Restoration principles and criteria: superfund program policy for cleanup at radiation contaminated sites

International Nuclear Information System (INIS)

Walker, Stuart

2006-01-01

The Environmental Protection Agency (EPA) Office of Superfund Remediation and Technology Innovation (OSRTI) is responsible for implementing the long-term (non-emergency) portion of a key U.S. law regulating cleanup: the Comprehensive Environmental Response, Compensation and Liability Act, CERCLA, nicknamed 'Superfund'. The purpose of the Superfund program is to protect human health and the environment over the long term from releases or potential releases of hazardous substances from abandoned or uncontrolled hazardous waste sites. The focus of this paper is on Superfund, including how radiation is addressed by the Superfund program. This paper provides a brief overview of the approach used by EPA to conduct Superfund cleanups at contaminated sites, including those that are contaminated with radionuclides, to ensure protection of human health and the environment. The paper addresses how EPA Superfund determines if a site poses a risk to human health and the framework used to determine cleanup levels. The theme emphasized throughout the paper is that within the Superfund remediation framework, radioactive contamination is dealt with in a consistent manner as with chemical contamination, except to account for the technical differences between radionuclides and chemicals. This consistency is important since at every radioactively contaminated site being addressed under Superfund's primary program for long-term cleanup, the National Priorities List (NPL), chemical contamination is also present. (author)

SITE COMPREHENSIVE LISTING (CERCLIS) (Superfund)

Data.gov (United States)

U.S. Environmental Protection Agency — The Comprehensive Environmental Response, Compensation and Liability Information System (CERCLIS) (Superfund) Public Access Database contains a selected set of...

Restoration principles and criteria: Superfund programme policy for cleanup at radiation contaminated sites

International Nuclear Information System (INIS)

Shapiro, M.

2000-01-01

The Environmental Protection Agency (EPA) Office of Solid Waste and Emergency Response is responsible for implementing two key US laws regulating waste management and cleanup: the Resource Conservation and Recovery Act, and the Comprehensive Environmental Response, Compensation and Liability Act, CERCLA, nicknamed ''Superfund''. The purpose of the Superfund programme is to protect human health and the environment over the long term from releases or potential releases of hazardous substances from abandoned or uncontrolled hazardous waste sites. The focus of this paper is on Superfund, including how radiation is addressed by the Superfund programme. This paper provides a brief overview of the approach used by EPA to conduct Superfund cleanups at contaminated sites, including those that are contaminated with radionuclides, to ensure protection of human health and the environment. The paper addresses how EPA Superfund determines if a site poses a risk to human health and the framework used to determine cleanup levels. The theme emphasized throughout the paper is that within the Superfund remediation framework, radioactive contamination is dealt with in the identical way as chemical contamination. (author)

75 FR 49414 - Cooperative Agreements and Superfund State Contracts for Superfund Response Actions

Science.gov (United States)

2010-08-13

...-0276. FOR FURTHER INFORMATION CONTACT: Angelo Carasea, Assessment and Remediation Division, Office of Superfund Remediation and Technology Innovation, (5204P), Environmental Protection Agency, 1200 Pennsylvania... funds to a State, political subdivision, or Indian Tribe that assumes responsibility as the lead or...

Removal of soluble toxic metals from water

International Nuclear Information System (INIS)

Buckley, L.P.; Vijayan, S.; McConeghy, G.J.; Maves, S.R.; Martin, J.F.

1990-05-01

The removal of selected, soluble toxic metals from aqueous solutions has been accomplished using a combination of chemical treatment and ultrafiltration. The process has been evaluated at the bench-scale and is undergoing pilot-scale testing. Removal efficiencies in excess of 95-99% have been realized. The test program at the bench-scale investigated the limitations and established the optimum range of operating parameters for the process, while the tests conducted with the pilot-scale process equipment are providing information on longer-term process efficiencies, effective processing rates, and fouling potential of the membranes. With the typically found average concentrations of the toxic metals in groundwaters at Superfund sites used as the feed solution, the process has decreased levels up to 100-fold or more. Experiments were also conducted with concentrated solutions to determine their release from silica-based matrices. The solidified wastes were subjected to EP Toxicity test procedures and met the criteria successfully. The final phase of the program involving a field demonstration at a uranium tailings site will be outlined

Superfund TIO videos: Set B. Financial management and SCAP. Part 8. Audio-Visual

International Nuclear Information System (INIS)

1990-01-01

The videotape covers various aspects of financial management for the Superfund Program. The importance of effective financial management and execution is discussed. The objectives and definitions of the Superfund Comprehensive Accomplishment Plan (SCAP) and the roles and responsibilities of Superfund personnel in the SCAP process are covered

Feasibility study for the United Heckathorn Superfund Site, Richmond, California

Energy Technology Data Exchange (ETDEWEB)

Lincoff, A.H. [US Environmental Protection Agency, San Francisco, CA (United States). Region IX; Costan, G.P.; Montgomery, M.S.; White, P.J. [Pacific Northwest Lab., Richland, WA (United States)

1994-07-01

The United Heckathom Superfund Site in Richmond, California, was used to formulate pesticides from approximately 1947 to 1966. Soils at the site and sediments in the harbor were contaminated with various chlorinated pesticides, primarily DDT, as a result of these activities. The US Environmental Protection Agency listed the site on the Superfund National Priorities List in 1990. This document is part of the Remedial Investigation and Feasibility Study phase of the Superfund response, which will provide the basis for selection of a final remedy that will protect human health and the environment and achieve compliance with federal and state envirorunental laws.

Feasibility study for the United Heckathorn Superfund Site, Richmond, California

International Nuclear Information System (INIS)

Lincoff, A.H.

1994-07-01

The United Heckathom Superfund Site in Richmond, California, was used to formulate pesticides from approximately 1947 to 1966. Soils at the site and sediments in the harbor were contaminated with various chlorinated pesticides, primarily DDT, as a result of these activities. The US Environmental Protection Agency listed the site on the Superfund National Priorities List in 1990. This document is part of the Remedial Investigation and Feasibility Study phase of the Superfund response, which will provide the basis for selection of a final remedy that will protect human health and the environment and achieve compliance with federal and state envirorunental laws

SUPERFUND TREATABILITY CLEARINGHOUSE: BDAT FOR SOLIDIFICATION/STABILIZATION TECHNOLOGY FOR SUPERFUND SOILS (DRAFT FINAL REPORT)

Science.gov (United States)

This report evaluates the performance of solidification as a method for treating solids from Superfund sites. Tests were conducted on four different artificially contaminated soils which are representative of soils found at the sites. Contaminated soils were solidified us...

Superfund Site Information - Site Sampling Data

Data.gov (United States)

U.S. Environmental Protection Agency — This asset includes Superfund site-specific sampling information including location of samples, types of samples, and analytical chemistry characteristics of...

78 FR 14543 - Ward Transformer Superfund Site; Raleigh, Wake County, NC; Notice of Settlement

Science.gov (United States)

2013-03-06

... ENVIRONMENTAL PROTECTION AGENCY [FRL 9788-2; CERCLA-04-2013-3754] Ward Transformer Superfund Site... Ward Transformer Superfund Site located in Raleigh, Wake County, North Carolina. Under the terms of the.... Submit your comments by Site name Ward Transformer Superfund Site by one of the following methods: [[Page...

Cleanups In My Community (CIMC) - Base Realignment and Closure (BRAC) Superfund Sites, National Layer

Science.gov (United States)

This data layer provides access to Base Realignment and Closure (BRAC) Superfund Sites as part of the CIMC web service. EPA works with DoD to facilitate the reuse and redevelopment of BRAC federal properties. When the BRAC program began in the early 1990s, EPA worked with DoD and the states to identify uncontaminated areas and these parcels were immediately made available for reuse. Since then EPA has worked with DoD to clean up the contaminated portions of bases. These are usually parcels that were training ranges, landfills, maintenance facilities and other past waste-disposal areas. Superfund is a program administered by the EPA to locate, investigate, and clean up worst hazardous waste sites throughout the United States. EPA administers the Superfund program in cooperation with individual states and tribal governments. These sites include abandoned warehouses, manufacturing facilities, processing plants, and landfills - the key word here being abandoned.This data layer shows Superfund Sites that are located at BRAC Federal Facilities. Additional Superfund sites and other BRAC sites (those that are not Superfund sites) are included in other data layers as part of this web service.BRAC Superfund Sites shown in this web service are derived from the epa.gov website and include links to the relevant web pages within the attribute table. Data about BRAC Superfund Sites are located on their own EPA web pages, and CIMC links to those pages. The CIMC web service

A method for estimating the local area economic damages of Superfund waste sites

International Nuclear Information System (INIS)

Walker, D.R.

1992-01-01

National Priority List (NPL) sites, or more commonly called Superfund sites, are hazardous waste sites (HWS) deemed by the Environmental Protection Agency (EPA) to impose the greatest risks to human health or welfare or to the environment. HWS are placed and ranked for cleanup on the NPL based on a score derived from the Hazard Ranking System (HRS), which is a scientific assessment of the health and environmental risks posed by HWS. A concern of the HRS is that the rank of sites is not based on benefit-cost analysis. The main objective of this dissertation is to develop a method for estimating the local area economic damages associated with Superfund waste sites. Secondarily, the model is used to derive county-level damage estimates for use in ranking the county level damages from Superfund sites. The conceptual model used to describe the damages associated with Superfund sites is a household-firm location decision model. In this model assumes that households and firms make their location choice based on the local level of wages, rents and amenities. The model was empirically implemented using 1980 census microdata on households and workers in 253 counties across the US. The household sample includes data on the value and structural characteristics of homes. The worker sample includes the annual earnings of workers and a vector worker attributes. The microdata was combined with county level amenity data, including the number of Superfund sites. The hedonic pricing technique was used to estimate the effect of Superfund sites on average annual wages per household and on monthly expenditures on housing. The results show that Superfund sites impose statistically significant damages on households. The annual county damages from Superfund sites for a sample of 151 counties was over 14 billion dollars. The ranking of counties using the damage estimates is correlated with the rank of counties using the HRS

78 FR 23563 - LWD, Inc. Superfund Site; Calvert City, Marshall County, Kentucky; Notice of Settlement

Science.gov (United States)

2013-04-19

... ENVIRONMENTAL PROTECTION AGENCY [FRL-9805-2; CERCLA-04-2013-3751] LWD, Inc. Superfund Site... costs concerning the LWD, Inc., Superfund Site located in Calvert City, Marshall County, Kentucky. The... V. Painter. Submit your comments by Site name LWD, Inc., Superfund Site by one of the following...

SITE COMPREHENSIVE LISTING (CERCLIS) (Superfund) - NPL Sites

Data.gov (United States)

U.S. Environmental Protection Agency — National Priorities List (NPL) Sites - The Comprehensive Environmental Response, Compensation and Liability Information System (CERCLIS) (Superfund) Public Access...

Procedural Sedation for the removal of a rectal foreign body

Directory of Open Access Journals (Sweden)

John Costumbrado, MD, MPH

2018-04-01

Full Text Available History of present illness: A 40-year-old male with a history of intravenous drug use presented to the emergency department (ED for one week of constant lower abdominal pain associated with bloody stool. He denied fever, nausea, vomiting, urinary symptoms, and testicular pain or swelling. On exam, vital signs were within normal limits. Abdominal exam was non-tender without rebound or guarding. Rectal exam was negative for occult blood but positive for a palpable firm, blunt object. A computed tomography (CT of the abdomen and pelvis was ordered to further investigate. Significant findings: Axial and coronal views on CT showed evidence of a large, tube-shaped foreign body in the rectum (see arrows without evidence of acute gastrointestinal tract disease. Discussion: While rectal foreign bodies (RFB are not uncommon to the ED, accurate epidemiological estimates are not available, due in part to underreporting.1 One study estimated an incidence of one patient per month that needed care for a RFB.2 Generally, patients can remove the object themselves; however, 20% of cases require endoscopic intervention and 1% require surgical intervention.3 RFBs can be removed via the transanal approach manually, instrument-assisted (eg, Kocher clamp, obstetric forceps, or endoscopically. In cases without intestinal perforation, transanal removal of a RFB is generally attempted as a first-line procedure in the ED, with an approximate success rate of 75%.4 However, the limitations of transanal removal depends on the location of the object, level of anal relaxation, and ability to grasp the object, which may be limited by the provider’s hand size and availability of instruments.Ways of facilitating bedside removal of RFBs include the Valsalva maneuver with proper positioning (i.e., lithotomy or prone knee-to-chest position or manual abdominal wall compression to help move the object closer to the anal orifice. Anoscopy may also be used to improve visualization of

Superfund Sites as Anti-landscapes

DEFF Research Database (Denmark)

Nye, David

2017-01-01

Americans have used a range of narratives to make sense of their settlement and use of natural resources. This article focuses on narratives of environmental degradation after the United States passed legislation mandating the cleanup of toxic sites and provided a Superfund for that purpose. Thre...

CERCLIS (Superfund) ASCII Text Format - CPAD Database

Data.gov (United States)

U.S. Environmental Protection Agency — The Comprehensive Environmental Response, Compensation and Liability Information System (CERCLIS) (Superfund) Public Access Database (CPAD) contains a selected set...

Cleanups In My Community (CIMC) - Superfund National Priority List (NPL) Sites, National Layer

Data.gov (United States)

U.S. Environmental Protection Agency — This data layer provides access to Superfund National Priority List Sites as part of the CIMC web service. Superfund is a program administered by the EPA to locate,...

Remediation System Evaluation, McCormick and Baxter Superfund SiteRemediation System Evaluation, McCormick and Baxter Superfund Site

Science.gov (United States)

The McCormick and Baxter Creosoting Company, Portland Plant, Superfund Site is located adjacent tothe Willamette River in Portland, Oregon and addresses contamination of soil, groundwater, and riversediments stemming from creosoting operations...

Regulatory compliance issues related to the White Oak Creek Embayment time-critical removal action

International Nuclear Information System (INIS)

Leslie, M.; Kimmel, B.L.

1992-01-01

In September 1990, Martin Marietta Energy Systems (Energy Systems) discovered high levels of Cesium-137 present in surface sediments at the mouth of White Oak Creek (WOC) Embayment. WOC receives the majority of surface water drainage from Oak Ridge National Laboratory. Following this discovery, the Department of Energy (DOE) and Energy Systems pursued stabilizing sediment migration under provisions of the National Contingency Plan (NCP) Section 300.400 et. seq. as a time-critical removal action. However, significant uncertainty exists concerning the applicability of NCP procedural requirements designed for conducting US EPA-led, Superfund-financed response actions, because NCP Subpart K dealing with response actions at federal facilities has not been promulgated. In addition, relatively new guidance exists from DOE concerning National Environmental Policy Act documentation requirements for categorical exclusions associated with conducting removal actions at DOE facilities. A proactive approach was taken to identify issues and involve appropriate state and federal regulatory agencies. This approach required achieving consensus among all involved parties and identification of all applicable or relevant and appropriate regulatory requirements related to the removal action. As a result, this project forms a framework for conducting future time-critical removal actions at federal facilities

Superfund National Priority List (NPL) Site Boundaries

Data.gov (United States)

U.S. Environmental Protection Agency — A set of site boundaries for each site in EPA Region 1 (Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, and Vermont) on EPA's Superfund National...

U.S. EPA Superfund Program's Policy for Community Involvement at Radioactively Contaminated Sites

International Nuclear Information System (INIS)

Carey, Pat; Walker, Stuart

2008-01-01

This paper describes the Superfund program's statutory requirements for community involvement. It also discusses the efforts the Superfund program has made that go beyond these statutory requirements to involve communities. The Environmental Protection Agency (EPA) implements the Superfund program under the authority of the Comprehensive Environmental Response, Compensation, and Liability Act of 1980 (CERCLA), as amended by the Superfund Amendments and Reauthorization Act of 1986 (SARA). From the beginning of the Superfund program, Congress envisioned a role for communities. This role has evolved and expanded during the implementation of the Superfund program. Initially, the CERCLA statute had community involvement requirements designed to inform surrounding communities of the work being done at a site. CERCLA's provisions required 1) development of a community relations plan for each site, 2) establishment of information repositories near each site where all publicly available materials related to the site would be accessible for public inspection, 3) opportunities for the public to comment on the proposed remedy for each site and 4) development of a responsiveness summary responding to all significant comments received on the proposed remedy. In recognition of the need for people living near Superfund sites to be well-informed and involved with decisions concerning sites in their communities, SARA expanded Superfund's community involvement activities in 1986. SARA provided the authority to award Technical Assistance Grants (TAGs) to local communities enabling them to hire independent technical advisors to assist them in understanding technical issues and data about the site. The Superfund Community Involvement Program has sought to effectively implement the statutory community involvement requirements, and to go beyond those requirements to find meaningful ways to involve citizens in the cleanup of sites in their communities. We've structured our program around

SITE COMPREHENSIVE LISTING (CERCLIS) (Superfund) - Non-NPL Sites

Data.gov (United States)

U.S. Environmental Protection Agency — Non-NPL Sites - The Comprehensive Environmental Response, Compensation and Liability Information System (CERCLIS) (Superfund) Public Access Database contains a...

Comparative efficiency of final endodontic cleansing procedures in removing a radioactive albumin from root canal systems

International Nuclear Information System (INIS)

Cecic, P.A.; Peters, D.D.; Grower, M.F.

1984-01-01

Fifty-six teeth were initially instrumented, with the use of seven irrigants or irrigant combinations, and filled with radioactive albumin. The study then showed the relative ability of three final endodontic procedures (copious reirrigation with saline solution, drying with paper points, and reassuring patency of the canal with the final instrument) to remove the albumin. Even after copious irrigation, each additional procedure removed statistically significant amounts of albumin. Alternating an organic solvent and an inorganic solvent did appear to leave the canal system in the optimal condition for final cleansing procedures. The study then correlated the relative efficiency of irrigation alone versus instrumentation plus irrigation in removing the remaining albumin from the canal systems. Reinstrumentation plus copious irrigation removed significantly more albumin than copious irrigation alone

Test procedures and instructions for Hanford tank waste supernatant cesium removal

Energy Technology Data Exchange (ETDEWEB)

Hendrickson, D.W., Westinghouse Hanford

1996-05-31

This document provides specific test procedures and instructions to implement the test plan for the preparation and conduct of a cesium removal test using Hanford Double-Shell Slurry Feed supernatant liquor from tank 251-AW-101 in a bench-scale column.Cesium sorbents to be tested include resorcinol-formaldehyde resin and crystalline silicotitanate. The test plan for which this provides instructions is WHC-SD-RE-TP-022, Hanford Tank Waste Supernatant Cesium Removal Test Plan.

In-Depth Case Studies of Superfund Reuse

Science.gov (United States)

SRI’s in-depth case studies explore Superfund reuse stories from start to finish. Their purpose is to see what redevelopment strategies worked, acknowledge reuse barriers and understand how communities overcame the barriers to create new reuse outcomes.

Human Health Toxicity Values in Superfund Risk Assessments

Science.gov (United States)

This memorandum revises the hierarchy of human health toxicity values generally recommended for use inr isk assessments, originally presented in Risk Assessment Guidance for Superfund Volume I, Part A.

SHIRCO PILOT-SCALE INFRARED INCINERATION SYSTEM AT THE ROSE TOWNSHIP DEMODE ROAD SUPERFUND SITE

Science.gov (United States)

Under the Superfund Innovative Technology Evaluation or SITE Program, an evaluation was made of the Shirco Pilot-Scale Infrared Incineration System during 17 separate test runs under varying operating conditions. The tests were conducted at the Demode Road Superfund site in Ros...

78 FR 729 - Ellman Battery Superfund Site; Orlando, Orange County, FL; Notice of Settlement

Science.gov (United States)

2013-01-04

... ENVIRONMENTAL PROTECTION AGENCY [FRL-9767-6; CERCLA-04-2012-3780] Ellman Battery Superfund Site; Orlando, Orange County, FL; Notice of Settlement AGENCY: Environmental Protection Agency (EPA). ACTION... Action at the Ellman Battery Superfund Site located in Orlando, Orange County, Florida. DATES: The Agency...

The removal of metals from edible oil by a membrane extraction procedure 355

NARCIS (Netherlands)

Keurentjes, J.T.F.; Bosklopper, T.G.J.; Dorp, van L.J.; Riet, van 't K.

1990-01-01

Edible oils may contain traces of metals. In oil refining procedures these metals have to be removed to guarantee oxidatively stable products. In this study we present a hollow fiber membrane extraction system for the removal of metals from an oil. Several extraction liquids were tested, of which an

SITE COMPREHENSIVE LISTING (CERCLIS) - Contaminants at CERCLIS (Superfund) Sites

Data.gov (United States)

U.S. Environmental Protection Agency — Contaminants at Comprehensive Environmental Response, Compensation and Liability Information System (CERCLIS) (Superfund) Sites - The CERCLIS Public Access Database...

Procedure to remove a dirt and/or oil film from water

Energy Technology Data Exchange (ETDEWEB)

Jager, T; Jager, G P.A.; Jager, K L.E.

1970-12-11

A procedure is described to remove dirt and/or oil films from a water surface. A number of rotating wiper scoops moves through the water. The top of the polluted water is brought into motion by the scoops and directed to a gutter system where it is removed. The advantage of the system is that the wiper scoops can be lowered selectively to the depth of the pollutant, thereby avoiding moving large quantities of unnecessary unpolluted liquid which later has to be separated. (12 claims)

Intra-operative removal of chest tube in video-assisted thoracoscopic procedures

Directory of Open Access Journals (Sweden)

Moustafa M. El-Badry

2017-12-01

Conclusions: Intra-operative removal of chest tube during VATS procedures was a safe technique in well selected patients with an intra-operative successful air-leak test with radiological and clinical follow-up. This technique provided lesser post-operative pain with shorter hospital stay.

Clinical study of treatment of cerebral hemorrhage: remove the intracranial hematoma with a minimal invasive procedure

International Nuclear Information System (INIS)

Ke Dongfeng; He Yunguang; Hu Wen; Lin Yang; Yang Danyang; Chen Shaokai; Ma Shaobing

2004-01-01

Objective: To study the feasibility and factors of minimal invasive intracranial hematoma removing procedure as a treatment of cerebral hemorrhage. Methods: From May, 2000 to September, 2003, 33 patients with intracerebral hemorrhage underwent minimal invasive intracranial hematoma removing procedure and from May, 1997 to September, 2000, 27 patients with cerebral hemorrhage received conservative treatments. Two groups were compared and analyzed. The quantity of hemorrhage and the indication of procedure were also studied. Results: State of an illness has no significant difference between the two groups (P<0.05). The rate of recovery were higher in the group undergoing the procedure (57.6%) than in the control group (14.8%) (P<0.05). The rate of handicap were lower in the procedure group (24.0%) than in the control group (60.0%) (P<0.05). The mortality were also lower in the procedure group (24.2%) than in the control group (63.0%) (P<0.01). In the control group no patient with a hematoma larger than 70 ml survived. In the procedure group patients with hematoma larger than 70 ml had less chance of survival than the other patients (P<0.01). The mortality rate were respectively 50%, 5.6%, 33.3% when the procedure was done in super early, early, delayed stage. The mortality rate was higher in the super early stage than in early stage (P<0.05). Conclusion: The minimal invasive intracranial hematoma removing procedure has a better clinical outcome than the conservative treatment. The procedure reduces obviously mortality rate and increase the quality of survival. Multiple puncturing and draining or craniotomy are recommended to remove huge hematoma. The earlier treatment brings better clinical effects. This technique is simple, less invasive and provides good clinical outcome, which is worth recommendation

77 FR 16548 - Florida Petroleum Reprocessors Superfund Site; Davie, Broward County, FL; Notice of Settlements

Science.gov (United States)

2012-03-21

...-2012- 3766; CERCLA-04-2012-3765] Florida Petroleum Reprocessors Superfund Site; Davie, Broward County... costs concerning the Florida Petroleum Reprocessors Superfund Site located in Davie, Broward County.... Painter. Submit your comments by Site name Florida Petroleum Reprocessors by one of the following methods...

Superfund TIO videos. Set A. Identifying PRPS. Removal process: Removal site evaluation. Part 2. Audio-Visual

International Nuclear Information System (INIS)

1990-01-01

The videotape is divided into three sections. Section 1 details the liability of Potentially Responsible Parties (PRPs) and describes the four classes of PRPs: current owners and operators, former owners and operators, generators, and transporters (if they selected the site). Section 2 lists the goals of the Potentially Responsible Party (PRP) search and explains how to identify key players during the PRP search. How to plan and conduct the PRP search is also outlined. Section 3 outlines the steps involved in conducting a removal site evaluation. A discussion of when to conduct a removal preliminary assessment, a removal site inspection, and an Engineering Evaluation/Cost Analysis (EE/AC) also is covered

An Efficient Procedure for Removal and Inactivation of Alpha-Synuclein Assemblies from Laboratory Materials.

Science.gov (United States)

Bousset, Luc; Brundin, Patrik; Böckmann, Anja; Meier, Beat; Melki, Ronald

2016-01-01

Preformed α-synuclein fibrils seed the aggregation of soluble α-synuclein in cultured cells and in vivo. This, and other findings, has kindled the idea that α-synuclein fibrils possess prion-like properties. As α-synuclein fibrils should not be considered as innocuous, there is a need for decontamination and inactivation procedures for laboratory benches and non-disposable laboratory material. We assessed the effectiveness of different procedures designed to disassemble α-synuclein fibrils and reduce their infectivity. We examined different commercially available detergents to remove α-synuclein assemblies adsorbed on materials that are not disposable and that are most found in laboratories (e.g. plastic, glass, aluminum or stainless steel surfaces). We show that methods designed to decrease PrP prion infectivity neither effectively remove α-synuclein assemblies adsorbed to different materials commonly used in the laboratory nor disassemble the fibrillar form of the protein with efficiency. In contrast, both commercial detergents and SDS detached α-synuclein assemblies from contaminated surfaces and disassembled the fibrils. We describe three cleaning procedures that effectively remove and disassemble α-synuclein seeds. The methods rely on the use of detergents that are compatible with most non-disposable tools in a laboratory. The procedures are easy to implement and significantly decrease any potential risks associated to handling α-synuclein assemblies.

77 FR 11533 - Anniston PCB Superfund Site, Anniston, Calhoun County, Alabama; Notice of Amended Settlement

Science.gov (United States)

2012-02-27

... ENVIRONMENTAL PROTECTION AGENCY [CERCLA-04-2012-3763; FRL 9637-7] Anniston PCB Superfund Site... past response costs concerning the Anniston PCB Superfund Site located in Anniston, Calhoun County.... Submit your comments by Site name Anniston PCB by one of the following methods: www.epa.gov/region4...

Smart moves in superfund - revitalization one year later. Volume 1, Number 3, January 1993. Bulletin

International Nuclear Information System (INIS)

1993-01-01

The issue of the Smart Moves in Superfund bulletin series provides an update on the revitalization effort, highlighting National Priorities List (NPL) construction completions, accelerating cleanup, the Superfund Accelerated Cleanup Model, risk assessment/risk management, contracts management, enforcement policy/equity, interagency cooperation, public forms, and state meetings

Centredale Manor Superfund Site in Rhode Island included on EPA List of Targeted for Immediate Attention

Science.gov (United States)

Today, the U.S. Environmental Protection Agency released the list of Superfund sites that Administrator Pruitt has targeted for immediate and intense attention. The Centredale Manor Restoration Project superfund site is one of the 21 sites on the list.

Remediation System Evaluation, Douglas Road Landfill Superfund Site

Science.gov (United States)

The Douglas Road Landfill Superfund Site is located in St. Joseph County just north of Mishawaka,Indiana. The site consists of a 16-acre capped landfill located on an approximately 32-acre lot (includingthe land purchased in 1999 for a wetlands...

SITE COMPREHENSIVE LISTING (CERCLIS) (Superfund) - Responsible Parties at CERCLIS Sites

Data.gov (United States)

U.S. Environmental Protection Agency — Responsible Parties at CERCLIS Sites - The Comprehensive Environmental Response, Compensation and Liability Information System (CERCLIS) (Superfund) Public Access...

SITE demonstration of the Dynaphore/Forager Sponge technology to remove dissolved metals from contaminated groundwater

Energy Technology Data Exchange (ETDEWEB)

Esposito, C.R. [Environmental Protection Agency, Edison, NJ (United States); Vaccaro, G. [Science Applications International Corp., Hackensack, NJ (United States)

1995-10-01

A Superfund Innovative Technology Evaluation (SITE) demonstration was conducted of the Dynaphore/Forager Sponge technology during the week of April 3, 1994 at the N.L. Industries Superfund Site in Pedricktown, New Jersey. The Forager Sponge is an open-celled cellulose sponge incorporating an amine-containing chelating polymer that selectively absorbs dissolved heavy metals in both cationic and anionic states. This technology is a volume reduction technology in which heavy metal contaminants from an aqueous medium are concentrated into a smaller volume for facilitated disposal. The developer states that the technology can be used to remove heavy metals from a wide variety of aqueous media, such as groundwater, surface waters and process waters. The sponge matrix can be directly disposed, or regenerated with chemical solutions. For this demonstration the sponge was set up as a mobile pump-and-treat system which treated groundwater contaminated with heavy metals. The demonstration focused on the system`s ability to remove lead, cadmium, chromium and copper from the contaminated groundwater over a continuous 72-hour test. The removal of heavy metals proceeded in the presence of significantly higher concentrations of innocuous cations such as calcium, magnesium, sodium, potassium and aluminum.

New York's new Superfund regulations: Implications for federal and other state programs

International Nuclear Information System (INIS)

Pavetto, C.S.; Rubinton, D.S.

1994-01-01

The need for cleaning up hazardous waste disposal sites was identified early in New York. In fact, New York's ''Superfund'' statute preceded the federal Superfund law thereby providing a model for CERCLA. Moreover, there are currently almost as many sites on New York's Registry of Inactive Hazardous Waste Disposal sites as there are sites on the National Priorities List. While New York's law served as a model for the federal CERCLA, CERCLA, in turn, has served as a model for other states' statutes. Similarly, lessons learned from the implementation of state Superfund statutes such as New York's can be instructive for those whose work involves dealing with CERCLA-type issues. This is because the problems associated with site restoration and cleanup, such as exceedingly complex site review and evaluation processes, high transaction costs, and difficulties in prioritizing sites for clean-up based upon the threat or risk of environmental harm, are universal

U.S. EPA Superfund Program's Policy for Community Involvement at Radioactively Contaminated Sites

International Nuclear Information System (INIS)

Martin, K.; Walker, St.

2009-01-01

This paper describes the EPA Superfund program's statutory requirements for community involvement. It also discusses the efforts the Superfund program has made that go beyond these statutory requirements to involve communities, and what lessons have been learned by EPA when trying to conduct meaningful community involvement at sites. In addition, it discusses tools that EPA has designed to specifically enhance community involvement at radioactively contaminated Superfund sites. In summary, the Superfund program devotes substantial resources to involving the local community in the site cleanup decision making process. We believe community involvement provides us with highly valuable information that must be available to carefully consider remedial alternatives at a site. We also find our employees enjoy their jobs more. Rather than fighting with an angry public they can work collaboratively to solve the problems created by the hazardous waste sites. We have learned the time and resources we devote at the beginning of a project to developing relationships with the local community, and learning about their issues and concerns is time and resources well spent. We believe the evidence shows this up-front investment helps us make better cleanup decisions, and avoids last minute efforts to work with a hostile community who feels left out of the decision-making process. (authors)

Test procedures and instructions for Hanford complexant concentrate supernatant cesium removal using CST

Energy Technology Data Exchange (ETDEWEB)

Hendrickson, D.W.

1997-01-08

This document provides specific test procedures and instructions to implement the test plan for the preparation and conduct of a cesium removal test, using Hanford Complexant Concentrate supernatant liquor from tank 241-AN-107, in a bench-scale column. The cesium sorbent to be tested is crystalline silicotitanate. The test plan for which this provides instructions is WHC-SD-RE-TP-023, Hanford Complexant Concentrate Supernatant Cesium Removal Test Plan.

Superfund at work: Hazardous waste cleanup efforts nationwide, fall 1992. (Wide Beach section of Brant, New York)

International Nuclear Information System (INIS)

1992-01-01

Wide-spread contamination of polychlorinated biphenyls (PCBs) threatened the Wide Beach section of Brant, New York, a popular vacation resort. EPA's Superfund program effectively completed a permanent cleanup of Wide Beach in the span of one year. Other highlights included: a new and innovative technology to remove PCB contamination; reduction of PCBs to one-fifth of acceptable levels; temporary relocation of residents who were concerned for their health while cleanup activities took place; newly paved roads and driveways, re-landscaped yards, and a new storm sewer system; and restoration of ecologically sensitive wetlands. EPA's achievements significantly reduced PCB risks at Wide Beach, and left a satisfied community in Brant

40 CFR 35.4040 - How many groups can receive a TAG at one Superfund site?

Science.gov (United States)

2010-07-01

... 40 Protection of Environment 1 2010-07-01 2010-07-01 false How many groups can receive a TAG at one Superfund site? 35.4040 Section 35.4040 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY... Eligible? § 35.4040 How many groups can receive a TAG at one Superfund site? (a) Only one TAG may be...

Strategy to Ensure Institutional Control Implementation at Superfund Sites

Science.gov (United States)

This document sets forth EPA’s strategy (Strategy) for ensuring that institutional controls (ICs) are successfully implemented at Superfund sites, with an emphasis on evaluating ICs at sites where all construction of all remedies is complete (construction complete sites).

Privacy Impact Assessment for the Enforcement Superfund Tracking System

Science.gov (United States)

This Enforcement Superfund Tracking System (ESTS) collects publicly available information from the California Secretary of State on businesses. Learn how this data is collected, how it will be used, access to the data, and the purpose of data collection.

Procedures for Removal of Pesticides from the Environment

Directory of Open Access Journals (Sweden)

Đokić, M.

2012-07-01

Full Text Available Pesticides are widely used in food production, and it is believed that more than 1000 types of pesticides are in use. Organochlorines and organophosphorous pesticides are used in large quantities due to their efficacy and low cost. These persistent organic pollutants remain in the soil, silt, and sediment long after application, and enter into watercourses, finding their way directly into the food chain. Today, the following procedures are used to remove pesticides from polluted localities: low temperature thermal desorption, incineration, bioremediation and phytoremediation. Each of these technologies has its advantages and disadvantages. Ultimately, the ideal remediation process would be to completely destroy the pollutant without the production of byproducts. Some of these processes are only capable of moving and stabilizing the contaminant, but do not clean or fully eliminate the pollutant. Low temperature thermal desorption is an ex situ cleaning technology most often used to remove pesticides. The advantage of incineration is the complete elimination of the pollutant; however, this process is very expensive, as it requires transport of the media to the incinerator. The processes of bioremediation are stimulated by natural processes of microbiological degradation of contaminants through the interaction of microorganisms and nutrients from waste. Ex situ procedures include the use of bioreactors. Another procedure is land spreading, in which the contaminated medium is mixed with the soil, in which the native microorganisms degrade the pollutants. Efficacy in the biodegradation of toxic pollutants has been established for white root fungi, particularly those from the genus Phanerochaete. Phytoremediation is a green technology that uses plants, in which plants are not directly included in the process but serve as a catalyser for increasing the growth and activity of root microorga- nisms. In phytoremediation of pesticides, plants of the genus

78 FR 47317 - Ore Knob Mine Superfund Site; Laurel Springs, Ashe County, North Carolina; Notice of Settlement

Science.gov (United States)

2013-08-05

... ENVIRONMENTAL PROTECTION AGENCY [FRL-9843-3; CERCLA-04-2013-3759] Ore Knob Mine Superfund Site; Laurel Springs, Ashe County, North Carolina; Notice of Settlement AGENCY: Environmental Protection Agency... settlement with Herbert N. Francis concerning the Ore Knob Mine Superfund Site located in Laurel Springs...

EPA [Environmental Protection Agency] SITE [Superfund Innovative Technology Evaluation] program seeks technology proposals

International Nuclear Information System (INIS)

Anon.

1989-01-01

EPA will issue an RFP to initiate the SITE-005 solicitation for demonstration of technologies under the Superfund Innovative Technology Evaluation (SITE) Program. This portion of the SITE program offers a mechanism for conducting a joint technology demonstration between EPA and the private sector. The goal of the demonstration program is to provide an opportunity for developers to demonstrate the performance of their technologies on actual hazardous wastes at Superfund sites, and to provide accurate and reliable data on that performance. Technologies selected must be of commercial scale and provide solutions to problems encountered at Superfund Sites. Primary emphasis in the RFP is on technologies that address: treatment of mixed, low level radioactive wastes in soils and groundwater; treatment of soils and sludges contaminated with organics and/or inorganics, materials handling as a preliminary step to treatment or further processing, treatment trains designed to handle specific wastes, are in situ technologies, especially those processes providing alternatives to conventional groundwater pump and treat techniques

DECISION ANALYSIS OF INCINERATION COSTS IN SUPERFUND SITE REMEDIATION

Science.gov (United States)

This study examines the decision-making process of the remedial design (RD) phase of on-site incineration projects conducted at Superfund sites. Decisions made during RD affect the cost and schedule of remedial action (RA). Decision analysis techniques are used to determine the...

Computer aided planning of orthopaedic surgeries: the definition of generic planning steps for bone removal procedures.

Science.gov (United States)

Putzer, David; Moctezuma, Jose Luis; Nogler, Michael

2017-11-01

An increasing number of orthopaedic surgeons are using computer aided planning tools for bone removal applications. The aim of the study was to consolidate a set of generic functions to be used for a 3D computer assisted planning or simulation. A limited subset of 30 surgical procedures was analyzed and verified in 243 surgical procedures of a surgical atlas. Fourteen generic functions to be used in 3D computer assisted planning and simulations were extracted. Our results showed that the average procedure comprises 14 ± 10 (SD) steps with ten different generic planning steps and four generic bone removal steps. In conclusion, the study shows that with a limited number of 14 planning functions it is possible to perform 243 surgical procedures out of Campbell's Operative Orthopedics atlas. The results may be used as a basis for versatile generic intraoperative planning software.

Optimization Review: Carson River Mercury Superfund Site, Carson City, Nevada

Science.gov (United States)

The Carson River Mercury Site (CRMS) (Figure 1) is located in northwest Nevada and was designated a Superfund site in 1990 because of elevated mercury concentrations observed in surface water, sediments and biota inhabiting the site.

Remediation System Evaluation, Savage Municipal Water Supply Superfund Site (PDF)

Science.gov (United States)

The Savage Municipal Water Supply Superfund Site, located on the western edge of Milford, New Hampshire, consists of a source area and an extended plume that is approximately 6,000 feet long and 2,500 feet wide.

Mining-Related Sediment and Soil Contamination in a Large Superfund Site: Characterization, Habitat Implications, and Remediation.

Science.gov (United States)

Juracek, K E; Drake, K D

2016-10-01

Historical mining activity (1850-1970) in the now inactive Tri-State Mining District provided an ongoing source of lead and zinc to the environment including the US Environmental Protection Agency Superfund site located in Cherokee County, southeast Kansas, USA. The resultant contamination adversely affected biota and caused human health problems and risks. Remediation in the Superfund site requires an understanding of the magnitude and extent of contamination. To provide some of the required information, a series of sediment and soil investigations were conducted in and near the Superfund site to characterize lead and zinc contamination in the aquatic and floodplain environments along the main-stem Spring River and its major tributaries. In the Superfund site, the most pronounced lead and zinc contamination, with concentrations that far exceed sediment quality guidelines associated with potential adverse biological effects, was measured for streambed sediments and floodplain soils located within or downstream from the most intensive mining-affected areas. Tributary streambeds and floodplains in affected areas are heavily contaminated with some sites having lead and zinc concentrations that are an order of magnitude (or more) greater than the sediment quality guidelines. For the main-stem Spring River, the streambed is contaminated but the floodplain is mostly uncontaminated. Measured lead and zinc concentrations in streambed sediments, lakebed sediments, and floodplain soils documented a persistence of the post-mining contamination on a decadal timescale. These results provide a basis for the prioritization, development, and implementation of plans to remediate contamination in the affected aquatic and floodplain environments within the Superfund site.

Mining-related sediment and soil contamination in a large Superfund site: Characterization, habitat implications, and remediation

Science.gov (United States)

Juracek, Kyle E.; Drake, K. D.

2016-01-01

Historical mining activity (1850–1970) in the now inactive Tri-State Mining District provided an ongoing source of lead and zinc to the environment including the US Environmental Protection Agency Superfund site located in Cherokee County, southeast Kansas, USA. The resultant contamination adversely affected biota and caused human health problems and risks. Remediation in the Superfund site requires an understanding of the magnitude and extent of contamination. To provide some of the required information, a series of sediment and soil investigations were conducted in and near the Superfund site to characterize lead and zinc contamination in the aquatic and floodplain environments along the main-stem Spring River and its major tributaries. In the Superfund site, the most pronounced lead and zinc contamination, with concentrations that far exceed sediment quality guidelines associated with potential adverse biological effects, was measured for streambed sediments and floodplain soils located within or downstream from the most intensive mining-affected areas. Tributary streambeds and floodplains in affected areas are heavily contaminated with some sites having lead and zinc concentrations that are an order of magnitude (or more) greater than the sediment quality guidelines. For the main-stem Spring River, the streambed is contaminated but the floodplain is mostly uncontaminated. Measured lead and zinc concentrations in streambed sediments, lakebed sediments, and floodplain soils documented a persistence of the post-mining contamination on a decadal timescale. These results provide a basis for the prioritization, development, and implementation of plans to remediate contamination in the affected aquatic and floodplain environments within the Superfund site.

Superfund XV conference proceedings. Volume 1

International Nuclear Information System (INIS)

Anon.

1994-01-01

This conference was held November 29--December 1, 1994 in Washington, D.C..The purpose of this conference was to provide a forum for exchange of state-of-the-art information on Superfund. Papers are included on the following topics: bioremediation; building decontamination; environmental policy issues; federal environmental restoration; groundwater remediation; innovative sampling and analytical technologies; laboratory methods; metals management; mixed wastes; PCB waste management; remediation technology and case studies; and risk assessment. Individual papers have been processed separately for inclusion in the appropriate data bases

Superfund Technology Evaluation Report: SITE Program Demonstration Test Shirco Pilot-Scale Infrared Incineration System at the Rose Township Demode Road Superfund Site Volume I

Science.gov (United States)

The Shirco Pilot-Scale Infrared Incineration System was evaluated during a series of seventeen test runs under varied operating conditions at the Demode Road Superfund Site located in Rose Township, Michigan. The tests sought to demonstrate the effectiveness of the unit and the t...

Diffusive flux of PAHs across sediment-water and water-air interfaces at urban superfund sites.

Science.gov (United States)

Minick, D James; Anderson, Kim A

2017-09-01

Superfund sites may be a source of polycyclic aromatic hydrocarbons (PAHs) to the surrounding environment. These sites can also act as PAH sinks from present-day anthropogenic activities, especially in urban locations. Understanding PAH transport across environmental compartments helps to define the relative contributions of these sources and is therefore important for informing remedial and management decisions. In the present study, paired passive samplers were co-deployed at sediment-water and water-air interfaces within the Portland Harbor Superfund Site and the McCormick and Baxter Superfund Site. These sites, located along the Willamette River (Portland, OR, USA), have PAH contamination from both legacy and modern sources. Diffusive flux calculations indicate that the Willamette River acts predominantly as a sink for low molecular weight PAHs from both the sediment and the air. The sediment was also predominantly a source of 4- and 5-ring PAHs to the river, and the river was a source of these same PAHs to the air, indicating that legacy pollution may be contributing to PAH exposure for residents of the Portland urban center. At the remediated McCormick and Baxter Superfund Site, flux measurements highlight locations within the sand and rock sediment cap where contaminant breakthrough is occurring. Environ Toxicol Chem 2017;36:2281-2289. © 2017 SETAC. © 2017 SETAC.

Electrochemical peroxidation of PCBs and VOCs in superfund site water and sediments

Energy Technology Data Exchange (ETDEWEB)

Scrudato, R.J.; Chiarenzelli, J.R. [SUNY, Oswego, NY (United States)

1996-12-31

An electrochemical peroxidation (ECP) process has been developed and used to degrade polychlorinated biphenyls (PCB) and volatile organic compounds (VOC)-contaminated water, sludge, and sediments at a New York State Federal and State Superfund Site. The process involves passing an oscillating low-amperage (<10 amps) current through steel electrodes immersed in an acidified water or sediment slurry into which hydrogen peroxide (<1,000 ppm) is added. The generated free radicals attack organic compounds, including organo-metallic complexes and refractory compounds including PCBs. PCB degradation ranged from about 30% to 80% in experiments involving Federal Superfund Site sediments; total PCBs were reduced by {approximately}97% to 68%, respectively, in water and slurry collected from a State Superfund subsurface storage tank. VOC bench-scale experiments involved chloroethane, 1,1-dichloroethane, dichloromethane, 1,1,1-trichloroethane, and acetone and after a 3-min ECP treatment, degradation ranged from >94% to about 99.9%. Results indicate the ECP is a viable process to degrade organic contaminants in water and sediment suspensions. Because the treated water suspensions are acidified, select trace metal sorbed to the particulates is solubilized and therefore can be segregated from the particulates, offering a process that simultaneously degrades organic contaminants and separates trace metals. 19 refs., 1 fig., 4 tabs.

CERCLA and RCRA requirements affecting cleanup of a hazardous waste management unit at a Superfund site: A case study

International Nuclear Information System (INIS)

Walsh, T.J.

1995-03-01

The Fernald Environmental Management Project (FEMP) attempted to address both RCRA and CERCLA requirements at the fire training facility (FTF) by integrating a CERCLA removal action work plan with a RCRA closure plan. While the regulatory agencies involved with the FTF cleanup agreed the integrated document was a good idea, implementation proved complicated, owing to disposition of clean debris from a Superfund site, treatment of contaminated media, duration of cleanup activities, and cleanup certification. While all the complications have not been resolved, solutions to all have been proposed to Ohio EPA and U.S. EPA. Both agencies have worked closely with FEMP to find the most effective fulfillment of RCRA and CERCLA requirements

Impression Procedures for Metal Frame Removable Partial Dentures as Applied by General Dental Practitioners.

NARCIS (Netherlands)

Fokkinga, W.A.; Uchelen, J. van; Witter, D.J.; Mulder, J.; Creugers, N.H.J.

2016-01-01

This pilot study analyzed impression procedures for conventional metal frame removable partial dentures (RPDs). Heads of RPD departments of three dental laboratories were asked to record features of all incoming impressions for RPDs during a 2-month period. Records included: (1) impression

Ensuring the adequacy of cost share provisions in superfund state contracts. Directive

International Nuclear Information System (INIS)

1993-01-01

The memorandum requests regional offices to re-examine existing Superfund State Contracts (SSCs) for Fund-financed remedial actions to verify that they adequately reflect incurred and projected remedial action costs

An improved ring removal procedure for in-line x-ray phase contrast tomography

Science.gov (United States)

Massimi, Lorenzo; Brun, Francesco; Fratini, Michela; Bukreeva, Inna; Cedola, Alessia

2018-02-01

The suppression of ring artifacts in x-ray computed tomography (CT) is a required step in practical applications; it can be addressed by introducing refined digital low pass filters within the reconstruction process. However, these filters may introduce additional ringing artifacts when simultaneously imaging pure phase objects and elements having a non-negligible absorption coefficient. Ringing originates at sharp interfaces, due to the truncation of spatial high frequencies, and severely affects qualitative and quantitative analysis of the reconstructed slices. In this work, we discuss the causes of ringing artifacts, and present a general compensation procedure to account for it. The proposed procedure has been tested with CT datasets of the mouse central nervous system acquired at different synchrotron radiation facilities. The results demonstrate that the proposed method compensates for ringing artifacts induced by low pass ring removal filters. The effectiveness of the ring suppression filters is not altered; the proposed method can thus be considered as a framework to improve the ring removal step, regardless of the specific filter adopted or the imaged sample.

Test procedures and instructions for single shell tank saltcake cesium removal with crystalline silicotitanate

Energy Technology Data Exchange (ETDEWEB)

Duncan, J.B.

1997-01-07

This document provides specific test procedures and instructions to implement the test plan for the preparation and conduct of a cesium removal test, using Hanford Single Shell Tank Saltcake from tanks 24 t -BY- I 10, 24 1 -U- 108, 24 1 -U- 109, 24 1 -A- I 0 1, and 24 t - S-102, in a bench-scale column. The cesium sorbent to be tested is crystalline siticotitanate. The test plan for which this provides instructions is WHC-SD-RE-TP-024, Hanford Single Shell Tank Saltcake Cesium Removal Test Plan.

Superfund fact sheet: The remedial program. Fact sheet

International Nuclear Information System (INIS)

1992-09-01

The fact sheet describes what various actions the EPA can take to clean up hazardous wastes sites. Explanations of how the criteria for environmental and public health risk assessment are determined and the role of state and local governments in site remediation are given. The fact sheet is one in a series providing reference information about Superfund issues and is intended for readers with no formal scientific training

Impression Procedures for Metal Frame Removable Partial Dentures as Applied by General Dental Practitioners.

Science.gov (United States)

Fokkinga, Wietske A; van Uchelen, Judith; Witter, Dick J; Mulder, Jan; Creugers, Nico H J

2016-01-01

This pilot study analyzed impression procedures for conventional metal frame removable partial dentures (RPDs). Heads of RPD departments of three dental laboratories were asked to record features of all incoming impressions for RPDs during a 2-month period. Records included: (1) impression procedure, tray type (stock/custom), impression material (elastomer/alginate), use of border-molding material (yes/no); and (2) RPD type requested (distal-extension/tooth-bounded/combination). Of the 132 total RPD impressions, 111 (84%) involved custom trays, of which 73 (55%) were combined with an elastomer. Impression border-molding material was used in 4% of the cases. Associations between impression procedure and RPD type or dentists' year/university of graduation were not found.

Towards identifying the next generation of superfund and hazardous waste site contaminants

Science.gov (United States)

Ela, Wendell P.; Sedlak, David L.; Barlaz, Morton A.; Henry, Heather F.; Muir, Derek C.G.; Swackhamer, Deborah L.; Weber, Eric J.; Arnold, Robert G.; Ferguson, P. Lee; Field, Jennifer A.; Furlong, Edward T.; Giesy, John P.; Halden, Rolf U.; Henry, Tala; Hites, Ronald A.; Hornbuckle, Keri C.; Howard, Philip H.; Luthy, Richard G.; Meyer, Anita K.; Saez, A. Eduardo; vom Saal, Frederick S.; Vulpe, Chris D.; Wiesner, Mark R.

2011-01-01

Background This commentary evolved from a workshop sponsored by the National Institute of Environmental Health Sciences titled "Superfund Contaminants: The Next Generation" held in Tucson, Arizona, in August 2009. All the authors were workshop participants.

Private-Sector Cleanup Expenditures and Transaction Costs at 18 Superfund Sites (1993)

Science.gov (United States)

Superfund allows the government either to clean up a site and recover its cost from the potentially responsible parties (PRPs) or to require the PRPs to undertake the cleanup themselves. This study examines private-sector expenditures and transaction-costs

Optimization Evaluation: Lee Chemical Superfund Site, City Of Liberty, Clay County, Missouri

Science.gov (United States)

The Lee Chemical Superfund Site (site) is located along Missouri Highway 210 in Liberty, Missouri, approximately 15 miles east of Kansas City, Missouri. Currently, the site is a vacant lot of approximately2.5 acres in a flat alluvial plain.

An evaluation of remote sensing technologies for the detection of fugitive contamination at selected Superfund hazardous waste sites in Pennsylvania

Science.gov (United States)

Slonecker, E. Terrence; Fisher, Gary B.

2014-01-01

This evaluation was conducted to assess the potential for using both traditional remote sensing, such as aerial imagery, and emerging remote sensing technology, such as hyperspectral imaging, as tools for postclosure monitoring of selected hazardous waste sites. Sixteen deleted Superfund (SF) National Priorities List (NPL) sites in Pennsylvania were imaged with a Civil Air Patrol (CAP) Airborne Real-Time Cueing Hyperspectral Enhanced Reconnaissance (ARCHER) sensor between 2009 and 2012. Deleted sites are those sites that have been remediated and removed from the NPL. The imagery was processed to radiance and atmospherically corrected to relative reflectance with standard software routines using the Environment for Visualizing Imagery (ENVI, ITT–VIS, Boulder, Colorado) software. Standard routines for anomaly detection, endmember collection, vegetation stress, and spectral analysis were applied.

Superfund record of decision (EPA Region 7): Cherokee County Superfund Site, Cherokee County, KS, July 29, 1996

Energy Technology Data Exchange (ETDEWEB)

NONE

1996-08-01

The decision document presents the selected remedial action for the mining wastes at Operable Unit No. 07 of the Galena Subsite, which is part of the Cherokee County Superfund Site in Cherokee County, Kansas. The selected remedy includes actions for residential soils impacted by mining wastes and includes: Excavation and disposal of residential soils impacted by mining wastes; Health education for the general community and medical professionals; Institutional controls to guide future development in residential areas impacted by mining wastes; Treatability studies to evaluate the effectiveness of phosphate stabilization as a future alternative; and Operation and maintenance of all remedy aspects including, but not limited to, health education, institutional controls, and long-term monitoring.

Cleanups In My Community (CIMC) - Federal facilities that are also Superfund sites, National Layer

Data.gov (United States)

U.S. Environmental Protection Agency — Federal facilities are properties owned by the federal government. This data layer provides access to Federal facilities that are Superfund sites as part of the CIMC...

A simplified test procedure for determining the effectiveness of adsorbents for the removal of methyl iodide

International Nuclear Information System (INIS)

Underhill, D.W.

1993-01-01

ASTM Test Procedure D3803 measures the ability of nuclear-grade carbon to remove methyl iodide from a stream of humidified air. This test, unlike all the other procedures developed by ASTM Committee D28, has evolved to become extremely complex. The intricacy of this test as well as the great difficulty in obtaining inter-laboratory agreement, creates doubt as tot the actual meaning of the results. Here a far simpler test system is described in which thermodynamic principles are used to maintain a constant, reproducible test procedure. This paper describes a system implementing these elements, its cost to build, and the factors affecting its accuracy. 11 refs., 1 fig

77 FR 13603 - Anniston PCB Superfund Site; Anniston, Calhoun County, AL; Correction

Science.gov (United States)

2012-03-07

... ENVIRONMENTAL PROTECTION AGENCY [FRL-9644-2; CERCLA-04-2012-3763] Anniston PCB Superfund Site... FR 11533 (FRL-9637-7), EPA posted a Notice of Amended Settlement concerning the Anniston PCB... the settlement are available from Ms. Paula V. Painter. Submit your comments by Site name Anniston PCB...

Pilot-scale incineration of comtaminated soils from the drake chemical superfund site. Final report

International Nuclear Information System (INIS)

King, C.; Lee, J.W.; Waterland, L.R.

1993-03-01

A series of pilot-scale incineration tests were performed at the U.S. Environmental Protection Agency's (EPA's) Incineration Research Facility to evaluate the potential of incineration as an option to treat contaminated soils from the Drake Chemical Superfund site in Lock Haven, Pennsylvania. The soils at the Drake site are reported to be contaminated to varying degrees with various organic constituents and several hazardous constituent trace metals. The purpose of the test program was to evaluate the incinerability of selected site soils in terms of the destruction of contaminant organic constituents and the fate of contaminant trace metals. All tests were conducted in the rotary kiln incineration system at the IRF. Test results show that greater than 99.995 percent principal organic hazardous constituent (POHC) destruction and removal efficiencies (DRE) can be achieved at kiln exit gas temperatures of nominally 816 C (1,500 F) and 538 C (1,000 F). Complete soil decontamination of semivolatile organics was achieved; however, kiln ash levels of three volatile organic constituents remained comparable to soil levels

Remediation System Evaluation, Tutu Wellfield Superfund Site, St. Thomas, U.S. Virgin Islands

Science.gov (United States)

The Tutu Wellfield Superfund Site is a 1.5 square mile site located on the eastern end of St. Thomas, U.S. Virgin Islands (USVI) within the upper Turpentine Run surface drainage basin in the Anna’s Retreat area.

Blasting at a Superfund chemical waste site

International Nuclear Information System (INIS)

Burns, D.R.

1991-01-01

During the summer of 1989, Maine Drilling and Blasting of Gardiner, Maine was contracted by Cayer Corporation of Harvard, Massachusetts to drill and blast an interceptor trench at the Nyanza Chemical Superfund Site in Ashland, Massachusetts. The interceptor trench was to be 1,365 feet long and to be blasted out of granite. The trench was to be 12 feet wide at the bottom with 1/1 slopes, the deepest cut being 30 feet deep. A French drain 12 feet wide by 15 to 35 feet deep was blasted below the main trench on a 2% slope from its center to each end. A French drain is an excavation where the rock is blasted but not dug. The trench would be used as a perimeter road with any ground water flow going through the French drain flowing to both ends of the trench. Being a Superfund project turned a simple blasting project into a regulatory nightmare. The US Environmental Protection Agency performed all the chemical related functions on site. The US Army Corps of Engineers was overseeing all related excavation and construction on site, as was the Massachusetts Department of Environmental Quality Engineering, the local Hazardous Wastes Council, and the local Fire Department. All parties had some input with the blasting and all issues had to be addressed. The paper outlines the project, how it was designed and completed. Also included is an outline of the blast plan to be submitted for approval, an outline of the Safety/Hazardous Waste training and a description of all the problems which arose during the project by various regulatory agencies

Guidance: Strategies to Achieve Timely Settlement and Implementation of RD/RA at Superfund Sites

Science.gov (United States)

Memorandum recommends strategies to encourage PRPs to enter into a settlement using the model RD/RA Consent Decree; discusses the current model UAO; and suggests practical alternatives to expedite Superfund settlements and the cleanup process.

Renton's Quendall Terminals on List of EPA Superfund Sites Targeted for Immediate, Intense Attention

Science.gov (United States)

EPA released the list of Superfund sites that Administrator Pruitt has targeted for intense and immediate attention, including the Quendall Terminals Site, a former creosote facility on the shore of Lake Washington in Renton, Washington.

