Benchmarking, benchmarks, or best practices? Applying quality improvement principles to decrease surgical turnaround time.

Science.gov (United States)

Mitchell, L

1996-01-01

The processes of benchmarking, benchmark data comparative analysis, and study of best practices are distinctly different. The study of best practices is explained with an example based on the Arthur Andersen & Co. 1992 "Study of Best Practices in Ambulatory Surgery". The results of a national best practices study in ambulatory surgery were used to provide our quality improvement team with the goal of improving the turnaround time between surgical cases. The team used a seven-step quality improvement problem-solving process to improve the surgical turnaround time. The national benchmark for turnaround times between surgical cases in 1992 was 13.5 minutes. The initial turnaround time at St. Joseph's Medical Center was 19.9 minutes. After the team implemented solutions, the time was reduced to an average of 16.3 minutes, an 18% improvement. Cost-benefit analysis showed a potential enhanced revenue of approximately $300,000, or a potential savings of $10,119. Applying quality improvement principles to benchmarking, benchmarks, or best practices can improve process performance. Understanding which form of benchmarking the institution wishes to embark on will help focus a team and use appropriate resources. Communicating with professional organizations that have experience in benchmarking will save time and money and help achieve the desired results.

Rapid-cycle testing cuts bed turnaround by 85%.

Science.gov (United States)

2004-11-01

You can use rapid-cycle testing to try out new approaches to overcrowding much more frequently than with more traditional process improvement strategies. Improving bed turnaround notification can yield dramatic improvements. Telling staff they have to try a new process only for three days makes it easier to gain buy-in. Look for old policies that are no longer needed, yet continue to keep your staff bogged down.

Timeliness “at a glance”: assessing the turnaround time through the six sigma metrics.

Science.gov (United States)

Ialongo, Cristiano; Bernardini, Sergio

2016-01-01

Almost thirty years of systematic analysis have proven the turnaround time to be a fundamental dimension for the clinical laboratory. Several indicators are to date available to assess and report quality with respect to timeliness, but they sometimes lack the communicative immediacy and accuracy. The six sigma is a paradigm developed within the industrial domain for assessing quality and addressing goal and issues. The sigma level computed through the Z-score method is a simple and straightforward tool which delivers quality by a universal dimensionless scale and allows to handle non-normal data. Herein we report our preliminary experience in using the sigma level to assess the change in urgent (STAT) test turnaround time due to the implementation of total automation. We found that the Z-score method is a valuable and easy to use method for assessing and communicating the quality level of laboratory timeliness, providing a good correspondence with the actual change in efficiency which was retrospectively observed.

Computer-aided detection system for chest radiography: reducing report turnaround times of examinations with abnormalities.

Science.gov (United States)

Kao, E-Fong; Liu, Gin-Chung; Lee, Lo-Yeh; Tsai, Huei-Yi; Jaw, Twei-Shiun

2015-06-01

The ability to give high priority to examinations with pathological findings could be very useful to radiologists with large work lists who wish to first evaluate the most critical studies. A computer-aided detection (CAD) system for identifying chest examinations with abnormalities has therefore been developed. To evaluate the effectiveness of a CAD system on report turnaround times of chest examinations with abnormalities. The CAD system was designed to automatically mark chest examinations with possible abnormalities in the work list of radiologists interpreting chest examinations. The system evaluation was performed in two phases: two radiologists interpreted the chest examinations without CAD in phase 1 and with CAD in phase 2. The time information recorded by the radiology information system was then used to calculate the turnaround times. All chest examinations were reviewed by two other radiologists and were divided into normal and abnormal groups. The turnaround times for the examinations with pathological findings with and without the CAD system assistance were compared. The sensitivity and specificity of the CAD for chest abnormalities were 0.790 and 0.697, respectively, and use of the CAD system decreased the turnaround time for chest examinations with abnormalities by 44%. The turnaround times required for radiologists to identify chest examinations with abnormalities could be reduced by using the CAD system. This system could be useful for radiologists with large work lists who wish to first evaluate the most critical studies. © The Foundation Acta Radiologica 2014 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav.

Turn-around improvements

International Nuclear Information System (INIS)

Redaelli, S.; Venturini Delsolaro, W.

2012-01-01

An efficient turn-around will be an important parameter for the integrated luminosity performance at LHC in 2012, when an operation with steady beam parameters and machine configuration will be achieved at the beginning of the run. Improvements of the operational cycle were already put successfully in place after the 2010 experience but additional ways to reduce the time required to setup collisions are possible. In this paper, the 2011 turn-around performance is reviewed and the benefits of the improvements from 2010 are presented. Phases of the operational cycle when further amelioration is possible are discussed and some proposal for a faster turn-around in 2012 are outlined. (authors)

A strategy for reducing turnaround time in design optimization using a distributed computer system

Science.gov (United States)

Young, Katherine C.; Padula, Sharon L.; Rogers, James L.

1988-01-01

There is a need to explore methods for reducing lengthly computer turnaround or clock time associated with engineering design problems. Different strategies can be employed to reduce this turnaround time. One strategy is to run validated analysis software on a network of existing smaller computers so that portions of the computation can be done in parallel. This paper focuses on the implementation of this method using two types of problems. The first type is a traditional structural design optimization problem, which is characterized by a simple data flow and a complicated analysis. The second type of problem uses an existing computer program designed to study multilevel optimization techniques. This problem is characterized by complicated data flow and a simple analysis. The paper shows that distributed computing can be a viable means for reducing computational turnaround time for engineering design problems that lend themselves to decomposition. Parallel computing can be accomplished with a minimal cost in terms of hardware and software.

A blood-result turn-around time survey to improve congenital ...

African Journals Online (AJOL)

The results of a turn-around time study of blood specimens for syphilis serology in antenatal clinic attenders between 19 rural clinics and their base hospital, including a follow-up survey to assess the impact of interventions, are described. The objective of the study was to detennine how long blood samples took to get.

A "Neurological Emergency Trolley" reduces turnaround time for high-risk medications in a general intensive care unit.

Science.gov (United States)

Ajzenberg, Henry; Newman, Paula; Harris, Gail-Anne; Cranston, Marnie; Boyd, J Gordon

2018-02-01

To reduce medication turnaround times during neurological emergencies, a multidisciplinary team developed a neurological emergency crash trolley in our intensive care unit. This trolley includes phenytoin, hypertonic saline and mannitol, as well as other equipment. The aim of this study was to assess whether the cart reduced turnaround times for these medications. In this retrospective cohort study, medication delivery times for two year epochs before and after its implementation were compared. Eligible patients were identified from our intensive care unit screening log. Adults who required emergent use of phenytoin, hypertonic saline or mannitol while in the intensive care unit were included. Groups were compared with nonparametric analyses. 33-bed general medical-surgical intensive care unit in an academic teaching hospital. Time to medication administration. In the pre-intervention group, there were 43 patients with 66 events. In the post-intervention group, there were 45 patients with 80 events. The median medication turnaround time was significantly reduced after implementation of the neurological emergency trolley (25 vs. 10minutes, p=0.003). There was no statistically significant difference in intensive care or 30-day survival between the two cohorts. The implementation of a novel neurological emergency crash trolley in our intensive care unit reduced medication turnaround times. Copyright © 2017 Elsevier Ltd. All rights reserved.

National survey on turnaround time of clinical biochemistry tests in 738 laboratories in China.

Science.gov (United States)

Zhang, Xiaoyan; Fei, Yang; Wang, Wei; Zhao, Haijian; Wang, Minqi; Chen, Bingquan; Zhou, Jie; Wang, Zhiguo

2018-02-01

This survey was initiated to estimate the current status of turnaround time (TAT) monitoring of clinical biochemistry in China, provide baseline data for establishment of quality specifications and analyze the impact factors of TAT. 738 laboratories were included. Questionnaires involved general information and data of related indicators of TAT during 1 week were provided to participating laboratories. Nine quality indicators were covered, which were medians, 90th and outlier rates of pre-examination, examination, and post-examination TAT. The 25th percentile, median, and 75th percentile of TATs were calculated as optimum, desirable, and minimum quality specifications. Percentages and sigma values were used to describe the outlier rates. Mann-Whitney and Kruskal-Wallis tests were used to identify the potential impacts of TAT. Response rate of this survey was 46.44%. More than 50% of the laboratories indicated they had set up target TATs in three time intervals and monitored TATs generally. The post-examination TAT of most laboratories was 0min, while the pre-examination and examination TAT varied. Sigma values of outlier rates for 45%~60% of laboratories were above 4, while 15%~20% of labs whose sigma values were below 3. Group comparisons suggested nurse or mechanical pipeline transportation, link laboratory information system with hospital information system, and using computer reporting instead of printing report were related to shorter TATs. Despite of the remarkable progresses of TATs in China, there was also room to improve. Laboratories should strengthen the construction of information systems, identify reasons for TAT delay to improve the service quality continuously. © 2017 Wiley Periodicals, Inc.

FCC-hh turn-around cycle

CERN Document Server

Alemany Fernandez, Reyes; Bartmann, Wolfgang; Buffat, Xavier; Niemi, Arto; Schulte, Daniel; Solfaroli Camillocci, Matteo; Stoel, Linda

2016-01-01

The turn-around cycle time of a collider is defined as the time spent between the end of stable beams and the start of the next stable beams period, and its calculation is of fundamental importance. On one side it is a crucial ingredient for the computation of the optimal time spent in luminosity production, which defines the integrated luminosity per fill or store. On the other side, combined with the availability and reliability of the machine, it allows to perform a detailed breakdown of the operational performance of the collider over an operational season, i.e. percentage of time in stable beams and beam in the machine with respect to down time. This paper presents a preliminary operational cycle definition for the hadron-hadron Future Circular Collider, as a base line for estimating the corresponding turn-around time. The cycle definition is based on the Large Hadron Collider (LHC) operational cycle. Two turn-around times are presented, the theoretical one and a more realistic one based on the LHC exper...

National turnaround time survey: professional consensus standards for optimal performance and thresholds considered to compromise efficient and effective clinical management.

Science.gov (United States)

McKillop, Derek J; Auld, Peter

2017-01-01

Background Turnaround time can be defined as the time from receipt of a sample by the laboratory to the validation of the result. The Royal College of Pathologists recommends that a number of performance indicators for turnaround time should be agreed with stakeholders. The difficulty is in arriving at a goal which has some evidence base to support it other than what may simply be currently achievable technically. This survey sought to establish a professional consensus on the goals and meaning of targets for laboratory turnaround time. Methods A questionnaire was circulated by the National Audit Committee to 173 lead consultants for biochemistry in the UK. The survey asked each participant to state their current target turnaround time for core investigations in a broad group of clinical settings. Each participant was also asked to provide a professional opinion on what turnaround time would pose an unacceptable risk to patient safety for each departmental category. A super majority (2/3) was selected as the threshold for consensus. Results The overall response rate was 58% ( n = 100) with a range of 49-72% across the individual Association for Clinical Biochemistry and Laboratory Medicine regions. The consensus optimal turnaround time for the emergency department was 2 h considered unacceptable. The times for general practice and outpatient department were 48 h and for Wards 12 h, respectively. Conclusions We consider that the figures provide a useful benchmark of current opinion, but clearly more empirical standards will have to develop alongside other aspects of healthcare delivery.

Decreasing Histology Turnaround Time Through Stepwise Innovation and Capacity Building in Rwanda

Directory of Open Access Journals (Sweden)

Gaspard Muvugabigwi

2017-11-01

Full Text Available Purpose: Minimal turnaround time for pathology results is crucial for highest-quality patient care in all settings, especially in low- and middle-income countries, where rural populations may have limited access to health care. Methods: We retrospectively determined the turnaround times (TATs for anatomic pathology specimens, comparing three different modes of operation that occurred throughout the development and implementation of our pathology laboratory at the Butaro Cancer Center of Excellence in Rwanda. Before opening this laboratory, TAT was measured in months because of inconsistent laboratory operations and a paucity of in-country pathologists. Results: We analyzed 2,514 individual patient samples across the three modes of study. Diagnostic mode 1 (samples sent out of the country for analysis had the highest median TAT, with an overall time of 30 days (interquartile range [IQR], 22 to 43 days. For diagnostic mode 2 (static image telepathology, the median TAT was 14 days (IQR, 7 to 27 days, and for diagnostic mode 3 (onsite expert diagnosis, it was 5 days (IQR, 2 to 9 days. Conclusion: Our results demonstrate that telepathology is a significant improvement over external expert review and can greatly assist sites in improving their TATs until pathologists are on site.

Building a new predictor for multiple linear regression technique-based corrective maintenance turnaround time.

Science.gov (United States)

Cruz, Antonio M; Barr, Cameron; Puñales-Pozo, Elsa

2008-01-01

This research's main goals were to build a predictor for a turnaround time (TAT) indicator for estimating its values and use a numerical clustering technique for finding possible causes of undesirable TAT values. The following stages were used: domain understanding, data characterisation and sample reduction and insight characterisation. Building the TAT indicator multiple linear regression predictor and clustering techniques were used for improving corrective maintenance task efficiency in a clinical engineering department (CED). The indicator being studied was turnaround time (TAT). Multiple linear regression was used for building a predictive TAT value model. The variables contributing to such model were clinical engineering department response time (CE(rt), 0.415 positive coefficient), stock service response time (Stock(rt), 0.734 positive coefficient), priority level (0.21 positive coefficient) and service time (0.06 positive coefficient). The regression process showed heavy reliance on Stock(rt), CE(rt) and priority, in that order. Clustering techniques revealed the main causes of high TAT values. This examination has provided a means for analysing current technical service quality and effectiveness. In doing so, it has demonstrated a process for identifying areas and methods of improvement and a model against which to analyse these methods' effectiveness.

Where the world stands still: turnaround as a strong test of ΛCDM cosmology

Energy Technology Data Exchange (ETDEWEB)

Pavlidou, V.; Tomaras, T.N., E-mail: pavlidou@physics.uoc.gr, E-mail: tomaras@physics.uoc.gr [Department of Physics and ITCP, University of Crete, 71003 Heraklion (Greece)

2014-09-01

Our intuitive understanding of cosmic structure formation works best in scales small enough so that isolated, bound, relaxed gravitating systems are no longer adjusting their radius; and large enough so that space and matter follow the average expansion of the Universe. Yet one of the most robust predictions of ΛCDM cosmology concerns the scale that separates these limits: the turnaround radius, which is the non-expanding shell furthest away from the center of a bound structure. We show that the maximum possible value of the turnaround radius within the framework of the ΛCDM model is, for a given mass M, equal to (3GM/Λ c{sup 2}){sup 1/3}, with G Newton's constant and c the speed of light, independently of cosmic epoch, exact nature of dark matter, or baryonic effects. We discuss the possible use of this prediction as an observational test for ΛCDM cosmology. Current data appear to favor ΛCDM over alternatives with local inhomogeneities and no Λ. However there exist several local-universe structures that have, within errors, reached their limiting size. With improved determinations of their turnaround radii and the enclosed mass, these objects may challenge the limit and ΛCDM cosmology.

Where the world stands still: turnaround as a strong test of ΛCDM cosmology

Science.gov (United States)

Pavlidou, V.; Tomaras, T. N.

2014-09-01

Our intuitive understanding of cosmic structure formation works best in scales small enough so that isolated, bound, relaxed gravitating systems are no longer adjusting their radius; and large enough so that space and matter follow the average expansion of the Universe. Yet one of the most robust predictions of ΛCDM cosmology concerns the scale that separates these limits: the turnaround radius, which is the non-expanding shell furthest away from the center of a bound structure. We show that the maximum possible value of the turnaround radius within the framework of the ΛCDM model is, for a given mass M, equal to (3GM/Λ c2)1/3, with G Newton's constant and c the speed of light, independently of cosmic epoch, exact nature of dark matter, or baryonic effects. We discuss the possible use of this prediction as an observational test for ΛCDM cosmology. Current data appear to favor ΛCDM over alternatives with local inhomogeneities and no Λ. However there exist several local-universe structures that have, within errors, reached their limiting size. With improved determinations of their turnaround radii and the enclosed mass, these objects may challenge the limit and ΛCDM cosmology.

Analysis of high-level radioactive slurries as a method to reduce DWPF turnaround times

International Nuclear Information System (INIS)

Coleman, C.J.; Bibler, N.E.; Ferrara, D.M.; Hay, M.S.

1996-01-01

Analysis of Defense Waste Processing Facility (DWPF) samples as slurries rather than as dried or vitrified samples is an effective way to reduce sample turnaround times. Slurries can be dissolved with a mixture of concentrated acids to yield solutions for elemental analysis by inductively coupled plasma-atomic emission spectroscopy (ICP-AES). Slurry analyses can be performed in eight hours, whereas analyses of vitrified samples require up to 40 hours to complete. Analyses of melter feed samples consisting of the DWPF borosilicate frit and either simulated or actual DWPF radioactive sludge were typically within a range of 3--5% of the predicted value based on the relative amounts of sludge and frit added to the slurry. The results indicate that the slurry analysis approach yields analytical accuracy and precision competitive with those obtained from analyses of vitrified samples. Slurry analyses offer a viable alternative to analyses of solid samples as a simple way to reduce analytical turnaround times

Corporate Turnarounds in the High-tech Industry in UK

OpenAIRE

Xiao, Haixia

2009-01-01

Prior research on corporate turnaround relates to those organizations that have managed to move from poor performance to high performance within a relatively short time period by a case-study approach. The study also explores the role of leadership as a key factor in making turnaround successful as characterized by the change in CEO and in the board of directors. Finally, it explores the incentive systems of those firms during the turnaround. This study analyzed six public companies whic...

High mortality in HIV-infected children diagnosed in hospital underscores need for faster diagnostic turnaround time in prevention of mother-to-child transmission of HIV (PMTCT) programs.

Science.gov (United States)

Wagner, Anjuli; Slyker, Jennifer; Langat, Agnes; Inwani, Irene; Adhiambo, Judith; Benki-Nugent, Sarah; Tapia, Ken; Njuguna, Irene; Wamalwa, Dalton; John-Stewart, Grace

2015-02-15

Despite expanded programs for prevention of mother-to-child HIV transmission (PMTCT), HIV-infected infants may not be diagnosed until they are ill. Comparing HIV prevalence and outcomes in infants diagnosed in PMTCT programs to those in hospital settings may improve pediatric HIV diagnosis strategies. HIV-exposed infants turnaround time for tests were compared between PMTCT programs and hospital sites. Among the enrolled cohort, baseline characteristics, survival, and timing of antiretroviral therapy (ART) initiation were compared between infants diagnosed in PMTCT programs versus hospital. Among 1,923 HIV-exposed infants, HIV prevalence was higher among infants tested in hospital than PMTCT early infant diagnosis (EID) sites (41% vs. 11%, p 3 times as likely to die (HR = 3.1, 95% CI = 1.3-7.6). Among HIV-exposed infants, hospital-based testing was more likely to detect an HIV-infected infant than PMTCT testing. Because young symptomatic infants diagnosed with HIV during hospitalization have very high mortality, every effort should be made to diagnose HIV infections before symptom onset. Systems to expedite turnaround time at PMTCT EID sites and to routinize inpatient pediatric HIV testing are necessary to improve pediatric HIV outcomes.

Challenge energy policy turnaround; Herausforderung Energiewende

Energy Technology Data Exchange (ETDEWEB)

Becker, Michael; Brandt-Schwabedissen, Annette; Graaff, Rudolf; Queitsch, Peter; Thomas, Roland [Staedte- und Gemeindebund Nordrhein-Westfalen e.V., Duesseldorf (Germany); Becker, Sven [Trianel GmbH, Aachen (Germany); Portz, Norbert; Schmitz, Johannes [Deutscher Staedte- und Gemeindebund, Berlin (Germany)

2011-07-01

The documentation under consideration makes suggestions to cities and communities in light of the energy policy turnaround. The documentation contains the following contributions: (1) Power generation by means of renewable energy resources (Johannes Schmitz); (2) The energy policy turnaround needs acceptance - communication as the key to success (Sven Becker); (3) Climate-conscious communal construction planning (Michael Becker); (4) Establishment of climate concepts (Peter Queitsch); (5) Energetic measures at buildings (Annette Brandt-Schwabedissen); (6) Energy political turnaround and awarding (Norbert Portz); (7) Electromobility (Roland Thomas); (8) Position paper of DStB for the energy policy turnaround.

Maximizing value for planned maintenance and turnarounds

Energy Technology Data Exchange (ETDEWEB)

Crager, John [Asset Performance Canada, ULC (Canada)

2011-07-01

In this presentation, Asset Performance Canada elaborates on turnaround management, and provides insight into managing strategies and risks associated with turnaround processes. Value is created fast as turnarounds progress from the strategy and scope definition phases towards the planning and execution phases. Turnarounds employ best practice solutions through common processes proven effective by data, research, and experience, ensuring consistent value creation, performance tracking, and shared lesson-learning. Adherence to the turnaround work process by carefully selected planning team members with clearly defined responsibilities and expectations, as well as an effective process for scope collection and management, are crucial to turnaround success. Further to this, a formal risk management process, employing automated risk tracking software and a safety management plan for assessing risks and their severity is also invaluable in avoiding any additional costs and schedule delays. Finally, assessment of team readiness and alignment through use of the turnaround readiness index, and rapid management of discovery work, can aid in contingency management.

Laboratory sample turnaround times: do they cause delays in the ED?

Science.gov (United States)

Gill, Dipender; Galvin, Sean; Ponsford, Mark; Bruce, David; Reicher, John; Preston, Laura; Bernard, Stephani; Lafferty, Jessica; Robertson, Andrew; Rose-Morris, Anna; Stoneham, Simon; Rieu, Romelie; Pooley, Sophie; Weetch, Alison; McCann, Lloyd

2012-02-01

Blood tests are requested for approximately 50% of patients attending the emergency department (ED). The time taken to obtain the results is perceived as a common reason for delay. The objective of this study was therefore to investigate the turnaround time (TAT) for blood results and whether this affects patient length of stay (LOS) and to identify potential areas for improvement. A time-in-motion study was performed at the ED of the John Radcliffe Hospital (JRH), Oxford, UK. The duration of each of the stages leading up to receipt of 101 biochemistry and haematology results was recorded, along with the corresponding patient's LOS. The findings reveal that the mean time for haematology results to become available was 1 hour 6 minutes (95% CI: 29 minutes to 2 hours 13 minutes), while biochemistry samples took 1 hour 42 minutes (95% CI: 1 hour 1 minute to 4 hours 21 minutes), with some positive correlation noted with the patient LOS, but no significant variation between different days or shifts. With the fastest 10% of samples being reported within 35 minutes (haematology) and 1 hour 5 minutes (biochemistry) of request, our study showed that delays can be attributable to laboratory TAT. Given the limited ability to further improve laboratory processes, the solutions to improving TAT need to come from a collaborative and integrated approach that includes strategies before samples reach the laboratory and downstream review of results. © 2010 Blackwell Publishing Ltd.

TURNAROUND COORDINATOR. YES OR NOT?

Directory of Open Access Journals (Sweden)

Martin HROMÁDKA

2013-12-01

Full Text Available Both low cost carriers ‘fresh wind’ and liberalisation of ground handling market makes airlines to be cost-wise in every single field. Thus, ground handling contract are cutting down in terms of their costs. Handling companies struggle with pressure being put from the market environment, they rush 25 minutes turnaround with couple of people. This can be potentially dangerous from the safety point of view. One of possible solutions seems to be introducing turnaround coordinator, person who would supervise the ramp handling procedures. This paper discusses the role of turnaround coordinator within the aircraft turnaround process. Duties and responsibilities of this person are described. However, not every airport is staffing this position. The survey shows that smaller airports pay much more attention to this issue than the big ones.

Efficiency of performing pulmonary procedures in a shared endoscopy unit: procedure time, turnaround time, delays, and procedure waiting time.

Science.gov (United States)

Verma, Akash; Lee, Mui Yok; Wang, Chunhong; Hussein, Nurmalah B M; Selvi, Kalai; Tee, Augustine

2014-04-01

The purpose of this study was to assess the efficiency of performing pulmonary procedures in the endoscopy unit in a large teaching hospital. A prospective study from May 20 to July 19, 2013, was designed. The main outcome measures were procedure delays and their reasons, duration of procedural steps starting from patient's arrival to endoscopy unit, turnaround time, total case durations, and procedure wait time. A total of 65 procedures were observed. The most common procedure was BAL (61%) followed by TBLB (31%). Overall procedures for 35 (53.8%) of 65 patients were delayed by ≥ 30 minutes, 21/35 (60%) because of "spillover" of the gastrointestinal and surgical cases into the time block of pulmonary procedure. Time elapsed between end of pulmonary procedure and start of the next procedure was ≥ 30 minutes in 8/51 (16%) of cases. In 18/51 (35%) patients there was no next case in the room after completion of the pulmonary procedure. The average idle time of the room after the end of pulmonary procedure and start of next case or end of shift at 5:00 PM if no next case was 58 ± 53 minutes. In 17/51 (33%) patients the room's idle time was >60 minutes. A total of 52.3% of patients had the wait time >2 days and 11% had it ≥ 6 days, reason in 15/21 (71%) being unavailability of the slot. Most pulmonary procedures were delayed due to spillover of the gastrointestinal and surgical cases into the block time allocated to pulmonary procedures. The most common reason for difficulty encountered in scheduling the pulmonary procedure was slot unavailability. This caused increased procedure waiting time. The strategies to reduce procedure delays and turnaround times, along with improved scheduling methods, may have a favorable impact on the volume of procedures performed in the unit thereby optimizing the existing resources.

Customising turnaround time indicators to requesting clinician: a 10-year study through balanced scorecard indicators.

Science.gov (United States)

Salinas, Maria; López-Garrigós, Maite; Santo-Quiles, Ana; Gutierrez, Mercedes; Lugo, Javier; Lillo, Rosa; Leiva-Salinas, Carlos

2014-09-01

The purpose of this study is, first to present a 10-year monitoring of postanalytical turnaround time (TAT) adapted to different clinicians and patient situations, second to evaluate and analyse the indicators results during that period of time, and finally to show a synthetic appropriate indicator to be included in the balanced scorecard management system. TAT indicator for routine samples was devised as the percentage of certain key tests that were verified before a specific time on the phlebotomy day. A weighted mean synthetic indicator was also designed. They were calculated for inpatients at 15:00 and 12:00 and for primary care patients only at 15:00. The troponin TAT of emergency department patients, calculated as the difference between the troponin verification and registration time, was selected as the stat laboratory TAT indicator. The routine and stat TAT improved along the 10-year study period. The synthetic indicator showed the same trend. The implementation of systematic and continuous monitoring over years, promoted a continuous improvement in TAT which will probably benefit patient outcome and safety.

Combining Quick-Turnaround and Batch Workloads at Scale

Science.gov (United States)

Matthews, Gregory A.

2012-01-01

NAS uses PBS Professional to schedule and manage the workload on Pleiades, an 11,000+ node 1B cluster. At this scale the user experience for quick-turnaround jobs can degrade, which led NAS initially to set up two separate PBS servers, each dedicated to a particular workload. Recently we have employed PBS hooks and scheduler modifications to merge these workloads together under one PBS server, delivering sub-1-minute start times for the quick-turnaround workload, and enabling dynamic management of the resources set aside for that workload.

Real time application of whole genome sequencing for outbreak investigation - What is an achievable turnaround time?

Science.gov (United States)

McGann, Patrick; Bunin, Jessica L; Snesrud, Erik; Singh, Seema; Maybank, Rosslyn; Ong, Ana C; Kwak, Yoon I; Seronello, Scott; Clifford, Robert J; Hinkle, Mary; Yamada, Stephen; Barnhill, Jason; Lesho, Emil

2016-07-01

Whole genome sequencing (WGS) is increasingly employed in clinical settings, though few assessments of turnaround times (TAT) have been performed in real-time. In this study, WGS was used to investigate an unfolding outbreak of vancomycin resistant Enterococcus faecium (VRE) among 3 patients in the ICU of a tertiary care hospital. Including overnight culturing, a TAT of just 48.5 h for a comprehensive report was achievable using an Illumina Miseq benchtop sequencer. WGS revealed that isolates from patient 2 and 3 differed from that of patient 1 by a single nucleotide polymorphism (SNP), indicating nosocomial transmission. However, the unparalleled resolution provided by WGS suggested that nosocomial transmission involved two separate events from patient 1 to patient 2 and 3, and not a linear transmission suspected by the time line. Rapid TAT's are achievable using WGS in the clinical setting and can provide an unprecedented level of resolution for outbreak investigations. Published by Elsevier Inc.

Progress Report 2013. Turnaround Arts Initiative

Science.gov (United States)

Stoelinga, Sara Ray; Joyce, Katie; Silk, Yael

2013-01-01

This interim progress report provides a look at Turnaround Arts schools in their first year, including: (1) a summary of the evaluation design and research questions; (2) a preliminary description of strategies used to introduce the arts in Turnaround Arts schools; and (3) a summary of school reform indicators and student achievement data at…

Hospital turnaround strategies.

Science.gov (United States)

Langabeer, James

2008-01-01

Despite reports of higher profitability in recent years, hospitals are failing at a faster rate than ever before. Although many hospitals leave decisions regarding revenues and costs to chief financial officers and their staff, this is a recipe for disaster. From research conducted over the last 4 years on hospital bankruptcies and turnarounds, the author found that a common series of actions will help organizations evade collapse. The author explored these turnaround strategies through research and analysis of a variety of hospitals and health systems that had a high probability of immediate financial crisis or collapse. His continued observation and analysis of these hospitals in subsequent years showed that most hospitals never emerge from their bleak financial conditions. However, a few hospital administrations have successfully turned around their organizations.

Improving Autopsy Report Turnaround Times by Implementing Lean Management Principles.

Science.gov (United States)

Cromwell, Susan; Chiasson, David A; Cassidy, Debra; Somers, Gino R

2018-01-01

The autopsy is an integral part of the service of a large academic pathology department. Timely reporting is central to providing good service and is beneficial for many stakeholders, including the families, the clinical team, the hospital, and the wider community. The current study aimed to improve hospital-consented autopsy reporting times (turnaround time, TAT) by using lean principles modified for a healthcare setting, with an aim of signing out 90% of autopsies in 90 days. An audit of current and historical TATs was performed, and a working group incorporating administrative, technical, and professional staff constructed a value stream map documenting the steps involved in constructing an autopsy report. Two areas of delay were noted: examination of the microscopy and time taken to sign-out the report after the weekly autopsy conference. Several measures were implemented to address these delays, including visual tracking using a whiteboard and individualized tracking sheets, weekly whiteboard huddles, and timelier scheduling of clinicopathologic conference rounds. All measures resulted in an improvement of TATs. In the 30 months prior to the institution of lean, 37% of autopsies (53/144) were signed out in 90 days, with a wide variation in reporting times. In the 30 months following the institution of lean, this improved to 74% (136/185) ( P lean; 63 days post-lean). The application of lean principles to autopsy sign-out workflow can significantly improve TATs and reduce variability, without changing staffing levels or significantly altering scheduling structure.

Identification of blood culture isolates directly from positive blood cultures by use of matrix-assisted laser desorption ionization-time of flight mass spectrometry and a commercial extraction system: analysis of performance, cost, and turnaround time.

Science.gov (United States)

Lagacé-Wiens, Philippe R S; Adam, Heather J; Karlowsky, James A; Nichol, Kimberly A; Pang, Paulette F; Guenther, Jodi; Webb, Amanda A; Miller, Crystal; Alfa, Michelle J

2012-10-01

Matrix-assisted laser desorption ionization-time of flight (MALDI-TOF) mass spectrometry represents a revolution in the rapid identification of bacterial and fungal pathogens in the clinical microbiology laboratory. Recently, MALDI-TOF has been applied directly to positive blood culture bottles for the rapid identification of pathogens, leading to reductions in turnaround time and potentially beneficial patient impacts. The development of a commercially available extraction kit (Bruker Sepsityper) for use with the Bruker MALDI BioTyper has facilitated the processing required for identification of pathogens directly from positive from blood cultures. We report the results of an evaluation of the accuracy, cost, and turnaround time of this method for 61 positive monomicrobial and 2 polymicrobial cultures representing 26 species. The Bruker MALDI BioTyper with the Sepsityper gave a valid (score, >1.7) identification for 85.2% of positive blood cultures with no misidentifications. The mean reduction in turnaround time to identification was 34.3 h (P MALDI-TOF was used for all blood cultures and 26.5 h in a more practical setting where conventional identification or identification from subcultures was required for isolates that could not be directly identified by MALDI-TOF. Implementation of a MALDI-TOF-based identification system for direct identification of pathogens from blood cultures is expected to be associated with a marginal increase in operating costs for most laboratories. However, the use of MALDI-TOF for direct identification is accurate and should result in reduced turnaround time to identification.

Factors associated with long turnaround time for early infant diagnosis of HIV in Myanmar.

Science.gov (United States)

Thiha, Soe; Shewade, Hemant Deepak; Philip, Sairu; Aung, Thet Ko; Kyaw, Nang Thu Thu; Oo, Myo Minn; Kyaw, Khine Wut Yee; Wint War, May; Oo, Htun Nyunt

2017-01-01

A previous review of early infant diagnosis (EID) using polymerase chain reaction technology (PCR) under integrated HIV care (IHC) program in Myanmar revealed a low uptake of timely (within 6 to 8 weeks of babies' age) EID and a long turnaround time (TAT) of receiving results. This study aimed to determine the proportion and factors associated with the composite outcome of a long TAT (≥7 weeks; from sample collection to receipt of result by mother) or nonreceipt of result among HIV-exposed babies whose blood samples were collected for PCR at mother's CD4 count of 100-350 cells/mm 3 at enrollment [adjusted RR (0.95 confidence intervals, CI): 0.8 (0.7, 0.9)] had a 20% lower risk of long TAT or nonreceipt of results when compared with ≥350 cells/mm 3 . Distance between ART center and PCR facility ≥105 km [adjusted RR (0.95 CI): 1.2 (1.1, 1.4)], when compared with mother was high. Point-of-care testing for EID may reduce TAT/nonreceipt of results by the mother. Health system, laboratory, and logistic factors such as sample transportation, laboratory procedures, and result dispatching associated with long TAT should be further explored.

Metas' turnaround case: a study about the turnaround strategies and the related decision streams shaping them

OpenAIRE

Tüzüner, Tolga

1995-01-01

Ankara : The Department of Business Administration of Bilkent Univ., 1995. Thesis (Master's) -- Bilkent University, 1995. Includes bibliographical references. Meta§ which is the first private steel factory with arc furnace technology, begins to implement the “turnaround” strategy during the 90’s. This case aims to determine the reasons that cause the turnaround strategy and the strategic decision streams through the turnaround. Meta$ could not succeed financially in the e...

Phase II of a Six sigma Initiative to Study DWPF SME Analytical Turnaround Times: SRNL's Evaluation of Carbonate-Based Dissolution Methods

International Nuclear Information System (INIS)

Edwards, Thomas

2005-01-01

The Analytical Development Section (ADS) and the Statistical Consulting Section (SCS) of the Savannah River National Laboratory (SRNL) are participating in a Six Sigma initiative to improve the Defense Waste Processing Facility (DWPF) Laboratory. The Six Sigma initiative has focused on reducing the analytical turnaround time of samples from the Slurry Mix Evaporator (SME) by developing streamlined sampling and analytical methods [1]. The objective of Phase I was to evaluate the sub-sampling of a larger sample bottle and the performance of a cesium carbonate (Cs 2 CO 3 ) digestion method. Successful implementation of the Cs 2 CO 3 fusion method in the DWPF would have important time savings and convenience benefits because this single digestion would replace the dual digestion scheme now used. A single digestion scheme would result in more efficient operations in both the DWPF shielded cells and the inductively coupled plasma--atomic emission spectroscopy (ICP-AES) laboratory. By taking a small aliquot of SME slurry from a large sample bottle and dissolving the vitrified SME sample with carbonate fusion methods, an analytical turnaround time reduction from 27 hours to 9 hours could be realized in the DWPF. This analytical scheme has the potential for not only dramatically reducing turnaround times, but also streamlining operations to minimize wear and tear on critical shielded cell components that are prone to fail, including the Hydragard(trademark) sampling valves and manipulators. Favorable results from the Phase I tests [2] led to the recommendation for a Phase II effort as outlined in the DWPF Technical Task Request (TTR) [3]. There were three major tasks outlined in the TTR, and SRNL issued a Task Technical and QA Plan [4] with a corresponding set of three major task activities: (1) Compare weight percent (wt%) total solids measurements of large volume samples versus peanut vial samples. (2) Evaluate Cs 2 CO 3 and K 2 CO 3 fusion methods using DWPF simulated

CAD/CAM, Creativity, and Discipline Lead to Turnaround School Success

Science.gov (United States)

Gorman, Lynn

2012-01-01

Miami Central High School technology teacher Frank Houghtaling thinks the connection between theory and application is one reason his students perform better on the Florida Comprehensive Assessment Test (FCAT). The impressive turnaround school drew local and national attention last spring when one of Houghtaling's students, Dagoberto Cruz, won…

"Turnaround" as Shock Therapy: Race, Neoliberalism, and School Reform

Science.gov (United States)

Johnson, Amanda Walker

2013-01-01

"Turnaround" strategies of educational reform promise that school closure, reconstitution, privatizing, and reopening them will bring miraculous results. Questioning the implications, this article situates "turnaround" strategies locally, following the closure of a predominantly minority high school in 2008, in Austin, Texas.…

Enquiry time as part of turnaround time: when do our clinicians really consult our results?

Science.gov (United States)

Rodríguez-Borja, Enrique; Villalba-Martínez, C; Carratalá-Calvo, A

2014-07-01

Traditionally, laboratories' turnaround times (TAT) have been calculated by only considering analytical or intralaboratory steps. The measure of the postanalytical impact in TAT has barely been studied and, more specifically, the running time from when finalised results are available to when clinicians make their first enquiry with an electronic medical record. During May-June of 2013, two 'Times' were collected from our laboratory information system for all the priority requests coming from our day hospitals: 'Validation time' (TV), as the request report time with full verified results and 'Enquiry time' (TQ), as the time when the first consult was made via electronic medical record. We classified requests in groups depending on time results, and TQ-TV (percentiles) were calculated for each group. 654 (69%) requests were consulted by clinicians before 15 : 00 on the same day with available results. 191 (20%) were consulted after 15 : 00 and had complete results as well (p50 (TQ-TV): 5 days) while 61 (7%) were never consulted (up to 31/12/2013). 39 (4%) requests were finally consulted before 15 : 00 h with no available results, but the average time difference between validation and enquiry was 31 min. The results obtained lead us to reconsider the TAT established with our day hospitals in order to know if priority has to be reviewed or if there are failures in follow-up results. 'Enquiry time' appears to be a powerful tool in detecting these issues and shows that TATs are no longer just a 'laboratory problem'. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

Series Overview. Sustaining School Turnaround at Scale. Brief 1

Science.gov (United States)

Education Resource Strategies, 2012

2012-01-01

Members of the non-profit organization Education Resource Strategies (ERS) have worked for over a decade with leaders of urban school systems to help them organize talent, time and technology to support great schools at scale. One year into the Federal program they are noticing significant differences in district turnaround approaches, engagement…

Turnaround operations analysis for OTV. Volume 2: Detailed technical report

Science.gov (United States)

1988-01-01

The objectives and accomplishments were to adapt and apply the newly created database of Shuttle/Centaur ground operations. Previously defined turnaround operations analyses were to be updated for ground-based OTVs (GBOTVs) and space-based OTVs (SBOTVs), design requirements identified for both OTV and Space Station accommodations hardware, turnaround operations costs estimated, and a technology development plan generated to develop the required capabilities. Technical and programmatic data were provided for NASA pertinent to OTV round and space operations requirements, turnaround operations, task descriptions, timelines and manpower requirements, OTV modular design and booster and Space Station interface requirements. SBOTV accommodations development schedule, cost and turnaround operations requirements, and a technology development plan for ground and space operations and space-based accommodations facilities and support equipment. Significant conclusion are discussed.

The Effect of Locus of Control on School Turnaround

Science.gov (United States)

Walston, Bradford

2012-01-01

This research focused on the school turnaround process in six turnaround elementary schools located in urban and rural areas of the state of North Carolina. The purpose of the study was to learn about the challenges facing the six schools, the process of improving student achievement, and, more specifically, the degree to which adaptive leadership…

Turnaround and Sustainability in Economic Crisis: The Case of NEXT PLC

OpenAIRE

Zhang, Biyan

2013-01-01

Purpose- against a background of continued weak economic conditions and with many firms experiencing declining financial performance, this paper presents a synthesis of the business turnaround literature and combines with analysis case –NEXT plc. It purposes to discus the turnaround strategies can keep the declining firm sustainability recovery, during the economic cycle. \\ud \\ud Design/methodology/approach- the turnaround strategy for sustainability recovery are examined by a case study of N...

Nuclear graphite ageing and turnaround

International Nuclear Information System (INIS)

Marsden, B.J.; Hall, G.N.; Smart, J.

2001-01-01

Graphite moderated reactors are being operated in many countries including, the UK, Russia, Lithuania, Ukraine and Japan. Many of these reactors will operate well into the next century. New designs of High Temperature Graphite Moderated Reactors (HTRS) are being built in China and Japan. The design life of these graphite-moderated reactors is governed by the ageing of the graphite core due to fast neutron damage, and also, in the case of carbon dioxide cooled reactors by the rate of oxidation of the graphite. Nuclear graphites are polycrystalline in nature and it is the irradiation-induced damage to the individual graphite crystals that determines the material property changes with age. The life of a graphite component in a nuclear reactor can be related to the graphite irradiation induced dimensional changes. Graphites typically shrink with age, until a point is reached where the shrinkage stops and the graphite starts to swell. This change from shrinkage to swelling is known as ''turnaround''. It is well known that pre-oxidising graphite specimens caused ''turnaround'' to be delayed, thus extending the life of the graphite, and hence the life of the reactor. However, there was no satisfactory explanation of this behaviour. This paper presents a numerical crystal based model of dimensional change in graphite, which explains the delay in ''turnaround'' in the pre-oxidised specimens irradiated in a fast neutron flux, in terms of crystal accommodation and orientation and change in compliance due to radiolytic oxidation. (author)

Minimizing manual image segmentation turn-around time for neuronal reconstruction by embracing uncertainty.

Directory of Open Access Journals (Sweden)

Stephen M Plaza

Full Text Available The ability to automatically segment an image into distinct regions is a critical aspect in many visual processing applications. Because inaccuracies often exist in automatic segmentation, manual segmentation is necessary in some application domains to correct mistakes, such as required in the reconstruction of neuronal processes from microscopic images. The goal of the automated segmentation tool is traditionally to produce the highest-quality segmentation, where quality is measured by the similarity to actual ground truth, so as to minimize the volume of manual correction necessary. Manual correction is generally orders-of-magnitude more time consuming than automated segmentation, often making handling large images intractable. Therefore, we propose a more relevant goal: minimizing the turn-around time of automated/manual segmentation while attaining a level of similarity with ground truth. It is not always necessary to inspect every aspect of an image to generate a useful segmentation. As such, we propose a strategy to guide manual segmentation to the most uncertain parts of segmentation. Our contributions include 1 a probabilistic measure that evaluates segmentation without ground truth and 2 a methodology that leverages these probabilistic measures to significantly reduce manual correction while maintaining segmentation quality.

Improvement of laboratory turnaround time using lean methodology.

Science.gov (United States)

Gupta, Shradha; Kapil, Sahil; Sharma, Monica

2018-05-14

Purpose The purpose of this paper is to discuss the implementation of lean methodology to reduce the turnaround time (TAT) of a clinical laboratory in a super speciality hospital. Delays in report delivery lead to delayed diagnosis increased waiting time and decreased customer satisfaction. The reduction in TAT will lead to increased patient satisfaction, quality of care, employee satisfaction and ultimately the hospital's revenue. Design/methodology/approach The generic causes resulting in increasing TAT of clinical laboratories were identified using lean tools and techniques such as value stream mapping (VSM), Gemba, Pareto Analysis and Root Cause Analysis. VSM was used as a tool to analyze the current state of the process and further VSM was used to design the future state with suggestions for process improvements. Findings This study identified 12 major non-value added factors for the hematology laboratory and 5 major non-value added factors for the biochemistry lab which were acting as bottlenecks resulting in limiting throughput. A four-month research study by the authors together with hospital quality department and laboratory staff members led to reduction of the average TAT from 180 to 95minutes in the hematology lab and from 268 to 208 minutes in the biochemistry lab. Practical implications Very few improvement initiatives in Indian healthcare are based on industrial engineering tools and techniques, which might be due to a lack of interaction between healthcare and engineering. The study provides a positive outcome in terms of improving the efficiency of services in hospitals and identifies a scope for lean in the Indian healthcare sector. Social implications Applying lean in the Indian healthcare sector gives its own potential solution to the problem caused, due to a wide gap between lean accessibility and lean implementation. Lean helped in changing the mindset of an organization toward providing the highest quality of services with faster delivery at

German energy turnaround and Poland's start in nuclear power? A survey

International Nuclear Information System (INIS)

Knopp, Lothar; Gorski, Marek

2015-01-01

The book includes contributions from two meetings: 1. Meeting in Berlin, October 8,2014: Energy transition in Poland - historical background, development and actual situation; legal boundary conditions of the entry into nuclear power in Poland; ecologic and economic causes motivation for the atomic energy entry in Poland; promotion systems for renewable energy in Poland, current status and political background; construction of a nuclear power plant in Northern Poland site specific impacts and social assessment. Meeting in Stettin on November 5, 2014: Energy turnaround in Germany -German nuclear phaseout under consideration of EU legislation; ecologic and economic motivation for the energy turnaround in Germany; energy turnaround in Germany - new legal boundary conditions, especially the amendment to tue renewable energy law; contribution of the industry to the energy turnaround - taking the example waste management and waste incineration plants; fracking as a factor of the energy turnaround? - legal boundary conditions and ecologic risks; ecological, ethical and sociopolitical aspects of the energy turnaround in Germany and Poland.

Ditching the Disc: The Effects of Cloud-Based Image Sharing on Department Efficiency and Report Turnaround Times in Mammography.

Science.gov (United States)

Morgan, Matthew B; Young, Elizabeth; Harada, Scott; Winkler, Nicole; Riegert, Joanna; Jones, Tony; Hu, Nan; Stein, Matthew

2017-12-01

In screening mammography, accessing prior examination images is crucial for accurate diagnosis and avoiding false-positives. When women visit multiple institutions for their screens, these "outside" examinations must be retrieved for comparison. Traditionally, prior images are obtained by faxing requests to other institutions and waiting for standard mail (film or CD-ROM), which can greatly delay report turnaround times. Recently, advancements in cloud-based image transfer technology have opened up more efficient options for examination transfer between institutions. The objective of this study was to evaluate the effect of cloud-based image transfer on mammography department workflow, time required to obtain prior images, and report turnaround times. Sixty screening examinations requiring prior images were placed into two groups (30 each). The control group used the standard institutional protocol for requesting prior images: faxing requests and waiting for mailed examinations. The experimental group used a cloud-based transfer for both requesting and receiving examinations. The mean number of days between examination request and examination receipt was measured for both groups and compared. The mean number of days from examination request to receipt was 6.08 days (SD 3.50) in the control group compared with 3.16 days (SD 3.95) in the experimental group. Using a cloud-based image transfer to obtain prior mammograms resulted in an average reduction of 2.92 days (P = .0361; 95% confidence interval 0.20-5.65) between examination request and receipt. This improvement in system efficiency is relevant for interpreting radiologists working to improve reporting times and for patients anxious to receive their mammography results. Copyright © 2017 American College of Radiology. Published by Elsevier Inc. All rights reserved.

Ozone impact minimization through coordinated scheduling of turnaround operations from multiple olefin plants in an ozone nonattainment area

Science.gov (United States)

Ge, Sijie; Wang, Sujing; Xu, Qiang; Ho, Thomas

2018-03-01

Turnaround operations (start-up and shutdown) are critical operations in olefin plants, which emit large quantities of VOCs, NOx and CO. The emission has great potentials to impact the ozone level in ozone nonattainment areas. This study demonstrates a novel practice to minimize the ozone impact through coordinated scheduling of turnaround operations from multiple olefin plants located in Houston, Texas, an ozone nonattainment area. The study considered two olefin plants scheduled to conduct turnaround operations: one start-up and one shutdown, simultaneously on the same day within a five-hour window. Through dynamic simulations of the turnaround operations using ASPEN Plus Dynamics and air quality simulations using CAMx, the study predicts the ozone impact from the combined effect of the two turnaround operations under different starting-time scenarios. The simulations predict that the ozone impact from planned turnaround operations ranges from a maximum of 11.4 ppb to a minimum of 1.4 ppb. Hence, a reduction of up to 10.0 ppb can be achieved on a single day based on the selected two simulation days. This study demonstrates a cost-effective and environmentally benign ozone control practice for relevant stakeholders, including environmental agencies, regional plant operators, and local communities.

Precise turnaround time measurement of laboratory processes using radiofrequency identification technology.

Science.gov (United States)

Mayer, Horst; Brümmer, Jens; Brinkmann, Thomas

2011-01-01

To implement Lean Six Sigma in our central laboratory we conducted a project to measure single pre-analytical steps influencing turnaround time (TAT) of emergency department (ED) serum samples. The traditional approach of extracting data from the Laboratory Information System (LIS) for a retrospective calculation of a mean TAT is not suitable. Therefore, we used radiofrequency identification (RFID) chips for real time tracking of individual samples at any pre-analytical step. 1,200 serum tubes were labelled with RFID chips and were provided to the emergency department. 3 RFID receivers were installed in the laboratory: at the outlet of the pneumatic tube system, at the centrifuge, and in the analyser area. In addition, time stamps of sample entry at the automated sample distributor and communication of results from the analyser were collected from LIS. 1,023 labelled serum tubes arrived at our laboratory. 899 RFID tags were used for TAT calculation. The following transfer times were determined (median 95th percentile in min:sec): pneumatic tube system --> centrifuge (01:25/04:48), centrifuge --> sample distributor (14:06/5:33), sample distributor --> analysis system zone (02:39/15:07), analysis system zone --> result communication (12:42/22:21). Total TAT was calculated at 33:19/57:40 min:sec. Manual processes around centrifugation were identified as a major part of TAT with 44%/60% (median/95th percentile). RFID is a robust, easy to use, and error-free technology and not susceptible to interferences in the laboratory environment. With this study design we were able to measure significant variations in a single manual sample transfer process. We showed that TAT is mainly influenced by manual steps around the centrifugation process and we concluded that centrifugation should be integrated in solutions for total laboratory automation.

Defining Business decline, failure and turnaround: A content analysis

Directory of Open Access Journals (Sweden)

Marius Pretorius

2009-12-01

Full Text Available In the past, researchers have often defined failure to suit their data. This has led to a lack of comparability in research outputs. The overriding objective of this paper is to propose a universal definition for the failure phenomenon. Clear definitions are a prerequisite for exploring major constructs, their relationship to failure and the context and processes involved. The study reports on the core definitions of the failure phenomenon and identifies core criteria for distinguishing between them. It places decline, failure and turnaround in perspective and highlights level of distress and turnaround as key moderating elements. It distinguishes the failure phenomenon from controversial synonyms such as closure, accidental bankruptcy and closure for alternative motives. Key words and phrases: business decline, failure, turnaround, level of distress

The big fix : fresh thinking on turnarounds could reduce downtime and costs

International Nuclear Information System (INIS)

Stastny, P.

2007-01-01

Major overhauls at oilsands processing plants were discussed. The harsh chemicals and abrasive substances used to process and refine bitumens are responsible for most of the major maintenance turnarounds required at oilsands plants. Catastrophic failures can often result in the decision to shut a plant down entirely and proceed with overhauls scheduled in the future. Control equipment is often replaced during turnarounds to further optimize processing capabilities, and many oilsands operators are now including turnarounds in their labour forecasts in order to more effectively manage their maintenance workforce. Unexpected maintenance requirements can often make planning for turnarounds problematic. Complex decision-making is often needed to balance both maintenance budgets and schedules. While many major operators are still directly managing managing turnarounds, other operators are now contracting service companies to plan and oversee major maintenance overhauls. It was concluded that contracted maintenance work can allow service companies to invest in training and maintenance technologies that may help to ensure the smooth operation of oil sands processing plants. 4 figs

Making Sense of School Turnarounds

Science.gov (United States)

Hess, Frederick M.

