WorldWideScience

Sample records for systemic organ failure

  1. Thrombocytopenia Is Associated With Multi-organ System Failure in Patients With Acute Liver Failure

    NARCIS (Netherlands)

    Stravitz, R. Todd; Ellerbe, Caitlyn; Durkalski, Valerie; Reuben, Adrian; Lisman, Ton; Lee, William M.

    BACKGROUND & AIMS: Acute liver failure (ALF) is a syndrome characterized by an intense systemic inflammatory response (SIRS) and multi-organ system failure (MOSF). Platelet-derived microparticles increase in proportion to the severity of the SIRS and MOSF, and are associated with poor outcome. We

  2. HMGB1 and Extracellular Histones Significantly Contribute to Systemic Inflammation and Multiple Organ Failure in Acute Liver Failure.

    Science.gov (United States)

    Yang, Runkuan; Zou, Xiaoping; Tenhunen, Jyrki; Tønnessen, Tor Inge

    2017-01-01

    Acute liver failure (ALF) is the culmination of severe liver cell injury from a variety of causes. ALF occurs when the extent of hepatocyte death exceeds the hepatic regenerative capacity. ALF has a high mortality that is associated with multiple organ failure (MOF) and sepsis; however, the underlying mechanisms are still not clear. Emerging evidence shows that ALF patients/animals have high concentrations of circulating HMGB1, which can contribute to multiple organ injuries and mediate gut bacterial translocation (BT). BT triggers/induces systemic inflammatory responses syndrome (SIRS), which can lead to MOF in ALF. Blockade of HMGB1 significantly decreases BT and improves hepatocyte regeneration in experimental acute fatal liver injury. Therefore, HMGB1 seems to be an important factor that links BT and systemic inflammation in ALF. ALF patients/animals also have high levels of circulating histones, which might be the major mediators of systemic inflammation in patients with ALF. Extracellular histones kill endothelial cells and elicit immunostimulatory effect to induce multiple organ injuries. Neutralization of histones can attenuate acute liver, lung, and brain injuries. In conclusion, HMGB1 and histones play a significant role in inducing systemic inflammation and MOF in ALF.

  3. HMGB1 and Extracellular Histones Significantly Contribute to Systemic Inflammation and Multiple Organ Failure in Acute Liver Failure

    Directory of Open Access Journals (Sweden)

    Runkuan Yang

    2017-01-01

    Full Text Available Acute liver failure (ALF is the culmination of severe liver cell injury from a variety of causes. ALF occurs when the extent of hepatocyte death exceeds the hepatic regenerative capacity. ALF has a high mortality that is associated with multiple organ failure (MOF and sepsis; however, the underlying mechanisms are still not clear. Emerging evidence shows that ALF patients/animals have high concentrations of circulating HMGB1, which can contribute to multiple organ injuries and mediate gut bacterial translocation (BT. BT triggers/induces systemic inflammatory responses syndrome (SIRS, which can lead to MOF in ALF. Blockade of HMGB1 significantly decreases BT and improves hepatocyte regeneration in experimental acute fatal liver injury. Therefore, HMGB1 seems to be an important factor that links BT and systemic inflammation in ALF. ALF patients/animals also have high levels of circulating histones, which might be the major mediators of systemic inflammation in patients with ALF. Extracellular histones kill endothelial cells and elicit immunostimulatory effect to induce multiple organ injuries. Neutralization of histones can attenuate acute liver, lung, and brain injuries. In conclusion, HMGB1 and histones play a significant role in inducing systemic inflammation and MOF in ALF.

  4. Failure of aluminium metal spray/organic duplex coating systems on structural steel

    OpenAIRE

    Sumon, T. A.; Scantlebury, J. D.; Lyon, S. B.

    2013-01-01

    Individually, aluminium metal spray (AMS) and organic paints are well established as effective protective coatings for steel substrates. These coatings are also frequently used together as duplex systems where their combination should produce a synergistic effect. However in certain, mainly marine, environments premature failure of such coatings, involving early blistering of the paint, has been observed in service after 3-5 years. This work aims to understand the mechanisms associated with t...

  5. Fast track management reduces the systemic inflammatory response and organ failure following elective infrarenal aortic aneurysm repair.

    Science.gov (United States)

    Muehling, Bernd M; Ortlieb, Lutz; Oberhuber, Alexander; Orend, Karl Heinz

    2011-05-01

    Systemic inflammatory response syndrome (SIRS) is common after abdominal aortic aneurysm (AAA) repair. The aim of this study was to analyze the impact of a multimodal fast track (FT) regimen on incidence rates of SIRS after elective infrarenal AAA repair. Post hoc analysis of a randomized controlled trial including 99 patients after either traditional (TC) or FT care. Basic FT elements were no bowel preparation, reduced preoperative fasting, patient controlled epidural analgesia, enhanced postoperative feeding and mobilization. The presence of SIRS, organ failure and mortality, length of stay (LOS) on intensive care unit (ICU) were analyzed during the postoperative course. The incidence of SIRS in the FT treatment arm was significantly lower as compared to TC: 28% vs. 50%, P = 0.04. The rate of any organ failure (AOF) and multiple organ failure (MOF) was lower in the FT group: AOF: 16% vs. 36%, P = 0.039; MOF: 2% vs. 12%; P = 0.112. LOS on ICU showed a slight advantage for FT care: 20 hours vs. 32 hours (P = 0.183). An optimized patient care program in elective open AAA repair significantly decreases the postoperative incidence of SIRS as well as rates of organ failure.

  6. Real System Failures

    Data.gov (United States)

    National Aeronautics and Space Administration — This resource area contains descriptions of actual electronic systems failure scenarios with an emphasis on the diversity of failure modes and effects that can...

  7. Cytokines and Organ Failure in Acute Pancreatitis

    DEFF Research Database (Denmark)

    Malmstrøm, Marie Louise; Hansen, Mark Berner; Andersen, Anders Møller

    2012-01-01

    renal, respiratory, and circulatory failure, as was the case for patients with multiorgan failure. Interleukin 18 levels were significantly elevated in renal and respiratory failure only. Tumor necrosis factor > was significantly elevated in all types of organ failures, except for intestinal failure....... Conclusions: Synchronous measurements of 4 cytokines demonstrated IL-6 and IL-8 to be predictive as early surrogate markers with regard to organ failures in AP. The fact that all of the cytokines were particularly elevated in patients with organ failures calls for evaluation of agents modifying the severe...

  8. [Observed vs expected mortality in the emergency service of a general hospital. Evaluation by the APACHE II and multiple organ failure classification systems].

    Science.gov (United States)

    Cabrales-Vargas, N; Laniado-Laborín, R

    1995-01-01

    Problem that originated the investigation: It was not known if the observed mortality in the Emergency room of the Tijuana General Hospital was lower, equal or higher, than the expected mortality. 1) Evaluate in a prospective fashion the mortality rate in that hospital service, and then compare that rate with an expected mortality rate proposed in the literature (Role). 2) Determine the prognostic value in our hospital of the Multiple Organ Failure classification system (MOF). The Multiple Organ Failure classification system showed in our study an excellent predicting capacity for mortality.

  9. Cytokines and organ failure in acute pancreatitis

    DEFF Research Database (Denmark)

    Malmstrøm, Marie Louise; Hansen, Mark Berner; Andersen, Anders Møller

    2012-01-01

    We aimed at synchronously examining the early time course of 4 proinflammatory cytokines as predictive factors for development of organ failure in patients with acute pancreatitis (AP).......We aimed at synchronously examining the early time course of 4 proinflammatory cytokines as predictive factors for development of organ failure in patients with acute pancreatitis (AP)....

  10. The systemic inflammatory response syndrome and sequential organ failure assessment scores are effective triage markers following paracetamol (acetaminophen) overdose.

    Science.gov (United States)

    Craig, D G N; Reid, T W D J; Martin, K G; Davidson, J S; Hayes, P C; Simpson, K J

    2011-07-01

    The systemic inflammatory response syndrome (SIRS) and sequential organ failure assessment (SOFA) scores are widely used as prognostic markers in critical care settings and could improve triage of high-risk paracetamol (acetaminophen) overdose patients. To evaluate the prognostic accuracy of the SIRS and SOFA scores following single time point paracetamol overdose. Analysis of 100 single time point paracetamol overdoses admitted to a tertiary liver centre, with subsequent prospective validation of identified thresholds. Individual laboratory samples were correlated with the corresponding clinical parameters in relation to time post-overdose, and the daily SOFA and SIRS scores calculated. A total of 74 (74%) patients developed the SIRS, which occurred significantly earlier in patients who died (n=21) compared with spontaneous survivors (n=53, P=0.05). The SIRS occurred in 70 (70%) patients by 96h post-overdose, with a 30% mortality rate; compared with 0% mortality in the 30 non-SIRS patients (P=0.001). Median SOFA scores were significantly higher in nonsurvivors at 48 (P=0.009), 72 (P7 during the first 96h post-overdose predicted death/transplantation with a sensitivity of 95.0 (95% CI 78.5-99.1) and specificity of 70.5 (95% CI 66.3-71.6). A validation cohort of 38 single time point paracetamol overdoses confirmed the extremely high negative predictive value of both the SIRS and SOFA thresholds. The absence of either a SOFA score >7 or a SIRS response during the first 96 h following paracetamol overdose could improve triage and reduce transfers of lower risk patients to tertiary liver centres. © 2011 Blackwell Publishing Ltd.

  11. Acute Pancreatitis as a Model to Predict Transition of Systemic Inflammation to Organ Failure in Trauma and Critical Illness

    Science.gov (United States)

    2017-10-01

    AWARD NUMBER: W81XWH-14-1-0376 TITLE: Acute Pancreatitis as a Model to Predict Transition of Systemic Inflammation to Organ Failgure in Trauma...COVERED 22 Sep 2016 - 21 Sep 2017 4. TITLE AND SUBTITLE 5a. CONTRACT NUMBER Acute Pancreatitis as a Model to Predict Transition of Systemic...Distribution Unlimited 13. SUPPLEMENTARY NOTES 14. ABSTRACT Trauma, extensive burns, bacterial infections, and acute pancreatitis (AP) are common

  12. Failures of chain systems

    CSIR Research Space (South Africa)

    James, A

    1997-03-01

    Full Text Available ?C and intermittent exposure at 400--450 ?C. Unlike structural steels, which become softer and more ductile when reheated in service, manga- nese steels become brittle when reheated sufficiently to induce carbide... to form a roughly oval shaped crack until the link section could no longer withstand the applied loading experienced during normal dragline operations, and this resulted in final fast brittle failure. The general...

  13. Organ protection possibilities in acute heart failure.

    Science.gov (United States)

    Montero-Pérez-Barquero, M; Morales-Rull, J L

    2016-04-01

    Unlike chronic heart failure (HF), the treatment for acute HF has not changed over the last decade. The drugs employed have shown their ability to control symptoms but have not achieved organ protection or managed to reduce medium to long-term morbidity and mortality. Advances in our understanding of the pathophysiology of acute HF suggest that treatment should be directed not only towards correcting the haemodynamic disorders and achieving symptomatic relief but also towards preventing organ damage, thereby counteracting myocardial remodelling and cardiac and extracardiac disorders. Compounds that exert vasodilatory and anti-inflammatory action in the acute phase of HF and can stop cell death, thereby boosting repair mechanisms, could have an essential role in organ protection. Copyright © 2016 Elsevier España, S.L.U. y Sociedad Española de Medicina Interna (SEMI). All rights reserved.

  14. Perioperative glucocorticoid administration for prevention of systemic organ failure in patients undergoing esophageal resection for esophageal carcinoma

    Directory of Open Access Journals (Sweden)

    Antônio Marcos Raimondi

    Full Text Available CONTEXT AND OBJECTIVE: Preoperative glucocorticoid administration has been proposed for reducing postoperative morbidity. This is not widely used before esophageal resection because of incomplete knowledge regarding its effectiveness. The aim here was to assess the effects of preoperative glucocorticoid administration in adults undergoing esophageal resection for esophageal carcinoma. SEARCH STRATEGY: Studies were identified by searching the Cochrane Controlled Trials Register, MEDLINE, EMBASE, Cancer Lit, SCIELO and Cochrane Library, and by manual searching from relevant articles. The last search for clinical trials for this systematic review was performed in December 2004. SELECTION CRITERIA: This review included randomized studies of patients with potentially resectable carcinomas of the esophagus that compared preoperative glucocorticoid administration with placebo. DATA COLLECTION AND ANALYSIS: Data were extracted by the same reviewers, and the trial quality was assessed using Jadad scoring. Relative risk and weighted mean difference with 95% confidence limits were used to assess the significance of the difference between the treatment arms. RESULTS: Four randomized trials involving 146 patients were found. There were no differences in postoperative mortality, sepsis, anastomotic leakage, hepatic and renal failure between the glucocorticoid and placebo groups. There were fewer postoperative respiratory complications (p = 0.005 and multiple postoperative complications (p = 0.004 and lower postoperative plasma interleukin-6 levels (p = 0.00001 with preoperative glucocorticoid administration. There was a higher postoperative PaO2/FiO2 ratio (p = 0.0001 with preoperative glucocorticoid administration. CONCLUSION: Prophylactic administration of glucocorticoids is associated with decreased postoperative complications.

  15. Extended daily veno-venous high-flux haemodialysis in patients with acute renal failure and multiple organ dysfunction syndrome using a single path batch dialysis system.

    Science.gov (United States)

    Lonnemann, G; Floege, J; Kliem, V; Brunkhorst, R; Koch, K M

    2000-08-01

    In the treatment of acute renal failure in patients with multiple organ dysfunction syndrome (MODS), continuous renal replacement therapies (CRRT) are increasingly used because of excellent volume control in the presence of improved cardiovascular stability. Patients with MODS, however, are frequently catabolic and have a high urea generation rate requiring either cost-intensive high-volume CRRT or additional intermittent haemodialysis to provide adequate clearance of small-molecular waste products. We tested the closed-loop batch haemodialysis system (called Genius((R))) for the treatment of acute renal failure in patients with MODS in the intensive care unit. Blood flow and countercurrent dialysate flow were reduced to 70 ml/min. Thus the 75 l dialysate tank of the Genius((R)) system lasts for 18 h of extended single-path high-flux haemodialysis (18 h-HFD) using polysulphous F60 S((R)) dialysers. Blood pressure, body temperature, and venous blood temperature in the extracorporeal circuit (no heating of the dialysate), ultrafiltration rate, serum urea levels, dialyser urea clearance, and total urea removal were monitored. In addition we tested the bacteriological quality of the spent dialysate at the end of 18-h treatments. Twenty patients with acute renal failure and MODS were investigated. Averaged dialyser urea clearance was 59.8 ml/min (equal to 3.6 l/h or 64.8 l/day). Total removal of urea was 14.1+/-6.5 g/day keeping serum levels of urea below 13 mmol/l. Mean arterial pressure remained stable during the 18-h treatments with a mean ultrafiltration rate of 120 ml/h. The temperature in the venous blood tubing dropped by 5+/-0.5 degrees C during the 18-h treatment (0.28 degrees C/h) in the presence of unchanged core temperature in the patients. There was no bacterial growth in 2.5 l of spent dialysate (dialysis using the Genius((R)) system combines the benefits of CRRT (good cardiovascular stability, sterile dialysate) with the advantages of intermittent

  16. Sequential Organ Failure Assessment Score for Evaluating Organ Failure and Outcome of Severe Maternal Morbidity in Obstetric Intensive Care

    Science.gov (United States)

    Oliveira-Neto, Antonio; Parpinelli, Mary A.; Cecatti, Jose G.; Souza, Joao P.; Sousa, Maria H.

    2012-01-01

    Objective. To evaluate the performance of Sequential Organ Failure Assessment (SOFA) score in cases of severe maternal morbidity (SMM). Design. Retrospective study of diagnostic validation. Setting. An obstetric intensive care unit (ICU) in Brazil. Population. 673 women with SMM. Main Outcome Measures. mortality and SOFA score. Methods. Organ failure was evaluated according to maximum score for each one of its six components. The total maximum SOFA score was calculated using the poorest result of each component, reflecting the maximum degree of alteration in systemic organ function. Results. highest total maximum SOFA score was associated with mortality, 12.06 ± 5.47 for women who died and 1.87 ± 2.56 for survivors. There was also a significant correlation between the number of failing organs and maternal mortality, ranging from 0.2% (no failure) to 85.7% (≥3 organs). Analysis of the area under the receiver operating characteristic (ROC) curve (AUC) confirmed the excellent performance of total maximum SOFA score for cases of SMM (AUC = 0.958). Conclusions. Total maximum SOFA score proved to be an effective tool for evaluating severity and estimating prognosis in cases of SMM. Maximum SOFA score may be used to conceptually define and stratify the degree of severity in cases of SMM. PMID:22454600

  17. Sequential Organ Failure Assessment Score for Evaluating Organ Failure and Outcome of Severe Maternal Morbidity in Obstetric Intensive Care

    Directory of Open Access Journals (Sweden)

    Antonio Oliveira-Neto

    2012-01-01

    Full Text Available Objective. To evaluate the performance of Sequential Organ Failure Assessment (SOFA score in cases of severe maternal morbidity (SMM. Design. Retrospective study of diagnostic validation. Setting. An obstetric intensive care unit (ICU in Brazil. Population. 673 women with SMM. Main Outcome Measures. mortality and SOFA score. Methods. Organ failure was evaluated according to maximum score for each one of its six components. The total maximum SOFA score was calculated using the poorest result of each component, reflecting the maximum degree of alteration in systemic organ function. Results. highest total maximum SOFA score was associated with mortality, 12.06 ± 5.47 for women who died and 1.87 ± 2.56 for survivors. There was also a significant correlation between the number of failing organs and maternal mortality, ranging from 0.2% (no failure to 85.7% (≥3 organs. Analysis of the area under the receiver operating characteristic (ROC curve (AUC confirmed the excellent performance of total maximum SOFA score for cases of SMM (AUC = 0.958. Conclusions. Total maximum SOFA score proved to be an effective tool for evaluating severity and estimating prognosis in cases of SMM. Maximum SOFA score may be used to conceptually define and stratify the degree of severity in cases of SMM.

  18. Microproteinuria Predicts Organ Failure in Patients Presenting with Acute Pancreatitis

    DEFF Research Database (Denmark)

    Bertilsson, Sara; Swärd, Per; Håkansson, Anders

    2016-01-01

    Background and Aims: The disease course of acute pancreatitis (AP) ranges from mild and self-limiting to severe inflammation, associated with significant morbidity and mortality. At present, there are no universally accepted and reliable predictors for severity. Microproteinuria has been associated...... with the presence of systemic inflammatory response syndrome as well as trauma, although its association with AP is not well understood. The aim of this study was to investigate the value of microproteinuria to predict development of organ failure in AP. Methods: Consecutive AP patients were prospectively enrolled.......70–1.00). Conclusion: The α1-microglobulin/creatinine ratio upon presentation with AP is related to inflammation and predicts development of organ failure. Further studies are warranted to evaluate its potential usefulness in predicting outcome for AP patients....

  19. Mitochondria-meditated pathways of organ failure upon inflammation

    Directory of Open Access Journals (Sweden)

    Andrey V. Kozlov

    2017-10-01

    Full Text Available Liver failure induced by systemic inflammatory response (SIRS is often associated with mitochondrial dysfunction but the mechanism linking SIRS and mitochondria-mediated liver failure is still a matter of discussion. Current hypotheses suggest that causative events could be a drop in ATP synthesis, opening of mitochondrial permeability transition pore, specific changes in mitochondrial morphology, impaired Ca2+ uptake, generation of mitochondrial reactive oxygen species (mtROS, turnover of mitochondria and imbalance in electron supply to the respiratory chain. The aim of this review is to critically analyze existing hypotheses, in order to highlight the most promising research lines helping to prevent liver failure induced by SIRS. Evaluation of the literature shows that there is no consistent support that impaired Ca++ metabolism, electron transport chain function and ultrastructure of mitochondria substantially contribute to liver failure. Moreover, our analysis suggests that the drop in ATP levels has protective rather than a deleterious character. Recent data suggest that the most critical mitochondrial event occurring upon SIRS is the release of mtROS in cytoplasm, which can activate two specific intracellular signaling cascades. The first is the mtROS-mediated activation of NADPH-oxidase in liver macrophages and endothelial cells; the second is the acceleration of the expression of inflammatory genes in hepatocytes. The signaling action of mtROS is strictly controlled in mitochondria at three points, (i at the site of ROS generation at complex I, (ii the site of mtROS release in cytoplasm via permeability transition pore, and (iii interaction with specific kinases in cytoplasm. The systems controlling mtROS-signaling include pro- and anti-inflammatory mediators, nitric oxide, Ca2+ and NADPH-oxidase. Analysis of the literature suggests that further research should be focused on the impact of mtROS on organ failure induced by inflammation

  20. [Organ damage and cardiorenal syndrome in acute heart failure].

    Science.gov (United States)

    Casado Cerrada, Jesús; Pérez Calvo, Juan Ignacio

    2014-03-01

    Heart failure is a complex syndrome that affects almost all organs and systems of the body. Signs and symptoms of organ dysfunction, in particular kidney dysfunction, may be accentuated or become evident for the first time during acute decompensation of heart failure. Cardiorenal syndrome has been defined as the simultaneous dysfunction of both the heart and the kidney, regardless of which of the two organs may have suffered the initial damage and regardless also of their previous functional status. Research into the mechanisms regulating the complex relationship between the two organs is prompting the search for new biomarkers to help physicians detect renal damage in subclinical stages. Hence, a preventive approach to renal dysfunction may be adopted in the clinical setting in the near future. This article provides a general overview of cardiorenal syndrome and an update of the physiopathological mechanisms involved. Special emphasis is placed on the role of visceral congestion as an emergent mechanism in this syndrome. Copyright © 2014 Elsevier España, S.L. All rights reserved.

  1. When things go wrong: how health care organizations deal with major failures.

    Science.gov (United States)

    Walshe, Kieran; Shortell, Stephen M

    2004-01-01

    Concern about patient safety, caused in part by high-profile major failures in which many patients have been harmed, is rising worldwide. This paper draws on examples of such failures from several countries to analyze how these events are dealt with and to identify lessons and recommendations for policy. Better systems are needed for reporting and investigating failures and for implementing the lessons learned. The culture of secrecy, professional protectionism, defensiveness, and deference to authority is central to such major failures, and preventing future failures depends on cultural as much as structural change in health care systems and organizations.

  2. Failure Effects Evaluation for ATC Automation System

    Directory of Open Access Journals (Sweden)

    Rui Li

    2017-01-01

    Full Text Available ATC (air traffic control automation system is a complex system, which helps maintain the air traffic order, guarantee the flight interval, and prevent aircraft collision. It is essential to ensure the safety of air traffic. Failure effects evaluation is an important part of ATC automation system reliability engineering. The failure effects evaluation of ATC automation system is aimed at the effects of modules or components which affect the performance and functionality of the system. By analyzing and evaluating the failure modes and their causes and effects, some reasonable improvement measures and preventive maintenance plans can be established. In this paper, the failure effects evaluation framework considering performance and functionality of the system is established on the basis of reliability theory. Some algorithms for the quantitative evaluation of failure effects on performance of ATC automation system are proposed. According to the algorithms, the quantitative evaluation of reliability, availability, maintainability, and other assessment indicators can be calculated.

  3. [Organ failure during the perioperative period: pathophysiology and strategy].

    Science.gov (United States)

    Murakami, M; Murai, N; Kusano, M

    1998-08-01

    After the establishment of the theoretical and clinical background of SIRS, the mechanism of organ failure induction during the perioperative period was gradually clarified. The deterioration of the mutual regulation of cytokines after surgical stress is considered to be a major cause of organ failure. Hypercytokinemia is one of the pathophysiological features after surgical stress, and thus a new therapeutic approach ameliorating the impaired cytokine network has been applied instead of direct targeting therapy for impaired organs. Organ failure can be anticipated based on a precise assessment of the severity of SIRS or CARS. For example, to prevent postsurgical hepatic failure it is important to minimize surgical stress by assessing the preoperative liver reserve capacity. Excessive surgical stress coupled with underestimation of liver function may result in primary multiple organ failure (MOF) after hepatic surgery. Secondary MOF after postsurgical infection may implicate the bacterial translocation mechanism. At present, only CHDF is considered to be a promising therapy for hypercytokinemia. Therefore the prophylactic approach cannot be neglected. The monitoring of cytokines such as IL-6 during the perioperative period provides valuable information for the prediction of organ failure.

  4. Generic Sensor Failure Modeling for Cooperative Systems

    Directory of Open Access Journals (Sweden)

    Georg Jäger

    2018-03-01

    Full Text Available The advent of cooperative systems entails a dynamic composition of their components. As this contrasts current, statically composed systems, new approaches for maintaining their safety are required. In that endeavor, we propose an integration step that evaluates the failure model of shared information in relation to an application’s fault tolerance and thereby promises maintainability of such system’s safety. However, it also poses new requirements on failure models, which are not fulfilled by state-of-the-art approaches. Consequently, this work presents a mathematically defined generic failure model as well as a processing chain for automatically extracting such failure models from empirical data. By examining data of an Sharp GP2D12 distance sensor, we show that the generic failure model not only fulfills the predefined requirements, but also models failure characteristics appropriately when compared to traditional techniques.

  5. Generic Sensor Failure Modeling for Cooperative Systems

    Science.gov (United States)

    Jäger, Georg; Zug, Sebastian

    2018-01-01

    The advent of cooperative systems entails a dynamic composition of their components. As this contrasts current, statically composed systems, new approaches for maintaining their safety are required. In that endeavor, we propose an integration step that evaluates the failure model of shared information in relation to an application’s fault tolerance and thereby promises maintainability of such system’s safety. However, it also poses new requirements on failure models, which are not fulfilled by state-of-the-art approaches. Consequently, this work presents a mathematically defined generic failure model as well as a processing chain for automatically extracting such failure models from empirical data. By examining data of an Sharp GP2D12 distance sensor, we show that the generic failure model not only fulfills the predefined requirements, but also models failure characteristics appropriately when compared to traditional techniques. PMID:29558435

  6. A failure detection and isolation system simulator

    International Nuclear Information System (INIS)

    Assumpcao Filho, E.O.; Nakata, H.

    1990-04-01

    A failure detection and isolation system (FDI) simulation program has been developed for IBM-PC microcomputers. The program, based on the sequential likelihood ratio testing method developed by A. Wald, was implemented with the Monte-Carlo technique. The calculated failure detection rate was favorably compared against the wind-tunnel experimental redundant temperature sensors. (author) [pt

  7. Organ failure in Syria: initiating a national deceased donation program.

    Science.gov (United States)

    Saeed, Bassam; Derani, Rania; Hajibrahim, Maher; Roumani, Jawad; Al-Shaer, Mohd Bassam; Saeed, Rida; Damerli, Sahar; Al-Saadi, Rebhi; Kayyal, Bachar; Haddad, Milad

    2007-06-01

    In the absence of formal registry data, the volume and causes of organ failure in Syria are difficult to establish with certainty. However, we evaluated in this study the extent of organ failure by collecting data from health care authorities in different medical institutions who are involved in caring for patients with organ failure. Subsequently, we assessed the problem of the widening gap between organ supply and demand in our country and we highlighted the obstacles to initiating a national deceased donation program as a viable option to address the challenge of organ shortage. The estimated prevalence of corneal blindness in Syria is 2.3 per one thousand population. The estimated incidence of viral-induced cirrhosis is 49 - 67 per one million population (pmp); these include both HCV and HBV, which constitute the leading causes of liver failure. We estimated the incidence of end-stage renal disease (ESRD) to be from 80 - 100 pmp. Obstacles to initiating a national deceased donation program include lack of awareness of the public at large and health care professionals to the importance of organ donation and transplantation. Other obstacles include lack of adequate resources in terms of finance, personnel and services and the unavailability of a national center for organ transplantation that influences public attitude, sets national guidelines and supervises all activities related to organ donation and transplantation.

  8. Analysis of grouped data from field-failure reporting systems

    International Nuclear Information System (INIS)

    Coit, David W.; Dey, Kieron A.

    1999-01-01

    Observed reliability data from fielded systems is highly desirable because they implicitly account for all actual usage and environmental stresses. Many companies and large organizations have instituted automated field-failure reporting systems to organize and disseminate these data. Despite these advantages, field data must be used with caution because they often lack sufficient detail. Specifically, the precise times-to-failure are often not recorded and only cumulative failure quantities and operating times are available. When only data of this type are available, it is difficult to determine whether component or system hazard function varies with time or is constant (i.e., exponential distribution). Analysts often use the exponential distribution to model time-to-failure because the distribution parameter can be estimated with just the merged data. However, this can be dangerous if the exponential distribution is not appropriate. An approach is presented in this paper for Type II censored data, with and without replacement, to evaluate this assumption even when individual times-to-failure are not available. A hypothesis test is presented to test the suitability of the exponential distribution for a particular data set composed of multiple merged data records. Two examples are presented to demonstrate the approach. The hypothesis test readily rejects an exponential distribution assumption when the data originate from a Weibull distribution. This is a very important result because it has generally been assumed that time-to-failure data were always required to evaluate the suitability of specific time-to-failure distributions

  9. Reframing Success and Failure of Information Systems

    DEFF Research Database (Denmark)

    Cecez-Kecmanovic, Dubravka; Kautz, Karlheinz; Abrahall, Rebecca

    2014-01-01

    -networks of developers, managers, technologies, project documents, methodologies, and other actors. Drawing from a controversial case of a highly innovative information system in an insurance company-considered a success and failure at the same time- the paper reveals the inherent indeterminacy of IS success and failure......he paper questions common assumptions in the dominant representational framings of information systems success and failure and proposes a performative perspective that conceives IS success and failure as relational effects performed by sociomaterial practices of IS project actor...... and describes the mechanisms by which success and failure become performed and thus determined by sociomaterial practices. This is explained by exposing ontological politics in the reconfiguration and decomposition of the IS project actor-network and the emergence of different agencies of assessment...

  10. Failure analysis and failure prevention in electric power systems

    International Nuclear Information System (INIS)

    Rau, C.A. Jr.; Becker, D.G.; Besuner, P.M.; Cipolla, R.C.; Egan, G.R.; Gupta, P.; Johnson, D.P.; Omry, U.; Tetelman, A.S.; Rettig, T.W.; Peters, D.C.

    1977-01-01

    New methods have been developed and applied to better quantify and increase the reliability, safety, and availability of electric power plants. Present and potential problem areas have been identified both by development of an improved computerized data base of malfunctions in nuclear power plants and by detailed metallurgical and mechanical failure analyses of selected problems. Significant advances in the accuracy and speed of structural analyses have been made through development and application of the boundary integral equation and influence function methods of stress and fracture mechanics analyses. The currently specified flaw evaluation procedures of the ASME Boiler and Pressure Vessel Code have been computerized. Results obtained from these procedures for evaluation of specific in-service inspection indications have been compared with results obtained utilizing the improved analytical methods. Mathematical methods have also been developed to describe and analyze the statistical variations in materials properties and in component loading, and uncertainties in the flaw size that might be passed by quality assurance systems. These new methods have been combined to develop accurate failure rate predictions based upon probabilistic fracture mechanics. Improved failure prevention strategies have been formulated by combining probabilistic fracture mechanics and cost optimization techniques. The approach has been demonstrated by optimizing the nondestructive inspection level with regard to both reliability and cost. (Auth.)

  11. Organ failure avoidance and mitigation strategies in surgery.

    Science.gov (United States)

    McConnell, Kevin W; Coopersmith, Craig M

    2012-04-01

    Postoperative organ failure is a challenging disease process that is better prevented than treated. Providers should use close observation and clinical judgment, and checklists of best practices to minimize the risk of organ failure in their patients. The treatment of multiorgan dysfunction syndrome (MODS) generally remains supportive, outside of rapid initiation of source control (when appropriate) and targeted antibiotic therapy. More specific treatments may be developed as the complex pathophysiology of MODS is better understood and more homogenous patient populations are selected for study. Copyright © 2012 Elsevier Inc. All rights reserved.

  12. Clinical outcomes of isolated renal failure compared to other forms of organ failure in patients with severe acute pancreatitis.

    Science.gov (United States)

    Gougol, Amir; Dugum, Mohannad; Dudekula, Anwar; Greer, Phil; Slivka, Adam; Whitcomb, David C; Yadav, Dhiraj; Papachristou, Georgios I

    2017-08-07

    To assess differences in clinical outcomes of isolated renal failure (RF) compared to other forms of organ failure (OF) in patients with severe acute pancreatitis (SAP). Using a prospectively maintained database of patients with acute pancreatitis admitted to a tertiary medical center between 2003 and 2016, those with evidence of persistent OF were classified to renal, respiratory, cardiovascular, or multi-organ (2 or more organs). Data regarding demographics, comorbidities, etiology of acute pancreatitis, and clinical outcomes were prospectively recorded. Differences in clinical outcomes after development of isolated RF in comparison to other forms of OF were determined using independent t and Mann-Whitney U tests for continues variables, and χ 2 test for discrete variables. Among 500 patients with acute pancreatitis, 111 patients developed persistent OF: mean age was 54 years, and 75 (67.6%) were male. Forty-three patients had isolated OF: 17 (15.3%) renal, 25 (21.6%) respiratory, and 1 (0.9%) patient with cardiovascular failure. No differences in demographics, etiology of acute pancreatitis, systemic inflammatory response syndrome scores, or development of pancreatic necrosis were seen between patients with isolated RF vs isolated respiratory failure. Patients with isolated RF were less likely to require nutritional support (76.5% vs 96%, P = 0.001), ICU admission (58.8% vs 100%, P = 0.001), and had shorter mean ICU stay (2.4 d vs 15.7 d, P failure. None of the patients with isolated RF or isolated respiratory failure died. Among patients with SAP per the Revised Atlanta Classification, approximately 15% develop isolated RF. This subgroup seems to have a less protracted clinical course compared to other forms of OF. Isolated RF might be weighed less than isolated respiratory failure in risk predictive modeling of acute pancreatitis.

  13. Research on Information Systems Failures and Successes

    DEFF Research Database (Denmark)

    Dwivedi, Yogesh K.; Wastell, David; Laumer, Sven

    2015-01-01

    Information systems success and failure are among the most prominent streams in IS research. Explanations of why some IS fulfill their expectations, whereas others fail, are complex and multi-factorial. Despite the efforts to understand the underlying factors, the IS failure rate remains stubbornly...... IS success and avoiding IS failure. Several key issues emerged, such as the need to study problems from multiple perspectives, to move beyond narrow considerations of the IT artifact, and to venture into underexplored organizational contexts, such as the public sector....

  14. Failure analysis of real-time systems

    International Nuclear Information System (INIS)

    Jalashgar, A.; Stoelen, K.

    1998-01-01

    This paper highlights essential aspects of real-time software systems that are strongly related to the failures and their course of propagation. The significant influence of means-oriented and goal-oriented system views in the description, understanding and analysing of those aspects is elaborated. The importance of performing failure analysis prior to reliability analysis of real-time systems is equally addressed. Problems of software reliability growth models taking the properties of such systems into account are discussed. Finally, the paper presents a preliminary study of a goal-oriented approach to model the static and dynamic characteristics of real-time systems, so that the corresponding analysis can be based on a more descriptive and informative picture of failures, their effects and the possibility of their occurrence. (author)

  15. Organ sharing in the management of acute liver failure.

    Science.gov (United States)

    Pezzati, D; Ghinolfi, D; De Simone, P; Tincani, G; Fiorenza, G; Filipponi, F

    2013-04-01

    Liver transplantation (OLT) for acute liver failure (ALF) is associated with high morbidity and mortality rates in the early posttransplant course. An efficient organ-sharing organization may grant favorable results. This is a retrospective analysis of prospectively collected data on patients wait listed for ALF at a single center. Patients were listed for OLT when matching King's College Criteria. Based on patients' clinical status, ABO-incompatible grafts were used. From January 2001 to December 2010, 37 patients were wait listed for ALF. Two patients were de-listed (5.4%) for improvement of their clinical conditions; two patients (5.4%) died on the list and 33 (89.2%) underwent OLT. Among these latter, 21 (63.6%) were Italian and 12 (36.4%) were foreign citizens, with four referred from their home country on the basis of international agreements on ALF management. Donors were procured in our region in 10 cases (30.3%), nationally in 22 (66.6%), and outside Italy in 1 (3.1%). Mean time from wait listing to OLT was 1 day (range 0-6), and seven patients received an ABO-incompatible graft. Graft and patient survivals at 1 month, 1 year, and 3 years were 78.8%, 72.7%, 66.5%, and 81.8%, 75.8%, and 72.7%, respectively. Five patients underwent retransplantation: two on postoperative day (POD) 2 for primary nonfunction of the liver graft, two on POD 8 and 95 for hepatic artery thrombosis, and one at 18 months for nonanastomotic biliary stenosis. Prompt referral to a OLT center and efficient organ-sharing system play a fundamental role in optimizing the outcome of the patient with ALF. Development of international organ exchange programs might further improve the results for this category of patients. In very selected cases, ABO-incompatible grafts may be a valuable resource. Copyright © 2013 Elsevier Inc. All rights reserved.

  16. Panton Valentine leukocidin MSSA leading to multi-organ failure.

    LENUS (Irish Health Repository)

    Low, T B

    2009-06-01

    We report a case of a 15-year-old boy who developed multiple organ failure secondary to a sport injury leading to infection with a Panton Valentine Leukocidin (PVL) secreting Community-Acquired Methicillin Sensitive Staphylococcus Aureus (CA MSSA). Aggressive antibiotic therapy eventually led to recovery.

  17. Success or failure in knowledge management systems: a universal issue

    OpenAIRE

    Granados, M.; Coakes, E.; Amar, A.D.

    2013-01-01

    Part 1: IS Success and Failure; International audience; This paper takes a sociotechnical viewpoint of knowledge management system (KMS) implementation in organizations considering issues such as stakeholder disenfranchisement, lack of communication, and the low involvement of key personnel in system design asking whether KMS designers could learn from applying sociotechnical principles to their systems. The paper discusses design elements drawn from the sociotechnical principles essential fo...

  18. Combinatorial analysis of systems with competing failures subject to failure isolation and propagation effects

    International Nuclear Information System (INIS)

    Xing Liudong; Levitin, Gregory

    2010-01-01

    This paper considers the reliability analysis of binary-state systems, subject to propagated failures with global effect, and failure isolation phenomena. Propagated failures with global effect are common-cause failures originated from a component of a system/subsystem causing the failure of the entire system/subsystem. Failure isolation occurs when the failure of one component (referred to as a trigger component) causes other components (referred to as dependent components) within the same system to become isolated from the system. On the one hand, failure isolation makes the isolated dependent components unusable; on the other hand, it prevents the propagation of failures originated from those dependent components. However, the failure isolation effect does not exist if failures originated in the dependent components already propagate globally before the trigger component fails. In other words, there exists a competition in the time domain between the failure of the trigger component that causes failure isolation and propagated failures originated from the dependent components. This paper presents a combinatorial method for the reliability analysis of systems subject to such competing propagated failures and failure isolation effect. Based on the total probability theorem, the proposed method is analytical, exact, and has no limitation on the type of time-to-failure distributions for the system components. An illustrative example is given to demonstrate the basics and advantages of the proposed method.

  19. The predisposition, infection, response and organ failure (Piro sepsis classification system: results of hospital mortality using a novel concept and methodological approach.

    Directory of Open Access Journals (Sweden)

    Cristina Granja

    Full Text Available INTRODUCTION: PIRO is a conceptual classification system in which a number of demographic, clinical, biological and laboratory variables are used to stratify patients with sepsis in categories with different outcomes, including mortality rates. OBJECTIVES: To identify variables to be included in each component of PIRO aiming to improve the hospital mortality prediction. METHODS: Patients were selected from the Portuguese ICU-admitted community-acquired sepsis study (SACiUCI. Variables concerning the R and O component included repeated measurements along the first five days in ICU stay. The trends of these variables were summarized as the initial value at day 1 (D1 and the slope of the tendency during the five days, using a linear mixed model. Logistic regression models were built to assess the best set of covariates that predicted hospital mortality. RESULTS: A total of 891 patients (age 60±17 years, 64% men, 38% hospital mortality were studied. Factors significantly associated with mortality for P component were gender, age, chronic liver failure, chronic renal failure and metastatic cancer; for I component were positive blood cultures, guideline concordant antibiotic therapy and health-care associated sepsis; for R component were C-reactive protein slope, D1 heart rate, heart rate slope, D1 neutrophils and neutrophils slope; for O component were D1 serum lactate, serum lactate slope, D1 SOFA and SOFA slope. The relative weight of each component of PIRO was calculated. The combination of these four results into a single-value predictor of hospital mortality presented an AUC-ROC 0.84 (IC(95%:0.81-0.87 and a test of goodness-of-fit (Hosmer and Lemeshow of p = 0.368. CONCLUSIONS: We identified specific variables associated with each of the four components of PIRO, including biomarkers and a dynamic view of the patient daily clinical course. This novel approach to PIRO concept and overall score can be a better predictor of mortality for

  20. Donor conversion and procurement failure: the fate of our potential organ donors.

    Science.gov (United States)

    Branco, Bernardino C; Inaba, Kenji; Lam, Lydia; Salim, Ali; Barmparas, Galinos; Teixeira, Pedro G R; Talving, Peep; Demetriades, Demetrios

    2011-02-01

    Donor availability remains the primary limiting factor for organ transplantation today. The purpose of this study was to examine the causes of procurement failure amongst potential organ donors. After Institutional Review Board approval, all surgical intensive care unit (SICU) patients admitted to the LAC+USC Medical Center from 01/2006 to 12/2008 who became potential organ donors were identified. Demographics, clinical data, and procurement data were abstracted. In non-donors, the causes of procurement failure were documented. During the 3-year study period, a total of 254 patients were evaluated for organ donation. Mean age was 44.8±18.7 years; 191 (75.2%) were male, 136 (53.5%) were Hispanic, and 148 (58.3%) were trauma patients. Of the 254 patients, 116 (45.7%) were not eligible for donation: 34 had multi-system organ failure, 24 did not progress to brain death and had support withdrawn, 18 had uncontrolled sepsis, 15 had malignancy, 6 had human immunodeficiency virus or hepatitis B or C, and 19 patients had other contraindications to organ donation. Of the remaining 138 eligible patients, 83 (60.2%) did not donate: 56 because the family denied consent, 9 by their own choice. In six, next of kin could not be located, five died because of hemodynamic instability before organ procurement was possible, four had organs that could not be placed, and three had their organs declined by the organ procurement organization. The overall consent rate was 57.5% (n=67). From the 55 donors, 255 organs were procured (yield 4.6 organs/donor). Of all patients screened for organ donation, only a fifth actually donated. Denial of consent was the major potentially preventable cause of procurement failure, whereas hemodynamic instability accounted for only a small percentage of donor losses. With such low conversion rates, the preventable causes of procurement failure warrant further study.

  1. Sociomateriality and Information Systems Success and Failure

    DEFF Research Database (Denmark)

    Kautz, Karlheinz; Cecez-Kecmanovic, Dubravka

    2013-01-01

    The aim of this essay is to put forward a performative, sociomaterial perspective on Information Systems (IS) success and failure in organisations by focusing intently upon the discursive-material nature of IS development and use in practice. Through the application of Actor Network Theory (ANT...

  2. Dipyridamole and paracetamol overdose resulting in multi-organ failure.

    Science.gov (United States)

    Cullis, P S; Watson, D; Cameron, A; McKee, R F

    2013-08-01

    Dipyridamole intoxication is rare and few reports exist amongst the current literature. A case of dipyridamole and paracetamol overdose is described in a previously healthy 58-year-old woman, which resulted in multi-organ failure requiring dialysis, inotropic support, ventilation and extensive surgical intervention for small bowel ischaemia. This case highlights the dangers of an unusually large overdose of a commonly prescribed drug, and reviews current knowledge of dipyridamole intoxication.

  3. Failure Analysis of Storage Data Magnetic Systems

    Directory of Open Access Journals (Sweden)

    Ortiz–Prado A.

    2010-10-01

    Full Text Available This paper shows the conclusions about the corrosion mechanics in storage data magnetic systems (hard disk. It was done from the inspection of 198 units that were in service in nine different climatic regions characteristic for Mexico. The results allow to define trends about the failure forms and the factors that affect them. In turn, this study has analyzed the causes that led to mechanical failure and those due to deterioration by atmospheric corrosion. On the basis of the results obtained from the field sampling, demonstrates that the hard disk failure is fundamentally by mechanical effects. The deterioration by environmental effects were found in read-write heads, integrated circuits, printed circuit boards and in some of the electronic components of the controller card of the device, but not in magnetic storage surfaces. There fore, you can discard corrosion on the surface of the disk as the main kind of failure due to environmental deterioration. To avoid any inconvenience in the magnetic data storage system it is necessary to ensure sealing of the system.

  4. Systems interaction and single failure criterion

    International Nuclear Information System (INIS)

    1983-10-01

    This study is a continued assessment of US research. All three of the systems interaction review methodologies which NRC's Systems Interaction Section (SIS) is studying are recommended. They are the Digraph-Matrix Analysis and Interactive Fault Tree/Failure Modes and Effects Analysis methodologies. A third methodology was developed for the Indian Point 3 system interaction review. It is recommended to developing the capability to perform and evaluate systems interaction reviews at Swedish nuclear plants. The Swedish demonstration studies should be performed on BWR's. (G.B.)

  5. Allocation of patients with liver cirrhosis and organ failure to intensive care

    DEFF Research Database (Denmark)

    Prier Lindvig, Katrine; Søgaard Teisner, Ane; Kjeldsen, Jens

    2015-01-01

    patients with cirrhosis and organ failure, or acute on chronic liver failure and/or intensive care therapy. RESULTS: The initial search identified 660 potentially relevant articles. Ultimately, five articles were selected; two cohort studies and three reviews were found eligible. The literature...... on current available data we developed an algorithm, to determine if a patient is candidate to intensive care if needed, based on three scoring systems: premorbid Child-Pugh Score, Model of End stage Liver Disease score and the liver specific Sequential Organ Failure Assessment score. CONCLUSION......AIM: To propose an allocation system of patients with liver cirrhosis to intensive care unit (ICU), and developed a decision tool for clinical practice. METHODS: A systematic review of the literature was performed in PubMed, MEDLINE and EMBASE databases. The search includes studies on hospitalized...

  6. A data science approach for quantifying spatio-temporal effects to graft failures in organ transplantation.

    Science.gov (United States)

    Pinheiro, Diego; Hamad, Farag; Cadeiras, Martin; Menezes, Ronaldo; Nezamoddini-Kachouie, Nezamoddin

    2016-08-01

    The transplantation of solid organs is one of the most important accomplishments of modern medicine. Yet, organ shortage is a major public health issue; 8,000 people died while waiting for an organ in 2014. Meanwhile, the allocation system currently implemented can lead to organs being discarded and the medical community still investigates factors that affects early graft failure such as distance and ischemic time. In this paper, we investigate early graft failure under a spatio-temporal perspective using a data science unified approach for all six organs that is based on complementary cumulative analysis of both distance and ischemic time. Interestingly, although distance seems to highly affect some organs (e.g. liver), it appears to have no effect on others (e.g. kidney). Similarly, the results on ischemic time confirm it affects early graft failure with higher influence for some organs such as (e.g. heart) and lower influence for others such as (e.g. kidney). This poses the question whether the allocation policies should be individually designed for each organ in order to account for their particularities as shown in this work.

  7. An estimation method of system failure frequency using both structure and component failure data

    International Nuclear Information System (INIS)

    Takaragi, Kazuo; Sasaki, Ryoichi; Shingai, Sadanori; Tominaga, Kenji

    1981-01-01

    In recent years, the importance of reliability analysis is appreciated for large systems such as nuclear power plants. A reliability analysis method is described for a whole system, using structure failure data for its main working subsystem and component failure data for its safety protection subsystem. The subsystem named main working system operates normally, and the subsystem named safety protection system acts as standby or protection. Thus the main and the protection systems are given mutually different failure data; then, between the subsystems, there exists common mode failure, i.e. the component failure affecting the reliability of both two. A calculation formula for sytem failure frequency is first derived. Then, a calculation method with digraphs is proposed for conditional system failure probability. Finally the results of numerical calculation are given for the purpose of explanation. (J.P.N.)

  8. Systems interaction and single failure criterion

    International Nuclear Information System (INIS)

    1981-01-01

    This report documents the results of a six-month study to evaluate the ongoing research programs of the U.S. Nuclear Regulatory Commission (NRC) and U.S. commercial nuclear station owners which address the safety significance of systems interaction and the regulatory adequacy of the single failure criterion. The evaluation of system interactions provided is the initial phase of a more detailed study leading to the development and application of methodology for quantifying the relative safety of operating nuclear plants. (Auth.)

  9. Mean Time to System Failure and Availability Modeling of a ...

    African Journals Online (AJOL)

    In this study models for mean time to system failure and availability have been developed to study the effect of failure rate on some measures of system effectiveness. Using Chapman Kolmogorov's forward equations methods, explicit expressions for measures of system effectiveness like mean time to system failure (MTSF) ...

  10. Importance analysis for the systems with common cause failures

    International Nuclear Information System (INIS)

    Pan Zhijie; Nonaka, Yasuo

    1995-01-01

    This paper extends the importance analysis technique to the research field of common cause failures to evaluate the structure importance, probability importance, and β-importance for the systems with common cause failures. These importance measures would help reliability analysts to limit the common cause failure analysis framework and find efficient defence strategies against common cause failures

  11. Artificial and bioartificial support systems for liver failure

    DEFF Research Database (Denmark)

    Liu, Jianping; Kjaergard, Lise Lotte; Als-Nielsen, Bodil

    2002-01-01

    Liver support systems may bridge patients to liver transplantation or recovery from liver failure. This review is to evaluate the beneficial and harmful effects of artificial and bioartificial support systems for acute and acute-on-chronic liver failure....

  12. [Organ-protection therapy. A new therapeutic approach for acute heart failure?].

    Science.gov (United States)

    Chivite, David; Formiga, Francesc; Corbella, Xavier

    2014-03-01

    Unlike the prolonged benefit produced by the treatment of chronic heart failure, newer drugs tested for the treatment of acute heart failure in the last decade have failed to provide evidence of clinical benefit beyond some improvement in symptom relief. In particular, no drug has shown the ability to reduce the higher medium- and long-term risk of morbidity and mortality in these patients after an episode of decompensation. Current understanding of the pathophysiology of acute heart failure and its consequences has led to the hypothesis that, beyond symptom control, effective therapies for this syndrome should target not only the hemodynamic changes of the initial phase of the syndrome but should also "protect" the organism from the activation of neurohumoral and inflammatory pathways triggered by the decompensation episode, which persist in time and confer a risk of deleterious effects in several organs and tissues. Serelaxin, a new drug related to the peptidic endogenous hormones of the relaxin family, has recently been shown to provide multiple beneficial effects in terms of "organ protection" - not only in the cardiovascular and renal systems - from these acute heart failure-related deleterious changes. This drug has already been tested in acute heart failure patients with encouraging results in terms of medium-term clinical benefit, rendering serelaxin as a serious candidate for first-line, prognosis-modifying therapy in this syndrome. Copyright © 2014 Elsevier España, S.L. All rights reserved.

  13. Is the Humanitarian Failure in Haiti a System Failure?

    Directory of Open Access Journals (Sweden)

    Andrea Binder

    2013-11-01

    Full Text Available It has become common sense in humanitarian circles to refer to the emergency responses to the 2010 Haiti earthquake and subsequent cholera outbreak as a failure. Médecins Sans Frontières (MSF began doing so publicly in a December 2010 article published in The Guardian. In this regard, Jean-Marc Biquet’s article – ‘Haiti: Between Emergency and Reconstruction. An Inadequate Response‘ – reflects a long list of publications that describe and analyse the international system’s shortcomings in res...

  14. Solder Flux Residues and Humidity-Related Failures in Electronics: Relative Effects of Weak Organic Acids Used in No-Clean Flux Systems

    DEFF Research Database (Denmark)

    Verdingovas, Vadimas; Jellesen, Morten Stendahl; Ambat, Rajan

    2015-01-01

    This paper presents the results of humidity testing of weak organic acids (WOAs), namely adipic, succinic, glutaric, dl-malic, and palmitic acids, which are commonly used as activators in no-clean solder fluxes. The study was performed under humidity conditions varying from 60% relative humidity...... increase of leakage currents and probability of electrochemical migration was observed at humidity levels above the RH corresponding to the deliquescence point of WOAs present as contaminants on the printed circuit boards. The results suggest that use of solder fluxes with WOAs having higher deliquescence...

  15. Heart-rate variability depression in porcine peritonitis-induced sepsis without organ failure.

    Science.gov (United States)

    Jarkovska, Dagmar; Valesova, Lenka; Chvojka, Jiri; Benes, Jan; Danihel, Vojtech; Sviglerova, Jitka; Nalos, Lukas; Matejovic, Martin; Stengl, Milan

    2017-05-01

    Depression of heart-rate variability (HRV) in conditions of systemic inflammation has been shown in both patients and experimental animal models and HRV has been suggested as an early indicator of sepsis. The sensitivity of HRV-derived parameters to the severity of sepsis, however, remains unclear. In this study we modified the clinically relevant porcine model of peritonitis-induced sepsis in order to avoid the development of organ failure and to test the sensitivity of HRV to such non-severe conditions. In 11 anesthetized, mechanically ventilated and instrumented domestic pigs of both sexes, sepsis was induced by fecal peritonitis. The dose of feces was adjusted and antibiotic therapy was administered to avoid multiorgan failure. Experimental subjects were screened for 40 h from the induction of sepsis. In all septic animals, sepsis with hyperdynamic circulation and increased plasma levels of inflammatory mediators developed within 12 h from the induction of peritonitis. The sepsis did not progress to multiorgan failure and there was no spontaneous death during the experiment despite a modest requirement for vasopressor therapy in most animals (9/11). A pronounced reduction of HRV and elevation of heart rate developed quickly (within 5 h, time constant of 1.97 ± 0.80 h for HRV parameter TINN) upon the induction of sepsis and were maintained throughout the experiment. The frequency domain analysis revealed a decrease in the high-frequency component. The reduction of HRV parameters and elevation of heart rate preceded sepsis-associated hemodynamic changes by several hours (time constant of 11.28 ± 2.07 h for systemic vascular resistance decline). A pronounced and fast reduction of HRV occurred in the setting of a moderate experimental porcine sepsis without organ failure. Inhibition of parasympathetic cardiac signaling probably represents the main mechanism of HRV reduction in sepsis. The sensitivity of HRV to systemic inflammation may allow

  16. An Investigation of Digital Instrumentation and Control System Failure Modes

    International Nuclear Information System (INIS)

    Korsah, Kofi; Cetiner, Mustafa Sacit; Muhlheim, Michael David; Poore, Willis P. III

    2010-01-01

    A study sponsored by the Nuclear Regulatory Commission study was conducted to investigate digital instrumentation and control (DI and C) systems and module-level failure modes using a number of databases both in the nuclear and non-nuclear industries. The objectives of the study were to obtain relevant operational experience data to identify generic DI and C system failure modes and failure mechanisms, and to obtain generic insights, with the intent of using results to establish a unified framework for categorizing failure modes and mechanisms. Of the seven databases studied, the Equipment Performance Information Exchange database was found to contain the most useful data relevant to the study. Even so, the general lack of quality relative to the objectives of the study did not allow the development of a unified framework for failure modes and mechanisms of nuclear I and C systems. However, an attempt was made to characterize all the failure modes observed (i.e., without regard to the type of I and C equipment under consideration) into common categories. It was found that all the failure modes identified could be characterized as (a) detectable/preventable before failures, (b) age-related failures, (c) random failures, (d) random/sudden failures, or (e) intermittent failures. The percentage of failure modes characterized as (a) was significant, implying that a significant reduction in system failures could be achieved through improved online monitoring, exhaustive testing prior to installation, adequate configuration control or verification and validation, etc.

  17. A classification system for pressure vessel shell failures

    International Nuclear Information System (INIS)

    Harrop, L.P.

    1989-01-01

    A system for classifying failures of the shells of pressure vessels is presented. The classification system is based on the way a failure physically manifests itself and not on imputed economic or safety significance. It is believed the described way of classifying the failures is useful for transferring information from one situation to another. In assigning names to types of failure, the intention has been to adopt explicit definitions rather than supposed colloquial usage. (author)

  18. Crosstalk between the heart and peripheral organs in heart failure.

    Science.gov (United States)

    Jahng, James Won Suk; Song, Erfei; Sweeney, Gary

    2016-03-11

    Mediators from peripheral tissues can influence the development and progression of heart failure (HF). For example, in obesity, an altered profile of adipokines secreted from adipose tissue increases the incidence of myocardial infarction (MI). Less appreciated is that heart remodeling releases cardiokines, which can strongly impact various peripheral tissues. Inflammation, and, in particular, activation of the nucleotide-binding oligomerization domain-like receptors with pyrin domain (NLRP3) inflammasome are likely to have a central role in cardiac remodeling and mediating crosstalk with other organs. Activation of the NLRP3 inflammasome in response to cardiac injury induces the production and secretion of the inflammatory cytokines interleukin (IL)-1β and IL-18. In addition to having local effects in the myocardium, these pro-inflammatory cytokines are released into circulation and cause remodeling in the spleen, kidney, skeletal muscle and adipose tissue. The collective effects of various cardiokines on peripheral organs depend on the degree and duration of myocardial injury, with systematic inflammation and peripheral tissue damage observed as HF progresses. In this article, we review mechanisms regulating myocardial inflammation in HF and the role of factors secreted by the heart in communication with peripheral tissues.

  19. Using hierarchical dynamic Bayesian networks to investigate dynamics of organ failure in patients in the Intensive Care Unit

    NARCIS (Netherlands)

    Peelen, Linda; de Keizer, Nicolette F.; Jonge, Evert de; Bosman, Robert-Jan; Abu-Hanna, Ameen; Peek, Niels

    2010-01-01

    In intensive care medicine close monitoring of organ failure status is important for the prognosis of patients and for choices regarding ICU management. Major challenges in analyzing the multitude of data pertaining to the functioning of the organ systems over time are to extract meaningful clinical

  20. Multiple Failure Response Procedure System, Phase II

    Data.gov (United States)

    National Aeronautics and Space Administration — Currently, flight controllers are often tasked with generating responses to multiple failures when they occur. However, during future space missions, flight...

  1. [Multi-organ failure after massive Levothyroxine ingestion: case report].

    Science.gov (United States)

    Mudoni, A; Caccetta, F; Caroppo, M; Musio, F; Accogli, A; Zacheo, M D; Burzo, M D; Nuzzo, V

    2015-01-01

    Levothyroxine is the drug of choice prescribed worldwide for the treatment of Hypothyroidism. The exact daily dosage, mode of consumption and refractoriness to therapy are still subject of discussion. The intoxication with levothyroxine is rare and with severe complications in adults; on the contrary, high prevalence and benign course is observed in pediatric age. We report the case of a 56 year-old woman, presented to the emergency department after intentional ingestion of massive levothyroxine overdose , with acute renal failure, severe disturbances of cardiovascular and central nervous system, that required intensive care support. In absence of a specific treatment, plasmapheresis has been used with good results, despite important clinical complications. In fact the clinical applications of plasmapheresis are rapidly increasing in number and scope: the plasmapheresis appears to be a very important tool for the treatment of acute and severe forms of thyrotoxicosis due to l-thyroxine intoxication.

  2. Increased Dicarbonyl Stress as a Novel Mechanism of Multi-Organ Failure in Critical Illness

    Science.gov (United States)

    van Bussel, Bas C. T.; van de Poll, Marcel C. G.; Schalkwijk, Casper G.; Bergmans, Dennis C. J. J.

    2017-01-01

    Molecular pathological pathways leading to multi-organ failure in critical illness are progressively being unravelled. However, attempts to modulate these pathways have not yet improved the clinical outcome. Therefore, new targetable mechanisms should be investigated. We hypothesize that increased dicarbonyl stress is such a mechanism. Dicarbonyl stress is the accumulation of dicarbonyl metabolites (i.e., methylglyoxal, glyoxal, and 3-deoxyglucosone) that damages intracellular proteins, modifies extracellular matrix proteins, and alters plasma proteins. Increased dicarbonyl stress has been shown to impair the renal, cardiovascular, and central nervous system function, and possibly also the hepatic and respiratory function. In addition to hyperglycaemia, hypoxia and inflammation can cause increased dicarbonyl stress, and these conditions are prevalent in critical illness. Hypoxia and inflammation have been shown to drive the rapid intracellular accumulation of reactive dicarbonyls, i.e., through reduced glyoxalase-1 activity, which is the key enzyme in the dicarbonyl detoxification enzyme system. In critical illness, hypoxia and inflammation, with or without hyperglycaemia, could thus increase dicarbonyl stress in a way that might contribute to multi-organ failure. Thus, we hypothesize that increased dicarbonyl stress in critical illness, such as sepsis and major trauma, contributes to the development of multi-organ failure. This mechanism has the potential for new therapeutic intervention in critical care. PMID:28178202

  3. Defense against common-mode failures in protection system design

    International Nuclear Information System (INIS)

    Wyman, R.H.; Johnson, G.L.

    1998-01-01

    The introduction of digital instrumentation and control into reactor safety systems creates a heightened concern about common-mode failure. This paper discusses the concern and methods of cope with the concern. Common-mode failures have been a 'fact-of-life' in existing systems. The informal introduction of defense-in-depth and diversity (D-in-D and D) - coupled with the fact that hardware common-mode failures are often distributed in time - has allowed systems to deal with past common-mode failures. However, identical software operating in identical redundant systems presents the potential for simultaneous failure. Consequently, the use of digital systems raises the concern about common-mode failure to a new level. A more methodical approach to mitigating common-mode failure is needed to address these concerns. Purposeful introduction of D-in-D and D has been used as a defense against common-mode failure in reactor protection systems. At least two diverse systems are provided to mitigate any potential initiating event. Additionally, diverse displays and controls are provided to allow the operator to monitor plant status and manually initiate engineered safety features. A special form of common-mode failure analysis called 'defense-in-depth and diversity analysis' has been developed to identify possible common-mode failure vulnerabilities in digital systems. An overview of this analysis technique is provided. (author)

  4. Defense against common-mode failures in protection system design

    International Nuclear Information System (INIS)

    Wyman, R.H.; Johnson, G.L.

    1997-01-01

    The introduction of digital instrumentation and control into reactor safety systems creates a heightened concern about common-mode failure. This paper discusses the concern and methods to cope with the concern. Common-mode failures have been a ''fact-of-life'' in existing systems. The informal introduction of defense-in-depth and diversity (D-in-D ampersand D)-coupled with the fact that hardware common-mode failures are often distributed in time-has allowed systems to deal with past common-mode failures. However, identical software operating in identical redundant systems presents the potential for simultaneous failure. Consequently, the use of digital systems raises the concern about common-mode failure to a new level. A more methodical approach to mitigating common-mode failure is needed to address these concerns. Purposeful introduction of D-in-D ampersand D has been used as a defense against common-mode failure in reactor protection systems. At least two diverse systems are provided to mitigate any potential initiating event. Additionally, diverse displays and controls are provided to allow the operator to monitor plant status and manually initiate engineered safety features. A special form of conimon-mode failure analysis called ''defense-in-depth and diversity analysis'' has been developed to identify possible conimon-mode failure vulnerabilities in digital systems. An overview of this analysis technique is provided

  5. Effectiveness of the sequential organ failure assessment, acute physiology and chronic health evaluation II, and simplified acute physiology score II prognostic scoring systems in paraquat-poisoned patients in the intensive care unit.

