or intraoperative complication rates. We recommend HARP over TLS for living donor nephrectomy; however, future studies with larger sample sizes are recommended to compare both techniques in terms of operative safety and quality of life outcomes. Copyright © 2017 IJS Publishing Group Ltd. Published by Elsevier Ltd. All rights reserved.

  11. Evaluation of linear accelerator performance standards using an outcome oriented approach.

    Science.gov (United States)

    Rangel, Alejandra; Ploquin, Nicolas; Kay, Ian; Dunscombe, Peter

    2008-06-01

    Radiation therapy, along with other branches of medicine, is moving towards a firmer basis in evidence to optimally utilize resources. As new treatment technology and strategies place greater demands on quality assurance resources, the need to objectively evaluate equipment and process performance standards from the perspective of predicted clinical impact becomes more urgent. This study evaluates the appropriateness of recommended quality control tolerance and action levels for linear accelerators based on the calculated dosimetric impact of suboptimal equipment performance. A method is described to quantify the dosimetric changes, as reflected by the changes in the outcome surrogate, equivalent uniform dose (EUD), of machine performance deviations from the optimal, specifically in the range of tolerance and action levels promulgated by the Canadian Association of Provincial Cancer Agencies (CAPCA). Linear accelerator performance deviations were simulated for the treatment of prostate, breast, lung, and brain using 3D conformal techniques, and the impact evaluated in terms of the changes in the EUD of the target volumes and two principal organs at risk (OARs) per site. The eight key performance characteristics examined are: Output constancy, beam flatness, gantry angle, collimator angle, field size indicator, laser alignment (three directions) and, by inference, the optical distance indicator. Currently accepted CAPCA tolerance levels for these eight performance characteristics are shown to maintain average EUD deviations to within 2% for the targets and 2 Gy for the OARs. However, within the 2% or 2 Gy range, the recommended tolerance levels are found to have markedly different effects on the EUDs of the structures of interest.

  12. Radiation dose optimization research: Exposure technique approaches in CR imaging – A literature review

    International Nuclear Information System (INIS)

    Seeram, Euclid; Davidson, Rob; Bushong, Stewart; Swan, Hans

    2013-01-01

    The purpose of this paper is to review the literature on exposure technique approaches in Computed Radiography (CR) imaging as a means of radiation dose optimization in CR imaging. Specifically the review assessed three approaches: optimization of kVp; optimization of mAs; and optimization of the Exposure Indicator (EI) in practice. Only papers dating back to 2005 were described in this review. The major themes, patterns, and common findings from the literature reviewed showed that important features are related to radiation dose management strategies for digital radiography include identification of the EI as a dose control mechanism and as a “surrogate for dose management”. In addition the use of the EI has been viewed as an opportunity for dose optimization. Furthermore optimization research has focussed mainly on optimizing the kVp in CR imaging as a means of implementing the ALARA philosophy, and studies have concentrated on mainly chest imaging using different CR systems such as those commercially available from Fuji, Agfa, Kodak, and Konica-Minolta. These studies have produced “conflicting results”. In addition, a common pattern was the use of automatic exposure control (AEC) and the measurement of constant effective dose, and the use of a dose-area product (DAP) meter

  13. Foetal radiography for suspected skeletal dysplasia: technique, normal appearances, diagnostic approach

    Energy Technology Data Exchange (ETDEWEB)

    Calder, Alistair D. [Great Ormond Street Hospital for Children NHS Foundation Trust, Radiology Department, London (United Kingdom); Offiah, Amaka C. [Sheffield Children' s NHS Foundation Trust, Academic Unit of Child Health, Sheffield (United Kingdom)

    2015-04-01

    Despite advances in antenatal imaging and genetic techniques, post-delivery post-mortem foetal radiography remains the key investigation in accurate diagnosis of skeletal dysplasia manifesting in the foetus. Foetal radiography is best performed using pathology-specimen radiography equipment and is often carried out in the pathology department without involvement of the radiology unit. However, paediatric radiologists may be asked to interpret post-mortem foetal radiographs when an abnormality is suspected. Many foetal radiographs are carried out before 20 weeks' gestation, and the interpreting radiologist needs to be familiar with the range of normal post-mortem foetal appearances at different gestational ages, as well as the appearances of some of the more commonly presenting skeletal dysplasias, and will benefit from a systematic approach when assessing more challenging cases. In this pictorial essay, we illustrate various normal post-mortem foetal radiographic appearances, give examples of commonly occurring skeletal dysplasias, and describe an approach to establishing more difficult diagnoses. (orig.)

  14. Approach and landing guidance design for reusable launch vehicle using multiple sliding surfaces technique

    Directory of Open Access Journals (Sweden)

    Xiangdong LIU

    2017-08-01

    Full Text Available An autonomous approach and landing (A&L guidance law is presented in this paper for landing an unpowered reusable launch vehicle (RLV at the designated runway touchdown. Considering the full nonlinear point-mass dynamics, a guidance scheme is developed in three-dimensional space. In order to guarantee a successful A&L movement, the multiple sliding surfaces guidance (MSSG technique is applied to derive the closed-loop guidance law, which stems from higher order sliding mode control theory and has advantage in the finite time reaching property. The global stability of the proposed guidance approach is proved by the Lyapunov-based method. The designed guidance law can generate new trajectories on-line without any specific requirement on off-line analysis except for the information on the boundary conditions of the A&L phase and instantaneous states of the RLV. Therefore, the designed guidance law is flexible enough to target different touchdown points on the runway and is capable of dealing with large initial condition errors resulted from the previous flight phase. Finally, simulation results show the effectiveness of the proposed guidance law in different scenarios.

  15. Foetal radiography for suspected skeletal dysplasia: technique, normal appearances, diagnostic approach.

    Science.gov (United States)

    Calder, Alistair D; Offiah, Amaka C

    2015-04-01

    Despite advances in antenatal imaging and genetic techniques, post-delivery post-mortem foetal radiography remains the key investigation in accurate diagnosis of skeletal dysplasia manifesting in the foetus. Foetal radiography is best performed using pathology-specimen radiography equipment and is often carried out in the pathology department without involvement of the radiology unit. However, paediatric radiologists may be asked to interpret post-mortem foetal radiographs when an abnormality is suspected. Many foetal radiographs are carried out before 20 weeks' gestation, and the interpreting radiologist needs to be familiar with the range of normal post-mortem foetal appearances at different gestational ages, as well as the appearances of some of the more commonly presenting skeletal dysplasias, and will benefit from a systematic approach when assessing more challenging cases. In this pictorial essay, we illustrate various normal post-mortem foetal radiographic appearances, give examples of commonly occurring skeletal dysplasias, and describe an approach to establishing more difficult diagnoses.

  16. Proximity of the Lateral Calcaneal Artery With a Modified Extensile Lateral Approach Compared to Standard Extensile Approach.

    Science.gov (United States)

    Kwon, John Y; Gonzalez, Tyler; Riedel, Matthew D; Nazarian, Ara; Ghorbanhoseini, Mohammad

    2017-03-01

    The extensile lateral approach (EL) has been associated with increased wound complications such as apical necrosis which may be due partially from violation of the lateral calcaneal artery (LCA). Traditionally, the vertical limb has been placed half-way between the fibula and Achilles tendon, which may be suboptimal given the proximity to the LCA. We hypothesized that placing the vertical limb further posterior (ie, modified EL [MEL]) would increase the distance from the LCA. The purposes of this study were to quantify the location of the LCA in relation to the vertical limb of the traditional EL approach and to determine if utilizing the MEL approach endangered the LCA to a lesser extent. 20 cadavers were used. For the EL approach, the fibula and Achilles tendon were palpated and a line parallel to the plantar foot was drawn between the two. A vertical line (VL), representing the vertical limb of the approach, was drawn at the midway point as a perpendicular extending proximally from the junction of the glabrous/non-glabrous skin (JGNG). For the MEL approach, the anterior border of the Achilles tendon was palpated and a similar vertical line (MVL) was drawn 0.75 cm anterior. Dissection was performed and if the LCA was identified crossing the line VL/MVL, the distance from the JGNG was documented. For the EL approach, the LCA was identified in 17/20 (85%) cadavers at an average distance of 5.0 cm (range 3-7 cm, SD = 1.3 cm) from JGNG. For the ML approach, the LCA was identified in 4/20 (20%) cadavers at an average distance of 5.9 cm (range 3-6.5 cm, SD = 1.7 cm) from the JGNG ( P LCA was encountered 4 times more often during the EL approach as compared to the MEL approach. A modification of the EL approach may decrease iatrogenic injury to the LCA and may decrease wound complications.

  17. Standard Test Method for Oxygen Content Using a 14-MeV Neutron Activation and Direct-Counting Technique

    CERN Document Server

    American Society for Testing and Materials. Philadelphia

    2007-01-01

    1.1 This test method covers the measurement of oxygen concentration in almost any matrix by using a 14-MeV neutron activation and direct-counting technique. Essentially, the same system may be used to determine oxygen concentrations ranging from over 50 % to about 10 g/g, or less, depending on the sample size and available 14-MeV neutron fluence rates. Note 1 - The range of analysis may be extended by using higher neutron fluence rates, larger samples, and higher counting efficiency detectors. 1.2 This test method may be used on either solid or liquid samples, provided that they can be made to conform in size, shape, and macroscopic density during irradiation and counting to a standard sample of known oxygen content. Several variants of this method have been described in the technical literature. A monograph is available which provides a comprehensive description of the principles of activation analysis using a neutron generator (1). 1.3 The values stated in either SI or inch-pound units are to be regarded...

  18. Technique for evaluation of spatial resolution and microcalcifications in digital and scanned images of a standard breast phantom

    International Nuclear Information System (INIS)

    Santana, Priscila do C.; Gomes, Danielle S.; Oliveira, Marcio A.; Oliveira, Paulo Marcio C. de; Meira-Belo, Luiz C.; Nogueira-Tavares, Maria S.

    2011-01-01

    In this work, an automated methodology to evaluate digital and scanned images of a standard phantom (Phantom Mama) was studied. The Phantom Mama was used as an important tool to check the quality of mammographs. The scanned images were digitized using a ScanMaker 9800XL, with resolution of 900 dpi. The aim of this work is to test an automatic methodology for evaluation of spatial resolution and microcalcifications group of phantom mama images acquired with the same parameters in the same equipment. In order to analyze the images we have used the ImageJ software (in Java) which is public domain. We have used the Fast Fourier transform technique to evaluate the spatial resolution and used the ImageJ function Subtract Background and the Light Background plus Sliding Paraboloid on the evaluation of the five groups of microcalcifications on the breast phantom to assess the viability of using automated methods for both types of images. The methodology was adequate for evaluated the microcalcifications group and the spatial resolution in scanned and digital images, but the Phantom Mama doesn't provide sufficient parameters to evaluate the spatial resolution in this images. (author)

  19. Endoscopic Endonasal Transclival Approach for Resection of a Pontine Glioma: Surgical Planning, Surgical Anatomy, and Technique.

    Science.gov (United States)

    Fernandes Cabral, David T; Zenonos, Georgios A; Nuñez, Maximiliano; Celtikci, Pinar; Snyderman, Carl; Wang, Eric; Gardner, Paul A; Fernandez-Miranda, Juan C

    2018-03-12

    The endoscopic endonasal approach (EEA) has been proposed as a potential alternative for ventral brainstem lesions. The surgical anatomy, feasibility, and limitations of the EEA for intrinsic brainstem lesions are still poorly understood. To describe the surgical planning, anatomy, and technique of an intrinsic pontine glioma operated via EEA. Six-human brainstems were prepared for white matter microdissection. Ten healthy subjects were studied with high-definition fiber tractography (HDFT). A 56-yr-old female with right-hemiparesis underwent EEA for an exophytic pontine glioma. Pre- and postoperative HDFTs were implemented. The corticospinal tracts (CSTs) are the most eloquent fibers in the ventral brainstem. At the pons, CSTs run between the pontine nuclei and the middle cerebellar peduncle (MCP). At the lower medulla, the pyramidal decussation leaves no room for safe ventral access. In our illustrative case, preoperative HDFT showed left-CST displaced posteromedially and partially disrupted, right-CST posteriorly displaced, and MCP severely disrupted. A transclival exposure was performed achieving a complete resection of the exophytic component with residual intra-axial tumor. Immediately postop, patient developed new left-side abducens nerve palsy and worse right-hemiparesis. Ten days postop, her strength returned to baseline. HDFT showed preservation and trajectory restoration of the CSTs. The EEA provides direct access to the ventral brainstem, overcoming the limitations of lateral approaches. For intrinsic pathology, HDFT helps choosing the most appropriate surgical route/boundaries for safer resection. Further experience is needed to determine the indications and limitations of this approach that should be performed by neurosurgeons with high-level expertise in EEA.

  20. New overlay measurement technique with an i-line stepper using embedded standard field image alignment marks for wafer bonding applications

    Science.gov (United States)

    Kulse, P.; Sasai, K.; Schulz, K.; Wietstruck, M.

    2017-06-01

    marks. In this work, the non-contact infrared alignment system of the Nikon i-line Stepper NSR-SF150 for both the alignment and the overlay determination of bonded wafer stacks with embedded alignment marks are used to achieve an accurate alignment between the different wafer sides. The embedded field image alignment (FIA) marks of the interface and the device wafer top layer are measured in a single measurement job. By taking the offsets between all different FIA's into account, after correcting the wafer rotation induced FIA position errors, hence an overlay for the stacked wafers can be determined. The developed approach has been validated by a standard back to front side application. The overlay was measured and determined using both, the EVG NT40 automated measurement system with special overlay marks and the measurement of the FIA marks of the front and back side layer. A comparison of both results shows mismatches in x and y translations smaller than 200 nm, which is relatively small compared to the overlay tolerances of +/-500 nm for the back to front side process. After the successful validation of the developed technique, special wafer stacks with FIA alignment marks in the bonding interface are fabricated. Due to the super IR light transparency of both doubled side polished wafers, the embedded FIA marks generate a stable and clear signal for accurate x and y wafer coordinate positioning. The FIA marks of the device wafer top layer were measured under standard condition in a developed photoresist mask without IR illumination. Following overlay calculation shows an overlay of less than 200 nm, which enables very accurate process condition for highly scaled TSV integration and advanced substrate integration into IHP's 0.25/0.13 μm SiGe:C BiCMOS technology. The presented method can be applied for both the standard back to front side process technologies and also new temporary and permanent wafer bonding applications.

  1. How Wood Fuels’ Quality Relates to the Standards: A Class-Modelling Approach

    Directory of Open Access Journals (Sweden)

    Michela Zanetti

    2017-09-01

    Full Text Available The quality requirements of wood biofuels are regulated by a series of harmonized international standards. These standards define the technical parameter limits that influence the quality of solid biomass as a fuel. In 2014 the European reference standard for solid biofuel was replaced by the International ISO standard. In the case of wood chips, the main difference between the European and International standards is the definition of particle size distribution classes. In this context, this study analyses the quality of wood chips and its variation over the years according to the “former” (EN 14691-4 and “in force” (ISO 17225-4 standards. A Soft Independent Modelling of Class Analogy (SIMCA model was built to predict the best quality of wood chips and to clarify the relationship between quality and standard parameters, time and changes in the standard regulations. The results show that, compared to the EN standards, classification with the ISO standards increases the samples belonging to the best quality classes and decreases the not classified samples. Furthermore, all the SIMCA models have a high sensitivity (>90%, reflect the differences introduced to the quality standards and are therefore suitable for monitoring the quality of wood chips and their changes.

  2. A novel approach to water polution monitoring by combining ion exchange resin and XRF-scanning technique

    Science.gov (United States)

    Huang, J. J.; Lin, S. C.; Löwemark, L.; Liou, Y. H.; Chang, Q. M.; Chang, T. K.; Wei, K. Y.; Croudace, I. W. C.

    2017-12-01

    Due to the rapid industrial expansion, environments are subject to irregular fluctuations and spatial distributions in pollutant concentrations. This study proposes to use ion exchange resin accompanied with the XRF-scanning technique to monitor environmental pollution. As a passive sampling sorbent, the use of ion exchange resin provides a rapid, low cost and simple method to detect episodic pollution signals with a high spatial sampling density. In order to digest large quantities of samples, the fast and non-destructive Itrax-XRF core scanner has been introduced to assess elemental concentrations in the resin samples. Although the XRF scanning results are often considered as a semi-quantitative measurement due to possible absorption or scattering caused by the physical variabilities of scanned materials, the use of resin can minimize such influences owing to the standarization of the sample matrix. In this study, 17 lab-prepared standard resin samples were scanned with the Itrax-XRF core scanner (at 100 s exposure time with the Mo-tube) and compared with the absolute elemental concentrations. Six elements generally used in pollution studies (Cr, Mn, Ni, Cu, Zn, and Pb) were selected, and their regression lines and correlation coefficients were determined. In addition, 5 standard resin samples were scanned at different exposure time settings (1 s, 5 s, 15 s, 30 s, 100 s) to address the influence of exposure time on the accuracy of the measurements. The results show that within the test range (from few ppm to thousands ppm), the correlation coefficients are higher than 0.97, even at the shortest exposure time (1 s). Furthermore, a pilot field survey with 30 resin samples has been conducted in a potentially polluted farm area in central Taiwan to demonstrate the feasibility of this novel approach. The polluted hot zones could be identified and the properties and sources of wastewater pollution can therefore be traced over large areas for the purposes of

  3. Thermal analysis of a solar collector with a standard approach and software used to study windows

    Energy Technology Data Exchange (ETDEWEB)

    Simko, T.; Harrison, S.J. [Queen' s Univ., Kingston, ON (Canada). Dept. of Mechanical and Materials Engineering

    2007-07-01

    A method of calculating the overall heat loss coefficient of a solar collector was presented. The method was based on a standard approach used to obtain total window U-values. A model of the solar collector was developed with a finite element analysis (FEA) program. Heat loss from the solar collector was represented as the gross collector area; the overall heat loss coefficient; and the difference between the assumed mean absorber plate temperature and ambient temperature. The edge heat loss coefficient was approximated by assuming that there was a 1-D sideways heat flow through the edge area of the collector. Regional heat loss coefficients obtained with the model were then used to calculate the overall heat loss coefficient. Equations used for parallel tube type collectors were applied to the serpentine tube collector. The sightline of the solar collector was defined as being the position along the top cover below absorber plate. The same definitions for the extents of the frame, edge and center-of-glass regions for a window were applied to the collector. Multiple U-values were defined to account for heat flows outward across the top, bottom, and side surfaces of the collector. The absorber plate was simulated as being isothermal. Results were then compared with an experimental study in order to validate the method. The method was also compared with results obtained from a conventional analysis for estimating heat loss coefficients. It was concluded that the new method provided more accurate results than those obtained using the conventional method. 16 refs., 1 tab., 5 figs.

  4. Initial flight and simulator evaluation of a head up display for standard and noise abatement visual approaches

    Science.gov (United States)

    Bourquin, K.; Palmer, E. A.; Cooper, G.; Gerdes, R. M.

    1973-01-01

    A preliminary assessment was made of the adequacy of a simple head up display (HUD) for providing vertical guidance for flying noise abatement and standard visual approaches in a jet transport. The HUD featured gyro-stabilized approach angle scales which display the angle of declination to any point on the ground and a horizontal flight path bar which aids the pilot in his control of the aircraft flight path angle. Thirty-three standard and noise abatement approaches were flown in a Boeing 747 aircraft equipped with a head up display. The HUD was also simulated in a research simulator. The simulator was used to familiarize the pilots with the display and to determine the most suitable way to use the HUD for making high capture noise abatement approaches. Preliminary flight and simulator data are presented and problem areas that require further investigation are identified.

  5. A novel technique combining laparoscopic and endovascular approaches using image fusion guidance for anterior embolization of type II endoleak

    Directory of Open Access Journals (Sweden)

    M. Mujeeb Zubair, MD

    2017-03-01

    Full Text Available Type II endoleak (T2E leading to aneurysm sac enlargement is one of the challenging complications associated with endovascular aneurysm repair. Recent guidelines recommend embolization of T2E associated with aneurysmal sac enlargement. Various percutaneous and endovascular techniques have been reported for embolization of T2E. We report a novel technique for T2E embolization combining laparoscopic and endovascular approaches using preoperative image fusion. We believe our technique provides a more direct access to the lumbar feeding vessels that is typically challenging with transarterial or translumbar embolization techniques.

  6. A novel technique combining laparoscopic and endovascular approaches using image fusion guidance for anterior embolization of type II endoleak.

    Science.gov (United States)

    Zubair, M Mujeeb; Chinnadurai, Ponraj; Loh, Francis E; Loh, Thomas M; Lumsden, Alan B; Bechara, Carlos F

    2017-03-01

    Type II endoleak (T2E) leading to aneurysm sac enlargement is one of the challenging complications associated with endovascular aneurysm repair. Recent guidelines recommend embolization of T2E associated with aneurysmal sac enlargement. Various percutaneous and endovascular techniques have been reported for embolization of T2E. We report a novel technique for T2E embolization combining laparoscopic and endovascular approaches using preoperative image fusion. We believe our technique provides a more direct access to the lumbar feeding vessels that is typically challenging with transarterial or translumbar embolization techniques.

  7. AN APPROACH TO REMOVE THE EFFECT OF RANDOM INITIALIZATION FROM FUZZY C-MEANS CLUSTERING TECHNIQUE

    Directory of Open Access Journals (Sweden)

    Samarjit Das

    2014-01-01

    Full Text Available Out of the different available fuzzy clustering techniques Bezdek’s Fuzzy C-Means clustering technique is among the most popular ones. Due to the random initialization of the membership values the performance of Fuzzy C-Means clustering technique varies significantly in its different executions. We have tried to remove the effect of random initialization from Fuzzy CMeans clustering technique by using the Subtractive clustering technique of Chiu as a preprocessor to it. We have also provided a comparison of the performance of our method with those of Fuzzy C-Means clustering technique and Subtractive clustering technique.

  8. Palatal approach of anterior superior alveolar injection technique may not be potentially useful in periodontal procedures

    Directory of Open Access Journals (Sweden)

    Pragathi Raghavendra Bhat

    2016-01-01

    Full Text Available Background: The palatal approach of anterior superior alveolar (P-ASA using WAND injection was reported to effectively provide a profound bilateral maxillary anesthesia of the soft tissue of anterior one-third of the palate and facial gingivae extending from canine to canine which lasted for more than an hour thus making it ideal for scaling root planing and minor periodontal procedures in the anterior maxilla. Our study suggests that the conventional P-ASA injection is of very short duration and the extent of anesthesia was not profound and consistent. This has not been reported earlier in the literature. Materials and Methods: Thirty-five cases (20 males and 15 females, who underwent scaling, root planing and minor periodontal surgical procedures such as abscess drainage, gingivectomy, and frenectomy in the maxillary anterior region in the age range of 19–45 years was assessed for the efficacy of the P-ASA injection. After the administration of the P-ASA injection, the subjective and the objective symptoms were used to evaluate the extent and duration of the anesthesia at 10, 15, and 20 min. Results: This study suggests that the conventional P-ASA injection technique does not provide anesthesia for more than 20 min. Wilcoxon matched pairs test was used to compare the effect of anesthesia at the different time intervals and the results were found to be statistically significant (P < 0.05. Conclusions: The conventional P-ASA injection technique is of very short duration and does not demonstrate effectiveness in periodontal surgery of the anterior maxilla.

  9. Para-axillary subcutaneous endoscopic approach in torticollis: tips and tricks in the surgical technique.

    Science.gov (United States)

    Tokar, Baran; Karacay, Safak; Arda, Surhan; Alici, Umut

    2015-04-01

    An obvious scar on the neck may appear following the open surgery for congenital muscular torticollis (CMT). The cosmetic result may displease the patient and the family. In this study, we describe a minimally invasive technique, para-axillary subcutaneous endoscopic approach (PASEA) in CMT. A total of 11 children (seven girls and four boys with the age range between 1 and 15 years) were operated for torticollis by PASEA. All patients had facial asymmetry and head and neck postural abnormality. Following an incision at the ipsilateral para-axillary region, a subcutaneous cavernous working space is formed toward sternocleidomastoid (SCM) muscle. The muscle and fascia are cut by cautery under endoscopic vision. The patients had postoperative 2nd-week and 3rd-month visits. The incision scar, inspection, and palpation findings of the region, head posture, and shoulder position of the affected side were considered in evaluation of the cosmetic outcome. Preoperative and postoperative range of motion of the head and neck were compared for functional outcome. We preferred single incision surgery in our last two patients; the rest had double para-axillary incision for port insertion. Incomplete transection of the muscle was not observed. There was no serious complication. Postoperatively, head posture and shoulder elevation were corrected significantly. Range of motion of the head was improved. Postoperatively, all the patients had rotation capacity with more than 30 degrees. The range of postoperative flexion and extension movements was between 45 and 60 degrees. The open surgery techniques of CMT causes visible lifelong incision scar on the neck. PASEA leaves a cosmetically hidden scar in the axillary region. A single incision surgery is also possible. A well-formed cavernous working space is needed. External manual palpation, delicate dissection, and cutting of SCM muscle with cautery are the important components of the procedure. Surgeons having experience in pediatric

  10. Subbrow Approach as a Minimally Invasive Reduction Technique in the Management of Frontal Sinus Fractures

    Directory of Open Access Journals (Sweden)

    Yewon Lee

    2014-11-01

    Full Text Available BackgroundFrontal sinus fractures, particularly anterior sinus fractures, are relatively common facial fractures. Many agree on the general principles of frontal fracture management; however, the optimal methods of reduction are still controversial. In this article, we suggest a simple reduction method using a subbrow incision as a treatment for isolated anterior sinus fractures.MethodsBetween March 2011 and March 2014, 13 patients with isolated frontal sinus fractures were treated by open reduction and internal fixation through a subbrow incision. The subbrow incision line was designed to be precisely at the lower margin of the brow in order to obtain an inconspicuous scar. A periosteal incision was made at 3 mm above the superior orbital rim. The fracture site of the frontal bone was reduced, and bone fixation was performed using an absorbable plate and screws.ResultsContour deformities were completely restored in all patients, and all patients were satisfied with the results. Scars were barely visible in the long-term follow-up. No complications related to the procedure, such as infection, uncontrolled sinus bleeding, hematoma, paresthesia, mucocele, or posterior wall and brain injury were observed.ConclusionsThe subbrow approach allowed for an accurate reduction and internal fixation of the fractures in the anterior table of the frontal sinus by providing a direct visualization of the fracture. Considering the surgical success of the reduction and the rigid fixation, patient satisfaction, and aesthetic problems, this transcutaneous approach through a subbrow incision is concluded to be superior to the other reduction techniques used in the case of an anterior table frontal sinus fracture.

  11. Comparison of measured and calculated contralateral breast doses in whole breast radiotherapy for VMAT and standard tangent techniques

    International Nuclear Information System (INIS)

    Tse, T.L.J; Bromley, R.; Booth, J.; Gray, A.