Cleanups In My Community (CIMC) - Base Realignment and Closure (BRAC) Superfund Sites, National Layer

Data.gov (United States)

U.S. Environmental Protection Agency — This data layer provides access to Base Realignment and Closure (BRAC) Superfund Sites as part of the CIMC web service. EPA works with DoD to facilitate the reuse...

Evaluating public participation in environmental decision-making: EPA's superfund community involvement program.

Science.gov (United States)

Susan Charnley; Bruce. Engelbert

2005-01-01

This article discusses an 8-year, ongoing project that evaluates the Environmental Protection Agency's Superfund community involvement program. The project originated as a response to the Government Performance and Results Act, which requires federal agencies to articulate program goals, and evaluate and report their progress in meeting those goals. The evaluation...

75 FR 38100 - National Institute of Environmental Health Sciences Superfund Hazardous Substance Research and...

Science.gov (United States)

2010-07-01

...- traditional communication methods to make the significance and applicability of SRP-funded research... and Social Sciences Research, and National Institute of Biomedical Imaging and Bioengineering. [cir... Superfund Hazardous Substance Research and Training Program Strategic Plan; Request for Comments ACTION...

Surgical removal of a large vaginal calculus formed after a tension-free vaginal tape procedure.

Science.gov (United States)

Zilberlicht, Ariel; Feiner, Benjamin; Haya, Nir; Auslender, Ron; Abramov, Yoram

2016-11-01

Vaginal calculus is a rare disorder which has been reported in association with urethral diverticulum, urogenital sinus anomaly, bladder exstrophy and the tension-free vaginal tape (TVT) procedure. We report a 42-year-old woman who presented with persistent, intractable urinary tract infection (UTI) following a TVT procedure. Cystoscopy demonstrated an eroded tape with the formation of a bladder calculus, and the patient underwent laser cystolithotripsy and cystoscopic resection of the tape. Following this procedure, her UTI completely resolved and she remained asymptomatic for several years. Seven years later she presented with a solid vaginal mass. Pelvic examination followed by transvaginal ultrasonography and magnetic resonance imaging demonstrated a large vaginal calculus located at the lower third of the anterior vaginal wall adjacent to the bladder neck. This video presents the transvaginal excision and removal of the vaginal calculus.

Biomonitoring for metal contamination near two Superfund sites in Woburn, Massachusetts, using phytochelatins

International Nuclear Information System (INIS)

Gawel, James E.; Hemond, Harold F.

2004-01-01

Characterizing the spatial extent of groundwater metal contamination traditionally requires installing sampling wells, an expensive and time-consuming process in urban areas. Moreover, extrapolating biotic effects from metal concentrations alone is problematic, making ecological risk assessment difficult. Our study is the first to examine the use of phytochelatin measurements in tree leaves for delimiting biological metal stress in shallow, metal-contaminated groundwater systems. Three tree species (Rhamnus frangula, Acer platanoides, and Betula populifolia) growing above the shallow groundwater aquifer of the Aberjona River watershed in Woburn, Massachusetts, display a pattern of phytochelatin production consistent with known sources of metal contamination and groundwater flow direction near the Industri-Plex Superfund site. Results also suggest the existence of a second area of contaminated groundwater and elevated metal stress near the Wells G and H Superfund site downstream, in agreement with a recent EPA ecological risk assessment. Possible contamination pathways at this site are discussed

EMERGING TECHNOLOGY BULLETIN: RECLAMATION OF LEAD FROM SUPERFUND WASTE MATERIAL USING SECONDARY LEAD SMELTERS

Science.gov (United States)

This process involves incorporating lead-contaminated Superfund waste with the regular feed to a secondary lead smelter. Since secondary lead smelters already recover lead from recycled automobile batteries, it seems likely that this technology could be used to treat waste from ...

1992 update of US EPA's Superfund Innovative Technology Evaluation (SITE) Emerging Technology Program

International Nuclear Information System (INIS)

Lewis, N.M.; Barkley, N.P.; Williams, T.

1992-01-01

The Superfund Innovative Technology Evaluation (SITE) Emerging Technology Program (ETP) has financially supported further development of bench- and pilot-scale testing and evaluation of innovative technologies for use at hazardous waste sites for five years. The ETP was established under the Superfund Amendments and Reauthorization Act (SARA) of 1986. The ETP complies with the goal of the SITE Program to promote, accelerate and make commercially available the development of alternative/innovative treatment technologies for use at Superfund sites. Technologies are submitted to the ETP through yearly solicitations for Preproposals. Applicants are asked to submit a detailed project proposal and a cooperative agreement application that requires Developer/EPA cost sharing. EPA co-funds selected Developers for one to two years. Second-year funding requires documentation of significant progress during the first year. Facilities, equipment, data collection, performance and development are monitored throughout the project. The US Department of Energy (DOE) and the US Air Force (USAF) are participants in the ETP. DOE has co-funded ETP projects since 1990 and the USAF since 1991. A goal of the ETP is to move developed technologies to the field-demonstration stage. A developer may be considered for participation in the SITE Demonstration Program if performance in the ETP indicates the technology is field-ready for evaluation. Six technology categories: biological, chemical, materials handling, physical, solidification/stabilization and thermal, are presently in the ETP. Technologies of primary interest to EPA are those that can treat complex mixtures of hazardous organic and inorganic contaminants and provide improved solids handling and/or pretreatment. An account of the background and progress of the ETP's first five years is presented in this paper. Technologies currently in the ETP are noted, and developers and EPA Project Managers, are listed. 4 refs., 11 figs., 6 tabs

A General Chemistry Assignment Analyzing Environmental Contamination for the Depue, IL, National Superfund Site

Science.gov (United States)

Saslow Gomez, Sarah A.; Faurie-Wisniewski, Danielle; Parsa, Arlen; Spitz, Jeff; Spitz, Jennifer Amdur; Loeb, Nancy C.; Geiger, Franz M.

2015-01-01

The classroom exercise outlined here is a self-directed assignment that connects students to the environmental contamination problem surrounding the DePue Superfund site. By connecting chemistry knowledge gained in the classroom with a real-world problem, students are encouraged to personally connect with the problem while simultaneously…

Selective removal of dissolved toxic metals from groundwater by ultrafiltration in combination with chemical treatment

International Nuclear Information System (INIS)

Buckley, L.P.; Le, V.T.; McConeghy, G.J.; Martin, J.F.

1989-09-01

An alternative in-place process for the removal of toxic heavy metals based on aqueous solution chemistry and treatment is being evaluated under the auspices of the Emerging Technologies Program funded through the USEPA's Superfund Innovative Technology Evaluation Program. The technique involves the contacting of aqueous solutions containing the heavy metal contaminants with low concentrations of polyelectrolytes, and then removing the polyelectrolytes from solution with ultrafiltration membranes. The first phase of the program is considered complete. Success has been achieved for the separation of soluble, heavy metal ions: cadmium, lead, and mercury even in the presence of an organic compound, toluene. Removal was successful at alkaline conditions, using any combination of membrane material or polyelectrolyte. Arsenic was removed, but not effectively, using the current polyelectrolytes, simply because arsenic is present as an anionic species rather than as a cationic species. Optimization of the process variables is nearing completion and pilot and field testing will take place in the second year of the program to verify the process under realistic conditions and to establish process economics

How to Surgically Remove the Permanent Mesh Ring after the Onstep Procedure for Alleviation of Chronic Pain following Inguinal Hernia Repair

Directory of Open Access Journals (Sweden)

Stina Öberg

2016-01-01

Full Text Available A promising open inguinal hernia operation called Onstep was developed in 2005. The technique is without sutures to the surrounding tissue, causing minimal tension. A specific mesh is used with a memory recoil ring in the border, which may cause pain superficial to the lateral part of the mesh for slender patients. The aim of this study was to illustrate an easy procedure that alleviates/removes the pain. A male patient had persistent pain six months after the Onstep operation and therefore had a ring removal operation. The procedure is presented as a video and a protocol. At the eleven-month follow-up, the patient was free of pain, without a recurrence. It is advised to wait some months after the initial hernia repair before removing the ring, since the mesh needs time to become well integrated into the surrounding tissue. The operation is safe and easy to perform, which is demonstrated in a video.

75 FR 81269 - Ward Transformer Superfund Site Raleigh, Wake County, NC; Notice of Settlements

Science.gov (United States)

2010-12-27

... ENVIRONMENTAL PROTECTION AGENCY [Docket EPA-RO4-SFUND-2010-1053, FRL-9243-2] Ward Transformer... entered into a five settlements for reimbursement of past response costs concerning the Ward Transformer... Docket ID No. EPA-RO4- SFUND-2010-1053 or Site name Ward Transformer Superfund Site by one of the...

Case studies of community relations on DOE's Formerly Utilized Sites Remedial Action Program as models for Superfund sites

International Nuclear Information System (INIS)

Plant, S.W.; Adler, D.G.

1995-01-01

Ever since the US Department of Energy (DOE) created its Formerly Utilized Sites Remedial Action Program (FUSRAP) in 1974, there has been a community relations program. The community relations effort has grown as FUSRAP has grown. With 20 of 46 sites now cleaned up, considerable experience in working with FUSRAP stakeholders has been gained. Why not share that experience with others who labor on the Superfund sites? Many similarities exist between the Superfund sites and FUSRAP. FUSRAP is a large, multiple-site environmental restoration program. The challenges range from small sites requiring remedial actions measurable in weeks to major sites requiring the full remedial investigation/feasibility study process. The numerous Superfund sites throughout the United States offer the same diversity, both geographically and technically. But before DOE offers FUSRAP's community relations experience as a model, it needs to make clear that this will be a realistic model. As experiences are shared, DOE will certainly speak of the efforts that achieved its goals. But many of the problems that DOE encountered along the way will also be related. FUSRAP relies on a variety of one- and two-way communication techniques for involving stakeholders in the DOE decision-making process. Some of the techniques and experiences from the case studies are presented

78 FR 76143 - Proposed CERCLA Settlement Relating to the Paul's Tank Cleaning Service Superfund Site...

Science.gov (United States)

2013-12-16

... Paul's Tank Cleaning Service Superfund Site, Burlington County, New Jersey AGENCY: Environmental.... (``Settling Party''). The Settling Party is a potentially responsible party, pursuant to Section 107(a) of CERCLA, and thus is potentially liable for response costs incurred at or in connection Paul's Tank...

77 FR 21433 - Regulated Navigation Area; Pacific Sound Resources and Lockheed Shipyard EPA Superfund Cleanup...

Science.gov (United States)

2012-04-10

... superfund cleanup remediation efforts. This RNA will prohibit activities that would disturb the seabed, such... or capped are arsenic, copper, lead, mercury, zinc, PAHs and PCBs. The metal contaminants were... installed in the designated regulated navigation area, pursuant to the remediation efforts of the U.S...

A strategy for end point criteria for Superfund remediation

International Nuclear Information System (INIS)

Hwang, S.T.

1992-06-01

Since the inception of cleanup for hazardous waste sites, estimating target cleanup levels has been the subject of considerable investigation and debate in the Superfund remediation process. Establishing formal procedures for assessing human health risks associated with hazardous waste sites has provided a conceptual framework for determining remediation goals and target cleanup levels (TCLs) based on human health and ecological risk consideration. This approach was once considered at variance with the concept of the pre-risk assessment period; that is, cleaning up to the background level, or using containment design or best available control technologies. The concept has been gradually adopted by the regulatory agencies and the parties responsible for cleanup. Evaluation of cleanup strategies at the outset of the planning stage will eventually benefit the parties responsible for cleanup and the oversight organizations, including regulatory agencies. Development of the strategies will provide an opportunity to promote an improvement in the pace and quality of many activities to be carried out. The strategies should help address the issues related to (1) improving remediation management activities to arrive at remediation as expeditiously as possible, (2) developing alternate remediation management activities, (3) identifying obstructing issues to management for resolution, (4) adapting the existing framework to correspond to the change in remediation statutes and guidelines, and (5) providing the basis for evaluating options for the record of decision process. This paper will discuss some of the issues and the research efforts that were addressed as part of the strategies requiring future discussion and comment

Assessment of technologies for the remediation of radioactively contaminated Superfund sites

International Nuclear Information System (INIS)

1990-01-01

The report is a screening evaluation of information needs for the development of generic treatability studies for the remediation of Superfund Radiation Sites on the National Priorities List (NPL). It presents a categorization of the 25 radiation sites currently proposed or listed on the NPL, and provides a rating system for evaluating technologies that may be used to remediate these sites. It also identifies gaps in site assessment and technology data and provides information about and recommendations for technology development

Issuance of Final Guidance: Ecological Risk Assessment and Risk Management Principles for Superfund Sites, October 7, 1999

Science.gov (United States)

This guidance is intended to help Superfund risk managers make ecological risk management decisions that are based on sound science, consistent across Regions, and present a characterization of site risks that is transparent to the public.

EPA RREL's mobile volume reduction unit advances soil washing at four Superfund sites

International Nuclear Information System (INIS)

Gaire, R.; Borst, M.

1994-01-01

Research testing of the US. Environmental Protection Agency (EPA) Risk Reduction Engineering Laboratory's (RREL) Volume Reduction Unit (VRU), produced data helping advance soil washing as a remedial technology for contaminated soils. Based on research at four Superfund sites, each with a different matrix of organic contaminants, EPA evaluated the soil technology and provided information to forecast realistic, full-scale remediation costs. Primarily a research tool, the VRU is RREL's mobile test unit for investigating the breadth of this technology. During a Superfund Innovative Technology Evaluation (SITE) Demonstration at Escambia Wood Treating Company Site, Pensacola, FL, the VRU treated soil contaminated with pentachlorophenol (PCP) and polynuclear aromatic hydrocarbon-laden creosote (PAH). At Montana Pole and Treatment Plant Site, Butte, MT, the VRU treated soil containing PCP mixed with diesel oil (measured as total petroleum hydrocarbons) and a trace of dioxin. At Dover Air Force Base Site, Dover, DE, the VRU treated soil containing JP-4 jet fuel, measured as TPHC. At Sand Creek Site, Commerce City, CO, the feed soil at this site was contaminated with two pesticides: heptachlor and dieldrin. Less than 10 percent of these pesticides remained in the treated coarse soil fractions

75 FR 53694 - Florida Petroleum Reprocessors Superfund Site; Davie, Broward County, FL; Notice of Settlement

Science.gov (United States)

2010-09-01

... ENVIRONMENTAL PROTECTION AGENCY [Docket EPA-RO4-SFUND-2010-0729, FRL-9196-1] Florida Petroleum... entered into a settlement for reimbursement of past response costs concerning the Florida Petroleum... No. EPA-RO4- SFUND-2010-0729 or Site name Florida Petroleum Reprocessors Superfund Site by one of the...

Superfund at work: Hazardous waste cleanup efforts nationwide, fall 1992. (CIBA-GEIGY Corporation, McIntosh, Alabama)

International Nuclear Information System (INIS)

1992-01-01

On March 31, 1992, the U.S. Environmental Protection Agency (EPA) reached an agreement with Ciba-Geigy Corporation in McIntosh, Alabama to clean up soil and ground water contaminated by DDT, herbicides, and chemicals. The agreement is one of the largest private party settlements in Superfund history, valued at approximately $120 million. EPA activities at the site included: conducting preliminary contamination investigations jointly with the Alabama Environmental Health Administration, beginning in 1979; designing a multi-phased cleanup that is responsive to the complex nature of the contamination and reduces potential risk to the local population and environment; and awarding a grant to a community group to help them participate in cleanup decisions. Ciba-Geigy, like EPA, has made consistent efforts to build and maintain good relations with the community. These efforts demonstrate the increasing trend toward cooperation between industries, local communities, and EPA at Superfund sites

HISTORY AND ACCOMPLISHMENTS OF THE US EPA'S SUPERFUND INNOVATIVE TECHNOLOGY EVALUATION (SITE) MONITORING AND MEASUREMENT (MMT) PROGRAM

Science.gov (United States)

This manuscript presents the history and evolution of the U.S. Environmental Protection Agency's (EPA) Superfund Innovative Technology Evaluation (SITE) Monitoring and Measurement Technology (MMT) Program. This includes a discussion of how the fundamental concepts of a performanc...

Selective flotation for the removal of radionuclides from contaminated soil

International Nuclear Information System (INIS)

Miller, J.D.; Yu, Q.; Lu, Y.Q.

1995-01-01

Low-level radioactive contaminated soils (10--500 pci/gm) created by defense-related activities at certain Superfund sites, such as Nevada Test Site (NTS), is a current environmental concern. Many of these contaminated sites may require appropriate cleanup and restoration, which could cost billions of dollars and put tremendous pressure on limited financial resources. Therefore, the development of a selective flotation process to separate such radionuclides from contaminated soils should be considered. In this study, both a pure depleted UO 2 sample and three synthetic UO 2 /soil mixtures were used to evaluate surface chemistry features and to examine the possibility for the flotation of fine UO 2 particles from selected soils. It was intended that this model system would be a reasonable representation of contaminated soils such as those found the Nevada Test Site which are reported to be contaminated by PuO 2 fallout. The effect of reagent schedule, particle size distribution, and surface charge are discussed with respect to the flotation separation of the UO 2 /soil mixtures. It was found that both commercial fatty acids and reagent grade sodium oleate are effective collectors for UO 2 flotation provided the pH is adjusted to the range of pH 8--9. The bench-scale flotation results successfully demonstrated that froth flotation technology can be used to remove UO 2 from such model contaminated soils with appropriate flotation chemistry conditions which depend on the soil characteristics and other pretreatment procedures

77 FR 58989 - Proposed CERCLA Administrative Cost Recovery Settlement for the Buckbee-Mears Co. Superfund Site...

Science.gov (United States)

2012-09-25

... paid $150,000 attributable to the costs of marketing and selling the Properties; (b) The Bank will pay... ENVIRONMENTAL PROTECTION AGENCY [FRL-9720-7] Proposed CERCLA Administrative Cost Recovery... costs concerning the Buckbee-Mears Co. Superfund Site located in Cortland, Cortland County, New York...

Can standard sequential extraction determinations effectively define heavy metal species in superfund site soils?

Energy Technology Data Exchange (ETDEWEB)

Dahlin, Cheryl L.; Williamson, Connie A.; Collins, Wesley K.; Dahlin, David C.

2001-01-01

Speciation and distribution of heavy metals in soils controls the degree to which metals and their compounds are mobile, extractable, and plant-available. Consequently, speciation impacts the success of remediation efforts both by defining the relationship of the contaminants with their environment and by guiding development and evaluation of workable remediation strategies. The U.S. Department of Energy, Albany Research Center (Albany, OR), under a two-year interagency project with the U.S. Environmental Protection Agency (EPA), examined the suitability of sequential extraction as a definitive means to determine species of heavy metals in soil samples. Representative soil samples, contaminated with lead, arsenic, and/or chromium, were collected by EPA personnel from two Superfund sites, the National Lead Company site in Pedricktown, NJ, and the Roebling Steel, Inc., site in Florence, NJ. Data derived from Tessier=s standard three-stage sequential-extraction procedure were compared to data from a comprehensive characterization study that combined optical- and scanning-electron microscopy (with energy-dispersive x-ray and wavelength-dispersive x-ray analyses), x-ray diffraction, and chemical analyses. The results show that standard sequential-extraction procedures that were developed for characterizing species of contaminants in river sediments may be unsuitable for sole evaluation of contaminant species in industrial-site materials (particularly those that contain larger particles of the contaminants, encapsulated contaminants, and/or man-made materials such as slags, metals, and plastics). However, each sequential extraction or comprehensive characterization procedure has it=s own strengths and weaknesses. Findings of this study indicate that the use of both approaches, during the early stages of site studies, would be a best practice. The investigation also highlights the fact that an effective speciation study does not simply identify metal contaminants as

On using residual risk to assess the cost effectiveness and health protectiveness of remedy selection at superfund sites

International Nuclear Information System (INIS)

Katsumata, Peter T.; Kastenberg, William E.

1998-01-01

This article examines the importance of determining residual risk and its impact on remedy selection at Superfund Sites. Within this examination, risks are assessed using probabilistic models that incorporate the uncertainty and variability of the input parameters, and utilize parameter distributions based on current and applicable site-specific data. Monte Carlo methods are used to propagate these uncertainties and variabilities through the risk calculations resulting in a distribution for the estimate of both risk and residual risk. Such an approach permits an informed decision based on a broad information base which involves considering the entire uncertainty distribution of risk rather than a point estimate for each exposure scenario. Using the probabilistic risk estimates, with current and applicable site-specific data, alternative decisions regarding cleanup are obtained for two Superfund Sites

Guidance for performing site inspections under CERCLA

Energy Technology Data Exchange (ETDEWEB)

1992-09-01

This guidance presents EPA`s site inspection (SI) strategy. The strategy discusses procedural guidelines to investigate potential Superfund (CERCLA) sites for evaluation pursuant to the Hazard Ranking System (HRS), revised in accordance with the Superfund Amendments and Reauthorization Act of 1986. The HRS is the primary means by which EPA evaluates sites for superfund`s National Priorities List (NPL).

Superfund TIO videos: Set B. Community relations, communicating with the media and presenting technical information. Part 9. Audio-Visual

International Nuclear Information System (INIS)

1990-01-01

The videotape is divided into three sections. Section 1 discusses the Superfund Community Relations (CR) Program and its history and objectives. Community Relations requirements as defined by CERCLA for Superfund actions are outlined. Community Relations requirements, the nature of community involvement in CR plans, effective CR techniques, and the roles of the OSC, RPM, and EPA Community Relations Coordinator (CRC) are discussed. Section 2 (1) describes the media's perspective on seeking information; (2) identifies five settings and mechanisms for interacting with the media; (3) offers good media-relations techniques; and (4) lists tips for conducting media interviews. Section 3 outlines techniques for presenting technical information, describes how to be prepared to address typical issues of community concern, and identifies the four key elements in handling tough questions

Region 9 NPL Sites (Superfund Sites 2013)

Science.gov (United States)

NPL site POINT locations for the US EPA Region 9. NPL (National Priorities List) sites are hazardous waste sites that are eligible for extensive long-term cleanup under the Superfund program. Eligibility is determined by a scoring method called Hazard Ranking System. Sites with high scores are listed on the NPL. The majority of the locations are derived from polygon centroids of digitized site boundaries. The remaining locations were generated from address geocoding and digitizing. Area covered by this data set include Arizona, California, Nevada, Hawaii, Guam, American Samoa, Northern Marianas and Trust Territories. Attributes include NPL status codes, NPL industry type codes and environmental indicators. Related table, NPL_Contaminants contains information about contaminated media types and chemicals. This is a one-to-many relate and can be related to the feature class using the relationship classes under the Feature Data Set ENVIRO_CONTAMINANT.

Long-Term Groundwater Monitoring Optimization, Clare Water Supply Superfund Site, Permeable Reactive Barrier and Soil Remedy Areas, Clare, Michigan

Science.gov (United States)

This report contains a review of the long-term groundwater monitoring network for the Permeable Reactive Barrier (PRB) and Soil Remedy Areas at the Clare Water Supply Superfund Site in Clare, Michigan.

Regional economic impact assessment: Evaluating remedial alternatives for the Portland Harbor Superfund Site, Portland, Oregon, USA.

Science.gov (United States)

Harrison, David; Coughlin, Conor; Hogan, Dylan; Edwards, Deborah A; Smith, Benjamin C

2018-01-01

The present paper describes a methodology for evaluating impacts of Superfund remedial alternatives on the regional economy in the context of a broader sustainability evaluation. Although economic impact methodology is well established, some applications to Superfund remedial evaluation have created confusion because of seemingly contradictory results. This confusion arises from failure to be explicit about 2 opposing impacts of remediation expenditures: 1) positive regional impacts of spending additional money in the region and 2) negative regional impacts of the need to pay for the expenditures (and thus forgo other expenditures in the region). The present paper provides a template for economic impact assessment that takes both positive and negative impacts into account, thus providing comprehensive estimates of net impacts. The paper also provides a strategy for identifying and estimating major uncertainties in the net impacts. The recommended methodology was applied at the Portland Harbor Superfund Site, located along the Lower Willamette River in Portland, Oregon, USA. The US Environmental Protection Agency (USEPA) developed remedial alternatives that it estimated would cost up to several billion dollars, with construction durations possibly lasting decades. The economic study estimated regional economic impacts-measured in terms of gross regional product (GRP), personal income, population, and employment-for 5 of the USEPA alternatives relative to the "no further action" alternative. Integr Environ Assess Manag 2018;14:32-42. © 2017 The Authors. Integrated Environmental Assessment and Management published by Wiley Periodicals, Inc. on behalf of Society of Environmental Toxicology & Chemistry (SETAC). © 2017 The Authors. Integrated Environmental Assessment and Management published by Wiley Periodicals, Inc. on behalf of Society of Environmental Toxicology & Chemistry (SETAC).

Geochemical Characteristics of TP3 Mine Wastes at the Elizabeth Copper Mine Superfund Site, Orange County, Vermont

Science.gov (United States)

Hammarstrom, Jane M.; Piatak, Nadine M.; Seal, Robert R.; Briggs, Paul H.; Meier, Allen L.; Muzik, Timothy L.

2003-01-01

Remediation of the Elizabeth mine Superfund site in the Vermont copper belt poses challenges for balancing environmental restoration goals with issues of historic preservation while adopting cost-effective strategies for site cleanup and long-term maintenance. The waste-rock pile known as TP3, at the headwaters of Copperas Brook, is especially noteworthy in this regard because it is the worst source of surface- and ground-water contamination identified to date, while also being the area of greatest historical significance. The U.S. Geological Survey (USGS) conducted a study of the historic mine-waste piles known as TP3 at the Elizabeth mine Superfund site near South Strafford, Orange County, VT. TP3 is a 12.3-acre (49,780 m2) subarea of the Elizabeth mine site. It is a focus area for historic preservation because it encompasses an early 19th century copperas works as well as waste from late 19th- and 20th century copper mining (Kierstead, 2001). Surface runoff and seeps from TP3 form the headwaters of Copperas Brook. The stream flows down a valley onto flotation tailings from 20th century copper mining operations and enters the West Branch of the Ompompanoosuc River approximately 1 kilometer downstream from the mine site. Shallow drinking water wells down gradient from TP3 exceed drinking water standards for copper and cadmium (Hathaway and others, 2001). The Elizabeth mine was listed as a Superfund site in 2001, mainly because of impacts of acid-mine drainage on the Ompompanoosuc River.

Superfund TIO videos. Set C. Treatment technologies: Incineration. Part 12. Audio-Visual

International Nuclear Information System (INIS)

1990-01-01

The videotape discusses incineration performance factors, such as destruction removal efficiency, and types of incineration, such as rotary kiln, fluidized bed, and infrared. Procedural considerations including mobilization/demobilization, site preparation, set up of utilities and support equipment, and monitoring are presented

76 FR 20287 - Superfund Site, New Bedford Harbor, New Bedford, MA: Anchorage Ground and Regulated Navigation Area

Science.gov (United States)

2011-04-12

... may lead to the discovery of a significant environmental impact from this proposed rule. List of... engaged in activities associated with remediation efforts in the New Bedford Harbor Superfund Site... activity can be performed without undue risk to environmental remediation efforts. Requests for waivers...

Optimization Review: Bunker Hill Mining and Metallurgical Complex Superfund Site, Central Treatment Plant (CTP), Kellogg, Shoshone County, Idaho

Science.gov (United States)

The Bunker Hill Mining and Metallurgical Complex Superfund Site includes all areas of the Coeur d’Alene Basin where mining-related contamination occurred and encompasses a 21-square mile “Box” along Interstate 90 surrounding the former smelter complex.

Arsenic Fate, Transport And Stability Study: Groundwater, Surface Water, Soil And Sediment Investigation At Fort Devens Superfund Site

Science.gov (United States)

A field investigation was conducted to examine the distribution of arsenic in groundwater, surface water, and sediments at the Fort Devens Superfund Site. The study area encompassed a portion of plow Shop Pond (Red Cove), which receives groundwater discharge from the aquifer und...

Aquatic assessment of the Ely Copper Mine Superfund site, Vershire, Vermont

Science.gov (United States)

Seal, Robert R.; Kiah, Richard G.; Piatak, Nadine M.; Besser, John M.; Coles, James F.; Hammarstrom, Jane M.; Argue, Denise M.; Levitan, Denise M.; Deacon, Jeffrey R.; Ingersoll, Christopher G.

2010-01-01

The Ely Mine, which operated from 1821 to 1905, and its area of downstream impact constitute the Ely Copper Mine Superfund site. The site was placed on the National Priorities List in 2001. The mine comprises underground workings, foundations from historical structures, several waste-rock piles, roast beds associated with the smelting operation, and slag piles resulting from the smelting. The mine site is drained by Ely Brook, which includes several tributaries, one of which drains a series of six ponds. Ely Brook empties into Schoolhouse Brook, which flows 3.3 kilometers and joins the Ompompanoosuc River.

DEMONSTRATION OF AQUAFIX AND SAPS PASSIVE MINE WATER TREATMENT TECHNOLOGIES AT SUMMITVILLE MINE SITE, INNOVATIVE TECHNOLOGY EVALUATION REPORT

Science.gov (United States)

As part of the Superfund Innovative Technology Evaluation (SITE) Program, the U.S. Environmental Protection Agency evaluated two passive water treatment (PWT) technologies for metals removal from acid mine drainage (AMD) at the Summitville Mine Superfund Site in southern Colorado...

Toward identifying the next generation of superfund and hazardous waste site contaminants.

Science.gov (United States)

Ela, Wendell P; Sedlak, David L; Barlaz, Morton A; Henry, Heather F; Muir, Derek C G; Swackhamer, Deborah L; Weber, Eric J; Arnold, Robert G; Ferguson, P Lee; Field, Jennifer A; Furlong, Edward T; Giesy, John P; Halden, Rolf U; Henry, Tala; Hites, Ronald A; Hornbuckle, Keri C; Howard, Philip H; Luthy, Richard G; Meyer, Anita K; Sáez, A Eduardo; Vom Saal, Frederick S; Vulpe, Chris D; Wiesner, Mark R

2011-01-01

This commentary evolved from a workshop sponsored by the National Institute of Environmental Health Sciences titled "Superfund Contaminants: The Next Generation" held in Tucson, Arizona, in August 2009. All the authors were workshop participants. Our aim was to initiate a dynamic, adaptable process for identifying contaminants of emerging concern (CECs) that are likely to be found in future hazardous waste sites, and to identify the gaps in primary research that cause uncertainty in determining future hazardous waste site contaminants. Superfund-relevant CECs can be characterized by specific attributes: They are persistent, bioaccumulative, toxic, occur in large quantities, and have localized accumulation with a likelihood of exposure. Although still under development and incompletely applied, methods to quantify these attributes can assist in winnowing down the list of candidates from the universe of potential CECs. Unfortunately, significant research gaps exist in detection and quantification, environmental fate and transport, health and risk assessment, and site exploration and remediation for CECs. Addressing these gaps is prerequisite to a preventive approach to generating and managing hazardous waste sites. A need exists for a carefully considered and orchestrated expansion of programmatic and research efforts to identify, evaluate, and manage CECs of hazardous waste site relevance, including developing an evolving list of priority CECs, intensifying the identification and monitoring of likely sites of present or future accumulation of CECs, and implementing efforts that focus on a holistic approach to prevention.

Comprehensive Environmental Response, Compensation, and Liability Act, as amended by the Superfund Amendments and Reauthorization Act Section 120(e)(5)

International Nuclear Information System (INIS)

1992-05-01

The US Department of Energy (DOE) is committed to conducting its operations. In a safe and environmentally sound manner. High priorities for the Department are identifying and correcting environmental problems at DOE facilities that resulted from past operations, and preventing environmental problems from occurring during present and future operations. In this regard, the Department is committed to the 30-year goal of cleanup of all facilities by the year 2019. DOE has issued an Order and guidance establishing policy and procedures for activities conducted under the Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA), as amended by the Superfund Amendments and Reauthorization Act (SARA), and has developed a Five-Year Plan, updated annually, that integrates planing for corrective activities, environmental restoration, and waste management operations at its facilities. During Calendar Year 1991 and early 1992, DOE made significant progress in reaching agreements with regulatory entities, undertaking cleanup actions, and initiating preventive measures designed to eliminate future environmental problems. These accomplishments are described

Research Implementation and Quality Assurance Project Plan: An Evaluation of Hyperspectral Remote Sensing Technologies for the Detection of Fugitive Contamination at Selected Superfund Hazardous Waste Sites

Science.gov (United States)

Slonecker, E. Terrence; Fisher, Gary B.

2009-01-01

This project is a research collaboration between the U.S. Environmental Protection Agency (EPA) Office of Inspector General (OIG) and the U.S. Geological Survey (USGS) Eastern Geographic Science Center (EGSC), for the purpose of evaluating the utility of hyperspectral remote sensing technology for post-closure monitoring of residual contamination at delisted and closed hazardous waste sites as defined under the Comprehensive Environmental Response Compensation and Liability Act [CERCLA (also known as 'Superfund')] of 1980 and the Superfund Amendments and Reauthorization Act (SARA) of 1986.

Patients' satisfaction with the Nuss procedure

International Nuclear Information System (INIS)

Ishimaru, Tetsuya; Iwanaka, Tadashi; Uchida, Hiroo; Kawashima, Hiroshi; Gotoh, Chikashi; Satoh, Kaori; Yoshida, Mariko; Kitano, Yoshihiro

2009-01-01

The purpose of this study is to investigate the satisfaction of patients who have already finished bar removal. Fifty-four patients with pectus excavatum underwent the Nuss procedure between July 2000 and December 2007 and the bar was removed in 41 of them at our hospital. A telephone questionnaire was administered to their parents or the patients (12 years old or older). The questions were as follows: self-assessment of the present thoracic form on a 5-point scale, whether it was good to have undergone the Nuss procedure (Y/N), whether the patient will recommend this procedure to another patient (Y/N). Thirty-nine patients responded to the questionnaire. Median age at the bar insertion was 83 months (range: 63-189 months). The bar was removed about 2 years after the initial operation. The median period after removal was 29 months ( range: 2-65 months). The mean point for the thoracic form was 4.2 (5 points: 20, 4 points: 11, 3 points: 5, 2 points: 3). Thirty-eight patients answered that they were satisfied with this procedure. Thirty-four patients answered that they would recommend this procedure to another patient. Eight patients reported that redepression occurred after bar removal. Six of them are under observation because their thoracic deformity is mild. Patients' satisfaction with the Nuss procedure was high. However, our study shows the possibility of post-removal recurrence. There seems to be a tendency for patients to assess their thoracic form more strictly than the doctors. (author)

76 FR 24479 - In the Matter of the Taylor Lumber and Treating Superfund Site, Sheridan, Oregon, Amendment to...

Science.gov (United States)

2011-05-02

... ENVIRONMENTAL PROTECTION AGENCY [FRL-9300-9] In the Matter of the Taylor Lumber and Treating... Taylor Lumber and Treating Site, which PWPO was acquiring, in exchange for several obligations related to...-553- 0705. Comments should reference the Taylor Lumber and Treating Superfund Site in Sheridan, Oregon...

String Technique for Anterior Orbital Fish Hook Removal.

Science.gov (United States)

Starr, Matthew R; Choi, Michael B; Mahr, Michael A; Mettu, Pradeep; Patterson, David F

2018-06-13

Removing fish hooks is a common procedure performed by many emergency department providers. There are several techniques that are commonly employed to aid in successful removal. However, when a fish hook becomes embedded within the orbit, there are limited options as to avoid damaging vital surrounding structures. The authors report the removal of a fish hook within the anterior orbit using the string technique in a 25-year-old patient. The procedure was performed under general anesthesia with the aid of size 5 polyglactin suture wrapped around the hook. The procedure itself took less than 10 seconds and was successful in swiftly and safely removing the hook without damaging surrounding orbital structures. The patient recovered well without any permanent sequelae.

Graphic products used in the evaluation of traditional and emerging remote sensing technologies for the detection of fugitive contamination at selected superfund hazardous waste sites

Science.gov (United States)

Slonecker, E. Terrence; Fisher, Gary B.

2011-01-01

This report presents the overhead imagery and field sampling results used to prepare U.S. Geological Survey Open-File Report 2011-1050, 'Evaluation of Traditional and Emerging Remote Sensing Technologies for the Detection of Fugitive Contamination at Selected Superfund Hazardous Waste Sites'. These graphic products were used in the evaluation of remote sensing technology in postclosure monitoring of hazardous waste sites and represent an ongoing research effort. Soil sampling results presented here were accomplished with field portable x-ray fluoresence (XRF) technology and are used as screening tools only representing the current conditions of metals and other contaminants at selected Superfund hazardous waste sites.

Firefighter Down! How to Rapidly Remove Turnout Gear.

Science.gov (United States)

ALexander, John G

2016-04-01

The rescue of an injured colleague--and probably a good friend--is an emotionally charged event. A common initial response could be to remove everything as quickly as possible. Keep in mind that we have accepted practices for the removal of motorcycle equipment and football gear. There are also procedures for removing a patient from a vehicle or swimming pool. These all exist to protect a patient from further injury. We now have established practices for removing a firefighter from a window, or down a ladder. Why then do the procedures stop? Once a firefighter is rescued from a hot zone, he deserves the same level of consideration a football player, motorcycle rider or any other patient receives. We should not be in such a hurry that we don't care how we remove a protective ensemble. The injured firefighter deserves a system, or a procedure, that may be practiced by others and reduce the chance of further injury during

Technique for the Laparoscopic Removal of Essure Microinserts.

Science.gov (United States)

Mahmoud, Mohamad S

2016-01-01

To describe our technique for the laparoscopic removal of Essure microinserts (Bayer HealthCare Pharmaceuticals Inc., Whippany, NJ). Step-by-step explanation of the procedure using video (Canadian Task Force classification III). Hysteroscopic sterilization using tubal microinsert devices has generally been reported to be well tolerated in terms of procedure-related pain. Persistent pelvic pain requiring microinsert removal has been described in a few case reports and series and was estimated at 0.16% of cases (7 cases [49/4,274]) in a large retrospective study. Removal is usually performed at the patient's request and/or because of persistent pelvic pain unresponsive to other treatments with no other etiologies found. In general, the pain starts at the initial insertion and persists thereafter. Both laparoscopic and hysteroscopic removal approaches have been described in the few cases reported. In this video, we describe our technique for the surgical management of pelvic pain resulting from Essure microinserts. We performed laparoscopic removal of bilateral Essure microinserts in a 30-year-old G3P3 (Gravida 3 Para 3) with bilateral Essure devices placed 2 years before the procedure; hysterosalpingogram confirmed appropriate placement. The patient was suffering from bilateral sharp pelvic pain since insertion that was related to positional change and movements but unrelated to periods along with menorrhagia. A pelvic ultrasound showed a small intramural uterine leiomyoma. She failed a trial of treatment of her symptoms with a levonorgestrel intrauterine device. The patient requested removal of her Essure microinserts and endometrial ablation. She underwent laparoscopic bilateral Essure microinsert removal and bilateral salpingectomy along with hysteroscopic removal of the levonorgestrel intrauterine device and endometrial ablation. Her surgery was uneventful, and she was discharged the day of the surgery. Her symptoms resolved completely after the procedure

An evaluation of traditional and emerging remote sensing technologies for the detection of fugitive contamination at selected Superfund hazardous waste sites

Science.gov (United States)

Slonecker, E. Terrence; Fisher, Gary B.

2011-01-01

This report represents a remote sensing research effort conducted by the U.S. Geological Survey in cooperation with the U.S. Environmental Protection Agency (EPA) for the EPA Office of Inspector General. The objective of this investigation was to explore the efficacy of remote sensing as a technology for postclosure monitoring of hazardous waste sites as defined under the Comprehensive Environmental Response Compensation and Liability Act of 1980 (Public Law 96-510, 42 U.S.C. §9601 et seq.), also known as \\"Superfund.\\" Five delisted Superfund sites in Maryland and Virginia were imaged with a hyperspectral sensor and visited for collection of soil, water, and spectral samples and inspection of general site conditions. This report evaluates traditional and hyperspectral imagery and field spectroscopic measurement techniques in the characterization and analysis of fugitive (anthropogenic, uncontrolled) contamination at previously remediated hazardous waste disposal sites.

Effect of bleaching and repolishing procedures on coffee and tea stain removal from three anterior composite veneering materials.

Science.gov (United States)

Türkün, L Sebnem; Türkün, Murat

2004-01-01

Discolored teeth can be treated with resin veneers, but their color changes when confronted with staining solutions. Polishing procedures can provide a remedy for highly stained composites, but they tend to remove some materials as well. However, bleaching procedures are an effective, nondestructive method for solving the problem. The aim of this study was to compare the color change of three veneer composites exposed to staining solutions and to evaluate the effectiveness of a 15% hydrogen peroxide bleaching agent and three polishing systems to remove the stain. Forty-five disks (12 x 2 mm) each of Clearfil ST (Kuraray Co. Ltd., Osaka, Japan), Esthet-X (Dentsply/Caulk, Milford DE, USA), and Filtek A110 (3M ESPE, St. Paul, MN, USA) were prepared. The specimens were polished with Sof-Lex (3M ESPE), Enhance (Dentsply/Caulk), or PoGo (Dentsply/Caulk). Five specimens for each material-polishing system combination were immersed in coffee (Nescafe Classic, Nestle SA, Vevey, Switzerland) or tea (Earl Grey, Lipton, Blackfriars-London, England) for 7 days. The remaining disks were stored in water. Color measurements were made with a spectrophotometer (X-Rite Seroice SP78, Loaner, Köln, Germany) at baseline; after 1, 3, 5, and 7 days; and after bleaching and repolishing. After 1 week, one side of the specimens was bleached with Illuminé-office (Dentsply De Trey GmbH, Konstanz, Germany) for 1 hour, and the other side was repolished for 30 seconds. All comparisons of color change for the polishing systems, times, and staining solutions were subjected to repeated measurements of analysis of variance. Paired t-test was used to examine whether significant color differences (deltaE*) occurred during immersion at the specified time intervals (p < or = .05). Filtek A110 was the least stained resin composite. Its color remained under a deltaE* value of 2 during the study. Clearfil ST exhibited the most color change after 1 week. All specimens polished with Enhance showed less

Contingency analysis modeling for superfund sites and other sources. Final report

International Nuclear Information System (INIS)

Christensen, D.; Kaiser, G.D.

1993-01-01

The report provides information on contingency modeling for a wide range of different accidental release scenarios of hazardous air pollutants that might take place at Superfund and other sites. The scenarios are used to illustrate how atmospheric dispersion models, including dense gas models, should be applied. Particular emphasis is made on the input data that is needed for proper applications of models. Flow charts direct the user to specific sections where various scenarios are discussed. A check list of items that should be discussed before running the model is provided. Several examples are provided to specifically show how to apply the models so as to produce a credible analysis for a particular release scenario

34 CFR 300.536 - Change of placement because of disciplinary removals.

Science.gov (United States)

2010-07-01

... THE EDUCATION OF CHILDREN WITH DISABILITIES Procedural Safeguards Due Process Procedures for Parents and Children Discipline Procedures § 300.536 Change of placement because of disciplinary removals. (a... 34 Education 2 2010-07-01 2010-07-01 false Change of placement because of disciplinary removals...

Lung Middle Lobe Laceration Needing Lobectomy as Complication of Nuss Bar Removal.

Science.gov (United States)

Henry, Brice; Lacroix, Valérie; Pirotte, Thierry; Docquier, Pierre-Louis

2018-01-01

Minimally invasive procedure for the treatment of pectus excavatum as described by Nuss has been used from 1987. The bar initially introduced blindly is now introduced under thoracoscopic control to increase safety of the procedure. It is usually removed two to three years after its insertion in a one-day procedure. Complications of the bar removal are rare but potentially serious. We report the case of a serious complication which occurred immediately after the Nuss bar removal. A 15-year-old boy underwent a Nuss procedure for a severe pectus excavatum without relevant complication. The bar has been removed two years after its insertion in a minimally invasive procedure. Unfortunately, he developed in the immediate postoperative period a hemopneumothorax due to a right middle lobe laceration which required a middle lobectomy by thoracotomy for hemostasis. Lesions of intrathoracic organs are a rare but potentially serious complication of the removal of the Nuss bar. We now propose to perform this procedure under thoracoscopic control to avoid it. In our experience, adhesions between the bar and the pleura are always present, and those with potential risk for bleeding or inducing intrathoracic organ lesions are suppressed prior to the bar removal.

Final Report; Arsenic Fate, Transport and Stability Study; Groundwater, Surface Water, Soil And Sediment Investigation, Fort Devens Superfund Site, Devens, Massachusetts

Science.gov (United States)

This document presents results from the Fiscal Years 2006-2008 field investigation at the Fort Devens Superfund Site, Operable Unit 1 (Shepley's Hill Landfill) to fulfill the research objectives outlined in the proposal entitled, 'Fate and Transport of Arsenic in an Urban, Milita...

A new methodology for assessment of pectus excavatum correction after bar removal in Nuss procedure: Preliminary study.

Science.gov (United States)

Gomes-Fonseca, João; Vilaça, João L; Henriques-Coelho, Tiago; Direito-Santos, Bruno; Pinho, António C M; Fonseca, Jaime C; Correia-Pinto, Jorge

2017-07-01

The objective is to present a new methodology to assess quantitatively the impact of bar removal on the anterior chest wall, among patients with pectus excavatum who have undergone the Nuss procedure, and present a preliminary study using this methodology. We propose to acquire, for each patient, the surface of the anterior chest wall using a three-dimensional laser scanner at subsequent time points (short term: before and after surgery; long term: follow-up visit, 6months, and 12months after surgery). After surfaces postprocessing, the changes are assessed by overlapping and measuring the distances between surfaces. In this preliminary study, three time points were acquired and two assessments were performed: before vs after bar removal (early) and before vs 2-8weeks after bar removal (interim). In 21 patients, the signed distances and volumes between surfaces were computed and the data analysis was performed. This methodology revealed useful for monitoring changes in the anterior chest wall. On average, the mean, maximum, and volume variations, in the early assessment, were -0.1±0.1cm, -0.6±0.2cm, and 47.8±22.2cm 3 , respectively; and, in the interim assessment, were -0.5±0.2cm, -1.3±0.4cm, and 122.1±47.3cm 3 , respectively (pbar was in situ was inversely and significantly correlated with postretraction and was a relevant predictor of its decrease following surgery (pbar was in situ may be the main determinant of the anterior chest wall retraction following bar removal. Further studies should continue to corroborate and reinforce the preliminary findings, by increasing the sample size and performing long-term assessments. III. Copyright © 2017 Elsevier Inc. All rights reserved.

Measurement of volatile organic compounds during start-up of bioremediation of French limited superfund site in Crosby Texas using wind dependent whole-air sampling

International Nuclear Information System (INIS)

Pleil, J.D.; Fortune, C.R.; Yoong, M.; Oliver, K.D.

1993-01-01

Whole-air sampling was performed before and after the start-up of the bioremediation of an industrial (primarily petrochemical) waste lagoon in Crosby Texas, near Houston. Four 'Sector Samplers' were deployed at the four corners of the French Limited Superfund Site. These samplers collect air into one of two SUMMA polished canisters depending upon wind direction and speed. When the wind blows at the sampler from across the waste lagoon, air is routed to the 'IN' sector canister, otherwise sample is collected in the 'OUT' sector canister. As such, each sampler provides its own background sample, and, upon gas chromatographic analysis, individual compounds can be associated with the waste lagoon. Five sets of 24-hour sector samples were taken; the first set was collected prior to the start of the bioremediation effort and the remaining four sets were taken sequentially for four 24-hour periods after the start-up of the procedure

TECHNOLOGY EVALUATION REPORT, SITE PROGRAM DEMONSTRATION TEST: SHIRCO PILOT-SCALE INFRARED INCINERATION SYSTEM ROSE TOWNSHIP DEMODE ROAD SUPERFUND SITE - VOLUME II

Science.gov (United States)

The performance of the Shirco pilot-scale infrared thermal destruction system has been evaluated at the Rose Township, Demode Road Superfund Site and is presented in the report. The waste tested consisted of solvents, organics and heavy metals in an illegal dump site. Volume I gi...

USA - Paper provided by the US delegation to the RWMC. Site Decontamination and Clean-up Under the U.S. EPA 'Superfund'

International Nuclear Information System (INIS)

2003-01-01

capability, permanence, and cost may be considered to select between or modify alternatives. The ultimate disposal destination and disposal method for decontamination waste may be specified as part of the clean-up agreement. Release from Liability: Once clean-up goals have been met, a site may undergo 'close-out' and be removed from the National Priorities List. Due to the nature of liability under the Superfund law, however, a potentially responsible party remains potentially liable indefinitely. New information revealing additional hazards can provide grounds for re-opening a site. Current Issues: Some nuclear facilities have the potential to be regulated by both the Nuclear Regulatory Commission (NRC) and the EPA upon decommissioning. To avoid uncertainty and duplication of effort in these situations, EPA and NRC signed a Memorandum of Understanding in 2002. The agreement clarifies how EPA and NRC will cooperate regarding sites that operate and are decommissioned under an NRC license. In accordance with the Nuclear Waste Policy Act of 1982 (NWPA), the costs for disposal of commercial spent nuclear fuel (SNF) in a potential repository are to be funded by $0.001 per kWh fee levied on electricity generated and sold. For SNF generated prior to enactment of the NWPA, utilities were required to pay a one-time fee equivalent to an average charge of $0.001 per kWh. These fees are deposited in a Nuclear Waste Fund (NWF) held by the U.S treasury and managed by DOE The NWF is to be used for development and implementation of a radioactive waste management system in accordance with the NWPA, including a potential geologic repository. DOE is required to pay its fair share of cost for disposal of defence-related materials. DOE is currently in the process of developing a license application to be submitted to the NRC in December 2004 for the construction of a geologic repository at the Yucca Mountain site (Nevada). It is planned that, after waste emplacement and performance confirmation

FUSRAP adapts to the amendments of Superfund

International Nuclear Information System (INIS)

Atkin, R.G.; Liedle, S.D.; Clemens, B.W.

1988-01-01

With the promulgation of the Superfund Amendments and Reauthorization Act (SARA) federal facilities were required to comply with the Comprehensive Environmental Response Compensation and Liability Act (CERCLA) in the same manner as any non-government entity. This situation presented challenges for the Department of Energy (DOE) and other federal agencies involved in remedial action work because of the requirements under SARA that overlap other laws requiring DOE compliance, e.g., the National Environmental Policy Act (NEPA). This paper outlines options developed to comply with CERCLA and NEPA as part of an active, multi-site remedial action program. The program, the Formerly Utilized Sites Remedial Action Program (FUSRAP), was developed to identify, clean up, or control sites containing residual radioactive contamination resulting from the nation's early development of nuclear power. During the Manhattan Project, uranium was extracted from domestic and foreign ores and resulted in mill concentrates, purified metals, and waste products that were transported for use or disposal at other locations. Figure 1 shows the steps for producing uranium metal during the Manhattan Project. As a result of these activities materials equipment, buildings, and land became contaminated, primarily with naturally occurring radionuclides. Currently, FUSRAP includes 29 sites; three are on the Environmental Protection Agency's (EPA's) National Priorities List (NPL) of hazardous waste sites

Plate removal following orthognathic surgery.

Science.gov (United States)

Little, Mhairi; Langford, Richard Julian; Bhanji, Adam; Farr, David

2015-11-01

The objectives of this study are to determine the removal rates of orthognathic plates used during orthognathic surgery at James Cook University Hospital and describe the reasons for plate removal. 202 consecutive orthognathic cases were identified between July 2004 and July 2012. Demographics and procedure details were collected for these patients. Patients from this group who returned to theatre for plate removal between July 2004 and November 2012 were identified and their notes were analysed for data including reason for plate removal, age, smoking status, sex and time to plate removal. 3.2% of plates were removed with proportionally more plates removed from the mandible than the maxilla. 10.4% of patients required removal of one or more plate. Most plates were removed within the first post-operative year. The commonest reasons for plate removal were plate exposure and infection. The plate removal rates in our study are comparable to those seen in the literature. Copyright © 2015 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.

Innovative technologies - Antiquated procedures how do we romove the barriers?

International Nuclear Information System (INIS)

Holland, M.J.

1994-01-01

This paper share the author's perspective, based on her experience, on the procedural, regulatory, institutional, and human barriers limiting the progress and effectiveness of decision making in the Federal government's efforts to develop and demonstrate innovative environmental cleanup technologies. The author has drawn upon her experience as a facilitator for the DOIT Committee process, the EPA/Clean Sites Public/Private Partnership, private industry technology development and demonstration consortia, knowledge gained from facilitating workshops on regulatory and institutional barriers to technology development, and ten years experience as a Superfund attorney. Two main topics are covered in this paper, the first focuses on the use of group processes for decision-making and makes recommendations for improving the success of these processes. The second focus of this paper is on barriers to and solutions for successful development, demonstration, and commercialization of new environmental technologies

JJ Stent Removal under Ultrasound Guidance in Women: It is Simple and Safe.

Science.gov (United States)

Amer, Bernard; Gupta, Sandeep; Kanwar, Vijayendra S; Lodh, Bijit; Khumukcham, Somarendra; Akoijam, Kaku Singh

2014-12-01

With the increase in number of patients treated for urological problems with endoscopic procedures, the number of patients with JJ stent is also increasing. The amount of workload thus incurred multiplies, even to the point that, sometimes we waste more time in the operating room removing JJ stents than the actual endourological procedures. Here in our institute, we have devised a very simple and effective way of removing JJ stents in women and also determined the efficacy, safety and cost of JJ stent removal under ultrasound guidance in women in comparison to cystoscopic removal. Two hundred women attending the Department of Urology from July 2012 to July 2013 at RIMS hospital were randomly divided into two arms. One hundred women had their JJ stent removed with cystoscope and another 100 women had their JJ stent removed under ultrasound guidance using simple surgical tools available at the hospital. The primary comparative points were waiting time for operating room appointment date, cost of the procedure, time taken for the procedure, discomfort or pain felt by the patient and urethral injuries. In all the parameters, stent removal under ultrasound guidance was significantly better except for urethral injuries where both the procedures had similar outcomes. We concluded that JJ stent removal under ultrasound guidance in women was simple, effective and safe.

Guidelines for removing permanent makeup

Directory of Open Access Journals (Sweden)

C.Bettina Rümmelein

2016-09-01

Full Text Available Permanent makeup (PMU is a frequently implemented cosmetic procedure performed by beauticians. From a technical point, PMU is considered a facial tattoo. Failed procedures or a change of mind can lead to the desire for removal. The purpose of this retrospective evaluation of patients who came to the clinic with the desire to remove PMU between 2011 and 2015 was to explore the problems, side effects, and results in order to define treatment guidelines for other doctors. We evaluated 87 individual cases in total. In treatable cases, i.e. 52 out of the 87 cases, laser treatments were performed using a nanosecond Q-switched neodymium-doped yttrium aluminium garnet (Nd:YAG laser. It takes between 1-12 treatments to remove the PMU. In three cases, the colour of the PMU could not be removed by laser and remained after the treatment. In two cases, laser treatment had to be terminated due to colour changes towards the green-blue spectrum. Before PMU removal, laser test shots are urgently recommended as unforeseeable colour changes can cause severe aesthetically unpleasant results. Covered up PMU (skin colour is particularly susceptible to changes in colour. Heat-induced shrinking of the eye area can cause an ectropium. Surgical solutions also have to be taken into consideration. The use of proper eye protection with intraocular eye shields is mandatory. This article is an attempt to set up some guidelines for the treatment of PMU removal.

Case history: Vertical barrier wall system for Superfund Site

International Nuclear Information System (INIS)

Koelling, M.A.; Kovac, C.P.; Norris, J.E.

1997-01-01

Design considerations and construction aspects are presented for the installation of a vertical barrier wall system for the Boeing Company at a Superfund Site near Seattle, WA. The construction was performed during 1996. The vertical barrier wall system included: (1) a soil-bentonite (SB) slurry wall, approximately 670 meters (2200 feet) in length, ranging from 12 to 21 meters (40 to 70 feet) in depth; (2) expansion of a cover system over the area enclosed by the SB wall; and (3) surface drainage improvements. Design and construction of the system addressed requirements of a Consent Decree for the site issued in 1993. The paper discusses the development of the design to meet remedial performance goals of preventing migration of contaminants in the soil/groundwater system and aiding aquifer restoration. Secondly, the paper details installation of the SB wall, highlighting the more significant construction issues, which included excavation of the wall through glacially deposited cobbles/boulders/till as well as addressing the severe elevation changes along the wall alignment. Thirdly, the paper presents Quality Assurance (QA) monitoring and testing performed during the construction phase

Sodium removal, storage, and requalification of components

International Nuclear Information System (INIS)

Gallegos, A.; Shimazaki, T.; Oliva, R.M.

1974-01-01

The objectives of this program are to devise, develop, test, and evaluate techniques for sodium removal and storage of test specimens and components, and to expand and refine, by test and analysis, the sodium removal and storage techniques and procedures for use in processing typical LMFBR components

Removal of root filling materials.

LENUS (Irish Health Repository)

Duncan, H.F. Chong, B.S.

2011-05-01

Safe, successful and effective removal of root filling materials is an integral component of non-surgical root canal re-treatment. Access to the root canal system must be achieved in order to negotiate to the canal terminus so that deficiencies in the original treatment can be rectified. Since a range of materials have been advocated for filling root canals, different techniques are required for their removal. The management of commonly encountered root filling materials during non-surgical re-treatment, including the clinical procedures necessary for removal and the associated risks, are reviewed. As gutta-percha is the most widely used and accepted root filling material, there is a greater emphasis on its removal in this review.

Intentional placental removal on suspicious placenta accreta spectrum: still prohibited?

Science.gov (United States)

Matsubara, Shigeki; Takahashi, Hironori

2018-01-01

Intentional placental removal for abnormally invasive placenta (AIP) is fundamentally abandoned at planned surgery for it. Whether this holds true even after recent introduction of various hemostatic procedures is unclear. We discussed on this issue based on our own experiences and also on the recent reports on various hemostatic procedures. Studies directly answering this question have been lacking. We must weigh the balance between the massive bleeding and possibility of uterus-preservation when intentional placental removal strategy is employed. An almost forgotten strategy, the "intentional placental removal" for planned AIP surgery may regain its position when appropriate hemostatic procedures are concomitantly used depending on the situation. Even employing this strategy, quick decision to perform hysterectomy under multidisciplinary team may be important.