    Science.gov (United States)

    Lee, Jun Ho; Hwang, Seong Youn; Kim, Hye Ran; Kim, Yang Won; Kang, Mun Ju; Cho, Kwang Won; Lee, Dong Woo; Kim, Yong Hwan

    2017-05-01

    This study was conducted to assess the ability of the sequential organ failure assessment (SOFA) and acute physiology and chronic health evaluation (APACHE) II scoring systems, as well as the simplified acute physiology score (SAPS) II method to predict group mortality in intensive care unit (ICU) patients who were poisoned with paraquat. This will assist physicians with risk stratification. The medical records of 244 paraquat-poisoned patients admitted to the ICU from January 2010 to April 2015 were examined retrospectively. The SOFA, APACHE II, and SAPS II scores were calculated based on initial laboratory data in the emergency department and during the first 24 h of ICU admission. The probability of death was calculated for each patient based on the SOFA score, APACHE II score, and SAPS II. The ability of the SOFA score, APACHE II score, and SAPS II method to predict group mortality was assessed using a receiver operating characteristic (ROC) curve and calibration analyses. A total of 219 patients (mean age, 63 years) were enrolled. Sensitivities, specificities, and accuracies were 58.5%, 86.1%, and 64.0% for the SOFA, respectively; 75.1%, 86.1%, and 77.6% for the APACHE II scoring systems, respectively; and 76.1%, 79.1%, and 76.7% for the SAPS II, respectively. The areas under the curve in the ROC curve analysis for the SOFA score, APACHE II scoring system, and SAPS II were 0.716, 0.850, and 0.835, respectively. The SOFA, APACHE II, and SAPS II had different capabilities to discriminate and estimate early in-hospital mortality of paraquat-poisoned patients. Our results show that although the SOFA and SAPS II are easier and more quickly calculated than APACHE II, the APACHE II is superior for predicting mortality. We recommend use of the APACHE II for outcome predictions and risk stratification in paraquat-poisoned patients in the ICU.

  6. Clinical features and treatment of organ failure in severe acute pancreatitis

    Directory of Open Access Journals (Sweden)

    CUI Lijian

    2014-08-01

    Full Text Available Organ failure is an important factor causing death in patients with severe acute pancreatitis (SAP. In recent years, thanks to the further study of pathophysiology of SAP and the continuous accumulation of experience and technology, substantial progress has been made in the diagnosis and treatment of SAP complicated by organ failure. The clinical features of SAP complicated by organ failure and the measures to be strengthened in the treatment of SAP are summarized. Currently, it is thought that organ failure tends to appear once SAP occurs, so timely, standardized treatment can shorten the course of disease and significantly reduce mortality.

  7. The failure diagnoses of nuclear reactor systems

    International Nuclear Information System (INIS)

    Sheng Huanxing.

    1986-01-01

    The earlier period failure diagnoses can raise the safety and efficiency of nuclear reactors. This paper first describes the process abnormality monitoring of core barrel vibration in PWR, inherent noise sources in BWR, sodium boiling in LMFBR and nuclear reactor stability. And then, describes the plant failure diagnoses of primary coolant pumps, loose parts in nuclear reactors, coolant leakage and relief valve location

  8. Program computes single-point failures in critical system designs

    Science.gov (United States)

    Brown, W. R.

    1967-01-01

    Computer program analyzes the designs of critical systems that will either prove the design is free of single-point failures or detect each member of the population of single-point failures inherent in a system design. This program should find application in the checkout of redundant circuits and digital systems.

  9. Multiple Failure Response Procedure System, Phase I

    Data.gov (United States)

    National Aeronautics and Space Administration — When an ISHM module identifies a single failure, an associated response procedure, developed and validated in advance, can be selected for execution to verify the...

  10. Least-cost failure diagnosis in uncertain reliability systems

    International Nuclear Information System (INIS)

    Cox, Louis Anthony; Chiu, Steve Y.; Sun Xiaorong

    1996-01-01

    In many textbook solutions, for systems failure diagnosis problems studied using reliability theory and artificial intelligence, the prior probabilities of different failure states can be estimated and used to guide the sequential search for failed components after the whole system fails. In practice, however, both the component failure probabilities and the structure function of the system being examined--i.e., the mapping between the states of its components and the state of the system--may not be known with certainty. At best:, the probabilities of different hypothesized system descriptions, each specifying the component failure probabilities and the system's structure function, may be known to a useful approximation, perhaps based on sample data and previous experience. Cost-effective diagnosis of the system's failure state is then a challenging problem. Although the probabilities of component failures are aleatory, uncertainties about these probabilities and about the system structure function are epistemic. This paper examines how to make best use of both epistemic prior probabilities for system descriptions and the information gleaned from costly inspections of component states after the system fails, to minimize the average cost of identifying the failure state. Two approaches are introduced for systems dominated by aleatory uncertainties, one motivated by information theory and the other based on the idea of trying to prove a hypothesis about the identity of the failure state as efficiently as possible. While the general problem of cost-effective failure diagnosis is computationally intractable (NP-hard), both heuristics provide useful approximations on small to moderate sized problems and optimal results for certain common types of reliability systems, including series, parallel, parallel-series, and k-out-of-n systems. A hybrid heuristic that adaptively chooses which heuristic to apply next after any sequence of observations (component test results

  11. Modelling of Failure Effect to Integrity of System

    Directory of Open Access Journals (Sweden)

    Karol Rastocny

    2004-01-01

    Full Text Available The interlocking systems are typically resisting against hazardous faults. Failure effect on the system can be determined directly by monitoring the original system installation, by simulation of the system operation using its model, or by computing or theoretical reasoning. The process of system ageing can be described with the help of the random failure time. Essential majorities of computer-based interlocking system elements are electronic elements that are not exposed to mechanical wear. The failure distribution of these elements is assumed to be exponential.   

  12. Organ Dysfunction and Failure Following Brain Death Do Not Preclude Successful Donation.

    Science.gov (United States)

    Essien, Eno-Obong I; Parimi, Nehu; Gutwald-Miller, Jennifer; Nutter, Tyree; Scalea, Thomas M; Stein, Deborah M

    2017-11-01

    Organ dysfunction is common after neurologic determination of death (NDD) but before organ collection. Reliable markers for graft success following transplant of these organs would be useful. We sought to determine the relationship between the donor after neurologic determination of death (DNDD) pathophysiology and successful organ donation. Donor information was obtained through the local organ procurement organization. Donor demographics and clinical data points for cardiovascular, renal, respiratory, hepatic, hematological and neuroendocrine systems were reviewed 12 h before and 12 h after neurologic determination of death was declared. The worst values were utilized for analysis and generation of the organ-specific Sequential Organ Failure Assessment (SOFA) scores. SOFA scores were calculated and used to quantify the degree of organ dysfunction. The NDD non-donors for a specific organ were used as a comparison control group. The control group refers to DNDD patients whose specific organs were not transplanted. Lack of use was mostly due to discard by the transplant team as a result of unsuitability of the organ caused by deterioration or possible donor-specific pathology. One hundred and five organ donors were analyzed. Mean age was 35.0 (± 13.6), 78.1% male, median GCS 3, interquartile range (IQR) 3-4 and median injury severity score 32 (IQR 25-43). Of the successful donors, organ-specific severe dysfunction (SOFA 3 or 4) occurred in 96, 27.5 and 3.3% of cardiac, lung and liver donors, respectively. There was no significant difference between the levels of organ dysfunction in donors versus non-donors except lung donors, in which the median lowest partial pressure of arterial oxygen-to-fraction of inspired oxygen (P/F) ratio in the non-donor was 194 (IQR 121.8-308.3) compared to the median lowest P/F ratio in the donor which was 287 (IQR 180-383.5), p = 0.02. In the recipients, graft failure 6 months after transplantation was reported in one kidney

  13. Congestive cardiac failure in a patient with systemic sclerosis: Case ...

    African Journals Online (AJOL)

    Congestive cardiac failure in a patient with systemic sclerosis: Case report and literature review. ... The presence of CCF in patients with SSe is a poor prognostic marker and cause of mortality and morbidity, ... not been reported in Nigerians. Keywords: Systemic sclerosis; Primary Cardiac Disease; Heart failure; Nigerians ...

  14. Artificial and bioartificial support systems for liver failure

    DEFF Research Database (Denmark)

    Liu, J P; Gluud, L L; Als-Nielsen, B

    2004-01-01

    Artificial and bioartificial liver support systems may 'bridge' patients with acute or acute-on-chronic liver failure to liver transplantation or recovery.......Artificial and bioartificial liver support systems may 'bridge' patients with acute or acute-on-chronic liver failure to liver transplantation or recovery....

  15. NATO Symposium on Human Detection and Diagnosis of System Failures

    CERN Document Server

    Rouse, William

    1981-01-01

    This book includes all of the papers presented at the NATO Symposium on Human Detection and Diagnosis of System Failures held at Roskilde, Denmark on August 4-8, 1980. The Symposium was sponsored by the Scientific Affairs Division of NATO and the Rise National Laboratory of Denmark. The goal of the Symposium was to continue the tradition initiated by the NATO Symposium on Monitoring Behavior and Supervisory Control held in Berchtesgaden, F .R. Germany in 1976 and the NATO Symposium on Theory and Measurement of Mental Workload held in Mati, Greece in 1977. To this end, a group of 85 psychologists and engineers coming from industry, government, and academia convened to discuss, and to generate a "state-of-the-art" consensus of the problems and solutions associated with the human IS ability to cope with the increasing scale of consequences of failures within complex technical systems. The Introduction of this volume reviews their findings. The Symposium was organized to include brief formal presentations of pape...

  16. X-framework: Space system failure analysis framework

    Science.gov (United States)

    Newman, John Steven

    Space program and space systems failures result in financial losses in the multi-hundred million dollar range every year. In addition to financial loss, space system failures may also represent the loss of opportunity, loss of critical scientific, commercial and/or national defense capabilities, as well as loss of public confidence. The need exists to improve learning and expand the scope of lessons documented and offered to the space industry project team. One of the barriers to incorporating lessons learned include the way in which space system failures are documented. Multiple classes of space system failure information are identified, ranging from "sound bite" summaries in space insurance compendia, to articles in journals, lengthy data-oriented (what happened) reports, and in some rare cases, reports that treat not only the what, but also the why. In addition there are periodically published "corporate crisis" reports, typically issued after multiple or highly visible failures that explore management roles in the failure, often within a politically oriented context. Given the general lack of consistency, it is clear that a good multi-level space system/program failure framework with analytical and predictive capability is needed. This research effort set out to develop such a model. The X-Framework (x-fw) is proposed as an innovative forensic failure analysis approach, providing a multi-level understanding of the space system failure event beginning with the proximate cause, extending to the directly related work or operational processes and upward through successive management layers. The x-fw focus is on capability and control at the process level and examines: (1) management accountability and control, (2) resource and requirement allocation, and (3) planning, analysis, and risk management at each level of management. The x-fw model provides an innovative failure analysis approach for acquiring a multi-level perspective, direct and indirect causation of

  17. On Correlated Failures in Survivable Storage Systems

    Science.gov (United States)

    2002-05-01

    Littlewood, D.R. Miller, “Conceptual modeling of coincident failures in multiversion software”, IEEE Transactions on Software Engineering, Volume: 15 Issue...Recovery in Multiversion Software”. IEEE Transaction on Software Engineering, Vol. 16 No.3, March 1990 [Plank1997] J. Plank “A tutorial on Reed-Solomon

  18. Failure rate of piping in hydrogen sulphide systems

    International Nuclear Information System (INIS)

    Hare, M.G.

    1993-08-01

    The objective of this study is to provide information about piping failures in hydrogen sulphide service that could be used to establish failures rates for piping in 'sour service'. Information obtained from the open literature, various petrochemical industries and the Bruce Heavy Water Plant (BHWP) was used to quantify the failure analysis data. On the basis of this background information, conclusions from the study and recommendations for measures that could reduce the frequency of failures for piping systems at heavy water plants are presented. In general, BHWP staff should continue carrying out their present integrity and leak detection programmes. The failure rate used in the safety studies for the BHWP appears to be based on the rupture statistics for pipelines carrying sweet natural gas. The failure rate should be based on the rupture rate for sour gas lines, adjusted for the unique conditions at Bruce

  19. Systemic sarcoidosis complicated of acute renal failure: about 12 ...

    African Journals Online (AJOL)

    The sarcoidosis is a systemic granulomatosis affecting most frequently the lungs and the mediastinum. An acute renal failure reveals exceptionally this disease. It's a retrospective study implicating 12 cases of sarcoidosis complicated of acute renal failure. The aim of this study is to determine epidemiological, clinical, ...

  20. Letter report seismic shutdown system failure mode and effect analysis

    International Nuclear Information System (INIS)

    KECK, R.D.

    1999-01-01

    The Supply Ventilation System Seismic Shutdown ensures that the 234-52 building supply fans, the dry air process fans and vertical development calciner are shutdown following a seismic event. This evaluates the failure modes and determines the effects of the failure modes

  1. Degradation and Failure Characteristics of NPP Containment Protective Coating Systems

    Energy Technology Data Exchange (ETDEWEB)

    Sindelar, R.L.

    2000-12-01

    A research program to investigate the performance and potential for failure of Service Level I coating systems used in nuclear power plant containment is in progress. The research activities are aligned to address phenomena important to cause failure as identified by the industry coatings expert panel.

  2. Prevalence and prognosis of acutely ill patients with organ failure at arrival to hospital

    DEFF Research Database (Denmark)

    Pedersen, Peter Bank; Hrobjartsson, Asbjorn; Nielsen, Daniel Lykke

    2017-01-01

    undifferentiated patients, at arrival to hospital. The result of the review will assist physicians working in an ED, when assessing patients' risk of organ failure and their associated prognosis. METHODS: The information sources used are electronic databases, PubMed, Cochrane Library, EMBASE, and CINAHL...... and analyze studies of prevalence and prognosis of acutely ill patients, with organ failure at arrival to hospital, assist ED physicians assessing the risk of organ failure in unselected patients, and guide recommendations for further research. SYSTEMATIC REVIEW REGISTRATION: PROSPERO CRD42017060871....

  3. Bernard Organ Failure Score in estimation of most severe forms of acute pancreatitis

    Directory of Open Access Journals (Sweden)

    Glišić Tijana

    2009-01-01

    Full Text Available Introduction. Despite intensive research, efforts and clinical investigations on pathogenesis of acute pancreatitis (AP and system morbidity during the illness onset, mortality is still very high in the group of severe forms. A significantly high number of patients show moderate, self-limited forms of illness, with a minimal degree of systemic or local complications, with full recovery. However, some of them have a severe form, followed by a high percent of morbidity and mortality, and system organ failure. The distinction between mild and severe forms of AP within 24-48 hours of hospital admission is very important for the treatment of these patients. The usage of multifactorial scoring systems holds a lot of promise, reaching reliability in the disease severity estimation of approximately 70-80%. Objective. The main purpose of this prospective study was to assess the correlation of the Acute Physiology and Chronic Health Evaluation II (APACHE II and the Bernard Organ Failure Score (BOFS scoring systems in estimation of disease severity and outcome prediction. Methods. Sixty patients with AP participated in the study, all of them scored with the APACHE II and BOFS scores. The results were used for integration of laboratory and clinical parameters. Results. In our study, we had a highly significant correlation between the APACHE II and BOFS scores from the disease onset until the end of treatment. There was a highly significant correlation between these two scores and the serum C-reactive protein concentration level. Conclusion. The concept of the BOFS score has more advantages than the APACHE II score in the patients with severe forms of AP with organ dysfunction.

  4. Root cause of failure analysis and the system engineer

    International Nuclear Information System (INIS)

    Coppock, M.S.; Hartwig, A.W.

    1990-01-01

    In an industry where ever-increasing emphasis is being placed on root cause of failure determination, it is imperative that a successful nuclear utility have an effective means of identifying failures and performing the necessary analyses. The current Institute of Nuclear Power Operations (INPO) good practice, OE-907, root-cause analysis, gives references to methodology that will help determine breakdowns in procedures, programs, or design but gives very little guidance on how or when to perform component root cause of failure analyses. The system engineers of nuclear utilities are considered the focal point for their respective systems and are required by most programs to investigate component failures. The problem that the system engineer faces in determining a component root cause of failures lies in acquisition of the necessary data to identify the need to perform the analysis and in having the techniques and equipment available to perform it. The system engineers at the Palo Verde nuclear generating station routinely perform detailed component root cause of failure analyses. The Palo Verde program provides the system engineers with the information necessary to identify when a component root cause of failure is required. Palo Verde also has the necessary equipment on-site to perform the analyses

  5. Common cause failure investigations using the European Reliability Data System

    International Nuclear Information System (INIS)

    Games, A.M.; Breewood, M.; Amendola, A.; Keller, A.Z.

    1984-01-01

    The European Reliability Data System (ERDS) has provided data for use in investigations into common cause failures (CCFs) in nuclear power plants. These investigations have been made on two levels, at a system and inter-system level. Data have been used from the Component Event Data Bank and from the Licensee Event Report Files, both part of the ERDS. The two studies required different methodologies although both commenced with a temporal sorting procedure for the failure events. The studies demonstrated that different types of common cause failure necessitate different search algorithms, and thus a data search must be closely related to an appropriate CCF classification system, which in the first instance would not be based on causes of failure. (author)

  6. Seismic ratchet-fatigue failure of piping systems

    International Nuclear Information System (INIS)

    Severud, L.K.; Anderson, M.J.; Lindquist, M.R.; Weiner, E.O.

    1986-01-01

    Failures of piping systems during earthquakes have been rare. Those that have failed were either made of brittle material such as cast iron, were rigid systems between major components where component relative seismic motions tore the pipe out of the component, or were high pressure systems where a ratchet-fatigue fracture followed a local bulging of the pipe diameter. Tests to failure of an unpressurized 3-in. and a pressurized 6-in. diameter carbon steel nuclear pipe systems subjected to high level shaking have been accomplished. Failure analyses of these tests are presented and correlated to the test results. It was found that failure of the unpressurized system could be correlated well with standard ASME type fatigue analysis predictions. Moreover, the pressurized system failure occurred in significantly less load cycles than predicted by standard fatigue analysis. However, a ratchet-fatigue and ductility exhaustion analysis of the pressurized system did correlate very well. These findings indicate modifications to design analysis methods and the present ASME Code piping design rules may be appropriate to cover the ratchet-fatigue failure mode

  7. Organization-and-technological model of medical care delivered to patients with chronic heart failure

    Directory of Open Access Journals (Sweden)

    Kiselev A.R.

    2014-09-01

    Full Text Available Organization-and-technological model of medical care delivered to patients with chronic heart failure based on IDEF0 methodology and corresponded with clinical guidelines is presented.

  8. Low molecular weight heparin attenuates multiple organ failure in a murine model of disseminated intravascular coagulation

    NARCIS (Netherlands)

    Slofstra, Sjoukje H.; van 't Veer, Cornelis; Buurman, Wim A.; Reitsma, Pieter H.; ten Cate, Hugo; Spek, C. Arnold

    2005-01-01

    OBJECTIVE: Bacterial sepsis causes widespread vascular inflammation that frequently leads to disseminated intravascular coagulation (DIC). Although intravascular coagulation contributes to organ failure, it is often debated whether anticoagulant therapy produces any beneficial effects in patients

  9. Effect of Component Failures on Economics of Distributed Photovoltaic Systems

    Energy Technology Data Exchange (ETDEWEB)

    Lubin, Barry T. [Univ. of Hartford, West Hartford, CT (United States)

    2012-02-02

    This report describes an applied research program to assess the realistic costs of grid connected photovoltaic (PV) installations. A Board of Advisors was assembled that included management from the regional electric power utilities, as well as other participants from companies that work in the electric power industry. Although the program started with the intention of addressing effective load carrying capacity (ELCC) for utility-owned photovoltaic installations, results from the literature study and recommendations from the Board of Advisors led investigators to the conclusion that obtaining effective data for this analysis would be difficult, if not impossible. The effort was then re-focused on assessing the realistic costs and economic valuations of grid-connected PV installations. The 17 kW PV installation on the University of Hartford's Lincoln Theater was used as one source of actual data. The change in objective required a more technically oriented group. The re-organized working group (changes made due to the need for more technically oriented participants) made site visits to medium-sized PV installations in Connecticut with the objective of developing sources of operating histories. An extensive literature review helped to focus efforts in several technical and economic subjects. The objective of determining the consequences of component failures on both generation and economic returns required three analyses. The first was a Monte-Carlo-based simulation model for failure occurrences and the resulting downtime. Published failure data, though limited, was used to verify the results. A second model was developed to predict the reduction in or loss of electrical generation related to the downtime due to these failures. Finally, a comprehensive economic analysis, including these failures, was developed to determine realistic net present values of installed PV arrays. Two types of societal benefits were explored, with quantitative valuations developed

  10. Modelling and Verifying Communication Failure of Hybrid Systems in HCSP

    DEFF Research Database (Denmark)

    Wang, Shuling; Nielson, Flemming; Nielson, Hanne Riis

    2016-01-01

    Hybrid systems are dynamic systems with interacting discrete computation and continuous physical processes. They have become ubiquitous in our daily life, e.g. automotive, aerospace and medical systems, and in particular, many of them are safety-critical. For a safety-critical hybrid system......, in the presence of communication failure, the expected control from the controller will get lost and as a consequence the physical process cannot behave as expected. In this paper, we mainly consider the communication failure caused by the non-engagement of one party in communication action, i.......e. the communication itself fails to occur. To address this issue, this paper proposes a formal framework by extending HCSP, a formal modeling language for hybrid systems, for modeling and verifying hybrid systems in the absence of receiving messages due to communication failure. We present two inference systems...

  11. Failure Diagnosis for the Holdup Tank System via ISFA

    Energy Technology Data Exchange (ETDEWEB)

    Li, Huijuan; Bragg-Sitton, Shannon; Smidts, Carol

    2016-11-01

    This paper discusses the use of the integrated system failure analysis (ISFA) technique for fault diagnosis for the holdup tank system. ISFA is a simulation-based, qualitative and integrated approach used to study fault propagation in systems containing both hardware and software subsystems. The holdup tank system consists of a tank containing a fluid whose level is controlled by an inlet valve and an outlet valve. We introduce the component and functional models of the system, quantify the main parameters and simulate possible failure-propagation paths based on the fault propagation approach, ISFA. The results show that most component failures in the holdup tank system can be identified clearly and that ISFA is viable as a technique for fault diagnosis. Since ISFA is a qualitative technique that can be used in the very early stages of system design, this case study provides indications that it can be used early to study design aspects that relate to robustness and fault tolerance.

  12. Impacts of age-related failures on nuclear systems

    International Nuclear Information System (INIS)

    Meale, B.M.; Satterwhite, D.G.; Krantz, E.A.; MacDonald, P.E.

    1986-01-01

    Aging-related failure data from nine light water reactor safety, support, and power conversion systems have been extracted from an operational data base. Systems and components within the systems that are most affected by aging are identified. In addition, information on aging-related root causes of component failures has been extracted for service water and Class 1E electrical power distribution systems. Engineering insights are presented, and preliminary quantification of the importance of aging-related root causes for a service water system is provided

  13. Sensor Failure Detection of FASSIP System using Principal Component Analysis

    Science.gov (United States)

    Sudarno; Juarsa, Mulya; Santosa, Kussigit; Deswandri; Sunaryo, Geni Rina

    2018-02-01

    In the nuclear reactor accident of Fukushima Daiichi in Japan, the damages of core and pressure vessel were caused by the failure of its active cooling system (diesel generator was inundated by tsunami). Thus researches on passive cooling system for Nuclear Power Plant are performed to improve the safety aspects of nuclear reactors. The FASSIP system (Passive System Simulation Facility) is an installation used to study the characteristics of passive cooling systems at nuclear power plants. The accuracy of sensor measurement of FASSIP system is essential, because as the basis for determining the characteristics of a passive cooling system. In this research, a sensor failure detection method for FASSIP system is developed, so the indication of sensor failures can be detected early. The method used is Principal Component Analysis (PCA) to reduce the dimension of the sensor, with the Squarred Prediction Error (SPE) and statistic Hotteling criteria for detecting sensor failure indication. The results shows that PCA method is capable to detect the occurrence of a failure at any sensor.

  14. Organizing Systemic Innovation

    NARCIS (Netherlands)

    F.P.H. Jaspers (Ferdinand)

    2009-01-01

    textabstractSystemic innovation refers to product development activities that involve the change of multiple interdependent components. Unlike autonomous innovation, which refers to components that change independently, systemic innovation is for many firms the norm rather than the exception. This

  15. Endovascular retrieval of a CardioMEMS heart failure system

    Directory of Open Access Journals (Sweden)

    Arun Reghunathan, MD

    2018-04-01

    Full Text Available As the creation and utilization of new implantable devices increases, so does the need for interventionalists to devise unique retrieval mechanisms. This report describes the first endovascular retrieval of a CardioMEMS heart failure monitoring device. A 20-mm gooseneck snare was utilized in conjunction with a 9-French sheath and Envoy catheter for retrieval. The patient suffered no immediate postprocedural complications but died 5 days after the procedure from multiorgan failure secondary to sepsis. Keywords: CardioMEMS heart failure system, Endovascular retrieval

  16. Risk analysis of power supply failure of LNQ system

    International Nuclear Information System (INIS)

    Si Xianguo; Kuang Bo; Shang Youming

    2008-01-01

    This article introduces 220 V uninterrupted AC supply system (called LNQ system) of conventional island in NPQJVC, and analyses the aftermath and potential in- fluence to unit due to the failure of LNQ system, so as to find out corresponding countermeasures for operator's to adopt appropriate operation to reduce the consequence. (authors)

  17. Analysis of contaminated field failure data for repairable systems

    DEFF Research Database (Denmark)

    Hansen, Christian Kornerup; Thyregod, Poul

    1991-01-01

    A simple model for electronic systems with repair, and a method for analyzing recorded field failure data for such systems are presented. The work performed has resulted in analytical results that may be used for assessing the product reliability. The method was originally developed for use under...... ideal circumstances, but it has been adapted for use with contaminated data (i.e., data where the failure times are observed embedded by noise). A simple model for the noise that enables an analytical solution for the mean cumulative number of failures is proposed. The method is illustrated...... by an example of industrial failure data. The effect caused by contamination in this data is investigated under a worst case assumption. The example indicates that the model is robust to contamination...

  18. Embedded mechatronic systems 1 analysis of failures, predictive reliability

    CERN Document Server

    El Hami, Abdelkhalak

    2015-01-01

    In operation, mechatronics embedded systems are stressed by loads of different causes: climate (temperature, humidity), vibration, electrical and electromagnetic. These stresses in components which induce failure mechanisms should be identified and modeled for better control. AUDACE is a collaborative project of the cluster Mov'eo that address issues specific to mechatronic reliability embedded systems. AUDACE means analyzing the causes of failure of components of mechatronic systems onboard. The goal of the project is to optimize the design of mechatronic devices by reliability. The projec

  19. Transcending Organization in Temporary Systems

    DEFF Research Database (Denmark)

    Stjerne, Iben Sandal

    are organized by transcending organization that go beyond the individual firm and replaces what used to be organized inside the firm. Following several calls for further research on these topics, this dissertation is a small step along the way as it investigates how work and employment are organized...... in temporary systems that lack stability and formal order. It advances our understanding of transcending organization in creative industries by adopting a practice based perspective. Empirically, the dissertation presents an in-depth study of the Danish film industry, which is an extreme case of a project...

  20. Failure modes and effects analysis of fusion magnet systems

    International Nuclear Information System (INIS)

    Zimmermann, M.; Kazimi, M.S.; Siu, N.O.; Thome, R.J.

    1988-12-01

    A failure modes and consequence analysis of fusion magnet system is an important contributor towards enhancing the design by improving the reliability and reducing the risk associated with the operation of magnet systems. In the first part of this study, a failure mode analysis of a superconducting magnet system is performed. Building on the functional breakdown and the fault tree analysis of the Toroidal Field (TF) coils of the Next European Torus (NET), several subsystem levels are added and an overview of potential sources of failures in a magnet system is provided. The failure analysis is extended to the Poloidal Field (PF) magnet system. Furthermore, an extensive analysis of interactions within the fusion device caused by the operation of the PF magnets is presented in the form of an Interaction Matrix. A number of these interactions may have significant consequences for the TF magnet system particularly interactions triggered by electrical failures in the PF magnet system. In the second part of this study, two basic categories of electrical failures in the PF magnet system are examined: short circuits between the terminals of external PF coils, and faults with a constant voltage applied at external PF coil terminals. An electromagnetic model of the Compact Ignition Tokamak (CIT) is used to examine the mechanical load conditions for the PF and the TF coils resulting from these fault scenarios. It is found that shorts do not pose large threats to the PF coils. Also, the type of plasma disruption has little impact on the net forces on the PF and the TF coils. 39 refs., 30 figs., 12 tabs

  1. Triplexer Monitor Design for Failure Detection in FTTH System

    Science.gov (United States)

    Fu, Minglei; Le, Zichun; Hu, Jinhua; Fei, Xia

    2012-09-01

    Triplexer was one of the key components in FTTH systems, which employed an analog overlay channel for video broadcasting in addition to bidirectional digital transmission. To enhance the survivability of triplexer as well as the robustness of FTTH system, a multi-ports device named triplexer monitor was designed and realized, by which failures at triplexer ports can be detected and localized. Triplexer monitor was composed of integrated circuits and its four input ports were connected with the beam splitter whose power division ratio was 95∶5. By means of detecting the sampled optical signal from the beam splitters, triplexer monitor tracked the status of the four ports in triplexer (e.g. 1310 nm, 1490 nm, 1550 nm and com ports). In this paper, the operation scenario of the triplexer monitor with external optical devices was addressed. And the integrated circuit structure of the triplexer monitor was also given. Furthermore, a failure localization algorithm was proposed, which based on the state transition diagram. In order to measure the failure detection and localization time under the circumstance of different failed ports, an experimental test-bed was built. Experiment results showed that the detection time for the failure at 1310 nm port by the triplexer monitor was less than 8.20 ms. For the failure at 1490 nm or 1550 nm port it was less than 8.20 ms and for the failure at com port it was less than 7.20 ms.

  2. Incorporating Cyber Layer Failures in Composite Power System Reliability Evaluations

    Directory of Open Access Journals (Sweden)

    Yuqi Han

    2015-08-01

    Full Text Available This paper proposes a novel approach to analyze the impacts of cyber layer failures (i.e., protection failures and monitoring failures on the reliability evaluation of composite power systems. The reliability and availability of the cyber layer and its protection and monitoring functions with various topologies are derived based on a reliability block diagram method. The availability of the physical layer components are modified via a multi-state Markov chain model, in which the component protection and monitoring strategies, as well as the cyber layer topology, are simultaneously considered. Reliability indices of composite power systems are calculated through non-sequential Monte-Carlo simulation. Case studies demonstrate that operational reliability downgrades in cyber layer function failure situations. Moreover, protection function failures have more significant impact on the downgraded reliability than monitoring function failures do, and the reliability indices are especially sensitive to the change of the cyber layer function availability in the range from 0.95 to 1.

  3. Mean Time to System Failure and Availability Modeling of a ...

    African Journals Online (AJOL)

    Yusuf (2012) deal with the analysis of 3-out-of-. 4 cold standby system in the presence of preventive maintenance. Mokaddis et al (2009) investigated the probabilistic of a two unit warm standby system with constant failure time and two types of repairmen and patience time using regenerative point technique. In this paper ...

  4. Measurement and Analysis of Failures in Computer Systems

    Science.gov (United States)

    Thakur, Anshuman

    1997-01-01

    This thesis presents a study of software failures spanning several different releases of Tandem's NonStop-UX operating system running on Tandem Integrity S2(TMR) systems. NonStop-UX is based on UNIX System V and is fully compliant with industry standards, such as the X/Open Portability Guide, the IEEE POSIX standards, and the System V Interface Definition (SVID) extensions. In addition to providing a general UNIX interface to the hardware, the operating system has built-in recovery mechanisms and audit routines that check the consistency of the kernel data structures. The analysis is based on data on software failures and repairs collected from Tandem's product report (TPR) logs for a period exceeding three years. A TPR log is created when a customer or an internal developer observes a failure in a Tandem Integrity system. This study concentrates primarily on those TPRs that report a UNIX panic that subsequently crashes the system. Approximately 200 of the TPRs fall into this category. Approximately 50% of the failures reported are from field systems, and the rest are from the testing and development sites. It has been observed by Tandem developers that fewer cases are encountered from the field than from the test centers. Thus, the data selection mechanism has introduced a slight skew.

  5. Nonorganic Failure-to-Thrive Syndrome and the Family System.

    Science.gov (United States)

    Alderette, Paula; deGraffenried, Donald F.

    1986-01-01

    Argues that nonorganic failure-to-thrive syndrome (NFTT) in infants is the result of family disengagement--the family system's maladaptive style of interaction. Proposes a systems-based approach to diagnosis and to treatment, focusing on the process of disengagement and other interaction factors. (Author/ABB)

  6. Designing and Implementation of a Heart Failure Telemonitoring System.

    Science.gov (United States)

    Safdari, Reza; Jafarpour, Maryam; Mokhtaran, Mehrshad; Naderi, Nasim

    2017-09-01

    The aim of this study was to identify patients at-risk, enhancing self-care management of HF patients at home and reduce the disease exacerbations and readmissions. In this research according to standard heart failure guidelines and Semi-structured interviews with 10 heart failure Specialists, a draft heart failure rule set for alerts and patient instructions was developed. Eventually, the clinical champion of the project vetted the rule set. Also we designed a transactional system to enhance monitoring and follow up of CHF patients. With this system, CHF patients are required to measure their physiological measurements (vital signs and body weight) every day and to submit their symptoms using the app. additionally, based on their data, they will receive customized notifications and motivation messages to classify risk of disease exacerbation. The architecture of system comprised of six major components: 1) a patient data collection suite including a mobile app and website; 2) Data Receiver; 3) Database; 4) a Specialists expert Panel; 5) Rule engine classifier; 6) Notifier engine. This system has implemented in Iran for the first time and we are currently in the testing phase with 10 patients to evaluate the technical performance of our system. The developed expert system generates alerts and instructions based on the patient's data and the notify engine notifies responsible nurses and physicians and sometimes patients. Detailed analysis of those results will be reported in a future report. This study is based on the design of a telemonitoring system for heart failure self-care that intents to overcome the gap that occurs when patients discharge from the hospital and tries to accurate requirement of readmission. A rule set for classifying and resulting automated alerts and patient instructions for heart failure telemonitoring was developed. It also facilitates daily communication among patients and heart failure clinicians so any deterioration in health could be

  7. The use of sequential organ failure assessment parameters in an awake porcine model of severe Staphylococcus aureus sepsis

    DEFF Research Database (Denmark)

    Sørensen, Karen E.; Nielsen, Ole L.; Birck, Malene M.

    2012-01-01

    The human sequential organ failure assessment (SOFA) scoring system is used worldwide in intensive care units for assessing the extent of organ dysfunction/failure in patients with severe sepsis. An increasing number of septic cases are caused by Gram-positive bacteria as Staphylococcus aureus....... The aim of the current study was to apply the human SOFA parameters in an awake, porcine model of severe S. aureus sepsis. Five pigs were inoculated intravenously with S. aureus and two control animals were sham-inoculated. Extensive clinical monitoring and sequential blood sampling was obtained...... the liver was affected earlier in pigs compared to humans. The use of human SOFA parameters was valuable in identifying dysfunctional/failing organs and showed consistency between this porcine model and human severe sepsis. Applying SOFA parameters in this model increased the relevance for comparison...

  8. Common Cause Failure Analysis for the Digital Plant Protection System

    International Nuclear Information System (INIS)

    Kagn, Hyun Gook; Jang, Seung Cheol

    2005-01-01

    Safety-critical systems such as nuclear power plants adopt the multiple-redundancy design in order to reduce the risk from the single component failure. The digitalized safety-signal generation system is also designed based on the multiple-redundancy strategy which consists of more redundant components. The level of the redundant design of digital systems is usually higher than those of conventional mechanical systems. This higher redundancy would clearly reduce the risk from the single failure of components, but raise the importance of the common cause failure (CCF) analysis. This research aims to develop the practical and realistic method for modeling the CCF in digital safety-critical systems. We propose a simple and practical framework for assessing the CCF probability of digital equipment. Higher level of redundancy causes the difficulty of CCF analysis because it results in impractically large number of CCF events in the fault tree model when we use conventional CCF modeling methods. We apply the simplified alpha-factor (SAF) method to the digital system CCF analysis. The precedent study has shown that SAF method is quite realistic but simple when we consider carefully system success criteria. The first step for using the SAF method is the analysis of target system for determining the function failure cases. That is, the success criteria of the system could be derived from the target system's function and configuration. Based on this analysis, we can calculate the probability of single CCF event which represents the CCF events resulting in the system failure. In addition to the application of SAF method, in order to accommodate the other characteristics of digital technology, we develop a simple concept and several equations for practical use

  9. Bounds for the time to failure of hierarchical systems of fracture

    DEFF Research Database (Denmark)

    Gómez, J.B.; Vázquez-Prada, M.; Moreno, Y.

    1999-01-01

    an exact algebraic iterative method to compute the successive time intervals for individual breaking in systems of height n in terms of the information calculated in the previous height n - 1. As a byproduct of this method, rigorous lower and higher bounds for the time to failure of very large systems......For years limited Monte Carlo simulations have led to the suspicion that the time to failure of hierarchically organized load-transfer models of fracture is nonzero for sets of infinite size. This fact could have profound significance in engineering practice and also in geophysics. Here, we develop...

  10. Beam systems without failures - What can be done?

    International Nuclear Information System (INIS)

    Solfaroli Camillocci, M.; Uythoven, J.

    2012-01-01

    The beam dumps at 3.5 TeV triggered by interlocks not related to the magnet powering are discussed. This concerns the systems like the RF, the transverse feedbacks, beam instrumentation, beam dumping system, collimators and control systems. An analysis of the reasons of these dumps is presented together with a possible strategy to mitigate the effect of these failures. It is very important to notice that no system has been identified to have any structural problem

  11. [ANMCO/SIC Consensus document: The heart failure network: organization of outpatient care].

    Science.gov (United States)

    Aspromonte, Nadia; Gulizia, Michele Massimo; Di Lenarda, Andrea; Mortara, Andrea; Battistoni, Ilaria; De Maria, Renata; Gabriele, Michele; Iacoviello, Massimo; Navazio, Alessandro; Pini, Daniela; Di Tano, Giuseppe; Marini, Marco; Ricci, Renato Pietro; Alunni, Gianfranco; Radini, Donatella; Metra, Marco; Romeo, Francesco

    2016-01-01

    Changing demographics and an increasing burden of multiple chronic comorbidities in western countries dictate refocusing of heart failure (HF) services from acute in-hospital care to better support the long inter-critical out-of-hospital phases of HF. The needs of the HF population are not adequately addressed by current HF outpatient services, as documented by differences in age, gender, comorbidities and recommended therapies between patients discharged for hospitalized HF and those followed up at HF clinics.The Working Group on Heart Failure of the Italian Association of Hospital Cardiologists (ANMCO) has drafted a consensus document for the organization of a national HF care network. The aims of this document are to describe tasks and requirements of the different health system points of contact for HF patients, and to define how diagnosis, management and care processes should be documented and shared among healthcare professionals. In this document, HF clinics are classified into three groups: 1) community HF clinics, devoted to the management of stable patients in strict liaison with primary care, regular re-evaluation of emerging clinical needs and prompt treatment of impending destabilizations, 2) hospital HF clinics, that target both new-onset and chronic HF patients for diagnostic assessment, treatment planning and early post-discharge follow-up. They act as main referral for medicine units and community clinics; 3) advanced HF clinics, directed at patients with severe disease or persistent clinical instability, candidates to advanced treatment options such as heart transplant or mechanical circulatory support. These different types of HF clinics are integrated in a dedicated network for the management of HF patients on a regional basis, according to geographic features. By sharing predefined protocols and communication systems, these HF networks integrate multiprofessional providers to ensure continuity of care. This consensus document is expected to

  12. Investigations of inter-system common cause failures

    International Nuclear Information System (INIS)

    Nonclerca, P.; Gallois, M.; Vasseur, D.

    2012-01-01

    Intra-system common-cause failures (CCF) are widely studied and addressed in existing PSA models, but the information and studies that incorporate the potential for inter-system CCF is limited. However, the French Safety Authority has requested that EDF investigate the possibility of common-cause failure across system boundaries for Flamanville 3 (an EPR design). Also, the modeling of inter-system CCF, or the proof that their impact is negligible, would satisfy Capability Category III for one of the requirements in the ASME/ANS PRA standard in the U.S. EDF and EPRI have been working on a method to assess when it is necessary to take into account inter-system CCF in a PSA model between 2008 and 2010. This method is based both on the likelihood of inter-system CCF and on its demonstrated potential impact on CDF (core damage frequency). This method was first applied on pumps in different systems of the 900 MWe series plants. The second application concerned the motor-operated valves across different systems, using the same PSA model. This second application helped us refine the method, which was not optimal when the number of concerned components is very large. Since then, the method has been successfully applied on the pumps and 10 kV breakers of the EPR power plant in Flamanville. This paper describes the method and the results obtained in some of these studies. All studies have shown either that components in different systems, when they were not already part of a common cause failure group in the model, are not susceptible to common causes of failure, or that the potential for inter-system common-cause failure is negligible regarding the overall risk. (authors)

  13. Computer aided approach to qualitative and quantitative common cause failure analysis for complex systems

    International Nuclear Information System (INIS)

    Cate, C.L.; Wagner, D.P.; Fussell, J.B.

    1977-01-01

    Common cause failure analysis, also called common mode failure analysis, is an integral part of a complete system reliability analysis. Existing methods of computer aided common cause failure analysis are extended by allowing analysis of the complex systems often encountered in practice. The methods aid in identifying potential common cause failures and also address quantitative common cause failure analysis

  14. Self-Organized Transport System

    Science.gov (United States)

    2009-09-28

    This report presents the findings of the simulation model for a self-organized transport system where traffic lights communicate with neighboring traffic lights and make decisions locally to adapt to traffic conditions in real time. The model is insp...

  15. Prediction of dynamic expected time to system failure

    Energy Technology Data Exchange (ETDEWEB)

    Oh, Deog Yeon; Lee, Chong Chul [Korea Nuclear Fuel Co., Ltd., Taejon (Korea, Republic of)

    1997-12-31

    The mean time to failure (MTTF) expressing the mean value of the system life is a measure of system effectiveness. To estimate the remaining life of component and/or system, the dynamic mean time to failure concept is suggested. It is the time-dependent property depending on the status of components. The Kalman filter is used to estimate the reliability of components using the on-line information (directly measured sensor output or device-specific diagnostics in the intelligent sensor) in form of the numerical value (state factor). This factor considers the persistency of the fault condition and confidence level in measurement. If there is a complex system with many components, each calculated reliability`s of components are combined, which results in the dynamic MTTF of system. The illustrative examples are discussed. The results show that the dynamic MTTF can well express the component and system failure behaviour whether any kinds of failure are occurred or not. 9 refs., 6 figs. (Author)

  16. Acute Respiratory Failure due to Alveolar Hemorrhage after Exposure to Organic Dust

    Directory of Open Access Journals (Sweden)

    Sun Mi Choi

    2016-05-01

    Full Text Available Diffuse alveolar hemorrhage (DAH is associated with severe outcomes. We report a case of acute respiratory failure that required mechanical ventilation and was clinically and pathologically diagnosed as DAH related to exposure to organic dust. A 39-year-old man, who had visited a warehouse to grade beans for purchase, was referred to our hospital for impending respiratory failure. His initial radiographic examinations revealed diffuse bilateral ground-glass opacities in his lungs and bronchoalveolar lavage resulted in progressively bloodier returns, which is characteristic of DAH. He underwent bedside open lung biopsy of his right lower lobe in the intensive care unit. Biopsy results revealed DAH and organization with accumulation of hemosiderin-laden macrophages and a few fibroblastic foci. The patient was treated with empirical antibiotics and high-dose corticosteroids and successfully weaned from mechanical ventilation. DAH might be considered in the differential diagnosis of patients with acute respiratory failure after exposure to organic particles.

  17. Profound Endothelial Damage Predicts Impending Organ Failure and Death in Sepsis

    DEFF Research Database (Denmark)

    Johansen, Maria E; Johansson, Pär I.; Ostrowski, Sisse R

    2015-01-01

    Endothelial damage contributes to organ failure and mortality in sepsis, but the extent of the contribution remains poorly quantified. Here, we examine the association between biomarkers of superficial and profound endothelial damage (syndecan-1 and soluble thrombomodulin [sTM], respectively......), organ failure, and death in sepsis. The data from a clinical trial, including critically ill patients predominantly suffering sepsis (Clinicaltrials.gov: NCT00271752) were studied. Syndecan-1 and sTM levels at the time of study enrollment were determined. The predictive ability of biomarker levels...... patients. Our findings also suggest that the detrimental effect of profound endothelial damage on risk of death operates via mechanisms other than causing organ failures per se. Therefore, damage to the endothelium appears centrally involved in the pathogenesis of death in sepsis and could be a target...

  18. [The care of patients with end-stage organ-failure. Where? How? When?].

    Science.gov (United States)

    Geddes da Filicaia, Marco

    2014-01-01

    The management of patients with end-stage organ failure necessitates a considerable integration between palliative care and those who care the patient in different clinical settings: the general practitioner, who is - or should be - always involved and, in relation to the steps of care, the emergency department, the hospital units, and the intensive care unit. The staff involved should have skills and competences to plan with the patient or his/her family a shared schedule, which may result in the interruption of disproportionate treatments. All this leads to many concerns discussed in the document by the Società Italiana di Anestesia Analgesia Rianimazione e Terapia Intensiva (SIAARTI); the paper provides a useful guide to where, how, and when we care, inform, and communicate. In this editorial, the author discusses these three topics, setting them in the reality of the Italian health care system. The aim is to emphasize the aspects of space, time and organization of care, focusing on the communication challenges that influence the process of defining a "shared schedule" between the patients, their families, and the health care system.

  19. Study on real-time elevator brake failure predictive system

    Science.gov (United States)

    Guo, Jun; Fan, Jinwei

    2013-10-01

    This paper presented a real-time failure predictive system of the elevator brake. Through inspecting the running state of the coil by a high precision long range laser triangulation non-contact measurement sensor, the displacement curve of the coil is gathered without interfering the original system. By analyzing the displacement data using the diagnostic algorithm, the hidden danger of the brake system can be discovered in time and thus avoid the according accident.

  20. Test system to simulate transient overpower LMFBR cladding failure

    International Nuclear Information System (INIS)

    Barrus, H.G.; Feigenbutz, L.V.

    1981-01-01

    One of the HEDL programs has the objective to experimentally characterize fuel pin cladding failure due to cladding rupture or ripping. A new test system has been developed which simulates a transient mechanically-loaded fuel pin failure. In this new system the mechanical load is prototypic of a fuel pellet rapidly expanding against the cladding due to various causes such as fuel thermal expansion, fuel melting, and fuel swelling. This new test system is called the Fuel Cladding Mechanical Interaction Mandrel Loading Test (FCMI/MLT). The FCMI/MLT test system and the method used to rupture cladding specimens very rapidly to simulate a transient event are described. Also described is the automatic data acquisition and control system which is required to control the startup, operation and shutdown of the very fast tests, and needed to acquire and store large quantities of data in a short time

  1. Dynamic prediction of mortality among patients in intensive care using the sequential organ failure assessment (SOFA) score: a joint competing risk survival and longitudinal modeling approach

    NARCIS (Netherlands)

    Musoro, Jammbe Z.; Zwinderman, Aeilko H.; Abu-Hanna, Ameen; Bosman, Rob; Geskus, Ronald B.

    2018-01-01

    In intensive care units (ICUs), besides routinely collected admission data, a daily monitoring of organ dysfunction using scoring systems such as the sequential organ failure assessment (SOFA) score has become practice. Such updated information is valuable in making accurate predictions of patients'

  2. TECHNICAL BASIS DOCUMENT FOR VENTILATION SYSTEM FILTRATION FAILURE LEADING TO AN UNFILTERED RELEASE

    Energy Technology Data Exchange (ETDEWEB)

    KOZLOWSKI, S.D.

    2005-01-06

    This document analyzed three scenarios involving failures of HEPA filtration systems leading to releases from liquid waste tanks. The scenarios are failure due to high temperature (fire), overpressure (filter blowout), and unfiltered release due to filter failure, improper installation. etc.

  3. Systemic sarcoidosis complicated of acute renal failure: about 12 cases.

    Science.gov (United States)

    Mahfoudhi, Madiha; Mamlouk, Habiba; Turki, Sami; Kheder, Adel

    2015-01-01

    The sarcoidosis is a systemic granulomatosis affecting most frequently the lungs and the mediastinum. An acute renal failure reveals exceptionally this disease. It's a retrospective study implicating 12 cases of sarcoidosis complicated of acute renal failure. The aim of this study is to determine epidemiological, clinical, biological and histological profile in these cases and then to indicate the interest to consider the diagnosis of sarcoidosis in cases of unexplained renal failure. Extra-renal complications, therapeutic modalities and the outcome were determined in all patients. Our series involved 12 women with an average age of 40 years. Biological investigations showed an abnormal normocalcemia in 7 cases, a hypercalcemia in 5 cases, a hypercalciuria in 10 cases and polyclonal hypergammaglobulinemia in 7 cases. An acute renal failure was found in all patients with a median creatinin of 520 umol/L. For all patients, the renal echography was normal however, the kidney biopsy showed tubulo-interstitial nephritis. The extra-renal signs highlighting pulmonary interstitial syndrome in 5 cases, a sicca syndrome in 4 cases, mediastinal lymph nodes in 2 cases, a lymphocytic alveolitis in 3 cases, an anterior granulomatous uveitis in 2 cases and a polyarthritis in 5 cases. Five patients benefited of hemodialysis. The treatment consisted of corticosteroid in all cases. The follow up was marked by complete resolution of clinical and biological signs. The diagnosis of renal sarcoidosis must be done quickly to prevent renal failure.

  4. [The influence of symbiotics in multi-organ failure: randomised trial].

    Science.gov (United States)

    López de Toro Martín-Consuegra, Ismael; Sanchez-Casado, Marcelino; Pérez-Pedrero Sánchez-Belmonte, M José; López-Reina Torrijos, Pilar; Sánchez-Rodriguez, Pilar; Raigal-Caño, Ana; Heredero-Galvez, Eva; Zubigaray, Susana Brea-; Arrese-Cosculluela, M Ángeles

    2014-08-19

    To assess whether the administration of symbiotic preparations in patients with multi-organ failure (MOF) diminishes the evolution of the failure, the inflammatory response generated, the colonization pattern and the Intensive Care Unit (ICU) infectious illness. Randomized and controlled trial. All patients with MOF were included. Neutropenia and acute pancreatitis patients were excluded. A symbiotic (Simbiotic Drink) was administered via enteral feeding during the first 7 days. Variables of interest were: Sequential Organ Failure Assessment (SOFA) score evolution, systemic concentrations of lactate, fibrinogen and D-dimer; skin and mucosa colonization and infectious disease register. Eighty-nine patients were included; 46 in the symbiotic group (SG) and 43 in the control group (CG). There were 68.5% males, with a median age of 69 years. There were no significant differences in the patients' fundamental characteristics (medical history, age, reason for admission, severity scores), nor in the length of ICU stay or in mortality. Comparing the SG with the CG, there were lower lactate levels on the second day, more fibrinogen levels on the days 5 and 7, and lower D-dimer levels on the day 7. Eight hundred and ninety-five cultures were performed for colonization assessment, with isolation of 528 microorganisms. No differences in microbiological resistance were found; there were more colonization in the SG by Candida in mucous membranes after the third day; this situation resolved after stopping symbiotic administration. Twenty-two patients suffered an infectious disease in ICU, 14 in SG (42.4%) and 19 in CG (57.6%). Although no differences were found in the microbiological pattern, there was a predominance of Candida spp. over other microorganisms (4 vs. 0 cases). The symbiotic preparation Simbiotic Drink, administered in MOF, results in differences to improve the early lactate levels and late fibrinogen/D-dimer levels as well as mucosa colonization by Candida. There

  5. Information Technology Management System: an Analysis on Computational Model Failures for Fleet Management

    Directory of Open Access Journals (Sweden)

    Jayr Figueiredo de Oliveira

    2013-10-01

    Full Text Available This article proposes an information technology model to evaluate fleet management failure. Qualitative research done by a case study within an Interstate Transport company in a São Paulo State proposed to establish a relationship between computer tools and valid trustworthy information needs, and within an acceptable timeframe, for decision making, reliability, availability and system management. Additionally, the study aimed to provide relevant and precise information, in order to minimize and mitigate failure actions that may occur, compromising all operational organization base functioning.

  6. Tadalafil: Protective Action against the Development of Multiple Organ Failure Syndrome

    Directory of Open Access Journals (Sweden)

    Granville G. de Oliveira

    Full Text Available Abstract Introduction: Multiple organ failure syndrome (MOFS is a pathology associated to unspecified and severe trauma, characterized by elevated morbidity and mortality. The complex inflammatory MOFS-related reactions generate important ischemia-reperfusion responses in the induction of this syndrome. Nitric oxide elevation, through the activation of cyclic guanosine monophosphate (cGMP, has the potential of counteracting the typical systemic vasoconstriction, and platelet-induced hypercoagulation. Tadalafil would possibly act protectively by reducing cGMP degradation with consequent diffuse vasodilatation, besides reduction of platelet-induced hypercoagulation, thus, preventing multiple organ failure syndrome development. Methods: The experimental protocol was previously approved by an institution animal research committee. Experimental MOFS was induced through the stereotaxic micro-neurosurgical bilateral anterior hypothalamic lesions model. Groups of 10 Wistar rats were divided into: a Non-operated control; b Operated control group; c 2 hours after tadalafil-treated operated group; d 4 hours after tadalafil-treated operated group; e 8 hours after post-treated operated group. The animals were sacrificed 24 hours after the neurosurgical procedure and submitted to histopathologic examination of five organs: brain, lungs, stomach, kidneys, and liver. Results: The electrolytic hypothalamic lesions resulted in a full picture of MOFS with disseminated multiple-organs lesions, provoked primarily by diffusely spread micro-thrombi. The treatment with tadalafil 2 hours after the micro-neurosurgical lesions reduced the experimental MOFS lesions development, in a highly significant level (P<0.01 of 58.75%. The treatment with tadalafil, 4 hours after the micro-neurosurgically-induced MOFS lesions, also reduced in 49.71%, in a highly significant level (P<0.01. Finally, the treatment with tadalafil 8 hours after the neurosurgical procedure resulted in a

  7. Sensor failure detection in dynamical systems by Kalman filtering methodology

    International Nuclear Information System (INIS)

    Ciftcioglu, O.

    1991-03-01

    Design of a sensor failure detection system by Kalman filtering methodology is described. The method models the process systems in state-space form, the information on each state being provided by relevant sensors present in the process system. Since the measured states are usually subject to noise, the estimation of the states optimally is an essential requirement. To this end the detection system comprises Kalman estimation filters, the number of which is equal to the number of states concerned. The estimated state of a particular signal in each filter is compared with the corresponding measured signal and difference beyond a predetermined bound is identified as failure, the sensor being identified/isolated as faulty. (author). 19 refs.; 8 figs.; 1 tab

  8. Penstock failure detection system at the 'Valsan' hydro power plant

    International Nuclear Information System (INIS)

    Georgescu, A M; Coşoiu, C I; Alboiu, N; Hlevca, D; Tataroiu, R; Popescu, O

    2012-01-01

    'Valsan' is a small Hydro Power Plant, 5 MW, situated at about 160 km north of Bucharest, Romania, on the small 'Valsan' river in a remote mountainous area. It is equipped with a single Francis turbine. The penstock is located in the access shaft of the HPP. 'Hidroelectrica', the Romanian company that operates the HPP, was trying to implement a remote penstock failure detection system. Starting from a classic hydraulic problem, the authors of the paper derived a method for failure detection and localization on the pipe. The method assumes the existence of 2 flow meters and 2 pressure transducers at the inlet and outlet of the pressurized pipe. Calculations have to be based on experimental values measured in a permanent regime for different values of the flow rate. The method was at first tested on a pipe, in the Hydraulic Laboratory of the Technical University of Civil Engineering Bucharest. Pipe failure was modelled by opening of a valve on a tee branch of the analyzed pipe. Experimental results were found to be in good agreement with theoretical ones. The penstock of the 'Valsan' HPP, was modelled in EPANET, in order to: i) test the method at a larger scale; ii) get the right flow and pressure transducers that are needed to implement it. At the request of 'Hidroelectrica' a routine that computes the efficiency of the turbine was added to the monitoring software. After the system was implemented, another series of measurements were performed at the site in order to validate it. Failure was modelled by opening an existing valve on a branch of the penstock. Detection of the failure was correct and almost instantaneous, while failure location was accurate within 5% of the total penstock length.

  9. Penstock failure detection system at the "Valsan" hydro power plant

    Science.gov (United States)

    Georgescu, A. M.; Coşoiu, C. I.; Alboiu, N.; Hlevca, D.; Tataroiu, R.; Popescu, O.

    2012-11-01

    "Valsan" is a small Hydro Power Plant, 5 MW, situated at about 160 km north of Bucharest, Romania, on the small "Valsan" river in a remote mountainous area. It is equipped with a single Francis turbine. The penstock is located in the access shaft of the HPP. "Hidroelectrica", the Romanian company that operates the HPP, was trying to implement a remote penstock failure detection system. Starting from a classic hydraulic problem, the authors of the paper derived a method for failure detection and localization on the pipe. The method assumes the existence of 2 flow meters and 2 pressure transducers at the inlet and outlet of the pressurized pipe. Calculations have to be based on experimental values measured in a permanent regime for different values of the flow rate. The method was at first tested on a pipe, in the Hydraulic Laboratory of the Technical University of Civil Engineering Bucharest. Pipe failure was modelled by opening of a valve on a tee branch of the analyzed pipe. Experimental results were found to be in good agreement with theoretical ones. The penstock of the "Valsan" HPP, was modelled in EPANET, in order to: i) test the method at a larger scale; ii) get the right flow and pressure transducers that are needed to implement it. At the request of "Hidroelectrica" a routine that computes the efficiency of the turbine was added to the monitoring software. After the system was implemented, another series of measurements were performed at the site in order to validate it. Failure was modelled by opening an existing valve on a branch of the penstock. Detection of the failure was correct and almost instantaneous, while failure location was accurate within 5% of the total penstock length.

  10. Multiple organ failure in the newborn: the point of view of the pathologist

    Directory of Open Access Journals (Sweden)

    Clara Gerosa

    2014-06-01

    Full Text Available One of the most severe events occurring in critically ill patients admitted to a neonatal intensive care unit (NICU center is represented by the multiple organ failure (MOF, a systemic inflammatory response leading to a progressive organ dysfunction and mortality in newborns. MOF may occur in newborns primarily affected by multiple single organ diseases, including respiratory distress syndrome neonatal sepsis with acute kidney injury, post-asphyxial hypoxic-ischemic encephalopathy and pandemic influenza A (H1N1 infection. In a previous article from our group, based on the histological examination of all organs at autopsy of newborns affected by MOF, all organs studied did not escape to be damaged, including thymus and pancreas normally not mentioned in the literature of MOF. The aim of this article is to review the most important pathological changes pathologists should look for in every case of MOF occurring in the perinatal period, with particular attention to systemic endothelial changes occurring in blood vessels in all organs and sytems. On the basis of our experience, matching data during the last phases of the clinicopathological diagnosis represents a useful method, much more productive as compared to the method based on giving pathological answers to the clinical questions prospected before autopsy. As for the pathological features observed in neonatal MOF, one of them deserves a particular attention: the vascular lesions, and in particular the multiple changes occurring during MOF development in endothelial cells, ending with the loss of the endothelial barrier, probably the most relevant histological lesion followed by the insurgence of interstitial edema and disseminated intravascular coagulation. Small vessels should be observed at high power, with particular attention to the size and shape of endothelial nuclei, in order to evidence endothelial swelling, probably the initial modification of the endothelial cells leading to their

  11. M ultiple Organ Failure Followed by Intrauterine Klebsiella Pneumoniae Infection Associated with Diabetes M ellitus

    OpenAIRE

    Nagai, Takashi; Inoue, Chiharu; Tonouchi, Kazunori; Tonooka, Naoko; Imamura, Makoto; Kaneko, Katumi; Honma, Manabu

    2009-01-01

    A 49-year-old semi-conscious woman was admitted due to fever and dehydration. Disseminatedintravascular coagulation (DIC), renal dysfunction and diabetic ketoacidosis were detected. Wholebody computed tomography showed multiple nodular lesions in bilateral lungs and kidneys indicatingseptic emboli, and intrauterine lesions. We diagnosed multiple organ failure followed by intrauterineinfection due to untreated diabetes mellitus. Vaginal discharge and blood culture revealed Klebsiellapneumoniae...

  12. Failure analysis in ITO-free all-solution processed organic solar cells

    NARCIS (Netherlands)

    Galagan, Y.; Eggenhuisen, T.M.; Coenen, M.J.J.; Biezemans, A.F.K.V.; Verhees, W.J.H.; Veenstra, S.C.; Groen, W.A.; Andriessen, R.; Janssen, R.A.J.

    2015-01-01

    In this paper we discuss a problem-solving methodology and present guidance for troubleshooting defects in ITO-free all-solution processed organic solar cells with an inverted cell architecture. A systematic approach for identifying the main causes of failures in devices is presented. Comprehensive

  13. Degradation and failure characteristics of NPP containment protective coating systems

    Energy Technology Data Exchange (ETDEWEB)

    Sindelar, R.L.

    2000-03-30

    A research program to investigate the performance and potential for failure of Service Level 1 coating systems used in nuclear power plant containment is in progress. The research activities are aligned to address phenomena important to cause failure as identified by the industry coatings expert panel. The period of interest for performance covers the time from application of the coating through 40 years of service, followed by a medium-to-large break loss-of-coolant accident scenario, which is a design basis accident (DBA) scenario. The interactive program elements are discussed in this report and the application of these elements to the System 5 coating system (polyamide epoxy primer, carbon steel substrate) is used to evaluate performance.

  14. Degradation and failure characteristics of NPP containment protective coating systems

    International Nuclear Information System (INIS)

    Sindelar, R.L.