    2011-01-01

    Full text: Objective This study aims to evaluate the accuracy of calculated dose with the Eclipse analytical anisotropic algorithm (AAA) for contralateral breast (CB) in left-sided breast radiotherapy for dual-arc VMA T and standard wedged tangent (SWT) techniques. Methods and materials Internal and surface CB doses were measured with EBT2 film in an anthropomorphic phantom mounted with C-cup and D-cup breasts. The measured point dose was approximated by averaging doses over the 4 x 4 mm 2 central region of each 2 x 2 cm2 piece of film. The dose in the target region of the breast was also measured. The measured results were compared to AAA calculations with calculation grids of I, 2.5 and 5 mm. Results In SWT plans, the average ratios of calculation to measurement for internal doses were 0.63 ± 0.081 and 0.5 I ± 0.28 in the medial and lateral aspects, respectively. Corresponding ratios for surface doses were 0.88 ± 0.22 and 0.38 ± 0.38. In VMAT plans, however, the calculation accuracies showed little dependence on the measurement locations, the ratios were 0.78 ± O. I I and 0.81 ± 0.085 for internal and surface doses. In general, finer calculation resolutions did not inevitably improve the dose estimates of internal doses. For surface doses, using smaller grid size I mm could improve the calculation accuracies on the medial but not the lateral aspects of CB. Conclusion In all plans, AAA had a tendency to underestimate both internal and surface CB doses. Overall, it produces more accurate results in VMAT than SWT plans.

  12. The negotiation of quality standards: A social interactionists approach to fruit and vegetable distribution in Argentina

    NARCIS (Netherlands)

    Arce, A.M.G.; Viteri, M.L.

    2013-01-01

    This article addresses food quality standards. It suggests that writing on standards creates a flat view of the subject, failing to grasp the richness of the multiple self-organizing practices that shape quality within functioning markets. The article documents the social dimension of quality and

  13. Discourse Surrounding the International Education Standards for Professional Accountants (IES): A Content Analysis Approach

    Science.gov (United States)

    Sugahara, Satoshi; Wilson, Rachel

    2013-01-01

    The development and implementation of the International Education Standards (IES) for professional accountants is currently an important issue in accounting education and for educators interested in a shift toward international education standards more broadly. The purpose of this study is to investigate professional and research discourse…

  14. Evaluation of a performance-based standards approach to heavy vehicle design to reduce pavement wear

    CSIR Research Space (South Africa)

    Nordengen, Paul A

    2013-11-01

    Full Text Available of the Australian PBS system while the infrastructure performance standards are based on South African bridge and pavement design standards. In order to optimise road wear per ton of payload, the South African Mechanistic-Empirical Design Method, which is the basis...

  15. Central neuronal motor behaviour in skilled and less skilled novices - Approaching sports-specific movement techniques.

    Science.gov (United States)

    Vogt, Tobias; Kato, Kouki; Schneider, Stefan; Türk, Stefan; Kanosue, Kazuyuki

    2017-04-01

    Research on motor behavioural processes preceding voluntary movements often refers to analysing the readiness potential (RP). For this, decades of studies used laboratory setups with controlled sports-related actions. Further, recent applied approaches focus on athlete-non-athlete comparisons, omitting possible effects of training history on RP. However, RP preceding real sport-specific movements in accordance to skill acquisition remains to be elucidated. Therefore, after familiarization 16 right-handed males with no experience in archery volunteered to perform repeated sports-specific movements, i.e. 40 arrow-releasing shots at 60s rest on a 15m distant standard target. Continuous, synchronised EEG and right limb EMG recordings during arrow-releasing served to detect movement onsets for RP analyses over distinct cortical motor areas. Based on attained scores on target, archery novices were, a posteriori, subdivided into a skilled and less skilled group. EMG results for mean values revealed no significant changes (all p>0.05), whereas RP amplitudes and onsets differed between groups but not between motor areas. Arrow-releasing preceded larger RP amplitudes (psports-specific movement. Copyright © 2017 Elsevier B.V. All rights reserved.

  16. Comparison of ankle-brachial index measured by an automated oscillometric apparatus with that by standard Doppler technique in vascular patients

    DEFF Research Database (Denmark)

    Korno, M.; Eldrup, N.; Sillesen, H.

    2009-01-01

    was calculated twice using both the methods on both legs. MATERIALS AND METHODS: We tested the automated oscillometric blood pressure device, CASMED 740, for measuring ankle and arm blood pressure and compared it with the current gold standard, the hand-held Doppler technique, by the Bland-Altman analysis....... RESULTS: Using the Doppler-derived ABI as the gold standard, the sensitivity and specificity of the oscillometric method for determining an ABI Udgivelsesdato: 2009/11...

  17. Tools and Techniques for a Systematic Approach to Safe Rendezvous and Proximity Operations

    Science.gov (United States)

    Taylor, Rob; Rishikof, Brian

    2010-09-01

    required for verification and validation of adequate operational and safety implementations. Of the design and independent verification and validation(IV&V) capabilities in use, simulations remain the centerpiece. Current, in-house developed simulations provide “plug-and-play” modularized approaches to various spacecraft subsystem analysis combining:(a) open source software development tools,(b) widely used NASA simulation environments(e.g. TRICK),(c) a libraries of reusable vehicle components,(d) onboard data management software components, and(e) hard real time software generation tools. Combining those tools and techniques with proven fault trees and systematic hazard analysis provides the basis for a systematic approach to safe rendezvous and proximity operations.

  18. Comparison of Flood Inundation Mapping Techniques between Different Modeling Approaches and Satellite Imagery

    Science.gov (United States)

    Zhang, J.; Munasinghe, D.; Huang, Y. F.; Lin, P.; Fang, N. Z.; Cohen, S.; Tsang, Y. P.

    2016-12-01

    Flood inundation extent serves as a crucial information source for both hydrologists and decision makers. Accurate and timely inundation mapping can potentially improve flood risk management and reduce flood damage. In this study, the authors applied two modeling approaches to estimate flood inundation area for a large flooding event that occurred in May 2016 in the Brazos River: The Height Above the Nearest Drainage combined with National Hydrograph Dataset (NHD-HAND) and the International River Interface Cooperative - Flow and Sediment Transport with Morphological Evolution of Channels (iRIC-FaSTMECH). NHD-HAND features a terrain model that simplifies the dynamic flood inundation mapping process while iRIC-FaSTMECH is a hydrodynamic model that simulates flood extent under quasi-steady approximation. In terms of data sources, HAND and iRIC utilized the National Water Model (NWM) output and the United States Geological Survey (USGS) stream gage data, respectively. The flood inundation extents generated from these two approaches were validated against Landsat 8 Satellite Imagery. Four remote sensing classification techniques were used to provide alternative observations: supervised, unsupervised, normalized difference water index and delta-cue change detection of water. According to the quantitative analysis that compares simulated areas with different remote sensing classifications, the advanced fitness index of iRIC simulation ranges from 57.5% to 69.9% while that of HAND ranges from 49.4% to 55.5%. We found that even though HAND better captures some details than iRIC in the inundation extent, it has problems in certain areas where subcatchments are not behaving independently, especially for extreme flooding events. The iRIC model performs better in this case, however, we cannot simply conclude iRIC is a better-suited approach than HAND considering the uncertainties in remote sensing observations and iRIC model parameters. Further research will include more

  19. Tensor representation techniques for full configuration interaction: A Fock space approach using the canonical product format.

    Science.gov (United States)

    Böhm, Karl-Heinz; Auer, Alexander A; Espig, Mike

    2016-06-28

    In this proof-of-principle study, we apply tensor decomposition techniques to the Full Configuration Interaction (FCI) wavefunction in order to approximate the wavefunction parameters efficiently and to reduce the overall computational effort. For this purpose, the wavefunction ansatz is formulated in an occupation number vector representation that ensures antisymmetry. If the canonical product format tensor decomposition is then applied, the Hamiltonian and the wavefunction can be cast into a multilinear product form. As a consequence, the number of wavefunction parameters does not scale to the power of the number of particles (or orbitals) but depends on the rank of the approximation and linearly on the number of particles. The degree of approximation can be controlled by a single threshold for the rank reduction procedure required in the algorithm. We demonstrate that using this approximation, the FCI Hamiltonian matrix can be stored with N(5) scaling. The error of the approximation that is introduced is below Millihartree for a threshold of ϵ = 10(-4) and no convergence problems are observed solving the FCI equations iteratively in the new format. While promising conceptually, all effort of the algorithm is shifted to the required rank reduction procedure after the contraction of the Hamiltonian with the coefficient tensor. At the current state, this crucial step is the bottleneck of our approach and even for an optimistic estimate, the algorithm scales beyond N(10) and future work has to be directed towards reduction-free algorithms.

  20. Analyzing the barriers affecting the effective utilization of quality tools and techniques using Integrated ISM approach

    Directory of Open Access Journals (Sweden)

    Vivek Sharma

    2017-08-01

    Full Text Available The aim of this study is to recognize and scrutinize the barriers affecting the utilization of quality tools and techniques (QT&T in manufacturing organizations. For this purpose, twelve barriers af-fecting the execution of QT&T in manufacturing organizations have been identified from literature analysis and experts’ opinion (academicians and industrial. Questionnaire-based survey has been utilized for the validation of identified barriers. Afterwards, an integrated model of QT&T has been developed by using interpretive structural Modelling (ISM and Matriced Impacts Croisés Multi-plication Appliquée á un Classement (MICMAC approach. This research gives an apparent depic-tion to identify and handle the barriers by computing the effectiveness of each barrier. Barriers like accessibility of time and space, inability to change organizational culture and inadequate coordina-tion and teamwork are found to be the key barriers for utilization of QT&T in manufacturing organ-ization. The developed model will help the manufacturing organizations effectively utilize QT&T.

  1. An Evolutionary Approach to the Soft Error Mitigation Technique for Cell-Based Design

    Directory of Open Access Journals (Sweden)

    PARK, J. K.

    2015-02-01

    Full Text Available In this paper, we present a soft error mitigation algorithm that searches for the proper gate sizes within constrained gate-level designs. The individual gate sizing has an impact on the former optimization results and degrades the quality of the solution. In order to address this inefficiency, we utilize a modified topological sort that preserves the preceding local optima. Using a new local searcher, a hybrid genetic optimization technique for soft error mitigation is proposed. This evolutionary search algorithm has general genetic operators: the initialization of the population, crossover, mutation and selection operators. The local searcher consists of two subsequent heuristics. These search algorithms make the individual chromosome move to better search regions in a short time and then, the population acquires various candidates for the global optimum with the help of other genetic operators. The experiments show that the proposed genetic algorithm achieves an approximately 90% reduction in the number of soft errors when compared to the conventional greedy approach with at most 30% overhead for the area and critical path delay.

  2. A strategic approach for managing conflict in hospitals: responding to the Joint Commission leadership standard, Part 1.

    Science.gov (United States)

    Scott, Charity; Gerardi, Debra

    2011-02-01

    The Joint Commission's leadership standard for conflict management in hospitals, LD.02.04.01, states, "The hospital manages conflict between leadership groups to protect the quality and safety of care." This standard is one of numerous standards and alerts issued by The Joint Commission that address conflict and communication. They underscore the significant impact of relational dynamics on patient safety and quality of care and the critical need for a strategic approach to conflict in health care organizations. Whether leadership conflicts openly threaten a major disruption of hospital operations or whether unresolved conflicts lurk beneath the surface of daily interactions, unaddressed conflict can undermine a hospital's efforts to ensure safe, high-quality patient care. How leaders manage organizational conflict has a significant impact on achieving strategic objectives. Aligning conflict management approaches with quality and safety goals is the first step in adopting a strategic approach to conflict management. A strategic approach goes beyond reducing costs of litigation or improving grievance processes--it integrates a collaborative mind-set and individual conflict competency with nonadversarial processes. Conflict assessment should determine how conflicts are handled among the leaders at the hospital, the degree of conflict competence already present among the leaders, where the most significant conflicts occur, and how leaders think a conflict management system might work for them. Strategically aligning a conflict management approach that addresses conflict among leadership groups as a means of protecting the quality and safety of patient care is at the heart of LD.02.04.01.

  3. The trans-frontal-sinus subcranial approach for removal of large olfactory groove meningiomas: surgical technique and comparison to other approaches.

    Science.gov (United States)

    Boari, Nicola; Gagliardi, Filippo; Roberti, Fabio; Barzaghi, Lina Raffaella; Caputy, Anthony J; Mortini, Pietro

    2013-05-01

    Several surgical approaches have been previously reported for the treatment of olfactory groove meningiomas (OGM).The trans-frontal-sinus subcranial approach (TFSSA) for the removal of large OGMs is described, comparing it with other reported approaches in terms of advantages and drawbacks. The TFSSA was performed on cadaveric specimens to illustrate the surgical technique. The surgical steps of the TFSSA and the related anatomical pictures are reported. The approach was adopted in a clinical setting; a case illustration is reported to demonstrate the feasibility of the described approach and to provide intraoperative pictures. The TFSSA represents a possible route to treat large OGMs. The subcranial approach provides early devascularization of the tumor, direct tumor access from the base without traction on the frontal lobes, good overview of dissection of the optic nerves and anterior cerebral arteries, and dural reconstruction with pedicled pericranial flap. Georg Thieme Verlag KG Stuttgart · New York.

  4. [Epidemics of schistosomiasis in military staff assigned to endemic areas: standard diagnostic techniques and the development of real-time PCR techniques].

    Science.gov (United States)

    Biance-Valero, E; De Laval, F; Delerue, M; Savini, H; Cheinin, S; Leroy, P; Soullié, B

    2013-05-01

    The authors report the results of molecular biology techniques for the early diagnosis of cases (invasion phase) of schistosomiasis during two epidemics occurring during French military projects in the Central African Republic and Madagascar. The use of these techniques in real time for subjects not residing in the endemic area significantly improves the sensitivity of screening. The attack rates of these episodes, according to a case definition that took positive specific PCR results into account, were 59% and 26%. These results are a concrete illustration of the proverb that "yaws begin where the trail stops".

  5. Deconstructing interventions: approaches to studying behavior change techniques across obesity interventions

    OpenAIRE

    Tate, Deborah F.; Lytle, Leslie A.; Sherwood, Nancy E.; Haire-Joshu, Debra; Matheson, Donna; Moore, Shirley M.; Loria, Catherine M.; Pratt, Charlotte; Ward, Dianne S.; Belle, Steven H.; Michie, Susan

    2016-01-01

    Deconstructing interventions into the specific techniques that are used to change behavior represents a new frontier in behavioral intervention research. This paper considers opportunities and challenges in employing the Behavior Change Techniques Taxonomy (BCTTv1) developed by Michie and colleagues, to code the behavior change techniques (BCTs) across multiple interventions addressing obesity and capture dose received at the technique level. Numerous advantages were recognized for using a sh...

  6. Static X-ray diffraction study of cerium: The standard approach and the magic-angle approach

    International Nuclear Information System (INIS)

    Chesnut, Gary N.; Streetman, Becky D.; Schiferl, David; Anderson, William W.; Nicol, Malcolm; Meng Yue

    2004-01-01

    Cerium, a member of the rare earth metals, has been studied up to 300 kilobars in a diamond-anvil cell using energy- and angular-dispersive x-ray diffraction with a synchrotron source. The purpose of this experiment was to examine the electronic and structural behavior of cerium and to examine the effects of deviatoric stress due to non-hydrostatic conditions within the sample environment. Using the standard sample orientation and data from various orientations, the effects of deviatoric stress are shown

  7. 78 FR 14010 - Standard Instrument Approach Procedures, and Takeoff Minimums and Obstacle Departure Procedures...

    Science.gov (United States)

    2013-03-04

    ...). Issued in Washington, DC, on February 15, 2013. John M. Allen, Director, Flight Standards Service..., RNAV (GPS) RWY 36, Orig Siren, WI, Burnett County, Takeoff Minimums and Obstacle DP, Orig BILLING CODE...

  8. 75 FR 63712 - Standard Instrument Approach Procedures, and Takeoff Minimums and Obstacle Departure Procedures...

    Science.gov (United States)

    2010-10-18

    ... 1, 2010. John M. Allen, Director, Flight Standards Service. Adoption of the Amendment 0 Accordingly..., Takeoff Minimums and Obstacle DP, Amdt 3 Siren, WI, Burnett County, VOR OR GPS RWY 5, Amdt 2B Solon...

  9. 76 FR 40600 - Standard Instrument Approach Procedures, and Takeoff Minimums and Obstacle Departure Procedures...

    Science.gov (United States)

    2011-07-11

    ... Navigation (air). Issued in Washington, DC, on June 24, 2011. John M. Allen, Director, Flight Standards... Corinth, MS, Roscoe Turner, RNAV (GPS) RWY 36, Amdt 1 Harvey, ND, Harvey Muni, RNAV (GPS) RWY 29, Orig-A...

  10. A standardized multidisciplinary approach reduces the use of allogeneic blood products in patients undergoing cardiac surgery

    NARCIS (Netherlands)

    van der Linden, P.; de Hert, S.; Daper, A.; Trenchant, A.; Jacobs, D.; de Boelpaepe, C.; Kimbimbi, P.; Defrance, P.; Simoens, G.

    2001-01-01

    PURPOSE: Individual and institutional practices remain an independent predictor factor for allogeneic blood transfusion. Application of a standardized multidisciplinary transfusion strategy should reduce the use of allogeneic blood transfusion in major surgical patients. METHODS: This prospective

  11. 75 FR 25760 - Standard Instrument Approach Procedures, and Takeoff Minimums and Obstacle Departure Procedures...

    Science.gov (United States)

    2010-05-10

    .... John M. Allen, Director, Flight Standards Service. Adoption of the Amendment 0 Accordingly, pursuant to... Muni, Takeoff Minimums and Obstacle DP, Amdt 3 Galliano, LA, South Lafourche Leonard Miller Jr, LOC/DME...

  12. 75 FR 9098 - Standard Instrument Approach Procedures, and Takeoff Minimums and Obstacle Departure Procedures...

    Science.gov (United States)

    2010-03-01

    ... 19, 2010. John M. Allen, Director, Flight Standards Service. Adoption of the Amendment 0 Accordingly... GALLIANO SOUTH LAFOURCHE 0/3269 2/3/10 RNAV (GPS) RWY 18, AMDT 1. LEONARD MILLER JR. 8-Apr-10 LA JENNINGS...

  13. Current National Approach to Healthcare ICT Standardization: Focus on Progress in New Zealand.

    Science.gov (United States)

    Park, Young-Taek; Atalag, Koray

    2015-07-01

    Many countries try to efficiently deliver high quality healthcare services at lower and manageable costs where healthcare information and communication technologies (ICT) standardisation may play an important role. New Zealand provides a good model of healthcare ICT standardisation. The purpose of this study was to review the current healthcare ICT standardisation and progress in New Zealand. This study reviewed the reports regarding the healthcare ICT standardisation in New Zealand. We also investigated relevant websites related with the healthcare ICT standards, most of which were run by the government. Then, we summarised the governance structure, standardisation processes, and their output regarding the current healthcare ICT standards status of New Zealand. New Zealand government bodies have established a set of healthcare ICT standards and clear guidelines and procedures for healthcare ICT standardisation. Government has actively participated in various enactments of healthcare ICT standards from the inception of ideas to their eventual retirement. Great achievements in eHealth have already been realized, and various standards are currently utilised at all levels of healthcare regionally and nationally. Standard clinical terminologies, such as International Classification of Diseases (ICD) and Systematized Nomenclature of Medicine - Clinical Terms (SNOMED-CT) have been adopted and Health Level Seven (HL7) standards are actively used in health information exchanges. The government to New Zealand has well organised ICT institutions, guidelines, and regulations, as well as various programs, such as e-Medications and integrated care services. Local district health boards directly running hospitals have effectively adopted various new ICT standards. They might already be benefiting from improved efficiency resulting from healthcare ICT standardisation.

  14. Accounting Education Approach in the Context of New Turkish Commercial Code and Turkish Accounting Standards

    Directory of Open Access Journals (Sweden)

    Cevdet Kızıl

    2014-08-01

    Full Text Available The aim of this article is to investigate the impact of new Turkish commercial code and Turkish accounting standards on accounting education. This study takes advantage of the survey method for gathering information and running the research analysis. For this purpose, questionnaire forms are distributed to university students personally and via the internet.This paper includes significant research questions such as “Are accounting academicians informed and knowledgeable on new Turkish commercial code and Turkish accounting standards?”, “Do accounting academicians integrate new Turkish commercial code and Turkish accounting standards to their lectures?”, “How does modern accounting education methodology and technology coincides with the teaching of new Turkish commercial code and Turkish accounting standards?”, “Do universities offer mandatory and elective courses which cover the new Turkish commercial code and Turkish accounting standards?” and “If such courses are offered, what are their names, percentage in the curriculum and degree of coverage?”Research contributes to the literature in several ways. Firstly, new Turkish commercial code and Turkish accounting standards are current significant topics for the accounting profession. Furthermore, the accounting education provides a basis for the implementations in public and private sector. Besides, one of the intentions of new Turkish commercial code and Turkish accounting standards is to foster transparency. That is definitely a critical concept also in terms of mergers, acquisitions and investments. Stakeholders of today’s business world such as investors, shareholders, entrepreneurs, auditors and government are in need of more standardized global accounting principles Thus, revision and redesigning of accounting educations plays an important role. Emphasized points also clearly prove the necessity and functionality of this research.

  15. A New Approach for Complex Upper Limb Revisions Utilizing the Clavicula Pro Humero Technique: A Case Report.

    Science.gov (United States)

    Clayer, Mark

    2015-01-01

    A complex case is described involving limb salvage using a combination of the clavicula pro humero technique with a free vascularized fibular graft to span the defect following a failed megaprosthetic reconstruction. This is believed to be the first description of this approach for a very difficult problem. In the setting of infection and minimal bone stock, conventional reconstruction options for the proximal aspect of the humerus were unsatisfactory. This new technique provides a biologic, immunocompetent option for limb salvage.

  16. A minimally invasive technique using a modified stoppa approach for periacetabular osteotomy: A preliminary cadaveric study

    Directory of Open Access Journals (Sweden)

    Turgut Akgul

    2017-01-01

    Full Text Available Background: Developmental hip dysplasia is diagnosed when the femoral head is not sufficiently covered by the acetabulum. Anterior and lateral cover deficiency is seen, as a result a dysplastic hip joint. Various incision modifications have been developed because of the muscle dissection and wide wound scar in Smith-Peterson incision, which was originally used in Bernese osteotomy. This study evaluates applicability of the modified Stoppa approach in the performance of Bernese periacetabular osteotomy (PAO. Materials and Methods: Ten hemipelvises of five donor cadavers were used. The transverse Stoppa incision was made 2 cm over the symphysis pubis for quadrilateral surface exposure and pubic and ischial bone osteotomies. The second skin incision, a few centimeters lateral to the original incision, was made along the tensor fascia lata. Iliac bone osteotomy was performed starting just above the rectus femoris insertion. The displacement of the osteotomy was measured clinically and radiographically. Results: The mean anterior coverage calculated with center-edge angle was improved from 22.8° ±2.8 (range 20° min–28° max preoperatively to 44.1° ± 3.7 (range 36° min–48° max. The displacement of the osteotomy at the iliopectineal line calculated on the iliac inlet view radiographs was 22.1 ± 3.4 mm (range 15 mm min–26 mm max. The clinical amount of the anterior displacement on the cadavers was 17.8 ± 3.35 mm (range 11 mm–21 mm and lateral displacement was 20.3 ± 3.23 mm (range 15 mm–24 mm. The amount of the posterior intact bone enlargement at the quadrilateral surface was 5.3 ± 0.48 mm. Conclusion: This less traumatic two-incision exposure is an adequate technique for Bernese PAO, allowing the bone to be cut under direct visual observation and reducing the need to use fluoroscopy.

  17. Improvement of security techniques and protection of biometric data in biometric systems: Presentation of International Standard ISO 24745

    OpenAIRE

    Milinković, Milorad

    2017-01-01

    This paper presents the International Standard ISO 24745 as a potential security tool for biometric information protection, more precisely as a tool for privacy protection in biometric systems. This is one of the latest internationally accepted standards that address the security issues of biometric systems.

  18. A comparison of two standard-setting approaches in high-stakes clinical performance assessment using generalizability theory.

    Science.gov (United States)

    Richter Lagha, Regina A; Boscardin, Christy K; May, Win; Fung, Cha-Chi

    2012-08-01

    Scoring clinical assessments in a reliable and valid manner using criterion-referenced standards remains an important issue and directly affects decisions made regarding examinee proficiency. This generalizability study of students' clinical performance examination (CPX) scores examines the reliability of those scores and of their interpretation, particularly according to a newly introduced, "critical actions" criterion-referenced standard and scoring approach. The authors applied a generalizability framework to the performance scores of 477 third-year students attending three different medical schools in 2008. The norm-referenced standard included all station checklist items. The criterion-referenced standard included only those items deemed critical to patient care by a faculty panel. The authors calculated and compared variance components and generalizability coefficients for each standard across six common stations. Norm-referenced scores had moderate generalizability (ρ = 0.51), whereas criterion-referenced scores showed low dependability (φ = 0.20). The estimated 63% of measurement error associated with the person-by-station interaction suggests case specificity. Increasing the number of stations on the CPX from 6 to 24, an impractical solution both for cost and time, would still yield only moderate dependability (φ = 0.50). Though the performance assessment of complex skills, like clinical competence, seems intrinsically valid, careful consideration of the scoring standard and approach is needed to avoid misinterpretation of proficiency. Further study is needed to determine how best to improve the reliability of criterion-referenced scores, by implementing changes to the examination structure, the process of standard-setting, or both.

  19. Anterolateral approach with tibial tubercle osteotomy versus standard medial approach for primary total knee arthroplasty: does it matter?

    Directory of Open Access Journals (Sweden)

    Jenabzadeh Reza-Amir

    2010-07-01

    Full Text Available Abstract Background The purpose of this prospective consecutive multicenter study was to investigate whether the type of surgical approach (medial parapatellar (MPA or lateral parapatellar with tibial tubercle osteotomy (TubOT influences the early clinical and radiological outcomes of primary total knee arthroplasty (TKA. Methods Ligament balancing primary TKA with a rotating platform was performed in 143 knees (m:w = 1:1.6; mean age 69 ± 8 years. The TKA was done by a lateral parapatellar subvastus approach with stepcut osteotomy of the tibial tubercle (53%; n = 76, group A or medial parapatellar approach (47%; n = 67, group B. The outcome was assessed at 1 and 2 years postoperatively by the American Knee Society score (KSS and the knee society total knee arthroplasty roentgenographic evaluation and scoring system (TKA-RESS. The patient's pain level and satisfaction was noted by a visual analogue scale (VAS. Data were analyzed by an independent statistician with a level of significance of p 2-test was performed. Results Although having a lower degree of preoperative flexion (112° ± 15° versus 115° ± 15° patients in group A showed a significantly (p = 0.027 higher degree of flexion (118° ± 10° at their last follow-up than patients in group B (114° ± 10°. Patients in group A showed a significantly better mean VAS pain (p = 0.0001 and satisfaction (p = 0.0058 at 2 years follow-up. The pain free walking distance was significantly (p = 0.036 longer for group A than group B. Patients treated with a lateral approach were significantly more stable in terms of valgus stress (p = 0.049. The Knee society score was significantly (p = 0.0009 higher at two years follow up in group A compared to group B. The postoperative mechanical alignment and positioning of the prosthesis were not significantly different. Patients in group B presented with significantly (p = 0.0017 more tibial radiolucencies (> 2 mm at their last follow-up than patients in

  20. Standardization for climate change. Approaches and perspectives. Final report; Normstelling voor klimaatverandering. Invalshoeken en perspectieven. Eindrapport

    Energy Technology Data Exchange (ETDEWEB)

    Weterings, R.