2012-01-01

Today, in a sector flooded with $3.5 billion in School Improvement Grant funds and the resulting improvement plans, there's great faith that "turnaround" strategies are a promising way to tackle stubborn problems with persistently low-performing schools. Unlike traditional reform efforts, with their emphasis on incremental improvement, turnarounds…

Real-time polymerase chain reaction with melting analysis of positive blood culture specimens in bloodstream infections: diagnostic value and turnaround time.

Science.gov (United States)

Angeletti, Silvia; Gherardi, Giovanni; De Florio, Lucia; Avola, Alessandra; Crea, Francesca; Riva, Elisabetta; Vitali, Massimiliano Andrea; Galluzzo, Sara; Dicuonzo, Giordano

2013-01-01

A Real-time polymerase chain reaction (PCR) with melting analysis was devised to target bacterial and fungal genes together with the most prevalent antimicrobial resistance genes in 250 positive blood culture broths. This method allowed the blood culture cultivated pathogens to be classified into clinically relevant groups such as Enterobacteriaceae, oxidase-positive bacilli, oxidase-positive coccobacilli, S. aureus and yeast. Enterococci and streptococci could be distinguished from CoNS only by the Gram stain. Gram-positive bacilli were discriminated from Gram-positive cocci by Gram stain. Furthermore, the most important antimicrobial resistant genes such as mecA, vanA, bla TEM , bla SHV and bla CTX-M could be identified. All results were obtained with a turnaround time of three hours from the moment of blood culture positivity compared to 24-72 hours for phenotypic methods. In conclusion, the proposed approach can allow the clinician to implement proper early management of sepsis patients.

Energy turnaround and nuclear phaseout. Chance or meander; Energiewende und Atomausstieg. Chance oder Irrweg

Energy Technology Data Exchange (ETDEWEB)

Marth, Willy

2015-07-01

The booklet on the energy turnaround covers the following topics: ascent of the German electricity companies, early scenarios of the nuclear phase-out, the moderate energy turnaround, the controversial climatic change, Fukushima, the abrupt nuclear phase-out in Germany (2011), energy-economical problems of the abrupt energy turnaround, boom and crash of then renewable energy companies, the come-down of the German electricity companies, summary and evaluation.

Turnaround strategies: Prípadová štúdia spoločnosti Yahoo!

OpenAIRE

Kartalová, Petra

2013-01-01

This bachelor thesis focuses on Marissa Mayer's turnaround strategy in Yahoo. The thesis consists of three parts. The first part deals with the theoretical concept of a turnaround. In the second part, the whole Internet Industry Provider Industry is being analysed, as well as the main reasons that led Yahoo to fall behind the competition and lose its user base. The last part of the thesis deals with the particular turnaround strategy and its four main components -- people, products, traffic a...

Pre-K as School Turnaround Strategy

Science.gov (United States)

Buenafe, Anthony Q.

2011-01-01

Both state and local school systems, recognizing the strong and growing evidence of pre-kindergarten's effectiveness in closing achievement gaps, are implementing early learning programs as part of their education reform efforts. In low-performing districts, pre-k has emerged as a promising turnaround strategy, reaching children before they become…

Identification of Blood Culture Isolates Directly from Positive Blood Cultures by Use of Matrix-Assisted Laser Desorption Ionization–Time of Flight Mass Spectrometry and a Commercial Extraction System: Analysis of Performance, Cost, and Turnaround Time

OpenAIRE

Lagacé-Wiens, Philippe R. S.; Adam, Heather J.; Karlowsky, James A.; Nichol, Kimberly A.; Pang, Paulette F.; Guenther, Jodi; Webb, Amanda A.; Miller, Crystal; Alfa, Michelle J.

2012-01-01

Matrix-assisted laser desorption ionization–time of flight (MALDI-TOF) mass spectrometry represents a revolution in the rapid identification of bacterial and fungal pathogens in the clinical microbiology laboratory. Recently, MALDI-TOF has been applied directly to positive blood culture bottles for the rapid identification of pathogens, leading to reductions in turnaround time and potentially beneficial patient impacts. The development of a commercially available extraction kit (Bruker Sepsit...

A qualitative investigation on the successful turnaround strategy from top leader perspectives: examples from Indonesia

Directory of Open Access Journals (Sweden)

Yulihasri

2018-06-01

Full Text Available Turnaround process involved many approaches of strategic and tactical attempts. However, such knowledge are difficult to identified since many previous studies only focused on what constitute successful turnaround, and limited to the use of financial data. As turnaround is a transformational process comprehend every element of organization, ploy on implementing and orchestrating such strategic action should be determined by company’s top leaders. The purpose of this study was to explore the way in which leaders manage the company’s turnaround process and their leadership style through a qualitative study in Indonesian business. Drawing from several top managers in various industry in Indonesia, the result showed that there are many attempt should consider on implementing turnaround process. Financial restructuration, employee’s transformation initiative, and business reengineering process are imperative approaches. Furthermore, leaders need to consider top-down approach on decision making, attention to detail, and open communication to gain employees commitment.

Efficiency of an automated reception and turnaround time management system for the phlebotomy room.

Science.gov (United States)

Yun, Soon Gyu; Shin, Jeong Won; Park, Eun Su; Bang, Hae In; Kang, Jung Gu

2016-01-01

Recent advances in laboratory information systems have largely been focused on automation. However, the phlebotomy services have not been completely automated. To address this issue, we introduced an automated reception and turnaround time (TAT) management system, for the first time in Korea, whereby the patient's information is transmitted directly to the actual phlebotomy site and the TAT for each phlebotomy step can be monitored at a glance. The GNT5 system (Energium Co., Ltd., Korea) was installed in June 2013. The automated reception and TAT management system has been in operation since February 2014. Integration of the automated reception machine with the GNT5 allowed for direct transmission of laboratory order information to the GNT5 without involving any manual reception step. We used the mean TAT from reception to actual phlebotomy as the parameter for evaluating the efficiency of our system. Mean TAT decreased from 5:45 min to 2:42 min after operationalization of the system. The mean number of patients in queue decreased from 2.9 to 1.0. Further, the number of cases taking more than five minutes from reception to phlebotomy, defined as the defect rate, decreased from 20.1% to 9.7%. The use of automated reception and TAT management system was associated with a decrease of overall TAT and an improved workflow at the phlebotomy room.

An Integrated Gate Turnaround Management Concept Leveraging Big Data/Analytics for NAS Performance Improvements

Science.gov (United States)

Chung, William; Chachad, Girish; Hochstetler, Ronald

2016-01-01

The Integrated Gate Turnaround Management (IGTM) concept was developed to improve the gate turnaround performance at the airport by leveraging relevant historical data to support optimization of airport gate operations, which include: taxi to the gate, gate services, push back, taxi to the runway, and takeoff, based on available resources, constraints, and uncertainties. By analyzing events of gate operations, primary performance dependent attributes of these events were identified for the historical data analysis such that performance models can be developed based on uncertainties to support descriptive, predictive, and prescriptive functions. A system architecture was developed to examine system requirements in support of such a concept. An IGTM prototype was developed to demonstrate the concept using a distributed network and collaborative decision tools for stakeholders to meet on time pushback performance under uncertainties.

Validation of Clinical Testing for Warfarin Sensitivity

Science.gov (United States)

Langley, Michael R.; Booker, Jessica K.; Evans, James P.; McLeod, Howard L.; Weck, Karen E.

2009-01-01

Responses to warfarin (Coumadin) anticoagulation therapy are affected by genetic variability in both the CYP2C9 and VKORC1 genes. Validation of pharmacogenetic testing for warfarin responses includes demonstration of analytical validity of testing platforms and of the clinical validity of testing. We compared four platforms for determining the relevant single nucleotide polymorphisms (SNPs) in both CYP2C9 and VKORC1 that are associated with warfarin sensitivity (Third Wave Invader Plus, ParagonDx/Cepheid Smart Cycler, Idaho Technology LightCycler, and AutoGenomics Infiniti). Each method was examined for accuracy, cost, and turnaround time. All genotyping methods demonstrated greater than 95% accuracy for identifying the relevant SNPs (CYP2C9 *2 and *3; VKORC1 −1639 or 1173). The ParagonDx and Idaho Technology assays had the shortest turnaround and hands-on times. The Third Wave assay was readily scalable to higher test volumes but had the longest hands-on time. The AutoGenomics assay interrogated the largest number of SNPs but had the longest turnaround time. Four published warfarin-dosing algorithms (Washington University, UCSF, Louisville, and Newcastle) were compared for accuracy for predicting warfarin dose in a retrospective analysis of a local patient population on long-term, stable warfarin therapy. The predicted doses from both the Washington University and UCSF algorithms demonstrated the best correlation with actual warfarin doses. PMID:19324988

Research for the energy turnaround. Phase transitions actively shape. Contributions

International Nuclear Information System (INIS)

Szczepanski, Petra; Wunschick, Franziska; Martin, Niklas

2015-01-01

The Annual Conference 2014 of the Renewable Energy Research Association was held in Berlin on 6 and 7 November 2014. This book documents the contributions of the conference on research for the energy turnaround, phase transitions actively shape. After an introduction and two contributions to the political framework, the contributions to the economic phases of the energy transition, the phase of the current turn, the phases of social energy revolution, the stages of heat turnaround (Waermewende), and the stages of the mobility turn deal with the stages of development of the energy system. Finally, the Research Association Renewable Energy is briefly presented. [de

Reducing turnaround time for laboratory test results does not improve retention of stable HIV-infected adults on POV program: experience from Uganda.

Science.gov (United States)

Maselle, Edna; Muhanguzi, Asaph; Muhumuza, Simon; Nansubuga, Jeniffer; Nawavvu, Cecilia; Namusobya, Jeniffer; Kamya, Moses R; Semitala, Fred C

2014-01-01

HIV/ AIDS clinics in resource limited settings (RLS) face increasing numbers of patients and workforce shortage [1, 2]. To address these challenges, efficient models of care like pharmacy only visits (POV) and nurse only visits (NOV) are recommended [3]. The Makerere University Joint AIDS Program (MJAP), a PEPFAR funded program providing care to over 42,000 HIV infected adults has implemented the POV model since 2009. In this model, stable patients on antiretroviral therapy (ART) with adherence to ART >95% and Karnofsky score >90% are reviewed by a doctor every four months but visit pharmacy for ART re-fills every two months. A study conducted in August 2011 showed low retention on the POV program with symptomatic diseases, pending CD4 count, complete blood count results, and poor adherence to ART as the major reasons for the non-retention in the POV program. To improve retention on POV, the TAT (Turnaround Time) for laboratory results (the main reason for non-retention in the previous study) was reduced from one month to one week. In August 2012, the study was repeated to assess the effect of reducing TAT on improving retention one year after patients were placed on POV. A cohort analysis of data from patients in August 2011 and in August 2012 on POV was done. We compared retention of POV before and after reducing the TAT for laboratory results. Retention on POV was 12.0% (95% CI 9.50-14.7) among 619 patients in 2011, (70% Females), mean age was 33 years, Standard Deviation (SD) 8.5 compared to 11.1% (95% CI 9.15-13.4) among 888 patients (70% Females), mean age 38.3 years, SD 8.9 in 2012 (p=0.59). The main reasons for non-retention on the POV program in 2012 were poor adherence to ART (23%) and missed clinic appointments (14%). Reducing TAT for laboratory test results did not improve retention of stable HIV-infected adults on POV in our clinic. Strategies for improving adherence to ART and keeping clinic appointments need to be employed to balance workload and

Turnarounds to Transfer: Design beyond the Modes

Science.gov (United States)

Eddy, Jennifer

2014-01-01

In "Turnarounds to Transfer," teachers design a collection of tasks toward the summative performance goal but go beyond the Communicative mode criteria: they must assess for transfer. Transfer design criteria must include a complexity or variation that make learners engage critical thinking skills and call upon a repertoire of knowledge…

THE EVALUATION OF THE IMPLEMENTATION OF CONTRACTOR SAFETY MANAGEMENT SYSTEM (CSMS PROGRAM ON TURNAROUND PROJECT (TA AT PT. PUPUK SRIWIDJAJA (PUSRI PALEMBANG

Directory of Open Access Journals (Sweden)

Muhammad Arif

2016-03-01

Full Text Available Background :Turnaround is one of the done by contractor in which if it is not managed well, it could cause work accident. The purpose of this study was to evaluate the implementation of contractor safety management system (CSMS program on turnaround project at PT. Pupuk Sriwidjaja Palembang. Method : This study was a qualitative study. The information was obtained from deep interview, observation and the study of document. The data was analyzed by using content analysis. The validity of the instruments was tested through triangulation of sources, method and data Result : The program implementation Contractor Safety Management System (CSMS on a turnaround project is already well underway only on projects in addition to departments turnaround K3 & LH less involved in the risk assessment stage, pre-qualification and selection of contractors. Conclusion : The implementation of the program Contractor Safety Management System (CSMS on a turnaround project at PT. Pupuk Sriwidjaja Palembang are in accordance with the Code of Labor Management Health, Safety and Environmental Protection Contractor BPMIGAS. It is advisable to PT. Pupuk Sriwidjaja Palembang in order to improve communication between departments procure goods and services with K3 and LH-related departments work tendered as the risk assessment stage, pre-qualification and selection on work tendered. Need sanctions against contractors who do not regularly report performance data K3.

An Integrated Gate Turnaround Management Concept Leveraging Big Data Analytics for NAS Performance Improvements

Science.gov (United States)

Chung, William W.; Ingram, Carla D.; Ahlquist, Douglas Kurt; Chachad, Girish H.

2016-01-01

"Gate Turnaround" plays a key role in the National Air Space (NAS) gate-to-gate performance by receiving aircraft when they reach their destination airport, and delivering aircraft into the NAS upon departing from the gate and subsequent takeoff. The time spent at the gate in meeting the planned departure time is influenced by many factors and often with considerable uncertainties. Uncertainties such as weather, early or late arrivals, disembarking and boarding passengers, unloading/reloading cargo, aircraft logistics/maintenance services and ground handling, traffic in ramp and movement areas for taxi-in and taxi-out, and departure queue management for takeoff are likely encountered on the daily basis. The Integrated Gate Turnaround Management (IGTM) concept is leveraging relevant historical data to support optimization of the gate operations, which include arrival, at the gate, departure based on constraints (e.g., available gates at the arrival, ground crew and equipment for the gate turnaround, and over capacity demand upon departure), and collaborative decision-making. The IGTM concept provides effective information services and decision tools to the stakeholders, such as airline dispatchers, gate agents, airport operators, ramp controllers, and air traffic control (ATC) traffic managers and ground controllers to mitigate uncertainties arising from both nominal and off-nominal airport gate operations. IGTM will provide NAS stakeholders customized decision making tools through a User Interface (UI) by leveraging historical data (Big Data), net-enabled Air Traffic Management (ATM) live data, and analytics according to dependencies among NAS parameters for the stakeholders to manage and optimize the NAS performance in the gate turnaround domain. The application will give stakeholders predictable results based on the past and current NAS performance according to selected decision trees through the UI. The predictable results are generated based on analysis of the

Teacher Pay-for-Performance in School Turnaround: How Bonuses and Differentiated Pay Scales Can Help Support School Turnaround. Meeting the Turnaround Challenge: Strategies, Resources & Tools to Transform a Framework into Practice

Science.gov (United States)

Mass Insight Education (NJ1), 2009

2009-01-01

Given the importance of good teaching and leadership for school success, turnaround schools should think carefully about how to structure professional environments that reward and motivate excellence. A system of "Pay-for-Contribution" that includes tools such as hard-to-staff and skill shortage pay, performance pay, and/or retention…

Decentralized energy policy turnaround. Opportunities and challenges; Dezentrale Energiewende. Chancen und Herausforderungen

Energy Technology Data Exchange (ETDEWEB)

Eiselt, Juergen

2012-07-01

This book supplies a comprehensive inventory of an already beginning decentralized energy policy turnaround. The potentials of an effective energy policy turnaround are described by means of present structures, technologies and scientifically proven results. The book presents new technologies and effective concepts in order to replace the centralised energy supply by decentralized structures. The reduction of expenses and energy-autonomous systems up to the zero-tariff heating are the main impulses for the utilization of decentralized forms of energy.

Energy turnaround and expansion of the power grids as seen by the population; Energiewende und Stromnetzausbau aus Sicht der Bevoelkerung

Energy Technology Data Exchange (ETDEWEB)

Schumann, Diana; Fischer, Wolfgang; Hake, Juergen-Friedrich [Forschungszentrum Juelich GmbH (Germany). Inst. fuer Energie- und Klimaforschung, Systemforschung und Technologische Entwicklung (IEK-STE)

2013-07-15

The expansion of the power grids is a central component of the energy turnaround. However, time and again transmission line construction projects meet with opposition from parts of the population. For the purposes of implementing the energy turnaround it is therefore of interest to ask what factors could be significant for the degree of public acceptance of power transmission lines. Answers to this question are available from the results of a recent representative panel survey on the acceptance in the population of the transformation of the energy supply system.

Citizen investments in the energy policy turnaround; Buergerinvestitionen in die Energiewende

Energy Technology Data Exchange (ETDEWEB)

NONE

2012-07-01

The recently recognisable economical and political developments are characterized by an enormous diversity of simultaneously acting processes. These processes challenge the design and balancing attendance of a complex and intense restructuring. Under this aspect, the brochure under consideration presents the following contributions: (1) Energy policy turnaround, investments by citizens and regional development (Peter Jakubowski); (2) Importance of decentralized participation processes for the acceptance of the development of renewable energies. An environmental psychological consideration (Jan Hildebrand); (3) Advantages of cooperative solutions in the energy policy turnaround (Wolfgang George); (4) Significance and potential of energy cooperatives in Germany. An empiric analysis (Richard Volz); (5) Sustainable investment in the energy policy turnaround with the participation of banks and saving banks (Uwe Greff); (6) Financial participation by citizens. Examples of good practice for investment products such as climate savings certificates, subordinated loans or silent participations (Katrin Gehles); (7) The Jurenergie eG: A citizen energy association on a successful course (Vera Ptacek); (8) Regional value creation effects of different organisational forms in respect of the power generation from biomass (Reinhold Kosfeld).

A Software Engineering Paradigm for Quick-turnaround Earth Science Data Projects

Science.gov (United States)

Moore, K.

2016-12-01

As is generally the case with applied sciences professional and educational programs, the participants of such programs can come from a variety of technical backgrounds. In the NASA DEVELOP National Program, the participants constitute an interdisciplinary set of backgrounds, with varying levels of experience with computer programming. DEVELOP makes use of geographically explicit data sets, and it is necessary to use geographic information systems and geospatial image processing environments. As data sets cover longer time spans and include more complex sets of parameters, automation is becoming an increasingly prevalent feature. Though platforms such as ArcGIS, ERDAS Imagine, and ENVI facilitate the batch-processing of geospatial imagery, these environments are naturally constricting to the user in that they limit him or her to the tools that are available. Users must then turn to "homemade" scripting in more traditional programming languages such as Python, JavaScript, or R, to automate workflows. However, in the context of quick-turnaround projects like those in DEVELOP, the programming learning curve may be prohibitively steep. In this work, we consider how to best design a software development paradigm that addresses two major constants: an arbitrarily experienced programmer and quick-turnaround project timelines.

Improving the turnaround maintenance of the Escravos gas plant / Ishekwene, I.V.

OpenAIRE

Ishekwene, Isaac Victor

2011-01-01

According to Oliver (2002) the success of turnaround maintenances is measured in terms of the cost of completion, time, safety performance and the performance of the plant afterwards. The Escravos gas plant (EGP) is a gas processing plant that converts associated gas from Chevron owned crude oil wells to liquefied petroleum gas, natural gas and gas condensate (Chevron intranet. Website assessed on September 14, 2007). According to the EGP plant operations coordinator (See inter...

From turnaround to continuous innovation

DEFF Research Database (Denmark)

Bjarnø, Ole-Christian

2002-01-01

In this article a five year longitudinal study performed at a medium-sized producer of electronics is reported during which we studied the company's change process. The paper deals with the concept of strategic sourcing as a component in turnaround change management. Based on theories of strategic...... sourcing, explorative case research and continuous innovation a series of findings is identified, and from these findings a management model is proposed. This model is intended to fill in an identified gap in the toolbox for maintenance and further development of the business partners network established...

National survey on intra-laboratory turnaround time for some most common routine and stat laboratory analyses in 479 laboratories in China.

Science.gov (United States)

Fei, Yang; Zeng, Rong; Wang, Wei; He, Falin; Zhong, Kun; Wang, Zhiguo

2015-01-01

To investigate the state of the art of intra-laboratory turnaround time (intra-TAT), provide suggestions and find out whether laboratories accredited by International Organization for Standardization (ISO) 15189 or College of American Pathologists (CAP) will show better performance on intra-TAT than non-accredited ones. 479 Chinese clinical laboratories participating in the external quality assessment programs of chemistry, blood gas, and haematology tests organized by the National Centre for Clinical Laboratories in China were included in our study. General information and the median of intra-TAT of routine and stat tests in last one week were asked in the questionnaires. The response rate of clinical biochemistry, blood gas, and haematology testing were 36% (479/1307), 38% (228/598), and 36% (449/1250), respectively. More than 50% of laboratories indicated that they had set up intra-TAT median goals and almost 60% of laboratories declared they had monitored intra-TAT generally for every analyte they performed. Among all analytes we investigated, the intra-TAT of haematology analytes was shorter than biochemistry while the intra-TAT of blood gas analytes was the shortest. There were significant differences between median intra-TAT on different days of the week for routine tests. However, there were no significant differences in median intra-TAT reported by accredited laboratories and non-accredited laboratories. Many laboratories in China are aware of intra-TAT control and are making effort to reach the target. There is still space for improvement. Accredited laboratories have better status on intra-TAT monitoring and target setting than the non-accredited, but there are no significant differences in median intra-TAT reported by them.

Laboratory-based clinical audit as a tool for continual improvement: an example from CSF chemistry turnaround time audit in a South-African teaching hospital.

Science.gov (United States)

Imoh, Lucius C; Mutale, Mubanga; Parker, Christopher T; Erasmus, Rajiv T; Zemlin, Annalise E

2016-01-01

Timeliness of laboratory results is crucial to patient care and outcome. Monitoring turnaround times (TAT), especially for emergency tests, is important to measure the effectiveness and efficiency of laboratory services. Laboratory-based clinical audits reveal opportunities for improving quality. Our aim was to identify the most critical steps causing a high TAT for cerebrospinal fluid (CSF) chemistry analysis in our laboratory. A 6-month retrospective audit was performed. The duration of each operational phase across the laboratory work flow was examined. A process-mapping audit trail of 60 randomly selected requests with a high TAT was conducted and reasons for high TAT were tested for significance. A total of 1505 CSF chemistry requests were analysed. Transport of samples to the laboratory was primarily responsible for the high average TAT (median TAT = 170 minutes). Labelling accounted for most delays within the laboratory (median TAT = 71 minutes) with most delays occurring after regular work hours (P audit identified sample transportation, work shift periods and use of inappropriate CSF sample tubes as drivers of high TAT for CSF chemistry in our laboratory. The results of this audit will be used to change pre-analytical practices in our laboratory with the aim of improving TAT and customer satisfaction.

Peru turnaround tied to privatization

International Nuclear Information System (INIS)

Anon.

1993-01-01

Petroleos del Peru predicts a 10% increase in Peru's oil production this year and a further increase in 1994. Petroperu also forecasts a sharp increase in drilling in Peru this year. After several years of declining oil production, a gradual turnaround in the cash strapped country's petroleum industry is largely tied to its progress in privatization. The government last year began a campaign to privatize all state owned companies by the end of July 1995. The paper discusses forecasts by Petroperu; the contract of Occidental del Amazonas Inc.; the Petromar privatization; Great Western's contract; development of the Aguaytia gas field; and refinery contracts

Summary inside IBM's historic turnaround

CERN Document Server

2014-01-01

This work offers a summary of the book "WHO SAYS ELEPHANTS CAN'T DANCE? Inside IBM's Historic Turnaround" by Louis Gerstner.In nine years as the chairman and CEO of International Business Machine Corporation (IBM), Louis Gerstner brought about a dramatic change in the company's fortunes. When he took charge, IBM was on the verge of extinction as the victim of rapid changes in the computer industry. However, instead of breaking up IBM as most analysts were suggesting, Gerstner and his management team turned the company around and restored it to a position of power and influence within the indu

Process configuration of Liquid-nitrogen Energy Storage System (LESS) for maximum turnaround efficiency

Science.gov (United States)

Dutta, Rohan; Ghosh, Parthasarathi; Chowdhury, Kanchan

2017-12-01

Diverse power generation sector requires energy storage due to penetration of variable renewable energy sources and use of CO2 capture plants with fossil fuel based power plants. Cryogenic energy storage being large-scale, decoupled system with capability of producing large power in the range of MWs is one of the options. The drawback of these systems is low turnaround efficiencies due to liquefaction processes being highly energy intensive. In this paper, the scopes of improving the turnaround efficiency of such a plant based on liquid Nitrogen were identified and some of them were addressed. A method using multiple stages of reheat and expansion was proposed for improved turnaround efficiency from 22% to 47% using four such stages in the cycle. The novelty here is the application of reheating in a cryogenic system and utilization of waste heat for that purpose. Based on the study, process conditions for a laboratory-scale setup were determined and presented here.

Mixing Metaphors: Building Infrastructure for Large Scale School Turnaround

Science.gov (United States)

Peurach, Donald J.; Neumerski, Christine M.

2015-01-01

The purpose of this analysis is to increase understanding of the possibilities and challenges of building educational infrastructure--the basic, foundational structures, systems, and resources--to support large-scale school turnaround. Building educational infrastructure often exceeds the capacity of schools, districts, and state education…

Inducement and responsibility in the energy turnaround

International Nuclear Information System (INIS)

Loewer, Wolfgang

2013-01-01

The book includes several contributions concerning the Bonn discussion on energy legislation (volume 7): inducement and responsibility -in terms of constitutional law; between Europe and re-regulation - what is the regulation framework? Continuity requirement as legislative action directive; the future of the nuclear fuel tax after the nuclear phaseout - problems of the constitutional finance and the European tax legislation, strategy and energy markets; regulatory challenges in the realization of the energy turnaround policy.

Preparing printed circuit boards for rapid turn-around time on a protomat plotter

International Nuclear Information System (INIS)

Hawtree, J.

1998-01-01

This document describes the use of the LPKF ProtoMat mill/drill unit circuit board Plotter, with the associated CAD/CAM software BoardMaster and CircuitCAM. At present its primarily use here at Fermilab's Particle Physics Department is for rapid-turnover of prototype PCBs double-sided and single-sided copper clad printed circuit boards (PCBs). (The plotter is also capable of producing gravure films and engraving aluminum or plastic although we have not used it for this.) It has the capability of making traces 0.004 inch wide with 0.004 inch spacings which is appropriate for high density surface mount circuits as well as other through-mounted discrete and integrated components. One of the primary benefits of the plotter is the capability to produce double-sided drilled boards from CAD files in a few hours. However to achieve this rapid turn-around time, some care must be taken in preparing the files. This document describes how to optimize the process of PCB fabrication. With proper preparation, researchers can often have a completed circuit board in a day's time instead of a week or two wait with usual procedures. It is assumed that the software and hardware are properly installed and that the machinist is acquainted with the Win95 operating system and the basics of the associated software. This paper does not describe its use with pen plotters, lasers or rubouts. The process of creating a PCB (printed circuit board) begins with the CAD (computer-aided design) software, usually PCAD or VeriBest. These files are then moved to CAM (computer-aided machining) where they are edited and converted to put them into the proper format for running on the ProtoMat plotter. The plotter then performs the actual machining of the board. This document concentrates on the LPKF programs CircuitCam BASIS and BoardMaster for the CAM software. These programs run on a Windows 95 platform to run an LPKF ProtoMat 93s plotter

Analytic turnaround time study for integrated reporting of pathology results on electronic medical records using the Illuminate system

Directory of Open Access Journals (Sweden)

Tawfik O

2016-09-01

Full Text Available Timely pathology results are critical for appropriate diagnosis and management of patients. Yet workflows in laboratories remain ad hoc and involve accessing multiple systems with no direct linkage between patient history and prior or pending pathology records for the case being analyzed. A major hindrance in timely reporting of pathology results is the need to incorporate/interface with multiple electronic health records (EHRs. We evaluated the Illuminate PatientView software (Illuminate integration into pathologist's workflow. Illuminate is a search engine architecture that has a repository of textual information from many hospital systems. Our goal was to develop a comprehensive, user friendly patient summary display to integrate the current fractionated subspecialty specific systems. An analytical time study noting changes in turnaround time (TAT before and after Illuminate implementation was recorded for reviewers, including pathologists, residents and fellows. Reviewers' TAT for 359 cases was recorded (200 cases before and 159 after implementation. The impact of implementing Illuminate on transcriptionists’ workflow was also studied. Average TAT to retrieve EHRs prior to Illuminate was 5:32 min (range 1:35-10:50. That time was significantly reduced to 35 seconds (range 10 sec-1:10 min using Illuminate. Reviewers were very pleased with the ease in accessing information and in eliminating the draft paper documents of the pathology reports, eliminating up to 65 min/day (25-65 min by transcriptionists matching requisition with paperwork. Utilizing Illuminate improved workflow, decreased TAT and minimized cost. Patient care can be improved through a comprehensive patient management system that facilitates communications between isolated information systems.

German energy turnaround and Poland's start in nuclear power? A survey; Deutschlands Energiewende und Polens Einstieg in die Kernenergie? Eine Bestandsaufnahme

Energy Technology Data Exchange (ETDEWEB)

Knopp, Lothar; Gorski, Marek (eds.)

2015-07-01

The book includes contributions from two meetings: 1. Meeting in Berlin, October 8,2014: Energy transition in Poland - historical background, development and actual situation; legal boundary conditions of the entry into nuclear power in Poland; ecologic and economic causes motivation for the atomic energy entry in Poland; promotion systems for renewable energy in Poland, current status and political background; construction of a nuclear power plant in Northern Poland site specific impacts and social assessment. Meeting in Stettin on November 5, 2014: Energy turnaround in Germany -German nuclear phaseout under consideration of EU legislation; ecologic and economic motivation for the energy turnaround in Germany; energy turnaround in Germany - new legal boundary conditions, especially the amendment to tue renewable energy law; contribution of the industry to the energy turnaround - taking the example waste management and waste incineration plants; fracking as a factor of the energy turnaround? - legal boundary conditions and ecologic risks; ecological, ethical and sociopolitical aspects of the energy turnaround in Germany and Poland.

Transforming Turnaround Schools in China: Strategies, Achievements, and Challenges

Science.gov (United States)

Liu, Peng

2016-01-01

The existence of turnaround schools has been a problem in the Chinese education system. There are diverse causes including the education system itself, the financial system, and other issues. However, there has been a lack of research to help us fully understand this phenomenon. This article provides a holistic perspective on the strategies the…

Turnaround radius in an accelerated universe with quasi-local mass

Energy Technology Data Exchange (ETDEWEB)

Faraoni, Valerio; Lapierre-Léonard, Marianne; Prain, Angus, E-mail: vfaraoni@ubishops.ca, E-mail: mlapierre12@ubishops.ca, E-mail: angusprain@gmail.com [Physics Department, Bishop' s University, 2600 College Street, Sherbrooke, Québec, J1M 1Z7 Canada (Canada)

2015-10-01

We apply the Hawking-Hayward quasi-local energy construct to obtain in a rigorous way the turnaround radius of cosmic structures in General Relativity. A splitting of this quasi-local mass into local and cosmological parts describes the interplay between local attraction and cosmological expansion.

Turnaround radius in an accelerated universe with quasi-local mass

International Nuclear Information System (INIS)

Faraoni, Valerio; Lapierre-Léonard, Marianne; Prain, Angus

2015-01-01

We apply the Hawking-Hayward quasi-local energy construct to obtain in a rigorous way the turnaround radius of cosmic structures in General Relativity. A splitting of this quasi-local mass into local and cosmological parts describes the interplay between local attraction and cosmological expansion

The German 2020 Energy Turnaround Index featuring a special focus on economic efficiency; Energiewende-Index Deutschland 2020. Fokusthema Wirtschaftlichkeit

Energy Technology Data Exchange (ETDEWEB)

Vahlenkamp, Thomas [McKinsey and Company, Duesseldorf (Germany); Gohl, Matthias [McKinsey and Company, Berlin (Germany)

2012-12-15

The decision to raise the levy imposed by the Renewable Energies Law has kindled the discussion as to how the energy turnaround can best be implemented and made affordable in the first place. The search for solutions should be founded on as full a picture of the situation as possible as well as a fact base shared by all. The aspiration and purpose of the German 2020 Energy Turnaround Index created by McKinsey and Company is to create precisely such a fact base. Every 3 months the index gives an update on the status of the energy turnaround based on 15 indicators. The present update additionally takes a closer look at the aspect of economic efficiency, which together with climate and environment protection and security of supply forms the triad of imperatives driving the energy turnaround.

Fast Aircraft Turnaround Enabled by Reliable Passenger Boarding

Directory of Open Access Journals (Sweden)

Michael Schultz

2018-01-01

Full Text Available Future 4D aircraft trajectories demand comprehensive consideration of environmental, economic, and operational constraints, as well as reliable prediction of all aircraft-related processes. Mutual interdependencies between airports result in system-wide, far-reaching effects in the air traffic network (reactionary delays. To comply with airline/airport challenges over the day of operations, a change to an air-to-air perspective is necessary, with a specific focus on the aircraft ground operations as major driver for airline punctuality. Aircraft ground trajectories primarily consists of handling processes at the stand (deboarding, catering, fueling, cleaning, boarding, unloading, loading, which are defined as the aircraft turnaround. Turnaround processes are mainly controlled by ground handling, airport, or airline staff, except the aircraft boarding, which is driven by passengers’ experience and willingness/ability to follow the proposed boarding procedures. This paper provides an overview of the research done in the field of aircraft boarding and introduces a reliable, calibrated, and stochastic aircraft boarding model. The stochastic boarding model is implemented in a simulation environment to evaluate specific boarding scenarios using different boarding strategies and innovative technologies. Furthermore, the potential of a connected aircraft cabin as sensor network is emphasized, which could provide information on the current and future status of the boarding process.

Policy Perspective: School Turnaround in England. Utilizing the Private Sector

Science.gov (United States)

Corbett, Julie

2014-01-01

This paper, written by strategic partner of the Center on School Turnaround (CST), Julie Corbett, provides research and examples on England's approach to turning around its lowest performing schools. The English education system utilizes private vendors to support chronically low-performing schools and districts. The introduction is followed by…

Chronically Low-Performing Schools and Turnaround: Evidence from Three States

Science.gov (United States)

Hansen, Michael; Choi, Kilchan

2012-01-01

The criteria for determining the student outcomes that define a school as having "turned around" are not well defined, and the definition of turnaround performance varies across studies. Although current policy initiatives offer guidelines for identifying CLP schools, there is no standard definition or methodology in common usage. This…

Comparative evaluation of the CerTest VIASURE flu A, B & RSV real time RT-PCR detection kit on the BD MAX system versus a routine in-house assay for detection of influenza A and B virus during the 2016/17 influenza season

DEFF Research Database (Denmark)

Sydenham, Thomas Vognbjerg; Bek-Thomsen, Malene; Andersen, Signe Dalsgaard

2018-01-01

laboratory technician "hands on" time but also the laboratory turnaround time is of interest. OBJECTIVES: We evaluated the performance of the VIASURE Flu A, B & RSV Real Time RT-PCR Detection Kit (CerTest Biotec) for detecting Influenza A and B viruses. STUDY DESIGN: During the 2016/17 influenza season 532...

The laboratory information float, time-based competition, and point-of-care testing.

Science.gov (United States)

Friedman, B A

1994-01-01

A new term, the laboratory information float, should be substituted for turnaround-time when evaluating the performance of the clinical laboratory because it includes the time necessary to make test results both available (ready to use) and accessible (easy to use) to clinicians ordering tests. The laboratory information float can be greatly reduced simply by telescoping the analytic phase of laboratory testing into the preanalytic phase. Significant costs are incurred by such a change, some of which can be reduced by developing a mobile clinical laboratory (sometimes referred to as a "lab-on-a-slab" or "rolling thunder") to transport the analytic devices directly to patient care units. The mobile clinical laboratory should be equipped with an integrated personal computer that can communicate continuously with the host laboratory information system and achieve some semblance of continuous flow processing despite test performance in point-of-care venues. Equipping clinicians with palmtop computers will allow the mobile clinician to access test results and order tests on the run. Such devices can be easily configured to operate in a passive mode, accessing relevant information automatically instead of forcing clinicians to query the laboratory information system periodically for the test results necessary to render care to their patients. The laboratory information float of the year 2,000 will surely be measured in minutes through the judicious deployment of relevant technology such as mobile clinical laboratories and palmtop computers.

"I've Never Seen People Work So Hard!" Teachers' Working Conditions in the Early Stages of School Turnaround

Science.gov (United States)

Cucchiara, Maia Bloomfield; Rooney, Erin; Robertson-Kraft, Claire

2015-01-01

School turnaround--a reform strategy that strives for quick and dramatic transformation of low-performing schools--has gained prominence in recent years. This study uses interviews and focus groups conducted with 86 teachers in 13 schools during the early stages of school turnaround in a large urban district to examine teachers' perceptions of the…

Airport Gate Activity Monitoring Tool Suite for Improved Turnaround Prediction, Phase I

Data.gov (United States)

National Aeronautics and Space Administration — The objective of this research is to create a suite of tools for monitoring airport gate activities with the objective of improving aircraft turnaround. Airport ramp...

Anatomy of a public health agency turnaround: the case of the general health district in Mahoning County.

Science.gov (United States)

Honoré, Peggy A; Stefanak, Matthew; Dessens, Scott

2012-01-01

A turnaround describes an organization's ability to recover from successive periods of decline. Current and projected declines in US economic conditions continue to place local public health departments at risk of fiscal exigency. This examination focused on turnaround methodologies used by a local public health department to reverse successive periods of operational and financial declines. Illustrations are provided on the value added by implementing financial ratio and trend analysis in addition to using evidence-based private sector turnaround strategies of retrenchment, repositioning, and reorganization. Evidence has shown how the financial analysis and strategies aided in identifying operational weakness and set in motion corrective measures. The Public Health Uniform Data System is introduced along with a list of standards offered for mainstreaming these and other routine stewardship practices to diagnose, predict, and prevent agency declines.

Implementation of a new 'community' laboratory CD4 service in a rural health district in South Africa extends laboratory services and substantially improves local reporting turnaround time.

Science.gov (United States)

Coetzee, L M; Cassim, N; Glencross, D K

2015-12-16

The CD4 integrated service delivery model (ITSDM) provides for reasonable access to pathology services across South Africa (SA) by offering three new service tiers that extend services into remote, under-serviced areas. ITSDM identified Pixley ka Seme as such an under-serviced district. To address the poor service delivery in this area, a new ITSDM community (tier 3) laboratory was established in De Aar, SA. Laboratory performance and turnaround time (TAT) were monitored post implementation to assess the impact on local service delivery. Using the National Health Laboratory Service Corporate Data Warehouse, CD4 data were extracted for the period April 2012-July 2013 (n=11,964). Total mean TAT (in hours) was calculated and pre-analytical and analytical components assessed. Ongoing testing volumes, as well as external quality assessment performance across ten trials, were used to indicate post-implementation success. Data were analysed using Stata 12. Prior to the implementation of CD4 testing at De Aar, the total mean TAT was 20.5 hours. This fell to 8.2 hours post implementation, predominantly as a result of a lower pre-analytical mean TAT reducing from a mean of 18.9 to 1.8 hours. The analytical testing TAT remained unchanged after implementation and monthly test volumes increased by up to 20%. External quality assessment indicated adequate performance. Although subjective, questionnaires sent to facilities reported improved service delivery. Establishing CD4 testing in a remote community laboratory substantially reduces overall TAT. Additional community CD4 laboratories should be established in under-serviced areas, especially where laboratory infrastructure is already in place.

Can the universe fragment into many independent causal patches at turnaround in cyclic cosmology?

International Nuclear Information System (INIS)

Zhang, Xin

2009-01-01

Infinitely cyclic cosmology is often frustrated by the second law of thermodynamics which dictates that the entropy increases from cycle to cycle so that extrapolation into the past will lead back to an initial singularity. It has been argued in the literature that the entropy problem can be resolved in a particular cyclic universe model through a deflation mechanism (i.e., the universe fragments into an astronomically large number of disconnected causal patches at the turnaround). We point out that in this cyclic model the Hubble distance will become infinity at the turnaround; thus the deflation scenario does not seem to be valid. (orig.)

Turnaround, Transformational, or Transactional Leadership: An Ethical Dilemma in School Reform

Science.gov (United States)

Mette, Ian M.; Scribner, Jay P.

2014-01-01

This case was written for school leaders, specifically building-level principals and central office administrators attempting to implement school turnaround reform efforts. Often, leaders who embark on this type of organizational change work in intense environments that produce high levels of pressure to demonstrate improvement in student…

The Impact of a Health IT Changeover on Medical Imaging Department Work Processes and Turnaround Times: A mixed method study.

Science.gov (United States)

Georgiou, A; Prgomet, M; Lymer, S; Hordern, A; Ridley, L; Westbrook, J

2015-01-01

To assess the impact of introducing a new Picture Archiving and Communication System (PACS) and Radiology Information System (RIS) on: (i) Medical Imaging work processes; and (ii) turnaround times (TATs) for x-ray and CT scan orders initiated in the Emergency Department (ED). We employed a mixed method study design comprising: (i) semi-structured interviews with Medical Imaging Department staff; and (ii) retrospectively extracted ED data before (March/April 2010) and after (March/April 2011 and 2012) the introduction of a new PACS/RIS. TATs were calculated as: processing TAT (median time from image ordering to examination) and reporting TAT (median time from examination to final report). Reporting TAT for x-rays decreased significantly after introduction of the new PACS/RIS; from a median of 76 hours to 38 hours per order (pMedical Imaging staff reported that the changeover to the new PACS/RIS led to gains in efficiency, particularly regarding the accessibility of images and patient-related information. Nevertheless, assimilation of the new PACS/RIS with existing Departmental work processes was considered inadequate and in some instances unsafe. Issues highlighted related to the synchronization of work tasks (e.g., porter arrangements) and the material set up of the work place (e.g., the number and location of computers). The introduction of new health IT can be a "double-edged sword" providing improved efficiency but at the same time introducing potential hazards affecting the effectiveness of the Medical Imaging Department.

Differences in the Policies, Programs, and Practices (PPPs) and Combination of PPPs across Turnaround, Moderately Improving, and Not Improving Schools

Science.gov (United States)

Herman, Rebecca; Huberman, Mette

2012-01-01

The TALPS study aims to build on the existing research base to develop promising methodologies to identify chronically low-performing and turnaround schools, as well as to identify promising strategies for turning around chronically low-performing schools. By looking specifically at schools identified as turnaround, in comparison to nonturnaround…

Validation of clinical testing for warfarin sensitivity: comparison of CYP2C9-VKORC1 genotyping assays and warfarin-dosing algorithms.

Science.gov (United States)

Langley, Michael R; Booker, Jessica K; Evans, James P; McLeod, Howard L; Weck, Karen E

2009-05-01

Responses to warfarin (Coumadin) anticoagulation therapy are affected by genetic variability in both the CYP2C9 and VKORC1 genes. Validation of pharmacogenetic testing for warfarin responses includes demonstration of analytical validity of testing platforms and of the clinical validity of testing. We compared four platforms for determining the relevant single nucleotide polymorphisms (SNPs) in both CYP2C9 and VKORC1 that are associated with warfarin sensitivity (Third Wave Invader Plus, ParagonDx/Cepheid Smart Cycler, Idaho Technology LightCycler, and AutoGenomics Infiniti). Each method was examined for accuracy, cost, and turnaround time. All genotyping methods demonstrated greater than 95% accuracy for identifying the relevant SNPs (CYP2C9 *2 and *3; VKORC1 -1639 or 1173). The ParagonDx and Idaho Technology assays had the shortest turnaround and hands-on times. The Third Wave assay was readily scalable to higher test volumes but had the longest hands-on time. The AutoGenomics assay interrogated the largest number of SNPs but had the longest turnaround time. Four published warfarin-dosing algorithms (Washington University, UCSF, Louisville, and Newcastle) were compared for accuracy for predicting warfarin dose in a retrospective analysis of a local patient population on long-term, stable warfarin therapy. The predicted doses from both the Washington University and UCSF algorithms demonstrated the best correlation with actual warfarin doses.

IEC ready for turnaround in nuclear industry

International Nuclear Information System (INIS)

Schomberg, R.; Corte, E.; Thompson, I.

2005-01-01

The activity of IEC Technical Committee (TC) 45 (Nuclear Instrumentation) in conditions of turnaround in nuclear industry is considered. TC 45's main task is to lay down a comprehensive strategy for itself and its two subcommittees as well as to improve the relevance of the nuclear safety standards. Subcommittee 45A develops standards that apply to the electronic and electrical functions and associated systems and equipment used in the instrumentation and control systems of nuclear energy generation facilities. Subcommittee 45B develops and issues standards covering all aspects of instrumentation associated with radiation protection including radiation detectors, radiation monitoring, dosimetry and radiology [ru

Turnaround High School Principals: Recruit, Prepare and Empower Leaders of Change.

Science.gov (United States)

Schmidt-Davis, Jon; Bottoms, Gene

2012-01-01

Recent studies make one reality clear: While multiple factors can cause a low-performing high school to be in a turnaround situation, every high school that makes dramatic academic improvement has strong, effective school leadership. Turning a school around is no work for novices. It takes a skilled, visionary and proactive principal to pull apart…

The energy turnaround in Switzerland; Die Energiewende der Schweiz

Energy Technology Data Exchange (ETDEWEB)

Vollrath, Klaus [Redaktionsbuero Klaus Vollrath, Aarwangen (Switzerland)

2012-12-15

Not only Germany, Switzerland, too, has opted for an energy turnaround to resolve the question as to its future electricity supply. The decision envisages the decommissioning without replacement of all five existing nuclear power plants. In the debate over possible alternative concepts we are seeing a violent clash between different energy policy positions within the population, the political realm and in the media. If one thing is sure, it is that it will not be cheap.

ECJ judges read the morning papers. Explaining the turnaround of European citizenship jurisprudence

DEFF Research Database (Denmark)

Blauberger, Michael; Heindlmaier, Anita; Kramer, Dion

2018-01-01

. While the ECJ extended EU citizens’ rights even against strong opposition by member state governments, its recent shift reflects changes in the broader political context, i.e. the politicisation of free movement in the European Union (EU). The article theorizes Court responsiveness to politicisation......Recent jurisprudence of the European Court of Justice (ECJ) marks a striking shift towards a more restrictive interpretation of EU citizens’ rights. The Court’s turnaround is not only highly relevant for practical debates about ‘Social Europe’ or ‘welfare migration’, but also enlightening from...... a more general, theoretical viewpoint. Several recent studies on the ECJ have argued that the Court is largely constrained by member state governments’ threats of legislative override and non-compliance. We show that an additional mechanism is necessary to explain the Court’s turnaround on citizenship...

Rapid identification and antimicrobial susceptibility testing of positive blood cultures using MALDI-TOF MS and a modification of the standardised disc diffusion test: a pilot study.

LENUS (Irish Health Repository)

Fitzgerald, C

2016-04-27

In an era when clinical microbiology laboratories are under increasing financial pressure, there is a need for inexpensive, yet effective, rapid microbiology tests. The aim of this study was to evaluate a novel modification of standard methodology for the identification and antimicrobial susceptibility testing (AST) of pathogens in positive blood cultures, reducing the turnaround time of laboratory results by 24 h.

Meeting the challenge of a group practice turnaround.

Science.gov (United States)

Porn, L M

2001-03-01

Many healthcare organizations that acquired group practices to enhance their market share have found that the practices have not met their financial goals. Turning around a financially troubled, hospital-owned group practice is challenging but not impossible for healthcare organizations that take certain basic actions. Direction, data, desire, dedication, and drive must be present to effect the financial turnaround of a group practice. The healthcare organization needs to evaluate the practice's strategy and operations and identify the issues that are hindering the practice's ability to optimize revenues. Efforts to achieve profitable operations have to be ongoing.

Sociology of the energy turnaround. Renewable energy sources and transition of rural regions; Soziologie der Energiewende. Erneuerbare Energien und die Transition des laendlichen Raums

Energy Technology Data Exchange (ETDEWEB)

Kunze, Conrad

2012-11-01

German politicians, industry and society are working on the 'energy turnaround'. While changes in centralized power generation and transmission are going slow, there is an increasing number of 'test laboratories' in rural regions as communities and villages abandon imported fossil fuels and generate their own power on the basis of solar, wind and geothermal resources. In his study, the author investigates the transition phase using tools of empirical sociology. He shows that local processes reflect the importance of the energy turnaround as a cultural change and as a full-scale transformation of rural regions. The development of local, decentral energy infrastructures is interpreted theoretically as an interdependence between social and technological compolexity. The further geographic diffusion of the model in German-language regions can thus be explained as a consequence of specific social structures.

Participatory Democracy and Struggling Schools: Making Space for Youth in School Turnarounds

Science.gov (United States)

Kirshner, Ben; Jefferson, Anton

2015-01-01

Background/Context:Federal policy, as codified in Race to the Top (RTT) funding guidelines, outlines four types of intervention: turnaround, restart, closure, and transformation. RTT has embraced a technocratic paradigm for school reform that frames choice less as the opportunity for the public to deliberate about what it wants from its schools…

Tinkering and Turnarounds: Understanding the Contemporary Campaign to Improve Low-Performing Schools

Science.gov (United States)

Duke, Daniel L.

2012-01-01

An unprecedented amount of attention in recent years has been focused on turning around low-performing schools. Drawing on insights from Tyack and Cuban's (1995) "Tinkering Toward Utopia," the article analyzes the forces behind the school turnaround phenomenon and how they have evolved since passage of the No Child Left Behind Act. The…

Decreasing troponin turnaround time in the emergency department using the central laboratory: A process improvement study.

Science.gov (United States)

Boelstler, Arlene M; Rowland, Ralph; Theoret, Jennifer; Takla, Robert B; Szpunar, Susan; Patel, Shraddha P; Lowry, Andrew M; Pena, Margarita E

2015-03-01

To implement collaborative process improvement measures to reduce emergency department (ED) troponin turnaround time (TAT) to less than 60min using central laboratory. This was an observational, retrospective data study. A multidisciplinary team from the ED and laboratory identified opportunities and developed a new workflow model. Process changes were implemented in ED patient triage, staffing, lab collection and processing. Data collected included TAT of door-to-order, order-to-collect, collect-to-received, received-to-result, door-to-result, ED length of stay, and hemolysis rate before (January-August, 2011) and after (September 2011-June 2013) process improvement. After process improvement and implementation of the new workflow model, decreased median TAT (in min) was seen in door-to-order (54 [IQR43] vs. 11 [IQR20]), order-to-collect (15 [IQR 23] vs. 10 [IQR12]), collect-to-received (6 [IQR8] vs. 5 [IQR5]), received-to-result (30 [IQR12] vs. 24 [IQR11]), and overall door-to-result (117 [IQR60] vs. 60 [IQR40]). A troponin TAT of <60min was realized beginning in May 2012 (59 [IQR39]). Hemolysis rates decreased (14.63±0.74 vs. 3.36±1.99, p<0.0001), as did ED length of stay (5.87±2.73h vs. 5.15±2.34h, p<0.0001). Conclusion Troponin TAT of <60min using a central laboratory was achieved with collaboration between the ED and the laboratory; additional findings include a decreased ED length of stay. Copyright © 2014 The Canadian Society of Clinical Chemists. Published by Elsevier Inc. All rights reserved.

Comparision between bed side testing of blood glucose by glucometer vs centralized testing in a tertiary care hospital.

Science.gov (United States)

Baig, Ayaz; Siddiqui, Imran; Jabbar, Abdul; Azam, Syed Iqbal; Sabir, Salman; Alam, Shahryar; Ghani, Farooq

2007-01-01

To determine the accuracy, turnaround time and cost effectiveness of bedside monitoring of blood glucose levels by non-laboratory health care workers and centralized testing of blood glucose by automated analyzer in a tertiary care hospital. The study was conducted in Section of Chemical Pathology, Department of Pathology and Microbiology and Section of Endocrinology Department of Medicine, Aga Khan University and Hospital Karachi, from April 2005 to March 2006. One hundred and ten patients were included in the study. The blood glucose levels were analyzed on glucometer (Precision Abbott) by finger stick, using Biosensor Technology. At the same time venous blood was obtained to analyze glucose in clinical laboratory on automated analyzer (SYNCHRON CX7) by glucose oxidase method. We observed good correlation between bed side glucometer and laboratory automated analyzer for glucose values between 3.3 mmol/L (60 mg/dl) and 16.7 (300 mg/dl). A significant difference was observed for glucose values less than 3.3 mmol/L (p = 0.002) and glucose values more than 16.67 mmol/l (p = 0.049). Mean Turnaround time for glucometer and automated analyzer were 0.08 hours and 2.49 hours respectively. The cost of glucose testing with glucometer was 48.8% lower than centralized lab based testing. Bedside glucometer testing, though less expensive does not have good accuracy in acutely ill patient with either very high or very low blood glucose levels.