    2000-01-01

    A research program to investigate the performance and potential for failure of Service Level 1 coating systems used in nuclear power plant containment is in progress. The research activities are aligned to address phenomena important to cause failure as identified by the industry coatings expert panel. The period of interest for performance covers the time from application of the coating through 40 years of service, followed by a medium-to-large break loss-of-coolant accident scenario, which is a design basis accident (DBA) scenario. The interactive program elements are discussed in this report and the application of these elements to the System 5 coating system (polyamide epoxy primer, carbon steel substrate) is used to evaluate performance

  15. Cascading failures in interdependent systems under a flow redistribution model

    Science.gov (United States)

    Zhang, Yingrui; Arenas, Alex; Yaǧan, Osman

    2018-02-01

    Robustness and cascading failures in interdependent systems has been an active research field in the past decade. However, most existing works use percolation-based models where only the largest component of each network remains functional throughout the cascade. Although suitable for communication networks, this assumption fails to capture the dependencies in systems carrying a flow (e.g., power systems, road transportation networks), where cascading failures are often triggered by redistribution of flows leading to overloading of lines. Here, we consider a model consisting of systems A and B with initial line loads and capacities given by {LA,i,CA ,i} i =1 n and {LB,i,CB ,i} i =1 n, respectively. When a line fails in system A , a fraction of its load is redistributed to alive lines in B , while remaining (1 -a ) fraction is redistributed equally among all functional lines in A ; a line failure in B is treated similarly with b giving the fraction to be redistributed to A . We give a thorough analysis of cascading failures of this model initiated by a random attack targeting p1 fraction of lines in A and p2 fraction in B . We show that (i) the model captures the real-world phenomenon of unexpected large scale cascades and exhibits interesting transition behavior: the final collapse is always first order, but it can be preceded by a sequence of first- and second-order transitions; (ii) network robustness tightly depends on the coupling coefficients a and b , and robustness is maximized at non-trivial a ,b values in general; (iii) unlike most existing models, interdependence has a multifaceted impact on system robustness in that interdependency can lead to an improved robustness for each individual network.

  16. Probabilistic study of cascading failures in complex interdependent lifeline systems

    International Nuclear Information System (INIS)

    Hernandez-Fajardo, Isaac; Dueñas-Osorio, Leonardo

    2013-01-01

    The internal complexity of lifeline systems and their standing interdependencies can operate in conjunction to amplify the negative effects of external disruptions. This paper introduces a simulation-based methodology to evaluate the joint impact of interdependence, component fragilities, and cascading failures in systemic fragility estimates. The proposed strategy uses a graph model of interdependent networks, an enhanced betweenness centrality for cascading failures approximation, and an interdependence model accounting for coupling uncertainty in the simulation of damage propagation for probabilistic performance assessment. This methodology is illustrated through its application to a realistic set of power and water networks subjected to earthquake scenarios and random failures. Test case results reveal two key insights: (1) the intensity of a perturbation influences interdependent systemic fragility by shaping the magnitudes of initial component damage and, sometimes counter-intuitively, the subsequent interdependence effects and (2) increasing local redundancy mitigates the effects of interdependence on systemic performance, but such intervention is incapable of eliminating interdependent effects completely. The previous insights provide basic guidelines for the design of systemic retrofitting policies. Additionally, the limitations of local capacity redundancy as a fragility control measure highlight the need for a critical assessment of intervention strategies in distributed infrastructure networks. Future work will assess the fragility-reduction efficiency of strategies involving informed manipulation of individual systemic topologies and the interdependence interfaces connecting them. - Highlights: ► An new simulation methodology effectively produces interdependent fragility assessments, IFAs. ► IFAs include perturbation action, cascading failures, and interdependent effects. ► Method tested using coupled networks exposed to earthquake and random

  17. System Testing Evaluation for Enterprise Resource Planning to Reduce Failure Rate

    Directory of Open Access Journals (Sweden)

    Samantha Mathara Arachchi

    2017-01-01

    Full Text Available Enterprise Resource Planning (ERP systems are widely used applications to manage resources, communication and data exchange between different departments and modules with the purpose of managing the overall business process of the organization using one integrated software system. Due to the large scale and the complexity nature of these systems, many ERP implementation projects have become failure. It is necessary to have a better test project management and test performance assessing system. To build a successful ERP system these processes are important. The purpose of the Test project management is verification and validation of the system. There was a separate stage to test the quality of software in the software development lifecycle and there is a separate independent Quality Assurance and testing team for a successful ERP development team. According to best practice testing principles it is necessary to, understand the requirements, test planning, test execution, identify and improve processes. Identify the necessary infrastructure; hardware and software are the major areas when developing test procedures. The aim of this survey is to identify ERP failures associated with the ERP projects, general and security within the Asian region, so that the parties responsible for the project can take necessary precautions to deal with those failures for a successful ERP implementation and bring down the ERP failure rate.

  18. Acute respiratory failure caused by organizing pneumonia secondary to antineoplastic therapy for non-Hodgkin's lymphoma

    Science.gov (United States)

    Santana, Adriell Ramalho; Amorim, Fábio Ferreira; Soares, Paulo Henrique Alves; de Moura, Edmilson Bastos; Maia, Marcelo de Oliveira

    2012-01-01

    Interstitial lung diseases belong to a group of diseases that typically exhibit a subacute or chronic progression but that may cause acute respiratory failure. The male patient, who was 37 years of age and undergoing therapy for non-Hodgkin's lymphoma, was admitted with cough, fever, dyspnea and acute hypoxemic respiratory failure. Mechanical ventilation and antibiotic therapy were initiated but were associated with unfavorable progression. Thoracic computed tomography showed bilateral pulmonary "ground glass" opacities. Methylprednisolone pulse therapy was initiated with satisfactory response because the patient had used three drugs related to organizing pneumonia (cyclophosphamide, doxorubicin and rituximab), and the clinical and radiological symptoms were suggestive. Organizing pneumonia may be idiopathic or linked to collagen diseases, drugs and cancer and usually responds to corticosteroid therapy. The diagnosis was anatomopathological, but the patient's clinical condition precluded performing a lung biopsy. Organizing pneumonia should be a differential diagnosis in patients with apparent pneumonia and a progression that is unfavorable to antimicrobial treatment. PMID:23917942

  19. Development of failure detection system for gas-cooled reactor

    International Nuclear Information System (INIS)

    Feirreira, M.P.

    1990-01-01

    This work presents several kinds of Failure Detection Systems for Fuel Elements, stressing their functional principles and major applications. A comparative study indicates that the method of electrostatic precipitation of the fission gases Kr and Xe is the most efficient for fuel failure detection in gas-cooled reactors. A detailed study of the physical phenomena involved in electrostatic precipitation led to the derivation of an equation for the measured counting rate. The emission of fission products from the fuel and the ion recombination inside the chamber are evaluated. A computer program, developed to simulate the complete operation of the system, relates the counting rate to the concentration of Kr and Xe isotopes. The project of a mock-up is then presented. Finally, the program calculations are compared to experimental data, available from the literature, yielding a close agreement. (author)

  20. Software Requirements for a System to Compute Mean Failure Cost

    Energy Technology Data Exchange (ETDEWEB)

    Aissa, Anis Ben [University of Tunis, Belvedere, Tunisia; Abercrombie, Robert K [ORNL; Sheldon, Frederick T [ORNL; Mili, Ali [New Jersey Insitute of Technology

    2010-01-01

    In earlier works, we presented a computational infrastructure that allows an analyst to estimate the security of a system in terms of the loss that each stakeholder. We also demonstrated this infrastructure through the results of security breakdowns for the ecommerce case. In this paper, we illustrate this infrastructure by an application that supports the computation of the Mean Failure Cost (MFC) for each stakeholder.

  1. PV System Component Fault and Failure Compilation and Analysis.

    Energy Technology Data Exchange (ETDEWEB)

    Klise, Geoffrey Taylor; Lavrova, Olga; Gooding, Renee Lynne

    2018-02-01

    This report describes data collection and analysis of solar photovoltaic (PV) equipment events, which consist of faults and fa ilures that occur during the normal operation of a distributed PV system or PV power plant. We present summary statistics from locations w here maintenance data is being collected at various intervals, as well as reliability statistics gathered from that da ta, consisting of fault/failure distributions and repair distributions for a wide range of PV equipment types.

  2. Effects of Common Cause Failure on Electrical Systems

    International Nuclear Information System (INIS)

    Pepper, Kevin

    2015-01-01

    The essential electrical systems of reactor designs have developed progressively with an increased focus on the use of redundant, segregated and independent safety system equipment 'trains'. In this arrangement, essential safety functions associated with safe shutdown and cooling of the reactor are replicated on near identical electrical systems with each of the trains of safety system equipment supported by a fully rated standby generator. Development in designs has seen the number of trains increased to enable maintenance to be undertaken with reactors at power, improving the economics of the units whilst maintaining nuclear safety. This paper provides a background to common cause failure and provides examples where supporting guidance and international experience is available. It also highlights the regulatory guidance available to UK licensees. Recent examples of common cause failures on plant in the UK are presented together with an issue identified during the recent Generic Design Assessment review of new reactor designs within the UK. It was identified that one design was claiming a very low probability of failure associated with the loss of a single break and no-break voltage level, orders of magnitude below the target figure within ONR's Safety Assessment Principles. On closer scrutiny it was established that a significant safety function provided from identical low voltage switchboards would be lost in the event of a common cause failure affecting these boards. The paper will explain the action that has been taken by the requesting party to improve the resilience of the design and how this impacts on the ONR reliability targets for reactor designs within the UK. (authors)

  3. Employee Reward Systems in Organizations

    Directory of Open Access Journals (Sweden)

    Došenović Dragana

    2016-06-01

    Full Text Available Employee rewarding is one of the activities of human resource management concerning the management of money, goods and services that employees receive from their employer in exchange for their work. Given that a properly designed reward system is one of the conditions for a stable business, successful performance of work activities and the achievement of set objectives in each organization, the basic theme of this paper is the employee reward system, with a special focus on different elements of it. The purpose of this paper is to describe the role and significance of the observed system and to draw attention to its role in employee’s motivation.

  4. Aggregate organ failure rates among dengue patients in Malaysia: Five years' risk analysis (2010–2015

    Directory of Open Access Journals (Sweden)

    Tahir Mehmood Khan

    2017-11-01

    Full Text Available Objective: To estimate the incidence of dengue-induced organ failure form 2010–2015 in Malaysia. Methods: Data were extracted from the Malaysian Registry of Intensive Care published in June 2016. Analysis of proportions was carried out using StatsDirect software. Binary data for the outcomes available from the included studies were analyzed using StatsDirect software, using random effect model. Results: It is noteworthy that there was a drop in all complications among dengue patients at 2011. Except in year 2011, 52% [0.52 (CI 95% 0.49–0.56] of the patients with dengue developed hematological failure. Conclusions: The statistics indicate that dengue has increasingly led to cardiovascular, neurological, renal and hematological failure, as indicated from an increasing trend from year 2011–2015.

  5. Failure and Reliability Analysis for the Master Pump Shutdown System

    Energy Technology Data Exchange (ETDEWEB)

    BEVINS, R.R.

    2000-09-05

    The Master Pump Shutdown System (MPSS) will be installed in the 200 Areas of the Hanford Site to monitor and control the transfer of liquid waste between tank farms and between the 200 West and 200 East areas through the Cross-Site Transfer Line. The Safety Function provided by the MPSS is to shutdown any waste transfer process within or between tank farms if a waste leak should occur along the selected transfer route. The MPSS, which provides this Safety Class Function, is composed of Programmable Logic Controllers (PLCs), interconnecting wires, relays, Human to Machine Interfaces (HMI), and software. These components are defined as providing a Safety Class Function and will be designated in this report as MPSS/PLC. Input signals to the MPSS/PLC are provided by leak detection systems from each of the tank farm leak detector locations along the waste transfer route. The combination of the MPSS/PLC, leak detection system, and transfer pump controller system will be referred to as MPSS/SYS. The components addressed in this analysis are associated with the MPSS/SYS. The purpose of this failure and reliability analysis is to address the following design issues of the Project Development Specification (PDS) for the MPSS/SYS (HNF 2000a): (1) Single Component Failure Criterion, (2) System Status Upon Loss of Electrical Power, (3) Physical Separation of Safety Class cables, (4) Physical Isolation of Safety Class Wiring from General Service Wiring, and (5) Meeting the MPSS/PLC Option 1b (RPP 1999) Reliability estimate. The failure and reliability analysis examined the system on a component level basis and identified any hardware or software elements that could fail and/or prevent the system from performing its intended safety function.

  6. ANALYSIS OF RELIABILITY OF NONRECTORABLE REDUNDANT POWER SYSTEMS TAKING INTO ACCOUNT COMMON FAILURES

    Directory of Open Access Journals (Sweden)

    V. A. Anischenko

    2014-01-01

    Full Text Available Reliability Analysis of nonrestorable redundant power Systems of industrial plants and other consumers of electric energy was carried out. The main attention was paid to numbers failures influence, caused by failures of all elements of System due to one general reason. Noted the main possible reasons of common failures formation. Two main indicators of reliability of non-restorable systems are considered: average time of no-failure operation and mean probability of no-failure operation. Modeling of failures were carried out by mean of division of investigated system into two in-series connected subsystems, one of them indicated independent failures, but the other indicated common failures. Due to joined modeling of single and common failures resulting intensity of failures is the amount incompatible components: intensity statistically independent failures and intensity of common failures of elements and system in total.It is shown the influence of common failures of elements on average time of no-failure operation of system. There is built the scale of preference of systems according to criterion of  average time maximum of no-failure operation, depending on portion of common failures. It is noticed that such common failures don’t influence on the scale of preference, but  change intervals of time, determining the moments of systems failures and excepting them from the number of comparators. There were discussed two problems  of conditionally optimization of  systems’  reservation choice, taking into account their reliability and cost. The first problem is solved due to criterion of minimum cost of system providing mean probability of no-failure operation, the second problem is solved due to criterion of maximum of mean probability of no-failure operation with cost limitation of system.

  7. Systemic risk in dynamical networks with stochastic failure criterion

    Science.gov (United States)

    Podobnik, B.; Horvatic, D.; Bertella, M. A.; Feng, L.; Huang, X.; Li, B.

    2014-06-01

    Complex non-linear interactions between banks and assets we model by two time-dependent Erdős-Renyi network models where each node, representing a bank, can invest either to a single asset (model I) or multiple assets (model II). We use a dynamical network approach to evaluate the collective financial failuresystemic risk— quantified by the fraction of active nodes. The systemic risk can be calculated over any future time period, divided into sub-periods, where within each sub-period banks may contiguously fail due to links to either i) assets or ii) other banks, controlled by two parameters, probability of internal failure p and threshold Th (“solvency” parameter). The systemic risk decreases with the average network degree faster when all assets are equally distributed across banks than if assets are randomly distributed. The more inactive banks each bank can sustain (smaller Th), the smaller the systemic risk —for some Th values in I we report a discontinuity in systemic risk. When contiguous spreading becomes stochastic ii) controlled by probability p2 —a condition for the bank to be solvent (active) is stochastic— the systemic risk decreases with decreasing p2. We analyse the asset allocation for the U.S. banks.

  8. Failure of Adaptive Self-Organized Criticality during Epileptic Seizure Attacks

    Science.gov (United States)

    Meisel, Christian; Storch, Alexander; Hallmeyer-Elgner, Susanne; Bullmore, Ed; Gross, Thilo

    2012-01-01

    Critical dynamics are assumed to be an attractive mode for normal brain functioning as information processing and computational capabilities are found to be optimal in the critical state. Recent experimental observations of neuronal activity patterns following power-law distributions, a hallmark of systems at a critical state, have led to the hypothesis that human brain dynamics could be poised at a phase transition between ordered and disordered activity. A so far unresolved question concerns the medical significance of critical brain activity and how it relates to pathological conditions. Using data from invasive electroencephalogram recordings from humans we show that during epileptic seizure attacks neuronal activity patterns deviate from the normally observed power-law distribution characterizing critical dynamics. The comparison of these observations to results from a computational model exhibiting self-organized criticality (SOC) based on adaptive networks allows further insights into the underlying dynamics. Together these results suggest that brain dynamics deviates from criticality during seizures caused by the failure of adaptive SOC. PMID:22241971

  9. Wet beriberi with multiple organ failure remarkably reversed by thiamine administration: A case report and literature review.

    Science.gov (United States)

    Lei, Yuanli; Zheng, Ming-Hua; Huang, Weijian; Zhang, Jie; Lu, Yingru

    2018-03-01

    Circulatory failure, especially with low systemic vascular resistance (SVR), as observed in septic shock, thyrotoxicosis, and anemia, is a particular pattern that should suggest thiamine (vitamin B1) deficiency. The clinical picture of wet beriberi secondary to thiamine deficiency only demonstrates non-specific clinical manifestations. For a diagnosis of wet beriberi, medical history is very important. Interestingly, imprisonment was also found to be related to thiamine deficiency. This article presents a rare case of wet beriberi associated with multiple organ failure (MOF) in a prison patient with years of heavy alcohol consumption. The patient reported repetitive symptoms of nausea, vomiting, respiratory distress, and palpitations for a period of 1 month; dyspnea and edema for 5 days; and decreased blood pressure and urine volume for 2 days. The heart failure patient had a history of dietary deficiency. Right heart catheterization showed high cardiac output (CO) and low SVR. Measurement of serum thiamine concentration was low. The most important factor was that the hemodynamic indices were remarkably reversed by thiamine administration. The patient started treatment with thiamine (100 mg) by intramuscular injection, together with basic supportive care. The hemodynamic indices improved within 12 hours after thiamine administration. Echocardiographic examinations revealed right ventricular function improvement within a few days, which were normal within a month. A diagnosis of wet beriberi should be considered for a prison patient who has unexplained heart failure, lactic acidosis, and/or MOF. Moreover, the patient should be empirically given thiamine administration without delay.

  10. Molecular Adsorbent Recirculating System Can Reduce Short-Term Mortality Among Patients With Acute-on-Chronic Liver Failure-A Retrospective Analysis.

    Science.gov (United States)

    Gerth, Hans U; Pohlen, Michele; Thölking, Gerold; Pavenstädt, Hermann; Brand, Marcus; Hüsing-Kabar, Anna; Wilms, Christian; Maschmeier, Miriam; Kabar, Iyad; Torner, Josep; Pavesi, Marco; Arroyo, Vicente; Banares, Rafael; Schmidt, Hartmut H J

    2017-10-01

    Acute-on-chronic liver failure is associated with numerous consecutive organ failures and a high short-term mortality rate. Molecular adsorbent recirculating system therapy has demonstrated beneficial effects on the distinct symptoms, but the associated mortality data remain controversial. Retrospective analysis of acute-on-chronic liver failure patients receiving either standard medical treatment or standard medical treatment and molecular adsorbent recirculating system. Secondary analysis of data from the prospective randomized Recompensation of Exacerbated Liver Insufficiency with Hyperbilirubinemia and/or Encephalopathy and/or Renal Failure trial by applying the recently introduced Chronic Liver Failure-criteria. Medical Departments of University Hospital Muenster (Germany). This analysis was conducted in two parts. First, 101 patients with acute-on-chronic liver failure grades 1-3 and Chronic Liver Failure-C-Organ Failure liver subscore equals to 3 but stable pulmonary function were identified and received either standard medical treatment (standard medical treatment, n = 54) or standard medical treatment and molecular adsorbent recirculating system (n = 47) at the University Hospital Muenster. Second, the results of this retrospective analysis were tested against the Recompensation of Exacerbated Liver Insufficiency with Hyperbilirubinemia and/or Encephalopathy and/or Renal Failure trial. Standard medical treatment and molecular adsorbent recirculating system. Additionally to improved laboratory variables (bilirubin and creatinine), the short-term mortality (up to day 14) of the molecular adsorbent recirculating system group was significantly reduced compared with standard medical treatment. A reduced 14-day mortality rate was observed in the molecular adsorbent recirculating system group (9.5% vs 50.0% with standard medical treatment; p = 0.004), especially in patients with multiple organ failure (acute-on-chronic liver failure grade 2-3). Concerning the

  11. [Disseminated tuberculosis with severe multi- organ failure in a patient with AIDS].

    Science.gov (United States)

    Grigoriu, B-D; Jacobs, F-M; Mas, A-E; Prat, D; Prévot, S; Brivet, F-G

    2008-09-01

    Tuberculosis is the most common infectious complication in HIV infected patients. The incidence of tuberculosis and the proportion of disseminated disease increase with more severe immuno-suppression. Septic shock and multiple organ failure are uncommon but are of markedly bad prognostic significance. A forty-four year old HIV seropositive man was admitted to the intensive care unit (ICU) with acute respiratory distress. The patient had been febrile for the previous two weeks. His thoracic radiograph showed a discrete interstitial infiltrate and at bronchoscopy small whitish granulations were observed in the main bronchi. All bacteriological investigations remained negative at the time of ICU admission. The patient died sixteen hours later due to multiple organ failure. Mycobacteria were identified after patient's death on the smear from BAL, from blood cultures, and in a postmortem liver biopsy. Septic shock is an infrequent complication of disseminated tuberculosis. Mortality is very high. Treatment should be started early in cases with a high diagnostic suspicion.

  12. Reliability and protection against failure in computer systems

    International Nuclear Information System (INIS)

    Daniels, B.K.

    1979-01-01

    Computers are being increasingly integrated into the control and safety systems of large and potentially hazardous industrial processes. This development introduces problems which are particular to computer systems and opens the way to new techniques of solving conventional reliability and availability problems. References to the developing fields of software reliability, human factors and software design are given, and these subjects are related, where possible, to the quantified assessment of reliability. Original material is presented in the areas of reliability growth and computer hardware failure data. The report draws on the experience of the National Centre of Systems Reliability in assessing the capability and reliability of computer systems both within the nuclear industry, and from the work carried out in other industries by the Systems Reliability Service. (author)

  13. Accuracy of circulating histones in predicting persistent organ failure and mortality in patients with acute pancreatitis.

    Science.gov (United States)

    Liu, T; Huang, W; Szatmary, P; Abrams, S T; Alhamdi, Y; Lin, Z; Greenhalf, W; Wang, G; Sutton, R; Toh, C H

    2017-08-01

    Early prediction of acute pancreatitis severity remains a challenge. Circulating levels of histones are raised early in mouse models and correlate with disease severity. It was hypothesized that circulating histones predict persistent organ failure in patients with acute pancreatitis. Consecutive patients with acute pancreatitis fulfilling inclusion criteria admitted to Royal Liverpool University Hospital were enrolled prospectively between June 2010 and March 2014. Blood samples were obtained within 48 h of abdominal pain onset and relevant clinical data during the hospital stay were collected. Healthy volunteers were enrolled as controls. The primary endpoint was occurrence of persistent organ failure. The predictive values of circulating histones, clinical scores and other biomarkers were determined. Among 236 patients with acute pancreatitis, there were 156 (66·1 per cent), 57 (24·2 per cent) and 23 (9·7 per cent) with mild, moderate and severe disease respectively, according to the revised Atlanta classification. Forty-seven healthy volunteers were included. The area under the receiver operating characteristic (ROC) curve (AUC) for circulating histones in predicting persistent organ failure and mortality was 0·92 (95 per cent c.i. 0·85 to 0·99) and 0·96 (0·92 to 1·00) respectively; histones were at least as accurate as clinical scores or biochemical markers. For infected pancreatic necrosis and/or sepsis, the AUC was 0·78 (0·62 to 0·94). Histones did not predict or correlate with local pancreatic complications, but correlated negatively with leucocyte cell viability (r = -0·511, P = 0·001). Quantitative assessment of circulating histones in plasma within 48 h of abdominal pain onset can predict persistent organ failure and mortality in patients with acute pancreatitis. Early death of immune cells may contribute to raised circulating histone levels in acute pancreatitis. © 2017 The Authors. BJS published by John Wiley & Sons Ltd on behalf of BJS

  14. System reliability analysis using dominant failure modes identified by selective searching technique

    International Nuclear Information System (INIS)

    Kim, Dong-Seok; Ok, Seung-Yong; Song, Junho; Koh, Hyun-Moo

    2013-01-01

    The failure of a redundant structural system is often described by innumerable system failure modes such as combinations or sequences of local failures. An efficient approach is proposed to identify dominant failure modes in the space of random variables, and then perform system reliability analysis to compute the system failure probability. To identify dominant failure modes in the decreasing order of their contributions to the system failure probability, a new simulation-based selective searching technique is developed using a genetic algorithm. The system failure probability is computed by a multi-scale matrix-based system reliability (MSR) method. Lower-scale MSR analyses evaluate the probabilities of the identified failure modes and their statistical dependence. A higher-scale MSR analysis evaluates the system failure probability based on the results of the lower-scale analyses. Three illustrative examples demonstrate the efficiency and accuracy of the approach through comparison with existing methods and Monte Carlo simulations. The results show that the proposed method skillfully identifies the dominant failure modes, including those neglected by existing approaches. The multi-scale MSR method accurately evaluates the system failure probability with statistical dependence fully considered. The decoupling between the failure mode identification and the system reliability evaluation allows for effective applications to larger structural systems

  15. Adsorption of histones on natural polysaccharides: The potential as agent for multiple organ failure in sepsis.

    Science.gov (United States)

    Isobe, Takashi; Kofuji, Kyoko; Okada, Kenji; Fujimori, Junya; Murata, Mikio; Shigeyama, Masato; Hanioka, Nobumitsu; Murata, Yoshifumi

    2016-03-01

    Histones are intracellular proteins that are structural elements of nuclear chromatin and regulate gene transcription. However, the extracellular histones released in response to bacterial challenges have been identified as mediators contributing to endothelial dysfunction, organ failure, and death during sepsis. In the present study, the adsorption of histones as well as plasma proteins (α1-acid glycoprotein (AGP), albumin, and γ-globulin) on alginic acid, pectin, dextran, and chitosan was examined in order to evaluate the potential of natural polysaccharides as therapeutic agents for multiple organ failure in sepsis. Alginic acid and pectin strongly adsorbed histones, whereas the adsorption abilities of dextran and chitosan toward histones were very low or negligible. Among the natural polysaccharides examined, only alginic acid did not adsorb any of the plasma proteins. These results demonstrated that alginic acid strongly adsorbed histones, but not plasma proteins; therefore, it has potential as a candidate drug for the treatment of multiple organ failure in sepsis. Copyright © 2015 Elsevier B.V. All rights reserved.

  16. Acute Kidney Injury Enhances Outcome Prediction Ability of Sequential Organ Failure Assessment Score in Critically Ill Patients

    OpenAIRE

    Chang, Chih-Hsiang; Fan, Pei-Chun; Chang, Ming-Yang; Tian, Ya-Chung; Hung, Cheng-Chieh; Fang, Ji-Tseng; Yang, Chih-Wei; Chen, Yung-Chang

    2014-01-01

    Introduction Acute kidney injury (AKI) is a common and serious complication in intensive care unit (ICU) patients and also often part of a multiple organ failure syndrome. The sequential organ failure assessment (SOFA) score is an excellent tool for assessing the extent of organ dysfunction in critically ill patients. This study aimed to evaluate the outcome prediction ability of SOFA and Acute Physiology and Chronic Health Evaluation (APACHE) III score in ICU patients with AKI. Methods A tot...

  17. Situating Remediation: Accommodating Success and Failure in Medical Education Systems.

    Science.gov (United States)

    Ellaway, Rachel H; Chou, Calvin L; Kalet, Adina L

    2018-03-01

    There has been a widespread shift to competency-based medical education (CBME) in the United States and Canada. Much of the CBME discourse has focused on the successful learner, with relatively little attention paid to what happens in CBME systems when learners stumble or fail. Emerging issues, such as the well-documented problem of "failure to fail" and concerns about litigious learners, have highlighted a need for well-defined and integrated frameworks to support and guide strategic approaches to the remediation of struggling medical learners.This Perspective sets out a conceptual review of current practices and an argument for a holistic approach to remediation in the context of their parent medical education systems. The authors propose parameters for integrating remediation into CBME and describe a model based on five zones of practice along with the rules of engagement associated with each zone. The zones are "normal" curriculum, corrective action, remediation, probation, and exclusion.The authors argue that, by linking and integrating theory and practice in remediation with CBME, a more integrated systems-level response to differing degrees of learner difficulty and failure can be developed. The proposed model demonstrates how educational practice in different zones is based on different rules, roles, responsibilities, and thresholds for moving between zones. A model such as this can help medical educators and medical education leaders take a more integrated approach to learners' failures as well as their successes by being more explicit about the rules of engagement that apply in different circumstances across the competency continuum.

  18. Hybrid neural intelligent system to predict business failure in small-to-medium-size enterprises.

    Science.gov (United States)

    Borrajo, M Lourdes; Baruque, Bruno; Corchado, Emilio; Bajo, Javier; Corchado, Juan M

    2011-08-01

    During the last years there has been a growing need of developing innovative tools that can help small to medium sized enterprises to predict business failure as well as financial crisis. In this study we present a novel hybrid intelligent system aimed at monitoring the modus operandi of the companies and predicting possible failures. This system is implemented by means of a neural-based multi-agent system that models the different actors of the companies as agents. The core of the multi-agent system is a type of agent that incorporates a case-based reasoning system and automates the business control process and failure prediction. The stages of the case-based reasoning system are implemented by means of web services: the retrieval stage uses an innovative weighted voting summarization of self-organizing maps ensembles-based method and the reuse stage is implemented by means of a radial basis function neural network. An initial prototype was developed and the results obtained related to small and medium enterprises in a real scenario are presented.

  19. Iterative User Interface Design for Automated Sequential Organ Failure Assessment Score Calculator in Sepsis Detection.

    Science.gov (United States)

    Aakre, Christopher Ansel; Kitson, Jaben E; Li, Man; Herasevich, Vitaly

    2017-05-18

    The new sepsis definition has increased the need for frequent sequential organ failure assessment (SOFA) score recalculation and the clerical burden of information retrieval makes this score ideal for automated calculation. The aim of this study was to (1) estimate the clerical workload of manual SOFA score calculation through a time-motion analysis and (2) describe a user-centered design process for an electronic medical record (EMR) integrated, automated SOFA score calculator with subsequent usability evaluation study. First, we performed a time-motion analysis by recording time-to-task-completion for the manual calculation of 35 baseline and 35 current SOFA scores by 14 internal medicine residents over a 2-month period. Next, we used an agile development process to create a user interface for a previously developed automated SOFA score calculator. The final user interface usability was evaluated by clinician end users with the Computer Systems Usability Questionnaire. The overall mean (standard deviation, SD) time-to-complete manual SOFA score calculation time was 61.6 s (33). Among the 24% (12/50) usability survey respondents, our user-centered user interface design process resulted in >75% favorability of survey items in the domains of system usability, information quality, and interface quality. Early stakeholder engagement in our agile design process resulted in a user interface for an automated SOFA score calculator that reduced clinician workload and met clinicians' needs at the point of care. Emerging interoperable platforms may facilitate dissemination of similarly useful clinical score calculators and decision support algorithms as "apps." A user-centered design process and usability evaluation should be considered during creation of these tools. ©Christopher Ansel Aakre, Jaben E Kitson, Man Li, Vitaly Herasevich. Originally published in JMIR Human Factors (http://humanfactors.jmir.org), 18.05.2017.

  20. 49 CFR 234.9 - Grade crossing signal system failure reports.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 4 2010-10-01 2010-10-01 false Grade crossing signal system failure reports. 234... PLANS Reports and Plans § 234.9 Grade crossing signal system failure reports. Each railroad shall report... Form No. 6180-83, “Highway-Rail Grade Crossing Warning System Failure Report,” shall be used for this...

  1. Failure Modes in Concrete Repair Systems due to Ongoing Corrosion

    Directory of Open Access Journals (Sweden)

    Mladena Luković

    2017-01-01

    Full Text Available Corrosion of steel reinforcement is the main cause of deterioration in reinforced concrete structures. It can result in cracking and spalling of the concrete cover. After the damaged cover is repaired, reinforcement corrosion might continue and even accelerate. While the development of the corrosion cell is difficult to control, the damage can be possibly delayed and controlled by use of a suitable repair material. The lattice fracture model is used in this paper to investigate the performance of strain hardening cementitious composite (SHCC in concrete repair systems exposed to ongoing corrosion. Numerical results were verified by experimental tests when SHCC, nonreinforced material (repair mortar, and commercial repair mortar are used as repair materials. In experiments, reinforcement bars (surrounded by a repair material were exposed to accelerated corrosion tests. The influence of the substrate surface preparation, the type of repair material, the interface, and the substrate strength on the resulting damage and failure mode of repair systems are discussed. In general, SHCC repair enables distributed cracking with small crack widths, up to several times smaller compared to repair mortar. Furthermore, more warning signs prior to the final failure are present in the SHCC repair system.

  2. Accuracy of quick Sequential Organ Failure Assessment (qSOFA) score and systemic inflammatory response syndrome (SIRS) criteria for predicting mortality in hospitalized patients with suspected infection: A meta-analysis of observational studies: Predictive accuracy of qSOFA: A meta-analysis.

    Science.gov (United States)

    Maitra, Souvik; Som, Anirban; Bhattacharjee, Sulagna

    2018-03-29

    To identify sensitivity, specificity and predictive accuracy of quick sequential organ failure assessment (qSOFA) score and systemic inflammatory response syndrome (SIRS) criteria to predict in-hospital mortality in hospitalized patients with suspected infection. This meta-analysis followed MOOSE consensus statement for conducting and reporting the results of systematic review. PubMed & EMBASE were searched for the observational studies which reported predictive utility of qSOFA score for predicting mortality in patients with suspected or proven infection with the following search words: 'qSOFA', 'q-SOFA', 'quick- SOFA', 'Quick Sequential Organ Failure Assessment', 'quick SOFA'. Sensitivity, specificity, area under receiver operating characteristic curves (ROC) with 95% confidence interval of qSOFA and SIRS criteria for predicting in-hospital mortality was collected for each study and a 2x2 table was created for each study. Data of 406802 patients from 45 observational studies have been included in this meta-analysis. Pooled sensitivity (95% CI) and specificity (95% CI) of qSOFA≥2 for predicting mortality in patients who are not in intensive care unit (ICU) is 0.48(0.41- 0.55) and 0.83(0.78- 0.87) respectively. Pooled sensitivity (95% CI) of qSOFA ≥2 for predicting mortality in patients (both ICU and non- ICU setting) with suspected infection is 0.56(0.47- 0.65) and pooled specificity (95% CI) is 0.78(0.71-0.83). qSOFA has been found to be a poorly sensitive predictive marker for in-hospital mortality in hospitalized patients with suspected infection. It is reasonable to recommend developing another scoring system with higher sensitivity to identify high-risk patients with infection. Copyright © 2018. Published by Elsevier Ltd.

  3. Human failure event analysis and precautionary methods and their application to reactor system

    International Nuclear Information System (INIS)

    Zhang Li; Huang Shudong; Wang Yiqun; Gao Wenyu; Zhang Jin

    2003-01-01

    Making use of human factor engineering, control science and safety science and adopting the method of systemically collection and doing research work factually, the authors analyze the problem and tendency of human factor science, the classification system, the formation, the quantitative appraisal, data collection and data bank, the effect and influence of organization management, the root cause analysis technology, and human error failure mode and effect and criticality analysis, the method and strategy of defense-in-depth for preventing human-initiated accident. The human factor accidents theory and mechanism are constructed. All of the above was successfully applied to Daya Bay Nuclear Power Station and Lingao Nuclear Power Station. (authors)

  4. Critical Care for Multiple Organ Failure Secondary to Ebola Virus Disease in the United States.

    Science.gov (United States)

    Sueblinvong, Viranuj; Johnson, Daniel W; Weinstein, Gary L; Connor, Michael J; Crozier, Ian; Liddell, Allison M; Franch, Harold A; Wall, Bruce R; Kalil, Andre C; Feldman, Mark; Lisco, Steven J; Sevransky, Jonathan E

    2015-10-01

    This report describes three patients with Ebola virus disease who were treated in the United States and developed for severe critical illness and multiple organ failure secondary to Ebola virus infection. The patients received mechanical ventilation, renal replacement therapy, invasive monitoring, vasopressor support, and investigational therapies for Ebola virus disease. Patient medical records from three tertiary care centers (Emory University Hospital, University of Nebraska Medical Center, and Texas Health Presbyterian Dallas Hospital). Not applicable. Not applicable. Not applicable. In the severe form, patients with Ebola virus disease may require life-sustaining therapy, including mechanical ventilation and renal replacement therapy. In conjunction with other reported cases, this series suggests that respiratory and renal failure may occur in severe Ebola virus disease, especially in patients burdened with high viral loads. Ebola virus disease complicated by multiple organ failure can be survivable with the application of advanced life support measures. This collective, multicenter experience is presented with the hope that it may inform future treatment of patients with Ebola virus disease requiring critical care treatment.

  5. Sequential Organ Failure Assessment Score Can Predict Mortality in Patients with Paraquat Intoxication

    Science.gov (United States)

    Weng, Cheng-Hao; Hu, Ching-Chih; Lin, Ja-Liang; Lin-Tan, Dan-Tzu; Huang, Wen-Hung; Hsu, Ching-Wei; Yen, Tzung-Hai

    2012-01-01

    Introduction Paraquat poisoning is characterized by multi-organ failure and pulmonary fibrosis with respiratory failure, resulting in high mortality and morbidity. The objective of this study was to identify predictors of mortality in cases of paraquat poisoning. Furthermore, we sought to determine the association between these parameters. Methods A total of 187 patients were referred for management of intentional paraquat ingestion between January 2000 and December 2010. Demographic, clinical, and laboratory data were recorded. Sequential organ failure assessment (SOFA) and acute kidney injury network (AKIN) scores were collected, and predictors of mortality were analyzed. Results Overall hospital mortality for the entire population was 54% (101/187). Using a multivariate logistic regression model, it was found that age, time to hospitalization, blood paraquat level, estimated glomerular filtration rate at admission (eGFR first day), and the SOFA48-h score, but not the AKIN48-h score, were significant predictors of mortality. For predicting the in-hospital mortality, SOFA48-h scores displayed a good area under the receiver operating characteristic curve (AUROC) (0.795±0.033, Pparaquat level, and this new score also demonstrated a better AUROC (0.848±0.029, Pparaquat poisoning. PMID:23272154

  6. New insights into the gut as the driver of critical illness and organ failure.

    Science.gov (United States)

    Meng, Mei; Klingensmith, Nathan J; Coopersmith, Craig M

    2017-04-01

    The gut has long been hypothesized to be the 'motor' of multiple organ dysfunction syndrome. This review serves as an update on new data elucidating the role of the gut as the propagator of organ failure in critical illness. Under basal conditions, the gut absorbs nutrients and serves as a barrier that prevents approximately 40 trillion intraluminal microbes and their products from causing host injury. However, in critical illness, gut integrity is disrupted with hyperpermeability and increased epithelial apoptosis, allowing contamination of extraluminal sites that are ordinarily sterile. These alterations in gut integrity are further exacerbated in the setting of preexisting comorbidities. The normally commensal microflora is also altered in critical illness, with increases in microbial virulence and decreases in diversity, which leads to further pathologic responses within the host. All components of the gut are adversely impacted by critical illness. Gut injury can not only propagate local damage, but can also cause distant injury and organ failure. Understanding how the multifaceted components of the gut interact and how these are perturbed in critical illness may play an important role in turning off the 'motor' of multiple organ dysfunction syndrome in the future.

  7. Identification of hidden failures in process control systems through function-oriented system analysis

    Energy Technology Data Exchange (ETDEWEB)

    Jalashgar, A.

    1997-05-01

    The main subject of this thesis is to identify hidden failures in process control systems by developing and using a function-oriented system analysis method. Qualitative failure analysis and the characteristics of the classical failure analysis methods and function-oriented modelling methods are covered. The general limitations of the methods in connection with the identification and representation of hidden failures are discussed. The discussion has led to the justification of developing and using a function-oriented system analysis method to identify and represent the capabilities of the system components, which realize different sets of functions in connection with different sets of goals that the system must achieve. A terminology is introduced to define the basic aspects of technical systems including goals, functions, capabilities and physical structure. A function-oriented system analysis method using this terminology and a tailored combination of the two function-oriented modelling approaches, is also introduced. It is then explained how the method can be applied in the identification and representation of hidden failures. The building blocks of a knowledge-oriented system to perform the diagnosis on the basis of the developed method are equally described. A prototype of the knowledge-based system is developed to demonstrate the applicability of the function-oriented system analysis method and the knowledge-based system. The prototype is implemented within the object-oriented software environment G2. (au) 65 ills., 32 refs.

  8. Influence of heart failure on nucleolar organization and protein expression in human hearts

    International Nuclear Information System (INIS)

    Roselló-Lletí, Esther; Rivera, Miguel; Cortés, Raquel; Azorín, Inmaculada; Sirera, Rafael; Martínez-Dolz, Luis; Hove, Leif; Cinca, Juan; Lago, Francisca; González-Juanatey, José R.; Salvador, Antonio; Portolés, Manuel

    2012-01-01

    Highlights: ► Heart failure alters nucleolar morphology and organization. ► Nucleolin expression is significant increased in ischemic and dilated cardiomyopathy. ► Ventricular function of heart failure patients was related with nucleolin levels. -- Abstract: We investigate for the first time the influence of heart failure (HF) on nucleolar organization and proteins in patients with ischemic (ICM) or dilated cardiomyopathy (DCM). A total of 71 human hearts from ICM (n = 38) and DCM (n = 27) patients, undergoing heart transplantation and control donors (n = 6), were analysed by western-blotting, RT-PCR and cell biology methods. When we compared protein levels according to HF etiology, nucleolin was increased in both ICM (117%, p < 0.05) and DCM (141%, p < 0.01). Moreover, mRNA expression were also upregulated in ICM (1.46-fold, p < 0.05) and DCM (1.70-fold, p < 0.05. Immunofluorescence studies showed that the highest intensity of nucleolin was into nucleolus (p < 0.0001), and it was increased in pathological hearts (p < 0.0001). Ultrastructure analysis by electron microscopy showed an increase in the nucleus and nucleolus size in ICM (17%, p < 0.05 and 131%, p < 0.001) and DCM (56%, p < 0.01 and 69%, p < 0.01). Nucleolar organization was influenced by HF irrespective of etiology, increasing fibrillar centers (p < 0.001), perinucleolar chromatin (p < 0.01) and dense fibrillar components (p < 0.01). Finally, left ventricular function parameters were related with nucleolin levels in ischemic hearts (p < 0.0001). The present study demonstrates that HF influences on morphology and organization of nucleolar components, revealing changes in the expression and in the levels of nucleolin protein.

  9. [Chronic heart failure and cachexia: role of endocrine system].

    Science.gov (United States)

    Dei Cas, A; Muoio, A; Zavaroni, I

    2011-12-01

    Chronic heart failure (CHF) is a major health problem that carries a devastating prognosis. The prognosis worsens considerably once cardiac cachexia has been diagnosed. Neurohormonal, metabolic, hemodynamic and immunological alterations are involved in the initiation and progression of cardiac cachexia. Cachexia is characterized by a hypothalamic inappropriate response to the mechanisms controlling energy homeostasis. Levels of the anorexigenic hormone leptin are decreased whereas the orexigenic gherlin hormone levels are normal or elevated. Nevertheless, energy intake is not increased as expected due to a persistent activation of the proopiomelanocortin (POMC) system (anorexigenic) paralleled by a decreased activity of the neuropeptide Y (NPY, orexigenic) neurons. Cachexia is also characterized by an imbalance in anabolic (impairment in the growth hormone/insulin-like growth factor-I axis, insulin resistance) and catabolic (increased levels of catecholamines, increased cortisol/dehydroepiandrosterone ratio and activation of proinflammatory cytokines such as tumor necrosis factor-alpha, interleuchin-6, interleuchin-1') at the basis of the wasting process. This review discusses the complex role of the endocrine system in modulating energy balance, appetite and metabolism in patients with chronic heart failure. A joint multidisciplinary effort of the cardiologists, immunologists and endocrinologists might be useful to identify the precise mechanisms involved in the neuroendocrine alteration and to develop therapeutic strategies able to improve the prognosis of CHF patients.

  10. Catastrophic failure in complex socio-technical systems

    Energy Technology Data Exchange (ETDEWEB)

    Weir, D. [Intercultural Management, Rue Dostoievski, BP 085, 06902 Sophia Antipolis (France)]. E-mail: dweir@tinyworld.co.uk

    2004-07-01

    This paper reviews the sequences leading to catastrophic failures in complex socio-technical systems. It traces some of the elements of an analytic framework to that proposed by Beer in Decision and Control, first published in 1966, and argues that these ideas are centrally relevant to a topic on which research interest has developed subsequently, the study of crises, catastrophes and disasters in complex socio-technical systems in high technology sectors. But while the system perspective is central, it is not by itself entirely adequate. The problems discussed cannot be discussed simply in terms of system parameters like variety, redundancy and complexity. Much empirical research supports the view that these systems typically operate in degraded mode. The degradations may be primarily initiated within the social components of the socio-technical system. Such variables as hierarchical position, actors' motivations and intentions are relevant to explain the ways in which communication systems typically operate to filter out messages from lower participants and to ignore the 'soft signals' issuing from small-scale and intermittent malfunctions. (author)

  11. Intelligent failure-proof control system for structural vibration

    Energy Technology Data Exchange (ETDEWEB)

    Yoshida, Kazuo [Keio Univ., Yokohama (Japan). Faculty of Science and Technology; Oba, Takahiro [Keio Univ., Tokyo (Japan)

    2000-11-01

    With progress of technology in recent years, gigantism and complication such as high-rise buildings, nuclear reactors and so on have brought about new problems. Particularly, the safety and the reliability for damages in abnormal situations have become more important. Intelligent control systems which can judge whether the situation is normal or abnormal at real time and cope with these situations suitably are demanded. In this study, Cubic Neural Network (CNN) is adopted, which consists of the controllers possessing cubically some levels of information abstracting. In addition to the usual quantitative control, the qualitative control is used for the abnormal situations. And, by selecting a suitable controller, CNN can cope with the abnormal situation. In order to confirm the effectiveness of this system, the structural vibration control problems with sensory failure and elasto-plastic response are dealt with. As a result of simulations, it was demonstrated that CNN can cope with unexpected abnormal situations which are not considered in learning. (author)

  12. Intelligent failure-proof control system for structural vibration

    International Nuclear Information System (INIS)

    Yoshida, Kazuo

    2000-01-01

    With progress of technology in recent years, gigantism and complication such as high-rise buildings, nuclear reactors and so on have brought about new problems. Particularly, the safety and the reliability for damages in abnormal situations have become more important. Intelligent control systems which can judge whether the situation is normal or abnormal at real time and cope with these situations suitably are demanded. In this study, Cubic Neural Network (CNN) is adopted, which consists of the controllers possessing cubically some levels of information abstracting. In addition to the usual quantitative control, the qualitative control is used for the abnormal situations. And, by selecting a suitable controller, CNN can cope with the abnormal situation. In order to confirm the effectiveness of this system, the structural vibration control problems with sensory failure and elasto-plastic response are dealt with. As a result of simulations, it was demonstrated that CNN can cope with unexpected abnormal situations which are not considered in learning. (author)

  13. Fulminant hepatic failure following marijuana drug abuse: Molecular adsorbent recirculation system therapy

    Directory of Open Access Journals (Sweden)

    G Swarnalatha

    2013-01-01

    Full Text Available Marijuana is used for psychoactive and recreational purpose. We report a case of fulminant hepatic failure following marijuana drug abuse who recovered following artificial support systems for acute liver failure. There is no published literature of management of marijuana intoxication with molecular adsorbent recirculation system (MARS. MARS is effective and safe in patients with fulminant hepatic failure following marijuana intoxication.

  14. Reliability of piping system components. Volume 4: The pipe failure event database

    International Nuclear Information System (INIS)

    Nyman, R.; Erixon, S.; Tomic, B.; Lydell, B.

    1996-07-01

    Available public and proprietary databases on piping system failures were searched for relevant information. Using a relational database to identify groupings of piping failure modes and failure mechanisms, together with insights from published PSAs, the project team determined why, how and where piping systems fail. This report represents a compendium of technical issues important to the analysis of pipe failure events, and statistical estimation of failure rates. Inadequacies of traditional PSA methodology are addressed, with directions for PSA methodology enhancements. A 'data driven and systems oriented' analysis approach is proposed to enable assignment of unique identities to risk-significant piping system component failure. Sufficient operating experience does exist to generate quality data on piping failures. Passive component failures should be addressed by today's PSAs to allow for aging analysis and effective, on-line risk management. 42 refs, 25 figs

  15. Reliability analysis of multi-trigger binary systems subject to competing failures

    International Nuclear Information System (INIS)

    Wang, Chaonan; Xing, Liudong; Levitin, Gregory

    2013-01-01

    This paper suggests two combinatorial algorithms for the reliability analysis of multi-trigger binary systems subject to competing failure propagation and failure isolation effects. Propagated failure with global effect (PFGE) is referred to as a failure that not only causes outage to the component from which the failure originates, but also propagates through all other system components causing the entire system failure. However, the propagation effect from the PFGE can be isolated in systems with functional dependence (FDEP) behavior. This paper studies two distinct consequences of PFGE resulting from a competition in the time domain between the failure isolation and failure propagation effects. As compared to existing works on competing failures that are limited to systems with a single FDEP group, this paper considers more complicated cases where the systems have multiple dependent FDEP groups. Analysis of such systems is more challenging because both the occurrence order between the trigger failure event and PFGE from the dependent components and the occurrence order among the multiple trigger failure events have to be considered. Two combinatorial and analytical algorithms are proposed. Both of them have no limitation on the type of time-to-failure distributions for the system components. Their correctness is verified using a Markov-based method. An example of memory systems is analyzed to demonstrate and compare the applications and advantages of the two proposed algorithms. - Highlights: ► Reliability of binary systems with multiple dependent functional dependence groups is analyzed. ► Competing failure propagation and failure isolation effect is considered. ► The proposed algorithms are combinatorial and applicable to any arbitrary type of time-to-failure distributions for system components.

  16. The use Prometheus FPSA system in the treatment of acute liver failure: preliminary results.

    Science.gov (United States)

    Skwarek, A; Grodzicki, M; Nyckowski, P; Kotulski, M; Zieniewicz, K; Michalowicz, B; Patkowski, W; Grzelak, I; Paczkowska, A; Giercuszkiewicz, D; Sańko-Resmer, J; Paczek, L; Krawczyk, M

    2006-01-01

    The preliminary outcomes of patients with acute liver failure treated with the Prometheus Fractionated Plasma Separation and Absorption (FPSA) system are presented herein. The procedures were performed in 13 patients (4, intoxication by Amanita phalloides; 4, unknown reason; 3, acetaminophen intoxication; 1, Wilson disease, and 1, liver insufficiency after hemihepatectomy owing to metastases of colon adenocarcinoma). The patients were qualified for the procedure according to the King's College Hospital criteria. The patients' general status was assessed on basic of GCS, UNOS, and the 4-grade encephalopathy classifications. The procedures were performed with the Prometheus 4008H Fresenius Medical Care unit. The 29 procedures were of mean duration 6.5 hours. There were statistically significant reductions in total bilirubin, ammonia, and aminotransferase levels. In addition, the procedures corrected water, mineral, and carbohydrate disorders. One patient did not require liver transplantation. Seven patients received liver transplants: three patients with positive outcomes; two died due to septicemia within 30 days perioperatively, one died at 6 months after OLT owing to respiratory failure; and one, owing to hemorrhagic diathesis. Four patients did not receive a liver transplant because of lack of a organ, no consent for the surgery, or neoplastic disease with metastases. The Prometheus FPSA-System was an effective detoxication method for patients with acute liver failure. The system was useful as a symptomatic treatment before liver transplantation allowing a longer wait for a graft.

  17. Effect of a certain class of potential common mode failures on the reliability of redundant systems

    International Nuclear Information System (INIS)

    Apostolakis, G.E.

    1975-11-01

    This is a theoretical investigation of the importance of common mode failures on the reliability of redundant systems. These failures are assumed to be the result of fatal shocks (e.g., from earthquakes, explosions, etc.) which occur at a constant rate. This formulation makes it possible to predict analytically results obtained in the past which showed that the probability of a common mode failure of the redundant channels of the protection system of a typical nuclear power plant was orders of magnitude larger than the probability of failure from chance failures alone. Furthermore, since most reliability analyses of redundant systems do not include potential common mode failures in the probabilistic calculations, criteria are established which can be used to decide either that the common-mode-failure effects are indeed insignificant or that such calculations are meaningless, and more sophisticated methods of analysis are required, because common mode failures cannot be ignored

  18. Fuzzy logic prioritization of failures in a system failure mode, effects and criticality analysis

    International Nuclear Information System (INIS)

    Bowles, John B.; Pelaez, C.E.

    1995-01-01

    This paper describes a new technique, based on fuzzy logic, for prioritizing failures for corrective actions in a Failure Mode, Effects and Criticality Analysis (FMECA). As in a traditional criticality analysis, the assessment is based on the severity, frequency of occurrence, and detectability of an item failure. However, these parameters are here represented as members of a fuzzy set, combined by matching them against rules in a rule base, evaluated with min-max inferencing, and then defuzzified to assess the riskiness of the failure. This approach resolves some of the problems in traditional methods of evaluation and it has several advantages compared to strictly numerical methods: 1) it allows the analyst to evaluate the risk associated with item failure modes directly using the linguistic terms that are employed in making the criticality assessment; 2) ambiguous, qualitative, or imprecise information, as well as quantitative data, can be used in the assessment and they are handled in a consistent manner; and 3) it gives a more flexible structure for combining the severity, occurrence, and detectability parameters. Two fuzzy logic based approaches for assessing criticality are presented. The first is based on the numerical rankings used in a conventional Risk Priority Number (RPN) calculation and uses crisp inputs gathered from the user or extracted from a reliability analysis. The second, which can be used early in the design process when less detailed information is available, allows fuzzy inputs and also illustrates the direct use of the linguistic rankings defined for the RPN calculations

  19. A Remote Patient Monitoring System for Congestive Heart Failure

    Science.gov (United States)

    Suh, Myung-kyung; Chen, Chien-An; Woodbridge, Jonathan; Tu, Michael Kai; Kim, Jung In; Nahapetian, Ani; Evangelista, Lorraine S.; Sarrafzadeh, Majid

    2011-01-01

    Congestive heart failure (CHF) is a leading cause of death in the United States affecting approximately 670,000 individuals. Due to the prevalence of CHF related issues, it is prudent to seek out methodologies that would facilitate the prevention, monitoring, and treatment of heart disease on a daily basis. This paper describes WANDA (Weight and Activity with Blood Pressure Monitoring System); a study that leverages sensor technologies and wireless communications to monitor the health related measurements of patients with CHF. The WANDA system is a three-tier architecture consisting of sensors, web servers, and back-end databases. The system was developed in conjunction with the UCLA School of Nursing and the UCLA Wireless Health Institute to enable early detection of key clinical symptoms indicative of CHF-related decompensation. This study shows that CHF patients monitored by WANDA are less likely to have readings fall outside a healthy range. In addition, WANDA provides a useful feedback system for regulating readings of CHF patients. PMID:21611788

  20. Multiple organ failure syndrome in the newborn: morphological and immunohistochemical data.

    Science.gov (United States)

    Faa, Gavino; Fanni, Daniela; Gerosa, Clara; Nemolato, Sonia; Faa, Armando; Obinu, Eleonora; Puxeddu, Elisabetta; Fraschini, Matteo; Iacovidou, Nicoletta; Zaffanello, Marco; Fanos, Vassilios

    2012-10-01

    Multiple organ failure (MOF) syndrome, also known as multiple organ dysfunction syndrome (MODS) represents a common but complex problem in critically ill patients in neonatal intensive care unit (NICU) centers, and a major cause of morbidity and mortality in newborns. MOF is considered the result of an inappropriate generalized inflammatory response of the newborn to a variety of acute insults. This study was aimed at analyzing, at histology, multiple organ pathological changes in two newborns admitted to the NICU center of our University Hospital, who showed a progressive clinical picture of MOF, in order to verify the pathological changes of vascular structures and of endothelial cells in the different organs affected by MOF. All the samples obtained at autopsy for histological examination showed specific organ pathological changes, especially related to modifications in vascular structures and, in particular, in endothelial cells. The most interesting findings were found in the intestinal barrier, in the lower respiratory tract and in the endothelial barrier. The loss of the gut barrier could allow the passage into the blood of microbial factors that could trigger the production of tumor necrosis factor α (TNFα) leading to endothelial damage. Our preliminary study underlines the principal role probably played by intestinal and vascular changes in the origin of MOF in newborns.

  1. [Part II. Scientific evidence in end-stage chronic organ failure. A position paper on shared care planning].

    Science.gov (United States)

    Gristina, Giuseppe R; Orsi, Luciano; Carlucci, Annalisa; Causarano, Ignazio R; Formica, Marco; Romanò, Massimo

    2014-01-01

    The therapeutic options related to chronic organ failure are interconnected to the variability of human biological responses and the personal history and choices of the chronically ill patient on one hand, and with the variable human answers to therapies on the other hand. All these aspects may explain the small number and low quality of studies aimed to define the clinical criteria useful in identifying end-stage chronically ill patients, as highlighted through the 2012-2013 Medline survey performed by the task force. These results prevented the grading of scientific evidence. However, taking into account the evidence based medicine definition, the task force believes the clinical reasoning and the individual experience of clinicians as well as the patients and families preferences cannot be replaced "tout court" with a strict methodological research. Accordingly, the working method selected by the task force members was to draw up a set of clinical parameters based on the available scientific literature, submitting it to a peer review process carried out by an expert panel. This paper discusses a set of clinical parameters included in the clinical decision-making algorithm and shared by nine medical societies. For each chronic organ failure these clinical parameters should be intended not as a rigid cutoff system to make a choice between two selected care options (intensive vs palliative), rather as the starting point for a joint and careful consideration regarding the opportunity to adopt the clinical decision-making algorithm care proposed in Part I.

  2. The clandestine organs of the endocrine system.

    Science.gov (United States)

    Garcia-Reyero, Natàlia

    2018-02-01

    This review analyzes what could be regarded as the "clandestine organs" of the endocrine system: the gut microbiome, the immune system, and the stress system. The immune system is very closely related to the endocrine system, with many intertwined processes and signals. Many researchers now consider the microbiome as an 'organ' that affects the organism at many different levels. While stress is certainly not an organ, it affects so many processes, including endocrine-related processes, that the stress response system deserved a special section in this review. Understanding the connections, effects, and feedback mechanisms between the different "clandestine organs" and the endocrine system will provide us with a better understanding of how an organism functions, as well as reinforce the idea that there are no independent organs or systems, but a complex, interacting network of molecules, cells, tissues, signaling pathways, and mechanisms that constitute an individual. Published by Elsevier Inc.

  3. Competing failure analysis in phased-mission systems with functional dependence in one of phases

    International Nuclear Information System (INIS)

    Wang, Chaonan; Xing, Liudong; Levitin, Gregory

    2012-01-01

    This paper proposes an algorithm for the reliability analysis of non-repairable phased-mission systems (PMS) subject to competing failure propagation and isolation effects. A failure originating from a system component which causes extensive damage to other system components is a propagated failure. When the propagated failure affects all the system components, causing the entire system failure, a propagated failure with global effect (PFGE) is said to occur. However, the failure propagation can be isolated in systems subject to functional dependence (FDEP) behavior, where the failure of a component (referred to as trigger component) causes some other components (referred to as dependent components) to become inaccessible or unusable (isolated from the system), and thus further failures from these dependent components have no effect on the system failure behavior. On the other hand, if any PFGE from dependent components occurs before the trigger failure, the failure propagation effect takes place, causing the overall system failure. In summary, there are two distinct consequences of a PFGE due to the competition between the failure isolation and failure propagation effects in the time domain. Existing works on such competing failures focus only on single-phase systems. However, many real-world systems are phased-mission systems (PMS), which involve multiple, consecutive and non-overlapping phases of operations or tasks. Consideration of competing failures for PMS is a challenging and difficult task because PMS exhibit dynamics in the system configuration and component behavior as well as statistical dependencies across phases for a given component. This paper proposes a combinatorial method to address the competing failure effects in the reliability analysis of binary non-repairable PMS. The proposed method is verified using a Markov-based method through a numerical example. Different from the Markov-based approach that is limited to exponential distribution, the

  4. Clinical residual symptomatology and associated factors in multiple organ failure survivors: A long-term mortgage.

    Science.gov (United States)

    Rodríguez-Villar, S; Rodríguez-García, J L; Arévalo-Serrano, J; Sánchez-Casado, M; Fletcher, H

    2017-12-01

    To evaluate which residual clinical symptoms multi-organ failure (MOF) patients may exhibit post discharge from Intensive Care Units (ICU) and to identify the associated factors that cause such symptoms. A total of 545 adult patients admitted to a medical & surgical ICU in Spain diagnosed with MOF on admission were included in the study. Follow up in the form of a telephone survey regarding the patients clinical symptoms were conducted at 6 and 12 months after discharge from ICU. A total of 266 patients were followed up at both 6 and 12 months post ICU discharge; 62.2% were male; age 60±18 years; 67.8% medical patients. The most common symptoms to appear following hospital discharge included: asthenia (173; 76%), sleep disturbances (112; 50%) and depression (109; 48%). The study revealed frequent residual clinical symptoms persisting for almost a year post ICU discharge, most notably arthromyalgia and asthenia. Depression symptoms during the first 6 months post-hospital discharge were also common among multiple organ failure survivors. The presence of symptomatology over time was found to be related to a poor functional situation at 6 and12 months post ICU discharge, length of hospital stay and severity of illness score on ICU admission. Copyright © 2017 Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor. All rights reserved.

  5. Bayesian analysis of repairable systems showing a bounded failure intensity

    International Nuclear Information System (INIS)

    Guida, Maurizio; Pulcini, Gianpaolo

    2006-01-01

    The failure pattern of repairable mechanical equipment subject to deterioration phenomena sometimes shows a finite bound for the increasing failure intensity. A non-homogeneous Poisson process with bounded increasing failure intensity is then illustrated and its characteristics are discussed. A Bayesian procedure, based on prior information on model-free quantities, is developed in order to allow technical information on the failure process to be incorporated into the inferential procedure and to improve the inference accuracy. Posterior estimation of the model-free quantities and of other quantities of interest (such as the optimal replacement interval) is provided, as well as prediction on the waiting time to the next failure and on the number of failures in a future time interval is given. Finally, numerical examples are given to illustrate the proposed inferential procedure

  6. Real Time Fire Reconnaissance Satellite Monitoring System Failure Model

    Science.gov (United States)

    Nino Prieto, Omar Ariosto; Colmenares Guillen, Luis Enrique

    2013-09-01

    In this paper the Real Time Fire Reconnaissance Satellite Monitoring System is presented. This architecture is a legacy of the Detection System for Real-Time Physical Variables which is undergoing a patent process in Mexico. The methodologies for this design are the Structured Analysis for Real Time (SA- RT) [8], and the software is carried out by LACATRE (Langage d'aide à la Conception d'Application multitâche Temps Réel) [9,10] Real Time formal language. The system failures model is analyzed and the proposal is based on the formal language for the design of critical systems and Risk Assessment; AltaRica. This formal architecture uses satellites as input sensors and it was adapted from the original model which is a design pattern for physical variation detection in Real Time. The original design, whose task is to monitor events such as natural disasters and health related applications, or actual sickness monitoring and prevention, as the Real Time Diabetes Monitoring System, among others. Some related work has been presented on the Mexican Space Agency (AEM) Creation and Consultation Forums (2010-2011), and throughout the International Mexican Aerospace Science and Technology Society (SOMECYTA) international congress held in San Luis Potosí, México (2012). This Architecture will allow a Real Time Fire Satellite Monitoring, which will reduce the damage and danger caused by fires which consumes the forests and tropical forests of Mexico. This new proposal, permits having a new system that impacts on disaster prevention, by combining national and international technologies and cooperation for the benefit of humankind.