    1995-01-01

    The results of a project, aimed at support of the environmental quality target for climate policy on a national level (Follow-up Memorandum Climatic Change of the Dutch government) and on an international level (elaboration of the UN Framework Convention on Climate Change). In order to generate ideas for standards of the climate policy a workshop was held on Environmental Quality and Climate. During the workshop standards of climatic change were highlighted from different points of view. Those views and perspectives are analyzed and the results are presented in this report. 4 figs., 31 refs.

  1. A Process Engineering Approach to the Development and Integration of Intrusion Detection Techniques

    National Research Council Canada - National Science Library

    Ye, Nong

    2001-01-01

    ...) investigate system-level intrusion detection techniques for the fusion and correlation of local information about intrusions, based on the integration infrastructure for intrusion detection; and (3...

  2. A Process Engineering Approach to the Development and Integration of Intrusion Detection Techniques

    National Research Council Canada - National Science Library

    Ye, Nong

    2002-01-01

    ...) investigate system-level intrusion detection techniques for the fusion and correlation of local information about intrusions, based on the integration infrastructure for intrusion detection; and (3...

  3. Muscle gap approach under a minimally invasive channel technique for treating long segmental lumbar spinal stenosis: A retrospective study.

    Science.gov (United States)

    Bin, Yang; De Cheng, Wang; Wei, Wang Zong; Hui, Li

    2017-08-01

    This study aimed to compare the efficacy of muscle gap approach under a minimally invasive channel surgical technique with the traditional median approach.In the Orthopedics Department of Traditional Chinese and Western Medicine Hospital, Tongzhou District, Beijing, 68 cases of lumbar spinal canal stenosis underwent surgery using the muscle gap approach under a minimally invasive channel technique and a median approach between September 2013 and February 2016. Both approaches adopted lumbar spinal canal decompression, intervertebral disk removal, cage implantation, and pedicle screw fixation. The operation time, bleeding volume, postoperative drainage volume, and preoperative and postoperative visual analog scale (VAS) score and Japanese Orthopedics Association score (JOA) were compared between the 2 groups.All patients were followed up for more than 1 year. No significant difference between the 2 groups was found with respect to age, gender, surgical segments. No diversity was noted in the operation time, intraoperative bleeding volume, preoperative and 1 month after the operation VAS score, preoperative and 1 month after the operation JOA score, and 6 months after the operation JOA score between 2 groups (P > .05). The amount of postoperative wound drainage (260.90 ± 160 mL vs 447.80 ± 183.60 mL, P gap approach group than in the median approach group (P gap approach under a minimally invasive channel group, the average drainage volume was reduced by 187 mL, and the average VAS score 6 months after the operation was reduced by an average of 0.48.The muscle gap approach under a minimally invasive channel technique is a feasible method to treat long segmental lumbar spinal canal stenosis. It retains the integrity of the posterior spine complex to the greatest extent, so as to reduce the adjacent spinal segmental degeneration and soft tissue trauma. Satisfactory short-term and long-term clinical results were obtained.

  4. Multigrid method based on a space-time approach with standard coarsening for parabolic problems

    NARCIS (Netherlands)

    S.R. Franco (Sebastião Romero); F.J. Gaspar Lorenz (Franscisco); M.A. Villela Pinto (Marcio Augusto); C. Rodrigo (Carmen)

    2018-01-01

    textabstractIn this work, a space-time multigrid method which uses standard coarsening in both temporal and spatial domains and combines the use of different smoothers is proposed for the solution of the heat equation in one and two space dimensions. In particular, an adaptive smoothing strategy,

  5. Vehicle safety performance improvements using a performance-based standards approach: four case studies

    CSIR Research Space (South Africa)

    Nordengen, Paul A

    2014-01-01

    Full Text Available As part of a performance-based standards (PBS) research programme for heavy vehicles in South Africa, a need was identified to design, manufacture and operate a number of PBS or Smart Truck demonstration vehicles. The purpose of the demonstration...

  6. 78 FR 37452 - Standard Instrument Approach Procedures, and Takeoff Minimums and Obstacle Departure Procedures...

    Science.gov (United States)

    2013-06-21

    ..., 2013. John M. Allen, Director, Flight Standards Service. Adoption of the Amendment Accordingly..., Amdt 1. 7/25/13 FL Tampa Tampa Executive. 3/0405 6/6/13 ILS OR LOC RWY 23, Amdt 1. 7/25/13 FL Milton...

  7. Bootstrap Approach To Compare the Slopes of Two Calibrations When Few Standards Are Available.

    Science.gov (United States)

    Estévez-Pérez, Graciela; Andrade, Jose M; Wilcox, Rand R

    2016-02-16

    Comparing the slopes of aqueous-based and standard addition calibration procedures is almost a daily task in analytical laboratories. As usual protocols imply very few standards, sound statistical inference and conclusions are hard to obtain for current classical tests (e.g., the t-test), which may greatly affect decision-making. Thus, there is a need for robust statistics that are not distorted by small samples of experimental values obtained from analytical studies. Several promising alternatives based on bootstrapping are studied in this paper under the typical constraints common in laboratory work. The impact of number of standards, homoscedasticity or heteroscedasticity, three variance patterns, and three error distributions on least-squares fits were considered (in total, 144 simulation scenarios). The Student's t-test is the most valuable procedure when the normality assumption is true and homoscedasticity is present, although it can be highly affected by outliers. A wild bootstrap method leads to average rejection percentages that are closer to the nominal level in almost every situation, and it is recommended for laboratories working with a small number of standards. Finally, it was seen that the Theil-Sen percentile bootstrap statistic is very robust but its rejection percentages depart from the nominal ones (bootstrap principles to compare the slopes of two calibration lines.

  8. 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...

  9. Sustainability in Science Education? How the Next Generation Science Standards Approach Sustainability, and Why It Matters

    Science.gov (United States)

    Feinstein, Noah Weeth; Kirchgasler, Kathryn L.

    2015-01-01

    In this essay, we explore how sustainability is embodied in the Next Generation Science Standards (NGSS), analyzing how the NGSS explicitly define and implicitly characterize sustainability. We identify three themes (universalism, scientism, and technocentrism) that are common in scientific discourse around sustainability and show how they appear…

  10. 75 FR 72942 - Standard Instrument Approach Procedures, and Takeoff Minimums and Obstacle Departure Procedures...

    Science.gov (United States)

    2010-11-29

    ...: Harry J. Hodges, Flight Procedure Standards Branch (AFS-420), Flight Technologies and Programs Divisions..., SD, Rapid City Rgnl, ILS OR LOC RWY 32, Amdt 19 Newport News, VA, Newport News/Williamsburg Intl, ILS OR LOC RWY 7, Amdt 33 Newport News, VA, Newport News/Williamsburg Intl, ILS OR LOC RWY 25, Amdt 1...

  11. Methodology of synchronization among strategy and operation. A standards-based modeling approach

    Directory of Open Access Journals (Sweden)

    VICTOR EDWIN COLLAZOS

    2017-05-01

    Full Text Available Enterprise Architecture (EA has gained importance in recent years, mainly for its concept of “alignment” between the strategic and operational levels of organizations. Such alignment occurs when Information Technology (IT is applied correctly and timely, working in synergy and harmony with strategy and the operation to achieve mutually their own goals and satisfy the organizational needs.Both the strategic and operational levels have standards that help model elements necessary to obtain desired results. In this sense, BMM and BPMN were selected because both have the support of OMG and they are fairly well known for modelling the strategic level and operational level, respectively. In addition, i* modeling goal can be used for reducing the gap between these two standards. This proposal may help both the high-level design of the information system and to the appropriate identification of the business processes that will support it.This paper presents a methodology for aligning strategy and the operation based on standards and heuristics. We have made a classification for elements of the models and, for some specific cases, an extension of the heuristics associated between them. This allows us to propose methodology, which uses above-mentioned standards and combines mappings, transformations and actions to be considered in the alignment process.

  12. Comparison of Two Different Techniques of Cooperative Learning Approach: Undergraduates' Conceptual Understanding in the Context of Hormone Biochemistry

    Science.gov (United States)

    Mutlu, Ayfer

    2018-01-01

    The purpose of the research was to compare the effects of two different techniques of the cooperative learning approach, namely Team-Game Tournament and Jigsaw, on undergraduates' conceptual understanding in a Hormone Biochemistry course. Undergraduates were randomly assigned to Group 1 (N = 23) and Group 2 (N = 29). Instructions were accomplished…

  13. Duration of Hemodialysis Following Peritoneal Dialysis Cessation in Australia and New Zealand: Proposal for a Standardized Definition of Technique Failure.

    Science.gov (United States)

    Lan, Patrick G; Clayton, Philip A; Johnson, David W; McDonald, Stephen P; Borlace, Monique; Badve, Sunil V; Sud, Kamal; Boudville, Neil

    ♦ BACKGROUND: Although technique failure is a key outcome in peritoneal dialysis (PD), there is currently no agreement on a uniform definition. We explored different definitions of PD technique failure using data from the Australia and New Zealand Dialysis and Transplant (ANZDATA) Registry. ♦ METHODS: We included 16,612 incident PD patients in Australia and New Zealand from January 1998 to December 2012. Different definitions of technique failure were applied according to the minimum number of days (30, 60, 90, 180, or 365) the patient received hemodialysis after cessation of PD. ♦ RESULTS: Median technique survival varied from 2.0 years with the 30-day definition to 2.4 years with the 365-day definition. For all definitions, the most common causes of technique failure were death, followed by infectious complications. The likelihood of a patient returning to PD within 12 months of technique failure was highest in the 30-day definition (24%), and was very small when using the 180- and 365-day definitions (3% and 0.8%, respectively). Patients whose technique failed due to mechanical reasons were the most likely to return to PD (46% within 12 months using the 30-day definition). ♦ CONCLUSIONS: Both 30- and 180-day definitions have clinical relevance but offer different perspectives with very different prognostic implications for further PD. Therefore, we propose that PD technique failure be defined by a composite endpoint of death or transfer to hemodialysis using both 30-day and 180-day definitions. Copyright © 2016 International Society for Peritoneal Dialysis.

  14. Approach for domestic preparation of standard material (LSD spike) for isotope dilution mass spectrometry

    International Nuclear Information System (INIS)

    Ishikawa, Fumitaka; Sumi, Mika; Chiba, Masahiko; Suzuki, Toru; Abe, Tomoyuki; Kuno, Yusuke

    2008-01-01

    The accountancy analysis of the nuclear fuel material at Plutonium Fuel Development Center of JAEA is performed by isotope dilution mass spectrometry (IDMS; Isotope Dilution Mass Spectrometry). IDMS requires the standard material called LSD spike (Large Size Dried spike) which is indispensable for the accountancy in the facilities where the nuclear fuel materials are handled. Although the LSD spike and Pu source material have been supplied from foreign countries, the transportation for such materials has been getting more difficult recently. This difficulty may affect the operation of nuclear facilities in the future. Therefore, research and development of the domestic LSD spike and base material has been performed at JAEA. Certification for such standard nuclear materials including spikes produced in Japan is being studied. This report presents the current status and the future plan for the technological development. (author)

  15. Accounting Education Approach in the Context of New Turkish Commercial Code and Turkish Accounting Standards

    OpenAIRE

    Cevdet Kızıl; Ayşe Tansel Çetin; Ahmed Bulunmaz

    2014-01-01

    The aim of this article is to investigate the impact of new Turkish commercial code and Turkish accounting standards on accounting education. This study takes advantage of the survey method for gathering information and running the research analysis. For this purpose, questionnaire forms are distributed to university students personally and via the internet.This paper includes significant research questions such as “Are accounting academicians informed and knowledgeable on new Turkish commerc...

  16. DBKM Issues, Approaches and Challenges for new build: Harmonization, standardization, certification, peer review

    International Nuclear Information System (INIS)

    Omoto, A.

    2013-01-01

    Among issues when discussing DBKM: ⇒ What to preserve throughout plant lifetime? ⇒ Who manages (Design Authority)? ⇒ How best it is managed? ⇒ What are the threats of degradation? ⇒ What are the practical adverse effects on safety by inappropriate DBKM? ⇒ What about the future of licensing, harmonization, standardization, certification, peer review? … to be discussed in the context of new builds including those in new entrants

  17. Approach toward development of release standards for D and D cleanup

    International Nuclear Information System (INIS)

    Chen, S. Y.

    1999-01-01

    The release of materials containing residual radioactivity from a controlled environment in decontamination and decommissioning (D and D) activities has been problematic. The primary impediment to such a release is the lack of a suitable framework within which release standards can be developed. The concept of clearance for radioactive materials was recently introduced by the International Atomic Energy Agency (IAEA) (l). This concept is being evaluated by the international regulatory communities as a basis for setting standards for releasing from control solid materials containing residual radioactivity. Accordingly, both the IAEA (2) and the European Commission (EC) (3) have recently proposed clearance standards. In the US, the Nuclear Regulatory Commission (USNRC) has just begun its rule-making process on clearance. The term ''clearance'' was introduced as a regulatory process for releasing radioactive materials posing negligible risks. A trivial risk level has been determined to be a 10 -6 to 10 -7 annual risk to an exposed individual, and a population risk of no more than 0.1 for an annual practice. Under these strict constraints, exposure scenarios would be developed to estimate potential doses to affected individuals. Such scenarios may account for processing, disposal, and product end-use of materials. This paper discusses these scenarios and also describes the technical basis for deriving release levels under the suggested risk for dose constraints

  18. 77 FR 52887 - Regulatory Capital Rules: Standardized Approach for Risk-Weighted Assets; Market Discipline and...

    Science.gov (United States)

    2012-08-30

    ... Transactions. A discussion of options and requirements for recognizing collateral credit risk mitigation... the definition of financial collateral. b. Risk Management Guidance for Recognizing Collateral. A... recognizing the collateral for credit risk mitigation purposes. c. Simple Approach. A description of the...

  19. Teaching Techniques: Four Ears Hear More than Two--A Competitive Team Approach to Listening Practice

    Science.gov (United States)

    Shikhantsov, Alexey

    2016-01-01

    This article explores a technique that can be used for almost any kind of classroom listening practice and with all kinds of classes. It seems to work well both in exam preparation and in regular textbook listening exercises.

  20. Deconstructing interventions: approaches to studying behavior change techniques across obesity interventions.

    Science.gov (United States)

    Tate, Deborah F; Lytle, Leslie A; Sherwood, Nancy E; Haire-Joshu, Debra; Matheson, Donna; Moore, Shirley M; Loria, Catherine M; Pratt, Charlotte; Ward, Dianne S; Belle, Steven H; Michie, Susan

    2016-06-01

    Deconstructing interventions into the specific techniques that are used to change behavior represents a new frontier in behavioral intervention research. This paper considers opportunities and challenges in employing the Behavior Change Techniques Taxonomy (BCTTv1) developed by Michie and colleagues, to code the behavior change techniques (BCTs) across multiple interventions addressing obesity and capture dose received at the technique level. Numerous advantages were recognized for using a shared framework for intervention description. Coding interventions at levels of the social ecological framework beyond the individual level, separate coding for behavior change initiation vs. maintenance, fidelity of BCT delivery, accounting for BCTs mode of delivery, and tailoring BCTs, present both challenges and opportunities. Deconstructing interventions and identifying the dose required to positively impact health-related outcomes could enable important gains in intervention science.

  1. The molecular imaging approach to image infections and inflammation by nuclear medicine techniques

    NARCIS (Netherlands)

    Signore, Alberto; Glaudemans, Andor W. J. M.

    2011-01-01

    Inflammatory and infectious diseases are a heterogeneous class of diseases that may be divided into infections, acute inflammation and chronic inflammation. Radiological imaging techniques have, with the exception of functional MRI, high sensitivity but lack in specificity. Nuclear medicine

  2. Strain analysis in CRT candidates using the novel segment length in cine (SLICE) post-processing technique on standard CMR cine images

    NARCIS (Netherlands)

    Zweerink, A.; Allaart, C.P.; Kuijer, J.P.A.; Wu, L.; Beek, A.M.; Ven, P.M. van de; Meine, M.; Croisille, P.; Clarysse, P.; Rossum, A.C. van; Nijveldt, R.

    2017-01-01

    OBJECTIVES: Although myocardial strain analysis is a potential tool to improve patient selection for cardiac resynchronization therapy (CRT), there is currently no validated clinical approach to derive segmental strains. We evaluated the novel segment length in cine (SLICE) technique to derive

  3. A Standardized Narrative Profile Approach to Self-Reflection and Assessment of Cross-Cultural Communication

    Directory of Open Access Journals (Sweden)

    Kyle J Wilby

    2017-03-01

    Full Text Available Objectives: 1 to explore clinical assessor’s values regarding behaviours related to cultural aspects of care, 2 to generate standardized narrative profiles regarding cultural behavioural outcomes within clinical teaching settings, and 3 to rank order standardized narrative profiles according to performance expectations. Methods: Ten interviews were completed with clinicians to determine values and performance expectations for culturally competent behaviours. Transcripts were produced and coded. Six narrative profiles were developed based on data obtained. Twenty clinicians categorized profiles according to performance expectations and rank ordered. Intraclass correlation coefficients (ICCs determined inter-rater reliability. Clinicians rated usability of profiles in clinical training settings. Results: Eighteen categories were coded with communication, awareness and ability most frequently reported with each ranging from 9.6-11.5% of the utterances. Consensus for categorization of all profiles was achieved at a level of 70% (ICC = 0.837, 95% CI 0.654-0.969. High inter-rater reliability was achieved for rank ordering (ICC = 0.815, 95% CI 0.561 to 0.984. Seventeen (85% clinicians agreed that the profiles would be usable in clinical training settings. Conclusions: Standardized narrative profiles may aid assessment and self-reflection for student performance within culturally diverse interactions. Conflict of Interest We declare no conflicts of interest or financial interests that the authors or members of their immediate families have in any product or service discussed in the manuscript, including grants (pending or received, employment, gifts, stock holdings or options, honoraria, consultancies, expert testimony, patents and royalties.   Type: Original Research

  4. Security in a Web 2.0+ World A Standards Based Approach

    CERN Document Server

    Solari , Carlos Curtis

    2010-01-01

    Discover how technology is affecting your business, and why typical security mechanisms are failing to address the issue of risk and trust. Security for a Web 2.0+ World looks at the perplexing issues of cyber security, and will be of interest to those who need to know how to make effective security policy decisions to engineers who design ICT systems - a guide to information security and standards in the Web 2.0+ era. It provides an understanding of IT security in the converged world of communications technology based on the Internet Protocol. Many companies are currently applying security mo

  5. The need for a standard approach to assessing the functionality of rural community water supplies

    Science.gov (United States)

    Bonsor, Helen; MacDonald, Alan; Casey, Vincent; Carter, Richard; Wilson, Paul

    2018-03-01

    The Sustainable Development Goals have set an agenda for transformational change in water access, aiming for secure household connections globally. Despite this goal, communal groundwater supplies are likely to remain the main source of improved water supplies for many rural areas in Africa and South Asia for decades to come. Understanding the poor functionality of existing communal supplies remains, therefore, a priority. A critical first step is to establish a sector-wide definition of borehole supply functionality and a standard method of its assessment.

  6. Region of Interest Template for the Human Basal Ganglia: Comparing EPI and Standardized Space Approaches

    OpenAIRE

    Janey Prodoehl, PT; Yu, Hong; Little, Deborah M.; Abraham, Ivy; Vaillancourt, David E.

    2007-01-01

    Identifying task related activation in the basal ganglia (BG) is an important area of interest in normal motor systems and cognitive neuroscience. The purpose of this study was to compare changes in brain activation in the BG using results obtained from two different masking methods: a mask drawn in standardized space from a T1 weighted anatomical image and individual region of interest (ROI) masks drawn from each subject’s echo-planar (EPI) image from different tasks with reference to the hi...

  7. The need for a standard approach to assessing the functionality of rural community water supplies

    Science.gov (United States)

    Bonsor, Helen; MacDonald, Alan; Casey, Vincent; Carter, Richard; Wilson, Paul

    2018-01-01

    The Sustainable Development Goals have set an agenda for transformational change in water access, aiming for secure household connections globally. Despite this goal, communal groundwater supplies are likely to remain the main source of improved water supplies for many rural areas in Africa and South Asia for decades to come. Understanding the poor functionality of existing communal supplies remains, therefore, a priority. A critical first step is to establish a sector-wide definition of borehole supply functionality and a standard method of its assessment.

  8. Shortened screening method for phosphorus fractionation in sediments A complementary approach to the standards, measurements and testing harmonised protocol

    International Nuclear Information System (INIS)

    Pardo, Patricia; Rauret, Gemma; Lopez-Sanchez, Jose Fermin

    2004-01-01

    The SMT protocol, a sediment phosphorus fractionation method harmonised and validated in the frame of the standards, measurements and testing (SMT) programme (European Commission), establishes five fractions of phosphorus according to their extractability. The determination of phosphate extracted is carried out spectrophotometrically. This protocol has been applied to 11 sediments of different origin and characteristics and the phosphorus extracted in each fraction was determined not only by UV-Vis spectrophotometry, but also by inductively coupled plasma-atomic emission spectrometry. The use of these two determination techniques allowed the differentiation between phosphorus that was present in the extracts as soluble reactive phosphorus and as total phosphorus. From the comparison of data obtained with both determination techniques a shortened screening method, for a quick evaluation of the magnitude and importance of the fractions given by the SMT protocol, is proposed and validated using two certified reference materials

  9. Investigating the application of diving endoscopic technique in determining the extent of pituitary adenoma resection via the trans-nasal-sphenoidal approach.

    Science.gov (United States)

    Gao, Hai-Bin; Wang, Li-Qing; Zhou, Jian-Yun; Sun, Wei

    2018-04-01

    The aim of the present study was to investigate the advantages and disadvantages of the diving endoscopic technique in pituitary adenoma surgery, and the application value in determining the extent of tumor resection. A total of 37 patients with pituitary adenoma initially underwent tumor resection under an endoscope-assisted microscope via standard trans-nasal-sphenoidal approach, and tumor cavity structure was observed by applying the diving endoscopic technique. Surgery was subsequently performed again under a microscope or endoscope. The diving endoscopic technique allowed surgeons to directly observe the structure inside a tumor cavity in high-definition. In the present study, 24 patients had pituitary macroadenomas or microadenomas that did not invade the cavernous sinus, and were considered to have undergone successful total resection. Among these patients, no tumor residues were observed through the diving endoscopic technique. Some white lichenoid or fibrous cord-like tissues in the tumor cavity were considered to be remnants of tumors. However, pathology confirmed that these were not tumor tissues. For tumors that invaded the cavernous sinus in 13 patients, observation could only be conducted under the angulation endoscope of the diving endoscope; i.e., the operation could not be conducted under an endoscope. The present study suggests that the diving endoscopic technique may be used to directly observe the resection extent of tumors within the tumor cavity, especially the structure of the tumor cavity inside the sella turcica. The present study also directly validates the reliability of pituitary adenoma resection under endoscope-assisted microscope. In addition, the diving endoscopic technique also allows the surgeon to observe the underwater environment within the sella turcica.

  10. Fine needle biopsy with cytology in paediatrics: the importance of a multidisciplinary approach and the role of ancillary techniques.

    Science.gov (United States)

    Barroca, H; Bom-Sucesso, M

    2014-02-01

    Fine needle biopsy (FNB) with cytology has long been regarded as an excellent technique as the first choice for diagnosing adult tumours. Being an inexpensive minimally invasive technique with high accuracy and diagnostic immediacy through rapid on-site evaluation, it is also ideal for implementation in the paediatric setting, particularly in developing countries. Furthermore, it allows complementary and advanced procedures such as flow cytometry, polymerase chain reaction (PCR) or fluorescence in situ hybridization (FISH), among others, which enhances the diagnostic capacity of this technique and gives it a key role in risk stratification and therapeutic decision-making for several tumours. The advantages of FNB are optimized in the setting of a multidisciplinary team where cytologist, clinician and radiologist play leading roles. Paediatric tumours are rare and most ancillary techniques are cost-effective but complex to be implemented in small centres with limited experience in paediatric pathology. Therefore reference centres are essential, in order to establish teams with extensive experience and expertise. Hence, any child with a suspected malignancy should be directly referred to a paediatric oncology unit. Focusing on a practical approach to the assessment of paediatric lymphadenopathies and non-central nervous system solid tumours we review the effectiveness of FNB as applied concurrently with ancillary techniques in a multidisciplinary approach to the diagnosis, prognosis and therapeutic decisions of paediatric tumours and tumour-like lesions. © 2013 John Wiley & Sons Ltd.

  11. A Technique for Standardized Evaluation of Soft and Hard Peri-Implant Tissues in Partially Edentulous Patients

    NARCIS (Netherlands)

    Meijndert, Leo; Meijer, Henny J.A.; Raghoebar, Gerry M.; Vissink, Arjan

    Background: There is a growing need to evaluate the esthetics of implant-supported crowns and bridges. An important tool for such an evaluation is standardized assessment of the soft and hard peri-implant tissue levels. Methods: A simple acrylic device has been developed for reliable and

  12. Slit-scanning technique using standard cell sorter instruments for analyzing and sorting nonacrocentric human chromosomes, including small ones

    NARCIS (Netherlands)

    Rens, W.; van Oven, C. H.; Stap, J.; Jakobs, M. E.; Aten, J. A.