Superfund record of decision (EPA Region 2): Carroll and Dubies Sewage Disposal, Port Jervis, Town of Deerpark, Orange County, NY, September 30, 1996

Energy Technology Data Exchange (ETDEWEB)

NONE

1997-01-01

This decision document presents the selected remedial action for the contaminated groundwater at the Carroll and Dubies Superfund Site (the Site). This operable unit represents the second of two operable units planned for the Site. It addresses the contaminated groundwater underlying and downgradient of the Carroll and Dubies site.

TMI-2 reactor vessel head removal

International Nuclear Information System (INIS)

Bengel, P.R.; Smith, M.D.; Estabrook, G.A.

1984-12-01

This report describes the safe removal and storage of the Three Mile Island Unit 2 reactor vessel head. The head was removed in July 1984 to permit the removal of the plenum and the reactor core, which were damaged during the 1979 accident. From July 1982, plans and preparations were made using a standard head removal procedure modified by the necessary precautions and changes to account for conditions caused by the accident. After data acquisition, equipment and structure modifications, and training the head was safely removed and stored and the internals indexing fixture and a work platform were installed on top of the vessel. Dose rates during and after the operation were lower than expected; lessons were learned from the operation which will be applied to the continuing fuel removal operations activities

TMI-2 reactor vessel head removal

International Nuclear Information System (INIS)

Bengel, P.R.; Smith, M.D.; Estabrook, G.A.

1985-09-01

This report describes the safe removal and storage of the Three Mile Island Unit 2 (TMI-2) reactor vessel head. The head was removed in July 1984 to permit the removal of the plenum and the reactor core, which were damaged during the 1979 accident. From July 1982, plans and preparations were made using a standard head removal procedure modified by the necessary precautions and changes to account for conditions caused by the accident. After data acquisition, equipment and structure modifications, and training, the head was safely removed and stored; and the internals indexing fixture and a work platform were installed on top of the vessel. Dose rates during and after the operation were lower than expected; lessons were learned from the operation which will be applied to the continuing fuel removal operations activities

The atmosphere as a source/sink of polychlorinated biphenyls to/from the Lower Duwamish Waterway Superfund site

International Nuclear Information System (INIS)

Apell, Jennifer N.; Gschwend, Philip M.

2017-01-01

Waterbodies polluted with polychlorinated biphenyls (PCBs) may cause the air in the surrounding area to become PCB-contaminated. Conversely, when a waterbody is located in or near an urban area, the deposition of atmospheric PCBs may act as a low-level, ongoing source of PCB contamination to that water. Distinguishing these situations is necessary to be protective of human populations and to guide efforts seeking to cleanup such aquatic ecosystems. To assess the situation at the Lower Duwamish Waterway (LDW) Superfund site, low-density polyethylene passive samplers were deployed in the summer of 2015 to quantify freely dissolved water and gaseous air concentrations of PCBs thereby enabling estimates of the direction and magnitude of air-water exchange of PCB congeners. For the sum of the 27 PCB congeners, average concentrations were 220 pg/m 3 (95% C.I.: 80–610) in the air and 320 pg/L (95% C.I.: 110–960) in the water. The sum of air-water exchange fluxes of these PCB congeners was estimated to be 68 ng/m 2 /day (95% C.I.: 30–148) into the lower atmosphere, contrasting with the reported wet and dry depositional flux of only 5.5 ng/m 2 /day (95% C.I.: 1–38) from the air into the water. Therefore, the atmosphere was ultimately a sink of PCBs from the LDW Superfund site, at least under 2015 summertime conditions. However, we conclude that air-water exchange of PCBs is likely only a minor sink of PCBs from the LDW and only a minor source of contamination to the region's local atmosphere. - Highlights: • Passive samplers were used to estimate air and water concentrations. • At this site, PCBs were being transported from the water into the local atmosphere. • Air-water exchange was likely only a minor sink of PCBs for the LDW site. • The LDW was likely only a minor source of PCBs to the local atmosphere. - Air-water exchange of PCBs from the LDW Superfund site, calculated using passive sampler data, was determined to be a minor sink of PCBs from

Superfund record of decision (EPA Region 2): Carroll and Dubies Sewage Disposal, Port Jervis, NY, March 31, 1995

Energy Technology Data Exchange (ETDEWEB)

NONE

1995-08-01

This decision document presents the selected remedial action for the Carroll and Dubies Superfund Site (the Site). This operable unit (OU1) represents the first of two operable units planned for the Site. This operable unit addresses the source areas (lagoons and surrounding impacted soils) at the Site and actions needed to ensure that the source areas do not pose a threat to human health or the environment, including any potential cross media impacts to groundwater.

Semi-Automatic Removal of Foreground Stars from Images of Galaxies

Science.gov (United States)

Frei, Zsolt

1996-07-01

A new procedure, designed to remove foreground stars from galaxy proviles is presented here. Although several programs exist for stellar and faint object photometry, none of them treat star removal from the images very carefully. I present my attempt to develop such a system, and briefly compare the performance of my software to one of the well-known stellar photometry packages, DAOPhot (Stetson 1987). Major steps in my procedure are: (1) automatic construction of an empirical 2D point spread function from well separated stars that are situated off the galaxy; (2) automatic identification of those peaks that are likely to be foreground stars, scaling the PSF and removing these stars, and patching residuals (in the automatically determined smallest possible area where residuals are truly significant); and (3) cosmetic fix of remaining degradations in the image. The algorithm and software presented here is significantly better for automatic removal of foreground stars from images of galaxies than DAOPhot or similar packages, since: (a) the most suitable stars are selected automatically from the image for the PSF fit; (b) after star-removal an intelligent and automatic procedure removes any possible residuals; (c) unlimited number of images can be cleaned in one run without any user interaction whatsoever. (SECTION: Computing and Data Analysis)

Occurences and Fate of DDT Principal Isomers/Metabolites, DDA, and o,p'-DDD Enantiomers in Fish, Sediment and Water at a DDT-Impacted Superfund Site

Science.gov (United States)

In the 1950s and 60s, discharges from a DDT manufacturing plant contaminated a tributary system of the Tennessee River near Huntsville, Alabama, USA. Regulatory action resulted in declaring the area a Superfund site which required remediation and extensive monitoring. Monitoring ...

Investigating the removal of body piercings.

Science.gov (United States)

Armstrong, Myrna L; Roberts, Alden E; Koch, Jerome R; Saunders, Jana C; Owen, Donna C

2007-05-01

Although body piercing procurement continues to increase, 13% to 18% of them are removed. Reasons for piercing removal in college students were examined with three groups: (a) those who kept all their piercings, (b) those who removed some, or (c) those who removed all of their body piercings. Of the sample, 41% were still pierced; 50% in their lifetime. Their major purpose for the body piercing was "helped them feel unique." Females obtained more (in high school) and then removed more, usually as upperclassmen. Males and females reported themselves as risk takers at procedure time and currently; however, only 10% cited deviancy as a reason for the body piercing(s). Only removal elements of "I just got tired of it" and "I just decided to remove it" were present, especially with the Some Removed Group. Further examination of body piercing building personal distinctiveness and self-identity to promote their need of uniqueness is suggested.

Comprehensive Environmental Response, Compensation and Liability Act (CERCLA) or Superfund, Section 104(k); and CERCLA Section 104(d); ‘‘ ‘Discounted Loans’ Under Brownfields Revolving Loan Fund Grants’

Science.gov (United States)

Comprehensive Environmental Response, Compensation and Liability Act (CERCLA) or Superfund, Section 104(k); and CERCLA Section 104(d); ‘‘ ‘Discounted Loans’ Under Brownfields Revolving Loan Fund Grants’`

Fluoroscopy-Guided Removal of Pull-Type Gastrostomy Tubes

International Nuclear Information System (INIS)

Ahlers, Christopher M.; Schneider, Jens; Lachmann, Ricarda; Herber, Sascha; Dueber, Christoph; Pitton, Michael B.

2008-01-01

These case reports demonstrate a radiologic interventional technique for removal of pull-type gastrostomy tubes. This approach proved to be a safe and efficient procedure in two patients. The procedure may be applicable in situations where endoscopic attempts fail.

A-Cell equipment removal quality process plan

International Nuclear Information System (INIS)

TAKASUMI, D.S.

1999-01-01

This document establishes the quality assuring activities used to manage the 324 building A-Cell equipment removal activity. This activity will package, remove, transport and dispose of the equipment in A-Cell. This document is provided to ensure that appropriate and effective quality assuring activities have been incorporated into the work controlling documentation and procedures

TMI-2 reactor-vessel head removal and damaged-core-removal planning

International Nuclear Information System (INIS)

Logan, J.A.; Hultman, C.W.; Lewis, T.J.

1982-01-01

A major milestone in the cleanup and recovery effort at TMI-2 will be the removal of the reactor vessel closure head, planum, and damaged core fuel material. The data collected during these operations will provide the nuclear power industry with valuable information on the effects of high-temperature-dissociated coolant on fuel cladding, fuel materials, fuel support structural materials, neutron absorber material, and other materials used in reactor structural support components and drive mechanisms. In addition, examination of these materials will also be used to determine accident time-temperature histories in various regions of the core. Procedures for removing the reactor vessel head and reactor core are presented

Comparison of procedures for immediate reconstruction of large osseous defects resulting from removal of a single tooth to prepare for insertion of an endosseous implant after healing

NARCIS (Netherlands)

Raghoebar, G. M.; Slater, J. J. H.; den Hartog, L.; Meijer, H. J. A.; Vissink, A.

This study evaluated the treatment outcome of immediate reconstruction of 45 large osseous defects resulting from removal of a single tooth with a 1:2 mixture of Bio-Oss(R) and autologous tuberosity bone, and three different procedures for soft tissue closing (Bio-Gide(R) membrane, connective tissue

Estimating remediation costs for the Montclair radium superfund sites

International Nuclear Information System (INIS)

Turner, M.J.

1995-01-01

The Montclair/West Orange and Glen Ridge Superfund Sites, located in Essex County, NJ, are contaminated to varying degrees with radioactive materials. The waste originated from radium processing facilities prevalent in the area during the early 1900s. The design for remediation of these sites is managed by Bechtel National, Inc. on behalf of the United States Army Corps of Engineers, Kansas City District, which administers the project through an interagency agreement with the US Environmental Protection Agency (EPA). Design efforts for the project began in 1990. A portion of the scope, which is the topic of this article, was preparing the remediation costs estimates. These estimates were to be prepared from the detailed design packages; the Corps of Engineers required that the estimates were prepared using the Micro Computer-Aided Cost Estimating System (MCACES). This article discusses the design methods used, provides an overview of MCACES, and discusses the structure and preparation of the cost estimate and its uses. However, the main focus of the article is the methods used to generate the required project-specific cost estimate format for this project. 6 figs

[How to choose appropriate surgical approach in removal of the eyeball].

Science.gov (United States)

Ye, Juan; Ning, Qingyao

2014-08-01

We often consult patients with non-functional eye caused by trauma, intraocular malignancy, absolute stage of glaucoma and other diseases who need to remove the eyeball in our clinical work. Eye removal is an irreversibly destructive procedure, which mainly include enucleation and evisceration. There are various surgical techniques which are still controversial. Both of the two procedures have their own advantages, disadvantages, indications and contraindications. The ophthalmologists should comprehensively consider the disease situations, medical conditions and the requirements of the patients when choosing appropriate surgical approach to remove the eyeball.

12 CFR 19.243 - Removal, suspension, or debarment.

Science.gov (United States)

2010-01-01

... 12 Banks and Banking 1 2010-01-01 2010-01-01 false Removal, suspension, or debarment. 19.243 Section 19.243 Banks and Banking COMPTROLLER OF THE CURRENCY, DEPARTMENT OF THE TREASURY RULES OF PRACTICE AND PROCEDURE Removal, Suspension, and Debarment of Accountants From Performing Audit Services § 19...

DOJ News Release: New York Man Ordered to Pay Over $400,000 in Restitution and Fines for Role in Kickback Scheme at New Jersey Superfund Sites

Science.gov (United States)

WASHINGTON, D.C. – An Amherst, New York, man was ordered to pay over $400,000 in restitution and fines and placed on five years’ probation for his role in a kickback scheme at the Federal Creosote and Diamond Alkali Superfund sites in New Jersey.

An innovative carbonate coprecipitation process for the removal of zinc and manganese from mining impacted waters

Science.gov (United States)

Sibrell, P.L.; Chambers, M.A.; Deaguero, A.L.; Wildeman, T.R.; Reisman, D.J.

2007-01-01

Although mine drainage is usually thought of as acidic, there are many cases where the water is of neutral pH, but still contains metal species that can be harmful to human or aquatic animal health, such as manganese (Mn) and zinc (Zn). Typical treatment of mine drainage waters involves pH adjustment, but this often results in excessive sludge formation and removal of nontoxic species such as magnesium and calcium. Theoretical consideration of the stability of metal carbonate species suggests that the target metals could be removed from solution by coprecipitation with calcium carbonate. The U.S. Geological Survey has developed a limestone-based process for remediation of acid mine drainage that increases calcium carbonate saturation. This treatment could then be coupled with carbonate coprecipitation as an innovative method for removal of toxic metals from circumneutral mine drainage waters. The new process was termed the carbonate coprecipitation (CCP) process. The CCP process was tested at the laboratory scale using a synthetic mine water containing 50 mg/L each of Mn and Zn. Best results showed over 95% removal of both Mn and Zn in less than 2 h of contact in a limestone channel. The process was then tested on a sample of water from the Palmerton zinc superfund site, near Palmerton, Pennsylvania, containing over 300 mg/L Zn and 60 mg/L Mn. Treatment of this water resulted in removal of over 95% of the Zn and 40% of the Mn in the limestone channel configuration. Because of the potential economic advantages of the CCP process, further research is recommended for refinement of the process for the Palmerton water and for application to other mining impacted waters as well. ?? Mary Ann Liebert, Inc.

Image-guided percutaneous removal of ballistic foreign bodies secondary to air gun injuries.

Science.gov (United States)

Rothermund, Jacob L; Rabe, Andrew J; Zumberge, Nicholas A; Murakami, James W; Warren, Patrick S; Hogan, Mark J

2018-01-01

Ballistic injuries with retained foreign bodies from air guns is a relatively common problem, particularly in children and adolescents. If not removed in a timely fashion, the foreign bodies can result in complications, including pain and infection. Diagnostic methods to identify the presence of the foreign body run the entire gamut of radiology, particularly radiography, ultrasound (US) and computed tomography (CT). Removal of the foreign bodies can be performed by primary care, emergency, surgical, and radiologic clinicians, with or without imaging guidance. To evaluate the modalities of radiologic detection and the experience of image-guided ballistic foreign body removal related to air gun injuries within the interventional radiology department of a large pediatric hospital. A database of more than 1,000 foreign bodies that were removed with imaging guidance by the interventional radiologists at our institution was searched for ballistic foreign bodies from air guns. The location, dimensions, diagnostic modality, duration, complications and imaging modality used for removal were recorded. In addition, the use of sedation and anesthesia required for the procedures was also recorded. Sixty-one patients with ballistic foreign bodies were identified. All foreign bodies were metallic BBs or pellets. The age of the patients ranged from 5 to 20 years. The initial diagnostic modality to detect the foreign bodies was primarily radiography. The primary modality to assist in removal was US, closely followed by fluoroscopy. For the procedure, 32.7% of the patients required some level of sedation. Only two patients had an active infection at the time of the removal. The foreign bodies were primarily in the soft tissues; however, successful removal was also performed from intraosseous, intraglandular and intratendinous locations. All cases resulted in successful removal without complications. Image-guided removal of ballistic foreign bodies secondary to air guns is a very

New photocatalytic process provides 99.9+% reduction of VOC at Superfund site

Energy Technology Data Exchange (ETDEWEB)

Anon.

1999-03-01

A new photocatalytic process, dubbed the A-I-R-2000 Process, is described. The process is said to offer marked economic advantages, while providing consistent 99.9+% reduction of volatile organic compounds (VOCs) from soil vapours and groundwater at the Stamina Mills Superfund site in North Smithfield, Rhode Island. The A-I-R-2000 process has been developed by KSE Inc., of Amherst, Massachusetts, and has been licensed exclusively worldwide to Trojan Technologies, Inc., of London, Ontario. The process consists essentially of adsorption of VOCs onto a UV light-activated proprietary catalysts, for breakdown to carbon dioxide and water, and also to hydrochloric acid and a small amount of chlorine gas when the VOCs are chlorinated. With a maximum internal operating temperature of 125 degrees F, it is a low-energy system when compared to other catalytic technologies that feature thermal catalytic equipment. 1 photo.

Remedial design services for Montclair/West Orange and Glen Ridge Superfund sites

International Nuclear Information System (INIS)

Urbaniak, T.F.; Tomiczek, P.W. Jr.

1994-01-01

The Montclair/West Orange and Glen Ridge Superfund Sites are located 12 miles west of New York City in Essex County, New Jersey. The sites are contaminated with waste materials from radium-processing facilities which operated in the area during the early 1900's. The waste materials, containing radium and other radioactive isotopes were placed in three separate landfill sites. Major public health risks are indoor radon gas build-up and indoor/ outdoor gamma radiation. In 1989, the EPA issued a Record of Decision (ROD) which chose excavation and off-site disposal of material as the preferred alternative. The purpose of this presentation is to highlight key elements of the design process for the remedial action at Montclair. Those key elements are as follows: meeting community relations challenges; measuring radioactive contamination; developing plans and specifications; packaging of remedial action contacts; and continually improving both the process and the designs

TREATABILITY STUDY REPORT OF GREEN MOUNTAIN LABORATORIES, INC.'S BIOREMEDIATION PROCESS, TREATMENT OF PCB CONTAMINATED SOILS, AT BEEDE WASTE OIL/CASH ENERGY SUPERFUND SITE, PLAISTOW, NEW HAMPSHIRE

Science.gov (United States)

In 1998, Green Mountain Laboratories, Inc. (GML) and the USEPA agreed to carry out a Superfund Innovative Technology Evaluation (SITE) project to evaluate the effectiveness of GML's Bioremediation Process for the treatment of PCB contaminated soils at the Beede Waste Oil/Cash Ene...

New atraumatic easy removal technique for permanently cemented crown

Directory of Open Access Journals (Sweden)

Pravinkumar G Patil

2012-01-01

Full Text Available Removal of a permanently cemented crown or fixed partial denture is a cumbersome procedure for a prosthodontist, especially when there is no purchase point available to remove it. The technique described in this article consists of sectioning of a crown on facial surface followed by removal of the crown with orthodontic plier. This technique does not damage the gingival/periodontal tissues or underlying tooth structure as the crown need not to be removed with jerky back-action force.

21 CFR 606.100 - Standard operating procedures.

Science.gov (United States)

2010-04-01

... units. (9) Procedures for investigating adverse donor and recipient reactions. (10) Storage temperatures... accurately relating the product(s) to the donor. (5) Blood collection procedure, including in-process precautions taken to measure accurately the quantity of blood removed from the donor. (6) Methods of component...

Removing Contamination-Induced Reconstruction Artifacts from Cryo-electron Tomograms

Science.gov (United States)

Fernandez, Jose-Jesus; Laugks, Ulrike; Schaffer, Miroslava; Bäuerlein, Felix J.B.; Khoshouei, Maryam; Baumeister, Wolfgang; Lucic, Vladan

2016-01-01

Imaging of fully hydrated, vitrified biological samples by electron tomography yields structural information about cellular protein complexes in situ. Here we present a computational procedure that removes artifacts of three-dimensional reconstruction caused by contamination present in samples during imaging by electron microscopy. Applying the procedure to phantom data and electron tomograms of cellular samples significantly improved the resolution and the interpretability of tomograms. Artifacts caused by surface contamination associated with thinning by focused ion beam, as well as those arising from gold fiducial markers and from common, lower contrast contamination, could be removed. Our procedure is widely applicable and is especially suited for applications that strive to reach a higher resolution and involve the use of recently developed, state-of-the-art instrumentation. PMID:26743046

A novel washing algorithm for underarm stain removal

Science.gov (United States)

Acikgoz Tufan, H.; Gocek, I.; Sahin, U. K.; Erdem, I.

2017-10-01

After contacting with human sweat which comprise around 27% sebum, anti-perspirants comprising aluminium chloride or its compounds form a jel-like structure whose solubility in water is very poor. In daily use, this jel-like structure closes sweat pores and hinders wetting of skin by sweat. However, when in contact with garments, they form yellowish stains at the underarm of the garments. These stains are very hard to remove with regular machine washing. In this study, first of all, we focused on understanding and simulating such stain formation on the garments. Two alternative procedures are offered to form jel-like structures. On both procedures, commercially available spray or deo-stick type anti-perspirants, standard acidic and basic sweat solutions and artificial sebum are used to form jel-like structures, and they are applied on fabric in order to get hard stains. Secondly, after simulation of the stain on the fabric, we put our efforts on developing a washing algorithm specifically designed for removal of underarm stains. Eight alternative washing algorithms are offered with varying washing temperature, amounts of detergent, and pre-stain removal procedures. Better algorithm is selected by comparison of Tristimulus Y values after washing.

Endoscopic removal and trimming of distal self-expandable metallic biliary stents

Science.gov (United States)

Ishii, Kentaro; Itoi, Takao; Sofuni, Atsushi; Itokawa, Fumihide; Tsuchiya, Takayoshi; Kurihara, Toshio; Tsuji, Shujiro; Ikeuchi, Nobuhito; Umeda, Junko; Moriyasu, Fuminori; Tsuchida, Akihiko

2011-01-01

AIM: To evaluate the efficacy and safety of endoscopic removal and trimming of self-expandable metallic stents (SEMS). METHODS: All SEMS had been placed for distal biliary strictures. Twenty-seven endoscopic procedures were performed in 19 patients in whom SEMS (one uncovered and 18 covered) removal had been attempted, and 8 patients in whom stent trimming using argon plasma coagulation (APC) had been attempted at Tokyo Medical University Hospital. The APC settings were: voltage 60-80 W and gas flow at 1.5 L/min. RESULTS: The mean stent indwelling period for all patients in whom stent removal had been attempted was 113.7 ± 77.6 d (range, 8-280 d). Of the 19 patients in whom removal of the SEMS had been attempted, the procedure was successful in 14 (73.7%) without procedure-related adverse events. The indwelling period in the stent removable group was shorter than that in the unremovable group (94.9 ± 71.5 d vs 166.2 ± 76.2 d, P = 0.08). Stent trimming was successful for all patients with one minor adverse event consisting of self-limited hemorrhage. Trimming time ranged from 11 to 16 min. CONCLUSION: Although further investigations on larger numbers of cases are necessary to accumulate evidence, the present data suggested that stent removal and stent trimming is feasible and effective for stent-related complications. PMID:21677835

Removal of a submandibular duct calculus with 'SNU Sialoop': Technical report

International Nuclear Information System (INIS)

Choi, Habg Moon; Lee, Sun Bok; Heo, Min Suk; Lee, Sam Sun; Choi, Soon Chul; Park, Tae Won

2000-01-01

Manufacturing method and technical procedure of 'SNU Sialoop', which was a new device designed for removal of sialolith, were introduced. Two cases about removal of Wharton' duct sialolith using SNU Sialoop were presented.

Simple Technique for Removing Broken Pedicular Screws

Directory of Open Access Journals (Sweden)

A Agrawal

2014-03-01

Full Text Available The procedure for removing a broken pedicle screw should ideally be technically easy and minimally invasive, as any damage to the pedicle, during removal of the broken screw, may weaken the pedicle, thus compromising on the success of re-instrumentation. We describe the case of a 32-year old man who had undergone surgery for traumatic third lumbar vertebral body fracture three years prior to current admission and had developed the complication of pedicle screw breakage within the vertebral body. The patient underwent re-exploration and removal of the distal screws. Through a paravertebral incision and muscle separation, the screws and rods were exposed and the implants were removed.

Surgical aspects of removal of Essure microinsert.

Science.gov (United States)

Albright, Catherine M; Frishman, Gary N; Bhagavath, Bala

2013-09-01

Essure is designed as a hysteroscopically placed permanent birth control. Removal of the Essure microinsert can be a technically challenging procedure. Requests for removal are uncommon but do occur. Although hysteroscopic and laparoscopic removal has been reported, there is limited information available describing appropriate surgical technique. There have been six patients requesting Essure removal at our institution (one approximately 2 years after placement). Based on this experience, we have developed specific counseling points and surgical principles for laparoscopic removal: avoid injection of a hemostatic solution into the fallopian tube; avoid excessive traction on the coils; avoid cauterization of the outer coil; follow the Essure coil into the interstitial end of the fallopian tube to ensure complete removal of the insert; perform a salpingectomy rather than a salpingostomy. By taking into account these principles, key preoperative counseling points can be discussed, and laparoscopic Essure removal years after placement can be accomplished in a safe and deliberate fashion. Copyright © 2013 Elsevier Inc. All rights reserved.

Case study: Montclair/West Orange and Glen Ridge Radium Superfund sites

International Nuclear Information System (INIS)

Pezzella, R.; Seppi, P.; Watson, D.

1994-01-01

The Montclair/West Orange and Glen Ridge Radium Sites are located 12 miles west of New York City in three residential communities in Essex County, New Jersey. The sites are contaminated with waste materials from a local radium processing facility which ceased operations in 1926. Houses were subsequently constructed on or near the radium waste disposal areas. The waste material was also used as backfill, which caused contamination to be spread randomly over the communities. There are 769 properties between four townships that comprise the Superfund sites. The Environmental Protection Agency (EPA) conducted an aerial survey in 1981 which identified the boundaries of the sites. In 1985, the New Jersey Department of Environmental Protection (NJDEP) began a pilot study to examine the feasibility of excavation and off-site disposal of contaminated material as a permanent solution. The study was interrupted when the permit for the disposal site was revoked by the state of Nevada. Since 1990 field testing has been completed on over 725 properties and remediation and restoration has been completed on 75 properties

Maxillary Swing Approach for Removal of Palatal Carcinoma: A Modified Procedure

Directory of Open Access Journals (Sweden)

Tsutomu Nomura

2018-01-01

Full Text Available Introduction. We report a modification of the maxillary swing approach to remove a palatal tumor while preserving the anterior alveolar area. Methods. Case report using clinical records. Results. The patient was a 54-year-old male. TNM grade was T4bN0M0, and invasion to the base of the pterygoid process was seen. Two courses of induction chemotherapy were administered prior to the operation. Because there was no evidence of anterior maxillary invasion, the maxillary swing approach was chosen. The left anterior maxilla was cut and swung laterally, preserving the blood supply. After removal of the palatal tumor, the maxilla was repositioned and the defect was restored with an anterior lateral thigh flap. Postoperative course was typical, and facial appearance, speech, and masticatory function were satisfactory. Conclusions. This technique is particularly useful for preserving appearance as well as speech and mastication.

Membrane adsorber for endotoxin removal

Directory of Open Access Journals (Sweden)

Karina Moita de Almeida

Full Text Available ABSTRACT The surface of flat-sheet nylon membranes was modified using bisoxirane as the spacer and polyvinyl alcohol as the coating polymer. The amino acid histidine was explored as a ligand for endotoxins, aiming at its application for endotoxin removal from aqueous solutions. Characterization of the membrane adsorber, analysis of the depyrogenation procedures and the evaluation of endotoxin removal efficiency in static mode are discussed. Ligand density of the membranes was around 7 mg/g dry membrane, allowing removal of up to 65% of the endotoxins. The performance of the membrane adsorber prepared using nylon coated with polyvinyl alcohol and containing histidine as the ligand proved superior to other membrane adsorbers reported in the literature. The lack of endotoxin adsorption on nylon membranes without histidine confirmed that endotoxin removal was due to the presence of the ligand at the membrane surface. Modified membranes were highly stable, exhibiting a lifespan of approximately thirty months.

Green Remediation Best Management Practices: Soil Vapor Extraction & Air Sparging

Science.gov (United States)

Historically, approximately one-quarter of Superfund source control projects have involved soil vapor extraction (SVE) to remove volatile organic compounds (VOCs) sorbed to soil in the unsaturated (vadose) zone.

[Fluorescence control of dental calculus removal].

Science.gov (United States)

Bakhmutov, D N; Gonchukov, S A; Lonkina, T V; Sukhinina, A V

2012-01-01

The main condition of periodontitis prevention is the full calculus removal from the teeth surface. This procedure should be fulfilled without harming adjacent unaffected tooth tissues. Nevertheless the problem of sensitive and precise estimating of tooth-calculus interface exists and potential risk of hard tissue damage remains. In the frames of this work it was shown that fluorescence diagnostics during calculus removal can be successfully used for precise detection of tooth-calculus interface. In so doing the simple implementation of this method free from the necessity of spectrometer using can be employed. Such a simple implementation of calculus detection set-up can be aggregated with the devices of calculus removing (as ultrasonic or laser devices).

Factory Acceptance Test Procedure Westinghouse 100 ton Hydraulic Trailer

International Nuclear Information System (INIS)

Aftanas, B.L.

1994-01-01

This Factory Acceptance Test Procedure (FAT) is for the Westinghouse 100 Ton Hydraulic Trailer. The trailer will be used for the removal of the 101-SY pump. This procedure includes: safety check and safety procedures; pre-operation check out; startup; leveling trailer; functional/proofload test; proofload testing; and rolling load test

Thermally modified bentonite clay for copper removal

International Nuclear Information System (INIS)

Bertagnolli, C.; Kleinübing, S.J.; Silva, M.G.C.

2011-01-01

Bentonite clay coming from Pernambuco was thermally modified in order to increase its affinity and capacity in the copper removal in porous bed. The application of this procedure is justified by the low cost of clay, their abundance and affinity for various metal ions. Thermally treatment modifies the clay adsorption properties enables its use in porous bed system, with the increase in surface area and mechanical strength. The material was characterized by x-ray diffraction, thermogravimetric analysis and N_2 physisorption. Then tests were carried out for adsorption of copper in various experimental conditions and evaluated the mass transfer zone, useful and total adsorbed removal amounts and total copper removal percentage. The results showed that the clay treated at higher temperature showed higher copper removal. (author)

Endoscopic removal of laser-cut covered self-expandable metallic biliary stents: A report of six cases.

Science.gov (United States)

Tanisaka, Yuki; Ryozawa, Shomei; Kobayashi, Masanori; Harada, Maiko; Kobatake, Tsutomu; Omiya, Kumiko; Iwano, Hirotoshi; Arai, Shin; Nonaka, Kouichi; Mashimo, Yumi

2018-02-01

Covered self-expandable metallic stents (CSEMS) may provide palliative drainage for unresectable distal malignant biliary strictures. Laser-cut CSEMS allows easy positioning due to its characteristic of minimal stent shortening. Endoscopic stent removal is sometimes recommended for recurrent biliary obstruction (RBO). However, there are no previous reports of endoscopic removal of laser-cut CSEMS. The current study presents data from 6 patients who were placed a laser-cut CSEMS for unresectable distal malignant biliary strictures, and later endoscopic stent removal was attempted for RBO at the present institute. The duration of stent placement, the procedural success rate, the procedural duration, and accidental complications were evaluated. The mean duration of stent placement was 156±37.9 days (range, 117-205). The procedural success rate was 100%. The mean procedural duration was 11.8±7.5 min (range, 5-24). No complications were reported. Laser-cut CSEMS were safely removed from all patients. The present case report is the first to demonstrate that Endoscopic stent removal of laser-cut CSEMS was safely performed.

Surgical Eye Removal in Ile‑Ife, Nigeria

African Journals Online (AJOL)

Surgical eye removal procedures include evisceration, enucleation, and ... eliminate the risk of sympathetic ophthalmitis in ruptured globes, relieve ... cite this article: ***. This is an open access article distributed under the terms of the Creative.

12 CFR 308.604 - Notice of removal, suspension, or debarment.

Science.gov (United States)

2010-01-01

... issuance of a final order for removal, suspension, or debarment of an independent public accountant or..., whichever date is earlier. The written notice must be filed by the independent public accountant or... PRACTICE RULES OF PRACTICE AND PROCEDURE Removal, Suspension, and Debarment of Accountants From Performing...

Determinants of procedural pain intensity in the intensive care unit. The Europain® study

DEFF Research Database (Denmark)

Puntillo, Kathleen A; Max, Adeline; Timsit, Jean-Francois

2014-01-01

in 192 ICUs in 28 countries. MEASUREMENTS AND MAIN RESULTS: Pain intensity on a 0-10 numeric rating scale increased significantly from baseline pain during all procedures (P tube removal, wound drain removal, and arterial line insertion were the three most painful procedures, with median...

12 CFR 19.245 - Notice of removal, suspension or debarment.

Science.gov (United States)

2010-01-01

... 12 Banks and Banking 1 2010-01-01 2010-01-01 false Notice of removal, suspension or debarment. 19.245 Section 19.245 Banks and Banking COMPTROLLER OF THE CURRENCY, DEPARTMENT OF THE TREASURY RULES OF PRACTICE AND PROCEDURE Removal, Suspension, and Debarment of Accountants From Performing Audit Services...

Pectus bar removal: surgical technique and strategy to avoid complications.

Science.gov (United States)

Park, Hyung Joo; Kim, Kyung Soo

2016-01-01

Pectus bar removal is the final stage of the procedure for minimally invasive repair of pectus excavatum. Based on our experience with one of the largest scale data, we would like to address the important issues in pectus bar removal, such as appropriate duration of bar maintenance, techniques for bar removal, and strategies to avoid complications. Between September 1999 and August 2015, we operated on 2,553 patients with pectus excavatum and carinatum using pectus bars for a minimally invasive approach. Among them, 1,821 patients (71.3%) underwent pectus bar removal as a final stage of pectus deformity repair, and their data were analyzed retrospectively to identify the outcomes and adverse effects of the pectus bar removal procedure. The mean age of the patients was 9.13 years (range, 16 months to 44 years) and the male to female ratio was 3.55. The study is approved by the Institutional Review Board (IRB), the ethical committee of Seoul St. Mary's Hospital. The IRB has exempted the informed consent from every patient in this study due to this is a retrospective chart review without revealing any patients' personal data. Our technique involved straightening of the bar in a supine position. The overall mean duration of pectus bar maintenance was 2.57 years (range, 4 months to 14 years). The mean duration was 2.02 years (range, 4 months to 7 years) for children under 12 years, 2.99 years (range, 7 months to 9 years) for teenagers aged 12-20 years, and 3.53 years (range, 3 months to 14 years) for adults over 20 years. Forty-eight patients (2.6%) underwent bar removal more than 5 years after bar insertion and 58 patients (3.2%) underwent bar removal earlier than initially planned. The most common adverse reaction after bar removal was wound seroma including infection (43 patients, 2.36%). Recurrence after bar removal occurred in nine patients (0.49%), and seven of these required redo repair (0.38%). Pectus bar removal is a safe and straightforward procedure with a

Preliminary engineering report waste area grouping 5, Old Hydrofracture Facility Tanks content removal project, Oak Ridge National Laboratory, Oak Ridge, Tennessee

International Nuclear Information System (INIS)

1996-06-01

The Superfund Amendments and Reauthorization Act of the Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA) requires a Federal Facilities Agreement (FFA) for federal facilities placed on the National Priorities List. The Oak Ridge Reservation was placed on that list on December 21, 1989, and the agreement was signed in November 1991 by the U.S. Department of Energy (DOE) Oak Ridge Operations Office, the U.S. Environmental Protection Agency (EPA) Region IV, and the Tennessee Department of Environment and Conservation (TDEC). The effective date of the FFA is January 1, 1992. One objective of the FFA is to ensure that liquid low-level waste (LLLW) tanks that are removed from service are evaluated and remediated through the CERCLA process. Five inactive LLLW tanks, designated T-1, T-2, T-3, T-4, and T-9, located at the Old Hydrofracture (OHF) Facility in the Melton Valley area of Oak Ridge National Laboratory (ORNL) have been evaluated and are now entering the remediation phase. As a precursor to final remediation, this project will remove the current liquid and sludge contents of each of the five tanks (System Requirements Document, Appendix A). It was concluded in the Engineering Evaluation/Cost Analysis [EE/CA] for the Old Hydrofracture Facility Tanks (DOE 1996) that sluicing and pumping the contaminated liquid and sludge from the five OHF tanks was the preferred removal action. Evaluation indicated that this alternative meets the removal action objective and can be effective, implementable, and cost-effective. Sluicing and removing the tank contents was selected because this action uses (1) applicable experience, (2) the latest information about technologies and techniques for removing the wastes from the tanks, and (3) activities that are currently acceptable for storage of transuranic (TRU) mixed waste

Methods of removing uranium from drinking water. 1. A literature survey. 2. Present municipal water treatment and potential removal methods

International Nuclear Information System (INIS)

Drury, J.S.; Michelson, D.; Ensminger, J.T.; Lee, S.Y.; White, S.K.

1982-12-01

Literature was searched for methods of removing uranium from drinking water. U.S. manufacturers and users of water-treatment equipment and products were also contacted regarding methods of removing uranium from potable water. Based on the results of these surveys, it was recommended that untreated, partially treated, and finished water samples from municipal water-treatment facilities be analyzed to determine the extent of removal of uranium by presently used procedures, and that additional laboratory studies be performed to determine what changes are needed to maximize the effectiveness of treatments that are already in use in existing water-treatment plants

5 CFR 9701.707 - Appeals of mandatory removal actions.

Science.gov (United States)

2010-01-01

... employee may appeal such actions to the Mandatory Removal Panel (MRP) established under § 9701.708. (b) Procedures. (1) The MRP will establish procedures for the fair, impartial, and expeditious assignment and... other matters as may be necessary to ensure the operation of the MRP. (2) The MRP will conduct a hearing...

Use of a powered shaver to remove multiple oral cavity papillomas.

Science.gov (United States)

Miller, Robert Sean; Tami, Thomas A

2005-05-01

We report a previously undescribed method of removing multiple oral papillomas, which we performed on 5 men with human immunodeficiency virus (HIV) infection. Patients were brought to the operating room and placed under general anesthesia. In addition, 1% lidocaine with 1:100,000 epinephrine was injected under and around the lesions. We then removed the lesions with a Tricut laryngeal blade attached to a handheld powered shaver Postoperatively, patients were sent home on clindamycin, a pain medication, and Peridex. At the 1-week follow-up, patients reported only minimal pain, and their wounds were well healed. We observed no adverse events associated with the shaving procedure. Our method expedites the process of removing multiple oral cavity papillomas while reducing the morbidity generally associated with other procedures.

Raman spectroscopy of efflorescent sulfate salts from Iron Mountain Mine Superfund Site, California

Science.gov (United States)

Sobron, Pablo; Alpers, Charles N.

2013-01-01

The Iron Mountain Mine Superfund Site near Redding, California, is a massive sulfide ore deposit that was mined for iron, silver, gold, copper, zinc, and pyrite intermittently for nearly 100 years. As a result, both water and air reached the sulfide deposits deep within the mountain, producing acid mine drainage consisting of sulfuric acid and heavy metals from the ore. Particularly, the drainage water from the Richmond Mine at Iron Mountain is among the most acidic waters naturally found on Earth. The mineralogy at Iron Mountain can serve as a proxy for understanding sulfate formation on Mars. Selected sulfate efflorescent salts from Iron Mountain, formed from extremely acidic waters via drainage from sulfide mining, have been characterized by means of Raman spectroscopy. Gypsum, ferricopiapite, copiapite, melanterite, coquimbite, and voltaite are found within the samples. This work has implications for Mars mineralogical and geochemical investigations as well as for terrestrial environmental investigations related to acid mine drainage contamination.

Raman spectroscopy of efflorescent sulfate salts from Iron Mountain Mine Superfund Site, California.

Science.gov (United States)

Sobron, Pablo; Alpers, Charles N

2013-03-01

The Iron Mountain Mine Superfund Site near Redding, California, is a massive sulfide ore deposit that was mined for iron, silver, gold, copper, zinc, and pyrite intermittently for nearly 100 years. As a result, both water and air reached the sulfide deposits deep within the mountain, producing acid mine drainage consisting of sulfuric acid and heavy metals from the ore. Particularly, the drainage water from the Richmond Mine at Iron Mountain is among the most acidic waters naturally found on Earth. The mineralogy at Iron Mountain can serve as a proxy for understanding sulfate formation on Mars. Selected sulfate efflorescent salts from Iron Mountain, formed from extremely acidic waters via drainage from sulfide mining, have been characterized by means of Raman spectroscopy. Gypsum, ferricopiapite, copiapite, melanterite, coquimbite, and voltaite are found within the samples. This work has implications for Mars mineralogical and geochemical investigations as well as for terrestrial environmental investigations related to acid mine drainage contamination.

Value engineering study for seletion of verticle barrier technology at a Superfund site

International Nuclear Information System (INIS)

Bryan, E.E.; Guglielmetti, J.L.; Butler, P.B.; Brill, M.P.

1997-01-01

A value engineering (VE) study was conducted to identify and evaluate vertical barrier technologies and alignments for a Superfund project in New Castle County, Delaware. The objective was to select and recommend the most appropriate vertical barrier(s) for two separate landfills and a portion of the manufacturing plant on the site. A VE team was assembled to identify and evaluate site specific issues related to effectiveness, constructability and cost for numerous vertical barrier technologies. Several cost-effective alternatives were identified that met project objectives. The VE study concluded that a composite vertical barrier system consisting of a soil-bentonite slurry trench and steel sheet piles would provide effective containment of the North Landfill. Additionally, the geologic confining unit specified in the Record of Decision (ROD) was found to be unsuitable as a vertical barrier key and a more suitable, shallow confining unit was discovered. This paper describes the value engineering process and results of the VE study for one of the landfills

Superfund explanation of significant difference for the record of decision (EPA Region 8): Lowry Landfill, Aurora, CO, October 24, 1997

International Nuclear Information System (INIS)

1999-03-01

Please be advised that there is an error within Attachment E (Technical Evaluation of Proposed Ground-Water Treatment and Disposal Alternatives) of the ''Responsiveness Summary for the Second Explanation of Significant Differences, Lowry Landfill Superfund Site'' document. The evaluation table, which summarizes the rankings of the two cleanup alternatives, failed to include numerical values for State Acceptance and Community Acceptance. Enclosed is a copy of the table as it should have appeared in Attachment E. Copies of this errata sheet are being mailed to all recipients of the Responsiveness Summary

Influence of a chlor-alkali superfund site on mercury bioaccumulation in periphyton and low-trophic level fauna

Science.gov (United States)

Buckman, Kate L.; Marvin-DiPasquale, Mark C.; Taylor, Vivien F.; Chalmers, Ann T.; Broadley, Hannah J.; Agee, Jennifer L.; Jackson, Brian P.; Chen, Celia Y.

2015-01-01

In Berlin, New Hampshire, USA, the Androscoggin River flows adjacent to a former chlor-alkali facility that is a US Environmental Protection Agency Superfund site and source of mercury (Hg) to the river. The present study was conducted to determine the fate and bioaccumulation of methylmercury (MeHg) to lower trophic-level taxa in the river. Surface sediment directly adjacent to the source showed significantly elevated MeHg (10–40× increase, mean ± standard deviation [SD]: 20.1 ± 24.8 ng g–1 dry wt) and total mercury (THg; 10–30× increase, mean ± SD: 2045 ± 2669 ng g–1 dry wt) compared with all other reaches, with sediment THg and MeHg from downstream reaches elevated (3–7× on average) relative to the reference (THg mean ± SD: 33.5 ± 9.33 ng g–1 dry wt; MeHg mean ± SD: 0.52 ± 0.21 ng g–1 dry wt). Water column THg concentrations adjacent to the point source for both particulate (0.23 ng L–1) and dissolved (0.76 ng L–1) fractions were 5-fold higher than at the reference sites, and 2-fold to 5-fold higher than downstream. Methylmercury production potential of periphyton material was highest (2–9 ng g–1 d–1 dry wt) adjacent to the Superfund site; other reaches were close to or below reporting limits (0. 1 ng g–1 d–1 dry wt). Total Hg and MeHg bioaccumulation in fauna was variable across sites and taxa, with no clear spatial patterns downstream of the contamination source. Crayfish, mayflies, and shiners showed a weak positive relationship with porewater MeHg concentration.

Effect of scleral buckle removal on strabismus surgery outcomes after retinal detachment repair

Science.gov (United States)

Chang, Jee Ho; Hutchinson, Amy; Zhang, Monica; Lambert, Scott R.

2015-01-01

Background/Aims To investigate the effect of scleral buckle removal on the outcomes of strabismus surgery in patients with a prior history of retinal detachment surgery. Methods We reviewed the medical records of 18 patients who underwent strabismus surgery following a scleral buckling procedure at one institution. We investigated the effect of multiple variables on outcome, including: gender, age, surgeon, number of strabismus surgeries, adjustable suture use, previous pars plana vitrectomy, preoperative best-corrected visual acuity and time of surgery. Outcomes were considered successful if there was ≤ 10 prism diopter (PD) residual horizontal and/or ≤ 4 PD residual vertical deviation. Outcomes were analyzed statistically using Fisher's exact test and Mann-Whitney test. Results Strabismus surgery coupled with scleral buckle removal was associated with a higher rate of success (success with buckle removal, 62.5%; success without buckle removal, 10.0%; p=0.04). There were no significant difference in preoperative findings between the scleral buckle removal and non- removal groups. No retinal redetachments occurred after scleral buckle removal. Conclusion In our series, scleral buckle removal was associated with improved surgical outcome in patients with strabismus following a scleral buckling procedure. PMID:24299332

77 FR 76861 - Removal of Job Training Partnership Act Implementing Regulations

Science.gov (United States)

2012-12-31

..., 633, 634, 636, 637, and 638 RIN 1205-AB68 Removal of Job Training Partnership Act Implementing...=FR . SUPPLEMENTARY INFORMATION: I. Direct Final Rule Procedure Since removal of the Job Training... barriers to employment for participation in the labor force by providing job training and other services...

The Use of Haz-Flote to Efficiently Remove Mercury from Contaminated Materials

Energy Technology Data Exchange (ETDEWEB)

Terry Brown

2009-03-03

There are thousands of known contaminated sites in the United Stated, including Superfund sites (1500 to 2100 sites), RCRA corrective action sites (1500 to 3500 sites), underground storage tanks (295,000 sites), U.S. Department of Defense sites (7300 sites), U.S. Department of Energy sites (4,000 sites), mining refuse piles, and numerous other hazardous metals and organic contamination sites. Only a small percentage of these sites has been cleaned up. The development of innovative technologies to handle the various clean-up problems on a national and international scale is commonplace. Many innovative technologies have been developed that can be used to effectively remediate contaminated materials. Unfortunately, many of these technologies are only effective for materials coarser than approximately 200 mesh. In addition, these technologies usually require considerable investment in equipment, and the clean-up costs of soil material are relatively high - in excess of $100 to $500 per yd{sup 3}. These costs result from the elaborate nature of the processes, the costs for power, and the chemical cost. The fine materials are disposed of or treated at considerable costs. As a result, the costs often associated with amelioration of contaminated sites are high. Western Research institute is in the process of developing an innovative soil washing technology that addresses the removal of contaminants from the fine size-fraction materials located at many of the contaminated sites. This technology has numerous advantages over the other ex-situ soil washing techniques. It requires a low capital investment, low operating costs and results in high levels of re-emplacement of the cleaned material on site. The process has the capability to clean the fine fraction (<200 mesh) of the soil resulting in a replacement of 95+% of the material back on-side, reducing the costs of disposal. The Haz-Flote{trademark} technology would expand the application of soil washing technology to heavy

Efficient analysis using custom interactive visualization tools at a Superfund site

International Nuclear Information System (INIS)

Williams, G.; Durham, L.

1992-01-01

Custom visualization analysis programs were developed and used to analyze contaminant transport calculations from a three-dimensional numerical groundwater flow model developed for a Department of Energy Superfund site. The site hydrogeology, which is highly heterogenous, includes both fractured limestone and dolomite and alluvium deposits. Three-dimensional interactive visualization techniques were used to understand and analyze the three-dimensional, double-porosity modeling results. A graphical object oriented programming environment was applied to efficiently develop custom visualization programs in a coarse-grained data structure language. Comparisons were made, using the results from the three-dimensional, finite-difference model, between traditional two-dimensional analyses (contour and vector plots) and interactive three-dimensional techniques. Subjective comparison areas include the accuracy of analysis, the ability to understand the results of three-dimensional contaminant transport simulation, and the capability to transmit the results of the analysis to the project management. In addition, a quantitative comparison was made on the time required to develop a thorough analysis of the modeling results. The conclusions from the comparative study showed that the visualization analysis provided an increased awareness of the contaminant transport mechanisms, provided new insights into contaminant migration, and resulted in a significant time savings

Efficient analysis using custom interactive visualization tools at a Superfund site

Energy Technology Data Exchange (ETDEWEB)

Williams, G. [Northwestern Univ., Evanston, IL (United States); Durham, L. [Argonne National Lab., IL (United States)

1992-12-01

Custom visualization analysis programs were developed and used to analyze contaminant transport calculations from a three-dimensional numerical groundwater flow model developed for a Department of Energy Superfund site. The site hydrogeology, which is highly heterogenous, includes both fractured limestone and dolomite and alluvium deposits. Three-dimensional interactive visualization techniques were used to understand and analyze the three-dimensional, double-porosity modeling results. A graphical object oriented programming environment was applied to efficiently develop custom visualization programs in a coarse-grained data structure language. Comparisons were made, using the results from the three-dimensional, finite-difference model, between traditional two-dimensional analyses (contour and vector plots) and interactive three-dimensional techniques. Subjective comparison areas include the accuracy of analysis, the ability to understand the results of three-dimensional contaminant transport simulation, and the capability to transmit the results of the analysis to the project management. In addition, a quantitative comparison was made on the time required to develop a thorough analysis of the modeling results. The conclusions from the comparative study showed that the visualization analysis provided an increased awareness of the contaminant transport mechanisms, provided new insights into contaminant migration, and resulted in a significant time savings.

The influence of steam cleaning procedures on the surface roughness of commonly used type III dental stone for the fabrication of removable dentures.

Science.gov (United States)

Cilingir, Altug; Geckili, Onur; Parlar, Zeynep; Gencel, Burc; Bozdag, Ergun; Temiz, Vedat

2013-09-01

This study investigated the possible detrimental effects of steam treatment on the surface of type III dental stone, which is a common laboratory material used for the construction of removable dentures. Forty dental stone specimens were prepared and divided into four groups (A, B, C and D), and group A was used as the control group. The other groups were treated with steam from a standard distance for varying durations (30, 60 and 120 s). The duration of steam cleaning significantly increased Ra values (F = 63.150, p = 0.000). Similarly, the duration of steam application was directly correlated with the weight changes (F = 17.721, p = 0.000). A significant amount of dental stone can be removed from the surface while treating with steam. These studies demonstrated that expanded periods of steam cleaning cause weight loss and abrade the surface of type III dental stones; therefore, these devices should be used with caution during denture fabrication procedures. © 2012 John Wiley & Sons A/S and The Gerodontology Society. Published by John Wiley & Sons Ltd.

Disassembly and removal of sodium instrumentation test loop

International Nuclear Information System (INIS)

Ishikawa, Okinobu; Onojima, Takamitu; Nagai, Keiichi

2000-07-01

In 1999, the Sodium Instrumentation Test Loop was disassembled and removed. This report describes the tasks and experiences obtained in removing sodium from a storage tank, disassembling, and cleansing components and related activities. Overall the disassembly, handling and cleansing tasks proceeded as planned and the activities were carried out efficiently and safely. Documentation of the process is meant to establish not only a procedure, but also a guideline for future similar tasks. (author)

Analytical Chemistry Laboratory (ACL) procedure compendium

International Nuclear Information System (INIS)

1993-01-01

This volume contains the interim change notice for the safety operation procedure for hot cell. It covers the master-slave manipulators, dry waste removal, cell transfers, hoists, cask handling, liquid waste system, and physical characterization of fluids

Hazardous waste management: Reducing the risk

International Nuclear Information System (INIS)

Goldman, B.A.; Hulme, J.A.; Johnson, C.

1986-01-01

Congress has strengthened the laws under which active hazardous waste facilities are regulated. Nevertheless, after visiting a number of active treatment, storage, and disposal facilities, the Council on Economic Priorities (CEP) found that not only do generators not know which facilities are the best, but that the EPA has not always selected the best facilities to receive wastes removed from Superfund sites. Other facilities were better managed, better located, and better at using more advanced technologies than the facilities the EPA selected. In fact, of the ten facilities CEP evaluated in detail the EPA chose the one that performed worst - CECOS International, Inc. in Williamsburg, Ohio - to receive Superfund wastes in more instances than any of the other nine facilities. Data from a house subcommittee survey indicate that almost half of the operating hazardous waste facilities the EPA chose to receive wastes removed from Superfund sites may have contaminated groundwater. Some of the chosen facilities may even be partially responsible for a share of the wastes they are being paid to clean up. Hazardous waste management strategies and technology, how to evaluate facilities, and case studies of various corporations and hazardous waste management facilities are discussed

Percutaneous removal of a pacing electrode

International Nuclear Information System (INIS)

Hoehne, U.; Schild, H.; Hake, U.

1989-01-01

The large number of pace-makers introduced transvenously has resulted in increasing the number of complications, amongst which infections and dislocations are prominent. It is usually necessary to remove the electrode, which can be attempted percutaneously by using a Dormia basket, a loop or forceps. Amongst the complications of this procedure are tears to the myocardium, with the risk of pericardial tamponade, or tears of the tricuspid valve leading to tricuspid insufficiency. Consequently, thoracic surgical intervention should be available if necessary. Four successful procedures are described. (orig.) [de

Mechanically controlled moisture removal from greenhouses

NARCIS (Netherlands)

Campen, J.B.; Kempkes, F.L.K.; Bot, G.P.A.

2009-01-01

The object of this study was to design and test a system capable of dehumidifying air in a greenhouse when a thermal screen is in use. Dehumidification is required to reduce the risk of fungal diseases and prevent physiological disorders. The most common procedure used to remove moisture from a

Chromaticity based smoke removal in endoscopic images

Science.gov (United States)

Tchaka, Kevin; Pawar, Vijay M.; Stoyanov, Danail

2017-02-01

In minimally invasive surgery, image quality is a critical pre-requisite to ensure a surgeons ability to perform a procedure. In endoscopic procedures, image quality can deteriorate for a number of reasons such as fogging due to the temperature gradient after intra-corporeal insertion, lack of focus and due to smoke generated when using electro-cautery to dissect tissues without bleeding. In this paper we investigate the use of vision processing techniques to remove surgical smoke and improve the clarity of the image. We model the image formation process by introducing a haze medium to account for the degradation of visibility. For simplicity and computational efficiency we use an adapted dark-channel prior method combined with histogram equalization to remove smoke artifacts to recover the radiance image and enhance the contrast and brightness of the final result. Our initial results on images from robotic assisted procedures are promising and show that the proposed approach may be used to enhance image quality during surgery without additional suction devices. In addition, the processing pipeline may be used as an important part of a robust surgical vision pipeline that can continue working in the presence of smoke.

Improvements in Logic Diagram of Computerized Procedure System of APR1400

Energy Technology Data Exchange (ETDEWEB)

Kang, Sungkweon; Seong, Nokyu [KHNP CRI, Daejeon (Korea, Republic of)

2016-10-15

The Computerized Procedure System (CPS) has been improved since it is installed in Shin-Kori 3 and 4 Nuclear Power Plants. It is one of operating support systems of digital Main Control Room (MCR) and provides many functions to operators in executing the procedure. CPS can effectively remove the human errors by supporting the procedure flow and logic diagram. This paper describes the logic diagram of CPS of reference power plant and shows the improved logic diagram of CPS of Shin-Kori unit 5 and 6. This paper describes the current logic diagram of CPS and suggests improved design for logic diagram. The improved logic diagram shall be validated through human factors engineering verification and validation. The improved design will help operators execute the computerized procedure fast and remove the human error.

Concentration and trend of 1,4-dioxane in wells sampled during 2002–2017 in the vicinity of the Tucson International Airport Area Superfund Site, Arizona

Science.gov (United States)

Tillman, Fred D.

2017-09-25

Industrial activities causing extensive groundwater contamination led to the listing of the Tucson International Airport Area (TIAA) as a Superfund Site in 1983. Early groundwater investigations identified volatile organic compounds (VOCs), including the chlorinated solvents trichloroethylene (TCE) and perchloroethylene (PCE), in wells in the area. Several responsible parties were identified and cleanup activities began in the late 1980s. In 2002, the compound 1,4-dioxane was discovered in wells in the area and has since been detected in measurable concentrations throughout the site. The U.S. Environmental Protection Agency (USEPA) classifies 1,4-dioxane as a likely human carcinogen.The purpose of this map is to present 1,4-dioxane concentrations in wells sampled from 2002 through mid-2017 in the TIAA Superfund Site area to indicate both the current status and trends in 1,4-dioxane groundwater contamination. This map includes data from wells in the commercial and residential community in the TIAA and does not include data from wells in suspected or confirmed source areas, such as Air Force Plant 44 and Tucson International Airport, or from wells within treatment facilities.