  7. Assessment of cerebral microbleeds by susceptibility-weighted imaging at 3T in patients with end-stage organ failure.

    Science.gov (United States)

    Sparacia, Gianvincenzo; Cannella, Roberto; Lo Re, Vincenzina; Gambino, Angelo; Mamone, Giuseppe; Miraglia, Roberto

    2018-02-17

    Cerebral microbleeds (CMBs) are small rounded lesions representing cerebral hemosiderin deposits surrounded by macrophages that results from previous microhemorrhages. The aim of this study was to review the distribution of cerebral microbleeds in patients with end-stage organ failure and their association with specific end-stage organ failure risk factors. Between August 2015 and June 2017, we evaluated 15 patients, 9 males, and 6 females, (mean age 65.5 years). Patients population was subdivided into three groups according to the organ failure: (a) chronic kidney failure (n = 8), (b) restrictive cardiomyopathy undergoing heart transplantation (n = 1), and (c) end-stage liver failure undergoing liver transplantation (n = 6). The MR exams were performed on a 3T MR unit and the SWI sequence was used for the detection of CMBs. CMBs were subdivided in supratentorial lobar distributed, supratentorial non-lobar distributed, and infratentorial distributed. A total of 91 microbleeds were observed in 15 patients. Fifty-nine CMBs lesions (64.8%) had supratentorial lobar distribution, 17 CMBs lesions (18.8%) had supratentorial non-lobar distribution and the remaining 15 CMBs lesions (16.4%) were infratentorial distributed. An overall predominance of supratentorial multiple lobar localizations was found in all types of end-stage organ failure. The presence of CMBs was significantly correlated with age, hypertension, and specific end-stage organ failure risk factors (p failure. The improved detection of CMBs with SWI sequences may contribute to a more accurate identification of patients with cerebral risk factors to prevent complications during or after the organ transplantation.

  8. Identification of hidden failures in control systems: a functional modelling approach

    International Nuclear Information System (INIS)

    Jalashgar, A.; Modarres, M.

    1996-01-01

    This paper presents a model which encompasses knowledge about a process control system's functionalities in a function-oriented failure analysis task. The technique called Hybrid MFM-GTST, mainly utilizes two different function - oriented methods (MFM and GTST) to identify all functions of the system components, and hence possible sources of hidden failures in process control systems. Hidden failures are referred to incipient failures within the system that in long term may lead to loss of major functions. The features of the method are described and demonstrated by using an example of a process control system

  9. Soil organism in organic and conventional cropping systems.

    OpenAIRE

    Bettiol, Wagner; Ghini, Raquel; Galvão, José Abrahão Haddad; Ligo, Marcos Antônio Vieira; Mineiro, Jeferson Luiz de Carvalho

    2002-01-01

    Despite the recent interest in organic agriculture, little research has been carried out in this area. Thus, the objective of this study was to compare, in a dystrophic Ultisol, the effects of organic and conventional agricultures on soil organism populations, for the tomato (Lycopersicum esculentum) and corn (Zea mays) crops. In general, it was found that fungus, bacterium and actinomycet populations counted by the number of colonies in the media, were similar for the two cropping systems. C...

  10. Probability of loss of assured safety in systems with multiple time-dependent failure modes.

    Energy Technology Data Exchange (ETDEWEB)

    Helton, Jon Craig; Pilch, Martin.; Sallaberry, Cedric Jean-Marie.

    2012-09-01

    Weak link (WL)/strong link (SL) systems are important parts of the overall operational design of high-consequence systems. In such designs, the SL system is very robust and is intended to permit operation of the entire system under, and only under, intended conditions. In contrast, the WL system is intended to fail in a predictable and irreversible manner under accident conditions and render the entire system inoperable before an accidental operation of the SL system. The likelihood that the WL system will fail to deactivate the entire system before the SL system fails (i.e., degrades into a configuration that could allow an accidental operation of the entire system) is referred to as probability of loss of assured safety (PLOAS). Representations for PLOAS for situations in which both link physical properties and link failure properties are time-dependent are derived and numerically evaluated for a variety of WL/SL configurations, including PLOAS defined by (i) failure of all SLs before failure of any WL, (ii) failure of any SL before failure of any WL, (iii) failure of all SLs before failure of all WLs, and (iv) failure of any SL before failure of all WLs. The effects of aleatory uncertainty and epistemic uncertainty in the definition and numerical evaluation of PLOAS are considered.

  11. Semiotics, Multi-Agent Systems and Organizations

    NARCIS (Netherlands)

    Gazendam, H.W.M.; Jorna, René J.

    1998-01-01

    Multi-agent systems are promising as models of organization because they are based on the idea that most work in human organizations is done based on intelligence, communication, cooperation, and massive parallel processing. They offer an alternative for system theories of organization, which are

  12. Endothelial Adhesion Molecules and Multiple Organ Failure in Patients With Severe Sepsis

    Science.gov (United States)

    Amalakuhan, Bravein; Habib, Sheila A.; Mangat, Mandeep; Reyes, Luis F.; Rodriguez, Alejandro H.; Hinojosa, Cecilia A.; Soni, Nilam J.; Gilley, Ryan P.; Bustamante, Carlos A.; Anzueto, Antonio; Levine, Stephanie M.; Peters, Jay I.; Aliberti, Stefano; Sibila, Oriol; Chalmers, James D.; Torres, Antoni; Waterer, Grant W.; Martin-Loeches, Ignacio; Bordon, Jose; Blanquer, Jose; Sanz, Francisco; Marcos, Pedro J.; Rello, Jordi; Ramirez, Julio; Solé-Violán, Jordi; Luna, Carlos M.; Feldman, Charles; Witzenrath, Martin; Wunderink, Richard G.; Stolz, Daiana; Wiemken, Tim L.; Shindo, Yuichiro; Dela Cruz, Charles S.; Orihuela, Carlos J.; Restrepo, Marcos I.

    2016-01-01

    Objective To determine if serum levels of endothelial adhesion molecules were associated with the development of multiple organ failure (MOF) and in-hospital mortality in adult patients with severe sepsis. Design This study was a secondary data analysis of a prospective cohort study. Setting Patients were admitted to two tertiary intensive care units in San Antonio, TX, between 2007 and 2012. Patients Patients with severe sepsis at the time of intensive care unit (ICU) admission were enrolled. Inclusion criteria were consistent with previously published criteria for severe sepsis or septic shock in adults. Exclusion criteria included immunosuppressive medications or conditions. Interventions None. Measurements Baseline serum levels of the following endothelial cell adhesion molecules were measured within the first 72 hours of ICU admission: Intracellular Adhesion Molecule 1 (ICAM-1), Vascular Cell Adhesion Molecule-1 (VCAM-1), and Vascular Endothelial Growth Factor (VEGF). The primary and secondary outcomes were development of MOF (≥2 organ dysfunction) and in-hospital mortality, respectively. Main results Forty-eight patients were enrolled in this study, of which 29 (60%) developed MOF. Patients that developed MOF had higher levels of VCAM-1 (p=0.01) and ICAM-1 (p=0.01), but not VEGF (p=0.70) compared with patients without MOF (single organ failure only). The area under the curve (AUC) to predict MOF according to VCAM-1, ICAM-1 and VEGF was 0.71, 0.73, and 0.54, respectively. Only increased VCAM-1 levels were associated with in-hospital mortality (p=0.03). These associations were maintained even after adjusting for APACHE and SOFA scores using logistic regression. Conclusions High levels of serum ICAM-1 was associated with the development of MOF. High levels of VCAM-1 was associated with both MOF and in-hospital mortality. PMID:27701021

  13. Low molecular weight heparin attenuates multiple organ failure in a murine model of disseminated intravascular coagulation.

    Science.gov (United States)

    Slofstra, Sjoukje H; van 't Veer, Cornelis; Buurman, Wim A; Reitsma, Pieter H; ten Cate, Hugo; Spek, C Arnold

    2005-06-01

    Bacterial sepsis causes widespread vascular inflammation that frequently leads to disseminated intravascular coagulation (DIC). Although intravascular coagulation contributes to organ failure, it is often debated whether anticoagulant therapy produces any beneficial effects in patients with DIC. The aim of this study was to document potential beneficial effects of low molecular weight heparin (LMWH) in a lipopolysaccharide-induced DIC model. Controlled animal experiment combined with an in vitro laboratory study. Academic research laboratory. C57BL/6 mice subjected to two injections of Serratia Marcescens lipopolysaccharide (LPS) resulting in the generalized Shwartzman's reaction as a model for DIC. LMWH (5 IU of anti-Xa activity) or saline was administered before both LPS injections and 10 hrs after the first exposure to LPS. To test the effect of LMWH on LPS-driven monocyte inflammatory responses, a human monocyte-human umbilical vein endothelial cell co-culture was used to determine E-selectin expression as a marker of monocyte adherence. In our murine DIC model, LMWH had no effect on markers of inflammation. In addition, no effect of LMWH was detected on monocyte adherence in the human monocyte-human umbilical vein endothelial cell co-culture. Organ damage, contrarily, was significantly reduced as determined by hepatic necrosis (p < .05), lung epithelial protein leakage (p < .05), and creatinine release from kidneys into plasma (p < .01). LMWH protection from organ failure resulted in an increase in survival (p = .06) in this model for DIC. These results demonstrate the significance of blood coagulation in the progression of DIC and hint at a beneficial role for LMWH anticoagulation in the management of DIC.

  14. Prometheus system: a technological support in liver failure.

    Science.gov (United States)

    Santoro, A; Faenza, S; Mancini, E; Ferramosca, E; Grammatico, F; Zucchelli, A; Facchini, M G; Pinna, A D

    2006-05-01

    The Prometheus system is a plasma filtration treatment coupling adsorption and hemodialysis (FPSA) aimed to blood purification in liver failure. After separation through an albumin-permeable membrane, plasma enters a secondary circuit where protein-bound toxic substances are removed by two adsorbers; p01, a neutral resin, and p02, an anion exchanger. Plasma is then returned to the venous line, where a high-flux hemodialyzer removes water-soluble substances. We used the Prometheus system in 12 patients with acute or acute-on-chronic liver insufficiency: eight cirrhosis, one posttransplant dysfunction, and three secondary liver insult (two cardiogenic shock and one rhabdomyolysis). All patients were severely hyperbilirubinemic, hypercholemic, and hyperammonemic. Twenty-eight sessions each lasting 340 +/- 40 minutes were performed (2.5/patient). The mean total bilirubin decreased from 33.6 +/- 20 to 22.2 +/- 13.6 mg/dL (P Prometheus, based on FPSA, produced high clearance for protein-bound and water soluble markers, which resulted in high treatment efficacy.

  15. Dynamic cellular manufacturing system considering machine failure and workload balance

    Science.gov (United States)

    Rabbani, Masoud; Farrokhi-Asl, Hamed; Ravanbakhsh, Mohammad

    2018-02-01

    Machines are a key element in the production system and their failure causes irreparable effects in terms of cost and time. In this paper, a new multi-objective mathematical model for dynamic cellular manufacturing system (DCMS) is provided with consideration of machine reliability and alternative process routes. In this dynamic model, we attempt to resolve the problem of integrated family (part/machine cell) formation as well as the operators' assignment to the cells. The first objective minimizes the costs associated with the DCMS. The second objective optimizes the labor utilization and, finally, a minimum value of the variance of workload between different cells is obtained by the third objective function. Due to the NP-hard nature of the cellular manufacturing problem, the problem is initially validated by the GAMS software in small-sized problems, and then the model is solved by two well-known meta-heuristic methods including non-dominated sorting genetic algorithm and multi-objective particle swarm optimization in large-scaled problems. Finally, the results of the two algorithms are compared with respect to five different comparison metrics.

  16. Agent autonomy approach to probabilistic physics-of-failure modeling of complex dynamic systems with interacting failure mechanisms

    Science.gov (United States)

    Gromek, Katherine Emily

    A novel computational and inference framework of the physics-of-failure (PoF) reliability modeling for complex dynamic systems has been established in this research. The PoF-based reliability models are used to perform a real time simulation of system failure processes, so that the system level reliability modeling would constitute inferences from checking the status of component level reliability at any given time. The "agent autonomy" concept is applied as a solution method for the system-level probabilistic PoF-based (i.e. PPoF-based) modeling. This concept originated from artificial intelligence (AI) as a leading intelligent computational inference in modeling of multi agents systems (MAS). The concept of agent autonomy in the context of reliability modeling was first proposed by M. Azarkhail [1], where a fundamentally new idea of system representation by autonomous intelligent agents for the purpose of reliability modeling was introduced. Contribution of the current work lies in the further development of the agent anatomy concept, particularly the refined agent classification within the scope of the PoF-based system reliability modeling, new approaches to the learning and the autonomy properties of the intelligent agents, and modeling interacting failure mechanisms within the dynamic engineering system. The autonomous property of intelligent agents is defined as agent's ability to self-activate, deactivate or completely redefine their role in the analysis. This property of agents and the ability to model interacting failure mechanisms of the system elements makes the agent autonomy fundamentally different from all existing methods of probabilistic PoF-based reliability modeling. 1. Azarkhail, M., "Agent Autonomy Approach to Physics-Based Reliability Modeling of Structures and Mechanical Systems", PhD thesis, University of Maryland, College Park, 2007.

  17. Increase of Organization in Complex Systems

    OpenAIRE

    Georgiev, Georgi Yordanov; Daly, Michael; Gombos, Erin; Vinod, Amrit; Hoonjan, Gajinder

    2013-01-01

    Measures of complexity and entropy have not converged to a single quantitative description of levels of organization of complex systems. The need for such a measure is increasingly necessary in all disciplines studying complex systems. To address this problem, starting from the most fundamental principle in Physics, here a new measure for quantity of organization and rate of self-organization in complex systems based on the principle of least (stationary) action is applied to a model system -...

  18. Coding hazardous tree failures for a data management system

    Science.gov (United States)

    Lee A. Paine

    1978-01-01

    Codes for automatic data processing (ADP) are provided for hazardous tree failure data submitted on Report of Tree Failure forms. Definitions of data items and suggestions for interpreting ambiguously worded reports are also included. The manual is intended to insure the production of accurate and consistent punched ADP cards which are used in transfer of the data to...

  19. Estimation of failure probabilities of linear dynamic systems by ...

    Indian Academy of Sciences (India)

    An iterative method for estimating the failure probability for certain time-variant reliability problems has been developed. In the paper, the focus is on the displacement response of a linear oscillator driven by white noise. Failure is then assumed to occur when the displacement response exceeds a critical threshold.

  20. Operating experience feedback report: Service water system failures and degradations: Volume 3

    International Nuclear Information System (INIS)

    Lam, P.; Leeds, E.

    1988-11-01

    A comprehensive review and evaluation of service water system failures and degradations observed in operating events in light water reactors from 1980 to 1987 has been conducted. The review and evaluation focused on the identification of causes of system failures and degradations, the adequacy of corrective actions implemented and planned, and the safety significance of the operating events. The results of this review and evaluation indicate that the service water system failures and degradations have significant safety implications. These system failures and degradations are attributable to a great variety of causes, and have adverse impact on a large number of safety-related systems and components which are required to mitigate reactor accidents. Specifically, the causes of failures and degradations include various fouling mechanisms (sediment deposition, biofouling, corrosion and erosion, pipe coating failure, calcium carbonate, foreign material and debris intrusion); single failures and other design deficiencies; flooding; multiple equipment failures; personnel and procedural errors; and seismic deficiencies. Systems and components adversely impacted by a service water system failure or degradation include the component cooling water system, emergency diesel generators, emergency core cooling system pumps and heat exchangers, the residual heat removal system, containment spray and fan coolers, control room chillers, and reactor building cooling units. 44 refs., 10 figs., 5 tabs

  1. Soil organisms in organic and conventional cropping systems

    Directory of Open Access Journals (Sweden)

    Bettiol Wagner

    2002-01-01

    Full Text Available Despite the recent interest in organic agriculture, little research has been carried out in this area. Thus, the objective of this study was to compare, in a dystrophic Ultisol, the effects of organic and conventional agricultures on soil organism populations, for the tomato (Lycopersicum esculentum and corn (Zea mays crops. In general, it was found that fungus, bacterium and actinomycet populations counted by the number of colonies in the media, were similar for the two cropping systems. CO2 evolution during the cropping season was higher, up to the double for the organic agriculture system as compared to the conventional. The number of earthworms was about ten times higher in the organic system. There was no difference in the decomposition rate of organic matter of the two systems. In general, the number of microartropods was always higher in the organic plots in relation to the conventional ones, reflectining on the Shannon index diversity. The higher insect population belonged to the Collembola order, and in the case of mites, to the superfamily Oribatuloidea. Individuals of the groups Aranae, Chilopoda, Dyplopoda, Pauropoda, Protura and Symphyla were occasionally collected in similar number in both cropping systems.

  2. Preliminary Failure Modes and Effects Analysis of the US Massive Gas Injection Disruption Mitigation System Design

    Energy Technology Data Exchange (ETDEWEB)

    Cadwallader, Lee C. [Idaho National Lab. (INL), Idaho Falls, ID (United States)

    2013-10-01

    This report presents the results of a preliminary failure modes and effects analysis (FMEA) of a candidate design for the ITER Disruption Mitigation System. This candidate is the Massive Gas Injection System that provides machine protection in a plasma disruption event. The FMEA was quantified with “generic” component failure rate data as well as some data calculated from operating facilities, and the failure events were ranked for their criticality to system operation.

  3. Multi-agent system as a new approach to effective chronic heart failure management: key considerations.

    Science.gov (United States)

    Mohammadzadeh, Niloofar; Safdari, Reza; Rahimi, Azin

    2013-09-01

    Given the importance of the follow-up of chronic heart failure (CHF) patients to reduce common causes of re-admission and deterioration of their status that lead to imposing spiritual and physical costs on patients and society, modern technology tools should be used to the best advantage. The aim of this article is to explain key points which should be considered in designing an appropriate multi-agent system to improve CHF management. In this literature review articles were searched with keywords like multi-agent system, heart failure, chronic disease management in Science Direct, Google Scholar and PubMed databases without regard to the year of publications. Agents are an innovation in the field of artificial intelligence. Because agents are capable of solving complex and dynamic health problems, to take full advantage of e-Health, the healthcare system must take steps to make use of this technology. Key factors in CHF management through a multi-agent system approach must be considered such as organization, confidentiality in general aspects and design and architecture points in specific aspects. Note that use of agent systems only with a technical view is associated with many problems. Hence, in delivering healthcare to CHF patients, considering social and human aspects is essential. It is obvious that identifying and resolving technical and non-technical challenges is vital in the successful implementation of this technology.

  4. An open system approach to change detection and failure monitoring of complex plants: the NPP experience

    International Nuclear Information System (INIS)

    Kiss, J.; Bokor, J.; Edelmayer, A.; Soumelidis, A.

    1996-01-01

    Along the lines of the recent developments of the diagnostic information system (DIS) in the Nuclear Power Plant Co., Paks, Hungary, in this paper the concept and main features of the system is discussed. DIS is a plant-wide failure monitoring and diagnosis assistance system, whose computational framework is based on distributed computational and diagnostic information resources ensuring fast information retrieval thus considerably improving the availability of diagnostic data in the organization. Main functional constituents of DIS include reactor and primary loops diagnostic, in-core diagnostic and turbine diagnostic subsystems. Experimental leakage detection and loose part monitoring are also part of the system. Advances networking technology makes the integration of inhomogeneous computing technologies to the architecture possible. The idea can play invaluable role in developing next generations of large-scale diagnosis assistance systems and applies directly to surveillance and failure monitoring of the VVER-440 type pressurized water reactor units and to their main components in the plant, enhancing operational safety and reliability. (authors)

  5. Developing healthcare rule-based expert systems: case study of a heart failure telemonitoring system.

    Science.gov (United States)

    Seto, Emily; Leonard, Kevin J; Cafazzo, Joseph A; Barnsley, Jan; Masino, Caterina; Ross, Heather J

    2012-08-01

    The use of expert systems to generate automated alerts and patient instructions based on telemonitoring data could enable increased self-care and improve clinical management. However, of great importance is the development of the rule set to ensure safe and clinically relevant alerts and instructions are sent. The purpose of this work was to develop a rule-based expert system for a heart failure mobile phone-based telemonitoring system, to evaluate the expert system, and to generalize the lessons learned from the development process for use in other healthcare applications. Semi-structured interviews were conducted with 10 heart failure clinicians to inform the development of a draft heart failure rule set for alerts and patient instructions. The draft rule set was validated and refined with 9 additional interviews with heart failure clinicians. Finally, the clinical champion of the project vetted the rule set. The concerns voiced by the clinicians during the interviews were noted, and methods to mitigate these concerns were employed. The rule set was then evaluated as part of a 6-month randomized controlled trial of a mobile phone-based heart failure telemonitoring system (n=50 for each of the telemonitoring and control groups). The developed expert system generated alerts and instructions based on the patient's weight, blood pressure, heart rate, and symptoms. During the trial, 1620 alerts were generated, which led to various clinical actions including 105 medication changes/instructions. The findings from the trial indicated the rule set was associated with improved quality of life and self-care. A rule set was developed with extensive input by heart failure clinicians. The results from the trial indicated the rule set was associated with significantly increased self-care and improved the clinical management of heart failure. The developed rule set can be used as a basis for other heart failure telemonitoring systems, but should be validated and modified as

  6. Transfusion-transmitted malaria masquerading as sickle cell crisis with multisystem organ failure.

    Science.gov (United States)

    Maier, Cheryl L; Gross, Phillip J; Dean, Christina L; Chonat, Satheesh; Ip, Andrew; McLemore, Morgan; El Rassi, Fuad; Stowell, Sean R; Josephson, Cassandra D; Fasano, Ross M

    2018-03-09

    Fever accompanying vaso-occlusive crisis is a common presentation in patients with sickle cell disease (SCD) and carries a broad differential diagnosis. Here, we report a case of transfusion-transmitted malaria in a patient with SCD presenting with acute vaso-occlusive crisis and rapidly decompensating to multisystem organ failure (MSOF). An 18-year-old African American male with SCD was admitted after multiple days of fever and severe generalized body pain. He received monthly blood transfusions as stroke prophylaxis. A source of infection was not readily identified, but treatment was initiated with continuous intravenous fluids and empiric antibiotics. The patient developed acute renal failure, acute hypoxic respiratory failure, and shock. He underwent red blood cell (RBC) exchange transfusion followed by therapeutic plasma exchange and continuous veno-venous hemodialysis. A manual peripheral blood smear revealed intraerythrocytic inclusions suggestive of Plasmodium, and molecular studies confirmed Plasmodium falciparum infection. Intravenous artesunate was given daily for 1 week. A look-back investigation involving two hospitals, multiple blood suppliers, and state and federal public health departments identified the source of malaria as a unit of RBCs transfused 2 weeks prior to admission. Clinical suspicion for transfusion-related adverse events, including hemolytic transfusion reactions and transfusion-transmitted infections, should be high in typically and atypically immunocompromised patient populations (like SCD), especially those on chronic transfusion protocols. Manual blood smear review aids in the evaluation of patients with SCD presenting with severe vaso-occlusive crisis and MSOF and can alert clinicians to the need for initiating aggressive therapy like RBC exchange and artesunate therapy. © 2018 AABB.

  7. THE FAILURE OF COLLECTIVE SECURITY IN THE POST WORLD WARS I AND II INTERNATIONAL SYSTEM

    Directory of Open Access Journals (Sweden)

    JOSEPH C. EBEGBULEM

    2012-05-01

    Full Text Available The League of Nations and the United Nations Organization were two post-World War (World War I and World War II organizations established for the maintenance of peace and security in the international system. One of the cardinal objectives of these organizations was the promotion of a Collective Security System which was considered as vital in the pursuit of global peace and security. In other words, Collective Security is an institutional mechanism established to address a comprehensive list of major threats to peace and security around the world. With the escalation of conflicts and wars in different parts of the world, there is therefore the need for collective responses at global, regional and national levels in conflict situations. The achievement of collective security in the international system would be based on the principle that any attack on any member of the United Nations would be considered as an attack on all the members. After a panoramic discourse of the meaning and nature of Collective Security, the paper also examines the problems of collective security in the international system; its failure under the League of Nations and the United Nations. The paper concludes that the weaknesses inherent in the system do not make it unuseful as it is a relevant factor in the maintenance of international peace and security.

  8. Using Probablilistic Risk Assessment to Model Medication System Failures in Long-Term Care Facilities

    National Research Council Canada - National Science Library

    Comden, Sharon C; Marx, David; Murphy-Carley, Margaret; Hale, Misti

    2005-01-01

    .... Discussion: The models provide contextual maps of the errors and behaviors that lead to medication delivery system failures, including unanticipated risks associated with regulatory practices and common...

  9. Forecasting overhaul or replacement intervals based on estimated system failure intensity

    Science.gov (United States)

    Gannon, James M.

    1994-12-01

    System reliability can be expressed in terms of the pattern of failure events over time. Assuming a nonhomogeneous Poisson process and Weibull intensity function for complex repairable system failures, the degree of system deterioration can be approximated. Maximum likelihood estimators (MLE's) for the system Rate of Occurrence of Failure (ROCOF) function are presented. Evaluating the integral of the ROCOF over annual usage intervals yields the expected number of annual system failures. By associating a cost of failure with the expected number of failures, budget and program policy decisions can be made based on expected future maintenance costs. Monte Carlo simulation is used to estimate the range and the distribution of the net present value and internal rate of return of alternative cash flows based on the distributions of the cost inputs and confidence intervals of the MLE's.

  10. Monitoring and remote failure detection of grid-connected PV systems based on satellite observations

    NARCIS (Netherlands)

    Drews, A.; de Keizer, A.C.; Beyer, H.G.; Lorenz, E.; Betcke, J.W.H.; van Sark, W.G.J.H.M.; Heydenreich, W.; Wiemken, E.; Stettler, S.; Toggweiler, P.; Bofinger, S.; Schneider, M.; Heilscher, G.; Heinemann, D.

    Small grid-connected photovoltaic systems up to 5 kWp are often not monitored because advanced surveillance systems are not economical. Hence, some system failures which lead to partial energy losses stay unnoticed for a long time. Even a failure that results in a larger energy deficit can be

  11. Evaluation of possible failure of the mononuclear phagocyte system after total splenectomy in rats

    Directory of Open Access Journals (Sweden)

    Marques Ruy Garcia

    2004-01-01

    Full Text Available Young and adult Wistar rats were submitted to total splenectomy and compared to animals not submitted to any surgical manipulation in order to evaluate the phagocytic function of spleen. The animals were infected with Escherichia coli labeled with technetium-99m and killed 20 minutes later. Liver, lung, spleen and a blood clot sample were taken. No significant differences were found in the percentage of bacterial radioactivity uptake in mononuclear phagocyte system (MPS organs in young and adult splenectomized rats. However, phagocytosis index by macrophages of MPS organs was smaller in splenectomized animals than in control group. Splenectomized rats were associated with a higher blood bacterial radioactivity uptake than animals of the control group (p<0.0001 due to a larger bacterial remnant in the bloodstream. This finding suggested that some failure in the MPS occurred in the absence of the spleen, demonstrating the need to develop alternative surgical techniques for total splenectomy.

  12. Respiratory Failure

    Science.gov (United States)

    Respiratory failure happens when not enough oxygen passes from your lungs into your blood. Your body's organs, such as ... need oxygen-rich blood to work well. Respiratory failure also can happen if your lungs can't ...

  13. Extracorporeal membrane oxygenation cannulation trends for pediatric respiratory failure and central nervous system injury.

    Science.gov (United States)

    Rollins, Michael D; Hubbard, Ania; Zabrocki, Luke; Barnhart, Douglas C; Bratton, Susan L

    2012-01-01

    Guidelines regarding arterial cannula site and cannula site-specific risks of central nervous system (CNS) injury for pediatric patients requiring extracorporeal membrane oxygenation (ECMO) support are lacking. We reviewed cannulation trends for pediatric respiratory failure and evaluated CNS complication rates by cannulation site and mode of support. The Extracorporeal Life Support Organization (ELSO) registry was queried for all pediatric respiratory failure patients 5 years of age and >20 kg. Venovenous (VV) ECMO was used in >50% of children >10 years. No significant difference was identified in CNS injury between carotid and femoral cannulation in any age group but the femoral group was small (4.4%). VA support was independently associated with increased odds of CNS injury compared to VV cannulation (OR, 1.6). VA ECMO is the most common mode of support in pediatric respiratory failure patients. Although no significant difference in CNS injury was noted between carotid and femoral artery cannulation, the odds of injury were significantly higher than VV support. Copyright © 2012 Elsevier Inc. All rights reserved.

  14. Wheezing as a sign of cor triatriatum sinister culminating in multiple organ failure.

    Science.gov (United States)

    Lee, Meng-Luen; Chen, Ying-Cheng; Lee, Ming-Sheng; Chien, Jien-Wen

    2014-12-01

    Cardiac asthma or cardiac wheezing (CW) refers to a syndrome of dyspnea and wheezing that mimicks asthma clinically. Reported herein is the case of a 2-month-old boy who presented with refractory wheezing as a sign of cor triatriatum sinister (CTS) that culminated in overwhelming multiple organ failure in a short time. On the day of admission, oxygen saturation (SpO2 ) was 20,000 pg/mL. Two-dimensional echocardiography with Doppler showed CTS, which was complicated with severe pulmonary arterial hypertension due to flagrant pulmonary venous obstruction. Cardiac surgery was undertaken, after which pulmonary edema subsided, SpO2 increased to ≥96%, and NTproBNP dropped to normal. He was discharged 11 days later, and was free of cardiac, pulmonary, renal, and neurological sequelae at 24 month follow up. © 2014 Japan Pediatric Society.

  15. Renal failure and occupational exposure to organic solvents: what work-up should be performed?

    Science.gov (United States)

    Mediouni, Zakia; Potherat, Guillaume; Barrere, Xavier; Debure, Alain; Descatha, Alexis

    2011-01-01

    The etiological work-up of a disease with an occupational component, such as renal failure associated with exposure to organic solvents, may include several complementary investigations. The authors discussed certain elements of the etiological work-up in the light of a clinical case, particularly the individual and collective advantages and disadvantages of this work-up. Further investigations would not have provided the patient with any individual or collective benefit and were therefore not performed, whereas other investigations (environmental studies, screening of fellow workers) may provide collective rather than individual benefits, but must be decided by a multidisciplinary approach. A multidisciplinary study (general practitioner, nephrologist, occupational health physician, and specialist in toxicology) is necessary to discuss the appropriate etiological work-up, taking into account the individual and collective benefit-risk balance. Copyright © 2011 Taylor & Francis Group, LLC

  16. A complex adaptive system approach to failure of public governance networks

    NARCIS (Netherlands)

    Koolma, H.M.

    2013-01-01

    Institutional failure of societal sectors has become a challenging subject of public inquiry since the financial crisis. In this paper these sectors are conceptualized as publicly governed networks of organization executives, supervisory boards, regulatory agencies, and governmental representatives.

  17. Non-thrombogenic hemofiltration system for acute renal failure treatment.

    Science.gov (United States)

    Tong, S D; Hsu, L C

    1992-01-01

    Continuous arteriovenous hemofiltration (CAVH) has become an accepted therapy for patients with acute renal failure. A major technical concern with CAVH is clotting of the hemofilter, resulting from blood-material interactions. This study compares the thromboresistance and performance characteristics of a Duraflo II heparin treated CAVH circuit with those of an untreated control circuit. The circuit consisted of a polysulfone hemofilter, tubing sets, and catheters. The heparin treatment did not change the mass transfer properties of the hemofilter. The thromboresistance of the heparin treated circuit was compared directly with that of an untreated circuit in a heparinless sheep model using bilateral circuits. The heparin treatment significantly enhanced the blood compatibility of the circuit, as indicated by the reduction in thrombus formation, prolonged work life, and superior performance in heparinless sheep. There was minimal heparin leaching from the hemo-filter. A heparin treated circuit may improve the safety and effectiveness of the CAVH procedure, and offers potential for a systemic heparin protocol to be modified for patients with bleeding disorders.

  18. Institutional failure: are safety management systems the answer?

    International Nuclear Information System (INIS)

    Waddington, J.G.; Lafortune, J.F.; Duffey, R.B.

    2009-01-01

    In spite of an overwhelming number of safety management programs, incidents and accidents that could seemingly, in hindsight, have been prevented, still occur. Institutional failure is seen as a major contributor in almost all cases. With the anticipated significant increase in the number of nuclear plants around the world, a drastic step in the way we manage safety is deemed essential to further reduce the currently already very low rate of accidents to levels that will not cause undue public concern and threaten the success of the nuclear 'renaissance'. To achieve this, many industries have already started implementing a Safety Management System (SMS) approach, aimed at harmonizing, rationalizing and integrating management processes, safety culture and operational risk assessment. This paper discusses the origins and the nature of SMS based in part on the experience of the aviation industry, and shows how SMS is poised to be the next generation in the way the nuclear industry manages safety. It also discusses the need for better direct measures of risk to demonstrate the success of SMS implementation. (author)

  19. Implementing telemonitoring in heart failure care : Barriers from the perspectives of patients, healthcare professionals and healthcare organizations

    NARCIS (Netherlands)

    Boyne, J.J.; Vrijhoef, H.J.M.

    2013-01-01

    The increasing prevalence of chronic diseases, such as heart failure, presents a substantial challenge to healthcare systems. Telemonitoring is believed to be a useful instrument in the delivery of heart failure care. However, a widespread use of telemonitoring is currently failing for various

  20. Pacing failure caused by automatic pacing threshold adjustment system

    Directory of Open Access Journals (Sweden)

    Jun Kishihara

    2017-12-01

    Full Text Available Ventricular capture management is an automatic pacing threshold adjustment algorithm that automatically measures pacing threshold through detection of the evoked response after a pacing stimulus. Although it is principally designed to save device battery under the maintenance of the patient׳s safety, we experienced a rare case with serious pacing failure due to a weakness of this algorithm. This pacing failure might be explained by a large variation in the ventricular pacing threshold depending on the atrioventricular interval and daily variation of pacing threshold and concomitant steroid use in this patient. Keywords: Automatic pacing threshold adjustment algorithm, Pacing failure

  1. Mediator oxidation systems in organic electrosynthesis

    International Nuclear Information System (INIS)

    Ogibin, Yurii N; Elinson, Michail N; Nikishin, Gennady I

    2009-01-01

    The data on the use of mediator oxidation systems activated by electric current (anodic or parallel anodic and cathodic) in organic electrosynthesis are considered and generalised. Electrochemical activation of these systems permits successful application of catalytic versions and easy scaling of mediator-promoted processes. Chemical and environmental advantages of electrochemical processes catalysed by mediator oxidation systems are demonstrated. Examples of the application of organic and inorganic mediators for the oxidation of various classes of organic compounds under conditions of electrolysis are given.

  2. Reliability modelling for wear out failure period of a single unit system

    OpenAIRE

    Arekar, Kirti; Ailawadi, Satish; Jain, Rinku

    2012-01-01

    The present paper deals with two time-shifted density models for wear out failure period of a single unit system. The study, considered the time-shifted Gamma and Normal distributions. Wear out failures occur as a result of deterioration processes or mechanical wear and its probability of occurrence increases with time. A failure rate as a function of time deceases in an early failure period and it increases in wear out period. Failure rates for time shifted distributions and expression for m...

  3. Estimation of failure probabilities of linear dynamic systems by ...

    Indian Academy of Sciences (India)

    variant reliability problems has been developed. In the paper, the focus is on the displacement response of a linear oscillator driven by white noise. Failure is then assumed to occur when the displacement response exceeds a critical thresh-.

  4. Incidence and risk of heart failure in systemic lupus erythematosus.

    Science.gov (United States)

    Kim, Chang H; Al-Kindi, Sadeer G; Jandali, Bochra; Askari, Ali D; Zacharias, Michael; Oliveira, Guilherme H

    2017-02-01

    Although case series suggest a higher burden of cardiovascular risk factors in patients with systemic lupus erythematosus (SLE) compared with the general population, the association between SLE and heart failure (HF) remains undefined. We sought to investigate the incidence and risk of HF in patients with SLE. In April 2016, we performed a retrospective cohort analysis using the Explorys platform, which provides aggregated electronic medical record data from 26 major integrated healthcare systems across the USA from 1999 to present. Demographic and regression analyses were performed to assess the impact of SLE on HF incidence. Among 45 284 540 individuals in the database, we identified 95 400 (0.21%) with SLE and 98 900 (0.22%) with a new diagnosis of HF between May 2015 and April 2016. HF incidence was markedly higher in the SLE group compared with controls (0.97% vs 0.22%, relative risk (RR): 4.6 (95% CI 4.3 to 4.9)), as were other cardiovascular risk factors. In regression analysis, SLE was an independent predictor of HF (adjusted OR: 3.17 (2.63 to 3.83), prisk but decreasing RR with advancing age in both sexes. Renal involvement in SLE correlated with earlier and higher incidence of HF. The findings of this study suggest that patients with SLE have significantly higher risk of developing HF and a worse cardiovascular risk profile compared with the general population. These results need to be confirmed by prospective studies. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

  5. Cardiac Organ Damage and Arterial Stiffness in Autonomic Failure: Comparison With Essential Hypertension.

    Science.gov (United States)

    Milazzo, Valeria; Maule, Simona; Di Stefano, Cristina; Tosello, Francesco; Totaro, Silvia; Veglio, Franco; Milan, Alberto

    2015-12-01

    Autonomic failure (AF) is characterized by orthostatic hypotension, supine hypertension, and increased blood pressure (BP) variability. AF patients develop cardiac organ damage, similarly to essential hypertension (EH), and have higher arterial stiffness than healthy controls. Determinants of cardiovascular organ damage in AF are not well known: both BP variability and mean BP values may be involved. The aim of the study was to evaluate cardiac organ damage, arterial stiffness, and central hemodynamics in AF, compared with EH subjects with similar 24-hour BP and a group of healthy controls, and to evaluate determinants of target organ damage in patients with AF. Twenty-seven patients with primary AF were studied (mean age, 65.7±11.2 years) using transthoracic echocardiography, carotid-femoral pulse wave velocity, central hemodynamics, and 24-hour ambulatory BP monitoring. They were compared with 27 EH subjects matched for age, sex, and 24-hour mean BP and with 27 healthy controls. AF and EH had similar left ventricular mass (101.6±33.3 versus 97.7±28.1 g/m(2), P=0.59) and carotid-femoral pulse wave velocity (9.3±1.8 versus 9.2±3.0 m/s, P=0.93); both parameters were significantly lower in healthy controls (Phypertensive heart disease and increased arterial stiffness, similar to EH with comparable mean BP values. Twenty-four-hour and nighttime systolic BP were determinants of cardiovascular damage, independent of BP variability. © 2015 American Heart Association, Inc.

  6. Estimation of functional failure probability of passive systems based on subset simulation method

    International Nuclear Information System (INIS)

    Wang Dongqing; Wang Baosheng; Zhang Jianmin; Jiang Jing

    2012-01-01

    In order to solve the problem of multi-dimensional epistemic uncertainties and small functional failure probability of passive systems, an innovative reliability analysis algorithm called subset simulation based on Markov chain Monte Carlo was presented. The method is found on the idea that a small failure probability can be expressed as a product of larger conditional failure probabilities by introducing a proper choice of intermediate failure events. Markov chain Monte Carlo simulation was implemented to efficiently generate conditional samples for estimating the conditional failure probabilities. Taking the AP1000 passive residual heat removal system, for example, the uncertainties related to the model of a passive system and the numerical values of its input parameters were considered in this paper. And then the probability of functional failure was estimated with subset simulation method. The numerical results demonstrate that subset simulation method has the high computing efficiency and excellent computing accuracy compared with traditional probability analysis methods. (authors)

  7. Systemic Lupus Erythematosus and Systemic Autoimmune Connective Tissue Disorders behind Recurrent Diastolic Heart Failure

    Directory of Open Access Journals (Sweden)

    Luis Miguel Blasco Mata

    2012-01-01

    Full Text Available Diastolic heart failure (DHF remains unexplained in some patients with recurrent admissions after full investigation. A study was directed for screening SLE and systemic autoimmune connective tissue disorders in recurrent unexplained DHF patients admitted at a short-stay and intermediate care unit. It was found that systemic autoimmune conditions explained 11% from all of cases. Therapy also prevented new readmissions. Autoimmunity should be investigated in DHF.

  8. Development of GENOA Progressive Failure Parallel Processing Software Systems

    Science.gov (United States)

    Abdi, Frank; Minnetyan, Levon

    1999-01-01

    A capability consisting of software development and experimental techniques has been developed and is described. The capability is integrated into GENOA-PFA to model polymer matrix composite (PMC) structures. The capability considers the physics and mechanics of composite materials and structure by integration of a hierarchical multilevel macro-scale (lamina, laminate, and structure) and micro scale (fiber, matrix, and interface) simulation analyses. The modeling involves (1) ply layering methodology utilizing FEM elements with through-the-thickness representation, (2) simulation of effects of material defects and conditions (e.g., voids, fiber waviness, and residual stress) on global static and cyclic fatigue strengths, (3) including material nonlinearities (by updating properties periodically) and geometrical nonlinearities (by Lagrangian updating), (4) simulating crack initiation. and growth to failure under static, cyclic, creep, and impact loads. (5) progressive fracture analysis to determine durability and damage tolerance. (6) identifying the percent contribution of various possible composite failure modes involved in critical damage events. and (7) determining sensitivities of failure modes to design parameters (e.g., fiber volume fraction, ply thickness, fiber orientation. and adhesive-bond thickness). GENOA-PFA progressive failure analysis is now ready for use to investigate the effects on structural responses to PMC material degradation from damage induced by static, cyclic (fatigue). creep, and impact loading in 2D/3D PMC structures subjected to hygrothermal environments. Its use will significantly facilitate targeting design parameter changes that will be most effective in reducing the probability of a given failure mode occurring.

  9. Module failure isolation circuit for paralleled inverters. [preventing system failure during power conditioning for spacecraft applications

    Science.gov (United States)

    Nagano, S. (Inventor)

    1979-01-01

    A module failure isolation circuit is described which senses and averages the collector current of each paralled inverter power transistor and compares the collector current of each power transistor the average collector current of all power transistors to determine when the sensed collector current of a power transistor in any one inverter falls below a predetermined ratio of the average collector current. The module associated with any transistor that fails to maintain a current level above the predetermined radio of the average collector current is then shut off. A separate circuit detects when there is no load, or a light load, to inhibit operation of the isolation circuit during no load or light load conditions.

  10. Book Review: Organizations: A Systems Approach

    DEFF Research Database (Denmark)

    Schoeneborn, Dennis

    2016-01-01

    Review of: Stefan Kühl: Organizations. A Systems Approach (trans. P. Schmitz). Farnham: Gower Publishing, 2013. 195 pp. £14.99. ISBN 9781472413413.......Review of: Stefan Kühl: Organizations. A Systems Approach (trans. P. Schmitz). Farnham: Gower Publishing, 2013. 195 pp. £14.99. ISBN 9781472413413....

  11. Failure Mode and Effect Analysis for Wind Turbine Systems in China

    DEFF Research Database (Denmark)

    Zhu, Jiangsheng; Ma, Kuichao; N. Soltani, Mohsen

    2017-01-01

    This paper discusses a cost based Failure Mode and Effect Analysis (FMEA) approch for the Wind Turbine (WT) with condition monitoring system in China. Normally, the traditional FMEA uses the Risk Priority Number (RPN) to rank failure modes. But the RPN can be changed with the Condition Monitoring...... Systems (CMS) due to change of the score of detection. The cost of failure mode should also be considered because faults can be detected at an incipient level, and condition-based maintenance can be scheduled. The results show that the proposed failure mode priorities considering their cost consequences...

  12. Integrate System Modeling for Design and Production Planning of High Quality Products Considering Failure Data

    Science.gov (United States)

    Aoyama, Kazuhiro; Koga, Tsuyoshi

    2009-07-01

    Since the product recall problem is recently observed, realizing design and production activities that can prevent occurrences of a product failure has been becoming a serious issue. This paper proposes "the Synthetic design approach of a product and a production process which enables to reduce occurrences of a product failure from the initial stage of a product development." In order to realize this proposed concept as a specific system, the integrated model of the failure information in the design and production is introduced. This paper shows some examples of design and production for a circuit breaker and an automobile with considering a design error and a production failure using developed prototype system.

  13. A model for the coupling of failure rates in a redundant system

    International Nuclear Information System (INIS)

    Kleppmann, W.G.; Wutschig, R.

    1986-01-01

    A model is developed which takes into acount the coupling between failure rates or identical components in different redundancies of a safety system, i.e., the fact that the failure rates of identical components subjected to the same operating conditions will scatter less than the failure rates of any two components of the same type. It is shown that with increasing coupling the expectation value and the variance of the distribution of the failure probability of the redundant system increases. A consistent way to incorporate operating experience in a Bayesian framework is developed and the reults are presented. (orig.)

  14. Hematological Indices in Children with Non-organic Failure to Thrive: a Case-Control Study.

    Science.gov (United States)

    Jafari Nodoshan, A H; Hashemi, A; Golzar, A; Karami, F; Akhondzaraini, R

    2016-01-01

    Non-organic failure to thrive (NFTT) is the most common cause of failure to thrive (FTT) which is attributed to inadequate nutrition due to economic factors or parental neglect . NFTT can lead to a vicious cycle of poor and inadequate eating and severity of anemia. The aim of this study was to determine the hematological indices in children with NFTT. In a cross sectional case control study, iron status and blood indices of forty five aged 6-60 months children with NFTT were evaluated and compared with 45 healthy control children (with matching of age and sex). In this study, the prevalence of anemia was 48.9% in NFTT compared to 11.4% in the control group (p<0.001). Microcytic anemia was significantly more prevalent among the subjects than the controls (77.8% versus 27.3%; p<0. 001). The serum iron level was 73.2 and 62.8 mcg/dl for the case and control groups (P=0.29). The ferritin level in the study group was 29.8 versus 35.47 ng/ml in the control group (p=0.227). The prevalence of iron deficiency anemia among children with mild, moderate, and severe underweight was 44.4%, 45.5%, and 48%, respectively. The highest prevalence of iron-deficiency anemia was seen between age group of 12 and 24 months (p<0.05). Based on the results of this study, a correlation between malnutrition and anemia was found. However, further studies are needed to assess and confirm the current outcomes.

  15. The failure combination method: presentation, application to a simple collection of systems

    International Nuclear Information System (INIS)

    Llory, M.; Villemeur, A.

    1981-11-01

    The main advantages of this particular method for analyzing the reliability and safety of systems, the method of failure combinations, are presented. This is an inductive method of analysis; it makes it possible to pursue the Failure Modes and Effect Analysis (FMEA) until overall failures are obtained. In this manner, through an inductive approach all the combinations of failure modes leading to abnormal functioning of systems are obtained. It also makes it possible to carry out the overall study of complex systems in interaction and the systematic inventory of abnormal functioning of these systems, as from the failure modes of the components and their combinations. It can be used as from the design stages of systems and is an excellent dialogue tool between the various specialists concerned in problems of safety, operation and reliability [fr

  16. Self-Organized Educational Systems.

    Science.gov (United States)

    Saba, Farhad, Ed.

    1999-01-01

    Continues discussion of distance-education systems based on a model consisting of students, teachers, administrators and other professionals in schools, universities, libraries, and other institutions (presented in previous issue). Discusses place- and time-bound education systems; dynamics of education on demand; and characteristics of…

  17. Multi-state systems with selective propagated failures and imperfect individual and group protections

    International Nuclear Information System (INIS)

    Levitin, Gregory; Xing Liudong; Ben-Haim, Hanoch; Da, Yuanshun

    2011-01-01

    The paper presents an algorithm for evaluating performance distribution of complex series–parallel multi-state systems with propagated failures and imperfect protections. The failure propagation can have a selective effect, which means that the failures originated from different system elements can cause failures of different subsets of elements. Individual elements or some disjoint groups of elements can be protected from propagation of failures originated outside the group. The protections can fail with given probabilities. The suggested algorithm is based on the universal generating function approach and a generalized reliability block diagram method. The performance distribution evaluation procedure is repeated for each combination of propagated failures and protection failures. Both an analytical example and a numerical example are provided to illustrate the suggested algorithm. - Highlights: ► Systems with propagated failures and imperfect protections are considered. ► Failures originated from different elements can affect different subsets of elements. ► Protections of individual elements or groups of elements can fail with given probabilities. ► An algorithm for evaluating multi-state system performance distribution is suggested.

  18. A Study of Some Leading Organ Transplant Models in Health Care Systems

    Directory of Open Access Journals (Sweden)

    Yasin Uzuntarla

    2016-04-01

    Full Text Available The most effective treatment method for patients with organ failure is an organ transplant. Although numerous patients are waiting to get organ transplants, the inadequacy in the supply of organs has become a chronic health problem around the whole world. Countries have made various regulations in their health systems that increase the supply of organs and, as a result, various organ transplantation models have been established. Organ transplantation models applied in Spain, the USA, the European Union, Iran, and Turkey have been examined in this study.

  19. Development of a GIS-based failure investigation system for highway soil slopes

    Science.gov (United States)

    Ramanathan, Raghav; Aydilek, Ahmet H.; Tanyu, Burak F.

    2015-06-01

    A framework for preparation of an early warning system was developed for Maryland, using a GIS database and a collective overlay of maps that highlight highway slopes susceptible to soil slides or slope failures in advance through spatial and statistical analysis. Data for existing soil slope failures was collected from geotechnical reports and field visits. A total of 48 slope failures were recorded and analyzed. Six factors, including event precipitation, geological formation, land cover, slope history, slope angle, and elevation were considered to affect highway soil slope stability. The observed trends indicate that precipitation and poor surface or subsurface drainage conditions are principal factors causing slope failures. 96% of the failed slopes have an open drainage section. A majority of the failed slopes lie in regions with relatively high event precipitation ( P>200 mm). 90% of the existing failures are surficial erosion type failures, and only 1 out of the 42 slope failures is deep rotational type failure. More than half of the analyzed slope failures have occurred in regions having low density land cover. 46% of failures are on slopes with slope angles between 20° and 30°. Influx of more data relating to failed slopes should give rise to more trends, and thus the developed slope management system will aid the state highway engineers in prudential budget allocation and prioritizing different remediation projects based on the literature reviewed on the principles, concepts, techniques, and methodology for slope instability evaluation (Leshchinsky et al., 2015).

  20. Pipe failure predictions in drinking water systems using satellite observations

    NARCIS (Netherlands)

    Arsénio, André Marques; Dheenathayalan, Prabu; Hanssen, Ramon; Vreeburg, Jan; Rietveld, Luuk

    2015-01-01

    Soil deformation is believed to play a crucial role in the onset of failures in the underground infrastructure. This article describes a method to generate a replacement-prioritisation map for underground drinking water pipe networks using ground movement data. A segment of the distribution

  1. Systemic Mastocytosis Associated with Liver Failure in an Adult ...

    African Journals Online (AJOL)

    A 10-year–old German shepherd dog was presented with right fore limb oedema, ascites and hepatomegaly. A clinical diagnosis of ehrlichiosis and liver failure was made. Response to therapy was unfavorable and with the owner's consent, euthanasia was performed. Necropsy findings revealed a markedly enlarged liver ...

  2. Estimation of failure probabilities of linear dynamic systems by ...

    Indian Academy of Sciences (India)

    On the second iteration, the concept of optimal control function can be implemented to construct a Markov control which allows much better accuracy in the failure probability estimate than the ... Centre for Ships and Ocean Structures (CeSOS), Norwegian University of Science and Technology, NO-7491, Trondheim, Norway ...

  3. Estimation of failure probabilities of linear dynamic systems by ...

    Indian Academy of Sciences (India)

    It is therefore desirable to calculate the approximation of the failure probability functional in order to design a suboptimal control function which allows us to achieve a low variance of the estimator (5). Thus an iterative two-step importance sampling method is presented. (Ivanova & Naess 2004). The procedure uses both ...

  4. Scoring system based on electrocardiogram features to predict the type of heart failure in patients with chronic heart failure

    Directory of Open Access Journals (Sweden)

    Hendry Purnasidha Bagaswoto

    2016-12-01

    Full Text Available ABSTRACT Heart failure is divided into heart failure with reduced ejection fraction (HFrEF and heart failure with preserved ejection fraction (HFpEF. Additional studies are required to distinguish between these two types of HF. A previous study showed that HFrEF is less likely when ECG findings are normal. This study aims to create a scoring system based on ECG findings that will predict the type of HF. We performed a cross-sectional study analyzing ECG and echocardiographic data from 110 subjects. HFrEF was defined as an ejection fraction ≤40%. Fifty people were diagnosed with HFpEF and 60 people suffered from HFrEF. Multiple logistic regression analysis revealed certain ECG variables that were independent predictors of HFrEF i.e., LAH, QRS duration >100 ms, RBBB, ST-T segment changes and prolongation of the QT interval. Based on ROC curve analysis, we obtained a score for HFpEF of -1 to +3, while HFrEF had a score of +4 to +6 with 76% sensitivity, 96% specificity, 95% positive predictive value, an 80% negative predictive value and an accuracy of 86%. The scoring system derived from this study, including the presence or absence of LAH, QRS duration >100 ms, RBBB, ST-T segment changes and prolongation of the QT interval can be used to predict the type of HF with satisfactory sensitivity and specificity

  5. How change management can prevent the failure of information systems implementation among Malaysian government hospitals?

    Science.gov (United States)

    ChePa, Noraziah; Jasin, Noorhayati Md; Bakar, Nur Azzah Abu

    2017-10-01

    Fail to prevent or control challenges of Information System (IS) implementation have led to the failure of its implementation. Successful implementation of IS has been a challenging task to any organization including government hospitals. Government has invested a big amount of money on information system (IS) projects to improve service delivery in healthcare. However, several of them failed to be implemented successfully due to several factors. This article proposes a prevention model which incorporated Change Management (CM) concepts to avoid the failure of IS implementation, hence ensuring the success of it. Challenges of IS implementation in government hospitals have been discovered. Extensive literature review and deep interview approaches were employed to discover these challenges. A prevention model has been designed to cater the challenges. The model caters three main phases of implementation; pre-implementation, during implementation, and post-implementation by adopting CM practices of Lewin's, Kotter's and Prosci's CM model. Six elements of CM comprising thirteen sub-elements adopted from the three CM models have been used to handle CFFs of Human and Support issues; guiding team, resistance avoidance, IS adoption, enforcement, monitoring, and IS sustainability. Successful practice of the proposed mapping is expected to prevent CFFs to occur, hence ensuring a successful implementation of IS in the hospitals. The proposed model has been presented and successfully evaluated by the domain experts from the selected hospitals. The proposed model is believed to be beneficial for top management, IT practitioners and medical practitioners in preventing IS implementation failure among government hospitals towards ensuring the success implementation.

  6. TNF-α receptor 1 knockdown in the subfornical organ ameliorates sympathetic excitation and cardiac hemodynamics in heart failure rats.

    Science.gov (United States)

    Yu, Yang; Wei, Shun-Guang; Weiss, Robert M; Felder, Robert B

    2017-10-01

    In systolic heart failure (HF), circulating proinflammatory cytokines upregulate inflammation and renin-angiotensin system (RAS) activity in cardiovascular regions of the brain, contributing to sympathetic excitation and cardiac dysfunction. Important among these is the subfornical organ (SFO), a forebrain circumventricular organ that lacks an effective blood-brain barrier and senses circulating humors. We hypothesized that the tumor necrosis factor-α (TNF-α) receptor 1 (TNFR1) in the SFO contributes to sympathetic excitation and cardiac dysfunction in HF rats. Rats received SFO microinjections of a TNFR1 shRNA or a scrambled shRNA lentiviral vector carrying green fluorescent protein, or vehicle. One week later, some rats were euthanized to confirm the accuracy of the SFO microinjections and the transfection potential of the lentiviral vector. Other rats underwent coronary artery ligation (CL) to induce HF or a sham operation. Four weeks after CL, vehicle- and scrambled shRNA-treated HF rats had significant increases in TNFR1 mRNA and protein, NF-κB activity, and mRNA for inflammatory mediators, RAS components and c-Fos protein in the SFO and downstream in the hypothalamic paraventricular nucleus, along with increased plasma norepinephrine levels and impaired cardiac function, compared with vehicle-treated sham-operated rats. In HF rats treated with TNFR1 shRNA, TNFR1 was reduced in the SFO but not paraventricular nucleus, and the central and peripheral manifestations of HF were ameliorated. In sham-operated rats treated with TNFR1 shRNA, TNFR1 expression was also reduced in the SFO but there were no other effects. These results suggest a key role for TNFR1 in the SFO in the pathophysiology of systolic HF. NEW & NOTEWORTHY Activation of TNF-α receptor 1 in the subfornical organ (SFO) contributes to sympathetic excitation in heart failure rats by increasing inflammation and renin-angiotensin system activity in the SFO and downstream in the hypothalamic

  7. Using hierarchical dynamic Bayesian networks to investigate dynamics of organ failure in patients in the Intensive Care Unit.

    Science.gov (United States)

    Peelen, Linda; de Keizer, Nicolette F; Jonge, Evert de; Bosman, Robert-Jan; Abu-Hanna, Ameen; Peek, Niels

    2010-04-01

    In intensive care medicine close monitoring of organ failure status is important for the prognosis of patients and for choices regarding ICU management. Major challenges in analyzing the multitude of data pertaining to the functioning of the organ systems over time are to extract meaningful clinical patterns and to provide predictions for the future course of diseases. With their explicit states and probabilistic state transitions, Markov models seem to fit this purpose well. In complex domains such as intensive care a choice is often made between a simple model that is estimated from the data, or a more complex model in which the parameters are provided by domain experts. Our primary aim is to combine these approaches and develop a set of complex Markov models based on clinical data. In this paper we describe the design choices underlying the models, which enable them to identify temporal patterns, predict outcomes, and test clinical hypotheses. Our models are characterized by the choice of the dynamic hierarchical Bayesian network structure and the use of logistic regression equations in estimating the transition probabilities. We demonstrate the induction, inference, evaluation, and use of these models in practice in a case-study of patients with severe sepsis admitted to four Dutch ICUs. 2009 Elsevier Inc. All rights reserved.

  8. A study of failure-survival closed-loop plant autocontrol systems employing redundant microprocessors

    International Nuclear Information System (INIS)

    Lawrence, L.A.J.; Page, N.; Wells, F.

    1976-01-01

    Failure-survival techniques already in use in the nuclear industry can be further enhanced by the application of up-to-date developments in the avionics field. It is concluded that provided appropriate facilities are provided for failure detection, on-line replacement of failed units, periodic and automatic complete system checks, and deselection of failed units, it should be possible to obtain a system failure rate in the range 10 -5 to 10 -6 per hour using a triplex control system, depending on the quality of the components, the on-line repair time and the interval between (automated) system checkout. (orig./RW) [de

  9. Why do organizations not learn from incidents? Bottlenecks, causes and conditions for a failure to effectively learn

    NARCIS (Netherlands)

    Drupsteen, L.; Hasle, P.

    2014-01-01

    If organizations would be able to learn more effectively from incidents that occurred in the past, future incidents and consequential injury or damage can be prevented. To improve learning from incidents, this study aimed to identify limiting factors, i.e. the causes of the failure to effectively

  10. Discovery and integration of univariate patterns from daily individual organ-failure scores for intensive care mortality prediction

    NARCIS (Netherlands)

    Toma, Tudor; Abu-Hanna, Ameen; Bosman, Robert-Jan

    2008-01-01

    Objectives: The current established mortality predictive models in the intensive care rely only on patient information gathered within the first 24 hours of admission. Recent research demonstrated the added prognostic value residing in the sequential organ-failure assessment (SOFA) score which

  11. Lexis, My Little Fairy Princess: Literature Review and Case Report on Non-Organic Failure To Thrive (NOFTT).

    Science.gov (United States)

    Racicot, Lina C.

    This paper explores the issues and possible etiologies associated with Non-Organic Failure To Thrive (NOFTT), a syndrome in which a child's weight gain deviates from an established pattern to become dramatically less than norms for age and sex. The case study of a 4-year-old named Lexis complements the literature review. Lexis remained small and…

  12. Qualification of helium measurement system for detection of fuel failures in a BWR

    Science.gov (United States)

    Larsson, I.; Sihver, L.; Loner, H.; Grundin, A.; Helmersson, J.-O.; Ledergerber, G.

    2014-05-01

    There are several methods for surveillance of fuel integrity during the operation of a boiling water reactor (BWR). The detection of fuel failures is usually performed by analysis of grab samples of off-gas and coolant activities, where a measured increased level of ionizing radiation serves as an indication of new failure or degradation of an already existing one. At some nuclear power plants the detection of fuel failures is performed by on-line nuclide specific measurements of the released fission gases in the off-gas system. However, it can be difficult to distinguish primary fuel failures from degradation of already existing failures. In this paper, a helium measuring system installed in connection to a nuclide specific measuring system to support detection of fuel failures and separate primary fuel failures from secondary ones is presented. Helium measurements provide valuable additional information to measurements of the gamma emitting fission gases for detection of primary fuel failures, since helium is used as a fill gas in the fuel rods during fabrication. The ability to detect fuel failures using helium measurements was studied by injection of helium into the feed water systems at the Forsmark nuclear power plant (NPP) in Sweden and at the nuclear power plant Leibstadt (KKL) in Switzerland. In addition, the influence of an off-gas delay line on the helium measurements was examined at KKL by injecting helium into the off-gas system. By using different injection rates, several types of fuel failures with different helium release rates were simulated. From these measurements, it was confirmed that the helium released by a failed fuel can be detected. It was also shown that the helium measurements for the detection of fuel failures should be performed at a sampling point located before any delay system. Hence, these studies showed that helium measurements can be useful to support detection of fuel failures. However, not all fuel failures which occurred at

  13. Clinical Characteristics of Failure to Thrive in Infant and Toddler: Organic vs. Nonorganic.

    Science.gov (United States)

    Yoo, Suk Dong; Hwang, Eun-Ha; Lee, Yeoun Joo; Park, Jae Hong

    2013-12-01

    To investigate the clinical characteristics and outcomes among infants and toddlers with failure to thrive (FTT). This retrospective study was done with 123 patients who had visited Pusan National University Children's Hospital during their first two years of life and had received an FTT diagnosis. We compared the clinical characteristics of the patients based on the causes of their FTT and their ages at the time of first hospital visit. We investigated triggering factors, feeding practices, and outcomes in 25 patients with nonorganic FTT (NOFTT). Eighty cases (65.0%) were NOFTT. The gestational ages, birth weights, and weights at the first visits were significantly lower in patients with organic FTT (OFTT) (p<0.05). Infants who had first visited the clinic at age <6 months had the least z-score. The percentage of patients with severe weight decline was higher in OFTT than in NOFTT (60.0% vs. 17.3%). The z-scores at the follow-up visits were improved after treatment in both of the groups. Preceding infection was the most common triggering factor of NOFTT and persecutory feeding as abnormal behavior of caregiver was observed in 22 cases (88.0%). After treatment with feeding method modification, all patients with NOFTT showed normal growth. Weight decline is more severe in OFTT patients and in younger patients at the first visit. Infants with FTT can attain normal weight gain growth by treating organic diseases and supplying proper nutrition in OFTT, and by correcting abnormal dietary behavior of caregiver in NOFTT.