    1994-01-01

    We have investigated the performance of two types of standard flow cell sorter instruments, a System 50 Cytofluorograph and a FACSTar PLUS cell sorter, for the on-line centromeric index (CI) analysis of human chromosomes. To optimize the results, we improved the detection efficiency for centromeres

  13. The Apprentice: an Innovative Approach to Meet the Behavior Analysis Certification Board's Supervision Standards.

    Science.gov (United States)

    Hartley, Breanne K; Courtney, William T; Rosswurm, Mary; LaMarca, Vincent J

    2016-12-01

    The Behavior Analysis Certification Board continues to increase the standards for supervision of trainees, which is needed in order for the field to continually improve. However, this presents a challenge for organizations to meet the needs of both their clients and their supervisees based on these increasing standards. Throughout the ages, experts in all trades have passed along their knowledge and skill through apprenticeship opportunities. An apprenticeship supervision model is described that allows Board Certified Behavior Analysts to supervise future behavior analysts by mentoring, educating, and training supervisees on the science of human behavior in a format that is mutually beneficial. This innovative supervision model is discussed as it applies to an applied behavior analysis human service organization with the goal of creating a system that results in high-quality supervision in a cost-effective manner while providing maximal learning for the supervisee. The organization's previous supervision difficulties are described prior to implementing the apprenticeship supervision model, and the benefits of developing and using the apprenticeship supervision model are outlined.

  14. Management of post abortion complications in Botswana -The need for a standardized approach.

    Directory of Open Access Journals (Sweden)

    Tadele Melese

    Full Text Available Post abortion complications are the third leading cause of maternal death after hemorrhage and hypertension in Botswana where abortion is not legalized. This study aimed at assessing the management of post abortion complications in Botswana.A retrospective study was conducted at four hospitals in Botswana in 2014. Socio-demographic, patient management and outcomes data were extracted from patients' medical records. Descriptive statistics and chi-square test were used to analyze and present the data.A total of 619 patients' medical records were reviewed. The duration of hospital stay prior to uterine evacuation ranged from less than an hour to 480 hours. All the patients received either prophylactic or therapeutic antibiotics. Use of parenteral antibiotics was significantly associated with severity of abortion, second trimester abortion, use of blood products and the interval between management's decision and uterine evacuation. Uterine evacuation for retained products of conception was achieved by metallic curettage among 516 (83.4% patients and by vacuum aspiration in 18 (2.9%. At all the study sites, Misoprostol or Oxytocin were used concurrently with surgical evacuation of the uterus. None use of analgesics or anesthetics in the four hospitals ranged between 12.4% to 28.8%.There is evidence of delayed patient care and prolonged hospital stay. Metallic curette was the primary method used for uterine evacuation across all the facilities. Pain management and antibiotics use was not standardized. A protocol has to be developed with the aim of standardizing post abortion care.

  15. Novel technique and simple approach for supra-alar region and supra-alar crease correction by supra-alar cinching.

    Science.gov (United States)

    Selvaraj, Loganathan

    2016-01-01

    This technical report describes a simple and innovative surgical technique for supra-alar sidewall region constriction and supra-alar crease attenuation by cinching technique through intraoral approach.

  16. Novel technique and simple approach for supra-alar region and supra-alar crease correction by supra-alar cinching

    OpenAIRE

    Selvaraj, Loganathan

    2016-01-01

    This technical report describes a simple and innovative surgical technique for supra-alar sidewall region constriction and supra-alar crease attenuation by cinching technique through intraoral approach.

  17. The earrings of Pancas treasure: Analytical study by X-ray based techniques – A first approach

    Energy Technology Data Exchange (ETDEWEB)

    Tissot, I., E-mail: isabel.tissot@archeofactu.pt [Archeofactu – Rua do Cerrado das Oliveiras, No. 14, 2°Dto., 2610-035 Alfragide (Portugal); Tissot, M., E-mail: matthias.tissot@archeofactu.pt [Archeofactu – Rua do Cerrado das Oliveiras, No. 14, 2°Dto., 2610-035 Alfragide (Portugal); Museu Nacional de Arqueologia – Praça do Império, 1400-206 Lisboa (Portugal); Manso, M., E-mail: marta974@gmail.com [Centro de Física Atómica da Universidade de Lisboa, Av., Prof. Gama Pinto 2, 1649-003 Lisboa (Portugal); Alves, L.C., E-mail: luisa@cii.fc.ul.pt [IST/ITN, Univ. Técnica de Lisboa, E.N. 10, UFA-LFI, 2686-953 Sacavém (Portugal); Barreiros, M.A., E-mail: alexandra.barreiros@lneg.pt [LNEG, I.P., Estrada do Paço do Lumiar 22, 1649-038 Lisboa (Portugal); Marcelo, T., E-mail: teresa.marcelo@lneg.pt [LNEG, I.P., Estrada do Paço do Lumiar 22, 1649-038 Lisboa (Portugal); Carvalho, M.L., E-mail: lcalves@itn.pt [Centro de Física Atómica da Universidade de Lisboa, Av., Prof. Gama Pinto 2, 1649-003 Lisboa (Portugal); Corregidor, V., E-mail: vicky.corregidor@itn.pt [IST/ITN, Univ. Técnica de Lisboa, E.N. 10, UFA-LFI, 2686-953 Sacavém (Portugal); Guerra, M.F., E-mail: maria.guerra@culture.gouv.fr [Centre de Recherche et de Restauration des Musées de France and UMR8220 CNRS - 14, quai François Mitterrand, 75001 Paris (France)

    2013-07-01

    The development of new metallurgical technologies in the Iberian Peninsula during the Iron Age is well represented by the 10 gold earrings from the treasure of Pancas. This work presents a first approach to the analytical study of these earrings and contributes to the construction of a typological evolution of the Iberian earrings. The manufacture techniques and the alloys composition were studied with three complementary X-ray spectroscopy techniques: portable EDXRF, μ-PIXE and SEM–EDS. The results were compared with earrings from the same and previous periods.

  18. An integrated approach to the biomechanics and motor control of cricket fast bowling techniques.

    Science.gov (United States)

    Glazier, Paul S; Wheat, Jonathan S

    2014-01-01

    To date, scientific investigations into the biomechanical aspects of cricket fast bowling techniques have predominantly focused on identifying the mechanical factors that may predispose fast bowlers to lower back injury with a relative paucity of research being conducted on the technical features that underpin proficient fast bowling performance. In this review paper, we critique the scientific literature examining fast bowling performance. We argue that, although many published investigations have provided some useful insights into the biomechanical factors that contribute to a high ball release speed and, to a lesser extent, bowling accuracy, this research has not made a substantive contribution to knowledge enhancement and has only had a very minor influence on coaching practice. To significantly enhance understanding of cricket fast bowling techniques and, therefore, have greater impact on practice, we recommend that future scientific research adopts an interdisciplinary focus, integrating biomechanical measurements with the analytical tools and concepts of dynamical systems motor control theory. The use of qualitative (topological) analysis techniques, in particular, promises to increase understanding of the coordinative movement patterns that define 'technique' in cricket fast bowling and potentially help distinguish between functional and dysfunctional aspects of technique for individual fast bowlers.

  19. The "covariation method" for estimating the parameters of the standard Dynamic Energy Budget model I: Philosophy and approach

    Science.gov (United States)

    Lika, Konstadia; Kearney, Michael R.; Freitas, Vânia; van der Veer, Henk W.; van der Meer, Jaap; Wijsman, Johannes W. M.; Pecquerie, Laure; Kooijman, Sebastiaan A. L. M.

    2011-11-01

    The Dynamic Energy Budget (DEB) theory for metabolic organisation captures the processes of development, growth, maintenance, reproduction and ageing for any kind of organism throughout its life-cycle. However, the application of DEB theory is challenging because the state variables and parameters are abstract quantities that are not directly observable. We here present a new approach of parameter estimation, the covariation method, that permits all parameters of the standard Dynamic Energy Budget (DEB) model to be estimated from standard empirical datasets. Parameter estimates are based on the simultaneous minimization of a weighted sum of squared deviations between a number of data sets and model predictions or the minimisation of the negative log likelihood function, both in a single-step procedure. The structure of DEB theory permits the unusual situation of using single data-points (such as the maximum reproduction rate), which we call "zero-variate" data, for estimating parameters. We also introduce the concept of "pseudo-data", exploiting the rules for the covariation of parameter values among species that are implied by the standard DEB model. This allows us to introduce the concept of a generalised animal, which has specified parameter values. We here outline the philosophy behind the approach and its technical implementation. In a companion paper, we assess the behaviour of the estimation procedure and present preliminary findings of emerging patterns in parameter values across diverse taxa.

  20. Standardizing documentation and the clinical approach to apnea of prematurity reduces length of stay, improves staff satisfaction, and decreases hospital cost.

    Science.gov (United States)

    Butler, T Jeffrey; Firestone, Kimberly S; Grow, Jennifer L; Kantak, Anand D

    2014-06-01

    Apnea of prematurity, a common disorder, can severely compromise an infant's condition unless correctly diagnosed and treated. Infants with a history of apnea of prematurity can be discharged home but then be rehospitalized for an apneic event, an apparent life-threatening event, or sudden infant death syndrome. The definition of a clinically significant cardiopulmonary event, such events' documentation, and the treatment approach were standardized, and discharge criteria were refined. A prospective, single-center comparison was conducted between a group of premature infants before and after implementation of the standard approach. Data were collected prospectively from August 1, 2005, through July 21, 2006, for the prestandard-approach group and from August 1, 2006, through September 16, 2007, for the standard-approach group. Twenty-two (35%) of the 63 infants in the prestandard-approach group experienced discharge delays because of poor documentation, whereby the clinician could not determine the safety of discharge. This resulted in 59 additional hospital days (mean length-of-stay [LOS] increase, 5.7 days). The standard-approach group of 72 infants experienced no discharge delays and no additional hospital days, and LOS decreased (all p apnea of prematurity occurred for 5 (7.9%) of the prestandard-approach group but none of the standard-approach group (p = .0203). Overall compliance with the standardization process has been maintained at > or = 96%. Implementation of a standard approach to the definition of apnea of prematurity and its treatment and documentation decreases LOS and reduces cost.

  1. Are we ready to apply the de minimis concept to standard setting: a historical approach

    International Nuclear Information System (INIS)

    Stannard, J.N.

    1984-01-01

    The pros and cons of the de minimis concept is discussed from a historical point of view. The purpose is first to indicate how long ago many common occupational hazards were recognized and second to conclude that there had to be exposure levels that were essentially trivial, i.e., de minimis. Some aspects of the history of radiation protection are presented. The topics of discussion include: empiricism; the tolerance dose; the maximum permissible exposure dose; as low as possible dose (ALAP) and as low as reasonable achievable (ALARA); and the challenge of the '80s. In the '80s with the strong movement to use risk as a basis for both radiation and chemical standards, the need for adding the concept of a trivial risk has taken hold. Some examples of possible de minimis levels, as well as some of the problems and current activities, are presented

  2. Tax design-tax evasion relationship in Serbia: New empirical approach to standard theoretical model

    Directory of Open Access Journals (Sweden)

    Ranđelović Saša

    2015-01-01

    Full Text Available This paper provides evidence on the impact of the change in income tax rates and the degree of its progressivity on the scale of labour taxes evasion in Serbia, using the tax-benefit microsimulation model and econometric methods, on 2007 Living Standard Measurement Survey data. The empirical analysis is based on novel assumption that individual's tax evasion decision depends on a change in disposable income, which is captured by the variation in their Effective Marginal Tax Rates (EMTR, rather than on a change in after-tax income. The results suggest that the elasticity of tax evasion to EMTR equals -0.3, confirming the Yitzhaki's theory, while the propensity to evade is decreasing in the level of wages and increasing in the level of self-employment income. The results also show that introduction of revenue-neutral, progressive taxation of labour income would lead to increase in labour tax evasion by 1 percentage point.

  3. A perturbative approach to the redshift space power spectrum: beyond the Standard Model

    Energy Technology Data Exchange (ETDEWEB)

    Bose, Benjamin; Koyama, Kazuya, E-mail: benjamin.bose@port.ac.uk, E-mail: kazuya.koyama@port.ac.uk [Institute of Cosmology and Gravitation, University of Portsmouth, Burnaby Road, Portsmouth, Hampshire, PO1 3FX (United Kingdom)

    2016-08-01

    We develop a code to produce the power spectrum in redshift space based on standard perturbation theory (SPT) at 1-loop order. The code can be applied to a wide range of modified gravity and dark energy models using a recently proposed numerical method by A.Taruya to find the SPT kernels. This includes Horndeski's theory with a general potential, which accommodates both chameleon and Vainshtein screening mechanisms and provides a non-linear extension of the effective theory of dark energy up to the third order. Focus is on a recent non-linear model of the redshift space power spectrum which has been shown to model the anisotropy very well at relevant scales for the SPT framework, as well as capturing relevant non-linear effects typical of modified gravity theories. We provide consistency checks of the code against established results and elucidate its application within the light of upcoming high precision RSD data.

  4. A new approach to standardize multicenter studies: mobile lab technology for the German Environmental Specimen Bank.

    Directory of Open Access Journals (Sweden)

    Dominik Lermen

    Full Text Available Technical progress has simplified tasks in lab diagnosis and improved quality of test results. Errors occurring during the pre-analytical phase have more negative impact on the quality of test results than errors encountered during the total analytical process. Different infrastructures of sampling sites can highly influence the quality of samples and therewith of analytical results. Annually the German Environmental Specimen Bank (ESB collects, characterizes, and stores blood, plasma, and urine samples of 120-150 volunteers each on four different sampling sites in Germany. Overarching goal is to investigate the exposure to environmental pollutants of non-occupational exposed young adults combining human biomonitoring with questionnaire data. We investigated the requirements of the study and the possibility to realize a highly standardized sampling procedure on a mobile platform in order to increase the required quality of the pre-analytical phase. The results lead to the development of a mobile epidemiologic laboratory (epiLab in the project "Labor der Zukunft" (future's lab technology. This laboratory includes a 14.7 m(2 reception area to record medical history and exposure-relevant behavior, a 21.1 m(2 examination room to record dental fillings and for blood withdrawal, a 15.5 m(2 biological safety level 2 laboratory to process and analyze samples on site including a 2.8 m(2 personnel lock and a 3.6 m2 cryofacility to immediately freeze samples. Frozen samples can be transferred to their final destination within the vehicle without breaking the cold chain. To our knowledge, we herewith describe for the first time the implementation of a biological safety laboratory (BSL 2 lab and an epidemiologic unit on a single mobile platform. Since 2013 we have been collecting up to 15.000 individual human samples annually under highly standardized conditions using the mobile laboratory. Characterized and free of alterations they are kept ready for

  5. Core Genome Multilocus Sequence Typing: a Standardized Approach for Molecular Typing of Mycoplasma gallisepticum.

    Science.gov (United States)

    Ghanem, Mostafa; Wang, Leyi; Zhang, Yan; Edwards, Scott; Lu, Amanda; Ley, David; El-Gazzar, Mohamed

    2018-01-01

    Mycoplasma gallisepticum is the most virulent and economically important Mycoplasma species for poultry worldwide. Currently, M. gallisepticum strain differentiation based on sequence analysis of 5 loci remains insufficient for accurate outbreak investigation. Recently, whole-genome sequences (WGS) of many human and animal pathogens have been successfully used for microbial outbreak investigations. However, the massive sequence data and the diverse properties of different genes within bacterial genomes results in a lack of standard reproducible methods for comparisons among M. gallisepticum whole genomes. Here, we proposed the development of a core genome multilocus sequence typing (cgMLST) scheme for M. gallisepticum strains and field isolates. For development of this scheme, a diverse collection of 37 M. gallisepticum genomes was used to identify cgMLST targets. A total of 425 M. gallisepticum conserved genes (49.85% of M. gallisepticum genome) were selected as core genome targets. A total of 81 M. gallisepticum genomes from 5 countries on 4 continents were typed using M. gallisepticum cgMLST. Analyses of phylogenetic trees generated by cgMLST displayed a high degree of agreement with geographical and temporal information. Moreover, the high discriminatory power of cgMLST allowed differentiation between M. gallisepticum strains of the same outbreak. M. gallisepticum cgMLST represents a standardized, accurate, highly discriminatory, and reproducible method for differentiation among M. gallisepticum isolates. cgMLST provides stable and expandable nomenclature, allowing for comparison and sharing of typing results among laboratories worldwide. cgMLST offers an opportunity to harness the tremendous power of next-generation sequencing technology in applied avian mycoplasma epidemiology at both local and global levels. Copyright © 2017 American Society for Microbiology.

  6. One-Tube-Only Standardized Site-Directed Mutagenesis: An Alternative Approach to Generate Amino Acid Substitution Collections.

    Directory of Open Access Journals (Sweden)

    Janire Mingo

    Full Text Available Site-directed mutagenesis (SDM is a powerful tool to create defined collections of protein variants for experimental and clinical purposes, but effectiveness is compromised when a large number of mutations is required. We present here a one-tube-only standardized SDM approach that generates comprehensive collections of amino acid substitution variants, including scanning- and single site-multiple mutations. The approach combines unified mutagenic primer design with the mixing of multiple distinct primer pairs and/or plasmid templates to increase the yield of a single inverse-PCR mutagenesis reaction. Also, a user-friendly program for automatic design of standardized primers for Ala-scanning mutagenesis is made available. Experimental results were compared with a modeling approach together with stochastic simulation data. For single site-multiple mutagenesis purposes and for simultaneous mutagenesis in different plasmid backgrounds, combination of primer sets and/or plasmid templates in a single reaction tube yielded the distinct mutations in a stochastic fashion. For scanning mutagenesis, we found that a combination of overlapping primer sets in a single PCR reaction allowed the yield of different individual mutations, although this yield did not necessarily follow a stochastic trend. Double mutants were generated when the overlap of primer pairs was below 60%. Our results illustrate that one-tube-only SDM effectively reduces the number of reactions required in large-scale mutagenesis strategies, facilitating the generation of comprehensive collections of protein variants suitable for functional analysis.

  7. A COGNITIVE APPROACH TO CORPORATE GOVERNANCE: A VISUALIZATION TEST OF MENTAL MODELS WITH THE COGNITIVE MAPPING TECHNIQUE

    Directory of Open Access Journals (Sweden)

    Garoui NASSREDDINE

    2012-01-01

    Full Text Available The idea of this paper is to determine the mental models of actors in the fi rm with respect to the cognitive approach of corporate governance. The paper takes a corporate governance perspective, discusses mental models and uses the cognitive map to view the diagrams showing the ways of thinking and the conceptualization of the cognitive approach. In addition, it employs a cognitive mapping technique. Returning to the systematic exploration of grids for each actor, it concludes that there is a balance of concepts expressing their cognitive orientation.

  8. A Systematic Approach to Applying Lean Techniques to Optimize an Office Process at the Y-12 National Security Complex

    Energy Technology Data Exchange (ETDEWEB)

    Credille, Jennifer [Y-12 National Security Complex, Oak Ridge, TN (United States); Univ. of Tennessee, Knoxville, TN (United States); Owens, Elizabeth [Y-12 National Security Complex, Oak Ridge, TN (United States); Univ. of Tennessee, Knoxville, TN (United States)

    2017-10-11

    This capstone offers the introduction of Lean concepts to an office activity to demonstrate the versatility of Lean. Traditionally Lean has been associated with process improvements as applied to an industrial atmosphere. However, this paper will demonstrate that implementing Lean concepts within an office activity can result in significant process improvements. Lean first emerged with the conception of the Toyota Production System. This innovative concept was designed to improve productivity in the automotive industry by eliminating waste and variation. Lean has also been applied to office environments, however the limited literature reveals most Lean techniques within an office are restricted to one or two techniques. Our capstone confronts these restrictions by introducing a systematic approach that utilizes multiple Lean concepts. The approach incorporates: system analysis, system reliability, system requirements, and system feasibility. The methodical Lean outline provides tools for a successful outcome, which ensures the process is thoroughly dissected and can be achieved for any process in any work environment.

  9. Selection and Assessment of Passive Cooling Techniques for Residential Buildings in Oman Using a Bioclimatic Approach

    Directory of Open Access Journals (Sweden)

    N Al-Azri

    2013-12-01

    Full Text Available Passive cooling is an ancient technique used in air reconditioning and ventilation. Despite its historical use, its relevance in building design has never ceased. To be sure, with the increasing interest in saving energy and preserving the environment, passive cooling stands out as a sustainable possibility. However, this is not always a viable option, and its practicality is determined mainly by the system's functionality, the type of activities involved in the space to be cooled, and the surrounding area's bioclimatic variables (i.e. temperature, humidity, and diurnal temperature differences. In areas under consideration for passive cooling systems, bioclimatic charts are helpful. Comprehensive charts, in which yearlong hourly meteorological data are projected on a psychrometric chart, help to determine the fits required by a particular location. In this paper, psychrometric charts were developed for eight locations in Oman, and a systematic procedure on the selection and viability of using passive cooling techniques is provided through meteorological data. Givoni's passive cooling zones are used and the applicability of each technique is quantified. The eight study locations are widely scattered around and Oman, and possess great geographical diversity. The presented results can help delineate the applicability of each passive cooling technique for residential buildings at each of the study locations and their proximities.

  10. Standing down Straight: Jump Rhythm Technique's Rhythm-Driven, Community-Directed Approach to Dance Education

    Science.gov (United States)

    Siegenfeld, Billy

    2009-01-01

    "Standing down straight" means to stand on two feet with both stability and relaxation. Using standing down straight as the foundation of class work, Jump Rhythm Technique offers a fresh alternative to conventional systems of dance study. It bases its pedagogy on three behaviors: grounding the body so that it can move with power and efficiency,…

  11. An Alternative Approach: Examining Arguments Against Coercive Interrogation Techniques from a Biblical-Ethics Perspective

    Science.gov (United States)

    2016-06-10

    manipulation, with a minimum caloric intake depending on the detainee’s body weight and physical activity -Extended sleep deprivation for up to 96...further elaborated on by the addition of techniques included in this thesis to describe CIT, “Detainees may be beaten, deprived of sleep , hooded for long...5 Definitions and Terms

  12. Chemical Separation Technique of Strontium-90 in the Soil Water as theStandard Methods for Environmental Radioactivity Analysis

    International Nuclear Information System (INIS)

    Ngasifudin-Hamdani; Suratman; Djoko-Sardjono, Ign; Winduanto-Wahyu SP

    2000-01-01

    Research about separation technique of strontium-90 from its materialmatrix using chemical precipitation method has been done. That technique wasapplied on the detection of radionuclide strontium-90 containing in the soilwater of near nuclear reactor facility P3TM BATAN in three location. The twoimportant parameters used in this technique were growth time of Y-90 andstirring time. The result shown that activity of strontium-90 in the pos-01was between 1.801x10 -19 - 9.616x10 -17 μCi/cm 3 , pos-02 was8.448x10 -19 - 1.003x X 10 -16 μCi/cm 3 and pos-03 was 6.719x10 -19 - 11.644x10 -16 μCi/cm 3 . From those data shown that activity of Sr-90in the soil water of near nuclear reactor facility P3TM BATAN was still belowthe limit value of maximum concentration permitted i.e. 4.0x10 -7 -3.5x10 -6 μCi/cm 3 . The statistic test using analysis of varian twofactorial with random block design shown that the activity of Sr-90 in thesoil water was influenced by the interaction which take place between growthlong time of Y-90 and stirring long time. (author)

  13. [Western blot technique standardization for specific diagnosis of Chagas disease using excretory-secretory antigens of Trypanosoma cruzi epimastigotes].

    Science.gov (United States)

    Escalante, Hermes; Jara, César; Davelois, Kelly; Iglesias, Miguel; Benites, Adderly; Espinoza, Renzo

    2014-01-01

    Evaluate the effectiveness of Western Blot for the specific diagnosis of Chagas disease using excretory-secretory antigens of Trypanosoma cruzi epimastigotes. Antigens were obtained after twenty hours of incubation in Eagle’s Minimum Essential Medium, which were prepared at a protein concentration of 0.2 ug/uL to be faced with 10 mL pool of serum from patients with Chagas disease and a conjugated anti-IgG labeled with peroxidase. The presence of the following antigens was observed: 10, 12, 14, 15, 19, 20, 23, 26, 30, 33, 36, 40, 42, 46, 58, 63, 69, 91, 100, and 112 kDa; of which antigens of 10, 12, 14, 15, 19, 20, 23, and 26 kDa were considered to be specific using pools of serum from patients with other parasitosis and serum from people with no parasites. The sensitivity of the technique was assessed using individual serum from 65 patients with Chagas disease; and the specificity with serum from 40 patients with other parasitosis, and serums from five people who did not have parasites. The technique has a sensitivity of 95.4% in the detection of one to eight specific bands, a specificity of 100%, a positive predictive value of 100%, and a negative predictive value of 93.7%. Western Blot technique with excretory-secretory antigens of T. cruzi epimastigotes is effective in the diagnosis of Chagas disease in Peru; therefore, it can be used as a confirmatory test.

  14. MacCormack's technique-based pressure reconstruction approach for PIV data in compressible flows with shocks

    Science.gov (United States)

    Liu, Shun; Xu, Jinglei; Yu, Kaikai

    2017-06-01

    This paper proposes an improved approach for extraction of pressure fields from velocity data, such as obtained by particle image velocimetry (PIV), especially for steady compressible flows with strong shocks. The principle of this approach is derived from Navier-Stokes equations, assuming adiabatic condition and neglecting viscosity of flow field boundaries measured by PIV. The computing method is based on MacCormack's technique in computational fluid dynamics. Thus, this approach is called the MacCormack method. Moreover, the MacCormack method is compared with several approaches proposed in previous literature, including the isentropic method, the spatial integration and the Poisson method. The effects of velocity error level and PIV spatial resolution on these approaches are also quantified by using artificial velocity data containing shock waves. The results demonstrate that the MacCormack method has higher reconstruction accuracy than other approaches, and its advantages become more remarkable with shock strengthening. Furthermore, the performance of the MacCormack method is also validated by using synthetic PIV images with an oblique shock wave, confirming the feasibility and advantage of this approach in real PIV experiments. This work is highly significant for the studies on aerospace engineering, especially the outer flow fields of supersonic aircraft and the internal flow fields of ramjets.

  15. Performance of DNA metabarcoding, standard barcoding, and morphological approach in the identification of host–parasitoid interactions

    Science.gov (United States)

    Hulcr, Jiří; Drozd, Pavel; Hrček, Jan

    2017-01-01

    Understanding interactions between herbivores and parasitoids is essential for successful biodiversity protection and monitoring and for biological pest control. Morphological identifications employ insect rearing and are complicated by insects’ high diversity and crypsis. DNA barcoding has been successfully used in studies of host–parasitoid interactions as it can substantially increase the recovered real host–parasitoid diversity distorted by overlooked species complexes, or by species with slight morphological differences. However, this approach does not allow the simultaneous detection and identification of host(s) and parasitoid(s). Recently, high-throughput sequencing has shown high potential for surveying ecological communities and trophic interactions. Using mock samples comprising insect larvae and their parasitoids, we tested the potential of DNA metabarcoding for identifying individuals involved in host–parasitoid interactions to different taxonomic levels, and compared it to standard DNA barcoding and morphological approaches. For DNA metabarcoding, we targeted the standard barcoding marker cytochrome oxidase subunit I using highly degenerate primers, 2*300 bp sequencing on a MiSeq platform, and RTAX classification using paired-end reads. Additionally, using a large host–parasitoid dataset from a Central European floodplain forest, we assess the completeness and usability of a local reference library by confronting the number of Barcoding Index Numbers obtained by standard barcoding with the number of morphotypes. Overall, metabarcoding recovery was high, identifying 92.8% of the taxa present in mock samples, and identification success within individual taxonomic levels did not significantly differ among metabarcoding, standard barcoding, and morphology. Based on the current local reference library, 39.4% parasitoid and 90.7% host taxa were identified to the species level. DNA barcoding estimated higher parasitoid diversity than morphotyping

  16. Performance of DNA metabarcoding, standard barcoding, and morphological approach in the identification of host-parasitoid interactions.