Ultrasound guided percutaneous removal of wooden foreign bodies in the extremities with hydro-dissection technique

Energy Technology Data Exchange (ETDEWEB)

Park, HeeJin; Lee, So Yeon; Chung, Eun Chul; Rho, Myung Ho [Dept. of Radiology, Sungkyunkwan University School of Medicine, Kangbuk Samsung Hospital, Seoul (Korea, Republic of); Lee, Sung Moon; Son, Eun Seok [Dongsan Medical Center, Keimyung University School of Medicine, Daegu (Korea, Republic of); Lee, Sun Joo [Dept. of Radiology, Inje University College of Medicine, Busan Paik Hospital, Busan (Korea, Republic of)

2015-12-15

We described the technique of ultrasound (US)-guided percutaneous removal of the foreign bodies (FB) with hydro-dissection in the radiologic department and presented video files of several cases.Four patients referred to the radiology department for US evaluation and US-guided percutaneous removal of the FBs in the upper and lower extremities between November, 2006 and November, 2013 were included in this study. The procedures started with US evaluation for the exact location and shape of the FB. A 5 mm-sized skin incision was made at the site of the nearest point from the FB where no passing arteries or tendons were present. We adopted a hydro dissection technique to separate the FB from adjacent tissue using a 2% lidocaine solution. Injected anesthetics detached the FBs from surrounding tissue and thereby facilitated removal. After the tip of the mosquito forceps reached the FB, the wooden FBs were removed. The mean time required for the entire procedure was approximately 20 minutes. There were no significant complications during the US-guided removal or long-term complications after the procedure. All 4 FBs were successfully removed from the soft tissue under US guidance. Ultrasound-guided percutaneous removal of the FBs with hydro-dissection in the radiology department is a less invasive and safe method over surgical removal in the operating room. Additionally, the use of a guide wire and serial dilator may help minimize soft tissue injury and facilitate the introduction of forceps.

Procedure to remove dissolved nickel and/or radium compounds from water and facility therefor

International Nuclear Information System (INIS)

Moravec, J.

2004-01-01

Dissolved nickel and/or radium compounds are removed from water on a granular material such as quartz sand, crushed coal or granulated MnO 2 whose surface contains oxides of manganese MnO x . The compounds to be removed are adsorbed into the MnO x layer. Subsequently the adsorbed compounds are desorbed with a reductant, such as sodium sulfite, which is present in a concentration forming a redox potential of -5 to -120 mV, and with a solution of sodium polyphosphate, such as sodium hexametaphosphate (NaPO 3 ) n . Two variants are possible: either MnO x is first acted upon with the reductant and subsequently with the polyphosphate, or a mixed solution of the two agents is used. The excess of the agents is removed with water or with a KMnO 4 solution at 0.001 to 25 g/L. The granular material as well as the agent solutions (after concentration) are reusable. (P.A.)

Techniques for removing contaminants from optical surfaces

International Nuclear Information System (INIS)

Stowers, I.F.; Patton, H.G.

1978-01-01

Particle removal procedures such as plasma cleaning, ultrasonic agitation of solvents, detergents, solvent wiping, mild abrasives, vapor degreasing, high pressure solvent spraying and others have been evaluated and the results are reported here. Wiping with a lens tissue wetted with an organic solvent and high pressure fluid spraying are the only methods by which particles as small as 5 μm can be effectively removed. All of the other methods tested were found to be at least two orders of magnitude less effective at removing small insoluble particles. An additional and as yet unresolved problem is the development of a reliable method for evaluating particulate surface cleanliness. Without such a reproducible monitoring technique, the large diversity of cleaning methods currently available cannot be quantitatively evaluated

Removal of metallic tracheobronchial stents in lung transplantation with flexible bronchoscopy

Directory of Open Access Journals (Sweden)

Fruchter Oren

2010-09-01

Full Text Available Abstract Background Airway complications are among the most challenging problems after lung transplantation, and Self-Expandable Metallic Stents (SEMS are used to treat airway complications such as stenosis or malacia at the bronchial anastomosis sites. Several transplantation centers are reluctant to use SEMS since their removal is sometimes needed and usually requires the use of rigid bronchoscopy under general anesthesia. The objective of the current report is to describe our experience in SEMS retrieval by flexible bronchoscopy under conscious sedation. Methods A retrospective review was done of patients requiring tracheobronchial stent placement after lung transplantation in which the SEMS had to be removed. The retrieval procedure was done by flexible bronchoscopy on a day-care ambulatory basis. Results Between January 2004 and January 2010, out of 305 lung transplantation patients, 24 (7.8% underwent SEMS placement. Indications included bronchial stenosis in 20 and bronchomalacia in 4. In six patients (25% the SEMS had to be removed due to excessive granulation tissue formation and stent obstruction. The average time from SEMS placement to retrieval was 30 months (range 16-48 months. The stent was completely removed in five patients and partially removed in one patient; no major complications were encountered, and all patients were discharged within 3 hours of the procedure. In all procedures, new SEMS was successfully re-inserted thereafter. Conclusions The retrieval of SEMS in patients that underwent lung transplantation can be effectively and safely done under conscious sedation using flexible bronchoscopy on a day-care basis, this observation should encourage increasing usage of SEMS in highly selected patients.

28 CFR 523.17 - Procedures.

Science.gov (United States)

2010-07-01

..., unless the reason for transfer would otherwise have caused removal from an earning status, and provided... status if not immediately employed in Federal Prison Industries or assigned to a work/study release... comply with procedures outlined in § 523.11. (f) An inmate serving a life sentence may earn extra good...

A Safe Protocol for Amalgam Removal

Directory of Open Access Journals (Sweden)

Dana G. Colson

2012-01-01

Full Text Available Today's environment has different impacts on our body than previous generations. Heavy metals are a growing concern in medicine. Doctors and individuals request the removal of their amalgam (silver mercury restorations due to the high mercury content. A safe protocol to replace the silver mercury filling will ensure that there is minimal if any absorption of materials while being removed. Strong alternative white composite and lab-processed materials are available today to create a healthy and functioning mouth. Preparation of the patient prior to the procedure and after treatment is vital to establish the excretion of the mercury from the body.

Removal of a fractured needle during inferior alveolar nerve block: two case reports.

Science.gov (United States)

You, Jae-Seek; Kim, Su-Gwan; Oh, Ji-Su; Choi, Hae-In; Jih, Myeong-Kwan

2017-09-01

The inferior alveolar nerve block is the most common method of local anesthesia for intraoral surgery at the posterior mandibular region. However, unexpected complications may occur when administering the local anesthesia. One of these uncommon complications is the fracture of the needle. If the injection needle is broken during the surgery, it should be removed immediately. However, this is one of the most difficult procedures. In this report, we present two cases of needle fracture during the procedure, and its successful removal under general/local anesthesia administration.

Effect of biological and chemical oxidation on the removal of estrogenic compounds (NP and BPA) from wastewater: an integrated assessment procedure.

Science.gov (United States)

Bertanza, Giorgio; Pedrazzani, Roberta; Dal Grande, Mario; Papa, Matteo; Zambarda, Valerio; Montani, Claudia; Steimberg, Nathalie; Mazzoleni, Giovanna; Di Lorenzo, Diego

2011-04-01

A major source of the wide presence of EDCs (Endocrine Disrupting Compounds) in water bodies is represented by direct/indirect discharge of sewage. Recent scientific literature reports data about their trace concentration in water, sediments and aquatic organisms, as well as removal efficiencies of different wastewater treatment schemes. Despite the availability of a huge amount of data, some doubts still persist due to the difficulty in evaluating synergistic effects of trace pollutants in complex matrices. In this paper, an integrated assessment procedure was used, based on chemical and biological analyses, in order to compare the performance of two full scale biological wastewater treatment plants (either equipped with conventional settling tanks or with an ultrafiltration membrane unit) and tertiary ozonation (pilot scale). Nonylphenol and bisphenol A were chosen as model EDCs, together with the parent compounds mono- and di-ethoxylated nonylphenol (quantified by means of GC-MS). Water estrogenic activity was evaluated by applying the human breast cancer MCF-7 based reporter gene assay. Process parameters (e.g., sludge age, temperature) and conventional pollutants (e.g., COD, suspended solids) were also measured during monitoring campaigns. Conventional activated sludge achieved satisfactory removal of both analytes and estrogenicity. A further reduction of biological activity was exerted by MBR (Membrane Biological Reactor) as well as ozonation; the latter contributed also to decrease EDC concentrations. Copyright © 2011 Elsevier Ltd. All rights reserved.

Magnetic Stent Removal in a Nurse-Led Clinic; a Nine-Month Experience.

LENUS (Irish Health Repository)

O’Connell, L

2018-02-01

Ureteric stents are frequently inserted post endourological procedures. However, subsequent endoscopic stent removal requires a second procedure for the patient and the availability of necessary resources. Longer duration of indwelling stents can lead to increased risk of symptoms and complications. The use of magnetic stents removed with a magnetic retrieval device (BlackStar©), offers an alternative which obviates the need for cystoscopy. We assessed the outcomes for this novel method of stent removal in our institution. A retrospective analysis was performed of all patients undergoing magnetic stent insertion and subsequent removal in a nurse-led clinic over a nine-month period. Patients were followed up with a prospective validated Ureteral Stent Symptoms Questionnaire (USSQ)3. A cost analysis was also performed. In total, 59 patients were treated using magnetic stents. The complication rate was low (6.7%). The median duration of indwelling stent was 5.8 days (range 1-11 days). Patients reported haematuria and lower urinary tract symptoms but >90% experienced no functional impairment with minimal days of employment lost (mean 0.75 days). All patients reported satisfaction with nurse-led stent removal and 97% were happy to have stents removed via this method in the future. The total financial savings were estimated at €47,790 over this period. Nurse-led removal of magnetic stents is safe and well tolerated by patients and enables expedient stent removal. It also provides a significant cost benefit and frees up valuable endoscopic resources.

In-situ stabilization of the Geiger (C and M Oil) Superfund Site

International Nuclear Information System (INIS)

Andromalos, K.B.; Ameel, M.E.

1994-01-01

The Geiger (C and M Oil) Superfund Site is the first US Army Corps of Engineers managed soil remediation project which utilized the in-situ stabilization/solidification technique to remediate the soil. This project involved the remediation of approximately 23,000 cubic yards of contaminated soil. Contaminants of concern included chromium, lead, PCB'S, toluene, benzene, and other organic compounds. Clean-up criteria for the stabilized material was equal to the National Primary Drinking Water Regulations, when tested using the TCLP leachate extraction method. Chromium, lead, and toluene were the main contaminants of concern, with TCLP clean-up goals of 150, 15 and 1,000 parts per billion (ppb), respectively. This National Priorities List (NPL) site is located near Charleston, SC and was an abandoned old waste oil facility that utilized unlined shallow trenches for the storage of waste oil. This paper summarizes the initial testing programs and the final production work at the site. Extensive testing was performed throughout all phases of the project. This testing was performed for the purpose of mix optimization, quality assurance, and verification testing. Specific parameters tested included: TCLP testing of organics, metals and PCBs, permeability testing, and unconfirmed compression strength

Ultrasound-assisted oxidative process for sulfur removal from petroleum product feedstock.

Science.gov (United States)

Mello, Paola de A; Duarte, Fábio A; Nunes, Matheus A G; Alencar, Mauricio S; Moreira, Elizabeth M; Korn, Mauro; Dressler, Valderi L; Flores, Erico M M

2009-08-01

A procedure using ultrasonic irradiation is proposed for sulfur removal of a petroleum product feedstock. The procedure involves the combination of a peroxyacid and ultrasound-assisted treatment in order to comply with the required sulfur content recommended by the current regulations for fuels. The ultrasound-assisted oxidative desulfurization (UAOD) process was applied to a petroleum product feedstock using dibenzothiophene as a model sulfur compound. The influence of ultrasonic irradiation time, oxidizing reagents amount, kind of solvent for the extraction step and kind of organic acid were investigated. The use of ultrasonic irradiation allowed higher efficiency for sulfur removal in comparison to experiments performed without its application, under the same reactional conditions. Using the optimized conditions for UAOD, the sulfur removal was about 95% after 9min of ultrasonic irradiation (20kHz, 750W, run at 40%), using hydrogen peroxide and acetic acid, followed by extraction with methanol.

Pollutants in drinking water - sources, harmful effects and removal procedures

International Nuclear Information System (INIS)

Qadeer, R.

2005-01-01

The underground water resources available for human consumption are being continuously contaminated by the natural sources and anthropogenic activities. The pollutants include toxic microorganism, inorganic and organic chemicals and radionuclide etc. This is an acute problem in our country, where free style way of disposal of industrial effluents into the natural water bodies contaminates the surface and ground water. These contaminants make their way into human body through contaminated drinking water, which leads to the malfunctioning of the body organs. Details of some pollutants present in drinking water, their source and harmful effects on human beings are reviewed in this communication Merits and demerits of methods used to remove the pollutants from drinking water are also discussed. (author)

Residual heat removal during accidental situations

International Nuclear Information System (INIS)

Depond, M.; Sureau, H.; Tellier, N.

1983-07-01

Existing emergency procedures, whose purpose is residual heat removal and a safe recovery are based on sequential analysis and initiating event diagnosis. This approach was found in some cases inappropriate and inefficient, specially in case of out-of-design accidents corresponding to multiple equipment failure or simultaneous human failures. To cope with these situations, a new approach was necessary. Parallel studies performed in France at Framatome (the designer) and Electricity de France (the utility) gave a new method, called NSSS physical states approach. Prior to the implementation of this method which necessitates further studies and developments, some improvements in the existing operating procedures derived from the NSSS physical states have already been achieved: that is the case for the safety injection control and the development of an emergency procedure called ''U1''. This paper will briefly physical states approach and present the ''U1'' procedure. The tools which will be used to chack these methods are also mentioned

Sphincter-saving procedure for radiation-injuried rectum

International Nuclear Information System (INIS)

Moriya, Yoshihiro; Koyama, Yasuo; Hojo, Keiichi

1982-01-01

Up to this time the sigmoid colostomy has been widely accepted and conventional treatment for radiation-injured rectum, but patients without residual malignancy strongly desire to live without colostomy. We have tried to remove the involved rectal segments by sphincter-saving procedures. Four patients underwent these procedures, pull-through procedure in three and low anterior resection in one. Among sphincter-saving procedures, pull-through procedure was most adequate. Provided the following five conditions are fulfilled, pull-through procedure should be considered for severe radiation-injured rectum. (1) No recurrence of initial malignancy in the pelvis. (2) More than 2 cm intact rectal segment above dentate line may be preserved. (3) No radiation-injured segment in upper sigmoid. (4) No severe radiation damage in small intestine. (5) Patients under 70 year-old, with normal tonus of anal sphincter. (author)

Value of modified Foley catheter method in the removal of blunt esophageal foreign bodies

International Nuclear Information System (INIS)

Kim, Kyung In; Cha, Yoo Mi; Han, Heon; Yang, Dal Mo; Kim, Hyung Sik; Lee, Young Seok

1993-01-01

Removal of blunt esophageal foreign bodies using Foley catheter under a fluoroscopic guidance is a well recognized procedure. However, since this procedure is rather cumbersome and uncomfortable to the patient, the authors tried to find an easier and more convenient modified technique. For 10 patients with esophageal foreign body, we tried the method to the patient who is lying in the right lateral decubitus position and 3 assistants hold head, arms, trunk and legs of the patient without tilting the table and without using immobilizer. Foley catheter is inserted through nostril, nasal cavity and pharynx to esophagus. in order to identify the Foley catheter in esophagus, 0.025 inch short wire was inserted in the Foley catheter. The balloon of a Foley catheter was inflated by 10 cc of air, and the syringe was kept attached to the Foley catheter during the procedure. After passage of the foreign body through the upper esophageal sphinter, the balloon was deflated immediately and the foreign body was removed through the mouth. We successfully removed in removing all the blunt esophageal foreign body with ease. This modified method is also fast, safe and efficient

Persistent pelvic pain following transvaginal mesh surgery: a cause for mesh removal.

Science.gov (United States)

Marcus-Braun, Naama; Bourret, Antoine; von Theobald, Peter

2012-06-01

Persistent pelvic pain after vaginal mesh surgery is an uncommon but serious complication that greatly affects women's quality of life. Our aim was to evaluate various procedures for mesh removal performed at a tertiary referral center in cases of persistent pelvic pain, and to evaluate the ensuing complications and outcomes. A retrospective study was conducted at the University Hospital of Caen, France, including all patients treated for removal or section of vaginal mesh due to pelvic pain as a primary cause, between January 2004 and September 2009. Ten patients met the inclusion criteria. Patients were diagnosed between 10 months and 3 years after their primary operation. Eight cases followed suburethral sling procedures and two followed mesh surgery for pelvic organ prolapse. Patients presented with obturator neuralgia (6), pudendal neuralgia (2), dyspareunia (1), and non-specific pain (1). The surgical treatment to release the mesh included: three cases of extra-peritoneal laparoscopy, four cases of complete vaginal mesh removal, one case of partial mesh removal and two cases of section of the suburethral sling. In all patients with obturator neuralgia, symptoms were resolved or improved, whereas in both cases of pudendal neuralgia the symptoms continued. There were no intra-operative complications. Post-operative Retzius hematoma was observed in one patient after laparoscopy. Mesh removal in a tertiary center is a safe procedure, necessary in some cases of persistent pelvic pain. Obturator neuralgia seems to be easier to treat than pudendal neuralgia. Early diagnosis is the key to success in prevention of chronic disease. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.

Sphincter-saving procedure for radiation-injuried rectum. A report of four cases with special reference to pull-through procedure

Energy Technology Data Exchange (ETDEWEB)

Moriya, Y.; Koyama, Y.; Hojo, K. (National Cancer Center, Tokyo (Japan))

1982-09-01

Up to this time the sigmoid colostomy has been widely accepted and conventional treatment for radiation-injured rectum, but patients without residual malignancy strongly desire to live without colostomy. We have tried to remove the involved rectal segments by sphincter-saving procedures. Four patients underwent these procedures, pull-through procedure in three and low anterior resection in one. Among sphincter-saving procedures, pull-through procedure was most adequate. Provided the following five conditions are fulfilled, pull-through procedure should be considered for severe radiation-injured rectum. (1) No recurrence of initial malignancy in the pelvis. (2) More than 2 cm intact rectal segment above dentate line may be preserved. (3) No radiation-injured segment in upper sigmoid. (4) No severe radiation damage in small intestine. (5) Patients under 70 year-old, with normal tonus of anal sphincter.

Source removal strategy development for manufactured gas plant sites

International Nuclear Information System (INIS)

Golchin, J.; Nelson, S.

1994-01-01

A source removal action plan was developed by Midwest Gas and the Iowa Department of Natural Resources to address the source coal tar contamination within the underground gas holder basin at former Manufactured Gas Plant (MGP) sites. The procedure utilizes a mixture of coal, contaminated soil and coal rat sludge to provide a material that had suitable material handling characteristics for shipment and burning in high efficiency utility boilers. Screening of the mixture was required to remove oversized debris and ferrous metal. The resulting mixture did not exhibit toxic characteristics when tested under the Toxicity Characteristics Leaching Procedure (TCLP). Test results on the coal tar sludges have indicated that the more pure coal tar materials may fail the TCLP test and be classified as a RCRA hazardous waste. The processing procedure was designed to stabilize the coal tar sludges and render those sludges less hazardous and, as a result, able to pass the TCLP test. This procedure was adopted by the Edison Electric Institute to develop a national guidance document for remediation of MGP sites. The EPA Office of Solid Waste and Emergency Response recommended this strategy to the Regional Waste Management Directors as a practical tool for handling wastes that may exhibit the RCRA characteristics

Chest Wall Constriction after the Nuss Procedure Identified from Chest Radiograph and Multislice Computed Tomography Shortly after Removal of the Bar.

Science.gov (United States)

Chang, Pei-Yeh; Zeng, Qi; Wong, Kin-Sun; Wang, Chao-Jan; Chang, Chee-Jen

2016-01-01

This study radiographically examined the changes in the chest walls of patients with pectus excavatum (PE) after Nuss bar removal, to define the deformation caused by the bar and stabilizer. In the first part of the study, we compared the changes in chest radiographs of patients with PE to a preoperation PE control group. In the second part, we used multislice computed tomography (CT) scans to provide three-dimensional reconstructions with which to evaluate the changes to the thoracic wall. Part 1 From June 2006 to August 2011, 1,125 patients with PE who had posteroanterior chest radiographs taken before undergoing the Nuss procedure at four hospitals were enrolled as a preoperative control group. At the same time, 203 patients who had the bar removed were enrolled as the study group. The maximum dimensions of the outer boundary of the first to ninth rib pairs (R1-R9, rib pair width), chest height, and chest width were measured. Part 2 Thirty-one consecutive patients with PE (20 males and 11 females) who underwent Nuss bar removal were evaluated 7 to 30 days after operation. During this period, a further 34 patients with PE who had undergone CT imaging before bar insertion were evaluated and compared with the postoperative group. Part 1 The width of the lower ribs (R4-R9) after bar removal was significantly less than in the age-matched controls. The ribs adjacent to the bar (R5-R7) showed the greatest restriction. The width of the upper ribs (R1-R3) 2 to 3 years after bar placement did not differ significantly from the controls. Patients who were operated on after 10 years of age had less of a restrictive effect. Three years of bar placement resulted in more restriction than a 2-year period, particularly in patients younger than 10 years old. Part 2: A significant constriction of the chest wall was observed in 13 patients after removal of the Nuss bar. Constriction at ribs 5 to 8 was found to be present adjacent to the site of bar insertion. However

Efficacy of peritoneal dialysis during infusion and drainage procedures.

Science.gov (United States)

Baczyski, Daniel; Antosiewicz, Stefan; Waniewski, Jacek; Nowak, Zbigniew; Wakowicz, Zofia

2010-01-01

Inadequate dialysis is still a major cause of technique failure in peritoneal dialysis (PD). Mathematical models provide the possibility of direct and precise assessment of peritoneal transport of urea and creatinine throughout the dwell and allow calculation of optimal schedules, dwell times, and predicted adequacy of a prescribed regimen. Kinetic modeling is particularly important for automated PD. If the effectiveness of uremic toxin removal that takes place during infusion and drainage of dialysis fluid is not taken into account, the predicted adequacy of the whole PD session may be underestimated. ♢ To estimate the efficacy of urea and creatinine removal during the dialysis fluid exchange procedure. ♢ 17 patients treated with PD were included in the study. PD effectiveness during dialysate exchange was defined as the quotient k of removed amount of creatinine/BUN during the infusion and drainage of dialysate and during a dwell of the same duration as the dialysate exchange. ♢ The effectiveness of creatinine and urea removal was reduced during the exchange procedure (k(creat) = 0.68 ± 0.43 and k(BUN) = 0.87 ± 0.44) and differed between these 2 solutes (p = 0.0009). The k coefficients for urea and creatinine were well correlated (R(2) = 0.83). ♢ The effectiveness of peritoneal transport of creatinine and BUN during the inflow/outflow phase was relatively high compared to that during the same dwell time (68% and 87% respectively). This real effectiveness of the dialysate exchange procedure should be taken into account in the process of planning automated PD sessions, otherwise the predicted overall efficacy of creatinine and urea removal throughout the session may be underestimated. This underestimation is proportional to the number of dwells per day.

Essure Removal for the Treatment of Device-Attributed Symptoms: An Expanded Case Series and Follow-up Survey.

Science.gov (United States)

Clark, Nisse V; Rademaker, Doortje; Mushinski, Avery A; Ajao, Mobolaji O; Cohen, Sarah L; Einarsson, Jon I

To evaluate perioperative outcomes and symptom resolution in women undergoing removal of the Essure device for device-attributed symptoms. Retrospective case series and follow-up patient survey (Canadian Task Force classification III). Large academic medical center. Fifty-two women who underwent laparoscopic or hysteroscopic Essure removal between 2012 and 2016. Women underwent one of four procedures: laparoscopic hysterectomy (LH) and bilateral salpingectomy (BS), laparoscopic BS and cornuectomy, laparoscopic Essure removal and BS, or hysteroscopic Essure removal and laparoscopic BS. Fifty-two women who underwent Essure removal were asked to complete a survey regarding symptom resolution and quality of life following the procedure. Thirty-two women (61.5%) responded to the survey. Seventy-five percent (24/32) reported almost total or total improvement in quality of life, 56.3% (18/32) for sex life, 53.1% (17/32) for pelvic pain, and 65.6% (21/32) for daily activities. The majority of women reported some degree of improvement in all four domains queried (87.5%, 28/32). When asked about their symptoms in general, 31.3% (10/32) of women reported ongoing or worse symptoms after Essure removal. All procedures took approximately one hour (mean 65 min, SD 33 min), were associated with minimal blood loss (mean 31 mL, SD 17), and had no perioperative complications. Essure removal is a procedure that may be effective for treating most women with symptoms attributed to the device. Patients should be counseled that some symptoms may persist or even worsen following surgery. Copyright © 2017 AAGL. Published by Elsevier Inc. All rights reserved.

Indications for surgical removal of the eye in adults: a five-year review

African Journals Online (AJOL)

Background: To determine the indications and procedures used for removing the eye in adults in our environment. Method: A retrospective study of destructive ocular surgeries carried out between January 1999 and December 2003. Theatre and case records of adult patients that underwent surgical removal of the eye over ...

Acceptance test procedure, 241-SY-101/241-C-106 shot loading system

International Nuclear Information System (INIS)

Ostrom, M.J.

1994-01-01

This Acceptance Test Procedure is for the 241-SY-101/241-C-106 Shot Loading System. The procedure will test the components of the Shot Loading System and its capability of adequately loading shot into the annular space of the Container. The loaded shot will provide shielding as required for transporting and storage of a contaminated pump after removal from the tank. This test serves as verification that the SLS is acceptable for use in the pump removal operations for Tanks 241-SY-101, 241-C-106 and 241-AY-102. The pump removal operation for these three tanks will be performed by two different organizations with different equipment, but the Shot Loading System will be compatible between the two operations

Robotic removal of eroded vaginal mesh into the bladder.

Science.gov (United States)

Macedo, Francisco Igor B; O'Connor, Jeffrey; Mittal, Vijay K; Hurley, Patrick

2013-11-01

Vaginal mesh erosion into the bladder after midurethral sling procedure or cystocele repair is uncommon, with only a few cases having been reported in the literature. The ideal surgical management is still controversial. Current options for removal of eroded mesh include: endoscopic, transvaginal or abdominal (either open or laparoscopic) approaches. We, herein, present the first case of robotic removal of a large eroded vaginal mesh into the bladder and discuss potential benefits and limitations of the technique. © 2013 The Japanese Urological Association.

40 CFR 305.26 - Prehearing conference.

Science.gov (United States)

2010-07-01

... LIABILITY ACT (CERCLA) ADMINISTRATIVE HEARING PROCEDURES FOR CLAIMS AGAINST THE SUPERFUND Prehearing... discovery. (1) Discovery shall include any of the methods described in rule 26(a) of the Federal Rules of Civil Procedure. (2) The parties may conduct any mutually agreed upon discovery without participation or...

Assembly procedure for Shot Loading Platform

International Nuclear Information System (INIS)

Routh, R.D.

1995-01-01

This supporting document describes the assembly procedure for the Shot Loading Platform. The Shot Loading Platform is used by multiple equipment removal projects to load shielding shot in the annular spaces of the equipment storage containers. The platform height is adjustable to accommodate different sizes of storage containers and transport assemblies

Single-piece maintenance procedures for the TITAN reversed-field pinch reactor

International Nuclear Information System (INIS)

Grotz, S.P.; Creedon, R.L.; Cooke, P.I.H.; Duggan, W.P.; Krakowski, R.A.; Najmabadi, F.; Wong, C.P.C.

1987-01-01

The TITAN reactor is a compact (major radius of 3.9 m and minor plasma radius of 0.6 m), high neutron wall loading (--18MW/m 2 ) fusion energy system based on the reversed-field pinch (RFP) concept. The TITAN-I fusion power core (FPC) is a lithium, self-cooled design with vanadium alloy (V-3Ti-1Si) structural material. The compact design of the TITAN fusion power core (FPC) reduces the system to a few small and relatively low mass components, making toroidal segmentation of the FPC unnecessary. A single-piece maintenance procedure in which the replaceable first wall and blanket is removed as a single unit is, therefore, possible. The TITAN FPC design provides for top access to the reactor with vertical lifts used to remove the components. The number of remote handling procedures is few and the movements are uncomplicated. The annual torus replacement requires that the reusable ohmic-heating coil set and hot-shield assembly be removed and temporarily stored in a hot cell. The used first wall and blanket assembly is drained and disconnected from the coolant supply system, then lifted to a processing room where it is cooled and prepared for Class-C waste burial. The new, pre-tested first wall and blanket assembly is then lowered into position and the removal procedure is reversed to complete the replacement process

Oil adsorbing package, also procedure to remove oil from a water surface

Energy Technology Data Exchange (ETDEWEB)

1971-05-01

A method is given to remove oil from water to prevent water pollution. Use is made of an oil-adsorbing packet having a specific gravity which is lower than the specific gravity of water. The hull is manufactured from any material which is not a water-insoluble nonpolar material. The hull is partly permeable to water and encloses a solid oil-adsorbing compound having a large adsorbing surface. (10 claims)

Laser and intense pulsed light hair removal technologies

DEFF Research Database (Denmark)

Haedersdal, M; Beerwerth, F; Nash, J F

2011-01-01

Light-based hair removal (LHR) is one of the fastest growing, nonsurgical aesthetic cosmetic procedures in the United States and Europe. A variety of light sources including lasers, e.g. alexandrite laser (755 nm), pulsed diode lasers (800, 810 nm), Nd:YAG laser (1064 nm) and broad-spectrum intense...

Safety of endoscopic removal of self-expandable stents after treatment of benign esophageal diseases.

Science.gov (United States)

van Halsema, Emo E; Wong Kee Song, Louis M; Baron, Todd H; Siersema, Peter D; Vleggaar, Frank P; Ginsberg, Gregory G; Shah, Pari M; Fleischer, David E; Ratuapli, Shiva K; Fockens, Paul; Dijkgraaf, Marcel G W; Rando, Giacomo; Repici, Alessandro; van Hooft, Jeanin E

2013-01-01

Temporary placement of self-expandable stents has been increasingly used for the management of benign esophageal diseases. To evaluate the safety of endoscopic removal of esophageal self-expandable stents placed for the treatment of benign esophageal diseases. Multicenter retrospective study. Six tertiary care centers in the United States and Europe. A total of 214 patients with benign esophageal diseases undergoing endoscopic stent removal. Endoscopic stent removal. Endoscopic techniques for stent removal, time to stent removal, and adverse events related to stent removal. A total of 214 patients underwent a total of 329 stent extractions. Stents were mainly placed for refractory strictures (49.2%) and fistulae (49.8%). Of the removed stents, 52% were fully covered self-expandable metal stents (FCSEMSs), 28.6% were partially covered self-expandable metal stents (PCSEMSs), and 19.5% were self-expandable plastic stents. A total of 35 (10.6%) procedure-related adverse events were reported, including 7 (2.1%) major adverse events. Multivariate analysis revealed that use of PCSEMSs (P stent removal. Favorable factors for successful stent removal were FCSEMSs (P ≤ .012) and stent migration (P = .010). No significant associations were found for stent indwelling time (P = .145) and stent embedding (P = .194). Retrospective analysis, only tertiary care centers. With an acceptable major adverse event rate of 2.1%, esophageal stent removal in the setting of benign disease was found to be a safe and feasible procedure. FCSEMSs were more successfully removed than self-expandable plastic stents and PCSEMSs. Adverse events caused by stent removal were not time dependent. Copyright © 2013 American Society for Gastrointestinal Endoscopy. Published by Mosby, Inc. All rights reserved.

How to remove a chest drain.

Science.gov (United States)

Allibone, Elizabeth

2015-10-07

RATIONALE AND KEY POINTS: This article aims to help nurses to undertake the removal of a chest drain in a safe, effective and patient-centred manner. This procedure requires two practitioners. The chest drain will have been inserted aseptically to remove air, blood, fluid or pus from the pleural cavity. ▶ Chest drains may be small or wide bore depending on the underlying condition and clinical setting. They may be secured with a mattress suture and/or an anchor suture. ▶ Chest drains are usually removed under medical instructions when the patient's lung has inflated, the underlying condition has resolved, there is no evidence of respiratory compromise or failure, and their anticoagulation status has been assessed as satisfactory. ▶ Chest drains secured with a mattress suture should be removed by two practitioners. One practitioner is required to remove the tube and the other to tie the mattress suture (if present) and secure the site. REFLECTIVE ACTIVITY: Clinical skills articles can help update your practice and ensure it remains evidence based. Apply this article to your practice. Reflect on and write a short account of: 1. How reading this article will change your practice. 2. How this article could be used to educate patients with chest drains. Subscribers can upload their reflective accounts at: rcni.com/portfolio .

Mercury in tree swallow food, eggs, bodies, and feathers at Acadia National Park, Maine, and an EPA superfund site, Ayer, Massachusetts.

Science.gov (United States)

Longcore, Jerry R; Haines, Terry A; Halteman, William A

2007-03-01

We monitored nest boxes during 1997-1999 at Acadia National Park, Mt. Desert Island, ME and at an old-field site in Orono, ME to determine mercury (Hg) uptake in tree swallow (Tachycineta bicolor) eggs, tissues, and food boluses. Also, in 1998-1999 we monitored nest boxes at Grove Pond and Plow Shop Pond at a U.S. Environmental Protection Agency Superfund site in Ayer, MA. We recorded breeding success at all locations. On average among locations, total mercury (THg) biomagnified 2 to 4-fold from food to eggs and 9 to 18-fold from food to feathers. These are minimum values because the proportion of transferable methyl mercury (MeHg) of the THg in insects varies (i.e., 35%-95% of THg) in food boluses. THg was highest in food boluses at Aunt Betty Pond at Acadia, whereas THg in eggs was highest at the Superfund site. A few eggs from nests at each of these locations exceeded the threshold (i.e., 800-1,000 ng/g, wet wt.) of embryotoxicity established for Hg. Hatching success was 88.9% to 100% among locations, but five eggs failed to hatch from 4 of the 11 clutches in which an egg exceeded this threshold. MeHg in feathers was highest in tree swallows at Aunt Betty Pond and the concentration of THg in bodies was related to the concentration in feathers. Transfer of an average of 80%-92% of the Hg in bodies to feathers may have enhanced nestling survival. Residues of Hg in tissues of tree swallows in the Northeast seem higher than those of the Midwest.

Prolapse Recurrence after Transvaginal Mesh Removal.

Science.gov (United States)

Rawlings, Tanner; Lavelle, Rebecca S; Coskun, Burhan; Alhalabi, Feras; Zimmern, Philippe E

2015-11-01

We determined the rate of pelvic organ prolapse recurrence after transvaginal mesh removal. Following institutional review board approval a longitudinally collected database of women undergoing transvaginal mesh removal for complications after transvaginal mesh placement with at least 1 year minimum followup was queried for pelvic organ prolapse recurrence. Recurrent prolapse was defined as greater than stage 1 on examination or the need for reoperation at the site of transvaginal mesh removal. Outcome measures were based on POP-Q (Pelvic Organ Prolapse Quantification System) at the last visit. Patients were grouped into 3 groups, including group 1--recurrent prolapse in the same compartment as transvaginal mesh removal, 2--persistent prolapse and 3--prolapse in a compartment different than transvaginal mesh removal. Of 73 women 52 met study inclusion criteria from 2007 to 2013, including 73% who presented with multiple indications for transvaginal mesh removal. The mean interval between insertion and removal was 45 months (range 10 to 165). Overall mean followup after transvaginal mesh removal was 30 months (range 12 to 84). In group 1 (recurrent prolapse) the rate was 15% (6 of 40 patients). Four women underwent surgery for recurrent prolapse at a mean 7 of months (range 5 to 10). Two patients elected observation. The rate of persistent prolapse (group 2) was 23% (12 of 52 patients). Three women underwent prolapse reoperation at a mean of 10 months (range 8 to 12). In group 3 (de novo/different compartment prolapse) the rate was 6% (3 of 52 patients). One woman underwent surgical repair at 52 months. At a mean 2.5-year followup 62% of patients (32 of 52) did not have recurrent or persistent prolapse after transvaginal mesh removal and 85% (44 of 52) did not undergo any further procedure for prolapse. Specifically for pelvic organ prolapse in the same compartment as transvaginal mesh removal 12% of patients had recurrence, of whom 8% underwent prolapse repair

Randomized controlled clinical trial of long-term chemo-mechanical caries removal using PapacarieTM gel

Directory of Open Access Journals (Sweden)

Lara Jansiski MOTTA

2014-07-01

Full Text Available Objectives: Compare the effectiveness of PapacarieTM gel for the chemo-mechanical removal of carious lesions on primary teeth to conventional caries removal with a low-speed bur with regard to execution time, clinical aspects and radiographic findings. Material and Methods: A randomized controlled clinical trial with a split-mouth design was carried out. The sample was composed of 20 children aged four to seven years, in whom 40 deciduous teeth were randomly divided into two groups: chemo-mechanical caries removal with PapacarieTM and removal of carious dentin with a low-speed bur. Each child underwent both procedures and served as his/her own control. Restorations were performed with glass ionomer cement. The time required to perform the procedure was also analyzed. The patients underwent longitudinal clinical and radiographic follow-up of the restorations. Results: No statistically significant difference between groups was found regarding the time required to perform the procedures and the radiographic follow up. Statistically significant differences between groups were found in the clinical evaluation at 6 and 18 months after treatment. Conclusion: PapacarieTM is as effective as the traditional method for the removal of carious dentin on deciduous teeth, but offers the advantages of the preservation of sound dental tissue as well as the avoidance of sharp rotary instruments and local anesthesia.

Removal of a seized fuel channel from the KANUPP reactor

International Nuclear Information System (INIS)

Butt, W.M.; Gunn, R.J.

1995-01-01

In support of the Safe operation of KANUPP program, AECL was commissioned in early 1992 to assist the Karachi Nuclear Power Plant in the design and supply of equipment and procedures for removal of a seized fuel channel from the KANUPP CANDU reactor. In addition AECL was also asked to supply technical site support to assist the KANUPP station staff during the removal of the G-12 channel. The design of a fuel channel removal system presented an interesting challenge. The fuel channel design was unique to KANUPP with no history of previous channel removal, consequently nearly all tools and equipment had to be specially designed. In addition, the seized end fitting posed a special problem requiring the development several contingency tools and techniques. This paper is an account of the design and development of the removal system and the site experiences during the actual fuel channel removal. After the channel had been removed, it was confirmed that a corrosion seizure between the end fitting sleeve bearings was inhibiting normal channel elongation. (author)

Effects of postmyelographic removal of metrizamide in dogs

International Nuclear Information System (INIS)

Widmer, W.R.; Blevins, W.E.; Cantwell, H.D.; Cook, J.R. Jr.; DeNicola, D.B.

1990-01-01

Using a paired crossover trial, the effects of postmyelographic removal of metrizamide injected via the cerebellomedullary cistern were studied in 16 normal dogs. Each animal received a routine and a withdrawal myelogram. Seizure activity, changes in spinal evoked motor potentials and body temperature were measured following each myelogram. The amount of metrizamide removed was determined by densitometrically analyzing radiographs of cerebrospinal fluid/metrizamide aliquots recovered during the withdrawal procedure. There was a significant decrease in the number of seizures for withdrawal versus nonwithdrawal myelography (p < 0.01). The mean amount of metrizamide withdrawn per dog was 29% of the total injected

Shocking Path of Least Resistance Shines Light on Subsurface by Revealing the Paths of Water and the Presence of Faults: Stacked EM Case Studies over Barite Hills Superfund Site in South Carolina

Science.gov (United States)

Haggar, K. S.; Nelson, H. R., Jr.; Berent, L. J.

2017-12-01

The Barite Hills/Nevada Gold Fields mines are in Late Proterozoic and early Paleozoic rocks of the gold and iron sulfides rich Carolina slate belt. The mines were active from 1989 to1995. EPA and USGS site investigations in 2003 resulted in the declaration of the waste pit areas as a superfund site. The USGS and private consulting firms have evaluated subsurface water flow paths, faults & other groundwater-related features at this superfund site utilizing 2-D conductivity & 3-D electromagnetic (EM) surveys. The USGS employed conductivity to generate instantaneous 2-D profiles to evaluate shallow groundwater patterns. Porous regolith sediments, contaminated water & mine debris have high conductivity whereas bedrock is identified by its characteristic low conductivity readings. Consulting contractors integrated EM technology, magnetic & shallow well data to generate 3-D images of groundwater flow paths at given depths across the superfund site. In so doing several previously undetected faults were identified. Lighting strike data was integrated with the previously evaluated electrical and EM data to determine whether this form of natural-sourced EM data could complement and supplement the more traditional geophysical data described above. Several lightning attributes derived from 3-D lightning volumes were found to correlate to various features identified in the previous geophysical studies. Specifically, the attributes Apparent Resistivity, Apparent Permittivity, Peak Current & Tidal Gravity provided the deepest structural geological framework & provided insights into rock properties & earth tides. Most significantly, Peak Current showed remarkable coincidence with the preferred groundwater flow map identified by one of the contractors utilizing EM technology. This study demonstrates the utility of robust integrated EM technology applications for projects focused on hydrology, geohazards to dams, levees, and structures, as well as mineral and hydrocarbon exploration.

Fatal Phenol Toxicity Following Attempted Tattoo Removal.

Science.gov (United States)

Li, Zhen; Zhang, Huang; Li, Shu-Hua; Byard, Roger W

2016-07-01

Tattoo removal is increasingly required as the number of, particularly young, people acquiring tattoos is increasing. A 21-year-old man is reported who underwent attempted removal of large dragon tattoo utilizing a tattoo machine that injected a phenol-containing solution. At the end of the 3-h procedure, he collapsed and died. At autopsy, large areas of white skin discoloration with focal necrosis and sloughing were present overlying areas of previous tattooing. Histological examination showed collections of eosinophilic fluid with a minimal chronic inflammatory infiltrate in better preserved areas, with focal areas of dermal necrosis. Toxicology was positive for phenol in cardiac blood and liver tissue. There were no underlying organic disease or injuries present which could have caused or contributed to death. This idiosyncratic method of tattoo removal involving subcutaneous injection of phenol had resulted in death most likely from cardiotoxicity. © 2016 American Academy of Forensic Sciences.

Control of the ASTRA decay heat removal system

International Nuclear Information System (INIS)

Nedelik, A.

1982-11-01

To ensure a minimum of core cooling even under severest accident conditions (loss of reactor pool water) a core spray system for decay heat removal has been installed at the ASTRA-reactor. The automatic and manual control of the system, its power supply and test procedures are shortly described. (Author)

12 CFR 308.602 - Removal, suspension, or debarment.

Science.gov (United States)

2010-01-01

... for which the FDIC is the appropriate Federal banking agency if, after service of a notice of... 12 Banks and Banking 4 2010-01-01 2010-01-01 false Removal, suspension, or debarment. 308.602 Section 308.602 Banks and Banking FEDERAL DEPOSIT INSURANCE CORPORATION PROCEDURE AND RULES OF PRACTICE...

Conceptual design of cesium removal device for ITER NBI maintenance

Energy Technology Data Exchange (ETDEWEB)

Oka, Kiyoshi; Shibanuma, Kiyoshi [Japan Atomic Energy Research Inst., Tokai, Ibaraki (Japan). Tokai Research Establishment

2003-03-01

Cesium is required in order to generate a stable negative ion of hydrogen in an ion source of the neutral beam injector (NBI), which is one of the plasma-heating devices for International Thermonuclear Experimental Reactor (ITER). After long time operation of the NBI, the cesium deposits to the insulators supporting the electrode. Due to the deterioration of the insulation resistance, the continuous operation of the NBI will be difficult. In addition, the NBI device is activated by neutrons from D-T plasma, so that periodic removal and cleaning of the cesium on the insulators by remove handling is required. A study of the cesium removal scenario and the device is therefore required considering remote handling. In this report, a cesium removal procedure and conceptual design of the cesium removal device using laser ablation technique are studied, and the feasibility of the laser ablation method is shown. (author)

Comparison of clinical outcomes of intraventricular hematoma between neuroendoscopic removal and extraventricular drainage

International Nuclear Information System (INIS)

Komatsu, Fuminari; Komatsu, Mika; Wakuta, Naoki; Oshiro, Shinaya; Tsugu, Hitoshi; Iwaasa, Mitsutoshi; Inoue, Tooru

2010-01-01

The efficacy of treatment for intraventricular hematoma by neuroendoscopic surgery and extraventricular drainage was compared in 10 patients with intraventricular hematoma and hydrocephalus who underwent neuroendoscopic surgery (endoscopic group), and eight patients with intraventricular hematoma and hydrocephalus treated with extraventricular drainage (EVD group). The outcomes in each group were assessed retrospectively using the Graeb scores on the pre- and postoperative computed tomography (CT), duration of extraventricular drainage, requirement for a shunt operation, and modified Rankin scale score at 12 months. The Graeb scores on the preoperative CT were not significantly different between the two groups, but the duration of catheter placement was significantly shorter (69.3%) in the endoscopic group (2.7 days) than in the EVD group (8.8 days). None of the patients in either group required a shunt procedure for communicating hydrocephalus 12 months after surgery. Neuroendoscopic removal is a safe and effective procedure for intraventricular hematoma. Advantages include rapid removal of hematoma in the ventricular systems and reliable improvement of non-communicating hydrocephalus in the acute phase. The procedure resulted in faster removal of the catheter in the postoperative period and earlier patient ambulation. (author)

Comparison of rigid and flexible endoscopy for removing esophageal foreign bodies in an emergency.

Science.gov (United States)

Tseng, Chia-Chen; Hsiao, Tzu-Yu; Hsu, Wei-Chung

2016-08-01

Despite the effectiveness of endoscopies in removing ingested foreign bodies (FBs) impacted in the esophagus, the merits and limitations of flexible endoscopy (FE) and rigid endoscopy (RE) remain unclear. Therefore, this study compares the advantages and disadvantages of both endoscopic procedures from a clinical perspective. A retrospective review was made of 273 patients suspected of esophageal FBs in emergency consultations of a tertiary medical referral center from March 2010 to March 2014. All patients received routine physical examinations, otolaryngological examinations, and X-rays of the neck and chest. The door-to-endoscopy time, procedure time, postendoscopic hospital stay, successful removal rates, and complications were analyzed as well. In this study, the most common esophageal FBs were fish and animal bones (76%) in adults and coins (74%) in children. The patients with existing esophageal FBs had significantly more frequent symptoms of dysphagia and signs of linear opacity as detected with lateral neck radiography than those without FB. Additionally, the door-to-endoscopy time, procedure time, and postendoscopic hospital stay was significantly shorter in FE patients than in RE patients. However, both RE and FE patients had high rates of successful FB removal (95%) and low complication rates (2%). Both FE and RE remove esophageal FBs successfully, as evidenced by their high success rates, low complication rates, and high detection rates. Although FE under local anesthesia is a less time-consuming procedure for adults, RE under general anesthesia may be preferable for children and can serve as an alternative to FE. Copyright © 2015. Published by Elsevier B.V.

Evaluation of enamel micro-cracks characteristics after removal of metal brackets in adult patients.

Science.gov (United States)

Dumbryte, Irma; Linkeviciene, Laura; Malinauskas, Mangirdas; Linkevicius, Tomas; Peciuliene, Vytaute; Tikuisis, Kristupas

2013-06-01

The purpose of this study was to evaluate and compare enamel micro-crack characteristics of adult patients before and after removal of metal brackets. After the examination with scanning electron microscopy (SEM), 45 extracted human teeth were divided into three groups of equal size: group 1, the teeth having enamel micro-cracks, group 2, the teeth without initial enamel micro-cracks, and group 3, control group to study the effect of dehydration on existing micro-cracks or formation of new ones. For all the teeth in groups 1 and 2, the same bonding and debonding procedures of metal brackets were conducted. The length and width of the longest enamel micro-crack were measured for all the teeth before and after removal of metal brackets. The changes in the location of the micro-cracks were also evaluated. In group 3, teeth were subjected to the same analysis but not bonded. The mean overall width of micro-cracks after removal of metal brackets was 3.82 μm greater than before bonding procedure (P cracks in first zone (cervical third) and third zone (occlusal third) after debonding procedure (P enamel micro-cracks were found in 6 of 15 (40 per cent) examined teeth. Greatest changes in the width of enamel micro-cracks after debonding procedure appear in the cervical third of the tooth. On the basis of this result, the dentist must pay extra care and attention to this specific area of enamel during removal of metal brackets in adult patients.

Efficient bounding schemes for the two-center hybrid flow shop scheduling problem with removal times.

Science.gov (United States)

Hidri, Lotfi; Gharbi, Anis; Louly, Mohamed Aly

2014-01-01

We focus on the two-center hybrid flow shop scheduling problem with identical parallel machines and removal times. The job removal time is the required duration to remove it from a machine after its processing. The objective is to minimize the maximum completion time (makespan). A heuristic and a lower bound are proposed for this NP-Hard problem. These procedures are based on the optimal solution of the parallel machine scheduling problem with release dates and delivery times. The heuristic is composed of two phases. The first one is a constructive phase in which an initial feasible solution is provided, while the second phase is an improvement one. Intensive computational experiments have been conducted to confirm the good performance of the proposed procedures.

Full scale solvent extraction remedial results

International Nuclear Information System (INIS)

Cash, A.B.

1992-01-01

Sevenson Extraction Technology, Inc. has completed the development of the Soil Restoration Unit (initially developed by Terra-Kleen Corporation), a mobile, totally enclosed solvent extraction treatment facility for the removal of organic contaminated media is greater by a closed loop, counter current process that recycles all solvents. The solvents used are selected for the individual site dependant upon the contaminants, such as PCB's, oil, etc. and the soil conditions. A mixture of up to fourteen non-toxic solvents can be used for complicated sites. The full scale unit has been used to treat one superfund site, the Traband Site in Tulsa, Oklahoma, and is currently treating another superfund site, the Pinette's Salvage Yard Site in Washburn, Maine. The full scale Soil Restoration Unit has also been used at a non-superfund site, as part of a TSCA Research and Development permit. The results from these sites will be discussed in brief herein, and in more detail in the full paper

Standard Review Plan Update and Development Program. Implementing Procedures Document

Energy Technology Data Exchange (ETDEWEB)

1992-05-01

This implementing procedures document (IPD) was prepared for use in implementing tasks under the standard review plan update and development program (SRP-UDP). The IPD provides comprehensive guidance and detailed procedures for SRP-UDP tasks. The IPD is mandatory for contractors performing work for the SRP-UDP. It is guidance for the staff. At the completion of the SRP-UDP, the IPD will be revised (to remove the UDP aspects) and will replace NRR Office Letter No. 800 as long-term maintenance procedures.

Tattoo removal in the typical adolescent

Science.gov (United States)

2011-01-01

Background Although popular tattoos are often regretted later on for different reasons. Nevertheless, tattoo removal is a complicated and costly procedure seldom providing satisfactory results. The aim of this study was to investigate the awareness of the implications of tattoo removal among a substantial sample of Italian secondary school adolescents. Findings Students were recruited by a stratified convenience sample and surveyed by a self administered questionnaire. Logistic regression analysis was performed, reporting adjusted Odds Ratios (OR), with 95% Confidence Interval (CI). 4,277 pupils returned a usable questionnaire. Piercings were more frequently undertaken than tattoos. Only 40% of the respondents were aware of the issues related to tattoo removal. Males and pupils with younger fathers were less likely to be aware, whereas students satisfied with their physical appearance and those with a positive attitude towards body art were more likely to be aware. Conclusions Male adolescents with younger fathers can be regarded as the ideal target of corporate health education programs driven by school counsellors and primary care physicians. PMID:21693015

Tattoo removal in the typical adolescent

Directory of Open Access Journals (Sweden)

Mazzoleni Francesco F

2011-06-01

Full Text Available Abstract Background Although popular tattoos are often regretted later on for different reasons. Nevertheless, tattoo removal is a complicated and costly procedure seldom providing satisfactory results. The aim of this study was to investigate the awareness of the implications of tattoo removal among a substantial sample of Italian secondary school adolescents. Findings Students were recruited by a stratified convenience sample and surveyed by a self administered questionnaire. Logistic regression analysis was performed, reporting adjusted Odds Ratios (OR, with 95% Confidence Interval (CI. 4,277 pupils returned a usable questionnaire. Piercings were more frequently undertaken than tattoos. Only 40% of the respondents were aware of the issues related to tattoo removal. Males and pupils with younger fathers were less likely to be aware, whereas students satisfied with their physical appearance and those with a positive attitude towards body art were more likely to be aware. Conclusions Male adolescents with younger fathers can be regarded as the ideal target of corporate health education programs driven by school counsellors and primary care physicians.

Comparison of simple and economical photocatalyst immobilisation procedures

DEFF Research Database (Denmark)

Lim, L.L.P.; Lynch, R.J.; In, Su-il

2009-01-01

Photocatalysis is extremely useful for the removal of organic contaminants in water. However, the conditions used for preparing and fixing the catalyst to a substrate have a great effect on its performance. The determination of a suitable immobilisation procedure for specific application becomes...

Acceptance test procedure for High Pressure Water Jet System

International Nuclear Information System (INIS)

Crystal, J.B.

1995-01-01

The overall objective of the acceptance test is to demonstrate a combined system. This includes associated tools and equipment necessary to perform cleaning in the 105 K East Basin (KE) for achieving optimum reduction in the level of contamination/dose rate on canisters prior to removal from the KE Basin and subsequent packaging for disposal. Acceptance tests shall include necessary hardware to achieve acceptance of the cleaning phase of canisters. This acceptance test procedure will define the acceptance testing criteria of the high pressure water jet cleaning fixture. The focus of this procedure will be to provide guidelines and instructions to control, evaluate and document the acceptance testing for cleaning effectiveness and method(s) of removing the contaminated surface layer from the canister presently identified in KE Basin. Additionally, the desired result of the acceptance test will be to deliver to K Basins a thoroughly tested and proven system for underwater decontamination and dose reduction. This report discusses the acceptance test procedure for the High Pressure Water Jet

Removable splint with locking attachments for maxillary distraction osteogenesis with the RED system.

Science.gov (United States)

Suzuki, E Y; Suzuki, B

2007-12-01

The external traction hooks of the intraoral splint used to control traction forces applied to the maxilla with the rigid external distraction system represent a major barrier to surgical procedures. The purpose of this article is to introduce a removable intraoral splint with locking attachments that can be placed post-surgically immediately before distraction, facilitating surgery and consequently reducing the operative time. Fifteen cleft lip and palate patients underwent maxillary distraction osteogenesis using a rigid external distraction device in combination with the proposed removable splint that was fixed onto the maxillary teeth to provide anchorage. Initial records showed severe maxillary hypoplasia and negative overjet. The removable splint was fabricated using 1.5-mm diameter stainless-steel rigid orthodontic wires soldered to the locking attachments (Y&B Products LP, Chiang Mai, Thailand), making possible its placement post-surgically. Stable splint fixation was achieved prior to the distraction procedure and the desired treatment goals were reached. No complications inserting or removing the splint post-surgically, including pain or discomfort, were observed. The use of the removable splint with locking attachments has proved to be a highly effective fixation approach to manage the severely hypoplastic maxilla, eliminating lip constraints resulting from scarring, and allowing for easier, more deliberate and careful dissection.

Complication with Removal of a Lumbar Spinal Locking Plate

Directory of Open Access Journals (Sweden)

Brooke Crawford

2015-01-01

Full Text Available Introduction. The use of locking plate technology for anterior lumbar spinal fusion has increased stability of the vertebral fusion mass over traditional nonconstrained screw and plate systems. This case report outlines a complication due to the use of this construct. Case. A patient with a history of L2 corpectomy and anterior spinal fusion presented with discitis at the L4/5 level and underwent an anterior lumbar interbody fusion (ALIF supplemented with a locking plate placed anterolaterally for stability. Fifteen months after the ALIF procedure, he returned with a hardware infection. He underwent debridement of the infection site and removal of hardware. Results. Once hardware was exposed, removal of the locking plate screws was only successful in one out of four screws using a reverse thread screw removal device. Three of the reverse thread screw removal devices broke in attempt to remove the subsequent screws. A metal cutting drill was then used to break hoop stresses associated with the locking device and the plate was removed. Conclusion. Anterior locking plates add significant stability to an anterior spinal fusion mass. However, removal of this hardware can be complicated by the inherent properties of the design with significant risk of major vascular injury.

Design procedure for sizing a submerged-bed scrubber for airborne particulate removal

International Nuclear Information System (INIS)

Ruecker, C.M.; Scott, P.A.

1987-04-01

Performance correlations to design and operate the submerged bed scrubber were developed for various applications. Structural design procedure outlined in this report focuses on off-gas scrubbing for HLW vitrification applications; however, the method is appropriate for other applications

Pollutants in drinking water: their sources, harmful effects and removal procedures

International Nuclear Information System (INIS)

Qadeer, R.

2004-01-01

The underground water resources available for human consumption are being continuously contaminated by the natural sources and anthropogenic activities. The pollutants include toxic microorganism, inorganic and organic chemical and radionuclide etc. this is an acute problem in our country, where free style way of disposal of industrial effluents into the natural water bodies contaminates the surface and ground water. These contaminants make their way into human body through contaminated drinking water, which leads to the malfunctioning of the body organs. Details of some pollutants present in drinking water, their source and harmful effects on human beings are reviewed in this communication. Merits and demerits of methods used to remove the pollutants from drinking water are also discussed. (author)

Internal deposition of radiostrontium and its removal

International Nuclear Information System (INIS)

George, G.A.; Mehdi, E.I.; Toma, N.A.

1979-01-01

The purpose of the investigation was to study the metabolism of 90 Sr relative to that of calcium and the possible procedures that might enhance its decorporation. One per cent only of an injected dose of the tracer was detected per 100 ml of blood 24 hours after the introduction of this isotope into the rabbit. This dropped to 0.01% 15 days later. Soft tissues contained 10% and 1% of the injected dose one day and 15 days after injection respectively, whereas the bone content reached 23.3% 15 days after tracer injection. In vitro removal experiments showed that a mixture of calcium and calciferol was the most potent agent, causing the removal of 81% of that found in the control animals. In vivo investigations supported the in vitro findings in the use of a calcium-vitamin D mixture, which removed 75% and 45% of the tracer from bones one and four days after isotope injection. These studies also pointed out the importance of time in treatment, and that it could have dramatic effects on the process of removal. The effects of different decorporating agents and their modes of action are also discussed in the paper. (author)

77 FR 74002 - Proposed Information Collection Request; Comment Request; Technical Assistance Needs Assessments...

Science.gov (United States)

2012-12-12

... in the remedial/ removal process as possible and enable meaningful community involvement in the Superfund decision-making process. Additionally, the TANA process produces a blueprint for designing a... services to the affected community. Given the specific nature of the TANA, 8 to 10 persons will be...

