WorldWideScience

Sample records for total post test

  1. Post-test analysis of the experiment 5.2C - total loss of feed water at the BETHSY test facility

    Energy Technology Data Exchange (ETDEWEB)

    Krepper, E; Schaefer, F

    1998-10-01

    The BETHSY-test facility is a 1:100 scaled thermohydraulic model of a 900 MW(el) pressurized water reactor (FRAMATOME). The test facility is mainly designed to investigate various accident scenarios and to provide an experimental data base for code validation and for the verification of accident management measures. (orig.)

  2. Battery Post-Test Facility

    Data.gov (United States)

    Federal Laboratory Consortium — Post-test diagnostics of aged batteries can provide additional information regarding the cause of performance degradation, which, previously, could be only inferred...

  3. Differences in sampling techniques on total post-mortem tryptase.

    Science.gov (United States)

    Tse, R; Garland, J; Kesha, K; Elstub, H; Cala, A D; Ahn, Y; Stables, S; Palmiere, C

    2017-11-20

    The measurement of mast cell tryptase is commonly used to support the diagnosis of anaphylaxis. In the post-mortem setting, the literature recommends sampling from peripheral blood sources (femoral blood) but does not specify the exact sampling technique. Sampling techniques vary between pathologists, and it is unclear whether different sampling techniques have any impact on post-mortem tryptase levels. The aim of this study is to compare the difference in femoral total post-mortem tryptase levels between two sampling techniques. A 6-month retrospective study comparing femoral total post-mortem tryptase levels between (1) aspirating femoral vessels with a needle and syringe prior to evisceration and (2) femoral vein cut down during evisceration. Twenty cases were identified, with three cases excluded from analysis. There was a statistically significant difference (paired t test, p sampling methods. The clinical significance of this finding and what factors may contribute to it are unclear. When requesting post-mortem tryptase, the pathologist should consider documenting the exact blood collection site and method used for collection. In addition, blood samples acquired by different techniques should not be mixed together and should be analyzed separately if possible.

  4. Testing EDM of Total Stations

    Directory of Open Access Journals (Sweden)

    Cirbus Ján

    2001-03-01

    Full Text Available The paper is devoted to testing electrooptical distance measuring devices (EDM built in total stations, than can be used for various tasks in the contemporary geodetic works. A rich market offer and availability of these universal measuring systems with satisfying distance range, excellent accuracy and other parameters, make total stations as dominant terrestrial geodetic instruments.For succesfully applying these instruments, above all for relliable distance measurements, the stability of the modulation frequency is the most important pre-condition. In the article, therefore, there are given some methods to verify the modulation frequency stability. In addition, some ways for determining the EDM distance constant and periodical corrections of the phase measuring unit are introduced for 4 types of EDM : LEICA 1700L, TOPCON GTS6A, TOPCON GTS2, C.ZEISS ELTA50. It were also investigated their possibilities for precise distance survey. Values of the determined constants and periodical corrections are presented in Tab. 2.Based on the investigation results of the 4 EDM types and using the values m obtained for different distances S, equations of the a posteriori standard deviations in form : m = (a+b.S were derived too.

  5. Incidence of Early Post Operative Infection after Primary Total Knee ...

    African Journals Online (AJOL)

    Incidence of Early Post Operative Infection after. Primary Total Knee Arthroplasty at an East African. Centre. Kigera JWM1, Kimpiatu P2. 1. School of Medicine, University of Nairobi. 2. PCEA Kikuyu Hospital. Correspondence to: Dr James Kigera, P.O Box 30197 – 00100 Nairobi. Email: jameskigera@yahoo.co.uk. Abstract.

  6. Embolization of Spontaneous Hemarthrosis Post Total Knee Replacement

    International Nuclear Information System (INIS)

    Given, M. F.; Smith, P.; Lyon, S. M.; Robertson, D.; Thomson, K. R.

    2008-01-01

    Spontaneous nonhemophiliac hemarthrosis is an unusual entity, which has been little described. We present three cases of spontaneous recurrent hemarthrosis post total knee replacement (TKR) and successful management with embolization. Three male patients were referred to our service for angiography and treatment of recurrent hemarthrosis post TKR. In all three patients antegrade ipsilateral common femoral artery punctures and selective angiography of the geniculate branches were performed with a microcatheter. Abnormal vasculature was noted in all cases. Subsequent embolization was performed with Contour (Boston Scientific, Target Vascular, Cork, Ireland) embolization particles (150-250 and 250-355 μm) in two patients and microcoils in the third (TornadoR; Cook Inc., Bloomington, IN, USA). Technical success was 100%. One patient had a recurrence of symptoms requiring a repeat procedure 6 months later. No complications were encountered. Selective angiography and particle embolization is an effective technique for management of this unusual but problematic postoperative sequelae.

  7. Testing post-editing guidelines

    DEFF Research Database (Denmark)

    Flanagan, Marian; Christensen, Tina Paulsen

    2014-01-01

    guidelines to use in translator training programmes. Recently, the first set of publicly available industry-focused PE guidelines (for ‘good enough’ and ‘publishable’ quality) were developed by Translation Automation User Society (TAUS) in partnership with the Centre for Global Intelligent Content (CNGL......), which can be used as a basis on which to instruct post-editors in professional environments. This paper reports on a qualitative study that investigates how trainee translators on an MA course, which is aimed at preparing the trainees for the translation industry, interpret these PE guidelines...... for publishable quality. The findings suggest trainees have difficulties interpreting the guidelines, primarily due to trainee competency gaps, but also due to the wording of the guidelines. Based on our findings we propose training measures to address these competency gaps. Furthermore, we provide post...

  8. Quality Indicators for the Total Testing Process.

    Science.gov (United States)

    Plebani, Mario; Sciacovelli, Laura; Aita, Ada

    2017-03-01

    ISO 15189:2012 requires the use of quality indicators (QIs) to monitor and evaluate all steps of the total testing process, but several difficulties dissuade laboratories from effective and continuous use of QIs in routine practice. An International Federation of Clinical Chemistry and Laboratory Medicine working group addressed this problem and implemented a project to develop a model of QIs to be used in clinical laboratories worldwide to monitor and evaluate all steps of the total testing process, and decrease error rates and improve patient services in laboratory testing. All laboratories are invited, at no cost, to enroll in the project and contribute to harmonized management at the international level. Copyright © 2016 Elsevier Inc. All rights reserved.

  9. Post-acute care disparities in total joint arthroplasty.

    Science.gov (United States)

    Lan, Roy H; Kamath, Atul F

    2017-09-01

    Understanding the socioeconomic factors that influence hospitalization and post-discharge metrics after joint replacement is important for identifying key areas of improvement in the delivery of orthopaedic care. An institutional administrative data set of 2869 patients from an academic arthroplasty referral center was analyzed to quantify the relationship between socioeconomic factors and post-acute rehabilitation care received, length of stay, and cost of care. The study used International Classification of Disease, ninth edition coding in order to identify cohorts of patients who received joint arthroplasty of the knee and hip between January 2007 and May 2015. The study found that females (odds ratio [OR], 2.07; 95% confidence interval [CI], 1.74-2.46), minorities (OR, 2.11; 95% CI, 1.78-2.51), and non-private insurance holders (OR, 1.56; 95% CI, 1.26-1.94) were more likely to be assigned to institutional care after discharge. The study also found that minorities (OR, 1.45; 95% CI, 1.24-1.70) and non-private insurance holders (OR, 1.43; 95% CI, 1.16-1.77) are more likely to exhibit longer length of stay. Mean charges were higher for males when compared to females ($80,010 vs $74,855; P total costs ($19,910 vs $18,613; P  = .001). Socioeconomic factors such as gender, race, and insurance status should be further explored with respect to healthcare policies seeking to influence quality of care and health outcomes.

  10. 21 CFR 862.1710 - Total triiodothyronine test system.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Total triiodothyronine test system. 862.1710... Systems § 862.1710 Total triiodothyronine test system. (a) Identification. A total triiodothyronine test system is a device intended to measure the hormone triiodothyronine in serum and plasma. Measurements...

  11. Post-Test Inspection of Nasa's Evolutionary Xenon Thruster Long Duration Test Hardware: Ion Optics

    Science.gov (United States)

    Soulas, George C.; Shastry, Rohit

    2016-01-01

    A Long Duration Test (LDT) was initiated in June 2005 as a part of NASAs Evolutionary Xenon Thruster (NEXT) service life validation approach. Testing was voluntarily terminated in February 2014, with the thruster accumulating 51,184 hours of operation, processing 918 kg of xenon propellant, and delivering 35.5 MN-s of total impulse. This presentation will present the post-test inspection results to date for the thrusters ion optics.

  12. Post-test analysis of PANDA test P4

    International Nuclear Information System (INIS)

    Hart, J.; Woudstra, A.; Koning, H.

    1999-01-01

    The results of a post-test analysis of the integral system test P4, which has been executed in the PANDA facility at PSI in Switzerland within the framework of Work Package 2 of the TEPSS project are presented. The post-test analysis comprises an evaluation of the PANDA test P4 and a comparison of the test results with the results of simulations using the RELAPS/MOD3.2, TRAC-BF1, and MELCOR 1.8.4 codes. The PANDA test P4 has provided data about how trapped air released from the drywell later in the transient affects PCCS performance in an adequate manner. The well-defined measurements can serve as an important database for the assessment of thermal hydraulic system analysis codes, especially for conditions that could be met in passively operated advanced reactors, i.e. low pressure and small driving forces. Based on the analysis of the test data, the test acceptance criteria have been met. The test P4 has been successfully completed and the instrument readings were with the permitted ranges. The PCCs showed a favorable and robust performance and a wide margin for decay heat removal from the containment. The PANDA P4 test demonstrated that trapped air, released from the drywell later in the transient, only temporarily and only slightly affected the performance of the passive containment cooling system. The analysis of the results of the RELAPS code showed that the overall behaviour of the test has been calculated quite well with regards to pressure, mass flow rates, and pool boil-down. This accounts both for the pre-test and the post-test simulations. However, due to the one-dimensional, stacked-volume modeling of the PANDA DW, WW, and GDCS vessels, 3D-effects such as in-vessel mixing and recirculation could not be calculated. The post-test MELCOR simulation showed an overall behaviour that is comparable to RELAPS. However, MELCOR calculated almost no air trapping in the PCC tubes that could hinder the steam condensation rate. This resulted in lower calculated

  13. GLM Post Launch Testing and Airborne Science Field Campaign

    Science.gov (United States)

    Goodman, S. J.; Padula, F.; Koshak, W. J.; Blakeslee, R. J.

    2017-12-01

    The Geostationary Operational Environmental Satellite (GOES-R) series provides the continuity for the existing GOES system currently operating over the Western Hemisphere. The Geostationary Lightning Mapper (GLM) is a wholly new instrument that provides a capability for total lightning detection (cloud and cloud-to-ground flashes). The first satellite in the GOES-R series, now GOES-16, was launched in November 2016 followed by in-orbit post launch testing for approximately 12 months before being placed into operations replacing the GOES-E satellite in December. The GLM will map total lightning continuously throughout day and night with near-uniform spatial resolution of 8 km with a product latency of less than 20 sec over the Americas and adjacent oceanic regions. The total lightning is very useful for identifying hazardous and severe thunderstorms, monitoring storm intensification and tracking evolution. Used in tandem with radar, satellite imagery, and surface observations, total lightning data has great potential to increase lead time for severe storm warnings, improve aviation safety and efficiency, and increase public safety. In this paper we present initial results from the post-launch in-orbit performance testing, airborne science field campaign conducted March-May, 2017 and assessments of the GLM instrument and science products.

  14. Post-laryngectomy localization of I-131 at tracheostomy site on a total body scan

    International Nuclear Information System (INIS)

    Kirk, G.A.; Schulz, E.E.

    1984-01-01

    A post-thyroidectomy, post-I-131-therapy patient had a laryngectomy and neck dissection for recurrent papillary thyroid carcinoma. A subsequent I-131 total body scan revealed persistent anterior neck activity, which disappeared upon removal of the tracheostomy tube and dressings

  15. Post test investigation of the bundle test ESBU-1

    International Nuclear Information System (INIS)

    Hagen, S.; Kapulla, H.; Malauschek, H.; Wallenfels, K.P.; Buescher, B.J.

    1986-08-01

    This KfK report describes the post test investigation of bundle experiment ESBU-1. ESBU-1 was the first of two bundle tests on the temperature escalation of Zircaloy clad fuel rods. The investigation of the temperature escalation is part of the program of out-of-pile experiments performed within the frame work of the PNS - Severe Fuel Damage program. The bundle was composed of a 3x3 fuel rod array of our fuel rod simulators (control tungsten heater, UO 2 -ring pellet and Zircaloy cladding). The length was 0.4 meter. After the test the bundle was embedded in epoxy and cut by a diamant saw. The cross sections are investigated by metallographic, SEM and EMP examinations. The results of these examinations are in good agreement with the seperate effects tests investigation of the PNS SFD-Program and inpile experiments of the Power Burst Facility. The investigations show that liquid Zircaloy dissolves UO 2 by taking away the oxygen from the oxide. Depending on the overall oxygen content the (U,Zr,O)-melt forms at refreezing a) three phases (low oxygen content): metallic α-Zry(U), a uranium-rich metallic (U,Zr)alloy, and a (U,Zr)O 2 mixed oxide, or b) two phases (high oxygen content): α-Zr(O) and the (U,Zr)O 2 mixed oxide. c) In melt regions where the local oxidation was very severe, such as in steam contact, only the (U,Zr)O 2 mixed oxide is formed already at test temperature. Also ZrO 2 formed during the initial time of the test is dissolved by the melt. (orig.) [de

  16. Relation between vitamin D and calcium and post operation hypocalcemia in total thyroidectomy

    Directory of Open Access Journals (Sweden)

    Leila Asefkabiri

    2017-06-01

    Full Text Available Background: Hypocalcemia is one of the most prevalent complications following total thyroidectomy. Over recent years, in addition to hormone parathyroid hormone (PTH, vitamin D has been also studied as a factor causing post-total thyroidectomy hypocalcemia. This survey seeks to study the relationship between the serum level of vitamin D before surgery and during post-total thyroidectomy hypocalcemia. Methods: A group of 57 patients volunteering for total thyroidectomy were studied on Vali-e-Asr Hospital, Tehran, Iran, from March 2013 to March 2015. In all these patients, pre-surgery calcium, vitamin D and parathyroid hormone (PTH as well as the level of calcium during the post-surgery first two days were measured. Based on objectives of this study, the relationship be-tween pre-surgery vitamin D level and post-surgery hypocalcemia was examined. Results: The average age of patients participating in the survey was 24.1±13.3. They included 19 women (33.3% and 38 men, total of 40 patients (70.2%. Their average post-surgery calcium level was 9.2±0.77 milligrams per deciliters (mg/dl and their average vitamin D content before the surgery was 42±12.1 nanomole per liter (nmol/l. The average calcium level before the surgery and the first post-surgery day were meaningfully different in terms of statistics (P0.001. Of 37 patients with pre-surgery vitamin D deficiency, 31 suffered post-surgery second-day hypocalcemia and of 20 patients with vitamin D insufficiency, 18 suffered second-day hypocalcemia. This difference was not statistically meaningful either (P>0.001. Conclusion: The current study showed that the serum level of vitamin D before total thyroidectomy does not have any role in the occurrence of post-surgery hypocalcemia which is almost common after this type of surgery.

  17. Reliability performance testing of totally encapsulating chemical protective suits

    International Nuclear Information System (INIS)

    Johnson, J.S.; Swearengen, P.M.

    1991-01-01

    The need to assure a high degree of reliability for totally encapsulating chemical protective (TECP) suits has been recognized by Lawrence Livermore National Laboratory's (LLNL) Hazards Control Department for some time. The following four tests were proposed as necessary to provide complete evaluation of TECP suit performance: 1. Quantitative leak test (ASTM draft), 2. Worst-case chemical exposure test (conceptual), 3. Pressure leak-rate test (complete, ASTM F1057-87), and 4. Chemical leak-rate test (ASTM draft). This paper reports on these tests which should be applied to measuring TECP suit performance in two stages: design qualification tests and field use tests. Test 1, 2, and 3 are used as design qualification tests, and tests 3 and 4 are used as field use tests

  18. Errors in the Total Testing Process in the Clinical Chemistry ...

    African Journals Online (AJOL)

    2018-03-01

    Mar 1, 2018 ... Analytical errors related to internal and external quality control exceeding the target range, (14.4%) ... indicators to assess errors in the total testing process. The. University ... Evidence showed that the risk of .... Data management and quality control: Pre-test ..... indicators and specifications for key processes.

  19. Deep Vadose Zone Treatability Test for the Hanford Central Plateau. Interim Post-Desiccation Monitoring Results, Fiscal Year 2015

    Energy Technology Data Exchange (ETDEWEB)

    Truex, Michael J. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Strickland, Christopher E. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Oostrom, Martinus [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Johnson, Christian D. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Tartakovsky, Guzel D. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Johnson, Timothy C. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Clayton, Ray E. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Chronister, Glen B. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States)

    2015-09-01

    A field test of desiccation is being conducted as an element of the Deep Vadose Zone Treatability Test Program. The active desiccation portion of the test has been completed. Monitoring data have been collected at the field test site during the post-desiccation period and are reported herein. This is an interim data summary report that includes about 4 years of post-desiccation monitoring data. The DOE field test plan proscribes a total of 5 years of post-desiccation monitoring.

  20. Post irradiation examination on test fuel pins for PWR

    International Nuclear Information System (INIS)

    Fogaca Filho, N.; Ambrozio Filho, F.

    1981-01-01

    Certain aspects of irradiation technology on test fuel pins for PWR, are studied. The results of post irradiation tests, performed on test fuel pins in hot cells, are presented. The results of the tests permit an evaluation of the effects of irradiation on the fuel and cladding of the pin. (Author) [pt

  1. An improved standard total dose test for CMOS space electronics

    International Nuclear Information System (INIS)

    Fleetwood, D.M.; Winokur, P.S.; Riewe, L.C.; Pease, R.L.

    1989-01-01

    The postirradiation response of hardened and commercial CMOS devices is investigated as a function of total dose, dose rate, and annealing time and temperature. Cobalt-60 irradiation at ≅ 200 rad(SiO 2 )/s followed by a 1-week 100 degrees C biased anneal and testing is shown to be an effective screen of hardened devices for space use. However, a similar screen and single-point test performed after Co-60 irradiation and elevated temperature anneal cannot be generally defined for commercial devices. In the absence of detailed knowledge about device and circuit radiation response, a two-point standard test is proposed to ensure space surviability of CMOS circuits: a Co-60 irradiation and test to screen against oxide-trapped charge related failures, and an additional rebound test to screen against interface-trap related failures. Testing implications for bipolar technologies are also discussed

  2. 21 CFR 862.1470 - Lipid (total) test system.

    Science.gov (United States)

    2010-04-01

    ... used in the diagnosis and treatment of various diseases involving lipid metabolism and atherosclerosis... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Lipid (total) test system. 862.1470 Section 862.1470 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED...

  3. Pendulum impact tests of wooden and steel highway guardrail posts

    Science.gov (United States)

    Charles J. Gatchell; Jarvis D. Michie

    1974-01-01

    Impact strength characteristics of southern pine, red oak, and steel highway guardrail posts were evaluated in destructive impact testing with a 4,000-pound pendulum at the Southwest Research Institute. Effects were recorded with high-speed motion-picture equipment. Comparisons were based on reactions to the point of major post failure. Major comparisons of 6x6-inch...

  4. Indicial response test for the support post structure of VHTR

    International Nuclear Information System (INIS)

    Futakawa, Masatoshi; Kikuchi, Kenji; Tachibana, Katsumi; Muto, Yasushi

    1985-11-01

    Fuel blocks and removable reflector blocks, which constitute a core of VHTR, are supported by support posts. Each support post is in contact with a hot plenum block at the top end and with a lower plenum block at the bottom end through hemispherical seats to absorb a relative displacement generated by the lateral movement of both blocks by means of small inclination or rotation of support posts. Indicial response tests have been carried out by using a specified one-dimensional vibration model in order to estimate the effects of the support post length, the mass of hot plenum block and the hemispherical radii of both support and post seat on the vibrational characteristics in the support post structure. Futhermore the experimental results have been compared with the analytical ones obtained from the Lagrange's equation. The following are the conclusions derived. (1) The hemispherical radii of support post and post seat have a large effect on the frequency of vibration in the support post structure. (2) The frequency of vibration in the support post structure is predictable using the Lagrange's equation. (author)

  5. 40 CFR 1065.595 - PM sample post-conditioning and total weighing.

    Science.gov (United States)

    2010-07-01

    ... minutes before weighing. Note that 400 µg on sample media (e.g., filters) is an approximate net mass of 0... the procedures in § 1065.590(f) through (i) to determine post-test mass of the sample media (e.g., filters). (g) Subtract each buoyancy-corrected tare mass of the sample medium (e.g., filter) from its...

  6. Post-deformation examination of specimens subjected to SCC testing

    Energy Technology Data Exchange (ETDEWEB)

    Gussev, Maxim N. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Field, Kevin G. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Busby, Jeremy T. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Leonard, Keith J. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States)

    2016-09-01

    This report details the results of post-radiation and post-deformation characterizations performed during FY 2015–FY 2016 on a subset of specimens that had previously been irradiated at high displacement per atom (dpa) damage doses. The specimens, made of commercial austenitic stainless steels and alloys, were subjected to stress-corrosion cracking tests (constant extension rate testing and crack growth testing) at the University of Michigan under conditions typical of nuclear power plants. After testing, the specimens were returned to Oak Ridge National Laboratory (ORNL) for further analysis and evaluation.

  7. Total hydrocarbon content (THC) testing in liquid oxygen (LOX) systems

    Science.gov (United States)

    Meneghelli, B. J.; Obregon, R. E.; Ross, H. R.; Hebert, B. J.; Sass, J. P.; Dirschka, G. E.

    2015-12-01

    The measured Total Hydrocarbon Content (THC) levels in liquid oxygen (LOX) systems at Stennis Space Center (SSC) have shown wide variations. Examples of these variations include the following: 1) differences between vendor-supplied THC values and those obtained using standard SSC analysis procedures; and 2) increasing THC values over time at an active SSC test stand in both storage and run vessels. A detailed analysis of LOX sampling techniques, analytical instrumentation, and sampling procedures will be presented. Additional data obtained on LOX system operations and LOX delivery trailer THC values during the past 12-24 months will also be discussed. Field test results showing THC levels and the distribution of the THC's in the test stand run tank, modified for THC analysis via dip tubes, will be presented.

  8. Total Hydrocarbon Content (THC) Testing in Liquid Oxygen (LOX)

    Science.gov (United States)

    Meneghelli, B. J.; Obregon, R. E.; Ross, H. R.; Hebert, B. J.; Sass, J. P.; Dirschka, G. E.

    2016-01-01

    The measured Total Hydrocarbon Content (THC) levels in liquid oxygen (LOX) systems at Stennis Space Center (SSC) have shown wide variations. Examples of these variations include the following: 1) differences between vendor-supplied THC values and those obtained using standard SSC analysis procedures; and 2) increasing THC values over time at an active SSC test stand in both storage and run vessels. A detailed analysis of LOX sampling techniques, analytical instrumentation, and sampling procedures will be presented. Additional data obtained on LOX system operations and LOX delivery trailer THC values during the past 12-24 months will also be discussed. Field test results showing THC levels and the distribution of the THC's in the test stand run tank, modified for THC analysis via dip tubes, will be presented.

  9. 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.

  10. Post-Traumatic Periprosthetic Tibial and Fibular Fracture After Total Ankle Arthroplasty: A Case Report.

    Science.gov (United States)

    Brock, Amanda K; Tan, Eric W; Shafiq, Babar

    Periprosthetic fractures after total ankle arthroplasty are uncommon, with most cases occurring intraoperatively. We describe a post-traumatic periprosthetic fracture of the distal tibia and fibula after total ankle arthroplasty that was treated with minimally invasive plate osteosynthesis. It is important for orthopedic surgeons not only to recognize the risk factors for postoperative periprosthetic total ankle arthroplasty fractures, but also to be familiar with the treatment options available to maximize function and minimize complications. The design of the tibial prosthesis and surgical techniques required to prepare the ankle joint for implantation are important areas of future research to limit the risk of periprosthetic fractures. Copyright © 2016 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.

  11. Post-anaesthesia care unit stay after total hip and knee arthroplasty under spinal anaesthesia

    DEFF Research Database (Denmark)

    Lunn, T H; Kristensen, B B; Gaarn-Larsen, L

    2012-01-01

    patients operated with primary unilateral total hip or knee arthroplasty (THA or TKA) under spinal anaesthesia were included in this hypothesis-generating, prospective, observational cohort study during a 4-month period. Surgical technique, analgesia, and perioperative care were standardized. Well......BACKGROUND: Post-anaesthesia care unit (PACU) admission must be well founded and the stay as short as possible without compromising patient safety. However, within the concept of fast-track surgery, studies are limited in addressing the question: why are patients staying in the PACU? METHODS: All...

  12. Current Trends in Discharge Disposition and Post-discharge Care After Total Joint Arthroplasty.

    Science.gov (United States)

    Tarity, T David; Swall, Marion M

    2017-09-01

    The purpose of this manuscript is to review published literature over the last 5 years to assess recent trends and influencing factors regarding discharge disposition and post-discharge care following total joint arthroplasty. We evaluated instruments proposed to predict a patient's discharge disposition and summarize reports investigating the safety in sending more patients home by reviewing complications and readmission rates. Current literature supports decreased length of hospital stay and increased discharge to home with cost savings and stable readmission rates. Surgeons with defined clinical pathways and those who shape patient expectations may more effectively control costs than those without defined pathways. Further research is needed analyzing best practices in care coordination, managing patient expectations, and cost-effective analysis of home discharge while at the same time ensuring patient outcomes are optimized following total joint arthroplasty.

  13. TRACG post-test analysis of panthers prototype tests of SBWR passive containment condenser

    International Nuclear Information System (INIS)

    Fitch, J.R.; Billig, P.F.; Abdollahian, D.; Masoni, P.

    1997-01-01

    As part of the validation effort for application of the TRACG code to the Simplified Boiling Water Reactor (SBWR), calculations have been performed for the various test facilities which are part of the SBWR design and technology certification program. These calculations include post-test calculations for tests in the PANTHERS Passive Containment Condenser (PCC) test program. Sixteen tests from the PANTHERS/PCC test matrix were selected for post-test analysis. This set includes three steady-state pure-steam tests, nine steady-state steam-air tests, and four transient tests. The purpose of this paper is to present and discuss the results of the post-test analysis. The author includes a brief description of the PANTHERS/PCC test facility and test matrix, a description of the PANTHERS/PCC post-test TRACG model and the manner in which the various types of tests in the post-test evaluation were simulated, and a presentation of the results of the TRACG simulation

  14. Post irradiation test report of irradiated DUPIC simulated fuel

    International Nuclear Information System (INIS)

    Yang, Myung Seung; Jung, I. H.; Moon, J. S. and others

    2001-12-01

    The post-irradiation examination of irradiated DUPIC (Direct Use of Spent PWR Fuel in CANDU Reactors) simulated fuel in HANARO was performed at IMEF (Irradiated Material Examination Facility) in KAERI during 6 months from October 1999 to March 2000. The objectives of this post-irradiation test are i) the integrity of the capsule to be used for DUPIC fuel, ii) ensuring the irradiation requirements of DUPIC fuel at HANARO, iii) performance verification in-core behavior at HANARO of DUPIC simulated fuel, iv) establishing and improvement the data base for DUPIC fuel performance verification codes, and v) establishing the irradiation procedure in HANARO for DUPIC fuel. The post-irradiation examination performed are γ-scanning, profilometry, density, hardness, observation the microstructure and fission product distribution by optical microscope and electron probe microanalyser (EPMA)

  15. FARO base case post-test analysis by COMETA code

    Energy Technology Data Exchange (ETDEWEB)

    Annunziato, A.; Addabbo, C. [Joint Research Centre, Ispra (Italy)

    1995-09-01

    The paper analyzes the COMETA (Core Melt Thermal-Hydraulic Analysis) post test calculations of FARO Test L-11, the so-called Base Case Test. The FARO Facility, located at JRC Ispra, is used to simulate the consequences of Severe Accidents in Nuclear Power Plants under a variety of conditions. The COMETA Code has a 6 equations two phase flow field and a 3 phases corium field: the jet, the droplets and the fused-debris bed. The analysis shown that the code is able to pick-up all the major phenomena occurring during the fuel-coolant interaction pre-mixing phase.

  16. Tonopah Test Range Post-Closure Inspection Annual Report, Tonopah Test Range, Nevada, Calendar Year 2003

    Energy Technology Data Exchange (ETDEWEB)

    U.S. Department of Energy, National Nuclear Security Administration Nevada Site Office; Bechtel Nevada

    2004-04-01

    This post-closure inspection report provides documentation of the semiannual inspection activities, maintenance and repair activities, and conclusions and recommendations for calendar year 2003 for eight corrective action units located on the Tonopah Test Range, Nevada.

  17. Total Protein and Albumin/Globulin Ratio Test

    Science.gov (United States)

    ... Plasma Free Metanephrines Platelet Count Platelet Function Tests Pleural Fluid Analysis PML-RARA Porphyrin Tests Potassium Prealbumin ... of the various types of proteins in the liquid ( serum or plasma ) portion of the blood. Two ...

  18. The effects of intra-articular tranexamic acid given intraoperatively and intravenous tranexamic acid given preoperatively on post surgical bleeding and transfusion rate post total knee arthroplasty

    Directory of Open Access Journals (Sweden)

    Aryo N. Triyudanto

    2017-01-01

    Full Text Available Background: Despite the advances in the design and fixation of implants in total knee replacement (TKR. the amount of postoperative bleeding is still an important issue that has not been resolved. This study aimed to measure the effectiveness of various tranexamic acid administration.Methods: This was a randomized controlled trial study, held from August 2014 to February 2016 at Cipto Mangunkusumo Hospital, Jakarta. Twenty two patients having TKR were divided into three groups: the control group, the tranexamic acid intra-articular-intraoperative group, and the intravenous preoperative group. Intraoperative bleeding, haemoglobin (Hb level on preoperative to five-day-post-surgery, total drain production, total blood tranfusion needed and the drain removal timing were recorded and compared. Numerical data were analyzed by using parametric and non-parametric test, depended on the normality of the data.Results: The amount of blood transfusion needed in both the intra-articular group (200±SD 100 mL and the intravenous group (238±SD 53 mL were significantly different compared to those in the control group (1,016±SD 308.2 mL (p=0.001. Meanwhile, there was no significant difference between the amount of blood transfusion needed in the intra-articular group and the intravenous group. Total drain production in the intra-articular group (328±SD 193 mL and intravenous group (391±SD 185 mL was significantly different compared to the control group (652±SD 150 mL (p=0.003. No significant difference between the levels of both preoperative and postoperative haemoglobin, the amount of intraoperative bleeding, and the duration of drain usage.Conclusion: Intravenous and intra-articular tranexamic acid effectively decreased transfusion volume and drain production in patients undergoing TKR.

  19. When the test of mediation is more powerful than the test of the total effect.

    Science.gov (United States)

    O'Rourke, Holly P; MacKinnon, David P

    2015-06-01

    Although previous research has studied power in mediation models, the extent to which the inclusion of a mediator will increase power has not been investigated. To address this deficit, in a first study we compared the analytical power values of the mediated effect and the total effect in a single-mediator model, to identify the situations in which the inclusion of one mediator increased statistical power. The results from this first study indicated that including a mediator increased statistical power in small samples with large coefficients and in large samples with small coefficients, and when coefficients were nonzero and equal across models. Next, we identified conditions under which power was greater for the test of the total mediated effect than for the test of the total effect in the parallel two-mediator model. These results indicated that including two mediators increased power in small samples with large coefficients and in large samples with small coefficients, the same pattern of results that had been found in the first study. Finally, we assessed the analytical power for a sequential (three-path) two-mediator model and compared the power to detect the three-path mediated effect to the power to detect both the test of the total effect and the test of the mediated effect for the single-mediator model. The results indicated that the three-path mediated effect had more power than the mediated effect from the single-mediator model and the test of the total effect. Practical implications of these results for researchers are then discussed.

  20. Post-Graduate Student Performance in "Supervised In-Class" vs. "Unsupervised Online" Multiple Choice Tests: Implications for Cheating and Test Security

    Science.gov (United States)

    Ladyshewsky, Richard K.

    2015-01-01

    This research explores differences in multiple choice test (MCT) scores in a cohort of post-graduate students enrolled in a management and leadership course. A total of 250 students completed the MCT in either a supervised in-class paper and pencil test or an unsupervised online test. The only statistically significant difference between the nine…

  1. Post-Cam Design and Contact Stress on Tibial Posts in Posterior-Stabilized Total Knee Prostheses: Comparison Between a Rounded and a Squared Design.

    Science.gov (United States)

    Watanabe, Toshifumi; Koga, Hideyuki; Horie, Masafumi; Katagiri, Hiroki; Sekiya, Ichiro; Muneta, Takeshi

    2017-12-01

    The post-cam mechanism in posterior stabilized (PS) prostheses plays an important role in total knee arthroplasty (TKA). The purpose of this study is to clarify the difference of the contact stress on the tibial post between a rounded post-cam design and a squared design during deep knee flexion and at hyperextension using the three-dimensional (3D) finite element models. We created 2 types of 3D, finite element models of PS prostheses (types A and B), whose surfaces were identical except for the post-cam geometries: type A has a rounded post-cam design, while type B has a squared design. Both types have a similar curved-shape intercondylar notch of the femoral component. Stress distributions, peak contact stresses, and contact areas on the tibial posts at 90°, 120°, and 150° flexion with/without 10° tibial internal rotation and at 10° hyperextension were compared between the 2 models. Type B demonstrated more concentrated stress distribution compared to type A. The peak contact stresses were similar in both groups during neutral flexion; however, the stresses were much higher in type B during flexion with 10° rotation and at hyperextension. The higher peak contact stresses corresponded to the smaller contact areas in the tibial post. A rounded post-cam design demonstrated less stress concentration during flexion with rotation and at hyperextension compared with a squared design. The results would be useful for development of implant designs and prediction of the contact stress on the tibial post in PS total knee arthroplasty. Copyright © 2017 Elsevier Inc. All rights reserved.

  2. Alternate performance standard project: Interpreting the post-construction test

    International Nuclear Information System (INIS)

    Williamson, A.D.; McDonough, S.E.

    1993-01-01

    The paper describes the results of a project commissioned by the State of Florida, in cooperation with the US Environmental Protection Agency, as one portion of the Florida Radon Research Program (FRRP). The purpose of the FRRP is to provide technical support for a statewide Building Standard for Radon-Resistant Construction currently in the rulemaking process. In this case the information provides technical background for a post-construction radon test specified as a performance element of the code which accompanies the prescriptive alternative that does not incorporate active radon reduction systems

  3. Orion Exploration Flight Test Post-Flight Inspection and Analysis

    Science.gov (United States)

    Miller, J. E.; Berger, E. L.; Bohl, W. E.; Christiansen, E. L.; Davis, B. A.; Deighton, K. D.; Enriquez, P. A.; Garcia, M. A.; Hyde, J. L.; Oliveras, O. M.

    2017-01-01

    The principal mechanism for developing orbital debris environment models, is to make observations of larger pieces of debris in the range of several centimeters and greater using radar and optical techniques. For particles that are smaller than this threshold, breakup and migration models of particles to returned surfaces in lower orbit are relied upon to quantify the flux. This reliance on models to derive spatial densities of particles that are of critical importance to spacecraft make the unique nature of the EFT-1's return surface a valuable metric. To this end detailed post-flight inspections have been performed of the returned EFT-1 backshell, and the inspections identified six candidate impact sites that were not present during the pre-flight inspections. This paper describes the post-flight analysis efforts to characterize the EFT-1 mission craters. This effort included ground based testing to understand small particle impact craters in the thermal protection material, the pre- and post-flight inspection, the crater analysis using optical, X-ray computed tomography (CT) and scanning electron microscope (SEM) techniques, and numerical simulations.

  4. The total number of Leydig and Sertoli cells in the testes of men across various age groups - a stereological study

    DEFF Research Database (Denmark)

    Petersen, Peter M; Seierøe, Karina; Pakkenberg, Bente

    2015-01-01

    is particularly sensitive to methodological problems. Therefore, using the optical fractionator technique and a sampling design specifically optimized for human testes, we estimated the total number of Sertoli and Leydig cells in the testes from 26 post mortem male subjects ranging in age from 16 to 80 years...... of Sertoli cells with age; no such decline was found for Leydig cells. Quantitative stereological analysis of post mortem tissue may help understand the influence of age or disease on the number of human testicular cells....

  5. Field test of a post-closure radiation monitor

    International Nuclear Information System (INIS)

    Reed, S.; Christy, C.E.; Heath, R.E.

    1995-01-01

    The DOE is conducting remedial actions at many sites contaminated with radioactive materials. After closure of these sites, long-term subsurface monitoring is typically required by law. This monitoring is generally labor intensive and expensive using conventional sampling and analysis techniques. The U.S. Department of Energy's Morgantown Energy Technology Center (METC) has contracted with Babcock and Wilcox to develop a Long-Term Post-Closure Radiation Monitoring System (LPRMS) to reduce these monitoring costs. A prototype LPRMS probe was built, and B ampersand W and FERMCO field tested this monitoring probe at the Fernald Environmental Management Project in the fall of 1994 with funding from the DOE's Office of Technology Development (EM-50) through METC. The system was used to measure soil and water with known uranium contamination levels, both in drums and in situ at depths up to 3 meters. For comparison purposes, measurements were also performed using a more conventional survey probe with a sodium iodide scintillator directly butt-coupled to detection electronics. This paper presents a description and the results of the field tests. The results were used to characterize the lower detection limits, precision and bias of the system, which allowed the DOE to judge the monitoring system's ability to meet its long-term post-closure radiation monitoring needs. Based on the test results, the monitoring system has been redesigned for fabrication and testing in a potential Phase III of this program. If the DOE feels that this system can meet its needs and chooses to continue into Phase III of this program, this redesigned full scale prototype system will be built and tested for a period of approximately a year. Such a system can be used at a variety of radioactively contaminated sites

  6. Post-Secondary Educators’ Perceptions of Students’ Test Anxiety

    Directory of Open Access Journals (Sweden)

    Hannah A. Connon

    2016-06-01

    Full Text Available Student test anxiety (TA is a far-reaching concern in many post-secondary institutions as it can have a negative impact on student performance and retention. Educator perceptions of TA may influence the incidence of TA as well as treatment success. As such, we surveyed educators at a medium-sized Canadian university about their perceptions and experiences with TA. In total, 90% of surveyed educators (n=50 were willing to accommodate students with TA, and 69% of educators were aware of TA support services on campus, whereas only 40% could identify symptoms of TA. Two principal components were extracted from survey responses: the importance of TA on campus, and the importance of institutional commitment to managing TA. Perceived importance of TA varied by educator age and sex, with female and older educators perceiving TA as a more serious condition than male and younger educators. Educators that were aware of TA services had a more positive view of institutional commitment to TA. In addition, 42% of educators felt limited in their ability to assist students with TA, and only 40% believed their classes were structured in such a way as to minimize or address TA. Providing information to educators about the symptoms and treatability of TA, as well as available support services is recommended. L’anxiété des étudiants face aux examens est une préoccupation qui a des implications importantes dans de nombreux établissements d’enseignement post-secondaire car elle peut avoir des effets négatifs sur les résultats des étudiants et sur leur rétention. Les perceptions des éducateurs concernant l’anxiété face aux examens risquent d’influencer l’incidence de l’anxiété ainsi que la réussite du traitement. C’est pourquoi nous avons fait un sondage auprès d’éducateurs dans une université canadienne de taille moyenne à propos de leurs perceptions et de leurs expériences concernant l’anxiété face aux examens. Au total, 90

  7. Water tests for determining post voiding behavior in the LMFBR

    International Nuclear Information System (INIS)

    Hinkle, W.D.

    1976-06-01

    The most serious of the postulated accidents considered in the design of the Liquid Metal Cooled Fast Breeder Reactor (LMFBR) is the Loss of Pipe Integrity (LOPI) accident. Analysis models used to calculate the consequences of this accident assume that once boiling is initiated film dryout occurs in the hot assembly as a result of rapid vapor bubble growth and consequent flow stoppage or reversal. However, this assumption has not been put to any real test. Once boiling is initiated in the hot assembly during an LMFBR LOPI accident, a substantial gravity pressure difference would exist between this assembly and other colder assemblies in the core. This condition would give rise to natural circulation flow boiling accompanied by pressure and flow oscillations. It is possible that such oscillations could prevent or delay dryout and provide substantial post-voiding heat removal. The tests described were conceived with the objective of obtaining basic information and data relating to this possibility

  8. TREAT experiment M2 post-test examination

    International Nuclear Information System (INIS)

    Holland, J.W.; Teske, G.M.; Florek, J.C.

    1986-01-01

    Transient Reactor Test (TREAT) Facility experiment M2 was performed to evaluate the transient behavior of metal-alloy fuel under accident conditions to investigate the inherent safety features of the fuel in integral fast reactor (IFR) system designs. Objectives were to obtain early information on the key fuel behavior characteristics at transient overpower (TOP) conditions in metal-fueled fast reactors; namely, margin to cladding breach and extent of axial self-extrusion of fuel within intact cladding. The onset of cladding breaching depends on fuel/cladding eutectic formation, as well as cladding pressurization and melting. Driving forces for fuel extrusion are fission gas, liquid sodium, and volatile fission products trapped within the fuel matrix. The post-test examination provided data essential for correctly modeling fuel behavior in accident codes

  9. 21 CFR 862.1110 - Bilirubin (total or direct) test system.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Bilirubin (total or direct) test system. 862.1110... Systems § 862.1110 Bilirubin (total or direct) test system. (a) Identification. A bilirubin (total or direct) test system is a device intended to measure the levels of bilirubin (total or direct) in plasma...

  10. Errors in the Total Testing Process in the Clinical Chemistry ...

    African Journals Online (AJOL)

    2018-03-01

    Mar 1, 2018 ... testing processes impair the clinical decision-making process. Such errors are ... and external quality control exceeding the target range, (14.4%) and (51.4%) .... version 3.5.3 and transferred to Statistical. Package for the ...

  11. Total dose tests for the PROMICS-3 instrument

    International Nuclear Information System (INIS)

    Verkasalo, R.

    1991-01-01

    The sensitivity of some analog and digital integrated circuits (IC's) to ionizing radiation was tested in order to evaluate their potential usefulness especially in the PROMICS-3 instrument. The PROMICS-3 is a plasma instrument to be flown on the Russian Interball satellites. The radiation tolerance requirement of the auroral Interball satellite is about 45 krad/year inside a shielding of 4 mm Aluminium. The IC's tested were: AD571 A/D- converter, ADDAC80 D/A-converter, LF442A and PM108A operational amplifiers, MPREF0l voltage reference, STC SPXO 6 MHZ oscillator,4N55 optocoupler, MC5lC98 and CY7C164 16k*4 static CMOS RAM. Co-60 was used as the irradiation source. The test methods and results are described in the paper. The RAM-circuits failed between 10 and 20 krad. D/A- and A/D-converters degraded only slightly after 100 krad, but one of the A/D-converters failed functionally at 190 krad. The LF442A began to degrade in the test connection at 100 krad, and PM108A at 30 krad. The output voltage of the voltage reference MPREF01 increased about 20 mV after 100 krad. No change was observed in the output frequency of the STC SPXD oscillator even after 300 krad. The current tansfer ratio of the 4N55 decreased continuously to about 75 % of the initial value after 100 krad

  12. Final Test Analysis of Post Graduate Medical Residents

    Directory of Open Access Journals (Sweden)

    Maliheh Arab

    2009-04-01

    Full Text Available Background and purpose: Multiple choice questions are the most frequent test for medical students. It is important to analysis the overall response to individual  questions in the test.The aim of this study is to analyse questions of post graduate medical residency  tests.Methods: Final annual local (Ramadan medical school and national tests given to three Residency groups  including  17 Obstetrics  and gynecology testees,  7 pediatrics  and  12 internal  medicine  in 2004 were studied. In local tests residents answered to 148, 150 and 144 and in national  tests to ISO MCQS. Questions were  evaluated regarding cognitive domain level, Difficultly index and Discriminative index  and finally to evaluate  the optimal,  proper, acceptable and  ''must  omitted" questions.Results: Questions of local Obstetrics and gynecology, pediatrics and internal medicine tests evaluated the "recall" level in 72%, 72% and 51% and in national  tests 71%,  35% and 19%,  respectively. Questions  with  Discriminative indices  of 0.7 or more (proper  were 3 and  5% in  Obstetrics  and gynecology, 3.5% and 1% in pediatrics and 1% in local and national tests. Proper difficulty indices (30-70  were shown in 53% and 54% in Obstetrics  and gynecology, 34% and 43% in pediatrics and 40% and  42% in internal  medicine.  Generally  evaluating,  "must  omitted" questions in local and national tests were 76% in Obstetrics and gynecology, 81% and 79% in pediatrics and 91% and 85% in internal medicine. The most common causes making the questions to be considered  "must omitted" in studied tests were negative, zero or less than 0.2 Discriminative indices.Conclusion: Test analysis  of final  annual  local  (Ramadan medical  school  and national  tests  of Obstetrics  and gynecology, Pediatrics and internal medicine residency  programs  in 2004 revealed that most of the questions  are planned  in  "recall" level, harbor  improper

  13. Post-Test Inspection of NASA's Evolutionary Xenon Thruster Long-Duration Test Hardware: Discharge and Neutralizer Cathodes

    Science.gov (United States)

    Shastry, Rohit; Soulas, George C.

    2016-01-01

    The NEXT Long-Duration Test is part of a comprehensive thruster service life assessment intended to demonstrate overall throughput capability, validate service life models, quantify wear rates as a function of time and operating condition, and identify any unknown life-limiting mechanisms. The test was voluntarily terminated in February 2014 after demonstrating 51,184 hours of high-voltage operation, 918 kg of propellant throughput, and 35.5 MN-s of total impulse. The post-test inspection of the thruster hardware began shortly afterwards with a combination of non-destructive and destructive analysis techniques, and is presently nearing completion. This paper presents relevant results of the post-test inspection for both discharge and neutralizer cathodes. Discharge keeper erosion was found to be significantly reduced from what was observed in the NEXT 2 kh wear test and NSTAR Extended Life Test, providing adequate protection of vital cathode components throughout the test with ample lifetime remaining. The area of the discharge cathode orifice plate that was exposed by the keeper orifice exhibited net erosion, leading to cathode plate material building up in the cathode-keeper gap and causing a thermally-induced electrical short observed during the test. Significant erosion of the neutralizer cathode orifice was also found and is believed to be the root cause of an observed loss in flow margin. Deposition within the neutralizer keeper orifice as well as on the downstream surface was thicker than expected, potentially resulting in a facility-induced impact on the measured flow margin from plume mode. Neutralizer keeper wall erosion on the beam side was found to be significantly lower compared to the NEXT 2 kh wear test, likely due to the reduction in beam extraction diameter of the ion optics that resulted in decreased ion impingement. Results from the post-test inspection have led to some minor thruster design improvements.

  14. Preoperative hypoalgesia after cold pressor test and aerobic exercise is associated with pain relief six months after total knee replacement

    DEFF Research Database (Denmark)

    Vaegter, Henrik Bjarke; Handberg, Gitte; Emmeluth, Claus

    2017-01-01

    OBJECTIVES: Chronic pain after total knee replacement (TKR) is not uncommon. Preoperative impaired conditioning pain modulation (CPM) has been used to predict chronic postoperative pain. Interestingly, exercises reduce pain sensitivity in patients with knee osteoarthritis. This pilot study...... investigated the association between exercise-induced hypoalgesia (EIH) and CPM on post-TKR pain relief. METHODS: Before and six months post-TKR, 14 patients with chronic knee osteoarthritis performed the cold pressor test on the non-affected leg and two exercise conditions (bicycling and isometric knee...... at the affected leg improved post-TKR compared with pre-TKR (PCPM and bicycling EIH assessed by the increase in cPTT correlated with reduction in NRS pain scores post-TKR (PCPM and EIH responses after TKR were significantly correlated with reduction in NRS pain scores...

  15. Post-cam mechanics and tibiofemoral kinematics: a dynamic in vitro analysis of eight posterior-stabilized total knee designs.

    Science.gov (United States)

    Arnout, N; Vanlommel, L; Vanlommel, J; Luyckx, J P; Labey, L; Innocenti, B; Victor, J; Bellemans, J

    2015-11-01

    Posterior cruciate ligament (PCL)-substituting total knee arthroplasty (TKA) designs were introduced to avoid paradoxical roll forward of the femur and to optimize knee kinematics. The aim of this in vitro study was to investigate post-cam function and contact mechanics and relate it to knee kinematics during squatting in eight contemporary posterior-stabilized TKA designs. All prostheses were fixed on custom-designed metal fixtures and mounted in a knee rig and five sequential-loaded squats were performed between 30° and 130° of flexion. Contact pressure and contact area were measured using pressure-sensitive Tekscan sensors on the posterior face of the post. Kinematics was recorded with reflective markers and infrared light-capturing cameras. The post-cam mechanisms analyzed in this study are very variable in terms of design features. This leads to large variations in terms of the flexion angle at which the post and cam engage maximal contact force, contact pressure and contact area. We found that more functional post-cam mechanisms, which engage at lower flexion angle and have a similar behavior as normal PCL function, generally show more normal rollback and tibial rotation at the expense of higher contact forces and pressures. All designs show high contact forces. A positive correlation was found between contact force and initial contact angle. Post-cam contact mechanics and kinematics were documented in a standardized setting. Post-cam contact mechanics are correlated with post-cam function. Outcomes of this study can help to develop more functional designs in future. Nevertheless, a compromise will always be made between functional requirements and risk of failure. We assume that more normal knee kinematics leads to more patient satisfaction because of better mobility. Understanding of the post-cam mechanism, and knowing how this system really works, is maybe the clue in further development of new total knee designs.

  16. LMFBR post accident heat removal testing needs and conceptual design of a test facility

    International Nuclear Information System (INIS)

    Kleefeldt, K.; Kuechle, M.; Royl, P.; Werle, H.; Boenisch, G.; Heinzel, V.; Mueller, R.A.; Schramm, K.; Smidt, D.

    1977-03-01

    A study has been carried out in which the needs and requirements for a test facility were derived, enabling detailed investigation of key phenomena anticipated during the post accident heat removal (PAHR) phase as a consequence of a postulated LMFBR whole core accident. Part I of the study concentrates on demonstrating the PAHR phenomena and related testing needs. Three types of experiments were identified which require in-pile testing, ranging from 10 to 70 cm test bed diameter and correspondingly, 30 to 5 W/g minimum power density in the test fuel. In part II a conceptual design for a test facility is presented, emphasizing the capability for accomodating large test beds. This is achieved by a below-reactor-vessel testing device, neutronically coupled to a 100 MWt sodium cooled fast reactor. (orig.) [de

  17. Associations between preoperative physical therapy and post-acute care utilization patterns and cost in total joint replacement.

    Science.gov (United States)

    Snow, Richard; Granata, Jaymes; Ruhil, Anirudh V S; Vogel, Karen; McShane, Michael; Wasielewski, Ray

    2014-10-01

    Health-care costs following acute hospital care have been identified as a major contributor to regional variation in Medicare spending. This study investigated the associations of preoperative physical therapy and post-acute care resource use and its effect on the total cost of care during primary hip or knee arthroplasty. Historical claims data were analyzed using the Centers for Medicare & Medicaid Services Limited Data Set files for Diagnosis Related Group 470. Analysis included descriptive statistics of patient demographic characteristics, comorbidities, procedures, and post-acute care utilization patterns, which included skilled nursing facility, home health agency, or inpatient rehabilitation facility, during the ninety-day period after a surgical hospitalization. To evaluate the associations, we used bivariate and multivariate techniques focused on post-acute care use and total episode-of-care costs. The Limited Data Set provided 4733 index hip or knee replacement cases for analysis within the thirty-nine-county Medicare hospital referral cluster. Post-acute care utilization was a significant variable in the total cost of care for the ninety-day episode. Overall, 77.0% of patients used post-acute care services after surgery. Post-acute care utilization decreased if preoperative physical therapy was used, with only 54.2% of the preoperative physical therapy cohort using post-acute care services. However, 79.7% of the non-preoperative physical therapy cohort used post-acute care services. After adjusting for demographic characteristics and comorbidities, the use of preoperative physical therapy was associated with a significant 29% reduction in post-acute care use, including an $871 reduction of episode payment driven largely by a reduction in payments for skilled nursing facility ($1093), home health agency ($527), and inpatient rehabilitation ($172). The use of preoperative physical therapy was associated with a 29% decrease in the use of any post-acute care

  18. Formalism for testing theories of gravity using lensing by compact objects. II. Probing post-post-Newtonian metrics

    International Nuclear Information System (INIS)

    Keeton, Charles R.; Petters, A.O.

    2006-01-01

    We study gravitational lensing by compact objects in gravity theories that can be written in a post-post-Newtonian (PPN) framework: i.e., the metric is static and spherically symmetric, and can be written as a Taylor series in m /r, where m is the gravitational radius of the compact object. Working invariantly, we compute corrections to standard weak-deflection lensing observables at first and second order in the perturbation parameter ε=θ/θ E , where θ is the angular gravitational radius and θ E is the angular Einstein ring radius of the lens. We show that the first-order corrections to the total magnification and centroid position vanish universally for gravity theories that can be written in the PPN framework. This arises from some surprising, fundamental relations among the lensing observables in PPN gravity models. We derive these relations for the image positions, magnifications, and time delays. A deep consequence is that any violation of the universal relations would signal the need for a gravity model outside the PPN framework (provided that some basic assumptions hold). In practical terms, the relations will guide observational programs to test general relativity, modified gravity theories, and possibly the cosmic censorship conjecture. We use the new relations to identify lensing observables that are accessible to current or near-future technology, and to find combinations of observables that are most useful for probing the spacetime metric. We give explicit applications to the galactic black hole, microlensing, and the binary pulsar J0737-3039

  19. Post-test probability for neonatal hyperbilirubinemia based on umbilical cord blood bilirubin, direct antiglobulin test, and ABO compatibility results.

    Science.gov (United States)

    Peeters, Bart; Geerts, Inge; Van Mullem, Mia; Micalessi, Isabel; Saegeman, Veroniek; Moerman, Jan

    2016-05-01

    Many hospitals opt for early postnatal discharge of newborns with a potential risk of readmission for neonatal hyperbilirubinemia. Assays/algorithms with the possibility to improve prediction of significant neonatal hyperbilirubinemia are needed to optimize screening protocols and safe discharge of neonates. This study investigated the predictive value of umbilical cord blood (UCB) testing for significant hyperbilirubinemia. Neonatal UCB bilirubin, UCB direct antiglobulin test (DAT), and blood group were determined, as well as the maternal blood group and the red blood cell antibody status. Moreover, in newborns with clinically apparent jaundice after visual assessment, plasma total bilirubin (TB) was measured. Clinical factors positively associated with UCB bilirubin were ABO incompatibility, positive DAT, presence of maternal red cell antibodies, alarming visual assessment and significant hyperbilirubinemia in the first 6 days of life. UCB bilirubin performed clinically well with an area under the receiver-operating characteristic curve (AUC) of 0.82 (95 % CI 0.80-0.84). The combined UCB bilirubin, DAT, and blood group analysis outperformed results of these parameters considered separately to detect significant hyperbilirubinemia and correlated exponentially with hyperbilirubinemia post-test probability. Post-test probabilities for neonatal hyperbilirubinemia can be calculated using exponential functions defined by UCB bilirubin, DAT, and ABO compatibility results. • The diagnostic value of the triad umbilical cord blood bilirubin measurement, direct antiglobulin testing and blood group analysis for neonatal hyperbilirubinemia remains unclear in literature. • Currently no guideline recommends screening for hyperbilirubinemia using umbilical cord blood. What is New: • Post-test probability for hyperbilirubinemia correlated exponentially with umbilical cord blood bilirubin in different risk groups defined by direct antiglobulin test and ABO blood group

  20. Differences in total and allergen specific IgE during pregnancy compared with 1 month and 1 year post partum.

    Science.gov (United States)

    Perry, Lee M; Ownby, Dennis R; Wegienka, Ganesa R; Peterson, Edward L; Woodcroft, Kimberly J; Joseph, Christine L; Johnson, Christine C

    2009-10-01

    Pregnancy alters the function of many body systems, including the immune system. However, little is known regarding the effect of pregnancy on maternal IgE levels or atopy. To determine whether pregnancy consistently influences serum levels of total or allergen specific IgE. Blood samples were obtained from 764 women during the third trimester of pregnancy and 1 month post partum. A third sample was obtained from 106 of these women 1 year post partum. Samples were analyzed for total and specific IgE to 8 regionally common allergens using a commercially available system. Sensitization was defined as an allergen specific IgE level of 0.35 kU of allergen per liter or higher to any allergen. Total IgE increased significantly post partum, both at 1 month (40.36 vs 35.37 IU/mL intrapartum; P = .001) and at 1 year (44.97 vs 37.00 IU/mL intrapartum; P = .005). Allergen specific IgE decreased significantly at 1 month for cat, dog, ragweed, timothy grass, and egg (P = .001 to P = .02) but not for dust mite, cockroach, or Alternaria (P = .15 to P = .90). Similar patterns of change in total and specific IgE were seen at 1 year. However, on average, only 3.5% of participants changed sensitization status to the individual allergens studied during the 1 year of observation. Compared with intrapartum levels, total IgE levels increased significantly at 1 month and 1 year post partum. Conversely, at the same time points, IgE levels specific for common allergens significantly declined to most but not all allergens. Few women changed their sensitization status over 1 year.

  1. The Time Course of Knee Swelling Post Total Knee Arthroplasty and Its Associations with Quadriceps Strength and Gait Speed.

    Science.gov (United States)

    Pua, Yong-Hao

    2015-07-01

    This study examines the time course of knee swelling post total knee arthroplasty (TKA) and its associations with quadriceps strength and gait speed. Eighty-five patients with unilateral TKA participated. Preoperatively and on post-operative days (PODs) 1, 4, 14, and 90, knee swelling was measured using bioimpedance spectrometry. Preoperatively and on PODs 14 and 90, quadriceps strength was measured using isokinetic dynamometry while fast gait speed was measured using the timed 10-meter walk. On POD1, knee swelling increased ~35% from preoperative levels after which, knee swelling reduced but remained at ~11% above preoperative levels on POD90. In longitudinal, multivariable analyses, knee swelling was associated with quadriceps weakness (P<0.01) and slower gait speed (P=0.03). Interventions to reduce post-TKA knee swelling may be indicated to improve quadriceps strength and gait speed. Copyright © 2015 Elsevier Inc. All rights reserved.

  2. Surface neuromuscular electrical stimulation for quadriceps strengthening pre and post total knee replacement.

    LENUS (Irish Health Repository)

    Monaghan, Brenda

    2010-01-01

    Total knee replacement has been demonstrated to be one of the most successful procedures in the treatment of osteoarthritis. However quadriceps weakness and reductions in function are commonly reported following surgery. Recently Neuromuscular Electrical Stimulation (NMES) has been used as an adjunct to traditional strengthening programmes. This review considers the effectiveness of NMES as a means of increasing quadriceps strength in patients before and after total knee replacement.

  3. Coping strategies related to total stress score among post graduate medical students and residents

    Directory of Open Access Journals (Sweden)

    R. Irawati Ismail

    2013-05-01

    Full Text Available AbstrakLatar belakang:Beberapa strategi penanganan yang dapat mengurangi tingkat stres. Tujuan penelitian ini untuk mengidentifikasi beberapa strategi yang dominan terhadap tingkat skor stres total.Metode:Pada penelitian potong lintang dengan sampel purposif mahasiswa kedokteran pasca sarjana Fakultas Kedokteran Universitas Indonesia pada bulan April-Juli 2011. Kuesioner yang digunakan ialah kuesioner strategi mengurangi stres dan self reporting questionnaire WHO (SRQ-20. Regresi liniar digunakan Untuk mengidentifikasi faktor dominan terhadap tingkat stres dipergunakan regresi linear.Hasil: Subjek terdiri dari 272 orang, usia 23-44 tahun. Empat hal menurunkan skor stres total (menerima realitas, berbicara dengan seseorang yang dapat melakukan sesuatu, meminta bantuan Allah, dan menertawakan situasi yang bermasalah. Sebaiknya tiga faktor meningkatkan skor stres total (menyelesaikan langkah demi langkah pada suatu waktu, berbicara dengan seseorang untuk mengetahui lebih lanjut tentang situasi, dan mengakui tidak bisa menangani pemecahan situasi. Satu poin menerima realitas situasi mengurangi 0,493 poin skor total stress [koefisien regresi (β = -0,493, P = 0,002]. Sementara satu poin mencari pertolongan Allah akan mengurangi 0,307 poin skor stres total (β = -0,307, P = 0,056. Namun, satu poin melakukan satu langkah pada suatu waktu akan meningkatkan 0,54 poin skor stres total (β = 0,540, P = 0,005.Kesimpulan: Menerima realitas, berbicara dengan seseorang yang dapat melakukan sesuatu, meminta bantuan Allah, dan menertawakan situasi akan menurunkan tingkat stres. Sebaiknya, menyelesaikan langkah demi langkah pada suatu waktu, berbicara dengan seseorang untuk mengetahui lebih lanjut tentang situasi, dan mengakui tidak bisa menangani memecahkan situasi, meningkatkan skor stres total.Kata kunci:strategi pengendalan stres, meminta pertolongan AlllahAbstractBackground:Several coping strategies may minimize stress levels. This study aimed to identify

  4. Effect of adductor-canal-blockade on established, severe post-operative pain after total knee arthroplasty

    DEFF Research Database (Denmark)

    Jaeger, P; Grevstad, Ulrik; Henningsen, Maja

    2012-01-01

    In this proof-of-concept study, we investigated the effect of the predominantly sensory adductor-canal-blockade on established pain in the early post-operative period after total knee arthroplasty (TKA). We hypothesised that the adductor-canal-blockade would reduce pain during flexion of the knee...... (primary end point) and at rest, as well as reducing morphine consumption and morphine-related side effects (secondary outcomes) compared with placebo....

  5. 21 CFR 862.1270 - Estrogens (total, in pregnancy) test system.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Estrogens (total, in pregnancy) test system. 862.1270 Section 862.1270 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN... Test Systems § 862.1270 Estrogens (total, in pregnancy) test system. (a) Identification. As estrogens...

  6. Post-test analysis for the APR1400 LBLOCA DVI performance test using MARS

    International Nuclear Information System (INIS)

    Bae, Kyoo Hwan; Lee, Y. J.; Kim, H. C.; Bae, Y. Y.; Park, J. K.; Lee, W.

    2002-03-01

    Post-test analyses using a multi-dimensional best-estimate analysis code, MARS, are performed for the APR1400 LBLOCA DVI (Direct Vessel Injection) performance tests. This report describes the code evaluation results for the test data of various void height tests and direct bypass tests that have been performed at MIDAS test facility. MIDAS is a scaled test facility of APR1400 with the objective of identifying multi-dimensional thermal-hydraulic phenomena in the downcomer during the reflood conditions of a large break LOCA. A modified linear scale ratio was applied in its construction and test conditions. The major thermal-hydraulic parameters such as ECC bypass fraction, steam condensation fraction, and temperature distributions in downcomer are compared and evaluated. The evaluation results of MARS code for the various test cases show that: (a) MARS code has an advanced modeling capability of well predicting major multi-dimensional thermal-hydraulic phenomena occurring in the downcomer, (b) MARS code under-predicts the steam condensation rates, which in turn causes to over-predict the ECC bypass rates. However, the trend of decrease in steam condensation rate and increase in ECC bypass rate in accordance with the increase in steam flow rate, and the calculation results of the ECC bypass rates under the EM analysis conditions generally agree with the test data

  7. Effect of sucralfate on total carbon dioxide concentration in horses subjected to a simulated race test.

    Science.gov (United States)

    Caltabilota, T J; Milizio, J G; Malone, S; Kenney, J D; McKeever, K H

    2010-02-01

    The purpose of this study was to test the hypothesis that sucralfate, a gastric ulcer medication, would alter plasma concentrations of total carbon dioxide (tCO2), lactate (LA), sodium (Na+), potassium (K+), chloride (Cl-) and total protein (TP), as well as calculated plasma strong ion difference (SID) and packed cell volume (PCV) in horses subjected to a simulated race test (SRT). Six unfit Standardbred mares (approximately 520 kg, 9-18 years) were used in a randomized crossover design with the investigators blinded to the treatment given. The horses were assigned to either a control (40-50 mL apple sauce administered orally (PO)) or a sucralfate (20 mg/kg bodyweight dissolved in 40-50 mL apple sauce administered PO) group. Each horse completed a series of SRTs during which blood samples were taken via jugular venipuncture at five sampling intervals (prior to receiving treatment, prior to SRT, immediately following exercise, and at 60 and 90 min post-SRT). During the SRTs, each horse ran on a treadmill fixed on a 6% grade for 2 min at a warm-up speed (4 m/s) and then for 2 min at a velocity predetermined to produce VO2max. Each horse then walked at 4 m/s for 2 min to complete the SRT. Plasma tCO2, electrolytes, LA, and blood PCV and TP were analysed at all intervals. No differences (P>0.05) were detected between control and sucralfate for any of the measured variables. There were differences (P<0.05) in tCO2, SID, PCV, TP, LA and electrolyte concentrations relative to sampling time. However, these differences were attributable to the physiological pressures associated with acute exercise and were not an effect of the medication. It was concluded that sucralfate did not alter plasma tCO2 concentration in this study. Copyright (c) 2008 Elsevier Ltd. All rights reserved.

  8. Finite element analysis and fracture resistance testing of a new intraradicular post

    Directory of Open Access Journals (Sweden)

    Eron Toshio Colauto Yamamoto

    2012-08-01

    Full Text Available OBJECTIVES: The objective of the present study was to evaluate a prefabricated intraradicular threaded pure titanium post, designed and developed at the São José dos Campos School of Dentistry - UNESP, Brazil. This new post was designed to minimize stresses observed with prefabricated post systems and to improve cost-benefits. MATERIAL AND METHODS: Fracture resistance testing of the post/core/root complex, fracture analysis by microscopy and stress analysis by the finite element method were used for post evaluation. The following four prefabricated metal post systems were analyzed: group 1, experimental post; group 2, modification of the experimental post; group 3, Flexi Post, and group 4, Para Post. For the analysis of fracture resistance, 40 bovine teeth were randomly assigned to the four groups (n=10 and used for the fabrication of test specimens simulating the situation in the mouth. The test specimens were subjected to compressive strength testing until fracture in an EMIC universal testing machine. After fracture of the test specimens, their roots were sectioned and analyzed by microscopy. For the finite element method, specimens of the fracture resistance test were simulated by computer modeling to determine the stress distribution pattern in the post systems studied. RESULTS: The fracture test presented the following averages and standard deviation: G1 (45.63±8.77, G2 (49.98±7.08, G3 (43.84±5.52, G4 (47.61±7.23. Stress was homogenously distributed along the body of the intraradicular post in group 1, whereas high stress concentrations in certain regions were observed in the other groups. These stress concentrations in the body of the post induced the same stress concentration in root dentin. CONCLUSIONS: The experimental post (original and modified versions presented similar fracture resistance and better results in the stress analysis when compared with the commercial post systems tested (08/2008-PA/CEP.

  9. Mineralogic and petrologic investigation of post-test core samples from the Spent Fuel Test - Climax

    International Nuclear Information System (INIS)

    Ryerson, F.J.; Beiriger, J.