Use of mobile phones and text messaging to decrease the turnaround time for early infant HIV diagnosis and notification in rural Zambia: an observational study.

Science.gov (United States)

Sutcliffe, Catherine G; Thuma, Philip E; van Dijk, Janneke H; Sinywimaanzi, Kathy; Mweetwa, Sydney; Hamahuwa, Mutinta; Moss, William J

2017-03-08

Early infant diagnosis of HIV infection is challenging in rural sub-Saharan Africa as blood samples are sent to central laboratories for HIV DNA testing, leading to delays in diagnosis and treatment initiation. Simple technologies to rapidly deliver results to clinics and notify mothers of test results would decrease many of these delays. The feasibility of using mobile phones to contact mothers was evaluated. In addition, the first two years of implementation of a national short message service (SMS) reporting system to deliver test results from the laboratory to the clinic were evaluated. The study was conducted in Macha, Zambia from 2013 to 2015 among mothers of HIV-exposed infants. Mothers were interviewed about mobile phone use and willingness to be contacted directly or through their rural health center. Mothers were contacted according to their preferred method of communication when test results were available. Mothers of positive infants were asked to return to the clinic as soon as possible. Dates of sample collection, delivery of test results to the clinic and notification of mothers were documented in addition to test results. Four hundred nineteen mothers and infants were enrolled. Only 30% of mothers had ever used a mobile phone. 96% of mobile phone owners were reached by study staff and 98% of mothers without mobile phones were contacted through their rural health center. Turnaround times for mothers of positive infants were approximately 2 weeks shorter than for mothers of negative infants. Delivery of test results by the national SMS system improved from 2013 to 2014, with increases in the availability of texted results (38 vs. 91%) and arrival of the texted result prior to the hardcopy report (27 vs. 83%). Texted results arriving at the clinic before the hardcopy were received a median of 19 days earlier. Four discrepancies between texted and hardcopy results were identified out of 340 tests. Mobile phone and text messaging technology has the

A Case Study of Change Strategies Implemented in a Turnaround Elementary School

Science.gov (United States)

Colson, Jo Ann

2012-01-01

This case study examined the change strategies in a turnaround school at the elementary level to understand and describe how change occurred and was sustained at this campus. This study examined the factors which contributed to the change in academic success of students, examined beliefs about change that led to the change process, identified the…

Into the black. 1993 Hospital Turnaround Contest winners.

Science.gov (United States)

Cerne, F; Bergman, R

1993-07-20

Turning a hospital around takes a lot more than adjusting the financials, as the winners and finalists in the Great Comebacks 1993: The Hospital Turnaround Contest demonstrate. In every case we report on, the hospital being recognized has worked intensively with its community to reassess the services needed by its patients, build support for major management and delivery changes, and articulate the reasons for the strategies being used. Each of the eight hospital organizations we profile, which are spread across the country from Texas to Wisconsin to Maine to North Carolina--has put together its own version of success--in other words, eight lessons in innovation and progress.

Investigating the Role of Human Resources in School Turnaround: Evidence from Two States

Science.gov (United States)

Hansen, Michael

2012-01-01

Teachers are generally recognized as the schooling factor accounting for the highest proportion of student learning outcomes (Aaronson et al., 2007; Hanushek, 1986). This implies the quick and dramatic improvement in school performance observed in turnaround (TA) schools was associated with a major change in the performance of its teachers. This…

Usage of OpenStack Virtual Machine and MATLAB HPC Add-on leads to faster turnaround

KAUST Repository

Van Waveren, Matthijs

2017-03-16

We need to run hundreds of MATLAB® simulations while changing the parameters between each simulation. These simulations need to be run sequentially, and the parameters are defined manually from one simulation to the next. This makes this type of workload unsuitable for a shared cluster. For this reason we are using a cluster running in an OpenStack® Virtual Machine and are using the MATLAB HPC Add-on for submitting jobs to the cluster. As a result we are now able to have a turnaround time for the simulations of the order of a few hours, instead of the 24 hours needed on a local workstation.

Successful integration of fast track projects into turnarounds

Energy Technology Data Exchange (ETDEWEB)

Williams, J. Patrick; Loureiro, Ramon C. [KBC Advanced Technologies, Surrey (United Kingdom)

2012-07-01

Fast track projects can provide quick wins and competitive advantage. However, in most cases the implementation of these projects requires a shutdown for installing the necessary tie-ins or integration into an upcoming turnaround (TA). Depending on the nature of the project and complexity of the TA, the integration can be seamless or result in cost or duration overruns and safety incidents. The risk of such overruns and safety incidents increases with the amount of project work to be integrated into the operations, maintenance and inspection schedules to be executed during the TA. The risk further increases with TA size and other factors. If not planned and scheduled properly and in a timely fashion, capital projects, in particular fast track projects trying to take advantage of an upcoming TA, can severely impact both TA performance, and the safety and reliability of the facility until the next opportunity for eliminating the defects introduced during the TA. Successful TAs are those delivered in a safe, on time, on budget manner, and with the quality standards needed for a leak-free start-up and a safe and reliable operation over the next run cycle. This paper discusses the key elements that are required to minimize the TA risks derived from the inclusion of fast track projects and how to establish the cut off criteria to either cancel or defer the project, or delay the TA in order to balance TA scope freeze and the case for compelling economics.(author)

Impact of the New Abbott mPLUS feature on clinical laboratory efficiencies of abbott RealTime assays for detection of HIV-1, Hepatitis C Virus, Hepatitis B Virus, Chlamydia trachomatis, and Neisseria gonorrhoeae.

Science.gov (United States)

Lucic, Danijela; Jones, Sara; Wiesneth, Russ; Barry, Cathy; Webb, Erika; Belova, Larissa; Dolan, Peggy; Ho, Shiaolan; Abravaya, Klara; Cloherty, Gavin

2013-12-01

Diagnostic laboratories are under increasing pressure to improve and expand their services. Greater flexibility in sample processing is a critical factor that can improve the time to results while reducing reagent waste, making laboratories more efficient and cost-effective. The introduction of the Abbott mPLUS feature, with the capacity for extended use of amplification reagents, significantly increases the flexibility of the m2000 platform and enables laboratories to customize their workflows based on sample arrival patterns. The flexibility in sample batch size offered by mPLUS enables significant reductions in processing times. For hepatitis B virus tests, a reduction in sample turnaround times of up to 30% (105 min) was observed for batches of 12 samples compared with those for batches of 24 samples; for Chlamydia trachomatis/Neisseria gonorrhoeae tests, the ability to run batches of 24 samples reduced the turnaround time by 83% (54 min) compared with that for batches of 48 samples. Excellent correlations between mPLUS and m2000 standard condition results were observed for all RealTime viral load assays evaluated in this study, with correlation r values of 0.998 for all assays tested. For the qualitative RealTime C. trachomatis/N. gonorrhoeae assay, the overall agreements between the two conditions tested were >98% for C. trachomatis and 100% for N. gonorrhoeae. Comparable precision results were observed for the two conditions tested for all RealTime assays. The enhanced mPLUS capability provides clinical laboratories with increased efficiencies to meet increasingly stringent turnaround time requirements without increased costs associated with discarding partially used amplification reagents.

A new and inexpensive non-bit-for-bit solution reproducibility test based on time step convergence (TSC1.0)

Science.gov (United States)

Wan, Hui; Zhang, Kai; Rasch, Philip J.; Singh, Balwinder; Chen, Xingyuan; Edwards, Jim

2017-02-01

A test procedure is proposed for identifying numerically significant solution changes in evolution equations used in atmospheric models. The test issues a fail signal when any code modifications or computing environment changes lead to solution differences that exceed the known time step sensitivity of the reference model. Initial evidence is provided using the Community Atmosphere Model (CAM) version 5.3 that the proposed procedure can be used to distinguish rounding-level solution changes from impacts of compiler optimization or parameter perturbation, which are known to cause substantial differences in the simulated climate. The test is not exhaustive since it does not detect issues associated with diagnostic calculations that do not feedback to the model state variables. Nevertheless, it provides a practical and objective way to assess the significance of solution changes. The short simulation length implies low computational cost. The independence between ensemble members allows for parallel execution of all simulations, thus facilitating fast turnaround. The new method is simple to implement since it does not require any code modifications. We expect that the same methodology can be used for any geophysical model to which the concept of time step convergence is applicable.

Turnaround in an aged persons' mental health service in crisis: a case study of organisational renewal.

Science.gov (United States)

Stafrace, Simon; Lilly, Alan

2008-08-01

This case study demonstrates how leadership was harnessed to turn around a decline in the performance of an aged persons' mental health service - the Namarra Nursing Home at Caulfield General Medical Centre in Melbourne, Australia. In 2000 the nursing home faced a crisis of public confidence due to failings in the management of quality, clinical risk and human resources within the service. These problems reflected structural and operational shortcomings in the clinical directorate and wider organisation. In this article, we detail the process of turnaround from the perspective of senior executive managers with professional and operational responsibility for the service. This turnaround required attention to local clinical accountability and transformation of the mental health program from a collocated but operationally isolated service to one integrated within the governance structures of the auspicing organisation.

Reliability Evaluation of Concentrator Photovoltaic Modules per IEC Qualification Specifications

Energy Technology Data Exchange (ETDEWEB)

Tamizhmani, Govindasamy

2012-12-05

This project is related to the qualification testing of new generation CPV (concentrator photovoltaics) modules at lower testing costs and lower turnaround time. In this project, the first testing program was completed for two CPV manufacturers, the second testing program was completed for two manufacturers at 65% of the actual testing cost and at less than 3 months of testing turnaround time and the third testing program was completed for two manufacturers at 65% of the actual testing cost and at less than 3 months of testing turnaround time. Due to their financial situation and restructuring, Amonix (one of the CPV manufacturers) intermittently terminated the test programs.

The First 90 Days of the New Middle School Principal in a Turnaround School: In-Depth Case Study of the Transition Period (First 90 Days)

Science.gov (United States)

Baeza, Marco A.

2010-01-01

This study analyzed skills, strategies, and theories that new middle school principals used to be successful during their transition period (the first 90 days) in turnaround schools. Based on research on transitions, three research questions guided the study: 1. Do middle school principals in a turnaround school situation find the transition…

How to Know when Dramatic Change Is on Track: Leading Indicators of School Turnarounds

Science.gov (United States)

Kowal, Julie; Ableidinger, Joe

2011-01-01

In recent years, national policymakers have placed new emphasis on "school turnarounds" as a strategy for rapid, dramatic improvement in chronically failing schools, calling on education leaders to turn around performance in the 5,000 lowest-achieving schools nationwide. This goal may seem daunting, given the dismal success rates of…

Pharmacogenetics of clopidogrel: comparison between a standard and a rapid genetic testing.

Science.gov (United States)

Saracini, Claudia; Vestrini, Anna; Galora, Silvia; Armillis, Alessandra; Abbate, Rosanna; Giusti, Betti

2012-06-01

CYP2C19 variant alleles are independent predictors of clopidogrel response variability and occurrence of major adverse cardiovascular events in high-risk vascular patients on clopidogrel therapy. Increasing evidence suggests a combination of platelet function testing with CYP2C19 genetic testing may be more effective in identifying high-risk individuals for alternative antiplatelet therapeutic strategies. A crucial point in evaluating the use of these polymorphisms in clinical practice, besides test accuracy, is the cost of the genetic test and rapid availability of the results. One hundred acute coronary syndrome patients were genotyped for CYP2C19*2,*3,*4,*5, and *17 polymorphisms with two platforms: Verigene(®) and the TaqMan(®) system. Genotyping results obtained by the classical TaqMan approach and the rapid Verigene approach showed a 100% concordance for all the five polymorphisms investigated. The Verigene system had shorter turnaround time with respect to TaqMan. The cost of reagents for TaqMan genotyping was lower than that for the Verigene system, but the effective manual staff involvement and the relative cost resulted in higher cost for TaqMan than for Verigene. The Verigene system demonstrated good performance in terms of turnaround time and cost for the evaluation of the clopidogrel poor metabolizer status, giving genetic information in suitable time (206 min) for a therapeutic strategy decision.

Is "Turnaround" a useful model for low-performing schools?

Directory of Open Access Journals (Sweden)

Sandra Stotsky

2015-04-01

Full Text Available Since passage of the No Child Left Behind act in 2001, all states have been under federal pressure to identify “failing schools.” The US Department of Education has strongly encouraged “turnaround” as an option for schools to use in order to improve student achievement. The study reported here reviewed the research literature on school “turnaround,” with a particular focus on the results in Arkansas of the use of the same “turnaround” partner (America’s Choice for over five years for many of the state’s “failing” elementary, middle, and high schools. There was little evidence to support either this partner or this policy option. The lack of evidence raises a basic question about the usefulness and cost of the federal government’s intervention in local education policy. Nor is it clear how a new program titled Excellence for All now offered by the developers of America’s Choice will differ. It is described as follows: “Excellence for All provides a clear, practical strategy for every student to graduate from high school prepared to succeed in college or in a program of career and technical education that will lead to a successful career.” We are also told: “Excellence for All is aligned with the Common Core State Standards, enabling participating high schools to not just lay the foundation for the Common Core but to get a head start on implementation.” According to a draft of a yet-to-be-voted-on re-authorization of the Elementary and Secondary Education Act (ESEA/NCLB, state departments of education are to submit “college-ready” standards for approval by the USDE if they want Title I funds. However, state legislators, local school board members, parents, and a state’s own higher education academic experts are excluded from approving the standards their state department of education submits, perhaps to ensure that only the “right” standards are submitted. If the language in the current re

Mastering the complexity of the energy turnaround. Outcome of the Energy Competence Initiative; Die Komplexitaet der Energiewende bewaeltigen. Ergebnisse der Kompetenzinitiative Energie

Energy Technology Data Exchange (ETDEWEB)

Rolle, Carsten; Niessen, Philipp [BDI, Berlin (Germany). Abt. Energie- und Klimapolitik

2013-06-15

The energy turnaround is one of the central economic and political projects of the German federal government and goes far beyond a mere replacement of Germany's power plant fleet. This insight has only slowly emerged in the course of the past months. It led the German industry last year to systemically analyse the multifarious effects of the energy turnaround within the framework of the Energy Competence Initiative. Different implications were considered, reaching beyond the sphere of the energy economy itself, and making use of the sector-specific expertise of all associations organised within the Federation of German Industry (BDI) as well as the support of scientists and consultants. The goal was to take stock of the wider effects of the energy turnaround on the German industry and on Germany as an industrial site. In the spring of 2013 the results of two empirical studies on the topic became available. This article contains selected results from these two studies.

The Effects of School Turnaround in Tennessee's Achievement School District and Innovation Zones

Science.gov (United States)

Zimmer, Ron; Henry, Gary T.; Kho, Adam

2017-01-01

In recent years, the federal government has invested billions of dollars to reform chronically low-performing schools. To fulfill their federal Race to the Top grant agreement, Tennessee implemented three turnaround strategies that adhered to the federal restart and transformation models: (a) placed schools under the auspices of the Achievement…

Energy turnaround in the traffic sector. What contribution can be achieved with biofuels?; Energiewende im Verkehrssektor. Welcher Beitrag ist durch Biokraftstoffe erreichbar?

Energy Technology Data Exchange (ETDEWEB)

Adolf, Joerg [Shell Deutschland, Hamburg (Germany); Fritsche, Uwe [Internationales Institut fuer Nachhaltigkeitsanalysen und -strategien, Darmstadt (Germany)

2013-03-15

The energy turnaround is only making slow progress in the traffic sector. Biofuels, the most important alternative energy resource for traffic applications, have come under criticism, and their growth has stalled in recent years. Two questions present themselves in this situation: Where do biofuels stand today? And what can they contribute in future to the energy turnaround in the traffic sector? The present study on challenges and potentials associated with the use of biofuels in the traffic sector investigates the direction of current developments.

Energy in a dialog. The challenges facing Germany's power industry as a result of the energy turnaround

International Nuclear Information System (INIS)

Gueldner, Ralf

2012-01-01

The challenges posed by the energy turnaround in Germany to the power industry and the national economy after the Fukushima events were the topic of the ''Energy in a Dialog'' meeting organized by the Deutsches Atomforum in Berlin on December 14, 2011. Dr. Ralf Gueldner, President of the Deutsches Atomforum, opened the conference by drawing attention to the real purposes of the energy turnaround, namely to prevent severe climate changes and, thus, also carbon emissions. Both nationally in Germany and worldwide, nuclear power made major contributions to achieving these goals. Referring to developments in many neighboring countries, he underlined that opting out of the use of nuclear power in Germany was not tantamount to the end of nuclear power. Reality in energy policy had to be accepted, however, namely that nuclear power played, and would go on playing, an important role in Europe. Other contributions by Dr. Juergen Grossmann (Chief Executive Officer of RWE AG), Stefan Kohler (Chairman of the Board of Management of the German Energy Agency - dena), and Prof.Dr. Felix Muesgens (Brandenburg Technical University of Cottbus, Chair of Power Economics) dealt with political and other boundary conditions required for the energy turnaround, and with the consequences and burdens on the power industry and the national economy. A final panel discussion chaired by Henning Krumrey (Wirtschaftswoche) was attended by F. Muesgens and Prof. Dr. Hans-Werner Sinn (President of the Munich-based Info Institute) and Prof. Dr. Michael Huether (German Business Institute). (orig.)

Fast-turnaround alkyl nitrate measurements during the PROPHET 1998 summer intensive

Science.gov (United States)

Ostling, Kristi; Kelly, Brendan; Bird, Stephen; Bertman, Steven; Pippin, Margaret; Thornberry, Troy; Carroll, Mary Anne

2001-10-01

An automated gas chromatographic system for making fast-turnaround measurements of alkyl nitrates was developed and tested. Every 30 min, samples were automatically acquired on a 1/16-inch OD Tenax trap made from fused silica-lined stainless steel tubing and injected by thermal desorption into the gas chromatograph. The system exhibited good chromatographic resolution, minimal breakthrough, and on-trap stability for C3-C5 nitrates. The detection limit of the instrument was Biological Station in northern Michigan during the summer of 1998 from July 15 to August 22. Ambient results show a significant dynamic range with absolute levels affected by air mass history and pollution sources. The sum of measured C3-C5 alkyl nitrates obtained during this intensive ranged from 3.45 to 65.8 pptv, with a mean of 18.6 pptv and contributed 1% on average to total NOy, with a range of 0.5% to 3%. Differences in the contribution to NOy are found when the data are filtered according to air mass origin. A positive relationship between n-propyl nitrate and peroxypropionyl nitrate was observed over the course of the intensive.

Diagnosis of bacterial infection | Boyles | South African Medical ...

African Journals Online (AJOL)

Because of slow turnaround times, these tests are frequently used to focus or stop antibiotic therapy after empiric initiation. Nucleic acid amplification tests raise the possibility of detecting organisms with high sensitivity, specificity and reduced turnaround time, and novel diagnostic modalities relying on nanotechnology and ...

Inducement and responsibility in the energy turnaround; Veranlassung und Verantwortung bei der Energiewende

Energy Technology Data Exchange (ETDEWEB)

Loewer, Wolfgang (ed.)

2013-07-01

The book includes several contributions concerning the Bonn discussion on energy legislation (volume 7): inducement and responsibility -in terms of constitutional law; between Europe and re-regulation - what is the regulation framework? Continuity requirement as legislative action directive; the future of the nuclear fuel tax after the nuclear phaseout - problems of the constitutional finance and the European tax legislation, strategy and energy markets; regulatory challenges in the realization of the energy turnaround policy.

End of the nuclear energy era? From Fukushima to the energy policy turnaround; Ende des Atomzeitalters? Von Fukushima in die Energiewende

Energy Technology Data Exchange (ETDEWEB)

Piepenbrink, Johannes (comp.)

2012-07-01

Due to a violent earthquake and the resulting tsunami, a core melt down resulted at the nuclear power plant Fukushima Daiichi in Japan. Thus, at 30th June, 2011, the Federal Government decided to complete the utilization of the nuclear power in Germany. Is this the end of the atomic age? Under this aspect, the booklet under consideration consists of the following nine contributions: (1) Why is the ''energy policy turnaround'' a social question? (Harald Welzer); (2) Tsunami in the living room: Catastrophes facilitated by the media (Joerg R. Bergmann); (3) Learning from the catastrophe (Manfred Buerger); (4) Perspectives of the nuclear power in Europe and globally (Lutz Mez); (5) Outsider or leader? The 'model Germany' and the European energy policy (Severin Fischer); (6) 'Energy policy turnaround': Quo vadis? (Hardo Bruhns); (7) Energy policy turnarounds in Germany: Motifs and impacts for the European electricity market (Hans-Jochen Luhmann); (8) A short story of the German anti-nuclear movement (Joachim Radkau); (9) Popularity of the apocalypse: Reflections on the cultural history of the fear against nuclear accidents since 1945 (Philipp Gassert).

The Reading Turn-Around: A Five Part Framework for Differentiated Instruction. Practitioners Bookshelf, Language & Literacy Series

Science.gov (United States)

Jones, Stephanie; Clarke, Lane; Enriquez, Grace

2009-01-01

This book demonstrates a five-part framework for teachers, reading specialists, and literacy coaches who want to help their least engaged students become powerful readers. Merging theory and practice, the guide offers successful strategies to reach your "struggling" learners. The authors show how you can "turn-around" your instructional practice,…

Residual life assessment of the SSME/ATD HPOTP turnaround duct (TAD)

Science.gov (United States)

Gross, R. Steven

1996-01-01

This paper is concerned with the prediction of the low cycle thermal fatigue behavior of a component in a developmental (ATD) high pressure liquid oxygen turbopump (HPOTP) for the Space Shuttle Main Engine (SSME). This component is called the Turnaround Duct (TAD). The TAD is a complex single piece casting of MAR-M-247 material. Its function is to turn the hot turbine exhaust gas (1200 F hydrogen rich gas steam) such that it can exhaust radially out of the turbopump. In very simple terms, the TAD consists of two rings connected axially by 22 hollow airfoil shaped struts with the turning vanes placed at the top, middle, and bottom of each strut. The TAD is attached to the other components of the pump via bolts passing through 14 of the 22 struts. Of the remaining 8 struts, four are equally spaced (90 deg interval) and containing a cooling tube through which liquid hydrogen passes on its way to cool the shaft bearing assemblies. The remaining 4 struts are empty. One of the pump units in the certification test series was destructively examined after 22 test firings. Substantial axial cracking was found in two of the struts which contain cooling tubes. None of the other 20 struts showed any sign of internal cracking. This unusual low cycle thermal fatigue behavior within the two cooling tube struts is the focus of this study.

Personal exposure to benzene and 1,3-butadiene during petroleum refinery turnarounds and work in the oil harbour.

Science.gov (United States)

Akerstrom, M; Almerud, P; Andersson, E M; Strandberg, B; Sallsten, G

2016-11-01

Petroleum refinery workers' exposure to the carcinogens benzene and 1,3-butadiene has decreased during normal operations. However, certain occupational groups or events at the refineries still involve a risk of higher exposures. The aim of this study was to examine the personal exposure to benzene and 1,3-butadiene at refinery turnarounds and during work in the oil harbour. Personal exposure measurements of benzene and 1,3-butadiene were taken during work shifts, with a priori assumed higher benzene exposure, using PerkinElmer diffusive samplers filled with Carbopack X. Mean exposure levels were calculated, and repeated exposure measurements, when available, were assessed using mixed effect models. Group and individual compliance with the Swedish occupational exposure limit (OEL) was tested for the different exposure groups. Mean benzene exposure levels for refinery workers during the three measured turnarounds were 150, 610 and 960 µg/m 3 , and mean exposures for oil harbour workers and sewage tanker drivers were 310 and 360 µg/m 3 , respectively. Higher exposures were associated with handling benzene-rich products. Most occupational groups did not comply with the Swedish OEL for benzene nor did the individuals within the groups. The exposure to 1,3-butadiene was very low, between Work within the petroleum refinery industry, with potential exposure to open product streams containing higher fractions of benzene, pose a risk of personal benzene exposures exceeding the OEL. Refinery workers performing these work tasks frequently, such as contractors, sewage tanker drivers and oil harbour workers, need to be identified and protected.

Measuring trade-offs that matter: assessing the impact of a new electronic cross-match policy on the turnaround time and the cross-match workload efficiency.

Science.gov (United States)

Lin, David M; Goldfinger, Dennis; Lu, Qun; Wallace, Bridget; Kosaka-Nguyen, Dawn; Wood, Alisa; Porter, Bethany; Bumerts, Pamela; Jeffery, Rebecca; Fang, Amy; Stalcup, Irene; Penaflorida, Tracy; Ziman, Alyssa

2014-12-01

Our traditional cross-match (XM) policy generated a significant number of XM units that were never issued. To minimize the unnecessary XM workload, we proposed a new policy where orders eligible for the electronic XM (EXM) are pended until orders to issue red blood cells (RBCs) are received. To address concerns that this new policy might unduly delay blood availability, we conducted a study to assess whether the new policy was noninferior to the traditional policy with regard to the turnaround time (TAT). We monitored the TAT and XM workload efficiency (XM-to-issue [C : I] ratio) for a total of 8 weeks split between the two policies' periods. The primary outcome was the proportion of RBC issue requests that was turned around in less than 12 minutes. Fifty percent (1133 of 2265) of issue requests were turned around in 12 minutes or less under the traditional policy compared to 43.9% (975 of 2223) under the new policy (absolute difference of 6.1%; 95% confidence interval [CI], 3.2%-9.1%; p trade-off between delays in the TAT and efficiency gains in the XM workload remained acceptable for patient care. © 2014 AABB.

Portfolio District Reform Meets School Turnaround: Early Implementation Findings from the Los Angeles Public School Choice Initiative

Science.gov (United States)

Marsh, Julie A.; Strunk, Katharine O.; Bush, Susan

2013-01-01

Purpose: Despite the popularity of school "turnaround" and "portfolio district" management as solutions to low performance, there has been limited research on these strategies. The purpose of this paper is to address this gap by exploring the strategic case of Los Angeles Unified School District's Public School Choice…

The Double Bind for Women: Exploring the Gendered Nature of Turnaround Leadership in a Principal Preparation Program

Science.gov (United States)

Weiner, Jennie Miles; Burton, Laura J.

2016-01-01

In this study of nine participants in a turnaround principal preparation program, Jennie Miles Weiner and Laura J. Burton explore how gender role identity shaped participants' views of effective principal leadership and their place within it. The authors find that although female and male participants initially framed effective leadership…

The National Shipbuilding Research Program. Environmental Studies and Testing (Phase V)

Science.gov (United States)

2000-11-20

development of an analytical procedure for toxic organic compounds, including TBT ( tributyltin ), whose turnaround time would be in the order of minutes...Cost of the Subtask was $20,000. Subtask #33 - Turnaround Analytical Method for TBT This Subtask performed a preliminary investigation leading to the...34Quick TBT Analytical Method" that will yield reliable results in 15 minutes, a veritable breakthrough in sampling technology. The Subtask was managed by

Turnaround strategies for companies in crisis: Watch out the causes of decline before firing people

Directory of Open Access Journals (Sweden)

Monica Santana

2017-07-01

Full Text Available When a company goes into crisis, the first and most typical response is the dismissal of people, even before considering the sources of the decline. Although the reduction of costs may seem a quick and reasonable measure in this context, downsizing is not the only possibility, nor the most advisable response when facing decline. In turn, by identifying and understanding the sources of decline in time, a company may want to decide on human resource (HR alternatives to layoffs. This research shows how the HR responses of declining companies should be in line with the sources of the decline. Adopting a configurational perspective, we propose a model of analysis that links sources of decline, turnaround strategy, and HR strategy (HRS and practices. This model identifies four basic HRS for organizations in decline, according to its sources: flexibility-oriented, efficiency-oriented, niche-oriented, and maintenance-oriented HRS.

Technical evaluation of the novel preanalytical module on instrumentation laboratory ACL TOP: advancing automation in hemostasis testing.

Science.gov (United States)

Lippi, Giuseppe; Ippolito, Luigi; Favaloro, Emmanuel J

2013-10-01

Automation in hemostasis testing is entering an exciting and unprecedented phase. This study was planned to assess the performance of the new preanalytical module on the hemostasis testing system Instrumentation Laboratory ACL TOP. The evaluation included interference studies to define reliable thresholds for rejecting samples with significant concentrations of interfering substances; within-run imprecision studies of plasma indices on four different interference degrees for each index; comparison studies with reference measures of hemolysis index, bilirubin, and triglycerides on clinical chemistry analyzers; and calculation of turnaround time with and without automatic performance of preanalytical check. The upper limits for sample rejection according to our interference studies were 3.6 g/L for hemoglobin, 13.6 mg/dL for bilirubin, and 1454 mg/dL for triglycerides. We found optimal precision for all indices (0.6% to 3.1% at clinically relevant thresholds) and highly significant correlations with reference measures on clinical chemistry analyzers (from 0.985 to 0.998). The limited increase of turnaround time (i.e., +3% and +5% with or without cap-piercing), coupled with no adjunctive costs over performance of normal coagulation assays, contribute to make the automatic check of plasma indices on ACL TOP a reliable and practical approach for improving testing quality and safeguarding patient safety.

Comparative evaluation of two rapid field tests for malaria diagnosis: Partec Rapid Malaria Test® and Binax Now® Malaria Rapid Diagnostic Test.

Science.gov (United States)

Nkrumah, Bernard; Acquah, Samuel Ek; Ibrahim, Lukeman; May, Juergen; Brattig, Norbert; Tannich, Egbert; Nguah, Samuel Blay; Adu-Sarkodie, Yaw; Huenger, Frank

2011-05-23

About 90% of all malaria deaths in sub-Saharan Africa occur in children under five years. Fast and reliable diagnosis of malaria requires confirmation of the presence of malaria parasites in the blood of patients with fever or history suggestive of malaria; hence a prompt and accurate diagnosis of malaria is the key to effective disease management. Confirmation of malaria infection requires the availability of a rapid, sensitive, and specific testing at an affordable cost. We compared two recent methods (the novel Partec Rapid Malaria Test® (PT) and the Binax Now® Malaria Rapid Diagnostic Test (BN RDT) with the conventional Giemsa stain microscopy (GM) for the diagnosis of malaria among children in a clinical laboratory of a hospital in a rural endemic area of Ghana. Blood samples were collected from 263 children admitted with fever or a history of fever to the pediatric clinic of the Agogo Presbyterian Hospital. The three different test methods PT, BN RDT and GM were performed independently by well trained and competent laboratory staff to assess the presence of malaria parasites. Results were analyzed and compared using GM as the reference standard. In 107 (40.7%) of 263 study participants, Plasmodium sp. was detected by GM. PT and BN RDT showed positive results in 111 (42.2%) and 114 (43.4%), respectively. Compared to GM reference standard, the sensitivities of the PT and BN RDT were 100% (95% CI: 96.6-100) and 97.2% (95% CI: 92.0-99.4), respectively, specificities were 97.4% (95% CI: 93.6-99.3) and 93.6% (95% CI: 88.5-96.9), respectively. There was a strong agreement (kappa) between the applied test methods (GM vs PT: 0.97; p < 0.001 and GM vs BN RDT: 0.90; p < 0.001). The average turnaround time per tests was 17 minutes. In this study two rapid malaria tests, PT and BN RDT, demonstrated a good quality of their performance compared to conventional GM. Both methods require little training, have short turnaround times, are applicable as well as affordable and

Germany's energy turnaround. A joint venture for the future

International Nuclear Information System (INIS)

2011-01-01

The Ethics Committee is sure that nuclear phaseout will be possible within a decade with the energy turnaround measures presented here. Nuclear phaseout is considered necessary and is recommended with the intention to prevent the risk of nuclear power in Germany and to use less risky technologies. The competitive standing of the German industry should not be affected. Science and research, new technologies and the readiness of German industrial organizations to develop new business models for a sustainable economy provides Germany with alternatives, i.e. wind power, solar, hydroelectric, geothermal, biomass, efficient energy use and higher energy efficiency, as well as fossil fuels used with low emissions of climate-relevant gases. Further, a changed human lifestyle with more respect of nature will help to save energy. In the first stage of nuclear phaseout, nuclear power plants will be shut down and decommissioned. Of course, the Ethics Committee is aware that after this stage, there will be long years of intensive work of shielding, saveguarding and finally dismantling.

Two-dimensional thermal-hydraulic behavior in core in SCTF Core-II cold leg injection tests

International Nuclear Information System (INIS)

Iwamura, Takamichi; Sobajima, Makoto; Okubo, Tsutomu; Ohnuki, Akira; Abe, Yutaka; Adachi, Hiromichi

1985-07-01

Major purpose of the Slab Core Test Program is to investigate the two-dimensional thermal-hydraulic behavior in the core during the reflood phase in a PWR-LOCA. In order to investigate the effects of radial power profile, three cold leg injection tests with different radial power profiles under the same total heating power and core stored energy were performed by using the Slab Core Test Facility (SCTF) Core-II. It was revealed by comparing these three tests that the heat transfer was enhanced in the higher power bundles and degraded in the lower power bundles in the non-uniform radial power profile tests. The turnaround temperature in the high power bundles were evaluated to be reduced by about 40 to 120 K. On the other hand, a two-dimensional flow in the core was also induced by the non-uniform water accumulation in the upper plenum and the quench was delayed resultantly in the bundles corresponding to the peripheral bundles of a PWR. However, the effect of the non-uniform upper plenum water accumulation on the turnaround temperature was small because the effect dominated after the turnaround of the cladding temperature. Selected data from Tests S2-SH1, S2-SH2 and S2-O6 are also presented in this report. Some data from Tests S2-SH1 and S2-SH2 were compared with TRAC post-test calculations performed by the Los Alamos National Laboratory. (author)

The impact of closed-loop electronic medication management on time to first dose: a comparative study between paper and digital hospital environments.

Science.gov (United States)

Austin, Jodie A; Smith, Ian R; Tariq, Amina

2018-01-22

Closed-loop electronic medication management systems (EMMS) are recognised as an effective intervention to improve medication safety, yet evidence of their effectiveness in hospitals is limited. Few studies have compared medication turnaround time for a closed-loop electronic versus paper-based medication management environment. To compare medication turnaround times in a paper-based hospital environment with a digital hospital equipped with a closed-loop EMMS, consisting of computerised physician order entry, profiled automated dispensing cabinets packaged with unit dose medications and barcode medication administration. Data were collected during 2 weeks at three private hospital sites (one with closed-loop EMMS) within the same organisation network in Queensland, Australia. Time between scheduled and actual administration times was analysed for first dose of time-critical and non-critical medications located on the ward or sourced via pharmacy. Medication turnaround times at the EMMS site were less compared to the paper-based sites (median, IQR: 35 min, 8-57 min versus 120 min, 30-180 min, P medications, 77% were administered within 60 min of scheduled time at the EMMS site versus 38% for the paper-based sites. Similar difference was observed for non-critical medications, 80% were administered within 60 min of their scheduled time at the EMMS site versus 41% at the paper-based facilities. The study indicates medication turnaround times utilising a closed-loop EMMS are less compared to paper-based systems. This improvement may be attributable to increased accessibility of medications using automated dispensing cabinets and electronic medication administration records flagging tasks to nurses in real time. © 2018 Royal Pharmaceutical Society.

Syndromic Panel-Based Testing in Clinical Microbiology.

Science.gov (United States)

Ramanan, Poornima; Bryson, Alexandra L; Binnicker, Matthew J; Pritt, Bobbi S; Patel, Robin

2018-01-01

The recent development of commercial panel-based molecular diagnostics for the rapid detection of pathogens in positive blood culture bottles, respiratory specimens, stool, and cerebrospinal fluid has resulted in a paradigm shift in clinical microbiology and clinical practice. This review focuses on U.S. Food and Drug Administration (FDA)-approved/cleared multiplex molecular panels with more than five targets designed to assist in the diagnosis of bloodstream, respiratory tract, gastrointestinal, or central nervous system infections. While these panel-based assays have the clear advantages of a rapid turnaround time and the detection of a large number of microorganisms and promise to improve health care, they present certain challenges, including cost and the definition of ideal test utilization strategies (i.e., optimal ordering) and test interpretation. Copyright © 2017 American Society for Microbiology.

POC CD4 Testing Improves Linkage to HIV Care and Timeliness of ART Initiation in a Public Health Approach: A Systematic Review and Meta-Analysis.

Directory of Open Access Journals (Sweden)

Lara Vojnov

Full Text Available CD4 cell count is an important test in HIV programs for baseline risk assessment, monitoring of ART where viral load is not available, and, in many settings, antiretroviral therapy (ART initiation decisions. However, access to CD4 testing is limited, in part due to the centralized conventional laboratory network. Point of care (POC CD4 testing has the potential to address some of the challenges of centralized CD4 testing and delays in delivery of timely testing and ART initiation. We conducted a systematic review and meta-analysis to identify the extent to which POC improves linkages to HIV care and timeliness of ART initiation.We searched two databases and four conference sites between January 2005 and April 2015 for studies reporting test turnaround times, proportion of results returned, and retention associated with the use of point-of-care CD4. Random effects models were used to estimate pooled risk ratios, pooled proportions, and 95% confidence intervals.We identified 30 eligible studies, most of which were completed in Africa. Test turnaround times were reduced with the use of POC CD4. The time from HIV diagnosis to CD4 test was reduced from 10.5 days with conventional laboratory-based testing to 0.1 days with POC CD4 testing. Retention along several steps of the treatment initiation cascade was significantly higher with POC CD4 testing, notably from HIV testing to CD4 testing, receipt of results, and pre-CD4 test retention (all p<0.001. Furthermore, retention between CD4 testing and ART initiation increased with POC CD4 testing compared to conventional laboratory-based testing (p = 0.01. We also carried out a non-systematic review of the literature observing that POC CD4 increased the projected life expectancy, was cost-effective, and acceptable.POC CD4 technologies reduce the time and increase patient retention along the testing and treatment cascade compared to conventional laboratory-based testing. POC CD4 is, therefore, a useful tool

Multiplex molecular testing for management of infectious gastroenteritis in a hospital setting: a comparative diagnostic and clinical utility study.

Science.gov (United States)

Halligan, E; Edgeworth, J; Bisnauthsing, K; Bible, J; Cliff, P; Aarons, E; Klein, J; Patel, A; Goldenberg, S

2014-08-01

Laboratory diagnosis and clinical management of inpatients with diarrhoea is complex and time consuming. Tests are often requested sequentially and undertaken in different laboratories. This causes prolonged unnecessary presumptive isolation of patients, because most cases are non-infectious. A molecular multiplex test (Luminex(®) Gastrointestinal Pathogen Panel (GPP)) was compared with conventional testing over 8 months to determine diagnostic accuracy, turnaround times, laboratory costs, use of isolation facilities and user acceptability. A total of 262 (12%) patients had a pathogen detected by conventional methods compared with 483 (22.1%) by GPP. Most additional cases were detected in patients developing symptoms in the first 4 days of admission. Additional cases were detected because of presumed improved diagnostic sensitivity but also because clinicians had not requested the correct pathogen. Turnaround time (41.8 h) was faster than bacterial culture (66.5 h) and parasite investigation (66.5 h) but slower than conventional testing for Clostridium difficile (17.3 h) and viruses (27 h). The test could allow simplified requesting by clinicians and a consolidated laboratory workflow, reducing the overall number of specimens received by the laboratory. A total of 154 isolation days were saved at an estimated cost of £30 800. Consumables and labour were estimated at £150 641 compared with £63 431 for conventional testing. Multiplex molecular testing using a panel of targets allowed enhanced detection and a consolidated laboratory workflow. This is likely to be of greater benefit to cases that present within the first 4 days of hospital admission. © 2013 The Authors Clinical Microbiology and Infection © 2013 European Society of Clinical Microbiology and Infectious Diseases.

Time-Optimal Real-Time Test Case Generation using UPPAAL

DEFF Research Database (Denmark)

Hessel, Anders; Larsen, Kim Guldstrand; Nielsen, Brian

2004-01-01

Testing is the primary software validation technique used by industry today, but remains ad hoc, error prone, and very expensive. A promising improvement is to automatically generate test cases from formal models of the system under test. We demonstrate how to automatically generate real...... test purposes or generated automatically from various coverage criteria of the model.......-time conformance test cases from timed automata specifications. Specifically we demonstrate how to fficiently generate real-time test cases with optimal execution time i.e test cases that are the fastest possible to execute. Our technique allows time optimal test cases to be generated using manually formulated...

Commercial landscape of noninvasive prenatal testing in the United States.

Science.gov (United States)

Agarwal, Ashwin; Sayres, Lauren C; Cho, Mildred K; Cook-Deegan, Robert; Chandrasekharan, Subhashini

2013-06-01

Cell-free fetal DNA-based noninvasive prenatal testing (NIPT) could significantly change the paradigm of prenatal testing and screening. Intellectual property (IP) and commercialization promise to be important components of the emerging debate about clinical implementation of these technologies. We have assembled information about types of testing, prices, turnaround times, and reimbursement of recently launched commercial tests in the United States from the trade press, news articles, and scientific, legal, and business publications. We also describe the patenting and licensing landscape of technologies underlying these tests and ongoing patent litigation in the United States. Finally, we discuss how IP issues may affect clinical translation of NIPT and their potential implications for stakeholders. Fetal medicine professionals (clinicians and researchers), genetic counselors, insurers, regulators, test developers, and patients may be able to use this information to make informed decisions about clinical implementation of current and emerging noninvasive prenatal tests. © 2013 John Wiley & Sons, Ltd.

Monopolies, liberalization, energy turnaround. (Dis)continuities in the electricity market design

International Nuclear Information System (INIS)

Grashof, Katherina; Zipp, Alexander; Jachmann, Henning; Wille-Haussmann, Bernhard; Lechtenboehmer, Stefan

2015-01-01

After a long period of stability, the electricity industry is in the past 15 years, in a major state of flux. First, the switching of state-monitored and regulated regional monopolies to liberalized producer and consumer markets. At the moment we are in a similar change from conventional to renewable energy production. Below the main question will be addressed whether the paradigms of the individual phases are compatible, which still have their place and which should be modified. Moreover, it is shown that the current market design of the future cannot be designed on a blank sheet, but existing structures have to be considered. Given the stage of monopolies, the liberalization and the started energy turnaround respectively in terms of their sector structure, dominant generation technologies, the interaction between production and load and characteristic elements of market design and regulation are presented. Subsequently, a preliminary answer is given to the question raised. [de

An Efficient Algorithm for the Optimal Market Timing over Two Stocks

Institute of Scientific and Technical Information of China (English)

Hui Li; Hong-zhi An; Guo-fu Wu

2004-01-01

In this paper,the optimal trading strategy in timing the market by switching between two stocks is given.In order to deal with a large sample size with a fast turnaround computation time,we propose a class of recursive algorithm.A simulation is given to verify the efiectiveness of our method.

HIV testing updates and challenges: when regulatory caution and public health imperatives collide.

Science.gov (United States)

Branson, Bernard M

2015-03-01

Numerous improvements in HIV testing technology led recently to the first revision of recommendations for diagnostic laboratory testing in the USA in 25 years. Developments in HIV testing continue to produce tests that identify HIV infection earlier with faster turnaround times for test results. These play an important role in identifying HIV infection during the highly infectious acute phase, which has implication for both patient management and public health interventions to control the spread of HIV. Access to these developments, however, is often delayed by the regulatory apparatus for approval and oversight of HIV testing in the USA. This article summarizes recent developments in HIV diagnostic testing technology, outlines their implications for clinical management and public health, describes current systems of regulatory oversight for HIV testing in the USA, and proposes alternatives that could expedite access to improved tests as they become available.

Augmenting the impact of technology adoption with financial incentive to improve radiology report signature times.

Science.gov (United States)

Andriole, Katherine P; Prevedello, Luciano M; Dufault, Allen; Pezeshk, Parham; Bransfield, Robert; Hanson, Richard; Doubilet, Peter M; Seltzer, Steven E; Khorasani, Ramin

2010-03-01

Radiology report signature time (ST) can be a substantial component of total report turnaround time. Poor turnaround time resulting from lengthy ST can adversely affect patient care. The combination of technology adoption with financial incentive was evaluated to determine if ST improvement can be augmented and sustained. This prospective study was performed at a 751-bed, urban, tertiary care adult teaching hospital. Test-site imaging volume approximated 48,000 examinations per month. The radiology department has 100 trainees and 124 attending radiologists serving multiple institutions. Over a study period of 4 years and 4 months, three interventions focused on radiologist signature performance were implemented: 1) a notification paging application that alerted radiologists when reports were ready for signature, 2) a picture archiving and communications systems (PACS)-integrated speech recognition report generation system, and 3) a departmental financial incentive to reward radiologists semiannually for ST performance. Signature time was compared before and after the interventions. Wilcoxon and linear regression statistical analyses were used to assess the significance of trends. Technology adoption (paging plus speech recognition) reduced median ST from >5 to 24 to 15 to 18 hours (P financial incentive further improved 80th-percentile ST to 4 to 8 hours (P Technology interventions coupled with financial incentive can result in synergistic and sustainable improvement in radiologist report-signing behavior. The addition of a financial incentive leads to better performance than that achievable through technology alone.

O Turnaround da Empresa com Foco em Recursos e Capacidades: Um Estudo de Caso no Negócio de Alimentos

Directory of Open Access Journals (Sweden)

Carlos Vinnicius Silva

2017-09-01

Full Text Available O objetivo deste artigo é mostrar o que ocorre com os recursos e capacidades estratégicos envolvidos em um processo de turnaround visando à criação de valor para os clientes da empresa, sob a perspectiva da Visão Baseada em Recursos – VBR. Foi adotado o método de pesquisa qualitativo de caráter exploratório descritivo para o estudo de caso de uma empresa que é uma das principais multinacionais que operam globalmente no mercado de ingredientes para indústria de alimentos, atuando no segmento empresa-empresa. Foram entrevistados oito executivos da área de vendas, marketing, pesquisa e desenvolvimento, precificação e lucratividade e de cadeia de suprimentos que atuavam na empresa na época em que ocorreu o turnaround, com a aplicação de um roteiro padronizado com perguntas abertas. Os dados foram tratados com a utilização da Análise de Conteúdo. Foi constatado que a dificuldade para perceber as mudanças do mercado ocasionadas pelo aumento da concorrência e dos custos dos produtos, e o desconhecimento das necessidades dos clientes, se destacaram como as causas do declínio, ambas atribuídas à deficiência da gestão da empresa em antever e adaptar as estratégias às mudanças do cenário externo. O início do turnaround se deu com mudanças na equipe de liderança da empresa que provocou a revisão das estratégias que possibilitaram a retomada da vantagem competitiva. Os resultados da pesquisa indicam que os recursos, equipe comercial e conhecimento técnico, e as capacidades, mudança de mindset e sinergia entre as áreas da empresa, foram decisivos para o sucesso das estratégias adotadas.

Solar thermal electricity production. A building block for the energy turnaround?; Solarthermische Stromerzeugung. Ein Baustein fuer die Energiewende?

Energy Technology Data Exchange (ETDEWEB)

Pitz-Paal, Robert [Deutsches Zentrum fuer Luft- und Raumfahrt (DLR) e.V., Koeln (Germany). Inst. fuer Solarforschung

2012-12-15

Whereas in Germany enthusiasm for solar thermal power plants has subsided following the inglorious insolvency of Solar Millennium AG, internationally the market is livening up again. This has to do with the fact that many countries have now understood that security of supply cannot be founded on photovoltaics and wind alone in the long term. Solar thermal power could thus yet become an important building block in Germany's energy supply system as it continues to pursue the energy turnaround.

Leveraging the wisdom of the crowd in software testing

CERN Document Server

Sharma, Mukesh

2015-01-01

Its scale, flexibility, cost effectiveness, and fast turnaround are just a few reasons why crowdsourced testing has received so much attention lately. While there are a few online resources that explain what crowdsourced testing is all about, there's been a need for a book that covers best practices, case studies, and the future of this technique.Filling this need, Leveraging the Wisdom of the Crowd in Software Testing shows you how to leverage the wisdom of the crowd in your software testing process. Its comprehensive coverage includes the history of crowdsourcing and crowdsourced testing, im

Evaluation report on CCTF CORE-I REFLOOD TEST Cl-1, (Run 010)

International Nuclear Information System (INIS)

Sudoh, Takashi; Murao, Yoshio.

1983-09-01

This report describes the effects of the loop flow resistance on the thermohydraulic behavior in the primary system during the reflood phase. The investigation is based on the results of the test Cl-1 which was performed with increased loop flow resistance in the Cylindrical Core Test Facility (CCTF) at Japan Atomic Energy Research Institute. The loop flow resistance was about 40% higher in the present test than in the reference test Cl-5. The results of two tests were compared and the following conclusions were obtained: 1) The total loop flow rate and the core flooding rate were reduced by about 20% with the increased loop flow resistance 2) The core heat transfer was also lowered, then, the turnaround and the quench times extended at the locations above the core midplane. 3) The measured maximum temperature in the core was 50 K higher for the present test than for the reference test. (author)

We need an EEG 2.0. A law for the success of the energy policy turnaround

International Nuclear Information System (INIS)

Altmaier, Peter

2014-01-01

The contribution is discussing the development of renewable energies as a consequence of the energy policy turnaround in Germany. In the long term the cost of renewable will be lower than that of conventional energy sources. The challenges and chances of new technologies based on renewable energy and energy saving are identified, the new technologies could induce a new industrial revolution. The author clarifies the need for an advanced renewable energy law (EEG 2.0), including the necessity of a national consensus for an adequate extension of the national grid. The contribution includes recommendations with respect to the electricity prices and the requirement of a political framework.

Cooperative Testing of Uncontrollable Timed Systems

DEFF Research Database (Denmark)

David, Alexandre; Larsen, Kim Guldstrand; Li, Shuhao

2008-01-01

the SUT against the test purpose as long as the SUT reacts to our moves in a cooperative style. We present an operational framework of cooperative winning strategy generation, test case derivation and execution. The test method is proved to be sound and complete. Preliminary experimental results indicate......Abstract. This paper deals with targeted testing of timed systems with uncontrollable behavior. The testing activity is viewed as a game between the tester and the system under test (SUT) towards a given test purpose. The SUT is modeled as Timed Game Automaton and the test purpose is specified...... in Timed CTL formula. We can employ a timed game solver UPPAAL-TIGA to check if the test purpose is ture w.r.t. the model, and if yes, to generate a winning strategy and use it for black-box conformance testing. Specifically, we show that in case the checking yields a negative result, we can still test...

The Henry Ford production system: LEAN process redesign improves service in the molecular diagnostic laboratory: a paper from the 2008 William Beaumont hospital symposium on molecular pathology.

Science.gov (United States)

Cankovic, Milena; Varney, Ruan C; Whiteley, Lisa; Brown, Ron; D'Angelo, Rita; Chitale, Dhananjay; Zarbo, Richard J

2009-09-01

Accurate and timely molecular test results play an important role in patient management; consequently, there is a customer expectation of short testing turnaround times. Baseline data analysis revealed that the greatest challenge to timely result generation occurred in the preanalytic phase of specimen collection and transport. Here, we describe our efforts to improve molecular testing turnaround times by focusing primarily on redesign of preanalytic processes using the principles of LEAN production. Our goal was to complete greater than 90% of the molecular tests in less than 3 days. The project required cooperation from different laboratory disciplines as well as individuals outside of the laboratory. The redesigned processes involved defining and standardizing the protocols and approaching blood and tissue specimens as analytes for molecular testing. The LEAN process resulted in fewer steps, approaching the ideal of a one-piece flow for specimens through collection/retrieval, transport, and different aspects of the testing process. The outcome of introducing the LEAN process has been a 44% reduction in molecular test turnaround time for tissue specimens, from an average of 2.7 to 1.5 days. In addition, extending LEAN work principles to the clinician suppliers has resulted in a markedly increased number of properly collected and shipped blood specimens (from 50 to 87%). These continuous quality improvements were accomplished by empowered workers in a blame-free environment and are now being sustained with minimal management involvement.

Providing critical laboratory results on time, every time to help reduce emergency department length of stay: how our laboratory achieved a Six Sigma level of performance.