  14. Barriers and facilitators to end-of-life communication in advanced chronic organ failure.

    Science.gov (United States)

    Van den Heuvel, Liza Amc; Spruit, Martijn A; Schols, Jos Mga; Hoving, Ciska; Wouters, Emiel Fm; Janssen, Daisy Ja

    2016-05-01

    The aim of this quantitative, cross-sectional study was to identify barriers and facilitators to end-of-life communication experienced by family caregivers of patients with advanced chronic organ failure and to examine agreement in barriers and facilitators between family caregivers and patients. Patients and family caregivers were interviewed using the barriers and facilitators questionnaire. Agreement was determined using intraclass correlation coefficients for continuous variables and Cohen's kappa for categorical variables. A total of 158 patients and family caregiver dyads were included. The most important barriers for family caregivers were related to uncertainty about expected care and focus on staying alive instead of dying. The facilitators were related to trust in and competence of their physician and earlier experiences with death in their (social) environment. For most barriers and facilitators, agreement between patients and family caregivers was fair to moderate. Differences in barriers and facilitators between patients and family caregivers ask for an individual approach to facilitate end-of-life communication.

  15. Glyphosate ingestion causing multiple organ failure: a near-fatal case report.

    Science.gov (United States)

    Picetti, Edoardo; Generali, Michela; Mensi, Francesca; Neri, Giampaolo; Damia, Roberta; Lippi, Giuseppe; Cervellin, Gianfranco

    2018-01-16

    A 55 years old man self-presented to our Emergency Department (ED) reporting an attempted suicide by cutting the left forearm veins and ingesting approximately 200 mL of an herbicide (Myrtos®, containing 36% of glyphosate as isopropylamine salt). Laboratory tests showed metabolic acidosis. Hydration with normal saline and alkalinization with sodium bicarbonate was started according to suggestion of the poison control center, since an antidote was unavailable. Cardiorespiratory condition gradually worsened, so that non-invasive positive pressure ventilation (NIPPV) was applied and infusion of fluids was established. Nevertheless, the patient deteriorated and he needed to be transferred to the Intensive Care Unit (ICU), where he underwent orotracheal intubation and invasive mechanical ventilation. Noradrenaline and adrenaline were infused and fluid resuscitation with crystalloids was incremented. An esophagogastroduodenoscopy (EGD) showed diffuse mucosal erosions of upper digestive tract. No signs of visceral perforation were found during ICU stay. In the following days, the clinical conditions improved and a new EGD showed marked improvement of erosive lesions. After 12 days of ICU stay, the patient was extubated and then transferred to the Psychiatric Unit, in good clinical conditions. Gliphosate ingestion is associated with rapid development of multiple organ failure (MOF). Since an effective antidote is unavailable, major attention should be placed to aggressive life-support care and careful monitoring of complications.

  16. [Non-organic failure to thrive: retrospective study in hospitalized children].

    Science.gov (United States)

    Genero, A; Moretti, C; Fait, P; Guariso, G

    1996-01-01

    To evaluate incidence, clinical and laboratoristic values of patients with non organic failure to thrive (NOFTT), a retrospective study (January 1987-January 1991) among inpatient children of Department of Pediatrics of University of Padova was made. Thirty-six children (23 females and 13 males) aged 10 days to 22 months were selected. The incidence of NOFTT was 1.15% of total admission for the same age; it was more frequent in females than in males (F:M = 1.8:1) and it was more represented in children 0-3 months and 10-12 months aged. The main data have been: breast-feeding very frequent but early stopped (45% within the first month of life); administration of special formulas (soy milk, hydrolisate, hypoallergenic formulas) in 25% of cases. Specific symptoms in different ages: regurgitation, sucking problems and dysphagia more present in children less than 3 months, and inappetence and/or food refusal more represented in children more than 3 months. Ematologic and other lab values were totally normal.

  17. The role of NIGMS P50 sponsored team science in our understanding of multiple organ failure.

    Science.gov (United States)

    Moore, Frederick A; Moore, Ernest E; Billiar, Timothy R; Vodovotz, Yoram; Banerjee, Anirban; Moldawer, Lyle L

    2017-09-01

    The history of the National Institute of General Medical Sciences (NIGMS) Research Centers in Peri-operative Sciences (RCIPS) is the history of clinical, translational, and basic science research into the etiology and treatment of posttraumatic multiple organ failure (MOF). Born out of the activism of trauma and burn surgeons after the Viet Nam War, the P50 trauma research centers have been a nidus of research advances in the field and the training of future academic physician-scientists in the fields of trauma, burns, sepsis, and critical illness. For over 40 years, research conducted under the aegis of this funding program has led to numerous contributions at both the bedside and at the bench. In fact, it has been this requirement for team science with a clinician-scientist working closely with basic scientists from multiple disciplines that has led the RCIPS to its unrivaled success in the field. This review will briefly highlight some of the major accomplishments of the RCIPS program since its inception, how they have both led and evolved as the field moved steadily forward, and how they are responsible for much of our current understanding of the etiology and pathology of MOF. This review is not intended to be all encompassing nor a historical reference. Rather, it serves as recognition to the foresight and support of many past and present individuals at the NIGMS and at academic institutions who have understood the cost of critical illness and MOF to the individual and to society.

  18. Becoming a first-class noticer. How to spot and prevent ethical failures in your organization.

    Science.gov (United States)

    Bazerman, Max H

    2014-01-01

    We'd like to think that no smart, upstanding manager would ever overlook or turn a blind eye to threats or wrongdoing that ultimately imperil his or her business. Yet it happens all the time. We fall prey to obstacles that obscure or drown out important signals that things are amiss. Becoming a "first-class noticer," says Max H. Bazerman, a professor at Harvard Business School, requires conscious effort to fight ambiguity, motivated blindness, conflicts of interest, the slippery slope, and efforts of others to mislead us. As a manager, you can develop your noticing skills by acknowledging responsibility when things go wrong rather than blaming external forces beyond your control. Bazerman also advises taking an outsider's view to challenge the status quo. Given the string of ethical failures of corporations around the world in recent years--from BP to GM to JP Morgan Chase--it's clear that leaders not only need to act more responsibly themselves but also must develop keen noticing skills in their employees and across their organizations.

  19. Weighing of risk factors for penetrating keratoplasty graft failure: application of Risk Score System

    Directory of Open Access Journals (Sweden)

    Abdo Karim Tourkmani

    2017-03-01

    Full Text Available AIM: To analyze the relationship between the score obtained in the Risk Score System (RSS proposed by Hicks et al with penetrating keratoplasty (PKP graft failure at 1y postoperatively and among each factor in the RSS with the risk of PKP graft failure using univariate and multivariate analysis. METHODS: The retrospective cohort study had 152 PKPs from 152 patients. Eighteen cases were excluded from our study due to primary failure (10 cases, incomplete medical notes (5 cases and follow-up less than 1y (3 cases. We included 134 PKPs from 134 patients stratified by preoperative risk score. Spearman coefficient was calculated for the relationship between the score obtained and risk of failure at 1y. Univariate and multivariate analysis were calculated for the impact of every single risk factor included in the RSS over graft failure at 1y. RESULTS: Spearman coefficient showed statistically significant correlation between the score in the RSS and graft failure (P0.05 between diagnosis and lens status with graft failure. The relationship between the other risk factors studied and graft failure was significant (P<0.05, although the results for previous grafts and graft failure was unreliable. None of our patients had previous blood transfusion, thus, it had no impact. CONCLUSION: After the application of multivariate analysis techniques, some risk factors do not show the expected impact over graft failure at 1y.

  20. A computerized system to monitor resilience indicators in organizations.

    Science.gov (United States)

    de Carvalho, Paulo Victor Rodrigues; de Souza, Alan Pinheiro; Gomes, Jose Orlando

    2012-01-01

    The concepts developed by resilience engineering allow the understanding and monitoring the functioning of organizations and, particularly, to map the role of human activities, in success or in failure, enabling a better comprehension about how people make decisions in unexpected situations. The capture of information about human activities in the various organization levels gives managers a deeper real-time understanding of what is influencing the people performance, providing awareness of the factors that influence positively or negatively the organizational goals initially projected. The monitoring is important because the correct functioning of complex systems depends on the knowledge that people have to perform their activities and how the system environment provides tools that actually support the human performance. Therefore, organizations should look forward through precursors in operating signals to identify possible problems or solutions in the structure of tasks and activities, safety, quality, schedule, rework, and maintenance. We apply the concepts of resilience engineering to understand the organization by the analysis of cognitive tasks and activities. The aim is the development of a computerized system to monitor human activities to produce indicators to access system resilience. The validation of the approach was made in a real organization and the results show the successful applicability of the system. Based on findings obtained after the experiment of the system in a real organization, and managers and workers opinions, it was possible to show that the use of system provided an anticipated (real-time) perception about how activities are effectively being performed, allowing managers and workers to make decisions more consistent with daily problems, and also to anticipate solutions to cope with unexpected situations.

  1. Estimation of Common Cause Failure Parameters for Emergency Service Water System Pump of Kori Unit 2

    Energy Technology Data Exchange (ETDEWEB)

    Kang, Dae Il; Hwang, Mee Jung; Han, Sang Hoon; Park, Jin Hee [Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of)

    2010-05-15

    The probabilistic safety assessment (PSA) results for Kori Unit 2 showed that the common cause failure (CCF) events of emergency service water system (ESWS) pump failure to run were identified as one of the dominant contributors to its internal event core damage frequency (CDF). The generic values of the CCF parameters were used in PSA projects for the Kori Unit 2. Thus, we performed the plant specific detailed CCF analysis to estimate the CCF parameters of ESWS pump failure to run for Kori Unit 2 with the CAFE-PSA(common CAuse Failure Event analysis program for PSA), a program to analyze CCF events in the ICDE database

  2. Failure analysis a practical guide for manufacturers of electronic components and systems

    CERN Document Server

    Bâzu, Marius

    2011-01-01

    Failure analysis is the preferred method to investigate product or process reliability and to ensure optimum performance of electrical components and systems. The physics-of-failure approach is the only internationally accepted solution for continuously improving the reliability of materials, devices and processes. The models have been developed from the physical and chemical phenomena that are responsible for degradation or failure of electronic components and materials and now replace popular distribution models for failure mechanisms such as Weibull or lognormal. Reliability engineers nee

  3. failure analysis of a uav flight control system using markov analysis

    African Journals Online (AJOL)

    Failure analysis of a flight control system proposed for Air Force Institute of Technology (AFIT) Unmanned Aerial Vehicle (UAV) was studied using Markov Analysis (MA). It was perceived that understanding of the number of failure states and the probability of being in those state are of paramount importance in order to ...

  4. Reliability Based Optimal Design of Vertical Breakwaters Modelled as a Series System Failure

    DEFF Research Database (Denmark)

    Christiani, E.; Burcharth, H. F.; Sørensen, John Dalsgaard

    1996-01-01

    Reliability based design of monolithic vertical breakwaters is considered. Probabilistic models of important failure modes such as sliding and rupture failure in the rubble mound and the subsoil are described. Characterisation of the relevant stochastic parameters are presented, and relevant design...... variables are identified and an optimal system reliability formulation is presented. An illustrative example is given....

  5. Optimisation of Structural Systems by Appropriately Assigning Probabilities of Failure : Application to Rubble Mound Breakwaters

    NARCIS (Netherlands)

    Viet, N.D.; Verhagen, H.J.; Van Gelder, P.H.A.J.M.; Vrijling, J.K.

    2008-01-01

    An appropriate assignment of probabilities of failure to subsystems and components in a structural system can bring a minimum of costs and risk. In this paper, a method for economic optimisation of rubble mound breakwaters using pre-assigned probabilities of failure is presented. Application to a

  6. Automatic Monitoring System Design and Failure Probability Analysis for River Dikes on Steep Channel

    Science.gov (United States)

    Chang, Yin-Lung; Lin, Yi-Jun; Tung, Yeou-Koung

    2017-04-01

    The purposes of this study includes: (1) design an automatic monitoring system for river dike; and (2) develop a framework which enables the determination of dike failure probabilities for various failure modes during a rainstorm. The historical dike failure data collected in this study indicate that most dikes in Taiwan collapsed under the 20-years return period discharge, which means the probability of dike failure is much higher than that of overtopping. We installed the dike monitoring system on the Chiu-She Dike which located on the middle stream of Dajia River, Taiwan. The system includes: (1) vertical distributed pore water pressure sensors in front of and behind the dike; (2) Time Domain Reflectometry (TDR) to measure the displacement of dike; (3) wireless floating device to measure the scouring depth at the toe of dike; and (4) water level gauge. The monitoring system recorded the variation of pore pressure inside the Chiu-She Dike and the scouring depth during Typhoon Megi. The recorded data showed that the highest groundwater level insides the dike occurred 15 hours after the peak discharge. We developed a framework which accounts for the uncertainties from return period discharge, Manning's n, scouring depth, soil cohesion, and friction angle and enables the determination of dike failure probabilities for various failure modes such as overtopping, surface erosion, mass failure, toe sliding and overturning. The framework was applied to Chiu-She, Feng-Chou, and Ke-Chuang Dikes on Dajia River. The results indicate that the toe sliding or overturning has the highest probability than other failure modes. Furthermore, the overall failure probability (integrate different failure modes) reaches 50% under 10-years return period flood which agrees with the historical failure data for the study reaches.

  7. A near-miss management system architecture for the forensic investigation of software failures.

    Science.gov (United States)

    Bella, M A Bihina; Eloff, J H P

    2016-02-01

    Digital forensics has been proposed as a methodology for doing root-cause analysis of major software failures for quite a while. Despite this, similar software failures still occur repeatedly. A reason for this is the difficulty of obtaining detailed evidence of software failures. Acquiring such evidence can be challenging, as the relevant data may be lost or corrupt following a software system's crash. This paper proposes the use of near-miss analysis to improve on the collection of evidence for software failures. Near-miss analysis is an incident investigation technique that detects and subsequently analyses indicators of failures. The results of a near-miss analysis investigation are then used to detect an upcoming failure before the failure unfolds. The detection of these indicators - known as near misses - therefore provides an opportunity to proactively collect relevant data that can be used as digital evidence, pertaining to software failures. A Near Miss Management System (NMS) architecture for the forensic investigation of software failures is proposed. The viability of the proposed architecture is demonstrated through a prototype. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  8. A structured analysis of in vitro failure loads and failure modes of fiber, metal, and ceramic post-and-core systems.

    NARCIS (Netherlands)

    Fokkinga, W.A.; Kreulen, C.M.; Vallittu, P.K.; Creugers, N.H.J.

    2004-01-01

    PURPOSE: This study sought to aggregate literature data on in vitro failure loads and failure modes of prefabricated fiber-reinforced composite (FRC) post systems and to compare them to those of prefabricated metal, custom-cast, and ceramic post systems. MATERIALS AND METHODS: The literature was

  9. Organic and conventional production systems, microbial fertilization ...

    African Journals Online (AJOL)

    A common belief among consumers is the superior quality of organically grown tomato fruits over their conventionally grown counterparts. The present study was performed to evaluate the quality characteristics of tomatoes grown using organic and conventional production systems and to determine the effects of microbial ...

  10. Optimal selective renewal policy for systems subject to propagated failures with global effect and failure isolation phenomena

    International Nuclear Information System (INIS)

    Maaroufi, Ghofrane; Chelbi, Anis; Rezg, Nidhal

    2013-01-01

    This paper considers a selective maintenance policy for multi-component systems for which a minimum level of reliability is required for each mission. Such systems need to be maintained between consecutive missions. The proposed strategy aims at selecting the components to be maintained (renewed) after the completion of each mission such that a required reliability level is warranted up to the next stop with the minimum cost, taking into account the time period allotted for maintenance between missions and the possibility to extend it while paying a penalty cost. This strategy is applied to binary-state systems subject to propagated failures with global effect, and failure isolation phenomena. A set of rules to reduce the solutions space for such complex systems is developed. A numerical example is presented to illustrate the modeling approach and the use of the reduction rules. Finally, the Monte-Carlo simulation is used in combination with the selective maintenance optimization model to deal with a number of successive missions

  11. Gamification systems and their integration in organizations

    OpenAIRE

    Rýdl, Vojtěch

    2013-01-01

    Main topic of this thesis are gamificaton system and their implementation in organizations. The first chapter describes theoretic part of gamification. Second addresses options of using game elements in workspace and approaches to designing a gamification system. In the third part there is comparison of gamification platforms. The last chapter describes the design of the orignal gamification system for web application.

  12. Universal failure model for multi-unit systems with shared functionality

    International Nuclear Information System (INIS)

    Volovoi, Vitali

    2013-01-01

    A Universal Failure Model (UFM) is proposed for complex systems that rely on a large number of entities for performing a common function. Economy of scale or other considerations may dictate the need to pool resources for common purpose, but the resulting strong coupling precludes the grouping of those components into modules. Existing system-level failure models rely on modularity for reducing modeling complexity, so the UFM will fill an important gap in constructing efficient system-level models. Conceptually, the UFM resembles cellular automata (CA) infused with realistic failure mechanisms. Components’ behavior is determined based on the balance between their strength (capacity) and their load (demand) share. If the load exceeds the components’ capacity, the component fails and its load share is distributed among its neighbors (possibly with a time delay and load losses). The strength of components can degrade with time if the load exceeds an elastic threshold. The global load (demand) carried by the system can vary over time, with the peak values providing shocks to the system (e.g., wind loads in civil structures, electricity demand, stressful activities to human bodies, or drought in an ecosystem). Unlike the models traditionally studied by CA, the focus of the presented model is on the system reliability, and specifically on the study of time-to-failure distributions, rather than steady-state patterns and average time-to-failure characteristics. In this context, the relationships between the types of failure distributions and the parameters of the failure model are discussed

  13. Acute kidney injury enhances outcome prediction ability of sequential organ failure assessment score in critically ill patients.

    Directory of Open Access Journals (Sweden)

    Chih-Hsiang Chang

    Full Text Available Acute kidney injury (AKI is a common and serious complication in intensive care unit (ICU patients and also often part of a multiple organ failure syndrome. The sequential organ failure assessment (SOFA score is an excellent tool for assessing the extent of organ dysfunction in critically ill patients. This study aimed to evaluate the outcome prediction ability of SOFA and Acute Physiology and Chronic Health Evaluation (APACHE III score in ICU patients with AKI.A total of 543 critically ill patients were admitted to the medical ICU of a tertiary-care hospital from July 2007 to June 2008. Demographic, clinical and laboratory variables were prospectively recorded for post hoc analysis as predictors of survival on the first day of ICU admission.One hundred and eighty-seven (34.4% patients presented with AKI on the first day of ICU admission based on the risk of renal failure, injury to kidney, failure of kidney function, loss of kidney function, and end-stage renal failure (RIFLE classification. Major causes of the ICU admissions involved respiratory failure (58%. Overall in-ICU mortality was 37.9% and the hospital mortality was 44.7%. The predictive accuracy for ICU mortality of SOFA (areas under the receiver operating characteristic curves: 0.815±0.032 was as good as APACHE III in the AKI group. However, cumulative survival rates at 6-month follow-up following hospital discharge differed significantly (p<0.001 for SOFA score ≤10 vs. ≥11 in these ICU patients with AKI.For patients coexisting with AKI admitted to ICU, this work recommends application of SOFA by physicians to assess ICU mortality because of its practicality and low cost. A SOFA score of ≥ "11" on ICU day 1 should be considered an indicator of negative short-term outcome.

  14. Reliability analysis of Markov history-dependent repairable systems with neglected failures

    International Nuclear Information System (INIS)

    Du, Shijia; Zeng, Zhiguo; Cui, Lirong; Kang, Rui

    2017-01-01

    Markov history-dependent repairable systems refer to the Markov repairable systems in which some states are changeable and dependent on recent evolutional history of the system. In practice, many Markov history-dependent repairable systems are subjected to neglected failures, i.e., some failures do not affect system performances if they can be repaired promptly. In this paper, we develop a model based on the theory of aggregated stochastic processes to describe the history-dependent behavior and the effect of neglected failures on the Markov history-dependent repairable systems. Based on the developed model, instantaneous and steady-state availabilities are derived to characterize the reliability of the system. Four reliability-related time distributions, i.e., distribution for the k th working period, distribution for the k th failure period, distribution for the real working time in an effective working period, distribution for the neglected failure time in an effective working period, are also derived to provide a more comprehensive description of the system's reliability. Thanks to the power of the theory of aggregated stochastic processes, closed-form expressions are obtained for all the reliability indexes and time distributions. Finally, the developed indexes and analysis methods are demonstrated by a numerical example. - Highlights: • Markovian history-dependent repairable systems with neglected failures is modeled. • Aggregated stochastic processes are used to derive reliability indexes and time distributions. • Closed-form expressions are derived for the considered indexes and distributions.

  15. Family caregiving during 1-year follow-up in individuals with advanced chronic organ failure

    NARCIS (Netherlands)

    Nakken, Nienke; Spruit, Martijn A.; Wouters, Emiel F. M.; Schols, J.M.G.A.; Janssen, Daisy J. A.

    2015-01-01

    Background Family caregivers already have a paramount role in daily care for patients with chronic obstructive pulmonary disease (COPD), chronic heart failure (CHF), or chronic renal failure (CRF). To date, it remains unknown whether and to what extent the experience of caregiving changes over time.

  16. Revised risk priority number in failure mode and effects analysis model from the perspective of healthcare system

    Directory of Open Access Journals (Sweden)

    Fatemeh Rezaei

    2018-01-01

    Full Text Available Background: Methodology of Failure Mode and Effects Analysis (FMEA is known as an important risk assessment tool and accreditation requirement by many organizations. For prioritizing failures, the index of “risk priority number (RPN” is used, especially for its ease and subjective evaluations of occurrence, the severity and the detectability of each failure. In this study, we have tried to apply FMEA model more compatible with health-care systems by redefining RPN index to be closer to reality. Methods: We used a quantitative and qualitative approach in this research. In the qualitative domain, focused groups discussion was used to collect data. A quantitative approach was used to calculate RPN score. Results: We have studied patient's journey in surgery ward from holding area to the operating room. The highest priority failures determined based on (1 defining inclusion criteria as severity of incident (clinical effect, claim consequence, waste of time and financial loss, occurrence of incident (time - unit occurrence and degree of exposure to risk and preventability (degree of preventability and defensive barriers then, (2 risks priority criteria quantified by using RPN index (361 for the highest rate failure. The ability of improved RPN scores reassessed by root cause analysis showed some variations. Conclusions: We concluded that standard criteria should be developed inconsistent with clinical linguistic and special scientific fields. Therefore, cooperation and partnership of technical and clinical groups are necessary to modify these models.

  17. JACoW Online analysis for anticipated failure diagnostics of the CERN cryogenic systems

    CERN Document Server

    Gayet, Philippe; Bradu, Benjamin; Cirillo, Roberta

    2018-01-01

    The cryogenic system is one of the most critical component of the CERN Large Hadron Collider (LHC) and its associated experiments ATLAS and CMS. In the past years, the cryogenic team has improved the maintenance plan and the operation procedures and achieved a very high reliability. However, as the recovery time after failure remains the major issue for the cryogenic availability new developments must take place. A new online diagnostic tool is developed to identify and anticipate failures of cryogenics field equipment, based on the acquired knowledge on dynamic simulation for the cryogenic equipment and on previous data analytic studies. After having identified the most critical components, we will develop their associated models together with the signature of their failure modes. The proposed tools will detect deviation between the actual systems and their model or identify preliminary failure signatures. This information will allow the operation team to take early mitigating actions before the failure occu...

  18. Performance Based Failure Criteria of the Base Isolation System for Nuclear Power Plants

    International Nuclear Information System (INIS)

    Kim, Jung Han; Kim, Min Kyu; Choi, In Kil

    2013-01-01

    The realistic approach to evaluate the failure state of the base isolation system is necessary. From this point of view, several concerns are reviewed and discussed in this study. This is the preliminary study for the performance based risk assessment of a base isolated nuclear power plant. The items to evaluate the capacity and response of an individual base isolator and a base isolation system were briefly outlined. However, the methodology to evaluate the realistic fragility of a base isolation system still needs to be specified. For the quantification of the seismic risk for a nuclear power plant structure, the failure probabilities of the structural component for the various seismic intensity levels need to be calculated. The failure probability is evaluated as the probability when the seismic response of a structure exceeds the failure criteria. Accordingly, the failure mode of the structural system caused by an earthquake vibration should be defined first. The type of a base isolator appropriate for a nuclear power plant structure is regarded as an elastometric rubber bearing with a lead core. The failure limit of the lead-rubber bearing (LRB) is not easy to be predicted because of its high nonlinearity and a complex loading condition by an earthquake excitation. Furthermore, the failure mode of the LRB system installed below the nuclear island cannot be simply determined because the basemat can be sufficiently supported if the number of damaged isolator is not much

  19. Margins Associated with Loss of Assured Safety for Systems with Multiple Time-Dependent Failure Modes.

    Energy Technology Data Exchange (ETDEWEB)

    Helton, Jon C. [Arizona State Univ., Tempe, AZ (United States); Brooks, Dusty Marie [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Sallaberry, Cedric Jean-Marie. [Engineering Mechanics Corp. of Columbus, OH (United States)

    2018-02-01

    Representations for margins associated with loss of assured safety (LOAS) for weak link (WL)/strong link (SL) systems involving multiple time-dependent failure modes are developed. The following topics are described: (i) defining properties for WLs and SLs, (ii) background on cumulative distribution functions (CDFs) for link failure time, link property value at link failure, and time at which LOAS occurs, (iii) CDFs for failure time margins defined by (time at which SL system fails) – (time at which WL system fails), (iv) CDFs for SL system property values at LOAS, (v) CDFs for WL/SL property value margins defined by (property value at which SL system fails) – (property value at which WL system fails), and (vi) CDFs for SL property value margins defined by (property value of failing SL at time of SL system failure) – (property value of this SL at time of WL system failure). Included in this presentation is a demonstration of a verification strategy based on defining and approximating the indicated margin results with (i) procedures based on formal integral representations and associated quadrature approximations and (ii) procedures based on algorithms for sampling-based approximations.

  20. Proof-testing strategies induced by dangerous detected failures of safety-instrumented systems

    International Nuclear Information System (INIS)

    Liu, Yiliu; Rausand, Marvin

    2016-01-01

    Some dangerous failures of safety-instrumented systems (SISs) are detected almost immediately by diagnostic self-testing as dangerous detected (DD) failures, whereas other dangerous failures can only be detected by proof-testing, and are therefore called dangerous undetected (DU) failures. Some items may have a DU- and a DD-failure at the same time. After the repair of a DD-failure is completed, the maintenance team has two options: to perform an insert proof test for DU-failure or not. If an insert proof test is performed, it is necessary to decide whether the next scheduled proof test should be postponed or performed at the scheduled time. This paper analyzes the effects of different testing strategies on the safety performance of a single channel of a SIS. The safety performance is analyzed by Petri nets and by approximation formulas and the results obtained by the two approaches are compared. It is shown that insert testing improves the safety performance of the channel, but the feasibility and cost of the strategy may be a hindrance to recommend insert testing. - Highlights: • Identify the tests induced by detected failures. • Model the testing strategies following DD-failures. • Propose analytical formulas for effects of strategies. • Simulate and verify the proposed models.

  1. The Financial Crisis and the Systemic Failure of Academic Economics

    DEFF Research Database (Denmark)

    Colander, David; Föllmer, Hans; Haas, Armin

    The economics profession appears to have been unaware of the long build-up to the current worldwide financial crisis and to have significantly underestimated its dimensions once it started to unfold. In our view, this lack of understanding is due to a misallocation of research efforts in economics....... We trace the deeper roots of this failure to the profession's focus on models that, by design, disregard key elements driving outcomes in real-world markets. The economics profession has failed in communicating the limitations, weaknesses, and even dangers of its preferred models to the public...

  2. Enhancement of Physics-of-Failure Prognostic Models with System Level Features

    National Research Council Canada - National Science Library

    Kacprzynski, Gregory

    2002-01-01

    .... The novelty in the current prognostic tool development is that predictions are made through the fusion of stochastic physics-of-failure models, relevant system or component level health monitoring...

  3. Elements of methodology for study the failures of great systems. Logical and algebraic calculus

    International Nuclear Information System (INIS)

    Vergez, Pierre.

    1982-01-01

    The methodology described here talks about some parts of the study concerning the failures of a determined system or supposed such. In these parts appears the most important logical and algebraic calculus. They are processed after the transformation of the system in the form of an equivalent functional scheme. The purpose of this methodology is the study of the effect of failure, of repairing or drift for one or several devices [fr

  4. Organization of heart failure management in European Society of Cardiology member countries: survey of the Heart Failure Association of the European Society of Cardiology in collaboration with the Heart Failure National Societies/Working Groups.

    Science.gov (United States)

    Seferovic, Petar M; Stoerk, Stefan; Filippatos, Gerasimos; Mareev, Viacheslav; Kavoliuniene, Ausra; Ristic, Arsen D; Ponikowski, Piotr; McMurray, John; Maggioni, Aldo; Ruschitzka, Frank; van Veldhuisen, Dirk J; Coats, Andrew; Piepoli, Massimo; McDonagh, Theresa; Riley, Jillian; Hoes, Arno; Pieske, Burkert; Dobric, Milan; Papp, Zoltan; Mebazaa, Alexandre; Parissis, John; Ben Gal, Tuvia; Vinereanu, Dragos; Brito, Dulce; Altenberger, Johann; Gatzov, Plamen; Milinkovic, Ivan; Hradec, Jaromír; Trochu, Jean-Noel; Amir, Offer; Moura, Brenda; Lainscak, Mitja; Comin, Josep; Wikström, Gerhard; Anker, Stefan

    2013-09-01

    The aim of this document was to obtain a real-life contemporary analysis of the demographics and heart failure (HF) statistics, as well as the organization and major activities of the Heart Failure National Societies (HFNS) in European Society of Cardiology (ESC) member countries. Data from 33 countries were collected from HFNS presidents/representatives during the first Heart Failure Association HFNS Summit (Belgrade, Serbia, 29 October 2011). Data on incidence and/or prevalence of HF were available for 22 countries, and the prevalence of HF ranged between 1% and 3%. In five European and one non-European ESC country, heart transplantation was reported as not available. Natriuretic peptides and echocardiography are routinely applied in the management of acute HF in the median of 80% and 90% of centres, respectively. Eastern European and Mediterranean countries have lower availability of natriuretic peptide testing for acute HF patients, compared with other European countries. Almost all countries have organizations dealing specifically with HF. HFNS societies for HF patients exist in only 12, while in 16 countries HF patient education programmes are active. Most HFNS reported that no national HF registry exists in their country. Fifteen HFNS produced national HF guidelines, while 19 have translated the ESC HF guidelines. Most HFNS (n = 23) participated in the organization of the European HF Awareness Day. This document demonstrated significant heterogeneity in the organization of HF management, and activities of the national HF working groups/associations. High availability of natriuretic peptide and echocardiographic measurements was revealed, with differences between developed countries and countries in transition.

  5. Data collection on component malfunctions and failures of JET ICRH system

    International Nuclear Information System (INIS)

    Pinna, T.; Cambi, G.

    2007-01-01

    The objective of the activity was to collect and analyse data coming out from operating experiences gained in the Joint European Torus (JET) for the Ion Cyclotron Resonance Heating (ICRH) system in order to enrich the data collection on failures of components used in fusion facilities. Alarms/Failures and malfunctions occurred in the years of operations from March 1996 to November 2005, including information on failure modes and, where possible, causes of the failures, have been identified. Beyond information on failures and alarms events, also data related to crowbar events have been collected. About 3400 events classified as alarms or failures related to specific components or sub-systems were identified by analysing the 25 hand-written logbooks made available by the ICRH operation staff. Information about the JET pulses in which the ICRH system was operated has been extracted from the tick sheets covering the whole considered time interval. 20 hand written tick sheets cover the period from March 1996 to middle May 2003, while tick sheets recorded as excel files cover the period from May 2003 to November 2005. By analysing the tick sheets it results that the ICRH was operated during about 12000 plasma pulses. Main statistical values, such as rates of alarms/failures and corresponding standard errors and confidence intervals, have been estimated. Failure rates of systems and components have been evaluated both with regard to the ICRH operation pulses and operating days (days in which at least one ICRH module was requested to operate). Failure probabilities on demand have been evaluated with regard to number of pulses operated. Some of the results are the following: - The highest number of alarms/failures (1243) appears to be related to Erratic /No-output of the Instrumentation and Control (I and C) apparatus, followed by faults (829) of the Tetrode circuits, by faults (466) of the High Voltage Power Supply system and by faults (428) of the Tuning elements. - The

  6. Exact combinatorial reliability analysis of dynamic systems with sequence-dependent failures

    International Nuclear Information System (INIS)

    Xing Liudong; Shrestha, Akhilesh; Dai Yuanshun

    2011-01-01

    Many real-life fault-tolerant systems are subjected to sequence-dependent failure behavior, in which the order in which the fault events occur is important to the system reliability. Such systems can be modeled by dynamic fault trees (DFT) with priority-AND (pAND) gates. Existing approaches for the reliability analysis of systems subjected to sequence-dependent failures are typically state-space-based, simulation-based or inclusion-exclusion-based methods. Those methods either suffer from the state-space explosion problem or require long computation time especially when results with high degree of accuracy are desired. In this paper, an analytical method based on sequential binary decision diagrams is proposed. The proposed approach can analyze the exact reliability of non-repairable dynamic systems subjected to the sequence-dependent failure behavior. Also, the proposed approach is combinatorial and is applicable for analyzing systems with any arbitrary component time-to-failure distributions. The application and advantages of the proposed approach are illustrated through analysis of several examples. - Highlights: → We analyze the sequence-dependent failure behavior using combinatorial models. → The method has no limitation on the type of time-to-failure distributions. → The method is analytical and based on sequential binary decision diagrams (SBDD). → The method is computationally more efficient than existing methods.

  7. A Report on Simulation-Driven Reliability and Failure Analysis of Large-Scale Storage Systems

    Energy Technology Data Exchange (ETDEWEB)

    Wan, Lipeng [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Wang, Feiyi [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Oral, H. Sarp [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Vazhkudai, Sudharshan S. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Cao, Qing [Univ. of Tennessee, Knoxville, TN (United States)

    2014-11-01

    High-performance computing (HPC) storage systems provide data availability and reliability using various hardware and software fault tolerance techniques. Usually, reliability and availability are calculated at the subsystem or component level using limited metrics such as, mean time to failure (MTTF) or mean time to data loss (MTTDL). This often means settling on simple and disconnected failure models (such as exponential failure rate) to achieve tractable and close-formed solutions. However, such models have been shown to be insufficient in assessing end-to-end storage system reliability and availability. We propose a generic simulation framework aimed at analyzing the reliability and availability of storage systems at scale, and investigating what-if scenarios. The framework is designed for an end-to-end storage system, accommodating the various components and subsystems, their interconnections, failure patterns and propagation, and performs dependency analysis to capture a wide-range of failure cases. We evaluate the framework against a large-scale storage system that is in production and analyze its failure projections toward and beyond the end of lifecycle. We also examine the potential operational impact by studying how different types of components affect the overall system reliability and availability, and present the preliminary results

  8. UK innovation systems for new and renewable energy technologies: drivers, barriers and systems failures

    International Nuclear Information System (INIS)

    Foxon, T.J.; Gross, R.; Chase, A.; Howes, J.; Arnall, A.; Anderson, D.

    2005-01-01

    A better understanding of the systemic processes by which innovation occurs is useful, both conceptually and to inform policy-making in support of innovation in more sustainable technologies. This paper analyses current innovation systems in the UK for a range of new and renewable energy technologies, and generates policy recommendations for improving the effectiveness of these innovation systems. Although incentives are in place in the UK to encourage innovation in these technologies, system failures - or 'gaps' - are identified in moving technologies along the innovation chain, preventing their successful commercialisation. Sustained investment will be needed for these technologies to achieve their potential. It is argued that a stable and consistent policy framework is required to help create the conditions for this. In particular, such a framework should be aimed at improving risk/reward ratios for demonstration and pre-commercial stage technologies. This would enhance positive expectations, stimulate learning effects leading to cost reductions, and increase the likelihood of successful commercialisation

  9. A dynamic failure evaluation of a simplified digital control system of a nuclear power plant pressurizer

    Energy Technology Data Exchange (ETDEWEB)

    Pinto, J.M.O.; Melo, P.F. Frutuoso e, E-mail: jpinto@nuclear.ufrj.b, E-mail: frutuoso@nuclear.ufrj.b [Universidade Federal do Rio de Janeiro (UFRJ), RJ (Brazil); Saldanha, P.L.C., E-mail: plsaldanha@gmail.co, E-mail: pedroabeu@gmail.co [Associacao Brasileira de Ensino Universitario (UNIABEU), Nova Iguacu, RJ (Brazil)

    2010-07-01

    Given the increasing use of digital systems in nuclear power plants, a specific approach to reliability and risk analysis has been required. The digital system reflects many interactions between hardware, software, process variables, and human actions. At the same time, the software, does not have a reliability approach as well-defined as the one existing for the other physical components of the system. Then, its reliability analysis is still under development due to difficulties arising from the complexity, flexibility and interactions present in such systems.The traditional approach of using fault trees is static and does not approach the dynamic interactions in such systems, such as delays in capture and processing information, memory, logic loops, system states, etc. It is necessary to find a reliability methodology that takes into account these issues without violating the existing requirements concerning safety analysis, such as: ability to distinguish between common-cause failures, availability of relevant information to users, like minimal cut sets, and failure probabilities as long as the possibility of incorporating the results into existing probabilistic safety assessments (PSA).One approach is to trace all the possible errors of the digital system through dynamic methodologies. The DFM (Dynamic Flow-graph Methodology) is one of the methodologies that better meets the requirements for modeling dynamic systems. It discretizes the most relevant variables of the analyzed system in states that reflect their behavior, sets the logic that connects them through decision tables and finally performs a system analysis, aiming, for example, the root causes (prime implicants) of a given top event of failure. Three aspects have been addressed, the modeling of the system itself, the incorporation of results to probabilistic safety analyses and identification of software failures.To illustrate the DFM, a simplified digital control system of a typical PWR pressurizer

  10. Non-Organic Failure to Thrive: Implications of Placement through Analysis of Videotaped Interaction.

    Science.gov (United States)

    Haynes, Clare F.; And Others

    1983-01-01

    Follow-up of 16 infants hospitalized for nonorganic failure to thrive (half in foster care and half at home) showed lack of progress for both groups in mothers' emotional developmental status and in mother-child interaction. (CL)

  11. Competing failure analysis in phased-mission systems with multiple functional dependence groups

    International Nuclear Information System (INIS)

    Wang, Chaonan; Xing, Liudong; Peng, Rui; Pan, Zhusheng

    2017-01-01

    A phased-mission system (PMS) involves multiple, consecutive, non-overlapping phases of operation. The system structure function and component failure behavior in a PMS can change from phase to phase, posing big challenges to the system reliability analysis. Further complicating the problem is the functional dependence (FDEP) behavior where the failure of certain component(s) causes other component(s) to become unusable or inaccessible or isolated. Previous studies have shown that FDEP can cause competitions between failure propagation and failure isolation in the time domain. While such competing failure effects have been well addressed in single-phase systems, only little work has focused on PMSs with a restrictive assumption that a single FDEP group exists in one phase of the mission. Many practical systems (e.g., computer systems and networks), however may involve multiple FDEP groups during the mission. Moreover, different FDEP groups can be dependent due to sharing some common components; they may appear in a single phase or multiple phases. This paper makes new contributions by modeling and analyzing reliability of PMSs subject to multiple FDEP groups through a Markov chain-based methodology. Propagated failures with both global and selective effects are considered. Four case studies are presented to demonstrate application of the proposed method. - Highlights: • Reliability of phased-mission systems subject to competing failure propagation and isolation effects is modeled. • Multiple independent or dependent functional dependence groups are considered. • Propagated failures with global effects and selective effects are studied. • Four case studies demonstrate generality and application of the proposed Markov-based method.

  12. Analysis of Failures of High Speed Shaft Bearing System in a Wind Turbine

    Science.gov (United States)

    Wasilczuk, Michał; Gawarkiewicz, Rafał; Bastian, Bartosz

    2018-01-01

    During the operation of wind turbines with gearbox of traditional configuration, consisting of one planetary stage and two helical stages high failure rate of high speed shaft bearings is observed. Such a high failures frequency is not reflected in the results of standard calculations of bearing durability. Most probably it can be attributed to atypical failure mechanism. The authors studied problems in 1.5 MW wind turbines of one of Polish wind farms. The analysis showed that the problems of high failure rate are commonly met all over the world and that the statistics for the analysed turbines were very similar. After the study of potential failure mechanism and its potential reasons, modification of the existing bearing system was proposed. Various options, with different bearing types were investigated. Different versions were examined for: expected durability increase, extent of necessary gearbox modifications and possibility to solve existing problems in operation.

  13. The common mode failures analysis of the redundent system with dependent human error

    International Nuclear Information System (INIS)

    Kim, M.K.; Chang, S.H.

    1983-01-01

    Common mode failures (CMFs) have been a serious concern in the nuclear power plant. Thereis a broad category of the failure mechanisms that can cause common mode failures. This paper is a theoretical investigation of the CMFs on the unavailability of the redundent system. It is assumed that the total CMFs consist of the potential CMFs and the dependent human error CMFs. As the human error dependency is higher, the total CMFs are more effected by the dependent human error. If the human error dependence is lower, the system unavailability strongly depends on the potential CMFs, rather than the mechanical failure or the dependent human error. And it is shown that the total CMFs are dominant factor to the unavailability of the redundent system. (Author)

  14. Estimation of functional failure probability of passive systems based on adaptive importance sampling method

    International Nuclear Information System (INIS)

    Wang Baosheng; Wang Dongqing; Zhang Jianmin; Jiang Jing

    2012-01-01

    In order to estimate the functional failure probability of passive systems, an innovative adaptive importance sampling methodology is presented. In the proposed methodology, information of variables is extracted with some pre-sampling of points in the failure region. An important sampling density is then constructed from the sample distribution in the failure region. Taking the AP1000 passive residual heat removal system as an example, the uncertainties related to the model of a passive system and the numerical values of its input parameters are considered in this paper. And then the probability of functional failure is estimated with the combination of the response surface method and adaptive importance sampling method. The numerical results demonstrate the high computed efficiency and excellent computed accuracy of the methodology compared with traditional probability analysis methods. (authors)

  15. Review of failures in nuclear air cleaning systems (1975--1978)

    International Nuclear Information System (INIS)

    Moeller, D.W.

    1979-01-01

    During the period from January 1, 1975 through June 30, 1978, over 9,000 Licensee Event Reports (LERs) pertaining to the operation of commercial light water nuclear power plants in the US were reported to the Nuclear Regulatory Commission. Of these reports, over 1,200 (approximately 13%) pertained to failures in air monitoring, ventilating and cleaning systems. For BWR installations, over half of the reported events related to failures in equipment for monitoring the performance of air cleaning systems as contrasted to failures in the systems themselves. In PWR installations, failures in monitoring equipment amounted to about 32% of the total. Reported problem areas in BWR installations included the primary containment and standby gas treatment and off-gas systems, as well as the High Pressure Coolant Injection and Reactor Core Isolation Systems. For PWR installations, reported problem areas included primary containment and associated spray systems and waste processing equipment. Although data on reported failures in power reactor installations can be interpreted in a variety of ways, one message is clear. There is a need for research on the development of more reliable equipment for sampling and monitoring air systems. Equipment that provides inaccurate data on the performance of such systems can lead to as many problems as inadequacies in the systems themselves

  16. Assessment of ALWR passive safety system reliability. Phase 1: Methodology development and component failure quantification

    International Nuclear Information System (INIS)

    Hake, T.M.; Heger, A.S.

    1995-04-01

    Many advanced light water reactor (ALWR) concepts proposed for the next generation of nuclear power plants rely on passive systems to perform safety functions, rather than active systems as in current reactor designs. These passive systems depend to a great extent on physical processes such as natural circulation for their driving force, and not on active components, such as pumps. An NRC-sponsored study was begun at Sandia National Laboratories to develop and implement a methodology for evaluating ALWR passive system reliability in the context of probabilistic risk assessment (PRA). This report documents the first of three phases of this study, including methodology development, system-level qualitative analysis, and sequence-level component failure quantification. The methodology developed addresses both the component (e.g. valve) failure aspect of passive system failure, and uncertainties in system success criteria arising from uncertainties in the system's underlying physical processes. Traditional PRA methods, such as fault and event tree modeling, are applied to the component failure aspect. Thermal-hydraulic calculations are incorporated into a formal expert judgment process to address uncertainties in selected natural processes and success criteria. The first phase of the program has emphasized the component failure element of passive system reliability, rather than the natural process uncertainties. Although cursory evaluation of the natural processes has been performed as part of Phase 1, detailed assessment of these processes will take place during Phases 2 and 3 of the program

  17. Complex Systems and Self-organization Modelling

    CERN Document Server

    Bertelle, Cyrille; Kadri-Dahmani, Hakima

    2009-01-01

    The concern of this book is the use of emergent computing and self-organization modelling within various applications of complex systems. The authors focus their attention both on the innovative concepts and implementations in order to model self-organizations, but also on the relevant applicative domains in which they can be used efficiently. This book is the outcome of a workshop meeting within ESM 2006 (Eurosis), held in Toulouse, France in October 2006.

  18. Hierarchical organization of the circadian timing system

    OpenAIRE

    Steensel, Mariska van

    2006-01-01

    In order to cope with and to predict 24-hour rhythms in the environment, most, if not all, organisms have a circadian timing system. The most important mammalian circadian pacemaker is located in the suprachiasmatic nucleus at the base of the hypothalamus in the brain. Over the years, it has become clear that the circadian system is complex and that additional oscillators exist, both within and outside the central nervous system. The aim of this thesis was to obtain insight in the hierarchica...

  19. Processes in construction of failure management expert systems from device design information

    Science.gov (United States)

    Malin, Jane T.; Lance, Nick

    1987-01-01

    This paper analyzes the tasks and problem solving methods used by an engineer in constructing a failure management expert system from design information about the device to te diagnosed. An expert test engineer developed a trouble-shooting expert system based on device design information and experience with similar devices, rather than on specific expert knowledge gained from operating the device or troubleshooting its failures. The construction of the expert system was intensively observed and analyzed. This paper characterizes the knowledge, tasks, methods, and design decisions involved in constructing this type of expert system, and makes recommendations concerning tools for aiding and automating construction of such systems.

  20. Identification of Hidden Failures in Process Control Systems Based on the HMG Method

    DEFF Research Database (Denmark)

    Jalashgar, Atoosa

    1998-01-01

    This paper presents a function-oriented system analysis method that gains knowledge about properties of technical systems, including system capabilities that can appear as sources of incipient failures. Such failures have a significant role in connection with process control systems, since they can...... a tailored combination of two function-oriented methods, Multilevel Flow Modelling (MFM) and Goal Tree-Success Tree (GTST). The features of the method, called Hybrid MFM-GTST, are described and demonstrated by using an example of a process control system. (C) 1998 John Wiley & Sons, Inc....

  1. Estimation of component failure probability from masked binomial system testing data

    International Nuclear Information System (INIS)

    Tan Zhibin

    2005-01-01

    The component failure probability estimates from analysis of binomial system testing data are very useful because they reflect the operational failure probability of components in the field which is similar to the test environment. In practice, this type of analysis is often confounded by the problem of data masking: the status of tested components is unknown. Methods in considering this type of uncertainty are usually computationally intensive and not practical to solve the problem for complex systems. In this paper, we consider masked binomial system testing data and develop a probabilistic model to efficiently estimate component failure probabilities. In the model, all system tests are classified into test categories based on component coverage. Component coverage of test categories is modeled by a bipartite graph. Test category failure probabilities conditional on the status of covered components are defined. An EM algorithm to estimate component failure probabilities is developed based on a simple but powerful concept: equivalent failures and tests. By simulation we not only demonstrate the convergence and accuracy of the algorithm but also show that the probabilistic model is capable of analyzing systems in series, parallel and any other user defined structures. A case study illustrates an application in test case prioritization

  2. Developments in control systems for rotary left ventricular assist devices for heart failure patients: a review

    International Nuclear Information System (INIS)

    AlOmari, Abdul-Hakeem H; Savkin, Andrey V; Lovell, Nigel H; Stevens, Michael; Mason, David G; Timms, Daniel L; Salamonsen, Robert F

    2013-01-01

    From the moment of creation to the moment of death, the heart works tirelessly to circulate blood, being a critical organ to sustain life. As a non-stopping pumping machine, it operates continuously to pump blood through our bodies to supply all cells with oxygen and necessary nutrients. When the heart fails, the supplement of blood to the body's organs to meet metabolic demands will deteriorate. The treatment of the participating causes is the ideal approach to treat heart failure (HF). As this often cannot be done effectively, the medical management of HF is a difficult challenge. Implantable rotary blood pumps (IRBPs) have the potential to become a viable long-term treatment option for bridging to heart transplantation or destination therapy. This increases the potential for the patients to leave the hospital and resume normal lives. Control of IRBPs is one of the most important design goals in providing long-term alternative treatment for HF patients. Over the years, many control algorithms including invasive and non-invasive techniques have been developed in the hope of physiologically and adaptively controlling left ventricular assist devices and thus avoiding such undesired pumping states as left ventricular collapse caused by suction. In this paper, we aim to provide a comprehensive review of the developments of control systems and techniques that have been applied to control IRBPs. (topical review)

  3. Mitigation of commutation failures in LCC–HVDC systems based on superconducting fault current limiters

    International Nuclear Information System (INIS)

    Lee, Jong-Geon; Khan, Umer Amir; Lee, Ho-Yun; Lim, Sung-Woo; Lee, Bang-Wook

    2016-01-01

    Commutation failure in line commutated converter based HVDC systems cause severe damages on the entire power grid system. For LCC–HVDC, thyristor valves are turned on by a firing signal but turn off control is governed by the external applied AC voltage from surrounding network. When the fault occurs in AC system, turn-off control of thyristor valves is unavailable due to the voltage collapse of point of common coupling (PCC), which causes the commutation failure in LCC–HVDC link. Due to the commutation failure, the power transfer interruption, dc voltage drop and severe voltage fluctuation in the AC system could be occurred. In a severe situation, it might cause the protection system to block the valves. In this paper, as a solution to prevent the voltage collapse on PCC and to limit the fault current, the application study of resistive superconducting fault current limiter (SFCL) on LCC–HVDC grid system was performed with mathematical and simulation analyses. The simulation model was designed by Matlab/Simulink considering Haenam-Jeju HVDC power grid in Korea which includes conventional AC system and onshore wind farm and resistive SFCL model. From the result, it was observed that the application of SFCL on LCC–HVDC system is an effective solution to mitigate the commutation failure. And then the process to determine optimum quench resistance of SFCL which enables the recovery of commutation failure was deeply investigated.

  4. Mitigation of commutation failures in LCC–HVDC systems based on superconducting fault current limiters

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Jong-Geon; Khan, Umer Amir; Lee, Ho-Yun; Lim, Sung-Woo; Lee, Bang-Wook, E-mail: bangwook@hanyang.ac.kr

    2016-11-15

    Commutation failure in line commutated converter based HVDC systems cause severe damages on the entire power grid system. For LCC–HVDC, thyristor valves are turned on by a firing signal but turn off control is governed by the external applied AC voltage from surrounding network. When the fault occurs in AC system, turn-off control of thyristor valves is unavailable due to the voltage collapse of point of common coupling (PCC), which causes the commutation failure in LCC–HVDC link. Due to the commutation failure, the power transfer interruption, dc voltage drop and severe voltage fluctuation in the AC system could be occurred. In a severe situation, it might cause the protection system to block the valves. In this paper, as a solution to prevent the voltage collapse on PCC and to limit the fault current, the application study of resistive superconducting fault current limiter (SFCL) on LCC–HVDC grid system was performed with mathematical and simulation analyses. The simulation model was designed by Matlab/Simulink considering Haenam-Jeju HVDC power grid in Korea which includes conventional AC system and onshore wind farm and resistive SFCL model. From the result, it was observed that the application of SFCL on LCC–HVDC system is an effective solution to mitigate the commutation failure. And then the process to determine optimum quench resistance of SFCL which enables the recovery of commutation failure was deeply investigated.

  5. Network Physiology: How Organ Systems Dynamically Interact.

    Science.gov (United States)

    Bartsch, Ronny P; Liu, Kang K L; Bashan, Amir; Ivanov, Plamen Ch

    2015-01-01

    We systematically study how diverse physiologic systems in the human organism dynamically interact and collectively behave to produce distinct physiologic states and functions. This is a fundamental question in the new interdisciplinary field of Network Physiology, and has not been previously explored. Introducing the novel concept of Time Delay Stability (TDS), we develop a computational approach to identify and quantify networks of physiologic interactions from long-term continuous, multi-channel physiological recordings. We also develop a physiologically-motivated visualization framework to map networks of dynamical organ interactions to graphical objects encoded with information about the coupling strength of network links quantified using the TDS measure. Applying a system-wide integrative approach, we identify distinct patterns in the network structure of organ interactions, as well as the frequency bands through which these interactions are mediated. We establish first maps representing physiologic organ network interactions and discover basic rules underlying the complex hierarchical reorganization in physiologic networks with transitions across physiologic states. Our findings demonstrate a direct association between network topology and physiologic function, and provide new insights into understanding how health and distinct physiologic states emerge from networked interactions among nonlinear multi-component complex systems. The presented here investigations are initial steps in building a first atlas of dynamic interactions among organ systems.

  6. Mitochondrial and endoplasmic reticulum dysfunction and related defense mechanisms in critical illness-induced multiple organ failure.

    Science.gov (United States)

    Thiessen, Steven E; Van den Berghe, Greet; Vanhorebeek, Ilse

    2017-10-01

    Patients with critical illness-induced multiple organ failure suffer from a very high morbidity and mortality, despite major progress in intensive care. The pathogenesis of this condition is complex and incompletely understood. Inadequate tissue perfusion and an overwhelming inflammatory response with pronounced cellular damage have been suggested to play an important role, but interventions targeting these disturbances largely failed to improve patient outcome. Hence, new therapeutic perspectives are urgently needed. Cellular dysfunction, hallmarked by mitochondrial dysfunction and endoplasmic reticulum stress, is increasingly recognized as an important contributor to the development of organ failure in critical illness. Several cellular defense mechanisms are normally activated when the cell is in distress, but may fail or respond insufficiently to critical illness. This insight may open new therapeutic options by stimulating these cellular defense mechanisms. This review summarizes the current understanding of the role of mitochondrial dysfunction and endoplasmic reticulum stress in critical illness-induced multiple organ failure and gives an overview of the corresponding cellular defense mechanisms. Therapeutic perspectives based on these cellular defense mechanisms are discussed. This article is part of a Special Issue entitled: Immune and Metabolic Alterations in Trauma and Sepsis edited by Dr. Raghavan Raju. Copyright © 2017 Elsevier B.V. All rights reserved.

  7. Online Real-Time Tribology Failure Detection System, Phase II

    Data.gov (United States)

    National Aeronautics and Space Administration — Under NASA Phase I funding, we have developed a system for the ball bearing fault detection and identification. Our system can effectively identify multiple fault...

  8. Utilization of the organ care system - a game-changer in combating donor organ shortage.

    Science.gov (United States)

    Popov, Aron-Frederik; García Sáez, Diana; Sabashnikov, Anton; Patil, Nikhil P; Zeriouh, Mohamed; Mohite, Prashant N; Zych, Bartlomiej; Schmack, Bastian; Ruhparwar, Arjang; Kallenbach, Klaus; Dohmen, Pascal M; Karck, Matthias; Simon, Andre R; Weymann, Alexander

    2015-03-12

    For patients with end-stage heart failure, cardiac transplantation persists to be the gold standard. Nevertheless, the availability of organs remains a main constraint to the treatment. Through mounting usage of ex vivo heart perfusion an increase in organ availability was achieved by reconditioning of organs formerly not regarded as appropriate for transplantation. We propose the future standard application of this state-of-the-art technology to improve the pool of donor organs by evaluating hearts outside standard acceptability criteria.

  9. KNOWLEDGE MANAGEMENT AND INFORMATION SYSTEMS IN ORGANIZATIONS

    Directory of Open Access Journals (Sweden)

    Karla Torres

    2015-11-01

    Full Text Available At present, knowledge and information are considered vital resources for organizations, so some of them have realized that the creation, transfer and knowledge management are essential for success. This paper aims to demonstrate knowledge management as a transformative power for organizations using information systems; addressing the study from the interpretive perspective with the use of hermeneutical method in theory, documentary context. It is concluded that people living in a changing characteristic environment of the globalized world companies and motivated by the same company changes have accelerated in them the generation and acquisition of new knowledge and innovative capabilities to achieve competitive positions with the help of systems of information.

  10. ARRA: Reconfiguring Power Systems to Minimize Cascading Failures - Models and Algorithms

    Energy Technology Data Exchange (ETDEWEB)

    Dobson, Ian [Iowa State University; Hiskens, Ian [Unversity of Michigan; Linderoth, Jeffrey [University of Wisconsin-Madison; Wright, Stephen [University of Wisconsin-Madison

    2013-12-16

    Building on models of electrical power systems, and on powerful mathematical techniques including optimization, model predictive control, and simluation, this project investigated important issues related to the stable operation of power grids. A topic of particular focus was cascading failures of the power grid: simulation, quantification, mitigation, and control. We also analyzed the vulnerability of networks to component failures, and the design of networks that are responsive to and robust to such failures. Numerous other related topics were investigated, including energy hubs and cascading stall of induction machines

  11. Expert environment for the development of nuclear power plants failure diagnosis systems

    International Nuclear Information System (INIS)

    Guido, P.N.; Oggianu, S.; Etchepareborda, A.; Fernandez, O.

    1996-01-01

    The present work explores some of the developing stages of an Expert Environment for plant failures Diagnosis Systems starting from Knowledge Based Systems. We present a prototype that carries out an inspection of anomalous symptoms and a diagnosis process based on a Plant Abnormality Model of a PHWR secondary system

  12. Memory management and compiler support for rapid recovery from failures in computer systems

    Science.gov (United States)

    Fuchs, W. K.

    1991-01-01

    This paper describes recent developments in the use of memory management and compiler technology to support rapid recovery from failures in computer systems. The techniques described include cache coherence protocols for user transparent checkpointing in multiprocessor systems, compiler-based checkpoint placement, compiler-based code modification for multiple instruction retry, and forward recovery in distributed systems utilizing optimistic execution.

  13. 29 CFR 1602.43 - Commission's remedy for school systems' or districts' failure to file report.

    Science.gov (United States)

    2010-07-01

    ... Elementary-Secondary Staff Information Report § 1602.43 Commission's remedy for school systems' or districts' failure to file report. Any school system or district failing or refusing to file report EEO-5 when... 29 Labor 4 2010-07-01 2010-07-01 false Commission's remedy for school systems' or districts...

  14. The relative contribution of system failures and extreme behaviour in South Australian crashes.

    Science.gov (United States)

    Wundersitz, Lisa; Baldock, Matthew; Raftery, Simon

    2014-12-01

    Within the road system, there are compliant road users who may make an error that leads to a crash, resulting in a 'system failure', and there are also road users who deliberately take risks and display dangerous or 'extreme' behaviours that lead to a crash. Crashes resulting from system failures can be addressed through improvements to road system design more readily than crashes resulting from extreme behaviours. The classification of crash causation in terms of system failures or extreme behaviour is important for determining the extent to which a Safe System approach (i.e. improvements to road system design to serve compliant road users) is capable of reducing the number of crashes. This study examined the relative contribution of system failures and extreme behaviour in South Australian crashes as identified from information in Coroner's investigation files and in-depth crash investigations conducted by the Centre for Automotive Safety Research (CASR). The analysis of 189 fatal crashes, 272 non-fatal metropolitan injury crashes and 181 non-fatal rural crashes indicated that very few non-fatal crashes (3% metropolitan, 9% rural) involved extreme behaviour by road users and, even in fatal crashes, the majority (54%) were the result of system failures. Fatal crashes resulting from system failures were more likely than those resulting from extreme behaviour to occur during the day, on weekdays, in rural areas and on roads with high speed limits. Findings from the current study suggest that improvements to the road transport system (i.e. forgiving road infrastructure, appropriate speed limits, and safe vehicle design) can be expected to be much more effective in reducing crashes than concentrating on preventing extreme behaviours. Such a strategy could reduce the incidence and severity of a large proportion of crashes in South Australia. Copyright © 2014 Elsevier Ltd. All rights reserved.

  15. Project «Zero Failure Level». Organization, State, Tasks

    International Nuclear Information System (INIS)

    Ugryumov, A.

    2015-01-01

    This paper starts with description of organizational actions and structure of the project. Tree of failures - hierarchical list; VVER-1000 FA failure main features like: change of geometrical form; mechanical damage; leaking FA and post irradiation examination of leaking fuel assemblies VVER-1000 are also presented. At the end author concluded that: 1) Organizational and technical actions are completed. 2) Significant part of works per stage «Determination of current state» is fulfilled. 3) Systematic cause of the main feature of failure – leaking of FA- is the debris damage of fuel rod cladding with foreign objects. 4) It is important to equip NPPs with modern means of FA inspection and means of extraction of foreign objects

  16. Digital control systems in nuclear power plants: Failure information, modeling concepts, and applications

    International Nuclear Information System (INIS)

    Galyean, W.J.

    1993-01-01

    This report briefly describes some current applications of advanced computerized digital display and control systems at US commercial nuclear power plants and presents the results of a literature search that was made to gather information on the reliability of these systems. Both hardware and software reliability were addressed in this review. Only limited failure rate information was found, with the chemical process industry being the primary source of information on hardware failure rates and expert opinion the primary source for software failure rates. Safety-grade digital control systems are typically installed on a functional like-for-like basis, replacing older analog systems without substantially changing interactions with other plant systems. Future work includes performing a limited probabilistic risk assessment of a representative DCS to assess its risk significance

  17. Optimisation of Structural Systems by Appropriately Assigning Probabilities of Failure: Application to Rubble Mound Breakwaters

    OpenAIRE

    Viet, N.D.; Verhagen, H.J.; Van Gelder, P.H.A.J.M.; Vrijling, J.K.

    2008-01-01

    An appropriate assignment of probabilities of failure to subsystems and components in a structural system can bring a minimum of costs and risk. In this paper, a method for economic optimisation of rubble mound breakwaters using pre-assigned probabilities of failure is presented. Application to a design case shows that the proposed method is useful in estimating the optimal design variables in a conceptual design.