    1985-02-01

    We have characterized a suite of samples taken subsequent to the end of the Spent Fuel Test - Climax by petrographic and microanalytical techniques and determined their mineral assemblage, modal properties, and mineral chemistry. The samples were obtained immediately adjacent to the canister borehole at a variety of depths and positions within the canister drift, as well as radially outward from each canister hole. This method of sampling allows variations in post-test mineralogic properties to be evaluated on the basis of (1) depth along a particular canister hole and (2) position within the canister drift, with respect to the heat and radiation sources, and with respect to the pre - test samples. In no case did we find any significant correlation between the mineralogical properties and variables listed above. In short, the Spent Fuel Test - Climax has produced no identifiable mineralogical response in the Climax quartz monzonite. 12 refs., 11 figs., 5 tabs

  10. Relationship between intraoperative regional cerebral oxygen saturation trends and cognitive decline after total knee replacement: a post-hoc analysis.

    Science.gov (United States)

    Salazar, Fátima; Doñate, Marta; Boget, Teresa; Bogdanovich, Ana; Basora, Misericordia; Torres, Ferran; Gracia, Isabel; Fàbregas, Neus

    2014-01-01

    Bilateral regional brain oxygen saturation (rSO2) trends, reflecting intraoperative brain oxygen imbalance, could warn of brain dysfunction. Various types of cognitive impairment, such as memory decline, alterations in executive function or subjective complaints, have been described three months after surgery. Our aim was to explore the potential utility of rSO2 values as a warning sign for the development of different types of decline in postoperative psychological function. Observational post-hoc analysis of data for the patient sample (n = 125) of a previously conducted clinical trial in patients over the age of 65 years undergoing total knee replacement under spinal anesthesia. Demographic, hemodynamic and bilateral rSO2 intraoperative values were recorded. An absolute rSO2 value of 20% or >25% below baseline were chosen as relevant cutoffs. Composite function test scores were created from baseline to three months for each patient and adjusted for the mean (SD) score changes for a control group (n = 55). Tests were used to assess visual-motor coordination and executive function (VM-EF) (Wechsler Digit Symbol-Coding and Visual Reproduction, Trail Making Test) and memory (Auditory Verbal Learning, Wechsler Memory Scale); scales were used to assess psychological symptoms. We observed no differences in baseline rSO2 values; rSO2 decreased significantly in all patients during surgery (P Left and right rSO2 values were asymmetric in patients who had memory decline (mean [SD] left-right ratio of 95.03 [8.51] vs 101.29 [6.7] for patients with no changes, P = 0.0012). The mean right-left difference in rSO2 was also significant in these patients (-2.87% [4.73%], lower on the right, P = 0.0034). Detection of a trend to asymmetry in rSO2 values can warn of possible postoperative onset of memory decline. Psychological symptoms and memory decline were common three months after knee replacement in our patients over the age of 65 years.

  11. Low diagnostic value of fasting and post-methionine load homocysteine tests. A study in Dutch subjects with homocysteine test indications

    NARCIS (Netherlands)

    Fokkema, M R; Dijck-Brouwer, D A J; van Doormaal, J J; Reijngoud, D J; Muskiet, F A J

    BACKGROUND: Homocysteine is a cardiovascular disease risk factor. We investigated, both in subjects with past plasma total homocysteine (tHcy) test indications and healthy adults, the diagnostic value of a fasting (tHcy) (f-tHcy) and the added value of a post-methionine-load tHcy (postload-tHcy).

  12. Quality of life in penile carcinoma patients - post-total penectomy.

    Science.gov (United States)

    Sosnowski, Roman; Kulpa, Marta; Kosowicz, Mariola; Wolski, Jan Karol; Kuczkiewicz, Olga; Moskal, Katarzyna; Szymański, Michał; Kalinowski, Tomasz; Demkow, Tomasz

    2016-01-01

    Total amputation, as a treatment for advanced penile cancer, significantly debilitates the patient's quality of life and sexual function. The aim of the study was to assess the quality of life in patients who had undergone total penectomy. The questionnaires EORTC QLQ C-30, SES, CMNI, and a modified IIEF-15 questionnaire, were sent to 11 patients. A total of 10 patients returned the questionnaires completed. The results of the overall quality of life, the median result in individual domains, as assessed by the EORT QLQ C-30 questionnaire, were clearly lower than the reference results. There were statistically significant differences in the results of the QLQ C-30, concerning the role-functioning domain in relation to age (p = 0.008) and education (p = 0.032), in the domain of emotional functioning in relation to education (p = 0.008) and in the domains of physical functioning in relation to the partner relationship (p = 0.032). A significant number of patients were sexually inactive. Sexual activity as defined by touching the area of the pubic symphysis at the scars of the penis, touching and fondling perianal areas or the scrotum and watching things/people that cause excitement was observed in 2/10, 1/10 and 2/10 of patients respectively. In 5/6 of these patients, partnership relationships did not deteriorate, including one patient for whom the relationship actually improved. The results obtained indicate that total amputation of the penis significantly affects one's sex life and overall quality of life. However, this does not have negative implications in terms of partnership relations, self-assessment or the evaluation of masculinity.

  13. Direct and carryover effect of post-grazing sward height on total lactation dairy cow performance.

    Science.gov (United States)

    Ganche, E; Delaby, L; O'Donovan, M; Boland, T M; Kennedy, E

    2013-08-01

    Grazing pastures to low post-grazing sward heights (PGSH) is a strategy to maximise the quantity of grazed grass in the diet of dairy cows within temperate grass-based systems. Within Irish spring-calving systems, it was hypothesised that grazing swards to very low PGSH would increase herbage availability during early lactation but would reduce dairy cow performance, the effect of which would persist in subsequent lactation performance when compared with cows grazing to a higher PGSH. Seventy-two Holstein-Friesian dairy cows (mean calving date, 12 February) were randomly assigned post-calving across two PGSH treatments (n = 36): 2.7 cm (severe; S1) and 3.5 cm (moderate; M1), which were applied from 10 February to 18 April (period 1; P1). This was followed by a carryover period (period 2; P2) during which cows were randomly reassigned within their P1 treatment across two further PGSH (n = 18): 3.5 cm (severe, SS and MS) and 4.5 cm (moderate, SM and MM) until 30 October. Decreasing PGSH from 3.5 to 2.7 cm significantly decreased milk (-2.3 kg/cow per day), protein (-95 g/day), fat (-143 g/day) and lactose (-109 g/day) yields, milk protein (-1.2 g/kg) and fat (-2.2 g/kg) concentrations and grass dry matter intake (GDMI; -1.7 kg dry matter/cow per day). The severe PGSH was associated with a lower bodyweight (BW) at the end of P1. There was no carryover effect of P1 PGSH on subsequent milk or milk solids yields in P2, but PGSH had a significant carryover effect on milk fat and lactose concentrations. Animals severely restricted at pasture in early spring had a higher BW and slightly higher body condition score in later lactation when compared with M1 animals. During P2, increasing PGSH from 3.5 to 4.5 cm increased milk and milk solids yield as a result of greater GDMI and resulted in higher mean BW and end BW. This study indicates that following a 10-week period of feed restriction, subsequent dairy cow cumulative milk production is unaffected. However, the substantial

  14. Cost of post-operative intravenous iron therapy in total lower limb arthroplasty: a retrospective, matched cohort study

    Science.gov (United States)

    Muñoz, Manuel; Gómez-Ramírez, Susana; Martín-Montañez, Elisa; Naveira, Enrique; Seara, Javier; Pavía, José

    2014-01-01

    Background Requirements for allogeneic red cell transfusion after total lower limb arthroplasty are still high (20–50%), and post-operative intravenous iron has been shown to reduce transfusion requirements for this surgery. We performed a cost analysis to ascertain whether this alternative is also likely to be cost-effective. Materials and methods Data from 182 matched-pairs of total lower limb arthroplasty patients, managed with a restrictive transfusion protocol and without (control group) or with post-operative intravenous iron (iron group), were retrospectively reviewed. Acquisition and administration costs of iron (iron sucrose or ferric carboxymaltose) and allogeneic red cell concentrates, haemoglobin measurements, and prolonged stay in hospital were used for blood management cost analysis. Results Patients in the iron group received 600 mg intravenous iron, without clinically relevant incidents, and had a lower allogeneic transfusion rate (11.5% vs 26.4% for the iron and control groups, respectively; p=0.001). The reduction in transfusion rate was more pronounced in anaemic patients (17% vs 40%; p=0.015) than in non-anaemic ones (9.6% vs 21.2%; p=0.011). There were no differences with respect to post-operative infection rate. Patients receiving allogeneic transfusion stayed in hospital longer (+1.9 days [95% CI: 1.2–2.6]). As intravenous iron reduces the allogeneic transfusion rate, both iron formulations were cost-neutral in the different cost scenarios (−25.5 to 62.1 €/patient for iron sucrose, and −51.1 to 64.4 €/patient for ferric carboxymaltose). Discussion In patients presenting with or without pre-operative anaemia, post-operative intravenous iron after total lower limb arthroplasty seems to be safe and is associated with reduced transfusion rates, without incremental costs. For anaemic patients, its efficacy could be increased by associating some other blood-saving method. PMID:24120595

  15. When is it safe to resume driving after total hip and total knee arthroplasty? a meta-analysis of literature on post-operative brake reaction times.

    Science.gov (United States)

    van der Velden, C A; Tolk, J J; Janssen, R P A; Reijman, M

    2017-05-01

    The aim of this study was to assess the current available evidence about when patients might resume driving after elective, primary total hip (THA) or total knee arthroplasty (TKA) undertaken for osteoarthritis (OA). In February 2016, EMBASE, MEDLINE, Web of Science, Scopus, Cochrane, PubMed Publisher, CINAHL, EBSCO and Google Scholar were searched for clinical studies reporting on 'THA', 'TKA', 'car driving', 'reaction time' and 'brake response time'. Two researchers (CAV and JJT) independently screened the titles and abstracts for eligibility and assessed the risk of bias. Both fixed and random effects were used to pool data and calculate mean differences (MD) and 95% confidence intervals (CI) between pre- and post-operative total brake response time (TBRT). A total of 19 studies were included. The assessment of the risk of bias showed that one study was at high risk, six studies at moderate risk and 12 studies at low risk. Meta-analysis of TBRT showed a MD decrease of 25.54 ms (95% CI -32.02 to 83.09) two weeks after right-sided THA, and of 18.19 ms (95% CI -6.13 to 42.50) four weeks after a right-sided TKA, when compared with the pre-operative value. The TBRT returned to baseline two weeks after a right-sided THA and four weeks after a right-sided TKA. These results may serve as guidelines for orthopaedic surgeons when advising patients when to resume driving. However, the advice should be individualised. Cite this article: Bone Joint J 2017;99-B:566-76. ©2017 The British Editorial Society of Bone & Joint Surgery.

  16. Use of predefined biochemical admission profiles does not reduce the number of tests or total cost

    DEFF Research Database (Denmark)

    Pareek, Manan; Haidl, Felix; Folkestad, Lars

    2014-01-01

    The objective of this pilot study was to evaluate whether the use of predefined biochemical profiles as an alternative to individually ordered blood tests by the treating physicians resulted in fewer tests or a lower total cost.......The objective of this pilot study was to evaluate whether the use of predefined biochemical profiles as an alternative to individually ordered blood tests by the treating physicians resulted in fewer tests or a lower total cost....

  17. 77 FR 10666 - Pipeline Safety: Post Accident Drug and Alcohol Testing

    Science.gov (United States)

    2012-02-23

    ... 199 [Docket No. PHMSA-2011-0335] Pipeline Safety: Post Accident Drug and Alcohol Testing AGENCY... operators of Liquefied Natural Gas (LNG) facilities to conduct post- accident drug and alcohol tests of..., operators must drug and alcohol test each covered employee whose performance either contributed to the...

  18. Possible effects of mobilisation on acute post-operative pain and nociceptive function after total knee arthroplasty

    DEFF Research Database (Denmark)

    Lunn, T H; Kristensen, B B; Gaarn-Larsen, L

    2012-01-01

    anaesthesia and analgesia underwent an exercise (mobilisation) strategy on the first post-operative morning consisting of 25-m walking twice, with a 20-min interval. Pain was assessed at rest and during passive hip and knee flexion before, and 5 and 20 min after walk, as well as during walk. Nociceptive......BACKGROUND: Experimental studies in animals, healthy volunteers, and patients with chronic pain suggest exercise to provide analgesia in several types of pain conditions and after various nociceptive stimuli. To our knowledge, there is no data on the effects of exercise on pain and nociceptive...... function in surgical patients despite early mobilisation being an important factor to enhance recovery. We therefore investigated possible effects of mobilisation on post-operative pain and nociceptive function after total knee arthroplasty (TKA). METHODS: Thirty patients undergoing TKA under standardised...

  19. Ireland – a test case of Post-colonialism / Post colonialism

    Directory of Open Access Journals (Sweden)

    Brenda Murray

    2006-05-01

    Full Text Available Contextualisation This review attempts to set the stage for post-colonial theorising, in the light of alternative representations of ‘whiteness’, on issues of gender, race and language within the discourse of equality. In this paper Ireland and the Irish provide a backdrop against which the nature and impact of colonialism on the colonised and the coloniser are explored. Many challenging questions emerge about the ideological basis of post colonial theory, not least when traditional paradigms of racism, as conveyed by the black / white dichotomy, are examined: Ireland presents a context, it is argued, where subjugation is of white on white. Linked to this is the language of the coloniser, a powerful hegemonic force which, in some situations, has been nurtured by the colonised and later developed into a text which is unique, producing a new literature which, it is asserted, truly invokes the ‘post colonial’. Abstract: Post-colonialism – essentially a critique of colonialism, is characterised by a process of disengagement from the colonial epoch and has taken many forms. In this article a set of phenomena are examined that have become inscribed in the cultures of the colonised with a view to identifying alternative cultural origins and dispositions recovered in this post-colonial era. Ireland and the Irish provide the background context of this exploration into perspectives generated by the peripheral or post-colonial nations. Globalisation, too, has had a role to play in the increasing de-territorialisation of communities as a result of cross-frontier mobility, increased intra-community mobility and new communication technologies. A critical reflection on the process of disengagement leads the author to conclude that we must come to recognise new cultural forms which are accepting of a heterogeneous and inclusive society: one which is not characterised by difference.

  20. Evaluation of accelerated test parameters for CMOS IC total dose hardness prediction

    International Nuclear Information System (INIS)

    Sogoyan, A.V.; Nikiforov, A.Y.; Chumakov, A.I.

    1999-01-01

    The approach to accelerated test parameters evaluation is presented in order to predict CMOS IC total dose behavior in variable dose-rate environment. The technique is based on the analytical model of MOSFET parameters total dose degradation. The simple way to estimate model parameter is proposed using IC's input-output MOSFET radiation test results. (authors)

  1. No Correlation Between Press Ganey Survey Responses and Outcomes in Post-Total Hip Arthroplasty Patients.

    Science.gov (United States)

    Chughtai, Morad; Gwam, Chukwuweike U; Khlopas, Anton; Sodhi, Nipun; Delanois, Ronald E; Spindler, Kurt P; Mont, Michael A

    2018-03-01

    In the era of the online orthopedic market, patients tend to equate publicly available online satisfaction surveys with what they presume their ultimate surgical outcome will be. Therefore, the purpose of this study was to assess whether there is a correlation between Press Ganey (PG) scores and (1) Hip Western Ontario and McMaster Universities Osteoarthritis Index and Harris Hip Score; (2) Short Form-12 and Short Form-36 scores; (3) University of California Los Angeles and Visual Analog Scale scores assessed at a mean of 3 years (range, 1 to 6 years) after surgery. In addition, we assessed whether (4) these correlations persist in patients who were evaluated under 2 years and 3 or more years after surgery. Six-hundred ninety-two patients from November 2009 to January 2015 were identified from our institutional PG database. One-hundred ninety (27%) responded to the survey. One-hundred forty-nine (78%) patients were given the total hip arthroplasty assessment tools at a minimum of 2-year follow-up, and 33 patients (17%) completed their survey before 2 years after surgery. We assessed whether overall hospital rating scores correlated with the above assessment tools. Pearson correlation analysis revealed no correlation between the PG survey score and the assessment tools. HHS had the highest correlation coefficient (r = .120; P = .316); however, this was not significant. After removing the patients who had their follow-up survey administered under 2 years after surgery (33 patients), there was still no statistically significant correlation between the above-mentioned outcome scores and PG overall hospital rating (P > .05). No statistically significant relationship was found between commonly used total hip arthroplasty assessment tools and the PG overall hospital rating. Based on these results, PG surveys may not be a suitable implementation of the Center for Medicare and Medicaid services. A set of measures that can be widely collected and reported by hospitals for

  2. Rehabilitation of post-traumatic total nasal defect using silicone and acrylic resin

    Directory of Open Access Journals (Sweden)

    Vikas Aggarwal

    2016-01-01

    Full Text Available Facial defects resulting from neoplasms, congenital abnormalities or trauma can affect the patient esthetically, psychologically, and even financially. Surgical reconstruction of large facial defects is sometimes not possible and frequently demands prosthetic rehabilitation. For success of such prosthesis, adequate replication of natural anatomy, color matching and blending with tissue interface are important criteria. Variety of materials and retention methods are advocated to achieve a functionally and esthetically acceptable restoration. Silicones are the most commonly used materials because of flexibility, lifelike appearance and ability to be used in combination with acrylic resin which is hard, provides body and helps in achieving retention to the prosthesis by engaging mechanical undercuts. Furthermore, the acrylic portion can be relined easily, thus helping comfortable wear and removal of the prosthesis by patient without traumatizing nasal mucosa. This case report describes time saving and cost effective prosthetic rehabilitation of a patient with total nasal defect using custom sculpted nasal prosthesis made up of silicone elastomer and acrylic resin, which is retained by engaging mechanical undercut and use of biocompatible silicone adhesive.

  3. Advantages and Challenges of Dried Blood Spot Analysis by Mass Spectrometry Across the Total Testing Process

    Science.gov (United States)

    Zakaria, Rosita; Allen, Katrina J.; Koplin, Jennifer J.; Roche, Peter

    2016-01-01

    Introduction Through the introduction of advanced analytical techniques and improved throughput, the scope of dried blood spot testing utilising mass spectrometric methods, has broadly expanded. Clinicians and researchers have become very enthusiastic about the potential applications of dried blood spot based mass spectrometric applications. Analysts on the other hand face challenges of sensitivity, reproducibility and overall accuracy of dried blood spot quantification. In this review, we aim to bring together these two facets to discuss the advantages and current challenges of non-newborn screening applications of dried blood spot quantification by mass spectrometry. Methods To address these aims we performed a key word search of the PubMed and MEDLINE online databases in conjunction with individual manual searches to gather information. Keywords for the initial search included; “blood spot” and “mass spectrometry”; while excluding “newborn”; and “neonate”. In addition, databases were restricted to English language and human specific. There was no time period limit applied. Results As a result of these selection criteria, 194 references were identified for review. For presentation, this information is divided into: 1) clinical applications; and 2) analytical considerations across the total testing process; being pre-analytical, analytical and post-analytical considerations. Conclusions DBS analysis using MS applications is now broadly applied, with drug monitoring for both therapeutic and toxicological analysis being the most extensively reported. Several parameters can affect the accuracy of DBS measurement and further bridge experiments are required to develop adjustment rules for comparability between dried blood spot measures and the equivalent serum/plasma values. Likewise, the establishment of independent reference intervals for dried blood spot sample matrix is required. PMID:28149263

  4. FUMEX cases 1, 2, and 3 calculated pre-test and post-test results

    Energy Technology Data Exchange (ETDEWEB)

    Stefanova, S; Vitkova, M; Passage, G; Manolova, M; Simeonova, V [Bylgarska Akademiya na Naukite, Sofia (Bulgaria). Inst. za Yadrena Izsledvaniya i Yadrena Energetika; Scheglov, A; Proselkov, V [Russian Research Centre Kurchatov Inst., Moscow (Russian Federation); Kharalampieva, Ts [Kombinat Atomna Energetika, Kozloduj (Bulgaria)

    1994-12-31

    Two versions (modified pre-test and modified post-test) of PIN-micro code were used to analyse the fuel rod behaviour of three FUMEX experiments. The experience of applying PIN-micro code with its simple structure and old conception of the steady-state operation shows significant difficulties in treating the complex processes like those in FUMEX experiments. These difficulties were partially overcame through different model modifications and corrections based on special engineering estimations and the results obtained as a whole do not seem unreasonable. The calculations have been performed by a group from two Bulgarian institutions in collaboration with specialists from the Kurchatov Research Center. 1 tab., 14 figs., 8 refs.

  5. Transfer of test samples and wastes between post-irradiation test facilities (FMF, AGF, MMF)

    International Nuclear Information System (INIS)

    Ishida, Yasukazu; Suzuki, Kazuhisa; Ebihara, Hikoe; Matsushima, Yasuyoshi; Kashiwabara, Hidechiyo

    1975-02-01

    Wide review is given on the problems associated with the transfer of test samples and wastes between post-irradiation test facilities, FMF (Fuel Monitoring Facility), AGF (Alpha Gamma Facility), and MMF (Material Monitoring Facility) at the Oarai Engineering Center, PNC. The test facilities are connected with the JOYO plant, an experimental fast reactor being constructed at Oarai. As introductory remarks, some special features of transferring irradiated materials are described. In the second part, problems on the management of nuclear materials and radio isotopes are described item by item. In the third part, the specific materials that are envisaged to be transported between JOYO and the test facilities are listed together with their geometrical shapes, dimensions, etc. In the fourth part, various routes and methods of transportation are explained with many block charts and figures. Brief explanation with lists and drawings is also given to transportation casks and vessels. Finally, some future problems are discussed, such as the prevention of diffusive contamination, ease of decontamination, and the identification of test samples. (Aoki, K.)

  6. Post-test thermomechanical calulations and preliminary data analysis for the Spent Fuel Test: Climax

    International Nuclear Information System (INIS)

    Butkovich, T.R.; Patrick, W.C.

    1985-09-01

    The Spent Fuel Test - Climax (SFT-C) was conducted to evaluate the feasibility of retrievable deep geologic storage of commercially generated, spent nuclear-reactor fuel assemblies. Thermomechanical response of the SFT-C was calculated before the test began using the finite-element structural analysis code ADINA and its companion heat transfer code ADINAT. While we found that the level of agreement between measured and calculated rock displacements was quite good, we needed to revise certain aspects of the heat transfer calculation, material properties, and in situ stresses to incorporate information obtained during and after the heated phase of the test. The post-test calculations reported here were performed using the best available input parameters, thermal and mechanical properties, and power levels that were directly measured or inferred from measurements made during the test. This report documents the results of these calculations and compares those results with selected measurements made during the 3-year heating phase and 6-month cooling phase of the SFT-C

  7. Test of post-newtonian conservation laws in the binary system PSR 1913+16

    International Nuclear Information System (INIS)

    Will, C.M.

    1976-01-01

    Observations that set upper limits on secular changes in the pulsar period and orbital period in the binary system PSR 1913+16 may provide a test of post-Newtonian conservation laws. According to some metric theories of gravitation, the center of mass of a binary system may be accelerated in the direction of the periastron of the orbit because of a violation of post-Newtonian momentum conservation. In the binary system PSR 1913+16, this effect could produce secular changes in both pulsar and orbital periods (changing overall Doppler shift) as large as two parts in 10 6 per year. The size of the effect is proportional to the sine of the angle of periastron, to the difference in the masses of the components of the binary system, and to the combination of parametrized post-Newtonian parameters α 3 +zeta 2 -zeta/subw/. This combination is zero in any theory that predicts conserved total momentum for isolated systems (including general relativity and Brans-Dicke theory). Although solar-system experiments constrain α 3 and zeta/subw/ to be small, no decent direct limit has been placed on zeta 2 . Other possible sources of secular period changes in PSR 1913+16 are discussed and compared with this effect. It is also shown that a breakdown in the equality of active and passive gravitational masses (violation of ''Newton's third law'') leads only to periodic, unobservable orbital effects in a system like PSR 1913+16

  8. TRENDS: The aeronautical post-test database management system

    Science.gov (United States)

    Bjorkman, W. S.; Bondi, M. J.

    1990-01-01

    TRENDS, an engineering-test database operating system developed by NASA to support rotorcraft flight tests, is described. Capabilities and characteristics of the system are presented, with examples of its use in recalling and analyzing rotorcraft flight-test data from a TRENDS database. The importance of system user-friendliness in gaining users' acceptance is stressed, as is the importance of integrating supporting narrative data with numerical data in engineering-test databases. Considerations relevant to the creation and maintenance of flight-test database are discussed and TRENDS' solutions to database management problems are described. Requirements, constraints, and other considerations which led to the system's configuration are discussed and some of the lessons learned during TRENDS' development are presented. Potential applications of TRENDS to a wide range of aeronautical and other engineering tests are identified.

  9. Post-marketing surveillance of OraQuick whole blood and oral fluid rapid HIV testing.

    Science.gov (United States)

    Wesolowski, Laura G; MacKellar, Duncan A; Facente, Shelley N; Dowling, Teri; Ethridge, Steven F; Zhu, Julia H; Sullivan, Patrick S

    2006-08-01

    Post-marketing surveillance was conducted to monitor the performance of the OraQuick Advance rapid HIV-1/2 antibody test (OraQuick) on whole blood and oral fluid. Surveillance of routinely collected data on clients tested with OraQuick in 368 testing sites affiliated with 17 state and city health departments between 11 August 2004 and 30 June 2005. For whole blood and oral fluid, we report the median (range) health department OraQuick specificity and positive predictive value (PPV), and the number of clients with discordant results (e.g. who had a reactive rapid test not confirmed positive by Western blot or indirect immunofluorescence). At one site with lower than expected oral-fluid specificity, we evaluated whether device expiration, manufacturing lot, operator practices, or device-storage or testing-area temperatures were associated with false-positive tests. During the surveillance period, 135 724 whole blood and 26 066 oral fluid rapid tests were conducted. The median health department whole blood OraQuick specificity was 99.98% (range: 99.73-100%) and PPV was 99.24% (range: 66.67-100%); the median oral fluid specificity was 99.89% (range: 99.44-100%) and PPV was 90.00% (range: 50.00-100%). A total of 124 discordant results were reported from 68 (0.05%) whole blood and 56 (0.22%) oral fluid rapid tests. The oral fluid specificity at the site with excess oral fluid false-positive tests was 98.7% (95% confidence interval: 98.18-99.11%). The increase in false-positive tests at that site was not associated with any specific device characteristic, operator procedure or temperature condition. The specificity of OraQuick performed on whole blood and oral fluid during post-marketing surveillance was compatible with the manufacturer's claim within the package insert. However, one site experienced lower than expected oral fluid specificity. Sites that observe that the specificity of OraQuick is lower than the range indicated in the package insert should notify the

  10. Intra- and inter-rater reliability of the Knee Society Knee Score when used by two physiotherapists in patients post total knee arthroplasty

    Directory of Open Access Journals (Sweden)

    S. Gopal

    2010-01-01

    Full Text Available Background and Purpose: It has yet to be shown whether routine physiotherapy plays a role in the rehabilitation of patients post totalknee arthroplasty (Rajan et al 2004. Physiotherapists should be using validoutcome measures to provide evidence of the benefit of their intervention. The aim of this study was to establish the intra and inter-rater reliability of the Knee Society Knee Score, a scoring system developed by Insall et al(1989. The Knee Society Knee Score can be used to assess the integrity of theknee joint of patients undergoing total knee arthroplasty. Since the scoreinvolves clinical testing, the intra-rater reliability of the clinician should be established prior to using the scores as datain clinical research. W here multiple clinicians are involved, inter-rater reliability should also be established.Design: This was a correlation study.Subjects: A  sample of thirty patients post total knee arthroplasty attending the arthroplasty clinic at Johannesburg Hospital between six weeks and twelve months postoperatively.M ethod: Recruited patients were evaluated twice with a time interval of one hour between each assessment. Statistical A nalysis: The intra- and inter-rater reliability were estimated using Intraclass Correlation Coefficient (ICC. R esults: The intra-rater reliability showed excellent reliability (h= 0.95 for Examiner A  and good reliability (h= 0.71for Examiner B. The inter-rater reliability showed moderate reliability (h= 0.67 during test one and h= 0.66 during test two.Conclusion: The KSKS has good intra-rater reliability when tested within a period of one hour. The KSKS demonstrated moderate agreement for inter rater reliability.

  11. Relationships between post operative pain management and short term functional mobility in total knee arthroplasty patients with a femoral nerve catheter: A preliminary study

    Directory of Open Access Journals (Sweden)

    Ward Sarah

    2011-02-01

    Full Text Available Abstract Background Effective pain management following total knee arthroplasty (TKA is fundamental in achieving positive rehabilitation outcomes. The purpose of our study was to investigate post operative pain management in relation to short term functional mobility in an intervention group receiving concomitant use of an IV narcotic PCA and a continuous infusion of local anaesthetic via a femoral nerve catheter (CFNC, compared to a group receiving narcotic PCA alone. This was a preliminary study conducted to establish an appropriate design for a larger investigative study. Methods A prospective design was used to measure the effect of a CFNC on post operative pain management and functional mobility prior to hospital discharge. The amount of fentanyl used, pain and nausea scores, timed up and go (TUG tests and active range of knee movement (AROM were used to compare a CFNC and supplemental narcotic patient controlled analgesia (PCA group (n = 27 with a PCA only group (n = 25. Results The CFNC group used significantly less fentanyl than the PCA only group (p s = .505 p s = .529 p s = .328, p = .034 Conclusions In this small preliminary study improved TUG performance at Day 4 post op was not influenced by the use of a CFNC but was positively correlated with male gender, preoperative performance, time elapsed since last oral analgesia and pain score. However AROM was decreased in the CFNC group suggesting further research on the relationship between CFNCs, local anaesthetic concentration and quadriceps strength should be incorporated in the follow up study's design.

  12. MITG post-test analysis and design improvements

    International Nuclear Information System (INIS)

    Schock, A.

    1983-01-01

    The design, performance analysis, and key attributes of the Modular Isotopic Thermoelectric Generator (MITG) were described in a 1981 IECEC paper; and the design, fabrication, and testing of prototypical MITG test assemblies were described in preceding papers in these proceedings. Each test assembly simulated a typical modular slice of the flight generator. The present paper describes a detailed thermal-stress analysis, which identified the causes of stress-related problems observed during the tests. It then describes how additional analyses were used to evaluate design changes to alleviate those problems. Additional design improvements are discussed in the next paper in these proceedings, which also describes revised fabrication procedures and updated performance estimates for the generator

  13. Physiological Indices of Stress Prior to and Following Total Knee Arthroplasty Predict the Occurrence of Severe Post-Operative Pain.

    Science.gov (United States)

    Cremeans-Smith, Julie K; Greene, Kenneth; Delahanty, Douglas L

    2016-05-01

    The severe pain and disability associated with osteoarthritis often motivate individuals to undergo arthroplastic surgery. However, a significant number of surgical patients continue to experience pain following surgery. Prior research has implicated both the hypothalamic-pituitary-adrenal (HPA) axis and sympathetic nervous system (SNS) in the sensitization of pain receptors and chronic pain conditions. This study uses a prospective, observational, cohort design to examine whether physiological stress responses before and after surgery could predict post-operative pain severity. Participants included 110 patients undergoing total knee arthroplasty. Physiological indices of stress included the measurement of catecholamine and cortisol levels in 15-hour urine samples collected prior to and 1 month following surgery, as well as in-hospital heart rate and blood pressure (before and after surgery), which were abstracted from medical records. Patients completed the pain subscale of the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) [Bellamy et al., J Orthop Rheumatol 1: , 95 (1988)] 2.5 weeks prior to surgery and at a 3-month follow-up. Contrary to expectations, lower stress hormone levels at baseline were related to more severe post-operative pain. Data at later time points, however, supported our hypothesis: cardiovascular tone shortly before surgery and urinary levels of epinephrine 1 month following surgery were positively related to pain severity 3 months later. Results suggest that the occurrence of post-operative pain can be predicted on the basis of stress physiology prior to and following arthroplastic surgery. © 2015 American Academy of Pain Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  14. A Teaching Method on Basic Chemistry for Freshman : Teaching Method with Pre-test and Post-test

    OpenAIRE

    立木, 次郎; 武井, 庚二

    2003-01-01

    This report deals with a teaching method on basic chemistry for freshman. This teaching method contains guidance and instruction to how to understand basic chemistry. Pre-test and post-test have been put into practice each time. Each test was returned to students at class in the following weeks.

  15. Reliability of the 6-min walk test after total knee arthroplasty

    DEFF Research Database (Denmark)

    Jakobsen, Thomas Linding; Kehlet, Henrik; Bandholm, Thomas

    2013-01-01

    PURPOSE: The 6-min walk test is a simple clinical outcome measure, which has been used frequently to assess functional performance in many different patient groups, including patients with total knee arthroplasty (TKA). The 6-min walk test measures the maximal distance a subject is able to walk i...

  16. Experimental result of BWR post-CHF tests. Critical heat flux and post-CHF heat transfer coefficient. Contract research

    International Nuclear Information System (INIS)

    Iguchi, Tadashi; Anoda, Yoshinari

    2002-02-01

    Authors performed post-CHF experiments under wider pressure ranges of 2 MPa - 18 MPa, wider mass flux ranges of 33 kg/m 2 s - 1651 kg/m 2 s and wider superheat of heaters up to 500 K in comparison to experimental ranges at previous post-CHF experiments. Data on boiling transition, critical heat flux and post-CHF heat transfer coefficient were obtained. Used test section was 4x4-rod bundle with heaters, which diameter and length were the same as those of BWR nuclear fuels. As the result of the experiments, it was found that the boiling transition occurred just below several grid spacers, and that the fronts of the boiling transition region proceeded lower with increase of heated power. Heat transfer was due to nucleate boiling above grid spacers, while it was due to film boiling below grid spacers. Consequently, critical heat flux is affected on the distance from the grid spacers. Critical heat flux above the grid spacers was about 15% higher than that below the grid spacers, by comparing them under the same local condition. Heat transfer by steam turbulent flow was dominant to post-CHF heat transfer, when superheat of heaters was sufficiently high. Then, post-CHF heat transfer coefficient was predicted with heat transfer correlations for single-phase flow. On the other hand, when superhead of heaters was not sufficiently high, post-CHF heat transfer coefficient was higher than the prediction with heat transfer correlations for single-phase flow. Mass flux effect on post-CHF heat transfer coefficient was described by standardization of post-CHF heat transfer coefficient with the prediction for single-phase flow. However, pressure effect, superheat effect and effect of position were not described. Authors clarified that those effects could be described with functions of heater temperature and position. Post-CHF heat transfer coefficient was lowest just blow the grid spacers, and it increased with the lower positions. It increased by about 30% in one span of the grid

  17. Experimental result of BWR post-CHF tests. Critical heat flux and post-CHF heat transfer coefficient. Contract research

    Energy Technology Data Exchange (ETDEWEB)

    Iguchi, Tadashi; Anoda, Yoshinari [Japan Atomic Energy Research Inst., Tokai, Ibaraki (Japan). Tokai Research Establishment; Iwaki, Chikako [Toshiba Corp., Tokyo (Japan)

    2002-02-01

    Authors performed post-CHF experiments under wider pressure ranges of 2 MPa - 18 MPa, wider mass flux ranges of 33 kg/m{sup 2}s - 1651 kg/m{sup 2}s and wider superheat of heaters up to 500 K in comparison to experimental ranges at previous post-CHF experiments. Data on boiling transition, critical heat flux and post-CHF heat transfer coefficient were obtained. Used test section was 4x4-rod bundle with heaters, which diameter and length were the same as those of BWR nuclear fuels. As the result of the experiments, it was found that the boiling transition occurred just below several grid spacers, and that the fronts of the boiling transition region proceeded lower with increase of heated power. Heat transfer was due to nucleate boiling above grid spacers, while it was due to film boiling below grid spacers. Consequently, critical heat flux is affected on the distance from the grid spacers. Critical heat flux above the grid spacers was about 15% higher than that below the grid spacers, by comparing them under the same local condition. Heat transfer by steam turbulent flow was dominant to post-CHF heat transfer, when superheat of heaters was sufficiently high. Then, post-CHF heat transfer coefficient was predicted with heat transfer correlations for single-phase flow. On the other hand, when superhead of heaters was not sufficiently high, post-CHF heat transfer coefficient was higher than the prediction with heat transfer correlations for single-phase flow. Mass flux effect on post-CHF heat transfer coefficient was described by standardization of post-CHF heat transfer coefficient with the prediction for single-phase flow. However, pressure effect, superheat effect and effect of position were not described. Authors clarified that those effects could be described with functions of heater temperature and position. Post-CHF heat transfer coefficient was lowest just blow the grid spacers, and it increased with the lower positions. It increased by about 30% in one span of

  18. Post-test analysis of the W-2 SLSF experiment

    International Nuclear Information System (INIS)

    Smith, D.E.; Pitner, A.L.

    1983-01-01

    The W-2 SLSF experiment was an instrumented in-reactor test performed to characterize the failure response of full-length preconditioned LMFBR prototypical fuel pins to slow transient overpower (TOP) conditions. Although the test results were expected to confirm analytical predictions of upper-level failure and fuel expulsion, an axial midplane failure was experienced. Preliminary interpretations of the cause and implications of midplane failure have been revised. Extensive analyses were conducted in order to understand the unexpected behavior of the experiment. The results of the analyses and their interpretations are presented

  19. 49 CFR 655.44 - Post-accident testing.

    Science.gov (United States)

    2010-10-01

    ... best information available at the time of the decision, that the covered employee's performance can be... best available information at the time of the determination that the employee's performance could not... test any other covered employee whose performance could have contributed to the accident, as determined...

  20. Post-Decontamination Vapor Sampling and Analytical Test Methods

    Science.gov (United States)

    2015-08-12

    is decontaminated that could pose an exposure hazard to unprotected personnel. The chemical contaminants may include chemical warfare agents (CWAs... decontamination process. Chemical contaminants can include chemical warfare agents (CWAs) or their simulants, nontraditional agents (NTAs), toxic industrial...a range of test articles from coupons, panels, and small fielded equipment items. 15. SUBJECT TERMS Vapor hazard; vapor sampling; chemical warfare

  1. Structural assurance testing for post-shipping satellite inspection

    Science.gov (United States)

    Reynolds, Whitney D.; Doyle, Derek; Arritt, Brandon

    2012-04-01

    Current satellite transportation sensors can provide a binary indication of the acceleration or shock that a satellite has experienced during the shipping process but do little to identify if significant structural change has occurred in the satellite and where it may be located. When a sensor indicates that the satellite has experienced shock during transit, an extensive testing process begins to evaluate the satellite functionality. If errors occur during the functional checkout, extensive physical inspection of the structure follows. In this work an alternate method for inspecting satellites for structural defects after shipping is presented. Electro- Mechanical Impedance measurements are used as an indication of the structural state. In partnership with the Air Force Research Laboratory University Nanosatellite Program, Cornell's CUSat mass model was instrumented with piezoelectric transducers and tested under several structural damage scenarios. A method for detecting and locating changes in the structure using EMI data is presented.

  2. Post test analysis of the LOBI BT17 experiment

    International Nuclear Information System (INIS)

    Farkas, I.T.; Hozer, Z.; Takacs, A.

    1994-12-01

    The LOBI experimental facility and the BT17 experiment. This experiment represents a loss-of-feedwater transient with feed and bleed procedure. The computational analysis has been performed by the CATHARE thermal hydraulic system code. The results of calculations are in satisfactory agreement with the experimental values. A comparison has been made with a Loss-of-Feedwater test performed on the PMK-2 facility. (author). 16 refs., 22 figs., 5 tabs

  3. To study the effect of orbital sling on post operative vision in cases of maxillary carcinoma undergoing total maxillectomy.

    Science.gov (United States)

    Shukla, Anirudh; Dudeja, Vivek

    2014-06-01

    To study effect of orbital sling on post operative vision in cases of maxillary carcinoma undergoing total maxillectomy. All patients with the principal procedure of "total maxillectomy" for histopathologically proven cases of carcinoma maxilla in department of otorhinolaryngology and head-neck surgery, N.S.C.B. medical college, Jabalapur, Madhya Pradesh, India from July 2011 to October 2013 were included. Out of the 20 patients irrespective of whether orbital sling was created or not, maximum number of patients 8 (40 %) showed a 3 step improvement, and maximum improvement seen was up to five steps. Out of the 14 patients in which orbital sling was created maximum number of patients 7 (50 %) showed a 3 step improvement, and maximum improvement seen was up to five steps. Out of the 6 patients in whom orbital sling was not created maximum number of patients 3 (50 %) showed a 2 step improvement, and maximum improvement seen was up to three steps. Infraorbital repair with the help of sling results in better improvement of vision as compared to those in whom sling was not or could not be made with no significant difference on eye movements.

  4. Post launch calibration and testing of the Geostationary Lightning Mapper on GOES-R satellite

    Science.gov (United States)

    Rafal, Marc; Clarke, Jared T.; Cholvibul, Ruth W.

    2016-05-01

    The Geostationary Operational Environmental Satellite R (GOES-R) series is the planned next generation of operational weather satellites for the United States National Oceanic and Atmospheric Administration (NOAA). The National Aeronautics and Space Administration (NASA) is procuring the GOES-R spacecraft and instruments with the first launch of the GOES-R series planned for October 2016. Included in the GOES-R Instrument suite is the Geostationary Lightning Mapper (GLM). GLM is a single-channel, near-infrared optical detector that can sense extremely brief (800 μs) transient changes in the atmosphere, indicating the presence of lightning. GLM will measure total lightning activity continuously over the Americas and adjacent ocean regions with near-uniform spatial resolution of approximately 10 km. Due to its large CCD (1372x1300 pixels), high frame rate, sensitivity and onboard event filtering, GLM will require extensive post launch characterization and calibration. Daytime and nighttime images will be used to characterize both image quality criteria inherent to GLM as a space-based optic system (focus, stray light, crosstalk, solar glint) and programmable image processing criteria (dark offsets, gain, noise, linearity, dynamic range). In addition ground data filtering will be adjusted based on lightning-specific phenomenology (coherence) to isolate real from false transients with their own characteristics. These parameters will be updated, as needed, on orbit in an iterative process guided by pre-launch testing. This paper discusses the planned tests to be performed on GLM over the six-month Post Launch Test period to optimize and demonstrate GLM performance.

  5. Post test analysis of the LOBI BT01 experiment

    International Nuclear Information System (INIS)

    Hozer, Z.; Takacs, A.

    1994-12-01

    The LOBI experimental facility and the BT01 experiment is described. The experiment represents a small break transient in the secondary side (steam line) followed by special conditions for the establishment of pressurized thermal shock and accident management procedures. The computational analysis has been performed by the CATHARE thermal hydraulic system code. The results of calculations are in satisfactory agreement with the experimental values. A comparison has been made with a secondary side break test performed on the PMK-2 facility. (author). 14 refs., 26 figs., 6 tabs

  6. POST-CLOSURE INSPECTION REPORT FOR THE TONOPAH TEST RANGE, NEVADA FOR CALENDAR YEAR 2005

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2006-06-01

    This post-closure inspection report includes the results of inspections, maintenance and repair activities, and conclusions and recommendations for Calendar Year 2005 for nine Corrective Action Units located on the Tonopah Test Range , Nevada.

  7. Isokinetic Strength and Endurance Tests used Pre- and Post-Spaceflight: Test-Retest Reliability

    Science.gov (United States)

    Laughlin, Mitzi S.; Lee, Stuart M. C.; Loehr, James A.; Amonette, William E.

    2009-01-01

    To assess changes in muscular strength and endurance after microgravity exposure, NASA measures isokinetic strength and endurance across multiple sessions before and after long-duration space flight. Accurate interpretation of pre- and post-flight measures depends upon the reliability of each measure. The purpose of this study was to evaluate the test-retest reliability of the NASA International Space Station (ISS) isokinetic protocol. Twenty-four healthy subjects (12 M/12 F, 32.0 +/- 5.6 years) volunteered to participate. Isokinetic knee, ankle, and trunk flexion and extension strength as well as endurance of the knee flexors and extensors were measured using a Cybex NORM isokinetic dynamometer. The first weekly session was considered a familiarization session. Data were collected and analyzed for weeks 2-4. Repeated measures analysis of variance (alpha=0.05) was used to identify weekly differences in isokinetic measures. Test-retest reliability was evaluated by intraclass correlation coefficients (ICC) (3,1). No significant differences were found between weeks in any of the strength measures and the reliability of the strength measures were all considered excellent (ICC greater than 0.9), except for concentric ankle dorsi-flexion (ICC=0.67). Although a significant difference was noted in weekly endurance measures of knee extension (p less than 0.01), the reliability of endurance measure by week were considered excellent for knee flexion (ICC=0.97) and knee extension (ICC=0.96). Except for concentric ankle dorsi-flexion, the isokinetic strength and endurance measures are highly reliable when following the NASA ISS protocol. This protocol should allow accurate interpretation isokinetic data even with a small number of crew members.

  8. The longitudinal trajectory of post-surgical % total weight loss among middle-aged women who had undergone bariatric surgery

    Directory of Open Access Journals (Sweden)

    Dong-Chul Seo

    2017-03-01

    Full Text Available Middle-aged women are at a higher risk of being obese. We examined the trajectory of post-surgical % total weight loss (%TWL among middle-aged female bariatric patients. We fitted sequential generalized estimating equations models to analyze a sample of women who received bariatric surgery in 1995–2012, aged 40–65 years at the time of surgery (N = 158,292 whose pre-operative body mass index (BMI was ≥30 kg/m2 in the Bariatric Outcomes Longitudinal Database. The %TWL computed by 100% × (pre-surgery BMI − post-surgery BMI / pre-surgery BMI showed different trajectories depending on type of surgery. For gastric banding, %TWL increased rapidly right after bariatric surgery and started to decrease around 1 year after surgery. For Roux-en-Y gastric bypass (RYGB and sleeve gastrectomy, %TWL overall did not show remarkable changes from around 1 year after surgery. The highest increase in %TWL was observed in patients whose pre-operative BMI was 40 or higher and those who had undergone RYGB (ps < 0.001. Whereas the trajectories of %TWL among patients with sleeve gastrectomy and gastric banding did not differ much between different pre-operative BMI groups, the trajectories for RYGB were notably different between different pre-operative BMI groups (ps < 0.001. Middle-aged female bariatric patients are likely to achieve the highest %TWL if they receive RYGB and if their pre-operative BMI is 40 or higher. Further research is warranted to corroborate the present study's finding on the long-term effect of different types of bariatric surgery on %TWL among middle-aged women.

  9. Post delivery test report for light duty utility arm optical alignment system (OAS)

    Energy Technology Data Exchange (ETDEWEB)

    Pardini, A.F.

    1996-04-18

    This report documents the post delivery testing of the Optical Alignment System (OAS) LDUA system, designed for use by the Light Duty Utility Arm (LDUA) project. The post delivery test shows by demonstration that the optical alignment system is fully operational to perform the task of aligning the LDUA arm and mast with the entry riser during deployment operations within a Hanford Site waste tank.

  10. simulate_CAT: A Computer Program for Post-Hoc Simulation for Computerized Adaptive Testing

    Directory of Open Access Journals (Sweden)

    İlker Kalender

    2015-06-01

    Full Text Available This paper presents a computer software developed by the author. The software conducts post-hoc simulations for computerized adaptive testing based on real responses of examinees to paper and pencil tests under different parameters that can be defined by user. In this paper, short information is given about post-hoc simulations. After that, the working principle of the software is provided and a sample simulation with required input files is shown. And last, output files are described

  11. Post delivery test report for light duty utility arm optical alignment system (OAS)

    International Nuclear Information System (INIS)

    Pardini, A.F.

    1996-01-01

    This report documents the post delivery testing of the Optical Alignment System (OAS) LDUA system, designed for use by the Light Duty Utility Arm (LDUA) project. The post delivery test shows by demonstration that the optical alignment system is fully operational to perform the task of aligning the LDUA arm and mast with the entry riser during deployment operations within a Hanford Site waste tank

  12. Evaluation of Northwest University, Kano Post-UTME Test Items Using Item Response Theory

    Science.gov (United States)

    Bichi, Ado Abdu; Hafiz, Hadiza; Bello, Samira Abdullahi

    2016-01-01

    High-stakes testing is used for the purposes of providing results that have important consequences. Validity is the cornerstone upon which all measurement systems are built. This study applied the Item Response Theory principles to analyse Northwest University Kano Post-UTME Economics test items. The developed fifty (50) economics test items was…

  13. Assurance of Learning, "Closing the Loop": Utilizing a Pre and Post Test for Principles of Finance

    Science.gov (United States)

    Flanegin, Frank; Letterman, Denise; Racic, Stanko; Schimmel, Kurt

    2010-01-01

    Since there is no standard national Pre and Post Test for Principles of Finance, akin to the one for Economics, by authors created one by selecting questions from previously administered examinations. The Cronbach's Alpha of 0.851, exceeding the minimum of 0.70 for reliable pen and paper test, indicates that our Test can detect differences in…

  14. A Teaching Method on Basic Chemistry for Freshman (II) : Teaching Method with Pre-test and Post-test

    OpenAIRE

    立木, 次郎; 武井, 庚二

    2004-01-01

    This report deals with review of a teaching method on basic chemistry for freshman in this first semester. We tried to review this teaching method with pre-test and post-test by means of the official and private questionnaires. Several hints and thoughts on teaching skills are obtained from this analysis.

  15. TESTING VIRGINITY: HIV/AIDS, MODERNITY & ETHNICITY IN POST-APARTHEID SOUTH AFRICA

    OpenAIRE

    Leak, Tia-Nicole

    2012-01-01

    TESTING VIRGINITY: HIV/AIDS, MODERNITY & ETHNICITY IN POST-APARTHEID SOUTH AFRICA TESTING VIRGINITY: HIV/AIDS, MODERNITY & ETHNICITY IN POST-APARTHEID SOUTH AFRICAAt the heart of this thesis is an examination of virginity testing as a practice steeped in tradition and born anew to fight the scourge of HIV/AIDS among the Zulu in South Africa. Virginity testing as an HIV/AIDS education and prevention program contrasts with the nationally-supported and internationally-funded loveLife program w...

  16. Bariatric Surgery Prior to Total Joint Arthroplasty May Not Provide Dramatic Improvements In Post Arthroplasty Surgical Outcomes

    Science.gov (United States)

    Paxton, Elizabeth W.; Fisher, David; Li, Robert A.; Barber, Thomas C.; Singh, Jasvinder A.

    2014-01-01

    This study compared the total joint arthroplasty (TJA) surgical outcomes of patients who had bariatric surgery prior to TJA to TJA patients who were candidates but did not have bariatric surgery. Patients were retrospectively grouped into: Group 1 (n=69), those with bariatric surgery >2 years prior to TJA, Group 2 (n=102), those with surgery within 2 years of TJA, and Group 3 (n=11,032), those without bariatric surgery. In Group 1, 2.9% (95%CI 0.0–6.9%) had complications within 1 year compared to 5.9% (95%CI 1.3–10.4%) in Group 2, and 4.1% (95%CI 3.8–4.5%) in Group 3. 90-day readmission (7.2%, 95%CI 1.1–13.4%) and revision density (3.4/100 years of observation) was highest in Group 1. Bariatric surgery prior to TJA may not provide dramatic improvements in post-operative TJA surgical outcomes. PMID:24674730

  17. Deep Vadose Zone Treatability Test for the Hanford Central Plateau: Interim Post-Desiccation Monitoring Results

    Energy Technology Data Exchange (ETDEWEB)

    Truex, Michael J. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Oostrom, Martinus [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Strickland, Christopher E. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Johnson, Timothy C. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Johnson, Christian D. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Clayton, Ray E. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Chronister, Glen B. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States)

    2013-09-01

    A field test of desiccation is being conducted as an element of the deep vadose zone treatability test program. Desiccation technology relies on removal of water from a portion of the subsurface such that the resultant low moisture conditions inhibit downward movement of water and dissolved contaminants. Previously, a field test report (Truex et al. 2012a) was prepared describing the active desiccation portion of the test and initial post-desiccation monitoring data. Additional monitoring data have been collected at the field test site during the post-desiccation period and is reported herein along with interpretation with respect to desiccation performance. This is an interim report including about 2 years of post-desiccation monitoring data.

  18. Improvement in post test accident analysis results prediction for the test no. 2 in PSB test facility by applying UMAE methodology

    International Nuclear Information System (INIS)

    Dubey, S.K.; Petruzzi, A.; Giannotti, W.; D'Auria, F.

    2006-01-01

    This paper mainly deals with the improvement in the post test accident analysis results prediction for the test no. 2, 'Total loss of feed water with failure of HPIS pumps and operator actions on primary and secondary circuit depressurization', carried-out on PSB integral test facility in May 2005. This is one the most complicated test conducted in PSB test facility. The prime objective of this test is to provide support for the verification of the accident management strategies for NPPs and also to verify the correctness of some safety systems operating only during accident. The objective of this analysis is to assess the capability to reproduce the phenomena occurring during the selected tests and to quantify the accuracy of the code calculation qualitatively and quantitatively for the best estimate code Relap5/mod3.3 by systematically applying all the procedures lead by Uncertainty Methodology based on Accuracy Extrapolation (UMAE), developed at University of Pisa. In order to achieve these objectives test facility nodalisation qualification for both 'steady state level' and 'on transient level' are demonstrated. For the 'steady state level' qualification compliance to acceptance criteria established in UMAE has been checked for geometrical details and thermal hydraulic parameters. The following steps have been performed for evaluation of qualitative qualification of 'on transient level': visual comparisons between experimental and calculated relevant parameters time trends; list of comparison between experimental and code calculation resulting time sequence of significant events; identification/verification of CSNI phenomena validation matrix; use of the Phenomenological Windows (PhW), identification of Key Phenomena and Relevant Thermal-hydraulic Aspects (RTA). A successful application of the qualitative process constitutes a prerequisite to the application of the quantitative analysis. For quantitative accuracy of code prediction Fast Fourier Transform Based

  19. Data report of BWR post-CHF tests. Transient core thermal-hydraulic test program. Contract research

    International Nuclear Information System (INIS)

    Iguchi, Tadashi; Itoh, Hideo; Kiuchi, Toshio; Watanabe, Hironori; Kimura, Mamoru; Anoda, Yoshinari

    2001-03-01

    JAERI has been performing transient core thermal-hydraulic test program. In the program, authors performed BWR/ABWR DBE simulation tests with a test facility, which can simulate BWR/ABWR transients. The test facility has a 4 x 4 bundle core simulator with 15-rod heaters and one non-heated rod. Through the tests, authors quantified the thermal safety margin for core cooling. In order to quantify the thermal safety margin, authors collected experimental data on post-CHF. The data are essential for the evaluation of clad temperature transient when core heat-up occurs during DBEs. In comparison with previous post-CHF tests, present experiments were performed in much wider experimental condition, covering high clad temperature, low to high pressure and low to high mass flux. Further, data at wider elevation (lower to higher elevation of core) were obtained in the present experiments, which make possible to discuss the effect of axial position on thermal-hydraulics, while previous works usually discuss the thermal-hydraulics at the position where the first heat-up occurs. This data report describes test procedure, test condition and major experimental data of post-CHF tests. (author)

  20. Dynamic Test of a Collision Post of a State-of-the-Art End Frame Design

    Science.gov (United States)

    2008-09-24

    In support of the Federal Railroad Administration's (FRA) : Railroad Equipment Safety Program, a full-scale dynamic test : of a collision post of a state-of-the-art (SOA) end frame was : conducted on April 16, 2008. The purpose of the test was to : e...

  1. Proficiency testing program for the determination of total arsenic, cadmium, and lead in seawater shrimp.

    Science.gov (United States)

    Kong, Mei-Fung; Chan, Serena; Wong, Yiu-Chung

    2008-01-01

    The proficiency testing (PT) program for 97 worldwide laboratories for determining total arsenic, cadmium, and lead in seawater shrimp under the auspices of the Asia-Pacific Laboratory Accreditation Cooperation (APLAC) is discussed. The program is one of the APLAC PT series whose primary purposes are to establish mutual agreement on the equivalence of the operation of APLAC member laboratories and to take corrective actions if testing deficiencies are identified. Pooled data for Cd and Pb were normally distributed with interlaboratory variations of 21.9 and 34.8%, respectively. The corresponding consensus mean values estimated by robust statistics were in good agreement with those obtained in the homogeneity tests. However, a bimodal distribution was observed from the determination of total As, in which 14 out of 74 participants reported much smaller values (0.482-6.4 mg/kg) as compared with the mean values of 60.9 mg/kg in the homogeneity test. The use of consensus mean is known to have significant deviation from the true value in bi- or multimodal distribution. Therefore, the mode value, a better estimate of central tendency, was chosen to assess participants' performance for total As. Estimates of the overall uncertainty from participants varied in this program, and some were recommended to acquire more comprehensive exposure toward important criteria as stipulated in ISO/IEC 17025.

  2. First Total Reflection X-Ray Fluorescence round-robin test of water samples: Preliminary results

    Energy Technology Data Exchange (ETDEWEB)

    Borgese, Laura; Bilo, Fabjola [Chemistry for Technologies Laboratory, University of Brescia, Brescia (Italy); Tsuji, Kouichi [Graduate School of Engineering, Osaka City University, Osaka (Japan); Fernández-Ruiz, Ramón [Servicio Interdepartamental de Investigación (SIdI), Laboratorio de TXRF, Universidad Autónoma de Madrid, Madrid (Spain); Margui, Eva [Department of Chemistry, University of Girona, Girona (Spain); Streli, Christina [TU Wien, Atominstitut,Radiation Physics, Vienna (Austria); Pepponi, Giancarlo [Fondazione Bruno Kessler, Povo, Trento (Italy); Stosnach, Hagen [Bruker Nano GmbH, Berlin (Germany); Yamada, Takashi [Rigaku Corporation, Takatsuki, Osaka (Japan); Vandenabeele, Peter [Department of Archaeology, Ghent University, Ghent (Belgium); Maina, David M.; Gatari, Michael [Institute of Nuclear Science and Technology, University of Nairobi, Nairobi (Kenya); Shepherd, Keith D.; Towett, Erick K. [World Agroforestry Centre (ICRAF), Nairobi (Kenya); Bennun, Leonardo [Laboratorio de Física Aplicada, Departamento de Física, Universidad de Concepción (Chile); Custo, Graciela; Vasquez, Cristina [Gerencia Química, Laboratorio B025, Centro Atómico Constituyentes, San Martín (Argentina); Depero, Laura E., E-mail: laura.depero@unibs.it [Chemistry for Technologies Laboratory, University of Brescia, Brescia (Italy)

    2014-11-01

    Total Reflection X-Ray Fluorescence (TXRF) is a mature technique to evaluate quantitatively the elemental composition of liquid samples deposited on clean and well polished reflectors. In this paper the results of the first worldwide TXRF round-robin test of water samples, involving 18 laboratories in 10 countries are presented and discussed. The test was performed within the framework of the VAMAS project, interlaboratory comparison of TXRF spectroscopy for environmental analysis, whose aim is to develop guidelines and a standard methodology for biological and environmental analysis by means of the TXRF analytical technique. - Highlights: • The discussion of the first worldwide TXRF round-robin test of water samples (18 laboratories of 10 countries) is reported. • Drinking, waste, and desalinated water samples were tested. • Data dispersion sources were identified: sample concentration, preparation, fitting procedure, and quantification. • The protocol for TXRF analysis of drinking water is proposed.

  3. A real time biofeedback using Kinect and Wii to improve gait for post-total knee replacement rehabilitation: a case study report.

    Science.gov (United States)

    Levinger, Pazit; Zeina, Daniel; Teshome, Assefa K; Skinner, Elizabeth; Begg, Rezaul; Abbott, John Haxby

    2016-01-01

    This study aimed to develop a low-cost real-time biofeedback system to assist with rehabilitation for patients following total knee replacement (TKR) and to assess its feasibility of use in a post-TKR patient case study design with a comparison group. The biofeedback system consisted of Microsoft Kinect(TM) and Nintendo Wii balance board with a dedicated software. A six-week inpatient rehabilitation program was augmented by biofeedback and tested in a single patient following TKR. Three patients underwent a six weeks standard rehabilitation with no biofeedback and served as a control group. Gait, function and pain were assessed and compared before and after the rehabilitation. The biofeedback software incorporated real time visual feedback to correct limb alignment, movement pattern and weight distribution. Improvements in pain, function and quality of life were observed in both groups. The strong improvement in the knee moment pattern demonstrated in the case study indicates feasibility of the biofeedback-augmented intervention. This novel biofeedback software has used simple commercially accessible equipment that can be feasibly incorporated to augment a post-TKR rehabilitation program. Our preliminary results indicate the potential of this biofeedback-assisted rehabilitation to improve knee function during gait. Research is required to test this hypothesis. Implications for Rehabilitation The real-time biofeedback system developed integrated custom-made software and simple low-cost commercially accessible equipment such as Kinect and Wii board to provide augmented information during rehabilitation following TKR. The software incorporated key rehabilitation principles and visual feedback to correct alignment of the lower legs, pelvic and trunk as well as providing feedback on limbs weight distribution. The case study patient demonstrated greater improvement in their knee function where a more normal biphasic knee moment was achieved following the six

  4. Development and validation of the small punch test for UHMWPE used in total joint replacements

    Energy Technology Data Exchange (ETDEWEB)

    Edidin, A.A. [Drexel Univ., Philadelphia, PA (United States). School of Biomedical Engineering, Science and Health Systems; Howmedica Osteonics Corp., Allendale, NJ (United States); Kurtz, S.M. [Drexel Univ., Philadelphia, PA (United States). School of Biomedical Engineering, Science and Health Systems; Thomas Jefferson Univ., Philadelphia, PA (United States). Dept. of Orthopaedic Surgery; Exponent, Inc., Philadelphia, PA (United States)

    2001-07-01

    In order to better understand the mechanical effects of oxidative degradation, improved oxidative stability and crosslinking on ultra-high molecular weight polyethylene (UHMWPE), a unique miniature specimen mechanical testing technique, known as the small punch test, was developed for evaluating total joint replacement components. The small punch test involves deforming a disk-shaped specimen having a thickness of 0.5 mm and a diameter of 6.4 mm. In addition to its small specimen size, the small punch test differs from conventional testing in that deformation of the UHMWPE specimen occurs under multiaxial loading conditions. Using the small punch test, we have traced the evolution of mechanical behavior in UHMWPE after natural (shelf-storage) and accelerated aging conditions. In addition, we have determined relationships between the mechanical behavior of UHMWPE and the biologically relevant wear debris volume generated in total hip replacements. The small punch test has also been used to investigate the effects of radiation crosslinking which has been shown to improve the wear performance in an in vitro hip simulator. However, the crosslinking and subsequent thermal processes used to improve the wear behavior may compromise the native mechanical behavior by changing the ductility and toughness of the UHMWPE bearing. The primary objective of this study was to investigate which tradeoffs exist related to the mechanical behavior associated with various clinically available types of highly crosslinked and thermally treated UHMWPE. We also review the development and validation of the small punch disk bend test and highlight its application to problems of clinical relevance in both hip and knee arthroplasty. (orig.)

  5. Thermal soil desorption for total petroleum hydrocarbon testing on gas chromatographs

    International Nuclear Information System (INIS)

    Mott, J.

    1995-01-01

    Testing for total petroleum hydrocarbons (TPH) is one of the most common analytical tests today. A recent development in chromatography incorporates Thermal Soil Desorption technology to enable analyses of unprepared soil samples for volatiles such as BTEX components and semi-volatiles such as diesel, PCBs, PAHs and pesticides in the same chromatogram, while in the field. A gas chromatograph is the preferred method for determining TPH because the column in a GC separates the individual hydrocarbons compounds such as benzene and toluene from each other and measures each individually. A GC analysis will determine not only the total amount of hydrocarbon, but also whether it is gasoline, diesel or another compound. TPH analysis with a GC is typically conducted with a Flame Ionization Detector (FID). Extensive field and laboratory testing has shown that incorporation of a Thermal Soil Desorber offers many benefits over traditional analytical testing methods such as Headspace, Solvent Extraction, and Purge and Trap. This paper presents the process of implementing Thermal Soil Desorption in gas chromatography, including procedures for, and advantages of faster testing and analysis times, concurrent volatile and semi-volatile analysis, minimized sample manipulation, single gas (H 2 ) operation, and detection to the part-per billion levels

  6. A comparison of post-op haemoglobin levels and allogeneic blood transfusion rates following total knee arthroplasty without drainage or with reinfusion drains.

    Science.gov (United States)

    Hazarika, Shariff; Bhattacharya, Rajarshi; Bhavikatti, Mainudden; Dawson, Matthew

    2010-02-01

    The effects of re-infusion drains on the rate of allogeneic blood transfusion and post-op haemoglobin levels in Total Knee Arthroplasty were examined. A group of 22 patients undergoing primary Total Knee Arthroplasty using a CBCII Constavac Stryker re-infusion drainage system were compared with a group of 30 patients, matched for age, sex and type of prosthesis but without any drain usage. The re-infusion drain.group had a significantly lower day 1 and day 3 post-operative haemoglobin compared to the non-drainage group. The re-infusion drain group had a higher allogenic transfusion rate compared to the non-drainage group. There were no significant differences between the two groups regarding the rate of wound and transfusion related complications and mean length of post-operative stay. We found that reinfusion drains were ineffective in reducing allogeneic transfusion requirements as compared with non-drainage in total knee arthroplasty.

  7. Test methods of total dose effects in very large scale integrated circuits

    International Nuclear Information System (INIS)

    He Chaohui; Geng Bin; He Baoping; Yao Yujuan; Li Yonghong; Peng Honglun; Lin Dongsheng; Zhou Hui; Chen Yusheng

    2004-01-01

    A kind of test method of total dose effects (TDE) is presented for very large scale integrated circuits (VLSI). The consumption current of devices is measured while function parameters of devices (or circuits) are measured. Then the relation between data errors and consumption current can be analyzed and mechanism of TDE in VLSI can be proposed. Experimental results of 60 Co γ TDEs are given for SRAMs, EEPROMs, FLASH ROMs and a kind of CPU

  8. Results and Conclusions from the NASA Isokinetic Total Water Content Probe 2009 IRT Test

    Science.gov (United States)

    Reehorst, Andrew; Brinker, David

    2010-01-01

    The NASA Glenn Research Center has developed and tested a Total Water Content Isokinetic Sampling Probe. Since, by its nature, it is not sensitive to cloud water particle phase nor size, it is particularly attractive to support super-cooled large droplet and high ice water content aircraft icing studies. The instrument comprises the Sampling Probe, Sample Flow Control, and Water Vapor Measurement subsystems. Results and conclusions are presented from probe tests in the NASA Glenn Icing Research Tunnel (IRT) during January and February 2009. The use of reference probe heat and the control of air pressure in the water vapor measurement subsystem are discussed. Several run-time error sources were found to produce identifiable signatures that are presented and discussed. Some of the differences between measured Isokinetic Total Water Content Probe and IRT calibration seems to be caused by tunnel humidification and moisture/ice crystal blow around. Droplet size, airspeed, and liquid water content effects also appear to be present in the IRT calibration. Based upon test results, the authors provide recommendations for future Isokinetic Total Water Content Probe development.

  9. Assessment and validation of CT scanogram to compare per-operative and post-operative mechanical axis after navigated total knee replacement

    Science.gov (United States)

    Jain, Sunil

    2008-01-01

    Our objective was to assess and validate low-dose computed tomography (CT) scanogram as a post-operative imaging modality to measure the mechanical axis after navigated total knee replacement. A prospective study was performed to compare intra-operative and post-operative mechanical axis after navigated total knee replacements. All consecutive patients who underwent navigated total knee replacement between May and December 2006 were included. The intra-operative final axis was recorded, and post-operatively a CT scanogram of lower limbs was performed. The mechanical axis was measured and compared against the intra-operative measurement. There were 15 patients ranging in age from 57 to 80 (average 70) years. The average final intra-operative axis was 0.56° varus (4° varus to 1.5° valgus) and post-operative CT scanogram axis was 0.52° varus (3.1° varus to 1.8° valgus). The average deviation from final axes to CT scanogram axes was 0.12° valgus with a correlation coefficient of 0.9. Our study suggests that CT scanogram is an imaging modality with reasonable accuracy for measuring mechanical axis despite significantly low radiation. It also confirms a high level of correlation between intra-operative and post-operative mechanical axis after navigated total knee replacement. PMID:18696064

  10. Comparison of the effect of pre- and post-operative physical therapy versus post-operative physical therapy alone on pain and recovery of function after total knee arthroplasty

    OpenAIRE

    Alghadir, Ahmad; Iqbal, Zaheen Ahmed; Anwer, Shahnawaz

    2016-01-01

    [Purpose] The aim of the present study was to compare the effect of pre-operative and post-operative physical therapy versus post-operative physical therapy alone on pain and recovery of function after total knee arthroplasty. [Subjects and Methods] Fifty patients (18 males and 32 females) ranging in age from 48 to 80?years (mean 63.28, SD 9.44) participated in a 6-week two-arm randomized rater-blinded trial. One group received pre- and post-operative physical therapy whereas the other group ...