Science.gov (United States)

Blick, Kenneth E

2013-08-01

To develop a fully automated core laboratory, handling samples on a "first in, first out" real-time basis with Lean/Six Sigma management tools. Our primary goal was to provide services to critical care areas, eliminating turnaround time outlier percentage (TAT-OP) as a factor in patient length of stay (LOS). A secondary goal was to achieve a better laboratory return on investment. In 2011, we reached our primary goal when we calculated the TAT-OP distribution and found we had achieved a Six Sigma level of performance, ensuring that our laboratory service can be essentially eliminated as a factor in emergency department patient LOS. We also measured return on investment, showing a productivity improvement of 35%, keeping pace with our increased testing volume. As a result of our Lean process improvements and Six Sigma initiatives, in part through (1) strategic deployment of point-of-care testing and (2) core laboratory total automation with robotics, middleware, and expert system technology, physicians and nurses at the Oklahoma University Medical Center can more effectively deliver lifesaving health care using evidence-based protocols that depend heavily on "on time, every time" laboratory services.

Evaluation report on CCTF core-I reflood tests Cl-5 (Run 14), Cl-10 (Run 19) and Cl-12 (Run 21)

International Nuclear Information System (INIS)

Akimoto, Hajime; Murao, Yoshio

1983-06-01

Three tests Cl-5 (Run 14), Cl-10 (Run 19) and Cl-12 (Run 21) were performed using the Cylindrical Core Test Facility to study the effect of the containment pressure on the core cooling and the system behaviors during the reflood phase of a PWR-LOCA. The containment pressures of these tests were 0.15, 0.20 and 0.30 MPa for the tests Cl-10, Cl-5 and Cl-12, respectively. Through the comparison of the test results from these three tests, the following results were obtained. (1) The higher containment pressure gave the higher heat transfer coefficient in the core. This resulted in the lower turnaround temperature, the shorter turnaround time and the shorter quench time at the higher containment pressure. (2) In the higher containment pressure test, the higher core water head, the higher upper plenum water head, the higher downcomer water head in the early period and the lower downcomer water head in the later period were observed than those in the lower containment pressure test. This resulted in the higher pressure drop through the intact loop in the early period of the tests and the lower pressure drop in the later period of the test with the containment pressure. (3) The pressure drop through the broken cold leg pressurized the primary system. The pressure drop through the broken cold leg was decreased with the containment pressure. (4) The core inlet mass flow rate was increased with the containment pressure as observed in the FLECHT-SET phase B1 test. In quantity, however, the effect of the containment pressure on the increase of the core inlet mass flow rate was less in the CCTF than that in the FLECHT-SET. The less sensitivity in the CCTF was attributed mainly to the great pressure drop through the broken cold leg, which was not observed in the FLECHT-SET with big broken cold leg. (5) The system effect of the containment pressure was explained quantitatively. (author)

Bayesian Framework based Damage Segmentation (BFDS) with Time-Reversal Tomography (TRT) for Damage Characterization in Complex Aircraft Structures, Phase I

Data.gov (United States)

National Aeronautics and Space Administration — To meet the NASA's need for innovative technologies that decrease turn-around time for inspections and assessments for safe operations of aircraft and spacecraft,...

Testing of real-time-software

International Nuclear Information System (INIS)

Friesland, G.; Ovenhausen, H.

1975-05-01

The situation in the area of testing real-time-software is unsatisfactory. During the first phase of the project PROMOTE (prozessorientiertes Modul- und Gesamttestsystem) an analysis of the momentary situation took place, results of which are summarized in the following study about some user interviews and an analysis of relevant literature. 22 users (industry, software-houses, hardware-manufacturers, and institutes) have been interviewed. Discussions were held about reliability of real-time software with special interest to error avoidance, testing, and debugging. Main aims of the analysis of the literature were elaboration of standard terms, comparison of existing test methods and -systems, and the definition of boundaries to related areas. During the further steps of this project some means and techniques will be worked out to systematically test real-time software. (orig.) [de

Testing Real-Time Systems Using UPPAAL

DEFF Research Database (Denmark)

Hessel, Anders; Larsen, Kim Guldstrand; Mikucionis, Marius

2008-01-01

This chapter presents principles and techniques for model-based black-box conformance testing of real-time systems using the Uppaal model-checking tool-suite. The basis for testing is given as a network of concurrent timed automata specified by the test engineer. Relativized input...

Remote Testing of Timed Specifications

DEFF Research Database (Denmark)

David, Alexandre; Larsen, Kim Guldstrand; Mikucionis, Marius

2013-01-01

We present a study and a testing framework on black box remote testing of real-time systems using UPPAAL TIGA. One of the essential challenges of remote testing is the communication latency between the Tester and the System Under Test (IUT) that may lead to interleaving of inputs and outputs. Thi...

Timed Online Tests: Do Students Perform Better with More Time?

Science.gov (United States)

Portolese, Laura; Krause, Jackie; Bonner, Julie

2016-01-01

This article focuses on timed tests and specifically on whether increased time enhances test performance. Three courses during the Winter 2015 term (quizzes n = 573) and three courses over the Spring 2015 term (quizzes n = 600) comprised this sample. Students were given the same tests, but the experimental group (Spring 2015) was given 50% more…

Energy policy turnaround in distress. Why should the energy policy put on success certificates; Energiewende in Not. Warum die Energiepolitik auf Erfolgsnachweise setzen sollte

Energy Technology Data Exchange (ETDEWEB)

Hengstenberg, Johannes D. [Gemeinnuetzige Beratungsgesellschaft co2online mbH, Berlin (Germany); Wolff, Dieter [Ostfalia-Hochschule Wolfenbuettel (Germany). Inst. fuer Energieoptimierte Systeme - EOS

2013-05-15

In spite of all the promotional programs, regulations and laws, in spite of all activities of producers and suppliers with multi-million dollar advertising revenues, marketing revenues and training usually only half of the possible based on the predicted prognoses for the energy policy turnaround is achieved in practice. The authors of the contribution under consideration analyze the reasons for this and demonstrate methods of solution.

Characteristics of Occupational Exposure to Benzene during Turnaround in the Petrochemical Industries.

Science.gov (United States)

Chung, Eun-Kyo; Shin, Jung-Ah; Lee, Byung-Kyu; Kwon, Jiwoon; Lee, Naroo; Chung, Kwang-Jae; Lee, Jong-Han; Lee, In-Seop; Kang, Seong-Kyu; Jang, Jae-Kil

2010-09-01

The level of benzene exposure in the petrochemical industry during regular operation has been well established, but not in turnaround (TA), where high exposure may occur. In this study, the characteristics of occupational exposure to benzene during TA in the petrochemical companies were investigated in order to determine the best management strategies and improve the working environment. This was accomplished by evaluating the exposure level for the workers working in environments where benzene was being produced or used as an ingredient during the unit process. From 2003 to 2008, a total of 705 workers in three petrochemical companies in Korea were studied. Long- and short-term (< 1 hr) samples were taken during TAs. TA was classified into three stages: shut-down, maintenance and start-up. All works were classified into 12 occupation categories. The long-term geometric mean (GM) benzene exposure level was 0.025 (5.82) ppm (0.005-42.120 ppm) and the short-term exposure concentration during TA was 0.020 (17.42) ppm (0.005-61.855 ppm). The proportions of TA samples exceeding the time-weighted average, occupational exposure level (TWA-OEL in Korea, 1 ppm) and the short-term exposure limit (STEL-OEL, 5 ppm) were 4.1% (20 samples of 488) and 6.0% (13 samples of 217), respectively. The results for the benzene exposure levels and the rates of exceeding the OEL were both statistically significant (p < 0.05). Among the 12 job categories of petrochemical workers, mechanical engineers, plumbers, welders, fieldman and scaffolding workers exhibited long-term samples that exceeded the OEL of benzene, and the rate of exceeding the OEL was statistically significant for the first two occupations (p < 0.05). These findings suggest that the periodic work environment must be assessed during non-routine works such as TA.

Point of care testing of fecal calprotectin as a substitute for routine laboratory analysis

DEFF Research Database (Denmark)

Hejl, Julie; Theede, Klaus; Møllgren, Brian

2018-01-01

Objectives Fecal calprotectin (FC) is widely used to monitor the activity of inflammatory bowel disease (IBD) and to tailor medical treatment to disease activity. Laboratory testing of fecal samples may have a turnaround time of 1–2 weeks, whereas FC home testing allows results within hours...... and thus enables a rapid response to clinical deterioration. Design and methods Fifty-five stool samples were analyzed by the IBDoc® Calprotectin Home Testing kit and the BÜHLMANN fCAL® turbo assay on a Roche Cobas 6000 c501. The correlation between the assays was assessed using Spearman's Rho correlation...... coefficient and the intermediate imprecision of both assays was calculated. Results We found a strong correlation coefficient of 0.887 between FC measured on IBDoc® and the laboratory assay BÜHLMANN fCAL® turbo. The coefficients of variation (CVs) at three different FC levels were in the range 2...

The energy policy turnaround and the respective models. The prognostic ability of energy scenarios; Die Energiewende und ihre Modelle. Was uns Energieszenarien sagen koennen - und was nicht

Energy Technology Data Exchange (ETDEWEB)

Dieckhoff, Christian; Leuschner, Anna (eds.)

2016-07-01

The booklet on energy scenarios in the frame of the energy policy turnaround includes the following contributions: How many scenarios do we need? The justification of relevant possibilities using idealized models; the underestimation of the climatic change; the burden of the possible achievable; wrong conclusions in the argumentation with scenarios; epistemic meta-analysis.

Fulltext PDF

Indian Academy of Sciences (India)

2013-12-06

Dec 6, 2013 ... allows for appropriate diagnosis, management and treatment of a variety ... test turn-around time with wasted costs, as tests are repeated .... Pathogenic alteration in TTR gene accounting for observed structural change. 59%.

Control options for communal energy turnaround by energy coordination centres. Investigation based on the Erzgebirge energy region; Steuerungsmoeglichkeiten der kommunalen Energiewende durch Energieleitstellen. Untersuchung anhand der Energieregion-Erzgebirge

Energy Technology Data Exchange (ETDEWEB)

Zuk, David

2012-11-01

The book investigates the role of energy coordination centres for communal energy turnaround. The investigations were carried out in the Erzgebirge energy region, which comprises 13 member communities. It was found that the influence of an energy coordination centre on a community is parallel to the community's awareness of the necessity of local energy turnaround measures. Energy control centres can sharpen this awareness of communities by outlining individual advantages of engagement with these issues and by making concrete suggestions for projects. Here, it becomes clear that communities will be more interested especially in bigger investment projects of an (external)financially strong investor. Most of the communities under investigation were in the range of 1,000 to 7,000 inhabitants; it must be assumed that in this case the opinions of the highest-ranked person of communal authority. This consideration should influence the scope of action of energy coordination centres. The example of a 'pioneering community' in the energy region showed that the consulting services of the energy coordination centre not only led to lower energy consumption (and, in consequence, lower energy expenses) on a medium-term basis but also helped to coordinate the activities of initiatives, e.g. initiatives promoting citizens-owned solar power stations. As the book shows, energy coordination centres take care of communities in general but are also actively supporting initiatives within the community and have a coordinating function when it comes to intercommunity projects. While energy coordination centres are not a 'heal-all' for implementation of the energy turnaround at community level or regional level, they must be viewed as a powerful instrument to achieve it. (orig.)

Timed Testing under Partial Observability

DEFF Research Database (Denmark)

David, Alexandre; Larsen, Kim Guldstrand; Li, Shuhao

2009-01-01

observability of SUT using a set of predicates over the TGA state space, and specify the test purposes in Computation Tree Logic (CTL) formulas. A recently developed partially observable timed game solver is used to generate winning strategies, which are used as test cases. We propose a conformance testing...

Use of laboratory test results in patient management by clinicians in Malawi.

Science.gov (United States)

Moyo, Kundai; Porter, Carol; Chilima, Ben; Mwenda, Reuben; Kabue, Mark; Zungu, Lutho; Sarr, Abdoulaye

2015-11-18

Malawi has a high burden of infectious disease. The expansion of programmes targeting these diseases requires a strong laboratory infrastructure to support both diagnosis and treatment. To assess the use of laboratory test results in patient management and to determine the requirements for improving laboratory services. A cross-sectional study was conducted in 2012 to survey practising clinicians. Two hospitals were purposively selected for observations of clinicians ordering laboratory tests. Twelve management-level key informants were interviewed. Descriptive statistics were conducted. A total of 242 clinicians were identified and 216 (89%) were interviewed. Of these, 189 (87%) reported doubting laboratory test results at some point. Clinicians most often doubted the quality of haematology (67%), followed by malaria (53%) and CD4 (22%) test results. A total of 151 (70%) clinicians reported using laboratory tests results in patient management. Use of laboratory test results at all times in patient management varied by the type of health facility ( P management. Key informants reported that the quality of laboratory services was good and useful, but that services were often unavailable. Gaps in the public laboratory system were evident. Key recommendations to enhance the use of laboratory test results in patient management were to strengthen the supply chain, reduce turn-around times, improve the test menu and improve the laboratory infrastructure.

Practical challenges related to point of care testing.

Science.gov (United States)

Shaw, Julie L V

2016-04-01

Point of care testing (POCT) refers to laboratory testing that occurs near to the patient, often at the patient bedside. POCT can be advantageous in situations requiring rapid turnaround time of test results for clinical decision making. There are many challenges associated with POCT, mainly related to quality assurance. POCT is performed by clinical staff rather than laboratory trained individuals which can lead to errors resulting from a lack of understanding of the importance of quality control and quality assurance practices. POCT is usually more expensive than testing performed in the central laboratory and requires a significant amount of support from the laboratory to ensure the quality testing and meet accreditation requirements. Here, specific challenges related to POCT compliance with accreditation standards are discussed along with strategies that can be used to overcome these challenges. These areas include: documentation of POCT orders, charting of POCT results as well as training and certification of individuals performing POCT. Factors to consider when implementing connectivity between POCT instruments and the electronic medical record are also discussed in detail and include: uni-directional versus bidirectional communication, linking patient demographic information with POCT software, the importance of positive patient identification and considering where to chart POCT results in the electronic medical record.

Rapid, automated, nonradiometric susceptibility testing of Mycobacterium tuberculosis complex to four first-line antituberculous drugs used in standard short-course chemotherapy

DEFF Research Database (Denmark)

Johansen, Isik Somuncu; Thomsen, Vibeke Østergaard; Marjamäki, Merja

2004-01-01

The increasing prevalence of drug-resistant tuberculosis necessitates rapid and accurate susceptibility testing. The nonradiometric BACTEC Mycobacteria Growth Indicator Tube 960 (MGIT) system for susceptibility testing was evaluated on 222 clinical Mycobacterium tuberculosis complex isolates...... for isoniazid, rifampin, and ethambutol. Fifty-seven of the isolates were tested for pyrazinamide. Results were compared to those of radiometric BACTEC 460 system and discrepancies were resolved by the agar proportion method. We found an overall agreement of 99.0% for isoniazid, 99.5% for rifampin, 98.......2% for ethambutol, and 100% for pyrazinamide. After resolution of discrepancies, MGIT yielded no false susceptibility for rifampin and isoniazid. Although turnaround times were comparable, MGIT provides an advantage as inoculation can be done on any weekday as the growth is monitored automatically. The automated...

In search of supply concepts for the mass market in the face of the energy turnaround; Auf der Suche nach massenmarktfaehigen Belieferungskonzepten fuer die Energiewende

Energy Technology Data Exchange (ETDEWEB)

Fest, Claus [RWE Effizienz GmbH, Dortmund (Germany); Ploch, Dieter [eprimo GmbH, Neu-Isenburg (Germany)

2013-01-15

There are increasing demands both in Germany and at the European level that electricity price models for household and industrial customers should be brought in line with the times by allowing greater flexibility and allocating costs to causes. In Germany they have issued from the discussion over the consequences of the energy turnaround for the mass customer business and the associated search for viable supply concepts. A number of proposals have been made to this end, largely revolving around the question of how prices for supplying end customers can be made to more closely approximate conditions as they prevail in the wholesale market while allowing price advantages to become effective. However, in many instances the public debate has so far neglected an essential factor: In order for a product to become firmly established on the market it must confer benefits to all involved, that is to both customers and suppliers.

Total laboratory automation: Do stat tests still matter?

Science.gov (United States)

Dolci, Alberto; Giavarina, Davide; Pasqualetti, Sara; Szőke, Dominika; Panteghini, Mauro

2017-07-01

During the past decades the healthcare systems have rapidly changed and today hospital care is primarily advocated for critical patients and acute treatments, for which laboratory test results are crucial and need to be always reported in predictably short turnaround time (TAT). Laboratories in the hospital setting can face this challenge by changing their organization from a compartmentalized laboratory department toward a decision making-based laboratory department. This requires the implementation of a core laboratory, that exploits total laboratory automation (TLA) using technological innovation in analytical platforms, track systems and information technology, including middleware, and a number of satellite specialized laboratory sections cooperating with care teams for specific medical conditions. In this laboratory department model, the short TAT for all first-line tests performed by TLA in the core laboratory represents the key paradigm, where no more stat testing is required because all samples are handled in real-time and (auto)validated results dispatched in a time that fulfills clinical needs. To optimally reach this goal, laboratories should be actively involved in managing all the steps covering the total examination process, speeding up also extra-laboratory phases, such sample delivery. Furthermore, to warrant effectiveness and not only efficiency, all the processes, e.g. specimen integrity check, should be managed by middleware through a predefined set of rules defined in light of the clinical governance. Crown Copyright © 2017. Published by Elsevier Inc. All rights reserved.

Selective testing of women based on age for genital Chlamydia trachomatis and Neisseria gonorrhoeae infection in a centralized regional microbiology laboratory.

Science.gov (United States)

Church, Deirdre L; Amante, L; Semeniuk, H; Gregson, D B

2007-04-01

Calgary Laboratory Services, Alberta, Canada, provides microbiology services via a centralized laboratory to the Calgary Health Region. A selective genital Chlamydia trachomatis (CT)/Neisseria gonorrhoeae (GC) testing policy for women >35 years was implemented. The changes in physician ordering practice, the rate of detection of infections, and the test turnaround times were monitored. The volume of tests, the cost/test, and the total service costs accrued in the year before and after this policy change were compared. An immediate impact was a 30% decrease in tests performed due to the laboratory rejecting samples from older women. Subsequently, physicians' practice changed so that tests were ordered when test criteria were met. Detection rates did not change in any age group. A 27.9% decrease in the total service costs resulted in a labor reduction of 0.2 FTE. Selective testing of women >35 years with a low prevalence of CT/GC infection is clinically relevant and cost-effective.

Annual report of the Neutron Irradiation and Testing Reactor Center. FY 2007. April 1, 2007 - March 31, 2008

International Nuclear Information System (INIS)

2009-03-01

The Japan Materials Testing Reactor (JMTR), achieving the first criticality in March 1968, has been used to test the durability and integrity of reactor fuels and components, basic nuclear research, production of radioisotopes (RIs), and other purposes. The JMTR, however, was halted in August 2006 after its 165th cycle operation, and is currently undergoing partial renewal of the apparatus and installation of new irradiation equipment, aiming at restarting from 2011. In addition, to cope with strong requests from users to improve the usability of the JMTR, efforts are being made to increase reactor operating efficiency, shorten the turnaround time for obtaining results, and conduct other necessary tasks for the JMTR to recommence reoperation. The present report summarizes the activities carried out in 2007 for the refurbishment and restart of the JMTR. (author)

Annual report of the Neutron Irradiation and Testing Reactor Center. FY2007. April 1, 2007 - March 31, 2008

International Nuclear Information System (INIS)

2009-03-01

The Japan Materials Testing Reactor (JMTR), achieving first criticality in March 1968, has been used in testing the durability and integrity of reactor fuels and components, basic nuclear research, the production of radioisotopes (RIs), and other purposes. The JMTR, however, stopped in August 2006 after its 165th operation cycle, and is currently under going partial renewal of reactor facilities and installation of new irradiation Facilities, geared toward being restarted in 2011. In addition, to cope with the strong requests from users to improve usability of the JMTR, efforts are being made to increase reactor operation efficiency, shorten the turnaround time for obtaining results, and other necessary tasks for JMTR to commence reoperation. The present report summarizes the activities carried out in 2007 for the refurbishment and restart of JMTR. (author)

Worldwide CO2 emissions 2014. Shimmer of hope to turnaround reinforce - but no all-clear signal

International Nuclear Information System (INIS)

Ziesing, Hans-Joachim

2015-01-01

In 2014, global CO 2 emissions increase according to initial calculations by 0.5%. Apart from the two crisis years 2008/2009 was the weakest increase since the beginning of the century. As a result, CO 2 emissions reached about 32.6 billion tonnes a new climax. A turnaround this is not yet, but the CO 2 emissions in many countries, particularly in industrialized countries declined. Thus, the CO 2 emissions have declined in the Annex I countries overall by 1.8%. For this particular contributed the development in the EU, in almost without exception, all Member States have experienced an emission reduction. Of the major countries, this also applies to the Ukraine, Japan, Russia and Australia. In contrast, there was an increase in the US, although this turned out very moderate with an increase of just under 1%. If the global CO 2 emissions have increased despite the decline in the group of Annex I countries again, this is primarily a result of the increase in developing countries. Here, CO 2 emissions were by around the year 2014 415 million tons or 2.4% higher than 2013. Since 2008, China occupied top position ahead of the US in 2014 was not expanded because for many years here was the increase for the first time below 1%. By contrast, CO 2 emissions increased significantly in India by approx. 8% and in Brazil as in the Middle East by about 4%. [de

Automation of diagnostic genetic testing: mutation detection by cyclic minisequencing.

Science.gov (United States)

Alagrund, Katariina; Orpana, Arto K

2014-01-01

The rising role of nucleic acid testing in clinical decision making is creating a need for efficient and automated diagnostic nucleic acid test platforms. Clinical use of nucleic acid testing sets demands for shorter turnaround times (TATs), lower production costs and robust, reliable methods that can easily adopt new test panels and is able to run rare tests in random access principle. Here we present a novel home-brew laboratory automation platform for diagnostic mutation testing. This platform is based on the cyclic minisequecing (cMS) and two color near-infrared (NIR) detection. Pipetting is automated using Tecan Freedom EVO pipetting robots and all assays are performed in 384-well micro plate format. The automation platform includes a data processing system, controlling all procedures, and automated patient result reporting to the hospital information system. We have found automated cMS a reliable, inexpensive and robust method for nucleic acid testing for a wide variety of diagnostic tests. The platform is currently in clinical use for over 80 mutations or polymorphisms. Additionally to tests performed from blood samples, the system performs also epigenetic test for the methylation of the MGMT gene promoter, and companion diagnostic tests for analysis of KRAS and BRAF gene mutations from formalin fixed and paraffin embedded tumor samples. Automation of genetic test reporting is found reliable and efficient decreasing the work load of academic personnel.

Improving Emergency Department radiology transportation time: a successful implementation of lean methodology.

Science.gov (United States)

Hitti, Eveline A; El-Eid, Ghada R; Tamim, Hani; Saleh, Rana; Saliba, Miriam; Naffaa, Lena

2017-09-05

Emergency Department overcrowding has become a global problem and a growing safety and quality concern. Radiology and laboratory turnaround time, ED boarding and increased ED visits are some of the factors that contribute to ED overcrowding. Lean methods have been used in the ED to address multiple flow challenges from improving door-to-doctor time to reducing length of stay. The objective of this study is to determine the effectiveness of using Lean management methods on improving Emergency Department transportation times for plain radiography. We performed a before and after study at an academic urban Emergency Department with 49,000 annual visits after implementing a Lean driven intervention. The primary outcome was mean radiology transportation turnaround time (TAT). Secondary outcomes included overall study turnaround time from order processing to preliminary report time as well as ED length of stay. All ED patients undergoing plain radiography 6 months pre-intervention were compared to all ED patients undergoing plain radiography 6 months post-intervention after a 1 month washout period. Post intervention there was a statistically significant decrease in the mean transportation TAT (mean ± SD: 9.87 min ± 15.05 versus 22.89 min ± 22.05, respectively, p-value <0.0001). In addition, it was found that 71.6% of patients in the post-intervention had transportation TAT ≤ 10 min, as compared to 32.3% in the pre-intervention period, p-value <0.0001, with narrower interquartile ranges in the post-intervention period. Similarly, the "study processing to preliminary report time" and the length of stay were lower in the post-intervention as compared to the pre-intervention, (52.50 min ± 35.43 versus 54.04 min ± 34.72, p-value = 0.02 and 3.65 h ± 5.17 versus 4.57 h ± 10.43, p < 0.0001, respectively), in spite of an increase in the time it took to elease a preliminary report in the post-intervention period. Using Lean change management

Specification and Test of Real-Time Systems

DEFF Research Database (Denmark)

Nielsen, Brian

of the system, and a set of constraint patterns which describes and enforces the timing and synchronization constraints among components. We propose new techniques for automated black box conformance testing of real-time systems against densely timed speci cations. A test generator tool examines a specification......Distributed real-time computer based systems are very complex and intrinsically difficult to specify and implement correctly; in part this is caused by the overwhelming number of possible interactions between system components, but especially by a lack of adequate methods and tools to deal...... of the desired system behavior and generates the necessary test cases. A main problem is to construct a reasonably small test suite that can be executed within allotted resources, while having a high likelihood of detecting unknown errors. Our goal has been to treat the time dimension of this problem thoroughly...

Practical challenges related to point of care testing

Directory of Open Access Journals (Sweden)

Julie L.V. Shaw

2016-04-01

Full Text Available Point of care testing (POCT refers to laboratory testing that occurs near to the patient, often at the patient bedside. POCT can be advantageous in situations requiring rapid turnaround time of test results for clinical decision making. There are many challenges associated with POCT, mainly related to quality assurance. POCT is performed by clinical staff rather than laboratory trained individuals which can lead to errors resulting from a lack of understanding of the importance of quality control and quality assurance practices. POCT is usually more expensive than testing performed in the central laboratory and requires a significant amount of support from the laboratory to ensure the quality testing and meet accreditation requirements.Here, specific challenges related to POCT compliance with accreditation standards are discussed along with strategies that can be used to overcome these challenges. These areas include: documentation of POCT orders, charting of POCT results as well as training and certification of individuals performing POCT. Factors to consider when implementing connectivity between POCT instruments and the electronic medical record are also discussed in detail and include: uni-directional versus bidirectional communication, linking patient demographic information with POCT software, the importance of positive patient identification and considering where to chart POCT results in the electronic medical record. Keywords: Point of care Testing, Laboratory accreditation, Medical directive, Results documentation, Electronic Medical Record, Transcription error, Connectivity, Positive patient identification

Current limitations of the assessment of haemostasis in adult extracorporeal membrane oxygenation patients and the role of point-of-care testing.

Science.gov (United States)

Venkatesh, K; Nair, P S; Hoechter, D J; Buscher, H

2016-11-01

Haemostatic perturbations are commonly seen in extracorporeal membrane oxygenation (ECMO) patients and remain a clinical challenge, contributing significantly to morbidity and mortality. The approach to anticoagulation monitoring and the management of bleeding varies considerably across ECMO centres. Routine laboratory tests have their limitations in terms of turnaround time and specificity of information provided. Newer point-of-care testing (POCT) for coagulation may overcome these issues, as it provides information about the entire coagulation pathway from clot initiation to lysis. It is also possible to obtain qualitative information on platelet function from these tests. Furthermore, the ability to incorporate these results into a goal-directed algorithm to manage bleeding with targeted transfusion strategies appears particularly attractive and cost effective. Further studies are required to evaluate the utility of POCT to optimise bleeding and anticoagulation management in these complex patients.

STUDENT PLANNING TIME IN ORAL TESTS

Institute of Scientific and Technical Information of China (English)

WangLei

2004-01-01

This paper describes the process of planning in an oral test situation. Since many researchers have studied the impact of pretask planning in the Second Language Acquisition (SLA) field and some have explored the same subject into the area of oral tests, the present study tries to make a tentative attempt to see what the test takers are actually doing in the planning time while taking an oral test. A questionnaire was designed with the effort to find out whether planning time results in an increased focus on form, particularly at the level of strategic attention to form.The result of the investigation tells us that restricted by the type of situation, test takers can only plan the framework of what they are going to say, which may differ to the results achieved by previous studies.

Energy economy in the midst of the energy turnaround. Can the existing business models survive?; Energiewirtschaft in der Energiewende. Koennen bestehende Geschaeftsmodelle ueberleben?

Energy Technology Data Exchange (ETDEWEB)

Adam, Rolf [EMEAR, Cisco Systems, Hallbergmoos (Germany). Energy and Smart Grid; Einhellig, Ludwig [Deloitte, Muenchen (Germany); Herzig, Andreas [Deloitte, Stuttgart (Germany)

2012-09-15

The energy turnaround is a veritable export hit, at least in linguistic terms. The target scenario - a greener energy supply - is widely accepted. However, only a step further even this minimal consensus begins to crumble. One gets the impression that it is not so much about bringing the target scenario to life but rather about changing as little as possible of the existing system. So what will it take to turn the transformation of Germany's energy supply system into a success? Five propositions are presented as guidelines.

Time-frequency Representations Application in Psychological Testing

Directory of Open Access Journals (Sweden)

REIZ Romulus

2015-10-01

Full Text Available A psychological test is a test that is designed to measure one aspect of human behavior. These tests are usually designed to evaluate a person’s ability to complete tasks that were individual's performance on certain tasks that have usually been requested in advance. Usually a test score is used to compare with other results to measure the individual’s performance regarding cognitive ability, aptitude, personality, etc. One such test is the so called “finger tapping” test, designed to measure the integrity of the neuromuscular system and examine motor control. There are several ways to perform such a test. The purpose of this paper isn’t to study the finger tapping test which is well documented in the literature, but to develop if possible a simple way of performing such a test. Using the method presented in the paper a nonstationary signal was obtained and it was analyzed using the Short-time Fourier time frequency representation to obtain the signals frequency and its variation in time. The results presented in the paper show that this method can be used to perform the test and the frequency and spatial amplitude of the obtained tapping signal can be determined easily.

A game-theoretic approach to real-time system testing

DEFF Research Database (Denmark)

David, Alexandre; Larsen, Kim Guldstrand; Li, Shuhao

2008-01-01

This paper presents a game-theoretic approach to the testing of uncontrollable real-time systems. By modelling the systems with Timed I/O Game Automata and specifying the test purposes as Timed CTL formulas, we employ a recently developed timed game solver UPPAAL-TIGA to synthesize winning...... strategies, and then use these strategies to conduct black-box conformance testing of the systems. The testing process is proved to be sound and complete with respect to the given test purposes. Case study and preliminary experimental results indicate that this is a viable approach to uncontrollable timed...... system testing....

Does electronic clinical microbiology results reporting influence medical decision making: A pre- and post-interview study of medical specialists

NARCIS (Netherlands)

M.J. Bruins (Marjan); G. Ruijs (G.); M.J.H.M. Wolfhagen; P. Bloembergen (Peter); J.E.C.M. Aarts (Jos)

2011-01-01

textabstractBackground: Clinicians view the accuracy of test results and the turnaround time as the two most important service aspects of the clinical microbiology laboratory. Because of the time needed for the culturing of infectious agents, final hardcopy culture results will often be available

Engineering design knowledge recycling in near-real-time

Science.gov (United States)

Leifer, Larry; Baya, Vinod; Toye, George; Baudin, Catherine; Underwood, Jody Gevins

1994-01-01

It is hypothesized that the capture and reuse of machine readable design records is cost beneficial. This informal engineering notebook design knowledge can be used to model the artifact and the design process. Design rationale is, in part, preserved and available for examination. Redesign cycle time is significantly reduced (Baya et al, 1992). These factors contribute to making it less costly to capture and reuse knowledge than to recreate comparable knowledge (current practice). To test the hypothesis, we have focused on validation of the concept and tools in two 'real design' projects this past year: (1) a short (8 month) turnaround project for NASA life science bioreactor researchers was done by a team of three mechanical engineering graduate students at Stanford University (in a class, ME210abc 'Mechatronic Systems Design and Methodology' taught by one of the authors, Leifer); and (2) a long range (8 to 20 year) international consortium project for NASA's Space Science program (STEP: satellite test of the equivalence principle). Design knowledge capture was supported this year by assigning the use of a Team-Design PowerBook. Design records were cataloged in near-real time. These records were used to qualitatively model the artifact design as it evolved. Dedal, an 'intelligent librarian' developed at NASA-ARC, was used to navigate and retrieve captured knowledge for reuse.

Development and application of two independent real-time PCR assays to detect clinically relevant Mucorales species.

Science.gov (United States)

Springer, Jan; Goldenberger, Daniel; Schmidt, Friderike; Weisser, Maja; Wehrle-Wieland, Elisabeth; Einsele, Hermann; Frei, Reno; Löffler, Jürgen

2016-03-01

PCR-based detection of Mucorales species could improve diagnosis of suspected invasive fungal infection, leading to a better patient outcome. This study describes two independent probe-based real-time PCR tests for detection of clinically relevant Mucorales, targeting specific fragments of the 18S and the 28S rRNA genes. Both assays have a short turnaround time, allow fast, specific and very sensitive detection of clinically relevant Mucorales and have the potential to be used as quantitative tests. They were validated on various clinical samples (fresh and formalin-fixed paraffin-embedded specimens, mainly biopsies, n = 17). The assays should be used as add-on tools to complement standard techniques; a combined approach of both real-time PCR assays has 100 % sensitivity. Genus identification by subsequent sequencing is possible for amplicons of the 18S PCR assay. In conclusion, combination of the two independent Mucorales assays described in this study, 18S and 28S, detected all clinical samples associated with proven Mucorales infection (n = 10). Reliable and specific identification of Mucorales is a prerequisite for successful antifungal therapy as these fungi show intrinsic resistance to voriconazole and caspofungin.

Energy saver A-sector power test results

International Nuclear Information System (INIS)

Martin, P.; Flora, R.; Tool, G.; Wolff, D.

1982-01-01

The superconducting magnets and associated cryogenic components in A-sector represent the initial phase of installation of the Fermilab superconducting accelerator, designed to accelerate proton beams to energies of 1 TeV. Installation of the magnets, comprising one-eighth of the ring, was completed in December, 1981. Cooldown and power tests took place in the first half of 1982, concurrent with main ring use for 400 GeV high energy physics. The tests described in this paper involved 151 cryogenic components in the tunnel: 94 dipoles, 24 quadrupoles, 25 spool pieces, 3 feed cans, 4 turn-around boxes and 1 bypass. Refrigeration was supplied by three satellite refrigerators, the Central Helium Liquefier, and two compressor buildings. The magnets were powered by a single power supply

Physician Satisfaction With Clinical Laboratory Services: A College of American Pathologists Q-Probes Study of 81 Institutions.

Science.gov (United States)

McCall, Shannon J; Souers, Rhona J; Blond, Barbara; Massie, Larry

2016-10-01

-Assessment of customer satisfaction is a vital component of the laboratory quality improvement program. -To survey the level of physician satisfaction with hospital clinical laboratory services. -Participating institutions provided demographic information and survey results of physician satisfaction, with specific features of clinical laboratory services individually rated on a scale of 5 (excellent) to 1 (poor). -Eighty-one institutions submitted 2425 surveys. The median overall satisfaction score was 4.2 (10th percentile, 3.6; 90th percentile, 4.6). Of the 16 surveyed areas receiving the highest percentage of excellent/good ratings (combined scores of 4 and 5), quality of results was highest along with test menu adequacy, staff courtesy, and overall satisfaction. Of the 4 categories receiving the lowest percentage values of excellent/good ratings, 3 were related to turnaround time for inpatient "STAT" (tests performed immediately), outpatient STAT, and esoteric tests. The fourth was a new category presented in this survey: ease of electronic order entry. Here, 11.4% (241 of 2121) of physicians assigned below-average (2) or poor (1) scores. The 5 categories deemed most important to physicians included quality of results, turnaround times for inpatient STAT, routine, and outpatient STAT tests, and clinical report format. Overall satisfaction as measured by physician willingness to recommend their laboratory to another physician remains high at 94.5% (2160 of 2286 respondents). -There is a continued trend of high physician satisfaction and loyalty with clinical laboratory services. Physician dissatisfaction with ease of electronic order entry represents a new challenge. Test turnaround times are persistent areas of dissatisfaction, representing areas for improvement.

Preparation of the soil for the energy policy turnaround. With bio-energy for more climate protection and sustainability. Collection of essays with contributions from science, practice and policy; Den Boden bereiten fuer die Energiewende. Mit Bioenergie fuer mehr Klimaschutz und Nachhaltigkeit. Aufsatzsammlung mit Beitraegen aus Wissenschaft, Praxis und Politik

Energy Technology Data Exchange (ETDEWEB)

NONE

2013-02-15

In order to create acceptance by understanding and in order to support the energy policy turnaround, the Agency for Renewable Energies (Berlin, Federal Republic of Germany) supplies several contributions to the following topics: (1) Bio-energy and the energy policy turnaround; (2) Sustainability by means of bio-energy, but how?; (3) How can energy crops modify the region?; (4) Bio-Energy and the landscape of the future; (5) Isles with green energy: Bio-Energy for decentralized solutions; (6) Bio-energy and organic agriculture; (7) Forest and field in the climate protection.

Impact of a voice recognition system on report cycle time and radiologist reading time

Science.gov (United States)

Melson, David L.; Brophy, Robert; Blaine, G. James; Jost, R. Gilbert; Brink, Gary S.

1998-07-01

Because of its exciting potential to improve clinical service, as well as reduce costs, a voice recognition system for radiological dictation was recently installed at our institution. This system will be clinically successful if it dramatically reduces radiology report turnaround time without substantially affecting radiologist dictation and editing time. This report summarizes an observer study currently under way in which radiologist reporting times using the traditional transcription system and the voice recognition system are compared. Four radiologists are observed interpreting portable intensive care unit (ICU) chest examinations at a workstation in the chest reading area. Data are recorded with the radiologists using the transcription system and using the voice recognition system. The measurements distinguish between time spent performing clerical tasks and time spent actually dictating the report. Editing time and the number of corrections made are recorded. Additionally, statistics are gathered to assess the voice recognition system's impact on the report cycle time -- the time from report dictation to availability of an edited and finalized report -- and the length of reports.

21 CFR 864.7875 - Thrombin time test.

Science.gov (United States)

2010-04-01

... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Thrombin time test. 864.7875 Section 864.7875 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES HEMATOLOGY AND PATHOLOGY DEVICES Hematology Kits and Packages § 864.7875 Thrombin time test. (a...

Prepopulated radiology report templates: a prospective analysis of error rate and turnaround time.

Science.gov (United States)

Hawkins, C M; Hall, S; Hardin, J; Salisbury, S; Towbin, A J

2012-08-01

Current speech recognition software allows exam-specific standard reports to be prepopulated into the dictation field based on the radiology information system procedure code. While it is thought that prepopulating reports can decrease the time required to dictate a study and the overall number of errors in the final report, this hypothesis has not been studied in a clinical setting. A prospective study was performed. During the first week, radiologists dictated all studies using prepopulated standard reports. During the second week, all studies were dictated after prepopulated reports had been disabled. Final radiology reports were evaluated for 11 different types of errors. Each error within a report was classified individually. The median time required to dictate an exam was compared between the 2 weeks. There were 12,387 reports dictated during the study, of which, 1,173 randomly distributed reports were analyzed for errors. There was no difference in the number of errors per report between the 2 weeks; however, radiologists overwhelmingly preferred using a standard report both weeks. Grammatical errors were by far the most common error type, followed by missense errors and errors of omission. There was no significant difference in the median dictation time when comparing studies performed each week. The use of prepopulated reports does not alone affect the error rate or dictation time of radiology reports. While it is a useful feature for radiologists, it must be coupled with other strategies in order to decrease errors.

Reliability of the Timed Up and Go test and Ten-Metre Timed Walk Test in Pregnant Women with Pelvic Girdle Pain.

Science.gov (United States)

Evensen, Natalie M; Kvåle, Alice; Braekken, Ingeborg H

2015-09-01

There is a lack of functional objective tests available to measure functional status in women with pelvic girdle pain (PGP). The purpose of this study was to establish test-retest and intertester reliability of the Timed Up and Go (TUG) test and Ten-metre Timed Walk Test (10mTWT) in pregnant women with PGP. A convenience sample of women was recruited over a 4-month period and tested on two occasions, 1 week apart to determine test-retest reliability. Intertester reliability was established between two assessors at the first testing session. Subjects were instructed to undertake the TUG and 10mTWT at maximum speed. One practise trial and two timed trials for each walking test was undertaken on Day 1 and one practise trial and one timed trial on Day 2. Seventeen women with PGP aged 31.1 years (SD [standard deviation] = 2.3) and 28.7 weeks pregnant (SD = 7.4) completed gait testing. Test-retest reliability using the intraclass correlation coefficient (ICC) was excellent for the TUG (0.88) and good for the 10mTWT (0.74). Intertester reliability was determined in the first 13 participants with excellent ICC values being found for both walking tests (TUG: 0.95; 10mTWT: 0.94). This study demonstrated that the TUG and 10mTWT undertaken at fast pace are reliable, objective functional tests in pregnant women with PGP. While both tests are suitable for use in the clinical and research settings, we would recommend the TUG given the findings of higher test-retest reliability and as this test requires less space and time to set up and score. Future studies in a larger sample size are warranted to confirm the results of this study. Copyright © 2015 John Wiley & Sons, Ltd.

TIWAG-Tiroler Wasserkraft AG reconstruction and new construction projects for the energy turnaround; Um- und Neubauprojekte der Tiroler Wasserkraft AG fuer die Energiewende

Energy Technology Data Exchange (ETDEWEB)

Stroppa, Wolfgang [TIWAG-Tiroler Wasserkraft AG, Innsbruck (Austria)

2016-07-01

The whole of Europe is facing the challenge of transforming its energy management system into a more sustainable, more economical and decentralised system with a lower CO{sub 2} footprint. The Province of the Tyrol must contribute to the energy turnaround at a regional level. Hydropower's energy efficiency ratio is more than 90 % so it is the most important renewable energy in terms of volume and cost efficiency. It is for this reason that the use and expansion of hydropower facilities are key components of a sustainable energy and climate policy in the Alpine region.

Real-Time Optical Antimicrobial Susceptibility Testing

DEFF Research Database (Denmark)

Fredborg, Marlene; Andersen, Klaus R; Jørgensen, Erik

2013-01-01

Rapid antibiotic susceptibility testing is in highly demand in health-care fields as antimicrobial resistant bacterial strains emerge and spread. Here we describe an optical screening system (oCelloScope), which based on time-lapse imaging of 96 bacteria-antibiotic combinations at a time......, introduces real-time detection of bacterial growth and antimicrobial susceptibility, with imaging material to support the automatically generated graphs. Automated antibiotic susceptibility tests of a monoculture showed statistically significant antibiotic effect within 6 minutes and within 30 minutes...... from multidrug-resistant pathogenic bacteria. The oCelloScope system can be employed for a broad range of applications within bacteriology and may present new vistas as a point-of-care instrument in both clinical and veterinarian settings....

Evaluation of nine HIV rapid test kits to develop a national HIV testing algorithm in Nigeria

Directory of Open Access Journals (Sweden)

Orji Bassey

2015-05-01

Full Text Available Background: Non-cold chain-dependent HIV rapid testing has been adopted in many resource-constrained nations as a strategy for reaching out to populations. HIV rapid test kits (RTKs have the advantage of ease of use, low operational cost and short turnaround times. Before 2005, different RTKs had been used in Nigeria without formal evaluation. Between 2005 and 2007, a study was conducted to formally evaluate a number of RTKs and construct HIV testing algorithms. Objectives: The objectives of this study were to assess and select HIV RTKs and develop national testing algorithms. Method: Nine RTKs were evaluated using 528 well-characterised plasma samples. These comprised 198 HIV-positive specimens (37.5% and 330 HIV-negative specimens (62.5%, collected nationally. Sensitivity and specificity were calculated with 95% confidence intervals for all nine RTKs singly and for serial and parallel combinations of six RTKs; and relative costs were estimated. Results: Six of the nine RTKs met the selection criteria, including minimum sensitivity and specificity (both ≥ 99.0% requirements. There were no significant differences in sensitivities or specificities of RTKs in the serial and parallel algorithms, but the cost of RTKs in parallel algorithms was twice that in serial algorithms. Consequently, three serial algorithms, comprising four test kits (BundiTM, DetermineTM, Stat-Pak® and Uni-GoldTM with 100.0% sensitivity and 99.1% – 100.0% specificity, were recommended and adopted as national interim testing algorithms in 2007. Conclusion: This evaluation provides the first evidence for reliable combinations of RTKs for HIV testing in Nigeria. However, these RTKs need further evaluation in the field (Phase II to re-validate their performance.

Reporting altered test results in hemolyzed samples: is the cure worse than the disease?

Science.gov (United States)

Lippi, Giuseppe; Cervellin, Gianfranco; Plebani, Mario

2017-07-26

The management of laboratory data in unsuitable (hemolyzed) samples remains an almost unresolved dilemma. Whether or not laboratory test results obtained by measuring unsuitable specimens should be made available to the clinicians has been the matter of fierce debates over the past decades. Recently, an intriguing alternative to suppressing test results and recollecting the specimen has been put forward, entailing the definition and implementation of specific algorithms that would finally allow reporting a preanalytically altered laboratory value within a specific comment about its uncertainty of measurement. This approach carries some advantages, namely the timely communication of potentially life-threatening laboratory values, but also some drawbacks. These especially include the challenging definition of validated performance specifications for hemolyzed samples, the need to producing reliable data with the lowest possible uncertainty, the short turnaround time for repeating most laboratory tests, the risk that the comments may be overlooked in short-stay and frequently overcrowded units (e.g. the emergency department), as well as the many clinical advantages of a direct communication with the physician in charge of the patient. Despite the debate remains open, we continue supporting the suggestion that suppressing data in unsuitable (hemolyzed) samples and promptly notifying the clinicians about the need to recollect the samples remains the most (clinically and analytically) safe practice.

Tests of time reversal in neutron-nucleus scattering

International Nuclear Information System (INIS)

Bowman, J.D.

1988-01-01

Experiments to test time-reversal invariance are discussed. The experiments are based on observables constructed from the momentum and spin vectors of epithermal neutrons and from the spin of an aligned or polarized target. It is shown that the proposed tests are detailed balance tests of time-reversal invariance. The status of the experiments is briefly reviewed. 14 refs., 5 figs

Testing Hardy's nonlocality proof with genuine energy-time entanglement

International Nuclear Information System (INIS)

Vallone, Giuseppe; Gianani, Ilaria; Inostroza, Enrique B.; Saavedra, Carlos; Lima, Gustavo; Cabello, Adan; Mataloni, Paolo

2011-01-01

We show two experimental realizations of Hardy's ladder test of quantum nonlocality using energy-time correlated photons, following the scheme proposed by Cabello et al.[Phys. Rev. Lett. 102, 040401 (2009)]. Unlike previous energy-time Bell experiments, these tests require precisely tailored nonmaximally entangled states. One of them is equivalent to the two-setting and two-outcome Bell test requiring a minimum detection efficiency. The reported experiments are still affected by the locality and detection loopholes, but are free of the post-selection loophole of previous energy-time and time-bin Bell tests.

75 FR 15695 - Notice of Proposed Information Collection Requests

Science.gov (United States)

2010-03-30

... turnaround schools; and compare them to strategies employed by not improving, chronically low-performing..., programs, and practices associated with school turnaround that can be rigorously tested in a future impact...

Reduction Methods for Real-time Simulations in Hybrid Testing

DEFF Research Database (Denmark)

Andersen, Sebastian

2016-01-01

Hybrid testing constitutes a cost-effective experimental full scale testing method. The method was introduced in the 1960's by Japanese researchers, as an alternative to conventional full scale testing and small scale material testing, such as shake table tests. The principle of the method...... is performed on a glass fibre reinforced polymer composite box girder. The test serves as a pilot test for prospective real-time tests on a wind turbine blade. The Taylor basis is implemented in the test, used to perform the numerical simulations. Despite of a number of introduced errors in the real...... is to divide a structure into a physical substructure and a numerical substructure, and couple these in a test. If the test is conducted in real-time it is referred to as real time hybrid testing. The hybrid testing concept has developed significantly since its introduction in the 1960', both with respect...

Direct identification and susceptibility testing of positive blood cultures using high speed cold centrifugation and Vitek II system.

Science.gov (United States)

Bazzi, Ali M; Rabaan, Ali A; Fawarah, Mahmoud M; Al-Tawfiq, Jaffar A

Compared to routine isolated colony-based methods, direct testing of bacterial pellets from positive blood cultures reduces turnaround time for reporting of antibiotic susceptibility. The aim of this study was to compare the accuracy, and precision, of a rapid method for direct identification and susceptibility testing of blood cultures with the routine method used in our laboratory, using Vitek 2. A total of 60 isolates were evaluated using the candidate and the routine method. The candidate method had 100% accuracy for the identification of Gram negative bacteria, Staphylococcus and Enterococcus, 50% for Streptococcus and 33.3% for Corynebacterium species. Susceptibility testing of Gram negative isolates yielded 98-100% essential agreement. For Staphylococcus and Enterococcus isolates, essential agreement was 100% for 17 antibiotics except for moxifloxacin. Direct testing of blood culture samples with Vitek 2 produced reliable identification and susceptibility results 18-24h sooner for aerobic/anaerobic facultative Gram-negative bacteria and Gram-positive Staphylococcus and Enterococcus strains. Copyright © 2016 King Saud Bin Abdulaziz University for Health Sciences. Published by Elsevier Ltd. All rights reserved.

Thermocouple correlation transit time flowmeter tests at WCL

International Nuclear Information System (INIS)

Lassahn, G.D.

1976-11-01

Scoping tests indicate the feasibility for using transit time flowmeters with thermocouple sensors in steam-water steady state flow. Conclusive results were not obtained. More conclusive results are expected from tests to be conducted in the semiscale facility with a redesigned transit time thermocouple sensor

Online Testing of Real-time Systems Using Uppaal

DEFF Research Database (Denmark)

Larsen, Kim Guldstrand; Mikucionis, Marius; Nielsen, Brian

2005-01-01

We present T-Uppaal{} -- a new tool for online black-box testing of real-time embedded systems from non-deterministic timed automata specifications. We describe a sound and complete randomized online testing algorithm and how to implement it using symbolic state representation and manipulation te...

Point -of -care testing (POCT) in molecular diagnostics: Performance evaluation of GeneXpert HCV RNA test in diagnosing and monitoring of HCV infection.

Science.gov (United States)

Gupta, Ekta; Agarwala, Pragya; Kumar, Guresh; Maiwall, Rakhi; Sarin, Shiv Kumar

2017-03-01

Molecular testing at the point-of-care may turn out to be game changer for HCV diagnosis and treatment monitoring, through increased sensitivity, reduced turnaround time, and ease of performance. One such assay GeneXpert ® has recently been released. Comparative analysis between performances of GeneXpert ® and Abbott HCV-RNA was done. 174 HCV infected patients were recruited and, one time plasma samples from 154 patients and repeated samples from 20 patients, obtained at specific treatment time-points (0, 4, 12 and 24) weeks were serially re-tested on Xpert ® . Genotype 3 was the commonest, seen in 80 (66%) of the cases, genotype 1 in 34 (28.3%), genotype 4 in 4 (3.3%) and genotypes 2 and 5 in 1 (0.8%) each. Median HCV RNA load was 4.69 log 10 (range: 0-6.98log 10 ) IU/ml. Overall a very good correlation was seen between the two assays (R 2 =0.985), concordance of the results between the assays was seen in 138 samples (89.6%). High and low positive standards were tested ten times on Xpert ® to evaluate the precision and the coefficient of variation was 0.01 for HPC and 0.07 for the LPC. Monitoring of patients on two different regimes of treatment, pegylated interferon plus ribavirin and sofosbuvir plus ribavirin was done by both the systems at baseline, 4, 12 and 24 weeks. Perfect correlation between the assays in the course of therapy at different treatment time- point in genotypes 3 and 1 was seen. The study demonstrates excellent performance of the Xpert ® HCV assay in viral load assessment and in treatment course monitoring consistency. Copyright © 2017 Elsevier B.V. All rights reserved.

Evaluation of MALDI-TOF MS (Matrix-Assisted Laser Desorption-Ionization Time-of-Flight Mass Spectrometry) for routine identification of anaerobic bacteria.