    Science.gov (United States)

    Šigut, Martin; Kostovčík, Martin; Šigutová, Hana; Hulcr, Jiří; Drozd, Pavel; Hrček, Jan

    2017-01-01

    Understanding interactions between herbivores and parasitoids is essential for successful biodiversity protection and monitoring and for biological pest control. Morphological identifications employ insect rearing and are complicated by insects' high diversity and crypsis. DNA barcoding has been successfully used in studies of host-parasitoid interactions as it can substantially increase the recovered real host-parasitoid diversity distorted by overlooked species complexes, or by species with slight morphological differences. However, this approach does not allow the simultaneous detection and identification of host(s) and parasitoid(s). Recently, high-throughput sequencing has shown high potential for surveying ecological communities and trophic interactions. Using mock samples comprising insect larvae and their parasitoids, we tested the potential of DNA metabarcoding for identifying individuals involved in host-parasitoid interactions to different taxonomic levels, and compared it to standard DNA barcoding and morphological approaches. For DNA metabarcoding, we targeted the standard barcoding marker cytochrome oxidase subunit I using highly degenerate primers, 2*300 bp sequencing on a MiSeq platform, and RTAX classification using paired-end reads. Additionally, using a large host-parasitoid dataset from a Central European floodplain forest, we assess the completeness and usability of a local reference library by confronting the number of Barcoding Index Numbers obtained by standard barcoding with the number of morphotypes. Overall, metabarcoding recovery was high, identifying 92.8% of the taxa present in mock samples, and identification success within individual taxonomic levels did not significantly differ among metabarcoding, standard barcoding, and morphology. Based on the current local reference library, 39.4% parasitoid and 90.7% host taxa were identified to the species level. DNA barcoding estimated higher parasitoid diversity than morphotyping, especially

  17. Near surface geophysics techniques and geomorphological approach to reconstruct the hazard cave map in historical and urban areas

    OpenAIRE

    M. Lazzari; A. Loperte; A. Perrone

    2010-01-01

    This work, carried out with an integrated methodological approach, focuses on the use of near surface geophysics techniques, such as ground penetrating radar and electrical resistivity tomography (ERT), and geomorphological analysis, in order to reconstruct the cave distribution and geometry in a urban context and, in particular, in historical centres. The interaction during recent centuries between human activity (caves excavation, birth and growth of an urban area) and the...

  18. Robotic positioning of standard electrophysiology catheters: a novel approach to catheter robotics.

    Science.gov (United States)

    Knight, Bradley; Ayers, Gregory M; Cohen, Todd J

    2008-05-01

    Robotic systems have been developed to manipulate and position electrophysiology (EP) catheters remotely. One limitation of existing systems is their requirement for specialized catheters or sheaths. We evaluated a system (Catheter Robotics Remote Catheter Manipulation System [RCMS], Catheter Robotics, Inc., Budd Lake, New Jersey) that manipulates conventional EP catheters placed through standard introducer sheaths. The remote controller functions much like the EP catheter handle, and the system permits repeated catheter disengagement for manual manipulation without requiring removal of the catheter from the body. This study tested the hypothesis that the RCMS would be able to safely and effectively position catheters at various intracardiac sites and obtain thresholds and electrograms similar to those obtained with manual catheter manipulation. Two identical 7 Fr catheters (Blazer II; Boston Scientific Corp., Natick, Massachusetts) were inserted into the right femoral veins of 6 mongrel dogs through separate, standard 7 Fr sheaths. The first catheter was manually placed at a right ventricular endocardial site. The second catheter handle was placed in the mating holder of the RCMS and moved to approximately the same site as the first catheter using the Catheter Robotics RCMS. The pacing threshold was determined for each catheter. This sequence was performed at 2 right atrial and 2 right ventricular sites. The distance between the manually and robotically placed catheters tips was measured, and pacing thresholds and His-bundle recordings were compared. The heart was inspected at necropsy for signs of cardiac perforation or injury. Compared to manual positioning, remote catheter placement produced the same pacing threshold at 7/24 sites, a lower threshold at 11/24 sites, and a higher threshold at only 6/24 sites (p > 0.05). The average distance between catheter tips was 0.46 +/- 0.32 cm (median 0.32, range 0.13-1.16 cm). There was no difference between right atrial

  19. EUS-guided portal pressure gradient measurement with a novel 25-gauge needle device versus standard transjugular approach: a comparison animal study.

    Science.gov (United States)

    Huang, Jason Y; Samarasena, Jason B; Tsujino, Takeshi; Chang, Kenneth J

    2016-08-01

    Portal hypertension (PH) is a serious adverse event of liver cirrhosis. The hepatic venous pressure gradient (HVPG) accurately reflects the degree of PH and is the single best prognostic factor in liver disease. Currently, portal pressure gradient (PPG) measurement is performed at interventional radiology (IR) with a standard transjugular approach requiring radiation and intravenous contrast. The aim of this study was to develop a novel EUS-guided system using a 25G FNA needle and compact manometer to directly measure PPG and to evaluate its performance and clinical feasibility. Experiments were performed in 3 swine that were under general anesthesia. Manometry was performed in venous (baseline and PH) and arterial (aorta) systems. The PH model was created by rapid Dextran-40 infusion peripherally. Under EUS guidance a 25G FNA needle with attached manometer was used to puncture (transgastric-transhepatic approach) and measure pressures in the portal vein, right hepatic vein (RHV), inferior vena cava (IVC), and aorta. With the IR approach, RHV (free and wedged), IVC, and aorta pressure were measured with an occlusion balloon. Pressure correlation was divided into 3 groups; low pressure (baseline), medium pressure (noncirrhotic portal hypertensive model), and high pressure (arterial). Correlation between the 2 methods of measurement was charted in scatter plots, and the Pearson's correlation coefficient (R) was calculated. EUS identification, access, and manometry was successful in all targeted vessels. There was excellent correlation (R, .985-.99) between EUS and IR methods in all pressure ranges. No adverse event occurred. This novel technique of EUS-PPG measurement using a 25G needle and novel manometer was feasible and demonstrated excellent correlation with the standard transjugular method throughout low, medium, and high pressure ranges. Copyright © 2016. Published by Elsevier Inc.

  20. Pfirsch-Tasso versus standard approaches in the plasma stability theory including the resistive wall effects

    Science.gov (United States)

    Pustovitov, V. D.

    2017-11-01

    The study is devoted to theoretical description of plasma stability in toroidal fusion systems with a resistive wall. Its aim is elimination of contradictions between the models recently developed for the resistive wall mode analysis and the Pfirsch-Tasso approach originated from the paper published in 1971 [D. Pfirsch and H. Tasso, Nucl. Fusion 11, 259 (1971)]. The main relations have been given there without detailed proofs. Here, a missing chain of derivations is restored and earlier unknown limitations that restrict the applicability of the Pfirsch-Tasso energy principle are established. Its replacement valid in a wider area is proposed. The new result is free from the constraints implicitly imposed in the Pfirsch-Tasso procedure and can be used with any plasma model (not necessarily ideal) and for arbitrary perturbations. The proposed extensions allow applications for analysis of the rotational stabilization and optimization of the ITER scenarios.

  1. Clinical Approach to the Standardization of Oriental Medical Diagnostic Pattern Identification in Stroke Patients

    Directory of Open Access Journals (Sweden)

    Han Jung Kim

    2011-01-01

    Full Text Available In Korea, many stroke patients receive oriental medical care, in which pattern-identification plays a major role. Pattern-identification is Oriental Medicine's unique diagnostic system. This study attempted to standardize oriental medical pattern-identification for stroke patients. This was a community-based multicenter study that enrolled stroke patients within 30 days after their ictus. We assessed the patients' general characteristics and symptoms related to pattern-identification. Each patient's pattern was determined when two doctors had the same opinion. To determine which variables affect the pattern-identification, binary logistic regression analysis was used with the backward method. A total of 806 stroke patients were enrolled. Among 480 patients who were identified as having a certain pattern, 100 patients exhibited the Fire Heat Pattern, 210 patients the Phlegm Dampness Pattern, nine patients the Blood Stasis Pattern, 110 patients the Qi Deficiency Pattern, and 51 patients the Yin Deficiency Pattern. After the regression analysis, the predictive logistic equations for the Fire Heat, Phlegm Dampness, Qi Deficiency, and Yin Deficiency patterns were determined. The Blood Stasis Pattern was omitted because the sample size was too small. Predictive logistic equations were suggested for four of the patterns. These criteria would be useful in determining each stroke patient's pattern in clinics. However, further studies with large samples are necessary to validate and confirm these criteria.

  2. Approach to Facilitating Geospatial Data and Metadata Publication Using a Standard Geoservice

    Directory of Open Access Journals (Sweden)

    Sergio Trilles

    2017-04-01

    Full Text Available Nowadays, the existence of metadata is one of the most important aspects of effective discovery of geospatial data published in Spatial Data Infrastructures (SDIs. However, due to lack of efficient mechanisms integrated in the data workflow, to assist users in metadata generation, a lot of low quality and outdated metadata are stored in the catalogues. This paper presents a mechanism for generating and publishing metadata through a publication service. This mechanism is provided as a web service implemented with a standard interface called a web processing service, which improves interoperability between other SDI components. This work extends previous research, in which a publication service has been designed in the framework of the European Directive Infrastructure for Spatial Information in Europe (INSPIRE as a solution to assist users in automatically publishing geospatial data and metadata in order to improve, among other aspects, SDI maintenance and usability. Also, this work adds more extra features in order to support more geospatial formats, such as sensor data.

  3. Advancing lie detection by inducing cognitive load on liars: a review of relevant theories and techniques guided by lessons from polygraph-based approaches.

    Science.gov (United States)

    Walczyk, Jeffrey J; Igou, Frank P; Dixon, Alexa P; Tcholakian, Talar

    2013-01-01

    This article critically reviews techniques and theories relevant to the emerging field of "lie detection by inducing cognitive load selectively on liars." To help these techniques benefit from past mistakes, we start with a summary of the polygraph-based Controlled Question Technique (CQT) and the major criticisms of it made by the National Research Council (2003), including that it not based on a validated theory and administration procedures have not been standardized. Lessons from the more successful Guilty Knowledge Test are also considered. The critical review that follows starts with the presentation of models and theories offering insights for cognitive lie detection that can undergird theoretically load-inducing approaches. This is followed by evaluation of specific research-based, load-inducing proposals, especially for their susceptibility to rehearsal and other countermeasures. To help organize these proposals and suggest new direction for innovation and refinement, a theoretical taxonomy is presented based on the type of cognitive load induced in examinees (intrinsic or extraneous) and how open-ended the responses to test items are. Finally, four recommendations are proffered that can help researchers and practitioners to avert the corresponding mistakes with the CQT and yield new, valid cognitive lie detection technologies.

  4. "A Standards-Driven, Task-Based Assessment Approach for Teacher Credentialing with Potential for College Accreditation"

    Directory of Open Access Journals (Sweden)

    Judy R. Wilkerson

    2004-06-01

    Full Text Available When the Southeast Center for Teaching Quality (2003a studied what teachers would want to tell policy..makers about highly qualified teacher requirements, they summarized their findings in this quote: - Come..to my classroom, and not just for a day.- (p. 2. What could be a more obvious invitation to improve and..expand teacher assessment? The standardized objective tests and occasional formal observational..evaluations being used to measure teacher competence today have been contested for decades as ineffective..according to politicians and invalid according to researchers. While these two long-standing and useful..assessment strategies are important components of an overall assessment system, neither -' alone or paired..-' is sufficient to identify and remediate new teacher deficiencies. This article includes a series of..recommendations, organized in steps, for developing an assessment approach that is task-based, standardsdriven,..and job-related that would serve as a major component of a comprehensive beginning teacher..assessment system. These recommendations are based on a two-year effort that resulted in Florida's..Alternative Certification Program Assessment System. This system has now been adopted by about twothirds..of the Florida school districts and is beginning to be adopted by colleges of education preparing..teachers through the traditional route. The design takes into account three sets of standards: the Florida..requirements for program approval the NCATE requirements for accreditation, and the Standards of..Educational and Psychological Testing (referred to as the Standards; AERA, APA, and NCME, 1999...These standards define the ultimate purpose of decisions about initial teacher competence: protecting the..public from unqualified practitioners.

  5. Chiropractic biophysics technique: a linear algebra approach to posture in chiropractic.

    Science.gov (United States)

    Harrison, D D; Janik, T J; Harrison, G R; Troyanovich, S; Harrison, D E; Harrison, S O

    1996-10-01

    This paper discusses linear algebra as applied to human posture in chiropractic, specifically chiropractic biophysics technique (CBP). Rotations, reflections and translations are geometric functions studied in vector spaces in linear algebra. These mathematical functions are termed rigid body transformations and are applied to segmental spinal movement in the literature. Review of the literature indicates that these linear algebra concepts have been used to describe vertebral motion. However, these rigid body movers are presented here as applying to the global postural movements of the head, thoracic cage and pelvis. The unique inverse functions of rotations, reflections and translations provide a theoretical basis for making postural corrections in neutral static resting posture. Chiropractic biophysics technique (CBP) uses these concepts in examination procedures, manual spinal manipulation, instrument assisted spinal manipulation, postural exercises, extension traction and clinical outcome measures.

  6. A Cultural Psychological Approach to Analyze Intercultural Learning: Potential and Limits of the Structure Formation Technique

    Directory of Open Access Journals (Sweden)

    Doris Weidemann

    2009-01-01

    Full Text Available Despite the huge interest in sojourner adjustment, there is still a lack of qualitative as well as of longitudinal research that would offer more detailed insights into intercultural learning processes during overseas stays. The present study aims to partly fill that gap by documenting changes in knowledge structures and general living experiences of fifteen German sojourners in Taiwan in a longitudinal, cultural-psychological study. As part of a multimethod design a structure formation technique was used to document subjective theories on giving/losing face and their changes over time. In a second step results from this study are compared to knowledge-structures of seven long-term German residents in Taiwan, and implications for the conceptualization of intercultural learning will be proposed. Finally, results from both studies serve to discuss the potential and limits of structure formation techniques in the field of intercultural communication research. URN: urn:nbn:de:0114-fqs0901435

  7. Storage quality-of-service in cloud-based scientific environments: a standardization approach

    Science.gov (United States)

    Millar, Paul; Fuhrmann, Patrick; Hardt, Marcus; Ertl, Benjamin; Brzezniak, Maciej

    2017-10-01

    When preparing the Data Management Plan for larger scientific endeavors, PIs have to balance between the most appropriate qualities of storage space along the line of the planned data life-cycle, its price and the available funding. Storage properties can be the media type, implicitly determining access latency and durability of stored data, the number and locality of replicas, as well as available access protocols or authentication mechanisms. Negotiations between the scientific community and the responsible infrastructures generally happen upfront, where the amount of storage space, media types, like: disk, tape and SSD and the foreseeable data life-cycles are negotiated. With the introduction of cloud management platforms, both in computing and storage, resources can be brokered to achieve the best price per unit of a given quality. However, in order to allow the platform orchestrator to programmatically negotiate the most appropriate resources, a standard vocabulary for different properties of resources and a commonly agreed protocol to communicate those, has to be available. In order to agree on a basic vocabulary for storage space properties, the storage infrastructure group in INDIGO-DataCloud together with INDIGO-associated and external scientific groups, created a working group under the umbrella of the Research Data Alliance (RDA). As communication protocol, to query and negotiate storage qualities, the Cloud Data Management Interface (CDMI) has been selected. Necessary extensions to CDMI are defined in regular meetings between INDIGO and the Storage Network Industry Association (SNIA). Furthermore, INDIGO is contributing to the SNIA CDMI reference implementation as the basis for interfacing the various storage systems in INDIGO to the agreed protocol and to provide an official Open-Source skeleton for systems not being maintained by INDIGO partners.

  8. Configuring Simulation Models Using CAD Techniques: A New Approach to Warehouse Design

    OpenAIRE

    Brito, A. E. S. C.

    1992-01-01

    The research reported in this thesis is related to the development and use of software tools for supporting warehouse design and management. Computer Aided Design and Simulation techniques are used to develop a software system that forms the basis of a Decision Support System for warehouse design. The current position of simulation software is reviewed. It is investigated how appropriate current simulation software is for warehouse modelling. Special attention is given to Vi...

  9. Recycling of Organic Wastes to Achieve the Clean Agriculture Approach with Aid of Nuclear Techniques

    International Nuclear Information System (INIS)

    Moursy, A.A.A.

    2012-01-01

    The Objective of this current work is to study Organic matter decomposition under clean agriculture system in sandy soil using nuclear technique. This desirtatation has the following targets: - Amendment and improving sandy soil properties - Utilization of farm wastes (Recycling) in safe mode -Benefits form organic matter decomposition. - Follow up the fate of same nutrients (Nitrogen) released in soil media after organic matter (O.M) decomposition and Impact on plant nutrition status.-saving the environment on short and long run.

  10. Sportsmen’s Groin—Diagnostic Approach and Treatment With the Minimal Repair Technique

    Science.gov (United States)

    Muschaweck, Ulrike; Berger, Luise Masami

    2010-01-01

    Context: Sportsmen’s groin, also called sports hernia and Gilmore groin, is one of the most frequent sports injuries in athletes and may place an athletic career at risk. It presents with acute or chronic groin pain exacerbated with physical activity. So far, there is little consensus regarding pathogenesis, diagnostic criteria, or treatment. There have been various attempts to explain the cause of the groin pain. The assumption is that a circumscribed weakness in the posterior wall of the inguinal canal, which leads to a localized bulge, induces a compression of the genital branch of the genitofemoral nerve, considered responsible for the symptoms. Methods: The authors developed an innovative open suture repair—the Minimal Repair technique—to fit the needs of professional athletes. With this technique, the circumscribed weakness of the posterior wall of the inguinal canal is repaired by an elastic suture; the compression on the nerve is abolished, and the cause of the pain is removed. In contrast with that of common open suture repairs, the defect of the posterior wall is not enlarged, the suture is nearly tension free, and the patient can return to full training and athletic activity within a shorter time. The outcome of patients undergoing operations with the Minimal Repair technique was compared with that of commonly used surgical procedures. Results: The following advantages of the Minimal Repair technique were found: no insertion of prosthetic mesh, no general anesthesia required, less traumatization, and lower risk of severe complications with equal or even faster convalescence. In 2009, a prospective cohort of 129 patients resumed training in 7 days and experienced complete pain relief in an average of 14 days. Professional athletes (67%) returned to full activity in 14 days (median). Conclusion: The Minimal Repair technique is an effective and safe way to treat sportsmen’s groin. PMID:23015941

  11. Contextualising Water Use in Residential Settings: A Survey of Non-Intrusive Techniques and Approaches

    Directory of Open Access Journals (Sweden)

    Davide Carboni

    2016-05-01

    Full Text Available Water monitoring in households is important to ensure the sustainability of fresh water reserves on our planet. It provides stakeholders with the statistics required to formulate optimal strategies in residential water management. However, this should not be prohibitive and appliance-level water monitoring cannot practically be achieved by deploying sensors on every faucet or water-consuming device of interest due to the higher hardware costs and complexity, not to mention the risk of accidental leakages that can derive from the extra plumbing needed. Machine learning and data mining techniques are promising techniques to analyse monitored data to obtain non-intrusive water usage disaggregation. This is because they can discern water usage from the aggregated data acquired from a single point of observation. This paper provides an overview of water usage disaggregation systems and related techniques adopted for water event classification. The state-of-the art of algorithms and testbeds used for fixture recognition are reviewed and a discussion on the prominent challenges and future research are also included.

  12. Split-increment technique: an alternative approach for large cervical composite resin restorations.

    Science.gov (United States)

    Hassan, Khamis A; Khier, Salwa E

    2007-02-01

    This article proposes and describes the split-increment technique as an alternative for placement of composite resin in large cervical carious lesions which extend onto the root surface. Two flat 1.5 mm thick composite resin increments were used to restore these cervical carious lesions. Prior to light-curing, two diagonal cuts were made in each increment in order to split it into four triangular-shaped flat portions. The first increment was applied to cover the entire axial wall and portions of the four surrounding walls. The second increment was applied to fill the cavity completely covering the first one and the rest of the four surrounding walls as well as sealing all cavity margins. This technique results in the reduction of the C-factor and the generated shrinkage stresses by directing the shrinking composite resin during curing towards the free, unbonded areas created by the two diagonal cuts. The proposed technique would also produce a more naturally looking restoration by inserting flat dentin and enamel increments of composite resin of a uniform thickness which closely resembles the arrangement of natural tooth structure.

  13. INTERSPINOUS SPACER IN PERSISTENT DISCOGENIC PAIN: PERCUTANEOUS APPROACH OR OPEN TECHNIQUE

    Directory of Open Access Journals (Sweden)

    José Antonio Cruz Ricardez

    Full Text Available ABSTRACT Objective: To compare the postoperative clinical course of placement of interspinous spacer with open technique (ISO with percutaneous interspinous spacer (PIS. Methods: Quasi-experimental, longitudinal study of 42 patients with discogenic pain uncontrolled with analgesics, aged 35-55 years old, 21 women, and 21 men. Clinical history, location of pain, VAS scale before and after surgery, Oswestry Disability Index and Macnab modified scale at 6 months were used. Results: When performing quantitative analysis statistical significance (p = 0.0478, 0.0466, 0.0399 was demonstrated with Student's t test between the results according to VAS scale; in the qualitative analysis with the Oswestry index and Macnab modified scale it was demonstrated the hypothesis that the results is dependent of the surgical technique. Conclusions: According to the results, we can conclude that there is a statistically significant difference depending on the surgical technique used with respect to the rate of disability and functionality in daily life as well as in the improvement of pain symptoms.

  14. Physicochemical characterization of Ayurvedic bhasma (Swarna makshika bhasma): An approach to standardization.

    Science.gov (United States)

    Mohaptra, Sudhaldev; Jha, C B

    2010-04-01

    Swarna makshika [SM], a mineral having various therapeutic uses, has been used since long in Ayurveda. The present study was conducted to generate a fingerprint for raw and processed SM using techniques which can be used by pharmacies. Powdered SM was heated in an iron pan by adding lemon juice for 3 days, till liberation of sulfur fumes stopped. Bhasma of this shuddha SM was obtained by triturating it withit with shuddha gandhaka and lemon juice. It was then subjected to heat in 09* putas, and for firing in each puta, 4 kg cow dung cakes were used. To assure the quality of bhasma, rasa shastra quality control tests like nischandratva, varitara, amla pariksha, etc., were used. After the bhasma complied with these tests, the bhasma was analyzed using X-ray Diffraction (XRD) analysis of raw SM and SM bhasma revealed that raw SM contains CuFeS(2), and SM bhasma contains Fe(2)O(3), FeS(2), CuS and SiO(2). Scanning Electron Microscope (SEM) studies showed that the grains in SM bhasma were uniformly arranged in agglomerates of size 1-2 microns as compared to the raw SM which showed a scattered arrangement of grains of size 6-8 microns. It may be concluded that raw SM is a complex compound which gets converted into a mixture of simple compounds having very small particle size after the particular process of marana. This is the first report of fingerprinting of SM bhasma prepared using this particular method.

  15. Calculation of Oxygen Fugacity in High Pressure Metal-Silicate Experiments and Comparison to Standard Approaches

    Science.gov (United States)

    Righter, K.; Ghiorso, M.

    2009-01-01

    Calculation of oxygen fugacity in high pressure and temperature experiments in metal-silicate systems is usually approximated by the ratio of Fe in the metal and FeO in the silicate melt: (Delta)IW=2*log(X(sub Fe)/X(sub FeO)), where IW is the iron-wustite reference oxygen buffer. Although this is a quick and easy calculation to make, it has been applied to a huge variety of metallic (Fe- Ni-S-C-O-Si systems) and silicate liquids (SiO2, Al2O3, TiO2, FeO, MgO, CaO, Na2O, K2O systems). This approach has surely led to values that have little meaning, yet are applied with great confidence, for example, to a terrestrial mantle at "IW-2". Although fO2 can be circumvented in some cases by consideration of Fe-M distribution coefficient, these do not eliminate the effects of alloy or silicate liquid compositional variation, or the specific chemical effects of S in the silicate liquid, for example. In order to address the issue of what the actual value of fO2 is in any given experiment, we have calculated fO2 from the equilibria 2Fe (metal) + SiO2 (liq) + O2 = Fe2SiO4 (liq).

  16. Approaches to establish Q-markers for the quality standards of traditional Chinese medicines

    Directory of Open Access Journals (Sweden)

    Wenzhi Yang

    2017-07-01

    Full Text Available Traditional Chinese medicine (TCM has played a pivotal role in maintaining the health of Chinese people and is now gaining increasing acceptance around the global scope. However, TCM is confronting more and more concerns with respect to its quality. The intrinsic “multicomponent and multitarget” feature of TCM necessitates the establishment of a unique quality and bioactivity evaluation system, which is different from that of the Western medicine. However, TCM is investigated essentially as “herbal medicine” or “natural product”, and the pharmacopoeia quality monographs are actually chemical-markers-based, which can ensure the consistency only in the assigned chemical markers, but, to some extent, have deviated from the basic TCM theory. A concept of “quality marker” (Q-marker, following the “property-effect-component” theory, is proposed. The establishment of Q-marker integrates multidisciplinary technologies like natural products chemistry, analytical chemistry, bionics, chemometrics, pharmacology, systems biology, and pharmacodynamics, etc. Q-marker-based fingerprint and multicomponent determination conduce to the construction of more scientific quality control system of TCM. This review delineates the background, definition, and properties of Q-marker, and the associated technologies applied for its establishment. Strategies and approaches for establishing Q-marker-based TCM quality control system are presented and highlighted with a few TCM examples.