  18. Analysis of the failure mechanism for a stable organic photovoltaic during 10 000 h of testing

    DEFF Research Database (Denmark)

    Krebs, Frederik C; Norrman, Kion

    2007-01-01

    elucidated by the time-of-flight secondary ion mass spectrometry (TOF-SIMS) analysis in conjunction with isotopic labelling using O-18(2) after a total testing time of 13 000 h. This experiment allowed us to understand the chemistry that takes place in three dimensions during degradation and failure......The degradation and failure mechanisms of a stable photovoltaic device comprising a bilayer heterojunction formed between poly(3-carboxythiophene-2,5-diyl-co-thiophene-2,5-diyl) (P3CT) and Buckminsterfullerene (C-60) sandwiched between indium tin oxide (ITO) and aluminium (Al) electrodes were...

  19. Insufficient autophagy contributes to mitochondrial dysfunction, organ failure, and adverse outcome in an animal model of critical illness.

    Science.gov (United States)

    Gunst, Jan; Derese, Inge; Aertgeerts, Annelies; Ververs, Eric-Jan; Wauters, Andy; Van den Berghe, Greet; Vanhorebeek, Ilse

    2013-01-01

    Increasing evidence implicates mitochondrial dysfunction as an early, important event in the pathogenesis of critical illness-induced multiple organ failure. We previously demonstrated that prevention of hyperglycemia limits damage to mitochondria in vital organs, thereby reducing morbidity and mortality. We now hypothesize that inadequate activation of mitochondrial repair processes (clearance of damaged mitochondria by autophagy, mitochondrial fusion/fission, and biogenesis) may contribute to accumulation of mitochondrial damage, persistence of organ failure, and adverse outcome of critical illness. Prospective, randomized studies in a critically ill rabbit model. University laboratory. Three-month-old male rabbits. We studied whether vital organ mitochondrial repair pathways are differentially affected in surviving and nonsurviving hyperglycemic critically ill animals in relation to mitochondrial and organ damage. Next, we investigated the impact of preventing hyperglycemia over time and of administering rapamycin as an autophagy activator. In both liver and kidney of hyperglycemic critically ill rabbits, we observed signs of insufficient autophagy, including accumulation of p62 and a concomitant decrease in the microtubule-associated protein light-chain-3-II/microtubule-associated protein light-chain-3-I ratio. The phenotype of insufficient autophagy was more pronounced in nonsurviving than in surviving animals. Molecular markers of insufficient autophagy correlated with impaired mitochondrial function and more severe organ damage. In contrast, key players in mitochondrial fusion/fission or biogenesis were not significantly different regarding survival status. Therefore, we focused on autophagy to study the impact of preventing hyperglycemia. Both after 3 and 7 days of illness, autophagy was better preserved in normoglycemic than in hyperglycemic rabbits, which correlated with improved mitochondrial function and less organ damage. Stimulation of autophagy in

  20. Persistent failure of the COIDA system to compensate occupational ...

    African Journals Online (AJOL)

    Cases of occupational disease, solvent encephalopathy and occupational asthma are used to exemplify failings of the workers' compensation system in South Africa, that include delays in processing claims, non-response to requests for information, and inadequate assessment of disability. These and other systemic ...

  1. Comparative Evaluation of Periodontal Status of Chronic Renal Failure Patients and Systemically Healthy Individuals.

    Science.gov (United States)

    Gupta, Radhika; Kumar, Uttam; Mallapragada, Siddharth; Agarwal, Pallavi

    2018-03-01

    Periodontitis, a chronic infectious disease, affects most of the population at one time or the other and its expression is a combination of hosts, microbial agents, and environmental factors. Extensive literature exists for the relationship between periodontal disease and diabetes mellitus, cardiovascular diseases, and adverse pregnancy outcomes. Only a few studies performed in a limited number of patients have reported peri-odontal health status in chronic renal failure patients. Hence, the aim of the present study is to assess and compare the periodontal status of patients with chronic renal failure undergoing dialysis, predialysis with systemically healthy individuals. A total of 90 patients were divided into three groups. Group I: 30 renal dialysis patients. Group II: 30 predialysis patients. Control group comprised 30 systemically healthy patients who formed group III. Periodontal examination was carried out using oral hygiene index-simplified (OHI-S), plaque index (PI), gingival index (GI), probing depth, and clinical attachment loss. The results of the study showed that the periodontal status of patients with chronic renal failure undergoing dialysis (dialysis group) and patients with chronic renal failure not undergoing renal dialysis (predialysis) when compared with systemically healthy subjects showed significantly higher mean scores of OHI-S, PI, and clinical attachment loss. Thus, patients with chronic renal failure showed poor oral hygiene and higher prevalence of periodontal disease. The dental community's awareness of implications of poor health within chronic renal failure patients should be elevated.

  2. SYSTEM ORGANIZATION OF MATERIAL PROVIDING OF BUILDING

    Directory of Open Access Journals (Sweden)

    A. V. Rаdkеvich

    2014-04-01

    Full Text Available Purpose. Development of scientific-methodical bases to the design of rational management of material streams in the field of building providing taking into account intersystem connections with the enterprises of building industry. Methodology. The analysis of last few years of functioning of building industry in Ukraine allows distinguishing a number of problems that negatively influence the steady development of building, as the component of the state economics system. Therefore the research of existent organization methods of the system of building objects providing with material resources is extremely necessary. In connection with this the article justifies the use of method of hierarchies analysis (Saati method for finding the optimal task solution of fixing the enterprises of building industry after building objects. Findings. Results give an opportunity to guidance of building organization to estimate and choose advantageous suppliers - enterprises of building industry, to conduct their rating, estimation taking into account basic descriptions, such as: quality, price, reliability of deliveries, specialization, financial status etc. Originality. On the basis of Saati method the methodologies of organization are improved, planning and managements of the reliable system of providing of building necessary material resources that meet the technological requirements of implementation of building and installation works. Practical value. Contribution to the decisions of many intricate organizational problems that are accompanied by the problems of development of building, provided due to organization of the reliable system of purchase of material resources.

  3. [Metabolic integration of organisms within symbiotic systems].

    Science.gov (United States)

    Provorov, N A; Dolgikh, E A

    2006-01-01

    Adaptation of organisms to coexisence in symbiotic systems is usually related to significant metabolic changes resulting in the integration of the biochemical pathways of the partners. In the symbioses between plants and nitrogen-fixing organisms, between heterotrophic and autotrophic organisms, as well as between animals and microorganisms providing the consumption of plant biomass, the systems of C- and N-metabolism, controlling the utilization of various sources of nitrogen (N2, organic and inorganic compounds, metabolic waste of the host) and carbon (CO2, plant polymers), of the partners are tightly integrated. Bilateral biochemical links between partners are typical to mutualistic symbioses (wherein biotrophic nutrition predominates, in some cases including necrotrophy of secondary origin). In antagonistic symbioses, unilateral links predominate, though active assimilation of the pathogen's secondary metabolites by the host is also possible. In most mutualistic symbioses, integrated metabolic ties have derived from trophic chains in biocenoses (syntrophic consortia, "predator-prey" systems), but not from the systems where the pathogens consume host metabolites. At the same time, molecular analysis of symbiotic interactions has shown that symbioses considerably differ from biocenoses, where the cycling of nutrients and energy implies no functional integration of the partner's genes.

  4. Hierarchical organization of the circadian timing system

    NARCIS (Netherlands)

    Steensel, Mariska van

    2006-01-01

    In order to cope with and to predict 24-hour rhythms in the environment, most, if not all, organisms have a circadian timing system. The most important mammalian circadian pacemaker is located in the suprachiasmatic nucleus at the base of the hypothalamus in the brain. Over the years, it has become

  5. Anatomy of a failure: a sociotechnical evaluation of a laboratory physician order entry system implementation.

    Science.gov (United States)

    Peute, Linda W; Aarts, Jos; Bakker, Piet J M; Jaspers, Monique W M

    2010-04-01

    issues relevant to CPOE implementation cumulatively led to a failure outcome of the CPOE-L pilot introduction. The experiences and considerations described in this paper show important issues for CPOE systems to be successfully introduced and to be taken into account in future CPOE implementations. Understanding and consideration of (clinical) workflow aspects by project managers and the involved clinical organization is of extreme importance from the very start of a CPOE implementation process. (c) 2009 Elsevier Ireland Ltd. All rights reserved.

  6. Report: Identification of root cause failure of piping in a service water system

    Energy Technology Data Exchange (ETDEWEB)

    Lutey, R.W. [Buckman Labs. International, Inc., Memphis, TN (United States); Mason, P.D. [Connecticut Yankee Atomic Power Co., East Haddam, CT (United States)

    1994-12-31

    This report deals with studies on the identification of the root cause of piping failures in a service water system, and to develop a proposal for action to prevent further failures. The failures were characterized as pin hole through-wall penetrations associated with butt-welds, restricted to stagnant flow carbon steel piping. Based on extensive tests, inspections and observations the conclusions presented in this report are summarized as follows: (1) the pin hole failures were characterized as root cause, microbiologically influenced corrosion (MIC), this conclusion was based upon microbiological, visual, and chemical testing at the as-is site of a recent failure, pipe segments were available for extensive testing and comparison to previous failures; (2) failures were isolated to stagnant sites at points where poor weld penetration provided optimum conditions for MIC to occur; (3) extensive examination of the process flow and intermittent flow sites characterized as high risk areas were made, no evidence of microbiological involvement with corrosion was found, no evidence of any type of significant pitting corrosion was found at these sites; (4) removal and replacement of stagnant line and weld sites was done as a major step in preventing further failures. MIC inoculum, primarily anaerobic microorganisms, was found at many anaerobic and aerobic sites in the system. This suggested that a preventive chemical treatment program would be appropriate to maintain the system at a MIC free status. A monitoring program was suggested to assess on a real-time-basis, the potential for MIC and to monitor the mitigation of MIC.

  7. Non-Organic Failure to Thrive: Decision for Placement and Videotaped Evaluations.

    Science.gov (United States)

    Haynes, Clare F.; And Others

    1983-01-01

    In a study involving 16 cases of infants hospitalized for nonorganic failure to thrive, eight of whom were placed in foster homes and eight discharged home, mother-infant interactions in the group requiring foster care were clearly more dysfunctional than those in the discharged group. (Author/CL)

  8. Home Environments of Low SES Non-Organic Failure-to-Thrive Infants.

    Science.gov (United States)

    Bradley, Robert H.; And Others

    1984-01-01

    Failure-to-thrive infants were more often found in homes that were disorganized and where mothers were less responsive and less accepting of their child's behavior than were normally developing infants. Results suggest that infants need a socially and physically responsive environment which they can control to some extent. (RH)

  9. Non-Organic Failure-to-Thrive: Origins and Psychoeducational Implications.

    Science.gov (United States)

    Phelps, LeAdelle

    1991-01-01

    The passage of Public Law 99-457 relating to education for the handicapped increases the probability that the school psychologist will be asked to evaluate infants and children diagnosed as suffering from nonorganic failure-to-thrive (NOFT) disorder. Etiology, models, and interventions appropriate for NOFT children are discussed. (SLD)

  10. A Tale of CI Build Failures : An Open Source and a Financial Organization Perspective

    NARCIS (Netherlands)

    Vassallo, Carmine; Schermann, Gerald; Zampetti, Fiorelli; Romano, Daniele; Leitner, Philipp; Zaidman, A.E.; Di Penta, Massimiliano; Panichella, Sebastiano

    2017-01-01

    Continuous Integration (CI) and Continuous Delivery (CD) are widespread in both industrial and open-source software (OSS) projects. Recent research characterized build failures in CI and identified factors potentially correlated to them. However, most observations and findings of previous work are

  11. Degradation and Failure Characteristics of NPP Containment Protective Coating Systems

    Energy Technology Data Exchange (ETDEWEB)

    Sindelar, R.L.

    2001-02-22

    A research program to investigate the performance and potential for debris formation of Service Level I coating systems used in nuclear power plant containment is being performed at the Savannah River Technology Center. The research activities are aligned to address phenomena important to cause coating disbondment as identified by the Industry Coatings Expert Panel. The period of interest for performance covers the time from application of the coating through 40 years of service, followed by a medium-to-large break loss-of-coolant accident scenario, which is a design basis accident (DBA) scenario. The interactive program elements are described in this report and the application of these elements to evaluate the performance of the specific coating system of Phenoline 305 epoxy-phenolic topcoat over Carbozinc 11 primer on a steel substrate. This system is one of the predominant coating systems present on steel substrates in NPP containment.

  12. Electric systems failures produced by CG lightning in Eastern Amazonia

    Directory of Open Access Journals (Sweden)

    Ana Paula Paes dos Santos

    2014-12-01

    Full Text Available Operational records of power outages of the electric energy distribution systems in eastern Amazonia presented a large number of events attributed to lightning strikes, during the 2006 to 2009 period. The regional electricity concessionary data were compared to actual lightning observations made by SIPAM's LDN system, over two areas where operational sub systems of transmission lines are installed. Statistical relations were drawn between the monthly lightning occurrence density and the number of power outages of the electric systems for both areas studied. The results showed that, although with some delays between these variables peaks, the number of power disruptions has a tendency to follow the behavior of the lightning occurrence densities variations. The numerical correlations were positive and may be useful to the transmission lines maintenance crews at least for the Belém-Castanhal electricity distribution sub system. Evidence was found, that the SST's over certain areas of the Pacific and Atlantic Oceans, influence convection over the area of interest, and may help to prognosticate the periods of intense electric storms, requiring repair readiness for the regional electric systems.

  13. Why do organizations not learn from incidents? Bottlenecks, causes and conditions for a failure to effectively learn.

    Science.gov (United States)

    Drupsteen, Linda; Hasle, Peter

    2014-11-01

    If organizations would be able to learn more effectively from incidents that occurred in the past, future incidents and consequential injury or damage can be prevented. To improve learning from incidents, this study aimed to identify limiting factors, i.e. the causes of the failure to effectively learn. In seven organizations focus groups were held to discuss factors that according to employees contributed to the failure to learn. By use of a model of the learning from incidents process, the steps, where difficulties for learning arose, became visible, and the causes for these difficulties could be studied. Difficulties were identified in multiple steps of the learning process, but most difficulties became visible when planning actions, which is the phase that bridges the gap from incident investigation to actions for improvement. The main causes for learning difficulties, which were identified by the participants in this study, were tightly related to the learning process, but some indirect causes - or conditions - such as lack of ownership and limitations in expertise were also mentioned. The results illustrate that there are two types of causes for the failure to effectively learn: direct causes and indirect causes, here called conditions. By actively and systematically studying learning, more conditions might be identified and indicators for a successful learning process may be determined. Studying the learning process does, however, require a shift from learning from incidents to learning to learn. Copyright © 2014 Elsevier Ltd. All rights reserved.

  14. Daily evaluation of organ function during renal replacement therapy in intensive care unit patients with acute renal failure.

    Science.gov (United States)

    Cappi, Sylas B; Sakr, Yasser; Vincent, Jean-Louis

    2006-06-01

    The aim of this study was to assess changes in organ function in acute renal failure patients during renal replacement therapy and relate them to outcome. Medical and nursing charts from 111 patients with acute renal failure who underwent renal replacement therapy (hemodialysis or hemofiltration) from July 2000 until July 2002 on a 31-bed medicosurgical intensive care unit (ICU) at a university hospital in Belgium and in whom the Sequential Organ Failure Assessment (SOFA) score was calculated daily before the start of therapy until the seventh day, or the end of therapy, were analyzed. Changes in SOFA score over time (Delta SOFA) were calculated. Of 111 patients, 63 (57%) died in the ICU. Nonsurvivors were older (68 [52-76] vs 59 [48-70] years, P = .017) and had initially higher respiratory, cardiovascular, and total SOFA scores compared with survivors. A greater Delta renal SOFA at 24 hours was associated univariantly with a higher risk of ICU mortality (odds ratio, 1.7; 95% confidence interval, 1.2-2.6; P = .013). In a multivariate analysis with ICU outcome as the dependent variable, only age, cardiovascular SOFA score on admission, and the change in total SOFA score over the first 24 hours were independently associated with a greater risk of death. Assessment of these factors in the first 24 hours of renal replacement therapy could help identify patients at higher risk of mortality early during their ICU admission.

  15. Failure Modes and Effects Analysis (FMEA) of the Residual Heat Removal System

    International Nuclear Information System (INIS)

    Eggleston, F.T.

    1976-01-01

    The Residual Heat Removal System (RHRS) transfer heat from the Reactor Coolant System (RCS) to the reactor plant Component Cooling System (CCS) to reduce the temperature of the RCS at a controlled rate during the second part of normal plant cooldown and maintains the desired temperature until the plant is restarted. By the use of an analytic tool, the Failure Modes and Effects Analysis, it is shown that the RHRS, because of its redundant two train design, is able to accommodate any credible component single failure with the only effect being an extension in the required cooldown time, thus demonstrating the reliability of the RHRS to perform its intended function

  16. Reliability prediction of engineering systems with competing failure modes due to component degradation

    International Nuclear Information System (INIS)

    Son, Young Kap

    2011-01-01

    Reliability of an engineering system depends on two reliability metrics: the mechanical reliability, considering component failures, that a functional system topology is maintained and the performance reliability of adequate system performance in each functional configuration. Component degradation explains not only the component aging processes leading to failure in function, but also system performance change over time. Multiple competing failure modes for systems with degrading components in terms of system functionality and system performance are considered in this paper with the assumption that system functionality is not independent of system performance. To reduce errors in system reliability prediction, this paper tries to extend system performance reliability prediction methods in open literature through combining system mechanical reliability from component reliabilities and system performance reliability. The extended reliability prediction method provides a useful way to compare designs as well as to determine effective maintenance policy for efficient reliability growth. Application of the method to an electro-mechanical system, as an illustrative example, is explained in detail, and the prediction results are discussed. Both mechanical reliability and performance reliability are compared to total system reliability in terms of reliability prediction errors

  17. Study on a System Reliability Calculation Method Using Failure Enumeration of Reliability Path

    International Nuclear Information System (INIS)

    Lee, Jang Il; Chun, Hwan Kyu; Jeong, Choong Min; Shin, Dong Jun; Suh, Myung Won; Park, Kee Jun

    2011-01-01

    Recently, systems such as aircraft, trains and ships have become larger more complex. Therefore, the reliability calculation of these systems is more difficult. This paper presents a reliability calculation algorithm for a complex system with a solution that is difficult to analyze. When the system has a very complex structure, it is very difficult to find an analytical solution. In this case, we can assess system reliability using the failure enumeration method of the reliability path. In this research, we represent the reliability block diagram by an adjacent matrix and define the reliability path. We can find any system status by the failure enumeration of the reliability path, and thus we can calculate any kind of system reliability through this process. This result can be applied to RCM (Reliability-Centered Maintenance) and reliability information-management systems, in which the system reliability is composed of the reliabilities of individual parts

  18. Failure Assessment

    Science.gov (United States)

    Lutz, Robyn; Nikora, Allen

    2005-01-01

    Three questions to which software developers want accurate, precise answers are "How can the software system fail?", "mat bad things will happen if the software fails?t', and "How many failures will the software experience?". Numerous techniques have been devised to answer these questions; three of the best known are: 1) Software Fault Tree Analysis (SFTA) 2) Software Failure Modes, Effects, and Criticality Analysis (SFMECA 3) Software Fault/Failure Modeling. SFTA and SFMECA have been successfully used to analyze the flight software for a number of robotic planetary exploration missions, including Galileo, Cassini, and Deep Space 1. Given the increasing interest in reusing software components from mission to mission, one of us has developed techniques for reusing the corresponding portions of the SFTA and SFMECA, reducing the effort required to conduct these analyses. SFTA has also been shown to be effective in analyzing the security aspects of software systems; intrusion mechanisms and effects can easily be modeled using these techniques. The Bi- Directional Safety Analysis (BDSA) method combines a forward search (similar to SFMECA) from potential failure modes to their effects, with a backward search (similar to SFTA) from feasible hazards to the contributing causes of each hazard. BDSA offers an efficient way to identify latent failures. Recent work has extended BDSA to product-line applications such as flight-instrumentation displays and developed tool support for the reuse of the failure-analysis artifacts within a product line. BDSA has also been streamlined to support those projects having tight cost and/or schedule constraints for their failure analysis efforts. We discuss lessons learned from practice, describe available tools, and identi@ some future directions for the topic. A substantial amount of research has been devoted to estimating the number of failures that a software system will experience during test and operations, as well as the number of

  19. Control of self-organizing nonlinear systems

    CERN Document Server

    Klapp, Sabine; Hövel, Philipp

    2016-01-01

    The book summarizes the state-of-the-art of research on control of self-organizing nonlinear systems with contributions from leading international experts in the field. The first focus concerns recent methodological developments including control of networks and of noisy and time-delayed systems. As a second focus, the book features emerging concepts of application including control of quantum systems, soft condensed matter, and biological systems. Special topics reflecting the active research in the field are the analysis and control of chimera states in classical networks and in quantum systems, the mathematical treatment of multiscale systems, the control of colloidal and quantum transport, the control of epidemics and of neural network dynamics.

  20. High-symmetry organic scintillator systems

    Science.gov (United States)

    Feng, Patrick L.

    2018-02-06

    An ionizing radiation detector or scintillator system includes a scintillating material comprising an organic crystalline compound selected to generate photons in response to the passage of ionizing radiation. The organic compound has a crystalline symmetry of higher order than monoclinic, for example an orthorhombic, trigonal, tetragonal, hexagonal, or cubic symmetry. A photodetector is optically coupled to the scintillating material, and configured to generate electronic signals having pulse shapes based on the photons generated in the scintillating material. A discriminator is coupled to the photon detector, and configured to discriminate between neutrons and gamma rays in the ionizing radiation based on the pulse shapes of the output signals.

  1. High-symmetry organic scintillator systems

    Energy Technology Data Exchange (ETDEWEB)

    Feng, Patrick L.

    2018-03-13

    An ionizing radiation detector or scintillator system includes a scintillating material comprising an organic crystalline compound selected to generate photons in response to the passage of ionizing radiation. The organic compound has a crystalline symmetry of higher order than monoclinic, for example an orthorhombic, trigonal, tetragonal, hexagonal, or cubic symmetry. A photodetector is optically coupled to the scintillating material, and configured to generate electronic signals having pulse shapes based on the photons generated in the scintillating material. A discriminator is coupled to the photon detector, and configured to discriminate between neutrons and gamma rays in the ionizing radiation based on the pulse shapes of the output signals.

  2. Enforcing Availability in Failure-Aware Communicating Systems

    DEFF Research Database (Denmark)

    López-Acosta, Hugo-Andrés; Nielson, Flemming; Nielson, Hanne Riis

    2016-01-01

    Choreographic programming is a programming-language design approach that drives error-safe protocol development in distributed systems. Motivated by challenging scenarios in Cyber-Physical Systems (CPS), we study how choreographic programming can cater for dynamic infrastructures where...... the availability of components may change at runtime. We introduce the Global Quality Calculus (GCq), a process calculus featuring novel operators for multiparty, partial and collective communications; we provide a type discipline that controls how partial communications refer only to available components; and we...

  3. Reliability modelling of redundant safety systems without automatic diagnostics incorporating common cause failures and process demand.

    Science.gov (United States)

    Alizadeh, Siamak; Sriramula, Srinivas

    2017-11-01

    Redundant safety systems are commonly used in the process industry to respond to hazardous events. In redundant systems composed of identical units, Common Cause Failures (CCFs) can significantly influence system performance with regards to reliability and safety. However, their impact has been overlooked due to the inherent complexity of modelling common cause induced failures. This article develops a reliability model for a redundant safety system using Markov analysis approach. The proposed model incorporates process demands in conjunction with CCF for the first time and evaluates their impacts on the reliability quantification of safety systems without automatic diagnostics. The reliability of the Markov model is quantified by considering the Probability of Failure on Demand (PFD) as a measure for low demand systems. The safety performance of the model is analysed using Hazardous Event Frequency (HEF) to evaluate the frequency of entering a hazardous state that will lead to an accident if the situation is not controlled. The utilisation of Markov model for a simple case study of a pressure protection system is demonstrated and it is shown that the proposed approach gives a sufficiently accurate result for all demand rates, durations, component failure rates and corresponding repair rates for low demand mode of operation. The Markov model proposed in this paper assumes the absence of automatic diagnostics, along with multiple stage repair strategy for CCFs and restoration of the system from hazardous state to the "as good as new" state. Copyright © 2017 ISA. Published by Elsevier Ltd. All rights reserved.

  4. Root cause analysis of pump valve failures of three membrane pump systems

    NARCIS (Netherlands)

    Buijs, L.J.; Eijk, A.; Hooft, L. van

    2014-01-01

    This paper will present the root cause analysis and the solution of fatigue failures of the pump valves of three membrane pump systems installed on a chemical plant of Momentive in Pernis, the Netherlands. The membrane pumps were installed approximately 30 years ago. Each system has encountered

  5. External validation of severity scoring systems for acute renal failure using a multinational database

    NARCIS (Netherlands)

    Uchino, Shigehiko; Bellomo, Rinaldo; Morimatsu, Hiroshi; Morgera, Stanislao; Schetz, Miet; Tan, Ian; Bouman, Catherine; Macedo, Ettiene; Gibney, Noel; Tolwani, Ashita; Doig, Gordon S.; Oudemans van Straaten, Heleen; Ronco, Claudio; Kellum, John A.

    2005-01-01

    Several different severity scoring systems specific to acute renal failure have been proposed. However, most validation studies of these scoring systems were conducted in a single center or in a small number of centers, often the same ones used for their development. Therefore, it is not known

  6. Failure mode and effect analysis-based quality assurance for dynamic MLC tracking systems

    Energy Technology Data Exchange (ETDEWEB)

    Sawant, Amit; Dieterich, Sonja; Svatos, Michelle; Keall, Paul [Stanford University, Stanford, California 94394 (United States); Varian Medical Systems, Palo Alto, California 94304 (United States); Stanford University, Stanford, California 94394 (United States)

    2010-12-15

    Purpose: To develop and implement a failure mode and effect analysis (FMEA)-based commissioning and quality assurance framework for dynamic multileaf collimator (DMLC) tumor tracking systems. Methods: A systematic failure mode and effect analysis was performed for a prototype real-time tumor tracking system that uses implanted electromagnetic transponders for tumor position monitoring and a DMLC for real-time beam adaptation. A detailed process tree of DMLC tracking delivery was created and potential tracking-specific failure modes were identified. For each failure mode, a risk probability number (RPN) was calculated from the product of the probability of occurrence, the severity of effect, and the detectibility of the failure. Based on the insights obtained from the FMEA, commissioning and QA procedures were developed to check (i) the accuracy of coordinate system transformation, (ii) system latency, (iii) spatial and dosimetric delivery accuracy, (iv) delivery efficiency, and (v) accuracy and consistency of system response to error conditions. The frequency of testing for each failure mode was determined from the RPN value. Results: Failures modes with RPN{>=}125 were recommended to be tested monthly. Failure modes with RPN<125 were assigned to be tested during comprehensive evaluations, e.g., during commissioning, annual quality assurance, and after major software/hardware upgrades. System latency was determined to be {approx}193 ms. The system showed consistent and accurate response to erroneous conditions. Tracking accuracy was within 3%-3 mm gamma (100% pass rate) for sinusoidal as well as a wide variety of patient-derived respiratory motions. The total time taken for monthly QA was {approx}35 min, while that taken for comprehensive testing was {approx}3.5 h. Conclusions: FMEA proved to be a powerful and flexible tool to develop and implement a quality management (QM) framework for DMLC tracking. The authors conclude that the use of FMEA-based QM ensures

  7. Failure mode and effect analysis-based quality assurance for dynamic MLC tracking systems.

    Science.gov (United States)

    Sawant, Amit; Dieterich, Sonja; Svatos, Michelle; Keall, Paul

    2010-12-01

    To develop and implement a failure mode and effect analysis (FMEA)-based commissioning and quality assurance framework for dynamic multileaf collimator (DMLC) tumor tracking systems. A systematic failure mode and effect analysis was performed for a prototype real-time tumor tracking system that uses implanted electromagnetic transponders for tumor position monitoring and a DMLC for real-time beam adaptation. A detailed process tree of DMLC tracking delivery was created and potential tracking-specific failure modes were identified. For each failure mode, a risk probability number (RPN) was calculated from the product of the probability of occurrence, the severity of effect, and the detectibility of the failure. Based on the insights obtained from the FMEA, commissioning and QA procedures were developed to check (i) the accuracy of coordinate system transformation, (ii) system latency, (iii) spatial and dosimetric delivery accuracy, (iv) delivery efficiency, and (v) accuracy and consistency of system response to error conditions. The frequency of testing for each failure mode was determined from the RPN value. Failures modes with RPN > or = 125 were recommended to be tested monthly. Failure modes with RPN < 125 were assigned to be tested during comprehensive evaluations, e.g., during commissioning, annual quality assurance, and after major software/hardware upgrades. System latency was determined to be approximately 193 ms. The system showed consistent and accurate response to erroneous conditions. Tracking accuracy was within 3%-3 mm gamma (100% pass rate) for sinusoidal as well as a wide variety of patient-derived respiratory motions. The total time taken for monthly QA was approximately 35 min, while that taken for comprehensive testing was approximately 3.5 h. FMEA proved to be a powerful and flexible tool to develop and implement a quality management (QM) framework for DMLC tracking. The authors conclude that the use of FMEA-based QM ensures efficient allocation

  8. Developing a consensus classification system for acute renal failure

    NARCIS (Netherlands)

    Kellum, John A.; Levin, Nathan; Bouman, Catherine; Lameire, Norbert

    2002-01-01

    A biochemical definition and classification system for acute renal dysfunction is long overdue. Its absence has impeded progress in clinical and even basic research concerning a syndrome associated with mortality rates of 30 to 80%. No definition of acute renal dysfunction will be perfect, but the

  9. Validity and failure of some entropy inequalities for CAR systems

    International Nuclear Information System (INIS)

    Moriya, Hajime

    2005-01-01

    Basic properties of von Neumann entropy such as the triangle inequality and what we call MONO-SSA are studied for CAR systems. We show that both inequalities hold for every even state by using symmetric purification which is applicable to such a state. We construct a certain class of noneven states giving examples of the nonvalidity of those inequalities

  10. The tribological failure diagnosis of spur gear by an expert system

    Science.gov (United States)

    Su, Y. L.; Lin, J. S.; Hsieh, S. K.

    1993-07-01

    The failure of tribo-elements at an early stage, before the designed lifetime, is attributable to the complex interaction of many factors, which can be diagnosed by various techniques. These techniques can be learned in a certain period of time, while the knowledge of failure analysis must have accumulated from a long experience of practical work. For this reason, a computerized expert system program, developed from artificial intelligence (PC Plus, an inference engine shell), was constructed for spur gear tribological failure diagnosis. The knowledge was expressed as many 'if-then' rules and a 'frame' structure of inheritance. Note that the certainty factor of the rules is itself a special characteristic of this system and the 'man-machine' interface is very friendly, the graphical interpretation being an example. The system was finally validated by the twin roller wear test which can be recognized as the motion of a spur gear near the pitch-line region. The failure characteristics of the worn rollers were transferred to the expert system by means of a 'user-friendly' interface to deduce the reason for the failure.

  11. GM organisms threaten organic systems: towards sustainability, coexistence and organic seed

    OpenAIRE

    Boelt, B.; Deleuran, L.C.; Phelps, B.

    2005-01-01

    Until now commercial genetically modified (GM) crops – soy, corn, canola and cotton - and their products have not been successfully segregated from organic or conventional non-GM production systems. Where GM crops are grown, GM contamination may be inevitable. However, physical and legal control measures imposed before the introduction of GM crops may help protect organic standards, supply chain integrity, certification and client confidence, but this is not yet fully tested. IFOAM’s approach...

  12. Common-cause Failures as Major Issue in Safety of Control Systems

    Directory of Open Access Journals (Sweden)

    Juraj Ilavsky

    2013-01-01

    Full Text Available In order to gain an improvement of safety or availability measures of the safety-relevant control system through employment of redundancy a redundant system has to comply with the requirement on independence of redundant parts. If the requirements on the independence of redundant parts are unfulfilled, then a common-cause failure can directly cause a hazardous state on a system level through its effects on multiple redundant parts. Identification of sources and quantification of the common-cause failure parameters has been proved to be a formidable task. The latter problem, including other major safety-affecting factors lays in the focus of this paper. Our proposed technical safety analysis concept is extended, so now it partially covers elusive problems related to the common-cause failures.

  13. Response analysis of curved bridge with unseating failure control system under near-fault ground motions

    Science.gov (United States)

    Zuo, Ye; Sun, Guangjun; Li, Hongjing

    2018-01-01

    Under the action of near-fault ground motions, curved bridges are prone to pounding, local damage of bridge components and even unseating. A multi-scale fine finite element model of a typical three-span curved bridge is established by considering the elastic-plastic behavior of piers and pounding effect of adjacent girders. The nonlinear time-history method is used to study the seismic response of the curved bridge equipped with unseating failure control system under the action of near-fault ground motion. An in-depth analysis is carried to evaluate the control effect of the proposed unseating failure control system. The research results indicate that under the near-fault ground motion, the seismic response of the curved bridge is strong. The unseating failure control system perform effectively to reduce the pounding force of the adjacent girders and the probability of deck unseating.

  14. Coping with System Failure: Why Connectivity Matters to Innovation Policy

    DEFF Research Database (Denmark)

    Ricard, Lykke Margot

    2015-01-01

    This chapter is concerned with policy and the role of the European Technology Platforms as new experimental policy tools for structuring change. The problem discussed here concerns a change in the current European energy system towards a better integration of low-carbon technologies enabling...... driven innovation towards new business opportunities. The analysis shows how connectivity and network relations play an important role in innovation, as opposed to arm-length anonymous interactions as presumed in mainstream economic thinking....

  15. Preliminary Failure Modes, Effects and Criticality Analysis (FMECA) of the conceptual Brayton Isotope Power System (BIPS) Flight System

    International Nuclear Information System (INIS)

    Miller, L.G.

    1976-01-01

    A failure modes, effects and criticality analysis (FMECA) was made of the Brayton Isotope Power System Flight System (BIPS-FS) as presently conceived. The components analyzed include: Mini-BRU; Heat Source Assembly (HSA); Mini-Brayton Recuperator (MBR); Space Radiator; Ducts and Bellows, Insulation System; Controls; and Isotope Heat Source (IHS)

  16. Analysing a Chinese Regional Integrated Healthcare Organisation Reform Failure using a Complex Adaptive System Approach

    Directory of Open Access Journals (Sweden)

    Wenxi Tang

    2017-06-01

    Full Text Available Introduction: China’s organised health system has remained outdated for decades. Current health systems in many less market-oriented countries still adhere to traditional administrative-based directives and linear planning. Furthermore, they neglect the responsiveness and feedback of institutions and professionals, which often results in reform failure in integrated care. Complex adaptive system theory (CAS provides a new perspective and methodology for analysing the health system and policy implementation.  Methods: We observed the typical case of Qianjiang’s Integrated Health Organization Reform (IHO for 2 years to analyse integrated care reforms using CAS theory. Via questionnaires and interviews, we observed 32 medical institutions and 344 professionals. We compared their cooperative behaviours from both organisational and inter-professional levels between 2013 and 2015, and further investigated potential reasons for why medical institutions and professionals did not form an effective IHO. We discovered how interested parties in the policy implementation process influenced reform outcome, and by theoretical induction, proposed a new semi-organised system and corresponding policy analysis flowchart that potentially suits the actual realisation of CAS.  Results: The reform did not achieve its desired effect. The Qianjiang IHO was loosely integrated rather than closely integrated, and the cooperation levels between organisations and professionals were low. This disappointing result was due to low mutual trust among IHO members, with the main contributing factors being insufficient financial incentives and the lack of a common vision.  Discussion and Conclusions: The traditional 'organised health system' is old-fashioned. Rather than being completely organised or adaptive, the health system is currently more similar to a s'emi-organised system'. Medical institutions and professionals operate in a middle ground between complete adherence

  17. Dedicated Work Opportunities of Municipal CHP Blocks in a Catastrophic Failure of the Power System State

    Directory of Open Access Journals (Sweden)

    Ireneusz Grządzielski

    2014-04-01

    Full Text Available Under conditions of a catastrophic system failure developing, in the Polish Power System (PPS, the creation of island systems powered by municipal CHP generating units may be one way to maintain the units’ production capacity. Block island load system BC 50 could create own and general EC Karolin and industrial plants located in the immediate vicinity of the thermal-electric power station receipts.

  18. Analysing a Chinese Regional Integrated Healthcare Organisation Reform Failure using a Complex Adaptive System Approach

    OpenAIRE

    Tang, Wenxi; Wei, Lai; Zhang, Liang

    2017-01-01

    Introduction: China’s organised health system has remained outdated for decades. Current health systems in many less market-oriented countries still adhere to traditional administrative-based directives and linear planning. Furthermore, they neglect the responsiveness and feedback of institutions and professionals, which often results in reform failure in integrated care. Complex adaptive system theory (CAS) provides a new perspective and methodology for analysing the health system and policy...

  19. An optimized Line Sampling method for the estimation of the failure probability of nuclear passive systems

    International Nuclear Information System (INIS)

    Zio, E.; Pedroni, N.

    2010-01-01

    The quantitative reliability assessment of a thermal-hydraulic (T-H) passive safety system of a nuclear power plant can be obtained by (i) Monte Carlo (MC) sampling the uncertainties of the system model and parameters, (ii) computing, for each sample, the system response by a mechanistic T-H code and (iii) comparing the system response with pre-established safety thresholds, which define the success or failure of the safety function. The computational effort involved can be prohibitive because of the large number of (typically long) T-H code simulations that must be performed (one for each sample) for the statistical estimation of the probability of success or failure. In this work, Line Sampling (LS) is adopted for efficient MC sampling. In the LS method, an 'important direction' pointing towards the failure domain of interest is determined and a number of conditional one-dimensional problems are solved along such direction; this allows for a significant reduction of the variance of the failure probability estimator, with respect, for example, to standard random sampling. Two issues are still open with respect to LS: first, the method relies on the determination of the 'important direction', which requires additional runs of the T-H code; second, although the method has been shown to improve the computational efficiency by reducing the variance of the failure probability estimator, no evidence has been given yet that accurate and precise failure probability estimates can be obtained with a number of samples reduced to below a few hundreds, which may be required in case of long-running models. The work presented in this paper addresses the first issue by (i) quantitatively comparing the efficiency of the methods proposed in the literature to determine the LS important direction; (ii) employing artificial neural network (ANN) regression models as fast-running surrogates of the original, long-running T-H code to reduce the computational cost associated to the

  20. Results of an aging-related failure survey of light water safety systems and components

    International Nuclear Information System (INIS)

    Meale, B.M.; Satterwhite, D.G.; MacDonald, P.E.

    1988-01-01

    The collection and evaluation of operating experience data are necessary in determining the effects of aging on the safety of operating nuclear plants. This paper presents the final results of a two-year research effort evaluating aging impacts on components in light water reactor systems. This research was performed as a part of the Nuclear Plant Aging Research program, sponsored by the US Nuclear Regulatory Commission. Two unique types of data analyses were performed. In the first, an aging-survey study, aging-related failure data for fifteen light water reactor systems were obtained from the Nuclear Plant Reliability Data System (NPRDS). These included safety, support, and power conversion systems. A computerized sort of these records classified each record into one of five generic categories, based on the utility's choice of the failure's NPRDS cause category. Systems and components within the systems that were most affected by aging were identified. In the second analysis, information on aging-related reported causes of failures was evaluated for component failures reported to NPRDS for auxiliary feedwater, high pressure injection, service water, and Class 1E electrical power distribution systems. 3 refs., 13 figs., 4 tabs

  1. Probability of failure of the waste hoist brake system at the Waste Isolation Pilot Plant (WIPP)

    International Nuclear Information System (INIS)

    Greenfield, M.A.; Sargent, T.J.; Stanford Univ., CA

    1998-01-01

    In its most recent report on the annual probability of failure of the waste hoist brake system at the Waste Isolation Pilot Plant (WIPP), the annual failure rate is calculated to be 1.3E(-7)(1/yr), rounded off from 1.32E(-7). A calculation by the Environmental Evaluation Group (EEG) produces a result that is about 4% higher, namely 1.37E(-7)(1/yr). The difference is due to a minor error in the US Department of Energy (DOE) calculations in the Westinghouse 1996 report. WIPP's hoist safety relies on a braking system consisting of a number of components including two crucial valves. The failure rate of the system needs to be recalculated periodically to accommodate new information on component failure, changes in maintenance and inspection schedules, occasional incidents such as a hoist traveling out-of-control, either up or down, and changes in the design of the brake system. This report examines DOE's last two reports on the redesigned waste hoist system. In its calculations, the DOE has accepted one EEG recommendation and is using more current information about the component failures rates, the Nonelectronic Parts Reliability Data (NPRD). However, the DOE calculations fail to include the data uncertainties which are described in detail in the NPRD reports. The US Nuclear Regulatory Commission recommended that a system evaluation include mean estimates of component failure rates and take into account the potential uncertainties that exist so that an estimate can be made on the confidence level to be ascribed to the quantitative results. EEG has made this suggestion previously and the DOE has indicated why it does not accept the NRC recommendation. Hence, this EEG report illustrates the importance of including data uncertainty using a simple statistical example

  2. Kynurenine-3-monooxygenase inhibition prevents multiple organ failure in rodent models of acute pancreatitis.

    Science.gov (United States)

    Mole, Damian J; Webster, Scott P; Uings, Iain; Zheng, Xiaozhong; Binnie, Margaret; Wilson, Kris; Hutchinson, Jonathan P; Mirguet, Olivier; Walker, Ann; Beaufils, Benjamin; Ancellin, Nicolas; Trottet, Lionel; Bénéton, Véronique; Mowat, Christopher G; Wilkinson, Martin; Rowland, Paul; Haslam, Carl; McBride, Andrew; Homer, Natalie Z M; Baily, James E; Sharp, Matthew G F; Garden, O James; Hughes, Jeremy; Howie, Sarah E M; Holmes, Duncan S; Liddle, John; Iredale, John P

    2016-02-01

    Acute pancreatitis (AP) is a common and devastating inflammatory condition of the pancreas that is considered to be a paradigm of sterile inflammation leading to systemic multiple organ dysfunction syndrome (MODS) and death. Acute mortality from AP-MODS exceeds 20% (ref. 3), and the lifespans of those who survive the initial episode are typically shorter than those of the general population. There are no specific therapies available to protect individuals from AP-MODS. Here we show that kynurenine-3-monooxygenase (KMO), a key enzyme of tryptophan metabolism, is central to the pathogenesis of AP-MODS. We created a mouse strain that is deficient for Kmo (encoding KMO) and that has a robust biochemical phenotype that protects against extrapancreatic tissue injury to the lung, kidney and liver in experimental AP-MODS. A medicinal chemistry strategy based on modifications of the kynurenine substrate led to the discovery of the oxazolidinone GSK180 as a potent and specific inhibitor of KMO. The binding mode of the inhibitor in the active site was confirmed by X-ray co-crystallography at 3.2 Å resolution. Treatment with GSK180 resulted in rapid changes in the levels of kynurenine pathway metabolites in vivo, and it afforded therapeutic protection against MODS in a rat model of AP. Our findings establish KMO inhibition as a novel therapeutic strategy in the treatment of AP-MODS, and they open up a new area for drug discovery in critical illness.

  3. Logic analysis of complex systems by characterizing failure phenomena to achieve diagnosis and fault-isolation

    Science.gov (United States)

    Wong, J. T.; Andre, W. L.

    1981-01-01

    A recent result shows that, for a certain class of systems, the interdependency among the elements of such a system together with the elements constitutes a mathematical structure a partially ordered set. It is called a loop free logic model of the system. On the basis of an intrinsic property of the mathematical structure, a characterization of system component failure in terms of maximal subsets of bad test signals of the system was obtained. Also, as a consequence, information concerning the total number of failure components in the system was deduced. Detailed examples are given to show how to restructure real systems containing loops into loop free models for which the result is applicable.

  4. Collocation and Pattern Recognition Effects on System Failure Remediation

    Science.gov (United States)

    Trujillo, Anna C.; Press, Hayes N.

    2007-01-01

    Previous research found that operators prefer to have status, alerts, and controls located on the same screen. Unfortunately, that research was done with displays that were not designed specifically for collocation. In this experiment, twelve subjects evaluated two displays specifically designed for collocating system information against a baseline that consisted of dial status displays, a separate alert area, and a controls panel. These displays differed in the amount of collocation, pattern matching, and parameter movement compared to display size. During the data runs, subjects kept a randomly moving target centered on a display using a left-handed joystick and they scanned system displays to find a problem in order to correct it using the provided checklist. Results indicate that large parameter movement aided detection and then pattern recognition is needed for diagnosis but the collocated displays centralized all the information subjects needed, which reduced workload. Therefore, the collocated display with large parameter movement may be an acceptable display after familiarization because of the possible pattern recognition developed with training and its use.

  5. Analysing a Chinese Regional Integrated Healthcare Organisation Reform Failure using a Complex Adaptive System Approach.

    Science.gov (United States)

    Tang, Wenxi; Wei, Lai; Zhang, Liang

    2017-06-19

    China's organised health system has remained outdated for decades. Current health systems in many less market-oriented countries still adhere to traditional administrative-based directives and linear planning. Furthermore, they neglect the responsiveness and feedback of institutions and professionals, which often results in reform failure in integrated care. Complex adaptive system theory (CAS) provides a new perspective and methodology for analysing the health system and policy implementation. We observed the typical case of Qianjiang's Integrated Health Organization Reform (IHO) for 2 years to analyse integrated care reforms using CAS theory. Via questionnaires and interviews, we observed 32 medical institutions and 344 professionals. We compared their cooperative behaviours from both organisational and inter-professional levels between 2013 and 2015, and further investigated potential reasons for why medical institutions and professionals did not form an effective IHO. We discovered how interested parties in the policy implementation process influenced reform outcome, and by theoretical induction, proposed a new semi-organised system and corresponding policy analysis flowchart that potentially suits the actual realisation of CAS. The reform did not achieve its desired effect. The Qianjiang IHO was loosely integrated rather than closely integrated, and the cooperation levels between organisations and professionals were low. This disappointing result was due to low mutual trust among IHO members, with the main contributing factors being insufficient financial incentives and the lack of a common vision. The traditional organised health system is old-fashioned. Rather than being completely organised or adaptive, the health system is currently more similar to a semi-organised syste m. Medical institutions and professionals operate in a middle ground between complete adherence to administrative orders from state-run health systems and completely adapting to the market

  6. LANGUAGE SYSTEM MECHANISMS OF ORGANIZATION AND DISORGANIZATION

    Directory of Open Access Journals (Sweden)

    Irina Mikhaylovna Nekipelova

    2014-09-01

    Full Text Available The article is devoted to research of processes organization and disorganization of language system as language optimization mechanisms. The research shows, that divergence of human thinking, overlapping logical and figurative types, detects divergence of language development. And analysis and synthesis, taking part in formalization of phenomena of the world in language, have deterministic and stochastic character. Language optimization assumes aspiration of language for satisfaction of human needs, but not for perfection.

  7. Blood as integral system of an organism

    Directory of Open Access Journals (Sweden)

    Майя Розметовна Верголяс

    2016-02-01

    Full Text Available Relevance of use of hematological blood parameters for monitoring as markers of various physiological and pathological processes is substantiated. It is shown that the blood is an important system of the body, has all the reactive characteristics of tissues, its sensitivity to pathological stimuli is very high. The reaction of the organism to the irritation of toxic or infectious nature manifests itself in the change of quantitative composition of peripheral blood cells

  8. Prometheus--a new extracorporeal system for the treatment of liver failure.

    Science.gov (United States)

    Rifai, Kinan; Ernst, Thomas; Kretschmer, Ulrich; Bahr, Matthias J; Schneider, Andrea; Hafer, Carsten; Haller, Hermann; Manns, Michael P; Fliser, Danilo

    2003-12-01

    Extracorporeal detoxification systems for supportive therapy of liver failure have recently gained much interest. We herein report results from the first clinical application of Prometheus, a new liver support system in which albumin-bound substances are directly removed from blood by special adsorber. In a simultaneous step, high-flux hemodialysis is performed. We assessed safety, adsorber efficiency and clinical efficacy of the Prometheus system. Eleven patients with acute-on-chronic liver failure and accompanying renal failure were treated with Prometheus on 2 consecutive days for >4 h. Prometheus treatment significantly improved serum levels of conjugated bilirubin, bile acids, ammonia, cholinesterase, creatinine, urea and blood pH. There were no significant changes in hemoglobin and platelet levels, whereas leucocytes increased without signs of systemic infection. No treatment-related complications except a blood pressure drop in two patients with systemic infection were noted. In one patient (Child-Pugh score: 15) Prometheus treatment could not be completed due to onset of uncontrolled bleeding 16 h after dialysis. Prometheus is a safe supportive therapy for patients with liver failure. A significant improvement of the biochemical milieu was observed already after two treatments. Prospective controlled studies with the Prometheus system are necessary to evaluate hard clinical end-points.

  9. Acute onset and rapid progression of multiple organ failure in a young adult with undiagnosed disseminated colonic adenocarcinoma

    DEFF Research Database (Denmark)

    Frestad, Daria; Perner, Anders; Pedersen, Ulf Gøttrup

    2014-01-01

    , ascites and multiple vein thrombosis. The patient passed away shortly after admission due to treatment-resistant tumour lysis syndrome and multiple organ failure. Biopsy results revealed disseminated adenocarcinoma of the colon, with metastases to lymph nodes, liver, lungs and pleura. CRC in younger...... in a previously healthy 27-year-old man, presented to us with symptoms of increasing abdominal pain and distension. Extensive diagnostic investigation revealed hepatomegaly with multiple processes, signs of vasculitis, extensive liver necrosis, enlarged retroperitoneal and mesenteric lymph nodes, splenomegaly...

  10. Failure analysis of a repairable system: The case study of a cam-driven reciprocating pump

    Science.gov (United States)

    Dudenhoeffer, Donald D.

    1994-09-01

    This thesis supplies a statistical and economic tool for analysis of the failure characteristics of one typical piece of equipment under evaluation: a cam-driven reciprocating pump used in the submarine's distillation system. Comprehensive statistical techniques and parametric modeling are employed to identify and quantify pump failure characteristics. Specific areas of attention include: the derivation of an optimal maximum replacement interval based on costs, an evaluation of the mission reliability for the pump as a function of pump age, and a calculation of the expected times between failures. The purpose of this analysis is to evaluate current maintenance practices of time-based replacement and examine the consequences of different replacement intervals in terms of costs and mission reliability. Tradeoffs exist between cost savings and system reliability that must be fully understood prior to making any policy decisions.

  11. A method for the calculation of the cumulative failure probability distribution of complex repairable systems

    International Nuclear Information System (INIS)

    Caldarola, L.

    1976-01-01

    A method is proposed for the analytical evaluation of the cumulative failure probability distribution of complex repairable systems. The method is based on a set of integral equations each one referring to a specific minimal cut set of the system. Each integral equation links the unavailability of a minimal cut set to its failure probability density distribution and to the probability that the minimal cut set is down at the time t under the condition that it was down at time t'(t'<=t). The limitations for the applicability of the method are also discussed. It has been concluded that the method is applicable if the process describing the failure of a minimal cut set is a 'delayed semi-regenerative process'. (Auth.)

  12. Wave failure at strong coupling in intracellular C a2 + signaling system with clustered channels

    Science.gov (United States)

    Li, Xiang; Wu, Yuning; Gao, Xuejuan; Cai, Meichun; Shuai, Jianwei

    2018-01-01

    As an important intracellular signal, C a2 + ions control diverse cellular functions. In this paper, we discuss the C a2 + signaling with a two-dimensional model in which the inositol 1,4,5-trisphosphate (I P3 ) receptor channels are distributed in clusters on the endoplasmic reticulum membrane. The wave failure at large C a2 + diffusion coupling is discussed in detail in the model. We show that with varying model parameters the wave failure is a robust behavior with either deterministic or stochastic channel dynamics. We suggest that the wave failure should be a general behavior in inhomogeneous diffusing systems with clustered excitable regions and may occur in biological C a2 + signaling systems.

  13. Adaptive control for a class of MIMO nonlinear time delay systems against time varying actuator failures.

    Science.gov (United States)

    Hashemi, Mahnaz; Ghaisari, Jafar; Askari, Javad

    2015-07-01

    This paper investigates an adaptive controller for a class of Multi Input Multi Output (MIMO) nonlinear systems with unknown parameters, bounded time delays and in the presence of unknown time varying actuator failures. The type of considered actuator failure is one in which some inputs may be stuck at some time varying values where the values, times and patterns of the failures are unknown. The proposed approach is constructed based on a backstepping design method. The boundedness of all the closed-loop signals is guaranteed and the tracking errors are proved to converge to a small neighborhood of the origin. The proposed approach is employed for a double inverted pendulums benchmark and a chemical reactor system. The simulation results show the effectiveness of the proposed method. Copyright © 2015 ISA. Published by Elsevier Ltd. All rights reserved.

  14. Learning from Trending, Precursor Analysis, and System Failures

    Energy Technology Data Exchange (ETDEWEB)

    Youngblood, R. W. [Idaho National Laboratory, Idaho Falls, ID (United States); Duffey, R. B. [Idaho National Laboratory, Idaho Falls, ID (United States)

    2015-11-01

    Models of reliability growth relate current system unreliability to currently accumulated experience. But “experience” comes in different forms. Looking back after a major accident, one is sometimes able to identify previous events or measurable performance trends that were, in some sense, signaling the potential for that major accident: potential that could have been recognized and acted upon, but was not recognized until the accident occurred. This could be a previously unrecognized cause of accidents, or underestimation of the likelihood that a recognized potential cause would actually operate. Despite improvements in the state of practice of modeling of risk and reliability, operational experience still has a great deal to teach us, and work has been going on in several industries to try to do a better job of learning from experience before major accidents occur. It is not enough to say that we should review operating experience; there is too much “experience” for such general advice to be considered practical. The paper discusses the following: 1. The challenge of deciding what to focus on in analysis of operating experience. 2. Comparing what different models of learning and reliability growth imply about trending and precursor analysis.

  15. Threats to information security in a highly organized system of the “Smart city”

    Science.gov (United States)

    Kurcheeva, G. I.; Denisov, V. V.; Khvorostov, V. A.

    2017-01-01

    The article discusses issues related to comprehensive development and introduction of technologies such as “Smart city”. The urgency of accelerating the development of such highly organized systems, primarily in terms of reducing threats to information security, is emphasized in the paper. In accordance with authors’ analysis of the composition and structure of the threats to information security, “Accessibility”, “Integrity” and “Confidentiality” are highlighted. Violation of any of them leads to harmful effects on the information and other system resources. The protection of “Accessibility” mobilizes one third of all efforts to ensure information security that must be taken into account when allocating protective actions. The threats associated with failure of the supporting infrastructure are also significantly reduced. But the threats associated with failures of the system itself and failures of users are clearly increasing. There is a high level of society and production informatization, and the threats to information security are changing accordingly.

  16. Generalized renewal process for analysis of repairable systems with limited failure experience

    International Nuclear Information System (INIS)

    Yanez, Medardo; Joglar, Francisco; Modarres, Mohammad

    2002-01-01

    Repairable systems can be brought to one of possible states following a repair. These states are: 'as good as new', 'as bad as old', 'better than old but worse than new', 'better than new', and 'worse than old'. The probabilistic models traditionally used to estimate the expected number of failures account for the first two states, but they do not properly apply to the last three, which are more realistic in practice. In this paper, a robust solution to a probabilistic model that is applicable to all of the five after repair states, called generalized renewal process (GRP), is presented. This research demonstrates that the GRP offers a general approach to modeling repairable systems and discusses application of the classical maximum likelihood and Bayesian approaches to estimation of the GRP parameters. This paper also presents a review of the traditional approaches to the analysis of repairable systems as well as some applications of the GRP and shows that they are subsets of the GRP approach. It is shown that the proposed GRP solution accurately describes the failure data, even when a small amount of failure data is available. Recent emphasis in the use of performance-based analysis in operation and regulation of complex engineering systems (such as those in space and process industries) require use of sound models for predicting failures based on the past performance of the systems. The GRP solution in this paper is a promising and efficient approach for such performance-based applications

  17. Efficient surrogate models for reliability analysis of systems with multiple failure modes

    International Nuclear Information System (INIS)

    Bichon, Barron J.; McFarland, John M.; Mahadevan, Sankaran

    2011-01-01

    Despite many advances in the field of computational reliability analysis, the efficient estimation of the reliability of a system with multiple failure modes remains a persistent challenge. Various sampling and analytical methods are available, but they typically require accepting a tradeoff between accuracy and computational efficiency. In this work, a surrogate-based approach is presented that simultaneously addresses the issues of accuracy, efficiency, and unimportant failure modes. The method is based on the creation of Gaussian process surrogate models that are required to be locally accurate only in the regions of the component limit states that contribute to system failure. This approach to constructing surrogate models is demonstrated to be both an efficient and accurate method for system-level reliability analysis. - Highlights: → Extends efficient global reliability analysis to systems with multiple failure modes. → Constructs locally accurate Gaussian process models of each response. → Highly efficient and accurate method for assessing system reliability. → Effectiveness is demonstrated on several test problems from the literature.

  18. Bioinspired design and interfacial failure of biomedical systems

    Science.gov (United States)

    Rahbar, Nima

    The deformation mechanism of nacre as a model biological material is studied in this project. A numerical model is presented which consists of tensile pillars, shear pillars, asperities and aragonite platelets. It has been shown that the tensile pillars are the main elements that control the global stiffness of the nacre structure. Meanwhile, ultimate strength of the nacre structure is controlled by asperities and their behavior and the ratio of L/2D which is itself a function of the geometry of the platelets. Protein/shear pillars provide the glue which holds the assembly of entire system together, particularly in the direction normal to the platelets main axis. This dissertation also presents the results of a combined theoretical/computational and experimental effort to develop crack resistant dental multilayers that are inspired by the functionally graded dento-enamel junction (DEJ) structure that occurs between dentin and enamel in natural teeth. The complex structures of natural teeth and ceramic crowns are idealized using at layered configurations. The potential effects of occlusal contact are then modeled using finite element simulations of Hertzian contact. The resulting stress distributions are compared for a range of possible bioinspired, functionally graded architecture. The computed stress distributions show that the highest stress concentrations in the top ceramic layer of crown structures are reduced significantly by the use of bioinspired functionally graded architectures. The reduced stresses are shown to be associated with significant improvements (30%) in the pop-in loads over a wide range of clinically-relevant loading rates. The implications of the results are discussed for the design of bioinspired dental ceramic crown structures. The results of a combined experimental and computational study of mixed mode fracture in glass/cement and zirconia/cement interfaces that are relevant to dental restorations is also presented. The interfacial fracture

  19. Risk calculators predict failures of knee and hip arthroplasties: findings from a large health maintenance organization.

    Science.gov (United States)

    Paxton, Elizabeth W; Inacio, Maria C S; Khatod, Monti; Yue, Eric; Funahashi, Tadashi; Barber, Thomas

    2015-12-01

    Considering the cost and risk associated with revision Total knee arthroplasty (TKAs) and Total hip arthroplasty (THAs), steps to prevent these operations will help patients and reduce healthcare costs. Revision risk calculators for patients may reduce revision surgery by supporting clinical decision-making at the point of care. We sought to develop a TKA and THA revision risk calculator using data from a large health-maintenance organization's arthroplasty registry and determine the best set of predictors for the revision risk calculator. Revision risk calculators for THAs and TKAs were developed using a patient cohort from a total joint replacement registry and data from a large US integrated healthcare system. The cohort included all patients who had primary procedures performed in our healthcare system between April 2001 and July 2008 and were followed until January 2014 (TKAs, n = 41,750; THAs, n = 22,721), During the study period, 9% of patients (TKA = 3066/34,686; THA=1898/20,285) were lost to followup and 7% died (TKA= 2350/41,750; THA=1419/20,285). The outcome of interest was revision surgery and was defined as replacement of any component for any reason within 5 years postoperatively. Candidate predictors for the revision risk calculator were limited to preoperative patient demographics, comorbidities, and procedure diagnoses. Logistic regression models were used to identify predictors and the Hosmer-Lemeshow goodness-of-fit test and c-statistic were used to choose final models for the revision risk calculator. The best predictors for the TKA revision risk calculator were age (odds ratio [OR], 0.96; 95% CI, 0.95-0.97; p calculator were sex (OR, 1.24; 95% CI, 1.05-1.46; p = 0.010), age (OR, 0.98; 95% CI, 0.98-0.99; p calculators. Surgeons can enter personalized patient data in the risk calculators for identification of risk of revision which can be used for clinical decision making at the point of care. Future prospective studies will be needed to validate

  20. 49 CFR 214.529 - In-service failure of primary braking system.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 4 2010-10-01 2010-10-01 false In-service failure of primary braking system. 214.529 Section 214.529 Transportation Other Regulations Relating to Transportation (Continued) FEDERAL RAILROAD ADMINISTRATION, DEPARTMENT OF TRANSPORTATION RAILROAD WORKPLACE SAFETY On-Track Roadway Maintenance Machines and Hi-Rail Vehicles § 214.529...

  1. Failure Mode and Effect Analysis for remote handling transfer systems of ITER

    Energy Technology Data Exchange (ETDEWEB)

    Pinna, T. [ENEA FPN-FUSTEC, Via E.Fermi 45, 00044 Frascati, Rome (Italy)], E-mail: pinna@frascati.enea.it; Caporali, R. [ENEA consultant, Via Teano 269, 00177 Rome (Italy)], E-mail: r_caporali@tin.it; Tesini, A. [ITER International Organization-Cadarache Joint Work Site, 13108 Saint Paul Lez Durance (France)

    2008-12-15

    A Failure Mode and Effect Analysis (FMEA) at component level was done to study safety-relevant implications arising from possible failures in performing remote handling (RH) operations at ITER facility . Autonomous air cushion transporter, pallet, sealed casks and tractor movers needed for port plug mounting/dismantling operation were analysed. For each sub-system, the breakdown of significant components was outlined and, for each component, possible failure modes have been investigated pointing out possible causes, possible actions to prevent the causes, consequences and actions to prevent or mitigate consequences. Off-normal events which may result in hazardous consequences to the public and the environment have been defined as Postulated Initiating Events (PIEs). Two safety-relevant PIEs have been defined by assessing elementary failures related to the analysed system. Each PIE has been discussed in order to qualitatively identify accident sequences arising from each of them. As an output of this FMEA study, possible incidental scenarios, where the intervention of rescue RH equipments is required to overcome critical situations determined by fault of RH components, were defined as well. Being rescue scenarios of main concern for ITER remote handling activities, such families could be helpful in defining the design requirements of port handling systems in general and on RH transfer system in particular. Furthermore, they could be useful in defining casks and vehicles to be used for rescue activities.

  2. Software Tool for Automated Failure Modes and Effects Analysis (FMEA) of Hydraulic Systems

    DEFF Research Database (Denmark)

    Stecki, J. S.; Conrad, Finn; Oh, B.

    2002-01-01

    management techniques and a vast array of computer aided techniques are applied during design and testing stages. The paper present and discusses the research and development of a software tool for automated failure mode and effects analysis - FMEA - of hydraulic systems. The paper explains the underlying...

  3. Failure Mode and Effect Analysis for remote handling transfer systems of ITER

    International Nuclear Information System (INIS)

    Pinna, T.; Caporali, R.; Tesini, A.