Science.gov (United States)

Rodríguez-Sánchez, Belén; Alcalá, Luis; Marín, Mercedes; Ruiz, Adrián; Alonso, Elena; Bouza, Emilio

2016-12-01

Information regarding the use of MALDI-TOF MS as an alternative to conventional laboratory methods for the rapid and reliable identification of bacterial isolates is still limited. In this study, MALDI-TOF MS was evaluated on 295 anaerobic isolates previously identified by 16S rRNA gene sequencing and with biochemical tests (Rapid ID 32A system, BioMérieux). In total, 85.8% of the isolates were identified by MALDI-TOF MS at the species level vs 49.8% using the Rapid ID 32A system (p anaerobic isolates in the microbiology laboratory. Its implementation will reduce the turnaround time for a final identification and the number of isolates that require 16S rRNA sequencing. Copyright © 2016 Elsevier Ltd. All rights reserved.

Test of feasibility of a novel high precision test of time reversal invariance

International Nuclear Information System (INIS)

Samuel, Deepak

2007-01-01

The first results of a feasibility test of a novel high precision test of time reversal invariance are reported. The Time Reversal Invariance test at COSY (TRIC) was planned to measure the time reversal violating observable A y,xz with an accuracy of 10 -6 in proton-deuteron (p-d) scattering. A novel technique for measuring total cross sections is introduced and the achievable precision of this measuring technique is tested. The correlation coefficient A y,y in p-d scattering fakes a time-reversal violating effect. This work reports the feasibility test of the novel method in the measurement of A y,y in p-p scattering. The first step in the experimental design was the development of a hard real-time data acquisition system. To meet stringent latency requirements, the capabilities of Windows XP had to be augmented with a real-time subsystem. The remote control feature of the data acquisition enables users to operate it from any place via an internet connection. The data acquisition proved its reliability in several beam times without any failures. The analysis of the data showed the presence of 1/f noise which substantially limits the quality of our measurements. The origin of 1/f noise was traced and found to be the Barkhausen noise from the ferrite core of the beam current transformer (BCT). A global weighted fitting technique based on a modified Wiener-Khinchin method was developed and used to suppress the influence of 1/f noise, which increased the error bar of the results by a factor 3. This is the only deviation from our expectations. The results are presented and discussed. (orig.)

Test of feasibility of a novel high precision test of time reversal invariance

Energy Technology Data Exchange (ETDEWEB)

Samuel, Deepak

2007-07-01

The first results of a feasibility test of a novel high precision test of time reversal invariance are reported. The Time Reversal Invariance test at COSY (TRIC) was planned to measure the time reversal violating observable A{sub y,xz} with an accuracy of 10{sup -6} in proton-deuteron (p-d) scattering. A novel technique for measuring total cross sections is introduced and the achievable precision of this measuring technique is tested. The correlation coefficient A{sub y,y} in p-d scattering fakes a time-reversal violating effect. This work reports the feasibility test of the novel method in the measurement of A{sub y,y} in p-p scattering. The first step in the experimental design was the development of a hard real-time data acquisition system. To meet stringent latency requirements, the capabilities of Windows XP had to be augmented with a real-time subsystem. The remote control feature of the data acquisition enables users to operate it from any place via an internet connection. The data acquisition proved its reliability in several beam times without any failures. The analysis of the data showed the presence of 1/f noise which substantially limits the quality of our measurements. The origin of 1/f noise was traced and found to be the Barkhausen noise from the ferrite core of the beam current transformer (BCT). A global weighted fitting technique based on a modified Wiener-Khinchin method was developed and used to suppress the influence of 1/f noise, which increased the error bar of the results by a factor 3. This is the only deviation from our expectations. The results are presented and discussed. (orig.)

Testing for intracycle determinism in pseudoperiodic time series.

Science.gov (United States)

Coelho, Mara C S; Mendes, Eduardo M A M; Aguirre, Luis A

2008-06-01

A determinism test is proposed based on the well-known method of the surrogate data. Assuming predictability to be a signature of determinism, the proposed method checks for intracycle (e.g., short-term) determinism in the pseudoperiodic time series for which standard methods of surrogate analysis do not apply. The approach presented is composed of two steps. First, the data are preprocessed to reduce the effects of seasonal and trend components. Second, standard tests of surrogate analysis can then be used. The determinism test is applied to simulated and experimental pseudoperiodic time series and the results show the applicability of the proposed test.

Germany's energy turnaround. A joint venture for the future; Deutschlands Energiewende. Ein Gemeinschaftswerk fuer die Zukunft

Energy Technology Data Exchange (ETDEWEB)

NONE

2011-05-30

The Ethics Committee is sure that nuclear phaseout will be possible within a decade with the energy turnaround measures presented here. Nuclear phaseout is considered necessary and is recommended with the intention to prevent the risk of nuclear power in Germany and to use less risky technologies. The competitive standing of the German industry should not be affected. Science and research, new technologies and the readiness of German industrial organizations to develop new business models for a sustainable economy provides Germany with alternatives, i.e. wind power, solar, hydroelectric, geothermal, biomass, efficient energy use and higher energy efficiency, as well as fossil fuels used with low emissions of climate-relevant gases. Further, a changed human lifestyle with more respect of nature will help to save energy. In the first stage of nuclear phaseout, nuclear power plants will be shut down and decommissioned. Of course, the Ethics Committee is aware that after this stage, there will be long years of intensive work of shielding, saveguarding and finally dismantling.

Variation in aluminium patch test reactivity over time.

Science.gov (United States)

Siemund, Ingrid; Mowitz, Martin; Zimerson, Erik; Bruze, Magnus; Hindsén, Monica

2017-11-01

Contact allergy to aluminium has been reported more frequently in recent years. It has been pointed out that positive patch test reactions to aluminium may not be reproducible on retesting. To investigate possible variations in patch test reactivity to aluminium over time. Twenty-one adults, who had previously reacted positively to aluminium, were patch tested with equimolar dilution series in pet. of aluminium chloride hexahydrate and aluminium lactate, four times over a period of 8 months. Thirty-six of 84 (43%) serial dilution tests with aluminium chloride hexahydrate and 49 of 84 (58%) serial dilution tests with aluminium lactate gave negative results. The range of reactivity varied between a negative reaction to aluminium chloride hexahydrate at 10% and/or to aluminium lactate at 12%, and a positive reaction to aluminium chloride hexahydrate at 0.1% and/or to aluminium lactate at 0.12%. The highest individual difference in test reactivity noticed was 320-fold when the two most divergent minimal eliciting concentrations were compared. The patch test reactivity to aluminium varies over time. Aluminium-allergic individuals may have false-negative reactions. Therefore, retesting with aluminium should be considered when there is a strong suspicion of aluminium contact allergy. © 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

EFFECTS OF ACOUSTIC STIMULATION ON BIOPHYSICAL PROFILE TESTING TIME

Directory of Open Access Journals (Sweden)

M. Pourissa

2008-04-01

Full Text Available Biophysical profile (BPP test is the most commonly used antenatal test of fetal well-being. Purpose of this study is determining the influence of acoustic stimulation (AS on BPP testing time. About 55 pregnant women at 35 to 42 weeks who referred to department of Obstetric & Gynecology at university of medical sciences, Tabriz, Iran, were selected randomly. We used abdominal ultrasound guidance to place buzzer like device with power of 110 dB at the skin surface of the maternal abdomen, close to the fetal head. BPP test performed and BPP mean testing time calculated before and after AS. Data compared and analyzed by paired t-test. The results showed that fetal AS reduces the overall mean testing time from 24 minutes to 5 minutes. This clinical application can be helpful in busy clinics when rapid assessment of fetal health is required.

Evaluation report on CCTF core-II reflood test C2 - 8 (Run 67)

International Nuclear Information System (INIS)

Akimoto, Hajime; Iguchi, Tadashi; Okubo, Tsutomu; Murao, Yoshio; Okabe, Kazuharu; Sugimoto, Jun.

1987-01-01

In order to study the system pressure effect of the core cooling and flow behavior during the reflood phase of a PWR LOCA, a test was performed with CCTF under the system pressure pf 0.15 MPa as a counterpart test of the CCTF test C2-1 (system pressure 0.42 MPa) and the CCTF test C2-4 (system pressure 0.20 MPa). Through the comparisons of results from these three tests, the following conclusions were obtained: (1) The higher system pressure resulted in the lower temperature rise, the shorter turnaround time and the shorter quench time as observed in the CCTF Core-I system pressure effect tests. (2) The higher system pressure resulted in higher core water head, higher upper plenum water head, higher mass flow rate through the primary loops. On the other hand, the higher system pressure resulted in lower downcomer water head and lower pressure drop through the primary loops and the broken cold leg. These system pressure effects on the flow behavior in the primary system are almost the same as observed in the system pressure effect tests in the CCTF Core-I test series. (3) Before the mixture level in the upper plenum reached the level of the hot leg nozzle, the loop flow resistance coefficient of the intact loops was nearly constant regardless of the system pressure. After the mixture level reached the level of the hot leg nozzle, the loop flow resistance coefficient was increased due to the water accumulation in the hot leg piping and the inlet plenum of the steam generator in these tests. (J.P.N.)

Centrifugation protocols: tests to determine optimal lithium heparin and citrate plasma sample quality.

Science.gov (United States)

Dimeski, Goce; Solano, Connie; Petroff, Mark K; Hynd, Matthew

2011-05-01

Currently, no clear guidelines exist for the most appropriate tests to determine sample quality from centrifugation protocols for plasma sample types with both lithium heparin in gel barrier tubes for biochemistry testing and citrate tubes for coagulation testing. Blood was collected from 14 participants in four lithium heparin and one serum tube with gel barrier. The plasma tubes were centrifuged at four different centrifuge settings and analysed for potassium (K(+)), lactate dehydrogenase (LD), glucose and phosphorus (Pi) at zero time, poststorage at six hours at 21 °C and six days at 2-8°C. At the same time, three citrate tubes were collected and centrifuged at three different centrifuge settings and analysed immediately for prothrombin time/international normalized ratio, activated partial thromboplastin time, derived fibrinogen and surface-activated clotting time (SACT). The biochemistry analytes indicate plasma is less stable than serum. Plasma sample quality is higher with longer centrifugation time, and much higher g force. Blood cells present in the plasma lyse with time or are damaged when transferred in the reaction vessels, causing an increase in the K(+), LD and Pi above outlined limits. The cells remain active and consume glucose even in cold storage. The SACT is the only coagulation parameter that was affected by platelets >10 × 10(9)/L in the citrate plasma. In addition to the platelet count, a limited but sensitive number of assays (K(+), LD, glucose and Pi for biochemistry, and SACT for coagulation) can be used to determine appropriate centrifuge settings to consistently obtain the highest quality lithium heparin and citrate plasma samples. The findings will aid laboratories to balance the need to provide the most accurate results in the best turnaround time.

A clinical utility study of exome sequencing versus conventional genetic testing in pediatric neurology.

Science.gov (United States)

Vissers, Lisenka E L M; van Nimwegen, Kirsten J M; Schieving, Jolanda H; Kamsteeg, Erik-Jan; Kleefstra, Tjitske; Yntema, Helger G; Pfundt, Rolph; van der Wilt, Gert Jan; Krabbenborg, Lotte; Brunner, Han G; van der Burg, Simone; Grutters, Janneke; Veltman, Joris A; Willemsen, Michèl A A P

2017-09-01

Implementation of novel genetic diagnostic tests is generally driven by technological advances because they promise shorter turnaround times and/or higher diagnostic yields. Other aspects, including impact on clinical management or cost-effectiveness, are often not assessed in detail prior to implementation. We studied the clinical utility of whole-exome sequencing (WES) in complex pediatric neurology in terms of diagnostic yield and costs. We analyzed 150 patients (and their parents) presenting with complex neurological disorders of suspected genetic origin. In a parallel study, all patients received both the standard diagnostic workup (e.g., cerebral imaging, muscle biopsies or lumbar punctures, and sequential gene-by-gene-based testing) and WES simultaneously. Our unique study design allowed direct comparison of diagnostic yield of both trajectories and provided insight into the economic implications of implementing WES in this diagnostic trajectory. We showed that WES identified significantly more conclusive diagnoses (29.3%) than the standard care pathway (7.3%) without incurring higher costs. Exploratory analysis of WES as a first-tier diagnostic test indicates that WES may even be cost-saving, depending on the extent of other tests being omitted. Our data support such a use of WES in pediatric neurology for disorders of presumed genetic origin.Genet Med advance online publication 23 March 2017.

Testing for time-varying loadings in dynamic factor models

DEFF Research Database (Denmark)

Mikkelsen, Jakob Guldbæk

Abstract: In this paper we develop a test for time-varying factor loadings in factor models. The test is simple to compute and is constructed from estimated factors and residuals using the principal components estimator. The hypothesis is tested by regressing the squared residuals on the squared...... there is evidence of time-varying loadings on the risk factors underlying portfolio returns for around 80% of the portfolios....

21 CFR 864.7750 - Prothrombin time test.

Science.gov (United States)

2010-04-01

... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Prothrombin time test. 864.7750 Section 864.7750 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES HEMATOLOGY AND PATHOLOGY DEVICES Hematology Kits and Packages § 864.7750 Prothrombin time...

Regularity of laboratory supplies and delivery of histopathology ...

African Journals Online (AJOL)

Give the high turnaround time in the histopathology service, a computerized laboratory logistics and inventory management systems (LMIS) should be established at the health settings in the country in order to ensure continuous availability of laboratory supplies and improve the turnaround time in laboratory services.

BetaScint{trademark} fiber-optic sensor for detecting strontium-90 and uranium-238 in soil. Innovative technology summary report

Energy Technology Data Exchange (ETDEWEB)

NONE

1998-12-01

Accurate measurements of radioactivity in soils contaminated with Strontium-90 (Sr-90) or Uranium-238 (U-238) are essential for many DOE site remediation programs. These crucial measurements determine if excavation and soil removal is necessary, where remediation efforts should be focused, and/or if a site has reached closure. Measuring soil contamination by standard EPA laboratory methods typically takes a week (accelerated analytical test turnaround) or a month (standard analytical test turnaround). The time delay extends to operations involving heavy excavation equipment and associated personnel which are the main costs of remediation. This report describes an application of the BetaScint{trademark} fiber-optic sensor that measures Sr-90 or U-238 contamination in soil samples on site in about 20 minutes, at a much lower cost than time-consuming laboratory methods, to greatly facilitate remediation. This report describes the technology, its performance, its uses, cost, regulatory and policy issues, and lessons learned.

BetaScintTM fiber-optic sensor for detecting strontium-90 and uranium-238 in soil. Innovative technology summary report

International Nuclear Information System (INIS)

1998-12-01

Accurate measurements of radioactivity in soils contaminated with Strontium-90 (Sr-90) or Uranium-238 (U-238) are essential for many DOE site remediation programs. These crucial measurements determine if excavation and soil removal is necessary, where remediation efforts should be focused, and/or if a site has reached closure. Measuring soil contamination by standard EPA laboratory methods typically takes a week (accelerated analytical test turnaround) or a month (standard analytical test turnaround). The time delay extends to operations involving heavy excavation equipment and associated personnel which are the main costs of remediation. This report describes an application of the BetaScint trademark fiber-optic sensor that measures Sr-90 or U-238 contamination in soil samples on site in about 20 minutes, at a much lower cost than time-consuming laboratory methods, to greatly facilitate remediation. This report describes the technology, its performance, its uses, cost, regulatory and policy issues, and lessons learned

Test of user- and system programs coded in real time languages - requirements on program language and testing tool

International Nuclear Information System (INIS)

Hertlin, J.; Mackert, M.

1979-01-01

In the present paper the functions are presented, which should be part of a test system for user programs in a higher treat time programming language, taking into account time sequences and competitive processes. As can be shown by the problem of testing, use of higher level real time programming languages renders the task of program development essentially easier, however performance of test procedures without appropriate test systems is very difficult. After the presentation of notions and methods for the testing of programs, general requirements on testing tools are described and the test system functions for a program test, beeing uncritical with respect to time, are placed together. Thereby, for every individual function, the interface between the test system, the program under test, and the residual program-generation system (compiler, binder, operating system, delay-time system, and loader) is given too. For the time-critical test, a series of desirable functions are described, which can be implemented with acceptable expense. (orig.) [de

Automated real-time testing (ARTT) for embedded control systems (ECS)

International Nuclear Information System (INIS)

Hawkins, J; Howard, R; Nguyen, H.

2001-01-01

Many of today's automated real-time testing systems for embedded systems were developed using expensive custom hardware and software. In this article they describe how to use commercially available off-the-shelf hardware and software to design and develop an automated real-time test systems for Embedded Programmable Logic Controller (PLC) Based Control Systems. The system development began with the implementation of the VALI/TEST Pro testing methodology as a means for structuring the testing. Using this methodology, they were able to decompose system requirement documents for a Personnel Safety System (PSS) into its high, intermediate and detail level requirements. next, the validation procedures for the PSS system were decomposed into testing units called builds, test runs and test cases. To measure the PSS system's test coverage three levels of system requirements were mapped to their respective unit level of test using a specially constructed validation matrix that was designed to handle over 150 test cases and requirements. All of the above work led to the development of an Automated Real-Time Test System (ARTTS) that is capable of performing complete black box testing in real-time for Embedded PLC Based Control Systems. Also note, that the PSS system under test and mentioned in this paper is located at the Advance Photon Source (APS) at Argonne National Laboratory Basic Energy Science Facility in Argonne, Illinois

Compounding diagnostic delays: a qualitative study of point-of-care testing in South Africa.

Science.gov (United States)

Engel, Nora; Davids, Malika; Blankvoort, Nadine; Pai, Nitika Pant; Dheda, Keertan; Pai, Madhukar

2015-04-01

Successful point-of-care (POC) testing (completion of test-and-treat cycle in one patient encounter) has immense potential to reduce diagnostic and treatment delays, and improve patient and public health outcomes. We explored what tests are done and how in public/private, rural/urban hospitals and clinics in South Africa and whether they can ensure successful POC testing. This qualitative research study examined POC testing across major diseases in Cape Town, Durban and Eastern Cape. We conducted 101 semi-structured interviews and seven focus group discussions with doctors, nurses, community health workers, patients, laboratory technicians, policymakers, hospital managers and diagnostic manufacturers. In South Africa, diagnostics are characterised by a centralised system. Most tests conducted on the spot can be made to work successfully as POC tests. The majority of public/private clinics and smaller hospitals send samples via couriers to centralised laboratories and retrieve results the same way, via internet, fax or phone. The main challenge to POC testing lies in transporting samples and results, while delays risk patient loss from diagnostic/treatment pathways. Strategies to deal with associated delays create new problems, such as artificially prolonged turnaround times, strains on human resources and quality of testing, compounding additional diagnostic and treatment delays. For POC testing to succeed, particular characteristics of diagnostic ecosystems and adaptations of professional practices to overcome associated challenges must be taken into account. © 2014 John Wiley & Sons Ltd.

Investigation on shortening fabrication process of instrumented irradiation capsule of JMTR

International Nuclear Information System (INIS)

Nagata, Hiroshi; Inoue, Shuichi; Yamaura, Takayuki; Tsuchiya, Kunihiko; Nagao, Yoshiharu

2013-06-01

Refurbishment of The Japan Materials Testing Reactor (JMTR) was completed in FY2010. For damage caused by the 2011 off the Pacific coast of Tohoku Earthquake, the repair of facilities was completed in October 2012. Currently, the JMTR is in preparation for restart. Irradiation tests for LWRs safety research, science and technologies and production of RI for medical diagnosis medicine, etc. are expected after the JMTR restart. On the other hand, aiming at the attractive irradiation testing reactor, the usability improvement has been discussed. As a part of the usability improvement, shortening of turnaround time to get irradiation results from an application for irradiation use was discussed focusing on the fabrication process of irradiation capsules, where the fabrication process was analyzed and reviewed by referring a trial fabrication of the mockup capsule. As a result, it was found that the turnaround time can be shortened 2 months from fabrication period of 6 months with communize of irradiation capsule parts, application of ready-made instrumentation including the sheath heater, reconsideration of inspection process, etc. (author)

Application of the Toyota Production System improves core laboratory operations.

Science.gov (United States)

Rutledge, Joe; Xu, Min; Simpson, Joanne

2010-01-01

To meet the increased clinical demands of our hospital expansion, improve quality, and reduce costs, our tertiary care, pediatric core laboratory used the Toyota Production System lean processing to reorganize our 24-hour, 7 d/wk core laboratory. A 4-month, consultant-driven process removed waste, led to a physical reset of the space to match the work flow, and developed a work cell for our random access analyzers. In addition, visual controls, single piece flow, standard work, and "5S" were instituted. The new design met our goals as reflected by achieving and maintaining improved turnaround time (TAT; mean for creatinine reduced from 54 to 23 minutes) with increased testing volume (20%), monetary savings (4 full-time equivalents), decreased variability in TAT, and better space utilization (25% gain). The project had the unanticipated consequence of eliminating STAT testing because our in-laboratory TAT for routine testing was less than our prior STAT turnaround goal. The viability of this approach is demonstrated by sustained gains and further PDCA (Plan, Do, Check, Act) improvements during the 4 years after completion of the project.

Task 4 supporting technology. Part 2: Detailed test plan for thermal seals. Thermal seals evaluation, improvement and test. CAN8-1, Reusable Launch Vehicle (RLV), advanced technology demonstrator: X-33. Leading edge and seals thermal protection system technology demonstration

Science.gov (United States)

Hogenson, P. A.; Lu, Tina

1995-01-01

The objective is to develop the advanced thermal seals to a technology readiness level (TRL) of 6 to support the rapid turnaround time and low maintenance requirements of the X-33 and the future reusable launch vehicle (RLV). This program is divided into three subtasks: (1) orbiter thermal seals operation history review; (2) material, process, and design improvement; and (3) fabrication and evaluation of the advanced thermal seals.

75 FR 78230 - Notice of Proposed Information Collection Requests

Science.gov (United States)

2010-12-15

... time series design; and (4) investigate the relationship between STM turnaround models (and strategies... billion in additional funding for SIG, which is aimed at implementing one of four school turnaround models...

Recent Progress in the Development of Diagnostic Tests for Malaria.

Science.gov (United States)

Krampa, Francis D; Aniweh, Yaw; Awandare, Gordon A; Kanyong, Prosper

2017-09-19

The impact of malaria on global health has continually prompted the need to develop effective diagnostic strategies. In malaria endemic regions, routine diagnosis is hampered by technical and infrastructural challenges to laboratories. These laboratories lack standard facilities, expertise or diagnostic supplies; thus, therapy is administered based on clinical or self-diagnosis. There is the need for accurate diagnosis of malaria due to the continuous increase in the cost of medication, and the emergence and spread of drug resistant strains. However, the widely utilized Giemsa-stained microscopy and immunochromatographic tests for malaria are liable to several drawbacks, including inadequate sensitivity and false-positive outcomes. Alternative methods that offer improvements in performance are either expensive, have longer turnaround time or require a level of expertise that makes them unsuitable for point-of-care (POC) applications. These gaps necessitate exploration of more efficient detection techniques with the potential of POC applications, especially in resource-limited settings. This minireview discusses some of the recent trends and new approaches that are seeking to improve the clinical diagnosis of malaria.

Recent Progress in the Development of Diagnostic Tests for Malaria

Directory of Open Access Journals (Sweden)

Francis D. Krampa

2017-09-01

Full Text Available The impact of malaria on global health has continually prompted the need to develop effective diagnostic strategies. In malaria endemic regions, routine diagnosis is hampered by technical and infrastructural challenges to laboratories. These laboratories lack standard facilities, expertise or diagnostic supplies; thus, therapy is administered based on clinical or self-diagnosis. There is the need for accurate diagnosis of malaria due to the continuous increase in the cost of medication, and the emergence and spread of drug resistant strains. However, the widely utilized Giemsa-stained microscopy and immunochromatographic tests for malaria are liable to several drawbacks, including inadequate sensitivity and false-positive outcomes. Alternative methods that offer improvements in performance are either expensive, have longer turnaround time or require a level of expertise that makes them unsuitable for point-of-care (POC applications. These gaps necessitate exploration of more efficient detection techniques with the potential of POC applications, especially in resource-limited settings. This minireview discusses some of the recent trends and new approaches that are seeking to improve the clinical diagnosis of malaria.

A new non-parametric stationarity test of time series in the time domain

KAUST Repository

Jin, Lei; Wang, Suojin; Wang, Haiyan

2014-01-01

© 2015 The Royal Statistical Society and Blackwell Publishing Ltd. We propose a new double-order selection test for checking second-order stationarity of a time series. To develop the test, a sequence of systematic samples is defined via Walsh

Autoverification process improvement by Six Sigma approach: Clinical chemistry & immunoassay.

Science.gov (United States)

Randell, Edward W; Short, Garry; Lee, Natasha; Beresford, Allison; Spencer, Margaret; Kennell, Marina; Moores, Zoë; Parry, David

2018-05-01

This study examines effectiveness of a project to enhance an autoverification (AV) system through application of Six Sigma (DMAIC) process improvement strategies. Similar AV systems set up at three sites underwent examination and modification to produce improved systems while monitoring proportions of samples autoverified, the time required for manual review and verification, sample processing time, and examining characteristics of tests not autoverified. This information was used to identify areas for improvement and monitor the impact of changes. Use of reference range based criteria had the greatest impact on the proportion of tests autoverified. To improve AV process, reference range based criteria was replaced with extreme value limits based on a 99.5% test result interval, delta check criteria were broadened, and new specimen consistency rules were implemented. Decision guidance tools were also developed to assist staff using the AV system. The mean proportion of tests and samples autoverified improved from 90% for samples and >95% for tests across all three sites. The new AV system significantly decreased turn-around time and total sample review time (to about a third), however, time spent for manual review of held samples almost tripled. There was no evidence of compromise to the quality of testing process and process improvement methodology was successfully applied to AV systems resulting in an increase in overall test and sample AV by >90%, improved turn-around time, reduced time for manual verification, and with no obvious compromise to quality or error detection. Copyright © 2018 The Canadian Society of Clinical Chemists. Published by Elsevier Inc. All rights reserved.

Evaluation report on CCTF Core-I reflood tests C1-5 (Run 14), C1-7 (Run 16) and C1-14 (Run 23)

International Nuclear Information System (INIS)

Sugimoto, Jun; Muurao, Yoshio

1983-02-01

The present report describes the effects of the initial clad temperature on the reflood phenomena observed in the Cylindrical Core Test Facility (CCTF) at Japan Atomic Energy Research Institute. The evaluation is based on the data of tests C1-5, C1-7 and C1-14 of the CCTF-Core I test series. Nominal initial peak clad temperatures in these tests are 600 0 C, 700 0 C and 800 0 C, respectively. With the higher initial clad temperature, the higher loop mass flow rate and the lower water accumulation in the core and the upper plenum were obtained in an early reflood transient. However, the core inlet flow conditions, which is sensitive to the core cooling, were not much affected by the higher initial clad temperature. The slower quench front propagation was observed with the higher initial clad temperature. However, the heat transfer coefficient was almost identical with each other before the turnaround time, which resulted in the lower temperature rise with the highest initial clad temperature. This qualitatively agreed with the results of the forced feed FLECHT experiment. (author)

Evaluation report on CCTF CORE-I REFLOOD TEST Cl-4 (Run 13) and Cl-15 (Run 24)

International Nuclear Information System (INIS)

Sudoh, Takashi; Murao, Yoshio.

1983-08-01

The tests Cl-4 and Cl-15 were performed with the Cylindrical Core Test Facility (CCTF) to investigate the effects of the depressurization process to simulate the refill phase, and the effects of the nitrogen to be injected after the end of the accumulator injection on the thermo-hydraulic behavior in the core and primary loop system during refill and reflood phases. In these tests, after the lower plenum was filled to 0.9m level with saturated water at 0.6 MPa, the accumulator water was injected into three intact cold legs in the depressurization period from 0.6 MPa to 0.2 MPa. The water in the lower plenum voided during the depressurization and the significant steam condensation occurred in or near the intact cold legs. The condensation caused high steam flow rate in the intact loops and the lower plenum flashing resulted in suppressed core water accumulation. The slightly lower core heat transfer coefficient due to the less core water caused the higher turnaround temperature and the longer quench time than those of the normal reflood test without the depressurization process. The nitrogen injection followed the accumulator injection was allowed in the test Cl-15. However, significant effects of the nitrogen injection was not observed. (author)

A new non-parametric stationarity test of time series in the time domain

KAUST Repository

Jin, Lei

2014-11-07

© 2015 The Royal Statistical Society and Blackwell Publishing Ltd. We propose a new double-order selection test for checking second-order stationarity of a time series. To develop the test, a sequence of systematic samples is defined via Walsh functions. Then the deviations of the autocovariances based on these systematic samples from the corresponding autocovariances of the whole time series are calculated and the uniform asymptotic joint normality of these deviations over different systematic samples is obtained. With a double-order selection scheme, our test statistic is constructed by combining the deviations at different lags in the systematic samples. The null asymptotic distribution of the statistic proposed is derived and the consistency of the test is shown under fixed and local alternatives. Simulation studies demonstrate well-behaved finite sample properties of the method proposed. Comparisons with some existing tests in terms of power are given both analytically and empirically. In addition, the method proposed is applied to check the stationarity assumption of a chemical process viscosity readings data set.

Testing the accuracy of timing reports in visual timing tasks with a consumer-grade digital camera.

Science.gov (United States)

Smyth, Rachael E; Oram Cardy, Janis; Purcell, David

2017-06-01

This study tested the accuracy of a visual timing task using a readily available and relatively inexpensive consumer grade digital camera. A visual inspection time task was recorded using short high-speed video clips and the timing as reported by the task's program was compared to the timing as recorded in the video clips. Discrepancies in these two timing reports were investigated further and based on display refresh rate, a decision was made whether the discrepancy was large enough to affect the results as reported by the task. In this particular study, the errors in timing were not large enough to impact the results of the study. The procedure presented in this article offers an alternative method for performing a timing test, which uses readily available hardware and can be used to test the timing in any software program on any operating system and display.

A Generic Approach to Analyze the Impact of a Future Aircraft Design on the Boarding Process

Directory of Open Access Journals (Sweden)

Bekir Yildiz

2018-01-01

Full Text Available The turnaround process constitutes an important part of the air transportation system. Airports often represent bottlenecks in air traffic management (ATM, thus operations related to the preparation of the aircraft for the next flight leg have to be executed smoothly and in a timely manner. The ATM significantly depends on a reliable turnaround process. Future paradigm changes with respect to airplane energy sources, aircraft design or propulsion concepts will also influence the airport layout. As a consequence, operational processes associated with the turnaround will be affected. Airlines aim for efficient and timely turnaround operations that are correlated with higher profits. This case study discusses an approach to investigate a new aircraft design with respect to the implications on the turnaround. The boarding process, as part of the turnaround, serves as an example to evaluate the consequences of new design concepts. This study is part of an interdisciplinary research to investigate future energy, propulsion and designs concepts and their implications on the whole ATM system. Due to these new concepts, several processes of the turnaround will be affected. For example, new energy storage concepts will influence the fueling process on the aircraft itself or might lead to a new infrastructure at the airport. This paper aims to evaluate the applied methodology in the case of a new boarding process, due to a new aircraft design, by means of a generic example. An agent-based boarding simulation is applied to assess passenger behavior during boarding, particularly with regard to cabin layout and seat configuration. The results of the generic boarding simulation are integrated into a simplified, deterministic and generic simulation of the turnaround process. This was done to assess the proposed framework for future investigations which on the one hand address the ATM system holistically and on the other, incorporate additional or adapted

Real time simulator for material testing reactor

Energy Technology Data Exchange (ETDEWEB)

Takemoto, Noriyuki; Imaizumi, Tomomi; Izumo, Hironobu; Hori, Naohiko; Suzuki, Masahide [Japan Atomic Energy Agency, Oarai Research and Development Center, Oarai, Ibaraki (Japan); Ishitsuka, Tatsuo; Tamura, Kazuo [ITOCHU Techno-Solutions Corp., Tokyo (Japan)

2012-03-15

Japan Atomic Energy Agency (JAEA) is now developing a real time simulator for a material testing reactor based on Japan Materials Testing Reactor (JMTR). The simulator treats reactor core system, primary and secondary cooling system, electricity system and irradiation facility systems. Possible simulations are normal reactor operation, unusual transient operation and accidental operation. The developed simulator also contains tool to revise/add facility in it for the future development. (author)

Real time simulator for material testing reactor

International Nuclear Information System (INIS)

Takemoto, Noriyuki; Imaizumi, Tomomi; Izumo, Hironobu; Hori, Naohiko; Suzuki, Masahide; Ishitsuka, Tatsuo; Tamura, Kazuo

2012-01-01

Japan Atomic Energy Agency (JAEA) is now developing a real time simulator for a material testing reactor based on Japan Materials Testing Reactor (JMTR). The simulator treats reactor core system, primary and secondary cooling system, electricity system and irradiation facility systems. Possible simulations are normal reactor operation, unusual transient operation and accidental operation. The developed simulator also contains tool to revise/add facility in it for the future development. (author)

Testing the causality of Hawkes processes with time reversal

Science.gov (United States)

Cordi, Marcus; Challet, Damien; Muni Toke, Ioane

2018-03-01

We show that univariate and symmetric multivariate Hawkes processes are only weakly causal: the true log-likelihoods of real and reversed event time vectors are almost equal, thus parameter estimation via maximum likelihood only weakly depends on the direction of the arrow of time. In ideal (synthetic) conditions, tests of goodness of parametric fit unambiguously reject backward event times, which implies that inferring kernels from time-symmetric quantities, such as the autocovariance of the event rate, only rarely produce statistically significant fits. Finally, we find that fitting financial data with many-parameter kernels may yield significant fits for both arrows of time for the same event time vector, sometimes favouring the backward time direction. This goes to show that a significant fit of Hawkes processes to real data with flexible kernels does not imply a definite arrow of time unless one tests it.

Tests for nonlinearity in short stationary time series

International Nuclear Information System (INIS)

Chang, T.; Sauer, T.; Schiff, S.J.

1995-01-01

To compare direct tests for detecting determinism in chaotic time series, data from Henon, Lorenz, and Mackey--Glass equations were contaminated with various levels of additive colored noise. These data were analyzed with a variety of recently developed tests for determinism, and the results compared

Influenza outbreak during Sydney World Youth Day 2008: the utility of laboratory testing and case definitions on mass gathering outbreak containment.

Directory of Open Access Journals (Sweden)

Sebastiaan J van Hal

Full Text Available BACKGROUND: Influenza causes annual epidemics and often results in extensive outbreaks in closed communities. To minimize transmission, a range of interventions have been suggested. For these to be effective, an accurate and timely diagnosis of influenza is required. This is confirmed by a positive laboratory test result in an individual whose symptoms are consistent with a predefined clinical case definition. However, the utility of these clinical case definitions and laboratory testing in mass gathering outbreaks remains unknown. METHODS AND RESULTS: An influenza outbreak was identified during World Youth Day 2008 in Sydney. From the data collected on pilgrims presenting to a single clinic, a Markov model was developed and validated against the actual epidemic curve. Simulations were performed to examine the utility of different clinical case definitions and laboratory testing strategies for containment of influenza outbreaks. Clinical case definitions were found to have the greatest impact on averting further cases with no added benefit when combined with any laboratory test. Although nucleic acid testing (NAT demonstrated higher utility than indirect immunofluorescence antigen or on-site point-of-care testing, this effect was lost when laboratory NAT turnaround times was included. The main benefit of laboratory confirmation was limited to identification of true influenza cases amenable to interventions such as antiviral therapy. CONCLUSIONS: Continuous re-evaluation of case definitions and laboratory testing strategies are essential for effective management of influenza outbreaks during mass gatherings.

Reaction times to weak test lights. [psychophysics biological model

Science.gov (United States)

Wandell, B. A.; Ahumada, P.; Welsh, D.

1984-01-01

Maloney and Wandell (1984) describe a model of the response of a single visual channel to weak test lights. The initial channel response is a linearly filtered version of the stimulus. The filter output is randomly sampled over time. Each time a sample occurs there is some probability increasing with the magnitude of the sampled response - that a discrete detection event is generated. Maloney and Wandell derive the statistics of the detection events. In this paper a test is conducted of the hypothesis that the reaction time responses to the presence of a weak test light are initiated at the first detection event. This makes it possible to extend the application of the model to lights that are slightly above threshold, but still within the linear operating range of the visual system. A parameter-free prediction of the model proposed by Maloney and Wandell for lights detected by this statistic is tested. The data are in agreement with the prediction.

The clinical situation of point-of-care testing and its future development at the emergency department in Shanghai.

Science.gov (United States)

Leong, Waiian; Chen, Lianxiang; Yu, Ping; Wei, Bohua; Wang, Cuicui; Ying, Yilin; Jiang, Jie; Tong, Jianjing; Zhu, Dingliang; Ye, Jing; Lu, Yiming

2014-12-01

We assessed the efficiency of point-of-care (POC) tests in the emergency department (ED) by comparing them with the international standard. We recorded the turnaround times (TATs) for processing laboratory biomarkers to assess laboratory efficiency from 17 EDs in national/regional hospitals. We also compared patient components between national and regional hospitals. Although the 17 enrolled hospitals expanded their EDs, they contained only five POC machines among them. The P50 (P25, P75) of the TATs for POC tests was 47 min (39, 55.5 min) for cardiac troponin T, which was much longer than the international standard (30 min). The TATs of other cardiac biomarkers were also longer than 30 min. The low efficiency of TATs for POC tests was a common feature in both regional and national hospitals (p > 0.05). Myocardial infarction was diagnosed in 61% of investigated ED patients who visited national hospitals, which is more frequently than those diagnosed at regional hospitals (46%, p administrative management of EDs. This issue should be addressed in the next version of the medical reform policy. © 2014 Society for Laboratory Automation and Screening.

Testing power system controllers by real-time simulation

DEFF Research Database (Denmark)

Venne, Philippe; Guillaud, Xavier; Sirois, Frédéric

2007-01-01

In this paper, we present a number of state-of-the art methods for testing power system controllers based on the use of a real-time power system simulator. After introducing Hypersim, we list and discuss the different means of connection between the controller under tests and the power system...

Quality assurance test of a real time radiography system

International Nuclear Information System (INIS)

Yadav, R.K.; Rama, R.; Sharma, A.; Kannan, R.

2005-01-01

Any radiation generating equipment can be used and marketed in India only after obtaining specific type approval certificate from the Competent Authority i.e. Chairman, Atomic Energy Regulatory Board (AERB), Mumbai. Recently AERB has enforced a directive that the Industrial X-ray machines should also be permitted to use only after getting NOC or type approval. Type approval is granted based upon the satisfactory QA test report of the radiation generating equipment. X-ray machines with Real Time Radiography (RTR) facility are used in industrial radiography for faster inspection of equipment's and products online. A standard test protocol was developed for QA tests of a real time radiography system. This will be helpful for evaluation of an industrial X-ray machine. Also above procedure can be used to check a RTR system each day or a system-qualification can be done when the image quality diminishes as recommended by American Society of Testing Material (ASTM). Various tests carried out on a constant potential 450 kV, 10 mA industrial X-ray machine having real time radiography facility to monitor the products online, is described in this paper. (author)

Financial and workflow analysis of radiology reporting processes in the planning phase of implementation of a speech recognition system

Science.gov (United States)

Whang, Tom; Ratib, Osman M.; Umamoto, Kathleen; Grant, Edward G.; McCoy, Michael J.

2002-05-01

The goal of this study is to determine the financial value and workflow improvements achievable by replacing traditional transcription services with a speech recognition system in a large, university hospital setting. Workflow metrics were measured at two hospitals, one of which exclusively uses a transcription service (UCLA Medical Center), and the other which exclusively uses speech recognition (West Los Angeles VA Hospital). Workflow metrics include time spent per report (the sum of time spent interpreting, dictating, reviewing, and editing), transcription turnaround, and total report turnaround. Compared to traditional transcription, speech recognition resulted in radiologists spending 13-32% more time per report, but it also resulted in reduction of report turnaround time by 22-62% and reduction of marginal cost per report by 94%. The model developed here helps justify the introduction of a speech recognition system by showing that the benefits of reduced operating costs and decreased turnaround time outweigh the cost of increased time spent per report. Whether the ultimate goal is to achieve a financial objective or to improve operational efficiency, it is important to conduct a thorough analysis of workflow before implementation.

Towards Intelligent Interpretation of Low Strain Pile Integrity Testing Results Using Machine Learning Techniques.

Science.gov (United States)

Cui, De-Mi; Yan, Weizhong; Wang, Xiao-Quan; Lu, Lie-Min

2017-10-25

Low strain pile integrity testing (LSPIT), due to its simplicity and low cost, is one of the most popular NDE methods used in pile foundation construction. While performing LSPIT in the field is generally quite simple and quick, determining the integrity of the test piles by analyzing and interpreting the test signals (reflectograms) is still a manual process performed by experienced experts only. For foundation construction sites where the number of piles to be tested is large, it may take days before the expert can complete interpreting all of the piles and delivering the integrity assessment report. Techniques that can automate test signal interpretation, thus shortening the LSPIT's turnaround time, are of great business value and are in great need. Motivated by this need, in this paper, we develop a computer-aided reflectogram interpretation (CARI) methodology that can interpret a large number of LSPIT signals quickly and consistently. The methodology, built on advanced signal processing and machine learning technologies, can be used to assist the experts in performing both qualitative and quantitative interpretation of LSPIT signals. Specifically, the methodology can ease experts' interpretation burden by screening all test piles quickly and identifying a small number of suspected piles for experts to perform manual, in-depth interpretation. We demonstrate the methodology's effectiveness using the LSPIT signals collected from a number of real-world pile construction sites. The proposed methodology can potentially enhance LSPIT and make it even more efficient and effective in quality control of deep foundation construction.

Predictive Cutoff Values of the Five-Times Sit-to-Stand Test and the Timed "Up & Go" Test for Disability Incidence in Older People Dwelling in the Community.

Science.gov (United States)

Makizako, Hyuma; Shimada, Hiroyuki; Doi, Takehiko; Tsutsumimoto, Kota; Nakakubo, Sho; Hotta, Ryo; Suzuki, Takao

2017-04-01

Lower extremity functioning is important for maintaining activity in elderly people. Optimal cutoff points for standard measurements of lower extremity functioning would help identify elderly people who are not disabled but have a high risk of developing disability. The purposes of this study were: (1) to determine the optimal cutoff points of the Five-Times Sit-to-Stand Test and the Timed "Up & Go" Test for predicting the development of disability and (2) to examine the impact of poor performance on both tests on the prediction of the risk of disability in elderly people dwelling in the community. This was a prospective cohort study. A population of 4,335 elderly people dwelling in the community (mean age = 71.7 years; 51.6% women) participated in baseline assessments. Participants were monitored for 2 years for the development of disability. During the 2-year follow-up period, 161 participants (3.7%) developed disability. The optimal cutoff points of the Five-Times Sit-to-Stand Test and the Timed "Up & Go" Test for predicting the development of disability were greater than or equal to 10 seconds and greater than or equal to 9 seconds, respectively. Participants with poor performance on the Five-Times Sit-to-Stand Test (hazard ratio = 1.88; 95% CI = 1.11-3.20), the Timed "Up & Go" Test (hazard ratio = 2.24; 95% CI = 1.42-3.53), or both tests (hazard ratio = 2.78; 95% CI = 1.78-4.33) at the baseline assessment had a significantly higher risk of developing disability than participants who had better lower extremity functioning. All participants had good initial functioning and participated in assessments on their own. Causes of disability were not assessed. Assessments of lower extremity functioning with the Five-Times Sit-to-Stand Test and the Timed "Up & Go" Test, especially poor performance on both tests, were good predictors of future disability in elderly people dwelling in the community. © 2017 American Physical Therapy Association

Households under the impression of the energy turnaround. Development of electricity demand and load profiles; Die Haushalte im Zeichen der Energiewende. Entwicklung der Stromnachfrage und Lastprofile

Energy Technology Data Exchange (ETDEWEB)

Elsland, Rainer; Bossmann, Tobias; Gnann, Till; Wietschel, Martin [Fraunhofer-Institut fuer System- und Innovationsforschung (ISI), Karlsruhe (Germany); Hartel, Rupert; Fichtner, Wolf [Karlsruher Institut fuer Technologie (KIT), Karlsruhe (Germany). Inst. fuer Industriebetriebslehre und Industrielle Produktion (IIP)

2013-01-15

One of the central components of the energy turnaround is the improvement of energy efficiency. Households play a key role in this connection, not only due to their high potentials for saving energy and shifting loads, but also because of the growing importance of electricity as an energy carrier. This makes it interesting to explore how the continuing dissemination of efficient energy applications, electromobility and decentralised electricity production through photovoltaics will impact on load and electricity production profiles in the German household sector until the year 2040. The results show that with ambitious energy policy goals it will be possible to lower the electricity demand of households by 30%. However, this decrease could be more than undone by electromobility.

Closing the brain-to-brain loop in laboratory testing.

Science.gov (United States)

Plebani, Mario; Lippi, Giuseppe

2011-07-01

Abstract The delivery of laboratory services has been described 40 years ago and defined with the foremost concept of "brain-to-brain turnaround time loop". This concept consists of several processes, including the final step which is the action undertaken on the patient based on laboratory information. Unfortunately, the need for systematic feedback to improve the value of laboratory services has been poorly understood and, even more risky, poorly applied in daily laboratory practice. Currently, major problems arise from the unavailability of consensually accepted quality specifications for the extra-analytical phase of laboratory testing. This, in turn, does not allow clinical laboratories to calculate a budget for the "patient-related total error". The definition and use of the term "total error" refers only to the analytical phase, and should be better defined as "total analytical error" to avoid any confusion and misinterpretation. According to the hierarchical approach to classify strategies to set analytical quality specifications, the "assessment of the effect of analytical performance on specific clinical decision-making" is comprehensively at the top and therefore should be applied as much as possible to address analytical efforts towards effective goals. In addition, an increasing number of laboratories worldwide are adopting risk management strategies such as FMEA, FRACAS, LEAN and Six Sigma since these techniques allow the identification of the most critical steps in the total testing process, and to reduce the patient-related risk of error. As a matter of fact, an increasing number of laboratory professionals recognize the importance of understanding and monitoring any step in the total testing process, including the appropriateness of the test request as well as the appropriate interpretation and utilization of test results.

Bootstrap Power of Time Series Goodness of fit tests

Directory of Open Access Journals (Sweden)

Sohail Chand

2013-10-01

Full Text Available In this article, we looked at power of various versions of Box and Pierce statistic and Cramer von Mises test. An extensive simulation study has been conducted to compare the power of these tests. Algorithms have been provided for the power calculations and comparison has also been made between the semi parametric bootstrap methods used for time series. Results show that Box-Pierce statistic and its various versions have good power against linear time series models but poor power against non linear models while situation reverses for Cramer von Mises test. Moreover, we found that dynamic bootstrap method is better than xed design bootstrap method.

Critical values for unit root tests in seasonal time series

NARCIS (Netherlands)

Ph.H.B.F. Franses (Philip Hans); B. Hobijn (Bart)

1997-01-01

textabstractIn this paper, we present tables with critical values for a variety of tests for seasonal and non-seasonal unit roots in seasonal time series. We consider (extensions of) the Hylleberg et al. and Osborn et al. test procedures. These extensions concern time series with increasing seasonal

Real-Time Target Motion Animation for Missile Warning System Testing

Science.gov (United States)

2006-04-01

T. Perkins, R. Sundberg, J. Cordell, Z. Tun , and M. Owen, Real-time Target Motion Animation for Missile Warning System Testing, Proc. SPIE Vol 6208...Z39-18 Real-time target motion animation for missile warning system testing Timothy Perkins*a, Robert Sundberga, John Cordellb, Zaw Tunb, Mark

Automation, consolidation, and integration in autoimmune diagnostics.

Science.gov (United States)

Tozzoli, Renato; D'Aurizio, Federica; Villalta, Danilo; Bizzaro, Nicola

2015-08-01

Over the past two decades, we have witnessed an extraordinary change in autoimmune diagnostics, characterized by the progressive evolution of analytical technologies, the availability of new tests, and the explosive growth of molecular biology and proteomics. Aside from these huge improvements, organizational changes have also occurred which brought about a more modern vision of the autoimmune laboratory. The introduction of automation (for harmonization of testing, reduction of human error, reduction of handling steps, increase of productivity, decrease of turnaround time, improvement of safety), consolidation (combining different analytical technologies or strategies on one instrument or on one group of connected instruments) and integration (linking analytical instruments or group of instruments with pre- and post-analytical devices) opened a new era in immunodiagnostics. In this article, we review the most important changes that have occurred in autoimmune diagnostics and present some models related to the introduction of automation in the autoimmunology laboratory, such as automated indirect immunofluorescence and changes in the two-step strategy for detection of autoantibodies; automated monoplex immunoassays and reduction of turnaround time; and automated multiplex immunoassays for autoantibody profiling.

A permutation-based multiple testing method for time-course microarray experiments

Directory of Open Access Journals (Sweden)

George Stephen L

2009-10-01

Full Text Available Abstract Background Time-course microarray experiments are widely used to study the temporal profiles of gene expression. Storey et al. (2005 developed a method for analyzing time-course microarray studies that can be applied to discovering genes whose expression trajectories change over time within a single biological group, or those that follow different time trajectories among multiple groups. They estimated the expression trajectories of each gene using natural cubic splines under the null (no time-course and alternative (time-course hypotheses, and used a goodness of fit test statistic to quantify the discrepancy. The null distribution of the statistic was approximated through a bootstrap method. Gene expression levels in microarray data are often complicatedly correlated. An accurate type I error control adjusting for multiple testing requires the joint null distribution of test statistics for a large number of genes. For this purpose, permutation methods have been widely used because of computational ease and their intuitive interpretation. Results In this paper, we propose a permutation-based multiple testing procedure based on the test statistic used by Storey et al. (2005. We also propose an efficient computation algorithm. Extensive simulations are conducted to investigate the performance of the permutation-based multiple testing procedure. The application of the proposed method is illustrated using the Caenorhabditis elegans dauer developmental data. Conclusion Our method is computationally efficient and applicable for identifying genes whose expression levels are time-dependent in a single biological group and for identifying the genes for which the time-profile depends on the group in a multi-group setting.

Timing of testing and treatment for asymptomatic diseases

Energy Technology Data Exchange (ETDEWEB)

Kırkızlar, Eser [State Univ. of New York (SUNY), Plattsburgh, NY (United States); Faissol, Daniel M. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Griffin, Paul M. [Pennsylvania State Univ., State College, PA (United States); Swann, Julie L. [Georgia Inst. of Technology, Atlanta, GA (United States)

2010-07-01

Many papers in the medical literature analyze the cost-effectiveness of screening for diseases by comparing a limited number of a priori testing policies under estimated problem parameters. However, this may be insufficient to determine the best timing of the tests or incorporate changes over time. In this paper, we develop and solve a Markov Decision Process (MDP) model for a simple class of asymptomatic diseases in order to provide the building blocks for analysis of a more general class of diseases. We provide a computationally efficient method for determining a cost-effective dynamic intervention strategy that takes into account (i) the results of the previous test for each individual and (ii) the change in the individual’s behavior based on awareness of the disease. We demonstrate the usefulness of the approach by applying the results to screening decisions for Hepatitis C (HCV) using medical data, and compare our findings to current HCV screening recommendations.

Proband-only medical exome sequencing as a cost-effective first-tier genetic diagnostic test for patients without prior molecular tests and clinical diagnosis in a developing country: the China experience.

Science.gov (United States)

Hu, Xuyun; Li, Niu; Xu, Yufei; Li, Guoqiang; Yu, Tingting; Yao, Ru-En; Fu, Lijun; Wang, Jiwen; Yin, Lei; Yin, Yong; Wang, Ying; Jin, Xingming; Wang, Xiumin; Wang, Jian; Shen, Yiping

2017-11-02

PurposeTo evaluate the performance of proband-only medical exome sequencing (POMES) as a cost-effective first-tier diagnostic test for pediatric patients with unselected conditions.MethodsA total of 1,323 patients were tested by POMES, which targeted 2,742 known disease-causing genes. Clinical relevant variants were Sanger-confirmed in probands and parents. We assessed the diagnostic validity and clinical utility of POMES by means of a survey questionnaire.ResultsPOMES, ordered by 136 physicians, identified 512 pathogenic or likely pathogenic variants associated with over 200 conditions. The overall diagnostic rate was 28.8%, ranging from 10% in neonatal intensive care unit patients to over 35% in pediatric intensive care unit patients. The test results had an impact on the management of the 45.1% of patients for whom there were positive findings. The average turnaround time was 57 days; the cost was $360/case.ConclusionWe adopted a relatively efficient and cost-effective approach in China for the molecular diagnosis of pediatric patients with suspected genetic conditions. While training for clinical geneticists and other specialists is lagging behind in China POMES is serving as a diagnostic equalizer for patients who do not normally receive extensive clinical evaluation and clinical diagnosis prior to testing. This Chinese experience should be applicable to other developing countries that are lacking clinical, financial, and personnel resources.GENETICS in MEDICINE advance online publication, 2 November 2017; doi:10.1038/gim.2017.195.