  17. Approaches to establish Q-markers for the quality standards of traditional Chinese medicines.

    Science.gov (United States)

    Yang, Wenzhi; Zhang, Yibei; Wu, Wanying; Huang, Luqi; Guo, Dean; Liu, Changxiao

    2017-07-01

    Traditional Chinese medicine (TCM) has played a pivotal role in maintaining the health of Chinese people and is now gaining increasing acceptance around the global scope. However, TCM is confronting more and more concerns with respect to its quality. The intrinsic "multicomponent and multitarget" feature of TCM necessitates the establishment of a unique quality and bioactivity evaluation system, which is different from that of the Western medicine. However, TCM is investigated essentially as "herbal medicine" or "natural product", and the pharmacopoeia quality monographs are actually chemical-markers-based, which can ensure the consistency only in the assigned chemical markers, but, to some extent, have deviated from the basic TCM theory. A concept of "quality marker" (Q-marker), following the "property-effect-component" theory, is proposed. The establishment of Q-marker integrates multidisciplinary technologies like natural products chemistry, analytical chemistry, bionics, chemometrics, pharmacology, systems biology, and pharmacodynamics, etc. Q-marker-based fingerprint and multicomponent determination conduce to the construction of more scientific quality control system of TCM. This review delineates the background, definition, and properties of Q-marker, and the associated technologies applied for its establishment. Strategies and approaches for establishing Q-marker-based TCM quality control system are presented and highlighted with a few TCM examples.

  18. A Novel Approach in Security Using Gyration Slab with Watermarking Technique

    Science.gov (United States)

    Rupa, Ch.

    2016-09-01

    In this paper, a novel security approach is proposed to improve the security and robustness of the data. It uses three levels of security to protect the sensitive data. In the first level, the data is to be protected by Gyration slab encryption algorithm. Result of the first level has to be embedded into an image as original using our earlier paper concept PLSB into a second level of security. The resultant image from the second level is considered as watermark Image. In the third level, the watermark image is embedded into the original image. Here watermark image and original image are similar. The final output of the proposed security approach is a watermarked image which holds the stego image. This method provides more security and robustness than the existing approaches. The main properties of the proposed approach are Gyration slab operations and watermark image and original image are similar. These can reduce the Brute-force attack and improve the confusion and diffusion principles. The main strengths of this paper are cryptanalysis, steganalysis, watermark analysis with reports.

  19. A standardized approach for estimating the permeability of plastic films to soil fumigants under various field and environmental conditions.

    Science.gov (United States)

    Papiernik, Sharon K; Yates, Scott R; Chellemi, Daniel O

    2011-01-01

    Minimizing atmospheric emissions of soil fumigants is critical for protecting human and environmental health. Covering the soil surface with a plastic tarp is a common approach to restrict fumigant emissions. The mass transfer of the fumigant vapors through the tarp is often the rate-limiting factor in fumigant emissions. An approach for standardizing measurements of film permeability is proposed that is based on determining the resistance (R) of films to diffusion of fumigants. Using this approach, values were determined for more than 200 film-chemical combinations under a range of temperature, relative humidity, and film handling conditions. Resistance to diffusion was specific for each fumigant/film combination, with the largest range of values observed for the fumigant chloropicrin. For each fumigant, decreased with increasing temperature. Changes in film permeability due to increases in temperature or field installation were generally less than a factor of five. For one film, values determined under conditions of very high relative humidity (approximately 100%) were at least 100 times lower than when humidity was very low (approximately 2%). This approach simplifies the selection of appropriate films for soil fumigation by providing rapid, reproducible, and precise measurements of their permeability to specific fumigants and application conditions. by the American Society of Agronomy, Crop Science Society of America, and Soil Science Society of America, Inc.

  20. Coracoid bone graft osteolysis after Latarjet procedure: A comparison study between two screws standard technique vs mini-plate fixation

    Science.gov (United States)

    Giacomo, Giovanni Di; Costantini, Alberto; de Gasperis, Nicola; De Vita, Andrea; Lin, Bernard K. H.; Francone, Marco; Beccaglia, Mario A. Rojas; Mastantuono, Marco

    2013-01-01

    Aims: One of the reason for Latarjet procedure failure may be coracoid graft osteolysis. In this study, we aimed to understand if a better compression between the coracoid process and the glenoid, using a mini-plate fixation during the Latarjet procedure, could reduce the amount of coracoid graft osteolysis. Materials and Methods: A computed tomography scan analysis of 26 prospectively followed-up patients was conducted after modified Latarjet procedure using mini-plate fixation technique to determine both the location and the amount of coracoid graft osteolysis in them. We then compared our current results with results from that of our previous study without using mini-plate fixation to determine if there is any statistical significant difference in terms of corcacoid bone graft osteolysis between the two surgical techniques. Results: The most relevant osteolysis was represented by the superficial part of the proximal coracoid, whereas the deep part of the proximal coracoid graft is least involved in osteolysis and has best bone healing. The current study showed a significant difference only for the deep part of the distal coracoid with our previous study (P Latarjet procedure. Conclusion: Our study suggests that there is a significant difference only for the deep part of the distal coracoid in terms of osteolysis. At clinical examination, this difference did not correspond with any clinical findings. Level of Evidence: Level 4. Clinical Relevance: Prospective case series, Treatment study. PMID:23858288

  1. Isolate acetabular cup revision through the direct anterior hip approach: surgical technique, early experience and review of the literature.

    Science.gov (United States)

    Faldini, C; Pilla, F; Fenga, D; Perna, F; Berti, L; Stefanini, N; Pungetti, C; Mazzotti, A; Traina, F

    2016-01-01

    Direct anterior approach to the hip allows perfect exposure of the acetabulum and an easy proximal and medial extension that makes it eligible for isolate acetabular cup revision although it is seldom used and there are only few published studies. On 23 consecutive acetabular revision (16 cases Paprosky grade 1 or 2, 5 cases 3A, 1 case 3B and 1 case 4) at an average 28-month follow up, we did not record failures or major complications. Early complications included prolonged wound healing in 4 cases and transient femoral cutaneous nerve palsy in 2 cases, the mean postoperative Harris Hip Score was 82.2 with 82.5% of excellent and good results. Our results are consistent with those reported in the literature with similar techniques. The direct anterior approach has shown excellent results for isolated cup revision, though is probably better suited for surgeons that have some experience with the same approach for primary cases.

  2. A Hybrid Approach to Simulate X-Ray Imaging Techniques, Combining Monte Carlo and Deterministic Algorithms

    Science.gov (United States)

    Freud, N.; Letang, J.-M.; Babot, D.

    2005-10-01

    In this paper, we propose a hybrid approach to simulate multiple scattering of photons in objects under X-ray inspection, without recourse to parallel computing and without any approximation sacrificing accuracy. Photon scattering is considered from two points of view: it contributes to X-ray imaging and to the dose absorbed by the patient. The proposed hybrid approach consists of a Monte Carlo stage followed by a deterministic phase, thus taking advantage of the complementarity between these two methods. In the first stage, a set of scattering events occurring in the inspected object is determined by means of classical Monte Carlo simulation. Then this set of scattering events is used to compute the energy imparted to the detector, with a deterministic algorithm based on a "forced detection" scheme. Regarding dose evaluation, we propose to assess separately the energy deposited by direct radiation (using a deterministic algorithm) and by scattered radiation (using our hybrid approach). The results obtained in a test case are compared to those obtained with the Monte Carlo method alone (Geant4 code) and found to be in excellent agreement. The proposed hybrid approach makes it possible to simulate the contribution of each type (Compton or Rayleigh) and order of scattering, separately or together, with a single PC, within reasonable computation times (from minutes to hours, depending on the required detector resolution and statistics). It is possible to simulate radiographic images virtually free from photon noise. In the case of dose evaluation, the hybrid approach appears particularly suitable to calculate the dose absorbed by regions of interest (rather than the entire irradiated organ) with computation time and statistical fluctuations considerably reduced in comparison with conventional Monte Carlo simulation.

  3. Standardizing operational vector sampling techniques for measuring malaria transmission intensity: evaluation of six mosquito collection methods in western Kenya.

    Science.gov (United States)

    Wong, Jacklyn; Bayoh, Nabie; Olang, George; Killeen, Gerry F; Hamel, Mary J; Vulule, John M; Gimnig, John E

    2013-04-30

    Operational vector sampling methods lack standardization, making quantitative comparisons of malaria transmission across different settings difficult. Human landing catch (HLC) is considered the research gold standard for measuring human-mosquito contact, but is unsuitable for large-scale sampling. This study assessed mosquito catch rates of CDC light trap (CDC-LT), Ifakara tent trap (ITT), window exit trap (WET), pot resting trap (PRT), and box resting trap (BRT) relative to HLC in western Kenya to 1) identify appropriate methods for operational sampling in this region, and 2) contribute to a larger, overarching project comparing standardized evaluations of vector trapping methods across multiple countries. Mosquitoes were collected from June to July 2009 in four districts: Rarieda, Kisumu West, Nyando, and Rachuonyo. In each district, all trapping methods were rotated 10 times through three houses in a 3 × 3 Latin Square design. Anophelines were identified by morphology and females classified as fed or non-fed. Anopheles gambiae s.l. were further identified as Anopheles gambiae s.s. or Anopheles arabiensis by PCR. Relative catch rates were estimated by negative binomial regression. When data were pooled across all four districts, catch rates (relative to HLC indoor) for An. gambiae s.l (95.6% An. arabiensis, 4.4% An. gambiae s.s) were high for HLC outdoor (RR = 1.01), CDC-LT (RR = 1.18), and ITT (RR = 1.39); moderate for WET (RR = 0.52) and PRT outdoor (RR = 0.32); and low for all remaining types of resting traps (PRT indoor, BRT indoor, and BRT outdoor; RR < 0.08 for all). For Anopheles funestus, relative catch rates were high for ITT (RR = 1.21); moderate for HLC outdoor (RR = 0.47), CDC-LT (RR = 0.69), and WET (RR = 0.49); and low for all resting traps (RR < 0.02 for all). At finer geographic scales, however, efficacy of each trap type varied from district to district. ITT, CDC-LT, and WET appear to be effective methods for large-scale vector sampling in

  4. Determination of Pu-238 Abundance in a Plutonium Standard by an Advanced Thermal Ionization Mass Spectrometric Technique

    Science.gov (United States)

    Mason, P.; Thomas, R.

    2006-12-01

    New developments in thermal ionization mass spectrometers allow for the determination of very small minor isotope ratios. The new hardware and software capabilities require attention to detail and accounting for additional sources of measurement uncertainty. The Pu-238 isotopic composition in New Brunswick Laboratory plutonium metal standard CRM 126-A was determined by thermal ionization mass spectrometry using combined Faraday cup and ion counting detection. A dynamic acquisition scheme was employed which provided for near real-time mass fractionation correction and ion counter/Faraday detector inter-calibration. Steps taken to minimize or eliminate isobaric U-238 interferences will be described, and an evaluation detailing contributions to the uncertainty, including SEM non-linearity, will be presented.

  5. A semi-automated technique determining the liver standardized uptake value reference for tumor delineation in FDG PET-CT.

    Directory of Open Access Journals (Sweden)

    Kenji Hirata

    Full Text Available 18F-fluorodeoxyglucose (FDG positron emission tomography (PET-computed tomography (CT has been an essential modality in oncology. We propose a semi-automated algorithm to objectively determine liver standardized uptake value (SUV, which is used as a threshold for tumor delineation.A large spherical volume of interest (VOI was placed manually to roughly enclose the right lobe (RL of the liver. For each voxel in this VOI, a coefficient of variation of voxel values (CVv was calculated for neighboring voxels within a radius of d/2. The voxel with the minimum CVv was then selected, where a 30-mm spherical VOI was placed at that voxel in accordance with PERCIST criteria. Two nuclear medicine physicians independently defined 30-mm VOIs manually on 124 studies in 62 patients to generate the standard values, against which the results from the new method were compared.The semi-automated method was successful in determining the liver SUV that was consistent between the two physicians in all the studies (d = 80 mm. The liver SUV threshold (mean +3 SD within 30-mm VOI determined by the new semi-automated method (3.12±0.61 was not statistically different from those determined by the manual method (Physician-1: 3.14±0.58, Physician-2: 3.15±0.58. The semi-automated method produced tumor volumes that were not statistically different from those by experts' manual operation. Furthermore, the volume change in the two sequential studies had no statistical difference between semi-automated and manual methods.Our semi-automated method could define the liver SUV robustly as the threshold value used for tumor volume measurements according to PERCIST. The method could avoid possible subjective bias of manual liver VOI placement and is thus expected to improve clinical performance of volume-based parameters for prediction of cancer treatment response.

  6. Minimal immunoreactive plasma beta-endorphin and decrease of cortisol at standard analgesia or different acupuncture techniques.

    Science.gov (United States)

    Harbach, H; Moll, B; Boedeker, R-H; Vigelius-Rauch, U; Otto, H; Muehling, J; Hempelmann, G; Markart, P

    2007-04-01

    Acupuncture has been claimed to be associated with activation of the endogenous antinociceptive system. The analgesic effects of acupuncture have been ascribed to beta-endorphin interacting with opioid receptors. However, firstly, the release of beta-endorphin into the blood has been proven to be induced by stress, i.e. under dysphoric conditions, and, secondly, if released under stress, beta-endorphin has been shown not to be analgesic. Our aim was to test whether beta-endorphin immunoreactive material is released into the cardiovascular compartment during acupuncture comparing the most frequently used types of acupuncture with standard pain treatment under apparently low stress conditions. This prospective study included 15 male patients suffering from chronic low back pain. beta-Endorphin immunoreactive material and cortisol were measured in the plasma of patients who underwent, in random order, therapy according to a standard pain treatment, traditional Chinese acupuncture, sham acupuncture, electro acupuncture and electro acupuncture at non-acupuncture points before, at and after the treatment. Statistical analysis was performed using two-way ANOVA with repeated measures. A decrease in plasma cortisol concentration measured over the five treatment protocols was highly significant (P < 0.001). The beta-endorphin immunoreactive material concentrations in plasma were minimal at all times and in all treatment conditions. The influence of treatments by various acupuncture procedures on cortisol and beta-endorphin immunoreactive material plasma concentrations over the three time points was not significantly different. beta-endorphin immunoreactive material in blood is not released by any type of acupuncture as tested under low stress conditions.

  7. Subtle alterations in cerebrovascular reactivity in mild cognitive impairment detected by graph theoretical analysis and not by the standard approach

    Directory of Open Access Journals (Sweden)

    Carlos A. Sánchez-Catasús

    2017-01-01

    Full Text Available There is growing support that cerebrovascular reactivity (CVR in response to a vasodilatory challenge, also defined as the cerebrovascular reserve, is reduced in Alzheimer's disease dementia. However, this is less clear in patients with mild cognitive impairment (MCI. The current standard analysis may not reflect subtle abnormalities in CVR. In this study, we aimed to investigate vasodilatory-induced changes in the topology of the cerebral blood flow correlation (CBFcorr network to study possible network-related CVR abnormalities in MCI. For this purpose, four CBFcorr networks were constructed: two using CBF SPECT data at baseline and under the vasodilatory challenge of acetazolamide (ACZ, obtained from a group of 26 MCI patients; and two equivalent networks from a group of 26 matched cognitively normal controls. The mean strength of association (SA and clustering coefficient (C were used to evaluate ACZ-induced changes on the topology of CBFcorr networks. We found that cognitively normal adults and MCI patients show different patterns of C and SA changes. The observed differences included the medial prefrontal cortices and inferior parietal lobe, which represent areas involved in MCI's cognitive dysfunction. In contrast, no substantial differences were detected by standard CVR analysis. These results suggest that graph theoretical analysis of ACZ-induced changes in the topology of the CBFcorr networks allows the identification of subtle network-related CVR alterations in MCI, which couldn't be detected by the standard approach.

  8. Using an inverse modelling approach to evaluate the water retention in a simple water harvesting technique

    Directory of Open Access Journals (Sweden)

    K. Verbist

    2009-10-01

    Full Text Available In arid and semi-arid zones, runoff harvesting techniques are often applied to increase the water retention and infiltration on steep slopes. Additionally, they act as an erosion control measure to reduce land degradation hazards. Nevertheless, few efforts were observed to quantify the water harvesting processes of these techniques and to evaluate their efficiency. In this study, a combination of detailed field measurements and modelling with the HYDRUS-2D software package was used to visualize the effect of an infiltration trench on the soil water content of a bare slope in northern Chile. Rainfall simulations were combined with high spatial and temporal resolution water content monitoring in order to construct a useful dataset for inverse modelling purposes. Initial estimates of model parameters were provided by detailed infiltration and soil water retention measurements. Four different measurement techniques were used to determine the saturated hydraulic conductivity (Ksat independently. The tension infiltrometer measurements proved a good estimator of the Ksat value and a proxy for those measured under simulated rainfall, whereas the pressure and constant head well infiltrometer measurements showed larger variability. Six different parameter optimization functions were tested as a combination of soil-water content, water retention and cumulative infiltration data. Infiltration data alone proved insufficient to obtain high model accuracy, due to large scatter on the data set, and water content data were needed to obtain optimized effective parameter sets with small confidence intervals. Correlation between the observed soil water content and the simulated values was as high as R2=0.93 for ten selected observation points used in the model calibration phase, with overall correlation for the 22 observation points equal to 0.85. The model results indicate that the infiltration trench has a

  9. Novel hybrid (magnet plus curve grasper) technique during transumbilical cholecystectomy: initial experience of a promising approach.

    Science.gov (United States)

    Millan, Carolina; Bignon, Horacion; Bellia, Gaston; Buela, Enrique; Rabinovich, Fernando; Albertal, Mariano; Martinez Ferro, Marcelo

    2013-10-01

    The use of magnets in transumbilical cholecystectomy (TUC) improves triangulation and achieves an optimal critical view. Nonetheless, the tendency of the magnets to collide hinders the process. In order to simplify the surgical technique, we developed a hybrid model with a single magnet and a curved grasper. All TUCs performed with a hybrid strategy in our pediatric population between September 2009 and July 2012 were retrospectively reviewed. Of 260 surgical procedures in which at least one magnet was used, 87 were TUCs. Of those, 62 were hybrid: 33 in adults and 29 in pediatric patients. The technique combines a magnet and a curved grasper. Through a transumbilical incision, we placed a 12-mm trocar and another flexible 5-mm trocar. The laparoscope with the working channel used the 12-mm trocar. The magnetic grasper was introduced to the abdominal cavity using the working channel to provide cephalic retraction of the gallbladder fundus. Across the flexible trocar, the assistant manipulated the curved grasper to mobilize the infundibulum. The surgeon operated through the working channel of the laparoscope. In this pediatric population, the mean age was 14 years (range, 4-17 years), and mean weight was 50 kg (range, 18-90 kg); 65% were girls. Mean operative time was 62 minutes. All procedures achieved a critical view of safety with no instrumental collision. There were no intraoperative or postoperative complications. The hospital stay was 1.4±0.6 days, and the median follow-up was 201 days. A hybrid technique, combining magnets and a curved grasper, simplifies transumbilical surgery. It seems feasible and safe for TUC and potentially reproducible.

  10. Impact of Standardized Simulated Patients on First-Year Pharmacy Students' Knowledge Retention of Insulin Injection Technique and Counseling Skills.

    Science.gov (United States)

    Bowers, Riley; Tunney, Robert; Kelly, Kim; Mills, Beth; Trotta, Katie; Wheeless, C Neil; Drew, Richard

    2017-08-01

    Objective. To compare pre- and post-intervention test scores assessing insulin injection technique and counseling skills among P1 students with (intervention) or without (control) simulated patients, and to compare counseling checklist and knowledge retention test scores between groups. Methods. This study utilized cluster randomization. In addition to traditional instruction, the intervention group counseled a simulated patient on the use of insulin using the teach-back method. Test score changes from baseline were analyzed via two-sample t-test. Results. The intervention group exhibited a significantly greater increase in knowledge test scores from baseline compared to the control group. Similar changes were seen in post-instruction counseling checklist scores and knowledge retention test scores from baseline. Conclusion. Simulated patient interactions, when added to traditional coursework within a P1 skills lab, improve student counseling aptitude and knowledge retention scores.

  11. Use of the iTClamp versus standard suturing techniques for securing chest tubes: A randomized controlled cadaver study

    Directory of Open Access Journals (Sweden)

    Jessica Mckee

    2018-03-01

    Full Text Available Objectives: Tube thoracostomy (TT is a common yet potentially life-saving trauma procedure. After successful placement however, securing a TT through suturing is a skillset that requires practice, risking that the TT may become dislodged during prehospital transport. The purpose of this study was to examine if the iTClamp was a simpler technique with equivalent effectiveness for securing TTs. Materials and methods: In a cadaver model, a 1.5 inch incision was utilized along the upper border of the rib below the 5th intercostal space at the anterior axillary line. TTs (sizes 28Fr, 32Fr, 36Fr and 40Fr were inserted and secured with both suturing and iTClamp techniques according to the preset randomization. TT were then functionally tested for positive and negative pressure as well as the force required to remove the TT (pull test-up to 5 lbs. Time to secure the TT was also recorded. Results: When sutured is placed by a trained surgeon, the sutures and iTClamp were functionally equivalent for holding a positive and negative pressure. Mean pull force for both sutures and iTClamp exceeded the 5 lb threshold; there was no significant difference between the groups. Securing the TT with the iTClamp was significantly faster (p < 0.0001 with the iTClamp having a mean application time of 37.0 ± 22.8 s and using a suture had a man application time of 96.3 ± 29.0 s. Conclusion: The iTClamp was effective in securing TTs. The main benefit to the iTClamp is that minimal skill is required to adequately secure a TT to ensure that it does not become dislodged during transport to a trauma center. Keywords: Chest tube, Tube thoracostomy, Securing chest tubes

  12. Statistical Approaches in GIS-Based Techniques for Sustainable Planning: Kayaçukuru Case

    OpenAIRE

    Aygun Erdogan

    2003-01-01

    The purpose of this study is to make both a summary and additional descriptive and inferential statistical analyses for a completed thesis on "Sustainable/Environment Friendly Development Planning of Fethiye-Kayaçukuru Using GIS-Based Techniques" (M.Sc. in the Graduate School of Geodetic and Geographic Information Technologies, Middle East Technical University, Supervisor: Assoc.Prof.Dr. Oğuz Işık, September 2000, 214 pages). The statistical analyses explained in this paper comprise a part of...

  13. Applying Data Mining Techniques to Improve Information Security in the Cloud: A Single Cache System Approach

    OpenAIRE

    Amany AlShawi

    2016-01-01

    Presently, the popularity of cloud computing is gradually increasing day by day. The purpose of this research was to enhance the security of the cloud using techniques such as data mining with specific reference to the single cache system. From the findings of the research, it was observed that the security in the cloud could be enhanced with the single cache system. For future purposes, an Apriori algorithm can be applied to the single cache system. This can be applied by all cloud providers...

  14. Judgments in the selection of path generation techniques: a meta-analytic approach

    DEFF Research Database (Denmark)

    Prato, Carlo Giacomo

    2012-01-01

    objective judgments for effective route choice set generation. Initially, path generation techniques are implemented within a synthetic network to generate possible subjective choice sets considered by travelers. Next, “true model estimates” and “postulated predicted routes” are assumed from the simulation...... of a route choice model. Then, objective choice sets are applied for model estimation and results are compared to the “true model estimates”. Last, predictions from the simulation of models estimated with objective choice sets are compared to the “postulated predicted routes”. Meta-analysis allows...

  15. Prevention of musculoskeletal disorders within management systems: A scoping review of practices, approaches, and techniques.

    Science.gov (United States)

    Yazdani, Amin; Neumann, W Patrick; Imbeau, Daniel; Bigelow, Philip; Pagell, Mark; Wells, Richard

    2015-11-01

    The purpose of this study was to identify and summarize the current research evidence on approaches to preventing musculoskeletal disorders (MSD) within Occupational Health and Safety Management Systems (OHSMS). Databases in business, engineering, and health and safety were searched and 718 potentially relevant publications were identified and examined for their relevance. Twenty-one papers met the selection criteria and were subjected to thematic analysis. There was very little literature describing the integration of MSD risk assessment and prevention into management systems. This lack of information may isolate MSD prevention, leading to difficulties in preventing these disorders at an organizational level. The findings of this review argue for further research to integrate MSD prevention into management systems and to evaluate the effectiveness of the approach. Copyright © 2015 Elsevier Ltd and The Ergonomics Society. All rights reserved.

  16. An approach to modeling operator's cognitive behavior using artificial intelligence techniques in emergency operating event sequences

    International Nuclear Information System (INIS)

    Cheon, Se Woo; Sur, Sang Moon; Lee, Yong Hee; Park, Young Taeck; Moon, Sang Joon

    1994-01-01

    Computer modeling of an operator's cognitive behavior is a promising approach for the purpose of human factors study and man-machine systems assessment. In this paper, the states of the art in modeling operator behavior and the current status in developing an operator's model (MINERVA - NPP) are presented. The model is constructed as a knowledge-based system of a blackboard framework and is simulated based on emergency operating procedures

  17. Pulse Sign Separation Technique for the Received Bits in Wireless Ultra-Wideband Combination Approach

    Directory of Open Access Journals (Sweden)

    Rashid A. Fayadh

    2014-01-01

    Full Text Available When receiving high data rate in ultra-wideband (UWB technology, many users have experienced multiple-user interference and intersymbol interference in the multipath reception technique. Structures have been proposed for implementing rake receivers to enhance their capabilities by reducing the bit error probability (Pe, thereby providing better performances by indoor and outdoor multipath receivers. As a result, several rake structures have been proposed in the past to reduce the number of resolvable paths that must be estimated and combined. To achieve this aim, we suggest two maximal ratio combiners based on the pulse sign separation technique, such as the pulse sign separation selective combiner (PSS-SC and the pulse sign separation partial combiner (PSS-PC to reduce complexity with fewer fingers and to improve the system performance. In the combiners, a comparator was added to compare the positive quantity of positive pulses and negative quantities of negative pulses to decide whether the transmitted bit was 1 or 0. The Pe was driven by simulation for multipath environments for impulse radio time-hopping binary phase shift keying (TH-BPSK modulation, and the results were compared with those of conventional selective combiners (C-SCs and conventional partial combiners (C-PCs.

  18. Oxidative stress prediction: A preliminary approach using a response surface based technique.

    Science.gov (United States)

    Sierra, M; Bragg-Gonzalo, L; Grasa, J; Muñoz, M J; González, D; Miana-Mena, F J

    2018-02-01

    A response surface was built to predict the lipid peroxidation level, generated in an iron-ascorbate in vitro model, of any organ, which is correlated with the oxidative stress injury in biological membranes. Oxidative stress studies are numerous, usually performed on laboratory animals. However, ethical concerns require validated methods to reduce the use of laboratory animals. The response surface described here is a validated method to replace animals. Tissue samples of rabbit liver, kidney, heart, skeletal muscle and brain were oxidized with different concentrations of FeCl 3 (0.1 to 8mM) and ascorbate (0.1mM), during different periods of time (0 to 90min) at 37°C. Experimental data obtained, with lipid content and antioxidant activity of each organ, allowed constructing a multidimensional surface capable of predicting, by interpolation, the lipid peroxidation level of any organ defined by its antioxidant activity and fat content, when exposed to different oxidant conditions. To check the predictive potential of the technique, two more experiments were carried out. First, in vitro oxidation data from lung tissue were collected. Second, the antioxidant capacity of kidney homogenates was modified by adding melatonin. Then, the response surface generated could predict lipid peroxidation levels produced in these new situations. The potential of this technique could be reinforced using collaborative databases to reduce the number of animals in experimental procedures. Copyright © 2017 Elsevier Ltd. All rights reserved.