Phase I Source Investigation, Heckathorn Superfund Site, Richmond, California

Energy Technology Data Exchange (ETDEWEB)

Kohn, Nancy P; Evans, Nathan R

2002-12-18

This report represents Phase I of a multi-phase approach to a source investigation of DDT at the Heckathorn Superfund Site, Richmond, California, the former site of a pesticide packaging plant, and the adjacent waterway, the Lauritzen Channel. Potential identified sources of contamination were from sloughed material from undredged areas (such as side banks) and from outfall pipes. Objectives of Phase I included the (1) evaluation of pesticide concentrations associated with discharge from outfalls, (2) identification of additional outfalls in the area, (3) identification of type, quantity, and distribution of sediment under the Levin pier, (4) quantification of pesticide concentrations in sediment under the pier, and (5) evaluation of sediment structure and slope stability under the pier. Field operations included the collection of sediment directly from inside the mouths of outfall pipes, when possible, or the deployment of specially designed particle traps where direct sampling was problematic. Passive water samplers were placed at the end of known outfall pipes and analyzed for DDT and other pesticides of concern. Underwater dive surveys were conducted beneath the Levin pier to document type, slope, and thickness of sediment. Samples were collected at locations of interest and analyzed for contaminants. Also sampled was soil from bank areas, which were suspected of potentially contributing to continued DDT contamination of the Lauritzen Channel through erosion and groundwater leaching. The Phase I Source Investigation was successful in identifying significant sources of DDT contamination to Lauritzen Channel sediment. Undredged sediment beneath the Levin pier that has been redistributed to the channel is a likely source. Two outfalls tested bear further investigation. Not as well-defined are the contributions of bank erosional material and groundwater leaching. Subsequent investigations will be based on the results of this first phase.

12 CFR 308.603 - Automatic removal, suspension, and debarment.

Science.gov (United States)

2010-01-01

... audit services for insured depository institutions for which the FDIC is the appropriate Federal banking... 12 Banks and Banking 4 2010-01-01 2010-01-01 false Automatic removal, suspension, and debarment. 308.603 Section 308.603 Banks and Banking FEDERAL DEPOSIT INSURANCE CORPORATION PROCEDURE AND RULES OF...

Human health risks associated with asbestos abatement.

Science.gov (United States)

Chrostowski, P C; Foster, S A; Anderson, E L

1991-09-01

Upperbound lifetime excess cancer risks were calculated for activities associated with asbestos abatement using a risk assessment framework developed for EPA's Superfund program. It was found that removals were associated with cancer risks to workers which were often greater than the commonly accepted cancer risk of 1 x 10(-6), although lower than occupational exposure limits associated with risks of 1 x 10(-3). Removals had little effect in reducing risk to school populations. Risks to teachers and students in school buildings containing asbestos were approximately the same as risks associated with exposure to ambient asbestos by the general public and were below the levels typically of concern to regulatory agencies. During abatement, however, there were increased risks to both workers and nearby individuals. Careless, everyday building maintenance generated the greatest risk to workers followed by removals and encapsulation. If asbestos abatement was judged by the risk criteria applied to EPA's Superfund program, the no-action alternative would likely be selected in preference to removal in a majority of cases. These conclusions should only be interpreted within the context of an overall asbestos risk management program, which includes consideration of specific fiber types and sizes, sampling and analytical limitations, physical condition of asbestos-containing material, episodic peak exposures, and the number of people potentially exposed.

Use of Bentonite in residual waters of tanneries for the removal of Cr(III)

International Nuclear Information System (INIS)

Echavarria Isaza, Adriana; Moreno Casaf, Monica; Ramirez Ochoa, Claudia; Tamayo Martinez, Claudia; Saldarriaga Molina, Carlos

1998-01-01

An efficient procedure is reported for Cr(III) removal from tannery waste waters by means of natural and chemically treated bentonites. The best result was obtained using 20 mL of effluent with 7.5 grams of Bentonite. With this quantity it was removed the total amount of chromium III present in the sample

Acceptance test procedure, 241-SY-101 Flexible Receiver System, Phase III testing

International Nuclear Information System (INIS)

Ritter, G.A.

1994-01-01

This Acceptance Test Procedure is for the 241-SY-101 Flexible Receiver System, Phase III Testing. This procedure will test the sealing integrity of the Flexible Receiver System to ensure that release of waste and aerosols will be minimized during the removal of the test mixer pump from tank SY-101

Methods for removal of resin remaining after debonding of orthodontic brackets: A literature review

Directory of Open Access Journals (Sweden)

Mateus Rodrigues Tonetto

2014-01-01

Full Text Available The removal of resin debris and/or resin cement from the enamel surface without causing iatrogenic is the main objective when removing the orthodontic brackets. Some factors such as the time required for removal, damage to the tooth structure, are essential factors for the clinician at the time of removal. Various techniques are used for the removal of orthodontic brackets after the treatment; it is known that the use of clinical procedures such as the use of diamond burs and some pliers removers can damage the structure of the enamel, often depending on the bond strength that should be taken into consideration at the time of removal. This literature review aims to gather the most relevant studies that can clarify the clinical technique, which may be more suitable for removal of the brackets.

Noninvasive control of dental calculus removal: qualification of two fluorescence methods

Science.gov (United States)

Gonchukov, S.; Sukhinina, A.; Bakhmutov, D.; Biryukova, T.

2013-02-01

The main condition of periodontitis prevention is the full calculus removal from the teeth surface. This procedure should be fulfilled without harming adjacent unaffected tooth tissues. Nevertheless the problem of sensitive and precise estimating of tooth-calculus interface exists and potential risk of hard tissue damage remains. In this work it was shown that fluorescence diagnostics during calculus removal can be successfully used for precise noninvasive detection of calculus-tooth interface. In so doing the simple implementation of this method free from the necessity of spectrometer using can be employed. Such a simple implementation of calculus detection set-up can be aggregated with the devices of calculus removing.

Noninvasive control of dental calculus removal: qualification of two fluorescence methods

International Nuclear Information System (INIS)

Gonchukov, S; Sukhinina, A; Bakhmutov, D; Biryukova, T

2013-01-01

The main condition of periodontitis prevention is the full calculus removal from the teeth surface. This procedure should be fulfilled without harming adjacent unaffected tooth tissues. Nevertheless the problem of sensitive and precise estimating of tooth-calculus interface exists and potential risk of hard tissue damage remains. In this work it was shown that fluorescence diagnostics during calculus removal can be successfully used for precise noninvasive detection of calculus-tooth interface. In so doing the simple implementation of this method free from the necessity of spectrometer using can be employed. Such a simple implementation of calculus detection set-up can be aggregated with the devices of calculus removing.

Taurolidine as an effective and biocompatible additive for plaque-removing techniques on implant surfaces.

Science.gov (United States)

John, Gordon; Schwarz, Frank; Becker, Jürgen

2015-06-01

The aim of the present study was the evaluation of the effectiveness and efficiency of two plaque-removing techniques, plastic curettes (PC) and glycine powder airflow (GLY) in combination with taurolidine (T), chlorhexidine (CHX), or pure water (PW) as additives and compared to groups without previous treatment (NT). Plaque was collected on titanium samples for 48 h in six subjects. Specimens were worn in a special splint in the upper jaw and randomly assigned to test and control groups. After biofilm removal procedures, clean implant surface (CIS) on the samples and treatment time were taken as parameters. Mean CIS was determined in the following descending order: T-GLY > CHX-GLY > NT-GLY > T-PC > PW-GLY > PW-PC > CHX-PC > NT-PC. Mean treatment time was determined in the following ascending order: T-GLY treatment times of the T groups were significantly lower than their corresponding PC or GLY groups. The results of the current study indicate that taurolidine seems to enhance effectiveness of plaque-removing procedures with plastic curettes and glycine powder airflow. Also, the efficiency of both treatment procedures seems to be increased.

Sodium removal and requalification of secondary loop cold trap

International Nuclear Information System (INIS)

Rajan, M.; Veerasamy, R.; Gurumoorthy, K.; Rajan, K.K.; Kale, R.D.

1997-01-01

The secondary loop cold trap of the Fast Breeder Test Reactor got plugged prematurely and was not removing impurities from the sodium. This cold trap was taken up for cleaning and modification of the internals. The cleaning operation was carried out successfully by hydride decomposition and vacuum distillation followed by steam cleaning method. Without dismantling, the cold trap internals were washed by circulating water. Subsequently the wire mesh was removed, examined and replaced, the internal modifications were carried (nit and the cold trap way qualified for reuse. The procedures followed and the experience gained are discussed. (author)

Design and optimisation of purification procedure for biodiesel washing

Directory of Open Access Journals (Sweden)

S.B. Glišić

2009-09-01

Full Text Available Almost complete methanolysis of triglycerides is usually not enough to fulfil the strict standards of biodiesel quality. A key step in this process is neutralization of alkali (catalyst followed by the washing procedure necessary for removing different impurities such as traces of catalyst and methanol and removal of soaps and glycerol from esters phase. The washing with hot water is still widely used in many industrial units for the biodiesel production. In this study, different procedures of biodiesel washing using hot water were investigated. The orto-phosphoric acid was suggested as the best compound for alkali catalyst (sodium hydroxide neutralization. The main goal of the performed analysis was to minimize the water usage in the washing-neutralization step during the biodiesel production. Such solution would make the process of biodiesel synthesis more economical taking into account the decrease of energy consumed for evaporation of water during the final product purification, as well as more acceptable procedure related to the impact on environment (minimal waste water release. Results of the performed simulation of the washing process supported by original experimental data suggested that neutralization after the optimized washing process of the methyl ester layer could be the best solution. The proposed washing procedure significantly decreases the amount of waste water giving at the same time the desired purity of final products (biodiesel and glycerol. The simulation of the process was performed using ASPEN plus software supported by ELCANTREL and UNIQUAC procedure of required properties calculation

Estimating risk at a Superfund site contaminated with radiological and chemical wastes

International Nuclear Information System (INIS)

Temeshy, A.; Liedle, J.M.; Sims, L.M.; Efird, C.R.

1992-01-01

This paper describes the method and results for estimating carcinogenic and noncarcinogenic effects at a Superfund site that is radiologically and chemically contaminated. Risk to receptors from disposal of waste in soil and resulting contamination of groundwater, air, surface water, and sediment is quantified. Specific risk assessment components which are addressed are the exposure assessment, toxicity assessment, and the resulting risk characterization. In the exposure assessment, potential exposure pathways are identified using waste disposal inventory information for soil and modeled information for other media. Models are used to calculate future radionuclide concentrations in groundwater, soil, surface water and air. Chemical exposure concentrations are quantified using site characterization data. Models are used to determine concentrations of chemicals in surface water and in air. Toxicity parameters used to quantify the dose-response relationship associated with the carcinogenic contaminants are slope factors and with noncarcinogenic contaminants are reference doses. In the risk characterization step, results from the exposure assessment and toxicity assessment are summarized and integrated into quantitative risk estimates for carcinogens and hazard induces for noncarcinogens. Calculated risks for carcinogenic contaminants are compared with EPA's target risk range. At WAG 6, the risk from radionuclides and chemicals for an on-WAG homesteader exceeds EPA's target risk range. Hazard indices are compared to unity for noncarcinogenic contaminants. At WAG 6, the total pathway hazard index for the on-WAG homesteader exceeds unity

Management of long span partially edentulous maxilla with fixed removable denture prosthesis.

Science.gov (United States)

Jeyavalan, Mahilan I; Narasimman, M; Venkatakrishnan, C J; Philip, Jacob M

2012-07-01

Restoration of a long span partially edentulous maxilla with tooth supported prosthesis is challenging because of inherent anatomic limitations and unfavourable biomechanics present after the loss of teeth. A tooth supported fixed-removable prosthesis is a treatment option for restoration of such long span partially edentulous maxillary arches. This prosthesis meets the requirements for esthetics, phonetics, comfort, and hygiene, as well as favourable biomechanical stress distribution to the remaining natural tooth abutments. This article presents a procedure for fabrication of a fixed-removable prosthesis that has cement-retained custom cast bar metal substructure and a ball attachment retained removable superstructure prosthesis.

Effectiveness of rotatory and reciprocating movements in root canal filling material removal

Directory of Open Access Journals (Sweden)

Emmanuel João Nogueira Leal SILVA

2015-01-01

Full Text Available The purpose of this study was to compare the efficacy of reciprocating and rotary techniques for removing gutta-percha and sealer from root canals. Forty straight and oval single-rooted premolars were prepared up to size 30, filled with gutta-percha and sealer, and then randomly allocated to two experimental retreatment groups: ProTaper Retreatment System (PTRS and WaveOne System (WS. Procedural errors, time of retreatment and apically extruded material were recorded for all the roots. The roots were radiographed after retreatment. The percentage of residual material was calculated using image analysis software. The data were analyzed by Kolmogorov-Smirnov and t tests, with a significance level set at 5%. No system completely removed the root filling material from the root canal. No significant differences were observed between the systems, in terms of residual filling material in any tested third (p > 0.05. WS was faster in removing filling material than PTRS (p< 0.05. Extrusion was observed in 4 cases in PTRS and in 5 cases in WS. No procedural errors were observed in either group. It can be concluded that although no differences were observed in the efficacy of PTRS and WS for removing root filling material, WS was faster than PTRS.

A Survey Comparing Delegation of Cosmetic Procedures Between Dermatologists and Nondermatologists.

Science.gov (United States)

Austin, Molly B; Srivastava, Divya; Bernstein, Ira H; Dover, Jeffrey S

2015-07-01

How delegation of procedures varies among cosmetic specialties in the United States is not well described. To better describe current practices in delegation of procedures to nonphysicians among physicians of different cosmetic specialties in the United States. An Internet-based survey was administered to physician members of the American Society for Dermatologic Surgery (ASDS), the American Society for Aesthetic Plastic Surgery (ASAPS), and the American Society for Laser Medicine and Surgery (ASLMS). A total of 823 responses were collected. Two hundred ninety-one of the 521 dermatologists (55.9%) reported delegating cosmetic procedures compared with 223 of the 302 nondermatologists (73.8%) (p delegation occurred, dermatologists were more likely than nondermatologists to delegate the following procedures to higher level non-physician providers (NPP): chemical peels, neuromodulator and filler injections, laser hair removal, pulsed dye laser, tattoo removal, intense pulsed light, nonablative fractional laser, and sclerotherapy. No difference in delegation rate was noted between dermatologists and non-dermatologist physicians with respect to microdermabrasion, ablative fractional laser, cryolipolysis, radiofrequency skin tightening, focused ultrasound skin tightening, and focused ultrasound fat reduction. Dermatologists delegate procedures to NPP less frequently than non-dermatologist physicians, and when they do, it is typically to higher level NPP.

Indications and Complications Associated with the Removal of 506 Pieces of Vaginal Mesh Used in Pelvic Floor Reconstruction: A Multicenter Study.

Science.gov (United States)

Miklos, John R; Chinthakanan, Orawee; Moore, Robert D; Karp, Deborah R; Nogueiras, Gladys M; Davila, G Willy

2016-10-26

Synthetic mesh utilized to treat stress urinary incontinence (SUI) and pelvic organ prolapse (POP) can often result in postoperative complications. The objectives of this study were to determine: 1) the most common indications for mesh removal; 2) the incidences of the removal of specific mesh procedures (such as suburethral sling [SUS], transvaginal mesh [TVM], or sacrocolpopexy); and 3) the idences and types of surgical complications associated with mesh removal. This was a retrospective study. Design Classification: Canadian Task Force II-3. Three tertiary referral centers in the United States. We examined data from all patients at the three centers who underwent surgical removal of synthetic materials from previous SUS, TVM, and sacrocolpopexy procedures for mesh-related complications from 2011 to 2013. Patients underwent vaginal, intra-abdominal, and inguinal mesh revisions by cutting, partial removal, or total removal of the mesh for mesh-related complications. Overall, 445 patients with complications underwent mesh removal laparoscopically, via groin dissection and/or transvaginally. There were a total of 506 mesh products removed. Of these, 56.5% were slings and 43.5% were for pelvic organ prolapse (POP). Synthetic mesh removed from patients included: transvaginal mesh (TVM) anterior for anterior vaginal prolapse, TVM posterior for posterior vaginal prolapse, sacrocolpopexy mesh, and suburethral slings (SUS) for stress urinary incontinence. Synthetic SUS removed included: retropubic (RPS), transobturator (TOT), and single-incision slings (SIS). TOT was the most common type of sling removed. Patients with a sling who only complained of vaginal pain with or without intercourse underwent a vaginal approach for surgical revision/removal of the sling (86.6%). Patients with an RPS with lower abdominal/suprapubic pain and vaginal pain underwent a vaginal and laparoscopic approach for sling removal (18.4%). Patients with a TOT sling who complained of vaginal and

Porcine Circovirus (PCV) Removal by Q Sepharose Fast Flow Chromatography

Science.gov (United States)

Yang, Bin; Wang, Hua; Ho, Cintia; Lester, Philip; Chen, Qi; Neske, Florian; Baylis, Sally A; Blümel, Johannes

2013-01-01

The recently discovered contamination of oral rotavirus vaccines led to exposure of millions of infants to porcine circovirus (PCV). PCV was not detected by conventional virus screening tests. Regulatory agencies expect exclusion of adventitious viruses from biological products. Therefore, methods for inactivation/removal of viruses have to be implemented as an additional safety barrier whenever feasible. However, inactivation or removal of PCV is difficult. PCV is highly resistant to widely used physicochemical inactivation procedures. Circoviruses such as PCV are the smallest viruses known and are not expected to be effectively removed by currently-used virus filters due to the small size of the circovirus particles. Anion exchange chromatography such as Q Sepharose® Fast Flow (QSFF) has been shown to effectively remove a range of viruses including parvoviruses. In this study, we investigated PCV1 removal by virus filtration and by QSFF chromatography. As expected, PCV1 could not be effectively removed by virus filtration. However, PCV1 could be effectively removed by QSFF as used during the purification of monoclonal antibodies (mAbs) and a log10 reduction value (LRV) of 4.12 was obtained. © 2013 American Institute of Chemical Engineers Biotechnol. Prog., 29:1464–1471, 2013 PMID:24039195

Application of a Compact High-Definition Exoscope for Illumination and Magnification in High-Precision Surgical Procedures.

Science.gov (United States)

Krishnan, Kartik G; Schöller, Karsten; Uhl, Eberhard

2017-01-01

The basic necessities for surgical procedures are illumination, exposure, and magnification. These have undergone transformation in par with technology. One of the recent developments is the compact magnifying exoscope system. In this report, we describe the application of this system for surgical operations and discuss its advantages and pitfalls. We used the ViTOM exoscope mounted on the mechanical holding arm. The following surgical procedures were conducted: lumbar and cervical spinal canal decompression (n = 5); laminotomy and removal of lumbar migrated disk herniations (n = 4); anterior cervical diskectomy and fusion (n = 1); removal of intraneural schwannomas (n = 2); removal of an acute cerebellar hemorrhage (n = 1); removal of a parafalcine atypical cerebral hematoma caused by a dural arteriovenous fistula (n = 1); and microsutures and anastomoses of a nerve (n = 1), an artery (n = 1), and veins (n = 2). The exoscope offered excellent, magnified, and brilliantly illuminated high-definition images of the surgical field. All surgical operations were successfully completed. The main disadvantage was the adjustment and refocusing using the mechanical holding arm. The time required for the surgical operation under the exoscope was slightly longer than the times required for a similar procedure performed using an operating microscope. The magnifying exoscope is an effective and nonbulky tool for surgical procedures. In visualization around the corners, the exoscope has better potential than a microscope. With technical and technologic modifications, the exoscope might become the next generation in illumination, visualization, exposure, and magnification for high-precision surgical procedures. Copyright © 2016 Elsevier Inc. All rights reserved.

A novel removable shield attached to C-arm units against scattered X-rays from a patient's side

Energy Technology Data Exchange (ETDEWEB)

Mori, Hiroshige [Hokkaido Social Insurance Hospital, Department of Radiology, Sapporo, Hokkaido (Japan); Kanazawa University, Department of Quantum Medical Technology, Division of Health Sciences, Graduate School of Medical Science, Kanazawa, Ishikawa (Japan); Koshida, Kichiro; Matsubara, Kosuke [Kanazawa University, School of Health Sciences, College of Medical, Pharmaceutical and Health Sciences, Kanazawa, Ishikawa (Japan); Ishigamori, Osamu [Hokkaido Social Insurance Hospital, Department of Radiology, Sapporo, Hokkaido (Japan)

2014-08-15

We invented a drape-like shield against scattered X-rays that can safely come into contact with medical equipment or people during fluoroscopically guided procedures. The shield can be easily removed from a C-arm unit using one hand. We evaluated the use of the novel removable shield during the endoscopic retrograde cholangiopancreatography (ERCP) procedure. We measured the dose rate of scattered X-rays around endoscopists with and without this removable shield and surveyed the occupational doses to the ERCP staff. We also examined the endurance of the shield. The removable shield reduced the dose rate of scattered X-rays to one-tenth and reduced the monthly dose to an endoscopist by at least two-fifths. For 2.5 years, there was no damage to the shield and no loosening of the seam. The bonding of the hook-and-loop fasteners did not weaken, although the powerful double-sided tapes made especially for plastic did. The removable shield can reduce radiation exposure to the ERCP staff and may contribute to reducing the exposure to the eye lenses of operators. It would also be possible to expand its use to other fluoroscopically guided procedures besides ERCP because it is a light, simple, and useful device. (orig.)

Power-line Interference Removal from ECG in Case of Power-line Frequency Variations

Directory of Open Access Journals (Sweden)

Todor Stoyanov

2008-10-01

Full Text Available The original version of the most successful approach for power-line (PL interference removal from ECG, called subtraction procedure, is based on linear segment detection in the signal and hardware synchronised analogue-to-digital conversion to cope with the PL frequency variations. However, this is not feasible for battery supplied devices and some computer-aided ECG systems. Recent improvements of the procedure apply software measurement of the frequency variations that allow a re-sampling of the contaminated signal with the rated PL frequency followed by interference removal and back re-sampling for restoration of the original time intervals. This study deals with a more accurate software frequency measurement and introduces a notch filtration as alternative to the procedure when no linear segments are encountered for long time, e.g. in cases of ventricular fibrillation or tachycardia. The result obtained with large PL frequency variations demonstrate very small errors, usually in the range of ± 20 μV for the subtraction procedure and ± 60 μV for the notch filtration, the last values strongly depending on the frequency contents of the QRS complexes.

Management of long span partially edentulous maxilla with fixed removable denture prosthesis

Directory of Open Access Journals (Sweden)

Mahilan I Jeyavalan

2012-01-01

Full Text Available Restoration of a long span partially edentulous maxilla with tooth supported prosthesis is challenging because of inherent anatomic limitations and unfavourable biomechanics present after the loss of teeth. A tooth supported fixed-removable prosthesis is a treatment option for restoration of such long span partially edentulous maxillary arches. This prosthesis meets the requirements for esthetics, phonetics, comfort, and hygiene, as well as favourable biomechanical stress distribution to the remaining natural tooth abutments. This article presents a procedure for fabrication of a fixed-removable prosthesis that has cement-retained custom cast bar metal substructure and a ball attachment retained removable superstructure prosthesis.

T Plant removal of PWR Chiller Subsystem

International Nuclear Information System (INIS)

Dana, C.M.

1994-01-01

The PWR Pool Chiller System is not longer required for support of the Shippingport Blanket Fuel Assemblies Storage. The Engineering Work Plan will provide the overall coordination of the documentation and physical changes to deactivate the unneeded subsystem. The physical removal of all energy sources for the Chiller equipment will be covered under a one time work plan. The documentation changes will be covered using approved Engineering Change Notices and Procedure Change Authorizations as needed

Superfund Record of Decision (EPA region 2): Glen Ridge Radium site, Essex County, NJ. (Second remedial action), June 1990. Final report

International Nuclear Information System (INIS)

1990-01-01

The 90-acre Glen Ridge Radium site is a residential community in the Borough of Glen Ridge, Essex County, New Jersey. The site is adjacent to another Superfund site, the Montclair/West Orange site. The Glen Ridge site includes a community of 274 properties serviced by surface reservoirs in northern New Jersey. In the early 1900s, a radium processing or utilization facility was located in the vicinity of the site. EPA investigations in 1981 and 1983 confirmed the presence of gamma radiation contamination in the Glen Ridge area and in several adjacent houses. The ROD complements the previous 1989 ROD for this site and provides a final remedy. The primary contaminant of concern affecting the soil is radium 226

Geophysical logging and thermal imaging near the Hemphill Road TCE National Priorities List Superfund site near Gastonia, North Carolina

Science.gov (United States)

Antolino, Dominick J.; Chapman, Melinda J.

2017-03-27

Borehole geophysical logs and thermal imaging data were collected by the U.S. Geological Survey near the Hemphill Road TCE (trichloroethylene) National Priorities List Superfund site near Gastonia, North Carolina, during August 2014 through February 2015. In an effort to assist the U.S. Environmental Protection Agency in the development of a conceptual groundwater model for the assessment of current contaminant distribution and future migration of contaminants, surface geological mapping and borehole geophysical log and thermal imaging data collection, which included the delineation of more than 600 subsurface features (primarily fracture orientations), was completed in five open borehole wells and two private supply bedrock wells. In addition, areas of possible groundwater discharge within a nearby creek downgradient of the study site were determined based on temperature differences between the stream and bank seepage using thermal imagery.

Office-based procedures for diagnosis and treatment of esophageal pathology.

Science.gov (United States)

Wellenstein, David J; Schutte, Henrieke W; Marres, Henri A M; Honings, Jimmie; Belafsky, Peter C; Postma, Gregory N; Takes, Robert P; van den Broek, Guido B

2017-09-01

Diagnostic and therapeutic office-based procedures under topical anesthesia are emerging in the daily practice of laryngologists and head and neck surgeons. Since the introduction of the transnasal esophagoscope, office-based procedures for the esophagus are increasingly performed. We conducted a systematic review of literature on office-based procedures under topical anesthesia for the esophagus. Transnasal esophagoscopy is an extensively investigated office-based procedure. This procedure shows better patient tolerability and equivalent accuracy compared to conventional transoral esophagoscopy, as well as time and cost savings. Secondary tracheoesophageal puncture, esophageal dilatation, esophageal sphincter injection, and foreign body removal are less investigated, but show promising results. With the introduction of the transnasal esophagoscope, an increasing number of diagnostic and therapeutic office-based procedures for the esophagus are possible, with multiple advantages. Further investigation must prove the clinical feasibility and effectiveness of the therapeutic office-based procedures. © 2017 Wiley Periodicals, Inc.

Sialendoscope-assisted transoral removal of hilo-parenchymal sub-mandibular stones: surgical results and subjective scores.

Science.gov (United States)

Capaccio, P; Gaffuri, M; Rossi, V; Pignataro, L

2017-04-01

It has been suggested that a conservative trans-oral approach to proximal and hilo-parenchymal submandibular stones (HPSMS) is a valid alternative to the more frequently used sialadenectomy. The aim of this study was to evaluate the surgical, ultrasonographic and patients' subjective outcomes of results of the trans-oral removal of HPSMS. Between January 2003 and September 2015, sialendoscope-assisted trans-oral surgery was used to remove symptomatic, large (> 7 mm), fixed and palpable HPSMS from 479 patients under general anaesthesia. All patients were followed clinically and ultrasonographically to investigate symptom relief and recurrence of stones, and were telephonically interviewed to assess saliva-related subjective outcomes with a questionnaire. Stones were successfully removed from 472 patients (98.5%); the seven failures (1.5%) concerned pure parenchymal stones. One year after the procedure, 408 patients (85.1%) were symptom free, 59 (12.3%) had recurrent obstructive symptoms and 12 (2.6%) had recurrent infections. Of the 54 patients who developed a recurrent stone (11.2%), 52 underwent a second procedure: 29 interventional sialendoscopies, two sialendoscope-assisted intra-corporeal pneumatic lithotripsy, eight secondary transoral surgery to remove residual stones, six a cycle of extra-corporeal lithotripsy and seven submandibular sialadenectomy. Most patients (75.2%) reported mild surgery-related pain. The symptoms of 454 patients (94.8%) improved after adjunctive treatment and, at the end of follow-up, the affected gland was preserved in 98.5% of patients. A sialendoscope-assisted trans-oral removal of large HPSMS is a safe, effective, conservative surgical procedure, and functional preservation of the main duct and parenchyma of the obstructed gland allows sialendoscopic access through the natural ostium in case of recurrence. Combining a trans-oral approach with other minimally invasive, conservative procedures ensures symptomatic relief and salivary

Shadow detection and removal in RGB VHR images for land use unsupervised classification

Science.gov (United States)

Movia, A.; Beinat, A.; Crosilla, F.

2016-09-01

Nowadays, high resolution aerial images are widely available thanks to the diffusion of advanced technologies such as UAVs (Unmanned Aerial Vehicles) and new satellite missions. Although these developments offer new opportunities for accurate land use analysis and change detection, cloud and terrain shadows actually limit benefits and possibilities of modern sensors. Focusing on the problem of shadow detection and removal in VHR color images, the paper proposes new solutions and analyses how they can enhance common unsupervised classification procedures for identifying land use classes related to the CO2 absorption. To this aim, an improved fully automatic procedure has been developed for detecting image shadows using exclusively RGB color information, and avoiding user interaction. Results show a significant accuracy enhancement with respect to similar methods using RGB based indexes. Furthermore, novel solutions derived from Procrustes analysis have been applied to remove shadows and restore brightness in the images. In particular, two methods implementing the so called "anisotropic Procrustes" and the "not-centered oblique Procrustes" algorithms have been developed and compared with the linear correlation correction method based on the Cholesky decomposition. To assess how shadow removal can enhance unsupervised classifications, results obtained with classical methods such as k-means, maximum likelihood, and self-organizing maps, have been compared to each other and with a supervised clustering procedure.

Electrocoagulation-Adsorption to Remove Anionic and Cationic Dyes from Aqueous Solution by PV-Energy

OpenAIRE

Castañeda-Díaz, J.; Pavón-Silva, T.; Gutiérrez-Segura, E.; Colín-Cruz, A.

2017-01-01

The cationic dye malachite green (MG) and the anionic dye Remazol yellow (RY) were removed from aqueous solutions using electrocoagulation-adsorption processes. Batch and continuous electrocoagulation procedures were performed and compared. Carbonaceous materials obtained from industrial sewage sludge and commercial activated carbons were used to adsorb dyes from aqueous solutions in column systems with a 96–98% removal efficiency. The continuous electrocoagulation-adsorption system was more ...

Automated Classification and Removal of EEG Artifacts With SVM and Wavelet-ICA.

Science.gov (United States)

Sai, Chong Yeh; Mokhtar, Norrima; Arof, Hamzah; Cumming, Paul; Iwahashi, Masahiro

2018-05-01

Brain electrical activity recordings by electroencephalography (EEG) are often contaminated with signal artifacts. Procedures for automated removal of EEG artifacts are frequently sought for clinical diagnostics and brain-computer interface applications. In recent years, a combination of independent component analysis (ICA) and discrete wavelet transform has been introduced as standard technique for EEG artifact removal. However, in performing the wavelet-ICA procedure, visual inspection or arbitrary thresholding may be required for identifying artifactual components in the EEG signal. We now propose a novel approach for identifying artifactual components separated by wavelet-ICA using a pretrained support vector machine (SVM). Our method presents a robust and extendable system that enables fully automated identification and removal of artifacts from EEG signals, without applying any arbitrary thresholding. Using test data contaminated by eye blink artifacts, we show that our method performed better in identifying artifactual components than did existing thresholding methods. Furthermore, wavelet-ICA in conjunction with SVM successfully removed target artifacts, while largely retaining the EEG source signals of interest. We propose a set of features including kurtosis, variance, Shannon's entropy, and range of amplitude as training and test data of SVM to identify eye blink artifacts in EEG signals. This combinatorial method is also extendable to accommodate multiple types of artifacts present in multichannel EEG. We envision future research to explore other descriptive features corresponding to other types of artifactual components.

Flexible endoscopic procedure in children with foreign bodies in their upper gastrointestinal system

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Kaan Demirören

2014-03-01

Full Text Available Objective: Foreign body ingestion is an important public health problem. We pointed to this subject and aimed to determine the effectiveness of flexible endoscopic procedure in this study. Methods: We evaluated retrospectively fifty children having foreign body in their upper gastrointestinal system, who underwent flexible endoscopic procedure. Results: Of the patients, mean age was 5.5 ± 4 years old (range: 0.5-16 years, 64% was female. Ingested foreign bodies were coin (58%, pin (10%, battery (6%, nail (6%, necklace (6%, safety pin (4% and sewing pin, wire hairclip, ring, button and chicken skin. In endoscopic procedure, foreign bodies were seen in upper esophagus (32%, middle esophagus (26%, lower esophagus (8%, stomach (18%, bulbus (4% and second part of duodenum (8%, but were not seen in 4% of the cases. While 94% of foreign bodies were endoscopically removed, 6% of them were pushed to stomach with gastroscope from esophagus and left for spontaneous passage. Any important complication was developed. Conclusion: Flexible endoscopic procedure is an effective and safe method for removal of gastrointestinal system foreign bodies in children.

Effectiveness of percutaneous biliary stone removal as primary treatment in case with difficulties in the use of an endoscopy

Energy Technology Data Exchange (ETDEWEB)

Choi, Sin Ae; Han, Young Min; Jin, Gong Yong; Lee, Seung Ok; Yu, Hee Chul [Chonbuk National University Medical School and Hospital, Jeonju(Korea, Republic of)

2014-03-15

To evaluate the effectiveness of percutaneous biliary stone removal as a primary treatment in cases with difficulties to use an endoscopy. From March 2004 to May 2011, 17 patients who underwent primary percutaneous biliary stone removal (Group 1) and 34 case-matched patients who underwent primary endoscopic biliary stone removal were selected (Group 2). The inclusion criteria were as follows: patients who had 1) ≥ 15 mm bile duct stones, 2) intrahepatic bile duct stones, 3) bile duct stones with a history of previous gastrointestinal bypass surgery. In the present study were analyzed the success rates, the length of postprocedural hospital stay, the change of Amylase/Lipase values and complications post procedure. Statistical analysis was performed using paired t-test and unpaired t-test. The success rate was higher in Group 1 (94.1%) than in Group 2 (85.3%). Length of post procedural hospital stay and the post procedural amylase level were significantly increased in Group 2 (p = 0.036 and p = 0.017, respectively). In cases of bile duct stones with difficulties in the use of an endoscopy a percutaneous biliary stone removal can be efficient as a primary treatment.

Temporal Chemical Data for Sediment, Water, and Biological Samples from the Lava Cap Mine Superfund Site, Nevada County, California-2006-2008

Science.gov (United States)

Foster, Andrea L.; Ona-Nguema, Georges; Tufano, Kate; White, Richard III

2010-01-01

The Lava Cap Mine is located about 6 km east of the city of Grass Valley, Nevada County, California, at an elevation of about 900 m. Gold was hosted in quartz-carbonate veins typical of the Sierran Gold Belt, but the gold grain size was smaller and the abundance of sulfide minerals higher than in typical deposits. The vein system was discovered in 1860, but production was sporadic until the 1930s when two smaller operations on the site were consolidated, a flotation mill was built, and a 100-foot deep adit was driven to facilitate drainage and removal of water from the mine workings, which extended to 366 m. Peak production at the Lava Cap occurred between 1934 and 1943, when about 90,000 tons of ore per year were processed. To facilitate removal of the gold and accessory sulfide minerals, the ore was crushed to a very fine sand or silt grain size for processing. Mining operations at Lava Cap ceased in June 1943 due to War Production Board Order L-208 and did not resume after the end of World War II. Two tailings retention structures were built at the Lava Cap Mine. The first was a log dam located about 0.4 km below the flotation mill on Little Clipper Creek, and the second, built in 1938, was a larger earth fill and rip-rap structure constructed about 2 km downstream, which formed the water body now called Lost Lake. The log dam failed during a storm that began on December 31, 1996, and continued into January 1997; an estimated 8,000-10,000 m3 of tailings were released into Little Clipper Creek during this event. Most of the fine tailings were deposited in Lost Lake, dramatically increasing its turbidity and resulting in a temporary 1-1.5 m rise in lake level due to debris blocking the dam spillway. When the blockage was cleared, the lake level quickly lowered, leaving a ?bathtub ring? of very fine tailings deposited substantially above the water line. The U.S. Environmental Protection Agency (EPA) initiated emergency action in late 1997 at the mine site to reduce

Impact of removable partial denture prosthesis on chewing efficiency

Science.gov (United States)

BESSADET, Marion; NICOLAS, Emmanuel; SOCHAT, Marine; HENNEQUIN, Martine; VEYRUNE, Jean-Luc

2013-01-01

Removable partial denture prostheses are still being used for anatomic, medical and economic reasons. However, the impact on chewing parameters is poorly described. Objectives The objective of this study was to estimate the impact of removable partial denture prosthesis on masticatory parameters. Material and Methods Nineteen removable partial denture prosthesis (RPDP) wearers participated in the study. Among them, 10 subjects were Kennedy Class III partially edentulous and 9 with posterior edentulism (Class I). All presented a complete and full dentate opposing arch. The subjects chewed samples of carrots and peanuts with and without their prosthesis. The granulometry of the expectorated boluses from carrot and peanuts was characterized by median particle size (D50), determined at the natural point of swallowing. Number of chewing cycles (CC), chewing time (CT) and chewing frequency (CF=CC/CT) were video recorded. Results With RPDP, the mean D50 values for carrot and peanuts were lower [Repeated Model Procedures (RMP), F=15, p<0.001] regardless of the type of Kennedy Class. For each food, mean CC, CT and CF values recorded decreased (RMP, F=18, F=9, and F=20 respectively, p<0.01). With or without RPD, the boluses' granulometry values were above the masticatory normative index (MNI) determined as 4,000 µm. Conclusion RPDP rehabilitation improves the ability to reduce the bolus particle size, but does not reestablish fully the masticatory function. Clinical relevance This study encourages the clinical improvement of oral rehabilitation procedure. PMID:24212983

Evaluation of the radiation levels in different surgical procedures

International Nuclear Information System (INIS)

Silva Santos, M.C.P. da; Almeida, A. de; Belluci, A.D.; Ghilardi Neto, T.

1989-01-01

The exposure of a medical team to radiation during surgical procedures evidently depends on the duration and difficulties of the particular procedure. We have made a dosimetric study of the average equivalent doses received by the surgical teams during 10 different surgical procedures over a period of one month. Our results demonstrate that the levels of ionizing radiation that the members of the teams receive typically do not surpass the limits stipulated for the following surgical procedures: nefrolithotomy, percutaneous ureterolithomy, ureteroscoy connected with removal of stones in the inferior third of the ureter, osteosynthesis of the tibial plateau together with a articular toalet and minireconstruction of the knee. For compound surgical procedures, for example, osteosynthesis of a femur fracture together with biopsy of an exposed femur or percutaneous nefrolithotomy (complex cases), the dose limits have been surpassed owing to the additional fluoroscopy needed in those p rocedures. (author) [pt

40 CFR 307.23 - EPA's review of preauthorization applications.

Science.gov (United States)

2010-07-01

...) SUPERFUND, EMERGENCY PLANNING, AND COMMUNITY RIGHT-TO-KNOW PROGRAMS COMPREHENSIVE ENVIRONMENTAL RESPONSE... importance of the response activity when compared with competing demands on the Fund; (3) Whether there is... management, project management, financial management and documentation procedures; (12) Whether the applicant...

Availability of Dental Prosthesis Procedures in Brazilian Primary Health Care

Directory of Open Access Journals (Sweden)

Maria Aparecida Gonçalves Melo Cunha

2018-01-01

Full Text Available Objectives. To describe dental prosthesis provision in the Brazilian public health service and report the performance of dental prosthesis procedures according to the Brazilian macroregions. Methods. A structured interview was conducted with senior-level health professionals from each of the 18,114 oral health teams (OHT. The dependent variables were performance of removable prostheses and prosthesis procedures, including provision of fixed prostheses by OHT. Descriptive statistics were produced together with performing a cluster analysis using SPSS version 19.0. Results. The manufacture of any type of prosthesis was done by a minority of OHT (43%. The most commonly provided types of dental prosthesis were removable full and partial dentures. Cluster 1 (teams that performed prosthesis procedures the most was composed of a smaller number of teams (n = 5,531, and Cluster 2 (composed of teams that do not perform prosthetics or that perform them in small amounts consisted of 12,583 teams. The geographic distribution of clusters reveals that the largest proportion of Cluster 1 teams is located in the Northeast (33.9% and Southeast (33.6%. Conclusions. A minority of OHT produce dental prostheses. There is an unequal geographical distribution of clusters.

Surface cleaning procedures for thin films of indium gallium nitride grown on sapphire

Energy Technology Data Exchange (ETDEWEB)

Douglass, K.; Hunt, S. [Department of Chemistry and Biochemistry, University of Delaware, Newark, DE 19716 (United States); Teplyakov, A., E-mail: andrewt@udel.edu [Department of Chemistry and Biochemistry, University of Delaware, Newark, DE 19716 (United States); Opila, R.L. [Department of Material Science and Engineering, University of Delaware, Newark, DE 19716 (United States)

2010-12-15

Surface preparation procedures for indium gallium nitride (InGaN) thin films were analyzed for their effectiveness for carbon and oxide removal as well as for the resulting surface roughness. Aqua regia (3:1 mixture of concentrated hydrochloric acid and concentrated nitric acid, AR), hydrofluoric acid (HF), hydrochloric acid (HCl), piranha solution (1:1 mixture of sulfuric acid and 30% H{sub 2}O{sub 2}) and 1:9 ammonium sulfide:tert-butanol were all used along with high temperature anneals to remove surface contamination. X-ray photoelectron spectroscopy (XPS) and atomic force microscopy (AFM) were utilized to study the extent of surface contamination and surface roughness, respectively. The ammonium sulfide treatment provided the best overall removal of oxygen and carbon. Annealing over 700 deg. C after a treatment showed an even further improvement in surface contamination removal. The piranha treatment resulted in the lowest residual carbon, while the ammonium sulfide treatment leads to the lowest residual oxygen. AFM data showed that all the treatments decreased the surface roughness (with respect to as-grown specimens) with HCl, HF, (NH{sub 4}){sub 2}S and RCA procedures giving the best RMS values ({approx}0.5-0.8 nm).

Risk-based equipment removal guide for on-line maintenance at PSE ampersand G

International Nuclear Information System (INIS)

Knoll, A.; Smith, C.; Pollock, J.

1995-01-01

On-line maintenance plays an important role in achieving safe and reliable power generation in a nuclear power plant. However, maintenance, if not properly planned and performed, may also be an important contributor to plant risk. Therefore, plant-specific procedures are needed for equipment removal from service to enhance the benefits of on-line maintenance and minimize the risks involved. The problem is to identify and implement the most effective on-line maintenance policy in the form of a proceduralized guide to assure plant safety under various operation and maintenance constraints. This paper presents a methodology to develop plant-specific on-line maintenance strategies and acceptance criteria using a multivariate safety approach based on risk assessment. Based on plant-specific data as modeled in the individual plant evaluation (IPE) and the updated probabilistic safety assessment (PSA), the risk-based methodology is currently being applied to the development of proceduralized equipment removal guides at Hope Creek and Salem units 1 and 2 of Public Service Electric and Gas Company (PSE ampersand G)

Memorandum of Understanding Between U.S. EPA Superfund and U.S. NRC

International Nuclear Information System (INIS)

Walker, Stuart

2008-01-01

The Environmental Protection Agency (EPA) Office of Superfund Remediation and Technology Innovation (OSRTI) and the Nuclear Regulatory Commission (NRC) are responsible for implementing the 'Memorandum of Understanding Between the Environmental Protection Agency and the Nuclear Regulatory Commission: Consultation and Finality on Decommissioning and Decontamination of Contaminated Sites'. This paper provides a brief overview of the origin of the Memorandum of Understanding (MOU), the major features of the MOU, and how the MOU has been implemented site specifically. EPA and NRC developed the MOU in response to direction from the House Committee on Appropriations to EPA and NRC to work together to address the potential for dual regulation. The MOU was signed by EPA on September 30, 2002 and NRC on October 9, 2002. The two agencies had worked on the MOU since March 2000. While both EPA and NRC have statutory authority to clean up these sites, the MOU provides consultation procedures between EPA and NRC to eliminate dual regulation. Under the MOU, EPA and NRC identified the interactions of the two agencies for the decommissioning and decontamination of NRC-licensed sites and the ways in which those responsibilities will be exercised. Except for Section VI, which addresses corrective action under the Resource Conservation and Recovery Act (RCRA), this MOU is limited to the coordination between EPA, when acting under its CERCLA authority, and NRC, when a facility licensed by the NRC is undergoing decommissioning, or when a facility has completed decommissioning, and the NRC has terminated its license. EPA believes that implementation of the MOU between the two agencies will ensure that future confusion about dual regulation does not occur regarding the cleanup and reuse of NRC-licensed sites. NRC and EPA have so far exchanged MOU consultation letters on eight NRC-licensed sites. EPA has responded to each consultation request with a letter expressing its views on actions

Bacteriological study and structural composition of staghorn stones removed by the anatrophic nephrolithotomic procedure

Directory of Open Access Journals (Sweden)

Hamid Shafi

2013-01-01

Full Text Available This study was conducted to determine the composition of staghorn stones and to assess the proportion of infected stones as well as the correlation between infection in the stones and bacteria grown in urine. Samples of 45 consecutive stones removed through anatrophic nephrolithotomic procedures were taken from the operation site and samples of urine were obtained by simultaneous bladder catheterization. The frequency of infection in the stones and correlation between infection of stone and urine samples were determined with respect to the composition of the stones. Twenty-two males and 23 females, with respective mean ages of 48.3 ± 15.6 years and 51 ± 7.4 years, were studied. The stone and urine cultures yielded positive results in ten and 16 patients, respectively, of a total of 45 patients (22.2% and 35.5%, respectively. Calcium oxalate was the main constituent of staghorn stones, seen in 31 patients (68.8%, uric acid in 12 patients (26.6% and struvite and/or calcium phosphate in 11 patients (24.4%. In seven of ten stones with bacterial growth, bacteria were isolated from urine cultures as well, which accounted for a concordance rate of 70%. The bacteria grown in the stone were the cause of urinary tract infection (UTI in 43.5% of the cases. Stone infection was significantly associated with UTI (OR = 6.47; 95% CI 1.43-31.7, P = 0.021 and presence of phosphate in the stones (OR = 18, 95% CI 3.28-99.6, P = 0.0006. E. coli was the most common bacteria grown from the stones, and was isolated in 50% of the cases; Ureaplasma urealyticum was the most common organism causing UTI, grown in 62.5% of the urine samples. There was a high concordance rate between bacteria in the stones and urine. These findings indicate that the urine culture can provide information for selection of an appropriate anti-microbial agent for stone sterilization. In addition, preventing re-growth or recurrence of stones and treatment of post-surgical infections would be

OSL sensitivity changes during single aliquot procedures: Computer simulations

DEFF Research Database (Denmark)

McKeever, S.W.S.; Agersnap Larsen, N.; Bøtter-Jensen, L.

1997-01-01

We present computer simulations of sensitivity changes obtained during single aliquot, regeneration procedures. The simulations indicate that the sensitivity changes are the combined result of shallow trap and deep trap effects. Four separate processes have been identified. Although procedures can...... be suggested to eliminate the shallow trap effects, it appears that the deep trap effects cannot be removed. The character of the sensitivity changes which result from these effects is seen to be dependent upon several external parameters, including the extent of bleaching of the OSL signal, the laboratory...

Statistical methods for evaluating the attainment of cleanup standards

Energy Technology Data Exchange (ETDEWEB)

Gilbert, R.O.; Simpson, J.C.

1992-12-01

This document is the third volume in a series of volumes sponsored by the US Environmental Protection Agency (EPA), Statistical Policy Branch, that provide statistical methods for evaluating the attainment of cleanup Standards at Superfund sites. Volume 1 (USEPA 1989a) provides sampling designs and tests for evaluating attainment of risk-based standards for soils and solid media. Volume 2 (USEPA 1992) provides designs and tests for evaluating attainment of risk-based standards for groundwater. The purpose of this third volume is to provide statistical procedures for designing sampling programs and conducting statistical tests to determine whether pollution parameters in remediated soils and solid media at Superfund sites attain site-specific reference-based standards. This.document is written for individuals who may not have extensive training or experience with statistical methods. The intended audience includes EPA regional remedial project managers, Superfund-site potentially responsible parties, state environmental protection agencies, and contractors for these groups.

Evaluation of the dual staining technique for complete removal of idiopathic epimacular membranes

Directory of Open Access Journals (Sweden)

Ahmed M Abdel Hadi

2015-01-01

In conclusion, dual staining starting with TA effectively led to adequate visualization and removal of the posterior hyaloid as well as the fibrous component of the idiopathic EMM. The subsequent BBG administration in an air filled vitreous (the dry technique helped selective removal of the ILM with no deleterious effects on the functional or the anatomical outcomes of the procedure as demonstrated by the significant improvement in both the BCVA and the CMT 6 months after surgery.

A Geometrical-Statistical Approach to Outlier Removal for TDOA Measurements

Science.gov (United States)

Compagnoni, Marco; Pini, Alessia; Canclini, Antonio; Bestagini, Paolo; Antonacci, Fabio; Tubaro, Stefano; Sarti, Augusto

2017-08-01

The curse of outlier measurements in estimation problems is a well known issue in a variety of fields. Therefore, outlier removal procedures, which enables the identification of spurious measurements within a set, have been developed for many different scenarios and applications. In this paper, we propose a statistically motivated outlier removal algorithm for time differences of arrival (TDOAs), or equivalently range differences (RD), acquired at sensor arrays. The method exploits the TDOA-space formalism and works by only knowing relative sensor positions. As the proposed method is completely independent from the application for which measurements are used, it can be reliably used to identify outliers within a set of TDOA/RD measurements in different fields (e.g. acoustic source localization, sensor synchronization, radar, remote sensing, etc.). The proposed outlier removal algorithm is validated by means of synthetic simulations and real experiments.

Method for removing trace contaminants from multicurie amounts of 144Ce

International Nuclear Information System (INIS)

Wagner, J.A.; Kanapilly, G.M.

1976-01-01

Removal of contaminants from stock solutions of 144 Ce(III) was required for large quantities of 144 Ce prior to incorporation into fused aluminosilicate particles for inhalation toxicology studies. Since available procedures for purification of 144 Ce could not be readily adapted to our laboratory conditions and requirements, a simple procedure was developed to purify 144 Ce in multicurie quantities of 144 Ce(III). This procedure consists of separation of 144 Ce from contaminants by precipitation and filtrations at different pH. Its simplicity and efficacy in providing a stock solution that would readily exchange into montmorillonite clay was demonstrated when it was used during the preparation of large amounts of 144 Ce in fused aluminosilicate particles

Darwin's Avatars: a Novel Combination of Gameplay and Procedural Content Generation

DEFF Research Database (Denmark)

Lessin, Dan; Risi, Sebastian

2015-01-01

of gameplay and content generation, a proof-of-concept game—tentatively titled Darwin’s Avatars—was implemented using evolved creature content, and user tested. This implementation also provided a unique opportunity to compare human and evolved control of evolved virtual creatures, both qualitatively......The co-evolution of morphology and control for virtual creatures enables the creation of a novel form of gameplay and procedural content generation. Starting with a creature evolved to perform a simple task such as locomotion and removing its brain, the remaining body can be employed...... of this challenge is inexhaustible, since the evolution of virtual creatures provides a way to procedurally generate content for such a game. An endless series of creatures can be evolved for a task, then have their brains removed to become the game’s next human-control challenge. To demonstrate this new form...

Chemical dechlorination of pesticides at a superfund site in Region II

International Nuclear Information System (INIS)

Pendergrass, S.; Prince, J.

1991-01-01

Selecting technologies for cleaning up hazardous waste sites is a complex task, due in part to the rapidly changing nature of the state-of-the-art in technology. There is strong support for use of innovative technologies as specified in Section 121(b) of CERCLA. However, use of an innovative technology requires overcoming a variety of challenges. These challenges include: Screening potentially appropriate technologies, including innovative technologies, and selecting one or more potential innovative technologies for which preliminary results are promising; however, site-specific data are needed prior to technology evaluation. Evaluating the effectiveness of the proposed technology for the site through the use of treatability studies. Gaining acceptance for the innovative technology, which may employ new or unfamiliar concepts. Determining optimal design and operating parameters for full-scale remediation. This paper discusses the technology evaluation process and how that process supported the selection of an innovative technology for the Myers Property site, a Superfund site in Region II. A case study is presented showing how technology screening and laboratory treatability studies were used to evaluate an innovative technology (chemical dechlorination), which was selected as the technology for remediation of soils and sediments contaminated with pesticides at this environmentally sensitive site in New Jersey. The remedy selected by the U.S. EPA for this site designates chemical dechlorination as the selected technology, but does not specify any particular vendor or process. Rather, the remedy sets forth technology performance standards and recommends certain design tasks which may be used to select a particular chemical process. This paper discusses he of these design tasks as they might apply to innovative technologies, using chemical dechlorination as a model

Clinical use of a 15-W diode laser in small animal surgery: results in 30 varied procedures

Science.gov (United States)

Crowe, Dennis T.; Swalander, David; Hittenmiller, Donald; Newton, Jenifer

1999-06-01

The use of a 15-watt diode laser (CeramOptec)in 30 surgical procedures in dogs and cats was reviewed. Ease of use, operator safety, hemostasis control, wound healing, surgical time, complication rate, and pain control were observed and recorded. Procedures performed were partial pancreatectomy, nasal carcinoma ablation, medial meniscus channeling, perianal and anorectal mass removal (5), hemangioma and hemangiopericytoma removal from two legs, benign skin mass removal (7), liver lobectomy, partial prostatectomy, soft palate resection, partial arytenoidectomy, partial ablation of a thyroid carcinoma, photo-vaporization of the tumor bed following malignant tumor resection (4), neurosheath tumor removal from the tongue, tail sebaceous cyst resection, malignant mammary tumor and mast cell tumor removal. The laser was found to be very simple and safe to use. Hemostasis was excellent in all but the liver and prostate surgeries. The laser was particularly effective in preventing hemorrhage during perianal, anal, and tongue mass removal. It is estimated that a time and blood loss savings of 50% over that of conventional surgery occurred with the use of the laser. All external wounds made by laser appeared to heal faster and with less inflammation than those made with a conventional or electrosurgical scalpel.

Removal of Retained Adherent Placental Remnants Using the Hysteroscopy Endo-Operative System.

Science.gov (United States)

Zhu, Ke-An; Huang, Huan; Xue, Min; Subedi, Jigyasa; Jamail, Grace; Zhao, Weidong; Xu, Dabao; Xiao, Songshu

2016-01-01

Removal of retained adherent placental remnants (RAPRs) may be challenging using traditional 5Fr or 7Fr hysteroscopic grasping forceps because they are very small. This is particularly true when the retained placental remnant is large. This video demonstrates the advantages of using the Hysteroscopy Endo-Operative System (HEOS), a specially designed operative hysteroscope with a 13Fr working channel, to remove retained placental remnants. Step-by-step explanation of the technique using videos and pictures (educative video) (Canadian Task Force Classification III). Third Xiangya Hospital of Central South University, Hunan, China. A 32-year-old woman was diagnosed with RAPRs 5 weeks after the evacuation of retained placenta after a spontaneous abortion at 16 weeks' gestation. Gynecologic examination revealed an anterior 8-week uterus and no tenderness. Serum β-human chorionic gonadotropin was 150 mIU/L. Sonography revealed an irregular intrauterine mass, 3.5 cm × 3.5 cm × 3 cm in size. Removal of RAPRs using HEOS (Sopro-comeg Company, Bordeaux, France). The operation time was only 12 minutes. The RAPRs were removed completely and quickly in 1 procedure with no complications. The serum β-human chorionic gonadotropin titer normalized 1 week after the procedure. This study was approved by the institutional review board of the Third Xiangya Hospital of Central South University. When indicated, removal of RAPRs using HEOS is safe and simple because of its large and strong cold forceps. Additionally, it avoids electrical and thermal injury to the endometrium, which is particularly important in a population that wants to preserve fertility. Copyright © 2016 AAGL. Published by Elsevier Inc. All rights reserved.

An XML Representation for Crew Procedures

Science.gov (United States)

Simpson, Richard C.

2005-01-01

NASA ensures safe operation of complex systems through the use of formally-documented procedures, which encode the operational knowledge of the system as derived from system experts. Crew members use procedure documentation on the ground for training purposes and on-board space shuttle and space station to guide their activities. Investigators at JSC are developing a new representation for procedures that is content-based (as opposed to display-based). Instead of specifying how a procedure should look on the printed page, the content-based representation will identify the components of a procedure and (more importantly) how the components are related (e.g., how the activities within a procedure are sequenced; what resources need to be available for each activity). This approach will allow different sets of rules to be created for displaying procedures on a computer screen, on a hand-held personal digital assistant (PDA), verbally, or on a printed page, and will also allow intelligent reasoning processes to automatically interpret and use procedure definitions. During his NASA fellowship, Dr. Simpson examined how various industries represent procedures (also called business processes or workflows), in areas such as manufacturing, accounting, shipping, or customer service. A useful method for designing and evaluating workflow representation languages is by determining their ability to encode various workflow patterns, which depict abstract relationships between the components of a procedure removed from the context of a specific procedure or industry. Investigators have used this type of analysis to evaluate how well-suited existing workflow representation languages are for various industries based on the workflow patterns that commonly arise across industry-specific procedures. Based on this type of analysis, it is already clear that existing workflow representations capture discrete flow of control (i.e., when one activity should start and stop based on when other

Radiation exposure of operator during various interventional procedures

International Nuclear Information System (INIS)

Yu, In Kyu; Chung, Jin Wook; Han, Joon Koo; Park, Jae Hyung; Kang, Wee Saing

1994-01-01

To investigate the levels of radiation exposure of an operator which may be influenced by the wearing an apron, type of procedure, duration of fluoroscopy and operator's skill during various interventional procedures. Radiation doses were measured both inside and outside the apron(0.5 mm lead equivalent) of the operator by a film badge monitoring method and the duration of fluoroscopy was measured in 96 procedures prospectively. The procedures were 30 transcatheter arterial embolization (TAE), 25 percutaneous transhepatic biliary drainages (PTBD), 16 stone removals (SR), 15 percutaneous needle aspirations (PNCA) and 10 percutaneous nephrostomies(PCN). To assess the difference of exposure by the operator's skill, the procedures of TAE and PTBD were done separately by groups of staffs and residents. Average protective effect of the apron was 72.8%. Average radiation exposure(unit: μ Sv/procedure was 23.3 in PTBD by residents, 10.0 in PTBD by staffs, 10.0 in SR, 8.7 in TAE by residents, 7.3 in TAE by staffs, 9.0 in PCN and 6.0 in PCNA. Average radiation exposure of residents were 1.9 times greater than those of staffs. Radiation exposure was not proportionally related to the duration of fluoroscopy, but influenced by wearing an apron, various types of procedure and operator's skills

Modification of the Nuss Procedure: The Single-incision Technique

Directory of Open Access Journals (Sweden)

Tetsushi Aizawa, MD

2014-11-01

Full Text Available Summary: The Nuss procedure is a prevalent minimally invasive surgery for pectus excavatum. Although the Nuss procedure has the advantage of leaving less obtrusive scars, the standard technique requires at least 3 skin incisions to insert several instruments. We experienced 7 cases of the modified Nuss procedure using a single incision during a 7-year period. To facilitate passing of the bar, a traction guide was created according to our unique method. There was no need for a bar stabilizer, and no severe intraoperative complications occurred. All patients exhibited satisfactory short-term results; however, 1 patient suffered from bar rotation and required repeat surgery for fixation. Two patients underwent bar removal via the same single incision without any difficulties.