A valuation-Based Test of Market Timing

NARCIS (Netherlands)

Koeter-Kant, J.; Elliott, W.B.; Warr, R.S.

2007-01-01

We implement an earnings-based fundamental valuation model to test the impact of market timing on the firm's method of funding the financing deficit. We argue that our valuation metric provides a superior measure of equity misvaluation because it avoids multiple interpretation problems faced by the

Experience with RTD response time testing in nuclear power plants

International Nuclear Information System (INIS)

Hashemian, H.M.; Kerlin, T.W.

1985-01-01

The reactor coolant temperatures in pressurized water reactors are measured with platinum resistance temperature detectors (RTDs). The information furnished by these RTDs is used for plant protection as well as control. As a part of the plant protection system, the RTDs must respond to temperature changes in a timely fashion. The RTD response time requirements are different for the various plant types. These requirements are specified in the plant technical specifications in terms of an RTd time constant. The current time constant requirements for nuclear plant RTDs varies from 0.5 seconds to 13.0 seconds depending on the type of the plant. Therefore, different types of RTDs are used in different plants to achieve the required time constants. In addition, in-situ response time tests are periodically performed on protective system RTDs to ensure that the in-service time constants are within acceptable limits as the plant is operating. The periodic testing is important because response time degradation may occur while the RTD ages in the process. Recent response time tests in operating plants revealed unacceptable time constants for several protection system RTDs. As a result, these plants had to be shut down to resolve the problem which in one case was due to improper installation and in another case was because of degradation of a thermal compound used in the thermowell

Real-time and accelerated outdoor endurance testing of solar cells

Science.gov (United States)

Forestieri, A. F.; Anagnostou, E.

1977-01-01

Real-time and accelerated outdoor endurance testing was performed on a variety of samples of interest to the National Photovoltaic Conversion Program. The real-time tests were performed at seven different sites and the accelerated tests were performed at one of those sites in the southwestern United States. The purpose of the tests were to help evaluate the lifetime of photovoltaic systems. Three types of samples were tested; transmission samples of possible cover materials, sub-modules constructed using these materials attached to solar cells, and solar cell modules produced by the manufacturers for the ERDA program. Results indicate that suitable cover materials are glass, FEP-A and PFA. Dirt accumulation and cleanability are important factors in the selection of solar cell module covers and encapsulants.

Alchemy: A web 2.0 real-time quality assurance platform for human immunodeficiency Virus, hepatitis C Virus, and BK Virus quantitation assays

Directory of Open Access Journals (Sweden)

Emmanuel Agosto-Arroyo

2017-01-01

Full Text Available Background: The molecular diagnostics laboratory faces the challenge of improving test turnaround time (TAT. Low and consistent TATs are of great clinical and regulatory importance, especially for molecular virology tests. Laboratory information systems (LISs contain all the data elements necessary to do accurate quality assurance (QA reporting of TAT and other measures, but these reports are in most cases still performed manually: a time-consuming and error-prone task. The aim of this study was to develop a web-based real-time QA platform that would automate QA reporting in the molecular diagnostics laboratory at our institution, and minimize the time expended in preparing these reports. Methods: Using a standard Linux, Nginx, MariaDB, PHP stack virtual machine running atop a Dell Precision 5810, we designed and built a web-based QA platform, code-named Alchemy. Data files pulled periodically from the LIS in comma-separated value format were used to autogenerate QA reports for the human immunodeficiency virus (HIV quantitation, hepatitis C virus (HCV quantitation, and BK virus (BKV quantitation. Alchemy allowed the user to select a specific timeframe to be analyzed and calculated key QA statistics in real-time, including the average TAT in days, tests falling outside the expected TAT ranges, and test result ranges. Results: Before implementing Alchemy, reporting QA for the HIV, HCV, and BKV quantitation assays took 45–60 min of personnel time per test every month. With Alchemy, that time has decreased to 15 min total per month. Alchemy allowed the user to select specific periods of time and analyzed the TAT data in-depth without the need of extensive manual calculations. Conclusions: Alchemy has significantly decreased the time and the human error associated with QA report generation in our molecular diagnostics laboratory. Other tests will be added to this web-based platform in future updates. This effort shows the utility of informatician

Alchemy: A Web 2.0 Real-time Quality Assurance Platform for Human Immunodeficiency Virus, Hepatitis C Virus, and BK Virus Quantitation Assays.

Science.gov (United States)

Agosto-Arroyo, Emmanuel; Coshatt, Gina M; Winokur, Thomas S; Harada, Shuko; Park, Seung L

2017-01-01

The molecular diagnostics laboratory faces the challenge of improving test turnaround time (TAT). Low and consistent TATs are of great clinical and regulatory importance, especially for molecular virology tests. Laboratory information systems (LISs) contain all the data elements necessary to do accurate quality assurance (QA) reporting of TAT and other measures, but these reports are in most cases still performed manually: a time-consuming and error-prone task. The aim of this study was to develop a web-based real-time QA platform that would automate QA reporting in the molecular diagnostics laboratory at our institution, and minimize the time expended in preparing these reports. Using a standard Linux, Nginx, MariaDB, PHP stack virtual machine running atop a Dell Precision 5810, we designed and built a web-based QA platform, code-named Alchemy. Data files pulled periodically from the LIS in comma-separated value format were used to autogenerate QA reports for the human immunodeficiency virus (HIV) quantitation, hepatitis C virus (HCV) quantitation, and BK virus (BKV) quantitation. Alchemy allowed the user to select a specific timeframe to be analyzed and calculated key QA statistics in real-time, including the average TAT in days, tests falling outside the expected TAT ranges, and test result ranges. Before implementing Alchemy, reporting QA for the HIV, HCV, and BKV quantitation assays took 45-60 min of personnel time per test every month. With Alchemy, that time has decreased to 15 min total per month. Alchemy allowed the user to select specific periods of time and analyzed the TAT data in-depth without the need of extensive manual calculations. Alchemy has significantly decreased the time and the human error associated with QA report generation in our molecular diagnostics laboratory. Other tests will be added to this web-based platform in future updates. This effort shows the utility of informatician-supervised resident/fellow programming projects as learning

Does electronic clinical microbiology results reporting influence medical decision making: A pre- and post-interview study of medical specialists

OpenAIRE

Bruins, Marjan; Ruijs, G.; Wolfhagen, M.J.H.M.; Bloembergen, Peter; Aarts, Jos

2011-01-01

Abstract Background Clinicians view the accuracy of test results and the turnaround time as the two most important service aspects of the clinical microbiology laboratory. Because of the time needed for the culturing of infectious agents, final hardcopy culture results will often be available too late to have a significant impact on early antimicrobial therapy decisions, vital in infectious disease management. The clinical microbiologist therefore reports to the clinician clinically relevant ...

Optimization of Allowed Outage Time and Surveillance Test Intervals

Energy Technology Data Exchange (ETDEWEB)

Al-Dheeb, Mujahed; Kang, Sunkoo; Kim, Jonghyun [KEPCO international nuclear graduate school, Ulsan (Korea, Republic of)

2015-10-15

The primary purpose of surveillance testing is to assure that the components of standby safety systems will be operable when they are needed in an accident. By testing these components, failures can be detected that may have occurred since the last test or the time when the equipment was last known to be operational. The probability a system or system component performs a specified function or mission under given conditions at a prescribed time is called availability (A). Unavailability (U) as a risk measure is just the complementary probability to A(t). The increase of U means the risk is increased as well. D and T have an important impact on components, or systems, unavailability. The extension of D impacts the maintenance duration distributions for at-power operations, making them longer. This, in turn, increases the unavailability due to maintenance in the systems analysis. As for T, overly-frequent surveillances can result in high system unavailability. This is because the system may be taken out of service often due to the surveillance itself and due to the repair of test-caused failures of the component. The test-caused failures include those incurred by wear and tear of the component due to the surveillances. On the other hand, as the surveillance interval increases, the component's unavailability will grow because of increased occurrences of time-dependent random failures. In that situation, the component cannot be relied upon, and accordingly the system unavailability will increase. Thus, there should be an optimal component surveillance interval in terms of the corresponding system availability. This paper aims at finding the optimal T and D which result in minimum unavailability which in turn reduces the risk. Applying the methodology in section 2 to find the values of optimal T and D for two components, i.e., safety injection pump (SIP) and turbine driven aux feedwater pump (TDAFP). Section 4 is addressing interaction between D and T. In general

Optimization of Allowed Outage Time and Surveillance Test Intervals

International Nuclear Information System (INIS)

Al-Dheeb, Mujahed; Kang, Sunkoo; Kim, Jonghyun

2015-01-01

The primary purpose of surveillance testing is to assure that the components of standby safety systems will be operable when they are needed in an accident. By testing these components, failures can be detected that may have occurred since the last test or the time when the equipment was last known to be operational. The probability a system or system component performs a specified function or mission under given conditions at a prescribed time is called availability (A). Unavailability (U) as a risk measure is just the complementary probability to A(t). The increase of U means the risk is increased as well. D and T have an important impact on components, or systems, unavailability. The extension of D impacts the maintenance duration distributions for at-power operations, making them longer. This, in turn, increases the unavailability due to maintenance in the systems analysis. As for T, overly-frequent surveillances can result in high system unavailability. This is because the system may be taken out of service often due to the surveillance itself and due to the repair of test-caused failures of the component. The test-caused failures include those incurred by wear and tear of the component due to the surveillances. On the other hand, as the surveillance interval increases, the component's unavailability will grow because of increased occurrences of time-dependent random failures. In that situation, the component cannot be relied upon, and accordingly the system unavailability will increase. Thus, there should be an optimal component surveillance interval in terms of the corresponding system availability. This paper aims at finding the optimal T and D which result in minimum unavailability which in turn reduces the risk. Applying the methodology in section 2 to find the values of optimal T and D for two components, i.e., safety injection pump (SIP) and turbine driven aux feedwater pump (TDAFP). Section 4 is addressing interaction between D and T. In general

Five different tests of reaction time evaluated in HIV seropositive men.

Science.gov (United States)

Dunlop, O; Bjørklund, R A; Abdelnoor, M; Myrvang, B

1992-09-01

In an attempt to develop a short neuropsychological test battery five different tests of reaction time were assessed according to their ability to discriminate between HIV seropositive men and healthy controls. In all tests a patient group with clinical symptoms was slower than the control group. In the complex reaction time test, which has a large cognitive aspect, even a clinically "asymptomatic" group was slower than the control group. The movement test, a new test with a large motor component, identified most slow responders, defining approximately half of the patients with clinical symptoms and one third of the "asymptomatic" patients as such. A test battery consisting of three tests is suggested for serial assessment and screening.

Point-of-care testing in an organ procurement organization donor management setting.

Science.gov (United States)

Baier, K A; Markham, L E; Flaigle, S P; Nelson, P W; Shield, C F; Muruve, N A; Aeder, M I; Murillo, D; Bryan, C F

2003-01-01

Our organ procurement organization (OPO) evaluated the clinical and financial efficacy of point-of-care testing (POCT) in management of our deceased organ donors. Before we implemented point-of care testing with the i-STAT into routine clinical donor management, we compared the i-STAT result with the result from the respective donor hospital lab (DHL) for certain analytes on 15 consecutive donors in our OPO from 26 March to 14 May 2001. The financial impact was studied by reviewing 77 donors from July 2001 to March 2002. There was a strong correlation for each analyte between the POC and DHL test results with r-values as follows: pH 0.86; PCO2 = 0.96; PO2 = 0.98; sodium = 0.98; potassium = 0.95; chloride = 0.94; BUN = 0.98; glucose = 0.92; haematocrit = 0.87 and creatinine = 0.95. Since our OPO coordinators began using i-STAT in their routine clinical management of organ donors, they can now more quickly maximize oxygenation and fluid management of the donor and make extra-renal placement calls sooner. Finally, since we are no longer being billed for the testing performed on the i-STAT, average financial savings to our OPO are US dollars 733 per case. Point-of-care testing in management of our OPO donors provides a result that is equivalent to that of the donor hospital lab, has quicker turn-around time than the donor hospital laboratory, allowing more immediate clinical management decisions to be made so that extra-renal offers may begin sooner.

Novel molecular diagnostic tools for malaria elimination: a review of options from the point of view of high-throughput and applicability in resource limited settings.

Science.gov (United States)

Britton, Sumudu; Cheng, Qin; McCarthy, James S

2016-02-16

As malaria transmission continues to decrease, an increasing number of countries will enter pre-elimination and elimination. To interrupt transmission, changes in control strategies are likely to require more accurate identification of all carriers of Plasmodium parasites, both symptomatic and asymptomatic, using diagnostic tools that are highly sensitive, high throughput and with fast turnaround times preferably performed in local health service settings. Currently available immunochromatographic lateral flow rapid diagnostic tests and field microscopy are unlikely to consistently detect infections at parasite densities less than 100 parasites/µL making them insufficiently sensitive for detecting all carriers. Molecular diagnostic platforms, such as PCR and LAMP, are currently available in reference laboratories, but at a cost both financially and in turnaround time. This review describes the recent progress in developing molecular diagnostic tools in terms of their capacity for high throughput and potential for performance in non-reference laboratories for malaria elimination.

Study on scan timing using a test injection method in head CTA

International Nuclear Information System (INIS)

Sekito, Yuichi; Sanada, Hidenori

2005-01-01

In head computed tomographic angiography (CTA), circulation from arterial phase to venous phase is more rapid than that in other regions. Therefore, it is necessary to determine correct scan timing to obtain ideal CTA images. A test injection method makes it possible to set correct scan timing from the time density curve (TDC) for each subject. The method, however, has a weak point that is a time lag in an arrival time at peak point of contrast medium on TDC between the test injection and the primary examination because of the difference in total volume of contrast medium used. The purpose of this study calculated the delay time on the TDC in both scans. We used the test injection method and the bolus tracking method in the primary examination. The average errors in start time (Δt1) and slope change time (Δt2) of the contrast medium on the TDC between test injection and primary examination were 0.15 sec and 3.05 sec, respectively. The results indicated that it was important to grasp the delay time in start time and peak arrival time of the contrast medium between test injection and primary examination to obtain ideal images in head CTA. (author)

Ultrasonic testing using time of flight diffraction technique (TOFD)

International Nuclear Information System (INIS)

Khurram Shahzad; Ahmad Mirza Safeer Ahmad; Muhammad Asif Khan

2009-04-01

This paper describes the ultrasonic testing using Time Flight Diffraction (TOFD) Technique for welded samples having different types and sizes of defects. TOFD is a computerized ultrasonic system, able to scan, store and evaluate indications in terms of location, through thickness and length in a more easy and convenient. Time of Flight Diffraction Technique (TOFD) is more fast and easy technique for ultrasonic testing as we can examine a weld i a single scan along the length of the weld with two probes known as D-scan. It shows the image of the complete weld with the defect information. The examinations were performed on carbon steel samples used for ultrasonic testing using 70 degree probes. The images for different type of defects were obtained. (author)

Identification of the Quality Spot Welding used Non Destructive Test-Ultrasonic Testing: (Effect of Welding Time)

Science.gov (United States)

Sifa, A.; Endramawan, T.; Badruzzaman

2017-03-01

Resistance Spot Welding (RSW) is frequently used as one way of welding is used in the manufacturing process, especially in the automotive industry [4][5][6][7]. Several parameters influence the process of welding points. To determine the quality of a welding job needs to be tested, either by damaging or testing without damage, in this study conducted experimental testing the quality of welding or identify quality of the nugget by using Non-Destructive Test (NDT) -Ultrasonic Testing (UT), in which the identification of the quality of the welding is done with parameter thickness of worksheet after welding using NDT-UT with use same material worksheet and have more thickness of worksheet, the thickness of the worksheet single plate 1mm, with the capability of propagation Ultrasonic Testing (UT) standard limited> 3 mm [1], welding process parameters such as the time difference between 1-10s and the welding current of 8 KV, visually Heat Affected Zone ( HAZ ) have different results due to the length of time of welding. UT uses a probe that is used with a frequency of 4 MHz, diameter 10 mm, range 100 and the couplant used is oil. Identification techniques using drop 6dB, with sound velocity 2267 m / s of Fe, with the result that the effect of the Welding time affect the size of the HAZ, identification with the lowest time 1s show results capable identified joined through NDT - UT.

Reliable real-time applications - and how to use tests to model and understand

DEFF Research Database (Denmark)

Jensen, Peter Krogsgaard

Test and analysis of real-time applications, where temporal properties are inspected, analyzed, and verified in a model developed from timed traces originating from measured test result on a running application......Test and analysis of real-time applications, where temporal properties are inspected, analyzed, and verified in a model developed from timed traces originating from measured test result on a running application...

Time reversal signal processing in acoustic emission testing

Czech Academy of Sciences Publication Activity Database

Převorovský, Zdeněk; Krofta, Josef; Kober, Jan; Dvořáková, Zuzana; Chlada, Milan; Dos Santos, S.

2014-01-01

Roč. 19, č. 12 (2014) ISSN 1435-4934. [European Conference on Non-Destructive Testing (ECNDT 2014) /11./. Praha, 06.10.2014-10.10.2014] Institutional support: RVO:61388998 Keywords : acoustic emission (AE) * ultrasonic testing (UT) * signal processing * source location * time reversal acoustic s * acoustic emission * signal processing and transfer Subject RIV: BI - Acoustic s http://www.ndt.net/events/ECNDT2014/app/content/Slides/637_Prevorovsky.pdf

eTEST: Developing a Smart Home HIV Testing Kit that Enables Active, Real-Time Follow-Up and Referral After Testing.

Science.gov (United States)

Wray, Tyler; Chan, Philip A; Simpanen, Erik; Operario, Don

2017-05-08

Men who have sex with men (MSM) are the group at highest risk for contracting human immunodeficiency virus (HIV) in the United States, but many do not test as frequently as recommended. Home-based self-testing (HBST) for HIV holds promise for promoting regular testing among these individuals, but currently available HBSTs have limited follow-up options, providing only a 1-800 number that participants can call. Failure to actively conduct follow-up counseling and referrals after HBST use could result in delays in seeking confirmatory testing and care among users receiving reactive (preliminary positive) test results. HBST also fails to connect users who test negative with other prevention services that can reduce their future risk for HIV. The aim of our study was to use qualitative research methods with high-risk MSM to inform development of a "smart" HBST kit. The kit utilizes existing Internet-of-Things (IoT) technologies to monitor HBST use in real-time and enable delivery of timely, active follow-up counseling and referrals over the phone. In phase 1, individual interviews (n=10) explored how participants might use HBST and their views and preferences for conducting counseling and referral after HBST. Based on these perspectives, we developed a smartphone app (iOS, Android) that uses data from light sensors on Bluetooth low energy (BLE) beacons to monitor when HBST kits are opened, facilitating timely follow-up phone contact with users. In phase 2, a usability study conducted among high-risk MSM (n=10) examined the acceptability and feasibility of this system and provided user perspectives after using the system along with HBST. Phase 1 themes suggested that MSM preferred HBST, that most thought active follow-up after HBST would be valuable, and that doing so over the phone within 24 h after testing was preferable. Phase 2 results showed that the eTEST system successfully detected HBST use in nearly all cases. Participant perspectives also suggested that the

Real-Time Extended Interface Automata for Software Testing Cases Generation

Science.gov (United States)

Yang, Shunkun; Xu, Jiaqi; Man, Tianlong; Liu, Bin

2014-01-01

Testing and verification of the interface between software components are particularly important due to the large number of complex interactions, which requires the traditional modeling languages to overcome the existing shortcomings in the aspects of temporal information description and software testing input controlling. This paper presents the real-time extended interface automata (RTEIA) which adds clearer and more detailed temporal information description by the application of time words. We also establish the input interface automaton for every input in order to solve the problems of input controlling and interface covering nimbly when applied in the software testing field. Detailed definitions of the RTEIA and the testing cases generation algorithm are provided in this paper. The feasibility and efficiency of this method have been verified in the testing of one real aircraft braking system. PMID:24892080

Direct identification from positive blood broth culture by matrix-assisted laser desorption-ionization time-of-flight mass spectrometry (MALDI-TOF MS

Directory of Open Access Journals (Sweden)

Maria Goreth Barberino

2017-05-01

Full Text Available Bloodstream infections (BSIs are among the most concerning bacterial infections. They are one of the leading causes of morbidity and mortality, and occur in 30–70% of critical care patients. The prompt identification of the causative microorganism can help choosing the appropriate antimicrobial therapy that will lead to better clinical outcomes. Blood culture is one of the most relevant tests for microbiological diagnosis of bacterial infections. The introduction of the MALDI-TOF microbiological diagnosis significantly decreased the time of identifying microorganisms. However, it depends on the growth on solid culture medium. In this study, 538 bottles of positive blood cultures were evaluated to test the accuracy of an in house modified protocol. The study sample consisted of 198 Gram-negative and 350 Gram-positive bacteria. In all, 460 (83.94% species were identified based on the direct plate findings. The protocol allowed the identification of 185/198 (93.43% of the Gram-negative bacteria, including aerobes, anaerobes, and non-fermenters, and 275/350 (78.85% of the Gram-positive bacteria. The proposed method has the potential to provide accurate results in comparison to the traditional method with the potential to reduce the turnaround time for the results and optimize antimicrobial therapy in BSI.

75 FR 74024 - Notice of Submission for OMB Review

Science.gov (United States)

2010-11-30

... Provided Under the American Recovery and Reinvestment Act (Study of School Turnaround). OMB Control Number... purpose of the Study of School Turnaround is to document over time the intervention models, approaches, and strategies adopted and implemented by a subset of 60 schools receiving federal School Improvement...

We need an EEG 2.0. A law for the success of the energy policy turnaround; Wir brauchen ein EEG 2.0. Ein Gesetz fuer den Erfolg der Energiewende

Energy Technology Data Exchange (ETDEWEB)

Altmaier, Peter [Bundeskanzleramt, Berlin (Germany)

2014-07-01

The contribution is discussing the development of renewable energies as a consequence of the energy policy turnaround in Germany. In the long term the cost of renewable will be lower than that of conventional energy sources. The challenges and chances of new technologies based on renewable energy and energy saving are identified, the new technologies could induce a new industrial revolution. The author clarifies the need for an advanced renewable energy law (EEG 2.0), including the necessity of a national consensus for an adequate extension of the national grid. The contribution includes recommendations with respect to the electricity prices and the requirement of a political framework.

Real-time flight test data distribution and display

Science.gov (United States)

Nesel, Michael C.; Hammons, Kevin R.

1988-01-01

Enhancements to the real-time processing and display systems of the NASA Western Aeronautical Test Range are described. Display processing has been moved out of the telemetry and radar acquisition processing systems super-minicomputers into user/client interactive graphic workstations. Real-time data is provided to the workstations by way of Ethernet. Future enhancement plans include use of fiber optic cable to replace the Ethernet.

Evaluation of a centrifuge with rapid turnaround time for the preparation of plasma samples for measurement of common STAT markers on the ACS: 180 system.

Science.gov (United States)

Foster, K; Datta, P; Orswell, M; Tasaico, K; Alpert, A; Bluestein, B

2000-01-01

Reported is the evaluation of a new centrifugation method, Statspin, that addresses both time and sample separation integrity. The method can successfully separate the plasma fraction from the cellular material in 2 minutes as compared to 20 minutes for the conventional centrifuge method. The Statspin, combined with the ACS:180 system, can generate test results in less than 30 minutes, exclusive of transport to the laboratory. This study demonstrated that the combined technologies offer timing-saving improvements for clinical laboratories offering STAT immunoassays for cardiac markers, endocrine molecules, and therapeutic drugs.

Real-Time Extended Interface Automata for Software Testing Cases Generation

Directory of Open Access Journals (Sweden)

Shunkun Yang

2014-01-01

Full Text Available Testing and verification of the interface between software components are particularly important due to the large number of complex interactions, which requires the traditional modeling languages to overcome the existing shortcomings in the aspects of temporal information description and software testing input controlling. This paper presents the real-time extended interface automata (RTEIA which adds clearer and more detailed temporal information description by the application of time words. We also establish the input interface automaton for every input in order to solve the problems of input controlling and interface covering nimbly when applied in the software testing field. Detailed definitions of the RTEIA and the testing cases generation algorithm are provided in this paper. The feasibility and efficiency of this method have been verified in the testing of one real aircraft braking system.

New significance test methods for Fourier analysis of geophysical time series

Directory of Open Access Journals (Sweden)

Z. Zhang

2011-09-01

Full Text Available When one applies the discrete Fourier transform to analyze finite-length time series, discontinuities at the data boundaries will distort its Fourier power spectrum. In this paper, based on a rigid statistics framework, we present a new significance test method which can extract the intrinsic feature of a geophysical time series very well. We show the difference in significance level compared with traditional Fourier tests by analyzing the Arctic Oscillation (AO and the Nino3.4 time series. In the AO, we find significant peaks at about 2.8, 4.3, and 5.7 yr periods and in Nino3.4 at about 12 yr period in tests against red noise. These peaks are not significant in traditional tests.

Screening test recommendations for methicillin-resistant Staphylococcus aureus surveillance practices: A cost-minimization analysis.

Science.gov (United States)

Whittington, Melanie D; Curtis, Donna J; Atherly, Adam J; Bradley, Cathy J; Lindrooth, Richard C; Campbell, Jonathan D

2017-07-01

To mitigate methicillin-resistant Staphylococcus aureus (MRSA) infections, intensive care units (ICUs) conduct surveillance through screening patients upon admission followed by adhering to isolation precautions. Two surveillance approaches commonly implemented are universal preemptive isolation and targeted isolation of only MRSA-positive patients. Decision analysis was used to calculate the total cost of universal preemptive isolation and targeted isolation. The screening test used as part of the surveillance practice was varied to identify which screening test minimized inappropriate and total costs. A probabilistic sensitivity analysis was conducted to evaluate the range of total costs resulting from variation in inputs. The total cost of the universal preemptive isolation surveillance practice was minimized when a polymerase chain reaction screening test was used ($82.51 per patient). Costs were $207.60 more per patient when a conventional culture was used due to the longer turnaround time and thus higher isolation costs. The total cost of the targeted isolation surveillance practice was minimized when chromogenic agar 24-hour testing was used ($8.54 per patient). Costs were $22.41 more per patient when polymerase chain reaction was used. For ICUs that preemptively isolate all patients, the use of a polymerase chain reaction screening test is recommended because it can minimize total costs by reducing inappropriate isolation costs. For ICUs that only isolate MRSA-positive patients, the use of chromogenic agar 24-hour testing is recommended to minimize total costs. Copyright © 2017 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.

SOCIAL INTEGRATION: TESTING ANTECEDENTS OF TIME SPENT ONLINE

Directory of Open Access Journals (Sweden)

Lily Suriani Mohd Arif

2013-07-01

Full Text Available The literature on the relationship of social integration and time spent onlineprovides conflicting evidence of the relationship of social integration with timespent online. The study identifies and highlightsthe controversy and attempts toclarify the relationship of social integration withtime spent online bydecomposing the construct social integration into its affective and behavioraldimensions . Thestudy tests antecedents and effects of time spent online in arandom sample of senior level undergraduate students at a public university inMalaysia. The findings indicated that while self-report measures of behavioralsocial integration did not predict time spent online, and, the affective socialintegration had an inverse relationship with time spent online.

Preference as a Function of Active Interresponse Times: A Test of the Active Time Model

Science.gov (United States)

Misak, Paul; Cleaveland, J. Mark

2011-01-01

In this article, we describe a test of the active time model for concurrent variable interval (VI) choice. The active time model (ATM) suggests that the time since the most recent response is one of the variables controlling choice in concurrent VI VI schedules of reinforcement. In our experiment, pigeons were trained in a multiple concurrent…

TRACnet Internet and Short Message Service Technology Improves Time to Antiretroviral Therapy Initiation Among HIV-infected Infants in Rwanda.

Science.gov (United States)

Kayumba, Kizito; Nsanzimana, Sabin; Binagwaho, Agnes; Mugwaneza, Placidie; Rusine, John; Remera, Eric; Koama, Jean Baptiste; Ndahindwa, Vedaste; Johnson, Pamela; Riedel, David J; Condo, Jeanine

2016-07-01

Delays in testing HIV-exposed infants and obtaining results in resource-limited settings contribute to delays for initiating antiretroviral therapy (ART) in infants. To overcome this challenge, Rwanda expanded its national mobile and Internet-based HIV/AIDS informatics system, called TRACnet, to include HIV polymerase chain reaction (PCR) results in 2010. This study was performed to evaluate the impact of TRACnet technology on the time to delivery of test results and the subsequent initiation of ART in HIV-infected infants. A retrospective cohort study was conducted on 380 infants who initiated ART in 190 health facilities in Rwanda from March 2010 to June 2013. Program data collected by the TRACnet system were extracted and analyzed. Since the introduction of TRACnet for processing PCR results, the time to receive results has significantly decreased from a median of 144 days [interquartile range (IQR): 121-197 days] to 23 days (IQR: 17-43 days). The number of days between PCR sampling and health facility receipt of results decreased substantially from a median of 90 days (IQR: 83-158 days) to 5 days (IQR: 2-8 days). After receiving PCR results at a health facility, it takes a median of 44 days (IQR: 32-77 days) before ART initiation. Result turnaround time was significantly associated with time to initiating ART (P technology for communication of HIV PCR results, coupled with well-trained and skilled personnel, can reduce delays in communicating results to providers. Such reductions may improve timely ART initiation in resource-limited settings.

Evaluation of the NanoCHIP® Gastrointestinal Panel (GIP Test for Simultaneous Detection of Parasitic and Bacterial Enteric Pathogens in Fecal Specimens.

Directory of Open Access Journals (Sweden)

Shifra Ken Dror

Full Text Available Infectious gastroenteritis is a global health problem associated with high morbidity and mortality rates. Rapid and accurate diagnosis is crucial to allow appropriate and timely treatment. Current laboratory stool testing has a long turnaround time (TAT and demands highly qualified personnel and multiple techniques. The need for high throughput and the number of possible enteric pathogens compels the implementation of a molecular approach which uses multiplex technology, without compromising performance requirements. In this work we evaluated the feasibility of the NanoCHIP® Gastrointestinal Panel (GIP (Savyon Diagnostics, Ashdod, IL, a molecular microarray-based screening test, to be used in the routine workflow of our laboratory, a big outpatient microbiology laboratory. The NanoCHIP® GIP test provides simultaneous detection of nine major enteric bacteria and parasites: Campylobacter spp., Salmonella spp., Shigella spp., Giardia sp., Cryptosporidium spp., Entamoeba histolytica, Entamoeba dispar, Dientamoeba fragilis, and Blastocystis spp. The required high-throughput was obtained by the NanoCHIP® detection system together with the MagNA Pure 96 DNA purification system (Roche Diagnostics Ltd., Switzerland. This combined system has demonstrated a higher sensitivity and detection yield compared to the conventional methods in both, retrospective and prospective samples. The identification of multiple parasites and bacteria in a single test also enabled increased efficiency of detecting mixed infections, as well as reduced hands-on time and work load. In conclusion, the combination of these two automated systems is a proper response to the laboratory needs in terms of improving laboratory workflow, turn-around-time, minimizing human errors and can be efficiently integrated in the routine work of the laboratory.

Automated workflows for critical time-dependent calibrations at the CMS experiment.

CERN Document Server

Cerminara, Gianluca

2015-01-01

Fast and efficient methods for the calibration and the alignment ofthe detector are a key asset to exploit the physics potential of theCompact Muon Solenoid (CMS) detector and to ensure timely preparationof results for conferences and publications.To achieve this goal, the CMS experiment has set up a powerfulframework. This includes automated workflows in the context of a promptcalibration concept, which allows for a quick turnaround of thecalibration process following as fast as possible any change inrunning conditions.The presentation will review the design and operational experience ofthese workflows and the related monitoring system during the LHC RunIand focus on the development, deployment and commissioning in preparation of RunII.

Test plan for glove box testing with the real-time transuranic dust monitor

International Nuclear Information System (INIS)

Partin, J.K.; Fincke, J.R.

1994-10-01

This test plan describes the objectives, instrumentation, and testing procedures used to prove the feasibility of a real-time transuranic dust monitor (RTDM). The RTDM is under development at the Idaho National Engineering Laboratory (INEL) as a Waste Characterization Technology funded by the Buried Waste Integrated Demonstration Project. The instrument is an in situ monitor that uses optical techniques to establish particle size, particle number density, and mass and species of heavy metal contamination. US Department of Energy orders mandate the assessment of radiological exposure and contamination spread during the remediation of radioactive waste. Of particular concern is heavy metal contamination of dust, both radioactive and nonradioactive. Small particles of metal, particularly the radioactive species, tend to become electrically charged and consequently attach themselves to dust particles. This airborne activated dust is a primary means of contamination transport during remediation activities, and therefore, must be continuously monitored to protect personnel involved in the operations and to control the spread of contamination. If real-time monitoring is not available there is increased likelihood of generating unacceptably high levels of contamination and being forced to shut down costly retrieval operations to decontaminate. A series of experiments are described to determine the optimal experimental design, operational parameters, and levels of detection for the RTDM. Initial screening will be performed using monodisperse particle standards to set parameters and calibrate the instrument. Additional testing will be performed using INEL soil samples spiked with a surrogate, cerium oxide, to prove the design before transporting the apparatus to the Test Reactor Area for testing with plutonium-contaminated dusts

Rotating Arc Jet Test Model: Time-Accurate Trajectory Heat Flux Replication in a Ground Test Environment

Science.gov (United States)

Laub, Bernard; Grinstead, Jay; Dyakonov, Artem; Venkatapathy, Ethiraj

2011-01-01

Though arc jet testing has been the proven method employed for development testing and certification of TPS and TPS instrumentation, the operational aspects of arc jets limit testing to selected, but constant, conditions. Flight, on the other hand, produces timevarying entry conditions in which the heat flux increases, peaks, and recedes as a vehicle descends through an atmosphere. As a result, we are unable to "test as we fly." Attempts to replicate the time-dependent aerothermal environment of atmospheric entry by varying the arc jet facility operating conditions during a test have proven to be difficult, expensive, and only partially successful. A promising alternative is to rotate the test model exposed to a constant-condition arc jet flow to yield a time-varying test condition at a point on a test article (Fig. 1). The model shape and rotation rate can be engineered so that the heat flux at a point on the model replicates the predicted profile for a particular point on a flight vehicle. This simple concept will enable, for example, calibration of the TPS sensors on the Mars Science Laboratory (MSL) aeroshell for anticipated flight environments.

Failure-censored accelerated life test sampling plans for Weibull distribution under expected test time constraint

International Nuclear Information System (INIS)

Bai, D.S.; Chun, Y.R.; Kim, J.G.

1995-01-01

This paper considers the design of life-test sampling plans based on failure-censored accelerated life tests. The lifetime distribution of products is assumed to be Weibull with a scale parameter that is a log linear function of a (possibly transformed) stress. Two levels of stress higher than the use condition stress, high and low, are used. Sampling plans with equal expected test times at high and low test stresses which satisfy the producer's and consumer's risk requirements and minimize the asymptotic variance of the test statistic used to decide lot acceptability are obtained. The properties of the proposed life-test sampling plans are investigated

Justification of response time testing requirements for pressure and differential pressure sensors

International Nuclear Information System (INIS)

Weiss, J.M.; Mayo, C.; Swisher, V.

1991-01-01

This paper reports on response time testing (RTT) requirements that were imposed on pressure, differential pressure sensors as a conservative approach to insure that assumptions in the plant safety analyses were met. The purpose of this project has been to identify the need for response time testing using the bases identified in IEEE Standard 338. A combination of plant data analyses, failure modes, and effects analyses (FMEAs) was performed. Eighteen currently qualified sensor models were utilized. The results of these analyses indicate that there are only two failure modes that affect response time, not sensor output concurrently. For these failure modes, appropriate plant actions and testing techniques were identified. Safety system RTT requirements were established by IEEE Standard 338-1975. Criteria for the Periodic Testing of Class IE Power, Protection Systems, presuming the need existed for this testing. This standard established guidelines for periodic testing to verify that loop response times of installed nuclear safety-related equipment were within the limits presumed by the design basis plant transient, accident analyses. The requirements covered all passive, active components in an instrument loop, including sensors. Individual components could be tested either in groups or separately to determine the overall loop response time

X-ray testing for short-time dynamic applications

International Nuclear Information System (INIS)

Kurfiss, Malte; Moser, Stefan; Popko, Gregor; Nau, Siegfried

2017-01-01

For nondestructive testing purposes new challenges are short-time dynamic processes. The application of x-ray flash tubes and modern high-speed cameras allows the observation of the opening of air-bags or the energy absorption of compressed tubes as occurring during a vehicle crash. Special algorithms designed for computerized tomography analyses allow the 3D reconstruction at individual time points of the dynamic process. Possibilities and limitations of the actual techniques are discussed.

Development of real-time on-line vibration testing system for seismic experiments

International Nuclear Information System (INIS)

Horiuchi, T.; Nakagawa, M.; Kametani, M.

1993-01-01

An on-line vibration testing method is being developed for seismic experiments. This method combines computer simulation and an actuator for vibration testing of structures. A real-time, on-line testing system was developed to improve the method. In the system, the timing of the vibration testing and the computer simulation are the same. This allows time-dependent reaction forces, such as damping force, to be immediately considered in the computer simulation. The real-time system has many requirements, such as complicated matrix calculations within a small time step, and communication with outer devices like sensors and actuators through A/D and D/A converters. These functions arc accomplished by using a newly-developed, real-time controller that employs a parallel processing technique. A small structural model is used to demonstrate the system. The reliability and applicability of the system for seismic experiments can be demonstrated by comparing the results of the system and a shaking table, which are in almost agreement. (author)

Application of the nuclide identification system SHAMAN in monitoring the Comprehensive Test Ban Treaty

International Nuclear Information System (INIS)

Aarnio, P.A.; Ala-Heikkilae, J.J.; Hakulinen, T.T.; Nikkinen, M.T.

1998-01-01

SHAMAN is an expert for qualitative and quantitative radionuclide identification in gamma spectrometry. SHAMAN requires as input the calibrations, peak search, and fitting results from reliable spectral analysis software, such as SAMPO. SHAMAN uses a comprehensive reference library with 2600 radionuclides and 80 000 gamma-lines, as well as a rule base consisting of sixty inference rules. Identification results are presented both via an interactive graphical interface and in the form of configurable text reports. An organization has been established for monitoring the recent Comprehensive Test Ban Treaty. For radionuclide monitoring, 80 stations will be set up around the world. Air-filter gamma-spectra will be collected from these stations on a daily basis and they will need to be reliably analyzed with minimum turnaround time. SHAMAN is currently being evaluated within the prototype monitoring system as an automated radionuclide identifier, in parallel with existing radionuclide identification software. In air-filter monitoring, very low concentrations of radionuclides are measured from bulky sources in close geometry and with long counting time. In this case true coincidence summing and self-absorption become important factors. SHAMAN is able to take into account these complicated phenomena, and the results it produces have been found to be very reliable and accurate. (author)

Impact of a Rapid Herpes Simplex Virus PCR Assay on Duration of Acyclovir Therapy.

Science.gov (United States)

Van, Tam T; Mongkolrattanothai, Kanokporn; Arevalo, Melissa; Lustestica, Maryann; Dien Bard, Jennifer

2017-05-01

Herpes simplex virus (HSV) infections of the central nervous system (CNS) are associated with significant morbidity and mortality rates in children. This study assessed the impact of a direct HSV (dHSV) PCR assay on the time to result reporting and the duration of acyclovir therapy for children with signs and symptoms of meningitis and encephalitis. A total of 363 patients with HSV PCR results from cerebrospinal fluid (CSF) samples were included in this retrospective analysis, divided into preimplementation and postimplementation groups. For the preimplementation group, CSF testing was performed using a laboratory-developed real-time PCR assay; for the postimplementation group, CSF samples were tested using a direct sample-to-answer assay. All CSF samples were negative for HSV. Over 60% of patients from both groups were prescribed acyclovir. The average HSV PCR test turnaround time for the postimplementation group was reduced by 14.5 h (23.6 h versus 9.1 h; P < 0.001). Furthermore, 79 patients (43.6%) in the postimplementation group had dHSV PCR results reported <4 h after specimen collection. The mean time from specimen collection to acyclovir discontinuation was 17.1 h shorter in the postimplementation group (31.1 h versus 14 h; P < 0.001). The median duration of acyclovir therapy was also significantly reduced in the postimplementation group (29.2 h versus 14.3 h; P = 0.01). Our investigation suggests that implementation of rapid HSV PCR testing can decrease turnaround times and the duration of unnecessary acyclovir therapy. Copyright © 2017 American Society for Microbiology.

The Timed 180° Turn Test for Assessing People with Hemiplegia from Chronic Stroke

Directory of Open Access Journals (Sweden)

Regan L. Robinson

2018-01-01

Full Text Available Background. Turning is ubiquitous in activities of daily living. For people with hemiplegia, persistent impairments in strength, balance, and coordination will affect their ability to turn safely. Consequently, turning retraining should be addressed in rehabilitation programs. To measure turning for these individuals, a reliable clinical tool is required. Objective. To investigate (i the intrarater, interrater, and test-retest reliability of the timed 180° turn test; (ii the correlation of the timed 180° turn test with other measures of stroke-specific impairments; and (iii the cut-off time that best discriminates individuals with hemiplegia from chronic stroke and healthy older adults. Methods. 33 individuals with hemiplegia due to chronic stroke and 32 healthy elderly individuals participated in this cross-sectional study. The timed 180° turn test was administered along with other measures of stroke-specific impairment. Results. The timed 180° turn test demonstrated excellent intrarater, interrater, and test-retest reliability in individuals with hemiplegia from chronic stroke. The timed 180° turn test (times significantly correlated with the Fugl-Meyer Assessment of the Lower Extremities (FMA-LE, affected ankle plantar flexion strength, the 5-Times-Sit-To-Stand test, the Berg Balance Scale (BBS, and the Timed Up and Go (TUG test. Conclusion. The timed 180° turn test is a reliable clinical tool to assess the turning ability of subjects with hemiplegia from chronic stroke.

A closure test for time-specific capture-recapture data

Science.gov (United States)

Stanley, T.R.; Burnham, K.P.

1999-01-01

The assumption of demographic closure in the analysis of capture-recapture data under closed-population models is of fundamental importance. Yet, little progress has been made in the development of omnibus tests of the closure assumption. We present a closure test for time-specific data that, in principle, tests the null hypothesis of closed-population model M(t) against the open-population Jolly-Seber model as a specific alternative. This test is chi-square, and can be decomposed into informative components that can be interpreted to determine the nature of closure violations. The test is most sensitive to permanent emigration and least sensitive to temporary emigration, and is of intermediate sensitivity to permanent or temporary immigration. This test is a versatile tool for testing the assumption of demographic closure in the analysis of capture-recapture data.

Present status of Japan materials testing reactor

Energy Technology Data Exchange (ETDEWEB)

Hori, Naohiko; Kaminaga, Masanori; Kusunoki, Tsuyoshi; Ishihara, Masahiro; Niimi, Motoji; Komori, Yoshihiro; Suzuki, Masahide; Kawamura, Hiroshi [Japan Atomic Energy Agency, Oarai Research and Development Center, Oarai, Ibaraki (Japan)

2012-03-15

The Japan Materials Testing Reactor (JMTR) in Japan Atomic Energy Agency (JAEA) is a light water cooled tank type reactor with first criticality in March 1968. Owing to the connection between the JMTR and hot laboratory by a canal, easy re-irradiation tests can be conducted with safe and quick transportation of irradiated samples. The JMTR has been applied to fuel/material irradiation examinations for LWRs, HTGR, fusion reactor and RI production. However, the JMTR operation was once stopped in August 2006, and check and review on the reoperation had been conducted by internal as well as external committees. As a result of the discussion, the JMTR reoperation was determined, and refurbishment works started from the beginning of JFY 2007. The refurbishment works have finished in March 2011 taking four years from JFY 2007. Unfortunately, at the end of the JFY 2010 on March 11, the Great-Eastern-Japan-Earthquake occurred, and functional tests before the JMTR restart, such as cooling system, reactor control system and so on, were delayed by the earthquake. Moreover, a detail inspection found some damages such as slight deformation of the truss structure at the roof of the JMTR reactor building. Consequently, the restart of the JMTR will be delayed from June to next October, 2012. Now, the safety evaluation after the earthquake disaster is being carried out aiming at the restart of the JMTR. The renewed JMTR will be started from JFY 2012 and operated for a period of about 20 years until around JFY 2030. The usability improvement of the JMTR, e.g. higher reactor availability, shortening turnaround time to get irradiation results, attractive irradiation cost, business confidence, is also discussed with users as the preparations for re-operation. (author)

Present status of Japan materials testing reactor

International Nuclear Information System (INIS)

Hori, Naohiko; Kaminaga, Masanori; Kusunoki, Tsuyoshi; Ishihara, Masahiro; Niimi, Motoji; Komori, Yoshihiro; Suzuki, Masahide; Kawamura, Hiroshi

2012-01-01

The Japan Materials Testing Reactor (JMTR) in Japan Atomic Energy Agency (JAEA) is a light water cooled tank type reactor with first criticality in March 1968. Owing to the connection between the JMTR and hot laboratory by a canal, easy re-irradiation tests can be conducted with safe and quick transportation of irradiated samples. The JMTR has been applied to fuel/material irradiation examinations for LWRs, HTGR, fusion reactor and RI production. However, the JMTR operation was once stopped in August 2006, and check and review on the reoperation had been conducted by internal as well as external committees. As a result of the discussion, the JMTR reoperation was determined, and refurbishment works started from the beginning of JFY 2007. The refurbishment works have finished in March 2011 taking four years from JFY 2007. Unfortunately, at the end of the JFY 2010 on March 11, the Great-Eastern-Japan-Earthquake occurred, and functional tests before the JMTR restart, such as cooling system, reactor control system and so on, were delayed by the earthquake. Moreover, a detail inspection found some damages such as slight deformation of the truss structure at the roof of the JMTR reactor building. Consequently, the restart of the JMTR will be delayed from June to next October, 2012. Now, the safety evaluation after the earthquake disaster is being carried out aiming at the restart of the JMTR. The renewed JMTR will be started from JFY 2012 and operated for a period of about 20 years until around JFY 2030. The usability improvement of the JMTR, e.g. higher reactor availability, shortening turnaround time to get irradiation results, attractive irradiation cost, business confidence, is also discussed with users as the preparations for re-operation. (author)

Test Time Reduction for BIST by Parallel Divide-and-Conquer Method

Energy Technology Data Exchange (ETDEWEB)

Choi, Byung Gu; Kim, Dong Wook [Kwangwoon University (Korea)

2000-06-01

BIST(Built-in Self Test) has been considered as the most promising DFT(design-for-test) scheme for the present and future test strategy. The most serious problem in applying BIST(Built-in Self Test) into a large circuit is the excessive increase in test time. This paper is focused on this problem. We proposed a new BIST construction scheme which uses a parallel divide-and-conquer method. The circuit division is performed with respect to some internal nodes called test points. The test points are selected by considering the nodal connectivity of the circuit rather than the testability of each node. The test patterns are generated by only one linear feedback shift register(LFSR) and they are shared by all the divided circuits. Thus, the test for each divided circuit is performed in parallel. Test responses are collected from the test point as well as the primary outputs. Even though the divide-and-conquer scheme is used and test patterns are generated in one LFSR, the proposed scheme does not lose its pseudo-exhaustive property. We proposed a selection procedure to find the test points and it was implemented with C/C{sup ++} language. Several example circuits were applied to this procedure and the results showed that test time was reduced upto 1/2{sup 1}51 but the increase in the hardware overhead or the delay increase was not much high. Because the proposed scheme showed a tendency that the increasing rates in hardware overhead and delay overhead were less than that in test time reduction as the size of circuit increases, it is expected to be used efficiently for large circuits as VLSI and ULSI. (author). 15 refs., 7 figs., 5 tabs.

Evaluation of Wet Chemical ICP-AES Elemental Analysis Methods using Simulated Hanford Waste Samples-Phase I Interim Report

International Nuclear Information System (INIS)

Coleman, Charles J.; Edwards, Thomas B.

2005-01-01

The wet chemistry digestion method development for providing process control elemental analyses of the Hanford Tank Waste Treatment and Immobilization Plant (WTP) Melter Feed Preparation Vessel (MFPV) samples is divided into two phases: Phase I consists of: (1) optimizing digestion methods as a precursor to elemental analyses by ICP-AES techniques; (2) selecting methods with the desired analytical reliability and speed to support the nine-hour or less turnaround time requirement of the WTP; and (3) providing baseline comparison to the laser ablation (LA) sample introduction technique for ICP-AES elemental analyses that is being developed at the Savannah River National Laboratory (SRNL). Phase II consists of: (1) Time-and-Motion study of the selected methods from Phase I with actual Hanford waste or waste simulants in shielded cell facilities to ensure that the methods can be performed remotely and maintain the desired characteristics; and (2) digestion of glass samples prepared from actual Hanford Waste tank sludge for providing comparative results to the LA Phase II study. Based on the Phase I testing discussed in this report, a tandem digestion approach consisting of sodium peroxide fusion digestions carried out in nickel crucibles and warm mixed-acid digestions carried out in plastic bottles has been selected for Time-and-Motion study in Phase II. SRNL experience with performing this analytical approach in laboratory hoods indicates that well-trained cell operator teams will be able to perform the tandem digestions in five hours or less. The selected approach will produce two sets of solutions for analysis by ICP-AES techniques. Four hours would then be allocated for performing the ICP-AES analyses and reporting results to meet the nine-hour or less turnaround time requirement. The tandem digestion approach will need to be performed in two separate shielded analytical cells by two separate cell operator teams in order to achieve the nine-hour or less turnaround

Performance testing of real-time AI systems using the activation framework

International Nuclear Information System (INIS)

Becker, L.; Duckworth, J.; Laznovsky, A.; Green, P.

1992-01-01

This paper describes methods for automated performance testing of real-time artificial intelligence systems using the Activation Framework software development tool. The Activation Framework is suitable for applications such as the diagnosis of power system failures, which require the interpretation of large volumes of data in real-time. The Activation Framework consists of tools for compiling groups of Expert Systems rules into executable code modules, for automatically generating code modules from high level system configuration descriptions, and for automatically generating command files for program compilation and linking. It includes an operating system environment which provides the code which is common from one real-time AI applications to the next. It also includes mechanisms, described here, for automatic performance testing. The principal emphasis of this paper is on a rule based language which is used to capture performance specifications. This specification is compiled into code modules which are used to automatically test the system. This testing can validate that the system meets performance requirements during development and after maintenance. A large number of tests can be randomly generated and executed and the correctness of the outputs automatically validated. The paper also describes graph directed testing methods to minimize the number of test runs required

[Construction and analysis of a monitoring system with remote real-time multiple physiological parameters based on cloud computing].

Science.gov (United States)

Zhu, Lingyun; Li, Lianjie; Meng, Chunyan

2014-12-01

There have been problems in the existing multiple physiological parameter real-time monitoring system, such as insufficient server capacity for physiological data storage and analysis so that data consistency can not be guaranteed, poor performance in real-time, and other issues caused by the growing scale of data. We therefore pro posed a new solution which was with multiple physiological parameters and could calculate clustered background data storage and processing based on cloud computing. Through our studies, a batch processing for longitudinal analysis of patients' historical data was introduced. The process included the resource virtualization of IaaS layer for cloud platform, the construction of real-time computing platform of PaaS layer, the reception and analysis of data stream of SaaS layer, and the bottleneck problem of multi-parameter data transmission, etc. The results were to achieve in real-time physiological information transmission, storage and analysis of a large amount of data. The simulation test results showed that the remote multiple physiological parameter monitoring system based on cloud platform had obvious advantages in processing time and load balancing over the traditional server model. This architecture solved the problems including long turnaround time, poor performance of real-time analysis, lack of extensibility and other issues, which exist in the traditional remote medical services. Technical support was provided in order to facilitate a "wearable wireless sensor plus mobile wireless transmission plus cloud computing service" mode moving towards home health monitoring for multiple physiological parameter wireless monitoring.