  19. Development of a CT-guided standard approach for tined lead implantation at the sacral nerve root S3 in minipigs for chronic neuromodulation

    Science.gov (United States)

    Foditsch, Elena Esra; Zimmermann, Reinhold

    2016-01-01

    Purpose The aim of this study was to develop a controlled approach for sacral neuromodulation (SNM) to improve both nerve targeting and tined lead placement, for which a new computed tomography (CT)-guided implantation technique was analyzed in minipigs. Materials and methods This study included five female, adult Göttingen minipigs. In deep sedoanalgesia, the minipigs were placed in an extended prone position. Commercially available SNM materials were used (needle, introduction sheath, and quadripolar tined lead electrode). Gross anatomy was displayed by CT, and the nerves were bilaterally identified. The optimal angles to puncture the S3 foramen, the resulting access path, and the site for the skin incision were defined subsequently. The needle puncture and the tined lead placement were followed by successive CT scans/3D-reconstruction images. Once proper CT-guided placement of the needle and electrode was established, response to functional stimuli was intraoperatively checked to verify correct positioning. Results Successful bilateral tined lead implantation was performed in four out of five minipigs. Implantation was different from the clinical situation because the puncture was done from the contralateral side at a 30° angle to the midline and 60° horizontal angle to ensure both passage through the foramen and nerve access. Surgery time was 50–150 minutes. Stimulation response comprised a twitch of the perianal musculature and tail rotation to the contralateral side. Conclusion We have established a new, minimally invasive, highly standardized, CT-guided SNM electrode implantation technique. Functional outcomes are clearly defined and reproducible. All procedures can be performed without complications. Future chronic stimulation studies in minipigs can thereby be conducted using a controlled and highly standardized protocol. PMID:27730097

  20. A multi-technique approach to assess chemical speciation of phosphate in soils

    Science.gov (United States)

    Belchior Abdala, Dalton; Rodrigues, Marcos; Herrera, Wilfrand; Pavinato, Paulo Sergio

    2017-04-01

    Soil scientists see chemical characterization of phosphorus (e.g., chemical speciation) as a winning strategy to increase phosphorus use efficiency in agriculture, to understand the fate of applied P fertilizer in soils and to devise strategies to minimize P losses to the environment. Phosphorus (P) is majorly presented in soils as phosphate, bound to mineral components of soils such as Al-, Ca- and Fe-(hydr)oxides or associated with organic molecules, being thus generally referred to as organic phosphates. In addition, because of the turnover of P between plants and microbes, it delivers P back to soils as a mixture of species with high spatial and chemical heterogeneity, adding complexity to the determination of the P species contained in environmental samples. Therefore, due to the variety of forms that phosphate can present in soils, its precise chemical characterization can only be achieved using a set of analytical techniques. Although established methodologies (e. g., soil test P, sequential chemical fractionation, P isotherms) have been useful to subsidize information for the establishment of policies and guidelines for soil management and P fertilizers use, they have failed to provide detailed information on P chemistry and reactivity in soils in a more satisfactory manner, which are critical to predict P bioavailability to plants and loss potential to the environment. More recently, the association of wet chemistry analysis with spectroscopy and microscopy techniques has arguably represented the most successful means to chemically speciate phosphate in soils. This is because using qualitative (chemical speciation), quantitative (chemical fractionation) and spatial (microscopy) data allows for triangulation of information, thereby reducing bias and increasing validity of the results. The analysis framework that we propose in this study includes the use of (i) sequential chemical fractionation of soil P to determine the partitioning of P within the

  1. An Improved Map-Matching Technique Based on the Fréchet Distance Approach for Pedestrian Navigation Services

    Directory of Open Access Journals (Sweden)

    Yoonsik Bang

    2016-10-01

    Full Text Available Wearable and smartphone technology innovations have propelled the growth of Pedestrian Navigation Services (PNS. PNS need a map-matching process to project a user’s locations onto maps. Many map-matching techniques have been developed for vehicle navigation services. These techniques are inappropriate for PNS because pedestrians move, stop, and turn in different ways compared to vehicles. In addition, the base map data for pedestrians are more complicated than for vehicles. This article proposes a new map-matching method for locating Global Positioning System (GPS trajectories of pedestrians onto road network datasets. The theory underlying this approach is based on the Fréchet distance, one of the measures of geometric similarity between two curves. The Fréchet distance approach can provide reasonable matching results because two linear trajectories are parameterized with the time variable. Then we improved the method to be adaptive to the positional error of the GPS signal. We used an adaptation coefficient to adjust the search range for every input signal, based on the assumption of auto-correlation between consecutive GPS points. To reduce errors in matching, the reliability index was evaluated in real time for each match. To test the proposed map-matching method, we applied it to GPS trajectories of pedestrians and the road network data. We then assessed the performance by comparing the results with reference datasets. Our proposed method performed better with test data when compared to a conventional map-matching technique for vehicles.

  2. Development, standardization and validation of purine excretion technique for measuring microbial protein supply for Yerli Kara cross-breed cattle

    International Nuclear Information System (INIS)

    Cetinkaya, N.; Ozdemir, H.; Gucus, A.I.; Ozcan, H.; Sogut, A.; Yaman, S.

    2002-01-01

    Three experiments were conducted to evaluate of the developed techniques for uric acid, allantoin and creatinine in Yerli Kara cross-breed cattle on farm at different feeding level locally available feed resources and linking the observed information to feed intake and to assess of protein nutrition status of Yerli Kara cross-breed dairy cattle using urinary PD and creatinine excretion. In Experiment I. Response of daily PD excretion to feed intake in Yerli Kara cross-breed on state farm was measured. Animals were fed a mixed diet containing 30 % wheat straw and 70 % compounded feed. The diet contained 90 % DM, its N and OM contents were 124 and 950 g/kg DM, respectively. In Experiment II. Spot urine sampling techniques was applied at state farm. Four Yerli Kara cross-breed bulls live weight with a mean of 211±41.3 kg were used. Experimental design, feeding and diet were the same as in Experiment I. The treatments were [located according to a 4x4 Latin Square design. In Experiment III. Spot urine sampling techniques was applied at smallholder farms. Compound feed containing 65 % barley, 25 % bran, 6 % sunflower seed meal, 3 % manner dust and 1 % mineral and vitamin mixture (120 g/kg DM-Crude Protein and 950 g/kg DM-Organic Matter)- was offered total in between 2 to 3 kg in two parts one in the morning (07:30 h) and one in the afternoon (17:00 h). Compound feed ingredients were similar given to all animals but Groups I, II and III animals were receiving 1 to 2 kg/d of straw (30 g CP/kg DM, 93Og OM/kg DM), grass hay (70g CP/kg DM, 915 g OM/kg DM), straw and grass hay respectively. There were significant correlations (R 2 =0.99) between PD excretion (mmol/d) and DOMI (kg/d) for YK-C cattle. PD execration (mmol/L) was plotted against PD: Creatinine W 0.75 to obtain slope and use as constant for the estimation of daily PD excretion from spot sampling from animals held by small holders. The equation could be expressed as: PD (mmol/d)=8.27+0.960 (PD:CxW 0.75 ). The

  3. Internal standardization--atomic spectrometry and geographical pattern recognition techniques for the multielement analysis and classification of Catalonian red wines.

    Science.gov (United States)

    Iglesias, Mònica; Besalú, Emili; Anticó, Enriqueta

    2007-01-24

    Major and minor (K, P, Ca, Mg, Na, Fe, Mn, Zn, and Sr) and trace (Ba, Ni, Pb, V, Co, Cd, and Sb) elements from wine samples from the Denomination of Origin (DO) Empordà-Costa Brava (Catalonia, Spain) were analyzed by inductively coupled plasma atomic emission spectrometry (ICP-AES) and mass spectrometry (ICP-MS) respectively. Previously, a comparison of different calibration methodologies and sample digestion treatments had been carried out using ANOVA statistical tool. The obtained results demonstrated that internal standardization provides reliable results with the advantage that no further manipulation of the sample is needed. A principal component analysis of the concentration data was performed to differentiate the samples of DO Empordà-Costa Brava from wine samples from other wine-producing regions in Spain (i.e., Penedès, Somontano, and Rioja). It was found that Sr and Ba contents discriminate the two DO groups. Moreover, a discriminant analysis function involving both variables distinguishes the two groups with a 100% classification rate. At the level of the leave-one-out cross-validation, all of the Empordà-Costa Brava samples were well classified, whereas the other DOs presented two borderline misclassifications.

  4. Standard Test Method for Measurement of Hydrogen Embrittlement Threshold in Steel by the Incremental Step Loading Technique

    CERN Document Server

    American Society for Testing and Materials. Philadelphia

    2009-01-01

    1.1 This test method establishes a procedure to measure the susceptibility of steel to a time-delayed failure such as that caused by hydrogen. It does so by measuring the threshold for the onset of subcritical crack growth using standard fracture mechanics specimens, irregular-shaped specimens such as notched round bars, or actual product such as fasteners (2) (threaded or unthreaded) springs or components as identified in SAE J78, J81, and J1237. 1.2 This test method is used to evaluate quantitatively: 1.2.1 The relative susceptibility of steels of different composition or a steel with different heat treatments; 1.2.2 The effect of residual hydrogen in the steel as a result of processing, such as melting, thermal mechanical working, surface treatments, coatings, and electroplating; 1.2.3 The effect of hydrogen introduced into the steel caused by external environmental sources of hydrogen, such as fluids and cleaners maintenance chemicals, petrochemical products, and galvanic coupling in an aqueous enviro...

  5. 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.

  6. Evaluation of Image Processing Technique for Measuring of Nitrogen and Yield in Paddy Rice and Comparing it with Standard Methods

    Directory of Open Access Journals (Sweden)

    M.R Larijani

    2011-09-01

    Full Text Available In order to use new and low cost methods in precision agriculture, nitrogen should be supplied for plants on time and precisely. For determining the required nitrogen of paddy rice in the clustering stage, a series of experiments were conducted using three different methods of: image processing, kjeldahl and chlorophyll meter set (SPAD-502, in a randomized complete block design with three replications during 2010 at Rice Research Center of Tonekabon, Iran. Four experimental treatments were different level of fertilizer (Urea with 46% nitrogen. In the clustering stage, some images from rice plants were taken vertically by a digital camera and were analyzed using image processing technique. Simultaneously the chlorophyll index of plants was measured by SPAD-502 chlorophyll meter set and the percentage amount of nitrogen was measured using of the so called kjeldahl laboratory method. The results showed that the three methods of determining nitrogen of rice plant were highly correlated. Moreover, the correlation among the three methods and crop yield were almost the same. In general, the method of image processing could have a high potential for nitrogen management in the field, while this method was low-cost, faster and also nondestructive in comparison to the other methods.

  7. Scaffolds with a standardized macro-architecture fabricated from several calcium phosphate ceramics using an indirect rapid prototyping technique

    Science.gov (United States)

    Wilson, C. E.; van Blitterswijk, C. A.; Verbout, A. J.; de Bruijn, J. D.

    2010-01-01

    Calcium phosphate ceramics, commonly applied as bone graft substitutes, are a natural choice of scaffolding material for bone tissue engineering. Evidence shows that the chemical composition, macroporosity and microporosity of these ceramics influences their behavior as bone graft substitutes and bone tissue engineering scaffolds but little has been done to optimize these parameters. One method of optimization is to place focus on a particular parameter by normalizing the influence, as much as possible, of confounding parameters. This is difficult to accomplish with traditional fabrication techniques. In this study we describe a design based rapid prototyping method of manufacturing scaffolds with virtually identical macroporous architectures from different calcium phosphate ceramic compositions. Beta-tricalcium phosphate, hydroxyapatite (at two sintering temperatures) and biphasic calcium phosphate scaffolds were manufactured. The macro- and micro-architectures of the scaffolds were characterized as well as the influence of the manufacturing method on the chemistries of the calcium phosphate compositions. The structural characteristics of the resulting scaffolds were remarkably similar. The manufacturing process had little influence on the composition of the materials except for the consistent but small addition of, or increase in, a beta-tricalcium phosphate phase. Among other applications, scaffolds produced by the method described provide a means of examining the influence of different calcium phosphate compositions while confidently excluding the influence of the macroporous structure of the scaffolds. PMID:21069558

  8. [Western blot technique standardization of the diagnosis of human fasciolosis using Fasciola hepatica excreted-secreted antigens].

    Science.gov (United States)

    Escalante, Hermes; Davelois, Kelly; Ortiz, Pedro; Rodríguez, Hans; Díaz, Enrique; Jara, César

    2011-01-01

    To evaluate the performance of the enzyme-linked immunoelectrotransfer blot assay (EITB, Western blot) using excretory/secretory antigens from adult forms of Fasciola hepatica (Fh E/S Ag) for the diagnosis of human fasciolosis. Antigens were obtained after 18 hours of incubation in culture medium Minimum Essential Eagle, prepared at a protein concentration of 0.15 ug/uL and run against a pool of sera of patients with proven fasciolosis (confirmed by the finding of parasite eggs in the stool microscopy). Antigens of 10, 12, 17, 23, 27, 30, 36, 43, 66 and 136 kDa were detected and used to develop the Western blot technique. The sensitivity was evaluated using sera from 67 fasciolosis patients, and the specificity using sera from 57 patients with other parasitic diseases, and 10 from healthy individuals. Out of the 67 sera, 64 reacted with the 23 kDa band and 61 with the one of 17 kDa. These two bands were not detected in sera from patients with other parasitic diseases or in those from healthy volunteers and thus could be considered specific and diagnostic. The sensitivity of the test, using the bands of 17 and 23 kDa, was 95.5% for positive reactions to at least one of these two bands, being its specificity 100% with a positive predictive value of 100% and negative predictive value of 95.71%.

  9. Novel approaches to determining residual stresses by ultramicroindentation techniques: Application to sandblasted austenitic stainless steel

    International Nuclear Information System (INIS)

    Frutos, E.; Multigner, M.; Gonzalez-Carrasco, J.L.

    2010-01-01

    This research addresses the determination of residual stresses in sandblasted austenitic steel by ultramicroindentation techniques using a sharp indenter, of which the sensitivity to residual stress effects is said to be inferior to that of spherical ones. The introduction of an angular correction in the model of Wang et al. which relates variations in the maximum load to the presence of residual stresses is proposed. Similarly, the contribution to the hardness of grain size refinement and work hardening, developed as a consequence of the severe plastic deformation during blasting, is determined in order to avoid overestimation of the residual stresses. Measurements were performed on polished cross sections along a length of several microns, thus obtaining a profile of the residual stresses. Results show good agreement with those obtained by synchrotron radiation on the same specimens, which validates the method and demonstrates that microindentation using sharp indenters may be sensitive to the residual stress effect.

  10. An approach for reliability analysis of industrial systems using PSO and IFS technique.

    Science.gov (United States)

    Garg, Harish; Rani, Monica

    2013-11-01

    The main objective of this paper is to present a technique for computing the membership functions of the intuitionistic fuzzy set (IFS) by utilizing imprecise, uncertain and vague data. In literature so far, membership functions of IFS are computed via using fuzzy arithmetic operations within collected data and hence contain a wide range of uncertainties. Thus it is necessary for optimizing these spread by formulating a nonlinear optimization problem through ordinary arithmetic operations instead of fuzzy operations. Particle swarm optimization (PSO) has been used for constructing their membership functions. Sensitivity as well as performance analysis has also been conducted for finding the critical component of the system. Finally the computed results are compared with existing results. The suggested framework has been illustrated with the help of a case. © 2013 Published by ISA. All rights reserved.

  11. Applying Data Mining Techniques to Improve Information Security in the Cloud: A Single Cache System Approach

    Directory of Open Access Journals (Sweden)

    Amany AlShawi

    2016-01-01

    Full Text Available Presently, the popularity of cloud computing is gradually increasing day by day. The purpose of this research was to enhance the security of the cloud using techniques such as data mining with specific reference to the single cache system. From the findings of the research, it was observed that the security in the cloud could be enhanced with the single cache system. For future purposes, an Apriori algorithm can be applied to the single cache system. This can be applied by all cloud providers, vendors, data distributors, and others. Further, data objects entered into the single cache system can be extended into 12 components. Database and SPSS modelers can be used to implement the same.

  12. Evaluation of environmental change in rangelands of Uzbekistan with application of nuclear techniques approach

    International Nuclear Information System (INIS)

    Nasyrov, M.G.; Safarov, A.N.; Osmanov, B.S.

    2004-01-01

    Full text: Desertification and land degradation are a problem of major importance in the arid and semi-arid regions of the world. Deterioration of soil and plant cover has adversely affected nearly 50% of land areas as a result of extended droughts and human mismanagement of cultivated and rangelands. Due to several factors such as soil erosion, overgrazing, collection of plants and other anthropogenic activities the most part of these biomes are under degradation. The problem of assessments of current status of rangelands becomes very important days after days. Therefore, it needs to work out and implement new time and labor saving methods of assessment of current status of natural biomes. Soil erosion is a natural process caused by water, wind, and ice that have affected the earth's surface since the beginning if time. Man's activities often accelerate soil erosion. Soil erosion and its off-site, downstream damages are major concerns around the world causing losses in soil productivity, degradation of landscape, degradation of water quality, and loss of soil organic carbon. Current techniques for assessing soil erosion are (1) long-term soil erosion plot monitoring, (2) field surveys, and (3) soil erosion models (Evans, 1995). Each of this techniques has strengths and weaknesses. Over the last 30 years, research has shown the potential of using radioactive fallout 137 Cs to provide timely and quantitative estimates of soil erosion and redeposition at point, field, and reconnaissance scales. Applications of 137 Cs o provide an independent measurement of soil erosion rates, patterns, and redepositions are well-documented (Ritchie and McHenry, 1990). The unique advantages of the 137 Cs technique to study soil erosion rates and patterns are that it (a) requires only one trip to the field; (b) provides results quickly; (c) allows retrospective assessment of soil erosion rates; (d) provides average losses for 35 to 40 year period thus is less influenced by extreme

  13. Profunda Anchor Technique for Ipsilateral Antegrade Approach in Endovascular Treatment of Superficial Femoral Artery Ostial Occlusion

    International Nuclear Information System (INIS)

    Pua, Uei

    2015-01-01

    Endovascular treatment of the superficial femoral artery (SFA) is challenging in the presence of flush ostial occlusion. One of the main challenges is the availability of access sites for intervention. Contralateral retrograde femoral access followed by cross-over and antegrade intervention while commonly used, may not be feasible in cases of altered iliac anatomy (e.g. kissing iliac stents). Ipsilateral antegrade intervention using common femoral artery (CFA) access in these instances while possible is typically challenging due to inadequate working length of the CFA for interrogation of the SFA ostium, compounded by the lack of sheath stability. The “profunda anchor” technique uses a buddy wire in the profunda femoris artery (PFA) to stabilize the sheath and allow catheter manipulation for antegrade intervention at the level of the SFA ostium. The PFA is further used as a conduit for deployment of closure device to avoid interference with the treated SFA

  14. Profunda Anchor Technique for Ipsilateral Antegrade Approach in Endovascular Treatment of Superficial Femoral Artery Ostial Occlusion

    Energy Technology Data Exchange (ETDEWEB)

    Pua, Uei, E-mail: druei@yahoo.com [Tan Tock Seng Hospital, Department of Diagnostic Radiology (Singapore)

    2015-04-15

    Endovascular treatment of the superficial femoral artery (SFA) is challenging in the presence of flush ostial occlusion. One of the main challenges is the availability of access sites for intervention. Contralateral retrograde femoral access followed by cross-over and antegrade intervention while commonly used, may not be feasible in cases of altered iliac anatomy (e.g. kissing iliac stents). Ipsilateral antegrade intervention using common femoral artery (CFA) access in these instances while possible is typically challenging due to inadequate working length of the CFA for interrogation of the SFA ostium, compounded by the lack of sheath stability. The “profunda anchor” technique uses a buddy wire in the profunda femoris artery (PFA) to stabilize the sheath and allow catheter manipulation for antegrade intervention at the level of the SFA ostium. The PFA is further used as a conduit for deployment of closure device to avoid interference with the treated SFA.

  15. Review of Control Techniques for HVAC Systems—Nonlinearity Approaches Based on Fuzzy Cognitive Maps

    Directory of Open Access Journals (Sweden)

    Farinaz Behrooz

    2018-02-01

    Full Text Available Heating, Ventilating, and Air Conditioning (HVAC systems are the major energy-consuming devices in buildings. Nowadays, due to the high demand for HVAC system installation in buildings, designing an effective controller in order to decrease the energy consumption of the devices while meeting the thermal comfort demands in buildings are the most important goals of control designers. The purpose of this article is to investigate the different control methods for Heating, Ventilating, and Air Conditioning and Refrigeration (HVAC & R systems. The advantages and disadvantages of each control method are discussed and finally the Fuzzy Cognitive Map (FCM method is introduced as a new strategy for HVAC systems. The FCM method is an intelligent and advanced control technique to address the nonlinearity, Multiple-Input and Multiple-Output (MIMO, complexity and coupling effect features of the systems. The significance of this method and improvements by this method are compared with other methods.

  16. Novel approaches to determining residual stresses by ultramicroindentation techniques: Application to sandblasted austenitic stainless steel

    Energy Technology Data Exchange (ETDEWEB)

    Frutos, E. [Centro de Bioingenieria, Biomateriales y Nanomedicina, CIBER-BBN, Instituto de Salud Carlos III (Spain)] [Centro Nacional de Investigaciones Metalurgicas, CENIM-CSIC, 28040 Madrid (Spain); Multigner, M. [Centro Nacional de Investigaciones Metalurgicas, CENIM-CSIC, 28040 Madrid (Spain)] [Centro de Bioingenieria, Biomateriales y Nanomedicina, CIBER-BBN, Instituto de Salud Carlos III (Spain); Gonzalez-Carrasco, J.L., E-mail: jlg@cenim.csic.es [Centro Nacional de Investigaciones Metalurgicas, CENIM-CSIC, 28040 Madrid (Spain)] [Centro de Bioingenieria, Biomateriales y Nanomedicina, CIBER-BBN, Instituto de Salud Carlos III (Spain)

    2010-07-15

    This research addresses the determination of residual stresses in sandblasted austenitic steel by ultramicroindentation techniques using a sharp indenter, of which the sensitivity to residual stress effects is said to be inferior to that of spherical ones. The introduction of an angular correction in the model of Wang et al. which relates variations in the maximum load to the presence of residual stresses is proposed. Similarly, the contribution to the hardness of grain size refinement and work hardening, developed as a consequence of the severe plastic deformation during blasting, is determined in order to avoid overestimation of the residual stresses. Measurements were performed on polished cross sections along a length of several microns, thus obtaining a profile of the residual stresses. Results show good agreement with those obtained by synchrotron radiation on the same specimens, which validates the method and demonstrates that microindentation using sharp indenters may be sensitive to the residual stress effect.

  17. Actual survey of dose evaluation method for standardization of radiation therapy techniques. With special reference to display method of radiation doses

    International Nuclear Information System (INIS)

    Kumagai, Kozo; Yoshiura, Takao; Izumi, Takashi; Araki, Fujio; Takada, Takuo; Jingu, Kenichi.

    1994-01-01

    This report presents the results of questionnaire survey for actual conditions of radiation therapy, which was conducted with the aim of establishing the standardization of radiation therapy techniques. Questionnaires were sent to 100 facilities in Japan, and 86 of these answered, consisting of 62 university hospitals, 2 national hospitals, 14 cancer centers, 4 prefectural or municipal hospitals, and 4 other hospitals. In addition to electron beam therapy, the following typical diseases for radiation therapy were selected as standard irradiation models: cancers of the larynx, esophagus, breast, and uterine cervix, and malignant lymphomas. According to these models, questionnaire results are analyzed in terms of the following four items: (1) irradiation procedures, (2) energy used for radiotherapy, (3) the depth for calculating target absorption doses, and (4) points for displaying target absorption doses. (N.K.)

  18. Towards representing human behavior and decision making in Earth system models - an overview of techniques and approaches

    Science.gov (United States)

    Müller-Hansen, Finn; Schlüter, Maja; Mäs, Michael; Donges, Jonathan F.; Kolb, Jakob J.; Thonicke, Kirsten; Heitzig, Jobst

    2017-11-01

    Today, humans have a critical impact on the Earth system and vice versa, which can generate complex feedback processes between social and ecological dynamics. Integrating human behavior into formal Earth system models (ESMs), however, requires crucial modeling assumptions about actors and their goals, behavioral options, and decision rules, as well as modeling decisions regarding human social interactions and the aggregation of individuals' behavior. Here, we review existing modeling approaches and techniques from various disciplines and schools of thought dealing with human behavior at different levels of decision making. We demonstrate modelers' often vast degrees of freedom but also seek to make modelers aware of the often crucial consequences of seemingly innocent modeling assumptions. After discussing which socioeconomic units are potentially important for ESMs, we compare models of individual decision making that correspond to alternative behavioral theories and that make diverse modeling assumptions about individuals' preferences, beliefs, decision rules, and foresight. We review approaches to model social interaction, covering game theoretic frameworks, models of social influence, and network models. Finally, we discuss approaches to studying how the behavior of individuals, groups, and organizations can aggregate to complex collective phenomena, discussing agent-based, statistical, and representative-agent modeling and economic macro-dynamics. We illustrate the main ingredients of modeling techniques with examples from land-use dynamics as one of the main drivers of environmental change bridging local to global scales.

  19. 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

  20. Retroperitoneal approach for robot-assisted partial nephrectomy: technique and early outcomes

    Directory of Open Access Journals (Sweden)

    A. Porreca

    Full Text Available ABSTRACT Objectives The aim of our study is to present early outcomes of our series of retroperitoneal-RAPN (Robot Assisted Partial Nephrectomy. Materials and methods From September 2010 until December 2015, we performed 81 RAPN procedures (44 at left kidney and 37 at right. Average size was 3cm (1-9. Average PADUA score 7.1 (5-10. Average surgical time (overall and only robot time, ischemia time, blood loss, pathological stage, complications and hospital stay have been recorded. Results All of the cases were completed successfully without any operative complication or surgical conversion. Average surgical time was 177 minutes (75-340. Operative time was 145 minutes (80-300, overall blood loss was 142cc (60-310cc. In 30 cases the pedicle was late clamped with an average ischemia time of 4 minutes (2-7. None of the patient had positive surgical margins at definitive histology (49pT1a, 12pT1b, 3pT2a, 2pT3a. Hospital stay was 3 days (2-7. Conclusions The retroperitoneal robotic partial nephrectomy approach is safe and allows treatment of even quite complex tumors. It also combines the already well known advantages guaranteed by the da Vinci® robotic surgical system, with the advantages of the retroperitoneoscopic approach.