  11. Conductometric titration to determine total volatile basic nitrogen (TVB-N) for post-mortem interval (PMI).

    Science.gov (United States)

    Xia, Zhiyuan; Zhai, Xiandun; Liu, Beibei; Mo, Yaonan

    2016-11-01

    Precise measurement of cadaver decomposition rate is the basis to accurate post-mortem interval (PMI) estimation. There are many approaches explored in recent years, however, it is still unsolved completely. Total volatile basic nitrogen (TVB-N), which is an important index to predict meat freshness and shelf life in food science, could serve as an indicator for measuring PMI associated decomposition rate of cadavers. The aim of this work was to establish a practical method to determine TVB-N in cadaver soft tissues (mainly skeletal muscle) for measuring decomposition rate. Determination of TVB-N in the simulation and animal experiments was conducted by steam distillation and conductometric titration using Kjeldahl distillation unit and conductivity meter. In simulation, standard concentrations of ammonium were used as TVB analogies, TVB-N contents were determined and the recovery rates of nitrogen were calculated. In animal experiment, TVB-N in skeletal muscle of forty-two rats was determined at different PMIs for 312 h at 24 °C ± 1 °C. The relationship between PMI and TVB-N was investigated also. The method showed high precision with 99%-100% recovery rates. TVB-N in skeletal muscle changed significantly with PMI especially after 24 h, and the data fit well to y = 3.35 E -5 x 3 -2.17 E -2 x 2 +6.13x-85.82 (adj. R 2  = 0.985). EC i (initial electrical conductivity in the samples just before titration) had positive linear relationship to final measured TVB-N values, y = 1.98x+16.16 (adj. R 2  = 0.985). The overall results demonstrated that the method is accurate, rapid and flexible, which could be expected as a basic technique for measuring decomposition rate in later PMI-estimation researches. Further studies are needed to validate our findings. Copyright © 2016 Elsevier Ltd and Faculty of Forensic and Legal Medicine. All rights reserved.

  12. Advanced Prototype Fan Operating Experience, Post Test Evaluation, and Refurbishment for PLSS 2.0 Test Use

    Science.gov (United States)

    Hodgson, Edward; Oehler, William; Dionne, Steve; Converse, David; Jennings, Mallory A.

    2012-01-01

    NASA s plans for Extravehicular Activity (EVA) portable life support systems for future exploration missions result in different design requirements than those which led to the combined fan / pump / separator in the current ISS Extravehicular Mobility Unit (EMU). To meet these new requirements, NASA contracted with Hamilton Sundstrand to provide two new prototype fans designed to meet anticipated future system requirements. Based on design trade studies, a high speed fan with mechanical bearing support of the rotating elements and a novel non-metallic barrier canned motor design was developed and implemented in the deliverable prototypes. The prototypes, which used two different bearing lubricants, have been extensively tested in both stand-alone and integrated system tests in NASA laboratories and proven to meet the anticipated performance requirements. Subsequently, they have been subjected to post test inspection and analysis in Hamilton Sundstrand laboratories to assess the effects of integrated operation and resultant exposure to vent loop contaminants. Results have confirmed expectations that one of the lubricants would be superior in this application and the prototype fans have been reassembled with new bearings with the superior lubricant. They have now been returned to the Johnson Space Center for further testing and maturation as part of NASA s PLSS 2.0 integrated test effort. This paper will discuss the test history of these units, resulting test data, the results of post test evaluation, and plans for further testing in the near future.

  13. Development of a clinically relevant impingement test method for a mobile bearing lumbar total disc replacement.

    Science.gov (United States)

    Siskey, Ryan; Peck, Jonathan; Mehta, Hitesh; Kosydar, Allison; Kurtz, Steven; Hill, Genevieve

    2016-09-01

    Total disc arthroplasty is an alternative therapy to spinal fusion for the treatment of neck or low back pain and is hypothesized to reduce the risk of disease progression to the adjacent spinal levels. Radiographic and retrieval analyses of various total disc replacements (TDRs) have shown evidence of impingement damage. Impingement of TDRs can occur when the device reaches the limits of its functional range of motion, causing contact between peripheral regions of the device. Impingement can be associated with increased wear and mechanical damage; however, impingement conditions are not simulated in current standardized mechanical bench test methods. This study explored the test conditions necessary to apply clinically relevant impingement loading to a lumbar TDR in vitro. An experimental protocol was developed and evaluated using in vivo retrievals for qualitative and quantitative validation. Retrieval analysis was conducted on a set of 11 size 3 retrieved Charité devices using American Society for Testing and Materials F561 as a guide. The impingement range of motion was determined using a combination of modeling and experiments, and was used as an input in vitro testing. A 1-million cycle in vitro test was then conducted, and the in vitro samples were characterized using methods similar to the retreived devices. All in vitro tested samples exhibited impingement regions and damage patterns consistent with retrieved devices. Consistent with the retrievals, the impingement damage on the rim was a combination of abrasive wear and plastic deformation. Micro computed tomography (microCT) was used to quantitatively assess rim damage due to impingement. Rim penetration was statistically lower in the retrievals when compared with both in vitro groups. Rim elongation was comparable among all groups. The simulated-facet group had statistically greater angular rim deformations than the retrieval group and the no-facet group. Results demonstrate that clinically relevant

  14. Deep Vadose Zone Treatability Test for the Hanford Central Plateau: Interim Post-Desiccation Monitoring Results, Fiscal Year 2014

    Energy Technology Data Exchange (ETDEWEB)

    Truex, Michael J. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Strickland, Christopher E. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Johnson, Christian D. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Johnson, Timothy C. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Clayton, Ray E. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Chronister, Glen B. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States)

    2014-09-01

    Over decades of operation, the U.S. Department of Energy (DOE) and its predecessors have released nearly 2 trillion L (450 billion gal.) of liquid into the vadose zone at the Hanford Site. Much of this discharge of liquid waste into the vadose zone occurred in the Central Plateau, a 200 km2 (75 mi2) area that includes approximately 800 waste sites. Some of the inorganic and radionuclide contaminants in the deep vadose zone at the Hanford Site are at depths below the limit of direct exposure pathways, but may need to be remediated to protect groundwater. The Tri-Party Agencies (DOE, U.S. Environmental Protection Agency, and Washington State Department of Ecology) established Milestone M 015 50, which directed DOE to submit a treatability test plan for remediation of technetium-99 (Tc-99) and uranium in the deep vadose zone. These contaminants are mobile in the subsurface environment and have been detected at high concentrations deep in the vadose zone, and at some locations have reached groundwater. Testing technologies for remediating Tc-99 and uranium will also provide information relevant for remediating other contaminants in the vadose zone. A field test of desiccation is being conducted as an element of the DOE test plan published in March 2008 to meet Milestone M 015 50. The active desiccation portion of the test has been completed. Monitoring data have been collected at the field test site during the post-desiccation period and are reported herein. This is an interim data summary report that includes about 3 years of post-desiccation monitoring data. The DOE field test plan proscribes a total of 5 years of post-desiccation monitoring.

  15. Parametrized tests of post-Newtonian theory using Advanced LIGO and Einstein Telescope

    International Nuclear Information System (INIS)

    Mishra, Chandra Kant; Arun, K. G.; Iyer, Bala R.; Sathyaprakash, B. S.

    2010-01-01

    General relativity has very specific predictions for the gravitational waveforms from inspiralling compact binaries obtained using the post-Newtonian (PN) approximation. We investigate the extent to which the measurement of the PN coefficients, possible with the second generation gravitational-wave detectors such as the Advanced Laser Interferometer Gravitational-Wave Observatory (LIGO) and the third generation gravitational-wave detectors such as the Einstein Telescope (ET), could be used to test post-Newtonian theory and to put bounds on a subclass of parametrized-post-Einstein theories which differ from general relativity in a parametrized sense. We demonstrate this possibility by employing the best inspiralling waveform model for nonspinning compact binaries which is 3.5PN accurate in phase and 3PN in amplitude. Within the class of theories considered, Advanced LIGO can test the theory at 1.5PN and thus the leading tail term. Future observations of stellar mass black hole binaries by ET can test the consistency between the various PN coefficients in the gravitational-wave phasing over the mass range of 11-44M · . The choice of the lower frequency cutoff is important for testing post-Newtonian theory using the ET. The bias in the test arising from the assumption of nonspinning binaries is indicated.

  16. Regressão refrativa total pós-LASIK: relato de caso Total refractive regression post-LASIK: case report

    Directory of Open Access Journals (Sweden)

    Patrícia Ioschpe Gus

    2005-06-01

    Full Text Available Os corticoesteróides podem aumentar a pressão intra-ocular quando administrados de maneira tópica, sistêmica e até mesmo inalatória. É rotina sua utilização após cirurgias refrativas para diminuir ou prevenir reação inflamatória. No presente relato, apresentamos o caso de uma paciente de 36 anos que, após duas semanas de cirurgia de LASIK para correção de miopia leve, teve regressão total da miopia causada pela hipertensão ocular cortisônica. O objetivo desse relato é descrever como foi conduzido o caso, as hipóteses de diagnósticos que foram levantadas, e salientar a importância da mensuração da pressão intra-ocular no pós-operatório.Corticosteroids can increase intraocular pressure when administered topically, systemically and even when inhaled. They are routinely used after refractive surgeries to lower or prevent an inflammatory action. In this case history, we present a 36-year-old patient who had a total myopic regression two weeks after LASIK for low myopia, caused by steroid-induced ocular hypertension. The purpose of this report is to describe how the case was managed, the diagnostic hypothesis, and to stress the importance of intraocular pressure measurement after LASIK.

  17. Five times sit-to-stand test in subjects with total knee replacement: Reliability and relationship with functional mobility tests.

    Science.gov (United States)

    Medina-Mirapeix, Francesc; Vivo-Fernández, Iván; López-Cañizares, Juan; García-Vidal, José A; Benítez-Martínez, Josep Carles; Del Baño-Aledo, María Elena

    2018-01-01

    The objective was to determine the inter-observer and test/retest reliability of the "Five-repetition sit-to-stand" (5STS) test in patients with total knee replacement (TKR). To explore correlation between 5STS and two mobility tests. A reliability study was conducted among 24 (mean age 72.13, S.D. 10.67; 50% were women) outpatients with TKR. They were recruited from a traumatology unit of a public hospital via convenience sampling. A physiotherapist and trauma physician assessed each patient at the same time. The same physiotherapist realized a 5STS second measurement 45-60min after the first one. Reliability was assessed with intraclass correlation coefficients (ICCs) and Bland-Altman plots. Pearson coefficient was calculated to assess the correlation between 5STS, time up to go test (TUG) and four meters gait speed (4MGS). ICC for inter-observer and test-retest reliability of the 5STS were 0.998 (95% confidence interval [CI], 0.995-0.999) and 0.982 (95% CI, 0.959-0.992). Bland-Altman plot inter-observer showed limits between -0.82 and 1.06 with a mean of 0.11 and no heteroscedasticity within the data. Bland-Altman plot for test-retest showed the limits between 1.76 and 4.16, a mean of 1.20 and heteroscedasticity within the data. Pearson correlation coefficient revealed significant correlation between 5STS and TUG (r=0.7, ptest-retest reliability when it is used in people with TKR, and also significant correlation with other functional mobility tests. These findings support the use of 5STS as outcome measure in TKR population. Copyright © 2017 Elsevier B.V. All rights reserved.

  18. Neurophysiological correlates of post-hypnotic alexia: a controlled study with Stroop test.

    Science.gov (United States)

    Casiglia, Edoardo; Schiff, Sami; Facco, Enrico; Gabbana, Amos; Tikhonoff, Valérie; Schiavon, Laura; Bascelli, Anna; Avdia, Marsel; Tosello, Maria Teresa; Rossi, Augusto Mario; Haxhi Nasto, Hilda; Guidotti, Federica; Giacomello, Margherita; Amodio, Piero

    2010-01-01

    To clarify whether hypnotically-induced alexia was able to reduce the Stroop effect due to color/word interference, 12 volunteers (6 with high and 6 with low hypnotizability according to Stanford Hypnotic Susceptibility Scale Form C) underwent a Stroop test consisting of measuring, both in basal conditions and during post-hypnotic alexia, the reaction times (RT) at appearance of a colored word indicating a color. In basal conditions, RT were greater in case of incongruence. In highly hypnotizable participants, the interference was less pronounced during post-hypnotic alexia (-34%, p = 0.03). During alexia, late positive complexamplitude was also greater for congruent than incongruent conditions (p stress was less pronounced as well. In participants showing low hypnotizability, no reduction of Stroop effect was detected during post-hypnotic alexia. Posthypnotic alexia is therefore a real and measurable phenomenon, capable of reducing the color-word interference and the haemodynamic effects of the Stroop test.

  19. Post-explant visualization of thrombi in outflow grafts and their junction to a continuous-flow total artificial heart using a high-definition miniaturized camera.

    Science.gov (United States)

    Karimov, Jamshid H; Horvath, David; Sunagawa, Gengo; Byram, Nicole; Moazami, Nader; Golding, Leonard A R; Fukamachi, Kiyotaka

    2015-12-01

    Post-explant evaluation of the continuous-flow total artificial heart in preclinical studies can be extremely challenging because of the device's unique architecture. Determining the exact location of tissue regeneration, neointima formation, and thrombus is particularly important. In this report, we describe our first successful experience with visualizing the Cleveland Clinic continuous-flow total artificial heart using a custom-made high-definition miniature camera.

  20. Cost-effectiveness analysis of universal noninvasive testing for post-treatment confirmation of Helicobacter pylori eradication and the impact of patient adherence.

    Science.gov (United States)

    Boklage, Susan H; Mangel, Allen W; Ramamohan, Varun; Mladsi, Deirdre; Wang, Tao

    2016-01-01

    The treatment failure rate for Helicobacter pylori eradication therapy is ~20% due to poor patient compliance and increased antibiotic resistance. This analysis assessed the cost-effectiveness of universal post-treatment testing to confirm eradication of H. pylori infection in adults. Decision-analytic models evaluated the cost-effectiveness of universal post-treatment testing (urea breath test [UBT] or monoclonal fecal antigen test [mFAT]) vs no testing (Model 1), and UBT vs mFAT after adjusting for patient adherence to testing (Model 2) in adults who previously received first-line antimicrobial therapy. Patients testing positive received second-line quadruple therapy; no further action was taken for those testing negative or with no testing (Model 1) or for those nonadherent to testing (Model 2). In addition to testing costs, excess lifetime costs and reduced quality-adjusted life-years (QALYs) due to continuing H. pylori infection were considered in the model. Expected total costs per patient were higher for post-treatment testing (UBT: US$325.76; mFAT: US$242.12) vs no testing (US$182.41) in Model 1 and for UBT (US$336.75) vs mFAT (US$326.24) in Model 2. Expected QALYs gained per patient were 0.71 and 0.72 for UBT and mFAT, respectively, vs no testing (Model 1), and the same was 0.37 for UBT vs mFAT (Model 2). The estimated incremental costs per QALY gained for post-treatment testing vs no testing were US$82.90-US$202.45 and, after adjusting for adherence, US$28.13 for UBT vs mFAT. Universal post-treatment testing was found to be cost-effective for confirming eradication of H. pylori infection following first-line therapy. Better adherence to UBT relative to mFAT was the key to its cost-effectiveness.

  1. Should the post-coital test (PCT) be part of the routine fertility work-up?

    NARCIS (Netherlands)

    van der Steeg, Jan W.; Steures, Pieternel; Eijkemans, Marinus J. C.; Habbema, J. Dik; van der Veen, Fulco; Bossuyt, Patrick M. M.; Hompes, Peter G. A.; Mol, Ben W. J.

    2004-01-01

    BACKGROUND: This study aimed to determine whether medical history and semen analysis can predict the result of the post-coital test (PCT). METHODS: A previously reported data set of Dutch patients collected between 1985 and 1993 was used. Our study was limited to just patients with an ovulatory

  2. Sensitivity and specificity of the 3-item memory test in the assessment of post traumatic amnesia.

    NARCIS (Netherlands)

    Andriessen, T.M.J.C.; Jong, B. de; Jacobs, B.; Werf, S.P. van der; Vos, P.E.

    2009-01-01

    PRIMARY OBJECTIVE: To investigate how the type of stimulus (pictures or words) and the method of reproduction (free recall or recognition after a short or a long delay) affect the sensitivity and specificity of a 3-item memory test in the assessment of post traumatic amnesia (PTA). METHODS: Daily

  3. Utility of Post-Mortem Genetic Testing in Cases of Sudden Arrhythmic Death Syndrome

    NARCIS (Netherlands)

    Lahrouchi, Najim; Raju, Hariharan; Lodder, Elisabeth M.; Papatheodorou, Efstathios; Ware, James S.; Papadakis, Michael; Tadros, Rafik; Cole, Della; Skinner, Jonathan R.; Crawford, Jackie; Love, Donald R.; Pua, Chee J.; Soh, Bee Y.; Bhalshankar, Jaydutt D.; Govind, Risha; Tfelt-Hansen, Jacob; Winkel, Bo G.; van der Werf, Christian; Wijeyeratne, Yanushi D.; Mellor, Greg; Till, Jan; Cohen, Marta C.; Tome-Esteban, Maria; Sharma, Sanjay; Wilde, Arthur A. M.; Cook, Stuart A.; Bezzina, Connie R.; Sheppard, Mary N.; Behr, Elijah R.

    2017-01-01

    Sudden arrhythmic death syndrome (SADS) describes a sudden death with negative autopsy and toxicological analysis. Cardiac genetic disease is a likely etiology. This study investigated the clinical utility and combined yield of post-mortem genetic testing (molecular autopsy) in cases of SADS and

  4. Utility of Post-Mortem Genetic Testing in Cases of Sudden Arrhythmic Death Syndrome

    DEFF Research Database (Denmark)

    Lahrouchi, Najim; Raju, Hariharan; Lodder, Elisabeth M

    2017-01-01

    BACKGROUND: Sudden arrhythmic death syndrome (SADS) describes a sudden death with negative autopsy and toxicological analysis. Cardiac genetic disease is a likely etiology. OBJECTIVES: This study investigated the clinical utility and combined yield of post-mortem genetic testing (molecular autopsy...

  5. The effect of post-wash total progressive motile sperm count and semen volume on pregnancy outcomes in intrauterine insemination cycles: a retrospective study.

    Science.gov (United States)

    Ok, Elvan Koyun; Doğan, Omer Erbil; Okyay, Recep Emre; Gülekli, Bülent

    2013-01-01

    The purpose of this study was to determine the impact of post-wash total progressive motile sperm count (TPMSC) and semen volume on pregnancy outcomes in intrauterine insemination (IUI) cycles. The retrospective study included a total of 156 cycles (141 couples) and was performed in our center over a 24-month period. The semen parameters were recorded for each man and each insemination. The semen samples were re-evaluated after the preparation process. Post-wash TPMSC values were divided into four groups; Group 1: 10×10(6). Post-wash inseminated semen volume was divided into three groups; Group 1: 0.3 mL; Group 2: 0.4 mL; Group 3: 0.5 mL. The effect of post-wash total progressive motile sperm and semen volume on pregnancy outcomes was evaluated. The pregnancy rates per cycle and per couple were 27.56% and 30.49%, respectively. There was not a significant relationship between the inseminated semen volume and pregnancy rate (p>0.05). However, a significant linear-by-linear association was documented between the TPMSC and pregnancy rate (p=0.042). Our findings suggest that the post-wash inseminated semen volume should be between 0.3-0.5 mL. An average post-wash total motile sperm count of 10×10(6) may be a useful threshold value for IUI success, but more studies are needed to determine a cut-off value for TPMSC.

  6. Post-test investigations of the FPT 0 test of the Phebus FP project

    International Nuclear Information System (INIS)

    Goetzmann, O.

    1995-01-01

    An account is given of the first test of the Phebus fission product experimental series FPT. This test, performed in Dec. 1993, was terminated when the temperature in the thermal insulation shroud attained the maximum value permitted by the safety authorities. (orig.)

  7. Informed consent: do information pamphlets improve post-operative risk-recall in patients undergoing total thyroidectomy: prospective randomized control study.

    Science.gov (United States)

    Alsaffar, Hussain; Wilson, Lindsay; Kamdar, Dev P; Sultanov, Faizullo; Enepekides, Danny; Higgins, Kevin M

    2016-02-13

    Informed consent consists of basic five elements: voluntarism, capacity, disclosure, understanding, and ultimate decision-making. Physician disclosure, patient understanding, and information retention are all essential in the doctor-patient relationship. This is inclusive of helping patients make and manage their decisions and expectations better and also to deal with any consequences and/or complications that arise. This study investigates whether giving patients procedure-specific handouts pre-operatively as part of the established informed consent process significantly improves overall risk-recall following surgery. These handouts outline the anticipated peri-operative risks and complications associated with total thyroidectomy, as well as the corrective measures to address complications. In addition, the influence of potential confounders affecting risk-recall, such as anxiety and pre-existing memory disturbance, are also examined. Consecutive adult (≥18 years old) patients undergoing total thyroidectomy at a single academic tertiary care referral centre are included. Participants are randomly assigned into either the experimental group (with pamphlets) or the control group by a computerized randomization system (Clinstat). All participants filled out a Hospital Anxiety and Depression Scale (HADS) and they are tested by the physician for short-term memory loss using the Memory Impairment Screen (MIS) exam. All patients are evaluated at one week post-operatively. The written recall questionnaire test is also administered during this clinical encounter. Forty-nine patients are included--25 of them receive verbal consent only, while another 24 patients received both verbal consent and patient education information pamphlets. The overall average of correct answers for each group was 83% and 80% in the control and intervention groups, respectively, with no statistically significant differences. There are also no statistically significant differences between the

  8. Post-test analysis for the MIDAS DVI tests using MARS

    International Nuclear Information System (INIS)

    Bae, K. H.; Lee, Y. J.; Kwon, T. S.; Lee, W. J.; Kim, H. C.

    2002-01-01

    Various DVI tests have been performed at MIDAS test facility which is a scaled facility of APR1400 applying a modified linear scale ratio. The evaluation results for the various void height tests and direct bypass tests using a multi-dimensional best-estimate analysis code MARS, show that; (a) MARS code has an advanced modeling capability of well predicting major multi-dimensional thermal-hydraulic phenomena occurring in the downcomer, (b) MARS code under-predicts the steam condensation rates, which in turn causes to over-predict the ECC bypass rates. However, the trend of decrease in steam condensation rate and increase in ECC bypass rate in accordance with the increase in steam flow rate, and the calculation results of the ECC bypass rates under the EM analysis conditions generally agree with the test data

  9. Wear of alumina on alumina total hip prosthesis - effect of lubricant on hip simulator test

    Energy Technology Data Exchange (ETDEWEB)

    Ueno, M.; Amino, H. [Kyocera Corp., Fushimi, Kyoto (Japan). Bioceram Div.; Oonishi, H. [Dept. of Orthopaedic Surgery, Artificial Joint Sect. and Biomat. Res. Lab., Osaka Minami National Hospital, Osaka (Japan); Clarke, I.C.; Good, V. [Dept. of Orthopaedic Surgery, Loma Linda Univ. Medical Center, CA (United States)

    2001-07-01

    The complex wear-friction-lubrication behavior of alumina on alumina combination in total hip prostheses (THP) was investigated using a hip joint simulator. The objectives of this study were to evaluate the effect of the ball/cup clearance and of the lubricant conditions. Alumina bearings were categorized in three diametrical clearances, 20-30, 60-70 and 90-100 micrometer, three each and wear tests were carried out with 90% bovine serum. There was no significant difference between three groups. Volumetric wear in the run-in phase for all tested nine ceramic liners averaged 0.27mm{sup 3}/million cycles and in the steady-state phase averaged 0.0042mm{sup 3}/million cycles. In addition to the 90% serum, 27% serum and saline were used as the lubricant for evaluate the effect of serum concentration on alumina on alumina wear couples. The wear test results showed that in all tested conditions the wear trends of alumina BEARING were bi-phasic and wear volume could be affected by the serum concentration. Both ''Run-in'' and ''Steady-state'' wear rates in 90% bovine serum were three times higher than those in saline. (orig.)

  10. Field tests on total gap of modular expansion joints to avoid bridge pounding

    Directory of Open Access Journals (Sweden)

    Bo eLi

    2016-03-01

    Full Text Available Modular expansion joints (MEJs are used for accommodating large relative displacements of adjacent bridge segments and for completely eliminating pounding. However, the minimum total gap that an MEJ needs to avoid pounding is not well investigated. To provide guidance for the seismic gap of MEJs, the maximum relative displacement of adjacent bridge segments subject to strong earthquakes was studied experimentally. To date, no experimental investigation of excitation spatial variation effect on bridge on natural soil has been reported. This research addressed a bridge with three identical segments of 100 m. A 1:22 scale bridge model founded on compacted beach sand was tested using electro-magnetic inertial exciters. Different ground motions were applied to the model to simulate the effect of spatially varying ground motions. Soil-structure interaction (SSI was studied by comparing the minimum total gaps with those obtained from the fixed-based experiments in the laboratory. The spatially varying ground motions were simulated based on the New Zealand design spectra for soft soil, shallow soil and strong rock conditions using an empirical coherency loss function. SSI was found to reduce the minimum total gap of an MEJ needed to avoid pounding between adjacent segments. Under spatially varying ground motions designing adjacent bridge segments with identical or similar fundamental frequencies is still recommended even if it does not necessarily preclude an out-of-phase movement of adjacent structures.

  11. Analysis on pile testing results of post-grouting bored pile

    Science.gov (United States)

    Zheng, A. R.

    2017-04-01

    Based on static load test results, the bearing capacity of bored piles with pile-toe and pile-shaft post-grouting has been analyzed. The analysis reveals that: with post-grouting, the interface between pile and surrounding soil are strengthened and the relative sliding displacement in between is reduced; end resistance of pile is enhanced and can be mobilized at earlier stage with smaller sliding displacement. As a result, the performance of bored pile is improved with increased bearing capacity and reduced settlement.

  12. Preliminary test results for post irradiation examination on the HTTR fuel

    International Nuclear Information System (INIS)

    Ueta, Shohei; Umeda, Masayuki; Sawa, Kazuhiro; Sozawa, Shizuo; Shimizu, Michio; Ishigaki, Yoshinobu; Obata, Hiroyuki

    2007-01-01

    The future post-irradiation program for the first-loading fuel of the HTTR is scheduled using the HTTR fuel handling facilities and the Hot Laboratory in the Japan Materials Testing Reactor (JMTR) to confirm its irradiation resistance and to obtain data on its irradiation characteristics in the core. This report describes the preliminary test results and the future plan for a post-irradiation examination for the HTTR fuel. In the preliminary test, fuel compacts made with the same SiC-coated fuel particle as the first loading fuel were used. In the preliminary test, dimension, weight, fuel failure fraction, and burnup were measured, and X-ray radiograph, SEM, and EPMA observations were carried out. Finally, it was confirmed that the first-loading fuel of the HTTR showed good quality under an irradiation condition. The future plan for the post-irradiation tests was described to confirm its irradiation performance and to obtain data on its irradiation characteristics in the HTTR core. (author)

  13. Evaluation of point-of-care test for elevated tear matrix metalloproteinase 9 in post-LASIK dry eyes.

    Science.gov (United States)

    Chan, Tommy C Y; Ye, Cong; Chan, Kwok Ping; Chu, Kai On; Jhanji, Vishal

    2016-09-01

    To evaluate the performance of a point-of-care test for detection of matrix metalloproteinase 9 (MMP-9) levels in post-laser-assisted in situ keratomileusis (LASIK) dry eyes. A comparative study between patients with mild to moderate post-LASIK dry eyes and age-matched normal subjects was conducted. Ocular surface disease index (OSDI), tear break-up time (TBUT), and tear film MMP-9 and total protein levels were compared between the two groups. A point-of-care test device (RPS InflammaDry, Sarasota, Florida, USA) was utilised to confirm elevated MMP-9 levels in tear film. Fourteen post-LASIK dry eyes and 34 normal eyes were included. There was no significant difference in age and gender between both groups (p>0.175). The OSDI was significantly higher (25.5±7.7 vs 7.4±2.5; pdry eye compared with normal subjects. The tear film MMP-9 levels were 52.7±32.5 ng/mL in dry eyes and 4.1±2.1 ng/mL in normal eyes (p40 ng/mL in 7/14 (50.0%) post-LASIK dry eyes. The InflammaDry was positive in 8/14 (57.1%) post-LASIK eyes. All positive cases had tear film MMP-9 levels ≥38.03 ng/mL. Agreement between InflammaDry and MMP-9 was excellent with Cohen κ value of 0.857 in post-LASIK dry eyes. Only half of post-LASIK dry eyes were found to have significant inflammation associated with elevated MMP-9. The OSDI is useful to non-specifically identify patients with symptomatic dry eye while the InflammaDry determined which patients with dry eye were associated with significant inflammation that may guide therapeutic management decisions. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

  14. Pre- and post-test analyses of a KKL turbine trip test at 109% power using RETRAN-3D

    Energy Technology Data Exchange (ETDEWEB)

    Coddington, P

    2001-03-01

    As part of the PSI/HSK STARS project, pre-test calculations have been performed for a KKL turbine trip test at 109% power using the RETRAN-3D code. In this paper, we first present the results of these calculations, together with a description of the test and a comparison of the results with the measured plant data, and then discuss in more detail the differences between the pre-test results and the plant measurements, including the differences in the initial and boundary conditions, and how these differences influenced the calculated results. Finally, we comment on a series of post-test and sensitivity analyses, which were performed to resolve some of the discrepancies. The results of the pre-test (blind) calculations show good overall agreement with the experimental data, particularly for the maximum in the steam-line mass flow rate following the opening of the turbine bypass valves. This is of critical importance, since the steam-line flow has the least margin to the reactor scram limit. The agreement is especially good since the control rod banks used for the selected rod insertion were changed from those given in the test specification. Following a review of the comparison of the pre-test calculations with the measured data, several deficiencies in the RETRAN-3D model for KKL were identified and corrected as part of the post-test analysis. This allowed for both an improvement in the calculated results, and a deeper understanding of the behaviour of the turbine trip transient. (author)

  15. Pre- and post-test analyses of a KKL turbine trip test at 109% power using RETRAN-3D

    International Nuclear Information System (INIS)

    Coddington, P.

    2001-01-01

    As part of the PSI/HSK STARS project, pre-test calculations have been performed for a KKL turbine trip test at 109% power using the RETRAN-3D code. In this paper, we first present the results of these calculations, together with a description of the test and a comparison of the results with the measured plant data, and then discuss in more detail the differences between the pre-test results and the plant measurements, including the differences in the initial and boundary conditions, and how these differences influenced the calculated results. Finally, we comment on a series of post-test and sensitivity analyses, which were performed to resolve some of the discrepancies. The results of the pre-test (blind) calculations show good overall agreement with the experimental data, particularly for the maximum in the steam-line mass flow rate following the opening of the turbine bypass valves. This is of critical importance, since the steam-line flow has the least margin to the reactor scram limit. The agreement is especially good since the control rod banks used for the selected rod insertion were changed from those given in the test specification. Following a review of the comparison of the pre-test calculations with the measured data, several deficiencies in the RETRAN-3D model for KKL were identified and corrected as part of the post-test analysis. This allowed for both an improvement in the calculated results, and a deeper understanding of the behaviour of the turbine trip transient. (author)

  16. Relap5/mod2 post-test calculation of a loss of feedwater experiment at the Pactel test facility

    Energy Technology Data Exchange (ETDEWEB)

    Protze, M. [Siemens-KWU, Erlangen (Germany)

    1995-12-31

    Post-test calculations for verification purposes of the thermal hydraulic code RELAP5/MOD2 are of fundamental importance for the licensing procedure. The RELAP5/MOD2 code has a large international assessment base regarding western PWR. WWER-reactors are russian designed PWRs with some specific differences compared with the western PWR`s, especially the horizontal steam generators. For that reason some post-test calculations have to be performed to verify the RELAP5/MOD2 code for these WWER typical phenomena. The impact of the horizontal steam generators on the accident behaviour during transients or pipe ruptures on the secondary side is significant. The nodalization of the test facility PACTEL was chosen equally to WWER plant nodalization to verify the use of a coarse modelling of the steam generator secondary side for analyses of transient with decreasing water level in the SG secondary side. The calculational results showed a good compliance to the test results, demonstrating the correct use of a coarse nodalization. To sum up, the RELAP5/ MOD2 results met the test results appropriately thereby the RELAP5/ MOD2 code is validated for analyses of transients with decreasing water level in a horizontal steam generator secondary side. (orig.). 4 refs.

  17. Relap5/mod2 post-test calculation of a loss of feedwater experiment at the Pactel test facility

    Energy Technology Data Exchange (ETDEWEB)

    Protze, M [Siemens-KWU, Erlangen (Germany)

    1996-12-31

    Post-test calculations for verification purposes of the thermal hydraulic code RELAP5/MOD2 are of fundamental importance for the licensing procedure. The RELAP5/MOD2 code has a large international assessment base regarding western PWR. WWER-reactors are russian designed PWRs with some specific differences compared with the western PWR`s, especially the horizontal steam generators. For that reason some post-test calculations have to be performed to verify the RELAP5/MOD2 code for these WWER typical phenomena. The impact of the horizontal steam generators on the accident behaviour during transients or pipe ruptures on the secondary side is significant. The nodalization of the test facility PACTEL was chosen equally to WWER plant nodalization to verify the use of a coarse modelling of the steam generator secondary side for analyses of transient with decreasing water level in the SG secondary side. The calculational results showed a good compliance to the test results, demonstrating the correct use of a coarse nodalization. To sum up, the RELAP5/ MOD2 results met the test results appropriately thereby the RELAP5/ MOD2 code is validated for analyses of transients with decreasing water level in a horizontal steam generator secondary side. (orig.). 4 refs.

  18. Post-test investigation result on the WWER-1000 fuel tested under severe accident conditions

    International Nuclear Information System (INIS)

    Goryachev, A.; Shtuckert, Yu.; Zwir, E.; Stupina, L.

    1996-01-01

    The model bundle of WWER-type were tested under SFD condition in the out-of-pile CORA installation. The objective of the test was to provide an information on the WWER-type fuel bundles behaviour under severe fuel damage accident conditions. Also it was assumed to compare the WWER-type bundle damage mechanisms with these experienced in the PWR-type bundle tests with aim to confirm a possibility to use the various code systems, worked our for PWR as applied to WWER. In order to ensure the possibility of the comparison of the calculated core degradation parameters with the real state of the tested bundle, some parameters have been measured on the bundle cross-sections under examination. Quantitative parameters of the bundle degradation have been evaluated by digital image processing of the bundle cross-sections. The obtained results are shown together with corresponding results obtained by the other participants of this investigation. (author). 3 refs, 13 figs

  19. Development of a miniaturized bulge test (small punch test) for post-irradiation mechanical property evaluation

    International Nuclear Information System (INIS)

    Eto, Motokuni; Suzuki, Masahide; Nishiyama, Yutaka; Fukaya, Kiyoshi; Jitsukawa, Shiro; Misawa, Toshihei

    1993-01-01

    To examine the effectiveness of the small punch test for evaluating strength and toughness of irradiated ferritic steels, detailed procedures are described aiming at standardization of the test. The statistical approach to analysis of the SP energy as a function of temperature for evaluation of DBTT was also reviewed. The method was then applied to neutron-irradiated ferritic steels, which included F-82, F-82H, HT-9, and 2 1/4 Cr-1Mo steel. Fluence and irradiation temperatures ranged from 2 to 12 x 10 23 n/m 2 (E ≥ 1 MeV) and from 573 to 673 K, respectively. Comparison of parameters obtained from the small punch test with the properties measured by the conventional method indicated that: (a) the 0.2% offset stress and the ultimate tensile strength at room temperature can be correlated well with the parameters, P y /(t 0 ) 2 and P max /(t 0 ) 2 , respectively. Here, P y and P max are the loads corresponding to the yield and the maximum, and t 0 is the initial thickness of a specimen; (b) fracture toughness, J IC , can be evaluated using equivalent fracture strain, anti ε qf , and the previously established relationship between these values; and (c) DBTT measured by a Charpy test can be predicted from the results of temperature dependence of SP energy determined from the area under the load-deflection curve using a statistical analysis based on a Weibull distribution

  20. Measurement of Function Post Hip Fracture: Testing a Comprehensive Measurement Model of Physical Function.

    Science.gov (United States)

    Resnick, Barbara; Gruber-Baldini, Ann L; Hicks, Gregory; Ostir, Glen; Klinedinst, N Jennifer; Orwig, Denise; Magaziner, Jay

    2016-07-01

    Measurement of physical function post hip fracture has been conceptualized using multiple different measures. This study tested a comprehensive measurement model of physical function. This was a descriptive secondary data analysis including 168 men and 171 women post hip fracture. Using structural equation modeling, a measurement model of physical function which included grip strength, activities of daily living, instrumental activities of daily living, and performance was tested for fit at 2 and 12 months post hip fracture, and among male and female participants. Validity of the measurement model of physical function was evaluated based on how well the model explained physical activity, exercise, and social activities post hip fracture. The measurement model of physical function fit the data. The amount of variance the model or individual factors of the model explained varied depending on the activity. Decisions about the ideal way in which to measure physical function should be based on outcomes considered and participants. The measurement model of physical function is a reliable and valid method to comprehensively measure physical function across the hip fracture recovery trajectory. © 2015 Association of Rehabilitation Nurses.

  1. Simulation of total loss of feed water in ATLAS test facility using SPACE code

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Minhee; Kim, Seyun [Korea Hydro and Nuclear Power Co., Daejeon (Korea, Republic of). Central Research Inst.

    2017-08-15

    A total loss of feedwater (TLOFW) with additional failures in ATLAS test facility was analyzed using SPACE code, which is an advanced thermal-hydraulic system analysis code developed by the Korea nuclear industry. Partial failure of the safety injection pumps (SIPs) and the pilot-operated safety relief valves (POSRVs) of pressurizer were selected as additional failures. In order to assess the capability of SPACE code, partial failure was modeled, and compared with results of OECD-ATLAS A3.1 results. Reasonably good agreement with major thermal-hydraulic parameters was obtained by analyzing the transient behavior. From the results, this indicated that SPACE code has capabilities to design extension conditions, and feed and bleed operation using POSRVs and SIPs were effective for RCS cooling capability during TLOFW.

  2. Standard test method for analysis of total and isotopic uranium and total thorium in soils by inductively coupled plasma-mass spectrometry

    CERN Document Server

    American Society for Testing and Materials. Philadelphia

    2008-01-01

    1.1 This test method covers the measurement of total uranium (U) and thorium (Th) concentrations in soils, as well as the determination of the isotopic weight percentages of 234U, 235U, 236U, and 238U, thereby allowing for the calculation of individual isotopic uranium activity or total uranium activity. This inductively coupled plasma-mass spectroscopy (ICP-MS) method is intended as an alternative analysis to methods such as alpha spectroscopy or thermal ionization mass spectroscopy (TIMS). Also, while this test method covers only those isotopes listed above, the instrumental technique may be expanded to cover other long-lived radioisotopes since the preparation technique includes the preconcentration of the actinide series of elements. The resultant sample volume can be further reduced for introduction into the ICP-MS via an electrothermal vaporization (ETV) unit or other sample introduction device, even though the standard peristaltic pump introduction is applied for this test method. The sample preparatio...

  3. Test of the universal rise of hadronic total cross sections at super-high energies

    International Nuclear Information System (INIS)

    Ishida, Muneyuki; Igi, Keiji

    2007-01-01

    The increase of the total cross sections at very high energies described by log 2 (s/s 0 ) appears to be confirmed. In the analysis of the COMPETE collaboration in the Particle Data Group (2006), the Blog 2 (s/s 0 ) was assumed to extend the universal rise of all the total hadronic cross sections to reduce the number of adjustable parameters. We test if the assumption on the universality of B is justified, through investigation of the values of B for π ± p(K ± p) and pp,pp scatterings. We search for the simultaneous best fit to the σ tot and ρ ratios, using a constraint from the FESR of the P' type for π -+ p scatterings and constraints that are free from the unphysical regions for the pp, pp and K ± p scatterings. By including rich information of the low-energy scattering data owing to the use of FESR, the errors of the B parameters decrease especially for πp. The resulting value of B pp is consistent with B πp within two standard deviations, which appears to support the universality hypothesis. (orig.)

  4. Improvements in in-situ filter test methods using a total light-scattering detector

    International Nuclear Information System (INIS)

    Marshall, M.; Stevens, D.C.

    1986-01-01

    This paper presents research aimed at providing useful data on a commonly used technique; a DOP (di-2-ethylhexyl phthalate) aerosol and a total light-scattering photometer. Methods of increasing the sensitivity of this technique are described. Alternative methods of in-situ filter testing are also considered. The sensitivity of a typical, modern, total light-scattering photometer, as a function of particle diameter, has a broad maximum in mass terms between 0.1 and 0.4 um. At its maximum usable sensitivity the instrument can detect approx. 1 particle/cm 3 . This response can be explained by light scattering theory and particle loss in the instrument inlet. The mass median diameter of the aerosols produced by various DOP generators varies from 0.2 to 1.0μm. Experiments with good quality HEPA filters indicate a maximum penetration for particles of 0.15 - 0.2μm. Details of the studies are given and the consequences discussed. It is shown that filter penetration of -3 % can be measured in-situ with existing equipment. Methods of extending the sensitivity to measure a penetration of approx.10 -5 % are described. (author)

  5. Post-test thermal calculations and data analyses for the Spent Fuel Test, Climax

    International Nuclear Information System (INIS)

    Montan, D.N.; Patrick, W.C.

    1986-06-01

    After the Spent Fuel Test - Climax (SFT-C) was completed, additional calculations were performed using the best available (directly measured or inferred from measurements made during the test) input parameters, thermal properties, and power levels. This report documents those calculations and compares the results with measurements made during the three-year heating phase and six-month posttest cooling phase of the SFT-C. Three basic types of heat-transfer calculations include a combined two-dimensional/three-dimensional, infinite-length, finite-difference model; a fully three-dimensional, finite-length, finite-difference model; and a fully three-dimensional, finite-length, analytical solution. The finite-length model much more accurately reflects heat flow near the ends of the array and produces cooler temperatures everywhere than does its infinite-length counterpart. 14 refs., 144 figs., 4 tabs

  6. Solar Alpha Rotary Joint (SARJ) Lubrication Interval Test and Evaluation (LITE). Post-Test Grease Analysis

    Science.gov (United States)

    Golden, Johnny L.; Martinez, James E.; Devivar, Rodrigo V.

    2015-01-01

    The Solar Alpha Rotary Joint (SARJ) is a mechanism of the International Space Station (ISS) that orients the solar power generating arrays toward the sun as the ISS orbits our planet. The orientation with the sun must be maintained to fully charge the ISS batteries and maintain all the other ISS electrical systems operating properly. In 2007, just a few months after full deployment, the starboard SARJ developed anomalies that warranted a full investigation including ISS Extravehicular Activity (EVA). The EVA uncovered unexpected debris that was due to degradation of a nitride layer on the SARJ bearing race. ISS personnel identified the failure root-cause and applied an aerospace grease to lubricate the area associated with the anomaly. The corrective action allowed the starboard SARJ to continue operating within the specified engineering parameters. The SARJ LITE (Lubrication Interval Test and Evaluation) program was initiated by NASA, Lockheed Martin, and Boeing to simulate the operation of the ISS SARJ for an extended time. The hardware was designed to test and evaluate the exact material components used aboard the ISS SARJ, but in a controlled area where engineers could continuously monitor the performance. After running the SARJ LITE test for an equivalent of 36+ years of continuous use, the test was opened to evaluate the metallography and lubrication. We have sampled the SARJ LITE rollers and plate to fully assess the grease used for lubrication. Chemical and thermal analysis of these samples has generated information that has allowed us to assess the location, migration, and current condition of the grease. The collective information will be key toward understanding and circumventing any performance deviations involving the ISS SARJ in the years to come.

  7. Do post-operative changes of neck-shaft angle and femoral component anteversion have an effect on clinical outcome following uncemented total hip arthroplasty?

    Science.gov (United States)

    Müller, M; Abdel, M P; Wassilew, G I; Duda, G; Perka, C

    2015-12-01

    The accurate reconstruction of hip anatomy and biomechanics is thought to be important in achieveing good clinical outcomes following total hip arthroplasty (THA). To this end some newer hip designs have introduced further modularity into the design of the femoral component such that neck-shaft angle and anteversion, which can be adjusted intra-operatively. The clinical effect of this increased modularity is unknown. We have investigated the changes in these anatomical parameters following conventional THA with a prosthesis of predetermined neck-shaft angle and assessed the effect of changes in the hip anatomy on clinical outcomes. In total, 44 patients (mean age 65.3 years (standard deviation (SD) 7); 17 male/27 female; mean body mass index 26.9 (kg/m²) (SD 3.1)) underwent a pre- and post-operative three-dimensional CT scanning of the hip. The pre- and post-operative neck-shaft angle, offset, hip centre of rotation, femoral anteversion, and stem alignment were measured. Additionally, a functional assessment and pain score were evaluated before surgery and at one year post-operatively and related to the post-operative anatomical changes. The mean pre-operative neck-shaft angle was significantly increased by 2.8° from 128° (SD 6.2; 119° to 147°) to 131° (SD 2.1; 127° to 136°) (p = 0.009). The mean pre-operative anteversion was 24.9° (SD 8; 7.9 to 39.1) and reduced to 7.4° (SD 7.3; -11.6° to 25.9°) post-operatively (p shaft angles was found with a significant decrease of the post-operative anteversion and slight increase of the neck-shaft angles, but without any impact on clinical outcome. ©2015 The British Editorial Society of Bone & Joint Surgery.

  8. Genetic Testing and Post-Testing Decision Making among BRCA-Positive Mutation Women: A Psychosocial Approach.

    Science.gov (United States)

    Hesse-Biber, Sharlene; An, Chen

    2016-10-01

    Through an analysis of an online survey of women who tested positive for the BRCA genetic mutation for breast cancer, this research uses a social constructionist and feminist standpoint lens to understand the decision-making process that leads BRCA-positive women to choose genetic testing. Additionally, this research examines how they socially construct and understand their risk for developing breast cancer, as well as which treatment options they undergo post-testing. BRCA-positive women re-frame their statistical medical risk for developing cancer and their post-testing treatment choices through a broad psychosocial context of engagement that also includes their social networks. Important psychosocial factors drive women's medical decisions, such as individual feelings of guilt and vulnerability, and the degree of perceived social support. Women who felt guilty and fearful that they might pass the BRCA gene to their children were more likely to undergo risk reducing surgery. Women with at least one daughter and women without children were more inclined toward the risk reducing surgery compared to those with only sons. These psychosocial factors and social network engagements serve as a "nexus of decision making" that does not, for the most part, mirror the medical assessments of statistical odds for hereditary cancer development, nor the specific treatment protocols outlined by the medical establishment.

  9. Comparing Repaired and Undamaged Specimens Test Results of Post-Tensioned Beam to Column Connections

    OpenAIRE

    Mustafa Kaya

    2015-01-01

    Since, it is essential to provide homeless people by the earthquake with safe, habitable accommodation repairing medium and slight levels of damage at the connection parts should be undertaken. In order to prove that a repaired connection was sufficiently strong, a precast beam to column post tensioned connection was tested in three phases. In phase one, the middle level damage was observed at 6% drift at these connections. As a result of the extra loads applied, little d...

  10. Risk factors for post-operative periprosthetic fractures following primary total hip arthroplasty with a proximally coated double-tapered cementless femoral component

    DEFF Research Database (Denmark)

    Gromov, K; Bersang, A; Nielsen, C S

    2017-01-01

    ratio were recorded post-operatively. Periprosthetic fractures were identified and classified according to the Vancouver classification. Regression analysis was performed to identify risk factors for early periprosthetic fracture. RESULTS: The mean follow-up was 713 days (1 to 2058). A total of 48......AIMS: The aim of this study was to identify patient- and surgery-related risk factors for sustaining an early periprosthetic fracture following primary total hip arthroplasty (THA) performed using a double-tapered cementless femoral component (Bi-Metric femoral stem; Biomet Inc., Warsaw, Indiana...... periprosthetic fractures (3.0%) were identified during the follow-up and median time until fracture was 16 days, (interquartile range 10 to 31.5). Patients with femoral Dorr type C had a 5.2 times increased risk of post-operative periprosthetic fracture compared with type B, while female patients had a near...

  11. Post test evaluation of a fire tested rail spent fuel cask

    International Nuclear Information System (INIS)

    Rack, H.J.; Yoshimura, H.R.

    1980-01-01

    Postmortem examination of a large rail-transported spent fuel shipping cask which had been exposed to a JP-4 fuel fire revealed the presence of two macrofissures in the outer cask shell. One, a part-through crack located within the seam weld fusion zone of the outer cask shell, is typical of hot cracks found in stainless steel weldments. The other, a through-crack, was apparently initiated during the formation of a copper-stainless steel dissimilar metal joint, with crack propagation through the cask outer shell having occurred during the fire-test. 8 figures

  12. Recovery of balance function among individuals with total knee arthroplasty: Comparison of responsiveness among four balance tests.

    Science.gov (United States)

    Chan, Andy C M; Ouyang, Xi H; Jehu, Deborah A M; Chung, Raymond C K; Pang, Marco Y C

    2018-01-01

    Balance deficits are common after total knee arthroplasty (TKA); however the responsiveness of commonly used balance measurement tools has not been well defined. The objective of this prospective study was to compare the internal and external responsiveness of four measurement tools in assessing recovery of balance function following TKA. A total of 134 individuals with TKA (95 women; age: 66.3±6.6years) completed the Balance Evaluation Systems Test (BESTest), Mini-BESTest, Brief-BESTest, and Berg Balance Scale (BBS) at 2, 4, 8, 12, and 24 weeks post-TKA. The Functional Gait Assessment (FGA) served as the anchor measure, and was also measured across these time points. Internal responsiveness was indicated by the standardized response mean (SRM), while external responsiveness was reflected by the degree of association of the changes of balance scores with those of FGA. The SRM ranged from 0.60-1.14 for the BESTest, 0.40-0.94 for the Mini-BESTest, 0.27-0.91 for the Brief-BESTest, and 0.19-0.70 for the BBS, over time. The change in BESTest and Mini-BESTest scores predicted the change in the FGA scores across all time periods, except for the Mini-BESTest between weeks 12-24, accounting for 13-27%, and 12-24% of the variance, respectively. The Brief-BESTest scores only predicted FGA scores between the weeks 2-4 (R 2 =20%). The changes in BBS scores were not associated with the FGA. The BESTest is the most responsive in measuring recovery of balance among individuals with TKA. The Mini-BESTest is a reasonable option during time constraints. Copyright © 2017. Published by Elsevier B.V.

  13. Self-reported post-exertional fatigue in Gulf War veterans: roles of autonomic testing

    Science.gov (United States)

    Li, Mian; Xu, Changqing; Yao, Wenguo; Mahan, Clare M.; Kang, Han K.; Sandbrink, Friedhelm; Zhai, Ping; Karasik, Pamela A.

    2014-01-01

    To determine if objective evidence of autonomic dysfunction exists from a group of Gulf War veterans with self-reported post-exertional fatigue, we evaluated 16 Gulf War ill veterans and 12 Gulf War controls. Participants of the ill group had self- reported, unexplained chronic post-exertional fatigue and the illness symptoms had persisted for years until the current clinical study. The controls had no self-reported post-exertional fatigue either at the time of initial survey nor at the time of the current study. We intended to identify clinical autonomic disorders using autonomic and neurophysiologic testing in the clinical context. We compared the autonomic measures between the 2 groups on cardiovascular function at both baseline and head-up tilt, and sudomotor function. We identified 1 participant with orthostatic hypotension, 1 posture orthostatic tachycardia syndrome, 2 distal small fiber neuropathy, and 1 length dependent distal neuropathy affecting both large and small fiber in the ill group; whereas none of above definable diagnoses was noted in the controls. The ill group had a significantly higher baseline heart rate compared to controls. Compound autonomic scoring scale showed a significant higher score (95% CI of mean: 1.72–2.67) among ill group compared to controls (0.58–1.59). We conclude that objective autonomic testing is necessary for the evaluation of self-reported, unexplained post-exertional fatigue among some Gulf War veterans with multi-symptom illnesses. Our observation that ill veterans with self-reported post-exertional fatigue had objective autonomic measures that were worse than controls warrants validation in a larger clinical series. PMID:24431987

  14. Explaining Post-Communist Respect for Civil Liberty: A Multi-Methods Test

    DEFF Research Database (Denmark)

    Skaaning, Svend Erik

    2007-01-01

    This article explains the level of respect for civil liberty in post-communist countries. The methodological triangulation employs both QCA methods and OLS-regression to test the influence of structural conditions, the democratization literature emphasizes. The results show that the political leg...... the results of the methods applied diverge. Expect a lack of congruence given their different assumptions and logics. As to the QCA methods in specific, they are apparently valuable supplements, and at times even plausible alternatives, to standard statistical tests....

  15. Sensitivity and specificity of the 3-item memory test in the assessment of post traumatic amnesia.

    Science.gov (United States)

    Andriessen, Teuntje M J C; de Jong, Ben; Jacobs, Bram; van der Werf, Sieberen P; Vos, Pieter E

    2009-04-01

    To investigate how the type of stimulus (pictures or words) and the method of reproduction (free recall or recognition after a short or a long delay) affect the sensitivity and specificity of a 3-item memory test in the assessment of post traumatic amnesia (PTA). Daily testing was performed in 64 consecutively admitted traumatic brain injured patients, 22 orthopedically injured patients and 26 healthy controls until criteria for resolution of PTA were reached. Subjects were randomly assigned to a test with visual or verbal stimuli. Short delay reproduction was tested after an interval of 3-5 minutes, long delay reproduction was tested after 24 hours. Sensitivity and specificity were calculated over the first 4 test days. The 3-word test showed higher sensitivity than the 3-picture test, while specificity of the two tests was equally high. Free recall was a more effortful task than recognition for both patients and controls. In patients, a longer delay between registration and recall resulted in a significant decrease in the number of items reproduced. Presence of PTA is best assessed with a memory test that incorporates the free recall of words after a long delay.

  16. Product analysis and initial reliability testing of the total mesorectal excision-quality assessment instrument.

    Science.gov (United States)

    Simunovic, Marko R; DeNardi, Franco G; Coates, Angela J; Szalay, David A; Eva, Kevin W

    2014-07-01

    Product analysis of rectal cancer resection specimens before specimen fixation may provide an immediate and relevant evaluation of surgical performance. We tested the interrater reliability (IRR) of a product analysis tool called the Total Mesorectal Excision-Quality Assessment Instrument (TME-QA). Participants included two gold standard raters, five pathology assistants, and eight pathologists. Domains of the TME-QA reflect total mesorectal excision principles including: (1) completeness of mesorectal margin; (2) completeness of mesorectum; (3) coning of distal mesorectum; (4) physical defects; and (5) overall specimen quality. Specimens were scored independently. We used the generalizability theory to assess the tool's internal consistency and IRR. There were 39 specimens and 120 ratings. Mean overall specimen quality scores for the gold standard raters, pathologists, and assistants were 4.43, 4.43, and 4.50, respectively (p > 0.85). IRR for the first nine items was 0.68 for the full sample, 0.62 for assistants alone, 0.63 for pathologists alone, and 0.74 for gold standard raters alone. IRR for the item overall specimen quality was 0.67 for the full sample, 0.45 for assistants, 0.80 for pathologists, and 0.86 for gold standard raters. IRR increased for all groups when scores were averaged across two raters. Assessment of surgical specimens using the TME-QA may provide rapid and relevant feedback to surgeons about their technical performance. Our results show good internal consistency and IRR when the TME-QA is used by pathologists. However, for pathology assistants, multiple ratings with the averaging of scores may be needed.

  17. Post-Closure Inspection Report for the Tonopah Test Range, Nevada, for Calendar Year 2014

    Energy Technology Data Exchange (ETDEWEB)

    Silvas, A. J. [National Security Technologies, LLC, Las Vegas, NV (United States). Nevada Test Site; Lantow, Tiffany A. [National Security Technologies, LLC, Las Vegas, NV (United States). Nevada Test Site

    2015-03-25

    This report provides the results of the annual post-closure inspections conducted at the closed Corrective Action Units (CAUs) located on the Tonopah Test Range (TTR), Nevada. This report covers calendar year 2014 and includes inspection and repair activities completed at the following CAUs; CAU 400: Bomblet Pit and Five Points Landfill (TTR); CAU 407: Roller Coaster RadSafe Area (TTR); CAU 424: Area 3 Landfill Complexes (TTR); CAU 453: Area 9 UXO Landfill (TTR); and CAU 487: Thunderwell Site (TTR) Inspections were conducted according to the post-closure plans in the approved Closure Reports and subsequent correspondence with the Nevada Division of Environmental Protection. The post-closure inspection plans and subsequent correspondence modifying the requirements for each CAU are included in Appendix B. The inspection checklists are included in Appendix C. Photographs taken during inspections are included in Appendix D. The annual post-closure inspections were conducted on May 28, 2014. Maintenance was required at CAU 407. Animal burrows were backfilled and erosion repairs were performed. Vegetation monitoring was performed at CAU 407 in June 2014. The vegetation monitoring report is included in Appendix E.

  18. Reliability and smallest real difference of the ankle lunge test post ankle fracture.

    Science.gov (United States)

    Simondson, David; Brock, Kim; Cotton, Susan

    2012-02-01

    This study aimed to determine the reliability and the smallest real difference of the Ankle Lunge test in an ankle fracture patient population. In the post immobilisation stage of ankle fracture, ankle dorsiflexion is an important measure of progress and outcome. The Ankle Lunge test measures weight bearing dorsiflexion, resulting in negative scores (knee to wall distance) and positive scores (toe to wall distance), for which the latter has proven reliability in normal subjects only. A consecutive sample of ankle fracture patients with permission to commence weight bearing, were recruited to the study. Three measurements of the Ankle Lunge Test were performed each by two raters, one senior and one junior physiotherapist. These occurred prior to therapy sessions in the second week after plaster removal. A standardised testing station was utilised and allowed for both knee to wall distance and toe to wall distance measurement. Data was collected from 10 individuals with ankle fracture, with an average age of 36 years (SD 14.8). Seventy seven percent of observations were negative. Intra and inter-rater reliability yielded intra class correlations at or above 0.97, p Ankle Lunge test is a practical and reliable tool for measuring weightbearing dorsiflexion post ankle fracture. Copyright © 2011 Elsevier Ltd. All rights reserved.

  19. Static and dynamic testing of a damaged post tensioned concrete beam

    Directory of Open Access Journals (Sweden)

    Limongelli M.P.

    2015-01-01

    Full Text Available In this paper are reported the results of an experimental campaign carried out on a post tensioned concrete beam with the aim of investigating the possibility to detect early warning signs of deterioration basing on static and/or dynamic tests. The beam was tested in several configurations aimed to reproduce several different phases of the ‘life’ of the beam: the original undamaged state, increasing loss of tension in the post tensioning cables, a strengthening intervention carried out by means of a second tension cable, formation of further cracks on the strengthened beam. Responses of the beam were measured by an extensive set of instruments consisting of accelerometers, inclinometers, displacement transducers, strain gauges and optical fibres. The paper discusses the tests program and the dynamic characterization of the beam in the different damage scenarios. The modal properties of the beam in the different phases were recovered basing on the responses recorded on the beam during sine-sweep and impact hammer tests. The variation of the first modal frequency was studied to investigate the sensitivity of this parameter to both the cracking of the concrete section and the tension in the cables and also to compare results given by different types of experimental tests.

  20. Nupec thermal hydraulic test to evaluate post-DNB characteristics for PWR fuel assemblies (1. general test plan and results)

    International Nuclear Information System (INIS)

    Norio, Kono; Kenji, Murai; Kaichiro, Misima; Takayuki, Suemura; Yoshiei, Akiyama; Keiichi, Hori

    2001-01-01

    In the present thermal hydraulic design of Pressurized Water Reactor (PWR), a departure from nucleate boiling (DNB) under anticipated transient conditions is not allowed. However, it is recognized that the DNB dose not cause a fuel rod failure immediately, and a suitable reactor trip can prevent the core from severe damages. If the fuel rod temperature under the post-DNB conditions can be accurately evaluated, the potentially existing margin in the present design method will be quantitatively assessed. To establish the heat transfer evaluation method on post-DNB event for PWR thermal hydraulic design, Nuclear Power Engineering Corporation (NUPEC) started a program, NUPEC Thermal Hydraulic Test to Evaluate Post-DNB Characteristics for PWR Fuel Assemblies (NUPEC-TH-P), in 1995 (hereinafter the year means fiscal year) under the sponsorship of Ministry of Economy, Trade and industry (METI). This program is now under going until 2001. This paper is to show the overall plan and the status of NUPEC-TH-P. (authors)

  1. Post-Discharge Care Duration, Charges, and Outcomes Among Medicare Patients After Primary Total Hip and Knee Arthroplasty.

    Science.gov (United States)

    Ponnusamy, Karthikeyan E; Naseer, Zan; El Dafrawy, Mostafa H; Okafor, Louis; Alexander, Clayton; Sterling, Robert S; Khanuja, Harpal S; Skolasky, Richard L

    2017-06-07

    In April 2016, the U.S. Centers for Medicare & Medicaid Services initiated mandatory 90-day bundled payments for total hip and knee arthroplasty for much of the country. Our goal was to determine duration of care, 90-day charges, and readmission rates by discharge disposition and U.S. region after hip or knee arthroplasty. Using the 2008 Medicare Provider Analysis and Review database 100% sample, we identified patients who had undergone elective primary total hip or knee arthroplasty. We collected data on patient age, sex, comorbidities, U.S. Census region, discharge disposition, duration of care, 90-day charges, and readmission. Multivariate regression was used to assess factors associated with readmission (logistic) and charges (linear). Significance was set at p total hip arthroplasties were discharged to home (18%), home health care (34%), extended-care facilities (35%), and inpatient rehabilitation (13%); patients undergoing 329,233 total knee arthroplasties were discharged to home (21%), home health care (38%), extended-care facilities (31%), and inpatient rehabilitation (10%). Patients in the Northeast were more likely to be discharged to extended-care facilities or inpatient rehabilitation than patients in other regions. Patients in the West had the highest 90-day charges. Approximately 70% of patients were discharged home from extended-care facilities, whereas after inpatient rehabilitation, >50% of patients received home health care. Among those discharged to home, 90-day readmission rates were highest in the South (9.6%) for patients undergoing total hip arthroplasty and in the Midwest (8.7%) and the South (8.5%) for patients undergoing total knee arthroplasty. Having ≥4 comorbidities, followed by discharge to inpatient rehabilitation or an extended-care facility, had the strongest associations with readmission, whereas the region of the West and the discharge disposition to inpatient rehabilitation had the strongest association with higher charges

  2. Blind post-test analysis of Phenix End-of-Life natural circulation test with the MARS-LMR

    International Nuclear Information System (INIS)

    Jeong, Hae Yong; Ha, Kwi Seok; Kwon, Young Min; Chang, Won Pyo; Suk, Su Dong; Lee, Kwi Lim

    2010-01-01

    KAERI is developing a system analysis code, MARS-LMR, for the application to a sodium-cooled fast reactor (SFR). This code will be used as a basic tool in the design and analysis of future SFR systems in Korea. Before wide application of a system analysis code, it is required to verify and validate the code models through analyses for appropriate experimental data or analytical results. The MARS-LMR code has been developed from MARS code which had been well verified and validated for a pressurized water reactor (PWR) system. The MARS-LMR code shares the same form of governing equations and solution schemes with MARS code, which eliminates the need of independent verification procedure. However, it is required to validate the applicability of the code to an SFR system because it adopts some dedicated heat transfer models, pressure drop models, and material properties models for a sodium system. Phenix is a medium-sized pool-type SFR successfully operated for 35 years since 1973. This reactor reached its final shutdown in February 2009. An international program of Phenix end-of-life (EOL) test was followed and some valuable information was obtained from the test, which will be useful for the validation of SFR system analysis code. In the present study, the performance of MARS-LMR code is evaluated through a blind calculation with the boundary conditions measured in the real test. The post-test analysis results are also compared with the test data generated in the test

  3. Male infertility workup needs additional testing of expressed prostatic secretion and/or post-massage urine.

    Directory of Open Access Journals (Sweden)

    Margus Punab

    Full Text Available The male factor accounts for almost 50% of infertility cases. Inflammation may reduce semen quality via several pathways, including oxidative stress (OxS. As male infertility routinely is assessed using semen analysis only, the possible presence of non-leukocytospermic asymptomatic inflammatory prostatitis may be overlooked. We compared local and systemic OxS levels in male partners of infertile couples with different inflammation patterns in their genital tract and/or oligospermia. Subjects (n=143 were grouped according to inflammation in their semen, expressed prostatic secretion (EPS, and/or post-massage urine (post-M. Systemic (8-isoprostanes in urine and local (diene conjugates and total antioxidant capacity in seminal plasma OxS was measured The levels of OxS markers were significantly elevated in both severe inflammation groups--leukocytospermic men and subjects whose inflammation was limited only to EPS and/or post-M. Comparison between oligospermic and non-oligospermic men with genital tract inflammation, and oligozoospermic men with or without inflammation in the genital tract indicated that inflammation but not oligospermia status had significant impact on the measured OxS markers. Hence, a high leukocyte count in prostate-specific materials (EPS, post-M, even in absence of clear leukocytopsermia, is an important source of local and systemic OxS that may be associated with male infertility and affect general health. We suggest including the tests for detection of inflammation of the prostate into the workup of infertile men as was suggested in the WHO 1993 recommendation.

  4. Preemptive analgesia by using celecoxib combined with tramadol/APAP alleviates post-operative pain of patients undergoing total knee arthroplasty.

    Science.gov (United States)

    Xu, Zhongwei; Zhang, Hua; Luo, Jiao; Zhou, Aiguo; Zhang, Jian

    2017-09-01

    This study was aimed to evaluate the efficacy of preemptive analgesia (PA) by using celecoxib combined with low-dose tramadol/acetaminophen (tramadol/APAP) in treating post-operative pain of patients undergoing unilateral total knee arthroplasty (TKA). A total of 132 patients scheduled for TKA were included in this study. Three-day pre-operative medication was administrated in PA group with subsequent effective intra- and post-operative multimodal analgesia, while control patients received multimodal analgesia without PA. Visual analog scale (VAS) was utilized to assess the pain intensity at rest and during movement. VAS scores of participants were recorded 3 days before surgery, 1 day, 3 days, 1 week, 3 weeks, 6 weeks, 3 months, 6 months, and 12 months postoperatively. Moreover, the length of hospital stay, expense of hospitalization, C-reactive protein (CRP) values during hospitalization, and complications during medication were also recorded. PA showed superiority over control at 3 weeks (P = 0.013) and 6 weeks (P = 0.046) in resting pain, and 1 week (P = 0.015), 3 weeks (P = 0.003), 6 weeks (P = 0.003) and 3 months (P = 0.012) postoperatively in movement pain. There was no statistically significant difference in the length of hospital stay, total expense, CRP values, as well as complications. Based on satisfactory intra- and post-operative analgesia, PA by 3-day administration of celecoxib and low-dose tramadol/APAP might be an effective and safe therapy regarding patients undergoing TKA in terms of alleviating post-operative pain.

  5. Guideline recommendations for post-acute postoperative physiotherapy in total hip and knee arthroplasty: are they used in daily clinical practice?