Real-Time Remediation Utilizing The Backpack Sodium Iodide System And The U.S. EPA Triad Approach

International Nuclear Information System (INIS)

John R. Giles; Michael V. Carpenter; Lyle G. Roybal; C. P. Oertel; J. J. Jacobson; D. L. Eaton; G. L. Schwendiman

2006-01-01

Real-time characterization during remediation activities is being accomplished at the Idaho National Laboratory (INL) with the use of the backpack sodium iodide system (BaSIS). The BaSIS is comprised of a 3-in. by 5-in. sodium iodide (NaI) detector, differential corrected global positioning system (GPS), and portable computer, integrated into a lightweight backpack deployment platform. The system is operated with specialized software that allows the operator and/or remediation field manager to view data as they are collected. Upon completion of planned excavation stages, the area is surveyed for residual radiological contamination. After data collection is complete, data is available to the remediation field manager as a contour map showing the area(s) that require further excavation. The use of real-time measurement systems, rapid turn-around time of data, and dynamic work strategy support the U.S. Environmental Protection Agency's (EPA) Triad approach. Decisions are made in real-time as to the need for further remediation. This paper describes the BaSIS system calibration, testing and use, and outlines negotiations with the appropriate CERCLA regulatory agencies (U.S. Environmental Protection Agency, Idaho Department of Environmental Quality, and U.S. Department of Energy Idaho Operations Office) to allow the use of real-time instrumentation during the remediation process, and for confirmation surveys. By using the BaSIS in such a manner, the INL seeks to demonstrate compliance with remediation objectives

Benchmarking time-dependent neutron problems with Monte Carlo codes

International Nuclear Information System (INIS)

Couet, B.; Loomis, W.A.

1990-01-01

Many nuclear logging tools measure the time dependence of a neutron flux in a geological formation to infer important properties of the formation. The complex geometry of the tool and the borehole within the formation does not permit an exact deterministic modelling of the neutron flux behaviour. While this exact simulation is possible with Monte Carlo methods the computation time does not facilitate quick turnaround of results useful for design and diagnostic purposes. Nonetheless a simple model based on the diffusion-decay equation for the flux of neutrons of a single energy group can be useful in this situation. A combination approach where a Monte Carlo calculation benchmarks a deterministic model in terms of the diffusion constants of the neutrons propagating in the media and their flux depletion rates thus offers the possibility of quick calculation with assurance as to accuracy. We exemplify this approach with the Monte Carlo benchmarking of a logging tool problem, showing standoff and bedding response. (author)

Concerning tests of time-reversal invariance via the polarization-analyzing power equality

International Nuclear Information System (INIS)

Conzett, H.E.

1982-01-01

Previous tests of time-reversal invariance via comparisons of polarizations and analyzing powers in nuclear scattering have been examined. It is found that all of these comparisons fail as adequate tests of time-reversal invariance either because of a lack of experimental precision or the lack of sensitivity to any time-reversal symmetry violation

Care Model Design for E-Health: Integration of Point-of-Care Testing at Dutch General Practices

Directory of Open Access Journals (Sweden)

Bart Verhees

2017-12-01

Full Text Available Point-of-care testing (POCT—laboratory tests performed with new mobile devices and online technologies outside of the central laboratory—is rapidly outpacing the traditional laboratory test market, growing at a rate of 12 to 15% each year. POCT impacts the diagnostic process of care providers by yielding high efficiency benefits in terms of turnaround time and related quality improvements in the reduction of errors. However, the implementation of this disruptive eHealth technology requires the integration and transformation of diagnostic services across the boundaries of healthcare organizations. Research has revealed both advantages and barriers of POCT implementations, yet to date, there is no business model for the integration of POCT within general practice. The aim of this article is to contribute with a design for a care model that enables the integration of POCT in primary healthcare. In this research, we used a design modelling toolkit for data collection at five general practices. Through an iterative design process, we modelled the actors and value transactions, and designed an optimized care model for the dynamic integration of POCTs into the GP’s network of care delivery. The care model design will have a direct bearing on improving the integration of POCT through the connectivity and norm guidelines between the general practice, the POC technology, and the diagnostic centre.

Care Model Design for E-Health: Integration of Point-of-Care Testing at Dutch General Practices.

Science.gov (United States)

Verhees, Bart; van Kuijk, Kees; Simonse, Lianne

2017-12-21

Point-of-care testing (POCT)-laboratory tests performed with new mobile devices and online technologies outside of the central laboratory-is rapidly outpacing the traditional laboratory test market, growing at a rate of 12 to 15% each year. POCT impacts the diagnostic process of care providers by yielding high efficiency benefits in terms of turnaround time and related quality improvements in the reduction of errors. However, the implementation of this disruptive eHealth technology requires the integration and transformation of diagnostic services across the boundaries of healthcare organizations. Research has revealed both advantages and barriers of POCT implementations, yet to date, there is no business model for the integration of POCT within general practice. The aim of this article is to contribute with a design for a care model that enables the integration of POCT in primary healthcare. In this research, we used a design modelling toolkit for data collection at five general practices. Through an iterative design process, we modelled the actors and value transactions, and designed an optimized care model for the dynamic integration of POCTs into the GP's network of care delivery. The care model design will have a direct bearing on improving the integration of POCT through the connectivity and norm guidelines between the general practice, the POC technology, and the diagnostic centre.

Reengineering the Cardiac Catheterization Lab Processes: A Lean Approach

Directory of Open Access Journals (Sweden)

Venkatesh Raghavan

2010-01-01

Full Text Available This paper presents a cross-functional effort in a US community hospital for an overall process improvement in its Cardiac Catheterization Lab (CCL. One of the key system performance metrics identified was the patient turnaround time. The objective of this study was to identify the sources of delays in the system that lead to prolonged patient turnaround time using a structured lean approach. A set of qualitative recommendations were proposed and implemented. Quantification of some of these recommendations and certain additional ‘what-if’ scenarios were evaluated using Discrete Event Simulation (DES. The simulation results showed that significant reduction in patient turnaround time could be achieved if the proposed recommendations were implemented. This study demonstrated the benefits of adopting the lean philosophy in the continuous process improvement journey in the healthcare delivery arena.

The Cost-Effective Laboratory: Implementation of Economic Evaluation of Laboratory Testing

Directory of Open Access Journals (Sweden)

Bogavac-Stanojevic Natasa

2017-09-01

Full Text Available Laboratory testing as a part of laboratory in vitro diagnostic (IVD has become required tool in clinical practice for diagnosing, monitoring and prognosis of diseases, as well as for prediction of treatment response. The number of IVD tests available in laboratory practice has increased over the past decades and is likely to further increase in the future. Consequently, there is growing concern about the overutilization of laboratory tests and rising costs for laboratory testing. It is estimated that IVD accounts for between 1.4 and 2.3% of total healthcare expenditure and less than 5% of total hospital cost (Lewin Group report. These costs are rather low when compared to pharmaceuticals and medical aids which account for 15 and 5%, respectively. On the other hand, IVD tests play an important role in clinical practice, as they influence from 60% to 70% of clinical decision-making. Unfortunately, constant increases in healthcare spending are not directly related to healthcare benefit. Since healthcare resources are limited, health payers are interested whether the benefits of IVD tests are actually worth their cost. Many articles have introduced frameworks to assess the economic value of IVD tests. The most appropriate tool for quantitative assessment of their economic value is cost-effectiveness (CEA and cost-utility (CUA analysis. The both analysis determine cost in terms of effectiveness or utilities (combine quantity and quality of life of new laboratory test against its alternative. On the other hand, some investigators recommended calculation of laboratory test value as product of two ratios: Laboratory test value = (Technical accuracy/Turnaround time × (Utility/Costs. Recently, some researches used multicriteria decision analysis which allows comparison of diagnostic strategies in terms of benefits, opportunities, costs and risks. All analyses are constructed to identify laboratory test that produce the greatest healthcare benefit with

Contralateral Occlusion Test: The effect of external ear canal occlusion on hearing thresholds.

Science.gov (United States)

Reis, Luis Roque; Fernandes, Paulo; Escada, Pedro

Bedside testing with tuning forks may decrease turnaround time and improve decision making for a quick qualitative assessment of hearing loss. The purpose of this study was to quantify the effects of ear canal occlusion on hearing, in order to decide which tuning fork frequency is more appropriate to use for quantifying hearing loss with the Contralateral Occlusion Test. Twenty normal-hearing adults (forty ears) underwent sound field pure tone audiometry with and without ear canal occlusion. Each ear was tested with the standard frequencies. The contralateral ear was suppressed with by masking. Ear occlusion was performed by two examiners. Participants aged between 21 and 30 years (25.6±3.03 years) showed an increase in hearing thresholds with increasing frequencies from 19.94dB (250Hz) to 39.25dB (2000Hz). The threshold difference between occluded and unoccluded conditions was statistically significant and increased from 10.69dB (250Hz) to 32.12dB (2000Hz). There were no statistically significant differences according to gender or between the examiners. The occlusion effect increased the hearing thresholds and became more evident with higher frequencies. The occlusion method as performed demonstrated reproducibility. In the Contralateral Occlusion Test, 256Hz or 512Hz tuning forks should be used for diagnosis of mild hearing loss, and a 2048Hz tuning fork should be used for moderate hearing loss. Copyright © 2017 Elsevier España, S.L.U. and Sociedad Española de Otorrinolaringología y Cirugía de Cabeza y Cuello. All rights reserved.

Aquatic toxicity testing of silver nanoparticles – a matter of timing

DEFF Research Database (Denmark)

Sørensen, Sara Nørgaard; Owsianiak, Mikolaj; Engelbrekt, Christian

, and difficulties in controlling and/or describing the characteristics of the tested NPs. These issues may be related to the widespread approach of using freshly prepared stock solutions for ecotoxicity testing, as the introduction of NPs into aqueous media initiates time-dependent processes that possibly interfere...... of the test. Ultimately, the aim is better control of the AgNPs in the algal test system and improved prerequisites for describing their toxicity to alga. The underlying hypothesis is that a large part in the variability of AgNPs toxicity to algae can be explained by the kinetics of dissolution and speciation...... of Ag ions in the test media. To reduce the amount of time in which changes to NPs may occur during testing, the exposure period was minimized. A recently proposed short-term (2h) algal test was applied, using 14C incorporation during photosynthesis as toxic endpoint [1]. For citrate coated spherical Ag...

The power of reachability testing for timed automata

DEFF Research Database (Denmark)

Aceto, Luca; Bouyer, Patricia; Burgueno, A.

2003-01-01

The computational engine of the verification tool UPPAAL consists of a collection of efficient algorithms for the analysis of reachability properties of systems. Model-checking of properties other than plain reachability ones may currently be carried out in such a tool as follows. Given a propert...... be reached. Finally, the property language characterizing the power of reachability testing is used to provide a definition of characteristic properties with respect to a timed version of the ready simulation preorder, for nodes of tau-free, deterministic timed automata....

ADHD symptoms and benefit from extended time testing accommodations.

Science.gov (United States)

Lovett, Benjamin J; Leja, Ashley M

2015-02-01

To investigate the relationship between ADHD symptoms, executive functioning problems, and benefit from extended time testing accommodations. College students completed a battery of measures assessing processing speed and reading fluency, reading comprehension (under two different time limits), symptoms of ADHD, executive functioning deficits, and perceptions of need for extended time. Students reporting more symptoms of ADHD and executive functioning deficits actually benefited less from extended time, and students' perceptions of their timing needs did not predict benefit. Students with more ADHD symptoms are less likely to use extended time effectively, possibly because of their associated executive functioning problems. These results suggest there may be little justification for examining a student's ADHD symptoms when making extended time accommodation decisions. © 2013 SAGE Publications.

TIME REDUCTION FOR SURINAM GRASS SEED GERMINATION TEST

Directory of Open Access Journals (Sweden)

Camila de Aquino Tomaz

2015-10-01

Full Text Available ABSTRACTThe period for the germination test of Surinam grass seeds established by the Rules for Seeds Testing is 28 days, considered too lengthy by producers, venders, and seed analysis laboratories. So, the objective of this research was to evaluate the possibility of reducing the time for the germination test of Surinam grass seeds and to establish a method for dormancy breaking and the ideal temperature. Ten seed lots were submitted to the following treatments to overcome seed dormancy: control; substrate moistening with 0.2% KNO3; and scarification with sulfuric acid (98% 36 N for 15 minutes. After the treatments, the lots were submitted to seed water content, germination and tetrazolium tests. During the germination test, conducted with four replicates of 100 seeds per treatment for 28 days, two conditions of alternating temperatures (20-35 °C and 15-35 °C with 8 hours of light were tested. Attempting to determine the test end date, daily counts of the number of normal seedlings were made and for each lot, treatment, and temperature, a growth curve for the evaluation of germination was adjusted. The segmented regression model parameter estimations were calculated for each treatment. The germination test of Braquiaria decumbensseeds may be evaluated in 12 days after sowing using alternating temperatures of 20-35 °C and without any treatment to overcome dormancy.

Comparative evaluation of three commercial systems for nucleic acid extraction from urine specimens.

Science.gov (United States)

Tang, Yi-Wei; Sefers, Susan E; Li, Haijing; Kohn, Debra J; Procop, Gary W

2005-09-01

A nucleic acid extraction system that can handle small numbers of specimens with a short test turnaround time and short hands-on time is desirable for emergent testing. We performed a comparative validation on three systems: the MagNA Pure compact system (Compact), the NucliSens miniMAG extraction instrument (miniMAG), and the BioRobot EZ1 system (EZ1). A total of 75 urine specimens submitted for polyomavirus BK virus detection were used. The human beta-actin gene was detected on 75 (100%), 75 (100%), and 72 (96%) nucleic acid extracts prepared by the miniMAG, EZ1, and Compact, respectively. The miniMAG produced the highest quantity of nucleic acids and the best precision among the three systems. The agreement rate was 100% for BKV detection on nucleic acid extracts prepared by the three extraction systems. When a full panel of specimens was run, the hands-on time and test turnaround time were 105.7 and 121.1 min for miniMAG, 6.1 and 22.6 min for EZ1, and 7.4 and 33.7 min for Compact, respectively. The EZ1 and Compact systems processed automatic nucleic acid extraction properly, providing a good solution to the need for sporadic but emergent specimen detection. The miniMAG yielded the highest quantity of nucleic acids, suggesting that this system would be the best for specimens containing a low number of microorganisms of interest.

21 CFR 864.7925 - Partial thromboplastin time tests.

Science.gov (United States)

2010-04-01

... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Partial thromboplastin time tests. 864.7925 Section 864.7925 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES HEMATOLOGY AND PATHOLOGY DEVICES Hematology Kits and Packages § 864.7925 Partial...

Adoption of lean principles in a high-volume molecular diagnostic microbiology laboratory.

Science.gov (United States)

Mitchell, P Shawn; Mandrekar, Jayawant N; Yao, Joseph D C

2014-07-01

Clinical laboratories are constantly facing challenges to do more with less, enhance quality, improve test turnaround time, and reduce operational expenses. Experience with adopting and applying lean concepts and tools used extensively in the manufacturing industry is described for a high-volume clinical molecular microbiology laboratory, illustrating how operational success and benefits can be achieved. Copyright © 2014, American Society for Microbiology. All Rights Reserved.

21 CFR 864.7275 - Euglobulin lysis time tests.

Science.gov (United States)

2010-04-01

... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Euglobulin lysis time tests. 864.7275 Section 864.7275 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL DEVICES HEMATOLOGY AND PATHOLOGY DEVICES Hematology Kits and Packages § 864.7275 Euglobulin lysis...

Direct identification from positive blood broth culture by matrix-assisted laser desorption-ionization time-of-flight mass spectrometry (MALDI-TOF MS).

Science.gov (United States)

Barberino, Maria Goreth; Silva, Marcio de Oliveira; Arraes, Ana Carolina Palmeiras; Correia, Luís Cláudio; Mendes, Ana Verena

Bloodstream infections (BSIs) are among the most concerning bacterial infections. They are one of the leading causes of morbidity and mortality, and occur in 30-70% of critical care patients. The prompt identification of the causative microorganism can help choosing the appropriate antimicrobial therapy that will lead to better clinical outcomes. Blood culture is one of the most relevant tests for microbiological diagnosis of bacterial infections. The introduction of the MALDI-TOF microbiological diagnosis significantly decreased the time of identifying microorganisms. However, it depends on the growth on solid culture medium. In this study, 538 bottles of positive blood cultures were evaluated to test the accuracy of an in house modified protocol. The study sample consisted of 198 Gram-negative and 350 Gram-positive bacteria. In all, 460 (83.94%) species were identified based on the direct plate findings. The protocol allowed the identification of 185/198 (93.43%) of the Gram-negative bacteria, including aerobes, anaerobes, and non-fermenters, and 275/350 (78.85%) of the Gram-positive bacteria. The proposed method has the potential to provide accurate results in comparison to the traditional method with the potential to reduce the turnaround time for the results and optimize antimicrobial therapy in BSI. Copyright © 2017 Sociedade Brasileira de Infectologia. Published by Elsevier Editora Ltda. All rights reserved.

Rapid and cost-effective identification and antimicrobial susceptibility testing in patients with Gram-negative bacteremia directly from blood-culture fluid.

Science.gov (United States)

Sakarikou, Christina; Altieri, Anna; Bossa, Maria Cristina; Minelli, Silvia; Dolfa, Camilla; Piperno, Micol; Favalli, Cartesio

2018-03-01

Rapid pathogen identification (ID) and antimicrobial susceptibility testing (AST) in bacteremia cases or sepsis could improve patient prognosis. Thus, it is important to provide timely reports, which make it possible for clinicians to set up appropriate antibiotic therapy during the early stages of bloodstream infection (BSI). This study evaluates an in-house microbiological protocol for early ID as well as AST on Gram negative bacteria directly from positive monomicrobial and polymicrobial blood cultures (BCs). A total of 102 non-duplicated positive BCs from patients with Gram-negative bacteremia were tested. Both IDs and ASTs were performed from bacterial pellets extracted directly from BCs using our protocol, which was applied through the combined use of a MALDI-TOF MS and Vitek2 automated system. The results of our study showed a 100% agreement in bacterial ID and 98.25% categorical agreement in AST when compared to those obtained by routine conventional methods. We recorded only a 0.76% minor error (mE), 0.76% major error (ME) and a 0.20% very major error (VME). Moreover, the turnaround time (TAT) regarding the final AST report was significantly shortened (ΔTAT = 8-20 h, p patient management, by early and appropriate antimicrobial treatment and could potentially optimize antimicrobial stewardship programs. Copyright © 2018 Elsevier B.V. All rights reserved.

T-UPPAAL: Online Model-based Testing of Real-Time Systems

DEFF Research Database (Denmark)

Mikucionis, Marius; Larsen, Kim Guldstrand; Nielsen, Brian

2004-01-01

The goal of testing is to gain confidence in a physical computer based system by means of executing it. More than one third of typical project resources is spent on testing embedded and real-time systems, but still it remains ad-hoc, based on heuristics, and error-prone. Therefore systematic...

Global CO{sub 2} emissions in 2013. No turnaround in view but at least a few glimmers of hope; Weltweite CO{sub 2}-Emissionen 2013. Trendwende laesst trotz einiger Hoffnungsschimmer auf sich warten

Energy Technology Data Exchange (ETDEWEB)

Ziesing, Hans-Joachim

2014-09-15

Global CO{sub 2} emission rates rose by 1.8% in 2013, roughly equalling the previous year's increase. In absolute terms CO{sub 2} emissions reached a new all-time high, at 32.8 billion tons. There is thus no sign of a turnaround. At least a number of countries have seen a decrease in emissions. In contrast to the previous year the countries of the OECD show a renewed, albeit moderate, rise (+0.5%). This is mainly attributable to a 2.6% increase in the USA. In the countries of the EU on the other hand the decrease seen over the previous two years has continued (-1.9%). The fact that global emissions have once again increased significantly in spite of a more or less stagnant course of development in the Annex I countries (+0.2%) is primarily the result of strong growth in the threshold and developing countries. In this group of countries CO{sub 2} emissions were around 540 million t higher than they were in 2012, equivalent to an increase by more an 3%. China, after succeeding the USA as the world's greatest CO{sub 2} emitter in 2008, has pulled further away, accounting now for 8.8 billion t or around 1.6 times as much CO{sub 2} as the USA.

Reliability of fitness tests using methods and time periods common in sport and occupational management.

Science.gov (United States)

Burnstein, Bryan D; Steele, Russell J; Shrier, Ian

2011-01-01

Fitness testing is used frequently in many areas of physical activity, but the reliability of these measurements under real-world, practical conditions is unknown. To evaluate the reliability of specific fitness tests using the methods and time periods used in the context of real-world sport and occupational management. Cohort study. Eighteen different Cirque du Soleil shows. Cirque du Soleil physical performers who completed 4 consecutive tests (6-month intervals) and were free of injury or illness at each session (n = 238 of 701 physical performers). Performers completed 6 fitness tests on each assessment date: dynamic balance, Harvard step test, handgrip, vertical jump, pull-ups, and 60-second jump test. We calculated the intraclass coefficient (ICC) and limits of agreement between baseline and each time point and the ICC over all 4 time points combined. Reliability was acceptable (ICC > 0.6) over an 18-month time period for all pairwise comparisons and all time points together for the handgrip, vertical jump, and pull-up assessments. The Harvard step test and 60-second jump test had poor reliability (ICC < 0.6) between baseline and other time points. When we excluded the baseline data and calculated the ICC for 6-month, 12-month, and 18-month time points, both the Harvard step test and 60-second jump test demonstrated acceptable reliability. Dynamic balance was unreliable in all contexts. Limit-of-agreement analysis demonstrated considerable intraindividual variability for some tests and a learning effect by administrators on others. Five of the 6 tests in this battery had acceptable reliability over an 18-month time frame, but the values for certain individuals may vary considerably from time to time for some tests. Specific tests may require a learning period for administrators.

A Time Domain Waveform for Testing General Relativity

International Nuclear Information System (INIS)

Huwyler, Cédric; Jetzer, Philippe; Porter, Edward K

2015-01-01

Gravitational-wave parameter estimation is only as good as the theory the waveform generation models are based upon. It is therefore crucial to test General Relativity (GR) once data becomes available. Many previous works, such as studies connected with the ppE framework by Yunes and Pretorius, rely on the stationary phase approximation (SPA) to model deviations from GR in the frequency domain. As Fast Fourier Transform algorithms have become considerably faster and in order to circumvent possible problems with the SPA, we test GR with corrected time domain waveforms instead of SPA waveforms. Since a considerable amount of work has been done already in the field using SPA waveforms, we establish a connection between leading-order-corrected waveforms in time and frequency domain, concentrating on phase-only corrected terms. In a Markov Chain Monte Carlo study, whose results are preliminary and will only be available later, we will assess the ability of the eLISA detector to measure deviations from GR for signals coming from supermassive black hole inspirals using these corrected waveforms. (paper)

Improved test of time dilation in special relativity.

Science.gov (United States)

Saathoff, G; Karpuk, S; Eisenbarth, U; Huber, G; Krohn, S; Muñoz Horta, R; Reinhardt, S; Schwalm, D; Wolf, A; Gwinner, G

2003-11-07

An improved test of time dilation in special relativity has been performed using laser spectroscopy on fast ions at the heavy-ion storage-ring TSR in Heidelberg. The Doppler-shifted frequencies of a two-level transition in 7Li+ ions at v=0.064c have been measured in the forward and backward direction to an accuracy of Deltanu/nu=1 x 10(-9) using collinear saturation spectroscopy. The result confirms the relativistic Doppler formula and sets a new limit of 2.2 x 10(-7) for deviations from the time dilation factor gamma(SR)=(1-v2/c2)(-1/2).

[Waiting time for the first colposcopic examination in women with abnormal Papanicolaou test].

Science.gov (United States)

Nascimento, Maria Isabel do; Rabelo, Irene Machado Moraes Alvarenga; Cardoso, Fabrício Seabra Polidoro; Musse, Ricardo Neif Vieira

2015-08-01

To evaluate the waiting times before obtaining the first colposcopic examination for women with abnormal Papanicolaou smears. Retrospective cohort study conducted on patients who required a colposcopic examination to clarify an abnormal pap test, between 2002 January and 2008 August, in a metropolitan region of Brazil. The waiting times were defined as: Total Waiting Time (interval between the date of the pap test result and the date of the first colposcopic examination); Partial A Waiting Time (interval between the date of the pap test result and the date of referral); Partial B Waiting Time (interval between the date of referral and the date of the first colposcopic examination). Means, medians, relative and absolute frequencies were calculated. The Kruskal-Wallis test and Pearson's chi-square test were used to determine statistical significance. A total of 1,544 women with mean of age of 34 years (SD=12.6 years) were analyzed. Most of them had access to colposcopic examination within 30 days (65.8%) or 60 days (92.8%) from referral. Mean Total Waiting Time, Partial A Waiting Time, and Partial B Waiting Time were 94.5 days (SD=96.8 days), 67.8 days (SD=95.3 days) and 29.2 days (SD=35.1 days), respectively. A large part of the women studied had access to colposcopic examination within 60 days after referral, but Total waiting time was long. Measures to reduce the waiting time for obtaining the first colposcopic examination can help to improve the quality of care in the context of cervical cancer control in the region, and ought to be addressed at the phase between the date of the pap test results and the date of referral to the teaching hospital.

Automated transport and sorting system in a large reference laboratory: part 2. Implementation of the system and performance measures over three years.

Science.gov (United States)

Hawker, Charles D; Roberts, William L; Garr, Susan B; Hamilton, Leslie T; Penrose, John R; Ashwood, Edward R; Weiss, Ronald L

2002-10-01

Our laboratory implemented a major automation system in November 1998. A related report describes a 4-year process of evaluation and planning leading to system installation. This report describes the implementation and performance results over 3 years since the system was placed into use. Project management software was used to track the project. Turnaround times of our top 500 tests before and after automation were measured. We compared the rate of hiring of employees and the billed unit per employee ratio before and after automation by use of linear regression analysis. Finally, we analyzed the financial contribution of the project through an analysis of return on investment. Since implementation, the volume of work transported and sorted has grown to >15,000 new tubes and >25,000 total tubes per day. Median turnaround time has decreased by an estimated 7 h, and turnaround time at the 95th percentile has decreased by 12 h. Lost specimens have decreased by 58%. A comparison of pre- and post-implementation hiring rates of employees estimated a savings of 33.6 employees, whereas a similar comparison of ratios of billed units per employee estimated a savings of 49.1 employees. Using the higher figure, we estimated that the $4.02 million cost of the project would be paid off approximately 4.9 years subsequent to placing the system into daily use. The overall automation project implemented in our laboratory has contributed considerably to improvement of key performance measures and has met our original project objectives.

Trends in Pap Testing Over Time for Women With and Without Chronic Disability.

Science.gov (United States)

Iezzoni, Lisa I; Kurtz, Stephen G; Rao, Sowmya R

2016-02-01

Data from 20 years ago--shortly after passage of the Americans with Disabilities Act--showed that women with significant mobility disability had 40% lower Pap test rates than other women. To examine whether disability disparities in Pap test rates have diminished over time, this study analyzed National Health Interview Survey responses from selected years between 1998 and 2010 from women aged 21-65 years without histories of cervical cancer or hysterectomy. Seven chronic disability types were identified using self-reported functional impairments or participation limitations. Self-reported Pap testing within the previous 3 years was studied. Bivariable analyses and multivariable logistic regression analyses controlling for sociodemographic variables were conducted in 2014. Rates of all chronic disability types increased over time. Pap test rates remained relatively constant over time for all women, holding around 84%-87%. Bivariable analyses found statistically significantly lower rates of Pap testing for women with disability compared with nondisabled women. Multivariable analyses failed to find consistent evidence of lower Pap test rates among women across disability types compared with nondisabled women. In 2010, the AOR for reporting Pap testing for women noting the most severe movement difficulty compared with nondisabled women was 0.35 (95% CI=0.15, 0.79). However, the AOR for this disability type varied over time. Little has changed over time in Pap test rates for all women. Women with certain disabilities continue to experience disparities compared with nondisabled women in receipt of this important screening test. Copyright © 2016 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.

Operational Efficiency and Productivity Improvement Initiatives in a Large Cardiac Catheterization Laboratory.

Science.gov (United States)

Reed, Grant W; Hantz, Scott; Cunningham, Rebecca; Krishnaswamy, Amar; Ellis, Stephen G; Khot, Umesh; Rak, Joe; Kapadia, Samir R

2018-02-26

This study sought to report outcomes from an efficiency improvement project in a large cardiac cath lab. Operational inefficiencies are common in the cath lab, yet solutions are challenging. A detailed report describing and providing solutions for these inefficiencies may be valuable in guiding improvements in productivity. In this observational study, the authors report metrics of efficiency before and after a cath lab quality improvement program in June 2014. Main outcomes included lab room start times, room turnaround times, laboratory use, and employee satisfaction. Time series analysis was used to assess trend over time. Chi-square testing and analysis of variance were used to assess change before and after the initiative. The principal changes included implementation of a pyramidal nursing schedule, increased use of an electronic scheduling system, and increased utilization of a preparation and recovery area. Comparing before with after the program, start times improved an average of 17 min, and on-time starts improved from 61.8% to 81.7% (p = 0.0024). Turnaround times improved from 20.5 min to 16.4 min (trend p productivity. This knowledge may be helpful in assisting other cath labs in similar efficiency improvement initiatives. Copyright © 2018 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.

Testing the multi-configuration time-dependent Hartree-Fock method

International Nuclear Information System (INIS)

Zanghellini, Juergen; Kitzler, Markus; Brabec, Thomas; Scrinzi, Armin

2004-01-01

We test the multi-configuration time-dependent Hartree-Fock method as a new approach towards the numerical calculation of dynamical processes in multi-electron systems using the harmonic quantum dot and one-dimensional helium in strong laser pulses as models. We find rapid convergence for quantities such as ground-state population, correlation coefficient and single ionization towards the exact results. The method converges, where the time-dependent Hartree-Fock method fails qualitatively

Time-dependent diffusive acceleration of test particles at shocks

Energy Technology Data Exchange (ETDEWEB)

Drury, L.O' C. (Dublin Inst. for Advanced Studies (Ireland))

1991-07-15

The acceleration of test particles at a steady plane non-relativistic shock is considered. Analytic expressions are found for the mean and the variance of the acceleration time distribution in the case where the diffusion coefficient has an arbitrary dependence on position and momentum. These expressions are used as the basis for an approximation scheme which is shown, by comparison with numerical solutions, to give an excellent representation of the time-dependent spectrum. (author).

Time-dependent diffusive acceleration of test particles at shocks

International Nuclear Information System (INIS)

Drury, L.O'C.

1991-01-01

The acceleration of test particles at a steady plane non-relativistic shock is considered. Analytic expressions are found for the mean and the variance of the acceleration time distribution in the case where the diffusion coefficient has an arbitrary dependence on position and momentum. These expressions are used as the basis for an approximation scheme which is shown, by comparison with numerical solutions, to give an excellent representation of the time-dependent spectrum. (author)

Testing for Change in Mean of Independent Multivariate Observations with Time Varying Covariance

Directory of Open Access Journals (Sweden)

Mohamed Boutahar

2012-01-01

Full Text Available We consider a nonparametric CUSUM test for change in the mean of multivariate time series with time varying covariance. We prove that under the null, the test statistic has a Kolmogorov limiting distribution. The asymptotic consistency of the test against a large class of alternatives which contains abrupt, smooth and continuous changes is established. We also perform a simulation study to analyze the size distortion and the power of the proposed test.

Scholars Reaching Outside Education for School Fixes

Science.gov (United States)

Viadero, Debra

2007-01-01

In recent years, a handful of education scholars have begun to cast a wider net for advice on how to engineer successful school turnarounds. The need for turnaround strategies that work is more timely than ever. Under the federal No Child Left Behind Act, the list of schools identified to be in need of help grows longer by the year, making…

Canadian Public Health Laboratory Network Laboratory Guidelines for the Use of Direct Tests to Detect Syphilis in Canada

Directory of Open Access Journals (Sweden)

Raymond SW Tsang

2015-01-01

Full Text Available Treponema pallidum subsp. pallidum and/or its nucleic acid can be detected by various methods such as microscopy, rabbit infectivity test or polymerase chain reaction (PCR tests. The rabbit infectivity test for T. pallidum, although very sensitive, has been discontinued from most laboratories due to ethical issues related to the need for animal inoculation with live T. pallidum, the technically demanding procedure and long turnaround time for results, thus making it impractical for routine diagnostic use. Dark-field and phase-contrast microscopy are still useful at clinic- or hospital-based laboratories for near-bedside detection of T. pallidum in genital, skin or mucous lesions although their availability is decreasing. The lack of reliable and specific anti-T. pallidum antibodies and its inferior sensitivity to PCR may explain why the direct fluorescent antibody test for T. pallidum is not widely available for clinical use. Immunohistochemical staining for T. pallidum also depends on the availability of specific antibodies, and the method is only applicable for histopathological examination of biopsy and autopsy specimens necessitating an invasive specimen collection approach. With recent advances in molecular diagnostics, PCR is considered to be the most reliable, versatile and practical for laboratories to implement. In addition to being an objective and sensitive test for direct detection of Treponema pallidum subsp. pallidum DNA in skin and mucous membrane lesions, the resulting PCR amplicons from selected gene targets can be further characterized for antimicrobial (macrolide susceptibility testing, strain typing and identification of T. pallidum subspecies.

A Review of the Turnaround in Iranian Foreign Policy during President Hassan Rohani's Administration

Directory of Open Access Journals (Sweden)

Javad Haghgoo

2017-06-01

Full Text Available The transition of power in the Islamic Republic of Iran is not only a change of guards in the different political and executive institutions during each electoral cycle but it also radically redefines the fundamental aspects of self-identity and the very definition of national interests and priorities and even how they should be defined. Upon the assumption of power by President Hassan Rohani in Iran, foreign policy of the government of the Islamic Republic of Iran has been exposed to tremendous developments. Prevalence of conservatism over revolutionary mindset, nationalism over trans-nationalism, and structuralism over agent-oriented trends are considered as the three main pillars of these developments. In Rohani’s administration there is no longer any trace of the revolutionary behavior of Ahmadinejad’s era. This turnaround in the Islamic Republic of Iran’s foreign policy is not a new phenomenon. We have witnessed such a shift in Iranian foreign policy after the end of the 8-year war with Iraq, albeit with different dimensions. An assessment of this issue would greatly enhance our understanding of the country’s foreign policy. Accordingly, assessment of the real roots of these foreign policy shifts is the main objective of the present article. Evidently, the shift in foreign policy, more than anything else can be attributed to changes in the definition of the concept of national interests, and how each administration defines such national and transnational interests. Any shift or transformation in this concept, as the guiding principal of foreign policy, creates a context for the shift in the national priorities, orientations, and strategies in its interaction with its external environment. By highlighting the three concepts of “circulation of elites”, “perception towards national identity”, and “structural developments”, the present article endeavors to review the causes of differing understandings of the concept of

Mycoplasma testing of cell substrates and biologics: Review of alternative non-microbiological techniques.

Science.gov (United States)

Volokhov, Dmitriy V; Graham, Laurie J; Brorson, Kurt A; Chizhikov, Vladimir E

2011-01-01

Mycoplasmas, particularly species of the genera Mycoplasma and Acholeplasma, are known to be occasional microbial contaminants of cell cultures that produce biologics. This presents a serious concern regarding the risk of mycoplasma contamination for research laboratories and commercial facilities developing and manufacturing cell-derived biological and biopharmaceutical products for therapeutic use. Potential undetected contamination of these products or process intermediates with mycoplasmas represents a potential safety risk for patients and a business risk for producers of biopharmaceuticals. To minimize these risks, monitoring for adventitious agents, such as viruses and mycoplasmas, is performed during the manufacture of biologics produced in cell culture substrates. The "gold standard" microbiological assay, currently recommended by the USP, EP, JP and the US FDA, for the mycoplasma testing of biologics, involves the culture of viable mycoplasmas in broth, agar plates and indicator cells. Although the procedure enables highly efficient mycoplasma detection in cell substrates and cell-derived products, the overall testing strategy is time consuming (a minimum of 28 days) and requires skilled interpretation of the results. The long time period required for these conventional assays does not permit their use for products with short shelf-lives or for timely 'go/no-go' decisions during routine in-process testing. PCR methodology has existed for decades, however PCR based and other alternative methods for mycoplasma detection have only recently been considered for application to biologics manufacture. The application of alternative nucleic acid-based, enzyme-based and/or recombinant cell-culture methods, particularly in combination with efficient sample preparation procedures, could provide advantages over conventional microbiological methods in terms of analytical throughput, simplicity, and turnaround time. However, a challenge to the application of alternative

Test of time-reversal invariance at COSY (TRIC)

Energy Technology Data Exchange (ETDEWEB)

Eversheim, D., E-mail: evershei@hiskp.uni-bonn.de; Valdau, Yu. [University Bonn, Helmholtz Institut fuer Strahlen- und Kernphysik (Germany); Lorentz, B. [Forschungszentrum Juelich, Institut fuer Kernphysik (Germany)

2013-03-15

At the Cooler Synchrotron COSY a novel (P-even, T-odd) null test of time-reversal invariance to an accuracy of 10{sup - 6} is planned as an internal target transmission experiment. The parity conserving time-reversal violating observable is the total cross-section asymmetry A{sub y,xz}. This quantity is measured using a polarized proton beam with an energy of 135 MeV and an internal tensor polarized deuteron target from the PAX atomic beam source. The reaction rate will be measured by means of an integrating beam current transformer. Thus, in this experiment the cooler synchroton ring serves as ideal forward spectrometer, as a detector, and an accelerator.

Pooled nucleic acid testing to identify antiretroviral treatment failure during HIV infection.

Science.gov (United States)

May, Susanne; Gamst, Anthony; Haubrich, Richard; Benson, Constance; Smith, Davey M

2010-02-01

Pooling strategies have been used to reduce the costs of polymerase chain reaction-based screening for acute HIV infection in populations in which the prevalence of acute infection is low (less than 1%). Only limited research has been done for conditions in which the prevalence of screening positivity is higher (greater than 1%). We present data on a variety of pooling strategies that incorporate the use of polymerase chain reaction-based quantitative measures to monitor for virologic failure among HIV-infected patients receiving antiretroviral therapy. For a prevalence of virologic failure between 1% and 25%, we demonstrate relative efficiency and accuracy of various strategies. These results could be used to choose the best strategy based on the requirements of individual laboratory and clinical settings such as required turnaround time of results and availability of resources. Virologic monitoring during antiretroviral therapy is not currently being performed in many resource-constrained settings largely because of costs. The presented pooling strategies may be used to significantly reduce the cost compared with individual testing, make such monitoring feasible, and limit the development and transmission of HIV drug resistance in resource-constrained settings. They may also be used to design efficient pooling strategies for other settings with quantitative screening measures.

Time reversal tests in polarized neutron reactions

International Nuclear Information System (INIS)

Asahi, Koichiro; Bowman, J.D.; Crawford, B.

1998-01-01

This is the final report of a three-year, Laboratory-Directed Research and Development (LDRD) project at the Los Alamos National Laboratory (LANL). In recent years the nuclear weak interaction has been studied in the compound nucleus via parity violation. The observed parity-violating effects are strongly enhanced by nuclear structure. The predictions are that the interaction of polarized neutrons with polarized nuclear targets could be also used to perform sensitive tests of time-reversal-violation because of the nuclear enhancements. The author has designed experiments to search for time-reversal violation in neutron-nucleus interactions. He has also developed techniques to polarize neutrons with laser-polarized 3 He gas targets. Using the polarized 3 He neutron spin filter, he has performed two experiments at LANSCE: an absolute neutron beam polarization measurement with an accuracy of 0.2--0.3% and a neutron spin-rotation measurement on a 139 La sample

HIV rapid diagnostic testing by lay providers in a key population-led health service programme in Thailand.

Science.gov (United States)

Wongkanya, Rapeeporn; Pankam, Tippawan; Wolf, Shauna; Pattanachaiwit, Supanit; Jantarapakde, Jureeporn; Pengnongyang, Supabhorn; Thapwong, Prasopsuk; Udomjirasirichot, Apichat; Churattanakraisri, Yutthana; Prawepray, Nanthika; Paksornsit, Apiluk; Sitthipau, Thidadaow; Petchaithong, Sarayut; Jitsakulchaidejt, Raruay; Nookhai, Somboon; Lertpiriyasuwat, Cheewanan; Ongwandee, Sumet; Phanuphak, Praphan; Phanuphak, Nittaya

2018-01-01

Introduction:  Rapid diagnostic testing (RDT) for HIV has a quick turn-around time, which increases the proportion of people testing who receive their result. HIV RDT in Thailand has traditionally been performed only by medical technologists (MTs), which is a barrier to its being scaled up. We evaluated the performance of HIV RDT conducted by trained lay providers who were members of, or worked closely with, a group of men who have sex with men (MSM) and with transgender women (TG) communities, and compared it to tests conducted by MTs. Methods:  Lay providers received a 3-day intensive training course on how to perform a finger-prick blood collection and an HIV RDT as part of the Key Population-led Health Services (KPLHS) programme among MSM and TG. All the samples were tested by lay providers using Alere Determine HIV 1/2. HIV-reactive samples were confirmed by DoubleCheckGold Ultra HIV 1&2 and SD Bioline HIV 1/2. All HIV-positive and 10% of HIV-negative samples were re-tested by MTs using Serodia HIV 1/2. Results:  Of 1680 finger-prick blood samples collected and tested using HIV RDT by lay providers in six drop-in centres in Bangkok, Chiang Mai, Chonburi and Songkhla, 252 (15%) were HIV-positive. MTs re-tested these HIV-positive samples and 143 randomly selected HIV-negative samples with 100% concordant test results. Conclusion:  Lay providers in Thailand can be trained and empowered to perform HIV RDT as they were found to achieve comparable results in sample testing with MTs. Based on the task-shifting concept, this rapid HIV testing performed by lay providers as part of the KPLHS programme has great potential to enhance HIV prevention and treatment programmes among key at-risk populations.

An Efficient Randomized Algorithm for Real-Time Process Scheduling in PicOS Operating System

Science.gov (United States)

Helmy*, Tarek; Fatai, Anifowose; Sallam, El-Sayed

PicOS is an event-driven operating environment designed for use with embedded networked sensors. More specifically, it is designed to support the concurrency in intensive operations required by networked sensors with minimal hardware requirements. Existing process scheduling algorithms of PicOS; a commercial tiny, low-footprint, real-time operating system; have their associated drawbacks. An efficient, alternative algorithm, based on a randomized selection policy, has been proposed, demonstrated, confirmed for efficiency and fairness, on the average, and has been recommended for implementation in PicOS. Simulations were carried out and performance measures such as Average Waiting Time (AWT) and Average Turn-around Time (ATT) were used to assess the efficiency of the proposed randomized version over the existing ones. The results prove that Randomized algorithm is the best and most attractive for implementation in PicOS, since it is most fair and has the least AWT and ATT on average over the other non-preemptive scheduling algorithms implemented in this paper.

Implications of Perioperative Team Setups for Operating Room Management Decisions.

Science.gov (United States)

Doll, Dietrich; Kauf, Peter; Wieferich, Katharina; Schiffer, Ralf; Luedi, Markus M

2017-01-01

Team performance has been studied extensively in the perioperative setting, but the managerial impact of interprofessional team performance remains unclear. We hypothesized that the interplay between anesthesiologists and surgeons would affect operating room turnaround times, and teams that worked together over time would become more efficient. We analyzed 13,632 surgical cases at our hospital that involved 64 surgeons and 48 anesthesiologists. We detrended and adjusted the data for potential confounders including age, American Society of Anesthesiologists physical status, and surgical list (scheduled cases of specific surgical specialties). The surgical lists were categorized as ear, nose, and throat surgery; trauma surgery; general surgery; and gynecology. We assessed the relationship between turnaround times and assignment of different anesthesiologists to specific surgeons using a Monte Carlo simulation. We found significant differences in team performances among the different surgical lists but no team learning. We constructed managerial decision tables for the assignment of anesthesiologists to specific surgeons at our hospital. We defined a decision algorithm based on these tables. Our analysis indicated that had this algorithm been used in staffing the operating room for the surgical cases represented in our data, median turnaround times would have a reduction potential of 6.8% (95% confidence interval 6.3% to 7.1%). A surgeon is usually predefined for scheduled surgeries (surgical list). Allocation of the right anesthesiologist to a list and to a surgeon can affect the team performance; thus, this assignment has managerial implications regarding the operating room efficiency affecting turnaround times and thus potentially overutilized time of a list at our hospital.

Using exogenous variables in testing for monotonic trends in hydrologic time series

Science.gov (United States)

Alley, William M.

1988-01-01

One approach that has been used in performing a nonparametric test for monotonic trend in a hydrologic time series consists of a two-stage analysis. First, a regression equation is estimated for the variable being tested as a function of an exogenous variable. A nonparametric trend test such as the Kendall test is then performed on the residuals from the equation. By analogy to stagewise regression and through Monte Carlo experiments, it is demonstrated that this approach will tend to underestimate the magnitude of the trend and to result in some loss in power as a result of ignoring the interaction between the exogenous variable and time. An alternative approach, referred to as the adjusted variable Kendall test, is demonstrated to generally have increased statistical power and to provide more reliable estimates of the trend slope. In addition, the utility of including an exogenous variable in a trend test is examined under selected conditions.

Real-Time PCR in Clinical Microbiology: Applications for Routine Laboratory Testing

Science.gov (United States)

Espy, M. J.; Uhl, J. R.; Sloan, L. M.; Buckwalter, S. P.; Jones, M. F.; Vetter, E. A.; Yao, J. D. C.; Wengenack, N. L.; Rosenblatt, J. E.; Cockerill, F. R.; Smith, T. F.

2006-01-01

Real-time PCR has revolutionized the way clinical microbiology laboratories diagnose many human microbial infections. This testing method combines PCR chemistry with fluorescent probe detection of amplified product in the same reaction vessel. In general, both PCR and amplified product detection are completed in an hour or less, which is considerably faster than conventional PCR detection methods. Real-time PCR assays provide sensitivity and specificity equivalent to that of conventional PCR combined with Southern blot analysis, and since amplification and detection steps are performed in the same closed vessel, the risk of releasing amplified nucleic acids into the environment is negligible. The combination of excellent sensitivity and specificity, low contamination risk, and speed has made real-time PCR technology an appealing alternative to culture- or immunoassay-based testing methods for diagnosing many infectious diseases. This review focuses on the application of real-time PCR in the clinical microbiology laboratory. PMID:16418529

Cosmology in time asymmetric extensions of general relativity

International Nuclear Information System (INIS)

Leon, Genly; Saridakis, Emmanuel N.

2015-01-01

We investigate the cosmological behavior in a universe governed by time asymmetric extensions of general relativity, which is a novel modified gravity based on the addition of new, time-asymmetric, terms on the Hamiltonian framework, in a way that the algebra of constraints and local physics remain unchanged. Nevertheless, at cosmological scales these new terms can have significant effects that can alter the universe evolution, both at early and late times, and the freedom in the choice of the involved modification function makes the scenario able to produce a huge class of cosmological behaviors. For basic ansatzes of modification, we perform a detailed dynamical analysis, extracting the stable late-time solutions. Amongst others, we find that the universe can result in dark-energy dominated, accelerating solutions, even in the absence of an explicit cosmological constant, in which the dark energy can be quintessence-like, phantom-like, or behave as an effective cosmological constant. Moreover, it can result to matter-domination, or to a Big Rip, or experience the sequence from matter to dark energy domination. Additionally, in the case of closed curvature, the universe may experience a cosmological bounce or turnaround, or even cyclic behavior. Finally, these scenarios can easily satisfy the observational and phenomenological requirements. Hence, time asymmetric cosmology can be a good candidate for the description of the universe

A general statistical test for correlations in a finite-length time series.

Science.gov (United States)

Hanson, Jeffery A; Yang, Haw

2008-06-07

The statistical properties of the autocorrelation function from a time series composed of independently and identically distributed stochastic variables has been studied. Analytical expressions for the autocorrelation function's variance have been derived. It has been found that two common ways of calculating the autocorrelation, moving-average and Fourier transform, exhibit different uncertainty characteristics. For periodic time series, the Fourier transform method is preferred because it gives smaller uncertainties that are uniform through all time lags. Based on these analytical results, a statistically robust method has been proposed to test the existence of correlations in a time series. The statistical test is verified by computer simulations and an application to single-molecule fluorescence spectroscopy is discussed.

On the late-time behavior of tracer test breakthrough curves

Energy Technology Data Exchange (ETDEWEB)

HAGGERTY, ROY; MCKENNA, SEAN A; MEIGS, LUCY C

2000-06-12

The authors investigated the late-time (asymptotic) behavior of tracer test breakthrough curves (BTCs) with rate-limited mass transfer (e.g., in dual or multi-porosity systems) and found that the late-time concentration, c, is given by the simple expression: c = t{sub ad} (c{sub 0}g {minus} m{sub 0}{partial_derivative}g/{partial_derivative}t), for t >> t{sub ad} and t{sub a} >> t{sub ad} where t{sub ad} is the advection time, c{sub 0} is the initial concentration in the medium, m{sub 0} is the 0th moment of the injection pulse; and t{sub a} is the mean residence time in the immobile domain (i.e., the characteristic mass transfer time). The function g is proportional to the residence time distribution in the immobile domain, the authors tabulate g for many geometries, including several distributed (multirate) models of mass transfer. Using this expression they examine the behavior of late-time concentration for a number of mass transfer models. One key results is that if rate-limited mass transfer causes the BTC to behave as a power-law at late-time (i.e., c {approximately} t{sup {minus}k}), then the underlying density function of rate coefficients must also be a power-law with the form a{sup k{minus}}, as a {r_arrow}0. This is true for both density functions of first-order and diffusion rate coefficients. BTCs with k < 3 persisting to the end of the experiment indicate a mean residence time longer than the experiment and possibly infinite, and also suggest an effective rate coefficient that is either undefined or changes as a function of observation time. They apply their analysis to breakthrough curves from Single-Well Injection-Withdrawal tests at the Waste Isolation Pilot Plant, New Mexico.

Model-based framework for multi-axial real-time hybrid simulation testing

Science.gov (United States)

Fermandois, Gaston A.; Spencer, Billie F.

2017-10-01

Real-time hybrid simulation is an efficient and cost-effective dynamic testing technique for performance evaluation of structural systems subjected to earthquake loading with rate-dependent behavior. A loading assembly with multiple actuators is required to impose realistic boundary conditions on physical specimens. However, such a testing system is expected to exhibit significant dynamic coupling of the actuators and suffer from time lags that are associated with the dynamics of the servo-hydraulic system, as well as control-structure interaction (CSI). One approach to reducing experimental errors considers a multi-input, multi-output (MIMO) controller design, yielding accurate reference tracking and noise rejection. In this paper, a framework for multi-axial real-time hybrid simulation (maRTHS) testing is presented. The methodology employs a real-time feedback-feedforward controller for multiple actuators commanded in Cartesian coordinates. Kinematic transformations between actuator space and Cartesian space are derived for all six-degrees-offreedom of the moving platform. Then, a frequency domain identification technique is used to develop an accurate MIMO transfer function of the system. Further, a Cartesian-domain model-based feedforward-feedback controller is implemented for time lag compensation and to increase the robustness of the reference tracking for given model uncertainty. The framework is implemented using the 1/5th-scale Load and Boundary Condition Box (LBCB) located at the University of Illinois at Urbana- Champaign. To demonstrate the efficacy of the proposed methodology, a single-story frame subjected to earthquake loading is tested. One of the columns in the frame is represented physically in the laboratory as a cantilevered steel column. For realtime execution, the numerical substructure, kinematic transformations, and controllers are implemented on a digital signal processor. Results show excellent performance of the maRTHS framework when six

ISC origin times for announced and presumed underground nuclear explosions at several test sites

International Nuclear Information System (INIS)

Rodean, H.C.

1979-01-01

Announced data for US and French underground nuclear explosions indicate that nearly all detonations have occurred within one or two tenths of a second after the minute. This report contains ISC origin-time data for announced explosions at two US test sites and one French test site, and includes similar data for presumed underground nuclear explosions at five Soviet sites. Origin-time distributions for these sites are analyzed for those events that appeared to be detonated very close to the minute. Particular attention is given to the origin times for the principal US and Soviet test sites in Nevada and Eastern Kazakhstan. The mean origin times for events at the several test sites range from 0.4 s to 2.8 s before the minute, with the earlier mean times associated with the Soviet sites and the later times with the US and French sites. These times indicate lower seismic velocities beneath the US and French sites, and higher velocities beneath the sites in the USSR 9 figures, 8 tables

A flexible and coherent test/estimation procedure based on restricted mean survival times for censored time-to-event data in randomized clinical trials.