THE VALUE OF REMOVING DAILY OBSTACLES VIA EVERYDAY PROBLEM SOLVING THEORY: DEVELOPING AN APPLIED NOVEL PROCEDURE TO INCREASE SELF-EFFICACY FOR EXERCISE

Directory of Open Access Journals (Sweden)

Daniele eArtistico

2013-01-01

Full Text Available The objective of the study was to develop a novel procedure to increase self-efficacy for exercise. Gains in one’s ability to resolve day-to-day obstacles for entering an exercise routine were expected to cause an increase in self-efficacy for exercise. Fifty-five sedentary participants (did not exercise regularly for at least 4 months prior to the study who expressed an intention to exercise in the near future were selected for the study. Participants were randomly assigned to one of three conditions: 1 an Experimental Group in which they received a problem-solving training session to learn new strategies for solving day-to-day obstacles that interfere with exercise, 2 a Control Group with Problem Solving Training which received a problem solving training session focused on a typical day-to-day problem unrelated to exercise, or 3 a Control Group which did not receive any problem-solving training. Assessment of obstacles to exercise and perceived self-efficacy for exercise were conducted at baseline; perceived self-efficacy for exercise was reassessed post-intervention (one week later. No differences in perceived challenges posed by obstacles to exercise or self-efficacy for exercise were observed across groups at baseline. The Experimental Group reported greater improvement in self-efficacy for exercise compared to the Control Group with Training (p < 0.01 and the Control Group (p < 0.01. Results of this study suggest that a novel procedure that focuses on removing obstacles to intended planned fitness activities is effective in increasing self-efficacy to engage in exercise among sedentary adults. Implications of these findings for use in applied settings and treatment studies are discussed.

The Value of Removing Daily Obstacles via Everyday Problem-Solving Theory: Developing an Applied Novel Procedure to Increase Self-Efficacy for Exercise.

Science.gov (United States)

Artistico, Daniele; Pinto, Angela Marinilli; Douek, Jill; Black, Justin; Pezzuti, Lina

2013-01-01

The objective of the study was to develop a novel procedure to increase self-efficacy for exercise. Gains in one's ability to resolve day-to-day obstacles for entering an exercise routine were expected to cause an increase in self-efficacy for exercise. Fifty-five sedentary participants (did not exercise regularly for at least 4 months prior to the study) who expressed an intention to exercise in the near future were selected for the study. Participants were randomly assigned to one of three conditions: (1) an Experimental Group in which they received a problem-solving training session to learn new strategies for solving day-to-day obstacles that interfere with exercise, (2) a Control Group with Problem-Solving Training which received a problem-solving training session focused on a typical day-to-day problem unrelated to exercise, or (3) a Control Group which did not receive any problem-solving training. Assessment of obstacles to exercise and perceived self-efficacy for exercise were conducted at baseline; perceived self-efficacy for exercise was reassessed post-intervention (1 week later). No differences in perceived challenges posed by obstacles to exercise or self-efficacy for exercise were observed across groups at baseline. The Experimental Group reported greater improvement in self-efficacy for exercise compared to the Control Group with Training and the Control Group. Results of this study suggest that a novel procedure that focuses on removing obstacles to intended planned fitness activities is effective in increasing self-efficacy to engage in exercise among sedentary adults. Implications of these findings for use in applied settings and treatment studies are discussed.

Microbiological analysis after complete or partial removal of carious dentin using two different techniques in primary teeth: A randomized clinical trial

Directory of Open Access Journals (Sweden)

Deepak Kumar Singhal

2016-01-01

Conclusion: Results suggest the use of partial caries removal in a single session as compared to complete caries removal as a part of treatment of deep lesions in deciduous teeth in order to reduce the risk of pulp exposure. Partial caries removal using ART can be preferred for community settings as public health procedure for caries management.

Is mammary reconstruction with the anatomical Becker expander a simple procedure? Complications and hidden problems leading to secondary surgical procedures: a follow-up study.

Science.gov (United States)

Farace, Francesco; Faenza, Mario; Bulla, Antonio; Rubino, Corrado; Campus, Gian Vittorio

2013-06-01

Debate over the role of Becker expander implants (BEIs) in breast reconstruction is still ongoing. There are no clear indications for BEI use. The main indications for BEI use are one-stage breast reconstruction procedure and congenital breast deformities correction, due to the postoperative ability to vary BEI volume. Recent studies showed that BEIs were removed 5 years after mammary reconstruction in 68% of operated patients. This entails a further surgical procedure. BEIs should not, therefore, be regarded as one-stage prostheses. We performed a case-series study of breast reconstructions with anatomically shaped Becker-35™ implants, in order to highlight complications and to flag unseen problems, which might entail a second surgical procedure. A total of 229 patients, reconstructed from 2005 to 2010, were enrolled in this study. Data relating to implant type, volume, mean operative time and complications were recorded. All the patients underwent the same surgical procedure. The minimum follow-up period was 18 months. During a 5-year follow-up, 99 patients required secondary surgery to correct their complications or sequelae; 46 of them underwent BEI removal within 2 years of implantation, 56 within 3 years, 65 within 4 years and 74 within 5 years. Our findings show that two different sorts of complications can arise with these devices, leading to premature implant removal, one common to any breast implant and one peculiar to BEIs. The Becker implant is a permanent expander. Surgeons must, therefore, be aware that, once positioned, the Becker expander cannot be adjusted at a later date, as in two-stage expander/prosthesis reconstructions for instance. Surgeons must have a clear understanding of possible BEI complications in order to be able to discuss these with their patients. Therefore, only surgeons experienced in breast reconstruction should use BEIs. Copyright © 2013 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by

Removal in a lump of JRR-3 nuclear reactor

International Nuclear Information System (INIS)

Ohnishi, Nobuaki; Suzuki, Masanori; Nagase, Tetsuo; Watanabe, Morinari.

1989-01-01

The research reactor JRR-3 in Japan Atomic Energy Research Institute is called 'Home made No.1 reactor' as all except fuel and heavy water as the moderator and coolant were manufactured in Japan. The JRR-3 attained the criticality in 1962, and the cumulative time of operation reached 47135.5 hours, and the cumulative power output reached 419073.5 MWh. It was stopped in 1983. During the period, it was utilized for beam experiment, irradiation of fuel and materials, RI production and others. In order to cope with the expansion of utilization and the advance of utilizing technology of the research reactor, the reconstruction works are in progress, and the criticality of the reconstructed reactor is expected in 1990. On the site where the old reactor is removed, the reactor of different type is installed, and the first large cold neutron source is equipped. In this report, as to the removal of the old reactor proper, the method of working and the results are described. Considering the period of working, the cost and the management of the removed reactor, in the case of the JRR-3, the method of carrying it out in a lump was adopted as the optimum removal method. The plan, procedure and results of the removal working are reported. (K.I.)

Application of X-ray scanning and tomography to evaluate the filtercake removal efficiency

International Nuclear Information System (INIS)

Lopes, R.T.; Oliveira, L.F. de; Miranda, C.R.; Leite, J.C.

2004-01-01

The removal of the filtercake formed during the drilling operation is essential for a successful cementing job. Nowadays, the use of synthetic base fluids brings the necessity of proceeding new evaluations of the efficiency of the washes in removing the filtercake and to guarantee the wettability inversion of the formation from oil to waterwet. It is presented here the application of X-ray tomographic scanning to evaluate the filtercake removal efficiency performed by different washes. This technique uses a natural core with a perforation, where a filtercake is formed by circulating a drilling fluid. The wash is circulated through this perforation and the filtercake removal efficiency is measured precisely by computer tomography scanning. This procedure enables the filtercake removal visualization during the wash circulation through the formation and from the data obtained from the X-ray tomography it is possible to select the most appropriate wash for a given drilling fluid, as well as to predict the necessary contact time between the wash and the formation to achieve an appropriate filtercake removal

Radon-removal techniques for small community public water supplies

International Nuclear Information System (INIS)

Kinner, N.E.; Malley, J.P.; Clement, J.A.; Quern, P.A.; Schell, G.S.

1990-08-01

The report presents the results of an evaluation, performed by the University of New Hampshire--Environmental Research Group (ERG), of radon removal in small community water supplies using full-scale granular activated carbon adsorption, diffused bubble aeration and packed tower aeration. Various low technology alternatives, such as loss in a distribution system and addition of coarse bubble aeration to a pilot-scale atmospheric storage tank were also evaluated. The report discusses each of the treatment alternatives with respect to their radon removal efficiency, potential problems (i.e., waste disposal, radiation exposure and intermedia pollution), and economics in small community applications. In addition, several sampling methods, storage times, scintillation cocktails and extraction procedures currently used in the liquid scintillation technique for analysis of radon in water were compared

Removal of retrievable self-expandable urethral stents: experience in 58 stents

International Nuclear Information System (INIS)

Shin, Ji Hoon; Song, Ho-Young; Kim, Jin Hyoung; Ko, Heung-Kyu; Kim, Yong Jae; Woo, Chul-Woong; Kim, Tae-Hyung; Ko, Gi-Young; Yoon, Hyun-Ki; Sung, Kyu-Bo; Park, Hyungkeun

2006-01-01

The purpose of this study was to retrospectively evaluate the safety and efficacy of removing retrievable self-expandable urethral stents using a retrieval hook wire. Under fluoroscopic guidance, the removal of 58 polyurethane or PTFE (polytetrafluoroethylene)-covered stents was attempted in 33 patients using a retrieval hook wire. Indications for removal were elective removal (n=21), stent migration (n=19), formation of tissue hyperplasia around or inside of the stent (n=14), stent deformity (n=3), and severe pain (n=1). The mean time the stents remained in place was 64.8±42.9 days (range, 1-177 days). Fifty-six (97%) of the 58 stents were successfully removed using the retrieval hook wire despite the following difficulties; hook wire disconnection (n=2), untied drawstrings (n=3), and polyurethane membrane disruption/separation (n=4). The removal procedure using a retrieval hook wire failed in two stents (3%) which had migrated into the urinary bladder. One of the two stents with migration into the urinary bladder was removed using a snare through the cystostomy route. The overall complication rate was 14% (seven hematuria cases and one urethral tear case), and all were minor and spontaneously resolved without further treatment. In conclusion, removal of retrievable urethral stents using a retrieval hook wire was safe and effective despite some technical difficulties. It is a useful method for allowing temporary stent placement and solving various complications of stent use. (orig.)

Removal of retrievable self-expandable urethral stents: experience in 58 stents

Energy Technology Data Exchange (ETDEWEB)

Shin, Ji Hoon; Song, Ho-Young; Kim, Jin Hyoung; Ko, Heung-Kyu; Kim, Yong Jae; Woo, Chul-Woong; Kim, Tae-Hyung; Ko, Gi-Young; Yoon, Hyun-Ki; Sung, Kyu-Bo [Asan Medical Center, Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Seoul (Korea); Park, Hyungkeun [Asan Medical Center, Department of Urology, University of Ulsan College of Medicine, Seoul (Korea)

2006-09-15

The purpose of this study was to retrospectively evaluate the safety and efficacy of removing retrievable self-expandable urethral stents using a retrieval hook wire. Under fluoroscopic guidance, the removal of 58 polyurethane or PTFE (polytetrafluoroethylene)-covered stents was attempted in 33 patients using a retrieval hook wire. Indications for removal were elective removal (n=21), stent migration (n=19), formation of tissue hyperplasia around or inside of the stent (n=14), stent deformity (n=3), and severe pain (n=1). The mean time the stents remained in place was 64.8{+-}42.9 days (range, 1-177 days). Fifty-six (97%) of the 58 stents were successfully removed using the retrieval hook wire despite the following difficulties; hook wire disconnection (n=2), untied drawstrings (n=3), and polyurethane membrane disruption/separation (n=4). The removal procedure using a retrieval hook wire failed in two stents (3%) which had migrated into the urinary bladder. One of the two stents with migration into the urinary bladder was removed using a snare through the cystostomy route. The overall complication rate was 14% (seven hematuria cases and one urethral tear case), and all were minor and spontaneously resolved without further treatment. In conclusion, removal of retrievable urethral stents using a retrieval hook wire was safe and effective despite some technical difficulties. It is a useful method for allowing temporary stent placement and solving various complications of stent use. (orig.)

"Nara" knot for suturing of cleft lip in children to make removal easy

Directory of Open Access Journals (Sweden)

Obaidullah

2006-01-01

Full Text Available Cleft patients usually go through a lifetime of repeated hospital admissions and multiple procedures. Suture removal at a tender age and on a sensitive area like the lip becomes a challenge for the nursing staff. It is also emotionally demanding on the part of the parents. Hence, in most centres these patients are at least sedated if not anaesthetised. We have been using a simple knot and running prolene material so that undoing of the knot becomes easy and suture removal more or less atraumatic. We would like to share our experience with readers through this article. An analysis of 53 cleft lip repairs has shown that this knot is safe and easily removable.

40 CFR 300.615 - Responsibilities of trustees.

Science.gov (United States)

2010-07-01

... Section 300.615 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) SUPERFUND, EMERGENCY... trustees have the option of following the procedures for natural resource damage assessments located at 43...) In accordance with OPA section 1006(c), determine the need for assessment of natural resource damages...

Ophthalmic surgical procedures in children at the University of Benin ...

African Journals Online (AJOL)

The second commonest indication for surgery was cataract (23.0%), while eyeball removal (9% of cases) due to tumours or infection was the third commonest surgical procedure. Strabismus and pterygium surgery were infrequently performed (0.9%). Late presentation for eye surgery was the pattern in most of the cases.

Electrical power line and pole removal radiological survey completion report: Revision 2

International Nuclear Information System (INIS)

1989-02-01

Each electric power pole and all wire, cross members, and attached hardware were radiologically surveyed and removed. The survey procedures did not conform in every respect with the planned procedures because the actual work differed from the removal plan. The survey showed that all contamination was fixed. Certain poles that were suspected of being contaminated with Th-230 were cut off one foot above ground level and left on site. Each truck load of materials was checked at the access point to ensure it met release criteria. Wood samples were taken from all the poles at Building 403 and 5% of all the rest and analyzed for U-238 and Th-232. Only U-238 was detected. 1903 bundles of wire (95,150 lin ft) were released, and 76 bundles (1520 lin ft) were found to be contaminated. 7163 lin ft of power pole material were released, and 1484 lin ft were contaminated. A comprehensive quality measure assurance/quality control program was applied to this work

Radioisotopic studies concerning the efficacy of standard washing procedures for the cleansing of hair before zinc analysis

International Nuclear Information System (INIS)

Buckley, R.A.; Dreosti, I.E.

1984-01-01

Various standard procedures were investigated in relation to the removal of exogenously applied 65Zn from human hair and endogenously incorporated 65Zn from rat hair. Human hair was found to adsorb zinc and a variety of other metal ions from aqueous solutions in a manner which suggested some ion-exchange capacity. Uptake of zinc varied considerably between human hair samples, but in most cases accumulation of zinc occurred rapidly and often resulted in hair zinc levels several-fold higher than found in control samples. Extraction of zinc and other metal ions was greatest after treatment with disodium EDTA and sodium lauryl sulfate than after washing with water or aqueous Triton X-100. However, no procedure effectively removed all exogenous zinc, while all treatments extracted varying proportions of the endogenous zinc component. Because of the inability of standard washing procedures to remove exogenous zinc without reducing endogenous or indicator zinc levels, use of hair zinc analyses to indicate nutritional zinc status are inadvisable if hair zinc contamination is likely to have occurred

[Evaluation of the cosmetic effect of orbital endoimplantation after removal the eyeball].

Science.gov (United States)

Piskiniene, Raimonda

2006-01-01

The purpose of our study was to evaluate the cosmetic effect of endoimplantation after removal the eyeball. The removal of the globe creates anatomic and physiological alteration of the orbital tissue and orbital bones. A volume deficit occurs when an eye is enucleated. Deep upper lid sulcus, ptosis, lower lid laxity, and enophthalmus of the artificial eye together constitute the postenucleation socket syndrome, which creates an asymmetry of the face. The orbital prosthesis by placing it in the orbital cavity allows correcting volume deficit, so the implant with attached extraocular muscles, together with an artificial eye, creates an illusion of real eye. Forty patients were operated on in Clinic of Eye Diseases of Kaunas University of Medicine Hospital. Twenty patients underwent removal of the eye and procedure of orbital implant insertion (main group). Twenty patients had just an eyeball removal without insertion of an orbital implant (control group). There was a statistically significant difference in exophthalmometry data between main and control groups (14.20+/-2.73 vs. 10.35+/-1.23 mm, respectively; peyeball removal.

Endoscopic Removal of a Bullet That Migrated to the Third Ventricle Causing Hydrocephalus.

Science.gov (United States)

Aydoseli, Aydın; Unal, Tugrul Cem; Aras, Yavuz; Sabanci, Pulat Akın; Altunrende, Emre; Izgi, Nail

2017-09-01

Hydrocephalus caused by an intraventricular bullet is a rare event. We report a case of endoscopic removal of an intraventricular bullet. A 66-year-old man was admitted with a gunshot wound to the head after a suicide attempt. The bullet migrated from the frontal parenchyma to the third ventricle day 4 of admission. On day 21 of admission, the patient developed hydrocephalus with obstruction of the cerebral aqueduct. The bullet was accessed through an endoscopic third ventriculostomy and removed using an endoscope. Hydrocephalus may develop in patients with intraventricular foreign objects. When such objects must be removed, the endoscopic approach is a safe, efficient, and minimally invasive procedure. To our knowledge, this is the first case in the literature of foreign object removal from the ventricle via a transcortical endoscopic approach. Copyright © 2017 Elsevier Inc. All rights reserved.

Mercury and tritium removal from DOE waste oils

Energy Technology Data Exchange (ETDEWEB)

Klasson, E.T. [Oak Ridge National Lab., TN (United States)

1997-10-01

This work covers the investigation of vacuum extraction as a means to remove tritiated contamination as well as the removal via sorption of dissolved mercury from contaminated oils. The radiation damage in oils from tritium causes production of hydrogen, methane, and low-molecular-weight hydrocarbons. When tritium gas is present in the oil, the tritium atom is incorporated into the formed hydrocarbons. The transformer industry measures gas content/composition of transformer oils as a diagnostic tool for the transformers` condition. The analytical approach (ASTM D3612-90) used for these measurements is vacuum extraction of all gases (H{sub 2}, N{sub 2}, O{sub 2}, CO, CO{sub 2}, etc.) followed by analysis of the evolved gas mixture. This extraction method will be adapted to remove dissolved gases (including tritium) from the SRS vacuum pump oil. It may be necessary to heat (60{degrees}C to 70{degrees}C) the oil during vacuum extraction to remove tritiated water. A method described in the procedures is a stripper column extraction, in which a carrier gas (argon) is used to remove dissolved gases from oil that is dispersed on high surface area beads. This method appears promising for scale-up as a treatment process, and a modified process is also being used as a dewatering technique by SD Myers, Inc. (a transformer consulting company) for transformers in the field by a mobile unit. Although some mercury may be removed during the vacuum extraction, the most common technique for removing mercury from oil is by using sulfur-impregnated activated carbon (SIAC). SIAC is currently being used by the petroleum industry to remove mercury from hydrocarbon mixtures, but the sorbent has not been previously tested on DOE vacuum oil waste. It is anticipated that a final process will be similar to technologies used by the petroleum industry and is comparable to ion exchange operations in large column-type reactors.

Quality assurance project plan for the removal action at the former YS-860 Firing Ranges, Oak Ridge Y-12 Plant, Oak Ridge, Tennessee

International Nuclear Information System (INIS)

1998-03-01

This quality assurance project plan defines project organization and roles of responsibility, sampling and field procedures, sample documentation and chain-of-custody protocols, equipment calibration, analytical procedures, data reduction and validation, and internal quality control procedures for the former YS-860 Firing Ranges removal action at the Oak Ridge Y-12 Plant. The ENTECH Team will maintain the highest standards to ensure strict compliance with this plan. Implementation of this plan will include consideration of the technical, as well as administrative, aspects of activities affecting quality. Plan implementation is based on the premise that quality controls selected for each element of work are consistent with the risk, importance, and health and safety considerations of performing the work. The purpose of this removal action is to address lead-contaminated soil and reduce a potential risk to human health and the environment. This site is an operable unit within the Upper East Fork Poplar Creek watershed. The removal action will contribute to early source actions within the watershed. The project will accomplish this through the removal of lead-contaminated soil in the target areas of two small arms firing ranges. This plan covers the removal action at the former YS-86O Firing Ranges. These actions involve the excavation of lead-contaminated soils, the removal of the concrete trench and macadam (asphalt) paths, verification sampling, grading, and revegetation

Biofilms and Oxidizing Biocides; Evaluation of Disinfection and Removal Effects by Using Established Microbial Systems.

Science.gov (United States)

Tachikawa, Mariko

2017-01-01

The formation of bacterial biofilms and their disinfection and removal have been important subjects in the maintenance of water quality in areas such as public spas, swimming pools, food processing lines, industrial water systems, and in the hygienic control of medical devices, hospital procedures, etc. Presented here is an outline of biofilm formation, as well as studies on the disinfection and removal of biofilms by oxidizing biocides using established biofilms. These studies using established biofilms may increase the understanding of the variable response of biofilms to planktonic bacteria, and the unique aspects of oxidizing biocides in the disinfection and removal of biofilms.

Treatability Study of In Situ Technologies for Remediation of Hexavalent Chromium in Groundwater at the Puchack Well Field Superfund Site, New Jersey

Energy Technology Data Exchange (ETDEWEB)

Vermeul, Vince R.; Szecsody, Jim E.; Truex, Michael J.; Burns, Carolyn A.; Girvin, Donald C.; Phillips, Jerry L.; Devary, Brooks J.; Fischer, Ashley E.; Li, Shu-Mei W.

2006-11-13

This treatability study was conducted by Pacific Northwest National Laboratory (PNNL), at the request of the U. S. Environmental Protection Agency (EPA) Region 2, to evaluate the feasibility of using in situ treatment technologies for chromate reduction and immobilization at the Puchack Well Field Superfund Site in Pennsauken Township, New Jersey. In addition to in situ reductive treatments, which included the evaluation of both abiotic and biotic reduction of Puchack aquifer sediments, natural attenuation mechanisms were evaluated (i.e., chromate adsorption and reduction). Chromate exhibited typical anionic adsorption behavior, with greater adsorption at lower pH, at lower chromate concentration, and at lower concentrations of other competing anions. In particular, sulfate (at 50 mg/L) suppressed chromate adsorption by up to 50%. Chromate adsorption was not influenced by inorganic colloids.

Successful Insular Glioma Removal in a Deaf Signer Patient During an Awake Craniotomy Procedure.

Science.gov (United States)

Metellus, Philippe; Boussen, Salah; Guye, Maxime; Trebuchon, Agnes

2017-02-01

Resection of tumors located within the insula of the dominant hemisphere represents a technical challenge because of the complex anatomy, including the surrounding vasculature, and the relationship to functional (motor and language) structures. We report here the case of a successful resection of a left insular glioma in a native deaf signer during an awake craniotomy. The patient, a congenitally deaf right-handed patient who is a native user of sign language, presented with a seizure 1 week before he was referred to our department. Magnetic resonance imaging revealed a left heterogeneous insular tumor enhanced after intravenous gadolinium infusion. Because of its deep and dominant hemisphere location, an awake craniotomy was decided. The patient was evaluated intraoperatively using object naming, text reading, and sign repetition tasks. An isolated inferior frontal gyrus site evoked repeated object naming errors. A transopercular parietal approach was performed and allowed the successful removal of the tumor under direct electric stimulation and electrocorticography. To our knowledge, this is the first report of successful removal of a left insular tumor without any functional sequelae in a native deaf signer using intraoperative direct cerebral stimulation during an awake craniotomy. The methodology used also provides the first evidence of the actual anatomo-functional organization of language in deaf signers. Copyright © 2016 Elsevier Inc. All rights reserved.

Increased risk for complications following removal of hardware in patients with liver disease, pilon or pelvic fractures: A regression analysis.

Science.gov (United States)

Brown, Bryan D; Steinert, Justin N; Stelzer, John W; Yoon, Richard S; Langford, Joshua R; Koval, Kenneth J

2017-12-01

Indications for removing orthopedic hardware on an elective basis varies widely. Although viewed as a relatively benign procedure, there is a lack of data regarding overall complication rates after fracture fixation. The purpose of this study is to determine the overall short-term complication rate for elective removal of orthopedic hardware after fracture fixation and to identify associated risk factors. Adult patients indicated for elective hardware removal after fracture fixation between July 2012 and July 2016 were screened for inclusion. Inclusion criteria included patients with hardware related pain and/or impaired cosmesis with complete medical and radiographic records and at least 3-month follow-up. Exclusion criteria were those patients indicated for hardware removal for a diagnosis of malunion, non-union, and/or infection. Data collected included patient age, gender, anatomic location of hardware removed, body mass index, ASA score, and comorbidities. Overall complications, as well as complications requiring revision surgery were recorded. Statistical analysis was performed with SPSS 20.0, and included univariate and multivariate regression analysis. 391 patients (418 procedures) were included for analysis. Overall complication rates were 8.4%, with a 3.6% revision surgery rate. Univariate regression analysis revealed that patients who had liver disease were at significant risk for complication (p=0.001) and revision surgery (p=0.036). Multivariate regression analysis showed that: 1) patients who had liver disease were at significant risk of overall complication (p=0.001) and revision surgery (p=0.039); 2) Removal of hardware following fixation for a pilon had significantly increased risk for complication (p=0.012), but not revision surgery (p=0.43); and 3) Removal of hardware for pelvic fixation had a significantly increased risk for revision surgery (p=0.017). Removal of hardware following fracture fixation is not a risk-free procedure. Patients with

The "Hands Together" Method of Nonsterile Scalpel Blade Mounting and Removal

Science.gov (United States)

Cornwall, Jon

2014-01-01

Scalpels are utilized by many different user groups for such purposes as medical procedures and dissection. Injuries caused by scalpels are a potential risk for scalpel users, and include injuries that may occur while mounting and removing the scalpel blade. Between 10% and 20% of all scalpel injuries in education and healthcare settings are…

Guidelines for procedural pain in the newborn

Science.gov (United States)

Lago, Paola; Garetti, Elisabetta; Merazzi, Daniele; Pieragostini, Luisa; Ancora, Gina; Pirelli, Anna; Bellieni, Carlo Valerio

2009-01-01

Despite accumulating evidence that procedural pain experienced by newborn infants may have acute and even long-term detrimental effects on their subsequent behaviour and neurological outcome, pain control and prevention remain controversial issues. Our aim was to develop guidelines based on evidence and clinical practice for preventing and controlling neonatal procedural pain in the light of the evidence-based recommendations contained in the SIGN classification. A panel of expert neonatologists used systematic review, data synthesis and open discussion to reach a consensus on the level of evidence supported by the literature or customs in clinical practice and to describe a global analgesic management, considering pharmacological, non-pharmacological, behavioural and environmental measures for each invasive procedure. There is strong evidence to support some analgesic measures, e.g. sucrose or breast milk for minor invasive procedures, and combinations of drugs for tracheal intubation. Many other pain control measures used during chest tube placement and removal, screening and treatment for ROP, or for postoperative pain, are still based not on evidence, but on good practice or expert opinions. Conclusion: These guidelines should help improving the health care professional's awareness of the need to adequately manage procedural pain in neonates, based on the strongest evidence currently available. PMID:19484828

Iterative Outlier Removal: A Method for Identifying Outliers in Laboratory Recalibration Studies.

Science.gov (United States)

Parrinello, Christina M; Grams, Morgan E; Sang, Yingying; Couper, David; Wruck, Lisa M; Li, Danni; Eckfeldt, John H; Selvin, Elizabeth; Coresh, Josef

2016-07-01

Extreme values that arise for any reason, including those through nonlaboratory measurement procedure-related processes (inadequate mixing, evaporation, mislabeling), lead to outliers and inflate errors in recalibration studies. We present an approach termed iterative outlier removal (IOR) for identifying such outliers. We previously identified substantial laboratory drift in uric acid measurements in the Atherosclerosis Risk in Communities (ARIC) Study over time. Serum uric acid was originally measured in 1990-1992 on a Coulter DACOS instrument using an uricase-based measurement procedure. To recalibrate previous measured concentrations to a newer enzymatic colorimetric measurement procedure, uric acid was remeasured in 200 participants from stored plasma in 2011-2013 on a Beckman Olympus 480 autoanalyzer. To conduct IOR, we excluded data points >3 SDs from the mean difference. We continued this process using the resulting data until no outliers remained. IOR detected more outliers and yielded greater precision in simulation. The original mean difference (SD) in uric acid was 1.25 (0.62) mg/dL. After 4 iterations, 9 outliers were excluded, and the mean difference (SD) was 1.23 (0.45) mg/dL. Conducting only one round of outlier removal (standard approach) would have excluded 4 outliers [mean difference (SD) = 1.22 (0.51) mg/dL]. Applying the recalibration (derived from Deming regression) from each approach to the original measurements, the prevalence of hyperuricemia (>7 mg/dL) was 28.5% before IOR and 8.5% after IOR. IOR is a useful method for removal of extreme outliers irrelevant to recalibrating laboratory measurements, and identifies more extraneous outliers than the standard approach. © 2016 American Association for Clinical Chemistry.

A novel surface cleaning method for chemical removal of fouling lead layer from chromium surfaces

International Nuclear Information System (INIS)

Gholivand, Kh.; Khosravi, M.; Hosseini, S.G.; Fathollahi, M.

2010-01-01

Most products especially metallic surfaces require cleaning treatment to remove surface contaminations that remain after processing or usage. Lead fouling is a general problem which arises from lead fouling on the chromium surfaces of bores and other interior parts of systems which have interaction with metallic lead in high temperatures and pressures. In this study, a novel chemical solution was introduced as a cleaner reagent for removing metallic lead pollution, as a fouling metal, from chromium surfaces. The cleaner aqueous solution contains hydrogen peroxide (H 2 O 2 ) as oxidizing agent of lead layer on the chromium surface and acetic acid (CH 3 COOH) as chelating agent of lead ions. The effect of some experimental parameters such as acetic acid concentration, hydrogen peroxide concentration and temperature of the cleaner solution during the operation on the efficiency of lead cleaning procedure was investigated. The results of scanning electron microscopy (SEM) showed that using this procedure, the lead pollution layer could be completely removed from real chromium surfaces without corrosion of the original surface. Finally, the optimum conditions for the complete and fast removing of lead pollution layer from chromium surfaces were proposed. The experimental results showed that at the optimum condition (acetic acid concentration 28% (V/V), hydrogen peroxide 8% (V/V) and temperature 35 deg. C), only 15-min time is needed for complete removal of 3 g fouling lead from a chromium surface.

Mesh removal following transvaginal mesh placement: a case series of 104 operations.

Science.gov (United States)

Marcus-Braun, Naama; von Theobald, Peter

2010-04-01

The objective of the study was to reveal the way we treat vaginal mesh complications in a trained referral center. This is a retrospective review of all patients who underwent surgical removal of transvaginal mesh for mesh-related complications during a 5-year period. Eighty-three patients underwent 104 operations including 61 complete mesh removal, 14 partial excision, 15 section of sub-urethral sling, and five laparoscopies. Main indications were erosion, infection, granuloma, incomplete voiding, and pain. Fifty-eight removals occurred more than 2 years after the primary mesh placement. Mean operation time was 21 min, and there were two intraoperative and ten minor postoperative complications. Stress urinary incontinence (SUI) recurred in 38% and cystocele in 19% of patients. In a trained center, mesh removal was found to be a quick and safe procedure. Mesh-related complications may frequently occur more than 2 years after the primary operation. Recurrence was mostly associated with SUI and less with genital prolapse.

Complications during removal of stainless steel versus titanium nails used for intramedullary nailing of diaphyseal fractures of the tibia

OpenAIRE

Mustafa Seyhan; Olcay Guler; Mahir Mahirogullari; Ferdi Donmez; Arel Gereli; Serhat Mutlu

2018-01-01

Objectives: Intramedullary nailing is the treatment of choice for fractures of the tibial shaft, which might necessitate the nail removal due to complications in the long-term. Although considered as a low-risk procedure, intramedullary nail removal is also associated with certain complications. Here, we compared the most commonly used stainless steel and titanium nails with respect to the complications during removal and clinical outcome for intramedullary nailing of diaphyseal fractures of ...

Complications during removal of stainless steel versus titanium nails used for intramedullary nailing of diaphyseal fractures of the tibia

OpenAIRE

Seyhan, Mustafa; Guler, Olcay; Mahirogullari, Mahir; Donmez, Ferdi; Gereli, Arel; Mutlu, Serhat

2018-01-01

Objectives Intramedullary nailing is the treatment of choice for fractures of the tibial shaft, which might necessitate the nail removal due to complications in the long-term. Although considered as a low-risk procedure, intramedullary nail removal is also associated with certain complications. Here, we compared the most commonly used stainless steel and titanium nails with respect to the complications during removal and clinical outcome for intramedullary nailing of diaphyseal fractures of t...

Specifically requesting surgical tattoo removal: are deep personal motivations involved?

Science.gov (United States)

Koljonen, V; Kluger, N

2012-06-01

  Motivations for tattoo removal include employment reasons, stigmata, changes in lifestyles or partners, incompatibility with present attitudes and values and clothing problems. Most studies on the motivations for tattoo removal have focused on patients seeking laser therapy. We hypothesized that patients seeking surgical tattoo removal would present with different motivations.   We analysed the characteristics and motivations of patients specifically requesting surgical tattoo removal.   We retrospectively reviewed the medical records of 16 patients in Helsinki, Finland, from 2005 to 2011. Demographic, clinical data, number of tattoos, location and size, time elapsed since tattooing, reason(s) for wanting surgical tattoo removal and surgical operations were analysed and compared with the other literature on tattoo removal.   Patients were mainly Caucasian females (ratio 3 : 1, median age of 26 years). Tattoos were all done by studio artists, most measured less than 30 cm², and were quite recent (median 5.3 years). Personal reasons accounted for 42.8% of all reasons, professional/social reasons for 37.5% and miscellaneous for 18.8%. Personal concerns were usually marital status changes, with few expressing dissatisfaction with the actual design of the tattoo. Tattoos were excised during a single procedure in 70% of the cases with only one case producing a hypertrophic scar.   Patients seeking surgical removal were aware of the limits and risks of the technique. They expressed intense personal reasons for wanting radical surgical removal. The possibility of surgical tattoo removal should be accessible to patients if the tattoo is small and discussion reveals strong personal motivation. © 2011 The Authors. Journal of the European Academy of Dermatology and Venereology © 2011 European Academy of Dermatology and Venereology.

Comparing fixation used for calcaneal displacement osteotomies: a look at removal rates and cost.

Science.gov (United States)

Lucas, Douglas E; Simpson, G Alex; Philbin, Terrence M

2015-02-01

The calcaneal displacement osteotomy is a procedure frequently used by foot and ankle surgeons for hindfoot angular deformity. Traditional techniques use compression screw fixation that can result in prominent hardware. While the results of the procedure are generally good, a common concern is the development of plantar heel pain related to prominent hardware. The primary purpose of this study is to retrospectively compare clinical outcomes of 2 fixation methods for the osteotomy. Secondarily a cost analysis will compare implant costs to hardware removal costs. Records were reviewed for patients who had undergone a calcaneal displacement osteotomy fixated with either lag screw or a locked lateral compression plate (LLCP). Neuropathy, previous ipsilateral calcaneus surgery, heel pad trauma, or incomplete radiographic follow-up were exclusionary. Thirty-two patients (19.4%) required hardware removal from the screw fixation group compared to 1 (1.6%) of the LLCP group, which is significant (P cost was remarkably different with screw fixation costing on average $247.12, compared to the LLCP costing $1175.59. Although the LLCP cost was significantly higher, cost savings were identified when the cost of removal and removal rates were included. This study demonstrates that this device provides adequate stabilization for healing in equivalent time to screw fixation. The LLCP required decreased rates of hardware removal with fewer postoperative visits over a shorter period of time. Significant savings were demonstrated in the LLCP group despite the higher implant cost. Therapeutic, Level III, Retrospective Comparative Study. © 2014 The Author(s).

Removal of detergents from SDS-inactivated dextransucrase

International Nuclear Information System (INIS)

Husman, D.W.; Mayer, R.M.

1986-01-01

Dextransucrase, which is rapidly inactivated by SDS, can be reactivated upon the addition of Triton X-100. Purification of the enzyme, in good yield and homogeneity, has been achieved by chromatography in the presence of SDS. The purified enzyme can be reactivated with Triton, but has large amounts of detergents. It was important to develop procedures for their removal. Density gradient centrifugation of SDS-inactivated or Triton-reactivated enzyme, treatment with Extracti-Gel D (Pierce) or chromatography on hydroxyl apatite (HA), have been examined for their effectiveness in providing detergent-free enzyme in good yield. Ultracentrifugation of SDS-inactivated protein provided limited recovery of active enzyme, but suggested that reactivation could be achieved by the simple removal of the detergent. While similar behavior was observed when the enzyme was eluted from Extracti-Gel, it was also shown that the limited recovery was a result of irreversible inactivation of the enzyme. Recovery could be improved if the enzyme was collected in solutions containing Triton, which has been reported to be a stabilizer. Chromatography of SDS-inactivated enzyme on HA also yielded active enzyme. Good recovery was obtained when Triton-reactivated enzyme was employed in these studies. The degree of detergent removal was determined by utilizing radiolabelled SDS and Triton X-100

SASS wind ambiguity removal by direct minimization. II - Use of smoothness and dynamical constraints

Science.gov (United States)

Hoffman, R. N.

1984-01-01

A variational analysis method (VAM) is used to remove the ambiguity of the Seasat-A Satellite Scatterometer (SASS) winds. The VAM yields the best fit to the data by minimizing an objective function S which is a measure of the lack of fit. The SASS data are described and the function S and the analysis procedure are defined. Analyses of a single ship report which are analogous to Green's functions are presented. The analysis procedure is tuned and its sensitivity is described using the QE II storm. The procedure is then applied to a case study of September 6, 1978, south of Japan.

New procedure for the control of the treatment of industrial effluents to remove volatile organosulfur compounds.

Science.gov (United States)

Boczkaj, Grzegorz; Makoś, Patrycja; Fernandes, André; Przyjazny, Andrzej

2016-10-01

We present a new procedure for the determination of volatile organosulfur compounds in samples of industrial effluents using dispersive liquid-liquid microextraction and gas chromatography with flame photometric detection. Initially, the extraction parameters were optimized. These included: type and volume of extraction solvent, volume of disperser solvent, salting out effect, pH, time and speed of centrifugation as well as extraction time. The procedure was validated for 30 compounds. The developed procedure has low detection limits of 0.0071-0.49 μg/L and a good precision (relative standard deviation values of 1.2-5.0 and 0.6-4.1% at concentrations of 1 and 10 μg/L, respectively). The procedure was used to determine the content of volatile organosulfur compounds in samples of effluents from the production of bitumens before and after chemical treatment, in which six compounds were identified, including 2-mercaptoethanol, thiophenol, thioanisole, dipropyl disulfide, 1-decanethiol, and phenyl isothiocyanate at concentrations ranging from 0.47 to 8.89 μg/L. Problems in the determination of organosulfur compounds related to considerable changes in composition of the effluents, increase in concentration of individual compounds and appearance of secondary pollutants during effluent treatment processes are also discussed. © 2016 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

Memory Outcomes Following Selective versus Nonselective Temporal Lobe Removal: A Systematic Review

Science.gov (United States)

Girgis, Fady

2012-01-01

The surgical removal of brain tissue for the treatment of temporal lobe epilepsy can be either nonselective, as with an anterior temporal lobectomy (ATL), or selective, as with a selective amygdalohippocampectomy (SAH). Although seizure outcomes are similar with both procedures, cognitive and memory outcomes remain a matter of debate. This study…

Potential use of maize waste for the removal of Pb(II) from aqueous solution

CSIR Research Space (South Africa)

Okonkwo, J

2006-09-01

Full Text Available batch adsorption procedures. The utilization of tassels for the removal of toxic heavy metals from effluent solutions would, however, attach some economic value to this waste material. Tassel flowers were collected just prior to harvest, dried under...

Prevention of Cutaneous Tissue Contracture During Removal of Craniofacial Implant Superstructures for CT and MRI Studies

Directory of Open Access Journals (Sweden)

Maureen Sullivan

2010-04-01

Full Text Available Objectives: Head and neck cancer patients who have lost facial parts following surgical intervention frequently require craniofacial implant retained facial prostheses for restoration. Many craniofacial implant patients require computed tomography and magnetic resonance imaging scans as part of their long-term follow-up care. Consequently removal of implant superstructures and peri-abutment tissue management is required for those studies. The purpose of the present paper was to describe a method for eliminating cranial imaging artifacts in patients with craniofacial implants.Material and Methods: Three patients wearing extraoral implant retained facial prostheses needing either computed tomography or magnetic resonance imaging studies were discussed. Peri-implant soft tissues contracture after removal of percutaneous craniofacial implant abutments during computed tomography and magnetic resonance imaging studies was prevented using a method proposed by authors. The procedure involves temporary removal of the supra-implant components prior to imaging and filling of the tissue openings with polyvinyl siloxane dental impression material.Results: Immediately after filling of the tissue openings with polyvinyl siloxane dental impression material patients were sent for the imaging studies, and were asked to return for removal of the silicone plugs and reconnection of all superstructure hardware after imaging procedures were complete. The silicone plugs were easily removed with a dental explorer. The percutaneous abutments were immediately replaced and screwed into the implants which were at the bone level.Conclusions: Presented herein method eliminates the source of artifacts and prevents contracture of percutaneous tissues upon removal of the implant abutments during imaging.

ARSENIC REMOVAL BY IRON REMOVAL PROCESSES

Science.gov (United States)

Presentation will discuss the removal of arsenic from drinking water using iron removal processes that include oxidation/filtration and the manganese greensand processes. Presentation includes results of U.S. EPA field studies conducted in Michigan and Ohio on existing iron remo...

Mixture-based gatekeeping procedures in adaptive clinical trials.

Science.gov (United States)

Kordzakhia, George; Dmitrienko, Alex; Ishida, Eiji

2018-01-01

Clinical trials with data-driven decision rules often pursue multiple clinical objectives such as the evaluation of several endpoints or several doses of an experimental treatment. These complex analysis strategies give rise to "multivariate" multiplicity problems with several components or sources of multiplicity. A general framework for defining gatekeeping procedures in clinical trials with adaptive multistage designs is proposed in this paper. The mixture method is applied to build a gatekeeping procedure at each stage and inferences at each decision point (interim or final analysis) are performed using the combination function approach. An advantage of utilizing the mixture method is that it enables powerful gatekeeping procedures applicable to a broad class of settings with complex logical relationships among the hypotheses of interest. Further, the combination function approach supports flexible data-driven decisions such as a decision to increase the sample size or remove a treatment arm. The paper concludes with a clinical trial example that illustrates the methodology by applying it to develop an adaptive two-stage design with a mixture-based gatekeeping procedure.

[Ureteral realignment with the rendezvous procedure in complex ureteral injuries - aspects of technique and our experience].

Science.gov (United States)

Brandt, Alexander Sascha; von Rundstedt, F-C; Lazica, D A; Roth, S

2010-07-01

The rendezvous procedure for re-establishing ureteral continuity after complex ureteral injuries is introduced and we present our experience with this technique. Aspects of the technique are described in a detailed step-by-step instruction using intraoperative radiographs. We evaluated our patient data from 1998 until 2009 for cases in which the rendezvous procedure was attempted. The rendezvous procedure was used in a total of 11 patients. Realignment was successful in 10 cases (90.9 %) and the initial nephrostomy could be removed. In 3 of 7 cases postoperative removal of the JJ ureteric stent was successful. In 7 patients the final surgical ureter reconstruction was performed after a medium period of 7 months. 5 cases of ureteroneocystostomy and 2 cases of reconstruction of the ureter either with colon or ileum segments were accomplished. In 1 patient a permanent maintenance of the DJ ureteral stent was necessary. Ureteral realignment with the rendezvous procedure enables disposition of the ureteral stent in many cases, exclusively antegrade or retrograde procedures failed. By this means nephrostomy could be spared as a temporary or permanent solution and a better chance of restitutio ad integrum could be realised. Georg Thieme Verlag KG Stuttgart * New York.

SAFL Baffle retrofit for suspended sediment removal in storm sewer sumps.

Science.gov (United States)

Howard, Adam; Mohseni, Omid; Gulliver, John; Stefan, Heinz

2011-11-15

Standard sumps (manholes) provide a location for pipe junctions and maintenance access in stormwater drainage systems. Standard sumps can also remove sand and silt particles from stormwater, but have a high propensity for washout of the collected sediment. With appropriate maintenance these sumps may qualify as a stormwater best management practice (BMP) device for the removal of suspended sediment from stormwater runoff. To decrease the maintenance frequency and prevent standard sumps from becoming a source of suspended sediment under high flow conditions, a porous baffle, named the SAFL Baffle, has been designed and tested as a retrofit to the sump. Multiple configurations with varying percent open area and different angles of attack were evaluated in scale models. An optimum configuration was then constructed at the prototype scale and evaluated for both removal efficiency and washout. Results obtained with the retrofit indicate that with the right baffle dimensions and porosity, sediment washout from the sump at high flow rates can be almost eliminated, and removal efficiency can be significantly increased at low flow rates. Removal efficiency and washout functions have been developed for standard sumps retrofitted with the SAFL Baffle. The results of this research provide a new, versatile stormwater treatment device and implemented new washout and removal efficiency testing procedures that will improve research and development of stormwater treatment devices. Copyright © 2011 Elsevier Ltd. All rights reserved.

Residential cancer cluster investigation nearby a Superfund Study Area with trichloroethylene contamination.

Science.gov (United States)

Press, David J; McKinley, Meg; Deapen, Dennis; Clarke, Christina A; Gomez, Scarlett Lin

2016-05-01

Trichloroethylene (TCE) is an industrial solvent associated with liver cancer, kidney cancer, and non-Hodgkin's lymphoma (NHL). It is unclear whether an excess of TCE-associated cancers have occurred surrounding the Middlefield-Ellis-Whisman Superfund site in Mountain View, California. We conducted a population-based cancer cluster investigation comparing the incidence of NHL, liver, and kidney cancers in the neighborhood of interest to the incidence among residents in the surrounding four-county region. Case counts and address information were obtained using routinely collected data from the Greater Bay Area Cancer Registry, part of the Surveillance, Epidemiology, and End Results program. Population denominators were obtained from the 1990, 2000, and 2010 US censuses. Standardized incidence ratios (SIRs) with two-sided 99 % confidence intervals (CIs) were calculated for time intervals surrounding the US Censuses. There were no statistically significant differences between the neighborhood of interest and the larger region for cancers of the liver or kidney. A statistically significant elevation was observed for NHL during one of the three time periods evaluated (1996-2005: SIR = 1.8, 99 % CI 1.1-2.8). No statistically significant NHL elevation existed in the earlier 1988-1995 (SIR = 1.3, 99 % CI 0.5-2.6) or later 2006-2011 (SIR = 1.3, 99 % CI 0.6-2.4) periods. There is no evidence of an increased incidence of liver or kidney cancer, and there is a lack of evidence of a consistent, sustained, or more recent elevation in NHL occurrence in this neighborhood. This evaluation included existing cancer registry data, which cannot speak to specific exposures incurred by past or current residents of this neighborhood.

Modified Miniplates for Temporary Skeletal Anchorage in Orthodontics: Placement and Removal Surgeries

Science.gov (United States)

Cornelis, Marie A.; Scheffler, Nicole R.; Mahy, Pierre; Siciliano, Sergio; De Clerck, Hugo J.; Tulloch, J.F. Camilla

2009-01-01

Purpose Skeletal anchorage systems are increasingly used in orthodontics. This article describes the techniques of placement and removal of modified surgical miniplates used for temporary orthodontic anchorage and reports surgeons’ perceptions of their use. Patients and Methods We enrolled 97 consecutive orthodontic patients having miniplates placed as an adjunct to treatment. A total of 200 miniplates were placed by 9 oral surgeons. Patients and surgeons completed questionnaires after placement and removal surgeries. Results Fifteen miniplates needed to be removed prematurely. Antibiotics and anti-inflammatories were generally prescribed after placement but not after removal surgery. Most surgeries were performed with the patient under local anesthesia. Placement surgery lasted on average between 15 and 30 minutes per plate and was considered by the surgeons to be very easy to moderately easy. The surgery to remove the miniplates was considered easier and took less time. The patients’ chief complaint was swelling, lasting on average 5.3 ± 2.8 days after placement and 4.5 ± 2.6 days after removal. Conclusions Although miniplate placement/removal surgery requires the elevation of a flap, this was considered an easy and relatively short surgical procedure that can typically be performed with the patient under local anesthesia without complications, and it may be considered a safe and effective adjunct for orthodontic treatment. PMID:18571028

Geophysical log analysis of selected test and residential wells at the Shenandoah Road National Superfund Site, East Fishkill, Dutchess County, New York

Science.gov (United States)

Reynolds, Richard J.; Anderson, J. Alton; Williams, John H.

2015-01-01

The U.S. Geological Survey collected and analyzed geophysical logs from 20 test wells and 23 residential wells at the Shenandoah Road National Superfund Site in East Fishkill, New York, from 2006 through 2010 as part of an Interagency Agreement to provide hydrogeologic technical support to the U.S. Environmental Protection Agency, Region 2. The geophysical logs collected include caliper, gamma, acoustic and optical televiewer, deviation, electromagnetic-induction, magnetic-susceptibility, fluid-property, and flow under ambient and pumped conditions. The geophysical logs were analyzed along with single-well aquifer test data and drilling logs to characterize the lithology, fabric, fractures, and flow zones penetrated by the wells. The results of the geophysical log analysis were used as part of the hydrogeologic characterization of the site and in the design of discrete-zone monitoring installations in the test wells and selected residential wells.

Sepsis and multiorgan failure following TVT procedure.

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Stec, Piotr; Connell, Rowan

2014-04-01

Tension-free vaginal tape (TVT), is a commonly performed, low risk procedure for treatment of stress urinary incontinence (SUI). Severe complications are rare, but can be potentially life threatening. We present a case of 66 year old patient who sustained bladder perforation at the time of TVT procedure and subsequently developed sepsis rapidly leading to multi-organ failure and triggering sequence of serious complications. During her inpatient stay she required ITU admission, emergency laparotomy, TVT mesh removal, bowel resection due to ischemic colitis and anticoagulation for pulmonary embolism. Despite of clinical picture of sepsis her microbiology tests were almost consistently negative. This case emphasise importance of awareness and quick recognition of TVT related complications. Patient ultimately survived and recovered thanks to timely and coordinated management by the multidisciplinary team of doctors.

Trends in Medicare Reimbursement for Orthopedic Procedures: 2000 to 2016.

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Eltorai, Adam E M; Durand, Wesley M; Haglin, Jack M; Rubin, Lee E; Weiss, Arnold-Peter C; Daniels, Alan H

2018-03-01

Understanding trends in reimbursement is critical to the financial sustainability of orthopedic practices. Little research has examined physician fee trends over time for orthopedic procedures. This study evaluated trends in Medicare reimbursements for orthopedic surgical procedures. The Medicare Physician Fee Schedule was examined for Current Procedural Terminology code values for the most common orthopedic and nonorthopedic procedures between 2000 and 2016. Prices were adjusted for inflation to 2016-dollar values. To assess mean growth rate for each procedure and subspecialty, compound annual growth rates were calculated. Year-to-year dollar amount changes were calculated for each procedure and subspecialty. Reimbursement trends for individual procedures and across subspecialties were compared. Between 2000 and 2016, annual reimbursements decreased for all orthopedic procedures examined except removal of orthopedic implant. The orthopedic procedures with the greatest mean annual decreases in reimbursement were shoulder arthroscopy/decompression, total knee replacement, and total hip replacement. The orthopedic procedures with the least annual reimbursement decreases were carpal tunnel release and repair of ankle fracture. Rate of Medicare procedure reimbursement change varied between subspecialties. Trauma had the smallest decrease in annual change compared with spine, sports, and hand. Annual reimbursement decreased at a significantly greater rate for adult reconstruction procedures than for any of the other subspecialties. These findings indicate that reimbursement for procedures has steadily decreased, with the most rapid decrease seen in adult reconstruction. [Orthopedics. 2018; 41(2):95-102.]. Copyright 2018, SLACK Incorporated.

Hair Removal

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... Staying Safe Videos for Educators Search English Español Hair Removal KidsHealth / For Teens / Hair Removal What's in ... you need any of them? Different Types of Hair Before removing hair, it helps to know about ...

Obliged Removal of the Percutaneous Fixation System on the Thoracolumbar Junction in Patients with Idiopathic Scoliosis

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Alessandro Landi

2016-12-01

Full Text Available Introduction Minimally invasive percutaneous surgery of the spine is used to treat thoracolumbar junction and lumbar spine fractures by percutaneous fixation. Once fusion has been obtained, it is possible to remove the percutaneous instrumentation after 6 - 12 months. We report the case of an obliged removal of the fixation system at 12 months following operation in a patient with a pre-existing compensated and asymptomatic idiopathic scoliosis. Case Presentation A 48-year-old patient affected by a compensated asymptomatic idiopathic scoliosis with an L3 type A3 fracture. The patient underwent a percutaneous short fixation L2 - L4. In the following months the patient presented progressive worsening of the low back pain and walking difficulties. The percutaneous fixation system was then removed using the same surgical access. Conclusions This particular case explains well the importance of biomechanical balance when a spinal fixation should be perform, and demonstrate how an underestimation of this aspect may cause a worsening of symptoms even if the surgical procedure was correctly performed. It is evident that the removal procedure can lead clinical benefit to a patient, in which the fixation system created a decompensation of the curvature of the spine, thus causing biomechanical alterations and generating pain. In these cases, it may be opportune to limit the fracture reduction during the surgical procedure to modify the least possible the pre-existing scoliosis and to increase the patient’s comfort after the operation. The biomechanical behaviour of the spine is specific for each patient so only a careful detection of it could lead to an optimal therapeutic result.

Delineation of areas having elevated electrical conductivity, orientation and characterization of bedrock fractures, and occurrence of groundwater discharge to surface water at the U.S. Environmental Protection Agency Barite Hill/Nevada Goldfields Superfund site near McCormick, South Carolina

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Chapman, Melinda J.; Huffman, Brad A.; McSwain, Kristen Bukowski

2015-07-16

During October 2012 through March 2013, the U.S. Geological Survey (USGS), in cooperation with the U.S. Environmental Protection Agency (EPA) Region 4, Superfund Section, conducted borehole geophysical logging, surface geophysical surveys, and water-quality profiling in selected wells and areas to characterize or delineate the extent of elevated subsurface electrical conductivity at the EPA Barite Hill/Nevada Goldfields Superfund site near McCormick, South Carolina. Elevated electrical conductivity measured at the site may be related to native rock materials, waste rock disposal areas used in past operations, and (or) groundwater having elevated dissolved solids (primarily metals and major ions) related to waste migration. Five shallow screened wells and four open-borehole bedrock wells were logged by using a suite of borehole tools, and downhole water-quality profiles were recorded in two additional wells. Well depths ranged from about 26 to 300 feet below land surface. Surface geophysical surveys based on frequency-domain electromagnetic and distributed temperature sensing (DTS) techniques were used to identify areas of elevated electrical conductivity (Earth materials and groundwater) and potential high dissolved solids in groundwater and surface water on land and in areas along the northern unnamed tributary at the site.

Technical and surgical aspects of the sphenopalatine ganglion (SPG) microstimulator insertion procedure

DEFF Research Database (Denmark)

Assaf, A T; Hillerup, S; Rostgaard, J

2016-01-01

into the pterygopalatine fossa (PPF) is presented herein. Technical aspects include detailed descriptions of the preoperative planning using computed tomography or cone beam computed tomography scans for presurgical digital microstimulator insertion into the patient-specific anatomy and intraoperative verification......), and removal (n=5). This SPG microstimulator insertion procedure has sequelae comparable to other oral cavity procedures including tooth extractions, sinus surgery, and dental implant placement. Twenty-five of 29 subjects (86%) completing a self-assessment questionnaire indicated that the surgical effects were...

Premenarchal vaginal discharge: findings of procedures to rule out foreign bodies.