    Science.gov (United States)

    Peter, W F; Nelissen, R G H H; Vlieland, T P M Vliet

    2014-09-01

    In a Dutch guideline on physiotherapy (PT) in hip and knee osteoarthritis, a number of recommendations on post-acute (i.e. after discharge from hospital) PT following total hip (THA) and total knee (TKA) arthroplasty were included. Little is known about the uptake of these recommendations in daily clinical practice. The aim of the present study was to determine the extent to which the guideline recommendations regarding post-acute PT after THA and TKA are followed in daily clinical practice. An online pilot survey on the delivery of post-acute, postoperative PT was sent to a random sample of 957 Dutch physiotherapists. The survey included questions on the application of recommended, neither recommended nor advised against, and advised against treatment modalities and various treatment modalities for which there were no formulated recommendations. A total of 219 physiotherapists completed the questionnaire, with a mean age of 40 years (standard deviation 12.6), 55% female and 95% working in primary care. The vast majority reported the use of the recommended exercise modalities (muscle strengthening exercises (96%), and functional exercises (99%). Continuous passive motion, which was neither recommended nor advised against, and electrical muscle stimulation, which was not recommended, were provided by 1%. Reported treatment modalities for which there were no formulated recommendations included patient education (99%), gait training (95%), active range of motion (ROM) exercises (93%), balance exercises (86%), passive ROM exercises (58%), aerobic exercises (50%), massage (18%) and cold therapy (11%). The vast majority of physiotherapists reported adhering to recommendations on post-acute postoperative PT in THA and TKA patients after discharge from hospital. Although yet to be confirmed in a larger nationwide survey, the relatively high frequency of use of many other treatment modalities, for which there were no formulated recommendations, suggests the need to extend

  6. Post-test analysis of the ROSA/LSTF and PKL counterpart test

    Energy Technology Data Exchange (ETDEWEB)

    Carlos, S., E-mail: scarlos@iqn.upv.es [Departament d’Enginyeria Química i Nuclear, Universitat Politècnica de València, Camí de Vera, 14, València Spain (Spain); Querol, A., E-mail: anquevi@iqn.upv.es [Departament d’Enginyeria Química i Nuclear, Universitat Politècnica de València, Camí de Vera, 14, València Spain (Spain); Instituto de Seguridad Industrial, Radiofísica y Medioambiental, Universitat Politècnica de València, Camí de Vera, 14, València (Spain); Gallardo, S., E-mail: sergalbe@iqn.upv.es [Departament d’Enginyeria Química i Nuclear, Universitat Politècnica de València, Camí de Vera, 14, València Spain (Spain); Instituto de Seguridad Industrial, Radiofísica y Medioambiental, Universitat Politècnica de València, Camí de Vera, 14, València (Spain); Sanchez-Saez, F., E-mail: frasansa@etsii.upv.es [Departament d’Enginyeria Química i Nuclear, Universitat Politècnica de València, Camí de Vera, 14, València Spain (Spain); and others

    2016-02-15

    Highlights: • TRACE modelization for PKL and ROSA/LSTF installations. • Secondary-side depressurization as accident management action. • CET vs PCT relation. • Analysis of differences in the vessel models. - Abstract: Experimental facilities are scaled models of commercial nuclear power plants, and are of great importance to improve nuclear power plants safety. Thus, the results obtained in the experiments undertaken in such facilities are essential to develop and improve the models implemented in the thermal-hydraulic codes, which are used in safety analysis. The experiments and inter-comparisons of the simulated results are usually performed in the frame of international programmes in which different groups of several countries simulate the behaviour of the plant under the accidental conditions established, using different codes and models. The results obtained are compared and studied to improve the knowledge on codes performance and nuclear safety. Thus, the Nuclear Energy Agency (NEA), in the nuclear safety work area, auspices several programmes which involve experiments in different experimental facilities. Among the experiments proposed in NEA programmes, one on them consisted of performing a counterpart test between ROSA/LSTF and PKL facilities, with the main objective of determining the effectiveness of late accident management actions in a small break loss of coolant accident (SBLOCA). This study was proposed as a result of the conclusion obtained by the NEA Working Group on the Analysis and Management of Accidents, which analyzed different installations and observed differences in the measurements of core exit temperature (CET) and maximum peak cladding temperature (PCT). In particular, the transient consists of a small break loss of coolant accident (SBLOCA) in a hot leg with additional failure of safety systems but with accident management measures (AM), consisting of a fast secondary-side depressurization, activated by the CET. The paper

  7. Post-test analysis of the ROSA/LSTF and PKL counterpart test

    International Nuclear Information System (INIS)

    Carlos, S.; Querol, A.; Gallardo, S.; Sanchez-Saez, F.

    2016-01-01

    Highlights: • TRACE modelization for PKL and ROSA/LSTF installations. • Secondary-side depressurization as accident management action. • CET vs PCT relation. • Analysis of differences in the vessel models. - Abstract: Experimental facilities are scaled models of commercial nuclear power plants, and are of great importance to improve nuclear power plants safety. Thus, the results obtained in the experiments undertaken in such facilities are essential to develop and improve the models implemented in the thermal-hydraulic codes, which are used in safety analysis. The experiments and inter-comparisons of the simulated results are usually performed in the frame of international programmes in which different groups of several countries simulate the behaviour of the plant under the accidental conditions established, using different codes and models. The results obtained are compared and studied to improve the knowledge on codes performance and nuclear safety. Thus, the Nuclear Energy Agency (NEA), in the nuclear safety work area, auspices several programmes which involve experiments in different experimental facilities. Among the experiments proposed in NEA programmes, one on them consisted of performing a counterpart test between ROSA/LSTF and PKL facilities, with the main objective of determining the effectiveness of late accident management actions in a small break loss of coolant accident (SBLOCA). This study was proposed as a result of the conclusion obtained by the NEA Working Group on the Analysis and Management of Accidents, which analyzed different installations and observed differences in the measurements of core exit temperature (CET) and maximum peak cladding temperature (PCT). In particular, the transient consists of a small break loss of coolant accident (SBLOCA) in a hot leg with additional failure of safety systems but with accident management measures (AM), consisting of a fast secondary-side depressurization, activated by the CET. The paper

  8. Standard practice for fluorescent liquid penetrant testing using the hydrophilic Post-Emulsification process

    CERN Document Server

    American Society for Testing and Materials. Philadelphia

    2010-01-01

    1.1 This practice covers procedures for fluorescent penetrant examination utilizing the hydrophilic post-emulsification process. It is a nondestructive testing method for detecting discontinuities that are open to the surface such as cracks, seams, laps, cold shuts, laminations, isolated porosity, through leaks, or lack of fusion and is applicable to in-process, final, and maintenance examination. It can be effectively used in the examination of nonporous, metallic materials, both ferrous and nonferrous, and of nonmetallic materials such as glazed or fully densified ceramics and certain nonporous plastics and glass. 1.2 This practice also provides a reference: 1.2.1 By which a fluorescent penetrant examination hydrophilic post-emulsification process recommended or required by individual organizations can be reviewed to ascertain their applicability and completeness. 1.2.2 For use in the preparation of process specifications dealing with the fluorescent penetrant examination of materials and parts using the hy...

  9. Post launch calibration and testing of the Advanced Baseline Imager on the GOES-R satellite

    Science.gov (United States)

    Lebair, William; Rollins, C.; Kline, John; Todirita, M.; Kronenwetter, J.

    2016-05-01

    The Geostationary Operational Environmental Satellite R (GOES-R) series is the planned next generation of operational weather satellites for the United State's National Oceanic and Atmospheric Administration. The first launch of the GOES-R series is planned for October 2016. The GOES-R series satellites and instruments are being developed by the National Aeronautics and Space Administration (NASA). One of the key instruments on the GOES-R series is the Advance Baseline Imager (ABI). The ABI is a multi-channel, visible through infrared, passive imaging radiometer. The ABI will provide moderate spatial and spectral resolution at high temporal and radiometric resolution to accurately monitor rapidly changing weather. Initial on-orbit calibration and performance characterization is crucial to establishing baseline used to maintain performance throughout mission life. A series of tests has been planned to establish the post launch performance and establish the parameters needed to process the data in the Ground Processing Algorithm. The large number of detectors for each channel required to provide the needed temporal coverage presents unique challenges for accurately calibrating ABI and minimizing striping. This paper discusses the planned tests to be performed on ABI over the six-month Post Launch Test period and the expected performance as it relates to ground tests.

  10. Post-Closure Inspection Report for the Tonopah Test Range, Nevada, For Calendar Year 2007

    Energy Technology Data Exchange (ETDEWEB)

    NSTec Environmental Restoration

    2008-06-01

    This report provides the results of the semiannual post-closure inspections conducted at the closed Corrective Action Unit (CAU) sites located on the Tonopah Test Range (TTR), Nevada. This report covers calendar year 2007 and includes inspection and repair activities completed at the following nine CAUs: (1) CAU 400: Bomblet Pit and Five Points Landfill (TTR); (2) CAU 404: Roller Coaster Lagoons and Trench (TTR); (3) CAU 407: Roller Coaster RadSafe Area (TTR); (4) CAU 423: Area 3 Underground Discharge Point, Building 0360 (TTR); (5) CAU 424: Area 3 Landfill Complexes (TTR); (6) CAU 426: Cactus Spring Waste Trenches (TTR); (7) CAU 427: Area 3 Septic Waste Systems 2, 6 (TTR); (8) CAU 453: Area 9 UXO Landfill (TTR); and (9) CAU 487: Thunderwell Site (TTR). In a letter from the Nevada Division of Environmental Protection (NDEP) dated December 5, 2006, NDEP concurred with the request to reduce the frequency of post-closure inspections of CAUs at TTR to an annual frequency. This letter is included in Attachment B. Post-closure inspections were conducted on May 15-16, 2007. All inspections were conducted according to the post-closure plans in the approved Closure Reports. The post-closure inspection plan for each CAU is included in Attachment B, with the exception of CAU 400. CAU 400 does not require post-closure inspections, but inspections of the vegetation and fencing are conducted as a best management practice. The inspection checklists for each site inspection are included in Attachment C, the field notes are included in Attachment D, and the site photographs are included in Attachment E. Vegetation monitoring of CAU 400, CAU 404, CAU 407, and CAU 426 was performed in May 2007, and the vegetation monitoring report is included in Attachment F. Maintenance and/or repairs were performed at CAU 453. Animal burrows observed during the annual inspection at CAU 453 were backfilled on August 1, 2007. At this time, the TTR post-closure site inspections should continue as

  11. Post-Closure Inspection Report for the Tonopah Test Range, Nevada

    Energy Technology Data Exchange (ETDEWEB)

    NSTec Environmental Restoration

    2007-06-01

    This report provides the results of the semiannual post-closure inspections conducted at the closed Corrective Action Unit (CAU) sites located on the Tonopah Test Range (TTR), Nevada. This report covers calendar year 2006 and includes inspection and repair activities completed at the following nine CAUs: CAU 400: Bomblet Pit and Five Points Landfill (TTR); CAU 404: Roller Coaster Lagoons and Trench (TTR); CAU 407: Roller Coaster RadSafe Area (TTR); CAU 423: Area 3 Underground Discharge Point, Building 0360 (TTR); CAU 424: Area 3 Landfill Complexes (TTR); CAU 426: Cactus Spring Waste Trenches (TTR); CAU 427: Area 3 Septic Waste Systems 2, 6 (TTR); CAU 453: Area 9 UXO Landfill (TTR); and CAU 487: Thunderwell Site (TTR). Post-closure inspections were conducted on May 9, 2006, May 31, 2006, and November 15, 2006. All inspections were conducted according to the post-closure plans in the approved Closure Reports. The post-closure inspection plan for each CAU is included in Attachment B, with the exception of CAU 400. CAU 400 does not require post-closure inspections, but inspections of the vegetation and fencing are conducted as a best management practice. The inspection checklists for each site inspection are included in Attachment C, the field notes are included in Attachment D, and the site photographs are included in Attachment E. Vegetation monitoring of CAU 400, CAU 404, CAU 407, and CAU 426 was performed in June 2006, and the vegetation monitoring report is included in Attachment F. Maintenance and/or repairs were performed at CAU 400, CAU 407, CAU 426, CAU 453, and CAU 487 in 2006. During the May inspection of CAU 400, it was identified that the east and west sections of chickenwire fencing beyond the standard fencing were damaged; they were repaired in June 2006. Also in June 2006, the southeast corner fence post and one warning sign at CAU 407 were reinforced and reattached, the perimeter fencing adjacent to the gate at CAU 426 was tightened, and large animal

  12. Post-Closure Inspection Report for the Tonopah Test Range, Nevada

    International Nuclear Information System (INIS)

    NSTec Environmental Restoration

    2007-01-01

    This report provides the results of the semiannual post-closure inspections conducted at the closed Corrective Action Unit (CAU) sites located on the Tonopah Test Range (TTR), Nevada. This report covers calendar year 2006 and includes inspection and repair activities completed at the following nine CAUs: CAU 400: Bomblet Pit and Five Points Landfill (TTR); CAU 404: Roller Coaster Lagoons and Trench (TTR); CAU 407: Roller Coaster RadSafe Area (TTR); CAU 423: Area 3 Underground Discharge Point, Building 0360 (TTR); CAU 424: Area 3 Landfill Complexes (TTR); CAU 426: Cactus Spring Waste Trenches (TTR); CAU 427: Area 3 Septic Waste Systems 2, 6 (TTR); CAU 453: Area 9 UXO Landfill (TTR); and CAU 487: Thunderwell Site (TTR). Post-closure inspections were conducted on May 9, 2006, May 31, 2006, and November 15, 2006. All inspections were conducted according to the post-closure plans in the approved Closure Reports. The post-closure inspection plan for each CAU is included in Attachment B, with the exception of CAU 400. CAU 400 does not require post-closure inspections, but inspections of the vegetation and fencing are conducted as a best management practice. The inspection checklists for each site inspection are included in Attachment C, the field notes are included in Attachment D, and the site photographs are included in Attachment E. Vegetation monitoring of CAU 400, CAU 404, CAU 407, and CAU 426 was performed in June 2006, and the vegetation monitoring report is included in Attachment F. Maintenance and/or repairs were performed at CAU 400, CAU 407, CAU 426, CAU 453, and CAU 487 in 2006. During the May inspection of CAU 400, it was identified that the east and west sections of chickenwire fencing beyond the standard fencing were damaged; they were repaired in June 2006. Also in June 2006, the southeast corner fence post and one warning sign at CAU 407 were reinforced and reattached, the perimeter fencing adjacent to the gate at CAU 426 was tightened, and large animal

  13. Post-Closure Inspection Report for the Tonopah Test Range, Nevada, For Calendar Year 2007

    International Nuclear Information System (INIS)

    NSTec Environmental Restoration

    2008-01-01

    This report provides the results of the semiannual post-closure inspections conducted at the closed Corrective Action Unit (CAU) sites located on the Tonopah Test Range (TTR), Nevada. This report covers calendar year 2007 and includes inspection and repair activities completed at the following nine CAUs: (1) CAU 400: Bomblet Pit and Five Points Landfill (TTR); (2) CAU 404: Roller Coaster Lagoons and Trench (TTR); (3) CAU 407: Roller Coaster RadSafe Area (TTR); (4) CAU 423: Area 3 Underground Discharge Point, Building 0360 (TTR); (5) CAU 424: Area 3 Landfill Complexes (TTR); (6) CAU 426: Cactus Spring Waste Trenches (TTR); (7) CAU 427: Area 3 Septic Waste Systems 2, 6 (TTR); (8) CAU 453: Area 9 UXO Landfill (TTR); and (9) CAU 487: Thunderwell Site (TTR). In a letter from the Nevada Division of Environmental Protection (NDEP) dated December 5, 2006, NDEP concurred with the request to reduce the frequency of post-closure inspections of CAUs at TTR to an annual frequency. This letter is included in Attachment B. Post-closure inspections were conducted on May 15-16, 2007. All inspections were conducted according to the post-closure plans in the approved Closure Reports. The post-closure inspection plan for each CAU is included in Attachment B, with the exception of CAU 400. CAU 400 does not require post-closure inspections, but inspections of the vegetation and fencing are conducted as a best management practice. The inspection checklists for each site inspection are included in Attachment C, the field notes are included in Attachment D, and the site photographs are included in Attachment E. Vegetation monitoring of CAU 400, CAU 404, CAU 407, and CAU 426 was performed in May 2007, and the vegetation monitoring report is included in Attachment F. Maintenance and/or repairs were performed at CAU 453. Animal burrows observed during the annual inspection at CAU 453 were backfilled on August 1, 2007. At this time, the TTR post-closure site inspections should continue as

  14. Prediction of chronic post-operative pain: pre-operative DNIC testing identifies patients at risk.

    Science.gov (United States)

    Yarnitsky, David; Crispel, Yonathan; Eisenberg, Elon; Granovsky, Yelena; Ben-Nun, Alon; Sprecher, Elliot; Best, Lael-Anson; Granot, Michal

    2008-08-15

    Surgical and medical procedures, mainly those associated with nerve injuries, may lead to chronic persistent pain. Currently, one cannot predict which patients undergoing such procedures are 'at risk' to develop chronic pain. We hypothesized that the endogenous analgesia system is key to determining the pattern of handling noxious events, and therefore testing diffuse noxious inhibitory control (DNIC) will predict susceptibility to develop chronic post-thoracotomy pain (CPTP). Pre-operative psychophysical tests, including DNIC assessment (pain reduction during exposure to another noxious stimulus at remote body area), were conducted in 62 patients, who were followed 29.0+/-16.9 weeks after thoracotomy. Logistic regression revealed that pre-operatively assessed DNIC efficiency and acute post-operative pain intensity were two independent predictors for CPTP. Efficient DNIC predicted lower risk of CPTP, with OR 0.52 (0.33-0.77 95% CI, p=0.0024), i.e., a 10-point numerical pain scale (NPS) reduction halves the chance to develop chronic pain. Higher acute pain intensity indicated OR of 1.80 (1.28-2.77, p=0.0024) predicting nearly a double chance to develop chronic pain for each 10-point increase. The other psychophysical measures, pain thresholds and supra-threshold pain magnitudes, did not predict CPTP. For prediction of acute post-operative pain intensity, DNIC efficiency was not found significant. Effectiveness of the endogenous analgesia system obtained at a pain-free state, therefore, seems to reflect the individual's ability to tackle noxious events, identifying patients 'at risk' to develop post-intervention chronic pain. Applying this diagnostic approach before procedures that might generate pain may allow individually tailored pain prevention and management, which may substantially reduce suffering.

  15. Initial Experience with IV Ketamine Infusion for Treatment of Post Sternotomy Pain in a Patient with a Total Artificial Heart.

    Science.gov (United States)

    Maher, Dermot P; Loyferman, Rusty; Yumul, Roya; Louy, Charles

    2015-01-01

    The implantation of total artificial hearts (TAH) via midline sternotomy for the treatment of severe biventricular cardiac dysfunction is associated with complex postoperative pain management. Ketamaine increases blood pressure by raising sympathetic outflow and cardiac output; however, ketamine is a direct vasodilator on isolated arterial tissues. In the setting of a TAH with a mechanically fixed cardiac output, a ketamine infusion for postoperative pain control has the potential to decrease blood pressure due to direct arterial vasodilation. We present the initial experience with a ketamine infusion in a patient with a TAH with minimal observed decreases in blood pressure and significantly improved postoperative pain.

  16. Opioids Consumed in the Immediate Post-Operative Period Do Not Influence How Patients Rate Their Experience of Care After Total Hip Arthroplasty.

    Science.gov (United States)

    Etcheson, Jennifer I; Gwam, Chukwuweike U; George, Nicole E; Virani, Sana; Mont, Michael A; Delanois, Ronald E

    2018-04-01

    Patient perception of care, commonly measured with Press Ganey (PG) surveys, is an important metric used to determine hospital and provider reimbursement. However, post-operative pain following total hip arthroplasty (THA) may negatively affect patient satisfaction. As a result, over-administration of opioids may occur, even without marked evidence of pain. Therefore, this study evaluated whether opioid consumption in the immediate postoperative period bears any influence on satisfaction scores after THA. Specifically, this study assessed the correlation between post-operative opioid consumption and 7 PG domains: (1) Overall hospital rating; (2) Communication with nurses; (3) Responsiveness of hospital staff; (4) Communication with doctors; (5) Hospital environment; (6) Pain Management; and (7) Communication about medicines. Our institutional PG database was reviewed for patients who received THA from 2011 to 2014. A total of 322 patients (mean age = 65 years; 61% female) were analyzed. Patient's opioid consumption was measured using a morphine milli-equivalent conversion algorithm. Bivariate correlation analysis assessed the association between opioid consumption and Press-Ganey survey elements. Pearson's r assessed the strength of the association. No correlation was found between total opioid consumption and Overall hospital rating (r = 0.004; P = .710), Communication with nurses (r = 0.093; P = .425), Responsiveness of hospital staff (r = 0.104; P = .381), Communication with doctors (r = 0.009; P = .940), Hospital environment (r = 0.081; P = .485), and Pain management (r = 0.075; P = .536). However, there was a positive correlation between total opioid consumption and "Communication about medicines" (r = 0.262; P = .043). Our report demonstrates that PG patient satisfaction scores are not influenced by post-operative opioid use, with the exception of PG domain, "Communication about medications." These results suggest that opioid medications should be

  17. Inflammation and post-operative recovery in patients undergoing total knee arthroplasty-secondary analysis of a randomized controlled trial

    DEFF Research Database (Denmark)

    Langkilde, A; Jakobsen, T L; Bandholm, T Q

    2017-01-01

    OBJECTIVE: Reduced function persists for many patients after total knee arthroplasty (TKA). Inflammation is part of osteoarthritis' pathophysiology, and surgery induces a marked inflammatory response. We therefore wanted to explore the role of inflammation in long-term recovery after TKA, and thus...... conducted this secondary analysis of our randomized controlled trial (RCT) of physical rehabilitation ± progressive strength training (PST). We aimed to investigate whether (1) inflammation is associated with functional performance, knee-extension strength, and knee pain before TKA; (2) PST affects...... factor (TNF)-α at baseline; day 1, week 4, 8, and 26 after TKA. RESULTS: At baseline, suPAR (P = 006) was negatively associated with 6MWT. Neither baseline nor surgery-induced inflammation modified the response to rehabilitation ± PST. Only surgery-induced IL-10 was associated with Δ6MWT26 weeks...

  18. Totally implantable vascular access device (TIVAD) placement: a modified technique that takes post-procedure aesthetic aspects into account.

    Science.gov (United States)

    Liberale, Gabriel

    2017-04-01

    Major progress has been made in breast cancer reconstruction surgery. The standard technique for totally implanted vascular access device (TIVAD) implantation generally requires an incision for port insertion on the anterior part of the thorax that leaves a scar in the middle of the neckline in patients who have undergone mastectomy with complex breast reconstruction. The aim of this technical note is to report our revised surgical technique for TIVAD placement. In patients with breast cancer, we take a lateralized approach, performing an oblique incision on the lowest part of the deltopectoral groove. This allows us to introduce the port and to place it on the anterolateral part of the thorax, thus avoiding an unaesthetic scar on the anterior part of the thorax. Our modified technique for TIVAD implantation is described.

  19. Impact of Anterior vs Posterior Approach for Total Hip Arthroplasty on Post-Acute Care Service Utilization.

    Science.gov (United States)

    L'Hommedieu, Coles E; Gera, James J; Rupp, Gerald; Salin, Jeffery W; Cox, John S; Duwelius, Paul J

    2016-09-01

    Controversy exists as to which surgical approach is best for total hip arthroplasty (THA). Previous studies suggested that the tissue-sparing anterior approach should result in a more rapid recovery requiring fewer postacute services, ultimately decreasing overall episodic cost. The purpose of this cross-sectional study was to determine if any significant differences exist between the anterior vs posterior approaches on postacute care service utilization, readmissions, or episodic cost. Claims data from 26,773 Medicare fee-for-service beneficiaries receiving elective THAs (Medical Severity-Diagnosis Related Groups (MS-DRGs) 469/470) were analyzed. Claims data were collected from the 2-year period, January 2013 through December 2014. The posterior surgical approach was performed on 23,653 patients while 3120 patients received the anterior approach. Data analysis showed negligible effect sizes in postacute care service utilization, readmission rate, and cost between the surgical approaches for elective THA (MS-DRG 469 and 470). Average THA total episode cost was negligibly higher for procedures using the anterior approach compared to the posterior approach ($22,517 and $22,068, respectively). Statistically significant differences were observed in inpatient rehab and home health cost and service utilization. However, the effect sizes of these comparisons are negligible when accounting for the large sample size. All other comparisons showed minimal and statistically insignificant variation. The results indicate that surgical approach alone is not the primary driver of postacute care service utilization, quality outcomes, or cost. Other factors such as physician-led patient-focused care pathways, care coordination, rapid rehabilitation protocols, perioperative pain management protocols, and patient education are integral for effective patient care. Copyright © 2016 Elsevier Inc. All rights reserved.

  20. Development and Testing of a Post-Installable Deepwater Monitoring System Using Fiber-Optic Sensors

    Science.gov (United States)

    Seaman, Calvin H.; Brower, David V.; Le, Suy Q.; Tang, Henry H.

    2015-01-01

    This paper addresses the design and development of a fiber-optic monitoring system that can be deployed on existing deepwater risers and flowlines; and provides a summary of test article fabrication and the subsequent laboratory testing performed at the National Aeronautics and Space Administration-Johnson Space Center (NASA-JSC). A major challenge of a post-installed instrumentation system is to ensure adequate coupling between the instruments and the riser or flowline of interest. This work investigates the sensor coupling for pipelines that are suspended in a water column (from topside platform to seabed) using a fiber-optic sensor clamp and subsea bonding adhesive. The study involved the design, fabrication, and test of several prototype clamps that contained fiber-optic sensors. A mold was produced by NASA using 3-D printing methods that allowed the casting of polyurethane clamp test articles to accommodate 4-inch and 8-inch diameter pipes. The prototype clamps were installed with a subsea adhesive in a "wet" environment and then tested in the NASA Structures Test Laboratory (STL). The tension, compression, and bending test data showed that the prototype sensor clamps achieved good structural coupling, and could provide high quality strain measurement for active monitoring.

  1. Revision of failed hip resurfacing to total hip arthroplasty rapidly relieves pain and improves function in the early post operative period

    Directory of Open Access Journals (Sweden)

    Muirhead-Allwood Sarah K

    2010-11-01

    Full Text Available Abstract We reviewed the results of 25 consecutive patients who underwent revision of a hip resurfacing prosthesis to a total hip replacement. Revisions were performed for recurrent pain and effusion, infection and proximal femoral fractures. Both components were revised in 20 cases. There were 12 male and 13 female patients with average time to revision of 34.4 and 26.4 months respectively. The mean follow up period was 12.7 months (3 to 31. All patients reported relief of pain and excellent satisfaction scores. Two patients experienced stiffness up to three months post operatively. Pre operative Oxford, Harris and WOMAC hip scores were 39.1, 36.4 and 52.2 respectively. Mean post operative scores at last follow up were 17.4, 89.8 and 6.1 respectively (p

  2. Estimation of post-test probabilities by residents: Bayesian reasoning versus heuristics?

    Science.gov (United States)

    Hall, Stacey; Phang, Sen Han; Schaefer, Jeffrey P; Ghali, William; Wright, Bruce; McLaughlin, Kevin

    2014-08-01

    Although the process of diagnosing invariably begins with a heuristic, we encourage our learners to support their diagnoses by analytical cognitive processes, such as Bayesian reasoning, in an attempt to mitigate the effects of heuristics on diagnosing. There are, however, limited data on the use ± impact of Bayesian reasoning on the accuracy of disease probability estimates. In this study our objective was to explore whether Internal Medicine residents use a Bayesian process to estimate disease probabilities by comparing their disease probability estimates to literature-derived Bayesian post-test probabilities. We gave 35 Internal Medicine residents four clinical vignettes in the form of a referral letter and asked them to estimate the post-test probability of the target condition in each case. We then compared these to literature-derived probabilities. For each vignette the estimated probability was significantly different from the literature-derived probability. For the two cases with low literature-derived probability our participants significantly overestimated the probability of these target conditions being the correct diagnosis, whereas for the two cases with high literature-derived probability the estimated probability was significantly lower than the calculated value. Our results suggest that residents generate inaccurate post-test probability estimates. Possible explanations for this include ineffective application of Bayesian reasoning, attribute substitution whereby a complex cognitive task is replaced by an easier one (e.g., a heuristic), or systematic rater bias, such as central tendency bias. Further studies are needed to identify the reasons for inaccuracy of disease probability estimates and to explore ways of improving accuracy.

  3. Implementation of a guideline for pressure ulcer prevention in home care: pretest-post-test study.

    Science.gov (United States)

    Paquay, Louis; Verstraete, Sabine; Wouters, Renild; Buntinx, Frank; Vanderwee, Katrien; Defloor, Tom; Van Gansbeke, Hendrik

    2010-07-01

    To investigate the effect of the implementation of a patient and family education programme for pressure ulcer prevention in an organisation for home care nursing on guideline adherence and on prevalence and severity of pressure ulcers and to examine the determining factors for the application of measures for pressure ulcer prevention. Quality improvement programmes in pressure ulcer prevention are not always successful. Implementation study using a pretest-post-test design. Data were collected in three probability samples. The first post-test data collection was held after six months, the second after 18 months. Statistical analysis was used, comparing the pretest sample and the second post-test sample. After 18 months, the proportion of subjects with adherent measures had increased from 10·4-13·9%, the proportion of subjects with non-adherent measures decreased from 45·7-36·0%, the proportion of subjects without pressure ulcer prevention increased from 43·9-50·1% (ppressure ulcer prevalence and less severe skin lesions. The nurses' judgement of a patient risk status was the most important factor for applying preventive measures. Furthermore, application of pressure ulcer prevention was determined by higher age (from the age category of 70-79 years), higher dependency for the activities of daily living, higher than baseline mobility score and the presence of a pressure ulcer. Guideline adherence in pressure ulcer prevention changed significantly after implementation of the education programme. There might have been inconsistencies in the nurses' risk judgement. Quality of pressure ulcer prevention improved, but several items for improvement remain. Adaptation of risk assessment procedures is needed. © 2010 Blackwell Publishing Ltd.

  4. White gauze test: a novel technique in preventing post-hepatectomy bile leak.

    Science.gov (United States)

    Yugasaravanan, K; Affirul, C A; Zamri, Z; Azlanudin, A; Bong, J J

    Post-hepatectomy bile leak may lead to undesired morbidity. Multiple methods have been employed to identify this leak but can be inconclusive and taxing. This novel white gauze test is a simple and reliable method. This is a prospective study performed from January 2010 until March 2011. All open hepatic resection were included. Dry white gauze is compressed onto the transected surface and observed for bile staining. The leaking duct is repaired immediately upon detection. The process is repeated until negative. Drain was removed on postoperative day-5. Post-operative bile leak is defined as: 1. Bilirubin concentration of the drain fluid is 3 times or higher than serum; 2. Presence of intra-abdominal bile collection on imaging and upon drainage; 3. Bile leak demonstrated on postoperative cholangiography. 42 patients were recruited. Seven (16.7%) patients were cirrhotic with Child-Pugh A. White gauze test were positive for intra-operative bile leaks in 29 patients (70%), which were primarily repaired. As a result, there was no postoperative bile leak in this series. One mortality was detected in this series due to postoperative pancreatic fistula and multi organ failure. The White Gauze Test is a useful method for the prevention of bile leakage after hepatic resection. It is safe, quick and cheap.

  5. Manufacturing, testing and post-test examination of ITER divertor vertical target W small scale mock-ups

    International Nuclear Information System (INIS)

    Visca, Eliseo; Cacciotti, Emanuele; Komarov, Anton; Libera, Stefano; Litunovsky, Nikolay; Makhankov, Alexey; Mancini, Andrea; Merola, Mario; Pizzuto, Aldo; Riccardi, Bruno; Roccella, Selanna

    2011-01-01

    ENEA is involved in the International Thermonuclear Experimental Reactor (ITER) R and D activities. During the last years ENEA has set up and widely tested a manufacturing process, named Hot Radial Pressing (HRP), suitable for the construction of high heat flux plasma-facing components, such as the divertor targets. In the frame of the EFDA contract six mock-ups were manufactured by HRP in the ENEA labs using W monoblocks supplied by the Efremov Institute in St. Petersburg, Russian Federation and IG CuCrZr tubes. According to the technical specifications the mock-ups were examined by ultrasonic technique and after their acceptance they were delivered to the Efremov Institute TSEFEY-M e-beam facility for the thermal fatigue testing. The test consisted in 3000 cycles of 15 s heating and 15 s cooling at 10 MW/m 2 and finally 1000 cycles at 20 MW/m 2 . After the testing the ultrasonic non-destructive examination was repeated and the results compared with the investigation performed before the testing. A microstructure modification of the W monoblock material due to the overheating of the surfaces and the copper interlayer structure modification were observed in the high heat flux area. The leakage points of the mock-ups that did not conclude the testing were localized in the middle of the monoblock while they were expected between two monoblocks. This paper reports the manufacturing route, the thermal fatigue testing, the pre and post non destructive examination and finally the results of the destructive examination performed on the monoblock small scale mock-ups.

  6. Post-test examination of the VVER-1000 fuel rod bundle CORA-W2

    International Nuclear Information System (INIS)

    Hofmann, P.; Noack, V.; Burbach, J.; Metzger, H.; Schanz, G.; Hagen, S.; Sepold, L.

    1995-01-01

    The upper half of the bundle is completely oxidized, the lower half has kept the fuel rods relatively intact. The post-test examination results show the strong impact of the B 4 C absorber rod and the stainless steel grid spacers on the 'low-temperature' bundle damage initiation and progression. The B 4 C absorber rod completely disappeared in the upper half of the bundle. The multicomponent melts relocated and formed coolant channel blockages on solidification with a maximum extent of about 30% in the lower part of the bundle. At temperatures above the melting point of the ZrNb1 cladding extensive fuel dissolution occured. (orig./HP)

  7. Post-Closure Inspection Report for the Tonopah Test Range, Nevada, For Calendar Year 2010

    International Nuclear Information System (INIS)

    2011-01-01

    This report provides the results of the annual post-closure inspections conducted at the closed Corrective Action Units (CAUs) located on the Tonopah Test Range (TTR), Nevada. This report covers calendar year 2010 and includes inspection and repair activities completed at the following seven CAUs: (1) CAU 400: Bomblet Pit and Five Points Landfill (TTR); (2) CAU 407: Roller Coaster RadSafe Area (TTR); (3) CAU 424: Area 3 Landfill Complexes (TTR); (4) CAU 426: Cactus Spring Waste Trenches (TTR); (5) CAU 453: Area 9 UXO Landfill (TTR); (6) CAU 484: Surface Debris, Waste Sites, and Burn Area (TTR); and (7) CAU 487: Thunderwell Site (TTR).

  8. Atom-Interferometry Tests of the Isotropy of Post-Newtonian Gravity

    International Nuclear Information System (INIS)

    Mueller, Holger; Chiow, Sheng-wey; Herrmann, Sven; Chu, Steven; Chung, Keng-Yeow

    2008-01-01

    We present a test of the local Lorentz invariance of post-Newtonian gravity by monitoring Earth's gravity with a Mach-Zehnder atom interferometer that features a resolution of up to 8x10 -9 g/√(Hz), the highest reported thus far. Expressed within the standard model extension (SME) or Nordtvedt's anisotropic universe model, the analysis limits four coefficients describing anisotropic gravity at the ppb level and three others, for the first time, at the 10 ppm level. Using the SME we explicitly demonstrate how the experiment actually compares the isotropy of gravity and electromagnetism

  9. The International Space of the Danish Testing Community in the Post-war Years

    DEFF Research Database (Denmark)

    Andreasen, Karen Egedal; Ydesen, Christian

    2016-01-01

    International forums and organizations, as well as non-governmental organizations, have played a considerable role in societal developments since the end of World War II. Many changes in post-war Danish public schools like standardized educational testing were formed in dialogue with or initiated......, and up to the end of the Cold War. Exploring the transnational angle is a highly relevant and interesting research topic because it contributes to a deeper understanding of the origin, development and design of Danish school policy and school practice, and the influence from transnational spaces....

  10. Post-Closure Inspection Report for the Tonopah Test Range, Nevada, for Calendar Year 2012

    Energy Technology Data Exchange (ETDEWEB)

    NSTec Environmental Restoration

    2013-01-28

    This report provides the results of the annual post-closure inspections conducted at the closed Corrective Action Units (CAUs) located on the Tonopah Test Range (TTR), Nevada. This report covers calendar year 2012 and includes inspection and repair activities completed at the following CAUs: · CAU 400: Bomblet Pit and Five Points Landfill (TTR) · CAU 407: Roller Coaster RadSafe Area (TTR) · CAU 424: Area 3 Landfill Complexes (TTR) · CAU 453: Area 9 UXO Landfill (TTR) · CAU 487: Thunderwell Site (TTR)

  11. SORO post-simulations of Bruce A Unit 4 in-core flux detector verification tests

    Energy Technology Data Exchange (ETDEWEB)

    Braverman, E.; Nainer, O. [Bruce Power, Nuclear Safety Analysis and Support Dept., Toronto, Ontario (Canada)]. E-mail: Evgeny.Braverman@brucepower.com; Ovidiu.Nainer@brucepower.com

    2004-07-01

    During the plant equipment assessment prior to requesting approval for restart of Bruce A Units 3 and 4 it was determined that all in-core flux detectors needed to be replaced. Flux detector verification tests were performed to confirm that the newly installed detectors had been positioned according to design specifications and that their response closely follows the calculated flux shape changes caused by selected reactivity mechanism movements. By comparing the measured and post-simulated RRS and NOP detector responses to various perturbations, it was confirmed that the new detectors are wired and positioned correctly. (author)

  12. Total protein

    Science.gov (United States)

    ... page: //medlineplus.gov/ency/article/003483.htm Total protein To use the sharing features on this page, please enable JavaScript. The total protein test measures the total amount of two classes ...

  13. Post-Closure Inspection Report for the Tonopah Test Range, Nevada, for Calendar Year 2009

    International Nuclear Information System (INIS)

    2010-01-01

    This report provides the results of the annual post-closure inspections conducted at the closed Corrective Action Unit (CAU) sites located on the Tonopah Test Range (TTR), Nevada. This report covers calendar year 2009 and includes inspection and repair activities completed at the following seven CAUs: (1) CAU 400: Bomblet Pit and Five Points Landfill (TTR); (2) CAU 407: Roller Coaster RadSafe Area (TTR); (3) CAU 424: Area 3 Landfill Complexes (TTR); (4) CAU 426: Cactus Spring Waste Trenches (TTR); (5) CAU 453: Area 9 UXO Landfill (TTR); (6) CAU 484: Surface Debris, Waste Sites, and Burn Area (TTR); and (7) CAU 487: Thunderwell Site (TTR). The annual post-closure inspections were conducted May 5-6, 2009. All inspections were conducted according to the post-closure plans in the approved Closure Reports. The post-closure inspection plan for each CAU is included in Attachment B, with the exception of CAU 400. CAU 400 does not require post-closure inspections, but inspections of the vegetation and fencing are conducted as a best management practice. The inspection checklists for each site inspection are included in Attachment C, the field notes are included in Attachment D, and the site photographs are included in Attachment E. Vegetation monitoring of CAU 400, CAU 404, CAU 407, and CAU 426 was performed in June 2009, and the vegetation monitoring report is included in Attachment F. Maintenance was performed at CAU 453. Animal burrows observed during the annual inspection were backfilled, and a depression was restored to grade on June 25, 2009. Post-closure site inspections should continue as scheduled. Vegetation survey inspections have been conducted annually at CAUs 400, 404, 407, and 426. Discontinuation of vegetation surveys is recommended at the CAU 400 Bomblet Pit and CAU 426, which have been successfully revegetated. Discontinuation of vegetation surveys is also recommended at CAU 404, which has been changed to an administrative closure with no inspections

  14. Post-Closure Inspection Report for the Tonopah Test Range, Nevada, for Calendar Year 2009

    Energy Technology Data Exchange (ETDEWEB)

    NSTec Environmental Restoration

    2010-05-28

    This report provides the results of the annual post-closure inspections conducted at the closed Corrective Action Unit (CAU) sites located on the Tonopah Test Range (TTR), Nevada. This report covers calendar year 2009 and includes inspection and repair activities completed at the following seven CAUs: · CAU 400: Bomblet Pit and Five Points Landfill (TTR) · CAU 407: Roller Coaster RadSafe Area (TTR) · CAU 424: Area 3 Landfill Complexes (TTR) · CAU 426: Cactus Spring Waste Trenches (TTR) · CAU 453: Area 9 UXO Landfill (TTR) · CAU 484: Surface Debris, Waste Sites, and Burn Area (TTR) · CAU 487: Thunderwell Site (TTR) The annual post-closure inspections were conducted May 5–6, 2009. All inspections were conducted according to the post-closure plans in the approved Closure Reports. The post-closure inspection plan for each CAU is included in Attachment B, with the exception of CAU 400. CAU 400 does not require post-closure inspections, but inspections of the vegetation and fencing are conducted as a best management practice. The inspection checklists for each site inspection are included in Attachment C, the field notes are included in Attachment D, and the site photographs are included in Attachment E. Vegetation monitoring of CAU 400, CAU 404, CAU 407, and CAU 426 was performed in June 2009, and the vegetation monitoring report is included in Attachment F. Maintenance was performed at CAU 453. Animal burrows observed during the annual inspection were backfilled, and a depression was restored to grade on June 25, 2009. Post-closure site inspections should continue as scheduled. Vegetation survey inspections have been conducted annually at CAUs 400, 404, 407, and 426. Discontinuation of vegetation surveys is recommended at the CAU 400 Bomblet Pit and CAU 426, which have been successfully revegetated. Discontinuation of vegetation surveys is also recommended at CAU 404, which has been changed to an administrative closure with no inspections required. Vegetation

  15. Verification of the code ATHLET by post-test analysis of two experiments performed at the CCTF integral test facility

    International Nuclear Information System (INIS)

    Krepper, E.; Schaefer, F.

    2001-03-01

    In the framework of the external validation of the thermohydraulic code ATHLET Mod 1.2 Cycle C, which has been developed by the GRS, post test analyses of two experiments were done, which were performed at the japanese test facility CCTF. The test facility CCTF is a 1:25 volume-scaled model of a 1000 MW pressurized water reactor. The tests simulate a double end break in the cold leg of the PWR with ECC injection into the cold leg and with combined ECC injection into the hot and cold legs. The evaluation of the calculated results shows, that the main phenomena can be calculated in a good agreement with the experiment. Especially the behaviour of the quench front and the core cooling are calculated very well. Applying a two-channel representation of the reactor model the radial behaviour of the quench front could be reproduced. Deviations between calculations and experiment can be observed simulating the emergency injection in the beginning of the transient. Very high condensation rates were calculated and the pressure decrease in this phase of the transient is overestimated. Besides that, the pressurization due to evaporation in the refill phase is underestimated by ATHLET. (orig.) [de

  16. Quadriceps Tendon Rupture and Contralateral Patella Tendon Avulsion Post Primary Bilateral Total Knee Arthroplasty: A Case Report

    Directory of Open Access Journals (Sweden)

    Gaurav Sharma

    2016-07-01

    Full Text Available Background: Extensor mechanism failure secondary to knee replacement could be due to tibial tubercle avulsion, Patellar tendon rupture, patellar fracture or quadriceps tendon rupture. An incidence of Patella tendon rupture of 0.17% and Quadriceps tendon rupture of around 0.1% has been reported after Total knee arthroplasty. These are considered a devastating complication that substantially affects the clinical results and are challenging situations to treat with surgery being the mainstay of the treatment. Case Description: We report here an interesting case of a patellar tendon rupture of one knee and Quadriceps tendon rupture of the contralateral knee following simultaneous bilateral knee replacement in a case of inflammatory arthritis patient. End to end repair for Quadriceps tear and augmentation with Autologous Hamstring tendon graft was done for Patella tendon rupture. OUTCOME: Patient was followed up for a period of 1 year and there was no Extension lag with a flexion of 100 degrees in both the knees. DISCUSSION: The key learning points and important aspects of diagnosing these injuries early and the management techniques are described in this unique case of bilateral extensor mechanism disruption following knee replacements.

  17. Post-Closure Inspection Report for the Tonopah Test Range, Nevada, For Calendar Year 2011

    International Nuclear Information System (INIS)

    2012-01-01

    This report provides the results of the annual post-closure inspections conducted at the closed Corrective Action Units (CAUs) located on the Tonopah Test Range (TTR), Nevada. This report covers calendar year 2011 and includes inspection and repair activities completed at the following CAUs: (1) CAU 400: Bomblet Pit and Five Points Landfill (TTR); (2) CAU 407: Roller Coaster RadSafe Area (TTR); (3) CAU 424: Area 3 Landfill Complexes (TTR); (4) CAU 453: Area 9 UXO Landfill (TTR); and (5) CAU 487: Thunderwell Site (TTR) Inspections were conducted according to the post-closure plans in the approved Closure Reports. The post-closure inspection plan for each CAU is included in Appendix B. The inspection checklists are included in Appendix C, field notes are included in Appendix D, and photographs taken during inspections are included in Appendix E. The annual post-closure inspections were conducted May 3 and 4, 2011. Maintenance was performed at CAU 424, CAU 453, and CAU 487. At CAU 424, two surface grade monuments at Landfill Cell A3-3 could not be located during the inspection. The two monuments were located and marked with lava rock on July 13, 2011. At CAU 453, there was evidence of animal burrowing. Animal burrows were backfilled on July 13, 2011. At CAU 487, one use restriction warning sign was missing, and wording was faded on the remaining signs. A large animal burrow was also present. The signs were replaced, and the animal burrow was backfilled on July 12, 2011. As a best management practice, the use restriction warning signs at CAU 407 were replaced with standard Federal Facility Agreement and Consent Order signs on July 13, 2011. Vegetation monitoring was performed at the CAU 400 Five Points Landfill and CAU 407 in June 2011, and the vegetation monitoring report is included in Appendix F.

  18. Post-Closure Inspection Report for the Tonopah Test Range, Nevada, For Calendar Year 2011

    Energy Technology Data Exchange (ETDEWEB)

    NSTec Environmental Restoration

    2012-02-21

    This report provides the results of the annual post-closure inspections conducted at the closed Corrective Action Units (CAUs) located on the Tonopah Test Range (TTR), Nevada. This report covers calendar year 2011 and includes inspection and repair activities completed at the following CAUs: (1) CAU 400: Bomblet Pit and Five Points Landfill (TTR); (2) CAU 407: Roller Coaster RadSafe Area (TTR); (3) CAU 424: Area 3 Landfill Complexes (TTR); (4) CAU 453: Area 9 UXO Landfill (TTR); and (5) CAU 487: Thunderwell Site (TTR) Inspections were conducted according to the post-closure plans in the approved Closure Reports. The post-closure inspection plan for each CAU is included in Appendix B. The inspection checklists are included in Appendix C, field notes are included in Appendix D, and photographs taken during inspections are included in Appendix E. The annual post-closure inspections were conducted May 3 and 4, 2011. Maintenance was performed at CAU 424, CAU 453, and CAU 487. At CAU 424, two surface grade monuments at Landfill Cell A3-3 could not be located during the inspection. The two monuments were located and marked with lava rock on July 13, 2011. At CAU 453, there was evidence of animal burrowing. Animal burrows were backfilled on July 13, 2011. At CAU 487, one use restriction warning sign was missing, and wording was faded on the remaining signs. A large animal burrow was also present. The signs were replaced, and the animal burrow was backfilled on July 12, 2011. As a best management practice, the use restriction warning signs at CAU 407 were replaced with standard Federal Facility Agreement and Consent Order signs on July 13, 2011. Vegetation monitoring was performed at the CAU 400 Five Points Landfill and CAU 407 in June 2011, and the vegetation monitoring report is included in Appendix F.

  19. Post-Closure Inspection Report for the Tonopah Test Range, Nevada, for Calendar Year 2013

    Energy Technology Data Exchange (ETDEWEB)

    Silvas, A. J.

    2014-03-03

    This report provides the results of the annual post-closure inspections conducted at the closed Corrective Action Units (CAUs) located on the Tonopah Test Range (TTR), Nevada. This report covers calendar year 2013 and includes inspection and repair activities completed at the following CAUs: • CAU 400: Bomblet Pit and Five Points Landfill (TTR) • CAU 407: Roller Coaster RadSafe Area (TTR) • CAU 424: Area 3 Landfill Complexes (TTR) • CAU 453: Area 9 UXO Landfill (TTR) • CAU 487: Thunderwell Site (TTR) Inspections were conducted according to the post-closure plans in the approved Closure Reports and subsequent correspondence with the Nevada Division of Environmental Protection. The post-closure inspection plans and subsequent correspondence modifying the requirements for each CAU are included in Appendix B. The inspection checklists are included in Appendix C. Field notes are included in Appendix D. Photographs taken during inspections are included in Appendix E. The annual post-closure inspections were conducted on May 14, 2013. Maintenance was performed at CAU 400, CAU 424, and CAU 453. At CAU 400, animal burrows were backfilled. At CAU 424, erosion repairs were completed at Landfill Cell A3-3, subsidence was repaired at Landfill Cell A3-4, and additional lava rock was placed in high-traffic areas to mark the locations of the surface grade monuments at Landfill Cell A3-3 and Landfill Cell A3-8. At CAU 453, two areas of subsidence were repaired and animal burrows were backfilled. Vegetation monitoring was performed at the CAU 400 Five Points Landfill and CAU 407 in June 2013. The vegetation monitoring report is included in Appendix F.

  20. Fuel Accident Condition Simulator (FACS) Furnace for Post-Irradiation Heating Tests of VHTR Fuel Compacts

    Energy Technology Data Exchange (ETDEWEB)

    Paul A Demkowicz; Paul Demkowicz; David V Laug

    2010-10-01

    Abstract –Fuel irradiation testing and post-irradiation examination are currently in progress as part of the Next Generation Nuclear Plant Fuels Development and Qualification Program. The PIE campaign will include extensive accident testing of irradiated very high temperature reactor fuel compacts to verify fission product retention characteristics at high temperatures. This work will be carried out at both the Idaho National Laboratory (INL) and the Oak Ridge National Laboratory, beginning with accident tests on irradiated fuel from the AGR-1 experiment in 2010. A new furnace system has been designed, built, and tested at INL to perform high temperature accident tests. The Fuel Accident Condition Simulator furnace system is designed to heat fuel specimens at temperatures up to 2000°C in helium while monitoring the release of volatile fission metals (e.g. Cs, Ag, Sr, Eu, and I) and fission gases (Kr, Xe). Fission gases released from the fuel to the sweep gas are monitored in real time using dual cryogenic traps fitted with high purity germanium detectors. Condensable fission products are collected on a plate attached to a water-cooled cold finger that can be exchanged periodically without interrupting the test. Analysis of fission products on the condensation plates involves dry gamma counting followed by chemical analysis of selected isotopes. This paper will describe design and operational details of the Fuel Accident Condition Simulator (FACS) furnace system, as well as preliminary system calibration results.

  1. Technical review on irradiation tests and post-irradiation examinations in JMTR

    International Nuclear Information System (INIS)

    2017-07-01

    The Japan Materials Testing Reactor (JMTR) has been contributing to various R and D activities in the nuclear research such as the fundamental research of nuclear materials/ fuels, safety research and development of power reactors, radio isotope (RI) production since its beginning of the operation in 1968. Irradiation technologies and post irradiation examination (PIE) technologies are the important factors for irradiation test research. Moreover, these technologies induce the breakthrough in area of nuclear research. JMTR has been providing unique capabilities for the irradiation test research for about 40 years since 1968. In future, any needs for irradiation test research used irradiation test reactors will continue, such as R and D of generation 4 power reactors, fundamental research of materials/fuels, RI production. Now, decontamination and new research reactor construction are common issue in the world according to aging. This situation is the same in Japan. This report outlines irradiation and PIE technologies developed at JMTR in 40 years to contribute to the technology transfer and human resource development. We hope that this report will be used for the new research rector design as well as the irradiation test research and also used for the human resource development of nuclear engineers in future. (author)

  2. The impact of Nursing Rounds on the practice environment and nurse satisfaction in intensive care: pre-test post-test comparative study.

    Science.gov (United States)

    Aitken, Leanne M; Burmeister, Elizabeth; Clayton, Samantha; Dalais, Christine; Gardner, Glenn

    2011-08-01

    Factors previously shown to influence patient care include effective decision making, team work, evidence based practice, staffing and job satisfaction. Clinical rounds have the potential to optimise these factors and impact on patient outcomes, but use of this strategy by intensive care nurses has not been reported. To determine the effect of implementing Nursing Rounds in the intensive care environment on patient care planning and nurses' perceptions of the practice environment and work satisfaction. Pre-test post-test 2 group comparative design. Two intensive care units in tertiary teaching hospitals in Australia. A convenience sample of registered nurses (n=244) working full time or part time in the participating intensive care units. Nurses in participating intensive care units were asked to complete the Practice Environment Scale-Nursing Work Index (PES-NWI) and the Nursing Worklife Satisfaction Scale (NWSS) prior to and after a 12 month period during which regular Nursing Rounds were conducted in the intervention unit. Issues raised during Nursing Rounds were described and categorised. The characteristics of the sample and scale scores were summarised with differences between pre and post scores analysed using t-tests for continuous variables and chi-square tests for categorical variables. Independent predictors of the PES-NWI were determined using multivariate linear regression. Nursing Rounds resulted in 577 changes being initiated for 171 patients reviewed; these changes related to the physical, psychological--individual, psychological--family, or professional practice aspects of care. Total PES-NWI and NWSS scores were similar before and after the study period in both participating units. The NWSS sub-scale of interaction between nurses improved in the intervention unit during the study period (pre--4.85±0.93; post--5.36±0.89, p=0.002) with no significant increase in the control group. Factors independently related to higher PES-NWI included

  3. 77 FR 62396 - Annual Company-Run Stress Test Requirements for Banking Organizations With Total Consolidated...

    Science.gov (United States)

    2012-10-12

    ... minimum risk-based capital requirements.\\3\\ Stress testing is one tool that helps both bank supervisors... the FDIC and the OCC to help to ensure that the company-run stress testing regulations are consistent... purposes of the annual company-run stress tests so that the same set of scenarios can be used to conduct...

  4. Accuracy of CT-guided joint aspiration in patients with suspected infection status post-total hip arthroplasty

    Energy Technology Data Exchange (ETDEWEB)

    Tomas, Xavier; Garcia-Diez, Ana Isabel; Pomes, Jaime [Universidad de Barcelona, Department of Radiology, Hospital Clinic, Barcelona (Spain); Bori, Guillem; Garcia, Sebastian; Gallart, Xavier; Martinez, Juan Carlos; Riba, Josep [Universidad de Barcelona, Department of Orthopaedics, Hospital Clinic, Barcelona (Spain); Soriano, Alex; Mensa, Josep [Universidad de Barcelona, Department of Infectious Diseases, Hospital Clinic, Barcelona (Spain); Rios, Jose [Statistical Unit de Suport a la Estadistica I Metodologia IDIBAPS, Barcelona (Spain); Almela, Manel [Universidad de Barcelona, Department of Microbiology, Hospital Clinic, Barcelona (Spain)

    2011-01-15

    To determine the accuracy of guided computed tomography aspiration in the detection of septic hip prosthesis before surgery. Sixty-three patients (35 women and 28 men; age range, 29-86 years; mean age, 71 years) with clinically suspected septic hip prosthesis were prospectively studied with independent review board (IRB) approval. Volume and microbiological cultures of aspirated fluid and several computed tomography imaging findings such as periprosthetic fluid collections, prosthetic acetabular malposition, and heterotopic ossification were analyzed. All patients underwent revision surgery and infection was finally diagnosed in 33 patients. Statistical comparative analysis was performed comparing computed tomography aspiration and surgical findings (95% CI; level of significance at P = 0.05 two-sided) with 70% sensitivity, 100% specificity, 84% accuracy, 100% positive predictive value, and 75% negative predictive value. Using Fisher's exact test, the presence of periprosthetic fluid collections (P = 0.001), prosthetic acetabular malposition (P = 0.025) and aspirated fluid volume (P = 0.009) were significantly higher in infected than in non-infected prostheses, whereas heterotopic ossification was not (P = 0.429). Computed tomography aspiration is accurate to preoperatively diagnose septic hip prosthesis on the basis of volume and bacterial cultures of aspirated joint fluid. Furthermore, imaging findings such as periprosthetic fluid collections and prosthetic acetabular malposition strongly suggest infected prosthesis. (orig.)

  5. Accuracy of CT-guided joint aspiration in patients with suspected infection status post-total hip arthroplasty

    International Nuclear Information System (INIS)

    Tomas, Xavier; Garcia-Diez, Ana Isabel; Pomes, Jaime; Bori, Guillem; Garcia, Sebastian; Gallart, Xavier; Martinez, Juan Carlos; Riba, Josep; Soriano, Alex; Mensa, Josep; Rios, Jose; Almela, Manel

    2011-01-01

    To determine the accuracy of guided computed tomography aspiration in the detection of septic hip prosthesis before surgery. Sixty-three patients (35 women and 28 men; age range, 29-86 years; mean age, 71 years) with clinically suspected septic hip prosthesis were prospectively studied with independent review board (IRB) approval. Volume and microbiological cultures of aspirated fluid and several computed tomography imaging findings such as periprosthetic fluid collections, prosthetic acetabular malposition, and heterotopic ossification were analyzed. All patients underwent revision surgery and infection was finally diagnosed in 33 patients. Statistical comparative analysis was performed comparing computed tomography aspiration and surgical findings (95% CI; level of significance at P = 0.05 two-sided) with 70% sensitivity, 100% specificity, 84% accuracy, 100% positive predictive value, and 75% negative predictive value. Using Fisher's exact test, the presence of periprosthetic fluid collections (P = 0.001), prosthetic acetabular malposition (P = 0.025) and aspirated fluid volume (P = 0.009) were significantly higher in infected than in non-infected prostheses, whereas heterotopic ossification was not (P = 0.429). Computed tomography aspiration is accurate to preoperatively diagnose septic hip prosthesis on the basis of volume and bacterial cultures of aspirated joint fluid. Furthermore, imaging findings such as periprosthetic fluid collections and prosthetic acetabular malposition strongly suggest infected prosthesis. (orig.)

  6. Post-operative analgesia following total knee arthroplasty: comparison of low-dose intrathecal morphine and single-shot ultrasound-guided femoral nerve block: a randomized, single blinded, controlled study.

    Science.gov (United States)

    Frassanito, L; Vergari, A; Zanghi, F; Messina, A; Bitondo, M; Antonelli, M

    2010-07-01

    Total knee arthroplasty often results in marked postoperative pain. A recent meta-analysis supports the use of femoral nerve block or alternatively spinal injection of morphine plus local anaesthetic for post-operative analgesia. On the other hand, the use of intrathecal morphine may be associated with a large number of distressing side effects (itching, urinary retention, nausea and vomiting, delayed respiratory depression). The aim of this study was to compare the effectiveness of femoral nerve block and low dose intrathecal morphine in post-operative analgesia after primary unilateral total knee arthroplasty. Fifty-two consecutive patients scheduled for primary unilateral total knee arthroplasty were allocated to the intrathecal morphine group (ITM group) or to the femoral nerve block group (FNB group). In ITM group a subarachnoid puncture was performed at the L3-L4 inter-vertebral space with hyperbaric bupivacaine 15 mg plus 100 mcg of preservative-free morphine. Patients allocated to the FNB group received a single-injection ultrasound-assisted femoral nerve block with ropivacaine 0.75% 25 ml before the spinal injection of hyperbaric bupivacaine 15 mg. All patients received postoperative patient-controlled-analgesia (PCA) morphine, using a 1-mg bolus and a 5-minute lockout period. Data were analyzed using Student t test or two-way analysis of variance (ANOVA) for repeated measures with time and treatment as the 2 factors. Post hoc comparisons were performed by Bonferroni test. Statistical significance for all test was a p value < 0.05. Patient characteristics were similar between the 2 groups. We found a statistically significant differences in postoperative pain between the two groups: ITM group had the lower visual analogic pain score (VAS) values. Morphine consumption was lower in the ITM group: average consumption within the first 6 hours was 0.9 mg in IT group compared to 3.1 mg in FNB group; at 12 h 4.2 mg vs 6.3 mg; at 24 h 6.9 mg vs 10.3 mg; at 48 h 9

  7. Post-test examination and evaluation of CORA experiments; Nachuntersuchung und Auswertung der CORA-Experimente

    Energy Technology Data Exchange (ETDEWEB)

    Leistikow, S.; Schanz, G.; Metzger, H.

    1995-08-01

    The experimental program has been completed with the tests CORA-W1 and CORA-W2, bundles without and with absorber material, prepared in cooperation with the Kurchatov Institute in order to study WWER-1000 typical core materials and fuel element configuration. Reported are results of post-test microstructural investigations of CORA-W2 towards the complex interdependence of the Zr-1 % Nb cladding oxidation, the temperature escalation, the destruction of the absorber rod, initiating the melting and the chemical interaction of components, the melt relocation and blockage formation. The results of this contribution are qualitatively comparable to the behavior of western LWR type fuels under SFD-conditions. (orig./HP)

  8. Post-mortem diagnostics in cases of sepsis. Part 1. Aetiology, epidemiology and microbiological tests

    Directory of Open Access Journals (Sweden)

    Marta Rorat

    2015-03-01

    Full Text Available Clinical practice has an effective methodology of diagnostic procedures to be followed in cases of sepsis. However, there are as yet no corresponding standards of action in post-mortem diagnostics. The scope of examinations is limited to an autopsy and histopathological tests. This situation may lead to errors in medico-legal opinions on the cause of death and in the assessment of appropriateness of medical procedures. In cases of suspected sepsis, medico-legal investigations require obtaining detailed information about the circumstances of death (including symptoms and results of intravital examinations before autopsy is performed, as well as sterile collection of specimens for microbiological tests and interpretation of their results on the basis of knowledge of epidemiology, pathophysiology and clinical progression of sepsis.

  9. 21 CFR 862.1113 - Bilirubin (total and unbound) in the neonate test system.

    Science.gov (United States)

    2010-04-01

    ... levels of bilirubin (total and unbound) in the blood (serum) of newborn infants to aid in indicating the risk of bilirubin encephalopathy (kernicterus). (b) Classification. Class I. [54 FR 30206, July 19...

  10. Cost-effectiveness analysis of universal noninvasive testing for post-treatment confirmation of Helicobacter pylori eradication and the impact of patient adherence

    Directory of Open Access Journals (Sweden)

    Boklage SH

    2016-06-01

    Full Text Available Susan H Boklage,1 Allen W Mangel,2 Varun Ramamohan,2 Deirdre Mladsi,2 Tao Wang1 1Otsuka America Pharmaceutical, Inc, Princeton, NJ, 2RTI Health Solutions, Research Triangle Park, NC, USA Background: The treatment failure rate for Helicobacter pylori eradication therapy is ~20% due to poor patient compliance and increased antibiotic resistance. This analysis assessed the cost-effectiveness of universal post-treatment testing to confirm eradication of H. pylori infection in adults.Methods: Decision-analytic models evaluated the cost-effectiveness of universal post-treatment testing (urea breath test [UBT] or monoclonal fecal antigen test [mFAT] vs no testing (Model 1, and UBT vs mFAT after adjusting for patient adherence to testing (Model 2 in adults who previously received first-line antimicrobial therapy. Patients testing positive received second-line quadruple therapy; no further action was taken for those testing negative or with no testing (Model 1 or for those nonadherent to testing (Model 2. In addition to testing costs, excess lifetime costs and reduced quality-adjusted life-years (QALYs due to continuing H. pylori infection were considered in the model.Results: Expected total costs per patient were higher for post-treatment testing (UBT: US$325.76; mFAT: US$242.12 vs no testing (US$182.41 in Model 1 and for UBT (US$336.75 vs mFAT (US$326.24 in Model 2. Expected QALYs gained per patient were 0.71 and 0.72 for UBT and mFAT, respectively, vs no testing (Model 1, and the same was 0.37 for UBT vs mFAT (Model 2. The estimated incremental costs per QALY gained for post-treatment testing vs no testing were US$82.90–US$202.45 and, after adjusting for adherence, US$28.13 for UBT vs mFAT.Conclusion: Universal post-treatment testing was found to be cost-effective for confirming eradication of H. pylori infection following first-line therapy. Better adherence to UBT relative to mFAT was the key to its cost-effectiveness. Keywords: health

  11. Adductor canal block for post-operative analgesia after simultaneous bilateral total knee replacement: A randomised controlled trial to study the effect of addition of dexmedetomidine to ropivacaine

    Directory of Open Access Journals (Sweden)

    Rakhee Goyal

    2017-01-01

    Full Text Available Background and Aims: Knee replacement surgery causes tremendous post-operative pain and adductor canal block (ACB is used for post-operative analgesia. This is a randomised, controlled, three-arm parallel group study using different doses of dexmedetomidine added to ropiavcaine for ACB. Methods: A total of 150 patients aged 18–75 years, scheduled for simultaneous bilateral total knee replacement, received ultrasound-guided ACB. They were randomised into three groups -Group A received ACB with plain ropivacaine; Groups B and C received ACB with ropivacaine and addition of dexmedetomidine 0.25 μg/kg and 0.50 μg/kg, respectively, on each side of ACB. The primary outcome was the duration of analgesia. Total opioid consumption, success of early ambulation, and level of patient satisfaction were also assessed. Results: The patient characteristics and block success rates were comparable in all groups. Group C patients had longer duration of analgesia (Group C 18.4 h ± 7.4; Group B 14.6 ± 7.1; Group A 10.8 ± 7; P < 0.001; lesser tramadol consumption (Group C 43.8 mg ± 53.2; Group B 76.4 ± 49.6; Group A 93.9 mg ± 58.3; P < 0.001 and lesser pain on movement (P < 0.001. The patients in Group B and C walked more steps than in Group A (P < 0.002. The level of patient satisfaction was highest in Group C (P < 0.001. Conclusions: The addition of dexmedetomidine to ropivacaine resulted in longer duration of analgesia after adductor canal block for simultaneous bilateral total knee replacement surgery.

  12. Initial in vitro testing of a paediatric continuous-flow total artificial heart.

    Science.gov (United States)

    Fukamachi, Kiyotaka; Karimov, Jamshid H; Horvath, David J; Sunagawa, Gengo; Byram, Nicole A; Kuban, Barry D; Moazami, Nader

    2018-06-01

    Mechanical circulatory support has become standard therapy for adult patients with end-stage heart failure; however, in paediatric patients with congenital heart disease, the options for chronic mechanical circulatory support are limited to paracorporeal devices or off-label use of devices intended for implantation in adults. Congenital heart disease and cardiomyopathy often involve both the left and right ventricles; in such cases, heart transplantation, a biventricular assist device or a total artificial heart is needed to adequately sustain both pulmonary and systemic circulations. We aimed to evaluate the in vitro performance of the initial prototype of our paediatric continuous-flow total artificial heart. The paediatric continuous-flow total artificial heart pump was downsized from the adult continuous-flow total artificial heart configuration by a scale factor of 0.70 (1/3 of total volume) to enable implantation in infants. System performance of this prototype was evaluated using the continuous-flow total artificial heart mock loop set to mimic paediatric circulation. We generated maps of pump performance and atrial pressure differences over a wide range of systemic vascular resistance/pulmonary vascular resistance and pump speeds. Performance data indicated left pump flow range of 0.4-4.7 l/min at 100 mmHg delta pressure. The left/right atrial pressure difference was maintained within ±5 mmHg with systemic vascular resistance/pulmonary vascular resistance ratios between 1.4 and 35, with/without pump speed modulation, verifying expected passive self-regulation of atrial pressure balance. The paediatric continuous-flow total artificial heart prototype met design requirements for self-regulation and performance; in vivo pump performance studies are ongoing.