Science.gov (United States)

Horiguchi, Miki; Cronin, Angel M; Takeuchi, Masahiro; Uno, Hajime

2018-04-22

In randomized clinical trials where time-to-event is the primary outcome, almost routinely, the logrank test is prespecified as the primary test and the hazard ratio is used to quantify treatment effect. If the ratio of 2 hazard functions is not constant, the logrank test is not optimal and the interpretation of hazard ratio is not obvious. When such a nonproportional hazards case is expected at the design stage, the conventional practice is to prespecify another member of weighted logrank tests, eg, Peto-Prentice-Wilcoxon test. Alternatively, one may specify a robust test as the primary test, which can capture various patterns of difference between 2 event time distributions. However, most of those tests do not have companion procedures to quantify the treatment difference, and investigators have fallen back on reporting treatment effect estimates not associated with the primary test. Such incoherence in the "test/estimation" procedure may potentially mislead clinicians/patients who have to balance risk-benefit for treatment decision. To address this, we propose a flexible and coherent test/estimation procedure based on restricted mean survival time, where the truncation time τ is selected data dependently. The proposed procedure is composed of a prespecified test and an estimation of corresponding robust and interpretable quantitative treatment effect. The utility of the new procedure is demonstrated by numerical studies based on 2 randomized cancer clinical trials; the test is dramatically more powerful than the logrank, Wilcoxon tests, and the restricted mean survival time-based test with a fixed τ, for the patterns of difference seen in these cancer clinical trials. Copyright © 2018 John Wiley & Sons, Ltd.

Test beam & time resolution analysis for UFSD and CVD diamond detectors

CERN Document Server

Scali, Stefano

2017-01-01

The ever-increasing luminosity in particle physics, aimed at seeking new phenomena, has led to the need for radiation-hard detectors with a remarkable time resolution. To reach the goal several tests and data analysis has been performed but further development is still required. During my internship I have participated to the test of new sensors. After an introduction to the theoretical framework this report describes the data taking procedure using SPS beam at the H8 site in Prevessin. The second part describes the data analysis and extrapolation of the time resolution for many boards.

Long residence times - bad tracer tests?

Science.gov (United States)

Ghergut, Julia; Behrens, Horst; Sauter, Martin

2015-04-01

Tracer tests conducted at geothermal well doublets or triplets in the Upper Rhine Rift Valley [1] all face, with very few exceptions so far, one common issue: lack of conclusive tracer test results, or tracer signals still undetectable for longer than one or two years after tracer injection. While the reasons for this surely differ from site to site (Riehen, Landau, Insheim, Bruchsal, ...), its effects on how the usefulness of tracer tests is perceived by the non-tracer community are pretty much the same. The 'poor-signal' frustration keeps nourishing two major 'alternative' endeavours : (I) design and execute tracer tests in single-well injection-withdrawal (push-pull), 'instead of' inter-well flow-path tracing configurations; (II) use 'novel' tracer substances instead of the 'old' ones which have 'obviously failed'. Frustration experienced with most inter-well tracer tests in the Upper Rhine Rift Valley has also made them be regarded as 'maybe useful for EGS' ('enhanced', or 'engineered' geothermal systems, whose fluid RTD typically include a major share of values below one year), but 'no longer worthwhile a follow-up sampling' in natural, large-scale hydrothermal reservoirs. We illustrate some of these arguments with the ongoing Bruchsal case [2]. The inter-well tracer test conducted at Bruchsal was (and still is!) aimed at assessing inter-well connectivity, fluid residence times, and characterizing the reservoir structure [3]. Fluid samples taken at the geothermal production well after reaching a fluid turnover of about 700,000 m3 showed tracer concentrations in the range of 10-8 Minj per m3, in the liquid phase of each sample (Minj being the total quantity of tracer injected as a short pulse at the geothermal re-injection well). Tracer signals might actually be higher, owing to tracer amounts co-precipitated and/or adsorbed onto the solid phase whose accumulation in the samples was unavoidable (due to pressure relief and degassing during the very sampling

Implementation and utilization of genetic testing in personalized medicine

Directory of Open Access Journals (Sweden)

Abul-Husn NS

2014-08-01

acceptance is pharmacogenetic testing, which interrogates sequence variants implicated in interindividual drug response variability. Although clinical pharmacogenetic testing has not previously been widely adopted, advances in rapid turnaround time genetic testing technology and the recent implementation of preemptive genotyping programs at selected medical centers suggest that personalized medicine through pharmacogenetics is now a reality. This review aims to summarize the current state of implementing genetic testing for personalized medicine, with an emphasis on clinical pharmacogenetic testing.Keywords: personalized medicine, pharmacogenetics, pharmacogenomics, direct-to-consumer genetic testing, point-of-care genetic testing, preemptive genetic testing, implementation

Accuracy of the Timed Up and Go test for predicting sarcopenia in elderly hospitalized patients.

Science.gov (United States)

Martinez, Bruno Prata; Gomes, Isabela Barboza; Oliveira, Carolina Santana de; Ramos, Isis Resende; Rocha, Mônica Diniz Marques; Forgiarini Júnior, Luiz Alberto; Camelier, Fernanda Warken Rosa; Camelier, Aquiles Assunção

2015-05-01

The ability of the Timed Up and Go test to predict sarcopenia has not been evaluated previously. The objective of this study was to evaluate the accuracy of the Timed Up and Go test for predicting sarcopenia in elderly hospitalized patients. This cross-sectional study analyzed 68 elderly patients (≥60 years of age) in a private hospital in the city of Salvador-BA, Brazil, between the 1st and 5th day of hospitalization. The predictive variable was the Timed Up and Go test score, and the outcome of interest was the presence of sarcopenia (reduced muscle mass associated with a reduction in handgrip strength and/or weak physical performance in a 6-m gait-speed test). After the descriptive data analyses, the sensitivity, specificity and accuracy of a test using the predictive variable to predict the presence of sarcopenia were calculated. In total, 68 elderly individuals, with a mean age 70.4±7.7 years, were evaluated. The subjects had a Charlson Comorbidity Index score of 5.35±1.97. Most (64.7%) of the subjects had a clinical admission profile; the main reasons for hospitalization were cardiovascular disorders (22.1%), pneumonia (19.1%) and abdominal disorders (10.2%). The frequency of sarcopenia in the sample was 22.1%, and the mean length of time spent performing the Timed Up and Go test was 10.02±5.38 s. A time longer than or equal to a cutoff of 10.85 s on the Timed Up and Go test predicted sarcopenia with a sensitivity of 67% and a specificity of 88.7%. The accuracy of this cutoff for the Timed Up and Go test was good (0.80; IC=0.66-0.94; p=0.002). The Timed Up and Go test was shown to be a predictor of sarcopenia in elderly hospitalized patients.

Experiments in a Combustion-Driven Shock Tube with an Area Change

Science.gov (United States)

Schmidt, B. E.; Bobbitt, B.; Parziale, N. J.; Shepherd, J. E.

Shock tubes are versatile and useful tools for studying high temperature gas dynamics and the production of hypervelocity flows. High shock speeds are desirable for creating higher enthalpy, pressure, and temperature in the test gas which makes the study of thermo-chemical effects on fluid dynamics possible. Independent of construction and operational cost, free-piston drivers, such as the one used in the T5 facility at Caltech, give the best performance [3]. The high operational cost and long turnaround time of such a facility make a more economical option desirable for smaller-scale testing.

The GEMUF test and issues to the near-real-time-accountancy

International Nuclear Information System (INIS)

Seifert, R.

1987-11-01

This paper presents a new sequential test procedure, called GEMUF test, to detect a loss of material in a sequence of accounting periods. The GEMUF test is based on the theoretically best possible, but in practice inapplicable, Neyman-Pearson tests. The idea of the GEMUF test is to estimate the unknown loss pattern by a weighted sum of MUF values. The numerical results are obtained by Monte Carlo simulations for a reference reprocessing facility with a throughput of 1000 t of heavy metal per year. They demonstrate in comparison with other sequential test procedures that this new test gives results for all considered loss patterns that are very close to the best possible results of the Neyman-Pearson tests, i.e. the GEMUF test is 'robust' to various loss patterns. The investigations show also that the GEMUF test is very 'sensitive' by virtue of its short detection time. (orig./HP) [de

Tests of general relativity from timing the double pulsar.

Science.gov (United States)

Kramer, M; Stairs, I H; Manchester, R N; McLaughlin, M A; Lyne, A G; Ferdman, R D; Burgay, M; Lorimer, D R; Possenti, A; D'Amico, N; Sarkissian, J M; Hobbs, G B; Reynolds, J E; Freire, P C C; Camilo, F

2006-10-06

The double pulsar system PSR J0737-3039A/B is unique in that both neutron stars are detectable as radio pulsars. They are also known to have much higher mean orbital velocities and accelerations than those of other binary pulsars. The system is therefore a good candidate for testing Einstein's theory of general relativity and alternative theories of gravity in the strong-field regime. We report on precision timing observations taken over the 2.5 years since its discovery and present four independent strong-field tests of general relativity. These tests use the theory-independent mass ratio of the two stars. By measuring relativistic corrections to the Keplerian description of the orbital motion, we find that the "post-Keplerian" parameter s agrees with the value predicted by general relativity within an uncertainty of 0.05%, the most precise test yet obtained. We also show that the transverse velocity of the system's center of mass is extremely small. Combined with the system's location near the Sun, this result suggests that future tests of gravitational theories with the double pulsar will supersede the best current solar system tests. It also implies that the second-born pulsar may not have formed through the core collapse of a helium star, as is usually assumed.

Western aeronautical test range real-time graphics software package MAGIC

Science.gov (United States)

Malone, Jacqueline C.; Moore, Archie L.

1988-01-01

The master graphics interactive console (MAGIC) software package used on the Western Aeronautical Test Range (WATR) of the NASA Ames Research Center is described. MAGIC is a resident real-time research tool available to flight researchers-scientists in the NASA mission control centers of the WATR at the Dryden Flight Research Facility at Edwards, California. The hardware configuration and capabilities of the real-time software package are also discussed.

Electromagnet Response Time Tests on Primary CRDM of a Prototype Gen-IV SFR

International Nuclear Information System (INIS)

Lee, Jae-Han; Koo, Gyeong-Hoi

2015-01-01

This paper identifies the electromagnetic response characteristics of the electromagnet of a primary control rod drive mechanism (CRDM) used for the reactor scram function. The test measures the electromagnet response time required to release an armature from a stator controlled by a loss of an electromagnetic force on an armature after shorting a power supply to an electromagnet coil. These tests are carried out while changing the electromagnet core material, an assist spring, and an armature holding current. The main factors influencing the test parameters on the response are found to be the armature holding current for holding the armature loads, and the material type of the electromagnet cores. The minimum response time is 0.13 seconds in the case of using SS410 material as an armature, while the S10C material as an armature has a response time of 0.21 seconds. Electromagnet response time characteristics from the test results will be evaluated by comparing the precise moving data of an electromagnet armature through the use of a high-speed camera and a potentiometer in the future

SCREAMER: a single-line pulsed-power design tool

International Nuclear Information System (INIS)

Kiefer, M.L.; Widner, M.M.

1985-01-01

SCREAMER is a special purpose circuit code developed as a design tool for single module accelerators. It is fast, accurate, flexible, and user-friendly. Its development was motivated by the excessive costs and long turn-around times incurred when using the SCEPTRE circuit analysis code to perform simulations of circuits with large numbers of nodes and with nonlinear components. Comparable simulations between SCREAMER running on a VAX 11/780 and SCEPTRE running on a CRAY-1S show that turn-around times and costs can be two orders of magnitude lower when using SCREAMER

SCREAMER - A single-line pulsed-power design tool

International Nuclear Information System (INIS)

Kiefer, M.L.; Widner, M.M.

1985-01-01

SCREAMER is a special purpose circuit code developed as a design tool for single module accelerators. it is fast, accurate, flexible, and user-friendly. Its development was motivated by the excessive costs and long turn-around times incurred when using the SCEPTRE circuit analysis code to perform simulations of circuits with large numbers of modes and with nonlinear components. Comparable simulations between SCREAMER running on a VAX 11/780 and SCEPTRE running on a CRAY-1S show that turn-around times and costs can be two orders of magnitude lower when using SCREAMER

The German energy policy as a consequence of Fukushima. The scientific discussion between nuclear phase-out and economic growth; Die deutsche ''Energiewende'' nach Fukushima. Der wissenschaftliche Diskurs zwischen Atomausstieg und Wachstumsdebatte

Energy Technology Data Exchange (ETDEWEB)

Radtke, Joerg [Bremen Univ. (Germany). Arbeitsgruppe fuer Energie und Infrastruktur; Hennig, Bettina (ed.) [Forschungsstelle Nachhaltigkeit und Klimapolitik, Leipzig (Germany)

2013-07-01

The book on the German energy policy as a consequence includes the following contributions: The German energy turnaround - scientific contributions. The energy turnaround in Germany - issue of interdisciplinary science. The transformation of the energy systems as social and technical challenge, - on the need of integrating energy research. Transformations and transformation blockades in the German energy system. The German energy turnaround in the context of international best practice. Energy turnaround also in Japan? - The chances of a nuclear phase-out. Possibilities and limits of public participation for the realization of an energy turnaround. Public energy in Germany - a model for participation? A plea for a comprehensive analysis of the energy turnaround in relation to the omnipresent crisis. Challenges and development in the German energy industry - consequences of the increasing percentage of renewable energies on the costs and the security of supply. Research funding and innovation promotion in the area of selected renewable energies. The economic chances of an energy turnaround. The need of appropriate monetary boundary conditions for the energy turnaround and the possibilities of an organization. The human factor in the context of the energy turnaround - environmental-psychological research approaches. The legal contribution to the energy turnaround. Vulnerability and resilience of energy systems. Geography of renewable energies -spatial constraints of a sustainable energy system. Critics and alternatives: The German energy turnaround that is no turnaround.

The German energy policy as a consequence of Fukushima. The scientific discussion between nuclear phase-out and economic growth

International Nuclear Information System (INIS)

Radtke, Joerg

2013-01-01

The book on the German energy policy as a consequence includes the following contributions: The German energy turnaround - scientific contributions. The energy turnaround in Germany - issue of interdisciplinary science. The transformation of the energy systems as social and technical challenge, - on the need of integrating energy research. Transformations and transformation blockades in the German energy system. The German energy turnaround in the context of international best practice. Energy turnaround also in Japan? - The chances of a nuclear phase-out. Possibilities and limits of public participation for the realization of an energy turnaround. Public energy in Germany - a model for participation? A plea for a comprehensive analysis of the energy turnaround in relation to the omnipresent crisis. Challenges and development in the German energy industry - consequences of the increasing percentage of renewable energies on the costs and the security of supply. Research funding and innovation promotion in the area of selected renewable energies. The economic chances of an energy turnaround. The need of appropriate monetary boundary conditions for the energy turnaround and the possibilities of an organization. The human factor in the context of the energy turnaround - environmental-psychological research approaches. The legal contribution to the energy turnaround. Vulnerability and resilience of energy systems. Geography of renewable energies -spatial constraints of a sustainable energy system. Critics and alternatives: The German energy turnaround that is no turnaround.

Real time test bed development for power system operation, control and cyber security

Science.gov (United States)

Reddi, Ram Mohan

The operation and control of the power system in an efficient way is important in order to keep the system secure, reliable and economical. With advancements in smart grid, several new algorithms have been developed for improved operation and control. These algorithms need to be extensively tested and validated in real time before applying to the real electric power grid. This work focuses on the development of a real time test bed for testing and validating power system control algorithms, hardware devices and cyber security vulnerability. The test bed developed utilizes several hardware components including relays, phasor measurement units, phasor data concentrator, programmable logic controllers and several software tools. Current work also integrates historian for power system monitoring and data archiving. Finally, two different power system test cases are simulated to demonstrate the applications of developed test bed. The developed test bed can also be used for power system education.

Standard Test Method for Gel Time of Carbon Fiber-Epoxy Prepreg

CERN Document Server

American Society for Testing and Materials. Philadelphia

1999-01-01

1.1 This test method covers the determination of gel time of carbon fiber-epoxy tape and sheet. The test method is suitable for the measurement of gel time of resin systems having either high or low viscosity. 1.2 The values stated in SI units are to be regarded as standard. The values in parentheses are for reference only. 1.3 This standard does not purport to address all of the safety concerns, if any, associated with its use. It is the responsibility of the user of this standard to establish appropriate safety and health practices and determine the applicability of regulatory limitations prior to use.

Degradation mechanisms and accelerated testing in PEM fuel cells

Energy Technology Data Exchange (ETDEWEB)

Borup, Rodney L [Los Alamos National Laboratory; Mukundan, Rangachary [Los Alamos National Laboratory

2010-01-01

The durability of PEM fuel cells is a major barrier to the commercialization of these systems for stationary and transportation power applications. Although there has been recent progress in improving durability, further improvements are needed to meet the commercialization targets. Past improvements have largely been made possible because of the fundamental understanding of the underlying degradation mechanisms. By investigating component and cell degradation modes; defining the fundamental degradation mechanisms of components and component interactions new materials can be designed to improve durability. Various factors have been shown to affect the useful life of PEM fuel cells. Other issues arise from component optimization. Operational conditions (such as impurities in either the fuel and oxidant stream), cell environment, temperature (including subfreezing exposure), pressure, current, voltage, etc.; or transient versus continuous operation, including start-up and shutdown procedures, represent other factors that can affect cell performance and durability. The need for Accelerated Stress Tests (ASTs) can be quickly understood given the target lives for fuel cell systems: 5000 hours ({approx} 7 months) for automotive, and 40,000 hrs ({approx} 4.6 years) for stationary systems. Thus testing methods that enable more rapid screening of individual components to determine their durability characteristics, such as off-line environmental testing, are needed for evaluating new component durability in a reasonable turn-around time. This allows proposed improvements in a component to be evaluated rapidly and independently, subsequently allowing rapid advancement in PEM fuel cell durability. These tests are also crucial to developers in order to make sure that they do not sacrifice durability while making improvements in costs (e.g. lower platinum group metal [PGM] loading) and performance (e.g. thinner membrane or a GDL with better water management properties). To

A low-cost test-bed for real-time landmark tracking

Science.gov (United States)

Csaszar, Ambrus; Hanan, Jay C.; Moreels, Pierre; Assad, Christopher

2007-04-01

A low-cost vehicle test-bed system was developed to iteratively test, refine and demonstrate navigation algorithms before attempting to transfer the algorithms to more advanced rover prototypes. The platform used here was a modified radio controlled (RC) car. A microcontroller board and onboard laptop computer allow for either autonomous or remote operation via a computer workstation. The sensors onboard the vehicle represent the types currently used on NASA-JPL rover prototypes. For dead-reckoning navigation, optical wheel encoders, a single axis gyroscope, and 2-axis accelerometer were used. An ultrasound ranger is available to calculate distance as a substitute for the stereo vision systems presently used on rovers. The prototype also carries a small laptop computer with a USB camera and wireless transmitter to send real time video to an off-board computer. A real-time user interface was implemented that combines an automatic image feature selector, tracking parameter controls, streaming video viewer, and user generated or autonomous driving commands. Using the test-bed, real-time landmark tracking was demonstrated by autonomously driving the vehicle through the JPL Mars yard. The algorithms tracked rocks as waypoints. This generated coordinates calculating relative motion and visually servoing to science targets. A limitation for the current system is serial computing-each additional landmark is tracked in order-but since each landmark is tracked independently, if transferred to appropriate parallel hardware, adding targets would not significantly diminish system speed.

Optimal testing input sets for reduced diagnosis time of nuclear power plant digital electronic circuits

International Nuclear Information System (INIS)

Kim, D.S.; Seong, P.H.

1994-01-01

This paper describes the optimal testing input sets required for the fault diagnosis of the nuclear power plant digital electronic circuits. With the complicated systems such as very large scale integration (VLSI), nuclear power plant (NPP), and aircraft, testing is the major factor of the maintenance of the system. Particularly, diagnosis time grows quickly with the complexity of the component. In this research, for reduce diagnosis time the authors derived the optimal testing sets that are the minimal testing sets required for detecting the failure and for locating of the failed component. For reduced diagnosis time, the technique presented by Hayes fits best for the approach to testing sets generation among many conventional methods. However, this method has the following disadvantages: (a) it considers only the simple network (b) it concerns only whether the system is in failed state or not and does not provide the way to locate the failed component. Therefore the authors have derived the optimal testing input sets that resolve these problems by Hayes while preserving its advantages. When they applied the optimal testing sets to the automatic fault diagnosis system (AFDS) which incorporates the advanced fault diagnosis method of artificial intelligence technique, they found that the fault diagnosis using the optimal testing sets makes testing the digital electronic circuits much faster than that using exhaustive testing input sets; when they applied them to test the Universal (UV) Card which is a nuclear power plant digital input/output solid state protection system card, they reduced the testing time up to about 100 times

Time Trials Versus Time-to-Exhaustion Tests: Effects on Critical Power, W', and Oxygen-Uptake Kinetics.

Science.gov (United States)

Karsten, Bettina; Baker, Jonathan; Naclerio, Fernando; Klose, Andreas; Bianco, Antonino; Nimmerichter, Alfred

2018-02-01

To investigate single-day time-to-exhaustion (TTE) and time-trial (TT) -based laboratory tests values of critical power (CP), W prime (W'), and respective oxygen-uptake-kinetic responses. Twelve cyclists performed a maximal ramp test followed by 3 TTE and 3 TT efforts interspersed by 60 min recovery between efforts. Oxygen uptake ( V ˙ O 2 ) was measured during all trials. The mean response time was calculated as a description of the overall [Formula: see text]-kinetic response from the onset to 2 min of exercise. TTE-determined CP was 279 ± 52 W, and TT-determined CP was 276 ± 50 W (P = .237). Values of W' were 14.3 ± 3.4 kJ (TTE W') and 16.5 ± 4.2 kJ (TT W') (P = .028). While a high level of agreement (-12 to 17 W) and a low prediction error of 2.7% were established for CP, for W' limits of agreements were markedly lower (-8 to 3.7 kJ), with a prediction error of 18.8%. The mean standard error for TTE CP values was significantly higher than that for TT CP values (2.4% ± 1.9% vs 1.2% ± 0.7% W). The standard errors for TTE W' and TT W' were 11.2% ± 8.1% and 5.6% ± 3.6%, respectively. The [Formula: see text] response was significantly faster during TT (~22 s) than TTE (~28 s). The TT protocol with a 60-min recovery period offers a valid, time-saving, and less error-filled alternative to conventional and more recent testing methods. Results, however, cannot be transferred to W'.

Accuracy of the Timed Up and Go test for predicting sarcopenia in elderly hospitalized patients

Directory of Open Access Journals (Sweden)

Bruno Prata Martinez

2015-05-01

Full Text Available OBJECTIVES: The ability of the Timed Up and Go test to predict sarcopenia has not been evaluated previously. The objective of this study was to evaluate the accuracy of the Timed Up and Go test for predicting sarcopenia in elderly hospitalized patients. METHODS: This cross-sectional study analyzed 68 elderly patients (≥60 years of age in a private hospital in the city of Salvador-BA, Brazil, between the 1st and 5th day of hospitalization. The predictive variable was the Timed Up and Go test score, and the outcome of interest was the presence of sarcopenia (reduced muscle mass associated with a reduction in handgrip strength and/or weak physical performance in a 6-m gait-speed test. After the descriptive data analyses, the sensitivity, specificity and accuracy of a test using the predictive variable to predict the presence of sarcopenia were calculated. RESULTS: In total, 68 elderly individuals, with a mean age 70.4±7.7 years, were evaluated. The subjects had a Charlson Comorbidity Index score of 5.35±1.97. Most (64.7% of the subjects had a clinical admission profile; the main reasons for hospitalization were cardiovascular disorders (22.1%, pneumonia (19.1% and abdominal disorders (10.2%. The frequency of sarcopenia in the sample was 22.1%, and the mean length of time spent performing the Timed Up and Go test was 10.02±5.38 s. A time longer than or equal to a cutoff of 10.85 s on the Timed Up and Go test predicted sarcopenia with a sensitivity of 67% and a specificity of 88.7%. The accuracy of this cutoff for the Timed Up and Go test was good (0.80; IC=0.66-0.94; p=0.002. CONCLUSION: The Timed Up and Go test was shown to be a predictor of sarcopenia in elderly hospitalized patients.

Systematic test on fast time resolution parallel plate avalanche counter

International Nuclear Information System (INIS)

Chen Yu; Li Guangwu; Gu Xianbao; Chen Yanchao; Zhang Gang; Zhang Wenhui; Yan Guohong

2011-01-01

Systematic test on each detect unit of parallel plate avalanche counter (PPAC) used in the fission multi-parameter measurement was performed with a 241 Am α source to get the time resolution and position resolution. The detectors work at 600 Pa flowing isobutane and with-600 V on cathode. The time resolution was got by TOF method and the position resolution was got by delay line method. The time resolution of detect units is better than 400 ps, and the position resolution is 6 mm. The results show that the demand of measurement is fully covered. (authors)

The Cherenkov correlated timing detector: beam test results from quartz and acrylic bars

International Nuclear Information System (INIS)

Kichimi, H.; Sugaya, Y.; Yamaguchi, H.; Yoshimura, Y.; Kanda, S.; Olsen, S.; Ueno, K.; Varner, G.; Bergfeld, T.; Bialek, J.; Lorenc, J.; Palmer, M.; Rudnick, G.; Selen, M.; Auran, T.; Boyer, V.; Honscheid, K.; Tamura, N.; Yoshimura, K.; Lu, C.; Marlow, D.; Mindas, C.; Prebys, E.; Asai, M.; Kimura, A.; Hayashi, S.

1996-01-01

Several prototypes of a Cherenkov correlated timing (CCT) detector have been tested at the KEK-PS test beam line. We describe the results for Cherenkov light yields and timing characteristics from quartz and acrylic bar prototypes. A Cherenkov angle resolution is found to be 15 mrad at a propagation distance of 100 cm with a 2 cm thick quartz bar prototype. (orig.)

Field expansion of DNA polymerase chain reaction for early infant diagnosis of HIV-1: The Ethiopian experience

Directory of Open Access Journals (Sweden)

Peter Fonjungo

2013-05-01

Full Text Available Background: Early diagnosis of infants infected with HIV (EID and early initiation of treatment significantly reduces the rate of disease progression and mortality. One of the challengesto identification of HIV-1-infected infants is availability and/or access to quality molecular laboratory facilities which perform molecular virologic assays suitable for accurate identificationof the HIV status of infants. Method: We conducted a joint site assessment and designed laboratories for the expansion of DNA polymerase chain reaction (PCR testing based on dried blood spot (DBS for EID insix regions of Ethiopia. Training of appropriate laboratory technologists and development of required documentation including standard operating procedures (SOPs was carried out. The impact of the expansion of EID laboratories was assessed by the number of tests performed as well as the turn-around time. Results: DNA PCR for EID was introduced in 2008 in six regions. From April 2006 to April 2008, a total of 2848 infants had been tested centrally at the Ethiopian Health and Nutrition Research Institute (EHNRI in Addis Ababa, and which was then the only laboratory with the capability to perform EID; 546 (19.2% of the samples were positive. By November 2010, EHNRI and the six laboratories had tested an additional 16 985 HIV-exposed infants, of which 1915 (11.3% were positive. The median turn-around time for test results was 14 days (range 14−21 days. Conclusion: Expansion of HIV DNA PCR testing facilities that can provide quality and reliable results is feasible in resource-limited settings. Regular supervision and monitoring for quality assurance of these laboratories is essential to maintain accuracy of testing.

Point-of-Care Virologic Testing to Improve Outcomes of HIV-Infected Children in Zambia: A Clinical Trial Protocol.

Science.gov (United States)

Chibwesha, Carla J; Ford, Catherine E; Mollan, Katie R; Stringer, Jeffrey S A

2016-08-01

In the absence of early infant diagnosis (EID) and immediate antiretroviral therapy (ART), some 50% of untreated HIV-infected infants die before age 2. Conventional EID requires sophisticated instruments that are typically placed in centralized or reference laboratories. In low-resource settings, centralized systems often lead to result turnaround times of several months, long delays in diagnosis, and adverse outcomes for HIV-infected children. Our clinical trial tests the effectiveness of a new point-of-care (POC) diagnostic technology to identify HIV-infected infants and start providing them life-saving ART as soon as possible. The study uses a randomized, controlled design to test whether the Alere q platform for HIV DNA polymerase chain reaction (PCR) testing improves outcomes of HIV-infected children in Zambia. We aim to enroll 2867 HIV-exposed infants aged 4-12 weeks and to follow those who are HIV infected for 12 months as they receive HIV care at 6 public health facilities in Lusaka. The trial's primary endpoint is the proportion of HIV-infected infants in each study arm who start ART and remain alive, in care, and virally suppressed 12 months after their diagnostic blood draw. Our trial will provide evidence for the incremental benefit of implementing a POC EID strategy in low-resource settings where only off-site PCR services are currently available. The results will be useful in guiding future decisions regarding investments in POC virologic testing as part of overall pediatric AIDS mitigation strategies in sub-Saharan Africa. clinicaltrials.gov NCT02682810.

Timing system design and tests for the Gravity Probe B relativity mission

International Nuclear Information System (INIS)

Li, J; Keiser, G M; Ohshima, Y; Shestople, P; Lockhart, J M

2015-01-01

In this paper, we discuss the timing system design and tests for the NASA/Stanford Gravity Probe B (GP-B) relativity mission. The primary clock of GP-B, called the 16f o clock, was an oven-controlled crystal oscillator that produced a 16.368 MHz master frequency 3 . The 16f o clock and the 10 Hz data strobe, which was divided down from the 16f o clock, provided clock signals to all GP-B components and synchronized the data collection, transmission, and processing. The sampled data of science signals were stamped with the vehicle time, a counter of the 10 Hz data strobe. The time latency between the time of data sampling and the stamped vehicle time was compensated in the ground data processing. Two redundant global positioning system receivers onboard the GP-B satellite supplied an external reference for time transfer between the vehicle time and coordinated universal time (UTC), and the time conversion was established in the ground preprocessing of the telemetry timing data. The space flight operation showed that the error of time conversion between the vehicle time and UTC was less than 2 μs. Considering that the constant timing offsets were compensated in the ground processing of the GP-B science data, the time latency between the effective sampling time of GP-B science signals and the stamped vehicle time was verified to within 1 ms in the ground tests. (paper)

Response Time Analysis and Test of Protection System Instrument Channels for APR1400 and OPR1000

Energy Technology Data Exchange (ETDEWEB)

Lee, Chang Jae; Han, Seung; Yun, Jae Hee; Baek, Seung Min [Department of Instrumentation and Control System Engineering, KEPCO Engineering and Construction, Daejeon (Korea, Republic of); Lee, Sang Jeong [Department of Electronics Engineering, Chungnam National University, Daejeon (Korea, Republic of)

2015-07-01

Safety limits are required to maintain the integrity of physical barriers designed to prevent the uncontrolled release of radioactive materials in nuclear power plants. The safety analysis establishes two critical constraints that include an analytical limit in terms of a measured or calculated variable, and a specific time after the analytical limit is reached to begin protective action. Keeping with the nuclear regulations and industry standards, satisfying these two requirements will ensure that the safety limit will not be exceeded during the design basis event, either an anticipated operational occurrence or a postulated accident. Various studies on the setpoint determination methodology for the safety-related instrumentation have been actively performed to ensure that the requirement of the analytical limit is satisfied. In particular, the protection setpoint methodology for the advanced power reactor 1400 (APP1400) and the optimized power reactor 1000 (OPR1000) has been recently developed to cover both the design basis event and the beyond design basis event. The developed setpoint methodology has also been quantitatively validated using specific computer programs and setpoint calculations. However, the safety of nuclear power plants cannot be fully guaranteed by satisfying the requirement of the analytical limit. In spite of the response time verification requirements of nuclear regulations and industry standards, it is hard to find the studies on the systematically integrated methodology regarding the response time evaluation. In cases of APR1400 and OPR1000, the response time analysis for the plant protection system is partially included in the setpoint calculation and the response time test is separately performed via the specific plant procedure. The test technique has a drawback which is the difficulty to demonstrate completeness of timing test. The analysis technique has also a demerit of resulting in extreme times that not actually possible. Thus

Response Time Analysis and Test of Protection System Instrument Channels for APR1400 and OPR1000

International Nuclear Information System (INIS)

Lee, Chang Jae; Han, Seung; Yun, Jae Hee; Baek, Seung Min; Lee, Sang Jeong

2015-01-01

Safety limits are required to maintain the integrity of physical barriers designed to prevent the uncontrolled release of radioactive materials in nuclear power plants. The safety analysis establishes two critical constraints that include an analytical limit in terms of a measured or calculated variable, and a specific time after the analytical limit is reached to begin protective action. Keeping with the nuclear regulations and industry standards, satisfying these two requirements will ensure that the safety limit will not be exceeded during the design basis event, either an anticipated operational occurrence or a postulated accident. Various studies on the setpoint determination methodology for the safety-related instrumentation have been actively performed to ensure that the requirement of the analytical limit is satisfied. In particular, the protection setpoint methodology for the advanced power reactor 1400 (APP1400) and the optimized power reactor 1000 (OPR1000) has been recently developed to cover both the design basis event and the beyond design basis event. The developed setpoint methodology has also been quantitatively validated using specific computer programs and setpoint calculations. However, the safety of nuclear power plants cannot be fully guaranteed by satisfying the requirement of the analytical limit. In spite of the response time verification requirements of nuclear regulations and industry standards, it is hard to find the studies on the systematically integrated methodology regarding the response time evaluation. In cases of APR1400 and OPR1000, the response time analysis for the plant protection system is partially included in the setpoint calculation and the response time test is separately performed via the specific plant procedure. The test technique has a drawback which is the difficulty to demonstrate completeness of timing test. The analysis technique has also a demerit of resulting in extreme times that not actually possible. Thus

Use of matrix-assisted laser desorption/ionisation-time of flight mass spectrometry analyser in a diagnostic microbiology laboratory in a developing country

Directory of Open Access Journals (Sweden)

Atang Bulane

2017-12-01

Objective: We compared MALDI-TOF MS against two commercial systems, MicroScan Walkaway and VITEK 2 MS. Methods: Over a three-month period from July 2013 to September 2013, a total of 227 bacteria and yeasts were collected from an academic microbiology laboratory (N = 121; 87 Gramnegatives, seven Gram-positives, 27 yeasts and other laboratories (N = 106; 35 Gram-negatives, 34 Gram-positives, 37 yeasts. Sixty-five positive blood cultures were initially processed with Bruker Sepsityper kit for direct identification. Results: From the 65 blood culture bottles, four grew more than one bacterial pathogen and MALDI-TOF MS identified only one isolate. The blood cultures yielded 21 Gram-negatives, 43 Gram-positives and one Candida. There were 21 Escherirchia coli isolates which were reported by the MALDI-TOF MS as E. coli/Shigella. Of the total 292 isolates, discrepant results were found for one bacterial and three yeast isolates. Discrepant results were resolved by testing with the API system with MALDI-TOF MS showing 100% correlation. Conclusion: The MALDI-TOF MS proved to be very useful for rapid and reliable identification of bacteria and yeasts directly from blood cultures and after culture of other specimens. The difference in time to identification was significant for all isolates. However, for positive blood cultures with minimal sample preparation time there was a massive difference in turn-around time with great appreciation by clinicians.

Factors that influence standard automated perimetry test results in glaucoma: test reliability, technician experience, time of day, and season.

Science.gov (United States)

Junoy Montolio, Francisco G; Wesselink, Christiaan; Gordijn, Marijke; Jansonius, Nomdo M

2012-10-09

To determine the influence of several factors on standard automated perimetry test results in glaucoma. Longitudinal Humphrey field analyzer 30-2 Swedish interactive threshold algorithm data from 160 eyes of 160 glaucoma patients were used. The influence of technician experience, time of day, and season on the mean deviation (MD) was determined by performing linear regression analysis of MD against time on a series of visual fields and subsequently performing a multiple linear regression analysis with the MD residuals as dependent variable and the factors mentioned above as independent variables. Analyses were performed with and without adjustment for the test reliability (fixation losses and false-positive and false-negative answers) and with and without stratification according to disease stage (baseline MD). Mean follow-up was 9.4 years, with on average 10.8 tests per patient. Technician experience, time of day, and season were associated with the MD. Approximately 0.2 dB lower MD values were found for inexperienced technicians (P Technician experience, time of day, season, and the percentage of false-positive answers have a significant influence on the MD of standard automated perimetry.

Air Cargo Transportation Route Choice Analysis

Science.gov (United States)

Obashi, Hiroshi; Kim, Tae-Seung; Oum, Tae Hoon

2003-01-01

Using a unique feature of air cargo transshipment data in the Northeast Asian region, this paper identifies the critical factors that determine the transshipment route choice. Taking advantage of the variations in the transport characteristics in each origin-destination airports pair, the paper uses a discrete choice model to describe the transshipping route choice decision made by an agent (i.e., freight forwarder, consolidator, and large shipper). The analysis incorporates two major factors, monetary cost (such as line-haul cost and landing fee) and time cost (i.e., aircraft turnaround time, including loading and unloading time, custom clearance time, and expected scheduled delay), along with other controls. The estimation method considers the presence of unobserved attributes, and corrects for resulting endogeneity by use of appropriate instrumental variables. Estimation results find that transshipment volumes are more sensitive to time cost, and that the reduction in aircraft turnaround time by 1 hour would be worth the increase in airport charges by more than $1000. Simulation exercises measures the impacts of alternative policy scenarios for a Korean airport, which has recently declared their intention to be a future regional hub in the Northeast Asian region. The results suggest that reducing aircraft turnaround time at the airport be an effective strategy, rather than subsidizing to reduce airport charges.

The AGIS metric and time of test: A replication study

OpenAIRE

Counsell, S; Swift, S; Tucker, A

2016-01-01

Visual Field (VF) tests and corresponding data are commonly used in clinical practices to manage glaucoma. The standard metric used to measure glaucoma severity is the Advanced Glaucoma Intervention Studies (AGIS) metric. We know that time of day when VF tests are applied can influence a patient’s AGIS metric value; a previous study showed that this was the case for a data set of 160 patients. In this paper, we replicate that study using data from 2468 patients obtained from Moorfields Eye Ho...

Field demonstration of rapid turnaround, multilevel groundwater screening

International Nuclear Information System (INIS)

Tingle, A.R.; Baker, L.; Long, D.D.

1994-01-01

A combined technology approach to rapidly characterizing source area and downgradient groundwater associated with a past fuel spill has been field tested. The purpose of this investigation was to determine the presence and extent of fuel-related compounds or indications of their biodegradation in groundwater. The distance from the source area to be investigated was established by calculating the potential extent of a plume based only on groundwater flow velocities. To accomplish this objective, commercially available technologies were combined and used to rapidly assess the source area and downgradient groundwater associated with the fuel discharge. The source of contamination that was investigated overlies glacial sand and gravel outwash deposits. Historical data suggest that from 1955 to 1970 as many as 1 to 6 million pi of aviation gasoline (AVGAS) were god at the study area. Although the remedial investigation (RI) for this study area indicated fuel-related groundwater contamination at the source area, fuel-related contamination was not detected in downgradient monitoring wells. Rapid horizontal groundwater velocities and the 24-year time span from the last reported spill farther suggest that a plume of contaminated groundwater could extend several thousand feet downgradient. The lack of contamination downgradient from the source suggests two possibilities: (1) monitoring wells installed during the RI did not intersect the plume or (2) fuel-related compounds had naturally degraded

Influence of the centrifuge time of primary plasma tubes on routine coagulation testing.

Science.gov (United States)

Lippi, Giuseppe; Salvagno, Gian Luca; Montagnana, Martina; Manzato, Franco; Guidi, Gian Cesare

2007-07-01

Preparation of blood specimens is a major bottleneck in the laboratory throughput. Reliable strategies for reducing the time required for specimen processing without affecting quality should be acknowledged, especially for laboratories performing stat analyses. The present investigation was planned to establish a minimal suitable centrifuge time for primary samples collected for routine coagulation testing. Five sequential primary vacuum tubes containing 0.109 mol/l buffered trisodium citrate were collected from 10 volunteers and were immediately centrifuged on a conventional centrifuge at 1500 x g, at room temperature for 1, 2, 5, 10 and 15 min, respectively. Hematological and routine coagulation testing, including prothrombin time, activated partial thromboplastin time and fibrinogen, were performed. The centrifugation time was inversely associated with residual blood cell elements in plasma, especially platelets. Statistically significant variations from the reference 15-min centrifuge specimens were observed for fibrinogen in samples centrifuged for 5 min at most and for the activated partial thromboplastin time in samples centrifuged for 2 min at most. Meaningful biases related to the desirable bias were observed for fibrinogen in samples centrifuged for 2 min at most, and for the activated partial thromboplastin time in samples centrifuged for 1 min at most. According to our experimental conditions, a 5-10 min centrifuge time at 1500 x g may be suitable for primary tubes collected for routine coagulation testing.

Testing the Zimbardo Time Perspective Inventory in the Chinese context.

Science.gov (United States)

Wang, Ya; Chen, Xing-Jie; Cui, Ji-Fang; Liu, Lu-Lu

2015-09-01

In this study, the authors evaluated the Chinese version of the Zimbardo Time Perspective Inventory (ZTPI). The ZTPI was tested among a sample of 303 university students. A subsample of 51 participants was then asked to complete the ZTPI again along with another set of questionnaires. The five-factor model of a 20-item short version of the ZTPI showed good model fit, internal consistency, and test-retest reliability. The 20-item Chinese version of the ZTPI also provided good validity, showing correlations with other variables in expected directions. Past-Positive was positively correlated with reappraisal and negatively correlated with suppression emotion regulation strategies, and Present-Hedonistic was positively correlated with reappraisal emotion regulation strategies. These findings indicate that the ZTPI is a reliable and valid instrument for measuring time perspective in the Chinese setting. © 2015 The Institute of Psychology, Chinese Academy of Sciences and Wiley Publishing Asia Pty Ltd.

Neutral meson tests of time-reversal symmetry invariance

OpenAIRE

Bevan, Adrian; Inguglia, Gianluca; Zoccali, Michele

2013-01-01

The laws of quantum physics can be studied under the mathematical operation T that inverts the direction of time. Strong and electromagnetic forces are known to be invariant under temporal inversion, however the weak force is not. The BaBar experiment recently exploited the quantum-correlated production of pairs of B0 mesons to show that T is a broken symmetry. Here we show that it is possible to perform a wide range of tests of quark flavour changing processes under T in order to validate th...

Life time test of a partial model of HTGR helium-helium heat exchanger

International Nuclear Information System (INIS)

Kitagawa, Masaki; Hattori, Hiroshi; Ohtomo, Akira; Teramae, Tetsuo; Hamanaka, Junichi; Itoh, Mitsuyoshi; Urabe, Shigemi

1984-01-01

Authors had proposed a design guide for the HTGR components and applied it to the design and construction of the 1.5 Mwt helium heat exchanger test loop for the nuclear steel making under the financial support of the Japanese Ministry of International Trade and Industry. In order to assure that the design method covers all the conceivable failure mode and has enough safety margin, a series of life time tests of partial model may be needed. For this project, three types of model tests were performed. A life time test of a partial model of the center manifold pipe and eight heat exchanger tubes were described in this report. A damage criterion with a set of material constants and a simplified method for stress-strain analysis for stub tube under three dimensional load were newly developed and used to predict the lives of each tube. The predicted lives were compared with the experimental lives and good agreement was found between the two. The life time test model was evaluated according to the proposed design guide and it was found that the guide has a safety factor of approximately 200 in life for this particular model. (author)

Response Time Test for The Application of the Data Communication Network to Nuclear Power Plant

International Nuclear Information System (INIS)

Shin, Y.C.; Lee, J.Y.; Park, H.Y.; Seong, S.H.; Chung, H.Y.

2002-01-01

This paper discusses the response time test for the application of the Data Communication Network (DCN) to Nuclear Power Plant (NPP). Conventional Instrumentation and Control (I and C) Systems using the analog technology in NPP have raised many problems regarding the lack of spare parts, maintenance burden, inaccuracy, etc.. In order to solve the problems, the Korean Next Generation Reactor (KNGR) I and C system has adopted the digital technology and new design features of using the data communication networks. It is essential to prove the response time requirements that arise from the introduction of digital I and C technology and data communication networks to nuclear power plant design. For the response time test, a high reliable data communication network structure has been developed to meet the requirements of redundancy, diversity, and segmentation. This paper presents the results of network load analysis and response time test for the KNGR DCN prototype. The test has been focused on the response time from the field components to the gateway because the response times from the gateway to the specific systems are similar to those of the existing design. It is verified that the response time requirements are met through the prototype test for KNGR I and C systems. (authors)

Testing for Stationarity and Nonlinearity of Daily Streamflow Time Series Based on Different Statistical Tests (Case Study: Upstream Basin Rivers of Zarrineh Roud Dam

Directory of Open Access Journals (Sweden)

Farshad Fathian

2017-02-01

Full Text Available Introduction: Time series models are one of the most important tools for investigating and modeling hydrological processes in order to solve problems related to water resources management. Many hydrological time series shows nonstationary and nonlinear behaviors. One of the important hydrological modeling tasks is determining the existence of nonstationarity and the way through which we can access the stationarity accordingly. On the other hand, streamflow processes are usually considered as nonlinear mechanisms while in many studies linear time series models are used to model streamflow time series. However, it is not clear what kind of nonlinearity is acting underlying the streamflowprocesses and how intensive it is. Materials and Methods: Streamflow time series of 6 hydro-gauge stations located in the upstream basin rivers of ZarrinehRoud dam (located in the southern part of Urmia Lake basin have been considered to investigate stationarity and nonlinearity. All data series used here to startfrom January 1, 1997, and end on December 31, 2011. In this study, stationarity is tested by ADF and KPSS tests and nonlinearity is tested by BDS, Keenan and TLRT tests. The stationarity test is carried out with two methods. Thefirst one method is the augmented Dickey-Fuller (ADF unit root test first proposed by Dickey and Fuller (1979 and modified by Said and Dickey (1984, which examinsthe presence of unit roots in time series.The second onemethod is KPSS test, proposed by Kwiatkowski et al. (1992, which examinesthestationarity around a deterministic trend (trend stationarity and the stationarity around a fixed level (level stationarity. The BDS test (Brock et al., 1996 is a nonparametric method for testing the serial independence and nonlinear structure in time series based on the correlation integral of the series. The null hypothesis is the time series sample comes from an independent identically distributed (i.i.d. process. The alternative hypothesis

From customer satisfaction survey to corrective actions in laboratory services in a university hospital.

Science.gov (United States)

Oja, Paula I; Kouri, Timo T; Pakarinen, Arto J

2006-12-01

To find out the satisfaction of clinical units with laboratory services in a university hospital, to point out the most important problems and defects in services, to carry out corrective actions, and thereafter to identify the possible changes in satisfaction. and Senior physicians and nurses-in-charge of the clinical units at Oulu University Hospital, Finland. Customer satisfaction survey using a questionnaire was carried out in 2001, indicating the essential aspects of laboratory services. Customer-specific problems were clarified, corrective actions were performed, and the survey was repeated in 2004. In 2001, the highest dissatisfaction rates were recorded for computerized test requesting and reporting, turnaround times of tests, and the schedule of phlebotomy rounds. The old laboratory information system was not amenable to major improvements, and it was renewed in 2004-05. Several clinical units perceived turnaround times to be long, because the tests were ordered as routine despite emergency needs. Instructions about stat requesting were given to these units. However, no changes were evident in the satisfaction level in the 2004 survey. Following negotiations with the clinics, phlebotomy rounds were re-scheduled. This resulted in a distinct increase in satisfaction in 2004. Satisfaction survey is a screening tool that identifies topics of dissatisfaction. Without further clarifications, it is not possible to find out the specific problems of customers and to undertake targeted corrective actions. Customer-specific corrections are rarely seen as improvements in overall satisfaction rates.

Test of the FLRW Metric and Curvature with Strong Lens Time Delays

International Nuclear Information System (INIS)

Liao, Kai; Li, Zhengxiang; Wang, Guo-Jian; Fan, Xi-Long

2017-01-01

We present a new model-independent strategy for testing the Friedmann–Lemaître–Robertson–Walker (FLRW) metric and constraining cosmic curvature, based on future time-delay measurements of strongly lensed quasar-elliptical galaxy systems from the Large Synoptic Survey Telescope and supernova observations from the Dark Energy Survey. The test only relies on geometric optics. It is independent of the energy contents of the universe and the validity of the Einstein equation on cosmological scales. The study comprises two levels: testing the FLRW metric through the distance sum rule (DSR) and determining/constraining cosmic curvature. We propose an effective and efficient (redshift) evolution model for performing the former test, which allows us to concretely specify the violation criterion for the FLRW DSR. If the FLRW metric is consistent with the observations, then on the second level the cosmic curvature parameter will be constrained to ∼0.057 or ∼0.041 (1 σ ), depending on the availability of high-redshift supernovae, which is much more stringent than current model-independent techniques. We also show that the bias in the time-delay method might be well controlled, leading to robust results. The proposed method is a new independent tool for both testing the fundamental assumptions of homogeneity and isotropy in cosmology and for determining cosmic curvature. It is complementary to cosmic microwave background plus baryon acoustic oscillation analyses, which normally assume a cosmological model with dark energy domination in the late-time universe.

Test of the FLRW Metric and Curvature with Strong Lens Time Delays

Energy Technology Data Exchange (ETDEWEB)

Liao, Kai [School of Science, Wuhan University of Technology, Wuhan 430070 (China); Li, Zhengxiang; Wang, Guo-Jian [Department of Astronomy, Beijing Normal University, Beijing 100875 (China); Fan, Xi-Long, E-mail: liaokai@whut.edu.cn, E-mail: xilong.fan@glasgow.ac.uk [Department of Physics and Mechanical and Electrical Engineering, Hubei University of Education, Wuhan 430205 (China)

2017-04-20

We present a new model-independent strategy for testing the Friedmann–Lemaître–Robertson–Walker (FLRW) metric and constraining cosmic curvature, based on future time-delay measurements of strongly lensed quasar-elliptical galaxy systems from the Large Synoptic Survey Telescope and supernova observations from the Dark Energy Survey. The test only relies on geometric optics. It is independent of the energy contents of the universe and the validity of the Einstein equation on cosmological scales. The study comprises two levels: testing the FLRW metric through the distance sum rule (DSR) and determining/constraining cosmic curvature. We propose an effective and efficient (redshift) evolution model for performing the former test, which allows us to concretely specify the violation criterion for the FLRW DSR. If the FLRW metric is consistent with the observations, then on the second level the cosmic curvature parameter will be constrained to ∼0.057 or ∼0.041 (1 σ ), depending on the availability of high-redshift supernovae, which is much more stringent than current model-independent techniques. We also show that the bias in the time-delay method might be well controlled, leading to robust results. The proposed method is a new independent tool for both testing the fundamental assumptions of homogeneity and isotropy in cosmology and for determining cosmic curvature. It is complementary to cosmic microwave background plus baryon acoustic oscillation analyses, which normally assume a cosmological model with dark energy domination in the late-time universe.

Decreasing Turnaround Time and Increasing Patient Satisfaction in a Safety Net Hospital-Based Pediatrics Clinic Using Lean Six Sigma Methodologies.

Science.gov (United States)

Jayasinha, Yasangi

2016-01-01

Increasingly, health care quality indicators are focusing on patient-centeredness as an indicator of performance. The National Quality Forum lists assessment of patient experience, often conducted using patient surveys, as a top priority. We developed a patient-reported time stamp data collection tool that was used to collect cycle times in a safety net hospital-based outpatient pediatrics clinic. Data were collected using patient-reported survey to obtain cycle times in Pediatric clinic, as well as qualitative and quantitative patient satisfaction data. Several rapid-cycle improvements were performed using Lean Six Sigma methodologies to reduce cycle time by eliminating waste and revise unnecessary processes to improve operational effectiveness and patient and staff satisfaction. A total of 94 surveys were collected and revealed average cycle time of 113 minutes. Our measured patient satisfaction rating was 87%. Discharge and check-in processes were identified as the least efficient and were targeted for intervention. Following implementation, the overall cycle time was decreased from 113 to 90 minutes. Patient satisfaction ratings increased from 87% to 95%. We demonstrate that using Lean Six Sigma tools can be invaluable to clinical restructuring and redesign and results in measurable, improved outcomes in care delivery.