    2008-01-01

    A Failure Mode and Effect Analysis (FMEA) at component level was done to study safety-relevant implications arising from possible failures in performing remote handling (RH) operations at ITER facility . Autonomous air cushion transporter, pallet, sealed casks and tractor movers needed for port plug mounting/dismantling operation were analysed. For each sub-system, the breakdown of significant components was outlined and, for each component, possible failure modes have been investigated pointing out possible causes, possible actions to prevent the causes, consequences and actions to prevent or mitigate consequences. Off-normal events which may result in hazardous consequences to the public and the environment have been defined as Postulated Initiating Events (PIEs). Two safety-relevant PIEs have been defined by assessing elementary failures related to the analysed system. Each PIE has been discussed in order to qualitatively identify accident sequences arising from each of them. As an output of this FMEA study, possible incidental scenarios, where the intervention of rescue RH equipments is required to overcome critical situations determined by fault of RH components, were defined as well. Being rescue scenarios of main concern for ITER remote handling activities, such families could be helpful in defining the design requirements of port handling systems in general and on RH transfer system in particular. Furthermore, they could be useful in defining casks and vehicles to be used for rescue activities

  4. Finding an acceleration function for calculating the reliability of redundant systems - Application to common mode failures

    International Nuclear Information System (INIS)

    Gonnot, R.

    1975-01-01

    While it may be reasonable to assume that the reliability of a system - the design of which is perfectly known - can be evaluated, it seems less easy to be sure that overall reliability is correctly estimated in the case of multiple redundancies arranged in sequence. Framatome is trying to develop a method of evaluating overall reliability correctly for its installations. For example, the protection systems in its power stations considered as a whole are such that several scram signals may be relayed in sequence when an incident occurs. These signals all involve the same components for a given type of action, but the components themselves are in fact subject to different stresses and constraints, which tend to reduce their reliability. Whatever the sequence in which these signals are transmitted (in a fast-developing accident, for example), it is possible to evaluate the actual reliability of a given system (or component) for different constraints, as the latter are generally obtained via the transient codes. By applying the so-called ''equal probability'' hypothesis one can estimate a reliability acceleration function taking into account the constraints imposed. This function is linear for the principal failure probability distribution laws. By generalizing such a method one can: (1) Perform failure calculations for redundant systems (or components) in a more general way than is possible with event trees, since one of the main parameters is the constraint exercised on that system (or component); (2) Determine failure rates of components on the basis of accelerated tests (up to complete failure of the component) which are quicker than the normal long-term tests (statistical results of operation); (3) Evaluate the multiplication factor for the reliability of a system or component in the case of common mode failures. The author presents the mathematical tools required for such a method and described their application in the cases mentioned above

  5. 42 CFR 433.113 - Reduction of FFP for failure to operate a system and obtain initial approval.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 4 2010-10-01 2010-10-01 false Reduction of FFP for failure to operate a system... ADMINISTRATION Mechanized Claims Processing and Information Retrieval Systems § 433.113 Reduction of FFP for failure to operate a system and obtain initial approval. (a) Except as waived under § 433.130 or 433.131...

  6. Uncontrolled organ donation after circulatory determination of death: US policy failures and call to action.

    Science.gov (United States)

    Wall, Stephen P; Munjal, Kevin G; Dubler, Nancy N; Goldfrank, Lewis R

    2014-04-01

    In the United States, more than 115,000 patients are wait-listed for organ transplants despite that there are 12,000 patients each year who die or become too ill for transplantation. One reason for the organ shortage is that candidates for donation must die in the hospital, not the emergency department (ED), either from neurologic or circulatory-respiratory death under controlled circumstances. Evidence from Spain and France suggests that a substantial number of deaths from cardiac arrest may qualify for organ donation using uncontrolled donation after circulatory determination of death (uDCDD) protocols that rapidly initiate organ preservation in out-of-hospital and ED settings. Despite its potential, uDCDD has been criticized by panels of experts that included neurologists, intensivists, attorneys, and ethicists who suggest that organ preservation strategies that reestablish oxygenated circulation to the brain retroactively negate previous death determination based on circulatory-respiratory criteria and hence violate the dead donor rule. In this article, we assert that in uDCDD, all efforts at saving lives are exhausted before organ donation is considered, and death is determined according to "irreversible cessation of circulatory and respiratory functions" evidenced by "persistent cessation of functions during an appropriate period of observation and/or trial of therapy." Therefore, postmortem in vivo organ preservation with chest compressions, mechanical ventilation, and extracorporeal membrane oxygenation is legally and ethically appropriate. As frontline providers for patients presenting with unexpected cardiac arrest, emergency medicine practitioners need be included in the uDCDD debate to advocate for patients and honor the wishes of the deceased. Copyright © 2013 American College of Emergency Physicians. Published by Mosby, Inc. All rights reserved.

  7. Enforsing a system approach to composite failure criteria for reliability analysis

    DEFF Research Database (Denmark)

    Dimitrov, Nikolay Krasimirov; Friis-Hansen, Peter; Berggreen, Christian

    2011-01-01

    parameters are random, multiple failure modes may be identified which will jeopardize the FORM analysis and a system approach should be applied to assure a correct analysis. Although crude Monte Carlo simulation automatically may account for such effects, time constraints limit its useability in problems......Composite failure criteria have found widespread use in research and industry. In the vast majority of applications the material properties and the stresses, which serve as inputs to the criteria, are defined deterministically. However, when the reliability of composite structures is sought...... the input to the failure criterion will be random quantities. The reliability is efficiently identified using approximate methods such as First Order Reliability Methods (FORM) [1,2]. FORM involves an iterative optimization procedure to obtain a reliability estimate, which imposes a number of additional...

  8. Systematically Identified Failure Is the Route to a Successful Health System.

    Science.gov (United States)

    Zwarenstein, Merrick

    2015-01-01

    Although we have a systematic approach to innovation and evaluation (and scale-up) for treatments, medical technologies and diagnostic tests in healthcare, we have no equivalent for service delivery innovations. Service delivery innovation is common but frequently goes unevaluated, leading to less systematic decisions about which innovations are scaled up and which ones are not. The absence of a formal evaluation system for service delivery innovation means that there is no objective standard for evaluating an innovation's success or failure, and thus no way to decide whether it should be scaled up, adapted and retested, or not scaled up at all. This results in "bad failure" - the scale-up of innovations that are untested, and the failure to scale-up other innovations that might have been effective but no one measured their effectiveness in a systematic way.

  9. Expert system for identification of simultaneous and sequential reactor fuel failures with gas tagging

    Science.gov (United States)

    Gross, K.C.

    1994-07-26

    Failure of a fuel element in a nuclear reactor core is determined by a gas tagging failure detection system and method. Failures are catalogued and characterized after the event so that samples of the reactor's cover gas are taken at regular intervals and analyzed by mass spectroscopy. Employing a first set of systematic heuristic rules which are applied in a transformed node space allows the number of node combinations which must be processed within a barycentric algorithm to be substantially reduced. A second set of heuristic rules treats the tag nodes of the most recent one or two leakers as background'' gases, further reducing the number of trial node combinations. Lastly, a fuzzy'' set theory formalism minimizes experimental uncertainties in the identification of the most likely volumes of tag gases. This approach allows for the identification of virtually any number of sequential leaks and up to five simultaneous gas leaks from fuel elements. 14 figs.

  10. Reliability of safety-instrumented systems subject to partial testing and common-cause failures

    International Nuclear Information System (INIS)

    Jin, Hui; Rausand, Marvin

    2014-01-01

    Partial testing is sometimes used as a supplement to proof testing to improve the reliability of safety-instrumented systems (SISs) in low-demand mode of operation. This paper studies the effect of partial testing on SIS reliability. Simplified formulas are developed to include both partial and proof testing in the calculation of the average probability of failure on demand (PFD avg ). The proposed formulas can handle situations where partial testing is performed periodically and non-periodically. Common-cause failures (CCFs) are treated by using the beta-factor model, and different β-factors can be included for different failure modes. The proposed formulas are compared with existing results for partial verification. A case study is presented to demonstrate the applicability. The proposed formulas can serve as a valuable tool for selecting a cost-effective strategy for partial testing

  11. Input-profile-based software failure probability quantification for safety signal generation systems

    International Nuclear Information System (INIS)

    Kang, Hyun Gook; Lim, Ho Gon; Lee, Ho Jung; Kim, Man Cheol; Jang, Seung Cheol

    2009-01-01

    The approaches for software failure probability estimation are mainly based on the results of testing. Test cases represent the inputs, which are encountered in an actual use. The test inputs for the safety-critical application such as a reactor protection system (RPS) of a nuclear power plant are the inputs which cause the activation of protective action such as a reactor trip. A digital system treats inputs from instrumentation sensors as discrete digital values by using an analog-to-digital converter. Input profile must be determined in consideration of these characteristics for effective software failure probability quantification. Another important characteristic of software testing is that we do not have to repeat the test for the same input value since the software response is deterministic for each specific digital input. With these considerations, we propose an effective software testing method for quantifying the failure probability. As an example application, the input profile of the digital RPS is developed based on the typical plant data. The proposed method in this study is expected to provide a simple but realistic mean to quantify the software failure probability based on input profile and system dynamics.

  12. The fascial system and exercise intolerance in patients with chronic heart failure: hypothesis of osteopathic treatment

    Directory of Open Access Journals (Sweden)

    Bordoni B

    2015-10-01

    Full Text Available Bruno Bordoni,1–3 F Marelli2,3 1Don Carlo Gnocchi Foundation, Department of Cardiology, IRCCS Santa Maria Nascente, Milan, Italy; 2School CRESO, Osteopathic Centre for Research and Studies, Falconara Marittima, AN, Italy; 3School CRESO, Osteopathic Centre for Research and Studies, Castellanza, VA, Italy Abstract: Chronic heart failure is a progressive, debilitating disease, resulting in a decline in the quality of life of the patient and incurring very high social economic costs. Chronic heart failure is defined as the inability of the heart to meet the demands of oxygen from the peripheral area. It is a multi-aspect complex disease which impacts negatively on all of the body systems. Presently, there are no texts in the modern literature that associate the symptoms of exercise intolerance of the patient with a dysfunction of the fascial system. In the first part of this article, we will discuss the significance of the disease, its causes, and epidemiology. The second part will explain the pathological adaptations of the myofascial system. The last section will outline a possible osteopathic treatment for patients with heart failure in order to encourage research and improve the general curative approach for the patient. Keywords: manual therapy, fatigue, chronic heart failure, osteopathic

  13. Direct modeling parameter signature analysis and failure mode prediction of physical systems using hybrid computer optimization

    Science.gov (United States)

    Drake, R. L.; Duvoisin, P. F.; Asthana, A.; Mather, T. W.

    1971-01-01

    High speed automated identification and design of dynamic systems, both linear and nonlinear, are discussed. Special emphasis is placed on developing hardware and techniques which are applicable to practical problems. The basic modeling experiment and new results are described. Using the improvements developed successful identification of several systems, including a physical example as well as simulated systems, was obtained. The advantages of parameter signature analysis over signal signature analysis in go-no go testing of operational systems were demonstrated. The feasibility of using these ideas in failure mode prediction in operating systems was also investigated. An improved digital controlled nonlinear function generator was developed, de-bugged, and completely documented.

  14. Immunity-based detection, identification, and evaluation of aircraft sub-system failures

    Science.gov (United States)

    Moncayo, Hever Y.

    This thesis describes the design, development, and flight-simulation testing of an integrated Artificial Immune System (AIS) for detection, identification, and evaluation of a wide variety of sensor, actuator, propulsion, and structural failures/damages including the prediction of the achievable states and other limitations on performance and handling qualities. The AIS scheme achieves high detection rate and low number of false alarms for all the failure categories considered. Data collected using a motion-based flight simulator are used to define the self for an extended sub-region of the flight envelope. The NASA IFCS F-15 research aircraft model is used and represents a supersonic fighter which include model following adaptive control laws based on non-linear dynamic inversion and artificial neural network augmentation. The flight simulation tests are designed to analyze and demonstrate the performance of the immunity-based aircraft failure detection, identification and evaluation (FDIE) scheme. A general robustness analysis is also presented by determining the achievable limits for a desired performance in the presence of atmospheric perturbations. For the purpose of this work, the integrated AIS scheme is implemented based on three main components. The first component performs the detection when one of the considered failures is present in the system. The second component consists in the identification of the failure category and the classification according to the failed element. During the third phase a general evaluation of the failure is performed with the estimation of the magnitude/severity of the failure and the prediction of its effect on reducing the flight envelope of the aircraft system. Solutions and alternatives to specific design issues of the AIS scheme, such as data clustering and empty space optimization, data fusion and duplication removal, definition of features, dimensionality reduction, and selection of cluster/detector shape are also

  15. Mitochondrial contact site and cristae organizing system.

    Science.gov (United States)

    van der Laan, Martin; Horvath, Susanne E; Pfanner, Nikolaus

    2016-08-01

    Mitochondria possess two membranes of different architecture. The outer membrane surrounds the organelle, whereas the inner membrane consists of two domains. The inner boundary membrane that is adjacent to the outer membrane harbors many protein translocases. The inner membrane cristae form deep invaginations that carry respiratory chain complexes and the ATP synthase. It has remained enigmatic how crista junctions that connect inner boundary membrane and cristae are formed. The identification of a large protein complex, the mitochondrial contact site and cristae organizing system (MICOS), provided important insights. MICOS is a multi-subunit machinery with two core components, Mic10 and Mic60, organized into subcomplexes. The Mic10-containing subcomplex forms the structural basis of crista junctions, whereas the Mic60-containing subcomplex is crucial for connecting mitochondrial inner and outer membranes at contact sites. Numerous diseases have been directly or indirectly linked to MICOS. MICOS forms a network of interactions with further mitochondrial machineries and can be seen as an organizing center of mitochondrial architecture and biogenesis. Copyright © 2016 Elsevier Ltd. All rights reserved.

  16. MTBF evaluation for 2-out-of-3 redundant repairable systems with common cause and cascade failures considering fuzzy rates for failures and repair: a case study of a centrifugal water pumping system

    Science.gov (United States)

    Mortazavi, Seyed Mohammad; Mohamadi, Maryam; Jouzdani, Javid

    2017-08-01

    In many cases, redundant systems are beset by both independent and dependent failures. Ignoring dependent variables in MTBF evaluation of redundant systems hastens the occurrence of failure, causing it to take place before the expected time, hence decreasing safety and creating irreversible damages. Common cause failure (CCF) and cascading failure are two varieties of dependent failures, both leading to a considerable decrease in the MTBF of redundant systems. In this paper, the alpha-factor model and the capacity flow model are combined so as to incorporate CCF and cascading failure in the evaluation of MTBF of a 2-out-of-3 repairable redundant system. Then, using a transposed matrix, the MTBF function of the system is determined. Due to the fact that it is difficult to estimate the independent and dependent failure rates, industries are interested in considering uncertain failure rates. Therefore, fuzzy theory is used to incorporate uncertainty into the model presented in this study, and a nonlinear programming model is used to determine system's MTBF. Finally, in order to validate the proposed model, evaluation of MTBF of the redundant system of a centrifugal water pumping system is presented as a practical example.

  17. Common-cause failure analysis of McGuire Unit 2 auxiliary feedwater system

    International Nuclear Information System (INIS)

    Rasmuson, D.M.; Shepherd, J.C.; Fowler, R.D.; Summitt, R.L.; Logan, B.W.

    1982-01-01

    A powerful method for qualitative common cause failure analysis (CCFA) of nuclear power plant systems was developed by EG and G Idaho at the Idaho National Engineering Laboratory. As a cooperative project to demonstrate and evaluate the usefulness of the method, the Duke Power Company agreed to allow a CCFA of the auxiliary feedwater system (AFWS) in their McGuire Nuclear Station Unit 2. The results of the CCFA are the subject of this discussion

  18. System Merits or Failures? Policies for Transition to Sustainable P and N Systems in The Netherlands and Finland

    Directory of Open Access Journals (Sweden)

    Thomas Hoppe

    2016-05-01

    Full Text Available Nitrogen (N and phosphorus (P cycles are absolutely vital in maintaining sustainable food systems. Human activities disturb the natural balance of these cycles by creating enormous additional nutrient fluxes, causing eutrophication of waterways and pollution in land systems. To tackle this problem, sustainable nutrient management is required. This paper addresses sustainable nutrient management in two countries: The Netherlands and Finland. We adopt a critical perspective on resource politics, especially towards opportunistic policy strategies for the pollutant management of N and P. Two research questions are considered. First, what are the key systemic and policy failures that occurred in the N and P systems in the Netherlands and Finland between 1970 and 2015? And second, which lessons can be drawn when addressing the policy responses in the two countries to cope with these failures? The cases are analyzed within Weber and Rohracher’s framework that addresses “failures” preventing sustainable transitions. The results show that a number of failures occurred, besides market failures (over-exploitation of the commons, externalization of costs: lack of directionality, policy coordination, institutions, capabilities, infrastructure, demand articulation, and reflexivity. Policy responses in both countries resulted in ponderous policy frameworks that were adequate to tackle nutrient problems from the industrial sector and municipalities. However, both countries provided only a moderate response in terms of system-wide integrated policy frameworks to cope with sectoral-transcending issues. The agricultural use of N and P, in contrast to detergents, has not been subjected to strong regulatory measures.

  19. Failure Modes and Fast Repair Procedures in High Voltage Organic Solar Cell Installations

    DEFF Research Database (Denmark)

    Hösel, Markus; Søndergaard, Roar R.; Jørgensen, Mikkel

    2014-01-01

    impact such as lightning was also observed to cause randomly distributed burn holes that initiate self-sustained damaging under illumination. The large solar cell modules each with more than 220 Wpeak are based only on serially connected cells and need no time-consuming manual wiring of single cells......Steadily increasing efficiencies of organic solar cells are frequently published but the practical demonstration of actual large-scale installations with high power output has been very limited. Here, the real-world challenges and opportunities of organic solar cells fabricated on thin plastic foil...... and mounted in solar cell arrays of more than 1 kW are shown. In this configuration defects in form of burns that have never been reported before are observed. The reason can be seen in the combination of high power production, water ingress, and the use of thin plastic foil as the substrate. Environmental...

  20. Defense-in-depth for common cause failure of nuclear power plant safety system software

    International Nuclear Information System (INIS)

    Tian Lu

    2012-01-01

    This paper briefly describes the development of digital I and C system in nuclear power plant, and analyses the viewpoints of NRC and other nuclear safety authorities on Software Common Cause Failure (SWCCF). In view of the SWCCF issue introduced by the digitized platform adopted in nuclear power plant safety system, this paper illustrated a diversified defence strategy for computer software and hardware. A diversified defence-in-depth solution is provided for digital safety system of nuclear power plant. Meanwhile, analysis on problems may be faced during application of nuclear safety license are analyzed, and direction of future nuclear safety I and C system development are put forward. (author)

  1. Immunothrombotic Activity of Damage-Associated Molecular Patterns and Extracellular Vesicles in Secondary Organ Failure Induced by Trauma and Sterile Insults.

    Science.gov (United States)

    Eppensteiner, John; Davis, Robert Patrick; Barbas, Andrew S; Kwun, Jean; Lee, Jaewoo

    2018-01-01

    Despite significant improvements in injury prevention and emergency response, injury-related death and morbidity continues to increase in the US and worldwide. Patients with trauma, invasive operations, anti-cancer treatment, and organ transplantation produce a host of danger signals and high levels of pro-inflammatory and pro-thrombotic mediators, such as damage-associated molecular patterns (DAMPs) and extracellular vesicles (EVs). DAMPs (e.g., nucleic acids, histone, high-mobility group box 1 protein, and S100) are molecules released from injured, stressed, or activated cells that act as endogenous ligands of innate immune receptors, whereas EVs (e.g., microparticle and exosome) are membranous vesicles budding off from plasma membranes and act as messengers between cells. DAMPs and EVs can stimulate multiple innate immune signaling pathways and coagulation cascades, and uncontrolled DAMP and EV production causes systemic inflammatory and thrombotic complications and secondary organ failure (SOF). Thus, DAMPs and EVs represent potential therapeutic targets and diagnostic biomarkers for SOF. High plasma levels of DAMPs and EVs have been positively correlated with mortality and morbidity of patients or animals with trauma or surgical insults. Blocking or neutralizing DAMPs using antibodies or small molecules has been demonstrated to ameliorate sepsis and SOF in animal models. Furthermore, a membrane immobilized with nucleic acid-binding polymers captured and removed multiple DAMPs and EVs from extracellular fluids, thereby preventing the onset of DAMP- and EV-induced inflammatory and thrombotic complications in vitro and in vivo . In this review, we will summarize the current state of knowledge of DAMPs, EVs, and SOF and discuss potential therapeutics and preventive intervention for organ failure secondary to trauma, surgery, anti-cancer therapy, and allogeneic transplantation.

  2. Immunothrombotic Activity of Damage-Associated Molecular Patterns and Extracellular Vesicles in Secondary Organ Failure Induced by Trauma and Sterile Insults

    Directory of Open Access Journals (Sweden)

    John Eppensteiner

    2018-02-01

    Full Text Available Despite significant improvements in injury prevention and emergency response, injury-related death and morbidity continues to increase in the US and worldwide. Patients with trauma, invasive operations, anti-cancer treatment, and organ transplantation produce a host of danger signals and high levels of pro-inflammatory and pro-thrombotic mediators, such as damage-associated molecular patterns (DAMPs and extracellular vesicles (EVs. DAMPs (e.g., nucleic acids, histone, high-mobility group box 1 protein, and S100 are molecules released from injured, stressed, or activated cells that act as endogenous ligands of innate immune receptors, whereas EVs (e.g., microparticle and exosome are membranous vesicles budding off from plasma membranes and act as messengers between cells. DAMPs and EVs can stimulate multiple innate immune signaling pathways and coagulation cascades, and uncontrolled DAMP and EV production causes systemic inflammatory and thrombotic complications and secondary organ failure (SOF. Thus, DAMPs and EVs represent potential therapeutic targets and diagnostic biomarkers for SOF. High plasma levels of DAMPs and EVs have been positively correlated with mortality and morbidity of patients or animals with trauma or surgical insults. Blocking or neutralizing DAMPs using antibodies or small molecules has been demonstrated to ameliorate sepsis and SOF in animal models. Furthermore, a membrane immobilized with nucleic acid-binding polymers captured and removed multiple DAMPs and EVs from extracellular fluids, thereby preventing the onset of DAMP- and EV-induced inflammatory and thrombotic complications in vitro and in vivo. In this review, we will summarize the current state of knowledge of DAMPs, EVs, and SOF and discuss potential therapeutics and preventive intervention for organ failure secondary to trauma, surgery, anti-cancer therapy, and allogeneic transplantation.

  3. A multi-level maintenance policy for a multi-component and multifailure mode system with two independent failure modes

    International Nuclear Information System (INIS)

    Zhu, Wenjin; Fouladirad, Mitra; Bérenguer, Christophe

    2016-01-01

    This paper studies the maintenance modelling of a multi-component system with two independent failure modes with imperfect prediction signal in the context of a system of systems. Each individual system consists of multiple series components and the failure modes of all the components are divided into two classes due to their consequences: hard failure and soft failure, where the former causes system failure while the later results in inferior performance (production reduction) of system. Besides, the system is monitored and can be alerted by imperfect prediction signal before hard failure. Based on an illustration example of offshore wind farm, in this paper three maintenance strategies are considered: periodic routine, reactive and opportunistic maintenance. The periodic routine maintenance is scheduled at fixed period for each individual system in the perspective of system of systems. Between two successive routine maintenances, the reactive maintenance is instructed by the imperfect prediction signal according to two criterion proposed in this study for the system components. Due to the high setup cost and practical restraints of implementing maintenance activities, both routine and reactive maintenance can create the opportunities of maintenance for the other components of an individual system. The life cycle of the system and the cost of the proposed maintenance policies are analytically derived. Restrained by the complexity from both the system failure modelling and maintenance strategies, the performances and application scope of the proposed maintenance model are evaluated by numerical simulations. - Highlights: • We study the life behavior of a complex system with two failure modes. • We consider the imperfect prediction signal of potential failure by monitoring. • We propose an integrated maintenance policy with three levels based on wind turbine. • We derive the mathematical cost formulations for the proposed maintenance policy.

  4. The success or failure of management information systems: A theoretical approach

    Energy Technology Data Exchange (ETDEWEB)

    Curlee, T.R.; Tonn, B.T.

    1987-03-01

    Work has been done by various disciplines to address the reasons why modern, computerized management information systems either succeed or fail. However, the studies are not based on a well-defined conceptual framework and the focus has been narrow. This report presents a comprehensive conceptual framework of how an information system is used within an organization. This framework not only suggests how the use of an information system may translate into productivity improvements for the implementing organization but also helps to identify why a system may succeed or fail. A major aspect of the model is its distinction between the objectives of the organization in its decision to implement an information system and the objectives of the individual employees who are to use the system. A divergence between these objectives can lead to system underutilization or misuse at the expense of the organization's overall productivity.

  5. Visual analyzer as anticipatory system (functional organization)

    Science.gov (United States)

    Kirvelis, Dobilas

    2000-05-01

    Hypothetical functional organization of the visual analyzer is presented. The interpretation of visual perception, anatomic and morphological structure of visual systems of animals, neuro-physiological, psychological and psycho-physiological data in the light of a number of the theoretical solutions of image recognition and visual processes simulation enable active information processing. The activities in special areas of cortex are as follows: focused attention, prediction with analysis of visual scenes and synthesis, predictive mental images. In the projection zone of visual cortex Area Streata or V1 a "sensory" screen (SS) and "reconstruction" screen (RS) are supposed to exist. The functional structure of visual analyzer consist of: analysis of visual scenes projected onto SS; "tracing" of images; preliminary recognition; reversive image reconstruction onto RS; comparison of images projected onto SS with images reconstructed onto RS; and "correction" of preliminary recognition. Special attention is paid to the quasiholographical principles of the neuronal organization within the brain, of the image "tracing," and of reverse image reconstruction. Tachistoscopic experiments revealed that the duration of one such hypothesis-testing cycle of the human visual analyzers is about 8-10 milliseconds.

  6. Technical specification action requirements for AFW system failures: Method development and application to four PWR plants

    International Nuclear Information System (INIS)

    Mankamo, T.; Kim, I.S.; Yang, Ji Wu; Samanta, P.K.

    1996-01-01

    Failures in the auxiliary feedwater (AFW) system of pressurized water reactors (PWRs) are considered to involve substantial risk whether a decision is made to either continue power operation while repair is being done, or to shut down the plant to undertake repairs. Technical specification action requirements usually require immediate plant shutdown in the case of multiple failures in the system (in some cases, immediate repair of one train is required when all AFW trains fail). This paper presents a probabilistic risk assessment-based method to quantitatively evaluate and compare both the risks of continued power operation and of shutting the plant down, given known failures in the system. The method is applied to the AFW system for four different PWRs. Results show that the risk of continued power operation and plant shutdown both are substantial, but the latter is larger than the former over the usual repair time. This was proven for four plants with different designs: two operating Westinghouse plants, one operating Asea-Brown Boveri Combustion Engineering Plant, and one of evolutionary design. The method can be used to analyze individual plant design and to improve AFW action requirements using risk-informed evaluations

  7. Perceived barriers of heart failure nurses and cardiologists in using clinical decision support systems in the treatment of heart failure patients

    NARCIS (Netherlands)

    de Vries, Arjen E.; van der Wal, Martje H. L.; Nieuwenhuis, Maurice M. W.; de Jong, Richard M.; van Dijk, Rene B.; Jaarsma, Tiny; Hillege, Hans L.; Jorna, Rene J.

    2013-01-01

    Background: Clinical Decision Support Systems (CDSSs) can support guideline adherence in heart failure (HF) patients. However, the use of CDSSs is limited and barriers in working with CDSSs have been described as a major obstacle. It is unknown if barriers to CDSSs are present and differ between HF

  8. Diffusion Enhanced Upconversion in Organic Systems

    Directory of Open Access Journals (Sweden)

    A. Monguzzi

    2008-01-01

    Full Text Available The upconverted fluorescence generation in a solution of multicomponent organic systems has been studied as a function of the temperature to investigate the role of resonant energy transfer processes and of the molecular diffusion on the overall emission yield. The strong blue emission observed exciting the samples at 532 nm derives from a bimolecular triplet-triplet annihilation between 9,10 diphenylanthracene molecules, which produces singlet excited states from which the higher energy emission takes place. Diphenylanthracene excited triplet states are populated by energy transfer from a phosphorescent donor (Pt(IIoctaethylporphyrin which acts as excitation light harvesting. At low temperature, the experimental data on the efficiency of the transfer have been interpreted in the frame of a Dexter energy transfer in the Perrin approximation. At room temperature, the fast diffusion of the molecules has been found to be the main factor which affects the energy transfer rates and the overall photon upconversion efficiency.

  9. Platelet Distribution Width Levels Can Be a Predictor in the Diagnosis of Persistent Organ Failure in Acute Pancreatitis

    Directory of Open Access Journals (Sweden)

    Feiyang Wang

    2017-01-01

    Full Text Available Purpose. The change of serum platelet indices such as platelet distribution width (PDW has been reported in a series of inflammatory reaction and clinical diseases. However, the relationship between PDW and the incidence of persistent organ failure (POF in acute pancreatitis (AP has not been elucidated so far. Materials and Methods. A total of 135 patients with AP admitted within 72 hours from symptom onset of AP at our center between December 2014 and January 2016 were included in this retrospective study. Demographic parameters on admission, organ failure assessment, laboratory data, and in-hospital mortality were compared between patients with and without POF. Multivariable logistic regression analyses were utilized to evaluate the predictive value of serum PDW for POF. Results. 30 patients were diagnosed with POF. Compared to patients without POF, patients with POF showed a significantly higher value of serum PDW on admission (14.88 ± 2.24 versus 17.60 ± 1.96%, P<0.001. After multivariable analysis, high PDW level remained a risk factor for POF (odds ratio 39.42, 95% CI: 8.64–179.77; P<0.001. A PDW value of 16.45% predicted POF with an area under the curve (AUC of 0.870, a sensitivity with 0.867, and a specificity with 0.771, respectively. Conclusions. Our results indicate that serum PDW on admission could be a predictive factor in AP with POF and may serve as a potential prognostic factor.

  10. Membrane-Organized Chemical Photoredox Systems

    Energy Technology Data Exchange (ETDEWEB)

    Hurst, James K.

    2014-09-18

    This project has three interrelated goals relevant to solar water photolysis, which are to develop: (1) vesicle-organized assemblies for H2 photoproduction that utilize pyrylium and structurally related compounds as combined photosensitizers and cyclic electroneutral transmembrane electron carriers; (2) transmembrane redox systems whose reaction rates can be modulated by light; and (3) homogeneous catalysts for water oxidation. . In area (1), initial efforts to photogenerate H2 from vectorially-organized vesicles containing occluded colloidal Pt and commonly available pyrylium ions as transmembrane redox mediators were unsuccessful. New pyrylium compounds with significantly lower reduction potentials have been synthesized to address this problem, their apparent redox potentials in functioning systems have been now evaluated by using a series of occluded viologens, and H2 photoproduction has been demonstrated in continuous illumination experiments. In area (2), spirooxazine-quinone dyads have been synthesized and their capacity to function as redox mediators across bilayer membranes has been evaluated through continuous photolysis and transient spectrophotometric measurements. Photoisomerization of the spiro moiety to the ring-open mero form caused net quantum yields to decrease significantly, providing a basis for photoregulation of transmembrane redox. Research on water oxidation (area 3) has been directed at understanding mechanisms of catalysis by cis,cis-[(bpy)2Ru(OH2)]2O4+ and related polyimine complexes. Using a variety of physical techniques, we have: (i) identified the redox state of the complex ion that is catalytically active; (ii) shown using 18O isotopic labeling that there are two reaction pathways, both of which involve participation of solvent H2O; and (iii) detected and characterized by EPR and resonance Raman spectroscopies new species which may be key intermediates in the catalytic cycle.

  11. Admission Hematocrit and Rise in Blood Urea Nitrogen at 24 h Outperform other Laboratory Markers in Predicting Persistent Organ Failure and Pancreatic Necrosis in Acute Pancreatitis: A Post Hoc Analysis of Three Large Prospective Databases.

    Science.gov (United States)

    Koutroumpakis, Efstratios; Wu, Bechien U; Bakker, Olaf J; Dudekula, Anwar; Singh, Vikesh K; Besselink, Marc G; Yadav, Dhiraj; Mounzer, Rawad; van Santvoort, Hjalmar C; Whitcomb, David C; Gooszen, Hein G; Banks, Peter A; Papachristou, Georgios I

    2015-12-01

    Predicting severe acute pancreatitis (AP) remains a challenge. The present study compares admission blood urea nitrogen (BUN), hematocrit, and creatinine, as well as changes in their levels over 24 h, aiming to determine the most accurate laboratory test for predicting persistent organ failure and pancreatic necrosis. Clinical data of 1,612 AP patients, enrolled prospectively in three independent cohorts (University of Pittsburgh, Brigham and Women's Hospital, Dutch Pancreatitis Study Group), were abstracted. The predictive accuracy of the studied laboratories was measured using area under the receiver-operating characteristic curve (AUC) analysis. A pooled analysis was conducted to determine their impact on the risk for persistent organ failure and pancreatic necrosis. Finally, a classification tree was developed on the basis of the most accurate laboratory parameters. Admission hematocrit ≥44% and rise in BUN at 24 h were the most accurate in predicting persistent organ failure (AUC: 0.67 and 0.71, respectively) and pancreatic necrosis (0.66 and 0.67, respectively), outperforming the other laboratory parameters and the acute physiology and chronic health evaluation-II score. In a pooled analysis, admission hematocrit ≥44% and rise in BUN at 24 h were associated with an odds ratio of 3.54 and 5.84 for persistent organ failure, and 3.11 and 4.07, respectively, for pancreatic necrosis. In addition, the classification tree illustrated that when both admission hematocrit was ≥44% and BUN levels increased at 24 h, the rates of persistent organ failure and pancreatic necrosis reached 53.6% and 60.3%, respectively. Admission hematocrit ≥44% and rise in BUN at 24 h may be the optimal predictive tools in clinical practice among existing laboratory parameters and scoring systems.

  12. Practical, redundant, failure-tolerant, self-reconfiguring embedded system architecture

    Science.gov (United States)

    Klarer, Paul R.; Hayward, David R.; Amai, Wendy A.

    2006-10-03

    This invention relates to system architectures, specifically failure-tolerant and self-reconfiguring embedded system architectures. The invention provides both a method and architecture for redundancy. There can be redundancy in both software and hardware for multiple levels of redundancy. The invention provides a self-reconfiguring architecture for activating redundant modules whenever other modules fail. The architecture comprises: a communication backbone connected to two or more processors and software modules running on each of the processors. Each software module runs on one processor and resides on one or more of the other processors to be available as a backup module in the event of failure. Each module and backup module reports its status over the communication backbone. If a primary module does not report, its backup module takes over its function. If the primary module becomes available again, the backup module returns to its backup status.

  13. Prediction of failures in linear systems with the use of tolerance ranges

    International Nuclear Information System (INIS)

    Gadzhiev, Ch.M.

    1993-01-01

    The problem of predicting the technical state of an object can be stated in a general case as that of predicting potential failures on the basis of a quantitative evaluation of the predicted parameters in relation to the set of tolerances on these parameters. The main stages in the prediction are collecting and preparing source data on the prehistory of the predicted phenomenon, forming a mathematical model of this phenomenon, working out the algorithm for the prediction, and adopting a solution from the prediction results. The final two stages of prediction are considered in this article. The prediction algorithm is proposed based on construction of the tolerance range for the signal of error between output coordinates of the system and its mathematical model. A solution regarding possible occurrence of failure in the system is formulated as a result of comparison of the tolerance range and the found confidence interval. 5 refs

  14. Sensitivity analysis of repairable redundant system with switching failure and geometric reneging

    Directory of Open Access Journals (Sweden)

    Chandra Shekhar

    2017-09-01

    Full Text Available This study deals with the performance modeling and reliability analysis of a redundant machining system composed of several functional machines. To analyze the more realistic scenarios, the concepts of switching failure and geometric reneging are included. The time-to-breakdown and repair time of operating and standby machines are assumed to follow the exponential distribution. For the quantitative assessment of the machine interference problem, various performance measures such as mean-time-to-failure, reliability, reneging rate, etc. have been formulated. To show the practicability of the developed model, a numerical illustration has been presented. For the practical justification and validity of the results established, the sensitivity analysis of reliability indices has been presented by varying different system descriptors.

  15. WWER expert system for fuel failure analysis using the RTOP-CA code

    International Nuclear Information System (INIS)

    Likhanskii, V.; Evdokimov, I.; Sorokin, A.; Khromov, A.; Kanukova, V.; Apollonova, O.; Ugryumov, A.

    2008-01-01

    The computer expert system for fuel failure analysis of WWER during operation is presented. The diagnostics is based on the measurement of specific activity of reference nuclides in reactor primary coolant and application of a computer code for the data interpretation. The data analysis includes an evaluation of tramp uranium mass in reactor core, detection of failures by iodine and caesium spikes, evaluation of burnup of defective fuel. Evaluation of defective fuel burnup was carried out by applying the relation of caesium nuclides activity in spikes and relations of activities of gaseous fission products for steady state operational conditions. The method of burnup evaluation of defective fuel by use of fission gas activity is presented in details. The neural-network analysis is performed for determination of failed fuel rod number and defect size. Results of the expert system application are illustrated for several fuel campaigns on operating WWER NPPs. (authors)

  16. Probability of Loss of Assured Safety in Systems with Multiple Time-Dependent Failure Modes: Incorporation of Delayed Link Failure in the Presence of Aleatory Uncertainty.

    Energy Technology Data Exchange (ETDEWEB)

    Helton, Jon C. [Arizona State Univ., Tempe, AZ (United States); Brooks, Dusty Marie [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Sallaberry, Cedric Jean-Marie. [Engineering Mechanics Corp. of Columbus, OH (United States)

    2018-02-01

    Probability of loss of assured safety (PLOAS) is modeled for weak link (WL)/strong link (SL) systems in which one or more WLs or SLs could potentially degrade into a precursor condition to link failure that will be followed by an actual failure after some amount of elapsed time. The following topics are considered: (i) Definition of precursor occurrence time cumulative distribution functions (CDFs) for individual WLs and SLs, (ii) Formal representation of PLOAS with constant delay times, (iii) Approximation and illustration of PLOAS with constant delay times, (iv) Formal representation of PLOAS with aleatory uncertainty in delay times, (v) Approximation and illustration of PLOAS with aleatory uncertainty in delay times, (vi) Formal representation of PLOAS with delay times defined by functions of link properties at occurrence times for failure precursors, (vii) Approximation and illustration of PLOAS with delay times defined by functions of link properties at occurrence times for failure precursors, and (viii) Procedures for the verification of PLOAS calculations for the three indicated definitions of delayed link failure.

  17. EUREX D: An expert system for failure diagnosis and recovery in the TCS of the European retrievable carrier EURECA

    Science.gov (United States)

    Kellner, A.; Belau, W.; Schielow, N.

    1987-01-01

    An expert system for diagnosis and recovery of failures in the Freon cooling loop of the European retrievable experiment carrier EURECA is described. The system demonstrates the feasibility of a functional scope of expert diagnostic systems which appears to be essential for practical applications of such systems in space technology. The scope includes early warning and treatment of incomplete information, fault tolerance, identification of failure superpositions, intelligent reaction to unforeseen events, and detailed status display for optimal recovery action.

  18. System dynamics in complex psychiatric treatment organizations.

    Science.gov (United States)

    Rosenheck, R

    1988-05-01

    One of the major challenges facing contemporary psychiatry is the coordination of diverse services through organizational integration. With increasing frequency, psychiatric treatment takes place in complex treatment systems composed of multiple inpatient and outpatient programs. Particularly in public health care systems serving the chronically ill, contemporary practice demands a broad spectrum of programs, often geographically dispersed, that include crisis intervention teams, day treatment programs, substance abuse units, social rehabilitation programs and halfway houses (Bachrach 1983; Turner and TenHoor 1978). Individualized treatment planning often requires that a particular patient participate in two or more specialized programs either simultaneously or in a specified sequence. As a consequence of this specialization, treatment fragmentation has emerged as a significant clinical problem, and continuity of care has been highlighted as a valuable but elusive ingredient of optimal treatment. This paper will describe the dynamic interactions that result when several such programs are united under a common organizational roof. Using a large VA Psychiatry Service as an example, I will outline the hierarchical structure characteristic of such an organization, as well as the persistent pulls toward both integration and fragmentation that influence its operation.

  19. High Technology Systems with Low Technology Failures: Some Experiences with Rockets on Software Quality and Integration

    Science.gov (United States)

    Craig, Larry G.

    2010-01-01

    This slide presentation reviews three failures of software and how the failures contributed to or caused the failure of a launch or payload insertion into orbit. In order to avoid these systematic failures in the future, failure mitigation strategies are suggested for use.

  20. Thermomechanical Controls on the Success and Failure of Continental Rift Systems

    Science.gov (United States)

    Brune, S.

    2017-12-01

    Studies of long-term continental rift evolution are often biased towards rifts that succeed in breaking the continent like the North Atlantic, South China Sea, or South Atlantic rifts. However there are many prominent rift systems on Earth where activity stopped before the formation of a new ocean basin such as the North Sea, the West and Central African Rifts, or the West Antarctic Rift System. The factors controlling the success and failure of rifts can be divided in two groups: (1) Intrinsic processes - for instance frictional weakening, lithospheric thinning, shear heating or the strain-dependent growth of rift strength by replacing weak crust with strong mantle. (2) External processes - such as a change of plate divergence rate, the waning of a far-field driving force, or the arrival of a mantle plume. Here I use numerical and analytical modeling to investigate the role of these processes for the success and failure of rift systems. These models show that a change of plate divergence rate under constant force extension is controlled by the non-linearity of lithospheric materials. For successful rifts, a strong increase in divergence velocity can be expected to take place within few million years, a prediction that agrees with independent plate tectonic reconstructions of major Mesozoic and Cenozoic ocean-forming rift systems. Another model prediction is that oblique rifting is mechanically favored over orthogonal rifting, which means that simultaneous deformation within neighboring rift systems of different obliquity and otherwise identical properties will lead to success and failure of the more and less oblique rift, respectively. This can be exemplified by the Cretaceous activity within the Equatorial Atlantic and the West African Rifts that lead to the formation of a highly oblique oceanic spreading center and the failure of the West African Rift System. While in nature the circumstances of rift success or failure may be manifold, simplified numerical and

  1. Two viewpoints for software failures and their relation in probabilistic safety assessment of digital instrumentation and control systems

    International Nuclear Information System (INIS)

    Kim, Man Cheol

    2015-01-01

    As the use of digital systems in nuclear power plants increases, the reliability of the software becomes one of the important issues in probabilistic safety assessment. In this paper, two viewpoints for a software failure during the operation of a digital system or a statistical software test are identified, and the relation between them is provided. In conventional software reliability analysis, a failure is mainly viewed with respect to the system operation. A new viewpoint with respect to the system input is suggested. The failure probability density functions for the two viewpoints are defined, and the relation between the two failure probability density functions is derived. Each failure probability density function can be derived from the other failure probability density function by applying the derived relation between the two failure probability density functions. The usefulness of the derived relation is demonstrated by applying it to the failure data obtained from the software testing of a real system. The two viewpoints and their relation, as identified in this paper, are expected to help us extend our understanding of the reliability of safety-critical software. (author)

  2. BDD-based reliability evaluation of phased-mission systems with internal/external common-cause failures

    International Nuclear Information System (INIS)

    Xing, Liudong; Levitin, Gregory

    2013-01-01

    Phased-mission systems (PMS) are systems in which multiple non-overlapping phases of operations (or tasks) are accomplished in sequence for a successful mission. Examples of PMS abound in applications such as aerospace, nuclear power, and airborne weapon systems. Reliability analysis of a PMS must consider statistical dependence across different phases as well as dynamics in system configuration, failure criteria, and component behavior. This paper proposes a binary decision diagrams (BDD) based method for the reliability evaluation of non-repairable binary-state PMS with common-cause failures (CCF). CCF are simultaneous failure of multiple system elements, which can be caused by some external factors (e.g., lightning strikes, sudden changes in environment) or by propagated failures originating from some elements within the system. Both the external and internal CCF is considered in this paper. The proposed method is combinatorial, exact, and is applicable to PMS with arbitrary system structures and component failure distributions. An example with different CCF scenarios is analyzed to illustrate the application and advantages of the proposed method. -- Highlights: ► Non-repairable phased-mission systems with common-cause failures are analyzed. ► Common-cause failures caused by internal or external factors are considered. ► A combinatorial algorithm based on binary decision diagrams is suggested

  3. Reliability of piping system components. Framework for estimating failure parameters from service data

    International Nuclear Information System (INIS)

    Nyman, R.; Hegedus, D.; Tomic, B.; Lydell, B.

    1997-12-01

    This report summarizes results and insights from the final phase of a R and D project on piping reliability sponsored by the Swedish Nuclear Power Inspectorate (SKI). The technical scope includes the development of an analysis framework for estimating piping reliability parameters from service data. The R and D has produced a large database on the operating experience with piping systems in commercial nuclear power plants worldwide. It covers the period 1970 to the present. The scope of the work emphasized pipe failures (i.e., flaws/cracks, leaks and ruptures) in light water reactors (LWRs). Pipe failures are rare events. A data reduction format was developed to ensure that homogenous data sets are prepared from scarce service data. This data reduction format distinguishes between reliability attributes and reliability influence factors. The quantitative results of the analysis of service data are in the form of conditional probabilities of pipe rupture given failures (flaws/cracks, leaks or ruptures) and frequencies of pipe failures. Finally, the R and D by SKI produced an analysis framework in support of practical applications of service data in PSA. This, multi-purpose framework, termed 'PFCA'-Pipe Failure Cause and Attribute- defines minimum requirements on piping reliability analysis. The application of service data should reflect the requirements of an application. Together with raw data summaries, this analysis framework enables the development of a prior and a posterior pipe rupture probability distribution. The framework supports LOCA frequency estimation, steam line break frequency estimation, as well as the development of strategies for optimized in-service inspection strategies

  4. Reliability of piping system components. Framework for estimating failure parameters from service data

    Energy Technology Data Exchange (ETDEWEB)

    Nyman, R. [Swedish Nuclear Power Inspectorate, Stockholm (Sweden); Hegedus, D.; Tomic, B. [ENCONET Consulting GesmbH, Vienna (Austria); Lydell, B. [RSA Technologies, Vista, CA (United States)

    1997-12-01

    This report summarizes results and insights from the final phase of a R and D project on piping reliability sponsored by the Swedish Nuclear Power Inspectorate (SKI). The technical scope includes the development of an analysis framework for estimating piping reliability parameters from service data. The R and D has produced a large database on the operating experience with piping systems in commercial nuclear power plants worldwide. It covers the period 1970 to the present. The scope of the work emphasized pipe failures (i.e., flaws/cracks, leaks and ruptures) in light water reactors (LWRs). Pipe failures are rare events. A data reduction format was developed to ensure that homogenous data sets are prepared from scarce service data. This data reduction format distinguishes between reliability attributes and reliability influence factors. The quantitative results of the analysis of service data are in the form of conditional probabilities of pipe rupture given failures (flaws/cracks, leaks or ruptures) and frequencies of pipe failures. Finally, the R and D by SKI produced an analysis framework in support of practical applications of service data in PSA. This, multi-purpose framework, termed `PFCA`-Pipe Failure Cause and Attribute- defines minimum requirements on piping reliability analysis. The application of service data should reflect the requirements of an application. Together with raw data summaries, this analysis framework enables the development of a prior and a posterior pipe rupture probability distribution. The framework supports LOCA frequency estimation, steam line break frequency estimation, as well as the development of strategies for optimized in-service inspection strategies. 63 refs, 30 tabs, 22 figs.

  5. Personnel reliability impact on petrochemical facilities monitoring system's failure skipping probability

    Science.gov (United States)

    Kostyukov, V. N.; Naumenko, A. P.

    2017-08-01

    The paper dwells upon urgent issues of evaluating impact of actions conducted by complex technological systems operators on their safe operation considering application of condition monitoring systems for elements and sub-systems of petrochemical production facilities. The main task for the research is to distinguish factors and criteria of monitoring system properties description, which would allow to evaluate impact of errors made by personnel on operation of real-time condition monitoring and diagnostic systems for machinery of petrochemical facilities, and find and objective criteria for monitoring system class, considering a human factor. On the basis of real-time condition monitoring concepts of sudden failure skipping risk, static and dynamic error, monitoring systems, one may solve a task of evaluation of impact that personnel's qualification has on monitoring system operation in terms of error in personnel or operators' actions while receiving information from monitoring systems and operating a technological system. Operator is considered as a part of the technological system. Although, personnel's behavior is usually a combination of the following parameters: input signal - information perceiving, reaction - decision making, response - decision implementing. Based on several researches on behavior of nuclear powers station operators in USA, Italy and other countries, as well as on researches conducted by Russian scientists, required data on operator's reliability were selected for analysis of operator's behavior at technological facilities diagnostics and monitoring systems. The calculations revealed that for the monitoring system selected as an example, the failure skipping risk for the set values of static (less than 0.01) and dynamic (less than 0.001) errors considering all related factors of data on reliability of information perception, decision-making, and reaction fulfilled is 0.037, in case when all the facilities and error probability are under

  6. Scintillation detectors as self organized critical systems?

    International Nuclear Information System (INIS)

    Kalinka, G.; Elekes, Z.; Fueloep, Zs.; Saito, A.

    2004-01-01

    Complete text of publication follows. Recently we have constructed a 312 element scintillation detector (SD) system for nuclear physics experiments. Both manufacture and the quality test were carried out under well controlled conditions. One of the main issues during manufacture was the uniformity of performance of the elements. Performance is determined by the signal amplitude delivered (a product of light creation, collection and detection) and the resolution (dispersion of amplitude). It is the mean and the standard deviation of these two parameters, which can be used to characterize the quality of the detector system. More careful analysis of the amplitude and resolution data, taken with 5.5 MeV particles, in addition, reveals fundamental features of scintillation detectors. Those, familiar with electrical noises, easily recognize from the time order series of data (Fig.a,b) the presence of 1/f α or flicker noise. This can be confirmed by Fourier analysis, which provides the spectral density distribution of the fluctuations, resulting in α = 1.85 ± 0.05 for amplitude and resolution alike (Fig.c). For resolution, however, at higher frequencies there is a transition to white noise. It is well known that 1/f α noise has been observed in several systems having temporal, spatial or spatiotemporal degrees of freedom. Earlier examples are electric current in conductors, rotation of Earth, flow of rivers, heartbeat, stock exchange price indices, etc., recent ones are DNA sequence, human cognition, prime numbers, dynamic images, etc., and now scintillation detectors. Despite extensive research, no universal theory for this ubiquitous phenomenon yet exists. One successful explanation, self organized criticality (SOC), seems, however to fit to our case. Systems, with SOC are characterised by strong interdependence between their constituents. This dynamics results in collective behavior which cannot be understood by studying individual constituents in isolation. They

  7. Performance of scoring systems to predict mortality of patients with acute-on-chronic liver failure: A systematic review and meta-analysis.

    Science.gov (United States)

    Zheng, Yi-Xiang; Zhong, Xiao; Li, Ya-Jun; Fan, Xue-Gong

    2017-10-01

    Acute-on-chronic liver failure (ACLF) has characteristic feature of multisystem organ failure, rapid progression, and low early transplant-free survival. We performed a meta-analysis to determine the accuracy of five scoring systems in predicting mortality of ACLF patients. A systematic database search was performed, and retrieved articles were graded according to methodological quality. Collated data was meta-analyzed by hierarchical summarized receiver operating characteristic model and bivariate model to evaluate the diagnostic accuracy of scoring systems. Of 4223 studies identified, 26 studies involving 4732 ACLF patients were included. The model of end-stage liver disease (MELD) score was found to have largest the area under summarized receiver operating characteristic (AUROC) (0.82) compared with other estimated scoring systems, especially for 3-month mortality. MELD serum sodium (MELD-Na) score showed homologous high accuracy, with the AUROC was 0.81. However, meta-analyses of 16 studies showed that Child-Pugh-Turcotte score had least AUROC (0.71). Sequential organ failure assessment (SOFA) score presented moderately lower diagnostic accuracy, with AUROC being 0.73. Moreover, chronic liver failure-SOFA score presented excellent accuracy of prognostication with highest diagnostic odds ratios. This review demonstrated that MELD had moderate diagnostic accuracy to predict mortality of ACLF patients. Considering the expectative diagnostic value, chronic liver failure-SOFA could be regarded as a promising replacement of MELD. To improve the predictive power of scoring systems, multicenter prospective studies of large sample sizes with long-term follow-up are needed. © 2017 Journal of Gastroenterology and Hepatology Foundation and John Wiley & Sons Australia, Ltd.

  8. Design and Environmental Factors Contributing to the Failure of Thermal Barrier Coating Systems

    Science.gov (United States)

    Weeks, Matthew David

    Gas turbine engines are a staple of 21st century air and sea propulsion systems and are also a critical component in large-scale electricity generation. The hot-section components of these engines are protected by a complex ceramic and metal multi-layer coating called a thermal barrier coating (TBC) system. The failure of TBC systems occurs as a result of both thermo-chemical and thermo-mechanical degradation. This research involves exploring both of these mechanisms for two distinctly different issues. The United States Navy is currently making a push to implement the use of alternative fuels by 2012, but the use of these fuels (syngas, high hydrogen content, and alternatives to JP-8) presents significant materials durability challenges. Initial data suggests that high water vapor levels, high sulfur concentrations, and ash deposits from fuel impurities lead to unique, and severe, degradation modes. This research is aimed at addressing the effects of differing combustion environment characteristics on the corrosion and oxidation of TBC systems. On the industrial front, there is a constant driver to better understand and predict coating failure, particularly in air-plasma sprayed (APS) TBC systems. The morphology of the metal-ceramic interface is known to play a key role in the generation of compressive and tensile stresses that eventually cause coating failure in typical engine environments. Experimental evidence and field experience have shown that a tortuous interface is generally beneficial to coating lifetime. Nevertheless, for the past 40 years engineers have struggled to find a functional correlation between BC topology and coating system lifetime. This document also addresses the progress that has been made toward the establishment of this functional correlation.

  9. Adaptive dynamic surface control for a class of MIMO nonlinear systems with actuator failures

    Science.gov (United States)

    Amezquita S., Kendrick; Yan, Lin; Butt, Waseem A.

    2013-03-01

    In this article, an adaptive dynamic surface control scheme for a class of MIMO nonlinear systems with actuator failures and uncertainties is presented. In the proposed control scheme, the dynamic changes and disturbances induced by actuator failures are detected and isolated by means of radial basis function neural networks, which also compensate system uncertainties that arise from the mismatch between nominal model and real plant. In the presence of unknown actuation functions, the effectiveness of the control scheme is guaranteed by imposing a structural condition on the actuation matrix. Moreover, the singularity problem that arises from the approximation of unknown actuation functions is circumvented, and thus the use parameter projection is avoided. In this work, the nominal plant is transformed into a suitable form via diffeomorphism. Dynamic surface control design technique is used to develop the control laws. The closed-loop signals are proven to be uniformly ultimately bounded through Lyapunov approach, and the output tracking error is shown to be bounded within a residual set which can be made arbitrarily small by appropriately tuning the controller parameters. Finally, the proposed adaptive control scheme effectiveness is verified by simulation of the longitudinal dynamics of a twin otter aircraft undergoing actuator failures.

  10. Exploring the Use of Enterprise Content Management Systems in Unification Types of Organizations

    Directory of Open Access Journals (Sweden)

    Arshad Noreen Izza

    2014-03-01

    Full Text Available The aim of this paper is to better understand how highly standardized and integrated businesses known as unification types of organizations use Enterprise Content Management Systems (ECMS to support their business processes. Multiple case study approach was used to study the ways two unification organizations use their ECMS in their daily work practices. Arising from these case studies are insights into the differing ways in which ECMS is used to support businesses. Based on the comparisons of the two cases, this study proposed that unification organizations may use ECMS in four ways, for: (1 collaboration, (2 information sharing that supports a standardized process structure, (3 building custom workflows that support integrated and standardized processes, and (4 providing links and access to information systems. These findings may guide organizations that are highly standardized and integrated in fashion, to achieve their intended ECMS-use, to understand reasons for ECMS failures and underutilization and to exploit technologies investments.

  11. CRM Failure to Apply Optimal Management Information Systems: Case of Lebanese Financial Sector

    Directory of Open Access Journals (Sweden)

    Charbel Salloum

    2013-12-01

    Full Text Available Financial markets in Lebanon are constrained by government influence, Islamic financial principles, and some barriers to foreign participation. Productivity in the Lebanese financial sector ranks below its occidental counterpart in spite the fact that regulatory, supervisory, and accounting standards are generally consistent with international norms. This paper aims to give the reasons and recommendations of the failure of applying the optimal management information system in the Lebanese Financial Sector. Our results show that the reasons include among others the systems by it selves, their functionalities, but also, companies’ strategy and human capital issues.

  12. Overview of Threats and Failure Models for Safety-Relevant Computer-Based Systems

    Science.gov (United States)

    Torres-Pomales, Wilfredo

    2015-01-01

    This document presents a high-level overview of the threats to safety-relevant computer-based systems, including (1) a description of the introduction and activation of physical and logical faults; (2) the propagation of their effects; and (3) function-level and component-level error and failure mode models. These models can be used in the definition of fault hypotheses (i.e., assumptions) for threat-risk mitigation strategies. This document is a contribution to a guide currently under development that is intended to provide a general technical foundation for designers and evaluators of safety-relevant systems.

  13. Classification analysis of organization factors related to system safety

    International Nuclear Information System (INIS)

    Liu Huizhen; Zhang Li; Zhang Yuling; Guan Shihua

    2009-01-01

    This paper analyzes the different types of organization factors which influence the system safety. The organization factor can be divided into the interior organization factor and exterior organization factor. The latter includes the factors of political, economical, technical, law, social culture and geographical, and the relationships among different interest groups. The former includes organization culture, communication, decision, training, process, supervision and management and organization structure. This paper focuses on the description of the organization factors. The classification analysis of the organization factors is the early work of quantitative analysis. (authors)

  14. Effect of organic and inorganic nitrates on cerebrovascular pulsatile power transmission in patients with heart failure and preserved ejection fraction.

    Science.gov (United States)

    Londono-Hoyos, Francisco; Zamani, Payman; Beraun, Melissa; Vassim, Izzah; Segers, Patrick; Chirinos, Julio A

    2018-02-28

    Increased penetration of pulsatile power to the brain has been implicated in the pathogenesis of age-related cognitive dysfunction and dementia, a common comorbidity in patients with heart failure and preserved ejection fraction (HFpEF). However, there is a lack of knowledge on the effects of organic and inorganic nitrates administration in this population on the power carried by pressure and flow waves traveling through the proximal aorta and penetrating the carotid artery into the brain microvasculature. We assessed aortic and carotid hemodynamics non-invasively in 2 sub-studies: 1) at baseline and after administration of 0.4mg of sublingual nitroglycerine (an organic nitrate; n=26); and 2) from a randomized controlled trial of placebo (PB) vs. inorganic nitrate administration (beetroot-juice (BR), 12.9mmol NO3; n=16). Wave and hydraulic power analysis demonstrated that NTG increased total hydraulic power (from 5.68% at baseline to 8.62%, P=0.001) and energy penetration (from 8.69% to 11.63%; P=0.01) from the aorta to the carotid, while inorganic nitrate administration did not induce significant changes in aortic and carotid wave power (Power: 5.49%PB vs. 6.25%BR, P=0.49; Energy: 8.89%PB vs. 10.65%BR, P=0.27). Organic nitrates, but not inorganic nitrates, increase the amount of hydraulic energy transmitted into the carotid artery in subjects with HFpEF. These findings may have implications for the pulsatile hemodynamic stress of the brain microvasculature in this patient population. © 2018 Institute of Physics and Engineering in Medicine.

  15. Unavailability of the residual system heat removal of Angra 1 by Bayesian networks considering dependent failures

    International Nuclear Information System (INIS)

    Gomes, Many R.S.; Melo, Paulo F.F.F. e

    2015-01-01

    This work models by Bayesian networks the residual heat removal system (SRCR) of Angra I nuclear power plant, using fault tree mapping for systematically identifying all possible modes of occurrence caused by a large loss of coolant accident (large LOCA). The focus is on dependent events, such as the bridge system structure of the residual heat removal system and the occurrence of common-cause failures. We used the Netica™ tool kit, Norsys Software Corporation and Python 2.7.5 for modeling Bayesian networks and Microsoft Excel for modeling fault trees. Working with dependent events using Bayesian networks is similar to the solutions proposed by other models, beyond simple understanding and ease of application and modification throughout the analysis. The results obtained for the unavailability of the system were satisfactory, showing that in most cases the system will be available to mitigate the effects of an accident as described above. (author)

  16. The early indicators of financial failure: a study of bankrupt and solvent health systems.

    Science.gov (United States)

    Coyne, Joseph S; Singh, Sher G

    2008-01-01

    This article presents a series of pertinent predictors of financial failure based on analysis of solvent and bankrupt health systems to identify which financial measures show the clearest distinction between success and failure. Early warning signals are evident from the longitudinal analysis as early as five years before bankruptcy. The data source includes seven years of annual statements filed with the Securities and Exchange Commission by 13 health systems before they filed bankruptcy. Comparative data were compiled from five solvent health systems for the same seven-year period. Seven financial solvency ratios are included in this study, including four cash liquidity measures, two leverage measures, and one efficiency measure. The results show distinct financial trends between solvent and bankrupt health systems, in particular for the operating-cash-flow-related measures, namely Ratio 1: Operating Cash Flow Percentage Change, from prior to current period; Ratio 2: Operating Cash Flow to Net Revenues; and Ratio 4: Cash Flow to Total Liabilities, indicating sensitivity in the hospital industry to cash flow management. The high dependence on credit from third-party payers is cited as a reason for this; thus, there is a great need for cash to fund operations. Five managerial policy implications are provided to help health system managers avoid financial solvency problems in the future.

  17. Single-stage Kanban system with deterioration failures and condition-based preventive maintenance

    International Nuclear Information System (INIS)

    Xanthopoulos, A.S.; Koulouriotis, D.E.; Botsaris, P.N.

    2015-01-01

    Despite the fact that the fields of pull type production control policies and condition-based preventive maintenance have much in common contextually, they have evolved independently up to now. In this investigation, an attempt is made to bridge the gap between these two branches of knowledge by introducing the single-stage Kanban system with deterioration failures and condition-based preventive maintenance. The formalism of continuous time Markov chains is used to model the system and expressions for eight performance metrics are derived. Two important, from a managerial perspective, constrained optimization problems for the proposed model are defined where the objective is the simultaneous optimization of the Kanban policy, the preventive maintenance policy and the inspection schedule under conflicting performance criteria. Multiple instances of each optimization problem are solved by means of the augmented Lagrangian genetic algorithm. The results from the optimization trials coupled by the results from extensive numerical examples facilitate the thorough investigation of the system’s behaviour. - Highlights: • Kanban system with deterioration failures and preventive maintenance is introduced. • The system is modeled as a continuous time Markov chain. • Expressions for eight performance metrics are derived. • The behavior of the system is studied through numerical examples. • Optimization results for selected performance metrics are presented

  18. The protective association of endogenous immunoglobulins against sepsis mortality is restricted to patients with moderate organ failure.