  13. Post-test calculation and uncertainty analysis of the experiment QUENCH-07 with the system code ATHLET-CD

    International Nuclear Information System (INIS)

    Austregesilo, Henrique; Bals, Christine; Trambauer, Klaus

    2007-01-01

    In the frame of developmental assessment and code validation, a post-test calculation of the test QUENCH-07 was performed with ATHLET-CD. The system code ATHLET-CD is being developed for best-estimate simulation of accidents with core degradation and for evaluation of accident management procedures. It applies the detailed models of the thermal-hydraulic code ATHLET in an efficient coupling with dedicated models for core degradation and fission products behaviour. The first step of the work was the simulation of the test QUENCH-07 applying the modelling options recommended in the code User's Manual (reference calculation). The global results of this calculation showed a good agreement with the measured data. This calculation was complemented by a sensitivity analysis in order to investigate the influence of a combined variation of code input parameters on the simulation of the main phenomena observed experimentally. Results of this sensitivity analysis indicate that the main experimental measurements lay within the uncertainty range of the corresponding calculated values. Among the main contributors to the uncertainty of code results are the heat transfer coefficient due to forced convection to superheated steam-argon mixture, the thermal conductivity of the shroud isolation and the external heater rod resistance. Uncertainties on modelling of B 4 C oxidation do not affect significantly the total calculated hydrogen release rates

  14. Assessing the Impact of Testing Aids on Post-Secondary Student Performance: A Meta-Analytic Investigation

    Science.gov (United States)

    Larwin, Karen H.; Gorman, Jennifer; Larwin, David A.

    2013-01-01

    Testing aids, including student-prepared testing aids (a.k.a., cheat sheets or crib notes) and open-textbook exams, are common practice in post-secondary assessment. There is a considerable amount of published research that discusses and investigates the impact of these testing aids. However, the findings of this research are contradictory and…

  15. Post-test analysis of ROSA-III experiment RUNs 705 and 706

    International Nuclear Information System (INIS)

    Koizumi, Yasuo; Soda, Kunihisa; Kikuchi, Osamu; Tasaka, Kanji; Shiba, Masayoshi

    1980-07-01

    The purpose of ROSA-III experiment with a scaled BWR Test facility is to examine primary coolant thermal-hydraulic behavior and performance of ECCS during a postulated loss-of-coolant accident of BWR. The results provide the information for verification and improvement of reactor safety analysis codes. RUNs 705 and 706 assumed a 200% double-ended break at the recirculation pump suction. RUN 705 was an isothermal blowdown test without initial power and initial core flow. In RUN 706 for an average core power and no ECCS, the main steam line and feed water line were isolated immediately on the break. Post-test analysis of RUNs 705 and 706 was made with computer code RELAP4J. The agreement in system pressure between calculation and experiment was satisfactory. However, the calculated heater rod surface temperature were significantly higher than the experimental ones. The calculated axial temperature profile was different in tendency from the experimental one. The calculated mixture level behavior in the core was different from the liquid void distribution observed in experiment. The rapid rise of fuel rod surface temperature was caused by the reduction of heat transfer coefficient attributed to the increase of quality. The need was indicated for improvement of analytical model of void distribution in the core, and also to performe a characteristic test of recirculation line under reverse flow and to examine the core inlet flow rate experimentally and analytically. (author)

  16. Gest-sip1 experiments and post-test calculations with the relap5 code

    International Nuclear Information System (INIS)

    Achilli, A.; Cattadori, G.; Ferri, R.; Gandolfi, S.; Bianchi, F.; Meloni, P.

    2001-01-01

    The SIP-1 apparatus (Sistema di Iniezione Passiva) was conceived, designed, numerically simulated and tested by the SIET company as an innovative depressurization and make-up device for the New Generation LWRs. In particular it is suitable to cope with those accidents where pressure in the circuit must be dumped to allow low pressure injection systems to intervene. The main peculiarity of SIP-1 is the capability of de-pressurizing a system by cold water injection, rather than by discharging mass to the outlet, as in the common depressurization systems. ENEA sponsored all the research activity, starting from the SIP-1 design, its numerical simulation with the Relap5 code, the realisation of an experimental facility up to the test execution and post-test calculations. An experimental campaign on the GEST-SIP1 facility was performed in July 2000. The facility is mainly constituted by a U-tube Steam Generator which a proper model of SIP-1 apparatus is connected to. A series of Small Break LOCAs was simulated by varying the break size and different steady conditions were investigated to verify the stability of SIP-1, the lack of unexpected interventions and the actuation modalities. This paper deals with the description of the GEST-SIP1 experimental facility, the SIP-1 operating principles, the most meaningful results of the tests and the capability of the Relap5 code in reproducing phenomena and events. (author)

  17. Pre- and post- test calculation for the parameter-SF1 experiment with ATHLET-CD

    Energy Technology Data Exchange (ETDEWEB)

    Erdmann, W.; Trambauer, K.; Stuckert, J. [Gesellschaft fuer Anlagen- und Reaktorsicherheit mbH (GRS), Koln (Germany)

    2006-07-01

    The main objective of the PARAMETER-SF1 experiment in the frame of the ISTC project 3194 is the experimental and analytical investigation of the Russian VVER-1000 fuel rod assemblies behavior under simulated conditions of a severe accident. The special feature is to study the effect of flooding a superheated test bundle from the top (top quenching) which has not yet been investigated at all. - Simulation of the PARAMETER test facility To calculate the special effects of the top quenching, some aspects are important: detailed simulation of the bundle top, top and bottom quench front, heat losses at top/bottom of bundle, electrical heater power. - Main initial and boundary conditions The proposed initial and boundary conditions for the double-blind pre-test calculation were quite different from the actual experimental data during the test e.g.: electric power, mass flow (water, steam, argon), temperature. - Conclusions: first experiment with top flooding proposed initial condition given in the specification could not be performed during the experiment, bundle parameters deviated from anticipated values, thus, the pre-calculations not comparable with the experiment, post-calculations with ATHLET-CD showed good agreement with experiment data, top flooding is well predicted, calculational results sensitive with respect to: boundary conditions, nodalization. (authors)

  18. Breaking HIV News to Clients: SPIKES Strategy in Post-Test Counseling Session

    Directory of Open Access Journals (Sweden)

    Hamid Emadi-Koochak

    2016-05-01

    Full Text Available Breaking bad news is one of the most burdensome tasks physicians face in their everyday practice. It becomes even more challenging in the context of HIV+ patients because of stigma and discrimination. The aim of the current study is to evaluate the quality of giving HIV seroconversion news according to SPIKES protocol. Numbers of 154 consecutive HIV+ patients from Imam Khomeini Hospital testing and counseling center were enrolled in this study. Patients were inquired about how they were given the HIV news and whether or not they received pre- and post-test counseling sessions. Around 51% of them were men, 80% had high school education, and 56% were employed. Regarding marital status, 32% were single, and 52% were married at the time of the interview. Among them, 31% had received the HIV news in a counseling center, and only 29% had pre-test counseling. SPIKES criteria were significantly met when the HIV news was given in an HIV counseling and testing center (P.value<0.05. Low coverage of HIV counseling services was observed in the study. SPIKES criteria were significantly met when the HIV seroconversion news was given in a counseling center. The need to further train staff to deliver HIV news seems a priority in the field of HIV care and treatment.

  19. Post Flight Analysis Of SHEFEX I: Shock Tunnel Testing And Related CFD Analysis

    Science.gov (United States)

    Schramm, Jan Martinez; Barth, Tarik; Wagner, Alexander; Hannemann, Klaus

    2011-05-01

    The SHarp Edge Flight EXperiment (SHEFEX) program of the German Aerospace Center (DLR) is primarily focused on the investigation of the potential to utilise improved shapes for space vehicles by considering sharp edges and facetted surfaces. One goal is to set up a sky based test facility to gain knowledge of the physics of hypersonic flow, complemented by numerical analysis and ground based testing. Further, the series of SHEFEX flight experiments is an excellent test bed for new technological concepts and flight instrumentation, and it is a source of motivation for young scientist and engineers providing an excellent school for future space-program engineers and managers. After the successful first SHEFEX flight in October 2005, a second flight is scheduled for September 2011 and additional flights are planned for 2015 ff. With the SHEFEX-I flight and the subsequent numerical and experimental post flight analysis, DLR could for the first time close the loop between the three major disciplines of aerothermodynamic research namely CFD, ground based testing and flight.

  20. Nonlinear Analysis and Post-Test Correlation for a Curved PRSEUS Panel

    Science.gov (United States)

    Gould, Kevin; Lovejoy, Andrew E.; Jegley, Dawn; Neal, Albert L.; Linton, Kim, A.; Bergan, Andrew C.; Bakuckas, John G., Jr.

    2013-01-01

    The Pultruded Rod Stitched Efficient Unitized Structure (PRSEUS) concept, developed by The Boeing Company, has been extensively studied as part of the National Aeronautics and Space Administration's (NASA s) Environmentally Responsible Aviation (ERA) Program. The PRSEUS concept provides a light-weight alternative to aluminum or traditional composite design concepts and is applicable to traditional-shaped fuselage barrels and wings, as well as advanced configurations such as a hybrid wing body or truss braced wings. Therefore, NASA, the Federal Aviation Administration (FAA) and The Boeing Company partnered in an effort to assess the performance and damage arrestments capabilities of a PRSEUS concept panel using a full-scale curved panel in the FAA Full-Scale Aircraft Structural Test Evaluation and Research (FASTER) facility. Testing was conducted in the FASTER facility by subjecting the panel to axial tension loads applied to the ends of the panel, internal pressure, and combined axial tension and internal pressure loadings. Additionally, reactive hoop loads were applied to the skin and frames of the panel along its edges. The panel successfully supported the required design loads in the pristine condition and with a severed stiffener. The panel also demonstrated that the PRSEUS concept could arrest the progression of damage including crack arrestment and crack turning. This paper presents the nonlinear post-test analysis and correlation with test results for the curved PRSEUS panel. It is shown that nonlinear analysis can accurately calculate the behavior of a PRSEUS panel under tension, pressure and combined loading conditions.

  1. Post-test analysis of ROSA-III experiment Run 702

    International Nuclear Information System (INIS)

    Koizumi, Yasuo; Kikuchi, Osamu; Soda, Kunihisa

    1980-01-01

    The purpose of the ROSA-III experiment with a scaled BWR test facility is to examine primary coolant thermal-hydraulic behavior and performance of ECCS during a posturated loss-of-coolant accident of BWR. The results provide information for verification and improvement of reactor safety analysis codes. Run 702 assumed a 200% split break at the recirculation pump suction line under an average core power without ECCS activation. Post - test analysis of the Run 702 experiment was made with computer code RELAP4J. Agreement of the calculated system pressure and the experiment one was good. However, the calculated heater surface temperatures were higher than the measured ones. Also, the axial temperature distribution was different in tendency from the experimental one. From these results, the necessity was indicated of improving the analytical model of void distribution in the core and the nodalization in the pressure vassel, in order to make the analysis more realistic. And also, the need of characteristic test was indicated for ROSA-III test facility components, such as jet pump and piping form loss coefficient; likewise, flow rate measurements must be increased and refined. (author)

  2. Development of a field test method for total suspended solids analysis.

    Science.gov (United States)

    2013-11-01

    Total suspended solids (TSS) are all particles in water that will not pass through a glass fiber filter with a pore size less : than 2 m, including sediments, algae, nutrients, and metals. TSS is an important water quality parameter because of its ...

  3. Intake at a single, palatable buffet test meal is associated with total body fat and regional fat distribution in children.

    Science.gov (United States)

    Fearnbach, S Nicole; Thivel, David; Meyermann, Karol; Keller, Kathleen L

    2015-09-01

    Previous studies testing the relationship between short-term, ad libitum test-meal intake and body composition in children have shown inconsistent relationships. The objective of this study was to determine whether children's intake at a palatable, buffet meal was associated with body composition, assessed by dual-energy X-ray absorptiometry (DXA). A sample of 71 children (4-6 years) participated in 4 sessions where ad libitum food intake was measured. Children's intake at two of the test-meals was retained for the present analysis: a baseline meal consisting of moderately palatable foods and a highly palatable buffet including sweets, sweet-fats, and savory-fats. On the last visit, anthropometrics and DXA were assessed to determine child body composition. Children consumed significantly more calories at the palatable buffet compared to the baseline test-meal. Children's total fat-free mass was positively associated with intake at both the baseline meal and the palatable buffet meal. Total energy intake at both meals and intake of savory-fats at the palatable buffet were positively associated with children's total fat mass, total percent body fat, and percent android fat. Intake of sweet-fats was associated with child fat-free mass index. Intake of sweets was not correlated with body composition. Children's intake at a palatable test-meal, particularly of savory-fat foods, was associated with measures of total and regional body fat. Copyright © 2015 Elsevier Ltd. All rights reserved.

  4. Seismic behavior of breakwaters on complex ground by numerical tests: Liquefaction and post liquefaction ground settlements

    Science.gov (United States)

    Gu, Linlin; Zhang, Feng; Bao, Xiaohua; Shi, Zhenming; Ye, Guanlin; Ling, Xianzhang

    2018-04-01

    A large number of breakwaters have been constructed along coasts to protect humans and infrastructures from tsunamis. There is a risk that foundation soils of these structures may liquefy, or partially liquefy during the earthquake preceding a tsunami, which would greatly reduce the structures' capacity to resist the tsunami. It is necessary to consider not only the soil's liquefaction behavior due to earthquake motions but also its post-liquefaction behavior because this behavior will affect the breakwater's capacity to resist an incoming tsunami. In this study, numerical tests based on a sophisticated constitutive model and a soil-water coupled finite element method are used to predict the mechanical behavior of breakwaters and the surrounding soils. Two real breakwaters subjected to two different seismic excitations are examined through numerical simulation. The simulation results show that, earthquakes affect not only the immediate behavior of breakwaters and the surrounding soils but also their long-term settlements due to post-earthquake consolidation. A soil profile with thick clayey layers beneath liquefied soil is more vulnerable to tsunami than a soil profile with only sandy layers. Therefore, quantitatively evaluating the seismic behavior of breakwaters and surrounding soils is important for the design of breakwater structures to resist tsunamis.

  5. The Orion Exploration Flight Test Post Flight Solid Particle Flight Environment Inspection and Analysis

    Science.gov (United States)

    Miller, Joshua E.

    2016-01-01

    Orbital debris in the millimeter size range can pose a hazard to current and planned spacecraft due to the high relative impact speeds in Earth orbit. Fortunately, orbital debris has a relatively short life at lower altitudes due to atmospheric effects; however, at higher altitudes orbital debris can survive much longer and has resulted in a band of high flux around 700 to 1,500 km above the surface of the Earth. While large orbital debris objects are tracked via ground based observation, little information can be gathered about small particles except by returned surfaces, which until the Orion Exploration Flight Test number one (EFT-1), has only been possible for lower altitudes (400 to 500 km). The EFT-1 crew module backshell, which used a porous, ceramic tile system with surface coatings, has been inspected post-flight for potential micrometeoroid and orbital debris (MMOD) damage. This paper describes the pre- and post-flight activities of inspection, identification and analysis of six candidate MMOD impact craters from the EFT-1 mission.

  6. Post-mortem diagnosis of chronic Chagas's disease comparative evaluation of three serological tests on pericardial fluid.

    Science.gov (United States)

    Lopes, E R; Chapadeiro, E; Batista, S M; Cunha, J G; Rocha, A; Miziara, L; Ribeiro, J U; Patto, R J

    1978-01-01

    In an attempt to improve the post-mortem diagnosis of Chagas's disease the authors performed haemagglutination tests (HAT), fluorescent Trypanosoma cruzi antibody tests (FAT), and complement fixation tests (CFT) on the pericardial fluid obtained at autopsy of 50 individuals with Chagas's heart disease, and 93 patients in whom this disease was not thought to be present. The results demonstrate that all three tests are efficient for the post-mortem diagnosis of Chagas's disease but suggest that their combined use would detect more cases than would one isolated reaction only.

  7. Testing for causality between the foreign direct investment, current account deficit, GDP and total credit: Evidence from G7

    Directory of Open Access Journals (Sweden)

    Akbas Yusuf Ekrem

    2013-01-01

    Full Text Available In this study, countries were analyzed between 1990 and 2011 in order to determine whether a causal relationship exists among current account deficit, GDP, foreign direct investment, and total credits of G7. Analysis took into account the cross-sectional dependence and was applied to test the causality among the variables form the panel. Firstly, panel unit root tests were used for determining stationary of variables. As a result of the panel unit root tests, it was found that GDP and foreign direct investment have a stationary structure and that total credits and current account deficit contain unit root. In order to see whether there is a long-term relationship among the variables or not, the panel co-integration test was used. As a result of the test, it was concluded that there is a co-integration relationship among the series. The possibility of a causal relationship was analyzed among the variables using the causality test developed by Elena Ivona Dumitrescu and Christophe Hurlin (2012. Results of the analysis showed a unidirectional causal relationship from current account deficit and foreign direct investment to GDP. Bidirectional causality was found between current account deficit and total credits. Finally, a unidirectional relationship was found from foreign direct investment to current account deficit and total credits.

  8. [Total hip arthroplasty in post-dysplastic hip arthritis. Can type and position of the acetabular component influence longevity of the prosthesis?].

    Science.gov (United States)

    Fousek, J; Indráková, P

    2007-02-01

    The aim of the study was a retrospective evaluation of our patients with post-dysplastic hips treated by cemented or non-cemented total hip arthroplasty (THA) in order to ascertain which type and position of the acetabular component was most effective. In the years 1999-2002, 111 THA procedures were performed in 93 patients, 76 women and 17 men, with post-dysplastic hip arthritis. The average age of the patients at the time of implantation was 52.6 years. On the basis of pre-operative radiographic findings, the patients' conditions were evaluated using the Hartofilakidis classification into three disease categories: dysplasia, low dislocation and high dislocation, and the patients were placed in two groups. Group 1 included 78 patients, and group 2 comprised 26 patients. None of our patients was classified as having high dislocation. Thirty-nine of these patients had previously undergone surgery for dysplastic hips. A total of 104 THAs were evaluated, because radiographic data was incomplete in seven cases. In addition to X-ray findings, the prosthesis type (cemented, hybrid, non-cemented), post-operative complications and signs of loosening were included in the evaluation. Clinical outcomes were assessed by the Harris score. The follow-up terminating on 31st December 2005 was 67 months on the average. In group 1 patients, the average Harris score increased from 38.6 to 80.3 points and in group 2 patients from 35.5 to 84.9 points, mostly with excellent and good results. In 72.1 % of the hips, a press-fit acetabular component was implanted. In 55.8 % of the cases, the acetabular component was implanted off the anatomical center of rotation, into the high hip center, with the range from 9 to 20 mm and an average of 15 mm. The average limb lengthening was 2.5 cm, ranging from 1.0 to 3.5 cm. Our results show that it is more effective to use non-cemented THA for post-dysplastic hips. The implantation of a noncemented acetabular component into the high center provides

  9. Quantifying Fire's Impacts on Total and Pyrogenic Carbon Stocks in Mixed-Conifer Forests: Results from Pre- and Post-Fire Measurements in Active Wildfire Incidents

    Science.gov (United States)

    Miesel, J. R.; Reiner, A. L.; Ewell, C. M.; Sanderman, J.; Maestrini, B.; Adkins, J.

    2016-12-01

    Widespread US fire suppression policy has contributed to an accumulation of vegetation in many western forests relative to historic conditions, and these changes can exacerbate wildfire severity and carbon (C) emissions. Serious concern exists about positive feedbacks between wildfire emissions and global climate; however, fires not only release C from terrestrial to atmospheric pools, they also create "black" or pyrogenic C (PyC) which contributes to longer-term C stability. Our objective was to quantify wildfire impacts on aboveground and belowground total C and PyC stocks in California mixed-conifer forests. We worked with incident management teams to access five active wildfires to establish and measure plots within days before and after fire. We measured pre- and post-fire aboveground forest structure and woody fuels to calculate aboveground biomass, biomass C, and PyC, and we collected pre- and post-fire forest floor and 0-5 cm mineral soil samples to measure belowground C and PyC stocks. Our preliminary results show that fire had minimal impact on the number of trees per hectare, whereas C losses from the tree layer occurred via consumption of foliage, and PyC gain occurred in tree bark. Fire released 54% to 100% of surface fuel C. In the forest floor layer, we observed 33 to 100% C loss, whereas changes in PyC stocks ranged from 100% loss to 186% gain relative to pre-fire samples. In general, fire had minimal to no impact on 0-5 cm mineral soil C. We will present relationships between total C, PyC and post-fire C and N dynamics in one of the five wildfire sites. Our data are unique because they represent nearly immediate pre- and post-fire measurements in major wildfires in a widespread western U.S. forest type. This research advances understanding of the role of fire on forest C fluxes and C sequestration potential as PyC.

  10. Post-test examination of the VVER-1000 fuel rod bundle CORA-W2

    Energy Technology Data Exchange (ETDEWEB)

    Hofmann, P.; Noack, V.; Burbach, J.; Metzger, H.; Schanz, G.; Hagen, S.; Sepold, L.

    1995-08-01

    The upper half of the bundle is completely oxidized, the lower half has kept the fuel rods relatively intact. The post-test examination results show the strong impact of the B{sub 4}C absorber rod and the stainless steel grid spacers on the `low-temperature` bundle damage initiation and progression. The B{sub 4}C absorber rod completely disappeared in the upper half of the bundle. The multicomponent melts relocated and formed coolant channel blockages on solidification with a maximum extent of about 30% in the lower part of the bundle. At temperatures above the melting point of the ZrNb1 cladding extensive fuel dissolution occured. (orig./HP)

  11. Post-Closure Inspection Report for the Tonopah Test Range, Nevada, For Calendar Year 2008

    International Nuclear Information System (INIS)

    2009-01-01

    This report provides the results of the annual post-closure inspections conducted at the closed Corrective Action Unit (CAU) sites located on the Tonopah Test Range (TTR), Nevada. This report covers calendar year 2008 and includes inspection and repair activities completed at the following ten CAUs: CAU 400: Bomblet Pit and Five Points Landfill (TTR) CAU 404: Roller Coaster Lagoons and Trench (TTR) CAU 407: Roller Coaster RadSafe Area (TTR) CAU 423: Area 3 Underground Discharge Point, Building 0360 (TTR) CAU 424: Area 3 Landfill Complexes (TTR) CAU 426: Cactus Spring Waste Trenches (TTR) CAU 427: Area 3 Septic Waste Systems 2, 6 (TTR) CAU 453: Area 9 UXO Landfill (TTR) CAU 484: Surface Debris, Waste Sites, and Burn Area (TTR) CAU 487: Thunderwell Site (TTR)

  12. Psychophysiologic testing for post-traumatic stress disorder: forensic psychiatric application.

    Science.gov (United States)

    Pitman, R K; Orr, S P

    1993-01-01

    The validity of the post-traumatic stress disorder (PTSD) diagnosis is limited by both the illusory objectivity of the traumatic event and the subjectivity of the ensuing syndrome. These limitations are especially problematic in the forensic setting. Psychophysiologic measurements may strengthen PTSD's forensic value by offering a more objective assessment technique for cases that find their way into the courtroom. Based upon the results of published research studies conducted in a range of military and civilian, PTSD and non-PTSD subjects, psychophysiologic data can provide evidence helping to establish or refute the presence of the DSM-III-R PTSD arousal criteria, as well as aid psychiatric experts in estimating the probability of the disorder's presence in a given claimant. Psychophysiologic testing should be viewed as one component of a multimethod forensic psychiatric evaluation for PTSD. It is likely that it will soon be offered and, given current legal standards, admitted as evidence in civil and criminal litigation.

  13. Post-Closure Inspection Report for the Tonopah Test Range, Nevada, For Calendar Year 2008

    Energy Technology Data Exchange (ETDEWEB)

    NSTec Environmental Restoration

    2009-03-19

    This report provides the results of the annual post-closure inspections conducted at the closed Corrective Action Unit (CAU) sites located on the Tonopah Test Range (TTR), Nevada. This report covers calendar year 2008 and includes inspection and repair activities completed at the following ten CAUs: CAU 400: Bomblet Pit and Five Points Landfill (TTR) CAU 404: Roller Coaster Lagoons and Trench (TTR) CAU 407: Roller Coaster RadSafe Area (TTR) CAU 423: Area 3 Underground Discharge Point, Building 0360 (TTR) CAU 424: Area 3 Landfill Complexes (TTR) CAU 426: Cactus Spring Waste Trenches (TTR) CAU 427: Area 3 Septic Waste Systems 2, 6 (TTR) CAU 453: Area 9 UXO Landfill (TTR) CAU 484: Surface Debris, Waste Sites, and Burn Area (TTR) CAU 487: Thunderwell Site (TTR)

  14. Estimation of uncertainty of a reference material for proficiency testing for the determination of total mercury in fish in nature

    International Nuclear Information System (INIS)

    Santana, L V; Sarkis, J E S; Ulrich, J C; Hortellani, M A

    2015-01-01

    We provide an uncertainty estimates for homogeneity and stability studies of reference material used in proficiency test for determination of total mercury in fish fresh muscle tissue. Stability was estimated by linear regression and homogeneity by ANOVA. The results indicate that the reference material is both homogeneous and chemically stable over the short term. Total mercury concentration of the muscle tissue, with expanded uncertainty, was 0.294 ± 0.089 μg g −1

  15. The feasibility of 10 keV X-ray as radiation source in total dose response radiation test

    International Nuclear Information System (INIS)

    Li Ruoyu; Li Bin; Luo Hongwei; Shi Qian

    2005-01-01

    The standard radiation source utilized in traditional total dose response radiation test is 60 Co, which is environment-threatening. X-rays, as a new radiation source, has the advantages such as safety, precise control of dose rate, strong intensity, possibility of wafer-level test or even on-line test, which greatly reduce cost for package, test and transportation. This paper discussed the feasibility of X-rays replacing 60 Co as the radiation source, based on the radiation mechanism and the effects of radiation on gate oxide. (authors)

  16. The Impact of HbA1c Testing on Total Annual Healthcare Expenditures Among Newly Diagnosed Patients with Diabetes.

    Science.gov (United States)

    Bhounsule, Prajakta; Peterson, Andrew M

    2015-09-01

    In 2010, diabetes was the seventh leading cause of death in the United States. Diabetes also imposes a huge financial burden on the US economy. In 2009, the American Diabetes Association International Expert Committee recommended the use of the glycated hemoglobin (HbA1c) test as a uniform diagnostic measure to identify patients with diabetes. Although HbA1c is a convenient diagnostic test, it is also more expensive than older tests and could, therefore, have an impact on patients' healthcare expenditures. To determine if HbA1c testing has an impact on total annual healthcare expenditures among newly diagnosed patients with diabetes and to analyze the factors that are associated with the total healthcare expenditures among diabetic patients before and after HbA1c was implemented as a standard diagnostic factor. This was an observational, retrospective, cross-sectional study. The Medical Expenditure Panel Survey-Household Component 2009 and 2011 databases were used to form the study cohort of patients with diabetes. The total mean healthcare expenditures among patients with diabetes formed the dependent variable. A proxy variable representing a diagnosis of diabetes with and without the use of HbA1c testing in 2009 and in 2011, respectively, formed the main independent variable along with demographic factors, comorbidities, and healthcare services utilization in both years. A generalized linear regression was conducted to determine the association of HbA1c testing with total diabetes-related healthcare expenditures. The mean total healthcare expenditure decreased in 2011 compared with 2009. The HbA1c test did not show an association with the total healthcare expenditures versus earlier diabetes-related diagnostic factors. The total expenditures were associated with private insurance, the incidence of a previous heart attack, prescription drug refills, inpatient hospital stays, home care, hospital discharges, and visits to outpatient providers and physicians in both

  17. Impact of Neuromuscular Electrical Stimulation (NMES) on 90-Day Episode Costs and Post-Acute Care Utilization in Total Knee Replacement Patients with Disuse Atrophy.

    Science.gov (United States)

    Pal, Sarmistha; Chughtai, Morad; Sultan, Assem A; Khlopas, Anton; Sodhi, Nipun; George, Nicole E; Etcheson, Jennifer I; Gwam, Chukwuweike U; Newman, Jared M; Samuel, Linsen T; Bhave, Anil; DaVanzo, Joan E; Mont, Michael A

    2017-12-22

    This study evaluated differences in: 1) total episode payments, 2) probability of hospital readmission, 3) probability of inpatient rehab facility (IRF) and utilization, and 4) probability of skilled nursing care facility (SNF) utilization in patients who had disuse atrophy and underwent a total knee arthroplasty (TKA) and either did, or did not, receive preoperative home-based neuromuscular electrical stimulation (NMES) therapy. We used the Medicare limited dataset for a 5% sample of beneficiaries from 2014 and 2015 to construct episodes-of-care for TKA (DRG-470) patients with disuse atrophy who underwent a TKA during the 30 days prior to hospital admission and 90 days post-discharge. Patients were stratified into those who either did or did not receive pre- and postoperative NMES therapy. An ordinary least square (OLS) model was used to estimate the impact of NMES on total episode. Linear probability models were used to estimate the impact of NMES on SNF or IRF utilization and readmission. A $3,274 reduction in episode payments for patients who used preoperative NMES versus those who did not (ptotal episode payments and SNF utilization for TKA patients with disuse atrophy who had NMES therapy was demonstrated.

  18. Total test operation of HSST-100 and planning project in Nagoya

    Energy Technology Data Exchange (ETDEWEB)

    Fujino, Masaaki [Chubu HSST Development Corp., Nagoya (Japan); Mizuma, Takeshi [Traffic Safety and Nuisance Research Inst., Ministry of Transport, Tokyo (Japan)

    1996-12-31

    HSST-100 is an urban mass transit system consisting of normal conductivity magnetic levitation. Its special feature is less noise and vibration. Test running operation has been carried out for the last 4 years in Nagoya. Due to the HSST feasibility Study Committee the HSST-100 system is now ready for commercial use. (HW)

  19. Post-test examination of a copper electrode from deposition hole 5 in the Prototype Repository

    Energy Technology Data Exchange (ETDEWEB)

    Rosborg, Bo [Rosborg Consulting, Nykoeping (Sweden)

    2013-04-15

    Three copper electrodes have been exposed for eight years in the outer section of the Prototype Repository at Aespoe. The electrodes were installed in the upper bentonite block of deposition hole 5 in May 2003. Most of the time the temperature of the electrodes has been somewhat below 35 deg C. The electrodes were retrieved for post-test examination in September 2011. This report presents results from electrochemical measurements and the post-test examination of one of the electrodes. The corrosion potential of the examined copper electrode was -40 mV SHE (2011-02-04) when part of the concrete plug to the outer section of the repository had been removed and made measurements possible. When the back-fill in the deposition tunnel had been removed it was 25 mV SHE (2011-09-12). Finally, before letting loose the copper electrode from the retrieved bentonite block, the corrosion potential was found to be 165 mV SHE (2011-11-15) being a sign of air ingress to the electrode/ bentonite interface. It was immediately obvious from the appearance of the copper electrode, when part of the surrounding bentonite had been removed, that both Cu(I) and Cu(II) corrosion products existed on the electrode surface. X-ray diffraction measurements also verified the presence of cuprite, Cu{sub 2}O, and malachite, Cu{sub 2}(OH){sub 2}CO{sub 3}, on the electrode; however, paratacamite, Cu{sub 2}(OH){sub 3}Cl, was not found. The performed Fourier transform infrared and Raman spectroscopy confirmed these observations. The corrosion product film, of which cuprite is the main part, was quite uneven and porous. No unmistakable signs of pitting have been found. The appearance of the copper electrode reminded of the coupons from the retrieved LOT test parcels, but was different from the appearance of the surface on the full-size canisters. For the latter blue-green Cu(II) corrosion products have not or only rarely been observed from visual examination immediately after removing the surrounding

  20. Post-test examination of a copper electrode from deposition hole 5 in the Prototype Repository

    International Nuclear Information System (INIS)

    Rosborg, Bo

    2013-04-01

    Three copper electrodes have been exposed for eight years in the outer section of the Prototype Repository at Aespoe. The electrodes were installed in the upper bentonite block of deposition hole 5 in May 2003. Most of the time the temperature of the electrodes has been somewhat below 35 deg C. The electrodes were retrieved for post-test examination in September 2011. This report presents results from electrochemical measurements and the post-test examination of one of the electrodes. The corrosion potential of the examined copper electrode was -40 mV SHE (2011-02-04) when part of the concrete plug to the outer section of the repository had been removed and made measurements possible. When the back-fill in the deposition tunnel had been removed it was 25 mV SHE (2011-09-12). Finally, before letting loose the copper electrode from the retrieved bentonite block, the corrosion potential was found to be 165 mV SHE (2011-11-15) being a sign of air ingress to the electrode/ bentonite interface. It was immediately obvious from the appearance of the copper electrode, when part of the surrounding bentonite had been removed, that both Cu(I) and Cu(II) corrosion products existed on the electrode surface. X-ray diffraction measurements also verified the presence of cuprite, Cu 2 O, and malachite, Cu 2 (OH) 2 CO 3 , on the electrode; however, paratacamite, Cu 2 (OH) 3 Cl, was not found. The performed Fourier transform infrared and Raman spectroscopy confirmed these observations. The corrosion product film, of which cuprite is the main part, was quite uneven and porous. No unmistakable signs of pitting have been found. The appearance of the copper electrode reminded of the coupons from the retrieved LOT test parcels, but was different from the appearance of the surface on the full-size canisters. For the latter blue-green Cu(II) corrosion products have not or only rarely been observed from visual examination immediately after removing the surrounding bentonite. Differences that

  1. 40 CFR 158.1060 - Post-application exposure-criteria for testing

    Science.gov (United States)

    2010-07-01

    ...) Occupational human post-application exposure to pesticide residues on plants or in soil could occur as the...) Residential human post-application exposure to pesticide residues on plants or in soil could occur. Such uses... and industrial or manufacturing facilities. (ii) Residential human post-application exposure to...

  2. Preliminary application of a novel algorithm to monitor changes in pre-flight total peripheral resistance for prediction of post-flight orthostatic intolerance in astronauts

    Science.gov (United States)

    Arai, Tatsuya; Lee, Kichang; Stenger, Michael B.; Platts, Steven H.; Meck, Janice V.; Cohen, Richard J.

    2011-04-01

    Orthostatic intolerance (OI) is a significant challenge for astronauts after long-duration spaceflight. Depending on flight duration, 20-80% of astronauts suffer from post-flight OI, which is associated with reduced vascular resistance. This paper introduces a novel algorithm for continuously monitoring changes in total peripheral resistance (TPR) by processing the peripheral arterial blood pressure (ABP). To validate, we applied our novel mathematical algorithm to the pre-flight ABP data previously recorded from twelve astronauts ten days before launch. The TPR changes were calculated by our algorithm and compared with the TPR value estimated using cardiac output/heart rate before and after phenylephrine administration. The astronauts in the post-flight presyncopal group had lower pre-flight TPR changes (1.66 times) than those in the non-presyncopal group (2.15 times). The trend in TPR changes calculated with our algorithm agreed with the TPR trend calculated using measured cardiac output in the previous study. Further data collection and algorithm refinement are needed for pre-flight detection of OI and monitoring of continuous TPR by analysis of peripheral arterial blood pressure.

  3. Mechanical ventilation and the total artificial heart: optimal ventilator trigger to avoid post-operative autocycling - a case series and literature review

    Directory of Open Access Journals (Sweden)

    Arabia Francisco A

    2010-05-01

    Full Text Available Abstract Many patients with end-stage cardiomyopathy are now being implanted with Total Artificial Hearts (TAHs. We have observed individual cases of post-operative mechanical ventilator autocycling with a flow trigger, and subsequent loss of autocycling after switching to a pressure trigger. These observations prompted us to do a retrospective review of all TAH devices placed at our institution between August 2007 and May 2009. We found that in the immediate post-operative period following TAH placement, autocycling was present in 50% (5/10 of cases. There was immediate cessation of autocycling in all patients after being changed from a flow trigger of 2 L/minute to a pressure trigger of 2 cm H2O. The autocycling group was found to have significantly higher CVP values than the non-autocycling group (P = 0.012. Our data suggest that mechanical ventilator autocycling may be resolved or prevented by the use of a pressure trigger rather than a flow trigger setting in patients with TAHs who require mechanical ventilation.

  4. Does post-operative knee awareness differ between knees in bilateral simultaneous total knee arthroplasty? Predictors of high or low knee awareness

    DEFF Research Database (Denmark)

    Nielsen, Katrine Abildgaard; Thomsen, Morten Grove; Latifi, Roshan

    2016-01-01

    PURPOSE: To evaluate the difference in post-operative knee awareness between knees in patients undergoing bilateral simultaneous total knee arthroplasty (TKA) and to assess factors predicting high or low knee awareness. METHODS: This study was conducted on 99 bilateral simultaneous TKAs performed...... at our institution from 2008 to 2012. All patients received one set of questionnaires [Forgotten Joint Score (FJS) and Oxford Knee Score (OKS)] for each knee. Based on the FJS, the patients' knees were divided into two groups: "best" and "worst" knees. The median of the absolute difference in FJS and OKS...... within each patient was calculated. Multivariate linear regression was performed to identify factors affecting FJS. RESULTS: The difference between knees was 1 point (CI 0-5) for the FJS and 1 point (CI 0-2) for the OKS. The FJS for females increased (decreasing awareness) with increasing age. Males had...

  5. Differential Rearing Alters Forced Swim Test Behavior, Fluoxetine Efficacy, and Post-Test Weight Gain in Male Rats

    Science.gov (United States)

    Arndt, David L.; Peterson, Christy J.; Cain, Mary E.

    2015-01-01

    Environmental factors play a key role in the etiology of depression. The rodent forced swim test (FST) is commonly used as a preclinical model of depression, with increases in escape-directed behavior reflecting antidepressant effects, and increases in immobility reflecting behavioral despair. Environmental enrichment leads to serotonergic alterations in rats, but it is unknown whether these alterations may influence the efficacy of common antidepressants. Male Sprague-Dawley rats were reared in enriched (EC), standard (SC), or isolated (IC) conditions. Following the rearing period, fluoxetine (10 or 20 mg/kg, i.p.) was administered 23.5 hrs, 5 hrs, and 1 hr before locomotor and FST measures. Following locomotor testing and FST exposure, rats were weighed to assess fluoxetine-, FST-, and environmental condition-induced moderations in weight gain. Results revealed an antidepressant effect of environmental enrichment and a depressant effect of isolation. Regardless of significant fluoxetine effects on locomotor activity, fluoxetine generally decreased swimming and increased immobility in all three environmental conditions, with IC-fluoxetine (10 mg/kg) rats and EC-fluoxetine (20 mg/kg) rats swimming less than vehicle counterparts. Subchronic 20 mg/kg fluoxetine also induced significant weight loss, and differential rearing appeared to moderate weight gain following FST stress. These results suggest that differential rearing has the ability to alter FST behaviors, fluoxetine efficacy, and post-stressor well-being. Moreover, 20 mg/kg fluoxetine, administered subchronically, may lead to atypical effects of those commonly observed in the FST, highlighting the importance and impact of both environmental condition and dosing regimen in common animal models of depression. PMID:26154768

  6. Differential Rearing Alters Forced Swim Test Behavior, Fluoxetine Efficacy, and Post-Test Weight Gain in Male Rats.

    Directory of Open Access Journals (Sweden)

    David L Arndt

    Full Text Available Environmental factors play a key role in the etiology of depression. The rodent forced swim test (FST is commonly used as a preclinical model of depression, with increases in escape-directed behavior reflecting antidepressant effects, and increases in immobility reflecting behavioral despair. Environmental enrichment leads to serotonergic alterations in rats, but it is unknown whether these alterations may influence the efficacy of common antidepressants. Male Sprague-Dawley rats were reared in enriched (EC, standard (SC, or isolated (IC conditions. Following the rearing period, fluoxetine (10 or 20 mg/kg, i.p. was administered 23.5 hrs, 5 hrs, and 1 hr before locomotor and FST measures. Following locomotor testing and FST exposure, rats were weighed to assess fluoxetine-, FST-, and environmental condition-induced moderations in weight gain. Results revealed an antidepressant effect of environmental enrichment and a depressant effect of isolation. Regardless of significant fluoxetine effects on locomotor activity, fluoxetine generally decreased swimming and increased immobility in all three environmental conditions, with IC-fluoxetine (10 mg/kg rats and EC-fluoxetine (20 mg/kg rats swimming less than vehicle counterparts. Subchronic 20 mg/kg fluoxetine also induced significant weight loss, and differential rearing appeared to moderate weight gain following FST stress. These results suggest that differential rearing has the ability to alter FST behaviors, fluoxetine efficacy, and post-stressor well-being. Moreover, 20 mg/kg fluoxetine, administered subchronically, may lead to atypical effects of those commonly observed in the FST, highlighting the importance and impact of both environmental condition and dosing regimen in common animal models of depression.

  7. Differential Rearing Alters Forced Swim Test Behavior, Fluoxetine Efficacy, and Post-Test Weight Gain in Male Rats.

    Science.gov (United States)

    Arndt, David L; Peterson, Christy J; Cain, Mary E

    2015-01-01

    Environmental factors play a key role in the etiology of depression. The rodent forced swim test (FST) is commonly used as a preclinical model of depression, with increases in escape-directed behavior reflecting antidepressant effects, and increases in immobility reflecting behavioral despair. Environmental enrichment leads to serotonergic alterations in rats, but it is unknown whether these alterations may influence the efficacy of common antidepressants. Male Sprague-Dawley rats were reared in enriched (EC), standard (SC), or isolated (IC) conditions. Following the rearing period, fluoxetine (10 or 20 mg/kg, i.p.) was administered 23.5 hrs, 5 hrs, and 1 hr before locomotor and FST measures. Following locomotor testing and FST exposure, rats were weighed to assess fluoxetine-, FST-, and environmental condition-induced moderations in weight gain. Results revealed an antidepressant effect of environmental enrichment and a depressant effect of isolation. Regardless of significant fluoxetine effects on locomotor activity, fluoxetine generally decreased swimming and increased immobility in all three environmental conditions, with IC-fluoxetine (10 mg/kg) rats and EC-fluoxetine (20 mg/kg) rats swimming less than vehicle counterparts. Subchronic 20 mg/kg fluoxetine also induced significant weight loss, and differential rearing appeared to moderate weight gain following FST stress. These results suggest that differential rearing has the ability to alter FST behaviors, fluoxetine efficacy, and post-stressor well-being. Moreover, 20 mg/kg fluoxetine, administered subchronically, may lead to atypical effects of those commonly observed in the FST, highlighting the importance and impact of both environmental condition and dosing regimen in common animal models of depression.

  8. Acute central nervous system (CNS) toxicity of total body irradiation (TBI) measured using neuropsychological testing of attention functions

    International Nuclear Information System (INIS)

    Wenz, Frederik; Steinvorth, Sarah; Lohr, Frank; Hacke, Werner; Wannenmacher, Michael

    1999-01-01

    Purpose: The purpose of this study was to investigate acute normal tissue damage of low irradiation doses to the healthy, adult central nervous system (CNS) using neuropsychological testing of attention functions. Methods and Materials: Neuropsychological testing (IQ, attention [modified Trail-Making Test A, Digit Symbol Test, D2 Test, Wiener Determination Machine]) was used to examine 40 patients (43 ± 10 years) before and immediately after the first fraction (1.2 Gy) of hyperfractionated total body irradiation (TBI) at the University of Heidelberg. The patients received antiemetic premedication. Test results are given as mean percentiles ± standard deviation, with 50 ± 34 being normal. Thirty-eight control patients (53 ± 15 years) were studied to quantify the influence of hospitalization, stress, and repeated testing. Results: The patients showed normal baseline test results (IQ = 101 ± 14, attention = 54 ± 28) and no decrease in test results after 1.2 Gy TBI. Attention functions improved (66 ± 25) corresponding to a practice effect of repeated testing that was seen in the control group, although alternate versions of the tests were used (IQ = 104 ± 10, attention before = 42 ± 29, attention after = 52 ± 31). Conclusion: Our data show no deterioration of neuropsychologic test results acutely after 1.2 Gy whole body exposure in adult patients without CNS disease receiving antiemetic medication

  9. THE ANTIGEN-SPECIFIC CELL IN VITRO TESTS FOR POST-VACCINATION ANTIPLAGUE IMMUNITY FORMATION

    Directory of Open Access Journals (Sweden)

    A. N. Kulichenko

    2017-01-01

    Full Text Available The possibility of post-vaccination anti-plague immunity evaluation was researched using antigen-stimulated cells tests in vitro and cytometry analysis. The object of study — the blood samples of 17 people immunised by the live plague vaccine (Yersinia pestis EV epicutaneously. Blood taking was carried out before vaccination and after immunisation on 7 and on 21 days, in 3 and in 6 months. Intensity antigen reactivity of lymphocytes was detected by cell tests in vitro, analysing markers of early (CD45+CD3+CD25+ and late (CD45+CD3+HLA-DR+ lymphocyte activation using flow cytometry. The complex of water-soluble Y. pestis antigens and allergen — pestin PP was tested as antigen. The high stimulating potential was defined of the water-soluble antigens Y. pestis complex. It is shown that coefficient of stimulation of relative level T- lymphocytes which express receptors for IL-2 was positive for all observation times after immunisation. The coefficient of stimulation had maximum values at 21 days (56.37% and at 3 (47.41% months. In identifying HLADR-positive lymphocytes before vaccination, the negative coefficient of stimulation was indicated on 7 and 21 days and the positive coefficient of stimulation was indicated at 3 and at 6 months. Analysis of intensity expression of early and late lymphocyte activation markers dynamics showed the possibility and prospect of application of cellular in vitro tests for the laboratory evaluation of specific reactivity of cellular immunity in both the early (7 days and late (6 months periods after vaccination. The results can be the basis for developing a new algorithm for assessment of immunological effectiveness of vaccination people against plague. It is the algorithm based on the identification of lymphocyte activation markers by antigen stimulation in conditions in vitro.

  10. POST-CLOSURE INSPECTION REPORT FOR THE TONOPAH TEST RANGE, NEVADA, FOR CALENDAR YEAR 2004

    Energy Technology Data Exchange (ETDEWEB)

    BECHTEL NEVADA

    2005-04-01

    This Post-Closure Inspection Report provides an analysis and summary of the semi-annual inspections conducted at the Tonopah Test Range (TTR) during Calendar Year 2004. The report includes the inspection and/or repair activities completed at the following nine Corrective Action Units (CAUs) located at TTR, Nevada: (1) CAU 400: Bomblet Pit and Five Points Landfill (TTR); (2) CAU 404: Roller Coaster Lagoons and Trench (TTR); (3) CAU 407: Roller Coaster RadSafe Area (TTR); (4) CAU 423: Area 3 Underground Discharge Point, Building 0360 (TTR) (5) CAU 424: Area 3 Landfill Complexes (TTR); (6) CAU 426: Cactus Spring Waste Trenches (TTR); (7) CAU 427: Area 3 Septic Waste Systems 2,6 (TTR); (8) CAU 453: Area 9 UXO Landfill (TTR); and (9) CAU 487: Thunderwell Site (TTR). Site inspections were conducted on July 7,2004, and November 9-10,2004. All inspections were conducted according to the post-closure plans in the approved Closure Reports (CRs). The post-closure inspection plan for each CAU is included in Appendix B, with the exception of CAU 400 and CAU 423. CAU 400 does not require post-closure inspections, but inspections of the vegetation and fencing are conducted as a best management practice. In addition, post-closure inspections are not currently required at CAU 423; however, the CR is being revised to include inspection requirements. The inspection checklists for each site inspection are included in Appendix C, the field notes are included in Appendix D, and the site photographs are included in Appendix E. Vegetation monitoring of CAU 400, CAU 404, CAU 407, and CAU 426 was performed in June 2004, and the vegetation monitoring report is included in Appendix F. In addition, topographic survey results of two repaired landfill cells in CAU 424 are included in Appendix G. Maintenance and/or repairs were performed at the CAU 400 Five Points Landfill, CAU 407, CAU 424, CAU 427, and CAU 487. CAU 400 repairs included mending the fence, reseeding of a flood damaged area, and

  11. Field tests of a participatory ergonomics toolkit for Total Worker Health.

    Science.gov (United States)

    Nobrega, Suzanne; Kernan, Laura; Plaku-Alakbarova, Bora; Robertson, Michelle; Warren, Nicholas; Henning, Robert

    2017-04-01

    Growing interest in Total Worker Health ® (TWH) programs to advance worker safety, health and well-being motivated development of a toolkit to guide their implementation. Iterative design of a program toolkit occurred in which participatory ergonomics (PE) served as the primary basis to plan integrated TWH interventions in four diverse organizations. The toolkit provided start-up guides for committee formation and training, and a structured PE process for generating integrated TWH interventions. Process data from program facilitators and participants throughout program implementation were used for iterative toolkit design. Program success depended on organizational commitment to regular design team meetings with a trained facilitator, the availability of subject matter experts on ergonomics and health to support the design process, and retraining whenever committee turnover occurred. A two committee structure (employee Design Team, management Steering Committee) provided advantages over a single, multilevel committee structure, and enhanced the planning, communication, and teamwork skills of participants. Copyright © 2016 Elsevier Ltd. All rights reserved.

  12. Field tests of a participatory ergonomics toolkit for Total Worker Health

    Science.gov (United States)

    Kernan, Laura; Plaku-Alakbarova, Bora; Robertson, Michelle; Warren, Nicholas; Henning, Robert

    2018-01-01

    Growing interest in Total Worker Health® (TWH) programs to advance worker safety, health and well-being motivated development of a toolkit to guide their implementation. Iterative design of a program toolkit occurred in which participatory ergonomics (PE) served as the primary basis to plan integrated TWH interventions in four diverse organizations. The toolkit provided start-up guides for committee formation and training, and a structured PE process for generating integrated TWH interventions. Process data from program facilitators and participants throughout program implementation were used for iterative toolkit design. Program success depended on organizational commitment to regular design team meetings with a trained facilitator, the availability of subject matter experts on ergonomics and health to support the design process, and retraining whenever committee turnover occurred. A two committee structure (employee Design Team, management Steering Committee) provided advantages over a single, multilevel committee structure, and enhanced the planning, communication, and team-work skills of participants. PMID:28166897

  13. Noninvasive regional cerebral blood flow measurements at pre- and post-acetazolamide test using 99mTc-ECD

    International Nuclear Information System (INIS)

    Matsuda, Hiroshi; Nakano, Seigo; Tanaka, Masaaki.

    1996-01-01

    A technique for serial noninvasive cerebral blood flow measurements at pre- and post-acetazolamide (Diamox) test was newly developed using 99m Tc-ECD without blood sampling. Baseline mean cerebral blood flow (mCBF) was measured from graphical analysis of time activity curves for brain and aortic arch obtained from radionuclide angiography by injection of 370-555 MBq 99m Tc-ECD. The first SPECT study was performed immediately after intravenous administration of 1 g of Diamox, then baseline regional cerebral blood flow (rCBF) was calculated using Lassen's correction algorithm. Immediately after the stop of the first SPECT study, additional 555-740 MBq of 99m Tc-ECD was administered, thereafter the second SPECT study was started. Post-Diamox SPECT images were obtained by subtraction of the first baseline images from the second images. Using Lassen's algorithm, post-Diamox mCBF was estimated from the baseline mCBF, the baseline mean SPECT counts, and post-Diamox mean SPECT counts corrected for administered dose and imaging time. Post-Diamox rCBF was obtained from the post-Diamox mCBF and the post-Diamox mean SPECT counts using Lassen's algorithm. Coefficient variation was shown 2.7% and 3.5%: mCBF and rCBF, respectively in test-retest results in six patients without Diamox administration. Nine demented patients without vascular disorders showed significant mCBF increase of 35.7% on the average by post-Diamox. In conclusion, this simplified method is practically useful for measuring CBF at pre- and post-Diamox test within short period of time without any blood sample. (author)

  14. Experimental testing of post-tensioned concrete girders instrumented with optical fibre gratings

    Science.gov (United States)

    Matthys, S.; Taerwe, L.

    2005-05-01

    The integration of optical fibre strain sensors in concrete structures in order to measure deformations has proven to be successful in several applications. Examples of monitored structures by the Magnel Laboratory for Concrete Research are a concrete girder bridge over the Ring Canal by Ghent, a Quay wall at the Ring Canal and a trough girder containing a railway track of a bridge [1,2]. Based on a joint research project the feasibility of integrating Bragg grating sensors in concrete in order to statically and dynamically monitor 17.6 m long prestressed concrete girders has been investigated. During the project 3 post-tensioned concrete girders were tested, submitting them to static and dynamic loading conditions and monitoring the structural behavior with several types of measuring devices, including accelerometers, Bragg gratings, Fabry-Perot gratings, deformeters, crack microscopes, etc. The obtained test results demonstrate the feasibility of optical strain sensors for both static and dynamic measurements. Though it was demonstrated, in the case of dynamic monitoring, that optical strain measurements can be used to directly measure the modal strains, the project also demonstrated that for prestressed concrete the variation in dynamic parameters was insufficient for adequate dynamic monitoring and related damage diagnostics.

  15. Does Stereotype Threat Affect Post-Course Scores on the Astronomy Diagnostic Test?

    Science.gov (United States)

    Deming, G. L.; Hufnagel, B.; Landato, J. M.; Hodari, A. K.

    2003-12-01

    During the 1990s, Claude Steele and others demonstrated that women mathematics students under-performed while men over-performed on selected GRE questions when told that the exam could differentiate by gender. Stereotype threat is triggered for these women when they fear someone else may negatively stereotype them, and therefore, their performance is affected. In a limited study involving 229 students, we investigated the effect of stereotype threat on performance on the Astronomy Diagnostic Test (ADT). The ADT was administered as a pre-test in four introductory astronomy classes intended for non-science majors. The same professors taught pairs of classes at the University of Maryland, a large research institution, and W. R. Harper College, a small liberal arts school. The classes were treated the same until the final day before the post-course ADT was given. One "threatened" class at each campus was told that gender mattered so they should be sure to include it on the ADT. The "control" classes were told that gender does not matter. The results show no stereotype threat effect on the women in these introductory classes. The university men did slightly over-perform at low statistical significance. As Steele suggested, students must identify with a subject in order to strongly invoke a stereotype threat. This research was supported in part by the National Science Foundation through grants REC-0089239 to GLD, DGE-97014489 to BH, and DGE-9714452 for AKH.

  16. The implications of policy pre-post test scores for street-level bureaucratic discretion.

    Science.gov (United States)

    Dorch, Edwina L

    2009-01-01

    Substantial reductions in audit error rates observed over the past few years suggest eligibility workers have moved toward an eligibility compliance culture described by Bane and Ellwood. However, the results of this study indicate that social service caseworkers responded correctly to 49% of the targeted policy items at the pre-test stage and 68% at the post-test stage. Such findings provide preliminary support for the hypothesis that, in instances when caseworkers lack policy knowledge, they use their own discretion. Such a finding not only supports Lipsky's theory but also supports the notion that administrators should be encouraged to utilize 'mastery learning' procedures whereby caseworkers are retained in new-hire and follow-up training classes until they have mastered 100% of targeted policy information. Retention of caseworkers may also reduce federal and local audit errors and errors in crediting the reduction of caseloads to social service policies when in fact significant components of them have not been implemented (learned or utilized). And, most importantly, retention in training classes may increase the appropriate provision of services to the needy.

  17. Challenges of Pre- and Post-Test Counseling for Orthodox Jewish Individuals in the Premarital Phase.

    Science.gov (United States)

    Rose, E; Schreiber-Agus, N; Bajaj, K; Klugman, S; Goldwaser, T

    2016-02-01

    The Jewish community has traditionally taken ownership of its health, and has taken great strides to raise awareness about genetic issues that affect the community, such as Tay-Sachs disease and Hereditary Breast and Ovarian Cancer syndrome. Thanks in part to these heightened awareness efforts, many Orthodox Jewish individuals are now using genetics services as they begin to plan their families. Due to unique cultural and religious beliefs and perceptions, the Orthodox Jewish patients who seek genetic counseling face many barriers to a successful counseling session, and often seek the guidance of programs such as the Program for Jewish Genetic Health (PJGH). In this article, we present clinical vignettes from the PJGH's clinical affiliate, the Reproductive Genetics practice at the Montefiore Medical Center. These cases highlight unique features of contemporary premarital counseling and screening within the Orthodox Jewish Community, including concerns surrounding stigma, disclosure, "marriageability," the use of reproductive technologies, and the desire to include a third party in decision making. Our vignettes demonstrate the importance of culturally-sensitive counseling. We provide strategies and points to consider when addressing the challenges of pre- and post-test counseling as it relates to genetic testing in this population.

  18. Post-test analysis of lithium-ion battery materials at Argonne National Laboratory

    Science.gov (United States)

    Bareno, Javier; Dietz-Rago, Nancy; Bloom, Ira

    2014-03-01

    Electrochemical performance is often limited by surface and interfacial reactions at the electrodes. However, routine handling of samples can alter the very surfaces that are the object of study. Our approach combines standardized testing of batteries with sample harvesting under inert atmosphere conditions. Cells of different formats are disassembled inside an Argon glove box with controlled water and oxygen concentrations below 2 ppm. Cell components are characterized in situ, guaranteeing that observed changes in physicochemical state are due to electrochemical operation, rather than sample manipulation. We employ a complementary set of spectroscopic, microscopic, electrochemical and metallographic characterization to obtain a complete picture of cell degradation mechanisms. The resulting information about observed degradation mechanisms is provided to materials developers, both academic and industrial, to suggest new strategies and speed up the Research & Development cycle of Li-ion and related technologies. This talk will describe Argonne's post-test analysis laboratory, with an emphasis on capabilities and opportunities for collaboration. Cell disassembly, sample harvesting procedures and recent results will be discussed. This work was performed under the auspices of the U.S. Department of Energy, Office of Vehicle Technologies, Hybrid and Electric Systems, under Contract No. DE-AC02-06CH11357.

  19. Cuff leak test and laryngeal survey for predicting post-extubation stridor.

    Science.gov (United States)

    Patel, Anit B; Ani, Chizobam; Feeney, Colin

    2015-02-01

    Evidence for the predictive value of the cuff leak test (CLT) for post-extubation stridor (PES) is conflicting. We evaluated the association and accuracy of CLT alone or combined with other laryngeal parameters with PES. Fifty-one mechanically ventilated adult patients in a medical-surgical intensive care unit were tested prior to extubation using; CLT, laryngeal ultrasound and indirect laryngoscopy. Biometric, laryngeal and endotracheal tube (ETT) parameters were recorded. PES incidence was 4%. CLT demonstrated 'no leak' in 20% of patients. Laryngeal oedema was present in 10% of the patients on indirect laryngoscopy, and 71% of the patients had a Grades 1-3 indirect laryngoscopic view. Mean air column width on laryngeal ultrasound was 0.66 ± 0.15 cm (cuff deflated), mean ratio of ETT to laryngeal diameter was 0.48 ± 0.07, and the calculated CLT and laryngeal survey composite was 0.86 ± 1.25 (range 0-5). CLT and the CLT and Laryngeal survey composite measure were not associated with or predict PES. Age, sex, peri-extubation steroid use, intubation duration and body mass index were not associated with PES. Even including ultrasonographic and indirect laryngoscopic examination of the airway, no single aspect of the CLT or combination with laryngeal parameters accurately predicts PES.

  20. Post test calculation of the experiment `small break loss-of- coolant test` SBL-22 at the Finnish integral test facility PACTEL with the thermohydraulic code ATHLET

    Energy Technology Data Exchange (ETDEWEB)

    Lischke, W.; Vandreier, B. [Univ. for Applied Sciences, Zittau/Goerlitz (Germany). Dept. of Nuclear Technology

    1997-12-31

    At the University for Applied Sciences Zittau/Goerlitz (FH) calculations for the verification of the ATHLET-code for reactors of type VVER are carried out since 1991, sponsored by the German Ministry for Education, Science and Technology (BMBF). The special features of these reactors in comparison to reactors of western countries are characterized by the duct route of reactor coolant pipes and the horizontal steam generators. Because of these special features, a check of validity of the ATHLET-models is necessary. For further verification of the ATHLET-code the post test calculation of the experiment SBL-22 (Small break loss-of-coolant test) realized at the finnish facility PACTEL was carried out. The experiment served for the examination of the natural circulation behaviour of the loop over a continuous range of primary side water inventory. 5 refs.

  1. Post test calculation of the experiment 'small break loss-of- coolant test' SBL-22 at the Finnish integral test facility PACTEL with the thermohydraulic code ATHLET

    International Nuclear Information System (INIS)

    Lischke, W.; Vandreier, B.

    1997-01-01

    At the University for Applied Sciences Zittau/Goerlitz (FH) calculations for the verification of the ATHLET-code for reactors of type VVER are carried out since 1991, sponsored by the German Ministry for Education, Science and Technology (BMBF). The special features of these reactors in comparison to reactors of western countries are characterized by the duct route of reactor coolant pipes and the horizontal steam generators. Because of these special features, a check of validity of the ATHLET-models is necessary. For further verification of the ATHLET-code the post test calculation of the experiment SBL-22 (Small break loss-of-coolant test) realized at the finnish facility PACTEL was carried out. The experiment served for the examination of the natural circulation behaviour of the loop over a continuous range of primary side water inventory

  2. Post test calculation of the experiment `small break loss-of- coolant test` SBL-22 at the Finnish integral test facility PACTEL with the thermohydraulic code ATHLET

    Energy Technology Data Exchange (ETDEWEB)

    Lischke, W; Vandreier, B [Univ. for Applied Sciences, Zittau/Goerlitz (Germany). Dept. of Nuclear Technology

    1998-12-31

    At the University for Applied Sciences Zittau/Goerlitz (FH) calculations for the verification of the ATHLET-code for reactors of type VVER are carried out since 1991, sponsored by the German Ministry for Education, Science and Technology (BMBF). The special features of these reactors in comparison to reactors of western countries are characterized by the duct route of reactor coolant pipes and the horizontal steam generators. Because of these special features, a check of validity of the ATHLET-models is necessary. For further verification of the ATHLET-code the post test calculation of the experiment SBL-22 (Small break loss-of-coolant test) realized at the finnish facility PACTEL was carried out. The experiment served for the examination of the natural circulation behaviour of the loop over a continuous range of primary side water inventory. 5 refs.

  3. ISP 22 OECD/NEA/CSNI International standard problem n. 22. Evaluation of post-test analyses

    International Nuclear Information System (INIS)

    1992-07-01

    The present report deals with the open re-evaluation of the originally double-blind CSNI International Standard Problem 22 based on the test SP-FW-02 performed in the SPES facility. The SPES apparatus is an experimental simulator of the Westinghouse PWR-PUN plant. The test SP-FW-02 (ISP22) simulates a complete loss of feedwater with delayed injection of auxiliary feedwater. The main parts of the report are: outline of the test facility and of the SP-FW-02 experiment; overview of pre-test activities; overview of input models used by post-test participants; evaluation of participant predictions; evaluation of qualitative and quantitative code accuracy of pre-test and post-test calculations

  4. Reference test methods for total water in lint cotton by Karl Fischer Titration and low temperature distillation

    Science.gov (United States)

    In a study of comparability of total water contents (%) of conditioned cottons by Karl Fischer Titration (KFT) and Low Temperature Distillation (LTD) reference methods, we demonstrated a match of averaged results based on a large number of replications and weighing the test specimens at the same tim...

  5. The cost of post-operative shed blood salvage after total knee arthroplasty: an analysis of 1,093 consecutive procedures

    Science.gov (United States)

    Muñoz, Manuel; Ariza, Daniel; Campos, Arturo; Martín-Montañez, Elisa; Pavía, José

    2013-01-01

    Background Requirements for allogeneic red cell transfusion after total knee arthroplasty are still high (20–50%), and salvage and reinfusion of unwashed, filtered post-operative shed blood is an established method for reducing transfusion requirements following this operation. We performed a cost analysis to ascertain whether this alternative is likely to be cost-effective. Materials and methods Data from 1,093 consecutive primary total knee arthroplasties, managed with (reinfusion group, n=763) or without reinfusion of unwashed salvaged blood (control group, n=330), were retrospectively reviewed. The costs of low-vacuum drains, shed blood collection canisters (Bellovac ABT®, Wellspect HealthCare and ConstaVac CBC II®, Stryker), shed blood reinfusion, acquisition and transfusion of allogeneic red cell concentrate, haemoglobin measurements, and prolonged length of hospital stay were used for the blood management cost analysis. Results Patients in the reinfusion group received 152±64 mL of red blood cells from postoperatively salvaged blood, without clinically relevant incidents, and showed a lower allogeneic transfusion rate (24.5% vs 8.5%, for the control and reinfusion groups, respectively; p =0.001). There were no differences in post-operative infection rates. Patients receiving allogeneic transfusions stayed in hospital longer (+1.9 days [95% CI: 1.2 to 2.6]). As reinfusion of unwashed salvaged blood reduced the allogeneic transfusion rate, both reinfusion systems may provide net savings in different cost scenarios (€ 4.6 to € 106/patient for Bellovac ABT, and € −51.9 to € 49.9/patient for ConstaVac CBCII). Discussion Return of unwashed salvaged blood after total knee arthroplasty seems to save costs in patients with pre-operative haemoglobin between 12 and 15 g/dL. It is not cost-saving in patients with a pre-operative haemoglobin >15 g/dL, whereas in those with a pre-operative haemoglobin cost-saving, its efficacy could be increased by

  6. Evaluating the test-retest reliability of symptom indices associated with the ImPACT post-concussion symptom scale (PCSS).

    Science.gov (United States)

    Merritt, Victoria C; Bradson, Megan L; Meyer, Jessica E; Arnett, Peter A

    2018-05-01

    The Immediate Post-Concussion Assessment and Cognitive Testing (ImPACT) is a commonly used tool in sports concussion assessment. While test-retest reliabilities have been established for the ImPACT cognitive composites, few studies have evaluated the psychometric properties of the ImPACT's Post-Concussion Symptom Scale (PCSS). The purpose of this study was to establish the test-retest reliability of symptom indices associated with the PCSS. Participants included 38 undergraduate students (50.0% male) who underwent neuropsychological testing as part of their participation in their psychology department's research subject pool. The majority of the participants were Caucasian (94.7%) and had no history of concussion (73.7%). All participants completed the ImPACT at two time points, approximately 6 weeks apart. The PCSS was the main outcome measure, and eight symptom indices were calculated (a total symptom score, three symptom summary indices, and four symptom clusters). Pearson correlations (r) and intraclass correlation coefficients (ICCs) were computed as measures of test-retest reliability. Overall, reliabilities ranged from low to high (r = .44 to .80; ICC = .44 to .77). The cognitive symptom cluster exhibited the highest test-retest reliability (r = .80, ICC = .77), followed by the positive symptom total (PST) index, an indicator of the total number of symptoms endorsed (r = .71, ICC = .69). In contrast, the commonly used total symptom score showed lower test-retest reliability (r = .67, ICC = .62). Paired-samples t tests revealed no significant differences between test and retest for any of the symptom variables (all p > .01). Finally, reliable change indices (RCI) were computed to determine whether differences observed between test and retest represented clinically significant change. RCI values were provided for each symptom index at the 80%, 90%, and 95% confidence intervals. These results suggest that evaluating additional symptom

  7. Application of annular centrifugal contactors in the hot test of the improved total partitioning process for high level liquid waste.

    Science.gov (United States)

    Duan, Wuhua; Chen, Jing; Wang, Jianchen; Wang, Shuwei; Feng, Xiaogui; Wang, Xinghai; Li, Shaowei; Xu, Chao

    2014-08-15

    High level liquid waste (HLLW) produced from the reprocessing of the spent nuclear fuel still contains moderate amounts of uranium, transuranium (TRU) actinides, (90)Sr, (137)Cs, etc., and thus constitutes a permanent hazard to the environment. The partitioning and transmutation (P&T) strategy has increasingly attracted interest for the safe treatment and disposal of HLLW, in which the partitioning of HLLW is one of the critical technical issues. An improved total partitioning process, including a TRPO (tri-alkylphosphine oxide) process for the removal of actinides, a CESE (crown ether strontium extraction) process for the removal of Sr, and a CECE (calixcrown ether cesium extraction) process for the removal of Cs, has been developed to treat Chinese HLLW. A 160-hour hot test of the improved total partitioning process was carried out using 72-stage 10-mm-dia annular centrifugal contactors (ACCs) and genuine HLLW. The hot test results showed that the average DFs of total α activity, Sr and Cs were 3.57 × 10(3), 2.25 × 10(4) and 1.68 × 10(4) after the hot test reached equilibrium, respectively. During the hot test, 72-stage 10-mm-dia ACCs worked stable, continuously with no stage failing or interruption of the operation. Copyright © 2014 Elsevier B.V. All rights reserved.