  1. Salivary Fluoride level in preschool children after toothbrushing with standard and low fluoride content dentifrice, using the transversal dentifrice application technique: pilot study

    Directory of Open Access Journals (Sweden)

    Fabiana Jandre Melo

    2008-01-01

    Full Text Available Objective: To investigate the salivary fluoride concentration in pre-school children after toothbrushing with dentifrice containing standard (1100ppmF/NaF and low (500ppmF/NaF fluoride concentration, using the transversal technique of placing the product on the toothbrush. Methods: Eight children of both sexes, ranging from 4 to 9 years, and 5 years and 6 months of age, participated in the study. The experiment was divided into two phases with a weekly interval. In the first stage, the children used the standard concentration dentifrice for one week, and in the second, the low concentration product. Samples were collected at the end of each experimental stage, at the following times: Before brushing, immediately afterwards, and after 15, 30 and 45 minutes. The fluoride contents were analyzed by the microdiffusion technique. Statistical analysis was done by the analysis of variance ANOVA and Student’s-t test (p<0.05. Results: The salivary fluoride concentration was significantly higher at all times, when the standard concentration product was used. The comparison between the Halogen concentration found before bushing and immediately afterwards, showed that there was a 6.8 times increase in the standard dentifrice (0.19 x 1.29μgF/ml and in the low concentration product, an increase of 20.5 times (0.02 x 0.41μgF/ml. Conclusion: Toothbrushing with both products promoted relevant increases in the salivary fluoride concentration; however, longitudinal studies are necessary to verify the clinical result of this measurement.

  2. Precision of a photogrammetric method to perform 3D wound measurements compared to standard 2D photographic techniques in the horse.

    Science.gov (United States)

    Labens, R; Blikslager, A

    2013-01-01

    Methods of 3D wound imaging in man play an important role in monitoring of healing and determination of the prognosis. Standard photographic assessments in equine wound management consist of 2D analyses, which provide little quantitative information on the wound bed. 3D imaging of equine wounds is feasible using principles of stereophotogrammetry. 3D measurements differ significantly and are more precise than results with standard 2D assessments. Repeated specialised photographic imaging of 4 clinical wounds left to heal by second intention was performed. The intraoperator variability in measurements due to imaging and 3D processing was compared to that of a standard 2D technique using descriptive statistics and multivariate repeated measures ANOVA. Using a custom made imaging system, 3D analyses were successfully performed. Area and circumference measurements were significantly different between imaging modalities. The intraoperator variability of 3D measurements was up to 2.8 times less than that of 2D results. On average, the maximum discrepancy between repeated measurements was 5.8% of the mean for 3D and 17.3% of the mean for 2D assessments. The intraoperator repeatability of 3D wound measurements based on principles of stereophotogrammetry is significantly increased compared to that of a standard 2D photographic technique indicating it may be a useful diagnostic and monitoring tool. The equine granulation bed plays an important role in equine wound healing. When compared to 2D analyses 3D monitoring of the equine wound bed allows superior quantitative characterisation, contributing to clinical and experimental investigations by offering potential new parameters. © 2012 EVJ Ltd.

  3. Robotic-assisted partial nephrectomy: surgical technique using a 3-arm approach and sliding-clip renorrhaphy

    Directory of Open Access Journals (Sweden)

    Jose M. Cabello

    2009-04-01

    Full Text Available INTRODUCTION: For the treatment of renal tumors, minimally invasive nephron-sparing surgery has become increasingly performed due to proven efficiency and excellent functional and oncological outcomes. The introduction of robotics into urologic laparoscopic surgery has allowed surgeons to perform challenging procedures in a reliable and reproducible manner. We present our surgical technique for robotic assisted partial nephrectomy (RPN using a 3-arm approach, including a sliding-clip renorrhaphy. MATERIAL AND METHODS: Our RPN technique is presented which describes the trocar positioning, hilar dissection, tumor identification using intraoperative ultrasound for margin determination, selective vascular clamping, tumor resection, and reconstruction using a sliding-clip technique. CONCLUSION: RPN using a sliding-clip renorrhaphy is a valid and reproducible surgical technique that reduces the challenge of the procedure by taking advantage of the enhanced visualization and control afforded by the robot. The renorrhaphy described is performed under complete control of the console surgeon, and has demonstrated a reduction in the warm ischemia times in our series.

  4. An Integrated Approach to Change the Outcome Part II: Targeted Neuromuscular Training Techniques to Reduce Identified ACL Injury Risk Factors

    Science.gov (United States)

    Myer, Gregory D.; Ford, Kevin R.; Brent, Jensen L.; Hewett, Timothy E.

    2014-01-01

    Prior reports indicate that female athletes who demonstrate high knee abduction moments (KAMs) during landing are more responsive to neuromuscular training designed to reduce KAM. Identification of female athletes who demonstrate high KAM, which accurately identifies those at risk for noncontact anterior cruciate ligament (ACL) injury, may be ideal for targeted neuromuscular training. Specific neuromuscular training targeted to the underlying biomechanical components that increase KAM may provide the most efficient and effective training strategy to reduce noncontact ACL injury risk. The purpose of the current commentary is to provide an integrative approach to identify and target mechanistic underpinnings to increased ACL injury in female athletes. Specific neuromuscular training techniques will be presented that address individual algorithm components related to high knee load landing patterns. If these integrated techniques are employed on a widespread basis, prevention strategies for noncontact ACL injury among young female athletes may prove both more effective and efficient. PMID:22580980

  5. Representation of Time-Relevant Common Data Elements in the Cancer Data Standards Repository: Statistical Evaluation of an Ontological Approach.

    Science.gov (United States)

    Chen, Henry W; Du, Jingcheng; Song, Hsing-Yi; Liu, Xiangyu; Jiang, Guoqian; Tao, Cui

    2018-02-22

    Today, there is an increasing need to centralize and standardize electronic health data within clinical research as the volume of data continues to balloon. Domain-specific common data elements (CDEs) are emerging as a standard approach to clinical research data capturing and reporting. Recent efforts to standardize clinical study CDEs have been of great benefit in facilitating data integration and data sharing. The importance of the temporal dimension of clinical research studies has been well recognized; however, very few studies have focused on the formal representation of temporal constraints and temporal relationships within clinical research data in the biomedical research community. In particular, temporal information can be extremely powerful to enable high-quality cancer research. The objective of the study was to develop and evaluate an ontological approach to represent the temporal aspects of cancer study CDEs. We used CDEs recorded in the National Cancer Institute (NCI) Cancer Data Standards Repository (caDSR) and created a CDE parser to extract time-relevant CDEs from the caDSR. Using the Web Ontology Language (OWL)-based Time Event Ontology (TEO), we manually derived representative patterns to semantically model the temporal components of the CDEs using an observing set of randomly selected time-related CDEs (n=600) to create a set of TEO ontological representation patterns. In evaluating TEO's ability to represent the temporal components of the CDEs, this set of representation patterns was tested against two test sets of randomly selected time-related CDEs (n=425). It was found that 94.2% (801/850) of the CDEs in the test sets could be represented by the TEO representation patterns. In conclusion, TEO is a good ontological model for representing the temporal components of the CDEs recorded in caDSR. Our representative model can harness the Semantic Web reasoning and inferencing functionalities and present a means for temporal CDEs to be machine

  6. A new approach to the analysis of alpha spectra based on neural network techniques

    Energy Technology Data Exchange (ETDEWEB)

    Baeza, A.; Miranda, J. [LARUEX, Environmental Radioactivity Laboratory, Dept. Applied Physics, Faculty of Veterinary Science, University of Extremadura, Avda. Universidad s/n, 10003 Caceres (Spain); Guillen, J., E-mail: fguillen@unex.es [LARUEX, Environmental Radioactivity Laboratory, Dept. Applied Physics, Faculty of Veterinary Science, University of Extremadura, Avda. Universidad s/n, 10003 Caceres (Spain); Corbacho, J.A. [LARUEX, Environmental Radioactivity Laboratory, Dept. Applied Physics, Faculty of Veterinary Science, University of Extremadura, Avda. Universidad s/n, 10003 Caceres (Spain); Perez, R. [Dept. Technology of Computers and Communications, Polytechnics School, University of Extremadura, Avda. Universidad s/n, 10003 Caceres (Spain)

    2011-10-01

    The analysis of alpha spectra requires good radiochemical procedures in order to obtain well differentiated alpha peaks in the spectrum, and the easiest way to analyze them is by directly summing the counts obtained in the Regions of Interest (ROIs). However, the low-energy tails of the alpha peaks frequently make this simple approach unworkable because some peaks partially overlap. Many fitting procedures have been proposed to solve this problem, most of them based on semi-empirical mathematical functions that emulate the shape of a theoretical alpha peak. The main drawback of these methods is that the great number of fitting parameters used means that their physical meaning is obscure or completely lacking. We propose another approach-the application of an artificial neural network. Instead of fitting the experimental data to a mathematical function, the fit is carried out by an artificial neural network (ANN) that has previously been trained to model the shape of an alpha peak using as training patterns several polonium spectra obtained from actual samples analyzed in our laboratory. In this sense, the ANN is able to learn the shape of an actual alpha peak. We have designed such an ANN as a feed-forward multi-layer perceptron with supervised training based on a back-propagation algorithm. The fitting procedure is based on the experimental observables that are characteristic of alpha peaks-the number of counts of the maximum and several peak widths at different heights. Polonium isotope spectra were selected because the alpha peaks corresponding to {sup 208}Po, {sup 209}Po, and {sup 210}Po are monoenergetic and well separated. The uncertainties introduced by this fitting procedure were less than the counting uncertainties. This new approach was applied to the problem of resolving overlapping peaks. Firstly, a theoretical study was carried out by artificially overlapping alpha peaks from actual samples in order to test the ability of the ANN to resolve each peak

  7. A new approach to the analysis of alpha spectra based on neural network techniques

    International Nuclear Information System (INIS)

    Baeza, A.; Miranda, J.; Guillen, J.; Corbacho, J.A.; Perez, R.

    2011-01-01

    The analysis of alpha spectra requires good radiochemical procedures in order to obtain well differentiated alpha peaks in the spectrum, and the easiest way to analyze them is by directly summing the counts obtained in the Regions of Interest (ROIs). However, the low-energy tails of the alpha peaks frequently make this simple approach unworkable because some peaks partially overlap. Many fitting procedures have been proposed to solve this problem, most of them based on semi-empirical mathematical functions that emulate the shape of a theoretical alpha peak. The main drawback of these methods is that the great number of fitting parameters used means that their physical meaning is obscure or completely lacking. We propose another approach-the application of an artificial neural network. Instead of fitting the experimental data to a mathematical function, the fit is carried out by an artificial neural network (ANN) that has previously been trained to model the shape of an alpha peak using as training patterns several polonium spectra obtained from actual samples analyzed in our laboratory. In this sense, the ANN is able to learn the shape of an actual alpha peak. We have designed such an ANN as a feed-forward multi-layer perceptron with supervised training based on a back-propagation algorithm. The fitting procedure is based on the experimental observables that are characteristic of alpha peaks-the number of counts of the maximum and several peak widths at different heights. Polonium isotope spectra were selected because the alpha peaks corresponding to 208 Po, 209 Po, and 210 Po are monoenergetic and well separated. The uncertainties introduced by this fitting procedure were less than the counting uncertainties. This new approach was applied to the problem of resolving overlapping peaks. Firstly, a theoretical study was carried out by artificially overlapping alpha peaks from actual samples in order to test the ability of the ANN to resolve each peak. Then, the ANN

  8. Characterization and fault diagnosis of PAFC cathode by EIS technique and a novel mathematical model approach

    Science.gov (United States)

    Choudhury, Suman Roy; Rengaswamy, Raghunathan

    Considerable ongoing research exists in the area of fuel cells for power and distributed power generation. Of the various types of fuel cells, phosphoric acid fuel cell (PAFC) is a mature technology and is under limited production in various parts of the world. Electrochemical impedance spectroscopy (EIS) is a powerful tool which can be used for characterization of PAFC cathodes. In EIS, the electrode response is analyzed against an equivalent electrical circuit for diagnostics. A shortcoming of this approach is that multiple circuits can match the same response and correlating the physical electrode parameters with the circuit components may become quite difficult. To avoid this, a mathematical model of the PAFC cathode that is easy to solve is developed. The relative value and position of the maximum phase angle with respect to frequency is proposed as a diagnostic marker. A diagnostics table based on this marker is developed using the simulation of the mathematical model and the results are experimentally verified.

  9. Retrograde Rotablator in Limb Salvage: A New Technique Using an Open Approach

    International Nuclear Information System (INIS)

    Tamashiro, Alberto; Villegas, Miguel; Tamashiro, Gustavo; Enterrios, Daniel; Dini, Andres; Balestrini, Aristobulo; Diaz, Jose A.

    2006-01-01

    Conventional vascular surgery and balloon angioplasty have poor results in severe and diffuse atherosclerotic disease of the infrapopliteal arteries. High-speed rotational atherectomy (Auth Rotablator) has not succeeded either, because of poor long-term patency and the non-reflow phenomenon. We report a case of limb salvage with long occlusion of the three infrapopliteal vessels. The anterior tibial artery was treated with retrograde Auth Rotablator atherectomy by an open approach through the pedal artery, resulting in full patency of the anterior tibial artery and healing of the skin lesions. The microparticulate debris from the ablation was drained out through the pedal arteriotomy, avoiding the complications associated with conventional antegrade high-speed rotational atherectomy

  10. An approach to delineate groundwater recharge potential sites in Ambalantota, Sri Lanka using GIS techniques

    Directory of Open Access Journals (Sweden)

    I.P. Senanayake

    2016-01-01

    Full Text Available The demand for fresh water in Hambantota District, Sri Lanka is rapidly increasing with the enormous amount of ongoing development projects in the region. Nevertheless, the district experiences periodic water stress conditions due to seasonal precipitation patterns and scarcity of surface water resources. Therefore, management of available groundwater resources is critical, to fulfil potable water requirements in the area. However, exploitation of groundwater should be carried out together with artificial recharging in order to maintain the long term sustainability of water resources. In this study, a GIS approach was used to delineate potential artificial recharge sites in Ambalantota area within Hambantota. Influential thematic layers such as rainfall, lineament, slope, drainage, land use/land cover, lithology, geomorphology and soil characteristics were integrated by using a weighted linear combination method. Results of the study reveal high to moderate groundwater recharge potential in approximately 49% of Ambalantota area.

  11. Banknote security using a biometric-like technique: a hylemetric approach

    Science.gov (United States)

    Schirripa Spagnolo, Giuseppe; Cozzella, Lorenzo; Simonetti, Carla

    2010-05-01

    Banknote security is an issue that has led in the last decades to insert, inside the banknote itself, a very high number of controlling methods with the aim of verifying possible tampering attempts. In order to distinguish the false banknotes, sophisticated means (i.e. watermark, feel of the paper, raised print, metallic threads, quality of the printing, holograms, ultraviolet features, micro-lettering, etc) are often used. The purpose of this paper is to show a new approach and related method to protect banknotes and to verify their originality, based on the idea of hylemetry (methodology conceptually similar to biometry) applied to banknotes. Specifically, the hylemetric feature used in this paper is the random distribution pattern of the metallic security fibers set into the paper pulp. The outcome of the proposed solution is to identify an original banknote using a binary sequence derived from the banknote itself.

  12. Banknote security using a biometric-like technique: a hylemetric approach

    International Nuclear Information System (INIS)

    Schirripa Spagnolo, Giuseppe; Cozzella, Lorenzo; Simonetti, Carla

    2010-01-01

    Banknote security is an issue that has led in the last decades to insert, inside the banknote itself, a very high number of controlling methods with the aim of verifying possible tampering attempts. In order to distinguish the false banknotes, sophisticated means (i.e. watermark, feel of the paper, raised print, metallic threads, quality of the printing, holograms, ultraviolet features, micro-lettering, etc) are often used. The purpose of this paper is to show a new approach and related method to protect banknotes and to verify their originality, based on the idea of hylemetry (methodology conceptually similar to biometry) applied to banknotes. Specifically, the hylemetric feature used in this paper is the random distribution pattern of the metallic security fibers set into the paper pulp. The outcome of the proposed solution is to identify an original banknote using a binary sequence derived from the banknote itself

  13. Modeling DNA Repair: Approaching In Vivo Techniques in the Hyperthermophile Sulfolobus Solfataricus

    Energy Technology Data Exchange (ETDEWEB)

    Blanton, J.; Fuss, J.; Yannone, S.M.; Tainer, J.A.; Cooper, P.K.

    2005-01-01

    Archaea are found in some of the most extreme environments on earth and represent a third domain of life distinct from Eukarya and Eubacteria. The hyperthermophilic archaeon Sulfolobus solfataricus, isolated from acidic hot springs (80oC, pH 3) in Yellowstone National Park, has emerged as a potential model system for studying human DNA repair processes. Archaea are more closely related to Eukarya than to Eubacteria, suggesting that archaeal DNA repair machinery may model the complex human system much more closely than that of other prokaryotes. DNA repair requires coordinated protein-protein interactions that are frequently transient. Protein complexes that are transient at extreme temperatures where archaea thrive may be more stable at room temperature, allowing for the characterization of otherwise short-lived complexes. However, characterization of these systems in archaea has been limited by the absence of a stable in vivo transformation and expression system. The work presented here is a pilot study in gene cloning and recombinant protein expression in S. solfataricus. Three genes associated with DNA repair were selected for expression: MRE11, PCNA1, and a putative CSB homologue. Though preparation of these recombinant genes followed standard methods, preparation of a suitable vector proved more challenging. The shuttle vector pSSV64, derived from the SSV1 virus and the E. coli vector pBSSK+, was most successfully isolated from the DH5α E. coli strain. Currently, alternative vectors are being designed for more efficient genetic manipulations in S. solfataricus.

  14. Approaches for the simultaneous detection of thiamphenicol, florfenicol and florfenicol amine using immunochemical techniques.

    Science.gov (United States)

    Fodey, Terence L; George, Suja E; Traynor, Imelda M; Delahaut, Philippe; Kennedy, D Glenn; Elliott, Christopher T; Crooks, Steven R H

    2013-07-31

    Thiamphenicol and florfenicol are antibacterial agents permitted for use as veterinary drugs in animals used for food production. However, as the EU has established maximum residue limits for both and the metabolite florfenicol amine, there is a requirement to monitor animal food products for their residues. In this study antisera were generated which can simultaneously detect thiamphenicol, florfenicol and florfenicol amine in an immunoassay. Details of the various coupling techniques employed to prepare immunogens and enzyme labels are provided and the antibodies produced have been assessed, in homologous and heterologous ELISA formats, with respect to sensitivity and specificity. It was found that while the antisera raised to thiamphenicol and florfenicol generally performed better in a heterologous set up, those raised to florfenicol amine were not only less affected by the assay format but also produced the most sensitive antibodies to all three target analytes. Antisera matched previous sensitivity (IC₅₀ 100%) to thiamphenicol and florfenicol. Crown Copyright © 2013. Published by Elsevier B.V. All rights reserved.

  15. Production of solid mutants in citrus, utilizing new approaches and techniques

    International Nuclear Information System (INIS)

    Spiegel-Roy, P.; Kochba, J.

    1975-01-01

    Conditions for embryoid differentiation in Shamouti orange ovular callus were studied. Lines differing in embryogenic capacity were established. Ageing of callus prior to subculture enhanced embryoid development. A pronounced habituation effect has been found in most cultures. Protoplasts have been obtained from callus after treatment with cellolytic enzymes. Irradiation of any embryogenic line of callus with 12-20 kR seemed to promote embryoid formation, after a time lag in their appearance. Transferrence of embryoids into agar+sucrose and GA 3 and a further transfer into agar+sucrose, GA 3 and adenine sulphate gave best results as to rooting of embryoids and plant survival. The technique of using decapitated nucellar seedlings for mutagenic treatment was developed further with Shamouti orange and Marsh grapefruit. Irradiation 48-72 hours after decapitation with 2 kR resulted in shoot neoformation and survival not much below that of control, while 6 kR impeded de novo shoot formation in Marsh grapefruit. A tendency towards mutants with earlier fruit maturity was found in mV 2 plants from material originating from irradiation with the 8-kR dose. (author)

  16. Clinical Approach of High Technology Techniques for Control and Elimination of Endodontic Microbiota.

    Science.gov (United States)

    Chiniforush, Nasim; Pourhajibagher, Maryam; Shahabi, Sima; Bahador, Abbas

    2015-01-01

    The main goal in endodontic treatment is to eradicate or at least reduce intraradicular microbial population to levels that are more compatible with periapical lesions healing process. Since endodontic infections are polymicrobial in nature, intraradicular survival of endodontic microbiota and their pathogenic properties are influenced by a combination of their virulence factors. The purpose of this article is to review the endodontic microbiota and their respective virulence attributes, as well as perform a literature review of the effects of disinfection procedures in the treatment of endodontic infections to gain best practices. Conventional technique for root canal preparation includes mechanical debridement and application of antimicrobial irrigants. Recently, laser irradiation has been used to enhance the results of root canal treatment through its thermal effect. To reduce thermal side effects, laser activated irrigation (LAI) and photon induced photoacoustic streaming (PIPS) were introduced. Antimicrobial photodynamic therapy (aPDT) by photochemical reaction uses light at a specific wavelength to activate a nontoxic photosensitizer (PS) in the presence of oxygen to produce cytotoxic products. Different PSs are used in dentistry including methylene blue (MB), toluidine blue O (TBO), indocyanine green (ICG) and curcumin. Among different options, ICG could be the best choice due to its peak absorption at wavelength of 808 nm, which coincides with the commercial diode laser devices. Also, this wavelength has more penetration depth compared to other wavelengths used in aPDT.

  17. An approach to delineate the contaminated groundwater in landfill based on Electrical Resistivity Imaging Technique

    International Nuclear Information System (INIS)

    Nor Dalila Desa; Lakam Mejus; Mohd Tadza Abdul Rahman; Kamarudin Samuding; Roslanzairi Mostapa; Mod Omar Hassan

    2010-01-01

    Full text: The occurrence of contaminated groundwater can often be recognized by a decrease in formation of resistivity values, since the latter is primarily dependent on the resistivity of the pore water. Landfills can be considered as one of major source of contamination that contributes to air, land and water pollution. Landfills are supposed to have a protective bottom layer (barrier layer) to prevent contaminants from getting into the groundwater that exist almost everywhere underground. However, if there is no layer or if it is cracked, water percolating through landfills produces leachate can make their way down into the groundwater system. In geophysical studies, the various properties of materials on earth are known as the anomaly of the Earth's sub surface. It is important to understand which physical properties are associated with, and effective for, a particular target and geophysical method. This paper reviews the needs of geophysical field for mapping subsurface geology and features occurance. Electrical Resistivity Imaging (ERI) technique has been chosen for it has become one of the promising methods in order to obtain preliminary information of subsurface variance materials based on their physical properties. (author)

  18. Increase Carotid Flow by Double Sheath Connection Technique to Reduce Cerebral Ischemia for Transcatheter Aortic Valve Implantation through Transcarotid Approach.

    Science.gov (United States)

    Tsai, Richard; Chen, I-Ming; Chen, Po-Lin; Leu, Hsin-Bang; Chen, Ying-Hwa; Chang, Hsiao-Huang

    2018-04-06

    Transcarotid transcatheter aortic valve implantation (TAVI) is one alternative approach if unfavorable femoral access. However, this approach may cause cerebral vascular accidents (CVAs) by temporarily occluding common carotid artery (CCA). The purpose of this study is to develop a new method reducing cerebral ischemia during transcarotid TAVI. We inserted an 8- and 18-Fr. sheath in CCA with tip toward brain and aortic arch, respectively, and connected their side arms to create a bypass flow. Medtronic CoreValve was then delivered and deployed in position after pre-TAVI balloon dilatation. Three patients received this implantation. There were no CVAs or transient ischemic attacks (TIAs) after the procedure and all patients had been followed up uneventfully for 1 year. Our technique is feasible and potentially reduces stroke in transcarotid TAVI.

  19. A New Approach for Heparin Standardization: Combination of Scanning UV Spectroscopy, Nuclear Magnetic Resonance and Principal Component Analysis

    Science.gov (United States)

    Lima, Marcelo A.; Rudd, Timothy R.; de Farias, Eduardo H. C.; Ebner, Lyvia F.; Gesteira, Tarsis F.; de Souza, Lauro M.; Mendes, Aline; Córdula, Carolina R.; Martins, João R. M.; Hoppensteadt, Debra; Fareed, Jawed; Sassaki, Guilherme L.; Yates, Edwin A.; Tersariol, Ivarne L. S.; Nader, Helena B.

    2011-01-01

    The year 2007 was marked by widespread adverse clinical responses to heparin use, leading to a global recall of potentially affected heparin batches in 2008. Several analytical methods have since been developed to detect impurities in heparin preparations; however, many are costly and dependent on instrumentation with only limited accessibility. A method based on a simple UV-scanning assay, combined with principal component analysis (PCA), was developed to detect impurities, such as glycosaminoglycans, other complex polysaccharides and aromatic compounds, in heparin preparations. Results were confirmed by NMR spectroscopy. This approach provides an additional, sensitive tool to determine heparin purity and safety, even when NMR spectroscopy failed, requiring only standard laboratory equipment and computing facilities. PMID:21267460

  20. A new approach to the analysis of alpha spectra based on neural network techniques

    Science.gov (United States)

    Baeza, A.; Miranda, J.; Guillén, J.; Corbacho, J. A.; Pérez, R.

    2011-10-01

    The analysis of alpha spectra requires good radiochemical procedures in order to obtain well differentiated alpha peaks in the spectrum, and the easiest way to analyze them is by directly summing the counts obtained in the Regions of Interest (ROIs). However, the low-energy tails of the alpha peaks frequently make this simple approach unworkable because some peaks partially overlap. Many fitting procedures have been proposed to solve this problem, most of them based on semi-empirical mathematical functions that emulate the shape of a theoretical alpha peak. The main drawback of these methods is that the great number of fitting parameters used means that their physical meaning is obscure or completely lacking. We propose another approach—the application of an artificial neural network. Instead of fitting the experimental data to a mathematical function, the fit is carried out by an artificial neural network (ANN) that has previously been trained to model the shape of an alpha peak using as training patterns several polonium spectra obtained from actual samples analyzed in our laboratory. In this sense, the ANN is able to learn the shape of an actual alpha peak. We have designed such an ANN as a feed-forward multi-layer perceptron with supervised training based on a back-propagation algorithm. The fitting procedure is based on the experimental observables that are characteristic of alpha peaks—the number of counts of the maximum and several peak widths at different heights. Polonium isotope spectra were selected because the alpha peaks corresponding to 208Po, 209Po, and 210Po are monoenergetic and well separated. The uncertainties introduced by this fitting procedure were less than the counting uncertainties. This new approach was applied to the problem of resolving overlapping peaks. Firstly, a theoretical study was carried out by artificially overlapping alpha peaks from actual samples in order to test the ability of the ANN to resolve each peak. Then, the ANN