    Science.gov (United States)

    Martin-Loeches, Ignacio; Muriel-Bombín, Arturo; Ferrer, Ricard; Artigas, Antonio; Sole-Violan, Jordi; Lorente, Leonardo; Andaluz-Ojeda, David; Prina-Mello, Adriele; Herrán-Monge, Ruben; Suberviola, Borja; Rodriguez-Fernandez, Ana; Merino, Pedro; Loza, Ana M; Garcia-Olivares, Pablo; Anton, Eduardo; Tamayo, Eduardo; Trapiello, Wysali; Blanco, Jesús; Bermejo-Martin, Jesús F

    2017-12-01

    Pre-evaluation of endogenous immunoglobulin levels is a potential strategy to improve the results of intravenous immunoglobulins in sepsis, but more work has to be done to identify those patients who could benefit the most from this treatment. The objective of this study was to evaluate the impact of endogenous immunoglobulins on the mortality risk in sepsis depending on disease severity. This was a retrospective observational study including 278 patients admitted to the ICU with sepsis fulfilling the SEPSIS-3 criteria, coming from the Spanish GRECIA and ABISS-EDUSEPSIS cohorts. Patients were distributed into two groups depending on their Sequential Organ Failure Assessment score at ICU admission (SOFA < 8, n = 122 and SOFA ≥ 8, n = 156), and the association between immunoglobulin levels at ICU admission with mortality was studied in each group by Kaplan-Meier and multivariate logistic regression analysis. ICU/hospital mortality in the SOFA < 8 group was 14.8/23.0%, compared to 30.1/35.3% in the SOFA ≥ 8 group. In the group with SOFA < 8, the simultaneous presence of total IgG < 407 mg/dl, IgM < 43 mg/dl and IgA < 219 mg/dl was associated with a reduction in the survival mean time of 6.6 days in the first 28 days and was a robust predictor of mortality risk either during the acute or during the post-acute phase of the disease (OR for ICU mortality: 13.79; OR for hospital mortality: 7.98). This predictive ability remained in the absence of prior immunosuppression (OR for ICU mortality: 17.53; OR for hospital mortality: 5.63). Total IgG < 407 mg/dl or IgG1 < 332 mg/dl was also an independent predictor of ICU mortality in this group. In contrast, in the SOFA ≥ 8 group, we found no immunoglobulin thresholds associated with neither ICU nor hospital mortality. Endogenous immunoglobulin levels may have a different impact on the mortality risk of sepsis patients based on their severity. In patients with moderate organ failure, the

  19. Longitudinal Hemodynamic Measurements in Swine Heart Failure Using a Fully Implantable Telemetry System

    Science.gov (United States)

    Choy, Jenny S.; Zhang, Zhen-Du; Pitsillides, Koullis; Sosa, Margo; Kassab, Ghassan S.

    2014-01-01

    Chronic monitoring of heart rate, blood pressure, and flow in conscious free-roaming large animals can offer considerable opportunity to understand the progression of cardiovascular diseases and can test new diagnostics and therapeutics. The objective of this study was to demonstrate the feasibility of chronic, simultaneous measurement of several hemodynamic parameters (left ventricular pressure, systemic pressure, blood flow velocity, and heart rate) using a totally implantable multichannel telemetry system in swine heart failure models. Two solid-state blood pressure sensors were inserted in the left ventricle and the descending aorta for pressure measurements. Two Doppler probes were placed around the left anterior descending (LAD) and the brachiocephalic arteries for blood flow velocity measurements. Electrocardiographic (ECG) electrodes were attached to the surface of the left ventricle to monitor heart rate. The telemeter body was implanted in the right side of the abdomen under the skin for approximately 4 to 6 weeks. The animals were subjected to various heart failure models, including volume overload (A-V fistula, n = 3), pressure overload (aortic banding, n = 2) and dilated cardiomyopathy (pacing-induced tachycardia, n = 3). Longitudinal changes in hemodynamics were monitored during the progression of the disease. In the pacing-induced tachycardia animals, the systemic blood pressure progressively decreased within the first 2 weeks and returned to baseline levels thereafter. In the aortic banding animals, the pressure progressively increased during the development of the disease. The pressure in the A-V fistula animals only showed a small increase during the first week and remained stable thereafter. The results demonstrated the ability of this telemetry system of long-term, simultaneous monitoring of blood flow, pressure and heart rate in heart failure models, which may offer significant utility for understanding cardiovascular disease

  20. Human Factors Predicting Failure and Success in Hospital Information System Implementations in Sub-Saharan Africa.

    Science.gov (United States)

    Verbeke, Frank; Karara, Gustave; Nyssen, Marc

    2015-01-01

    From 2007 through 2014, the authors participated in the implementation of open source hospital information systems (HIS) in 19 hospitals in Rwanda, Burundi, DR Congo, Congo-Brazzaville, Gabon, and Mali. Most of these implementations were successful, but some failed. At the end of a seven-year implementation effort, a number of risk factors, facilitators, and pragmatic approaches related to the deployment of HIS in Sub-Saharan health facilities have been identified. Many of the problems encountered during the HIS implementation process were not related to technical issues but human, cultural, and environmental factors. This study retrospectively evaluates the predictive value of 14 project failure factors and 15 success factors in HIS implementation in the Sub-Saharan region. Nine of the failure factors were strongly correlated with project failure, three were moderately correlated, and one weakly correlated. Regression analysis also confirms that eight factors were strongly correlated with project success, four moderately correlated, and two weakly correlated. The study results may help estimate the expedience of future HIS projects.

  1. The catastrophic failures of plants hydraulic network examined trough an model system

    Science.gov (United States)

    Bienaimé, Diane; Marmottant, Philippe; Brodribb, Tim

    2015-11-01

    Plants live a dangerous game: they have to facilitate water transport in their xylem conduits while minimizing the consequence of hydraulic failure. Indeed, as water flows under negative pressure inside these conduits, cavitation bubbles can spontaneously occur. The failure dynamics of this hydraulic network is poorly studied, while it has important ecological and bioengineering implications. Here, by using dark-field transmission microscopy, we were able to directly visualize the spreading of cavitation bubbles within leaves, where the xylem conduits form a 2D and transparent network. We observe the surprising fact that the probability of cavitation increases in larger veins, where the majority of water flows. Next, in order to understand the physical mechanism of nucleation and propagation, we built artificial networks of channels made in hydrogel, where evaporation generates negative pressures. We find the hydraulic failure follows two stages: first a sudden bubble nucleation relaxing to the elastic stored of the system, and then a slow expansion driven by the flow of water in the surrounding medium. Channel constrictions slow the propagation of the bubble, similarly to the small valves that connect plants conduits. P.M. acknowledges support from the University of Tasmania for a visiting scholar grant.

  2. The role of the renin-angiotensin-aldosterone system in heart failure

    Directory of Open Access Journals (Sweden)

    Thomas Unger

    2004-03-01

    Full Text Available Activity of the renin-angiotensin-aldosterone system (RAAS is increased in patients with heart failure, and its maladaptive mechanisms may lead to adverse effects such as cardiac remodelling and sympathetic activation. Elevated renin activity has been demonstrated in patients with dilated cardiomyopathy. (Third-generation synthetic non-peptide renin inhibitors, with more favourable properties than earlier renin inhibitors, lower ambulatory blood pressure and may have a role to play in other cardiovascular disease. Chymase, a protease inhibitor stored in mast cells that generates angiotensin II (Ang II (in addition to angiotensin-converting enzyme [ACE], has been linked to extracellular matrix remodelling in heart failure. Again, chymase inhibitors have been developed to investigate its functions in vitro and in vivo. Bradykinin is thought to contribute to the cardioprotective effect of ACE inhibition through modification of nitric oxide release, calcium handling and collagen accumulation. Ang II is believed to influence a number of molecular and structural changes in the heart, mostly mediated through the AT1-receptor. The importance of the RAAS in heart failure is shown by the survival benefit conferred by treatment with ACE inhibitors.

  3. NEW TRENDS IN ORGANIZATION INFORMATION SYSTEMS DEVELOPMENT

    Directory of Open Access Journals (Sweden)

    Codruţ MITROI

    2014-10-01

    Full Text Available An organization’s architecture is the rigorous description of its structure that includes organization components (entities, their features, as well as the relationships among them. This description must be comprehensive and include organization goals, mechanisms, and rules, internal and external processes, as well as technology. The architecture must be structured by layers and the interaction among these contributes to achieving organization goals. In this respect, specialized literature provides several approaches depending on the perspective taken on an organization: the management/owner perspective, organization process designer view or process administrator view. One of these is actually the mix of business process view and information view, with the following components for the latter in most cases: data architecture, application architecture, technological resources architecture.

  4. Statistical analysis on failure-to-open/close probability of motor-operated valve in sodium system

    International Nuclear Information System (INIS)

    Kurisaka, Kenichi

    1998-08-01

    The objective of this work is to develop basic data for examination on efficiency of preventive maintenance and actuation test from the standpoint of failure probability. This work consists of a statistical trend analysis of valve failure probability in a failure-to-open/close mode on time since installation and time since last open/close action, based on the field data of operating- and failure-experience. In this work, the terms both dependent and independent on time were considered in the failure probability. The linear aging model was modified and applied to the first term. In this model there are two terms with both failure rates in proportion to time since installation and to time since last open/close-demand. Because of sufficient statistical population, motor-operated valves (MOV's) in sodium system were selected to be analyzed from the CORDS database which contains operating data and failure data of components in the fast reactors and sodium test facilities. According to these data, the functional parameters were statistically estimated to quantify the valve failure probability in a failure-to-open/close mode, with consideration of uncertainty. (J.P.N.)

  5. Study and Handling Methods of Power IGBT Module Failures in Power Electronic Converter Systems

    DEFF Research Database (Denmark)

    Choi, Uimin; Blaabjerg, Frede; Lee, Kyo-Beum

    2015-01-01

    Power electronics plays an important role in a wide range of applications in order to achieve high efficiency and performance. Increasing efforts are being made to improve the reliability of power electronics systems to ensure compliance with more stringent constraints on cost, safety, and availa......Power electronics plays an important role in a wide range of applications in order to achieve high efficiency and performance. Increasing efforts are being made to improve the reliability of power electronics systems to ensure compliance with more stringent constraints on cost, safety......, and availability in different applications. This paper presents an overview of the major failure mechanisms of IGBT modules and their handling methods in power converter systems improving reliability. The major failure mechanisms of IGBT modules are presented first, and methods for predicting lifetime...... and estimating the junction temperature of IGBT modules are then discussed. Subsequently, different methods for detecting open- and short-circuit faults are presented. Finally, fault-tolerant strategies for improving the reliability of power electronic systems under field operation are explained and compared...

  6. A neuro-fuzzy decision support system for the diagnosis of heart failure.

    Science.gov (United States)

    Akinyokun, Charles O; Obot, Okure U; Uzoka, Faith-Michael E; Andy, John J

    2010-01-01

    A neuro-fuzzy decision support system is proposed for the diagnosis of heart failure. The system comprises; knowledge base (database, neural networks and fuzzy logic) of both the quantitative and qualitative knowledge of the diagnosis of heart failure, neuro-fuzzy inference engine and decision support engine. The neural networks employ a multi-layers perception back propagation learning process while the fuzzy logic uses the root sum square inference procedure. The neuro-fuzzy inference engine uses a weighted average of the premise and consequent parameters with the fuzzy rules serving as the nodes and the fuzzy sets representing the weights of the nodes. The decision support engine carries out the cognitive and emotional filtering of the objective and subjective feelings of the medical practitioner. An experimental study of the decision support system was carried out using cases of some patients from three hospitals in Nigeria with the assistance of their medical personnel who collected patients' data over a period of six months. The results of the study show that the neuro-fuzzy system provides a highly reliable diagnosis, while the emotional and cognitive filters further refine the diagnosis results by taking care of the contextual elements of medical diagnosis.

  7. Nonlinear dynamic failure process of tunnel-fault system in response to strong seismic event

    Science.gov (United States)

    Yang, Zhihua; Lan, Hengxing; Zhang, Yongshuang; Gao, Xing; Li, Langping

    2013-03-01

    Strong earthquakes and faults have significant effect on the stability capability of underground tunnel structures. This study used a 3-Dimensional Discrete Element model and the real records of ground motion in the Wenchuan earthquake to investigate the dynamic response of tunnel-fault system. The typical tunnel-fault system was composed of one planned railway tunnel and one seismically active fault. The discrete numerical model was prudentially calibrated by means of the comparison between the field survey and numerical results of ground motion. It was then used to examine the detailed quantitative information on the dynamic response characteristics of tunnel-fault system, including stress distribution, strain, vibration velocity and tunnel failure process. The intensive tunnel-fault interaction during seismic loading induces the dramatic stress redistribution and stress concentration in the intersection of tunnel and fault. The tunnel-fault system behavior is characterized by the complicated nonlinear dynamic failure process in response to a real strong seismic event. It can be qualitatively divided into 5 main stages in terms of its stress, strain and rupturing behaviors: (1) strain localization, (2) rupture initiation, (3) rupture acceleration, (4) spontaneous rupture growth and (5) stabilization. This study provides the insight into the further stability estimation of underground tunnel structures under the combined effect of strong earthquakes and faults.

  8. Failure Mode and Effects Analysis (FMEA) of the solid state full length rod control system

    International Nuclear Information System (INIS)

    Shopsky, W.E.

    1977-01-01

    The Full Length Rod Control System (FLRCS) controls the power to the rod drive mechanisms for rod movement in response to signals received from the Reactor Control System or from signals generated through Reactor Operator action. Rod movement is used to control reactivity of the reactor during plant operation. The Full Length Rod Control System is designed to perform its reactivity control function in conjunction with the Reactor Control and Protection System, to maintain the reactor core within design safety limits. By the use of a Failure Mode and Effects Analysis, it is shown that the FLRCS will perform its reactivity control functions considering the loss of single active components. That is, sufficient fault limiting control circuits are provided which blocks control rod movement and/or indicates presence of a fault condition at the Control Board. Reactor operator action or automatic reactor trip will thus mitigate the consequences of potential failure of the FLRCS. The analysis also qualitatively demonstrates the reliability of the FLRCS to perform its intended function

  9. Adaptive Fault-Tolerant Tracking Control of Nonaffine Nonlinear Systems with Actuator Failure

    Directory of Open Access Journals (Sweden)

    Hongcheng Zhou

    2014-01-01

    Full Text Available This paper proposes an adaptive fault-tolerant control scheme for nonaffine nonlinear systems. A model approximation method which is a solution that bridges the gap between affine and nonaffine control systems is developed firstly. A joint estimation approach is based on unscented Kalman filter, in which both failure parameters and states are simultaneously estimated by means of the argument state vector composed of the unknown faults and states. Then, stability analysis is given for the closed-loop system. Finally, the proposed approach is verified using a three-degree-of-freedom simulation of a typical fighter aircraft and the significantly improved system response demonstrates the practical potential of the theoretic results obtained.

  10. Data base for failure/maintenance at the Tritium Systems Test Assembly

    International Nuclear Information System (INIS)

    Gruetzmacher, K.M.; Wilhelm, R.C.

    1986-01-01

    A data collection system for obtaining availability/reliability data on fusion technology has been installed at the Tritium Systems Test Assembly (TSTA) of Los Alamos National Laboratory. The system is fashioned after the Centralized Reliability Data Organization developed at Oak Ridge National Laboratory. The data collection system is currently being used at TSTA and is working well. The amount of data that has been collected at TSTA to date is not sufficient to indicate meaningful trends in availability analysis

  11. Comparison Study of Electromagnet and Permanent Magnet Systems for an Accelerator Using Cost-Based Failure Modes and Effects Analysis

    International Nuclear Information System (INIS)

    Spencer, C

    2004-01-01

    The next generation of particle accelerators will be one-of-a-kind facilities, and to meet their luminosity goals they must have guaranteed availability over their several decade lifetimes. The Next Linear Collider (NLC) is one viable option for a 1 TeV electron-positron linear collider, it has an 85% overall availability goal. We previously showed how a traditional Failure Modes and Effects Analysis (FMEA) of a SLAC electromagnet leads to reliability-enhancing design changes. Traditional FMEA identifies failure modes with high risk but does not consider the consequences in terms of cost, which could lead to unnecessarily expensive components. We have used a new methodology, ''Life Cost-Based FMEA'', which measures risk of failure in terms of cost, in order to evaluate and compare two different technologies that might be used for the 8653 NLC magnets: electromagnets or permanent magnets. The availabilities for the two different types of magnet systems have been estimated using empirical data from SLAC's accelerator failure database plus expert opinion on permanent magnet failure modes and industry standard failure data. Labor and material costs to repair magnet failures are predicted using a Monte Carlo simulation of all possible magnet failures over a 30-year lifetime. Our goal is to maximize up-time of the NLC through magnet design improvements and the optimal combination of electromagnets and permanent magnets, while reducing magnet system lifecycle costs

  12. An Evaluation of the Potential Failure Modes for Gaseous Agent Fire Extinguishing Systems Installed within the Protected Space

    National Research Council Canada - National Science Library

    Back, G; Forssell, E; Boosinger, M; Beene, D; Nash, L; Weaver, E

    2007-01-01

    ...., agent cylinders and control valves) within the space they are protecting (i.e., machinery spaces). Testing was carried out to identify the potential failure modes of the system and its components...

  13. End-of-life care in general practice: A cross-sectional, retrospective survey of 'cancer', 'organ failure' and 'old-age/dementia' patients

    NARCIS (Netherlands)

    Evans, N.C.; Pasman, H.R.W.; Donker, G.A.; Deliens, L.; Block, L.; Onwuteaka-Philipsen, B.D.

    2014-01-01

    Background: End-of-life care is often provided in primary care settings. Aim: To describe and compare general-practitioner end-of-life care for Dutch patients who died from 'cancer', 'organ failure' and 'old-age or dementia'. Design: A cross-sectional, retrospective survey was conducted within a

  14. Acute liver failure

    DEFF Research Database (Denmark)

    Larsen, Fin Stolze; Bjerring, Peter Nissen

    2011-01-01

    Acute liver failure (ALF) results in a multitude of serious complications that often lead to multi-organ failure. This brief review focuses on the pathophysiological processes in ALF and how to manage these.......Acute liver failure (ALF) results in a multitude of serious complications that often lead to multi-organ failure. This brief review focuses on the pathophysiological processes in ALF and how to manage these....

  15. Failure and Maintenance Analysis Using Web-Based Reliability Database System

    International Nuclear Information System (INIS)

    Hwang, Seok Won; Kim, Myoung Su; Seong, Ki Yeoul; Na, Jang Hwan; Jerng, Dong Wook

    2007-01-01

    Korea Hydro and Nuclear Power Company has lunched the development of a database system for PSA and Maintenance Rule implementation. It focuses on the easy processing of raw data into a credible and useful database for the risk-informed environment of nuclear power plant operation and maintenance. Even though KHNP had recently completed the PSA for all domestic NPPs as a requirement of the severe accident mitigation strategy, the component failure data were only gathered as a means of quantification purposes for the relevant project. So, the data were not efficient enough for the Living PSA or other generic purposes. Another reason to build a real time database is for the newly adopted Maintenance Rule, which requests the utility to continuously monitor the plant risk based on its operation and maintenance performance. Furthermore, as one of the pre-condition for the Risk Informed Regulation and Application, the nuclear regulatory agency of Korea requests the development and management of domestic database system. KHNP is stacking up data of operation and maintenance on the Enterprise Resource Planning (ERP) system since its first opening on July, 2003. But, so far a systematic review has not been performed to apply the component failure and maintenance history for PSA and other reliability analysis. The data stored in PUMAS before the ERP system is introduced also need to be converted and managed into the new database structure and methodology. This reliability database system is a web-based interface on a UNIX server with Oracle relational database. It is designed to be applicable for all domestic NPPs with a common database structure and the web interfaces, therefore additional program development would not be necessary for data acquisition and processing in the near future. Categorization standards for systems and components have been implemented to analyze all domestic NPPs. For example, SysCode (for a system code) and CpCode (for a component code) were newly

  16. Method and system for detecting a failure or performance degradation in a dynamic system such as a flight vehicle

    Science.gov (United States)

    Miller, Robert H. (Inventor); Ribbens, William B. (Inventor)

    2003-01-01

    A method and system for detecting a failure or performance degradation in a dynamic system having sensors for measuring state variables and providing corresponding output signals in response to one or more system input signals are provided. The method includes calculating estimated gains of a filter and selecting an appropriate linear model for processing the output signals based on the input signals. The step of calculating utilizes one or more models of the dynamic system to obtain estimated signals. The method further includes calculating output error residuals based on the output signals and the estimated signals. The method also includes detecting one or more hypothesized failures or performance degradations of a component or subsystem of the dynamic system based on the error residuals. The step of calculating the estimated values is performed optimally with respect to one or more of: noise, uncertainty of parameters of the models and un-modeled dynamics of the dynamic system which may be a flight vehicle or financial market or modeled financial system.

  17. Application of Quality Management Tools for Evaluating the Failure Frequency of Cutter-Loader and Plough Mining Systems

    Science.gov (United States)

    Biały, Witold

    2017-06-01

    Failure frequency in the mining process, with a focus on the mining machine, has been presented and illustrated by the example of two coal-mines. Two mining systems have been subjected to analysis: a cutter-loader and a plough system. In order to reduce costs generated by failures, maintenance teams should regularly make sure that the machines are used and operated in a rational and effective way. Such activities will allow downtimes to be reduced, and, in consequence, will increase the effectiveness of a mining plant. The evaluation of mining machines' failure frequency contained in this study has been based on one of the traditional quality management tools - the Pareto chart.

  18. Sequential organ failure assessment scoring and prediction of patient's outcome in Intensive Care Unit of a tertiary care hospital.

    Science.gov (United States)

    Jain, Aditi; Palta, Sanjeev; Saroa, Richa; Palta, Anshu; Sama, Sonu; Gombar, Satinder

    2016-01-01

    The objective was to determine the accuracy of sequential organ failure assessment (SOFA) score in predicting outcome of patients in Intensive Care Unit (ICU). Forty-four consecutive patients between 15 and 80 years admitted to ICU over 8 weeks period were studied prospectively. Three patients were excluded. SOFA score was determined 24 h postadmission to ICU and subsequently every 48 h for the first 10 days. Patients were followed till discharge/death/transfer from the ICU. Initial SOFA score, highest and mean SOFA scores were calculated and correlated with mortality and duration of stay in ICU. The mortality rate was 39% and the mean duration of stay in the ICU was 9 days. The maximum score in survivors (3.92 ± 2.17) was significantly lower than nonsurvivors (8.9 ± 3.45). The initial SOFA score had a strong statistical correlation with mortality. Cardiovascular score on day 1 and 3, respiratory score on day 7, and coagulation profile on day 3 correlated significantly with the outcome. Duration of the stay did not correlate with the survival (P = 0.461). SOFA score is a simple, but effective prognostic indicator and evaluator for patient progress in ICU. Day 1 SOFA can triage the patients into risk categories. For further management, mean and maximum score help determine the severity of illness and can act as a guide for the intensity of therapy required for each patient.

  19. Predictive Value of the Sequential Organ Failure Assessment Score for Mortality in a Contemporary Cardiac Intensive Care Unit Population.

    Science.gov (United States)

    Jentzer, Jacob C; Bennett, Courtney; Wiley, Brandon M; Murphree, Dennis H; Keegan, Mark T; Gajic, Ognjen; Wright, R Scott; Barsness, Gregory W

    2018-03-10

    Optimal methods of mortality risk stratification in patients in the cardiac intensive care unit (CICU) remain uncertain. We evaluated the ability of the Sequential Organ Failure Assessment (SOFA) score to predict mortality in a large cohort of unselected patients in the CICU. Adult patients admitted to the CICU from January 1, 2007, to December 31, 2015, at a single tertiary care hospital were retrospectively reviewed. SOFA scores were calculated daily, and Acute Physiology and Chronic Health Evaluation (APACHE)-III and APACHE-IV scores were calculated on CICU day 1. Discrimination of hospital mortality was assessed using area under the receiver-operator characteristic curve values. We included 9961 patients, with a mean age of 67.5±15.2 years; all-cause hospital mortality was 9.0%. Day 1 SOFA score predicted hospital mortality, with an area under the receiver-operator characteristic curve value of 0.83; area under the receiver-operator characteristic curve values were similar for the APACHE-III score, and APACHE-IV predicted mortality ( P >0.05). Mean and maximum SOFA scores over multiple CICU days had greater discrimination for hospital mortality ( P predicted higher long-term mortality ( P prediction of long-term mortality. © 2018 The Authors. Published on behalf of the American Heart Association, Inc., by Wiley.

  20. The sequential organ failure assessment (SOFA) score is an effective triage marker following staggered paracetamol (acetaminophen) overdose.

    Science.gov (United States)

    Craig, D G; Zafar, S; Reid, T W D J; Martin, K G; Davidson, J S; Hayes, P C; Simpson, K J

    2012-06-01

    The sequential organ failure assessment (SOFA) score is an effective triage marker following single time point paracetamol (acetaminophen) overdose, but has not been evaluated following staggered (multiple supratherapeutic doses over >8 h, resulting in cumulative dose of >4 g/day) overdoses. To evaluate the prognostic accuracy of the SOFA score following staggered paracetamol overdose. Time-course analysis of 50 staggered paracetamol overdoses admitted to a tertiary liver centre. Individual timed laboratory samples were correlated with corresponding clinical parameters and the daily SOFA scores were calculated. A total of 39/50 (78%) patients developed hepatic encephalopathy. The area under the SOFA receiver operator characteristic for death/liver transplantation was 87.4 (95% CI 73.2-95.7), 94.3 (95% CI 82.5-99.1), and 98.4 (95% CI 84.3-100.0) at 0, 24 and 48 h, respectively, postadmission. A SOFA score of paracetamol overdose, is associated with a good prognosis. Both the SOFA and APACHE II scores could improve triage of high-risk staggered paracetamol overdose patients. © 2012 Blackwell Publishing Ltd.

  1. Decentralized Adaptive Control of Systems with Uncertain Interconnections, Plant-Model Mismatch and Actuator Failures

    Science.gov (United States)

    Patre, Parag; Joshi, Suresh M.

    2011-01-01

    Decentralized adaptive control is considered for systems consisting of multiple interconnected subsystems. It is assumed that each subsystem s parameters are uncertain and the interconnection parameters are not known. In addition, mismatch can exist between each subsystem and its reference model. A strictly decentralized adaptive control scheme is developed, wherein each subsystem has access only to its own state but has the knowledge of all reference model states. The mismatch is estimated online for each subsystem and the mismatch estimates are used to adaptively modify the corresponding reference models. The adaptive control scheme is extended to the case with actuator failures in addition to mismatch.

  2. Service restoration following a major failure on the Hydro-Quebec power system

    Energy Technology Data Exchange (ETDEWEB)

    Morin, G.

    1987-04-01

    Service restoration following a major power failure can occasion voltage problems on weak EHV systems from the point of view of both steady-state and temporary operation. This is due to the use of long EHV transmission links between the production sites and the load centres, which can cause large amounts of reactive power to be generated, and low short-circuit level, leading to low-frequency resonance, further excited by the presence of transformers. This paper describes an approach to service restoration which should speed up the process of restoring service to customers while at the same time limiting the risks of damage to equipment.

  3. Extracorporeal albumin dialysis with the molecular adsorbent recirculating system in acute-on-chronic liver failure

    DEFF Research Database (Denmark)

    Bañares, Rafael; Nevens, Frederik; Larsen, Fin Stolze

    2013-01-01

    Acute-on-chronic liver failure (ACLF) is a frequent cause of death in cirrhosis. Albumin dialysis with the molecular adsorbent recirculating system (MARS) decreases retained substances and improves hemodynamics and hepatic encephalopathy (HE). However, its survival impact is unknown. In all, 189...... sessions were scheduled. The main endpoint was 28-day ITT and PP survival. There were no significant differences at inclusion, although the proportion of patients with Model for Endstage Liver Disease (MELD) score over 20 points and with spontaneous bacterial peritonitis (SBP) as a precipitating event...

  4. The Organic Foods System: Its Discursive Achievements and Prospects

    Science.gov (United States)

    Nowacek, David M.; Nowacek, Rebecca S.

    2008-01-01

    Taking the emergence of the organic foods system as a case study, the authors aim to demonstrate both how the discursive richness of the organic foods system offers a challenge to the traditional operations of the market and how activity systems theory as understood in English studies can productively be tied to and enriched by theories of social…

  5. Peculiarities of the risk management system organization in current conditions

    OpenAIRE

    MIKHIN P.O.

    2014-01-01

    Risk-management system organization problem is topical nowadays. The innovation activity is defined as an activity vulnerable to risk and needs more attention. The basic approaches and elements of organization structure development in risk-management system are considered to find out the best structure for business modelling usage. Balance and combination of risk-management system types are required in current conditions.

  6. Failure Diagnosis System for a Ball-Screw by Using Vibration Signals

    Directory of Open Access Journals (Sweden)

    Won Gi Lee

    2015-01-01

    Full Text Available Recently, in order to reduce high maintenance costs and to increase operating ratio in manufacturing systems, condition-based maintenance (CBM has been developed. CBM is carried out with indicators, which show equipment’s faults and performance deterioration. In this study, indicator signal acquisition and condition monitoring are applied to a ball-screw-driven stage. Although ball-screw is a typical linearly reciprocating part and is widely used in industry, it has not gained attention to be diagnosed compared to rotating parts such as motor, pump, and bearing. First, the vibration-based monitoring method, which uses vibration signal to monitor the condition of a machine, is proposed. Second, Wavelet transform is used to analyze the defect signals in time-frequency domain. Finally, the failure diagnosis system is developed using the analysis, and then its performance is evaluated. Using the system, we estimated the severity of failure and detect the defect position. The low defect frequency (≈58.7 Hz is spread all over the time in the Wavelet-filtered signal with low frequency range. Its amplitude reflects the progress of defect. The defect position was found in the signal with high frequency range (768~1,536 Hz. It was detected from the interval between abrupt changes of signal.

  7. Use of fault tree technique to determine the failure probability of electrical systems of IE class in nuclear installations

    International Nuclear Information System (INIS)

    Cruz S, W.D.

    1988-01-01

    This paper refers to emergency safety systems of Angra INPP (Brazil 1626 Mw(e)) such as containment, heat removal, emergency removal system, radioactive elements removal from containment environment, berated water infection, etc. Associated with these systems, the failure probability calculation of IE Class bars is achieved, this is a safety classification for electrical equipment essential for the systems mentioned above

  8. Graphic Representation of Organs and Organ Systems: Psychological View and Developmental Patterns

    Science.gov (United States)

    Bartoszeck, Amauri Betini; Machado, Danielle Zagonel; Amann-Gainotti, Merete

    2011-01-01

    The objective of this exploratory study is to characterize by means of drawings if the developmental patterns in the graphic representation of organ and organ systems progresses related to age of participants. Secondly, whether there is an integration of sex organs into the internal body image. The drawings representing the inside of the body in…

  9. Failure behavior of a pipe system with a circumferentially orientated flaw - analytical and experimental investigations

    International Nuclear Information System (INIS)

    Mikkola, T.P.J.; Diem, H.; Blind, D.; Hunger, H.

    1989-01-01

    At the german HDR-test-facility a pipe failure experiment was performed at a fullsize feedwater piping system under operating conditions of T=240 0 C, p=10.6 MPa and with an elevated oxygen content in the pressure medium. The loading was internal pressure and a cyclic varying bending moment with an R-ratio of 0.5. The in form of a circumferentially orientated notch initially weakened piping system failed after a total number of 4773 loaded cycles with different frequencies in form of a small leak. The analyses of the fracture surface indicated the strongly growing influence of corrosion effects on the crack propagation rate with decreasing loading frequency. The cyclic crack growth and the leak-before-break behavior of the piping system could be explained on the basis of results of finite element calculations using ADINA-code. (orig.)

  10. Fusion magnet safety studies program: superconducting magnet protection system and failure. Interim report

    International Nuclear Information System (INIS)

    Allinger, J.; Danby, G.; Hsieh, S.Y.; Keane, J.; Powell, J.; Prodell, A.

    1975-11-01

    This report includes the first two quarters study of available information on schemes for protecting superconducting magnets. These schemes can be divided into two different categories. The first category deals with the detection of faulty regions (or normal regions) in the magnet. The second category relates to the protection of the magnet when a fault is detected, and the derived signal which can be used to activate a safety system (or energy removal system). The general detection and protection methods are first described briefly and then followed by a survey of the protection systems used by different laboratories for various magnets. A survey of the cause of the magnet difficulties or failures is also included. A preliminary discussion of these protection schemes and the experimental development of this program is given

  11. Deep knowledge expert system for diagnosis of multiple-failure severe transients in nuclear power plant

    International Nuclear Information System (INIS)

    Martin, R.P.; Nassersharif, B.

    1987-01-01

    TAMUS (Transient Analysis of MUltiple-failure Simulations) is a prototype expert system which is the result of a project investigating and implementing event confidence-levels (used by reactor safety experts in reactor transient analysis) in the form of an expert system. Currently, TAMUS is designed to diagnose reactor transients by analyzing simulated sensor and plant thermal hydraulic information from a system simulation. TAMUS uses a knowledge base of existing emergency nuclear plant operating guidelines and detailed thermal-hydraulic calculating results correlated to confidence-levels. TAMUS can diagnose a number of reactor transients (for example, loss-of-coolant accidents, steam-generator-tube ruptures, loss-of-offsite power, etc.). Future work includes the expansion of the knowledge base and improvement of the deep-knowledge qualitative models

  12. Fusion magnet safety studies program: superconducting magnet protection system and failure. Interim report

    Energy Technology Data Exchange (ETDEWEB)

    Allinger, J.; Danby, G.; Hsieh, S.Y.; Keane, J.; Powell, J.; Prodell, A.

    1975-11-01

    This report includes the first two quarters study of available information on schemes for protecting superconducting magnets. These schemes can be divided into two different categories. The first category deals with the detection of faulty regions (or normal regions) in the magnet. The second category relates to the protection of the magnet when a fault is detected, and the derived signal which can be used to activate a safety system (or energy removal system). The general detection and protection methods are first described briefly and then followed by a survey of the protection systems used by different laboratories for various magnets. A survey of the cause of the magnet difficulties or failures is also included. A preliminary discussion of these protection schemes and the experimental development of this program is given.

  13. Sequential Oxygenation Index and Organ Dysfunction Assessment within the First 3 Days of Mechanical Ventilation Predict the Outcome of Adult Patients with Severe Acute Respiratory Failure

    Directory of Open Access Journals (Sweden)

    Hsu-Ching Kao

    2013-01-01

    Full Text Available Objective. To determine early predictors of outcomes of adult patients with severe acute respiratory failure. Method. 100 consecutive adult patients with severe acute respiratory failure were evaluated in this retrospective study. Data including comorbidities, Sequential Organ Failure Assessment (SOFA score, Acute Physiological Assessment and Chronic Health Evaluation II (APACHE II score, PaO2, FiO2, PaO2/FiO2, PEEP, mean airway pressure (mPaw, and oxygenation index (OI on the 1st and the 3rd day of mechanical ventilation, and change in OI within 3 days were recorded. Primary outcome was hospital mortality; secondary outcome measure was ventilator weaning failure. Results. 38 out of 100 (38% patients died within the study period. 48 patients (48% failed to wean from ventilator. Multivariate analysis showed day 3 OI ( and SOFA ( score were independent predictors of hospital mortality. Preexisting cerebrovascular accident (CVA ( was the predictor of weaning failure. Results from Kaplan-Meier method demonstrated that higher day 3 OI was associated with shorter survival time (log-Rank test, . Conclusion. Early OI (within 3 days and SOFA score were predictors of mortality in severe acute respiratory failure. In the future, prospective studies measuring serial OIs in a larger scale of study cohort is required to further consolidate our findings.

  14. The concept of self-organizing systems. Why bother?

    Science.gov (United States)

    Elverfeldt, Kirsten v.; Embleton-Hamann, Christine; Slaymaker, Olav

    2016-04-01

    Complexity theory and the concept of self-organizing systems provide a rather challenging conceptual framework for explaining earth systems change. Self-organization - understood as the aggregate processes internal to an environmental system that lead to a distinctive spatial or temporal organization - reduces the possibility of implicating a specific process as being causal, and it poses some restrictions on the idea that external drivers cause a system to change. The concept of self-organizing systems suggests that many phenomena result from an orchestration of different mechanisms, so that no causal role can be assigned to an individual factor or process. The idea that system change can be due to system-internal processes of self-organization thus proves a huge challenge to earth system research, especially in the context of global environmental change. In order to understand the concept's implications for the Earth Sciences, we need to know the characteristics of self-organizing systems and how to discern self-organizing systems. Within the talk, we aim firstly at characterizing self-organizing systems, and secondly at highlighting the advantages and difficulties of the concept within earth system sciences. The presentation concludes that: - The concept of self-organizing systems proves especially fruitful for small-scale earth surface systems. Beach cusps and patterned ground are only two of several other prime examples of self-organizing earth surface systems. They display characteristics of self-organization like (i) system-wide order from local interactions, (ii) symmetry breaking, (iii) distributed control, (iv) robustness and resilience, (v) nonlinearity and feedbacks, (vi) organizational closure, (vii) adaptation, and (viii) variation and selection. - It is comparatively easy to discern self-organization in small-scale systems, but to adapt the concept to larger scale systems relevant to global environmental change research is more difficult: Self-organizing

  15. Expert system for failure analysis of shafts; Sistema experto para analisis de falla de ejes

    Energy Technology Data Exchange (ETDEWEB)

    Jacobo Armendariz, V.H.; Cerrud Sanchez, S.M.; Ramirez Rodriguez, M.A.; Ortiz Prado, A. [Facultad de Ingenieria, UNAM, Mexico, D.F. (Mexico)

    2002-09-01

    An expert system for the failure analysis in metallic mechanical devices is being Developer at the Mechanical Engineering departments of the Faculty of Engineering of the Universidad Nacional Autonoma de Mexico (UNAM) to provide a solution for the failure analysis in cases where considerable experience in needed. The system pretends to resolve the scarceness of experts in the field of failure analysis and is oriented toward the metal-mechanics industry and will also have didactic applications. The main complication in the development of the system is the broad range of applications envisioned, like gears, shafts, bolts and springs between others. Therefore, it was decided to develop the system in a modular way, using the experience obtained in a first module to proceed faster in the others. The present paper presents the elaboration of the module that analyses shafts. This will serve as the base to expand the system toward other components. It uses the general structure of the global system, including an auxiliary software for the determination of maximum stresses in the corresponding parts. [Spanish] Con el fin de contar con un medio eficaz para la solucion de problemas relacionados con el analisis de falla, en donde la experiencia juega un papel fundamental, el Departamento de Ingenieria Mecanica de la Facultad de ingenieria de la Universidad Nacional Autonoma de Mexico (UNAM) , esta desarrollando el proyecto Sistema experto para analisis de falla de elementos mecanicos, dicho sistema busca resolver el inconveniente de la escasez de expertos y se orienta, tanto a la necesidad de la industria metalmecanica como a la de la docencia. Presenta tambien complicaciones en su desarrollo, ya que se pretende la posibilidad de realizar analisis de falla de elementos como ejes, engranes, pernos, bielas, resortes, tornillos etc. Por lo anterior, se establecio como estrategia el desarrollo del sistema por modulos, ya que teniendo la experiencia de elaboracion de un primer

  16. Increased extracellular heat shock protein 90α in severe sepsis and SIRS associated with multiple organ failure and related to acute inflammatory-metabolic stress response in children.

    Science.gov (United States)

    Fitrolaki, Michaela-Diana; Dimitriou, Helen; Venihaki, Maria; Katrinaki, Marianna; Ilia, Stavroula; Briassoulis, George

    2016-08-01

    Mammalian heat-shock-protein (HSP) 90α rapidly responses to environmental insults. We examined the hypothesis that not only serum HSP72 but also HSP90α is increased in the systemic inflammatory response syndrome (SIRS), severe-sepsis (SS), and/or sepsis (S) compared to healthy children (H); we assessed HSP90α relation to (a) multiple organ system failure (MOSF) and (b) inflammatory-metabolic response and severity of illness.A total of 65 children with S, SS, or SIRS and 25 H were included. ELISA was used to evaluate extracellular HSP90α and HSP72, chemiluminescence interleukins (ILs), flow-cytometry neutrophil-CD64 (nCD64)-expression.HSP90α, along with HSP72, were dramatically increased among MOSF patients. Patients in septic groups and SIRS had elevated HSP90α compared to H (P stress, fever, outcome endpoints, and predicted mortality and inversely related to the low-LDL/low-HDL stress metabolic pattern.

  17. An indexing system of corrosion failures for case-based reasoning

    Energy Technology Data Exchange (ETDEWEB)

    Roberge, P.R. [Royal Military Coll., Kingston, Ontario (Canada). Dept. of Chemistry and Chemical Engineering; Trethewey, K.R. [Univ. of Southampton (United Kingdom). Dept. of Engineering Materials

    1996-10-01

    The difficulties associated with the committal of human expert knowledge to computers for the development of more effective knowledge-based systems have raised the possibility of mimicking the process of reasoning from previous experiences. Experts are known to make proficient decisions based more upon analogy with similar events and situations than the kind of sequential mechanisms used in many algorithmic approaches. For many years, both law and business schools have used cases as the foundation for knowledge in their respective disciplines. Computer reasoning by analogy, a technique known as Case-Based Reasoning (CBR) has met with tangible success in such diverse human decision-making applications as banking, autoclave loading, tactical decision-making, and foreign trade negotiations. Failure analysts and corrosion engineers also reason by analogy when faced with new situations or problems. The CBR approach is particularly valuable in cases containing ill-structured problems, uncertainty, ambiguity, and missing data. Dynamic environments can also be tackled, or when there are shifting, ill-defined and competing objectives. Cases where there are action feedback loops, multiple human involvement, and multiple and potentially changing organizational goals and norms can also be tackled. This paper describes a method of indexing case histories for use in a case-based reasoning system in support of failure analysis.

  18. A new "twist" on right heart failure with left ventricular assist systems.

    Science.gov (United States)

    Houston, Brian A; Shah, Keyur B; Mehra, Mandeep R; Tedford, Ryan J

    2017-07-01

    Despite significant efforts to predict and prevent right heart failure, it remains a leading cause of morbidity and mortality after implantation of left ventricular assist systems (LVAS). In this Perspective, we review the underappreciated anatomic and physiologic principles that govern the relationship between left and right heart function and contribute to this phenomenon. This includes the importance of considering the right ventricle (RV) and pulmonary arterial circuit as a coupled system; the contribution of the left ventricle (LV) to RV contractile function and the potential negative impact of acutely unloading the LV; the influence of the pericardium and ventricular twist on septal function; the role of RV deformation in reduced mechanical efficiency after device placement; and the potential of ongoing stressors of an elevated right-sided preload. We believe an appreciation of these complex issues is required to fully understand the expression of the unique phenotypes of right heart failure after LVAS implantation and for developing better prognostic and therapeutic strategies. Copyright © 2017 International Society for the Heart and Lung Transplantation. Published by Elsevier Inc. All rights reserved.

  19. Canonical failure modes of real-time control systems: insights from cognitive theory

    Science.gov (United States)

    Wallace, Rodrick

    2016-04-01

    Newly developed necessary conditions statistical models from cognitive theory are applied to generalisation of the data-rate theorem for real-time control systems. Rather than graceful degradation under stress, automatons and man/machine cockpits appear prone to characteristic sudden failure under demanding fog-of-war conditions. Critical dysfunctions span a spectrum of phase transition analogues, ranging from a ground state of 'all targets are enemies' to more standard data-rate instabilities. Insidious pathologies also appear possible, akin to inattentional blindness consequent on overfocus on an expected pattern. Via no-free-lunch constraints, different equivalence classes of systems, having structure and function determined by 'market pressures', in a large sense, will be inherently unreliable under different but characteristic canonical stress landscapes, suggesting that deliberate induction of failure may often be relatively straightforward. Focusing on two recent military case histories, these results provide a caveat emptor against blind faith in the current path-dependent evolutionary trajectory of automation for critical real-time processes.

  20. Optimization of a Multi-Product Intra-Supply Chain System with Failure in Rework.

    Science.gov (United States)

    Chiu, Singa Wang; Chen, Shin-Wei; Chang, Chih-Kai; Chiu, Yuan-Shyi Peter

    2016-01-01

    Globalization has created tremendous opportunities, but also made business environment highly competitive and turbulent. To gain competitive advantage, management of present-day transnational firms always seeks options to trim down various transaction and coordination costs, especially in the area of controllable intra-supply chain system. This study investigates a multi-product intra-supply chain system with failure in rework. To achieve maximum machine utilization, multiple products are fabricated in succession on a single machine. During the process, production of some defective items is inevitable. Reworking of nonconforming items is used to reduce the quality cost in production and achieving the goal of lower overall production cost. Because reworks are sometimes unsuccessful, failures in rework are also considered in this study. Finished goods for each product are transported to the sales offices when the entire production lot is quality assured after rework. A multi-delivery policy is used, wherein fixed quantity n installments of the finished lot are transported at fixed intervals during delivery time. The objective is to jointly determine the common production cycle time and the number of deliveries needed to minimize the long-term expected production-inventory-delivery costs for the problem. With the help of a mathematical model along with optimization technique, the optimal production-shipment policy is obtained. We have used a numerical example to demonstrate applicability of the result of our research.

  1. Optimization of a Multi–Product Intra-Supply Chain System with Failure in Rework

    Science.gov (United States)

    2016-01-01

    Globalization has created tremendous opportunities, but also made business environment highly competitive and turbulent. To gain competitive advantage, management of present-day transnational firms always seeks options to trim down various transaction and coordination costs, especially in the area of controllable intra-supply chain system. This study investigates a multi–product intra-supply chain system with failure in rework. To achieve maximum machine utilization, multiple products are fabricated in succession on a single machine. During the process, production of some defective items is inevitable. Reworking of nonconforming items is used to reduce the quality cost in production and achieving the goal of lower overall production cost. Because reworks are sometimes unsuccessful, failures in rework are also considered in this study. Finished goods for each product are transported to the sales offices when the entire production lot is quality assured after rework. A multi-delivery policy is used, wherein fixed quantity n installments of the finished lot are transported at fixed intervals during delivery time. The objective is to jointly determine the common production cycle time and the number of deliveries needed to minimize the long–term expected production–inventory–delivery costs for the problem. With the help of a mathematical model along with optimization technique, the optimal production–shipment policy is obtained. We have used a numerical example to demonstrate applicability of the result of our research. PMID:27918588

  2. Risk-Cost Estimation of On-Site Wastewater Treatment System Failures Using Extreme Value Analysis.

    Science.gov (United States)

    Kohler, Laura E; Silverstein, JoAnn; Rajagopalan, Balaji

    2017-05-01

      Owner resistance to increasing regulation of on-site wastewater treatment systems (OWTS), including obligatory inspections and upgrades, moratoriums and cease-and-desist orders in communities around the U.S. demonstrate the challenges associated with managing risks of inadequate performance of owner-operated wastewater treatment systems. As a result, determining appropriate and enforceable performance measures in an industry with little history of these requirements is challenging. To better support such measures, we develop a statistical method to predict lifetime failure risks, expressed as costs, in order to identify operational factors associated with costly repairs and replacement. A binomial logistic regression is used to fit data from public records of reported OWTS failures, in Boulder County, Colorado, which has 14 300 OWTS to determine the probability that an OWTS will be in a low- or high-risk category for lifetime repair and replacement costs. High-performing or low risk OWTS with repairs and replacements below the threshold of $9000 over a 40-year life are associated with more frequent inspections and upgrades following home additions. OWTS with a high risk of exceeding the repair cost threshold of $18 000 are further analyzed in a variation of extreme value analysis (EVA), Points Over Threshold (POT) where the distribution of risk-cost exceedance values are represented by a generalized Pareto distribution. The resulting threshold cost exceedance estimates for OWTS in the high-risk category over a 40-year expected life ranged from $18 000 to $44 000.

  3. Quantitative analysis of Common cause failures in systems with a high level of redundancies

    International Nuclear Information System (INIS)

    Pereira Pagan, B.; Lopez Fdez-Quevedo, C.; Gomez, F.; Cuallado, G.

    1996-01-01

    The importance of common cause failures in plants with systems featuring a high level of redundancies, and the difficulty implied by the lack of data on specific KWU design plants have been taken into account right from the beginning of the PSA. for this reason it has been necessary to analyse the different methodologies by establishing a procedure based on the documentation available, studying its applicability and solving problems arising from of the lack of information needed to make reliable statistical estimates. It was finally decided to systematically use the alpha parameter method. In case where this was not possible, the modified Beta factor method was used, and if there were no data available for the type of component considered, generic alpha values were used. this process required the definition of certain criteria to maintain coherent parameter estimates. The final result shows the impact of the number of redundancies considered in the estimated failure probability or rare. This process is valid for any size of system modelled. (Author)

  4. Organic Dairy Production Systems in Pennsylvania: A Case Study Evaluation

    NARCIS (Netherlands)

    Rotz, C.A.; Kamphuis, G.H.; Karsten, H.D.; Weaver, R.D.

    2007-01-01

    The current market demand and price for organic milk is encouraging dairy producers, particularly those on smaller farms, to consider organic production as a means for improving the economic viability of their operations. Organic production systems vary widely in scale, in practices, and across

  5. Organizing for Instruction in Education Systems and School Organizations: "How" the Subject Matters

    Science.gov (United States)

    Spillane, James P.; Hopkins, Megan

    2013-01-01

    Teaching, the core technology of schooling, is an essential consideration in investigations of education systems and school organizations. Taking teaching seriously as an explanatory variable in research on education systems and organizations necessitates moving beyond treating it as a unitary practice, so as to take account of the school subjects…

  6. Theories are knowledge organizing systems (KOS)

    DEFF Research Database (Denmark)

    Hjørland, Birger

    2015-01-01

    The notion “theory” is a neglected concept in the field of information science and knowledge organization (KO) as well as generally in philosophy and in many other fields, although there are exceptions from this general neglect (e.g., the so-called “theory theory” in cognitive psychology...

  7. Self-Organization in Embedded Real-Time Systems

    CERN Document Server

    Brinkschulte, Uwe; Rettberg, Achim

    2013-01-01

    This book describes the emerging field of self-organizing, multicore, distributed and real-time embedded systems.  Self-organization of both hardware and software can be a key technique to handle the growing complexity of modern computing systems. Distributed systems running hundreds of tasks on dozens of processors, each equipped with multiple cores, requires self-organization principles to ensure efficient and reliable operation. This book addresses various, so-called Self-X features such as self-configuration, self-optimization, self-adaptation, self-healing and self-protection. Presents open components for embedded real-time adaptive and self-organizing applications; Describes innovative techniques in: scheduling, memory management, quality of service, communications supporting organic real-time applications; Covers multi-/many-core embedded systems supporting real-time adaptive systems and power-aware, adaptive hardware and software systems; Includes case studies of open embedded real-time self-organizi...

  8. Probabilistic Design Analysis (PDA) Approach to Determine the Probability of Cross-System Failures for a Space Launch Vehicle

    Science.gov (United States)

    Shih, Ann T.; Lo, Yunnhon; Ward, Natalie C.

    2010-01-01

    Quantifying the probability of significant launch vehicle failure scenarios for a given design, while still in the design process, is critical to mission success and to the safety of the astronauts. Probabilistic risk assessment (PRA) is chosen from many system safety and reliability tools to verify the loss of mission (LOM) and loss of crew (LOC) requirements set by the NASA Program Office. To support the integrated vehicle PRA, probabilistic design analysis (PDA) models are developed by using vehicle design and operation data to better quantify failure probabilities and to better understand the characteristics of a failure and its outcome. This PDA approach uses a physics-based model to describe the system behavior and response for a given failure scenario. Each driving parameter in the model is treated as a random variable with a distribution function. Monte Carlo simulation is used to perform probabilistic calculations to statistically obtain the failure probability. Sensitivity analyses are performed to show how input parameters affect the predicted failure probability, providing insight for potential design improvements to mitigate the risk. The paper discusses the application of the PDA approach in determining the probability of failure for two scenarios from the NASA Ares I project

  9. Increase in Organization Effectiveness Using Voice Analysis: The System Approach

    Directory of Open Access Journals (Sweden)

    Lina Bartkienė

    2011-04-01

    Full Text Available The main purpose of this article is to analyze literature related to the system theory and to present the system of increase in organization effectiveness using voice analysis. The concepts of the system approach were analyzed, the definition of the system, its components and classification were discussed. Following the principles of the system theory, the system of increase in organization effectiveness using voice analysis was designed. Each element was briefly discussed, i.e. processes influencing the employee, the environment, voice analysis system, expert system, prime and final organizational effectiveness. In addition, the relations between these elements were indentified. Article in Lithuanian

  10. Early warning indicators for monitoring the process failure of anaerobic digestion system of food waste.

    Science.gov (United States)

    Li, Lei; He, Qingming; Wei, Yunmei; He, Qin; Peng, Xuya

    2014-11-01

    To determine reliable state parameters which could be used as early warning indicators of process failure due to the acidification of anaerobic digestion of food waste, three mesophilic anaerobic digesters of food waste with different operation conditions were investigated. Such parameters as gas production, methane content, pH, concentrations of volatile fatty acid (VFA), alkalinity and their combined indicators were evaluated. Results revealed that operation conditions significantly affect the responses of parameters and thus the optimal early warning indicators of each reactor differ from each other. None of the single indicators was universally valid for all the systems. The universally valid indicators should combine several parameters to supply complementary information. A combination of total VFA, the ratio of VFA to total alkalinity (VFA/TA) and the ratio of bicarbonate alkalinity to total alkalinity (BA/TA) can reflect the metabolism of the digesting system and realize rapid and effective early warning. Copyright © 2014 Elsevier Ltd. All rights reserved.

  11. Methods and systems for chemoautotrophic production of organic compounds

    Energy Technology Data Exchange (ETDEWEB)

    Fischer, Curt R.; Che, Austin J.; Shetty, Reshma P.; Kelly, Jason R.

    2018-02-27

    The present disclosure identifies pathways, mechanisms, systems and methods to confer chemoautotrophic production of carbon-based products of interest, such as sugars, alcohols, chemicals, amino acids, polymers, fatty acids and their derivatives, hydrocarbons, isoprenoids, and intermediates thereof, in organisms such that these organisms efficiently convert inorganic carbon to organic carbon-based products of interest using inorganic energy, such as formate, and in particular the use of organisms for the commercial production of various carbon-based products of interest.

  12. The human sympathetic nervous system: its relevance in hypertension and heart failure.

    Science.gov (United States)

    Parati, Gianfranco; Esler, Murray

    2012-05-01

    Evidence assembled in this review indicates that sympathetic nervous system dysfunction is crucial in the development of heart failure and essential hypertension. This takes the form of persistent and adverse activation of sympathetic outflows to the heart and kidneys in both conditions. An important goal for clinical scientists is translation of the knowledge of pathophysiology, such as this, into better treatment for patients. The achievement of this 'mechanisms to management' transition is at different stages of development with regard to the two disorders. Clinical translation is mature in cardiac failure, knowledge of cardiac neural pathophysiology having led to the introduction of beta-adrenergic blockers, an effective therapy. With essential hypertension perhaps we are on the cusp of effective translation, with recent successful testing of selective catheter-based renal sympathetic nerve ablation in patients with resistant hypertension, an intervention firmly based on the demonstration of activation of the renal sympathetic outflow. Additional evidence in this regard is provided by the results of pilot studies exploring the possibility to reduce blood pressure in resistant hypertensives through electrical stimulation of the area of carotid baroreceptors. Despite the general importance of the sympathetic nervous system in blood pressure regulation, and the specific demonstration that the blood pressure elevation in essential hypertension is commonly initiated and sustained by sympathetic nervous activation, drugs antagonizing this system are currently underutilized in the care of patients with hypertension. Use of beta-adrenergic blocking drugs is waning, given the propensity of this drug class to have adverse metabolic effects, including predisposition to diabetes development. The blood pressure lowering achieved with carotid baroreceptor stimulation and with the renal denervation device affirms the importance of the sympathetic nervous system in

  13. Potential Impact of a Free Online HIV Treatment Response Prediction System for Reducing Virological Failures and Drug Costs after Antiretroviral Therapy Failure in a Resource-Limited Setting

    Directory of Open Access Journals (Sweden)

    Andrew D. Revell

    2013-01-01

    Full Text Available Objective. Antiretroviral drug selection in resource-limited settings is often dictated by strict protocols as part of a public health strategy. The objective of this retrospective study was to examine if the HIV-TRePS online treatment prediction tool could help reduce treatment failure and drug costs in such settings. Methods. The HIV-TRePS computational models were used to predict the probability of response to therapy for 206 cases of treatment change following failure in India. The models were used to identify alternative locally available 3-drug regimens, which were predicted to be effective. The costs of these regimens were compared to those actually used in the clinic. Results. The models predicted the responses to treatment of the cases with an accuracy of 0.64. The models identified alternative drug regimens that were predicted to result in improved virological response and lower costs than those used in the clinic in 85% of the cases. The average annual cost saving was $364 USD per year (41%. Conclusions. Computational models that do not require a genotype can predict and potentially avoid treatment failure and may reduce therapy costs. The use of such a system to guide therapeutic decision-making could confer health economic benefits in resource-limited settings.

  14. Effect of bicarbonate and lactate buffer on glucose and lactate metabolism during hemodiafiltration in patients with multiple organ failure.

    Science.gov (United States)

    Bollmann, Marc-Daniel; Revelly, Jean-Pierre; Tappy, Luc; Berger, Mette M; Schaller, Marie-Denise; Cayeux, Marie-Christine; Martinez, Alexandre; Chioléro, René-Louis

    2004-06-01

    To compare the effects of sodium bicarbonate and lactate for continuous veno-venous hemodiafiltration (CVVHDF) in critically ill patients. Prospective crossed-over controlled trial in the surgical and medical ICUs of a university hospital. Eight patients with multiple organ dysfunction syndrome (MODS) requiring CVVHDF. Each patient received the two buffers in a randomized sequence over two consecutive days. The following variables were determined: acid-base parameters, lactate production and utilization ((13)C lactate infusion), glucose turnover (6,6(2)H(2)-glucose), gas exchange (indirect calorimetry). No side effect was observed during lactate administration. Baseline arterial acid-base variables were equal with the two buffers. Arterial lactate (2.9 versus 1.5 mmol/l), glycemia (+18%) and glucose turnover (+23%) were higher in the lactate period. Bicarbonate and glucose losses in CVVHDF were substantial, but not lactate elimination. Infusing (13)C lactate increased plasma lactate levels equally with the two buffers. Lactate clearance (7.8+/-0.8 vs 7.5+/-0.8 ml/kg per min in the bicarbonate and lactate periods) and endogenous production rates (14.0+/-2.6 vs 13.6+/-2.6 mmol/kg per min) were similar. (13)C lactate was used as a metabolic substrate, as shown by (13)CO(2) excretion. Glycemia and metabolic rate increased significantly and similarly during the two periods during lactate infusion. Lactate was rapidly cleared from the blood of critically ill patients without acute liver failure requiring CVVHDF, being transformed into glucose or oxidized. Lactate did not exert undesirable effects, except moderate hyperglycemia, and achieved comparable effects on acid-base balance to bicarbonate.

  15. Application of the failure modes and effects analysis technique to the emergency cooling system of an experimental nuclear power plant

    International Nuclear Information System (INIS)

    Conceicao Junior, Osmar; Silva, Antonio Teixeira e

    2009-01-01

    This study consists on the application of the failure modes and effects analysis (FMEA), a hazard identification and a risk assessment technique, to the emergency cooling system (ECS), of an experimental nuclear power plant. The choice of this technique was due to its detailed analysis of each component of the system, enabling the identification of all possible ways of failure and its related consequences (in order of importance), allowing the designer to improve the system, maximizing its security and reliability. Through the application of this methodology, it could be observed that the ECS is an intrinsically safe system, in spite of the modifications proposed. (author)

  16. The renin–angiotensin–aldosterone-system and right heart failure in congenital heart disease

    OpenAIRE

    Stine Andersen, Stine Andersen; Andersen, Asger; Nielsen-Kudsk, Jens Erik

    2017-01-01

    Adults with congenital heart disease represent a rapidly growing patient group. Dysfunction of the right ventricle is often present, and right heart failure constitutes the main cause of death. Heart failure therapies used in acquired left heart failure are often initiated in adults with right heart failure due to congenital heart disease, but the right ventricle differs substantially from the left ventricle, and the clinical evidence for this treatment strategy is lacking. In this review,...

  17. International practice of production organizing in penitentiary systems

    OpenAIRE

    Goncharenko, Oksana

    2014-01-01

    The article studies the approaches to punishment goals definition in different penitentiary systems and the necessity of production organizing in penal institutions for convicts’ labor use. The international experience in the field of convicts’ labor organizing, foreign practice of production organizing, spheres and forms of convicts’ labor activity and their labor payment peculiarities are shown. The similarity of approaches to punishment goals definition in all penitentiary systems is prove...

  18. The Theoretical Principles of the Organization of Information Systems.

    Science.gov (United States)

    Kulikowski, Juliusz Lech

    A survey of the theoretical problems connected with the organization and design of systems for processing and transmitting information is presented in this article. It gives a definition of Information Systems (IS) and classifies them from various points of view. It discusses briefly the most important aspects of the organization of IS, such as…

  19. The Component And System Reliability Analysis Of Multipurpose Reactor G.A. Subway's Based On The Failure Rate Curve

    International Nuclear Information System (INIS)

    Sriyono; Ismu Wahyono, Puradwi; Mulyanto, Dwijo; Kusmono, Siamet

    2001-01-01

    The main component of Multipurpose G.A.Siwabessy had been analyzed by its failure rate curve. The main component ha'..e been analyzed namely, the pump of ''Fuel Storage Pool Purification System'' (AK-AP), ''Primary Cooling System'' (JE01-AP), ''Primary Pool Purification System'' (KBE01-AP), ''Warm Layer System'' (KBE02-AP), ''Cooling Tower'' (PA/D-AH), ''Secondary Cooling System'', and Diesel (BRV). The Failure Rate Curve is made by component database that was taken from 'log book' operation of RSG GAS. The total operation of that curve is 2500 hours. From that curve it concluded that the failure rate of components form of bathtub curve. The maintenance processing causes the curve anomaly

  20. Direct Torque Control in presence of Current sensor failure in Variable Speed Wind System: Effect analysis, detection and control reconfiguration

    Directory of Open Access Journals (Sweden)

    A. J. Arbi

    2008-03-01

    Full Text Available This paper presents a study of current sensor failure in a Direct Torque Control applied to a Double Fed Induction Generator based Variable Speed Wind System. The effect of scaling and offset current sensor errors is discussed through sensibility analysis. A control reconfiguration is then proposed to remedy this sensor failure. Simulation results emphasize the good performances of the proposed current sensor fault tolerant control