  8. Metallographic post-test investigations for the scaled core-meltdown-experiments FOREVER-1 and -2

    International Nuclear Information System (INIS)

    Mueller, G.; Boehmert, J.

    2000-08-01

    FOREVER (Failure Of Reactor Vessel Rentention) experiments have been carried out in order to simulate the behaviour the lower head of a reactor pressure vessel under the conditions of a depressurized core melt down scenario. In particular the creep behaviour and the vessel failure mode have been investigated. Metallographic post test investigations have complemented the experimental programme. Samples of different height positions of the vessel of the FOREVER-C1 and -C2 experiments were metallographically examined and characteristic microstructural appearances were identified. Additionally samples with ineffected microstructure were annealed at different temperatures and cooled by different rates and afterwards investigated. In this way the microstructural effects of the temperature regime, the thermomechanical loads and the environmental attack could be characterized. Remarkable effects were characteristic for the FOREVER-C2 experiment where the highest-loaded region below the welding joint reached temperatures of approx. 1100 C and a strong creep damage occurred. In the FOREVER-C1 experiment creep damage could not be observed and the maximum temperature did not exceed 900 C. Environmental attack generated decarburization and oxidation but the effect was restricted to a narrow surface layer. There was almost no chemical interaction between the oxidic melt and the vessel material. (orig.)

  9. Anatomical Calibration through Post-Processing of Standard Motion Tests Data.

    Science.gov (United States)

    Kong, Weisheng; Sessa, Salvatore; Zecca, Massimiliano; Takanishi, Atsuo

    2016-11-28

    The inertial measurement unit is popularly used as a wearable and flexible tool for human motion tracking. Sensor-to-body alignment, or anatomical calibration (AC), is fundamental to improve accuracy and reliability. Current AC methods either require extra movements or are limited to specific joints. In this research, the authors propose a novel method to achieve AC from standard motion tests (such as walking, or sit-to-stand), and compare the results with the AC obtained from specially designed movements. The proposed method uses the limited acceleration range on medial-lateral direction, and applies principal component analysis to estimate the sagittal plane, while the vertical direction is estimated from acceleration during quiet stance. The results show a good correlation between the two sets of IMUs placed on frontal/back and lateral sides of head, trunk and lower limbs. Moreover, repeatability and convergence were verified. The AC obtained from sit-to-stand and walking achieved similar results as the movements specifically designed for upper and lower body AC, respectively, except for the feet. Therefore, the experiments without AC performed can be recovered through post-processing on the walking and sit-to-stand data. Moreover, extra movements for AC can be avoided during the experiment and instead achieved through the proposed method.

  10. Anatomical Calibration through Post-Processing of Standard Motion Tests Data

    Directory of Open Access Journals (Sweden)

    Weisheng Kong

    2016-11-01

    Full Text Available The inertial measurement unit is popularly used as a wearable and flexible tool for human motion tracking. Sensor-to-body alignment, or anatomical calibration (AC, is fundamental to improve accuracy and reliability. Current AC methods either require extra movements or are limited to specific joints. In this research, the authors propose a novel method to achieve AC from standard motion tests (such as walking, or sit-to-stand, and compare the results with the AC obtained from specially designed movements. The proposed method uses the limited acceleration range on medial-lateral direction, and applies principal component analysis to estimate the sagittal plane, while the vertical direction is estimated from acceleration during quiet stance. The results show a good correlation between the two sets of IMUs placed on frontal/back and lateral sides of head, trunk and lower limbs. Moreover, repeatability and convergence were verified. The AC obtained from sit-to-stand and walking achieved similar results as the movements specifically designed for upper and lower body AC, respectively, except for the feet. Therefore, the experiments without AC performed can be recovered through post-processing on the walking and sit-to-stand data. Moreover, extra movements for AC can be avoided during the experiment and instead achieved through the proposed method.

  11. Can education alter attitudes, behaviour and knowledge about organ donation? A pretest–post-test study

    Science.gov (United States)

    McGlade, Donal; Pierscionek, Barbara

    2013-01-01

    Objective The emergence of evidence suggests that student nurses commonly exhibit concerns about their lack of knowledge of organ donation and transplantation. Formal training about organ donation has been shown to positively influence attitude, encourage communication and registration behaviours and improve knowledge about donor eligibility and brain death. The focus of this study was to determine the attitude and behaviour of student nurses and to assess their level of knowledge about organ donation after a programme of study. Design A quantitative questionnaire was completed before and after participation in a programme of study using a pretest–post-test design. Setting Participants were recruited from a University based in Northern Ireland during the period from February to April 2011. Participants 100 preregistration nurses (female : male=96 : 4) aged 18–50 years (mean (SD) 24.3 (6.0) years) were recruited. Results Participants’ knowledge improved over the programme of study with regard to the suitability of organs that can be donated after death, methods available to register organ donation intentions, organ donation laws, concept of brain death and the likelihood of recovery after brain death. Changes in attitude postintervention were also observed in relation to participants’ willingness to accept an informed system of consent and with regard to participants’ actual discussion behaviour. Conclusions The results provide support for the introduction of a programme that helps inform student nurses about important aspects of organ donation. PMID:24381257

  12. A Comparison of Sacroiliac and Pubic Rami Fracture Occurrences in Oblique Side Impact Tests on Nine Post Mortem Human Subjects.

    Science.gov (United States)

    Petit, Philippe; Trosseille, Xavier; Lebarbé, Mathieu; Baudrit, Pascal; Potier, Pascal; Compigne, Sabine; Masuda, Mitsutoshi; Yamaoka, Akira; Yasuki, Tsuyoshi; Douard, Richard

    2015-11-01

    The WorldSID dummy can be equipped with both a pubic and a sacroiliac joint (S-I joint) loadcell. Although a pubic force criterion and the associated injury risk curve are currently available and used in regulation (ECE95, FMVSS214), as of today injury mechanisms, injury criteria, and injury assessment reference values are not available for the sacroiliac joint itself. The aim of this study was to investigate the sacroiliac joint injury mechanism. Three configurations were identified from full-scale car crashes conducted with the WorldSID 50th percentile male where the force passing through the pubis in all three tests was approximately 1500 N while the sacroiliac Fy/Mx peak values were 4500 N/50 Nm, 2400 N/130 Nm, and 5300 N/150 Nm, respectively. These tests were reproduced using a 150 kg guided probe impacting Post Mortem Human Subjects (PMHS) at 8 m/s, 5.4 m/s and 7.5 m/s. The shape and the orientation of the impacting face of the probe were selected to match the WorldSID pubic Fy and sacroiliac Fy/Mx loads of the three vehicle test configurations. Three PMHS were tested in each of the three configurations (nine PMHS in total). In the first PMHS configuration, one specimen sustained an AIS 3 injury and one sustained an AIS 4 injury (an unstable pelvis with complete disruption of the posterior arch, a sacroiliac joint disruption associated with an iliac fracture, and a pubic symphysis separation). In the second configuration, all specimens sustained a fracture of the superior lateral iliac wing (AIS 2). In the third configuration, one specimen sustained a partial disruption of the anterior arch (AIS 2). Based on the data from strain gauges located on the pubic rami and near the sacroiliac joint, the pubic rami fractures were identified as occurring prior to the sacroiliac fractures. Out of nine impactor tests performed, the PMHS S-I joint injuries were observed to consistently be associated with pelvic anterior arch fractures. In addition, from the injury

  13. MARS-LMR modeling for the post-test analysis of Phenix End-of-Life natural circulation

    International Nuclear Information System (INIS)

    Jeong, Hae Yong; Ha, Kwi Seok; Chang, Won Pyo; Lee, Kwi Lim

    2011-01-01

    For a successful design and analysis of Sodium cooled Fast Reactor (SFR), it is required to have a reliable and well-proven system analysis code. To achieve this purpose, KAERI is enhancing the modeling capability of MARS code by adding the SFR-specific models such as pressure drop model, heat transfer model and reactivity feedback model. This version of MARS-LMR will be used as a basic tool in the design and analysis of future SFR systems in Korea. Before wide application of MARS-LMR code, it is required to verify and validate the code models through analyses for appropriate experimental data or analytical results. The end-of-life test of Phenix reactor performed by the CEA provided a unique opportunity to have reliable test data which is very valuable in the validation and verification of a SFR system analysis code. The KAERI joined this international program of the analysis of Phenix end-of-life natural circulation test coordinated by the IAEA from 2008. The main test of natural circulation was completed in 2009. Before the test the KAERI performed the pre-test analysis based on the design condition provided by the CEA. Then, the blind post-test analysis was also performed based on the test conditions measured during the test before the CEA provide the final test results. Finally, the final post-test analysis was performed recently to predict the test results as accurate as possible. This paper introduces the modeling approach of the MARS-LMR used in the final post-test analysis and summarizes the major results of the analysis

  14. Preoperative prediction of inpatient recovery of function after total hip arthroplasty using performance-based tests: a prospective cohort study.

    Science.gov (United States)

    Oosting, Ellen; Hoogeboom, Thomas J; Appelman-de Vries, Suzan A; Swets, Adam; Dronkers, Jaap J; van Meeteren, Nico L U

    2016-01-01

    The aim of this study was to evaluate the value of conventional factors, the Risk Assessment and Predictor Tool (RAPT) and performance-based functional tests as predictors of delayed recovery after total hip arthroplasty (THA). A prospective cohort study in a regional hospital in the Netherlands with 315 patients was attending for THA in 2012. The dependent variable recovery of function was assessed with the Modified Iowa Levels of Assistance scale. Delayed recovery was defined as taking more than 3 days to walk independently. Independent variables were age, sex, BMI, Charnley score, RAPT score and scores for four performance-based tests [2-minute walk test, timed up and go test (TUG), 10-meter walking test (10 mW) and hand grip strength]. Regression analysis with all variables identified older age (>70 years), Charnley score C, slow walking speed (10 mW >10.0 s) and poor functional mobility (TUG >10.5 s) as the best predictors of delayed recovery of function. This model (AUC 0.85, 95% CI 0.79-0.91) performed better than a model with conventional factors and RAPT scores, and significantly better (p = 0.04) than a model with only conventional factors (AUC 0.81, 95% CI 0.74-0.87). The combination of performance-based tests and conventional factors predicted inpatient functional recovery after THA. Two simple functional performance-based tests have a significant added value to a more conventional screening with age and comorbidities to predict recovery of functioning immediately after total hip surgery. Patients over 70 years old, with comorbidities, with a TUG score >10.5 s and a walking speed >1.0 m/s are at risk for delayed recovery of functioning. Those high risk patients need an accurate discharge plan and could benefit from targeted pre- and postoperative therapeutic exercise programs.

  15. Neurological tests improve after Olympic-style boxing bouts: a pretournament and post-tournament study in the 2016 Women's World Boxing Championships.

    Science.gov (United States)

    Howell, David R; Meehan, William P; Loosemore, Michael P; Cummiskey, Joseph; Grabner von Rosenberg, Jean-Paul; McDonagh, David

    2017-09-01

    To prospectively examine the neurocognitive, postural, dual-task and visual abilities of female Olympic-style boxers before and after participation in a tournament. Sixty-one females completed the modified Balance Error Scoring System (mBESS), King-Devick test and 3 m timed-up-and-go test in single-task and dual-task conditions. A subset (n=31) completed the CogState computerised neurocognitive test. Initial testing was completed prior to the 2016 Women's World Boxing Championships; each participant repeated the testing protocol within a day of elimination. No participant sustained a concussion. Pretournament and post-tournament performance variables were compared using paired t-tests or Wilcoxon signed-rank tests. Participants completed a mean of 7.5±4.5 rounds of Olympic-style boxing over 2-8 days. Post-tournament scores were significantly lower than pretournament scores for total mBESS (2.2±1.9 errors vs 5.5±2.9 errors, pboxing tournament (maze chase task: 1.39±0.34 correct moves/second vs 1.17±0.44 correct moves/second, p=0.001, d =0.58). No significant changes across time were detected for the other obtained outcome variables. Female boxers demonstrated either improvement or no significant changes in test performance after competing in an Olympic-style boxing tournament, relative to pretournament performance. As many of the test tasks were novel for the boxers, practice effects may have contributed to improved performance. When there is a short time frame between assessments, clinicians should be aware of potential practice effects when using ringside neurological tests. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  16. Introducing evidence based medicine to the journal club, using a structured pre and post test: a cohort study

    Directory of Open Access Journals (Sweden)

    Mahoney Martin C

    2001-11-01

    Full Text Available Abstract Background Journal Club at a University-based residency program was restructured to introduce, reinforce and evaluate residents understanding of the concepts of Evidence Based Medicine. Methods Over the course of a year structured pre and post-tests were developed for use during each Journal Club. Questions were derived from the articles being reviewed. Performance with the key concepts of Evidence Based Medicine was assessed. Study subjects were 35 PGY2 and PGY3 residents in a University based Family Practice Program. Results Performance on the pre-test demonstrated a significant improvement from a median of 54.5 % to 78.9 % over the course of the year (F 89.17, p Conclusions Following organizational revision, the introduction of a pre-test/post-test instrument supported achievement of the learning objectives with a better understanding and utilization of the concepts of Evidence Based Medicine.

  17. Sexual behaviours, perception of risk of HIV infection, and factors associated with attending HIV post-test counselling in Ethiopia

    NARCIS (Netherlands)

    Sahlu, T.; Kassa, E.; Agonafer, T.; Tsegaye, A.; Rinke de Wit, T.; Gebremariam, H.; Doorly, R.; Spijkerman, I.; Yeneneh, H.; Coutinho, R. A.; Fontanet, A. L.

    1999-01-01

    OBJECTIVES: To describe sexual behaviours, perception of risk of HIV infection, and factors associated with attending HIV post-test counselling (PTC) among Ethiopian adults. METHODS: Data on socio-demographic characteristics, knowledge of HIV infection, sexual history, medical examination, and HIV

  18. Development of full scale testing of an alternate foundation system for post and panel retaining walls.

    Science.gov (United States)

    2009-03-01

    The alternate post system offers benefits such as ease of construction, reduced construction time, and : lower wall costs. While this system seems feasible, there are concerns regarding its performance, in : particular the amount of bending in the po...

  19. Ex post and ex ante willingness to pay (WTP) for the ICT Malaria Pf/Pv test kit in Myanmar.

    Science.gov (United States)

    Cho-Min-Naing; Lertmaharit, S; Kamol-Ratanakul, P; Saul, A J

    2000-03-01

    Willingness to pay (WTP) for the ICT Malaria Pf/Pv test kit was assessed by the contingent valuation method using a bidding game approach in two villages in Myanmar. Kankone (KK) village has a rural health center (RHC) and Yae-Aye-Sann (YAS) is serviced by community health worker (CHW). The objectives were to assess WTP for the ICT Malaria Pf/Pv test kit and to determine factors affecting the WTP. In both villages WTP was assessed in two different conditions, ex post and ex ante. The ex post WTP was assessed at an RHC in the KK village and at the residence of a CHW in the YAS village on patients immediately following diagnosis of malaria. The ex ante WTP was assessed by household interviews in both villages on people with a prior history of malaria. Ordinary least squares (OLS) multiple regression analysis was used to analyze factors affecting WTP. The WTP was higher in ex post conditions than ex ante in both villages. WTP was significantly positively associated with the average monthly income of the respondents and severity of illness in both ex post and ex ante conditions (p WTP (p < 0.05) in the ex post condition in the RHC survey in KK village.

  20. Total serum IgE level influences oral food challenge tests for IgE-mediated food allergies.

    Science.gov (United States)

    Horimukai, K; Hayashi, K; Tsumura, Y; Nomura, I; Narita, M; Ohya, Y; Saito, H; Matsumoto, K

    2015-03-01

    Probability curves predicting oral food challenge test (OFC) results based on specific IgE levels are widely used to prevent serious allergic reactions. Although several confounding factors are known to affect probability curves, the main factors that affect OFC outcomes are currently unclear. We hypothesized that an increased total IgE level would reduce allergic reactivity. Medical records of 337 and 266 patients who underwent OFCs for 3.5 g boiled hen's egg white and 3.1 ml raw cow's milk, respectively, were examined retrospectively. We subdivided the patients into three groups based on total IgE levels and age by percentile (75th percentiles), and logistic regression analyses were performed on each group. Patients with higher total IgE levels were significantly less responsive. In addition, age did not significantly affect the OFC results. Therefore, total IgE levels should be taken into account when predicting OFC results based on food-specific IgE levels. © 2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  1. Assessment of test-retest reliability and internal consistency of the Wisconsin Gait Scale in hemiparetic post-stroke patients

    Directory of Open Access Journals (Sweden)

    Guzik Agnieszka

    2016-09-01

    Full Text Available Introduction: A proper assessment of gait pattern is a significant aspect in planning the process of teaching gait in hemiparetic post-stroke patients. The Wisconsin Gait Scale (WGS is an observational tool for assessing post-stroke patients’ gait. The aim of the study was to assess test-retest reliability and internal consistency of the WGS and examine correlations between gait assessment made with the WGS and gait speed, Brunnström scale, Ashworth’s scale and the Barthel Index.

  2. Post-Service Examination of PWR Baffle Bolts, Part I. Examination and Test Plan

    Energy Technology Data Exchange (ETDEWEB)

    Leonard, Keith J. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Sokolov, Mikhail A. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Gussev, Maxim N. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States)

    2015-04-30

    In support of extended service and current operations of the US nuclear reactor plants, the Oak Ridge National Laboratory (ORNL), through the Department of Energy (DOE), Light Water Reactor Sustainability (LWRS) Program, is coordinating with Ginna Nuclear Power Plant, The Westinghouse Electric Company, LLC, and ATI Consulting, the selective procurement of baffle bolts that were withdrawn from service in 2011 and currently stored on site at Ginna. The goal of this program is to perform detailed microstructural and mechanical property characterization of baffle former bolts following in-service exposures. This report outlines the selection criteria of the bolts and the techniques to be used in this study. The bolts available are the original alloy 347 steel fasteners used in holding the baffle plates to the baffle former structures within the lower portion of the pressurized water reactor vessel. Of the eleven possible bolts made available for this work, none were identified to have specific damage. The bolts, however, did show varying levels of breakaway torque required in their removal. The bolts available for this study varied in peak fluence (highest dose within the head of the bolt) between 9.9 and 27.8x1021 n/cm2 (E>1MeV). As no evidence for crack initiation was determined for the available bolts from preliminary visual examination, two bolts with the higher fluence values were selected for further post-irradiation examination. The two bolts showed different breakaway torque levels necessary in their removal. The information from these bolts will be integral to the LWRS program initiatives in evaluating end of life microstructure and properties. Furthermore, valuable data will be obtained that can be incorporated into model predictions of long-term irradiation behavior and compared to results obtained in high flux experimental reactor conditions. The two bolts selected for the ORNL study will be shipped to Westinghouse with bolts of

  3. Chicxulub: testing for post-impact hydrothermal inputs into the Tertiary ocean

    Science.gov (United States)

    Rowe, A.; Wilkinson, J.; Morgan, J.

    2003-04-01

    Large terrestrial impacts produce intense fracturing of the crust and large melt sheets, providing ideal conditions for extensive hydrothermal circulation. In marine settings, such as Chicxulub, there is the potential for downward penetration of cold seawater, heating by the thermal anomaly at the impact site and leaching of metals, prior to buoyancy driven flow back to the surface. There, fluids may undergo venting into the water column. A large proportion of the metals in such vent fluids precipitate close to the site of discharge; however, a proportion of the fluid is dispersed as a hydrothermal plume. Dissolved and particulate materials (in particular manganese and iron oxyhydroxides) can be carried for several hundreds of kilometers, before falling out to form metal-rich sediments. A series of Tertiary core samples has been obtained from the International Continental Drilling Program at Chicxulub (CSDP). These comprise fine-grained cream coloured carbonate sediments with fine laminations. Transmitted light and cathodoluminescence petrography have been used to carry out a preliminary characterization of the samples. Multi-element analysis has also been undertaken by ICP-AES. Samples were reduced to powder and digested using a nitric-perchloric-hydrofluoric acid attack. Rare earth elements (REE) have been analysed by ICP-MS and solutions were prepared using a modified nitric-perchloric-hydrofluoric acid attack. Geochemical analyses have been carried out to test for characteristic signals of hydrothermal input, such as enrichments in Mn, Fe, Cu, Zn, Pb, Mg, Ba, Co, Cr and Ni. The REE are scavenged from seawater onto iron oxide surfaces in the plume; hence anomalous REE concentrations are also indicative of hydrothermal addition. Furthermore, the type of anomaly can differentiate between sediments proximal (+ve Eu) distal (-ve Ce) to the vent site. The stratigraphic extent of any anomalies can be used to constrain the duration of any post-impact circulation. The

  4. Seven-year cost-effectiveness of ProDisc-C total disc replacement: results from investigational device exemption and post-approval studies.

    Science.gov (United States)

    Radcliff, Kris; Lerner, Jason; Yang, Chao; Bernard, Thierry; Zigler, Jack E

    2016-05-01

    OBJECTIVE The purpose of this study was to evaluate the 7-year cost-effectiveness of cervical total disc replacement (CTDR) versus anterior cervical discectomy and fusion (ACDF) for the treatment of patients with single-level symptomatic degenerative disc disease. A change in the spending trajectory for spine care is to be achieved, in part, through the selection of interventions that have been proven effective yet cost less than other options. This analysis complements and builds upon findings from other cost-effectiveness evaluations of CTDR through the use of long-term, patient-level data from a randomized study. METHODS This was a 7-year health economic evaluation comparing CTDR versus ACDF from the US commercial payer perspective. Prospectively collected health care resource utilization and treatment effects (quality-adjusted life years [QALYs]) were obtained from individual patient-level adverse event reports and SF-36 data, respectively, from the randomized, multicenter ProDisc-C total disc replacement investigational device exemption (IDE) study and post-approval study. Statistical distributions for unit costs were derived from a commercial claims database and applied using Monte Carlo simulation. Patient-level costs and effects were modeled via multivariate probabilistic analysis. Confidence intervals for 7-year costs, effects, and net monetary benefit (NMB) were obtained using the nonparametric percentile method from results of 10,000 bootstrap simulations. The robustness of results was assessed through scenario analysis and within a parametric regression model controlling for baseline variables. RESULTS Seven-year follow-up data were available for more than 70% of the 209 randomized patients. In the base-case analysis, CTDR resulted in mean per-patient cost savings of $12,789 (95% CI $5362-$20,856) and per-patient QALY gains of 0.16 (95% CI -0.073 to 0.39) compared with ACDF over 7 years. CTDR was more effective and less costly in 90.8% of probabilistic

  5. Post test analysis of TEPSS tests -P2-, -P3-, -P5- and -P7- using the system code RELAP5/MOD 3.2

    International Nuclear Information System (INIS)

    Luebbesmeyer, D.

    2000-01-01

    For the PANDA-Test-Facility (TEPSS configuration) post-test calculations and analyses have been performed for experiment -P2- (Early Start), -P3- (PCC start up), -P5- (Symmetric case, Two PCCs only) and -P7- (Severe Accident). Post test calculations have been performed with the system code RELAP5/Mod 3.2 using two different nodalization of the PANDA facility namely a basis nodalization and a much reduced one. The general trend of the calculations can be summarised: RELAP5/Mod3.2 calculated the general trends of the experiments sufficiently accurate; Using the reduced nodalization the results seem to be slightly more accurate than for the basic nodalization; On the other hand, calculations based on the reduced nodalization are not significantly faster than those with basic nodalization; The mass error is in the order of 200 to 900 kg. (author)

  6. Theoretical frameworks for testing relativistic gravity. V - Post-Newtonian limit of Rosen's theory

    Science.gov (United States)

    Lee, D. L.; Ni, W.-T.; Caves, C. M.; Will, C. M.

    1976-01-01

    The post-Newtonian limit of Rosen's theory of gravity is evaluated and is shown to be identical to that of general relativity, except for the post-Newtonian parameter alpha sub 2 (which is related to the difference in propagation speeds for gravitational and electromagnetic waves). Both the value of alpha sub 2 and the value of the Newtonian gravitational constant depend on the present cosmological structure of the Universe. If the cosmological structure has a specific (but presumably special) form, the Newtonian gravitational constant assumes its current value, alpha sub 2 is zero, the post-Newtonian limit of Rosen's theory is identical to that of general relativity - and standard solar system experiments cannot distinguish between the two theories.

  7. The Total Work Measured During a High Intensity Isokinetic Fatigue Test Is Associated With Anaerobic Work Capacity

    Directory of Open Access Journals (Sweden)

    Laurent Bosquet, Kenan Gouadec, Nicolas Berryman, Cyril Duclos, Vincent Gremeaux, Jean Louis Croisier

    2016-03-01

    Full Text Available The purpose of the study was to determine whether total work measured during a high intensity isokinetic fatigue test (TWFAT could be considered as a valid measure of anaerobic work capacity (AWC, such as determined by total work measured during a Wingate Anaerobic Test (TWWAnT. Twenty well-trained cyclists performed 2 randomly ordered sessions involving a high intensity isokinetic fatigue test consisting in 30 reciprocal maximal concentric contractions of knee flexors and extensors at 180°·s-1, and a Wingate Anaerobic Test. We found that TWFAT of knee extensors was largely lower than TWWAnT (4151 ± 691 vs 22313 ± 2901 J, respectively, p < 0.05, Hedge’s g = 4.27. Both measures were highly associated (r = 0.83, and the 95% limits of agreement (LoA represented 24.5% of TWWAnT. TWFAT of knee flexors (2151 ± 540 J was largely lower than TWWAnT (p < 0.05, g = 9.52. By contrast, both measures were not associated (r = 0.09, and the 95% LoA represented 31.1% of TWWAnT. Combining TWFAT of knee flexors and knee extensors into a single measure (6302 ± 818 J did not changed neither improved these observations. We still found a large difference with TWWAnT (p < 0.05, g = 5.26, a moderate association (r = 0.65 and 95% LoA representing 25.5% of TWWAnT. We concluded that TWFAT of knee extensors could be considered as a valid measure of AWC, since both measure were highly associated. However, the mean difference between both measures and their 95% LoA were too large to warrant interchangeability.

  8. Reference equation for prediction of a total distance during six-minute walk test using Indonesian anthropometrics.

    Science.gov (United States)

    Nusdwinuringtyas, Nury; Widjajalaksmi; Yunus, Faisal; Alwi, Idrus

    2014-04-01

    to develop a reference equation for prediction of the total distance walk using Indonesian anthropometrics of sedentary healthy subjects. Subsequently, the prediction obtained was compared to those calculated by the Caucasian-based Enright prediction equation. the cross-sectional study was conducted among 123 healthy Indonesian adults with sedentary life style (58 male and 65 female subjects in an age range between 18 and 50 years). Heart rate was recorded using Polar with expectation in the sub-maximal zone (120-170 beats per minute). The subjects performed two six-minute walk tests, the first one on a 15-meter track according to the protocol developed by the investigator. The second walk was carried out on Biodex®gait trainer as gold standard. an average total distance of 547±54.24 m was found, not significantly different from the gold standard of 544.72±54.11 m (p>0.05). Multiple regression analysis was performed to develop the new equation. the reference equation for prediction of the total distance using Indonesian anthropometrics is more applicable in Indonesia.

  9. [Silent myocardial ischemia and exercise-induced arrhythmia detected by the exercise test in the total health promotion plan (THP)].

    Science.gov (United States)

    Iwane, M; Shibe, Y; Itoh, K; Kinoshita, F; Kanagawa, Y; Kobayashi, M; Mugitani, K; Ohta, M; Ohata, H; Yoshikawa, A; Ikuta, Z; Nakamura, Y; Mohara, O

    2001-03-01

    We investigated the prevalence and characteristics of ischemic heart disease especially silent myocardial ischemia (SMI) and arrhythmia in need of careful observation in the exercise stress tests in the Total Health Promotion Plan (THP), which was conducted between 1994-96 for the purpose of measuring cardiopulmonary function. All workers (n = 4,918, 4,426 males) aged 18-60 yr old in an occupational field were studied. Exercise tests with an ergometer were performed by the LOPS protocol, in which the maximal workload was set up as a presumed 70-80% maximal oxygen intake, or STEP (original multistage protocol). ECG changes were evaluated with a CC5 lead. Two hundred and fifteen people refused the study because of a common cold, lumbago and so on. Of 4,703 subjects, 17 with abnormal rest ECG and 19 with probable anginal pain were excluded from the exercise tests. Of 4,667 who underwent the exercise test, 37 (0.79%) had ischemic ECG change, and 155 (3.32%) had striking arrhythmia. These 228 subjects then did a treadmill exercise test with Bruce protocol. Twenty-two (0.47% of 4,703) showed positive ECG change, 9 (0.19%) of 22 had abnormal findings on a 201Tl scan. 8 (0.17%) were diagnosed as SMI (Cohn I), in which the prevalence of hypertension, hyperlipidemia, diabetes mellitus, smoker and positive familial history of ischemic heart disease was greater than that of all subjects. In a 15-30 month follow up, none has developed cardiac accidents. Exercise-induced arrhythmia was detected in 11 (0.23%) subjects. Four were non-sustained ventricular tachycardia without any organic disease, 4 were ventricular arrhythmia based on cardiomyopathy detected by echocardiography, 2 were atrial fibrillation and another was WPW syndrome. It is therefore likely that the ergometer exercise test in THP was effective in preventing sudden death caused by ischemic heart disease or striking arrhythmia.

  10. Total protein concentration and diagnostic test results for gray wolf (Canis lupus) serum using Nobuto filter paper strips

    Science.gov (United States)

    Jara, Rocio F.; Sepúlveda, Carolina; Ip, Hon S.; Samuel, Michael D.

    2015-01-01

    Nobuto filter paper strips are widely used for storing blood-serum samples, but the recovery of proteins from these strips following rehydration is unknown. Poor recovery of proteins could reduce the concentration of antibodies and antigens and reduce the sensitivity of diagnostic assays. We compared the protein concentration, and its association with test sensitivity, of eluted Nobuto strip samples with paired sera. We collected and froze serum from five gray wolves (Canis lupus) for 8 mo. When thawed, we used a spectrophotometer (absorbance 280 nm) to determine the serum protein concentration for paired sera and Nobuto eluates for each animal in 2-fold serial dilutions. Total protein concentration was similar for both sample storage methods (Nobuto eluates and control sera), except for the undiluted samples in which Nobuto eluates had higher total protein concentrations. Both sample storage methods appear to produce similar results using the SNAP® 4Dx® Test to detect antibodies against pathogens causing Lyme disease, anaplasmosis, and ehrlichiosis as well as antigen for canine heartworm disease.

  11. Tests of Ex Ante Versus Ex Post Theories of Collateral Using Private and Public Information

    NARCIS (Netherlands)

    Berger, A.N.; Frame, W.S.; Ioannidou, V.

    2010-01-01

    Collateral is a widely used, but not well understood, debt contracting feature. Two broad strands of theoretical literature explain collateral as arising from the existence of either ex ante private information or ex post incentive problems between borrowers and lenders. However, the extant

  12. Tests of ex ante ex post theories of collateral using private and public information

    NARCIS (Netherlands)

    Berger, A.N.; Frame, W.S.; Ioannidou, V.

    2011-01-01

    Collateral is a widely used, but not well understood, debt contracting feature. Two broad strands of theoretical literature explain collateral as arising from the existence of either ex ante private information or ex post incentive problems between borrowers and lenders. However, the extant

  13. Testing the Efficacy of a Scholarship Program for Single Parent, Post-Freshmen, Full Time Undergraduates

    Science.gov (United States)

    Carpenter, Dick M., II; Kaka, Sarah J.; Tygret, Jennifer A.; Cathcart, Katy

    2018-01-01

    This study examines the efficacy of a scholarship program designed to assist single parent, post-freshmen, full time undergraduate students and predictors of success among a sample of said students, where success is defined as progress toward completion, academic achievement, and degree completion. Results of fixed effects regression and…

  14. A protocol for patients with cardiovascular implantable devices undergoing magnetic resonance imaging (MRI): should defibrillation threshold testing be performed post-(MRI).

    Science.gov (United States)

    Burke, Peter Thomas; Ghanbari, Hamid; Alexander, Patrick B; Shaw, Michael K; Daccarett, Marcos; Machado, Christian

    2010-06-01

    Magnetic resonance imaging (MRI) in patients with Cardiovascular Implantable Electronic Devices (CIED) has not been approved by the Food and Drug Administration. Recent data suggests MRI as a relative rather than absolute contraindication in CIED patients. Recently, the American Heart Association has recommended defibrillation threshold testing (DFTT) in implantable cardioverter defibrillator (ICD) patients undergoing MRI. We evaluated the feasibility and safety of a protocol for MRI in CIED patients, incorporating the new recommendations on DFTT. Consecutive patients with CIED undergoing MRI were included. The protocol consisted of continuous monitoring during imaging, device interrogation pre- and post-MRI, reprogramming of the pacemaker to an asynchronous mode in pacemaker-dependent (PMD) patients and a non-tracking/sensing mode for non-PMD patients. All tachyarrhythmia therapies were disabled. Devices were interrogated for lead impedance, battery life, pacing, and sensing thresholds. All patients with ICD underwent DFTT/defibrillator safety margin testing (DSMT) post-MRI. A total of 92 MRI's at 1.5 Tesla were performed in 38 patients. A total of 13 PMD patients, ten ICD patients, four cardiac resynchronization therapy with defibrillator (CRT-D) patients, and 11 non-PMD patients were scanned from four major manufacturers. No device circuitry damage, programming alterations, inappropriate shocks, failure to pace, or changes in sensing, pacing, or defibrillator thresholds were found on single or multiple MRI sessions. Our protocol for MRI in CIED patients appears safe, feasible, and reproducible. This is irrespective of the type of CIED, pacemaker dependancy or multiple 24-h scanning sessions. Our protocol addresses early detection of potential complications and establishes a response system for potential device-related complications. Our observation suggests that routine DFTT/DSMT post-MRI may not be necessary.

  15. Flippin' Fluid Mechanics - Quasi-experimental Pre-test and Post-test Comparison Using Two Groups

    Science.gov (United States)

    Webster, D. R.; Majerich, D. M.; Luo, J.

    2014-11-01

    A flipped classroom approach has been implemented in an undergraduate fluid mechanics course. Students watch short on-line videos before class, participate in active in-class problem solving (in dyads), and complete individualized on-line quizzes weekly. In-class activities are designed to achieve a trifecta of: 1. developing problem solving skills, 2. learning subject content, and 3. developing inquiry skills. The instructor and assistants provide critical ``just-in-time tutoring'' during the in-class problem solving sessions. Comparisons are made with a simultaneous section offered in a traditional mode by a different instructor. Regression analysis was used to control for differences among students and to quantify the effect of the flipped fluid mechanics course. The dependent variable was the students' combined final examination and post-concept inventory scores and the independent variables were pre-concept inventory score, gender, major, course section, and (incoming) GPA. The R-square equaled 0.45 indicating that the included variables explain 45% of the variation in the dependent variable. The regression results indicated that if the student took the flipped fluid mechanics course, the dependent variable (i.e., combined final exam and post-concept inventory scores) was raised by 7.25 points. Interestingly, the comparison group reported significantly more often that their course emphasized memorization than did the flipped classroom group.

  16. Analysis of Serum Total and Free PSA Using Immunoaffinity Depletion Coupled to SRM: Correlation with Clinical Immunoassay Tests

    Energy Technology Data Exchange (ETDEWEB)

    Liu, Tao; Hossain, Mahmud; Schepmoes, Athena A.; Fillmore, Thomas L.; Sokoll, Lori J.; Kronewitter, Scott R.; Izmirlian, Grant; Shi, Tujin; Qian, Weijun; Leach, Robin; Thompson, Ian M.; Chan, Daniel W.; Smith, Richard D.; Kagan, Jacob; Srinivastava, Sudhir; Rodland, Karin D.; Camp, David G.

    2012-08-03

    Sandwich immunoassay is the standard technique used in clinical labs for quantifying protein biomarkers for disease detection, monitoring and therapeutic intervention. Albeit highly sensitive, the development of a specific immunoassay is rather time-consuming and associated with extremely high cost due to the requirement for paired immunoaffinity reagents of high specificity. Recently, mass spectrometry-based methods, specifically selected reaction monitoring mass spectrometry (SRM-MS), have been increasingly applied to measure low abundance biomarker candidates in tissue and biofluids, owing to high sensitivity and specificity, simplicity of assay configuration, and great multiplexing capability. In this study, we report for the first time the development of immunoaffinity depletion-based workflows and SRM-MS assays that enable sensitive and accurate quantification of total and free prostate-specific antigen (PSA) in serum without the requirement for specific PSA antibodies. With stable isotope dilution and external calibration, low ng/mL level detection of both total and free PSA was consistently achieved in both PSA-spiked female serum samples and actual patient serum samples. Moreover, comparison of the results obtained when SRM PSA assays and conventional immunoassays were applied to the same samples showed very good correlation (R2 values ranging from 0.90 to 0.99) in several independent clinical serum sample sets, including a set of 33 samples assayed in a blinded test. These results demonstrate that the workflows and SRM assays developed here provide an attractive alternative for reliably measuring total and free PSA in human blood. Furthermore, simultaneous measurement of free and total PSA and many other biomarkers can be performed in a single analysis using high-resolution liquid chromatographic separation coupled with SRM-MS.

  17. Calculation study of nonequilibrium post-CHF heat transfer in rod bundle test using modified RELAP5/MOD2

    International Nuclear Information System (INIS)

    Hassan, Y.A.

    1987-01-01

    To date there is only very limited data for non-equilibrium convective film boiling in rod bundle geometries. A recent nine (3 x 3) rod bundle post-critical-flux (CHF) test from the Lehigh University test facility was simulated using RELAP5/MOD2, to assess its capabilities in predicting the overall convective mechanisms in post-CHF heat transfer in rod bundle geometries. The code calculations were compared with experimental data. The code predicted low vapor superheats and void fraction oscillations. A new interfacial heat transfer between the droplet/steam resulted in a reasonable prediction of vapor superheats. A revised dispersed flow film boiling correlation which accounts for the enhancement of steam convective cooling by droplet-induced turbulence was incorporated in the code. Comparison with the data showed a fair agreement

  18. From starburst to quiescence: testing active galactic nucleus feedback in rapidly quenching post-starburst galaxies

    Energy Technology Data Exchange (ETDEWEB)

    Yesuf, Hassen M.; Faber, S. M.; Trump, Jonathan R.; Koo, David C.; Fang, Jerome J.; Liu, F. S. [Department of Astronomy and Astrophysics, University of California, Santa Cruz, CA 95064 (United States); Wild, Vivienne [School of Physics and Astronomy, University of St Andrews, North Haugh, St Andrews, KY16 9SS (United Kingdom); Hayward, Christopher C. [Heidelberger Institut für Theoretische Studien, Schloss-Wolfsbrunnenweg 35, D-69118 Heidelberg (Germany)

    2014-09-10

    Post-starbursts are galaxies in transition from the blue cloud to the red sequence. Although they are rare today, integrated over time they may be an important pathway to the red sequence. This work uses Sloan Digital Sky Survey, the Galaxy Evolution Explorer, and Wide-field Infrared Survey Explorer observations to identify the evolutionary sequence from starbursts to fully quenched post-starbursts (QPSBs) in the narrow mass range log M(M {sub ☉}) = 10.3-10.7, and identifies 'transiting' post-starbursts (TPSBs) which are intermediate between these two populations. In this mass range, ∼0.3% of galaxies are starbursts, ∼0.1% are QPSBs, and ∼0.5% are the transiting types in between. The TPSBs have stellar properties that are predicted for fast-quenching starbursts and morphological characteristics that are already typical of early-type galaxies. The active galactic nucleus (AGN) fraction, as estimated from optical line ratios, of these post-starbursts is about three times higher (≳ 36% ± 8%) than that of normal star forming galaxies of the same mass, but there is a significant delay between the starburst phase and the peak of nuclear optical AGN activity (median age difference of ≳ 200 ± 100 Myr), in agreement with previous studies. The time delay is inferred by comparing the broadband near-NUV-to-optical photometry with stellar population synthesis models. We also find that starbursts and post-starbursts are significantly more dust obscured than normal star forming galaxies in the same mass range. About 20% of the starbursts and 15% of the TPSBs can be classified as 'dust-obscured galaxies' (DOGs), with a near-UV-to-mid-IR flux ratio of ≳ 900, while only 0.8% of normal galaxies are DOGs. The time delay between the starburst phase and AGN activity suggests that AGNs do not play a primary role in the original quenching of starbursts but may be responsible for quenching later low-level star formation by removing gas and dust during

  19. Post-irradiation analysis of low enriched U-Mo/Al dispersions fuel miniplate tests, RERTR 4 and 5

    International Nuclear Information System (INIS)

    Hofman, G.L.; Finlay, M.R.; Kim, Y.S.

    2005-01-01

    Interpretation of the post irradiation data of U-Mo/Al dispersion fuel mini plates irradiated in the Advanced Test Reactor to a maximum U-235 burn up of 80% are presented. The analyses addresses fuel swelling and porosity formation as these fuel performance issues relate to fuel fabrication and irradiation parameters. Specifically, mechanisms involved in the formation of porosity observed in the U-Mo/Al interaction phase are discussed and, means of mitigating or eliminating this irradiation phenomenon are offered. (author)

  20. An investigation into a contactless photoplethysmographic mobile application to record heart rate post-exercise: Implications for field testing

    Directory of Open Access Journals (Sweden)

    Peart Daniel J.

    2015-08-01

    Full Text Available Study aim: the aim of this study was to compare the accuracy of a contactless photoplethysmographic mobile application (CPA to record post-exercise heart rate and estimate maximal aerobic capacity after the Queen’s College Step Test. It was hypothesised that the CPA may present a cost effective heart rate measurement tool for educators and practitioners with limited access to specialised laboratory equipment.

  1. [The abuse of radiological diagnostic tests as a metaphor of the post-modern, new-media and consumerism society].

    Science.gov (United States)

    Dimonte, Mariano

    2008-03-01

    Aim of this paper is to offer some cue of reflection about some sociological aspects on the emergent phenomenon of the abuse of Imaging tests, interpreting this issue in the light of general dynamics crossing the actual post-modern society, so well characterized from the consumerism and the dominion of information and communication technologies, as vectors of messages mainly transmitted in a graphic format.

  2. Post-Closure Strategy for Use-Restricted Sites on the Nevada National Security Site, Nevada Test and Training Range, and Tonopah Test Range, Nevada

    International Nuclear Information System (INIS)

    Silvas, A. J.

    2014-01-01

    The purpose of this Post-Closure Strategy is to provide a consistent methodology for continual evaluation of post-closure requirements for use-restricted areas on the Nevada National Security Site (NNSS), Nevada Test and Training Range (NTTR), and Tonopah Test Range (TTR) to consolidate, modify, or streamline the program. In addition, this document stipulates the creation of a single consolidated Post-Closure Plan that will detail the current post-closure requirements for all active use restrictions (URs) and outlines its implementation and subsequent revision. This strategy will ensure effective management and control of the post-closure sites. There are currently over 200 URs located on the NNSS, NTTR, and TTR. Post-closure requirements were initially established in the Closure Report for each site. In some cases, changes to the post-closure requirements have been implemented through addenda, errata sheets, records of technical change, or letters. Post-closure requirements have been collected from these multiple sources and consolidated into several formats, such as summaries and databases. This structure increases the possibility of inconsistencies and uncertainty. As more URs are established and the post-closure program is expanded, the need for a comprehensive approach for managing the program will increase. Not only should the current requirements be obtainable from a single source that supersedes all previous requirements, but the strategy for modifying the requirements should be standardized. This will enable more effective management of the program into the future. This strategy document and the subsequent comprehensive plan are to be implemented under the assumption that the NNSS and outlying sites will be under the purview of the U.S. Department of Energy, National Nuclear Security Administration for the foreseeable future. This strategy was also developed assuming that regulatory control of the sites remains static. The comprehensive plan is not

  3. Post irradiation examination of HANARO nucler mini-element fuel (metallographic and density test)

    International Nuclear Information System (INIS)

    Yoo, Byung Ok; Hong, K. P.; Park, D. G.; Choo, Y. S.; Baik, S. J.; Kim, K. H.; Kim, H. C.; Jung, Y. H.

    2001-05-01

    The post irradiation examination of a HANARO mini-element nuclear fuel, KH96C-004, was done in June 6, 2000. The purpose of this project is to evaluate the in-core performance and reliability of mini-element nuclear fuel for HANARO developed by the project T he Nuclear Fuel Material Development of Research Reactor . And, in order to examine the performance of mini-element nuclear fuel in normal output condition, the post irradiation examination of a nuclear fuel bundle composed by 6 mini nuclear fuel rods and 12 dummy fuel rods was performed. Based on these examination results, the safety and reliability of HANARO fuel and the basic data on the design of HANARO nuclear fuel can be ensured and obtained,

  4. First year post-construction monitoring of birds at Wind Turbine Test Centre Østerild

    DEFF Research Database (Denmark)

    Therkildsen, Ole Roland; Balsby, Thorsten Johannes Skovbjerg; Groom, Geoffrey Brian

    2015-01-01

    The Department of Bioscience, Aarhus University was commissioned by the DanishNature Agency to undertake a bird monitoring programme of a national testcentre for wind turbines near Østerild in Thy, Denmark. Here we present the results from the first year of the post-construction studies. Whooper...... swan, taiga bean goose, pink-footed goose, common crane, light-bellied brent goose, white-tailed eagle and nightjar were included as focal species in the ornithological investigations. In addition, species specific data on all bird species occurring regularly in the study area were collected....... On the basis of an intermediate assessment of collision risk, the potential impacts of the combined structures on the bird species occurring in the study area were considered unlikely to be significant. However, given the uncertainties in the assessment,  the post-construction programme will continue...

  5. Theoretical frameworks for testing relativistic gravity. 5: Post-Newtonian limit of Rosen's theory

    Science.gov (United States)

    Lee, D. L.; Caves, C. M.

    1974-01-01

    The post-Newtonian limit of Rosen's theory of gravity is evaluated and is shown to be identical to that of general relativity, except for the PPN parameter alpha sub 2, which is related to the difference in propagation speeds for gravitational and electromagnetic waves. Both the value of alpha sub 2 and the value of the Newtonian gravitational constant depend on the present cosmological structure of the Universe. If the cosmological structure has a specific but presumably special form, the Newtonian gravitational constant assumes its current value, alpha sub 2 is zero, the post-Newtonian limit of Rosen's theory is identical to that of general relativity--and standard solar system experiments cannot distinguish between the two theories.

  6. Weed control in young coffee plantations through post emergence herbicide application onto total area Controle de plantas daninhas em cafezais recém-implantados, com herbicidas aplicados em pós-emergência em área total

    Directory of Open Access Journals (Sweden)

    C.P. Ronchi

    2004-12-01

    Full Text Available This study was carried out to investigate the efficiency of several herbicides under field conditions, by post-emergence application onto the entire area, their effect on the control of weeds in young coffee plantations and commercial coffee and bean intercropping system, as well as on both crops. Seedlings of Coffea arabica cv. Red Catuaí with four to six leaf pairs were transplanted to the field and treated according to conventional agronomic practices. A bean and coffee intercropping system was established by sowing three lines of beans in the coffee inter-rows. At the time the herbicides were sprayed, the coffee plants had six to ten leaf pairs; the bean plants, three leaflets; and the weeds were at an early development stage. Fluazifop-p-butyl and clethodim were selective for coffee plants and controlled only Brachiaria plantaginea and Digitaria horizontalis efficiently. Broad-leaved weeds (Amaranthus retroflexus, Bidens pilosa, Coronopus didymus, Emilia sonchifolia, Galinsoga parviflora, Ipomoea grandifolia, Lepidium virginicum, and Raphanus raphanistrum were controlled with high efficiency by sole applications of fomesafen, flazasulfuron, and oxyfluorfen, except B. pilosa, C. didymus, and R. raphanistrum for oxyfluorfen. Sequential applications in seven-day intervals of fomesafen + fluazifop-p-butyl, or clethodim, and two commercial mixtures of fomesafen + fluazifop-p-butyl simultaneously controlled both types of weed. Cyperus rotundus was only controlled by flazasulfuron. Except for fluazifop-p-butyl and clethodim, all herbicide treatments caused only slight injuries on younger coffee leaves. However, further plant growth was not impaired and coffee plant height and stem diameter were therefore similar in the treatments, as evaluated four months later. Fomesafen, fluazifop-p-butyl, and clethodim, at sole or sequential application, and the commercial mixtures of fomesafen + fluazifop-p-butyl were also highly selective for bean crop; thus

  7. Comparison of turnaround time and total cost of HIV testing before and after implementation of the 2014 CDC/APHL Laboratory Testing Algorithm for diagnosis of HIV infection.

    Science.gov (United States)

    Chen, Derrick J; Yao, Joseph D

    2017-06-01

    Updated recommendations for HIV diagnostic laboratory testing published by the Centers for Disease Control and Prevention and the Association of Public Health Laboratories incorporate 4th generation HIV immunoassays, which are capable of identifying HIV infection prior to seroconversion. The purpose of this study was to compare turnaround time and cost between 3rd and 4th generation HIV immunoassay-based testing algorithms for initially reactive results. The clinical microbiology laboratory database at Mayo Clinic, Rochester, MN was queried for 3rd generation (from November 2012 to May 2014) and 4th generation (from May 2014 to November 2015) HIV immunoassay results. All results from downstream supplemental testing were recorded. Turnaround time (defined as the time of initial sample receipt in the laboratory to the time the final supplemental test in the algorithm was resulted) and cost (based on 2016 Medicare reimbursement rates) were assessed. A total of 76,454 and 78,998 initial tests were performed during the study period using the 3rd generation and 4th generation HIV immunoassays, respectively. There were 516 (0.7%) and 581 (0.7%) total initially reactive results, respectively. Of these, 304 (58.9%) and 457 (78.7%) were positive by supplemental testing. There were 10 (0.01%) cases of acute HIV infection identified with the 4th generation algorithm. The most frequent tests performed to confirm an HIV-positive case using the 3rd generation algorithm, which were reactive initial immunoassay and positive HIV-1 Western blot, took a median time of 1.1 days to complete at a cost of $45.00. In contrast, the most frequent tests performed to confirm an HIV-positive case using the 4th generation algorithm, which included a reactive initial immunoassay and positive HIV-1/-2 antibody differentiation immunoassay for HIV-1, took a median time of 0.4 days and cost $63.25. Overall median turnaround time was 2.2 and 1.5 days, and overall median cost was $63.90 and $72.50 for

  8. Distance learning training in genetics and genomics testing for Italian health professionals: results of a pre and post-test evaluation

    Directory of Open Access Journals (Sweden)

    Maria Benedetta Michelazzo

    2015-09-01

    Full Text Available BackgroundProgressive advances in technologies for DNA sequencing and decreasing costs are allowing an easier diffusion of genetic and genomic tests. Physicians’ knowledge and confidence on the topic is often low and not suitable for manage this challenge. Tailored educational programs are required to reach a more and more appropriate use of genetic technologies.MethodsA distance learning course has been created by experts from different Italian medical associations with the support of the Italian Ministry of Health. The course was directed to professional figures involved in prescription and interpretation of genetic tests. A pretest-post-test study design was used to assess knowledge improvement. We analyzed the proportion of correct answers for each question pre and post-test, as well as the mean score difference stratified by gender, age, professional status and medical specialty.ResultsWe reported an improvement in the proportion of correct answers for 12 over 15 questions of the test. The overall mean score to the questions significantly increased in the post-test, from 9.44 to 12.49 (p-value < 0.0001. In the stratified analysis we reported an improvement in the knowledge of all the groups except for geneticists; the pre-course mean score of this group was already very high and did not improve significantly.ConclusionDistance learning is effective in improving the level of genetic knowledge. In the future, it will be useful to analyze which specialists have more advantage from genetic education, in order to plan more tailored education for medical professionals.

  9. Cardiopulmonary exercise testing responses to different external portable drivers in a patient with a CardioWest Total Artificial Heart.

    Science.gov (United States)

    Tarzia, Vincenzo; Braccioni, Fausto; Bortolussi, Giacomo; Buratto, Edward; Gallo, Michele; Bottio, Tomaso; Vianello, Andrea; Gerosa, Gino

    2016-06-01

    Management of patients treated with CardioWest Total Artificial Heart (CW-TAH) as a bridge to heart transplantation (HTx) is complicated by difficulties in determining the optimal timing of transplantation. We present a case of a 53-year-old man supported as an outpatient with a CW-TAH, whose condition deteriorated following exchange of the portable driver. The patient was followed-up with serial cardiopulmonary exercise testing (CPET) which demonstrated a fall of peak VO2 to below 12 ml/kg/min following driver substitution, and the patient was subsequently treated with urgent orthotopic HTx. This case highlights the potential utility of CPET as a means for monitoring and indicating timing of HTx in patients with CW-TAH, as well as the potential for clinical deterioration following portable driver substitution.

  10. Post-test analysis of 20kW molten carbonate fuel cell stack operated on coal gas. Final report, August 1993--February 1996

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-05-01

    A 20kW carbonate fuel cell stack was operated with coal gas for the first time in the world. The stack was tested for a total of 4,000 hours, of which 3,900 hours of testing was conducted at the Louisiana Gasification Technology Incorporated, Plaquemine, Louisiana outdoor site. The operation was on either natural gas or coal gas and switched several times without any effects, demonstrating duel fuel capabilities. This test was conducted with 9142 kJ/m{sup 3} (245 Btu/cft) coal gas provided by a slipstream from Destec`s entrained flow, slagging, slurry-fed gasifier equipped with a cold gas cleanup subsystem. The stack generated up to 21 kW with this coal gas. Following completion of this test, the stack was brought to Energy Research Corporation (ERC) and a detailed post-test analysis was conducted to identify any effects of coal gas on cell components. This investigation has shown that the direct fuel cell (DFC) can be operated with properly cleaned and humidified coal-as, providing stable performance. The basic C direct fuel cell component materials are stable and display normal stability in presence of the coal gas. No effects of the coal-borne contaminants are apparent. Further cell testing at ERC 1 17, confirmed these findings.

  11. Testing and analysis on total protein, albumin and A/G of salivary in radiation exposure persons

    International Nuclear Information System (INIS)

    Wang Jun; Zhang Yan; Li Guangwen; Li Gang; Guo Jing; Li Hui; Wang Yuxin; Li Cuixia

    2012-01-01

    Objective: To study the oral health effect of long term low dose radiation on exposure personnel and to provide a basis for further improving the protection ability. Methods: Testing method, which was based on APT and HSA interactions induced by synchronous fluorescence specific changes, and intensity and concentrations of HSA in the solution in the system of synchronous fluorescence showed a good linear relations. the establishment of a APT as a molecular probe was used to test concentration of salivary total protein (TP), albumin (ALB), globulin (GLO) and albumin by synchronous fluorescence spectrum analysis. The information was analyzed in Foxpro 6.0 and SPSS 16.0 software. Result: Protein (TP) Mean Value was 3.904 ±1.369 g/L, Minimum Value was 0.30 g/L and Maximum Value was 7.50 g/L. Albumin (ALB) Mean Value was 0.965±0.665 g/L, Minimum Value was 0.09 g/L and Maximum Value was 3.98 g/L. Globulin (GLO) Mean Value was 2.895±0.947 g/L, Minimum Value was 0.01 g/L and Maximum Value was 5.81 g/L. A/G Mean Value was 0.327. Conclusion: Long term and low dose of radiation would break the chronic physiological balance and concentration of salivary total protein (TP), albumin (ALB), globulin (GLO) and albumin and globulin ratio (A/G) changed obviously. It was necessary to do more special oral health care, further improve the individual protection consciousness, strengthen the radiation monitoring and protection measures, improve the regulation system, and reduce radiation damage on special personnel health significantly. (authors)

  12. Does Socioeconomic Status Explain the Relationship between Admissions Tests and Post-Secondary Academic Performance?

    Science.gov (United States)

    Sackett, Paul R.; Kuncel, Nathan R.; Arneson, Justin J.; Cooper, Sara R.; Waters, Shonna D.

    2009-01-01

    Critics of educational admissions tests assert that tests measure nothing more than socioeconomic status (SES) and that their apparent validity in predicting academic performance is an artifact of SES. The authors examined multiple large data sets containing data on admissions and related tests, SES, and grades showing that (a) SES is related to…

  13. 77 FR 8865 - Recent Postings of Broadly Applicable Alternative Test Methods

    Science.gov (United States)

    2012-02-15

    ... Applicable Alternative Test Methods AGENCY: Environmental Protection Agency (EPA). ACTION: Notice of availability. SUMMARY: This notice announces the broadly applicable alternative test method approval decisions... INFORMATION CONTACT: An electronic copy of each alternative test method approval document is available on the...

  14. Pre- and Post-Transfusion Alloimmunization in Dogs Characterized by 2 Antiglobulin-Enhanced Cross-match Tests.

    Science.gov (United States)

    Goy-Thollot, I; Giger, U; Boisvineau, C; Perrin, R; Guidetti, M; Chaprier, B; Barthélemy, A; Pouzot-Nevoret, C; Canard, B

    2017-09-01

    When dogs are transfused, blood compatibility testing varies widely but may include dog erythrocyte antigen (DEA) 1 typing and rarely cross-matching. Prospective study to examine naturally occurring alloantibodies against red blood cells (RBCs) and alloimmunization by transfusion using 2 antiglobulin-enhanced cross-match tests. Eighty client-owned anemic, 72 donor, and 7 control dogs. All dogs were typed for DEA 1 and some also for DEA 4 and DEA 7. Major cross-match tests with canine antiglobulin-enhanced immunochromatographic strip and gel columns were performed 26-129 days post-transfusion (median, 39 days); some dogs had an additional early evaluation 11-22 days post-transfusion (median, 16 days). Plasma from alloimmunized recipients was cross-matched against RBCs from 34 donor and control dogs. The 2 cross-match methods gave entirely concordant results. All 126 pretransfusion cross-match results for the 80 anemic recipients were compatible, but 54 dogs died or were lost to follow up. Among the 26 recipients with follow-up, 1 dog accidently received DEA 1-mismatched blood and became cross-match-incompatible post-transfusion. Eleven of the 25 DEA 1-matched recipients (44%) became incompatible against other RBC antigens. No naturally occurring anti-DEA 7 alloantibodies were detected in DEA 7- dogs. The antiglobulin-enhanced immunochromatographic strip cross-match and laboratory gel column techniques identified no naturally occurring alloantibodies against RBC antigens, but a high degree of post-transfusion alloimmunization in dogs. Cross-matching is warranted in any dog that has been previously transfused independent of initial DEA 1 typing and cross-matching results before the first transfusion event. Copyright © 2017 The Authors. Journal of Veterinary Internal Medicine published by Wiley Periodicals, Inc. on behalf of the American College of Veterinary Internal Medicine.

  15. Repeat confirmatory testing for persons with discordant whole blood and oral fluid rapid HIV test results: findings from post marketing surveillance.

    Science.gov (United States)

    Wesolowski, Laura G; Mackellar, Duncan A; Ethridge, Steven F; Zhu, Julia H; Owen, S Michele; Sullivan, Patrick S

    2008-02-06

    Reactive oral fluid and whole blood rapid HIV tests must be followed with a confirmatory test (Western blot (WB), immunofluorescent assay (IFA) or approved nucleic acid amplification test (NAAT)). When the confirmatory result is negative or indeterminate (i.e. discordant with rapid result), repeat confirmatory testing should be conducted using a follow-up specimen. Previous reports have not described whether repeat testing adequately resolves the HIV-infection status of persons with discordant results. Post-marketing surveillance was conducted in 368 testing sites affiliated with 14 state and 2 city health departments from August 11, 2004 to June 30, 2005 and one health department through December 31, 2005. For persons with discordant results, data were collected on demographics, risk behaviors, HIV test results and specimen types. Persons with repeat confirmatory results were classified as HIV-infected or uninfected. Regression models were created to assess risk factors for not having repeat testing. Of 167,371 rapid tests conducted, 2589 (1.6%) were reactive: of these, 2417 (93%) had positive WB/IFA, 172 (7%) had negative or indeterminate WB/IFA. Of 89/172 (52%) persons with a repeat confirmatory test: 17 (19%) were HIV-infected, including 3 with indeterminate WB and positive NAAT; 72 (81%) were uninfected, including 12 with repeat indeterminate WB. Factors associated with HIV-infection included having an initial indeterminate WB/IFA (vs. negative) (ptest [adjusted OR 2.6, 95% CI (1.3, 4.9)]. Though only half of persons with discordant results had repeat confirmatory testing, of those who did, nearly one in five were HIV-infected. These findings underscore the need for rapid HIV testing programs to increase repeat confirmatory testing for persons with discordant results. Because of the lower sensitivity of oral fluid WBs, confirmatory testing following a reactive rapid test should be conducted using serum or plasma, when possible.

  16. Gravitational wave tests of general relativity with the parameterized post-Einsteinian framework

    International Nuclear Information System (INIS)

    Cornish, Neil; Sampson, Laura; Yunes, Nicolas; Pretorius, Frans

    2011-01-01

    Gravitational wave astronomy has tremendous potential for studying extreme astrophysical phenomena and exploring fundamental physics. The waves produced by binary black hole mergers will provide a pristine environment in which to study strong-field dynamical gravity. Extracting detailed information about these systems requires accurate theoretical models of the gravitational wave signals. If gravity is not described by general relativity, analyses that are based on waveforms derived from Einstein's field equations could result in parameter biases and a loss of detection efficiency. A new class of ''parameterized post-Einsteinian'' waveforms has been proposed to cover this eventuality. Here, we apply the parameterized post-Einsteinian approach to simulated data from a network of advanced ground-based interferometers and from a future space-based interferometer. Bayesian inference and model selection are used to investigate parameter biases, and to determine the level at which departures from general relativity can be detected. We find that in some cases the parameter biases from assuming the wrong theory can be severe. We also find that gravitational wave observations will beat the existing bounds on deviations from general relativity derived from the orbital decay of binary pulsars by a large margin across a wide swath of parameter space.

  17. Post-Closure Inspection Report for the Tonopah Test Range, Nevada. For Calendar Year 2015, Revision 0

    International Nuclear Information System (INIS)

    Matthews, Patrick; Petrello, Jaclyn

    2016-01-01

    This report provides the results of the annual post-closure inspections conducted at the closed corrective action units (CAUs) located on the Tonopah Test Range (TTR), Nevada. This report covers calendar year 2015 and includes inspection and repair activities completed at the following CAUs; CAU 400: Bomblet Pit and Five Points Landfill (TTR); CAU 407: Roller Coaster RadSafe Area (TTR); CAU 424: Area 3 Landfill Complexes (TTR); CAU 453: Area 9 UXO Landfill (TTR); and CAU 487: Thunderwell Site (TTR) Inspections were conducted according to the post-closure plans in the approved closure reports and subsequent correspondence with the Nevada Division of Environmental Protection. The post-closure inspection plans and subsequent correspondence modifying the requirements for each CAU are included in Appendix B. The inspection checklists are included in Appendix C. Field notes are included in Appendix D. The annual post-closure inspections were conducted on May 12, 2015. Maintenance was required at CAU 453. Cracking along the north trench was repaired. One monument is missing at CAU 424; it will be replaced in 2016. Postings at CAUs 407, 424, 453, and 487 contain contact information for TTR Security. It was noted that protocols may not be in place to ensure that the U.S. Department of Energy, National Nuclear Security Administration Nevada Field Office (NNSA/NFO) is notified if access is needed at these sites. NNSA/NFO is working with the U.S. Air Force and Sandia to determine whether more appropriate contact information or new protocols are warranted for each CAU. Based on these inspections, there has not been a significant change in vegetation, and vegetation monitoring was not recommended at CAU 400 or CAU 407 in 2015.

  18. Post-Closure Inspection Report for the Tonopah Test Range, Nevada. For Calendar Year 2015, Revision 0

    Energy Technology Data Exchange (ETDEWEB)

    Matthews, Patrick [Navarro, Las Vegas, NV (United States); Petrello, Jaclyn [Navarro, Las Vegas, NV (United States)

    2016-03-01

    This report provides the results of the annual post-closure inspections conducted at the closed corrective action units (CAUs) located on the Tonopah Test Range (TTR), Nevada. This report covers calendar year 2015 and includes inspection and repair activities completed at the following CAUs; CAU 400: Bomblet Pit and Five Points Landfill (TTR); CAU 407: Roller Coaster RadSafe Area (TTR); CAU 424: Area 3 Landfill Complexes (TTR); CAU 453: Area 9 UXO Landfill (TTR); and CAU 487: Thunderwell Site (TTR) Inspections were conducted according to the post-closure plans in the approved closure reports and subsequent correspondence with the Nevada Division of Environmental Protection. The post-closure inspection plans and subsequent correspondence modifying the requirements for each CAU are included in Appendix B. The inspection checklists are included in Appendix C. Field notes are included in Appendix D. The annual post-closure inspections were conducted on May 12, 2015. Maintenance was required at CAU 453. Cracking along the north trench was repaired. One monument is missing at CAU 424; it will be replaced in 2016. Postings at CAUs 407, 424, 453, and 487 contain contact information for TTR Security. It was noted that protocols may not be in place to ensure that the U.S. Department of Energy, National Nuclear Security Administration Nevada Field Office (NNSA/NFO) is notified if access is needed at these sites. NNSA/NFO is working with the U.S. Air Force and Sandia to determine whether more appropriate contact information or new protocols are warranted for each CAU. Based on these inspections, there has not been a significant change in vegetation, and vegetation monitoring was not recommended at CAU 400 or CAU 407 in 2015.

  19. Total chain dynamical assessment with an integrated model of a Post Combustion Capture Plant at a Pulverized Coal Plant and CO2 downstream infrastructure

    NARCIS (Netherlands)

    Kler, R.C.F. de; Haar, A.M. van de

    2013-01-01

    The application of Post Combustion Capture has a significant advantage for mitigating the anthropogenic greenhouse gases in our atmosphere, in comparison to other capture technologies, since it is a so called “End of the Pipe” retrofit and therefore potentially applicable to existing power plants.

  20. Post-test evaluations of Waste Isolation Pilot Plant - Savannah River simulated defense HLW canisters and waste form

    International Nuclear Information System (INIS)

    Molecke, M.A.; Sorensen, N.R.; Harbour, J.R.; Ferrara, D.M.

    1993-01-01

    Eighteen nonradioactive defense high-level waste (DHLW) canisters were emplaced in and subjected to accelerated overtest thermal conditions for about three years at the bedded salt Waste Isolation Pilot Plant (WIPP) facility. Post-test laboratory corrosion results of several stainless steel 304L waste canisters, cast steel overpacks, and associated instruments ranged from negligible to moderate. We found appreciable surface corrosion and corrosion products on the cast steel overpacks. Pieces of both 304L and 316 stainless steel test apparatus underwent extensive stress-corrosion cracking failure and nonuniform attack. One of the retrieved test packages contained nonradioactive glass waste form from the Savannah River Site. We conducted post-test analyses of this glass to determine the degree of resultant glass fracturing, and whether any respirable fines were present. Linear glass fracture density ranged from about 1 to 8 fractures intersecting every 5 cm (2 inch) segment along a diameter line of the canister cross-section. Glass fines between 1 and 10 microns in diameter were detected, but were not quantified

  1. Home-based chlamydia testing of young people attending a music festival--who will pee and post?

    Science.gov (United States)

    Sacks-Davis, Rachel; Gold, Judy; Aitken, Campbell K; Hellard, Margaret E

    2010-06-28

    Chlamydia is most common among young people, but only a small proportion of Australian young people are tested annually. Home-based chlamydia testing has been piloted in several countries to increase testing rates, but uptake has been low. We aimed to identify predictors of uptake of home-based chlamydia testing to inform future testing programs. We offered home-based chlamydia testing kits to participants in a sexual behaviour cross-sectional survey conducted at a music festival in Melbourne, Australia. Those who consented received a testing kit and were asked to return their urine or vaginal swab sample via post. Nine hundred and two sexually active music festival attendees aged 16-29 completed the survey; 313 (35%) opted to receive chlamydia testing kits, and 67 of 313 (21%) returned a specimen for testing. One participant was infected with chlamydia (1% prevalence). Independent predictors of consenting to receive a testing kit included older age, knowing that chlamydia can make women infertile, reporting more than three lifetime sexual partners and inconsistent condom use. Independent predictors of returning a sample to the laboratory included knowing that chlamydia can be asymptomatic, not having had an STI test in the past six months and not living with parents. A low proportion of participants returned their chlamydia test, suggesting that this model is not ideal for reaching young people. Home-based chlamydia testing is most attractive to those who report engaging in sexual risk behaviours and are aware of the often asymptomatic nature and potential sequelae of chlamydia infection.