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Smith, Yolanda R; Berman, Deborah R; Quint, Elisabeth H

2002-08-01

Vaginal discharge in children is a common gynecologic complaint and may be resistant to symptomatic and/or antibiotic treatment. In recurrent or unresponsive patients, an evaluation to rule out a foreign body is traditionally recommended. The objective of this study is to review cases of vaginal discharge referred to our institution and assess outcome and diagnosis in those who required irrigation or vaginoscopy to rule out a foreign body.A retrospective chart review was performed on all premenarchal girls identified through the University of Michigan Pediatric and Adolescent Gynecology Clinic database who were seen for evaluation of vaginal discharge between June 1996 and December 2001. The records were reviewed for age, length of time of discharge, aspects of discharge, procedures done to rule out foreign bodies, and findings of such procedures. The study was performed in a tertiary care university hospital. Forty-one premenarchal girls were evaluated for vaginal discharge. The average age was 6.0 yr (range 3 months-11 yr). The average duration of vaginal discharge prior to presentation was 13.7 months (range 1-42 months). Of the 41 girls, 18 girls underwent 1 procedure each, 2 girls underwent 2 procedures each, and 1 girl underwent 5 procedures. Ten vaginal irrigations in clinic were performed in 7 girls, 3 by the referring physician and 7 by us. These irrigations removed a foreign body (tissue paper) in 4 of 10 (40%) cases, 3 at our institution and 1 at an outside institution. In the three irrigation cases with foreign bodies performed at our institution, the foreign body was visible on genital examination prior to the irrigation. Seventeen vaginoscopies under anesthesia were performed in 16 girls, 5 by the referring physician and 12 by us. In the girls who underwent a vaginoscopy under anesthesia a foreign body was found in 3 of 17 (17.6%). The other findings of the vaginoscopies included: biopsy-proven severe dermatitis with no infection in 1 patient

Treatment Using the SpyGlass Digital System in a Patient with Hepatolithiasis after a Whipple Procedure.

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Harima, Hirofumi; Hamabe, Kouichi; Hisano, Fusako; Matsuzaki, Yuko; Itoh, Tadahiko; Sanuki, Kazutoshi; Sakaida, Isao

2018-05-23

An 89-year-old man was referred to our hospital for treatment of hepatolithiasis causing recurrent cholangitis. He had undergone a prior Whipple procedure. Computed tomography demonstrated left-sided hepatolithiasis. First, we conducted peroral direct cholangioscopy (PDCS) using an ultraslim endoscope. Although PDCS was successfully conducted, it was unsuccessful in removing all the stones. The stones located in the B2 segment were difficult to remove because the endoscope could not be inserted deeply into this segment due to the small size of the intrahepatic bile duct. Next, we substituted the endoscope with an upper gastrointestinal endoscope. After positioning the endoscope, the SpyGlass digital system (SPY-DS) was successfully inserted deep into the B2 segment. Upon visualizing the residual stones, we conducted SPY-DS-guided electrohydraulic lithotripsy. The stones were disintegrated and completely removed. In cases of PDCS failure, a treatment strategy using the SPY-DS can be considered for patients with hepatolithiasis after a Whipple procedure.

Effect of the size of the apical enlargement with rotary instruments, single-cone filling, post space preparation with drills, fiber post removal, and root canal filling removal on apical crack initiation and propagation.

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Çapar, İsmail Davut; Uysal, Banu; Ok, Evren; Arslan, Hakan

2015-02-01

The purpose of this study was to investigate the incidence of apical crack initiation and propagation in root dentin after several endodontic procedures. Sixty intact mandibular premolars were sectioned perpendicular to the long axis at 1 mm from the apex, and the apical surface was polished. Thirty teeth were left unprepared and served as a control, and the remaining 30 teeth were instrumented with ProTaper Universal instruments (Dentsply Maillefer, Ballaigues, Switzerland) up to size F5. The root canals were filled with the single-cone technique. Gutta-percha was removed with drills of the Rebilda post system (VOCO, Cuxhaven, Germany). Glass fiber-reinforced composite fiber posts were cemented using a dual-cure resin cement. The fiber posts were removed with a drill of the post system. Retreatment was completed after the removal of the gutta-percha. Crack initiation and propagation in the apical surfaces of the samples were examined with a stereomicroscope after each procedure. The absence/presence of cracks was recorded. Logistic regression was performed to analyze statistically the incidence of crack initiation and propagation with each procedure. The initiation of the first crack and crack propagation was associated with F2 and F4 instruments, respectively. The logistic regression analysis revealed that instrumentation and F2 instrument significantly affected apical crack initiation (P .05). Rotary nickel-titanium instrumentation had a significant effect on apical crack initiation, and post space preparation with drills had a significant impact on crack propagation. Copyright © 2015 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

Our first experiences in applying an original method for removal of ABO-isoagglutinins in ABO-incompatible kidney recipients

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Ignjatović Ljiljana

2009-01-01

Full Text Available Background/Aim. Due to improved methods for removal of ABO isoagglutinins and novel immunosuppressive protocols, short and long term outcome in blood group incompatible is similar to blood group compatible kidney transplantation. The aim of this study was to determine the efficacy of our original method for removal of ABO isoagglutinins from the blood in ABO-incompatible kidney allograft recipients. Method. Between 2006 and 2008 twelve patients were transplanted from ABO incompatible living donors. Titers of ABO isoagglutinins were 4-128 (IgG. Immunosuppressive therapy started 14 days before kidney transplantation with rituximab, followed by a triple therapy (prednisone + tacrolimus + mycophenolate mofetil and the first plasma exchange (PE procedure, in which one plasma volume was substituted with albumin and saline on day 7 before transplantation. For selective extracorporeal immunoadsorption, the removed plasma was mixed with donor blood type filtered red blood cells, centrifuged and the supernatant separated and preserved. In the next PE procedure, the removed plasma was replaced with immunoadsorbed plasma, and so on. Titers of ABO agglutinins, renal allograft function and survival were followed-up. Results. The pre-transplant treatment consisting of 1-5 PE procedures and immunosuppressive therapy resulted in target ABO agglutinins titers below 4. During a 10-24 month follow-up three patients had an early acute rejection, one patient acute rejection and hemolytic anemia, two patients surgical complications and one of them lost his graft. In the post-transplant period, the titers of ABO antibodies remained below 4. All the patients had stable kidney allograft function with mean serum creatinine ±SD of 129 ± 45 μmol/l at the end of the study. Conclusion. Our method for removal of ABO antibodies was effective in a limited series of patients and short-term follow-up.

Comparison of Electrocoagulation and Chemical Coagulation Processes in Removing Reactive red 196 from Aqueous Solution

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Ali Assadi

2016-06-01

Full Text Available Background: Conventional chemical coagulation is considered as an old method to dye and COD removal in textile effluent. Electrocoagulation (EC process is a robust method to achieve maximum removal. Methods: This study was designed to compare the result of operational parameters including optimum pH and coagulant concentration for chemical coagulation with ferric chloride and alum also, voltage, electrolysis time, initial pH, and conductivity for EC with iron electrodes to remove reactive red 196 (RR 196. Results: The outcomes show that ferric chloride and alum at optimum concentration were capable of removing dye and COD by 79.63 % and 84.83% and 53% and 55%, respectively. In contrast, EC process removed the dye and COD by 99.98% and 90.4%, respectively. Conclusion: The highest treatment efficiency was obtained by increasing the voltage, electrolysis time, pH and conductivity. Increase initial dye concentration reduces removal efficiency. Ultimately, it could be concluded that EC technology is an efficient procedure for handling of colored industrial wastewaters.

User Oriented Climatic Information for Planning a Snow Removal Budget.

Science.gov (United States)

Cohen, Stewart J.

1981-12-01

Many activities associated with the transportation sector are weather sensitive. This study is concerned with highway maintenance activities, specifically snow removal, and the budgeting of same by the Illinois Department of Transportation (IDOT). During the 1978-79 winter, IDOT's snow removal budget was exhausted by the end of January, thereby necessitating the procurement of emergency funds. The following year, the Illinois State Water Survey (ISWS) was asked to provide specialized climatic design information that could be used to assist IDOT in its budget planning for snow removal.Snow removal is often accomplished by spreading road salt over snow- and ice-covered roads, thus improving traction and reducing the risk of vehicles skidding along slippery surfaces. This study demonstrates the computation of `salt days,' a user-oriented climatic variable that indicates the number of days when road salt is required. This variable is defined using certain temperature and snowfall criteria. Results of a pilot study indicate that it is possible to provide statistical outlooks for salt days two months in advance, using correlation analysis. The analysis for several Illinois stations indicates that at various intervals in the data records, November and December temperatures are significantly correlated with February salt days if short periods of record (5-20 years) are used.IDOT originally requested a `2- to 3-month projection.' However, it became clear that only projections of 12 months or longer could benefit annual budget preparation. Confusion existed between the user and the supplier of climatic information regarding the user's needs, and the applicability of the supplier's `climate products' to the user's budget planning procedure. This demonstrates the need for a prolonged effort by the supplier to fully acquaint the user with the various forms of climatic information available. This gap in communication must be overcome so that applied climatology can be integrated

Risk Control Through the Use of Procedures - A Method for Evaluating the Change in Risk

Science.gov (United States)

Praino, Gregory; Sharit, Joseph

2010-01-01

Organizations use procedures to influence or control the behavior of their workers, but often have no basis for determining whether an additional rule, or procedural control will be beneficial. This paper outlines a proposed method for determining if the addition or removal of procedural controls will impact the occurrences of critical consequences. The proposed method focuses on two aspects: how valuable the procedural control is, based on the inevitability of the consequence and the opportunity to intervene; and how likely the control is to fail, based on five procedural design elements that address how well the rule or control has been Defined, Assigned, Trained, Organized and Monitored-referred to as the DATOM elements

New and Advanced Picosecond Lasers for Tattoo Removal.

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Adatto, Maurice A; Amir, Ruthie; Bhawalkar, Jayant; Sierra, Rafael; Bankowski, Richard; Rozen, Doran; Dierickx, Christine; Lapidoth, Moshe

2017-01-01

Early methods of tattoo removal ultimately resulted in unacceptable cosmetic outcomes. While the introduction of laser technology was an improvement over the existing chemical, mechanical, and surgical procedures, the use of nonselective tattoo removal with carbon dioxide and argon lasers led to scarring. Q-switched lasers with nanosecond (10-9) pulse domains were considered to have revolutionized tattoo treatment, by selectively heating the tattoo particles, while reducing the adverse sequelae to adjacent normal skin. Theoretical considerations of restricting pulse duration, to heat tattoo particles to higher temperatures, proposed the use of sub-nanosecond pulses to target particles with thermal relaxation times lower than the nanosecond pulses in Q-switched lasers. Initial studies demonstrated that picosecond (10-12) pulses were more effective than nanosecond pulses in clearing black tattoos. Advances in picosecond technology led to the development of commercially available lasers, incorporating several different wavelengths, to further refine pigment targeting. © 2017 S. Karger AG, Basel.

Colloids removal from water resources using natural coagulant: Acacia auriculiformis

Science.gov (United States)

Abdullah, M.; Roslan, A.; Kamarulzaman, M. F. H.; Erat, M. M.

2017-09-01

All waters, especially surface waters contain dissolved, suspended particles and/or inorganic matter, as well as several biological organisms, such as bacteria, algae or viruses. This material must be removed because it can affect the water quality that can cause turbidity and colour. The objective of this study is to develop water treatment process from Seri Alam (Johor, Malaysia) lake water resources by using natural coagulant Acacia auriculiformis pods through a jar test experiment. Jar test is designed to show the effectiveness of the water treatment. This process is a laboratory procedure that will simulate coagulation/flocculation with several parameters selected namely contact time, coagulant dosage and agitation speed. The most optimum percentage of colloids removal for each parameter is determined at 0.2 g, 90 min and 80 rpm. FESEM (Field-emission Scanning Electron Microscope) observed the small structures of final floc particles for optimum parameter in this study to show that the colloids coagulated the coagulant. All result showed that the Acacia auriculiformis pods can be a very efficient coagulant in removing colloids from water.

Extended Endoscopic Endonasal Approach for Craniopharyngioma Removal.

Science.gov (United States)

Messerer, Mahmoud; Maduri, Rodolfo; Daniel, Roy Thomas

2018-02-01

Objective  Endoscopic transsphenoidal extended endoscopic approach (EEA) represents a valid alternative to microsurgery for craniopharyngiomas removal, especially for retrochiasmatic lesions without large parasellar extension. The present video illustrates the salient surgical steps of the EEA for craniopahryngioma removal. Patient  A 52-year-old man presented with a bitemporal hemianopia and a bilateral decreased visual acuity. MRI showed a Kassam type III cystic craniopharyngioma with a solid component ( Fig. 1 , panels A and B). Surgical Procedure  The head is rotated 10 degrees toward the surgeons. The nasal step is started through the left nostril with a middle turbinectomy. A nasoseptal flap is harvested and positioned in the left choana. The binostril approach allows a large sphenoidotomy to expose the key anatomic landmarks. The craniotomy boundaries are the planum sphenoidale superiorly, the median opticocarotid recesses, the internal carotid artery laterally and the clival recess inferiorly. After dural opening and superior intercavernous sinus coagulation, the tumor is entirely removed ( Fig. 2 , panels A and B). Skull base reconstruction is ensured by fascia lata grafting and nasoseptal flap positioning. Results  Postoperative MRI showed the complete tumor resection ( Fig. 1 , panels C and D). At 3 months postoperatively, the bitemporal hemianopia regressed and the visual acuity improved. A novel left homonymous hemianopia developed secondary to optic tract manipulation. Conclusions  The extended EEA is a valid surgical approach for craniopharyngioma resection. A comprehensive knowledge of the sellar and parasellar anatomy is mandatory for safe tumor removal with decreased morbidity and satisfactory oncologic results. The link to the video can be found at: https://youtu.be/NrCPPnVK2qA .

Cocaine Versus Food Choice Procedure in Rats: Environmental Manipulations and Effects of Amphetamine

Science.gov (United States)

Thomsen, Morgane; Barrett, Andrew C.; Negus, S. Stevens; Caine, S. Barak

2014-01-01

We have adapted a nonhuman primate model of cocaine versus food choice to the rat species. To evaluate the procedure, we tested cocaine versus food choice under a variety of environmental manipulations as well as pharmacological pretreatments. Complete cocaine-choice dose-effect curves (0–1.0 mg/kg/infusion) were obtained for each condition under concurrent fixed ratio schedules of reinforcement. Percentage of responding emitted on the cocaine-reinforced lever was not affected significantly by removal of cocaine-associated visual or auditory cues, but it was decreased after removal of response-contingent or response-independent cocaine infusions. Cocaine choice was sensitive to the magnitude and fixed ratio requirement of both the cocaine and food reinforcers. We also tested the effects of acute (0.32, 0.56, 1.0, 1.8 mg/kg) and chronic (0.1, 0.32 mg/kg/hr) d-amphetamine treatment on cocaine choice. Acute and chronic d-amphetamine had opposite effects, with acute increasing and chronic decreasing cocaine choice, similar to observations in humans and in nonhuman primates. The results suggest feasibility and utility of the choice procedure in rats and support its comparability to similar procedures used in humans and monkeys. PMID:23319458

Removal effects of the Nd:YAG laser and Carisolv on carious dentin.

Science.gov (United States)

Yamada, Y; Hossain, M; Kawanaka, T; Kinoshita, J; Matsumoto, K

2000-10-01

The purpose of this study was to investigate the removal effect of the Nd:YAG laser irradiation and Carisolv on carious dentin. Many previous studies have reported several simple and alternative techniques, such as lasers and chemicals, for caries removal. Carisolv was applied on the surface of 20 extracted human anterior and molar teeth for 1 min and then the Nd:YAG laser was irradiated with a continuous water spray for another 1 min. The energy densities were varied from 2 to 6W with a repetition rate of 20 pps. As caries removal progressed, the cavity was carefully assessed by DIAGNOdent. Each lesion was photographed before and after treatment, and the treated cavity was observed microscopically using a stereoscope and with scanning electron microscope (SEM). Thermal change at the time of laser irradiation was measured by thermovision. Our results revealed that application of Carisolv followed by Nd:YAG laser irradiation at 4-6W pulse energy effectively removed dentin caries. The total procedure was usually repeated once or twice for complete caries removal. From the SEM study, it was found that the cavity surface treated with the laser revealed various patterns of microirregularity, often accompanied by microfissure propagation. There was also no smear layer. It was revealed that Nd:YAG laser and Carisolv could provide an alternative technique for caries removal instead of the conventional mechanical drilling and cutting.

Use of Moringa oleifera seeds for the removal of turbidity of water supply

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Gustavo Lopes Muniz

2015-04-01

Full Text Available Water used for human consumption may contain various impurities and solid particles in suspension that increase its turbidity level. Moringa oleifera Lam is a plant that has the potential to be used as coagulating agent in removing turbidity. The objective of this work was to evaluate the efficiency of Moringa oleifera seeds used in shells and without shells in the removal of turbidity from waters with different degrees of turbidity. Waters were used with 70, 250 and 400 initial NTU obtained synthetically. The extract of moringa seeds was prepared using unshelled and shelled seeds, seeking a simplified procedure and practice. The sedimentation times and dose of coagulant solution used were based on existing recommendations in the literature. All treatments were performed with three replicates and the averages depicted in graphs. The results showed that the use of extract of moringa seeds in shells was more efficient than with unshelled seeds in the removal of turbidity of all treatments and that the shelled seeds removed more than 99% of the initial turbidity of the water samples. Furthermore, there was a direct relationship between turbidity removal efficiency and the level of initial turbidity of the samples. The seeds were more efficient in removing turbidity of the water with a higher level of initial turbidity.

Standard practice for fluorescent liquid penetrant testing using the Solvent-Removable process

CERN Document Server

American Society for Testing and Materials. Philadelphia

2010-01-01

1.1 This practice covers procedures for fluorescent penetrant examination utilizing the solvent-removable process. It is a nondestructive testing method for detecting discontinuities that are open to the surface, such as cracks, seams, laps, cold shuts, laminations, isolated porosity, through leaks, or lack of fusion and is applicable to in-process, final, and maintenance examination. It can be effectively used in the examination of nonporous, metallic materials, both ferrous and nonferrous, and of nonmetallic materials such as glazed or fully densified ceramics and certain nonporous plastics and glass. 1.2 This practice also provides a reference: 1.2.1 By which a fluorescent penetrant examination solvent-removable process recommended or required by individual organizations can be reviewed to ascertain its applicability and completeness. 1.2.2 For use in the preparation of process specifications dealing with the fluorescent solvent-removable liquid penetrant examination of materials and parts. Agreement by th...

[Anatomical and clinical evaluation regarding the removal of the peritoneal dialysis catheter].

Science.gov (United States)

Tăranu, T; Covic, A; Târcoveanu, E; Florea, Laura

2005-01-01

To describe CAPD technique survival and causes for catheter removal. The study included 320 end stage renal disease (ESRD) patients, initiated on CAPD between 1995-2003. Definitive catheter removal was required in 44 cases (15.1%), 11 of these (3.79%) receiving renal transplant. Causes for catheter removal were: mechanical obstruction by fibrin (8 cases/2.75%), obstruction by tub bower (1 case/0.34%), by omental muff (6 cases/2%); abdominal wall sepsis (30 cases/ 10.3%); non-responsive bacterial peritonitis (13 cases/4.05%), fungal peritonitis (7 cases/ 2.4%), fecal peritonitis (2 cases/0.68%); transfer to hemodialysis program (31 cases/10.6%); renal transplant (11 cases/3.79%); emergency surgical pathology for: necrotic-hemorrhagic pancreatitis (two cases), intestinal occlusions (six cases), locked hernias (three cases) and locked eventrations(three cases), appendicular peritonitis (two cases). Mortality associated with these procedures and underlying pathology was 1.73%.

Short-term responses of decomposers and vegetation to stump removal

Energy Technology Data Exchange (ETDEWEB)

Kataja-aho, S.

2011-07-01

Stump removal has become a common practice to produce raw material for bioenergy production. It was hypothesized that stump removal is an extensive and more intense disturbance for forest ecosystems (soil decomposer organisms and vegetation) compared to traditional site preparation after clear cutting. Therefore, the effects of stump harvesting on forest soil decomposers, vegetation and nutrient dynamics in undisturbed patches of the forest soil and in exposed mineral soil were compared to the effects of the traditional site preparation method, mounding. Nematodes and enchytraeids were the only decomposer groups that were directly affected (negatively) by the stump removal. Regardless of the treatment, the abundances of most of the decomposer groups were consistently lower in the exposed mineral soil than in the intact forest soil. There was 2-3 times more exposed mineral soil in stump removal sites compared to mounding sites. When this was taken into account, the decomposer community was negatively affected by the stump removal at the forest stand level. However, the greater soil disturbance at the stump harvesting sites enhanced CO{sub 2} production, net nitrogen mineralisation and nitrification. The increased N availability and the changes in microclimate due to the disturbance probably explained the vegetation increase at the stump harvested sites. Planted Norway spruce seedlings grew faster during the first two growing periods at the stump removal sites than at the mounding sites. The seedlings had high and similar ectomycorrhizal colonization rate in both treatments. In the short-term, it is probably not the resources removed in the stumps themselves, but the degree and amount of soil disturbance during the stump harvesting procedure that affects the decomposer community and its function in the clear-felled stands. (orig.)

The bioactivation procedure for increasing the sulphate-reducing bacteria in a UASB reactor

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M. M. M. Gonçalves

2005-12-01

Full Text Available Bioactivation, a procedure to obtain anaerobic sulphidogenic sludge, was developed in order to increase sulphate reduction and, consequently, sulphide production to remove metals from effluents. This procedure, in which the source of carbon/energy (lactate is gradually replaced, consisted of three operational conditions. It was observed that bioactivation took six months so there was a 100-fold increase in the population of sulphate-reducing bacteria estimated by the most-probable-number (MPN when molasses was employed as a new source.

Removal of Shippingport Station primary system components and piping

International Nuclear Information System (INIS)

LaGuardia, T.S.; Lipsett, S.M.

1987-01-01

The dismantling workscope for the Shippingport Station Decommissioning Project was divided into subtasks to permit the work to be subcontracted to the maximum extent practicable. Major subtasks were identified and described by Activity specifications which could then be grouped into logical work packages to be put out for bid. Two of the largest dismantling work packages, removal of piping and components, were grouped together and designated as Activity Specifications 4 and 5. TLG Services, Inc. and Cleveland Wrecking Company formed a Joint Venture to perform this work during a two-year period at a cost of approximately $7 million. The major portions of this dismantling workscope are described. The primary system components within this workscope consist of the stainless steel reactor coolant piping, check valves, reactor coolant pumps, steam generators, and reactor purification demineralizers and coolers. The work performed, the heavy rigging preparations and procedures, the cutting tools used, component draining/capping techniques to prevent spills, contamination containment, airborne control techniques, and lessons learned during the removal of these primary system components are described. Summaries of crew size and composition, labor hours, duration hours and radiation exposure to workers are provided and discussed briefly. The successful completion of this work is evidence of the engineering, planning, equipment, materials and labor pool available to remove large, radioactively contaminated components safely. This experience will help decommissioning planners to prepare for the removal of reactor components in future decommissioning

A modified-simple technique of removing the lens cortex during cataract surgery

Directory of Open Access Journals (Sweden)

Kyung Eun Han

2017-01-01

Full Text Available We describe here a surgical technique of removing the remaining cortex after phacoemulsification without performing the conventional irrigation/aspiration (I/A procedure. In this technique, the remaining cortex attached to the posterior capsule was separated and dissected into several pieces by continuous irrigation with balanced salt solution, which was supplied through a syringe attached to a bent, blunt-tip needle. Approximately, 10 s of manual irrigation separated most of the remaining cortex from the posterior capsule. Then, the capsular bag was inflated with an ophthalmic viscoelastic device (OVD, and this pushed the separated cortex toward the capsular fornix mechanically. An intraocular lens was inserted into the capsular bag, following which the remaining cortex and OVD were removed concomitantly using an automated I/A handpiece. This technique is a simple and easy maneuver to remove the cortex from all areas, including the subincisional area, and reduce the possibility of a posterior capsule tear.

The characteristics and mechanisms of Au nanoparticles processed by functional centrifugal procedures

Science.gov (United States)

Shiau, Bo-Wen; Lin, Chien-Hung; Liao, Ying-Yen; Lee, Ya-Rong; Liu, Shih-Hao; Ding, Wei-Cheng; Lee, Jia-Ren

2018-05-01

In this work, the optical properties of Au nanoparticles processed by centrifugation techniques are studied. Most of the literature related to the control of nanoparticle size has focused on different preparation parameters; however, the wide size distribution is commonly an issue for follow-up investigations and further applications. Therefore, we developed a method in which specific-diameter particles can be effectively separated using different centrifugal procedures. The initial nanoparticle solution with a primary absorption peak at 534 nm is separated into discernible resonance wavelengths from 526 to 537 nm, with corresponding particle sizes from 30 to 55 nm. For the atomic force microscopy analysis of nanoparticle size, a dry cetyltrimethylammonium bromide (CTAB) film often covers the particles and interferes with the measurement; thus, CTAB has to be removed. However, if too much CTAB is removed, the surface of the Au nanoparticle becomes unstable, and the particles aggregate. Accordingly, we used UV spectroscopy to monitor the CTAB content; properly adjust the rotational speed and the number of centrifugation stages; and design a method that can effectively remove impurities, avoid clustering, and enable particle size measurement. The usually complicated procedures and high cost of preparation of specific-size Au nanoparticles are greatly simplified and reduced by the convenient extraction process proposed in this work, which would benefit related research and applications.

Endoscopically guided removal of cloacal calculi in three African spurred tortoises (Geochelone sulcata).

Science.gov (United States)

Mans, Christoph; Sladky, Kurt K

2012-04-01

3 female African spurred tortoises (Geochelone sulcata) of various body weights (0.22, 0.77, and 2.86 kg [0.48, 1.69, and 6.29 lb]) were examined because of reduced food intake and lack of fecal output. Owners reported intermittent tenesmus in 2 of the tortoises. Physical examinations revealed no clinically important abnormalities in the tortoises. Cloacal calculi were diagnosed on the basis of radiography and cloacoscopy in all 3 tortoises. One tortoise had another calculus in the urinary bladder. Tortoises were anesthetized, and cloacal calculi were removed by use of a cutting burr (plain-fissure cutting burr and a soft tissue protector mounted to a dental handpiece that had a low-speed motor and a straight nose cone) and warm water irrigation with endoscopic guidance. Complete removal of calculus fragments was achieved by use of forceps and irrigation. In 1 tortoise, removal of the cloacal calculus was staged (2 separate procedures). In another tortoise, a second cloacal calculus (which had been located in the urinary bladder during the first examination) was successfully removed 25 days after removal of the first calculus. All 3 tortoises recovered uneventfully, and serious complications secondary to removal of the cloacal calculi were not detected. Cloacoscopy combined with the use of a low-speed dental drill and warm water irrigation should be considered a simple, safe, and nontraumatic treatment option for removal of obstructive cloacal calculi in tortoises.

Effects of changes in pumping on regional groundwater-flow paths, 2005 and 2010, and areas contributing recharge to discharging wells, 1990–2010, in the vicinity of North Penn Area 7 Superfund site, Montgomery County, Pennsylvania

Science.gov (United States)

Senior, Lisa A.; Goode, Daniel J.

2017-06-06

A previously developed regional groundwater flow model was used to simulate the effects of changes in pumping rates on groundwater-flow paths and extent of recharge discharging to wells for a contaminated fractured bedrock aquifer in southeastern Pennsylvania. Groundwater in the vicinity of the North Penn Area 7 Superfund site, Montgomery County, Pennsylvania, was found to be contaminated with organic compounds, such as trichloroethylene (TCE), in 1979. At the time contamination was discovered, groundwater from the underlying fractured bedrock (shale) aquifer was the main source of supply for public drinking water and industrial use. As part of technical support to the U.S. Environmental Protection Agency (EPA) during the Remedial Investigation of the North Penn Area 7 Superfund site from 2000 to 2005, the U.S. Geological Survey (USGS) developed a model of regional groundwater flow to describe changes in groundwater flow and contaminant directions as a result of changes in pumping. Subsequently, large decreases in TCE concentrations (as much as 400 micrograms per liter) were measured in groundwater samples collected by the EPA from selected wells in 2010 compared to 2005‒06 concentrations.To provide insight on the fate of potentially contaminated groundwater during the period of generally decreasing pumping rates from 1990 to 2010, steady-state simulations were run using the previously developed groundwater-flow model for two conditions prior to extensive remediation, 1990 and 2000, two conditions subsequent to some remediation 2005 and 2010, and a No Pumping case, representing pre-development or cessation of pumping conditions. The model was used to (1) quantify the amount of recharge, including potentially contaminated recharge from sources near the land surface, that discharged to wells or streams and (2) delineate the areas contributing recharge that discharged to wells or streams for the five conditions.In all simulations, groundwater divides differed from

Optimizing winter/snow removal operations in MoDOT St. Louis district : includes outcome based evaluation of operations.

Science.gov (United States)

2011-10-01

The objective of this project was to develop fleet location, route decision, material selection, and treatment procedures for winter snow removal operations to improve MoDOTs services and lower costs. This work uses a systematic, heuristic-based o...

Photodynamic therapy for hair removal

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Mohamed H. M. Ali

2013-05-01

in selectively damaging hair follicles, leaving an intact epidermis. The current PDT system provides better outcome than hair destruction through laser heat transfer procedures and laser-mediated hair removal, due to complete destruction of hair follicles.

Comparison of rigid and flexible endoscopy for removing esophageal foreign bodies in an emergency

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Chia-Chen Tseng

2016-08-01

Conclusion: Both FE and RE remove esophageal FBs successfully, as evidenced by their high success rates, low complication rates, and high detection rates. Although FE under local anesthesia is a less time-consuming procedure for adults, RE under general anesthesia may be preferable for children and can serve as an alternative to FE.

Procedures for high precision setup verification and correction of lung cancer patients using CT-simulation and digitally reconstructed radiographs (DRR).

NARCIS (Netherlands)

Sornsen de Koste, van J.R.; Boer, de HC; Schuchhard-Schipper, RH; Senan, S.; Heijmen, BJ

2003-01-01

PURPOSE: In a recent study, large systematic setup errors were detected in patients with lung cancer when a conventional simulation procedure was used to define and mark the treatment isocenter. In the present study, we describe a procedure to omit the session at a conventional simulator to remove

Removal of endotoxins from bacteriophage preparations by extraction with organic solvents.

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Bożena Szermer-Olearnik

Full Text Available Lipopolysaccharide (LPS, endotoxin, pyrogen constitutes a very troubling contaminant of crude phage lysates produced in Gram-negative bacteria. Toxicity of LPS depends on the strong innate immunity response including the cytokines. Therefore, its removal is important for bacteriophage applications. In this paper, we present a procedure for extractive removal of endotoxin from bacteriophage preparations with water immiscible solvents (1-octanol or 1-butanol. During extraction most of the phage lytic activity is retained in the aqueous phase, while endotoxin accumulates in the organic solvent. The levels of endotoxin (expressed as endotoxin units, EU in the aqueous bacteriophage-containing fraction determined by limulus amebocyte lysate or EndoLISA assay were exceptionally low. While the initial endotoxin levels in the crude phage lysates ranged between 10(3 and 10(5 EU/ml the average level after organic extraction remaining in the aqueous fraction was 5.3 EU/ml. These values when related to phage titers decreased from 10(3-10(5 EU/10(9 PFU (plaque forming units down to an average of 2.8 EU/10(9 PFU. The purification procedure is scalable, efficient and applicable to all the bacteriophages tested: T4, HAP1 (E. coli and F8 (P. aeruginosa.

EFFICACY OF DIFFERENT ENDODONTIC IRRIGATION PROTOCOLS IN CALCIUM HYDROXIDE REMOVAL

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Elka N. Radeva

2016-10-01

Full Text Available Introduction: Calcium hydroxide is widely used in the field of endodontics as a temporary root canal filling. This medicament significantly increases pH and optimizes the treatment outcome. Its total removal before final obturation is very important. Otherwise it could affect the hermetic filling and respectively the endodontic success. Aim: To evaluate the most effective irrigation protocol of calcium hydroxide removal from root canals. Materials and methods: In this study 36 single root canal teeth were observed. They were randomly divided into three groups (n=10 each group according to the technique applied for calcium hydroxide removal - manual irrigation, irrigation and Revo-S rotary instrumentation; and passive ultrasonic irrigation, and a control group (n=6 – irrigation with distilled water only. After calcium hydroxide removals following the procedures above, teeth were separated longitudinally in a buccal-lingual direction and remnants of medicaments were observed in the apical, middle and coronal part of each tooth. Then all of the specimens were observed using scanning electron microscopy and evaluated by a specified scale. The results have undergone statistical analysis. Results: In the case of calcium hydroxide in the apex and in the middle with highest average is Revo-S, followed by Ultrasonic and irrigation. In the coronal part the highest average belongs to Revo-S, irrigation and Ultrasonic. In all groups the highest average is represented by control group. Conclusion: There is not a universal technique for removal of intracanal medicaments and applying more than one protocol is required.

77 FR 31443 - Energy Conservation Program: Test Procedures for Residential Dishwashers, Dehumidifiers, and...

Science.gov (United States)

2012-05-25

... an ion exchange to remove calcium and magnesium ions from the water, by swapping sodium ions bonded... addresses energy and water use associated with dishwasher water softeners, the energy test cycle for... dehumidifier test procedure, eliminate measurement of gas pilot light energy use in the cooking products test...

Radioactive liquid wastes lines removal project at Los Alamos (1981-1986)

International Nuclear Information System (INIS)

Elder, J.C.; Cox, E.J.; Hohner, D.P.; Valentine, A.M.

1986-09-01

This report describes the abandoned liquid waste lines removal operations conducted at Los Alamos in the period 1981 to 1986. Particular emphasis has been placed on as-left conditions, that is, on the location of sections of waste lines or contaminated soil which were left in place on the basis of ALARA decisions. Contaminated items were left when interfering utilities, roads, structures, or great depth made complete removal not cost effective or not safe. Left items were either not highly contaminated or they were not near the surface. Total cost of the project was $4.2 million. Approximately 5800 m 3 of contaminated waste was placed in the Solid Waste Management Site at TA-54 Area G. The project accomplished the removal of approximately 34,500 ft (6.5 miles) of abandoned waste lines under carefully controlled conditions. Procedures for excavation, waste disposal, personnel protection, and radiation monitoring are described. Environmental monitoring criteria and methods for determining acceptable levels of contamination in soils and on surfaces are discussed

Experimental Analysis and Process Modeling of Carbon Dioxide Removal Using Tuff

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Emanuele Bonamente

2016-12-01

Full Text Available Removal of carbon dioxide via selective adsorption is a key process to obtain consumer-grade natural gas from biogas and, more generally, CO2 capture and sequestration from gaseous mixtures. The aim of this work is the characterization and classification of a natural alternative to synthetic zeolites that could be used as a carbon dioxide adsorbent. Tuff particulate, easily available as a byproduct of the construction industry, was tested with different laboratory procedures to verify its suitability for CO2 removal applications. Relevant physical and adsorption properties were measured during an intensive experimental campaign. Porosity, pore size distribution, and specific surface area were obtained with mercury intrusion porosimetry. Adsorption isotherms and saturation curves were obtained using two custom experimental apparatuses. The selective adsorption was finally modeled using an original phenomenological parameterization, and a simplified simulation of the process was performed using a computational fluid dynamic approach, validated against observed data. Results show that natural zeolites represent a very promising and sustainable alternative to synthetic zeolites in pressure swing adsorption processes for CO2 removal.

Evaluation of Surface Cleaning Procedures for CTGS Substrates for SAW Technology with XPS

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Erik Brachmann

2017-11-01

Full Text Available A highly efficient and reproducible cleaning procedure of piezoelectric substrates is essential in surface acoustic waves (SAW technology to fabricate high-quality SAW devices, especially for new applications such SAW sensors wherein new materials for piezoelectric substrates and interdigital transducers are used. Therefore, the development and critical evaluation of cleaning procedures for each material system that is under consideration becomes crucial. Contaminants like particles or the presence of organic/inorganic material on the substrate can dramatically influence and alter the properties of the thin film substrate composite, such as wettability, film adhesion, film texture, and so on. In this article, focus is given to different cleaning processes like SC-1 and SC-2, UV-ozone treatment, as well as cleaning by first-contact polymer Opticlean, which are applied for removal of contaminants from the piezoelectric substrate Ca 3 TaGa 3 Si 2 O 14 . By means of X-ray photoelectron spectroscopy, the presence of the most critical contaminants such as carbon, sodium, and iron removed through different cleaning procedures were studied and significant differences were observed between the outcomes of these procedures. Based on these results, a two-step cleaning process, combining SC-1 at a reduced temperature at 30 ∘ C instead of 80 ∘ C and a subsequent UV-ozone cleaning directly prior to deposition of the metallization, is suggested to achieve the lowest residual contamination level.

Modified nuss procedure in concurrent repair of pectus excavatum and open heart surgery.

Science.gov (United States)

Sacco Casamassima, Maria Grazia; Wong, Ling Ling; Papandria, Dominic; Abdullah, Fizan; Vricella, Luca A; Cameron, Duke E; Colombani, Paul M

2013-03-01

Pectus excavatum (PE) can be associated with congenital and acquired cardiac disorders that also require surgical repair. The timing and specific surgical technique for repair of PE remains controversial. The present study reports the experience of combined repair of PE and open heart surgery at Johns Hopkins Hospital. A retrospective case review was conducted of all patients who presented for repair of PE deformity while undergoing concurrent open heart surgery from 1998 through 2011. A total of 9 patients met inclusion criteria. All patients had a connective tissue disorder. Repair of PE was performed by modified Nuss technique after completion of the cardiac procedure, performed through a median sternotomy. Open heart procedures were either aortic root replacement or mitral valvuloplasty. Eight patients had bar removal after an average period of 30.3 months. No PE recurrence, bar displacement, or upper sternal depression was reported in 7 patients. Postoperatively, 1 patient exhibited pectus carinatum after a separate spinal fusion surgery for scoliosis. One patient died of unrelated cardiac complications before bar removal. Simultaneous repair of PE and open heart surgery is safe and effective. We recommend that the decision to perform a single-stage versus a multistage procedure should be reserved until after the cardiac procedure has been completed. In such cases, the Nuss technique allows for correction of the pectus deformity with good long-term cosmetic and functional results. Copyright © 2013 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

Removing Hair Safely

Science.gov (United States)

... For Consumers Home For Consumers Consumer Updates Removing Hair Safely Share Tweet Linkedin Pin it More sharing ... related to common methods of hair removal. Laser Hair Removal In this method, a laser destroys hair ...

Sodium removal from Hallam Reactor components

International Nuclear Information System (INIS)

Huntsman, L.K.; Meservey, R.H.

1979-08-01

This report discussed the removal of sodium from major components of the Hallam Nuclear Power Facility. This facility contained the experimental ractor used to test the feasibility of sodium coolant. The Idaho Operations Office of the Department of Energy assigned EG and G Idaho, Inc., the task of carrying out this decontamination and decommissioning program at the Idaho National Engineering Laboratory (INEL). Since their shipment to the INEL from Lincoln, Nebraska in 1968, the Hallam Reactor components had been stored in inert nitrogen to prevent the sodium in the components from reacting with moisture in the air. The procedure used to react the sodium in the components and to decontaminate them is discussed. Problems and unusual occurrences in the decontamination and decommissioning process are also reported

Accumulation of nuclear fission products by vegetable crops and their removal during processing

International Nuclear Information System (INIS)

Weaver, C.M.

1978-01-01

The accumulation and turn over of 90 Sr and 137 Cs throughout the growth cycle of a vegetable crop was studied as well as the removal of these radionuclides in several vegetables by washing, blanching, freezing, canning, and pickling procedures. The results indicated that radiocontamination of vegetable crops with 137 Cs would result in greatest internal concentrations if exposure occurred early in the growth cycle of the plant, whereas, the greatest contamination by 90 Sr would occur from exposure during the middle of the growing period. Pulse labelling experiments were employed to examine turn over of radionuclides in kale. No net efflux of radionuclides from plants following exposure to either radionuclide was observed. Of the processing treatments employed on several types of vegetables, a combination of pickling and canning of cucumbers resulted in the greatest decontamination - 94% for 137 Cs and 65% for 90 Sr. Canning was highly effective in reducing radionuclide concentrations in beans and kale. However, freezing significantly reduced the radionuclide content of only 137 Cs in kale. Preparatory procedures prior to processing did not significantly reduce radionuclide levels except for 137 Cs in beans. The combination of washing, blanching, and canning sweet potatoes exposed to radionuclides resulted in the removal of 1.4% 137 Cs and 26.5% 90 Sr relative to unprocessed controls. The blanching process resulted in a transfer of radioactivity from the peel to the core, indicating that skins of contaminated potatoes should be removed prior to thermal treatment

Cocaine versus food choice procedure in rats: environmental manipulations and effects of amphetamine.

Science.gov (United States)

Thomsen, Morgane; Barrett, Andrew C; Negus, S Stevens; Caine, S Barak

2013-03-01

We have adapted a nonhuman primate model of cocaine versus food choice to the rat species. To evaluate the procedure, we tested cocaine versus food choice under a variety of environmental manipulations as well as pharmacological pretreatments. Complete cocaine-choice dose-effect curves (0-1.0 mg/kg/infusion) were obtained for each condition under concurrent fixed ratio schedules of reinforcement. Percentage of responding emitted on the cocaine-reinforced lever was not affected significantly by removal of cocaine-associated visual or auditory cues, but it was decreased after removal of response-contingent or response-independent cocaine infusions. Cocaine choice was sensitive to the magnitude and fixed ratio requirement of both the cocaine and food reinforcers. We also tested the effects of acute (0.32, 0.56, 1.0, 1.8 mg/kg) and chronic (0.1, 0.32 mg/kg/hr) d-amphetamine treatment on cocaine choice. Acute and chronic d-amphetamine had opposite effects, with acute increasing and chronic decreasing cocaine choice, similar to observations in humans and in nonhuman primates. The results suggest feasibility and utility of the choice procedure in rats and support its comparability to similar procedures used in humans and monkeys. © Society for the Experimental Analysis of Behavior.

Sulphur removal from used automotive lubricating oil by ionizing radiation

International Nuclear Information System (INIS)

Scapin, Marcos Antonio; Duarte, Celina Lopes; Sato, Ivone Mulako

2007-01-01

Following the worldwide evolution with the purpose of a higher control of vehicular emissions, the specialists have looked for clean technologies and efficient procedures to make vehicular emissions free of pollutants. Much attention is given to the sulphur concentration in the gasoline, diesel and lubricating oils. The ionizing radiation is a promising technology for the removal of this pollutant when compared to other conventional treatment methods. In this work, the ionizing radiation was used to remove in significant levels the presence of sulphur in automotive motor oil. A 1000 mL sample of used automotive lubricating oil from a gas station was collected. This sample was fractioned and irradiated with 10, 20 50, 100, 200 and 500 kGy doses in a 60 Co irradiator (GAMMACELL-220 - 12 kCi). The 50 and 70% (v/v) of MilliQ water and 30% (v/v) of hydrogen peroxide was used to improve the radiolysis The sulphur element before and after the irradiation was determined by X-ray fluorescence technique (WDXRF) using the Fundamental Parameters Method. The results showed approximately 70% sulphur removal at 500 kGy irradiation dose with 70% (v/v) of MilliQ water addition. (author)

The influence of milking procedures on cow’s teat tissue, milk yield and milking time

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Saša Špoljar

2004-04-01

Full Text Available The aim of this study was to evaluate the effect of two different milking procedures on teat length and diameter, milk yield and milking time. During the first milking procedure the milker decides when to remove the milking cluster from the udder, while in the second an automatic cluster removal, when milk flow was lower than 200 g/min, was performed. Measurements were made on two commercial farms B and A on 15 randomly chosen cows without any clinical sign of mastitis. There were no significant differencesbetween those farms in teat length and diameter differences before and after the milking. Average milking time on farm A was 6 min and 58 s, while on farm B was 5 min and 3 s. Average milk yield was 12.9 kg on farm B and 13.4 kg on farm A. Milking time was considerably shorter on farm B compared to farm A, while milk yield was almost equal on both farms. Automatic cluster weighting 2 kg removal was performed when milk flow was lower than 200 g/min in order to shorten the time needed to milk the cow, ensuring good udder health.

Evaluation of some procedures relevant to the determination of trace elemental components in biological materials by destructive neutron activation analysis

International Nuclear Information System (INIS)

Berry, D.L.

1979-01-01

The development of a simplified procedure for the analysis of biological materials by destructive neutron activation analysis (DNAA) is described. The sample manipulations preceding gamma ray assay were investigated as five specific stages of processing: (1) pre-irradiation treatment; (2) sample irradiation; (3) removal of the organic matrix; (4) removal of interfering radioactivities; and (5) concentration and separation of analyte activities. Each stage was evaluated with respect to susceptibility to sample contamination, loss of trace elemental components, and compatibility with other operations in the overall DNAA procedures. A complete DNAA procedure was proposed and evaluated for the analysis of standard bovine liver and blood samples. The DNAA system was effective for the determination of As, Cu, Fe, Hg, Mo, Rb, Sb, Se, and Zn without yield determinations and with a minimum turn-around time of approximately 3 days

Evaluation of some procedures relevant to the determination of trace elemental components in biological materials by destructive neutron activation analysis

Energy Technology Data Exchange (ETDEWEB)

Berry, D.L.

1979-01-01

The development of a simplified procedure for the analysis of biological materials by destructive neutron activation analysis (DNAA) is described. The sample manipulations preceding gamma ray assay were investigated as five specific stages of processing: (1) pre-irradiation treatment; (2) sample irradiation; (3) removal of the organic matrix; (4) removal of interfering radioactivities; and (5) concentration and separation of analyte activities. Each stage was evaluated with respect to susceptibility to sample contamination, loss of trace elemental components, and compatibility with other operations in the overall DNAA procedures. A complete DNAA procedure was proposed and evaluated for the analysis of standard bovine liver and blood samples. The DNAA system was effective for the determination of As, Cu, Fe, Hg, Mo, Rb, Sb, Se, and Zn without yield determinations and with a minimum turn-around time of approximately 3 days.

A flexible endoscope-assisted interhemispheric transcallosal approach through the contralateral ventricle for the removal of a third ventricle craniopharyngioma: A technical report.

Science.gov (United States)

Yano, Shigetoshi; Hide, Takuichiro; Shinojima, Naoki; Ueda, Yutaka; Kuratsu, Jun-Ichi

2015-01-01

Intraventricular craniopharyngiomas are difficult to remove. We combined an interhemispheric transcallosal approach with a flexible endoscope (videoscope) for successful tumor removal. A 52-year-old male complained of general fatigue and memory disturbance. Magnetic resonance imaging revealed a well-enhanced third ventricle mass with dilatation of lateral ventricles. During removal with the interhemispheric transcallosal approach, a videoscope that was inserted into the left lateral ventricle revealed the interface of the tumor and the ventricular wall. The tumor was pushed to the right using forceps and removed totally through the right foramen of Monro without any fornix injury. This procedure is a safe option for removing third ventricular tumors especially in the case with hydrocephalus.

Quality assurance and gastrointestinal endoscopy: an audit of 500 colonoscopic procedures.

Science.gov (United States)

Denis, Bernard; Weiss, Anne-Marie; Peter, André; Bottlaender, Jacques; Chiappa, Pascale

2004-12-01

The aim of this study was to assess the quality of colonoscopic procedures in our endoscopy unit with the goal of improving performance. We prospectively audited 500 consecutive colonoscopic procedures and assessed sixty-two process or outcome indicators for each procedure. Most of the measured indicators were within standard limits: cecal intubation rate (92%), inadequate bowel preparations (24%), inappropriate procedures (9.7%), normal procedures (54%), yield for neoplasia (32%), morbidity (0.4%), and overall patient satisfaction (95.8%). Some indicators were outside standard limits suggesting our practices should be modified: endoscopy withdrawal time less than 6 minutes (78%), forceps removal of polyps (31%), resected polyps not recovered for pathological examination (12%), adenomas with villous elements (22%), patients unsatisfied because of time spent waiting for the procedure (19%), patients unsatisfied because of inadequate explanations (10%). There was no standard for a few indicators: patient discomfort (6.9%), diagnostic success (89%), therapeutic success (92%). Three new indicators were proposed: proportion of patients agedadvanced adenoma or cancer, and proportion of colonoscopic procedures causing discomfort. The diagnostic yield of colonoscopy was dependent on age, gender, indication and appropriateness of indication but not on the prescriber. This audit allowed us to evaluate our endoscopic practices and to detect certain shortcomings and deviations from standards. It enabled us to change some of our practices with the goal of improving the quality of our colonoscopic procedures.

One stage rescue procedure after capsular contracture of breast implants with autologous fat grafts collected by water assisted liposuction (“BEAULI Method”

Directory of Open Access Journals (Sweden)

Ueberreiter, Klaus

2013-01-01

Full Text Available With increasing number of patients with silicone implants for breast augmentation or reconstruction we are confronted with more and more cases of capsular contracture. Not every case is resolved by resection of the capsule and exchange of implants. Many patients rather bear the consequences of severe fibrosis than to have their implants removed. The one stage procedure of implant removal and lipofilling proved to be highly efficient with good to excellent results and high patient satisfaction. Between January 2008 and October 2012 a total of 64 patients (124 breasts with capsular fibrosis Baker III to IV were treated with autologous fat grafts collected with the body-jet by water-assisted liposuction (“BEAULI Method”. Magnetic resonance imaging (MRI of the breasts was performed in 5 patients preoperatively and 6 month postoperatively, a clinical examination and photo documentation of all patients was done on day 1 and after 4 weeks, 12 weeks and 6 months postoperatively. The procedure included implant removal and lipofilling of the subcutaneous and intramuscular space in a single procedure by means of the BEAULI Method. The average gross amount of grafted fat was 260 ml. The average drainage time was one day. The shape of the breast changed to a more natural and ptotic form. Negative side effects like oily cysts or infections were not observed. The time of the overall procedure including liposuction was 70±15 min. Reoccurring capsular contracture is one of the hazards in plastic surgery. Until now the treatment of choice after more than two failed implant changes combined with resection of the capsule is usually the final removal of implants with or without possible additional autologous tissue transfer (microvascular flaps. We could add a relatively simple and efficient procedure to resolve and improve those cases by autologous fat transfer using water-assisted liposuction and the BEAULI Method.

Value of Artisanal Simulators to Train Veterinary Students in Performing Invasive Ultrasound-Guided Procedures

Science.gov (United States)

Hage, Maria Cristina F. N. S.; Massaferro, Ana Beatriz; Lopes, Érika Rondon; Beraldo, Carolina Mariano; Daniel, Jéssika

2016-01-01

Pericardial effusion can lead to cardiac tamponade, which endangers an animal's life. Ultrasound-guided pericardiocentesis is used to remove abnormal liquid; however, it requires technical expertise. In veterinary medical education, the opportunity to teach this procedure to save lives during emergencies is rare; therefore, simulators are…

75 FR 71353 - Office of the Attorney General; Certification Process for State Capital Counsel Systems; Removal...

Science.gov (United States)

2010-11-23

... the Attorney General; Certification Process for State Capital Counsel Systems; Removal of Final Rule... only if the Attorney General has certified ``that [the] State has established a mechanism for providing... State to qualify for the special habeas procedures, the Attorney General must determine that ``the State...

Removal of non-deflatable retained foley catheter in the bladder by percutaneous puncture of catheter balloon

International Nuclear Information System (INIS)

Yoo, Jae Duk; Kim, Jae Kyu; Park, Jin Gyun; Chung, Hyon De

1988-01-01

Nondeflatable Foley catheter in the bladder is an uncommon event. We recently experienced a patient in whom the urologist were unable to remove a Foley catheter with cystoscope due to public bone fractures. The procedure, which was successfully carried out, consists of puncturing the ballon under fluoroscope.

Modified Distal Urethral Polypropylene Sling (Canal Transobturator Tape Procedure: Efficacy for Persistent Stress Urinary Incontinence After a Conventional Midurethral Sling Procedure

Directory of Open Access Journals (Sweden)

Chang Hee Kim

2013-03-01

Full Text Available Purpose: Despite reports of persistent stress urinary incontinence (SUI in patients after the midurethral sling (MUS procedure, there is no widely accepted definition or cause of the condition. In many cases, the mesh implanted in the previous MUS procedure has been found to have migrated proximally. The aim of this study was to evaluate the efficacy of the modified distal urethral polypropylene sling, or canal transobturator tape (TOT, procedure for persistent SUI after a conventional MUS procedure on the assumption that persistent SUI after MUS is due to the location of the sling. Methods: From January 2008 to April 2012, 31 female patients who underwent the canal TOT procedure presented with incontinence or lower urinary tract symptoms (LUTS were included in this study. We identified patients who had been operated on by use of the conventional MUS procedure at other medical facilities, whose Valsalva leak pressure point was less than 120 cm-H2O by urodynamic study, and who were also diagnosed with persistent SUI. If vaginal or urethral mesh exposure was concomitant with persistent SUI, the mesh was removed completely or in part. Surgical procedures for canal TOT were identical to the original TOT procedures, except in the number and location of the vaginal incisions. Incontinence Impact Questionnaire-Short Form (IIQ-7 and Urogenital Distress Inventory-Short Form (UDI-6 scores were assessed preoperatively and at 3 months postoperatively. Results: There were no intraoperative or postoperative complications. Twenty-eight patients (90.3% showed improvement in incontinence or other LUTS. Postoperative scores of the IIQ-7 (0.65±0.48 and UDI-6 (3.48±2.28 were significantly improved compared with preoperative scores (1.26±0.58 and 7.52±4.30, respectively; P<0.05. Conclusions: Improper sling location is one of the major causes of persistent SUI after the conventional MUS procedure. Our results demonstrate that canal TOT may be an alternative

Total thyroidectomy as primary elective procedure in multinodular thyroid disease

International Nuclear Information System (INIS)

Sheikh, I.A.; Haider, I.Z.; Haroon, A.; Ashfaq, M.

2009-01-01

Multinodular goitre is one of the commonest thyroid diseases encountered in the practice of surgery. The most common surgery being performed for multinodular goitre is subtotal thyroidectomy. Total thyroidectomy is designed to remove all of the thyroid tissue. The objective of this study was to evaluate total thyroidectomy as a primary elective procedure for treatment of multinodular thyroid disease. This descriptive study was carried out at Combined Military Hospital Rawalpindi from June 2003 to September 2006. 88 patients of multinodular thyroid disease were included. Patients having evidence of recurrent laryngeal nerve damage, recurrent goitre, evidence of altered parathyroid functions or evidence of malignancy were excluded. All patients underwent total thyroidectomy by the same team of surgeons and the patients were closely followed up for postoperative complications especially in terms of recurrent laryngeal nerve damage and hypocalcaemic tetany. No major postoperative complication was noted. Only 1 patient (1.14%) developed unilateral recurrent laryngeal nerve damage and 2 patients (2.27%) developed transient hypocalcaemia that recovered quickly. Total thyroidectomy as a primary elective procedure in multinodular thyroid disease is a safe option and it removes the disease process completely, lowers local recurrence rates and avoids the substantial risks of re operative surgery. (author)

Endoscopic removal of over-the-scope clips using a novel cutting device: a retrospective case series.

Science.gov (United States)

Schmidt, Arthur; Riecken, Bettina; Damm, Michael; Cahyadi, Oscar; Bauder, Markus; Caca, Karel

2014-09-01

Over-the-scope clips (OTSCs; Ovesco Endoscopy, Tübingen, Germany) are extensively used for treatment of gastrointestinal perforations, leakages, fistulas, and bleeding. In this report, a new method of removing OTSCs using a prototype bipolar cutting device is described. A total of 11 patients underwent endoscopic removal of an OTSC. The OTSC was cut at two opposing sites by a prototype device (DC ClipCutter; Ovesco Endoscopy). The remaining clip fragments were extracted using a standard forceps. Mean procedure time was 47 minutes (range 35 - 75 minutes). Cutting of the OTSC at two opposing sites was successful in all cases (100 %). Complete retrieval of all clip fragments was possible in 10 patients (91 %). The overall success rate for cutting and complete removal of the clip was 91 %. No major complications were observed. Removal of OTSCs with the prototype device was feasible and effective. The device may be valuable for OTSC removal in emergency as well as elective indications. © Georg Thieme Verlag KG Stuttgart · New York.

Preparation of fly ash based zeolite for removal of fluoride from drinking water

Science.gov (United States)

Panda, Laxmidhar; Kar, Biswabandita; Dash, Subhakanta

2018-05-01

Fluoride contamination of drinking water is a worldwide phenomenon and scientists are working relentlessly to find ways to remove fluoride from drinking water. Out of the different methods employed for removal fluoride from drinking water adsorption process is the most suitable because in this process the adsorbent is regenerated and the process is cost effective. In the present study fly ash is used as the raw material, which is treated with alkali (NaOH) to form NaP1 zeolite. This zeolite is then subjected to characterization by standard procedures. It is found that the synthesized zeolite has more crystalline character than the raw fly ash and has also more voids and channels on its surface. The surface of the synthesized zeolite is modified with calcium chloride and the same is employed for removal of fluoride under varying pH, contact time, initial concentration of fluoride, temperature and adsorbent dose etc so as to assess the suitably or otherwise of the synthesized product.

Infectious morbidity, operative blood loss, and length of the operative procedure after cesarean delivery by method of placental removal and site of uterine repair.