  2. Home-based chlamydia testing of young people attending a music festival - who will pee and post?

    Science.gov (United States)

    2010-01-01

    Background Chlamydia is most common among young people, but only a small proportion of Australian young people are tested annually. Home-based chlamydia testing has been piloted in several countries to increase testing rates, but uptake has been low. We aimed to identify predictors of uptake of home-based chlamydia testing to inform future testing programs. Methods We offered home-based chlamydia testing kits to participants in a sexual behaviour cross-sectional survey conducted at a music festival in Melbourne, Australia. Those who consented received a testing kit and were asked to return their urine or vaginal swab sample via post. Results Nine hundred and two sexually active music festival attendees aged 16-29 completed the survey; 313 (35%) opted to receive chlamydia testing kits, and 67 of 313 (21%) returned a specimen for testing. One participant was infected with chlamydia (1% prevalence). Independent predictors of consenting to receive a testing kit included older age, knowing that chlamydia can make women infertile, reporting more than three lifetime sexual partners and inconsistent condom use. Independent predictors of returning a sample to the laboratory included knowing that chlamydia can be asymptomatic, not having had an STI test in the past six months and not living with parents. Conclusions A low proportion of participants returned their chlamydia test, suggesting that this model is not ideal for reaching young people. Home-based chlamydia testing is most attractive to those who report engaging in sexual risk behaviours and are aware of the often asymptomatic nature and potential sequelae of chlamydia infection. PMID:20584287

  3. The diagnostic value of endoscopy and Helicobacter pylori tests for peptic ulcer patients in late post-treatment setting

    Directory of Open Access Journals (Sweden)

    Kull Ingrid

    2004-10-01

    Full Text Available Abstract Background Guidelines for management of peptic ulcer patients after the treatment are largely directed to detection of H. pylori infection using only non-invasive tests. We compared the diagnostic value of non-invasive and endoscopy based H. pylori tests in a late post-treatment setting. Methods Altogether 34 patients with dyspeptic complaints were referred for gastroscopy 5 years after the treatment of peptic ulcer using a one-week triple therapy scheme. The endoscopic and histologic findings were evaluated according to the Sydney classification. Bacteriological, PCR and cytological investigations and 13C-UBT tests were performed. Results Seventeen patients were defined H. pylori positive by 13C-UBT test, PCR and histological examination. On endoscopy, peptic ulcer persisted in 4 H. pylori positive cases. Among the 6 cases with erosions of the gastric mucosa, only two patients were H. pylori positive. Mucosal atrophy and intestinal metaplasia were revealed both in the H. pylori positive and H. pylori negative cases. Bacteriological examination revealed three clarithromycin resistant H. pylori strains. Cytology failed to prove validity for diagnosing H. pylori in a post-treatment setting. Conclusions In a late post-treatment setting, patients with dyspepsia should not be monitored only by non-invasive investigation methods; it is also justified to use the classical histological evaluation of H. pylori colonisation, PCR and bacteriology as they have shown good concordance with 13C-UBT. Moreover, endoscopy and histological investigation of a gastric biopsy have proved to be the methods with an additional diagnostic value, providing the physician with information about inflammatory, atrophic and metaplastic lesions of the stomach in dyspeptic H. pylori positive and negative patients. Bacteriological methods are suggested for detecting the putative antimicrobial resistance of H. pylori, aimed at successful eradication of infection in

  4. Pre- and Post-Test Results of KEEP Class 2: 1973-74. Technical Report #40.

    Science.gov (United States)

    Fox, Candy

    This report presents the pre-and posttest results for the kindergarten year of the Kamehameha Early Education Program (KEEP) Class 2, 1973-1974. Results are presented for the Wechsler Preschool and Primary Scale of Intelligence (WPPSI), the Metropolitan Readiness Test (MRT), and the Standard English Repetition Test (SERT). Comparisons are made…

  5. 76 FR 9777 - Recent Postings of Broadly Applicable Alternative Test Methods

    Science.gov (United States)

    2011-02-22

    ... Determination to 40 CFR part in lieu of of Nitrogen 60, subpart G, Method 7 with Oxide Emissions Standards of... test Standards of 30-day as specified in Performance for compliance test 60.46b(e). Industrial... Fiberglass Mat Industries. Production. [[Page 9780

  6. Development of post-irradiation test facility for domestic production of 99Mo

    International Nuclear Information System (INIS)

    Taguchi, Taketoshi; Yonekawa, Minoru; Kato, Yoshiaki; Kurosawa, Makoto; Nishikata, Kaori; Ishida, Takuya; Kawamata, Kazuo

    2013-01-01

    JMTR focus on the activation method. By carrying out the preliminary tests using irradiation facilities existing, and verification tests using the irradiation facility that has developed in the cutting-edge research and development strategic strengthening business, as irradiation tests towards the production of 99 Mo, we have been conducting research and development that can contribute to supply about 25% for 99 Mo demand in Japan and the stable supply of radiopharmaceutical. This report describes a summary of the status of the preliminary tests for the production of 99 Mo: Maintenance of test equipment in the facility in JMTR hot laboratory in preparation for research and development for the production of 99 Mo in JMTR and using MoO 3 pellet irradiated at Kyoto University Research Reactor Institute (KUR). (author)

  7. The effectiveness of virtual simulation in improving student nurses' knowledge and performance during patient deterioration: A pre and post test design.

    Science.gov (United States)

    Borg Sapiano, Alexis; Sammut, Roberta; Trapani, Josef

    2018-03-01

    Preparing nursing students to perform competently in complex emergency situations, such as during rapid patient deterioration, is challenging. Students' active engagement in such scenarios cannot be ensured, due to the unexpected nature of such infrequent events. Many students may consequently not experience and integrate the management of patient deterioration into their knowledge and practical competency by the end of their studies, making them unprepared to manage such situations as practicing nurses. This study investigated the effectiveness of virtual simulation in improving performance during rapid patient deterioration. To investigate the effectiveness of virtual simulation in improving student nurses' knowledge and performance during rapid patient deterioration. A pre- and post-test design was used. Nursing students at a university in Malta were invited to participate in a virtual simulation program named FIRST 2 ACTWeb™, using their own computer devices. A total of 166 (response rate=50%) second and third year diploma and degree nursing students participated in the study. The simulation included three scenarios (Cardiac-Shock-Respiratory) portraying deteriorating patients. Performance feedback was provided at the end of each scenario. Students completed pre- and post-scenario knowledge tests and performance during each scenario was recorded automatically on a database. Findings showed a significant improvement in the students' post-scenario knowledge (z=-6.506, psimulation as an effective learning tool for pre-registration nursing students in different programs. Simulation improves both knowledge about and performance during patient deterioration. Virtual simulation of rare events should be a key component of undergraduate nurse education, to prepare students to manage complex situations as practicing nurses. Copyright © 2018 Elsevier Ltd. All rights reserved.

  8. Pregnant woman and road safety: experimental crash test with post mortem human subject.

    Science.gov (United States)

    Delotte, Jerome; Behr, Michel; Thollon, Lionel; Arnoux, Pierre-Jean; Baque, Patrick; Bongain, Andre; Brunet, Christian

    2008-05-01

    Trauma affect between 3 and 7% of all pregnancies in industrialized countries, and the leading cause of these traumas is car crashes. The difficulty to appreciate physiologic and anatomic changes occurring during pregnancy explain that majority of studies were not based on anatomical data. We present a protocol to create a realistic anatomical model of pregnant woman using a post mortem human subject (PMHS). We inserted a physical model of the gravid uterus into the pelvis of a PMHS. 3D acceleration sensors were placed on the subject to measure the acceleration on different body segments. We simulated three frontal impact situations at 20 km/h between two average European cars. Two main kinematics events were identified as possible causes of injuries: lap belt loading and backrest impact. Cadaver experiments provide one interesting complementary approach to study injury mechanisms related to road accidents involving pregnant women. This anatomical accuracy makes it possible to progress in the field of safety devices.

  9. Analysis of recent post irradiation tests by Japanese and French burnup analysis code systems

    International Nuclear Information System (INIS)

    Iwasaki, Tomohiko; Hiraizumi, Hiroaki; Youinou, Gilles

    2002-01-01

    Benchmark problem based on Japanese Post Irradiation Experiment (PIE) data was analyzed by Japanese burnup analysis code and French one under the cooperative research program between the Japanese University Association (JUA) in Japan and Commissariat a l'Enegie Atomique (CEA) in France. Significant discrepancies over 10% were found between the Japanese and French results for 238 Pu, 243 Am, 244 Cm, 125 Sb, 154 Eu, 134 Cs and 144 Ce. It is supposed that the difference of C/E for 243 Am and 244 Cm between Japanese results and French ones is due to the (n,gamma) reaction of 242m Am. For 125 Sb and 154 Eu, the C/E values are improved by using new cross section and fission yield libraries. (author)

  10. A SAS(®) macro implementation of a multiple comparison post hoc test for a Kruskal-Wallis analysis.

    Science.gov (United States)

    Elliott, Alan C; Hynan, Linda S

    2011-04-01

    The Kruskal-Wallis (KW) nonparametric analysis of variance is often used instead of a standard one-way ANOVA when data are from a suspected non-normal population. The KW omnibus procedure tests for some differences between groups, but provides no specific post hoc pair wise comparisons. This paper provides a SAS(®) macro implementation of a multiple comparison test based on significant Kruskal-Wallis results from the SAS NPAR1WAY procedure. The implementation is designed for up to 20 groups at a user-specified alpha significance level. A Monte-Carlo simulation compared this nonparametric procedure to commonly used parametric multiple comparison tests. Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.

  11. Automated-process gas-chromatograph system for use in accelerated corrosion testing of HTGR core-support posts

    International Nuclear Information System (INIS)

    Harper, R.E.; Herndon, P.G.

    1982-01-01

    An automated-process gas chromatograph is the heart of a gaseous-impurities-analysis system developed for the Oak Ridge National Laboratory Core Support Performance Test, at which graphite core-support posts for high-temperature gas-cooled fission reactors are being subjected to accelerated corrosion tests under tightly controlled conditions of atmosphere and temperature. Realistic estimation of in-core corrosion rates is critically dependent upon the accurate measurement of low concentrations of CO, CO 2 , CH 4 , H 2 , and O 2 in the predominantly helium atmosphere. In addition, the capital and labor investment associated with each test puts a premium upon the reliability of the analytical system, as excessive downtime or failure to obtain accurate data would result in unacceptable costs and schedule delays. After an extensive survey of available measurement techniques, gas chromatography was chosen for reasons of accuracy, flexibility, good-performance record, and cost

  12. Post-Mortem Analysis after High-Power Operation of the TD24_R05 Tested in Xbox_1

    CERN Document Server

    Degiovanni, Alberto; Mouriz Irazabal, Nerea; Aicheler, Markus

    2016-01-01

    The CLIC prototype structure TD24_R05 has been high power tested in Xbox_1 in 2013. This report summarizes all examinations conducted after the high power test including bead-pull measurements, structure cutting, metrology and SEM observations. A synthesis of the various results is then made. The structure developed a hot cell progressively during operation and detuning was observed after the test was complete. The post mortem examination clearly showed a developed standing wave pattern which was explained by the physical deformation of one of the coupler iris. An elevated breakdown count through SEM imaging in the suspected hot cell however could not be confirmed. Neither any particular feature offering an explanation for the observed longitudinal breakdown distribution could be detected.

  13. Post test analyses of Revisa benchmark based on a creep test at 1100 Celsius degrees performed on a notched tube

    International Nuclear Information System (INIS)

    Fischer, M.; Bernard, A.; Bhandari, S.

    2001-01-01

    In the Euratom 4. Framework Program of the European Commission, REVISA Project deals with the Reactor Vessel Integrity under Severe Accidents. One of the tasks consists in the experimental validation of the models developed in the project. To do this, a benchmark was designed where the participants use their models to test the results against an experiment. The experiment called RUPTHER 15 was conducted by the coordinating organisation, CEA (Commissariat a l'Energie Atomique) in France. It is a 'delayed fracture' test on a notched tube. Thermal loading is an axial gradient with a temperature of about 1130 C in the mid-part. Internal pressure is maintained at 0.8 MPa. This paper presents the results of Finite Element calculations performed by Framatome-ANP using the SYSTUS code. Two types of analyses were made: -) one based on the 'time hardening' Norton-Bailey creep law, -) the other based on the coupled creep/damage Lemaitre-Chaboche model. The purpose of this paper is in particular to show the influence of temperature on the simulation results. At high temperatures of the kind dealt with here, slight errors in the temperature measurements can lead to very large differences in the deformation behaviour. (authors)

  14. Genoptraening efter total knaealloplastik

    DEFF Research Database (Denmark)

    Holm, Bente; Kehlet, Henrik

    2009-01-01

    The short- and long-term benefits of post-discharge physiotherapy regimens after total knee arthroplasty are debatable. A national survey including hospitals in Denmark that perform total knee arthroplasty showed a large variability in indication and regimen for post-knee arthroplasty...

  15. Preliminary probe of quality indicators and quality specification in total testing process in 5753 laboratories in China.

    Science.gov (United States)

    Fei, Yang; Kang, Fengfeng; Wang, Wei; Zhao, Haijian; He, Falin; Zhong, Kun; Wang, Zhiguo; Chen, Wenxiang

    2016-08-01

    The aim of the study was to promote the establishment and implementation of quality indicators (QIs) in clinical laboratories, catch up with the state of art, and provide preliminary quality specifications for established QIs. Clinical laboratories from different provinces in China were included in this QIs survey in 2015. All participants were asked to collect data related to QIs and complete QIs questionnaires. Defect percentages and sigma values were calculated for each QI. The 25th percentile, median, and the 75th percentile of defect percentages and TATs were calculated as optimum, desirable and minimum quality specifications. While 25th, median, and 75th of sigma values were calculated as minimum, desirable and optimum quality specifications, respectively. Five thousand seven hundred and fifty-three clinical laboratories from 28 provinces in China participated in this survey. Median defect percentages of pre-examination QIs varied largely from 0.01% (incorrect sample container) to 0.57% (blood culture contamination) with sigma values varied from 4.0σ to 5.1σ. Median defect percentages of examination phase QIs were all really high. The most common problem in examination phase was test uncovered by inter-laboratory comparison (86.67%). Defect percentages of critical values notification and timely critical values notification were all 0.00% (6.0σ). While the median of defect percentages of incorrect laboratory reports was only 0.01% (5.4σ). Improvements are needed in all phases of total testing process (TTP) in laboratories in China, especially in examination phase. More attention should be paid when microbiology specimens are collected and results are reported. Quality specifications can provide directions for laboratories to make effort for.

  16. Persuasive technology in teaching acute pain assessment in nursing: Results in learning based on pre and post-testing.

    Science.gov (United States)

    Alvarez, Ana Graziela; Dal Sasso, Grace T Marcon; Iyengar, M Sriram

    2017-03-01

    Thousands of patients seek health services every day with complaints of pain. However, adequate pain assessment is still flawed, a fact that is partly related to gaps in professional learning on this topic. Innovative strategies such as the use of a virtual learning object mediated by persuasive technology in the learning of undergraduate nursing students can help to fill these gaps and to provide different ways of learning to learn. To evaluate the results in learning among undergraduate nursing students about assessment of acute pain in adults and newborns, before and after an online educational intervention. This is a quasi-experimental, non-equivalent study using pre-and post-testing. Federal University of Santa Catarina, Brazil. 75 undergraduate nursing students. Our study was conducted in three steps (pre-test, education intervention, post-test). Data were collected from November 2013 to February 2014. The educational intervention was performed using online access to virtual learning object about acute pain assessment, which students accessed on their mobile devices. A significant difference was seen in student learning (ptechnology and method applied. The use of persuasive technology such as small mobile devices as mediators of online educational interventions broadens learning spaces in an innovative, flexible, motivational, and promising manner. Copyright © 2016 Elsevier Ltd. All rights reserved.

  17. DETECTION OF LASALOCID RESIDUES IN THE TISSUES OF BROILER CHICKENS BY A NEW SCREENING TEST TOTAL ANTIBIOTICS

    Directory of Open Access Journals (Sweden)

    Martin Levkut, ml.

    2011-04-01

    Full Text Available The aim of the present study was to evaluate the microbial growth inhibition test Total antibiotics for the screening of lasalocid residues in the tissues of broiler chickens after its oral administration in medicated feed. The residues were investigated throughout the 5-day withdrawal period /WP/ and also on day 6 representing the first day following the WP. All broiler chicken tissues were positive for lasalocid. The breast muscle was positive (the presence of residues at/above the detection limit /LOD/ of method up to day 1 of the WP, the thigh muscle, gizzard, heart, skin and fat up to day 3 of the WP and the liver and kidneys up to day 4 of the WP. When evaluating the dubious results (the presence of residues just below the LOD of method, the breast muscle was suspect positive up to day 3 of the WP and the gizzard, skin and fat up to day 4 of the WP. No positive or dubious results were detected on day 5 of the WP. The LOD of Bacillus stearothermophilus var. calidolactis for maduramycin was 500 µg.l-1.doi:10.5219/140

  18. Post-test analysis of semiscale large-break test S-06-3 using TRAC-PF1

    International Nuclear Information System (INIS)

    Boyack, B.E.

    1982-01-01

    The Transient Reactor Analysis Code (TRAC) is an advanced systems code for light-water-reactor accident analysis. The code was developed originally to analyze large-break loss-of-coolant accidents (LOCAs) and running time was not a primary development criterion. TRAC-PF1 was developed because increased application of the code to long transients such as small-break LOCAs required a faster-running code version. Although developed for long transients, its performance on large-break transients is still important. This paper assesses the ability of TRAC-PF1 to predict large-break-LOCA Test S-06-3 conducted in the Semiscale Mod-1 facility

  19. Post-test analysis of semiscale tests S-UT-6 and S-UT-7 using TRAC PF1

    International Nuclear Information System (INIS)

    Boyack, B.E.

    1983-01-01

    A posttest study of Semiscale Tests S-UT-6 and S-UT-7 has been completed to assess TRAC-PFl predictions of pressurized water-reactor (PWR) small-break transients. The comparisons of the TRAC calculations and experimental results show that the correct qualitative influence of upper-head injection (UHI) was predicted. The major phenomenological difference predicted was the mode of core voiding. The data show a slow boiloff from the top of the core resulting in a dryout near the top of the core only. TRAC predicted a more extensive voiding with fluid forced from the bottom of the core by a pressure increase in the upper vessel plenum. The pressure increase was the primary consequence of a failure to predict a complete clearance of the seal in the intact-loop pump-suction upflow leg. Further review of the interphasic drag correlations, entrainment correlations, and critical-flow model is recommended. 20 figures

  20. Orion Exploration Flight Test-1 Post-Flight Navigation Performance Assessment Relative to the Best Estimated Trajectory

    Science.gov (United States)

    Gay, Robert S.; Holt, Greg N.; Zanetti, Renato

    2016-01-01

    This paper details the post-flight navigation performance assessment of the Orion Exploration Flight Test-1 (EFT-1). Results of each flight phase are presented: Ground Align, Ascent, Orbit, and Entry Descent and Landing. This study examines the on-board Kalman Filter uncertainty along with state deviations relative to the Best Estimated Trajectory (BET). Overall the results show that the Orion Navigation System performed as well or better than expected. Specifically, the Global Positioning System (GPS) measurement availability was significantly better than anticipated at high altitudes. In addition, attitude estimation via processing GPS measurements along with Inertial Measurement Unit (IMU) data performed very well and maintained good attitude throughout the mission.

  1. Post-Closure Inspection Report for Corrective Action Unit 90: Area 2 Bitcutter Containment, Nevada Test Site, Nevada

    International Nuclear Information System (INIS)

    NSTec Environmental Restoration

    2007-01-01

    Corrective Action Unit (CAU) 90, Area 2 Bitcutter Containment, is identified in the ''Federal Facility Agreement and Consent Order'' of 1996. The post-closure requirements for CAU 90 are described in Section VII.B.8.b of the Nevada Test Site ''Resource Conservation and Recovery Act'' Permit for a Hazardous Waste Management Facility Number NEV HW0021, dated November 2005. Post-closure activities consist of the following: Semiannual inspections of the site using inspection checklists; Photographic documentation; Field note documentation; and Preparation and submittal of an annual Post-Closure Inspection Report. This annual report covers the period of July 2006 to June 2007 and consists of a summary of the results of the inspections, copies of the inspection checklists and field notes, maintenance and repair records (if any), photographs, and conclusions and recommendations. The inspection checklists are provided in Appendix A, a copy of the field notes is provided in Appendix B, and copies of photographs taken during the inspections are provided in Appendix C

  2. Post-Closure Inspection Report for Corrective Action Unit 90: Area 2 Bitcutter Containment, Nevada Test Site, Nevada

    International Nuclear Information System (INIS)

    NSTec Environmental Restoration

    2008-01-01

    Corrective Action Unit (CAU) 90, Area 2 Bitcutter Containment, is identified in the Federal Facility Agreement and Consent Order of 1996, as amended February 2008. The post-closure requirements for CAU 90 are described in Section VII.B.8.b of the Nevada Test Site Resource Conservation and Recovery Act Permit for a Hazardous Waste Management Facility Number NEV HW0021, dated November 2005. Post-closure activities consist of the following: (1) Semiannual inspections of the site using inspection checklists; (2) Photographic documentation; (3) Field note documentation; and (4) Preparation and submittal of an annual Post-Closure Inspection Report. This annual report covers the period of July 2007 to June 2008 and consists of a summary of the results of the inspections, copies of the inspection checklists and field notes, maintenance and repair records (if any), photographs, and conclusions and recommendations. The inspection checklists are provided in Appendix A, a copy of the field notes is provided in Appendix B, and copies of photographs taken during the inspections are provided in Appendix C

  3. International Space Station Bacteria Filter Element Post-Flight Testing and Service Life Prediction

    Science.gov (United States)

    Perry, J. L.; von Jouanne, R. G.; Turner, E. H.

    2003-01-01

    The International Space Station uses high efficiency particulate air (HEPA) filters to remove particulate matter from the cabin atmosphere. Known as Bacteria Filter Elements (BFEs), there are 13 elements deployed on board the ISS's U.S. Segment. The pre-flight service life prediction of 1 year for the BFEs is based upon performance engineering analysis of data collected during developmental testing that used a synthetic dust challenge. While this challenge is considered reasonable and conservative from a design perspective, an understanding of the actual filter loading is required to best manage the critical ISS Program resources. Thus testing was conducted on BFEs returned from the ISS to refine the service life prediction. Results from this testing and implications to ISS resource management are discussed. Recommendations for realizing significant savings to the ISS Program are presented.

  4. Post-Irradiation Examination Test of the Parts of X-Gen Nuclear Fuel Assembly

    International Nuclear Information System (INIS)

    Ahn, S. B.; Ryu, W. S.; Choo, Y. S.

    2008-08-01

    The mechanical properties of the parts of a nuclear fuel assembly are degraded during the operation of the reactor, through the mechanism of irradiation damage. The properties changes of the parts of the fuel assembly should be quantitatively estimated to ensure the safety of the fuel assembly and rod during the operation. The test techniques developed in this report are used to produce the irradiation data of the grid 1x1 cell spring, the grid 1x1 cell, the spring on one face of the 1x1 cell, the inner/outer strip of the grid and the welded part. The specimens were irradiated in the CT test hole of HANARO of a 30 MW thermal output at 300 deg. C during about 100 days From the spring test of mid grid 1x1 cell and grid plate, the irradiation effects can be examined. The irradiation effects on the irradiation growth also were occurred. The buckling load of mid grid 1x1 cell does not change with a neutron irradiation. From the tensile tests, the strengths increased but the elongations decreased due to an irradiation. The tensile test and microstructure examination of the spot and fillet welded parts are performed for the evaluation of an irradiation effects. Through these tests of components, the essential data on the fuel assembly design could be obtained. These results will be used to update the irradiation behavior databases, to improve the performance of fuel assembly, and to predict the service life of the fuel assembly in a reactor

  5. Post-test geologic observations made at the non-proliferation experiment site, N-tunnel, Nevada Test Site

    Energy Technology Data Exchange (ETDEWEB)

    Townsend, D.R.; Bradford, R.P.; Hopkins, S.P. [Raytheon Services Nevada, Mercury, NV (United States)] [and others

    1994-12-31

    Qualitative evaluations of damage resulting from an underground explosion can provide valuable information concerning the size of the charge, as well as the location of a clandestine detonation. However, caution must be exercised during the appraisal because the effects of an explosion are a function of many factors in addition to yield. Construction techniques, the physical properties of the surrounding rock, and the depth of burial are all important considerations when evaluating the effects of an underground detonation. Raytheon Services Nevada geologists documented underground and surface effects of the Non-Proliferation Experiment, as they have for all recent underground weapons-effects tests conducted by the Defense Nuclear Agency. Underground, the extent of the visible damage decreased rapidly from severe at the closest inspection point 100 m from the Working Point, to insignificant 300 m from the Working Point. The severity of damage correlates in some instances with the orientation of the drift with respect to the shock-wave propagation direction. No evidence of the Non-Proliferation explosion was visible on the mesa surface 389 m above the Working Point the day after the explosion.

  6. Illustrating, Quantifying, and Correcting for Bias in Post-hoc Analysis of Gene-Based Rare Variant Tests of Association

    Directory of Open Access Journals (Sweden)

    Kelsey E. Grinde

    2017-09-01

    Full Text Available To date, gene-based rare variant testing approaches have focused on aggregating information across sets of variants to maximize statistical power in identifying genes showing significant association with diseases. Beyond identifying genes that are associated with diseases, the identification of causal variant(s in those genes and estimation of their effect is crucial for planning replication studies and characterizing the genetic architecture of the locus. However, we illustrate that straightforward single-marker association statistics can suffer from substantial bias introduced by conditioning on gene-based test significance, due to the phenomenon often referred to as “winner's curse.” We illustrate the ramifications of this bias on variant effect size estimation and variant prioritization/ranking approaches, outline parameters of genetic architecture that affect this bias, and propose a bootstrap resampling method to correct for this bias. We find that our correction method significantly reduces the bias due to winner's curse (average two-fold decrease in bias, p < 2.2 × 10−6 and, consequently, substantially improves mean squared error and variant prioritization/ranking. The method is particularly helpful in adjustment for winner's curse effects when the initial gene-based test has low power and for relatively more common, non-causal variants. Adjustment for winner's curse is recommended for all post-hoc estimation and ranking of variants after a gene-based test. Further work is necessary to continue seeking ways to reduce bias and improve inference in post-hoc analysis of gene-based tests under a wide variety of genetic architectures.

  7. Finger tapping and verbal fluency post-tap test improvement in INPH: its value in differential diagnosis and shunt-treatment outcomes prognosis.

    Science.gov (United States)

    Liouta, Evangelia; Gatzonis, Stylianos; Kalamatianos, Theodosis; Kalyvas, Aristotelis; Koutsarnakis, Christos; Liakos, Faidon; Anagnostopoulos, Christos; Komaitis, Spyridon; Giakoumettis, Dimitris; Stranjalis, George

    2017-12-01

    Idiopathic normal pressure hydrocephalus (INPH) diagnosis is challenging as it can be mimicked by other neurological conditions, such as neurodegenerative dementia and motor syndromes. Additionally, outcomes after lumbar puncture (LP) tap test and shunt treatment may vary due to the lack of a common protocol in INPH assessment. The present study aimed to assess whether a post-LP test amelioration of frontal cognitive dysfunctions, characterizing this syndrome, can differentiate INPH from similar neurological conditions and whether this improvement can predict INPH post-shunt outcomes. Seventy-one consecutive patients referred for INPH suspicion and LP testing, were enrolled. According to the consensus guidelines criteria, 29 patients were diagnosed as INPH and 42 were assigned an alternative diagnosis (INPH-like group) after reviewing clinical, neuropsychological and imaging data, and before LP results. A comprehensive neuropsychological assessment for frontal executive, upper extremity fine motor functions, aphasias, apraxias, agnosias and gait evaluation were administered at baseline. Executive, fine motor functions and gait were re-examined post-LP test in all patients and post-shunt placement in INPH patients. Of the INPH patients, 86.2% showed cognitive amelioration in the post-LP test; in addition, all but one (97%) presented with neurocognitive and gait improvement post-shunt. Verbal phonological fluency and finger tapping task post-LP improvement predicted positive clinical outcome post-shunt. None of the INPH-like group presented with neurocognitive improvement post-LP. Post-LP amelioration of verbal fluency and finger tapping deficits can differentiate INPH from similar disorders and predict positive post-shunt clinical outcome in INPH. This becomes of great importance when gait assessment is difficult to perform in clinical practice.

  8. Allometric Scaling and Resource Limitations Model of Total Aboveground Biomass in Forest Stands: Site-scale Test of Model

    Science.gov (United States)

    CHOI, S.; Shi, Y.; Ni, X.; Simard, M.; Myneni, R. B.

    2013-12-01

    Sparseness in in-situ observations has precluded the spatially explicit and accurate mapping of forest biomass. The need for large-scale maps has raised various approaches implementing conjugations between forest biomass and geospatial predictors such as climate, forest type, soil property, and topography. Despite the improved modeling techniques (e.g., machine learning and spatial statistics), a common limitation is that biophysical mechanisms governing tree growth are neglected in these black-box type models. The absence of a priori knowledge may lead to false interpretation of modeled results or unexplainable shifts in outputs due to the inconsistent training samples or study sites. Here, we present a gray-box approach combining known biophysical processes and geospatial predictors through parametric optimizations (inversion of reference measures). Total aboveground biomass in forest stands is estimated by incorporating the Forest Inventory and Analysis (FIA) and Parameter-elevation Regressions on Independent Slopes Model (PRISM). Two main premises of this research are: (a) The Allometric Scaling and Resource Limitations (ASRL) theory can provide a relationship between tree geometry and local resource availability constrained by environmental conditions; and (b) The zeroth order theory (size-frequency distribution) can expand individual tree allometry into total aboveground biomass at the forest stand level. In addition to the FIA estimates, two reference maps from the National Biomass and Carbon Dataset (NBCD) and U.S. Forest Service (USFS) were produced to evaluate the model. This research focuses on a site-scale test of the biomass model to explore the robustness of predictors, and to potentially improve models using additional geospatial predictors such as climatic variables, vegetation indices, soil properties, and lidar-/radar-derived altimetry products (or existing forest canopy height maps). As results, the optimized ASRL estimates satisfactorily

  9. Use of a National Continuing Medical Education Meeting to Provide Simulation-Based Training in Temporary Hemodialysis Catheter Insertion Skills: A Pre-Test Post-Test Study

    Directory of Open Access Journals (Sweden)

    Edward G Clark

    2014-10-01

    Full Text Available Background: Simulation-based-mastery-learning (SBML is an effective method to train nephrology fellows to competently insert temporary, non-tunneled hemodialysis catheters (NTHCs. Previous studies of SBML for NTHC-insertion have been conducted at a local level. Objectives: Determine if SBML for NTHC-insertion can be effective when provided at a national continuing medical education (CME meeting. Describe the correlation of demographic factors, prior experience with NTHC-insertion and procedural self-confidence with simulated performance of the procedure. Design: Pre-testpost-test study. Setting: 2014 Canadian Society of Nephrology annual meeting. Participants: Nephrology fellows, internal medicine residents and medical students. Measurements: Participants were surveyed regarding demographics, prior NTHC-insertion experience, procedural self-confidence and attitudes regarding the training they received. NTHC-insertion skills were assessed using a 28-item checklist. Methods: Participants underwent a pre-test of their NTHC-insertion skills at the internal jugular site using a realistic patient simulator and ultrasound machine. Participants then had a training session that included a didactic presentation and 2 hours of deliberate practice using the simulator. On the following day, trainees completed a post-test of their NTHC-insertion skills. All participants were required to meet or exceed a minimum passing score (MPS previously set at 79%. Trainees who did not reach the MPS were required to perform more deliberate practice until the MPS was achieved. Results: Twenty-two individuals participated in SBML training. None met or exceeded the MPS at baseline with a median checklist score of 20 (IQR, 7.25 to 21. Seventeen of 22 participants (77% completed post-testing and improved their scores to a median of 27 (IQR, 26 to 28; p < 0.001. All met or exceeded the MPS on their first attempt. There were no significant correlations between demographics

  10. Use of a national continuing medical education meeting to provide simulation-based training in temporary hemodialysis catheter insertion skills: a pre-test post-test study.

    Science.gov (United States)

    Clark, Edward G; Paparello, James J; Wayne, Diane B; Edwards, Cedric; Hoar, Stephanie; McQuillan, Rory; Schachter, Michael E; Barsuk, Jeffrey H

    2014-01-01

    Simulation-based-mastery-learning (SBML) is an effective method to train nephrology fellows to competently insert temporary, non-tunneled hemodialysis catheters (NTHCs). Previous studies of SBML for NTHC-insertion have been conducted at a local level. Determine if SBML for NTHC-insertion can be effective when provided at a national continuing medical education (CME) meeting. Describe the correlation of demographic factors, prior experience with NTHC-insertion and procedural self-confidence with simulated performance of the procedure. Pre-test - post-test study. 2014 Canadian Society of Nephrology annual meeting. Nephrology fellows, internal medicine residents and medical students. Participants were surveyed regarding demographics, prior NTHC-insertion experience, procedural self-confidence and attitudes regarding the training they received. NTHC-insertion skills were assessed using a 28-item checklist. Participants underwent a pre-test of their NTHC-insertion skills at the internal jugular site using a realistic patient simulator and ultrasound machine. Participants then had a training session that included a didactic presentation and 2 hours of deliberate practice using the simulator. On the following day, trainees completed a post-test of their NTHC-insertion skills. All participants were required to meet or exceed a minimum passing score (MPS) previously set at 79%. Trainees who did not reach the MPS were required to perform more deliberate practice until the MPS was achieved. Twenty-two individuals participated in SBML training. None met or exceeded the MPS at baseline with a median checklist score of 20 (IQR, 7.25 to 21). Seventeen of 22 participants (77%) completed post-testing and improved their scores to a median of 27 (IQR, 26 to 28; p < 0.001). All met or exceeded the MPS on their first attempt. There were no significant correlations between demographics, prior experience or procedural self-confidence with pre-test performance. Small sample-size and

  11. Repeat confirmatory testing for persons with discordant whole blood and oral fluid rapid HIV test results: findings from post marketing surveillance.

    Directory of Open Access Journals (Sweden)

    Laura G Wesolowski

    Full Text Available BACKGROUND: Reactive oral fluid and whole blood rapid HIV tests must be followed with a confirmatory test (Western blot (WB, immunofluorescent assay (IFA or approved nucleic acid amplification test (NAAT. When the confirmatory result is negative or indeterminate (i.e. discordant with rapid result, repeat confirmatory testing should be conducted using a follow-up specimen. Previous reports have not described whether repeat testing adequately resolves the HIV-infection status of persons with discordant results. METHODOLOGY: Post-marketing surveillance was conducted in 368 testing sites affiliated with 14 state and 2 city health departments from August 11, 2004 to June 30, 2005 and one health department through December 31, 2005. For persons with discordant results, data were collected on demographics, risk behaviors, HIV test results and specimen types. Persons with repeat confirmatory results were classified as HIV-infected or uninfected. Regression models were created to assess risk factors for not having repeat testing. PRINCIPAL FINDINGS: Of 167,371 rapid tests conducted, 2589 (1.6% were reactive: of these, 2417 (93% had positive WB/IFA, 172 (7% had negative or indeterminate WB/IFA. Of 89/172 (52% persons with a repeat confirmatory test: 17 (19% were HIV-infected, including 3 with indeterminate WB and positive NAAT; 72 (81% were uninfected, including 12 with repeat indeterminate WB. Factors associated with HIV-infection included having an initial indeterminate WB/IFA (vs. negative (p<0.001 and having an initial oral fluid WB (vs. serum (p<0.001. Persons who had male-female sex (vs. male-male sex were at increased risk for not having a repeat test [adjusted OR 2.6, 95% CI (1.3, 4.9]. CONCLUSIONS: Though only half of persons with discordant results had repeat confirmatory testing, of those who did, nearly one in five were HIV-infected. These findings underscore the need for rapid HIV testing programs to increase repeat confirmatory testing for

  12. Post-test fuel basket evaluations of the CASTOR-V/21 cask

    International Nuclear Information System (INIS)

    Anderson, R.T.; Kingsley, K.R.

    1986-01-01

    Following an extensive testing program of the CASTOR-V/21 cask at INEL, eight symmetrically positioned indications were observed on the fuel basket. Since the presence of fuel in the cask permitted only remote visual inspection, it could not be conclusively determined if the indications represented material failure. The cask was not functionally limited since vertical movement of various fuel assemblies was possible and the structure remained intact. The basket is a redundant structure and criticality safety is maintained by fluxtrap boxes which were not in affected regions of the basket. The indications were observed at plate joints, which are stitch-welded for basket-manufacturing purposes. An extensive analysis was made of the basket design, manufacture, and test sequence to determine the possible cause and nature of the indications. This test cask had been tested under stringent thermal operating conditions. The cask was held at a power level 45% over rated conditions (28.5 kW vs. 21 kW). Also, the cask was held for two days with a vacuum in the cavity rather than helium (a conductive, inert gas), which is used during fuel storage. An evaluation was performed which included the following considerations: history under similar conditions, unique aspects of the test, basket construction techniques, fatigue, metallurgy and welding, and thermal stress. The consensus of several experts was that high thermal stress due to constrained thermal expansion of the fuel basket components caused the indications. This situation was remedied for future baskets by ensuring that certain manufacturing tolerance be measured and controlled. These limiting dimensions were established to permit sufficient space for thermal expansion. An extensive stress analysis was performed to define the dimensional requirements and demonstrate that the resulting basket stresses are acceptably low

  13. Reliability testing of two classification systems for osteoarthritis and post-traumatic arthritis of the elbow.

    Science.gov (United States)

    Amini, Michael H; Sykes, Joshua B; Olson, Stephen T; Smith, Richard A; Mauck, Benjamin M; Azar, Frederick M; Throckmorton, Thomas W

    2015-03-01

    The severity of elbow arthritis is one of many factors that surgeons must evaluate when considering treatment options for a given patient. Elbow surgeons have historically used the Broberg and Morrey (BM) and Hastings and Rettig (HR) classification systems to radiographically stage the severity of post-traumatic arthritis (PTA) and primary osteoarthritis (OA). We proposed to compare the intraobserver and interobserver reliability between systems for patients with either PTA or OA. The radiographs of 45 patients were evaluated at least 2 weeks apart by 6 evaluators of different levels of training. Intraobserver and interobserver reliability were calculated by Spearman correlation coefficients with 95% confidence intervals. Agreement was considered almost perfect for coefficients >0.80 and substantial for coefficients of 0.61 to 0.80. In patients with both PTA and OA, intraobserver reliability and interobserver reliability were substantial, with no difference between classification systems. There were no significant differences in intraobserver or interobserver reliability between attending physicians and trainees for either classification system (all P > .10). The presence of fracture implants did not affect reliability in the BM system but did substantially worsen reliability in the HR system (intraobserver P = .04 and interobserver P = .001). The BM and HR classifications both showed substantial intraobserver and interobserver reliability for PTA and OA. Training level differences did not affect reliability for either system. Both trainees and fellowship-trained surgeons may easily and reliably apply each classification system to the evaluation of primary elbow OA and PTA, although the HR system was less reliable in the presence of fracture implants. Copyright © 2015 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Elsevier Inc. All rights reserved.

  14. Post-Closure Inspection Report for the Tonopah Test Range, Nevada: For Calendar Year 2017, Revision 0

    Energy Technology Data Exchange (ETDEWEB)

    Alvarado, Juan; Matthews, Patrick

    2018-05-01

    This report provides the results of the annual post-closure inspections conducted at the closed corrective action units (CAUs) located on the Tonopah Test Range (TTR) and the Nevada Test and Training Range (NTTR). This report covers calendar year 2017 and includes visual inspection and repair activities completed at the following CAUs: • CAU 400: Bomblet Pit and Five Points Landfill (TTR) • CAU 407: Roller Coaster RadSafe Area (TTR) • CAU 424: Area 3 Landfill Complexes (TTR) • CAU 453: Area 9 UXO Landfill (TTR) • CAU 487: Thunderwell Site (TTR) Visual inspections were conducted according to the post-closure plans in the approved closure reports and subsequent correspondence with the Nevada Division of Environmental Protection. The annual post-closure inspections were conducted on May 23, 2017. No maintenance or repair issues were noted at CAU 400 and CAU 487. Maintenance items and subsequent repairs include the following: • CAU 407: A large animal burrow was observed in the southeast corner of the cover during the inspection. Two additional animal burrows were discovered during repair actions. All cover defects were repaired on January 9, 2018. • CAU 424: CAS 03-08-002-A304 (Landfill Cell A3-4): A new monument was installed and the subsidence area was repaired on January 9, 2018. • CAU 424: CAS 03-08-002-A308 (Landfill Cell A3-8): Lava rock, used to mark the two eastern monument locations, was noted as missing during the inspection. The lava rock was replaced on January 9, 2018. • CAU 453: Five large animal burrows, located near the east–central portion of cover, was noted during the inspection. Eight additional animal burrows were discovered during repair actions. All cover defects were repaired on January 9, 2018.

  15. Validity and sensitivity of a brief psychomotor vigilance test (PVT-B) to total and partial sleep deprivation

    Science.gov (United States)

    Basner, Mathias; Mollicone, Daniel; Dinges, David F.

    2011-12-01

    The Psychomotor Vigilance Test (PVT) objectively assesses fatigue-related changes in alertness associated with sleep loss, extended wakefulness, circadian misalignment, and time on task. The standard 10-min PVT is often considered impractical in applied contexts. To address this limitation, we developed a modified brief 3-min version of the PVT (PVT-B). The PVT-B was validated in controlled laboratory studies with 74 healthy subjects (34 female, aged 22-45 years) that participated either in a total sleep deprivation (TSD) study involving 33 h awake ( N=31 subjects) or in a partial sleep deprivation (PSD) protocol involving 5 consecutive nights of 4 h time in bed ( N=43 subjects). PVT and PVT-B were performed regularly during wakefulness. Effect sizes of 5 key PVT outcomes were larger for TSD than PSD and larger for PVT than for PVT-B for all outcomes. Effect size was largest for response speed (reciprocal response time) for both the PVT-B and the PVT in both TSD and PSD. According to Cohen's criteria, effect sizes for the PVT-B were still large (TSD) or medium to large (PSD, except for fastest 10% RT). Compared to the 70% decrease in test duration the 22.7% (range 6.9-67.8%) average decrease in effect size was deemed an acceptable trade-off between duration and sensitivity. Overall, PVT-B performance had faster response times, more false starts and fewer lapses than PVT performance (all psleep loss between PVT-B and PVT for all outcome variables (all P>0.15) but the fastest 10% response times during PSD ( P<0.001), and effect sizes increased from 1.38 to 1.49 (TSD) and 0.65 to 0.76 (PSD), respectively. In conclusion, PVT-B tracked standard 10-min PVT performance throughout both TSD and PSD, and yielded medium to large effect sizes. PVT-B may be a useful tool for assessing behavioral alertness in settings where the duration of the 10-min PVT is considered impractical, although further validation in applied settings is needed.

  16. Adverse effects during the oral glucose tolerance test in post-bariatric surgery patients

    OpenAIRE

    Andrade,Heliana Fernanda de Albuquerque; Pedrosa,William; Diniz,Maria de Fátima Haueisen Sander; Passos,Valéria Maria Azeredo

    2016-01-01

    ABSTRACT Objective The oral glucose tolerance test (OGTT) is used in the screening of gestational diabetes, in diagnosis of type 2 diabetes in conjunction with fasting blood glucose and glycated hemoglobin. The aim of this study was to examine the incidence and risk factors of adverse effects of OGTT in patients who underwent bariatric surgery, in addition to proposing standardization for ordering the OGTT in these patients. Subjects and methods This study assessed the incidence of adverse ...

  17. Evaluation of the theory-based Quality Improvement in Physical Therapy (QUIP) programme: a one-group, pre-test post-test pilot study.

    Science.gov (United States)

    Rutten, Geert M; Harting, Janneke; Bartholomew, L Kay; Schlief, Angelique; Oostendorp, Rob A B; de Vries, Nanne K

    2013-05-25

    Guideline adherence in physical therapy is far from optimal, which has consequences for the effectiveness and efficiency of physical therapy care. Programmes to enhance guideline adherence have, so far, been relatively ineffective. We systematically developed a theory-based Quality Improvement in Physical Therapy (QUIP) programme aimed at the individual performance level (practicing physiotherapists; PTs) and the practice organization level (practice quality manager; PQM). The aim of the study was to pilot test the multilevel QUIP programme's effectiveness and the fidelity, acceptability and feasibility of its implementation. A one-group, pre-test, post-test pilot study (N = 8 practices; N = 32 PTs, 8 of whom were also PQMs) done between September and December 2009. Guideline adherence was measured using clinical vignettes that addressed 12 quality indicators reflecting the guidelines' main recommendations. Determinants of adherence were measured using quantitative methods (questionnaires). Delivery of the programme and management changes were assessed using qualitative methods (observations, group interviews, and document analyses). Changes in adherence and determinants were tested in the paired samples T-tests and expressed in effect sizes (Cohen's d). Overall adherence did not change (3.1%; p = .138). Adherence to three quality indicators improved (8%, 24%, 43%; .000 ≤ p ≤ .023). Adherence to one quality indicator decreased (-15.7%; p = .004). Scores on various determinants of individual performance improved and favourable changes at practice organizational level were observed. Improvements were associated with the programme's multilevel approach, collective goal setting, and the application of self-regulation; unfavourable findings with programme deficits. The one-group pre-test post-test design limits the internal validity of the study, the self-selected sample its external validity. The QUIP programme has the potential to change physical

  18. Serial High-Sensitivity Troponin T in Post-Primary Angioplasty Exercise Test

    Directory of Open Access Journals (Sweden)

    Humberto Andres Vaz

    2016-04-01

    Full Text Available Abstract Background: The kinetics of high-sensitivity troponin T (hscTnT release should be studied in different situations, including functional tests with transient ischemic abnormalities. Objective: To evaluate the release of hscTnT by serial measurements after exercise testing (ET, and to correlate hscTnT elevations with abnormalities suggestive of ischemia. Methods: Patients with acute ST-segment elevation myocardial infarction (STEMI undergoing primary angioplasty were referred for ET 3 months after infarction. Blood samples were collected to measure basal hscTnT immediately before (TnT0h, 2 (TnT2h, 5 (TnT5h, and 8 hours (TnT8h after ET. The outcomes were peak hscTnT, TnT5h/TnT0h ratio, and the area under the blood concentration-time curve (AUC for hscTnT levels. Log-transformation was performed on hscTnT values, and comparisons were assessed with the geometric mean ratio, along with their 95% confidence intervals. Statistical significance was assessed by analysis of covariance with no adjustment, and then, adjusted for TnT0h, age and sex, followed by additional variables (metabolic equivalents, maximum heart rate achieved, anterior wall STEMI, and creatinine clearance. Results: This study included 95 patients. The highest geometric means were observed at 5 hours (TnT5h. After adjustments, peak hscTnT, TnT5h/TnT0h and AUC were 59% (p = 0.002, 59% (p = 0.003 and 45% (p = 0.003 higher, respectively, in patients with an abnormal ET as compared to those with normal tests. Conclusion: Higher elevations of hscTnT may occur after an abnormal ET as compared to a normal ET in patients with STEMI.

  19. Serial High-Sensitivity Troponin T in Post-Primary Angioplasty Exercise Test

    Energy Technology Data Exchange (ETDEWEB)

    Vaz, Humberto Andres, E-mail: humbertovaz@cardiol.br; Vanz, Ana Paula; Castro, Iran [Instituto de Cardiologia - Fundação Universitária de Cardiologia, Porto Alegre, RS (Brazil)

    2016-04-15

    The kinetics of high-sensitivity troponin T (hscTnT) release should be studied in different situations, including functional tests with transient ischemic abnormalities. To evaluate the release of hscTnT by serial measurements after exercise testing (ET), and to correlate hscTnT elevations with abnormalities suggestive of ischemia. Patients with acute ST-segment elevation myocardial infarction (STEMI) undergoing primary angioplasty were referred for ET 3 months after infarction. Blood samples were collected to measure basal hscTnT immediately before (TnT{sub 0h}), 2 (TnT{sub 2h}), 5 (TnT{sub 5h}), and 8 hours (TnT{sub 8h}) after ET. The outcomes were peak hscTnT, TnT{sub 5h}/TnT{sub 0h} ratio, and the area under the blood concentration-time curve (AUC) for hscTnT levels. Log-transformation was performed on hscTnT values, and comparisons were assessed with the geometric mean ratio, along with their 95% confidence intervals. Statistical significance was assessed by analysis of covariance with no adjustment, and then, adjusted for TnT{sub 0h}, age and sex, followed by additional variables (metabolic equivalents, maximum heart rate achieved, anterior wall STEMI, and creatinine clearance). This study included 95 patients. The highest geometric means were observed at 5 hours (TnT{sub 5h}). After adjustments, peak hscTnT, TnT{sub 5h}/TnT{sub 0h} and AUC were 59% (p = 0.002), 59% (p = 0.003) and 45% (p = 0.003) higher, respectively, in patients with an abnormal ET as compared to those with normal tests. Higher elevations of hscTnT may occur after an abnormal ET as compared to a normal ET in patients with STEMI.

  20. Genoptraening efter total knaealloplastik

    DEFF Research Database (Denmark)

    Holm, Bente; Kehlet, Henrik

    2009-01-01

    The short- and long-term benefits of post-discharge physiotherapy regimens after total knee arthroplasty are debatable. A national survey including hospitals in Denmark that perform total knee arthroplasty showed a large variability in indication and regimen for post-knee arthroplasty rehabilitat......The short- and long-term benefits of post-discharge physiotherapy regimens after total knee arthroplasty are debatable. A national survey including hospitals in Denmark that perform total knee arthroplasty showed a large variability in indication and regimen for post-knee arthroplasty...... rehabilitation. Since hospital stay duration has decreased considerably, the need for post-discharge physiotherapy may also have changed. Thus, the indication for and types of rehabilitation programmes need to be studied within the context of fast-track knee arthroplasty....

  1. Genoptraening efter total knaealloplastik

    DEFF Research Database (Denmark)

    Holm, Bente; Kehlet, Henrik

    2009-01-01

    The short- and long-term benefits of post-discharge physiotherapy regimens after total knee arthroplasty are debatable. A national survey including hospitals in Denmark that perform total knee arthroplasty showed a large variability in indication and regimen for post-knee arthroplasty rehabilitat......The short- and long-term benefits of post-discharge physiotherapy regimens after total knee arthroplasty are debatable. A national survey including hospitals in Denmark that perform total knee arthroplasty showed a large variability in indication and regimen for post-knee arthroplasty...... rehabilitation. Since hospital stay duration has decreased considerably, the need for post-discharge physiotherapy may also have changed. Thus, the indication for and types of rehabilitation programmes need to be studied within the context of fast-track knee arthroplasty. Udgivelsesdato: 2009-Feb-23...

  2. 78 FR 59791 - Annual Company-Run Stress Tests at Banking Organizations With Total Consolidated Assets of More...

    Science.gov (United States)

    2013-09-30

    ... bank on its Consolidated Financial Statements for Bank Holding Companies (FR Y-9C) or Consolidated... companies with $50 billion or more in total consolidated assets and any non-bank financial companies... with total consolidated assets of $50 billion or more and nonbank financial companies supervised by the...

  3. A manual for post-occupancy evaluation (POE) and test-room studies

    Energy Technology Data Exchange (ETDEWEB)

    Hygge, S.; Loefberg, H.A.; Poulton, K.

    1996-05-01

    The aim of a POE-study (poot-occupancy evaluation) is to carry out a systematic assessment of the performance of a facility once it has been occupied and used. It is to determine if the facility meets the level of expectation which was envisaged in the conceptual stages of the design, in terms of both the human occupants and the building services which it encloses. This is done by a systematic gathering and analysis of the information collected from within the building when it is in use. After analysis, the findings are forwarded for: corrective action and `fine tuning` of the facility; identifying design features to be avoided; identifying features of future use; establishing if design goals, energy targets, standards and guidelines are actually achieved; identifying design aspects for long term research and investigation. The reality is, that unless the occupants are totally satisfied with the facility they will never reach their full potential or totally accept the technology, especially if it is not perceived to be of immediate benefit to them. The process for carrying out a POE study follows a systematic, step by step approach, and concentrates on two levels of information gathering: from the building itself - often referred to as the `walk through`; from files, plans, briefing notes, i.e. a document search. The walk through centres around a tour of the building, especially identifying groups from which opinions, reactions, comments and recommendations are sought. This is generally done by means of a questionnaire. The walk through is intended to be pragmatic and with a short duration with a maximum of two or three days, depending of the size of the facility. This should aim to minimize the impact of the evaluation on the daily operations, while maximizing the effective participation of all personnel. When a particular item is noted or considered to be needing further investigation, a `focus` study may be carried out and this study may isolate parts of: the

  4. Bench Scale Development and Testing of a Novel Adsorption Process for Post-Combustion CO₂ Capture

    Energy Technology Data Exchange (ETDEWEB)

    Jain, Ravi [Innosepra Limited Liability Company, Middlesex, NJ (United States)

    2015-09-01

    A physical sorption process to produce dry CO₂ at high purity (>98%) and high recovery (>90%) from the flue gas taken before or after the FGD was demonstrated both in the lab and in the field (one ton per day scale). A CO₂ recovery of over 94% and a CO₂ purity of over 99% were obtained in the field tests. The process has a moisture, SOX, and Hg removal stage followed by a CO₂ adsorption stage. Evaluations based on field testing, process simulation and detailed engineering studies indicate that the process has the potential for more than 40% reduction in the capital and more than 40% reduction in parasitic power for CO₂ capture compared to MEA. The process has the potential to provide CO₂ at a cost (<$40/tonne) and quality (<1 ppm H₂O, <1 ppm SOX, <10 ppm O₂) suitable for EOR applications which can make CO₂ capture profitable even in the absence of climate legislation. The process is applicable to power plants without SOX, Hg and NOX removal equipment.

  5. Operation and post operative examinations on the 1 MW test section SDP-1

    International Nuclear Information System (INIS)

    Casalini, P.; Valentini, P.; Urbani, A.

    1975-01-01

    The tests carried out were essentially, of general interest and could regard the general Performance and the behavior of the materials. The last aspect was rather interesting as the steam generator coil consists of a steel which has not been yet homologated in Italy. As already specified, the geometry of the steam generator was somewhat particular: it consisted of a stainless steel (Type AISI 316) cylindrical envelope with a diameter of about 500 mm and about 4 m high, with inside an helicoidal duct having a rectangular section, also in AISI 316 stainless steel. Three helicoidal tubes with an outer diameter of 26,9 mm and a thickness of 5 mm, out of ferritic steel - Type Mannesman F 11 were arranged inside the duct. The rectangular duct was run through by sodium downwards, while water/steam was running through the three parallel tubes upwards. The main characteristics pertaining to the steam generator and the nominal operational data are given. All the tests carried out on the tube coil resulted in noticeable alteration due to operation in sodium. In particular, with regard to the absence of variation of the carbon content between the inner and outer side in all the specimens analyzed, one can conclude that no considerable mass transfer occurred in the tube

  6. POST-IRRADIATION ANALYSES OF U-MO DISPERSION FUEL RODS OF KOMO TESTS AT HANARO

    Directory of Open Access Journals (Sweden)

    H.J. RYU

    2013-12-01

    Full Text Available Since 2001, a series of five irradiation test campaigns for atomized U-Mo dispersion fuel rods, KOMO-1, -2, -3, -4, and -5, has been conducted at HANARO (Korea in order to develop high performance low enriched uranium dispersion fuel for research reactors. The KOMO irradiation tests provided valuable information on the irradiation behavior of U-Mo fuel that results from the distinct fuel design and irradiation conditions of the rod fuel for HANARO. Full size U-Mo dispersion fuel rods of 4–5 g-U/cm3 were irradiated at a maximum linear power of approximately 105 kW/m up to 85% of the initial U-235 depletion burnup without breakaway swelling or fuel cladding failure. Electron probe microanalyses of the irradiated samples showed localized distribution of the silicon that was added in the matrix during fuel fabrication and confirmed its beneficial effect on interaction layer growth during irradiation. The modifications of U-Mo fuel particles by the addition of a ternary alloying element (Ti or Zr, additional protective coatings (silicide or nitride, and the use of larger fuel particles resulted in significantly reduced interaction layers between fuel particles and Al.

  7. Busted Butte Phase 2: Analysis of Post-Test Mineback and Overcore Rock Samples

    International Nuclear Information System (INIS)

    Turin, H.J.; McGraw, M.A.; Jones, C.L.; Scism, C.D.; Soll, W.E.

    2002-01-01

    A complex tracer mixture was injected continuously for over two years into a 10 x 10 x 7 m block of tuff as part of the unsaturated-zone (UZ) tracer test at Busted Butte. The test was designed to address uncertainties associated with flow and transport models within the Topopah Springs and Calico Hills tuffs. The tracer mixture included nonreactive (Br, I, and FBAs) and reactive tracers (Li, Ce, Sm, Ni, Coy and Mn) and synthetic colloids. Once injection was completed, samples from the block were collected in two ways. Overcores were taken from around and below injection holes. Then, the entire block was excavated via mineback--during which progressive vertical planes of the block were exposed. Samples from the overcores and mineback were analyzed to determine the distribution of tracers on different spatial scales than available from collection borehole data. Rock analyses confirmed collection pad results that the nonreactive tracers, Br and FBAs, moved several meters. Furthermore, Br and FBAs are observed above and lateral to the injector planes suggesting that capillarity was an important process for tracer movement. Lithium, the most mobile of the metals, was transported on a scale of meters. This is consistent with laboratory sorption measurements and observed breakthrough on the collection pads. Co and Ni show transport distances of tens of cm, while Sm and Ce moved far less, possibly due to precipitation and sorption effects. Colloid transport was assessed using 1 ft3 blocks extracted from the BB Phase 2 block. In the Calico Hills material, after 15 L of water was injected over 3.5 months, less than 1% of the colloids injected were recovered. Flow patterns in the block indicate that water injected at the center imbibed outward from the injection point. In a block taken from a boundary of the Calico Hills ashfall layer, breakthrough was observed only due to fractures formed during drying of the block. The colloid transport module for FEHM was tested against

  8. Total Pancreatectomy and Islet Auto-Transplantation in Children for Chronic Pancreatitis. Indication, Surgical Techniques, Post Operative Management and Long-Term Outcomes

    Science.gov (United States)

    Chinnakotla, Srinath; Bellin, Melena D.; Schwarzenberg, Sarah J.; Radosevich, David M.; Cook, Marie; Dunn, Ty B.; Beilman, Gregory J.; Freeman, Martin L.; Balamurugan, A.N.; Wilhelm, Josh; Bland, Barbara; Jimenez-Vega, Jose M; Hering, Bernhard J.; Vickers, Selwyn M.; Pruett, Timothy L.; Sutherland, David E.R.

    2014-01-01

    Objective Describe the surgical technique, complications and long term outcomes of total pancreatectomy and islet auto transplantation (TP-IAT) in a large series of pediatric patients. Summary Background Data Surgical management of childhood pancreatitis is not clear; partial resection or drainage procedures often provide transient pain relief, but long term recurrence is common due to the diffuse involvement of the pancreas. Total pancreatectomy (TP) removes the source of the pain, while islet auto transplantation (IAT) potentially can prevent or minimize TP-related diabetes. Methods Retrospective review of 75 children undergoing TP-IAT for chronic pancreatitis who had failed medical, endoscopic or surgical treatment between 1989–2012. Results Pancreatitis pain and the severity of pain statistically improved in 90% of patients after TP-IAT (p =Puestow (p=0.018), lower body surface area (p=0.048), IEQ per Kg Body Weight (p=0.001) and total IEQ (100,000) (0.004) were associated with insulin independence. By multivariate analysis, 3 factors were associated with insulin independence after TP-IAT:(1) male gender, (2) lower body surface area and the (3) higher total IEQ per kilogram body weight. Total IEQ (100,000) was the single factor most strongly associated with insulin independence (OR = 2.62; p value < 0.001). Conclusions TP-IAT provides sustained pain relief and improved quality of life. The β cell function is dependent on islet yield. TP-IAT is an effective therapy for children with painful pancreatitis that fail medical and or endoscopic management PMID:24509206

  9. Post-irradiation studies of test plates for low enriched fuel elements for research reactors

    International Nuclear Information System (INIS)

    Groos, E.; Buecker, H.J.; Derz, H.; Schroeder, R.

    1988-07-01

    In developing new fuels for research reactor elements that allow the use of low enriched uranium (LEU) 3 Si 2 , U 3 Si 1.5 , U 3 Si 1.3 and U 3 Si. Even up to high burnup rates (80% fifa) U 3 Si 2 was proved to be a reliable fuel that according to the test results achieved to date complies with all necessary requirements above all with respect to dimensional stability. U 3 Si showed significant changes of the fuel microstructure associated with considerably higher fuel swelling, that will probably exclude its use in research reactor operation. The irradiation of U 3 Si 1.3 and U 3 Si 1.5 plates had to be terminated untimely. Up to a burnup of 40% fifa these plates behaved quite well. An extrapolation to higher burnup rates, however only seems to be possible with reservations. (orig./HP) [de

  10. Test Ability of Chiller Post Re-functioning at The Facility of KH-IPSB3

    International Nuclear Information System (INIS)

    Harahap, Sentot-Alibasya; M-Taufik-Arsyad; Djunaidi

    2006-01-01

    Chiller water unit (CWU) represent supplier of cool water for the system of ventilation, cooler of purification system irrigate canal (T.C) and pool (depository ponds) ex-fuel at facility of KH-IPSB3. Have been conducted by re-functioning of Chiller unit water by changing system conduct and control from electronic mode to mode of electric-mechanic and parts of damage other. A unit water chiller system have some component / appliance which way of its activity integrated one other, so that re-functioning of partial like in this time where some of component / appliance use old goods and some of using new material hence to get optimum activity at test ability of difficult chiller relative. At operation is old ones expected by optimum activity will be able to reach with an process which in phases and planed. (author)

  11. Post-irradiation examination of Oconee 1 fuel: end-of-cycle 2 nondestructive test phase

    International Nuclear Information System (INIS)

    1979-11-01

    Standard B and W Mark B (15 x 15) pressurized water reactor fuel assemblies were nondestructively examined at the end of the second cycle of Oconee 1 reactor operation. Burnups of the 16 fuel assemblies examined ranged from 13,100 to 20,000 MWd/mtU. The examinations were conducted in the Oconee 1 and 2 spent fuel storage pool using the installed underwater test equipment. Data obtained included fuel rod and fuel assembly dimensions, water channel spacings, holddown spring forces, fuel rod crud characteristics, and fuel column axial gap and stack lengths. Visual examinations revealed no evidence of significant rod bowing, cladding deformation, cocked grids, or rod defects. The results, summarized in this report, indicate that the assemblies performed well through two cycles of reactor operation

  12. Post-irradiation mechanical tests on F82H EB and TIG welds

    International Nuclear Information System (INIS)

    Rensman, J.; Osch, E.V. van; Horsten, M.G.; D'Hulst, D.S.

    2000-01-01

    The irradiation behaviour of electron beam (EB) and tungsten inert gas (TIG) welded joints of the reduced-activation martensitic steel IEA heat F82H-mod. was investigated by neutron irradiation experiments in the high flux reactor (HFR) in Petten. Mechanical test specimens, such as tensile specimens and KLST-type Charpy impact specimens, were neutron irradiated up to a dose level of 2-3 dpa at a temperature of 300 deg. C in the HFR reactor in Petten. The tensile results for TIG and EB welds are as expected with practically no strain hardening capacity left. Considering impact properties, there is a large variation in impact properties for the TIG weld. The irradiation tends to shift the DBTT of particularly the EB welds to very high values, some cases even above +250 deg. C. PWHT of EB-welded material gives a significant improvement of the DBTT and USE compared to the as-welded condition

  13. Post-hoc simulation study to adopt a computerized adaptive testing (CAT) for a Korean Medical License Examination.

    Science.gov (United States)

    Seo, Dong Gi; Choi, Jeongwook

    2018-05-17

    Computerized adaptive testing (CAT) has been adopted in license examinations due to a test efficiency and accuracy. Many research about CAT have been published to prove the efficiency and accuracy of measurement. This simulation study investigated scoring method and item selection methods to implement CAT in Korean medical license examination (KMLE). This study used post-hoc (real data) simulation design. The item bank used in this study was designed with all items in a 2017 KMLE. All CAT algorithms for this study were implemented by a 'catR' package in R program. In terms of accuracy, Rasch and 2parametric logistic (PL) model performed better than 3PL model. Modal a Posteriori (MAP) or Expected a Posterior (EAP) provided more accurate estimates than MLE and WLE. Furthermore Maximum posterior weighted information (MPWI) or Minimum expected posterior variance (MEPV) performed better than other item selection methods. In terms of efficiency, Rasch model was recommended to reduce test length. Simulation study should be performed under varied test conditions before adopting a live CAT. Based on a simulation study, specific scoring and item selection methods should be predetermined before implementing a live CAT.

  14. Online catalog of world-wide test sites for the post-launch characterization and calibration of optical sensors

    Science.gov (United States)

    Chander, G.; Christopherson, J.B.; Stensaas, G.L.; Teillet, P.M.

    2007-01-01

    In an era when the number of Earth-observing satellites is rapidly growing and measurements from these sensors are used to answer increasingly urgent global issues, it is imperative that scientists and decision-makers can rely on the accuracy of Earth-observing data products. The characterization and calibration of these sensors are vital to achieve an integrated Global Earth Observation System of Systems (GEOSS) for coordinated and sustained observations of Earth. The U.S. Geological Survey (USGS), as a supporting member of the Committee on Earth Observation Satellites (CEOS) and GEOSS, is working with partners around the world to establish an online catalog of prime candidate test sites for the post-launch characterization and calibration of space-based optical imaging sensors. The online catalog provides easy public Web site access to this vital information for the global community. This paper describes the catalog, the test sites, and the methodologies to use the test sites. It also provides information regarding access to the online catalog and plans for further development of the catalog in cooperation with calibration specialists from agencies and organizations around the world. Through greater access to and understanding of these vital test sites and their use, the validity and utility of information gained from Earth remote sensing will continue to improve. Copyright IAF/IAA. All rights reserved.

  15. Post-test sensitivity analysis of OECD/CSNI ISP42 panda experiment by Relap5 code

    International Nuclear Information System (INIS)

    Zanocco, P.; D'Auria, F.; Galassi, G.M.

    2001-01-01

    The present document deals with Relap5/Mod3.2 analysis of the International Standard Problem (ISP-42) exercise performed in PANDA facility on April 21-22, 1998. PANDA is installed at PSI (Paul Scherrer Institute). PANDA is a large-scale thermal-hydraulic test facility suitable for the simulation of passive containment for Advanced Light Water Reactors (ALWR). The work focuses phase A of the ISP-42 experiment, including the break in the main steam line, and the Passive Containment Cooling System Start-Up. The objective is to investigate the start-up phenomenology of passive cooling system when steam is injected into cold vessel filled with air and to observe the resulting system behavior. A detailed nodalization was set-up at the University of Pisa, in order to model 3-D flow paths with a 1-D code. The comparison between pre-test predictions and experimental data is discussed. Overall time behavior is reasonably well predicted, showing a rather good and robust overall code behavior in the simulation of the global test scenario. The results of a preliminary post-test analysis are discussed, including the comparison with the experimental data. (authors)

  16. Ten Year Operating Test Results and Post-Test Analysis of a 1/10 Segment Stirling Sodium Heat Pipe, Phase III

    Science.gov (United States)

    Rosenfeld, John, H; Minnerly, Kenneth, G; Dyson, Christopher, M.