Science.gov (United States)

Magann, E F; Washburne, J F; Harris, R L; Bass, J D; Duff, W P; Morrison, J C

1995-12-01

This study was done to determine the impact of the method of placental removal and the site of uterine repair on postcesarean infectious morbidity rates in women receiving prophylactic antibiotics at cesarean delivery. This prospective study included 284 women who underwent cesarean delivery and who were randomly assigned to four groups based on the method of placental removal and the site of uterine repair: group 1, spontaneous placental removal and in situ uterine repair; group 2, spontaneous placental removal and exteriorized uterine repair; group 3, manual placental removal and in situ uterine repair; and group 4, manual placental removal with exteriorized uterine repair. Exclusion criteria were repeat cesarean deliveries without labor, active infection at the time of cesarean delivery, and patient refusal to participate. There was no significant difference among the groups in maternal age, race, parity, weight, the length of time from rupture of membranes (ROM) or the number of vaginal examinations from ROM to cesarean delivery, or preoperative hematocrit. Intraoperatively, the type of uterine incision, anesthesia administered, incidence of meconium-stained amniotic fluid, Apgar scores, and cord gases were similar between groups. The incidence of postcesarean endometritis was greater in group 4 (32 [45 percent] of 71, p = 0.003) compared with group 1 (17 [24 percent] of 71), group 2 (12 [30 percent] of 71); and group 3 (13 [18 percent] of 71). Manual placental removal and exteriorization of the uterus for repair of the surgical incision increases the infectious morbidity rate in women receiving prophylactic antibiotics at the time of cesarean delivery and increases the length of hospitalization.

Surgical removal of intra-abdominal intrauterine devices at one center in a 20-year period.

Science.gov (United States)

Ertopcu, Kenan; Nayki, Cenk; Ulug, Pasa; Nayki, Umit; Gultekin, Emre; Donmez, Aysegul; Yildirim, Yusuf

2015-01-01

To review 20 years of experience of the removal of intra-abdominal intrauterine devices (IUDs) and to compare the surgical methods used. In a retrospective study, charts dating from between September 1, 1992, and August 31, 2012, were reviewed. Patients were eligible for inclusion when they had an IUD surgically removed by minilaparotomy or laparoscopy at a tertiary referral center in Izmir, Turkey. Among the 36 eligible women, 18 (50%) had undergone laparoscopy and 18 (50%) had undergone minilaparotomy. Mean operation length was 55.3±6.3 minutes in the laparoscopy group and 29.1±4.2 minutes in the minilaparotomy group (P=0.008). Conversion to full laparotomy was necessary in 4 (22%) women in the laparoscopy group and 1 (6%) in the minilaparotomy group (P=0.02). Perioperative complications were observed in 5 (14%) women, with no difference in frequency between groups (P=0.09). Total cost of medical/surgical procedures was US$436.4±35.4 for the laparoscopy group and $323.4±21.3 for the minilaparotomy group (P=0.04). Minilaparotomy seems to be an important alternative to laparoscopy for the removal of intra-abdominal IUDs. This procedure should be an integral part of gynecologic surgical training. Copyright © 2014 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.

Influence of luting agents on time required for cast post removal by ultrasound: an in vitro study

Directory of Open Access Journals (Sweden)

Janir Alves Soares

2009-06-01

Full Text Available OBJECTIVE: This in vitro study evaluated the influence of luting agents on ultrasonic vibration time for intraradicular cast post removal. MATERIAL AND METHODS: After endodontic treatment, 30 roots of extracted human canines were embedded in resin cylinders. The post-holes were prepared at 10 mm depth and their impressions were taken using autopolymerizing acrylic resin. After casting procedures using a nickel-chromium alloy, the posts were randomly distributed into 3 groups (n=10 according to the luting material: G1- zinc phosphate (SS White (control group, G2 - glass ionomer cement (Vidrion C; SS White, and G3- resin cement (C&B; Bisco. In G3, the adhesive procedure was performed before post cementation. After 24 h, the cement line was removed at the post/tooth interface using a fine diamond bur, and the ST-09 tip of an Enac ultrasound unit was applied at maximum power on all surfaces surrounding the posts. The application time was recorded with a chronometer until the post was completely dislodged and data were analyzed by ANOVA and Tukey's test (p<0.05. RESULTS: The roots were removed from the acrylic resin and inspected to detect cracks and/or fractures. The means for G1, G2, and G3 were 168.5, 59.5, and 285 s, respectively, with statistically significant differences among them. Two G3 posts resisted removal, one of which developed a vertical fracture line. CONCLUSIONS: Therefore, the cement type had a direct influence on the time required for ultrasonic post removal. Compared to the zinc phosphate and glass ionomer cements, the resin cement required a longer ultrasonic vibration time.

Application of CO II laser for removal of oral mucocele

Science.gov (United States)

Kato, J.; Moriya, K.; Hirai, Y.

2006-02-01

Mucocele is an oral soft tissue cyst caused by the disturbance of saliva flow. Mucocele is widely observed in child patients and recurrence is high. The objective of this study was to clarify the effect of CO II laser irradiation in the case of mucocele. A CO II laser was used on 45 subjects, aged between 0 to 15 years, having mucocele on lip, lingual, or buccal mucosa. Our procedure in using CO II laser was not to vaporize the mucocele but to remove the whole mucocele mass. The border of mucocele was firstly incised by laser following defocusly ablating the root or body of mucocele separating from sorrounding tissue. As a result, mucocele was easily and completely removed without breaking the wall of mucocele. None of the cases required suturing. The results were as follows. 1. The mucocele of lip or lingual mucosa with a rich blood supply, was efficiently removed, without bleeding, giving a clear operative field during the operation. 2. The surgery itself was simple and less time-consuming. 3. After two or three weeks the wound was completely healed without almost any discomfort in all patients 4. Wound contraction and scarring were decreased or eliminated. 5. The reoccurrence of mucocele was not seen, except only in one case of lingual mucocele. In conclusion the use of CO II laser proved to be a very safe and effective mode for the removal of mucocele, especially in small children.

Metal and metalloid removal in constructed wetlands, with emphasis on the importance of plants and standardized measurements: A review

International Nuclear Information System (INIS)

Marchand, L.; Mench, M.; Jacob, D.L.; Otte, M.L.

2010-01-01

This review integrates knowledge on the removal of metals and metalloids from contaminated waters in constructed wetlands and offers insight into future R and D priorities. Metal removal processes in wetlands are described. Based on 21 papers, the roles and impacts on efficiency of plants in constructed wetlands are discussed. The effects of plant ecotypes and class (monocots, dicots) and of system size on metal removal are addressed. Metal removal rates in wetlands depend on the type of element (Hg > Mn > Fe = Cd > Pb = Cr > Zn = Cu > Al > Ni > As), their ionic forms, substrate conditions, season, and plant species. Standardized procedures and data are lacking for efficiently comparing properties of plants and substrates. We propose a new index, the relative treatment efficiency index (RTEI), to quantify treatment impacts on metal removal in constructed wetlands. Further research is needed on key components, such as effects of differences in plant ecotypes and microbial communities, in order to enhance metal removal efficiency. - A new index, the relative treatment efficiency index (RTEI), to quantify treatment impacts on metal and metalloid removal in constructed wetlands.

Removal of a Broken Cannulated Intramedullary Nail: Review of the Literature and a Case Report of a New Technique

Directory of Open Access Journals (Sweden)

Amr A. Abdelgawad

2013-01-01

Full Text Available Nonunion of long bones fixed with nails may result in implant failure. Removal of a broken intramedullary nail may be a real challenge. Many methods have been described to allow for removal of the broken piece of the nail. In this paper, we are reviewing the different techniques to extract a broken nail, classifying them into different subsets, and describing a new technique that we used to remove a broken tibial nail with narrow canal. Eight different categories of implant removal methods were described, with different methods within each category. This classification is very comprehensive and was never described before. We described a new technique (hook captured in the medulla by flexible nail introduced from the locking hole which is a valuable technique in cases of nail of a small diameter where other methods cannot be used because of the narrow canal of the nail. Our eight categories for broken nail removal methods simplify the concepts of nail removal and allow the surgeon to better plan for the removal procedure.

8 CFR 208.31 - Reasonable fear of persecution or torture determinations involving aliens ordered removed under...

Science.gov (United States)

2010-01-01

... HOMELAND SECURITY IMMIGRATION REGULATIONS PROCEDURES FOR ASYLUM AND WITHHOLDING OF REMOVAL Credible Fear of... officer shall review the summary with the alien and provide the alien with an opportunity to correct... determinations under this section shall have the authority described in § 208.9(c). (e) Referral to Immigration...

PLANNING YOUR REMOVALS

CERN Multimedia

Service déménagement; ST Division

1999-01-01

To give you better service and avoid lengthy delays, the Removals Service advises you to refrain from programming moves between 26 July and 3 September, as large-scale removals are already planned during this summer period.Thanking you in advance for your co-operation and understanding.Removals Service STTel. 74185 / Mobile 164017

Percutaneous removal of pulmonary artery emboli with hydrolyser catheter in pigs

International Nuclear Information System (INIS)

Lacoursiere, L.; Millward, S.; Veinot, J.P.; Labinaz, M.

2001-01-01

To evaluate the efficacy and safety of the Hydrolyser catheter for per,cutaneous treatment of massive pulmonary embolism in pigs. Twelve pigs, each weighing between 55 kg and 89 kg, were used. Radio-opaque 9 cm x 0.8 cm and 4.5 cm x 0.8 cm clots, produced by mixing pig blood with iodinated contrast agent in vacutainers, were injected via the jugular vein until central pulmonary embolism (main and proximal lobar arteries) was obtained with significant systemic and pulmonary hemodynamic modifications. From a femoral approach, the 7-French Hydrolyser thrombectomy catheter was run over a 0.025-inch (0.64-mm) guide wire to remove the pulmonary emboli. Hemodynamic, gasometric and angiographic monitoring was performed before and after treatment. The procedure's safety and completeness of emboli removal was assessed by cardiopulmonary autopsy. Three of the 12 pigs died during embolization. Thrombectomy was therefore performed in 9, and central emboli could be obtained in 7 of the 9. The Hydrolyser could be manipulated only in central pulmonary arteries and could aspirate only central emboli in 5 of the 7 pigs that had them. Despite minimal angiographic improvement seen in these 5, there was no significant hemodynamic and gasometric improvement after treatment. The procedure induced an increase in free hemoglobin blood levels. Autopsies revealed an average of 2 endothelial injuries per pig (mainly adherent endocardial thrombi) in both nontreated (n = 3) and Hydrolyser-treated (n = 9) groups. The Hydrolyser thrombectomy catheter can be promptly positioned and easily steered in central pulmonary arteries. It can be used to partially remove central emboli, but not peripheral pulmonary emboli. Most of the injuries observed may not have been strictly related to Hydrolyser use. The pig might not be a suitable animal model for treatment of massive pulmonary embolism. (author)

Unburnt carbon from coal fly ashes as a precursor of activated carbon for nitric oxide removal.

Science.gov (United States)

Rubio, Begoña; Izquierdo, M Teresa; Mayoral, M Carmen; Bona, M Teresa; Andres, Jose M

2007-05-08

The aim of this work is to evaluate the characteristics of an activated carbon obtained from unburnt carbon in coal fly ashes to be used in the removal of NO. Carbon-rich fraction was obtained by mechanical sieving of fly ashes. The mineral matter was removed by conventional HCl and HF demineralization procedure. Activation was carried out with steam at 900 degrees C in order to develop porosity onto the sample. Characterization of samples was performed by several techniques with a main objective: to follow the mineral matter content, composition and distribution on the samples in order to better understand how to remove it from unburnt carbon in fly ashes. To study the use of this unburnt carbon as a precursor for the preparation of activated carbons for gas cleaning, the NO removal by ammonia using activated carbon as a catalyst at low temperature was performed. Results show a good performance of activated carbon in this reaction that is in relationship with BET surface area.

An Approach to Remove the Systematic Bias from the Storm Surge forecasts in the Venice Lagoon

Science.gov (United States)

Canestrelli, A.

2017-12-01

In this work a novel approach is proposed for removing the systematic bias from the storm surge forecast computed by a two-dimensional shallow-water model. The model covers both the Adriatic and Mediterranean seas and provides the forecast at the entrance of the Venice Lagoon. The wind drag coefficient at the water-air interface is treated as a calibration parameter, with a different value for each range of wind velocities and wind directions. This sums up to a total of 16-64 parameters to be calibrated, depending on the chosen resolution. The best set of parameters is determined by means of an optimization procedure, which minimizes the RMS error between measured and modeled water level in Venice for the period 2011-2015. It is shown that a bias is present, for which the peaks of wind velocities provided by the weather forecast are largely underestimated, and that the calibration procedure removes this bias. When the calibrated model is used to reproduce events not included in the calibration dataset, the forecast error is strongly reduced, thus confirming the quality of our procedure. The proposed approach it is not site-specific and could be applied to different situations, such as storm surges caused by intense hurricanes.

Percutaneous Cystgastrostomy as a Single-Step Procedure

International Nuclear Information System (INIS)

Curry, L.; Sookur, P.; Low, D.; Bhattacharya, S.; Fotheringham, T.

2009-01-01

The purpose of this study was to evaluate the success of percutaneous transgastric cystgastrostomy as a single-step procedure. We performed a retrospective analysis of single-step percutaneous transgastric cystgastrostomy carried out in 12 patients (8 male, 4 female; mean age 44 years; range 21-70 years), between 2002 and 2007, with large symptomatic pancreatic pseudocysts for whom up to 1-year follow-up data (mean 10 months) were available. All pseudocysts were drained by single-step percutaneous cystgastrostomy with the placement of either one or two stents. The procedure was completed successfully in all 12 patients. The pseudocysts showed complete resolution on further imaging in 7 of 12 patients with either enteric passage of the stent or stent removal by endoscopy. In 2 of 12 patients, the pseudocysts showed complete resolution on imaging, with the stents still noted in situ. In 2 of 12 patients, the pseudocysts became infected after 1 month and required surgical intervention. In 1 of 12 patients, the pseudocyst showed partial resolution on imaging, but subsequently reaccumulated and later required external drainage. In our experience, percutaneous cystgastrostomy as a single-step procedure has a high success rate and good short-term outcomes over 1-year follow-up and should be considered in the treatment of large symptomatic cysts.

Optimization of graffiti removal on natural stone by means of high repetition rate UV laser

International Nuclear Information System (INIS)

Fiorucci, M.P.; López, A.J.; Ramil, A.; Pozo, S.; Rivas, T.

2013-01-01

The use of laser for graffiti removal is a promising alternative to conventional cleaning methods, though irradiation parameters must be carefully selected in order to achieve the effective cleaning without damaging the substrate, especially when referring to natural stone. From a practical point of view, once a safe working window is selected, it is necessary to determine the irradiation conditions to remove large paint areas, with minimal time consumption. The aim of this paper is to present a systematic procedure to select the optimum parameters for graffiti removal by means of the 3rd harmonic of a high repetition rate nanosecond Nd:YVO 4 laser. Ablation thresholds of four spray paint colors were determined and the effect of pulse repetition frequency, beam diameter and line scan separation was analyzed, obtaining a set of values which optimize the ablation process.

Optimization of graffiti removal on natural stone by means of high repetition rate UV laser

Energy Technology Data Exchange (ETDEWEB)

Fiorucci, M.P., E-mail: m.p.fiorucci@udc.es [Centro de Investigacións Tecnolóxicas, Universidade da Coruña, 15403 Ferrol (Spain); Dpto. Enxeñaría dos Recursos Naturais e Medio Ambiente, E.T.S.E. Minas, Universidade de Vigo, 36200 Vigo (Spain); López, A.J., E-mail: ana.xesus.lopez@udc.es [Centro de Investigacións Tecnolóxicas, Universidade da Coruña, 15403 Ferrol (Spain); Ramil, A., E-mail: alberto.ramil@udc.es [Centro de Investigacións Tecnolóxicas, Universidade da Coruña, 15403 Ferrol (Spain); Pozo, S., E-mail: ipozo@uvigo.es [Dpto. Enxeñaría dos Recursos Naturais e Medio Ambiente, E.T.S.E. Minas, Universidade de Vigo, 36200 Vigo (Spain); Rivas, T., E-mail: trivas@uvigo.es [Dpto. Enxeñaría dos Recursos Naturais e Medio Ambiente, E.T.S.E. Minas, Universidade de Vigo, 36200 Vigo (Spain)

2013-08-01

The use of laser for graffiti removal is a promising alternative to conventional cleaning methods, though irradiation parameters must be carefully selected in order to achieve the effective cleaning without damaging the substrate, especially when referring to natural stone. From a practical point of view, once a safe working window is selected, it is necessary to determine the irradiation conditions to remove large paint areas, with minimal time consumption. The aim of this paper is to present a systematic procedure to select the optimum parameters for graffiti removal by means of the 3rd harmonic of a high repetition rate nanosecond Nd:YVO{sub 4} laser. Ablation thresholds of four spray paint colors were determined and the effect of pulse repetition frequency, beam diameter and line scan separation was analyzed, obtaining a set of values which optimize the ablation process.

Paediatric minor oral surgical procedures under inhalation sedation and general anaesthetic: a comparison of variety and duration of treatment.

Science.gov (United States)

Foley, J

2008-03-01

To develop baseline data in relation to paediatric minor oral surgical procedures undertaken with both general anaesthesia and nitrous oxide inhalation sedation within a Hospital Dental Service. Data were collected prospectively over a three-year period from May 2003 to June 2006 for patients attending the Departments of Paediatric Dentistry, Dundee Dental Hospital and Ninewells Hospital, NHS Tayside, Great Britain, for all surgical procedures undertaken with either inhalation sedation or general anaesthetic. Both operator status and the procedure being undertaken were noted. In addition, the operating time was recorded. Data for 166 patients (F: 102; M: 64) with a median age of 12.50 (inter-quartile range 10.00, 14.20) years showed that 195 surgical procedures were undertaken. Of these 160 and 35 were with general anaesthetic and sedation respectively. The surgical removal of impacted, carious and supernumerary unit(s) accounted for 53.8% of all procedures, whilst the exposure of impacted teeth and soft tissue surgery represented 34.9% and 11.3% of procedures respectively. The median surgical time for techniques undertaken with sedation was 30.00 (inter-quartile range 25.00, 43.50) minutes whilst that for general anaesthetic was similar at 30.00 (inter-quartile range 15.25, 40.00) minutes (not statistically significant, (Mann Whitney U, W = 3081.5, P = 0.331). The majority of paediatric minor oral surgical procedures entail surgical exposure or removal of impacted teeth. The median treatment time for most procedures undertaken with either general anaesthetic or nitrous oxide sedation was 30 minutes.

The removal of a malpositioned implant in the anterior mandible using piezosurgery.

Science.gov (United States)

Marini, Ettore; Cisterna, Veronica; Messina, Antonello Maria

2013-05-01

In oral, cranio, and maxillofacial surgery, a close relationship among the bone, nerves, and blood vessels can be regularly observed. Surgical procedures for the removal of dental implants have the potential to cause vascular injury and bleeding in the floor of the mouth and internal anterior region of the mandible. Furthermore, conventional osteotomy techniques always require extensive protection of adjacent soft tissue because cutting is not limited to bone and could easily affect other tissues when applied improperly. We report the removal by means of piezosurgery of a malpositioned osseointegrated implant that had previously caused a sublingual hematoma during its insertion. The postoperative course was uneventful, no bleeding, infection, or hematoma formation was noted and the patient reported 100% resolution of all symptoms. Copyright © 2013 Elsevier Inc. All rights reserved.

75 FR 34064 - Manufactured Home Construction and Safety Standards, Test Procedures for Roof Trusses

Science.gov (United States)

2010-06-16

... failure. Failure is rupture, fracture, or excessive yielding. (v) Final recovery phase. Remove 2.0 times... members of the public. Commenters should follow the instructions provided on that site to submit comments... nondestructive testing procedure for roof trusses that permits a lower overall factor of safety to be used in...

PROGRAMMING OFFICE REMOVALS

CERN Multimedia

Groupe ST-HM

2000-01-01

The Removals Service recommends you to plan your removals well in advance, taking into account the fact that the Transport and Handling Group’s main priority remains the dismantling of LEP and the installation of the LHC. The requests can be made by: http://st.web.cern.ch/st/hm/removal/DEMEE.HTM Thank you for your cooperation.

Fabrication of Biomembrane from Banana Stem for Lead Removal

Directory of Open Access Journals (Sweden)

Afianti Sulastri

2016-04-01

Full Text Available Heavy metal (i.e. lead (Pb is one of the environmental issues recently due to its danger for human health. Therefore, strategy for removing Pb from waste water treatment is important. One of the prospective methods to remove Pb is membrane biofilter. Here, the purpose of this study was to prepare the membrane biofilter for Pb removal process. In this study, membrane biofilter was produced from banana stem. Banana stem was selected because of its abundant availability   in Indonesia. And, for somewhat, this banana stem can be environmental problems (become waste since Indonesia is one of the top producers in the world. In short of the experimental procedure, we conducted three steps of experiments: (1 Preparation of microbial cellulose using Acetobacter xylinum using banana stem for a main source; (2 Synthesis of cellulose acetate; and (3 Preparation of biomembrane from obtained cellulose acetate. To produce membrane biofilter, the cellulose acetate was dissolved into dichloromethane to form a dope solution. Then, the doped solution was printed in Petri dish. Some biomembrane properties were characterized for identification, i.e. infrared spectra, electron microscope, and elemental analysis. Experimental results showed that we succeeded to prepare biomembrane with a pore size of 5 μm. The filtration efficiency of our prepared membrane was 93.7% of Pb when using Pb with a concentration of 10 ppm.

EPA (Environmental Protection Agency) Indoor-Air Quality Implementation Plan. A report to Congress under Title IV of the Superfund Amendments and Reauthorization Act of 1986: radon gas and indoor air-quality research. Final report

International Nuclear Information System (INIS)

1987-06-01

The EPA Indoor Air Quality Implementation Plan provides information on the direction of EPA's indoor air program, including the Agency's policy on indoor air and priorities for research and information dissemination over the next two years. EPA submitted the report to Congress on July 2, 1987 as required by the Superfund Amendments and Reauthorization Act of 1986. There are five appendices to the report: Appendix A--Preliminary Indoor Air Pollution Information Assessment; Appendix B--FY 87 Indoor Air Research Program; Appendix C--EPA Radon Program; Appendix D--Indoor Air Resource History (Published with Appendix C); Appendix E--Indoor Air Reference Data Base

Removal of Heavy Metals and PAH in Highway Detention Ponds

DEFF Research Database (Denmark)

Bentzen, Thomas Ruby; Larsen, Torben; Thorndahl, Søren Liedtke

2005-01-01

, which has been designed according to standard design criteria for several decades. The study will focus on heavy metals (Cd, Cr, Cu, Pb and Zn) and polyaromatic hydrocarbons (PAH). The long-term simulation of input of flow and pollution to the ponds will be a hind cast based on time series of historical......The paper presents some of the first results from a study of the removal of pollutants in highway detention ponds in Denmark. The objective of the study is to set up a procedure for long-term modelling of discharges of pollutants to the environment from the many Danish highway detention ponds...... rainfalls. The modelling will take place in a special version of the MIKE URBAN. The modelling is calibrated and validated on measurements from selected highway catchments. The removal of pollutants in the ponds is studied by local measurements in combination with CFD modelling using the MIKE 21 and MIKE 3...

Removing method for radon gas exhausted from nuclear fuel material

International Nuclear Information System (INIS)

Kato, Kenji.

1993-01-01

A centrifugal separator is disposed in the midway of an exhaustion pipe of a nuclear fuel handling facility, and exhausted gases are sent into a rotational cylinder of the separator. Radon gases in the midway of exhaustion are separated from the exhaustion gases by the centrifugal force of the separator and caused to stagnate at the periphery of the circumferential wall of the rotational cylinder. At the same time, the exhaustion gases having the radon gases separated therefrom are exhausted from the periphery of a rotational shaft of the rotational cylinder. Then, the radon gases stagnated in the rotational cylinder are decayed depending on the half-decay time. With such procedures, the radon gases can be removed continuously without discharging them to the outside. Further, it is preferred that an exhaustion blower or the like for putting the inside of the nuclear fuel handing facility to a negative pressure is disposed as in a conventional case. Further, a plurality of centrifugal separators may be disposed to exhaustion pipes, to remove radon gases in the exhaust gases by a multi stage way. Radon gases can be removed in a saved space with no requirement for exchange of adsorbents or temperature control. (T.M.)

An operational protocol for facilitating start-up of single-stage autotrophic nitrogen-removing reactors based on process stoichiometry

DEFF Research Database (Denmark)

Mutlu, Ayten Gizem; Vangsgaard, Anna Katrine; Sin, Gürkan

2013-01-01

Start-up and operation of single-stage nitritation–anammox sequencing batch reactors (SBRs) for completely autotrophic nitrogen removal can be challenging and far from trivial. In this study, a step-wise procedure is developed based on stoichiometric analysis of the process performance from...

INADMISSIBLE EVIDENCE IN CIVIL PROCEDURE

Directory of Open Access Journals (Sweden)

Mihajlo Dika

2016-01-01

Full Text Available This paper examines the exclusion of specific means of evidence as instruments for determining the object of evidence, as well as the taking of evidence in the framework of the Croatian civil procedure law. The introduction lays the grounds for classifying and qualifying exclusion of evidence (general, special; absolute, relative; removable, irremovable; direct, indirect, after which greater attention is paid to the so called absolute and relative type; exclusionary evidence of the direct relative type pertaining to the establishing of facts, and evidence dismissals. With regard to the indirect relative type, the paper examines exclusionary evidence concerning the object of evidence. The remainder of the paper focuses on illegally obtained evidence, while outlining the constitutional, statutory, judicature and doctrinaire premises of bearing for such evidence. Subsequently, the question of evidence obtained in violation of the Constitutional guarantee of respect and legal protection of private and family life, dignity, reputation and honour, as well as evidence obtained by breach of the Constitutional guarantee of freedom and secrecy of correspondence and all other forms of communication, and in violation of the right to safety and privacy of personal data, are discussed too. In addition, the paper analyses the institutions of preclusion of evidence and the so called informative evidence. Concluding, the author points to a lacking regulation of inadmissible evidence within the Croatian civil procedure law, underlining the need to determine de lege ferenda legal requirements with a view to operationalizing inadmissible evidence within the Croatian civil procedure law.

Pilot-scale incineration testing of an oxygen-enhanced combustion system

International Nuclear Information System (INIS)

Waterland, L.R.; Lee, J.W.; Staley, L.J.

1989-01-01

This paper discusses a series of demonstration tests of the American Combustion, Inc., Thermal Destruction System performed under the Superfund innovative technology evaluation (SITE) program. This oxygen-enhanced combustion system was retrofit to the pilot-scale rotary kiln incinerator at EPA's Combustion Research Facility. This system's performance was tested firing contaminated soil from the Stringfellow Superfund Site, both alone and mixed with a hazardous coal tar waste (decanter tank tar sludge form coking operations - K087). Comparative performance with conventional incinerator operation was tested. Test results show that compliance with the hazardous waste incinerator performance standards of 99.99 percent principal organic hazardous constituent (POHC) destruction and removal efficiency (DRE) and particulate emissions of less than 180 mg/dscm at 7 percent O 2 was achieved for all tests. The Pyretron oxygen-enhanced combustion system allowed in-compliance operation at double the mixed waste feedrate possible with conventional incineration, and with a 60 percent increase in charge weight than possible with conventional incineration

ARSENIC REMOVAL FROM DRINKING WATER BY IRON REMOVAL PLANTS

Science.gov (United States)

This report documents a long term performance study of two iron removal water treatment plants to remove arsenic from drinking water sources. Performance information was collected from one system located in midwest for one full year and at the second system located in the farwest...

Long-term imaging in awake mice using removable cranial windows

Science.gov (United States)

Glickfeld, Lindsey L.; Kerlin, Aaron M.; Reid, R. Clay; Bonin, Vincent; Schafer, Dorothy P.; Andermann, Mark L.

2015-01-01

Cranial window implants in head-fixed rodents are becoming a preparation of choice for stable optical access to large areas of cortex over extended periods of time. Here, we provide a highly detailed and reliable surgical protocol for a cranial window implantation procedure for chronic widefield and cellular imaging in awake, head-fixed mice, which enables subsequent window removal and replacement in the weeks and months following the initial craniotomy. This protocol has facilitated awake, chronic imaging in adolescent as well as adult mice over several months from a large number of cortical brain regions; targeted virus and tracer injections from data obtained using prior awake functional mapping; and functionally-targeted two-photon imaging across all cortical layers in awake mice using a microprism attachment to the cranial window. Collectively, these procedures extend the reach of chronic imaging of cortical function and dysfunction in behaving animals. PMID:25275789

Bioaccumulation of polychlorinated biphenyls and organochlorine pesticides in young-of-the-year bluefish (Pomatomus saltatrix) in the vicinity of a Superfund Site in New Bedford Harbor, Massachusetts, and in the adjacent waters.

Science.gov (United States)

Deshpande, Ashok D; Dockum, Bruce W; Cleary, Thomas; Farrington, Cameron; Wieczorek, Daniel

2013-07-15

Spatial gradients of polychlorinated biphenyls (PCBs) and organochlorine pesticides were examined in the young-of-the-year (YOY) bluefish (Pomatomus saltatrix) in the vicinity of a PCB Superfund Site in New Bedford Harbor, Massachusetts, and in the adjacent waters. PCB concentrations in bluefish varied between different locations, and also among fish from a given location. A generally decreasing gradient in PCB concentrations was evident as the bluefish were collected away from the Superfund Site. The average sum of PCB concentrations were highest for bluefish collected in the Upper Harbor between Interstate-195 Bridge and Coggeshall Street Bridge (Upper Harbor), followed by bluefish in Lower Harbor from north of Popes Island Bridge (Lower Harbor), and bluefish from Outer Harbor south of Hurricane Barrier (Outer Harbor). The levels of PCBs in bluefish from Clarks Cove and PCBs in bluefish from Buzzards Bay were similar and lowest among all bluefish specimens analyzed in the present study. Pesticide concentrations were about one order of magnitude or lower than the PCB concentrations, and the gradient of pesticide concentrations generally followed the gradient of PCB concentrations. Some of the commonly detected pesticides in the order of decreasing concentrations included DDTs and metabolites, heptachlor epoxide, endosulfan sulfate, and α-chlordane. Distribution of PCBs and organochlorine pesticides were examined in the tissues of YOY bluefish from Clarks Cove. PCBs and lipids in the brain samples of YOY bluefish were generally numerically greater than PCBs in the liver samples, but these differences were not statistically significant. PCBs and lipids in hypaxial muscle samples were numerically greater than PCBs in epaxial muscle samples, although these two groups of tissues were not statistically different. Despite the higher susceptibility of lighter PCB homologs to geophysical and biogeochemical weathering processes, the relative dominance of lighter homologs

Simulated microbe removal around finger rings using different hand sanitation methods.

Science.gov (United States)

Alur, Archana A; Rane, Madhavi J; Scheetz, James P; Lorenz, Douglas J; Gettleman, Lawrence

2009-09-01

It is our opinion that the CDC and the WHO have underestimated cross-contamination under examination gloves in dental clinics while wearing jewelry, such as finger rings. These agencies only "recommend" removing jewelry, and only washing hands for 15 seconds with soap and warm water before donning gloves. This study examined several washing procedures and finger rings using simulated microbes. A gloved rubber hand manikin was made and fitted with a fresh disposable vinyl glove. Four fingers were fitted with rings or no ring, dusted with simulated microbes, and washed with a scrub brush for 5, 15, and 25 seconds under 20 degrees C and 40 degrees C water alone, or with liquid hand soap. Light levels (in lux) of fluorescent powder before and after washing were measured and delta scores calculated for changes in light levels, equivalent to effectiveness of hand washing procedures. A full-factorial, 3-factor analysis of variance (ANOVA) was used to test for differences among levels of the three study factors-time, temperature, and soap use. Tukey's post hoc honestly significant difference (HSD) test was applied to significant factors to examine pair-wise differences between factor levels. It was found that the longer the hands with rings were washed with a scrub brush under flowing water, the more simulated microbes were removed. By 25 seconds, all methods were essentially the same. Simulated microbes were more difficult to remove from the palm compared to the back of the hand. The liquid hand soap used in this study was more effective with warm water than cold. When given a choice of washing with cold water up to 15 seconds, it would be preferable not to use soap to remove simulated microbes. Qualitatively, the outer surface of finger rings were more effectively cleaned than the crevice below the ring, and the ring with a stone setting appeared to accumulate and retain simulated microbes more than other rings. The most effective treatment was washing with warm water

Automatic Shadow Detection and Removal from a Single Image.

Science.gov (United States)

Khan, Salman H; Bennamoun, Mohammed; Sohel, Ferdous; Togneri, Roberto

2016-03-01

We present a framework to automatically detect and remove shadows in real world scenes from a single image. Previous works on shadow detection put a lot of effort in designing shadow variant and invariant hand-crafted features. In contrast, our framework automatically learns the most relevant features in a supervised manner using multiple convolutional deep neural networks (ConvNets). The features are learned at the super-pixel level and along the dominant boundaries in the image. The predicted posteriors based on the learned features are fed to a conditional random field model to generate smooth shadow masks. Using the detected shadow masks, we propose a Bayesian formulation to accurately extract shadow matte and subsequently remove shadows. The Bayesian formulation is based on a novel model which accurately models the shadow generation process in the umbra and penumbra regions. The model parameters are efficiently estimated using an iterative optimization procedure. Our proposed framework consistently performed better than the state-of-the-art on all major shadow databases collected under a variety of conditions.

Dam removal: Listening in

Science.gov (United States)

Foley, M. M.; Bellmore, J. R.; O'Connor, J. E.; Duda, J. J.; East, A. E.; Grant, G. E.; Anderson, C. W.; Bountry, J. A.; Collins, M. J.; Connolly, P. J.; Craig, L. S.; Evans, J. E.; Greene, S. L.; Magilligan, F. J.; Magirl, C. S.; Major, J. J.; Pess, G. R.; Randle, T. J.; Shafroth, P. B.; Torgersen, C. E.; Tullos, D.; Wilcox, A. C.

2017-07-01

Dam removal is widely used as an approach for river restoration in the United States. The increase in dam removals—particularly large dams—and associated dam-removal studies over the last few decades motivated a working group at the USGS John Wesley Powell Center for Analysis and Synthesis to review and synthesize available studies of dam removals and their findings. Based on dam removals thus far, some general conclusions have emerged: (1) physical responses are typically fast, with the rate of sediment erosion largely dependent on sediment characteristics and dam-removal strategy; (2) ecological responses to dam removal differ among the affected upstream, downstream, and reservoir reaches; (3) dam removal tends to quickly reestablish connectivity, restoring the movement of material and organisms between upstream and downstream river reaches; (4) geographic context, river history, and land use significantly influence river restoration trajectories and recovery potential because they control broader physical and ecological processes and conditions; and (5) quantitative modeling capability is improving, particularly for physical and broad-scale ecological effects, and gives managers information needed to understand and predict long-term effects of dam removal on riverine ecosystems. Although these studies collectively enhance our understanding of how riverine ecosystems respond to dam removal, knowledge gaps remain because most studies have been short (< 5 years) and do not adequately represent the diversity of dam types, watershed conditions, and dam-removal methods in the U.S.

Investigating Liquid Leak from Pre-Filled Syringes upon Needle Shield Removal: Effect of Air Bubble Pressure.

Science.gov (United States)

Chan, Edwin; Maa, Yuh-Fun; Overcashier, David; Hsu, Chung C

2011-01-01

This study is to investigate the effect of headspace air pressure in pre-filled syringes on liquid leak (dripping) from the syringe needle upon needle shield removal. Drip tests to measure drip quantity were performed on syringes manually filled with 0.5 or 1.0 mL of various aqueous solutions. Parameters assessed included temperature (filling and test), bulk storage conditions (tank pressure and the type of the pressurized gas), solution composition (pure water, 0.9% sodium chloride, and a monoclonal antibody formulation), and testing procedures. A headspace pressure analyzer was used to verify the drip test method. Results suggested that leakage is indeed caused by headspace pressure increase, and the temperature effect (ideal gas expansion) is a major, but not the only, factor. The dissolved gases in the liquid bulk prior to or during filling may contribute to leakage, as these gases could be released into the headspace due to solubility changes (in response to test temperature and pressure conditions) and cause pressure increase. Needle shield removal procedures were found to cause dripping, but liquid composition played little role. Overall, paying attention to the processing history (pressure and temperature) of the liquid bulk is the key to minimize leakage. The headspace pressure could be reduced by decreasing liquid bulk storage pressure, filling at a higher temperature, or employing lower solubility gas (e.g., helium) for bulk transfer and storage. Leakage could also be mitigated by simply holding the syringe needle pointing upward during needle shield removal. Substantial advances in pre-filled syringe technology development, particularly in syringe filling accuracy, have been made. However, there are factors, as subtle as how the needle shield (or tip cap) is removed, that may affect dosing accuracy. We recently found that upon removal of the tip cap from a syringe held vertically with needle pointed downwards, a small amount of solution, up to 3-4% of

Isiris: A Novel Method of Removing Foreign Bodies from the Lower Urinary Tract to Avoid Unnecessary Hospitalization and Anesthesia.

Science.gov (United States)

Smith, Peter Mark; Harbias, Aman; Robinson, Richard; Palmer, Anne; Grey, Benjamin Robin

2016-01-01

Polyembolokoilamania refers to the practice of inserting foreign bodies (FBs) into natural orifices. A FB within the urethra is a relatively rare phenomenon with 646 cases recorded last year in the United Kingdom. Management of these patients presents technical challenges and complexities because of underlying psychiatric disorders that are often associated. This case illustrates a novel way of removing FBs from the genitourinary tract, requiring less resources, preventing hospital admission, and attempts to break the cycle of behavior, leading to recurrent attendance with polyembolokoilamania. A 38-year-old Caucasian male prisoner, with psychiatric history presented to the emergency department (ED) with a history of inserting FBs into his urethra on 12 different occasions over a 6-week period. Of these 12 attendances, 3 resulted in admission and 2 required emergency intervention in theater under general anesthesia. After the third attendance in 5 days, it was decided to use Isiris™, a single-use flexible cystoscopy device with a built-in ureteral stent grasper, to remove the FBs and check the integrity of the urethra. The procedure was performed within the ED, without the need for admission to a ward bed or general anesthesia. Furthermore, only two members of staff were required to remove all of the urethral FBs. Isiris, although marketed as a stent removal device, enabled us to remove all the patient's FBs in one procedure. Isiris is an easy to use device, similar to a flexible cystoscope, that a specialist nurse or resident would be familiar using. It allows efficient and safe removal of lower urinary tract FBs, even out of hours. It requires minimal staffing support and can be done in the ED. It has the potential to reduce associated sequela of urethral polyembolokoilamania, saving resources while preserving the availability of the emergency theater.

How does blastomere removal affect embryonic development? : A time-lapse analysis

DEFF Research Database (Denmark)

Kirkegaard, Kirstine; Hindkjær, Johnny Juhl; Ingerslev, Hans Jakob

of the 6-10 cell embryo. It has been argued that blastomere removal does not affect embryonic development, but few studies have focussed on safety of the procedure. Recently, time-lapse studies on mice have suggested that blastomere removal affects embryonic development. The present study was conducted...... to evaluate the effect of blastomere biopsy on early human embryonic development using time-lapse analysis. Materials and methods: Couples undergoing IVF treatment or PGD were requested permission to include embryos in the project. The diagnosis healthy/diseased was made by analysis of a single blastomere....... For PGD 56 human embryos were biopsied 68 hours after fertilisation, the majority at the eight cell stage. As controls 43 non-biopsied embryos at the 6-8 cell stage were selected. All embryos were cultured until 5 days after fertilisation in a time-lapse incubator (EmbryoScope™). Key events such as time...

The Incidence of Complications in Single-stage Endoscopic Stone Removal for Patients with Common Bile Duct Stones: A Propensity Score Analysis.

Science.gov (United States)

Saito, Hirokazu; Kadono, Yoshihiro; Kamikawa, Kentaro; Urata, Atsushi; Imamura, Haruo; Matsushita, Ikuo; Kakuma, Tatsuyuki; Tada, Shuji

2018-02-15

Objective Single-stage endoscopic stone removal for choledocholithiasis is an advantageous approach because it is associated with a shorter hospital stay; however, few studies have reported the incidence of complications related to this procedure in detail. The aim of this study was to examine the incidence of complications and efficacy of this procedure. Methods This retrospective study investigated the incidence of complications in 345 patients with naive papilla who underwent therapeutic endoscopic retrograde cholangiopancreatography (ERCP) for choledocholithiasis at three institutions between April 2014 and March 2016 by a propensity score analysis. The efficacy of single-stage endoscopic stone removal was assessed based on a hospital stay of within 7 days and the number of ERCP attempts. Results Among 114 patients who underwent single-stage endoscopic stone removal, 15 patients (13.2%) experienced complications. Among the remaining 231 patients in the two-stage endoscopic stone removal group, complications were observed in 17 patients (7.4%). The propensity score analysis, which was adjusted for confounding factors, revealed that single-stage endoscopic stone removal was not a significant risk factor for complications (p=0.52). In patients in whom >10 min was required for deep cannulation, single-stage endoscopic stone removal was not a significant risk factor for complications in the propensity score analysis (p=0.37). In the single-stage group, the proportion of patients with a hospital stay of within 7 days was significantly higher and the number of ERCP attempts was significantly lower in comparison to the two-stage group (p <0.0001 and <0.0001, respectively). Conclusion Single-stage endoscopic stone removal did not increase the incidence of complications associated with ERCP and was effective for reducing the hospital stay and the number of ERCP attempts.

Standard Operating Procedure for the Grinding and Extraction of Lead in Paint using Nitric Acid and a Rotor/Stator System Powered by a High Speed Motor

Science.gov (United States)

This Standard Operating Procedure (SOP) describes a new, rapid, and relatively inexpensive one step procedure which grinds the paint samples removed from the substrate and simultaneously quantitatively extracts the Pb from the paint in only one step in preparation for quantitativ...

On the removal of boundary errors caused by Runge-Kutta integration of non-linear partial differential equations

Science.gov (United States)

Abarbanel, Saul; Gottlieb, David; Carpenter, Mark H.

1994-01-01

It has been previously shown that the temporal integration of hyperbolic partial differential equations (PDE's) may, because of boundary conditions, lead to deterioration of accuracy of the solution. A procedure for removal of this error in the linear case has been established previously. In the present paper we consider hyperbolic (PDE's) (linear and non-linear) whose boundary treatment is done via the SAT-procedure. A methodology is present for recovery of the full order of accuracy, and has been applied to the case of a 4th order explicit finite difference scheme.

Simultaneous combined laparoscopic-endoscopic removal of a large gastric trichobezoar and gastric polypectomy

Directory of Open Access Journals (Sweden)

Bukarica Svetlana

2017-01-01

Full Text Available Introduction. Trichobezoars and gastric polyps are very rare conditions in children and may pose a diagnostic and therapeutic challenge. The purpose of this work is to present our successful experience using combined laparoscopic-endoscopic procedure for simultaneous treatment of a trichobezoar and gastric polyp in the same patient. Case outline. We present an unusual case of a 15-year-old girl whose symptoms included abdominal pain, non-bilious vomiting after feeding, including undigested food and sometimes hair. Positive history of trichophagia indicated that a trichobezoar could be the reason for her problems. Endoscopy and ultrasound examination revealed a trichobezoar occupying almost the entire capacity of the stomach, as well as one oval polyp in the prepyloric area of the antrum. Simultaneous combined laparoscopicendoscopic rendezvous procedure was performed. The trichobezoar (14 × 6 cm and the gastric polyp (2.2 × 1.7 cm were completely removed laparoscopically through anterior gastrotomy, with great support of an adequate endobag and mechanical fragmentation of trichobezoar. The postoperative course was uneventful. Conclusion. This case shows that diagnostic endoscopy is valuable and that the combined laparoscopicendoscopic technique is feasible, safe and recommended treatment for simultaneous removal of a gastric trichobezoar and gastric polypectomy.

Piezosurgery for the lingual split technique in mandibular third molar removal: a suggestion.

Science.gov (United States)

Pippi, Roberto; Alvaro, Roberto

2013-03-01

The lingual split technique is a surgical procedure for extraction of impacted mandibular third molar throughout a lingual approach. The main disadvantage of this technique is the high rate of temporary lingual nerve injury mainly because of the trauma induced by the lingual flap retraction. The purpose of this paper is to suggest the use of piezosurgery in performing the lingual cortical plate osteotomy of the third molar alveolar process. Surgical procedure was performed under general anesthesia, and it lasted approximately 60 minutes. After the buccal and lingual full-thickness flaps were incised and elevated, a piezosurgical device was used for osteotomy. A well-defined bony window was then removed, and it allowed the entire tooth was extracted in a lingual direction. The patient did not show any neurological postoperative complication. Lingual and inferior alveolar nerve functionality was normal before as well as after surgery. The use of piezoelectric surgery seems to be a good option in removing lower third molars when a lingual access is clearly indicated. The only disadvantage of this technique can be represented by an operating time lengthening possibly because of a lower power cut of the piezoelectric device, to the high mineralization of the mandibular cortical bone and to the use of inserts with a low degree of sharpening.

The use of carbonate lixiviants to remove uranium from uranium-contaminated soils

International Nuclear Information System (INIS)

Francis, C.W.; Lee, S.Y.; Wilson, J.H.; Timpson, M.E.; Elless, M.P.

1997-01-01

The objective of this research was to design an extraction media and procedure that would selectively remove uranium without adversely affecting the soils' physicochemical characteristics or generating secondary waste forms difficult to manage or dispose of. Investigations centered around determining the best lixivant and how the various factors such as pH, time, and temperature influenced extraction efficiency. Other factors investigated included the influence of attrition scrubbing, the effect of oxidants and reductants and the recycling of lixiviants. Experimental data obtained at the bench- and pilot-scale levels indicated 80 to 95% of the uranium could be removed from the uranium-contaminated soils by using a carbonate lixiviant. The best treatment was three successive extractions with 0.25 M carbonate-bicarbonate (in presence of KMnO 4 as an oxidant) at 40 C followed with two water rinses

Surgical treatment of endocrine exophthalmos by removal of orbital fat: clinical experience

Directory of Open Access Journals (Sweden)

Ferreira Marcus Castro

2002-01-01

Full Text Available PURPOSE: To report a series of 73 patients with endocrine exophthalmos treated by removal of orbital fat using the transpalpebral approach during the period 1989 to 1999. METHODS: The operation was performed according to the technique described by Olivari. Aesthetic analysis was done preoperatively and postoperatively (more than 6 months after surgery. The number of complications was also observed. RESULTS: The average volume of resected fat was approximately 7.6 mL per orbit. No major complication was observed. In 9 patients with epiphora, all improved. One patient developed postoperative diplopia and 5 complained of temporary diplopia. Appearance improved in 62 patients (85%. CONCLUSION: Surgical removal of orbital fat associated with endocrine exophthalmos provides consistent improvement in appearance with a low rate of complications. Additional procedures may be indicated to improve the cosmetic outcome.

Method to remove NO/sub x/ from combustion exhaust gases. [German patent

Energy Technology Data Exchange (ETDEWEB)

Mizuno, M.; Iwata, T.

1975-11-13

The invention to remove NO/sub x/ from combustion exhaust gases is proposed by means of an example and a drawing. The exhaust gas is washed with an aqueous 30% ammonium sulfite solution (pH = 6.1 - 6-6.5, d = 50 to 55/sup 0/C) and then reduced with waste ammonia in the catalyst bed at 200 to 450/sup 0/C. The total SO/sub 2/ is removed in the prewash procedure and the NH/sub 3/ required for the reduction is transferred from the washing solution to the exhaust gas. The washing solution is regenerated with coke gas containing NH/sub 3/ (150 to 500 ppM NH/sub 3/). Iron ore, tinder, hammer scale, iron-contained dust, copper oxide, chromium oxide, cobalt oxide, and vanadium oxide are suitable as catalyst for the reduction process.

ANALYSIS OF THE PIT REMOVAL METHODS IN DIGITAL TERRAIN MODELS OF VARIOUS RESOLUTIONS

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S. Šamanović

2016-06-01

Full Text Available Digital terrain model (DTM is the base for calculation of the surface runoff under the influence of the gravity (gravity flow in hydrological analysis. It is important to produce hydrologically corrected DTM with the removed natural and artificial depressions to avoid numerical problems in algorithms of the gravity flow. The pit removal procedure changes geomorphometry of the DTM. GIS software packages use pit removal algorithm independently of geomorphmetric features of the analyzed area. In need of minimally modified DTM after the pit removal areas, the carving method (deepen drainage routes and the filling method (fill sink were analyzed on three different geomorphometric areas (bare mountain range, hilly wooded area and the plain area intersected with the network of the drainage canals. The recommendation is given for the choice of geomorphometric least changing DTM algorithm. The input data are raster data of elevation points created by stereoscopic photogrammetry method in 5x5 and 25x25 meter resolution. Differences have been noticed during the process of creating raster data. The recommendation is given for the choice of the most acceptable method for each type of area on the basis of comparison of the original elevation points with the elevation points in created DTM.

A Novel Technique Using a Protection Filter During Fibrin Sheath Removal for Implanted Venous Access Device Dysfunction

Energy Technology Data Exchange (ETDEWEB)

Sotiriadis, Charalampos; Hajdu, Steven David [University Hospital of Lausanne, Cardiothoracic and Vascular Unit, Department of Radiology (Switzerland); Degrauwe, Sophie [University Hospital of Lausanne, Department of Cardiology (Switzerland); Barras, Heloise; Qanadli, Salah Dine, E-mail: salah.qanadli@chuv.ch [University Hospital of Lausanne, Cardiothoracic and Vascular Unit, Department of Radiology (Switzerland)

2016-08-15

With the increased use of implanted venous access devices (IVADs) for continuous long-term venous access, several techniques such as percutaneous endovascular fibrin sheath removal, have been described, to maintain catheter function. Most standard techniques do not capture the stripped fibrin sheath, which is subsequently released in the pulmonary circulation and may lead to symptomatic pulmonary embolism. The presented case describes an endovascular technique which includes stripping, capture, and removal of fibrin sheath using a novel filter device. A 64-year-old woman presented with IVAD dysfunction. Stripping was performed using a co-axial snare to the filter to capture the fibrin sheath. The captured fragment was subsequently removed for visual and pathological verification. No immediate complication was observed and the patient was discharged the day of the procedure.

Clinical evaluation of the efficacy of removing microorganisms to disinfect patient-derived dental impressions.

Science.gov (United States)

Egusa, Hiroshi; Watamoto, Takao; Matsumoto, Takuya; Abe, Keiko; Kobayashi, Munemasa; Akashi, Yoshihiro; Yatani, Hirofumi

2008-01-01

Disinfection of dental impressions is an indispensable procedure for the control of cross-contamination; however, there is limited information on the efficacy of disinfection under clinical conditions. The objective of this study was to clinically evaluate the disinfection efficacy of commercially available agents in removing oral pathogens from patient-derived impressions. Impressions from 54 patients were divided into groups and either left undisinfected or underwent 1 of 5 disinfection treatments: (1) 2% glutaraldehyde (GA), (2) 1% sodium hypochlorite (SH), (3) 0.25% benzalkonium chloride (BC), (4) 1 ppm ozonated water (OW), or (5) the Hygojet/MD520 system (HJ). An impression culture technique using a brain heart infusion agar medium was used to visualize the microbial contamination on the surface of the impression cultures. The persistent presence of oral pathogens on the impression cultures was examined using selective isolation agar plates. The isolation frequencies of streptococci, staphylococci, Candida, methicillin-resistant Staphylococcus aureus, and Pseudomonas aeruginosa species from undisinfected impressions were 100%, 55.6%, 25.9%, 25.9% and 5.6%, respectively. Disinfection with HJ and BC removed the microorganisms with the greatest efficacy, followed by GA, SH, and OW. Potential bacterial contamination could be detected even after disinfection had been performed. Combined use of BC plus GA or SH removed oral pathogens almost completely from dental impressions. This investigation showed that potential contaminants are still present, even after general disinfection procedures. Therefore, either HJ or the combined use of BC with GA or SH is recommended for clinical and laboratory use.

The use of a reconstituted collagen foil dura mater substitute in paediatric neurosurgical procedures--experience in 47 patients.

Science.gov (United States)

Pettorini, Benedetta Ludovica; Tamburrini, Gianpiero; Massimi, Luca; Paternoster, Giovanna; Caldarelli, Massimo; Di Rocco, Concezio

2010-02-01

CSF leakage is a common complication of neurosurgical procedures, with defective dural suture thought to be the most frequent cause. We report our experience with a new collagen foil (TissuDura, Baxter Healthcare SA, Switzerland) utilized as dural substitute in paediatric neurosurgical procedures. TissuDura was used in children consecutively operated on at the department of paediatric neurosurgery, Catholic University, Rome, from March 2004 to August 2007. Children underwent surgical procedures in supratentorial, infratentorial and spinal compartments. In supratentorial and spinal procedures, the dural graft was used according to the overlay technique. In the posterior fossa procedures, the underlay technique was used. Forty-seven patients received TissuDura during surgery. Thirty-one patients underwent surgery for the removal of posterior fossa tumours, nine for supratentorial tumours and seven for spinal dysraphisms. No CSF leakage was observed following the use of TissuDura in supratentorial procedures. Two post-operative CSF leaks occurred in patients who had undergone spinal surgery. No post-operative hydrocephalus was noted in these two surgery groups. Three cases of CSF leakage occurred in patients who had undergone posterior cranial fossa surgery. All 3 cases had an associated supratentorial ventricular dilation present prior to the removal of the tumour (one case) or occurring after the tumour excision (two cases). No clinically evident adverse reactions directly related to TissuDura were observed. The main advantages of TissuDura were its apparent ability to prevent CSF leakage when utilized in a specific subset of patients, and the absence of reactions or postoperative infections.

Azimuth Ambiguities Removal in Littoral Zones Based on Multi-Temporal SAR Images

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Xiangguang Leng

2017-08-01

Full Text Available Synthetic aperture radar (SAR is one of the most important techniques for ocean monitoring. Azimuth ambiguities are a real problem in SAR images today, which can cause performance degradation in SAR ocean applications. In particular, littoral zones can be strongly affected by land-based sources, whereas they are usually regions of interest (ROI. Given the presence of complexity and diversity in littoral zones, azimuth ambiguities removal is a tough problem. As SAR sensors can have a repeat cycle, multi-temporal SAR images provide new insight into this problem. A method for azimuth ambiguities removal in littoral zones based on multi-temporal SAR images is proposed in this paper. The proposed processing chain includes co-registration, local correlation, binarization, masking, and restoration steps. It is designed to remove azimuth ambiguities caused by fixed land-based sources. The idea underlying the proposed method is that sea surface is dynamic, whereas azimuth ambiguities caused by land-based sources are constant. Thus, the temporal consistence of azimuth ambiguities is higher than sea clutter. It opens up the possibilities to use multi-temporal SAR data to remove azimuth ambiguities. The design of the method and the experimental procedure are based on images from the Sentinel data hub of Europe Space Agency (ESA. Both Interferometric Wide Swath (IW and Stripmap (SM mode images are taken into account to validate the proposed method. This paper also presents two RGB composition methods for better azimuth ambiguities visualization. Experimental results show that the proposed method can remove azimuth ambiguities in littoral zones effectively.

Effects of various uranium leaching procedures on soil: Short-term vegetation growth and physiology. Progress report, April 1994

International Nuclear Information System (INIS)

Edwards, N.T.

1994-08-01

Significant volumes of soil containing elevated levels of uranium exist in the eastern United States. The contamination resulted from the development of the nuclear industry in the United States requiring a large variety of uranium products. The contaminated soil poses a collection and disposal problem of a magnitude that justifies the development of decontamination methods. Consequently, the Department of Energy (DOE) Office of Technology Development formed the Uranium Soils Integrated Demonstration (USID) program to address the problem. The fundamental goal of the USID task group has been the selective extraction/leaching or removal of uranium from soil faster, cheaper, and safer than what can be done using current conventional technologies. The objective is to selectively remove uranium from soil without seriously degrading the soil's physicochemical characteristics and without generating waste that is difficult to manage and/or dispose of. However, procedures developed for removing uranium from contaminated soil have involved harsh chemical treatments that affect the physicochemical properties of the soil. The questions are (1) are the changes in soil properties severe enough to destroy the soil's capacity to support and sustain vegetation growth and survival? and (2) what amendments might be made to the leached soil to return it to a reasonable vegetation production capacity? This study examines the vegetation-support capacity of soil that had been chemically leached to remove uranium. The approach is to conduct short-term germination and phytotoxicity tests for evaluating soils after they are subjected to various leaching procedures followed by longer term pot studies on successfully leached soils that show the greatest capacity to support plant growth. This report details the results from germination and short-term phytotoxicity testing of soils that underwent a variety of leaching procedures at the bench scale at ORNL and at the pilot plant at Fernald

Performance and mechanism of simultaneous removal of Cd(II) and Congo red from aqueous solution by hierarchical vaterite spherulites

Science.gov (United States)

Chen, Yuan-Yuan; Yu, Sheng-Hui; Jiang, Hao-Fan; Yao, Qi-Zhi; Fu, Sheng-Quan; Zhou, Gen-Tao

2018-06-01

Hierarchical vaterite spherulites, synthesized by a simple injection-precipitation method at room temperature, were applied for the simultaneous removal of heavy metal Cd(II) and dye Congo red (CR) from aqueous solution. Batch experiments reveal that the maximum removal capacities of as-prepared vaterite spherulites to Cd(II) and CR are 984.5 and 89.0 mg/g, respectively, showing excellent removal performance for Cd(II) and CR. Furthermore, in the binary Cd(II)-CR system, the removal capacity of vaterite to Cd(II) is significantly enhanced at lower CR concentration (100 mg/L). In contrast, the concurrent Cd(II) shows negligible effect on the CR removal. The simultaneous removal mechanism was investigated by FESEM, EDX, XRD, FT-IR and XPS techniques. The simultaneous removal of Cd(II) and CR in the binary system is shown to be a multistep process, involving the preferential adsorption of dye CR, stabilization of CR to vaterite, coordination of the adsorbed CR molecules with Cd(II), and transformation of vaterite into otavite. Given the facile and green synthesis procedure, and effective removal of Cd(II) and CR in the binary system, the obtained vaterite spherulites have considerable practical interest in integrative treatment of wastewater contaminated by heavy metals and dyes.

The management of unimplantable stent during endovascular procedure:report of three cases

International Nuclear Information System (INIS)

Xiong Jiang; Wang Lijun; Guo Wei; Liu Xiaoping; Yin Tai; Jia Xin; Ma Xiaohui; Liu Meng; Zhang Hongpeng; Zhang Minhong

2010-01-01