    2012-01-01

    High-temperature heat pipes are being evaluated for use in energy conversion applications such as fuel cells, gas turbine re-combustors, Stirling cycle heat sources; and with the resurgence of space nuclear power both as reactor heat removal elements and as radiator elements. Long operating life and reliable performance are critical requirements for these applications. Accordingly, long-term materials compatibility is being evaluated through the use of high-temperature life test heat pipes. Thermacore, Inc., has carried out a sodium heat pipe 10-year life test to establish long-term operating reliability. Sodium heat pipes have demonstrated favorable materials compatibility and heat transport characteristics at high operating temperatures in air over long time periods. A representative one-tenth segment Stirling Space Power Converter heat pipe with an Inconel 718 envelope and a stainless steel screen wick has operated for over 87,000 hr (10 yr) at nearly 700 C. These life test results have demonstrated the potential for high-temperature heat pipes to serve as reliable energy conversion system components for power applications that require long operating lifetime with high reliability. Detailed design specifications, operating history, and post-test analysis of the heat pipe and sodium working fluid are described.

  17. Laboratory Tests on Post-Filtration Precipitation in the WTP Pretreatment Process

    International Nuclear Information System (INIS)

    Russell, Renee L.; Peterson, Reid A.; Rinehart, Donald E.; Crum, Jarrod V.

    2009-01-01

    Pacific Northwest National Laboratory (PNNL) has been tasked by Bechtel National Inc. (BNI) on the River Protection Project-Hanford Tank Waste Treatment and Immobilization Plant (RPP-WTP) project to perform research and development activities to resolve technical issues identified for the Pretreatment Facility (PTF). The Pretreatment Engineering Platform (PEP) was designed, constructed, and operated as part of a plan to respond to issue M12, 'Undemonstrated Leaching Processes,' of the External Flowsheet Review Team (EFRT) issue response plan (Barnes et al. 2006). The PEP is a 1/4.5-scale test platform designed to simulate the WTP pretreatment caustic leaching, oxidative leaching, ultrafiltration solids concentration, and slurry washing processes. The PEP replicates the WTP leaching processes using prototypic equipment and control strategies. A simplified flow diagram of the PEP system is shown in Figure 1.1. Two operating scenarios are currently being evaluated for the ultrafiltration process (UFP) and leaching operations. The first scenario has caustic leaching performed in the UFP-2 ultrafiltration feed vessels (i.e., vessel UFP-VSL-T02A in the PEP; and vessels UFP-VSL-00002A and B in the WTP PTF). The second scenario has caustic leaching conducted in the UFP-1 ultrafiltration feed preparation vessels (i.e., vessels UFP-VSL-T01A and B in the PEP; vessels UFP-VSL-00001A and B in the WTP PTF).

  18. The Alcohol Use Disorders Identification Test (AUDIT): Exploring the Factor Structure and Cutoff Thresholds in a Representative Post-Conflict Population in Northern Uganda.

    Science.gov (United States)

    Blair, Alden Hooper; Pearce, Margo Ellen; Katamba, Achilles; Malamba, Samuel S; Muyinda, Herbert; Schechter, Martin T; Spittal, Patricia M

    2017-05-01

    Despite increased use of the Alcohol Use Disorders Identification Test (AUDIT) in sub-Saharan Africa, few studies have assessed its underlying conceptual framework, and none have done so in post-conflict settings. Further, significant inconsistencies exist between definitions used for problematic consumption. Such is the case in Uganda, facing one of the highest per-capita alcohol consumption levels regionally, which is thought to be hindering rebuilding in the North after two decades of civil war. This study explores the impact of varying designation cutoff thresholds in the AUDIT as well as its conceptual factor structure in a representative sample of the population. In all, 1720 Cango Lyec Project participants completed socio-economic and mental health questionnaires, provided blood samples and took the AUDIT. Participant characteristics and consumption designations were compared at AUDIT summary score thresholds of ≥3, ≥5 and ≥8. Confirmatory factor analyses (CFA) explored one-, two- and three-factor level models overall and by sex with relative and absolute fit indicators. There were no significant differences in participant demographic characteristics between thresholds. At higher cutoffs, the test increased in specificity to identify those with hazardous drinking, disordered drinking and suffering from alcohol-related harms. All conceptual models indicated good fit, with three-factor models superior overall and within both sexes. In Northern Uganda, a three-factor AUDIT model best explores alcohol use in the population and is appropriate for use in both sexes. Lower cutoff thresholds are recommended to identify those with potentially disordered drinking to best plan effective interventions and treatments. A CFA of the AUDIT showed good fit for one-, two, and three-factor models overall and by sex in a representative sample in post-conflict Northern Uganda. A three-plus total AUDIT cutoff score is suggested to screen for hazardous drinking in this or

  19. Hepatobiliary scintigraphy in the assessment of long-term complication after biliary-enteric anastomosis: role in the diagnosis of post-operative segmental or total biliary obstruction

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Jae Seung; Moon, Dae Hyuk; Lee, Sung Gyu; Lee, Yung Joo; Park, Kwang Min; Shin, Jung Woo; Ryu, Jin Sook; Lee, Hee Kyung [Asan Medicial Center, Seoul (Korea, Republic of)

    1998-07-01

    The purpose of this study was to investigate the accuracy of hepatobiliary scintigraphy (HBS) in the diagnosis of segmental or total biliary obstruction during long-term follow-up period after curative radical surgery with biliary-enteric anastomosis. The study population included 80 patients who underwent biliary-enteric anastomoses for benign (n=33) or malignant (n=47) biliary disease. Fifty-six of these 80 patients also underwent curative hepatic resection. Ninety eight hepatobiliary scintigrams using {sup 99m}Tc-DISIDA were performed at least 1 month after surgery (median 9 month). The scintigraphic criteria of total biliary obstruction we used were intestinal excretion beyond one hour or delayed hepatobiliary washout despite the presence of intestinal excretion. Segmental biliary obstruction was defined as delayed segmental excretion. The accuracy for biliary obstruction was evaluated according to different clinical situations. There were 9 instances with total biliary obstruction and 23 with segmental bile duct obstruction. Diagnosis of biliary obstruction was confirmed by percutaneous transhepatic cholangiography or surgery in 13, and follow-up clinical data for at least 6 months in 19 instances. Among the 32 instances with biliary symptoms and abnormal liver function, HBS allowed correct diagnosis in all 32(9 total, 14 segmental obstruction and 9 non-obstruction). Of the 40 with nonspecific symptom or isolated elevation of serum alkaline phosphatase, HBS diagnosed 8 of the 9 segmental biliary obstruction and 30 of the 31 non-obstruction. There were no biliary obstruction and no false positive result of scintigraphy in 26 instances which had no clinical symptom or signs of biliary obstruction. Diagnostic sensitivity of HBS was 100% (9/9) for total biliary obstruction, and 96%(22/23) for segmental bile obstruction. Specificity was 98%(39/40) in patients who had abnormal symptom or sign. Hepatobiliary scintigraphy is a highly accurate modality in the

  20. Hepatobiliary scintigraphy in the assessment of long-term complication after biliary-enteric anastomosis: role in the diagnosis of post-operative segmental or total biliary obstruction

    International Nuclear Information System (INIS)

    Kim, Jae Seung; Moon, Dae Hyuk; Lee, Sung Gyu; Lee, Yung Joo; Park, Kwang Min; Shin, Jung Woo; Ryu, Jin Sook; Lee, Hee Kyung

    1998-01-01

    The purpose of this study was to investigate the accuracy of hepatobiliary scintigraphy (HBS) in the diagnosis of segmental or total biliary obstruction during long-term follow-up period after curative radical surgery with biliary-enteric anastomosis. The study population included 80 patients who underwent biliary-enteric anastomoses for benign (n=33) or malignant (n=47) biliary disease. Fifty-six of these 80 patients also underwent curative hepatic resection. Ninety eight hepatobiliary scintigrams using 99m Tc-DISIDA were performed at least 1 month after surgery (median 9 month). The scintigraphic criteria of total biliary obstruction we used were intestinal excretion beyond one hour or delayed hepatobiliary washout despite the presence of intestinal excretion. Segmental biliary obstruction was defined as delayed segmental excretion. The accuracy for biliary obstruction was evaluated according to different clinical situations. There were 9 instances with total biliary obstruction and 23 with segmental bile duct obstruction. Diagnosis of biliary obstruction was confirmed by percutaneous transhepatic cholangiography or surgery in 13, and follow-up clinical data for at least 6 months in 19 instances. Among the 32 instances with biliary symptoms and abnormal liver function, HBS allowed correct diagnosis in all 32(9 total, 14 segmental obstruction and 9 non-obstruction). Of the 40 with nonspecific symptom or isolated elevation of serum alkaline phosphatase, HBS diagnosed 8 of the 9 segmental biliary obstruction and 30 of the 31 non-obstruction. There were no biliary obstruction and no false positive result of scintigraphy in 26 instances which had no clinical symptom or signs of biliary obstruction. Diagnostic sensitivity of HBS was 100% (9/9) for total biliary obstruction, and 96%(22/23) for segmental bile obstruction. Specificity was 98%(39/40) in patients who had abnormal symptom or sign. Hepatobiliary scintigraphy is a highly accurate modality in the evaluation of

  1. Post-test analysis of components from selenide isotope generator modules M-7, M-15, and M-18

    International Nuclear Information System (INIS)

    Wei, G.C.; Keiser, J.R.; Crouse, R.S.; Allen, M.D.; Schaffhauser, A.C.

    1979-05-01

    Several critical components removed from SIG (Selenide Isotope Generator) thermoelectric modules M-7, M-15C, M-15D, and M-18 were examined. These modules failed to show the predicted stability and conversion efficiency. Understanding the degradation and identifying means for preventing it necessitated detailed post-test examinations of key parts in the modules. Steel springs, which provided pressure for contacts at the hot and cold ends of P- or N-legs, relaxed more than expected. Beryllium oxide insulators had dark deposits that caused electrical shorts. The GdSe 1 49 N-leg exhibited cracking. The (Cu,Ag) 2 Se P-leg lost weight or sublimed excessively in module M-7 and more than expected in the other modules

  2. First year post-construction monitoring of bats and birds at Wind Turbine Test Centre Østerild

    DEFF Research Database (Denmark)

    The Department of Bioscience, Aarhus University was commissioned by the Danish Nature Agency to undertake a bat and bird monitoring programme of a national test centre for wind turbines near Østerild in Thy, Denmark. Here we present the results from the first year of the post-construction studies...... and lakes. High activities were recorded throughout the monitoring period at ponds and lakes. Overall, the bat activity level was higher in 2013 than in 2011 at ponds and lakes. Bat activity was higher near the wind turbines than at nearby forest edges. These differences suggest that bats exploit the food...... resources that accumulate on the turbine towers some nights. Whooper swan, taiga bean goose, pink-footed goose, common crane, light-bellied brent goose, white-tailed eagle and nightjar were included as focal species in the ornithological investigations. In addition, species specific data on all bird species...

  3. Post-test analysis with RELAP5/MOD2 of ROSA-IV/LSTF natural circulation test ST-NC-02

    International Nuclear Information System (INIS)

    Chauliac, C.; Kukita, Yutaka; Kawaji, Masahiro; Nakamura, Hideo; Tasaka, Kanji.

    1988-10-01

    Results of post-test analysis for the ROSA-IV/LSTF natural circulation experiment ST-NC-02 are presented. The experiment consisted of many steady-state stages registered for different primary inventories. The calculation was done with RELAP5/MOD2 CYCLE 36.00. Discrepancies between the calculation and the experiment are observed: the core flow rate is overestimated at inventories between 80 % and 95 %; the inventory at which dryout occurs in the core is also much overestimated. The causes of these discrepancies are studies through sensitivity calculations and the following key parameters are pointed out: the interfacial friction and the form loss coefficients in the vessel riser, the SG U-tube multidimensional behaviour, the interfacial friction in the SG inlet plenum and in the pipe located underneath. (author)

  4. Illustrating, Quantifying, and Correcting for Bias in Post-hoc Analysis of Gene-Based Rare Variant Tests of Association

    Science.gov (United States)

    Grinde, Kelsey E.; Arbet, Jaron; Green, Alden; O'Connell, Michael; Valcarcel, Alessandra; Westra, Jason; Tintle, Nathan

    2017-01-01

    To date, gene-based rare variant testing approaches have focused on aggregating information across sets of variants to maximize statistical power in identifying genes showing significant association with diseases. Beyond identifying genes that are associated with diseases, the identification of causal variant(s) in those genes and estimation of their effect is crucial for planning replication studies and characterizing the genetic architecture of the locus. However, we illustrate that straightforward single-marker association statistics can suffer from substantial bias introduced by conditioning on gene-based test significance, due to the phenomenon often referred to as “winner's curse.” We illustrate the ramifications of this bias on variant effect size estimation and variant prioritization/ranking approaches, outline parameters of genetic architecture that affect this bias, and propose a bootstrap resampling method to correct for this bias. We find that our correction method significantly reduces the bias due to winner's curse (average two-fold decrease in bias, p bias and improve inference in post-hoc analysis of gene-based tests under a wide variety of genetic architectures. PMID:28959274

  5. Development and Testing of a Friction-Based Post-Installable Fiber-Optic Monitoring System for Subsea Applications

    Science.gov (United States)

    Bentley, Nicole L.; Brower, David V.; Le, Suy Q.; Seaman, Calvin H.; Tang, Henry H.

    2017-01-01

    This paper presents the design and development of a friction-based coupling device for a fiber-optic monitoring system capable of measuring pressure, strain, and temperature that can be deployed on existing subsea structures. A summary is provided of the design concept, prototype development, prototype performance testing, and subsequent design refinements of the device. The results of laboratory testing of the first prototype performed at the National Aeronautics and Space Administration (NASA) Johnson Space Center (JSC) are also included. Limitations of the initial concept were identified during testing and future design improvements were proposed and later implemented. These new features enhance the coupling of the sensor device and improve the monitoring system measurement capabilities. A major challenge of a post-installed instrumentation monitoring system is to ensure adequate coupling between the instruments and the structure of interest for reliable measurements. Friction-based devices have the potential to overcome coupling limitations caused by marine growth and soil contamination on flowlines, risers, and other subsea structures. The work described in this paper investigates the design and test of a friction-based coupling device (herein referred to as a friction clamp) which is suitable for pipelines and structures that are suspended in the water column as well as for those that are resting on the seabed. The monitoring elements consist of fiberoptic sensors that are bonded to a stainless steel clamshell assembly with a high-friction surface coating. The friction clamp incorporates a single hinge design to facilitate installation of the clamp and dual rows of opposing fasteners to distribute the clamping force along the structure. The friction clamp can be modified to be installed by commercial divers in shallow depths or by remotely operated vehicles in deep-water applications. NASA-JSC was involved in the selection and testing of the friction coating

  6. Trace elements distribution and post-mortem intake in human bones from Middle Age by total reflection X-ray fluorescence

    International Nuclear Information System (INIS)

    Carvalho, M.L.; Marques, A.F.; Lima, M.T.; Reus, U.

    2004-01-01

    The purpose of the present work is to investigate the suitability of TXRF technique to study the distribution of trace elements along human bones of the 13th century, to conclude about environmental conditions and dietary habits of old populations and to study the uptake of some elements from the surrounding soil. In this work, we used TXRF to quantify and to make profiles of the elements through long bones. Two femur bones, one from a man and another from a woman, buried in the same grave were cross-sectioned in four different points at a distance of 1 cm. Microsamples of each section were taken at a distance of 1 mm from each other. Quantitative analysis was performed for Ca, Mn, Fe, Cu, Zn, Sr, Ba and Pb. Very high concentrations of Mn and Fe were obtained in the whole analysed samples, reaching values higher than 2% in some samples of trabecular tissue, very much alike to the concentrations in the burial soil. A sharp decrease for both elements was observed in cortical tissue. Zn and Sr present steady concentration levels in both kinds of bone tissues. Pb and Cu show very low concentrations in the inner tissue of cortical bone. However, these concentrations increase in the regions in contact to trabecular tissue and external surface in contact with the soil, where high levels of both elements were found. We suggest that contamination from the surrounding soil exists for Mn and Fe in the whole bone tissue. Pb can be both from post-mortem and ante-mortem origin. Inner compact tissue might represent in vivo accumulation and trabecular one corresponds to uptake during burial. The steady levels of Sr and Zn together with soil concentration lower levels for these elements may allow us to conclude that they are originated from in vivo incorporation in the hydroxyapatite bone matrix

  7. Post-hoc pattern-oriented testing and tuning of an existing large model: lessons from the field vole.

    Directory of Open Access Journals (Sweden)

    Christopher J Topping

    Full Text Available Pattern-oriented modeling (POM is a general strategy for modeling complex systems. In POM, multiple patterns observed at different scales and hierarchical levels are used to optimize model structure, to test and select sub-models of key processes, and for calibration. So far, POM has been used for developing new models and for models of low to moderate complexity. It remains unclear, though, whether the basic idea of POM to utilize multiple patterns, could also be used to test and possibly develop existing and established models of high complexity. Here, we use POM to test, calibrate, and further develop an existing agent-based model of the field vole (Microtus agrestis, which was developed and tested within the ALMaSS framework. This framework is complex because it includes a high-resolution representation of the landscape and its dynamics, of the individual's behavior, and of the interaction between landscape and individual behavior. Results of fitting to the range of patterns chosen were generally very good, but the procedure required to achieve this was long and complicated. To obtain good correspondence between model and the real world it was often necessary to model the real world environment closely. We therefore conclude that post-hoc POM is a useful and viable way to test a highly complex simulation model, but also warn against the dangers of over-fitting to real world patterns that lack details in their explanatory driving factors. To overcome some of these obstacles we suggest the adoption of open-science and open-source approaches to ecological simulation modeling.

  8. Test-retest reliability of Common Mental Disorders Questionnaire (CMDQ) in patients with total hip replacement (THR)

    DEFF Research Database (Denmark)

    Bilberg, Randi; Nørgaard, Birgitte; Roessler, Kirsten Kaya

    2014-01-01

    BACKGROUND: The Common Mental Disorders Questionnaire (CMDQ) is used to assess patients' mental health. It has previously been shown to provide a sensitive and specific instrument for general practitioner setting but has so far not been tested in hospital setting or for changes over time (test....... TRIAL REGISTRATION: Current Controlled Trials: NCT01205295....

  9. High-intensity preoperative training improves physical and functional recovery in the early post-operative periods after total knee arthroplasty

    DEFF Research Database (Denmark)

    Calatayud, Joaquin; Casaña, Jose; Ezzatvar, Yasmin

    2017-01-01

    the preoperative period reduces pain and improves lower limb muscle strength, ROM and functional task performance before surgery, resulting in a reduced length of stay at the hospital and a faster physical and functional recovery after TKA. The present training programme can be used by specialists to speed up......-four subjects (7 men, 37 women) scheduled for unilateral TKA for osteoarthritis (OA) during 2014 participated in this randomized controlled trial. Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), the Physical Functioning Scale of the Short Form-36 questionnaire (SF-36), a 10-cm visual...... analogue scale (VAS), isometric knee flexion, isometric knee extension, isometric hip abduction, active knee range of motion and functional tasks (Timed Up and Go test and Stair ascent-descent test) were assessed at 8 weeks before surgery (T1), after 8 weeks of training (T2), 1 month after TKA (T3...

  10. Integration of In-Flight and Post-Flight Water Monitoring Resources in Addressing the U.S. Water Processor Assembly Total Organic Carbon (TOC) Anomaly

    Science.gov (United States)

    Straub, John E., II; McCly, J. Torin

    2011-01-01

    Beginning in June of 2010, the total organic carbon (TOC) concentration in the U.S. Water Processor Assembly (WPA) product water started to increase. A surprisingly consistent upward TOC trend was observed through weekly ISS total organic carbon analyzer (TOCA) monitoring. As TOC is a general organic compound indicator, return of water archive samples was needed to make better-informed crew health decisions on the specific compounds of concern and to aid in WPA troubleshooting. TOCA-measured TOC was more than halfway to the health-based screening limit of 3,000 g/L before archive samples were returned. Archive samples were returned on 22 Soyuz in September 2010 and on ULF5 in November of 2010. The samples were subjected to extensive analysis. Although TOC was confirmed to be elevated, somewhat surprisingly, none of the typical target compounds were detected at high levels. After some solid detective work, it was confirmed that the TOC was associated with a compound known as dimethylsilanediol (DMSD). DMSD is believed to be a breakdown product of siloxanes which are thought to be ubiquitous in the ISS atmosphere. A toxicological limit was set for DMSD and a forward plan was developed for conducting operations in the context of understanding the composition of the TOC measured in flight. This required careful consideration of existing ISS flight rules, coordination with ISS stakeholders, and development of a novel approach for the blending of inflight TOCA data with archive results to protect crew health. Among other challenges, team members had to determine how to utilize TOCA readings when making decisions about crew consumption of WPA water. This involved balancing very real concerns associated with the assumption that TOC would continue to be comprised of only DMSD. Demonstrated teamwork, multidisciplinary awareness, and innovative problem-solving were required to respond effectively to this anomaly.

  11. Evaluation of a multiple-encounter in situ simulation for orientation of staff to a new paediatric emergency service: a single-group pretest/post-test study.

    Science.gov (United States)

    Davison, Michelle; Kinnear, Frances B; Fulbrook, Paul

    2017-10-01

    To assess the utility of a multiple-encounter in-situ (MEIS) simulation as an orientation tool for multidisciplinary staff prior to opening a new paediatric emergency service. A single-group pretest/post-test study was conducted. During the MEIS simulation, multidisciplinary staff with participant or observer roles managed eight children (mannequins) who attended triage with their parent/guardians (clinical facilitators) for a range of emergency presentations (structured scenarios designed to represent the expected range of presentations plus test various clinical pathways/systems). Participants were debriefed to explore clinical, systems and crisis-resource management issues. Participants also completed a pre-intervention and post-intervention questionnaire comprising statements about role confidence and orientation adequacy. Pre-test and post-test results were analysed using t-test and Wilcoxon signed rank test. Eighty-nine staff participated in the MEIS simulation, with the majority completing the pre-simulation and post-simulation questionnaire. There was a significant improvement in post-intervention versus pre-intervention Likert scores for role confidence and orientation adequacy (p=0.001 and orientation adequacy. Nearly all scenarios resulted in significant increases in participants' confidence levels. The MEIS simulation was of utility in orientation of staff, at least with respect to self-reported role confidence and orientation adequacy. Its effectiveness in practice or compared with other orientation techniques was not assessed, but it did identify several flaws in planned systems allowing remediation prior to opening.

  12. Analysis on the post-irradiation examination of the HANARO miniplate-1 irradiation test for Kijang research reactor

    Energy Technology Data Exchange (ETDEWEB)

    Park, Jong Man; Tahk, Young Wook; Jeong, Yong Jin [Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of); and others

    2017-08-15

    The construction project of the Kijang research reactor (KJRR), which is the second research reactor in Korea, has been launched. The KJRR was designed to use, for the first time, U–Mo fuel. Plate-type U–7 wt.% Mo/Al–5 wt.% Si, referred to as U–7Mo/Al–5Si, dispersion fuel with a uranium loading of 8.0 gU/cm{sup 3}, was selected to achieve higher fuel efficiency and performance than are possible when using U{sub 3}Si{sub 2}/Al dispersion fuel. To qualify the U–Mo fuel in terms of plate geometry, the first miniplates [HANARO Miniplate (HAMP-1)], containing U–7Mo/Al–5Si dispersion fuel (8 gU/cm{sup 3}), were fabricated at the Korea Atomic Energy Research Institute and recently irradiated at HANARO. The PIE (Post-irradiation Examination) results of the HAMP-1 irradiation test were analyzed in depth in order to verify the safe in-pile performance of the U–7Mo/Al–5Si dispersion fuel under the KJRR irradiation conditions. Nondestructive analyses included visual inspection, gamma spectrometric mapping, and two-dimensional measurements of the plate thickness and oxide thickness. Destructive PIE work was also carried out, focusing on characterization of the microstructural behavior using optical microscopy and scanning electron microscopy. Electron probe microanalysis was also used to measure the elemental concentrations in the interaction layer formed between the U–Mo kernels and the matrix. A blistering threshold test and a bending test were performed on the irradiated HAMP-1 miniplates that were saved from the destructive tests. Swelling evaluation of the U–Mo fuel was also conducted using two methods: plate thickness measurement and meat thickness measurement.

  13. Analysis on the post-irradiation examination of the HANARO miniplate-1 irradiation test for kijang research reactor

    Directory of Open Access Journals (Sweden)

    Jong Man Park

    2017-08-01

    Full Text Available The construction project of the Kijang research reactor (KJRR, which is the second research reactor in Korea, has been launched. The KJRR was designed to use, for the first time, U–Mo fuel. Plate-type U–7 wt.% Mo/Al–5 wt.% Si, referred to as U–7Mo/Al–5Si, dispersion fuel with a uranium loading of 8.0 gU/cm3, was selected to achieve higher fuel efficiency and performance than are possible when using U3Si2/Al dispersion fuel. To qualify the U–Mo fuel in terms of plate geometry, the first miniplates [HANARO Miniplate (HAMP-1], containing U–7Mo/Al–5Si dispersion fuel (8 gU/cm3, were fabricated at the Korea Atomic Energy Research Institute and recently irradiated at HANARO. The PIE (Post-irradiation Examination results of the HAMP-1 irradiation test were analyzed in depth in order to verify the safe in-pile performance of the U–7Mo/Al–5Si dispersion fuel under the KJRR irradiation conditions. Nondestructive analyses included visual inspection, gamma spectrometric mapping, and two-dimensional measurements of the plate thickness and oxide thickness. Destructive PIE work was also carried out, focusing on characterization of the microstructural behavior using optical microscopy and scanning electron microscopy. Electron probe microanalysis was also used to measure the elemental concentrations in the interaction layer formed between the U–Mo kernels and the matrix. A blistering threshold test and a bending test were performed on the irradiated HAMP-1 miniplates that were saved from the destructive tests. Swelling evaluation of the U–Mo fuel was also conducted using two methods: plate thickness measurement and meat thickness measurement.

  14. Testing the effectiveness of pine needlecast in reducing post-fire soil erosion using complementary experimental approaches

    Science.gov (United States)

    Bento, C. P. M.; Shakesby, R. A.; Walsh, R. P. D.; Ferreira, C. S. S.; Ferreira, A. J. D.; Urbanek, E.

    2012-04-01

    Mediterranean wildfire activity has increased markedly in recent decades, leading to enhanced runoff and erosion. Limiting post-fire on-site soil degradation and off-site flooding and sedimentation, however, often has a low priority because of the high costs of materials and labour needed to implement many recognised techniques (e.g. seeding, hydromulching, installing logs along the contour). However, in pine plantations, the crowns may only be scorched so that after fire the needlecast can form a comparatively dense ground cover. Its post-fire erosion-limiting effectiveness is virtually unknown in the Mediterranean context, despite potentially protecting soil with minimal effort (requiring only a delay to existing salvage logging procedures at most). As part of the DESIRE research programme, this paper presents results from two complementary approaches testing the erosion-limiting effectiveness of needlecast. (1) Near Moinhos, central Portugal, two 8m2 erosion plots were established immediately post-fire in September 2009 on a steep (30°) slope representative of an adjacent burnt Pinus pinaster plantation. Soil erosion was monitored during a 3-month pre-treatment phase. Needles were then applied to one plot at a density (37.7% cover) measured on a post-fire pine plantation. Soil losses from treated and untreated plots were then monitored until April 2011. By taking the percentage increase or decrease in erosion between the two monitoring phases for the untreated control plot as the 'expected' pattern, the erosion-limiting effectiveness of needles applied to the treated plot could then be determined. (2) Six adjacent rectangular 1.23m2 lysimeters were filled with gravel and sand, and capped by 10 cm of topsoil taken from a long unburnt Pinus pinaster plantation. They were set at 15° and left open to natural rainfall. This angle was considered the steepest possible from logistical and soil stability points of view. All lysimeters underwent a phase under bare soil

  15. Development and Testing of a Friction-Based Post-Installable Sensor for Subsea Fiber-Optic Monitoring Systems

    Science.gov (United States)

    Bentley, Nicole; Brower, David; Le, Suy Q.; Seaman, Calvin; Tang, Henry

    2017-01-01

    This paper presents the design and development of a friction-based coupling device for a fiber-optic monitoring system that can be deployed on existing subsea structures. This paper provides a summary of the design concept, prototype development, prototype performance testing, and design refinements of the device. The results of the laboratory testing of the first prototype performed at the National Aeronautics and Space Administration (NASA) Johnson Space Center (JSC) are included in this paper. Limitations of the initial design were identified and future design improvements were proposed. These new features will enhance the coupling of the device and improve the monitoring system measurement capabilities. A major challenge of a post-installed instrumentation monitoring system is to ensure adequate coupling between the instruments and the structure of interest for reliable measurements. Friction-based coupling devices have the potential to overcome coupling limitations caused by marine growth and soil contamination on subsea structures, flowlines or risers. The work described in this paper investigates the design of a friction-based coupling device (friction clamp), which is applicable for pipelines and structures that are suspended in the water column and those that are resting on the seabed. The monitoring elements consist of fiber-optic sensors that are bonded to a metal clamshell with a high-friction coating. The friction clamp has a single hinge design to facilitate the operation of the clamp and dual rows of opposing fasteners to distribute the clamping force on the structure. The friction clamp can be installed by divers in shallow depths or by remotely operated vehicles in deep-water applications. NASA-JSC was involved in the selection and testing of the friction coating, and in the design and testing of the prototype clamp device. Four-inch diameter and eight-inch diameter sub-scale friction clamp prototypes were built and tested to evaluate the strain

  16. Development and Testing of a Friction-Based Post-Installable Sensor for Subsea Fiber-Optic Monitoring System

    Science.gov (United States)

    Bentley, Nicole L.; Brower, David V.; Le, Suy Q.; Seaman, Calvin H.; Tang, Henry H.

    2017-01-01

    This paper presents the design and development of a friction-based coupling device for a fiber-optic monitoring system that can be deployed on existing subsea structures. This paper provides a summary of the design concept, prototype development, prototype performance testing, and design refinements of the device. The results of the laboratory testing of the first prototype performed at the National Aeronautics and Space Administration (NASA) Johnson Space Center (JSC) are included in this paper. Limitations of the initial design were identified and future design improvements were proposed. These new features will enhance the coupling of the device and improve the monitoring system measurement capabilities. A major challenge of a post-installed instrumentation monitoring system is to ensure adequate coupling between the instruments and the structure of interest for reliable measurements. Friction-based coupling devices have the potential to overcome coupling limitations caused by marine growth and soil contamination on subsea structures, flowlines or risers. The work described in this paper investigates the design of a friction-based coupling device (friction clamp), which is applicable for pipelines and structures that are suspended in the water column and those that are resting on the seabed. The monitoring elements consist of fiber-optic sensors that are bonded to a metal clamshell with a high-friction coating. The friction clamp has a single hinge design to facilitate the operation of the clamp and dual rows of opposing fasteners to distribute the clamping force on the structure. The friction clamp can be installed by divers in shallow depths or by remotely operated vehicles in deep-water applications. NASA-JSC was involved in the selection and testing of the friction coating, and in the design and testing of the prototype clamp device. Four-inch diameter and eight-inch diameter sub-scale friction clamp prototypes were built and tested to evaluate the strain

  17. Post-Test Analysis of 11% Break at PSB-VVER Experimental Facility using Cathare 2 Code

    Science.gov (United States)

    Sabotinov, Luben; Chevrier, Patrick

    The best estimate French thermal-hydraulic computer code CATHARE 2 Version 2.5_1 was used for post-test analysis of the experiment “11% upper plenum break”, conducted at the large-scale test facility PSB-VVER in Russia. The PSB rig is 1:300 scaled model of VVER-1000 NPP. A computer model has been developed for CATHARE 2 V2.5_1, taking into account all important components of the PSB facility: reactor model (lower plenum, core, bypass, upper plenum, downcomer), 4 separated loops, pressurizer, horizontal multitube steam generators, break section. The secondary side is represented by recirculation model. A large number of sensitivity calculations has been performed regarding break modeling, reactor pressure vessel modeling, counter current flow modeling, hydraulic losses, heat losses. The comparison between calculated and experimental results shows good prediction of the basic thermal-hydraulic phenomena and parameters such as pressures, temperatures, void fractions, loop seal clearance, etc. The experimental and calculation results are very sensitive regarding the fuel cladding temperature, which show a periodical nature. With the applied CATHARE 1D modeling, the global thermal-hydraulic parameters and the core heat up have been reasonably predicted.

  18. On-line ethics education for occupational therapy clinician-educators: a single-group pre-/post-test study.

    Science.gov (United States)

    VanderKaay, Sandra; Letts, Lori; Jung, Bonny; Moll, Sandra E

    2018-05-20

    Ethics education is a critical component of training rehabilitation practitioners. There is a need for capacity-building among ethics educators regarding facilitating ethical decision-making among students. The purpose of this study was to evaluate the utility of an on-line ethics education module for occupational therapy clinician-educators (problem-based learning tutors/clinical placement preceptors/evidence-based practice facilitators). The Knowledge-to-Action Process informed development and evaluation of the module. Clinician-educators (n = 33) viewed the module and reported on its impact on knowledge and facilitation practices via pre, post, and follow-up questionnaires. Pre- and post-test data indicated improvement in self-reported ethics knowledge (t = 8.275, p ethics education module for clinician-educators. Future recommendations include broader consideration of context, adding supplemental knowledge translation components, and further research exploring outcomes with larger samples, longer follow-up and randomized trial methodology. Implications for Rehabilitation The on-line ethics module has potential to improve rehabilitation practice by addressing the noted gap in knowledge among clinician-educators. Viewing an on-line module regarding approaches to ethics education may not be sufficient to change clinician-educators' teaching practices. More time and opportunities to discuss ethics with student occupational therapists may be required to effect practice change among clinician-educators. Developing ethics education tools for clinician-educators requires ongoing and iterative input from knowledge users to optimize translation of ideas to practice.

  19. Continued Inpatient Care After Primary Total Knee Arthroplasty Increases 30-Day Post-Discharge Complications: A Propensity Score-Adjusted Analysis.

    Science.gov (United States)

    McLawhorn, Alexander S; Fu, Michael C; Schairer, William W; Sculco, Peter K; MacLean, Catherine H; Padgett, Douglas E

    2017-09-01

    Discharge destination, either home or skilled care facility, after total knee arthroplasty (TKA) may be associated with significant variation in postacute care outcomes. The purpose of this study was to characterize the 30-day postdischarge outcomes after primary TKA relative to discharge destination. All primary unilateral TKAs performed for osteoarthritis from 2011-2014 were identified in the National Surgical Quality Improvement Program database. Propensity scores based on predischarge characteristics were used to adjust for selection bias in discharge destination. Propensity-adjusted multivariable logistic regressions were used to examine associations between discharge destination and postdischarge complications. Among 101,256 primary TKAs identified, 70,628 were discharged home and 30,628 to skilled care facilities. Patients discharged to facilities were more frequently were female, older, higher body mass index class, higher Charlson comorbidity index and American Society of Anesthesiologists scores, had predischarge complications, received general anesthesia, and classified as nonindependent preoperatively. Propensity adjustment accounted for this selection bias. Patients discharged to skilled care facilities after TKA had higher odds of any major complication (odds ratio = 1.25; 95% confidence interval, 1.13-1.37) and readmission (odds ratio = 1.81; 95% confidence interval, 1.50-2.18). Skilled care was associated with increased odds for respiratory, septic, thromboembolic, and urinary complications. Associations with death, cardiac, and wound complications were not significant. After controlling for predischarge characteristics, discharge to skilled care facilities vs home after primary TKA is associated with higher odds of numerous complications and unplanned readmission. These results support coordination of care pathways to facilitate home discharge after hospitalization for TKA whenever possible. Copyright © 2017 Elsevier Inc. All rights reserved.

  20. Determination of total galactose from dried blood spots—extensive assay evaluation of a CE-marked test-kit

    OpenAIRE

    Fingerhut, R; Torresani, T

    2013-01-01

    Most newborn screening laboratories use CE-marked or FDA-approved test-kits, like in routine clinical chemistry. National regulations require only minimal evaluation from the customer, if the test-kits are used as specified by the manufacturer. The microtiter-based kit-concept is often based on the perception, that the laboratory always processes whole microtiter plates. However, in the daily routine, this is rather a rare exception, which leads to much higher costs per newborn, compared to t...

  1. Male and female WorldSID and post mortem human subject responses in full-scale vehicle tests.

    Science.gov (United States)

    Yoganandan, Narayan; Humm, John; Pintar, Frank; Rhule, Heather; Moorhouse, Kevin; Suntay, Brian; Stricklin, Jim; Rudd, Rodney; Craig, Matthew

    2017-05-29

    This study compares the responses of male and female WorldSID dummies with post mortem human subject (PMHS) responses in full-scale vehicle tests. Tests were conducted according to the FMVSS-214 protocols and using the U.S. Side Impact New Car Assessment Program change in velocity to match PMHS experiments, published earlier. Moving deformable barrier (MDB) tests were conducted with the male and female surrogates in the left front and left rear seats. Pole tests were performed with the male surrogate in the left front seat. Three-point belt restraints were used. Sedan-type vehicles were used from the same manufacturer with side airbags. The PMHS head was instrumented with a pyramid-shaped nine-axis accelerometer package, with angular velocity transducers on the head. Accelerometers and angular velocity transducers were secured to T1, T6, and T12 spinous processes and sacrum. Three chest bands were secured around the upper, middle, and lower thoraces. Dummy instrumentation included five infrared telescoping rods for assessment of chest compression (IR-TRACC) and a chest band at the first abdomen rib, head angular velocity transducer, and head, T1, T4, T12, and pelvis accelerometers. Morphological responses of the kinematics of the head, thoracic spine, and pelvis matched in both surrogates for each pair. The peak magnitudes of the torso accelerations were lower for the dummy than for the biological surrogate. The brain rotational injury criterion (BrIC) response was the highest in the male dummy for the MDB test and PMHS. The probability of AIS3+ injuries, based on the head injury criterion, ranged from 3% to 13% for the PMHS and from 3% to 21% for the dummy from all tests. The BrIC-based metrics ranged from 0 to 21% for the biological and 0 to 48% for the dummy surrogates. The deflection profiles from the IR-TRACC sensors were unimodal. The maximum deflections from the chest band placed on the first abdominal rib were 31.7 mm and 25.4 mm for the male and female

  2. Variation in NHS utilisation of vault smear tests in women post-hysterectomy: A study, using routinely collected datasets

    Directory of Open Access Journals (Sweden)

    Wilson Sue

    2008-03-01

    Full Text Available Abstract Background 20% of women living in the UK have a hysterectomy during their lifetime, levels are higher in the USA, making it one of the most commonly performed major surgical procedures. Understanding of the indications for hysterectomy and of the rationale for follow-up of women post hysterectomy is currently limited. Guidelines concerning follow-up by means of vaginal vault cytology tests exist but these are not based on 'gold standard' evidence. Furthermore, the extent to which current practice reflects these guidelines is unclear. This study aims to determine the factors associated with variability in hysterectomy rates and subsequent follow-up after surgery by use of the vaginal vault smear cytology test. Methods/Design All women resident in the West Midlands region, of the United Kingdom, who had a hysterectomy operation between 1st April 2002 and 30th March 2003 will be identified from the Hospital Episodes Statistics database which also contains proxy data on deprivation status, derived from postcode and self declared ethnicity. These data will be linked to regional cervical screening records for each woman and histopathology laboratory records from the relevant hospitals. Study objectives are to describe: Indications for the hysterectomy operation, histology at hysterectomy, subsequent follow-up by use or non-use of vaginal vault cytology tests and variation between histological groups. Additionally the data will be categorised according to a woman's cytology screening history prior to surgery (i.e. always normal, borderline, resolved abnormalities, CIN etc and these different groups compared. Variations in these outcomes according to age, deprivation and ethnic group will also be examined. Analysis will be undertaken using SPSS. Discussion This study will clarify patterns of current practice in one large English region and determine whether this practice reflects existing guidelines. The study will also strengthen the evidence

  3. Analysis of Serum Total and Free PSA Using Immunoaffinity Depletion Coupled to SRM: Correlation with Clinical Immunoassay Tests

    Science.gov (United States)

    Liu, Tao; Hossain, Mahmud; Schepmoes, Athena A.; Fillmore, Thomas L.; Sokoll, Lori J.; Kronewitter, Scott R.; Izmirlian, Grant; Shi, Tujin; Qian, Wei-Jun; Leach, Robin J.; Thompson, Ian M.; Chan, Daniel W.; Smith, Richard D.; Kagan, Jacob; Srivastava, Sudhir; Rodland, Karin D.; Camp, David G.

    2012-01-01

    Recently, selected reaction monitoring mass spectrometry (SRM-MS) has been more frequently applied to measure low abundance biomarker candidates in tissues and biofluids, owing to its high sensitivity and specificity, simplicity of assay configuration, and exceptional multiplexing capability. In this study, we report for the first time the development of immunoaffinity depletion-based workflows and SRM-MS assays that enable sensitive and accurate quantification of total and free prostate-specific antigen (PSA) in serum without the requirement for specific PSA antibodies. Low ng/mL level detection of both total and free PSA was consistently achieved in both PSA-spiked female serum samples and actual patient serum samples. Moreover, comparison of the results obtained when SRM PSA assays and conventional immunoassays were applied to the same samples showed good correlation in several independent clinical serum sample sets. These results demonstrate that the workflows and SRM assays developed here provide an attractive alternative for reliably measuring candidate biomarkers in human blood, without the need to develop affinity reagents. Furthermore, the simultaneous measurement of multiple biomarkers, including the free and bound forms of PSA, can be performed in a single multiplexed analysis using high-resolution liquid chromatographic separation coupled with SRM-MS. PMID:22846433

  4. Temperature escalation in PWR fuel rod simulator bundles due to the zircaloy/steam reaction: Post test investigations of bundle test ESBU-2A

    International Nuclear Information System (INIS)

    Hagen, S.; Kapulla, H.; Malauschek, H.; Wallenfels, K.P.; Buescher, B.

    1986-11-01

    This KfK report describes the post test investigation of bundle experiment ESBU-2a. ESBU-2a was the second of two bundle tests on the temperature escalation of zircaloy clad fuel rods. The investigation of the temperature escalation is part of the program of out-of-pile experiments performed within the frame work of the PNS-Severe Fuel Damage program. The bundle was composed of a 3x3 fuel rod array of our fuel rod simulators (central tungsten heater, UO 2 -ring pellet and zircaloy cladding). The length was 0.4 meter. The bundle was heated to a maximum temperature of 2175 0 C. Molten cladding which dissolved part of the UO 2 pellets and slumped away from the already oxidized cladding formed a lump in the lower part of the bundle. After the test the bundle was embedded in epoxy and sectioned with a diamand saw, in the region of the refrozen melt. The cross sections were investigated by metallographic examination. The refrozen (U,Zr,O) melt consists variously of three phases with increasing oxygen content (metallic α-Zry, metallic (U,Zr) alloy and a (U,Zr)O 2 mixed oxide), two phases (α-Zry, (U,Zr)O 2 mixed oxide), or one phase ((U,Zr)O 2 mixed oxide). The cross sections show the increasing oxidation of the cladding with increasing elevation (temperature). A strong azimuthal dependency of the oxidation is found. In regions where the initial oxidized cladding is contacted by the melt one can recognize the interaction between the metallic melt and ZrO 2 of the cladding. Oxygen is taken away from the ZrO 2 . If the melt is in direct contact with steam a relatively well defined oxide layer is formed. (orig.) [de

  5. A comparison of at-home walking and 10-meter walking test parameters of individuals with post-stroke hemiparesis.

    Science.gov (United States)

    Nagano, Katsuhito; Hori, Hideaki; Muramatsu, Ken

    2015-02-01

    [Purpose] The purpose of this study was to clarify the difference in gait parameters of at-home walking and the 10-meter walking test results of individuals with hemiparesis. [Subjects] A total of 14 hemiparetic stroke recovery patients participated in this study. Inclusion criteria were: living at home, the ability to walk independently, and demonstrated low extremity on recovery stages III-V on the Brunnstrom Approach. The average age of the subjects was 66 years. [Methods] We used video surveillance and the inked footprint technique to record usual walking speed and maximum speed patterns both in subjects' homes and during the 10-meter walking test. From these methods, walking speed, stride length, and step rate were calculated. [Results] While both usual and maximum walking speeds of the 10-meter walking test correlated with stride length and step rate, at-home walking speeds only significantly correlated with stride length. [Conclusion] Walking patterns of the 10-meter walking test are quantifiably distinct from those demonstrated in patients' homes, and this difference is mainly characterized by stride length. In order to enhance in-home walking ability, exercises that improve length of stride rather than step rate should be recommended.

  6. The circulating concentration and ratio of total and high molecular weight adiponectin in post-menopausal women with and without osteoporosis and its association with body mass index and biochemical markers of bone metabolism.

    Science.gov (United States)

    Sodi, R; Hazell, M J; Durham, B H; Rees, C; Ranganath, L R; Fraser, W D

    2009-09-01

    There is increasing evidence suggesting that adiponectin plays a role in the regulation of bone metabolism. This was a cross-sectional study of 34 post-menopausal women with and 37 without osteoporosis. All subjects had body mass index (BMI), bone mineral density (BMD), total-, high molecular weight (HMW)-adiponectin and their ratio, osteoprotegerin (OPG), a marker of bone resorption (betaCTX) and formation (P1NP) measured. We observed a positive correlation between BMI and BMD (r=0.44, plean subjects but there was no difference between those with or without osteoporosis. There were significant negative correlations between HMW/total-adiponectin ratio and BMI (r=-0.27, p=0.030) and with OPG (r=-0.44, pproduction of OPG thereby affecting osteoclasts mediated bone resorption.

  7. Modeling bubble condenser containment with computer code COCOSYS: post-test calculations of the main steam line break experiment at ELECTROGORSK BC V-213 test facility

    International Nuclear Information System (INIS)

    Lola, I.; Gromov, G.; Gumenyuk, D.; Pustovit, V.; Sholomitsky, S.; Wolff, H.; Arndt, S.; Blinkov, V.; Osokin, G.; Melikhov, O.; Melikhov, V.; Sokoline, A.

    2005-01-01

    Containment of the WWER-440 Model 213 nuclear power plant features a Bubble Condenser, a complex passive pressure suppression system, intended to limit pressure rise in the containment during accidents. Due to lack of experimental evidence of its successful operation in the original design documentation, the performance of this system under accidents with ruptures of large high-energy pipes of the primary and secondary sides remains a known safety concern for this containment type. Therefore, a number of research and analytical studies have been conducted by the countries operating WWER-440 reactors and their Western partners in the recent years to verify Bubble Condenser operation under accident conditions. Comprehensive experimental research studies at the Electrogorsk BC V-213 test facility, commissioned in 1999 in Electrogorsk Research and Engineering Centre (EREC), constitute essential part of these efforts. Nowadays this is the only operating large-scale facility enabling integral tests on investigation of the Bubble Condenser performance. Several large international research projects, conducted at this facility in 1999-2003, have covered a spectrum of pipe break accidents. These experiments have substantially improved understanding of the overall system performance and thermal hydraulic phenomena in the Bubble Condenser Containment, and provided valuable information for validating containment codes against experimental results. One of the recent experiments, denoted as SLB-G02, has simulated steam line break. The results of this experiment are of especial value for the engineers working in the area of computer code application for WWER-440 containment analyses, giving an opportunity to verify validity of the code predictions and identify possibilities for model improvement. This paper describes the results of the post-test calculations of the SLB-G02 experiment, conducted as a joint effort of GRS, Germany and Ukrainian technical support organizations for

  8. POST-CLOSURE INSPECTION AND MONITORING REPORT FOR CORRECTIVE ACTION UNIT 112: AREA 23 HAZARDOUS WASTE TRENCHES, NEVADA TEST SITE, NEVADA; FOR THE PERIOD OCTOBER 2003 - SEPTEMBER 2004

    International Nuclear Information System (INIS)

    BECHTEL NEVADA

    2004-01-01

    Corrective Action Unit (CAU) 112, Area 23 Hazardous Waste Trenches, Nevada Test Site (NTS), Nevada, is a Resource Conservation and Recovery Act (RCRA) unit located in Area 23 of the NTS. This annual Post-Closure Inspection and Monitoring Report provides the results of inspections and monitoring for CAU 112. This report includes a summary and analysis of the site inspections, repair and maintenance, meteorological information, and neutron soil moisture monitoring data obtained at CAU 112 for the current monitoring period, October 2003 through September 2004. Inspections of the CAU 112 RCRA unit were performed quarterly to identify any significant physical changes to the site that could impact the proper operation of the waste unit. The overall condition of the covers and facility was good, and no significant findings were observed. The annual subsidence survey of the elevation markers was conducted on August 23, 2004, and the results indicated that no cover subsidence4 has occurred at any of the markers. The elevations of the markers have been consistent for the past 11 years. The total precipitation for the current reporting period, october 2003 to September 2004, was 14.0 centimeters (cm) (5.5 inches [in]) (National Oceanographic and Atmospheric Administration, Air Resources Laboratory, Special Operations and Research Division, 2004). This is slightly below the average rainfall of 14.7 cm (5.79 in) over the same period from 1972 to 2004. Post-closure monitoring verifies that the CAU 112 trench covers are performing properly and that no water is infiltrating into or out of the waste trenches. Sail moisture measurements are obtained in the soil directly beneath the trenches and compared to baseline conditions for the first year of post-closure monitoring, which began in october 1993. neutron logging was performed twice during this monitoring period along 30 neutron access tubes to obtain soil moisture data and detect any changes that may indicate moisture movement

  9. Prevention of heterotopic bone formation with early post operative irradiation in high risk patients undergoing total hip arthroplasty: comparison of 10.00 Gy vs 20.00 Gy schedules

    International Nuclear Information System (INIS)

    Anthony, P.; Keys, H.; Evarts, C.M.; Rubin, P.; Lush, C.

    1987-01-01

    Prior studies have demonstrated the effectiveness of postoperative radiation therapy (RT) to the hip area following total hip replacement (THR) surgery in preventing the development of heterotopic bone formation in patients considered to be at high risk for development of this complication. Previously, patients received 20.00 Gy in 10 fractions (fx) over 2 weeks, beginning as soon postop as medically feasible (usually post-op day 2). In an effort to reduce hospital stay and risk of secondary malignancy, a prospective treatment program was initiated April 1982 using a reduced dose of 10.00 Gy in 5 fx over 5-7 days. As of February 1984, 46 consecutive hips determined to be at high risk were treated with this reduced dose. Prior studies have demonstrated that heterotopic bone is always radiographically evident by 8 weeks. Of the 46 hips, 41 had been evaluated with the minimum required 8 week follow-up X ray. Twenty-five of these hips, 61%, had a mean long term follow-up of 12 months. It historical control group, consisting of 54 consecutive high risk post-THR's, was shown to have a 68.5% incidence of heterotopic bone. The 20.00 Gy group, when RT was started by post-op day 5, demonstrated a 3.2% incidence, compared to 4.9% in the 10.00 Gy group. Complication rates were also comparable in the two RT groups, 19.4% and 7.3% respectively; 10.00 Gy is apparently as effective as 20.00 Gy in preventing heterotopic bone formation in high risk post-THR patients

  10. Learning to Work with Databases in Astronomy: Quantitative Analysis of Science Educators' and Students' Pre-/Post-Tests

    Science.gov (United States)

    Schwortz, Andria C.; Burrows, Andrea C.; Myers, Adam D.

    2015-01-01

    Astronomy is increasingly moving towards working with large databases, from the state-of-the-art Sloan Digital Sky Survey Data Release 10, to the historical Digital Access to a Sky Century at Harvard. Non-astronomy fields as well tend to work with large datasets, be it in the form of warehouse inventory, health trends, or the stock market. However very few fields explicitly teach students the necessary skills to analyze such data. The authors studied a matched set of 37 participants working with 200-entry databases in astronomy using Google Spreadsheets, with limited information about a random set of quasars drawn from SDSS DR5. Here the authors present the quantitative results from an eight question pre-/post-test, with questions designed to span Bloom's taxonomy, on both the topics of the skills of using spreadsheets, and the content of quasars. Participants included both Astro 101 summer students and professionals including in-service K-12 teachers and science communicators. All groups showed statistically significant gains (as per Hake, 1998), with the greatest difference between women's gains of 0.196 and men's of 0.480.

  11. Testing the assessment of new radiation oncology technology and treatments framework using the evaluation of post-prostatectomy radiotherapy techniques

    International Nuclear Information System (INIS)

    Duchesne, Gillian M.; Haworth, Annette; Hornby, Colin; Bone, Eric; Carter, Hannah; Martin, Andrew; Ebert, Martin A.; Gagliardi, Frank; Gibbs, Adrian; Sidhom, Mark; Wood, Maree; Jackson, Michael

    2016-01-01

    We tested the ability of the Assessment of New Radiation Oncology Technology and Treatments framework to determine the clinical efficacy and safety of intensity-modulated radiation therapy (IMRT) compared with 3-dimensional radiation therapy (3DCRT) for post-prostatectomy radiation therapy (PPRT) to support its timely health economic evaluation. Treatment plans produced using FROGG guidelines provided dosimetry parameters for both techniques at 64 Gy and 70 Gy and were also used to model early and late outcome probabilities. Clinical parameters were derived from early toxicity and quality of life patient data, systematic literature review and expert opinion. Dosimetry parameters were correlated with the measures of clinical efficacy and safety. Data from two patient cohorts (29 and 27 respectively) were collected within the project timeframe, providing evidence for acute toxicity and quality of life, and dosimetric comparisons. Relative rates of tumour control probability (TCP) and normal tissue control probability (NTCP) modelling were readily derived from the planning exercise and demonstrated advantages in uncomplicated TCP for IMRT over 3DCRT, predominantly due to normal tissue sparing. The safety of IMRT delivery was demonstrated with TCP uncompromised by IMRT protocol violations, which achieved rectal sparing only by reducing minimum target dose and coverage. Sources of desk-top and patient-based evidence were successfully used to demonstrate potential improved clinical efficacy and safety of applying dose escalation using IMRT instead of 3DCRT in PPRT.

  12. Post-abortion care and voluntary HIV counselling and testing--an example of integrating HIV prevention into reproductive health services

    DEFF Research Database (Denmark)

    Rasch, Vibeke; Yambesi, Fortunata; Massawe, Siriel

    2006-01-01

    OBJECTIVE: To assess the acceptance and outcome of voluntary HIV counselling and testing (VCT) among women who had an unsafe abortion. METHOD: 706 women were provided with post-abortion contraceptive service and offered VCT. We collected data on socioeconomic characteristics and contraceptive use......-24 years and 25% among single women aged 25-45 years. CONCLUSION: HIV testing and condoms were accepted by most women who had an unsafe abortion. The poor reproductive health of these women could be improved by good post-abortion care that includes contraceptive counselling, VCT and condom promotion....

  13. Can education improve clinical practice concerning delirium in older hospitalised patients? Results of a pre-test post-test study on an educational intervention for nursing staff.

    Science.gov (United States)

    van Velthuijsen, Eveline L; Zwakhalen, Sandra M G; Warnier, Ron M J; Ambergen, Ton; Mulder, Wubbo J; Verhey, Frans R J; Kempen, Gertrudis I J M

    2018-04-02

    Delirium is a common and serious complication of hospitalisation in older adults. It can lead to prolonged hospital stay, institutionalisation, and even death. However, it often remains unrecognised or is not managed adequately. The aim of this study was to evaluate the effects of an educational intervention for nursing staff on three aspects of clinical practice concerning delirium in older hospitalised patients: the frequency and correctness of screening for delirium using the 13-item Delirium Observation Screening score (DOS), and the frequency of geriatric consultations requested for older patients. The a priori expectations were that there would be an increase in all three of these outcomes. We designed an educational intervention and implemented this on two inpatient hospital units. Before providing the educational session, the nursing staff was asked to fill out two questionnaires about delirium in older hospitalised patients. The educational session was then tailored to each unit based on the results of these questionnaires. Additionally, posters and flyers with information on the screening and management of delirium were provided and participants were shown where to find additional information. Relevant data (outcomes, demographics and background patient data) were collected retrospectively from digital medical files. Data was retrospectively collected for four different time points: three pre-test and one post-test. There was a significant increase in frequency of delirium screening (P = 0.001), and both units showed an increase in the correctness of the screening. No significant effect of the educational intervention was found for the proportion of patients who received a geriatric consultation (P = 0.083). The educational intervention was fairly successful in making positive changes in clinical practice: after the educational session an improvement in the frequency and correctness of screening for delirium was observed. A trend, though not

  14. Fiscal 2000 report on result of R and D of nonmetallic material recycling promotion technology (demonstration test and research, total system technology); 2000 nendo hitetsu kinzokukei sozai recycle sokushin gijutsu kenkyu kaihatsu seika hokokusho. Jissho shiken kenkyu, total system gijutsu

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2001-03-01

    R and D was conducted on advanced recycling technology for aluminum and base metal/rare metal based materials, with fiscal 2000 results compiled. In the research of aluminum recycling technology, on a continuous fractional crystallization process and a purification by zinc removal process, the existing facilities for each demonstrated that they could simulate an aluminum scrap melting process capacity of 1,000 t/month, with a series of initial conditions determined. In the research of total system technology, combined test facilities were completed in which a purification process and a melt cleaning process were integrated. In the research of the recycling technology for base metal/rare metal based materials, a test was carried out by demonstrative facilities, with the aim of establishing copper regeneration technology in which high grade copper is produced using metal/resin based scraps such as shredder dust of automobiles as the materials. In structuring the total system technology, a preliminary survey and environmental load measures were carried out toward the practicability of a comprehensive copper metal collection recycling system. (NEDO)

  15. A small punch test technique for characterizing the elastic modulus and fracture behavior of PMMA bone cement used in total joint replacement.

    Science.gov (United States)

    Giddings, V L; Kurtz, S M; Jewett, C W; Foulds, J R; Edidin, A A

    2001-07-01

    Polymethylmethacrylate (PMMA) bone cement is used in total joint replacements to anchor implants to the underlying bone. Establishing and maintaining the integrity of bone cement is thus of critical importance to the long-term outcome of joint replacement surgery. The goal of the present study was to evaluate the suitability of a novel testing technique, the small punch or miniaturized disk bend test, to characterize the elastic modulus and fracture behavior of PMMA. We investigated the hypothesis that the crack initiation behavior of PMMA during the small punch test was sensitive to the test temperature. Miniature disk-shaped specimens, 0.5 mm thick and 6.4 mm in diameter, were prepared from PMMA and Simplex-P bone cement according to manufacturers' instructions. Testing was conducted at ambient and body temperatures, and the effect of test temperature on the elastic modulus and fracture behavior was statistically evaluated using analysis of variance. For both PMMA materials, the test temperature had a significant effect on elastic modulus and crack initiation behavior. At body temperature, the specimens exhibited "ductile" crack initiation, whereas at room temperature "brittle" crack initiation was observed. The small punch test was found to be a sensitive and repeatable test method for evaluating the mechanical behavior of PMMA. In light of the results of this study, future small punch testing should be conducted at body temperature.

  16. Post-irradiation examinations and high-temperature tests on undoped large-grain UO{sub 2} discs

    Energy Technology Data Exchange (ETDEWEB)

    Noirot, J., E-mail: jean.noirot@cea.fr [CEA, DEN, DEC, Cadarache, F-13108 St. Paul Lez Durance (France); Pontillon, Y. [CEA, DEN, DEC, Cadarache, F-13108 St. Paul Lez Durance (France); Yagnik, S. [EPRI, P.O. Box 10412, Palo Alto, CA 94303-0813 (United States); Turnbull, J.A. [Independent Consultant (United Kingdom)

    2015-07-15

    Within the Nuclear Fuel Industry Research (NFIR) programme, several fuel variants –in the form of thin circular discs – were irradiated in the Halden Boiling Water Reactor (HBWR) at burn-ups up to ∼100 GWd/t{sub HM}. The design of the fuel assembly was similar to that used in other HBWR programmes: the assembly contained several rods with fuel discs sandwiched between Mo discs, which limited temperature differences within each fuel disc. One such variant was made of large-grain UO{sub 2} discs (3D grain size = ∼45 μm) which were subjected to three burn-ups: 42, 72 and 96 GWd/t{sub HM}. Detailed characterizations of some of these irradiated large-grain UO{sub 2} discs were performed in the CEA Cadarache LECA-STAR hot laboratory. The techniques used included electron probe microanalysis (EPMA), scanning electron microscopy (SEM) and secondary ion mass spectrometry (SIMS). Comparisons were then carried out with more standard grain size UO{sub 2} discs irradiated under the same conditions. Examination of the high burn-up large-grain UO{sub 2} discs revealed the limited formation of a high burn-up structure (HBS) when compared with the standard-grain UO{sub 2} discs at similar burn-up. High burn-up discs were submitted to temperature transients up to 1200 °C in the heating test device called Merarg at a relatively low temperature ramp rate (0.2 °C/s). In addition to the total gas release during these tests, the release peaks throughout the temperature ramp were monitored. Tests at 1600 °C were also conducted on the 42 GWd/t{sub HM} discs. The fuels were then characterized with the same microanalysis techniques as those used before the tests, to investigate the effects of these tests on the fuel’s microstructure and on the fission gas behaviour. This paper outlines the high resistance of this fuel to gas precipitation at high temperature and to HBS formation at high burn-up. It also shows the similarity of the positions, within the grains, where HBS forms

  17. Comparison of different tests used in mapping the Greek virgin olive oil production for the determination of its total antioxidant capacity

    Energy Technology Data Exchange (ETDEWEB)

    Minioti, K. S.; Georgiou, C. A.

    2010-07-01

    This study aims to map the total antioxidant capacity (Tac) of 50 Greek olive oil samples from the 2005-2006 season according to production region and cultivar and to compare the 2, 2'-amino-bis (3-ethylbenzo-thiazoline-6- sulfonic acid (Abets), 2, 2-diphenyl-1-picrylhydrazyl radical (DPPH) and F olin-Ciocalteu tests for use with olive oil. Antioxidant capacities determined in the hydrophilic fraction range between 5.42 - 22.5 mM gallic acid Kg{sup -}1 olive oil for the ABTS method and 1.29 - 9.95 mM Kg{sup -}1 for the DPPH method while in total, olive oil TAC ranges between 77 - 177 mM Kg{sup -}1 as assessed by the DPPH method. The results of total phenol content range between 3.8 and 29.4 mM Kg{sup -}1 olive oil. Total phenol content correlates with total antioxidant capacity assessed in the hydrophilic fraction through the DPPH (r = 0.89) and the ABTS (r = 0.69) assays. The hydrophilic fraction DPPH values correlate significantly with the ABTS values (r = 0.81). However, the DPPH values for total olive oil correlate poorly with the ABTS assay, the Folin-Ciocalteu method and the DPPH assay in hydrophilic fraction. Although total phenolic content shows good correlation with ABTS and DPPH values and could serve as a useful indicator for olive oil antioxidant capacity, the use of a battery of tests contributes to better characterization of the antioxidant capacity of olive oil. (Author) 14 refs.

  18. Changes in the total Oswestry Index and its ten items in females and males pre- and post-surgery for lumbar disc herniation: a 1-year follow-up

    Science.gov (United States)

    Kautiainen, Hannu; Järvenpää, Salme; Arkela-Kautiainen, Marja; Ylinen, Jari

    2006-01-01

    To study the characteristics and changes in the total Oswestry Disability Index (ODI) and in its ten component items in female and male patients pre- and post-surgery for lumbar disc herniation. Ninety-eight patients [mean (SD) age 43 (13), 61% males] undergoing lumbar disc herniation surgery were selected for this clinical 12-month follow-up. Subjective disability and back and leg pain were assessed by ODI version 1.0 and the visual analog scale. Pre-operatively females had a significantly higher mean (SD) total ODI [59(3)] than males [51(2)] (P = 0.030). Females were more disabled in the walking, sex life, social life and travelling items of the ODI compared to males. The total Oswestry decreased by 38 (95% CI − 44 to − 31) in females and by 34 (− 39 to − 30) in males at the 1-year follow-up. Most of the improvement (88% in females and 80% in males) occurred during the first 6 weeks; thereafter the changes were minor. In males the changes were greatest in pain, social life and travelling and in females in walking, social life and travelling. Internal consistency value of ODI was 0.88 (95% CI 0.82–0.91). Item analysis of the ODI showed that all the items except pain had high corrected item correlation. As recovery following lumbar disc surgery occurred to a great extent during the first 6 weeks, the early post-operative outcome appears to be quite a reliable indicator of the overall post-operative outcome over the 1-year follow-up. The ODI proved to capture a wide range of disability in these lumbar disc surgery patients, thereby supporting the future use of the index. The “pain intensity” component, which collects data on the use of painkillers in version 1.0 of the ODI did not support the item structure of the index in this study. The use of ODI version 2.0 might remove this problem. PMID:16912888

  19. Testing competing factor models of the latent structure of post-traumatic stress disorder and complex post-traumatic stress disorder according to ICD-11.

    Science.gov (United States)

    Murphy, Siobhan; Elklit, Ask; Dokkedahl, Sarah; Shevlin, Mark

    2018-01-01

    With the publication of the International Statistical Classification of Diseases and Related Health Problems, 11th edition (ICD-11) due for release in 2018, a number of studies have assessed the factorial validity of the proposed post-traumatic stress disorder (PTSD) and complex (CPTSD) diagnostic criteria and whether the disorders are correlated but distinct constructs. As the specific nature of CPTSD symptoms has yet to be firmly established, this study aimed to examine the dimension of affect dysregulation as two separate constructs representing hyper-activation and hypo-activation. Seven alternative models were estimated within a confirmatory factor analytic framework using the International Trauma Questionnaire (ITQ). Data were analysed from a young adult sample from northern Uganda ( n  = 314), of which 51% were female and aged 18-25 years. Forty per cent of the participants were former child soldiers ( n  = 124) while the remainder were civilians ( n  = 190). The prevalence of CPTSD was 20.8% and PTSD was 13.1%. The results indicated that all models that estimated affective dysregulation as distinct but correlated constructs (i.e. hyper-activation and hypo-activation) provided satisfactory model fit, with statistical superiority for a seven-factor first-order correlated model. Furthermore, individuals who met the criteria for CPTSD reported higher levels of war experiences, symptoms of anxiety and depression, and somatic problems than those with PTSD only and no diagnosis. There was also a much larger proportion of former child soldiers that met the criteria for a CPTSD diagnosis. In conclusion, these results partly support the factorial validity of the ICD-11 proposals for PTSD and CPTSD in a non-Western culture exposed to mass violence. These findings highlight that more research is required across different cultural backgrounds before firm conclusions can be made regarding the factor structure of CPTSD using the ITQ.

  20. Reactivity of various leishmanial antigens in a direct agglutination test and their value in differentiating post-kala azar dermal leishmaniasis from leprosy and other skin conditions

    NARCIS (Netherlands)

    El Harith, A.; Chowdhury, S.; Al-Masum, A.; Semião-Santos, S.; Das, P. K.; Akhter, S.; Vetter, J. C.; Haq, I.

    1996-01-01

    A direct agglutination test (DAT) for the detection of post-kala azar dermal leishmaniasis (PKDL) was evaluated in conditions that simulate the disease clinically or immunologically. A reference strain of Leishmania donovani (LEM 1399), and antigen preparations from Leishmania isolates from

  1. Estimation of Insulin Resistance in Mexican Adults by the [13C]Glucose Breath Test Corrected for Endogenous Total CO2 Production

    Directory of Open Access Journals (Sweden)

    Erika Ibarra-Pastrana

    2012-01-01

    Full Text Available Objective. To evaluate the efficacy of the [13C]glucose breath test for measuring insulin resistance in Mexican adults with different glycemic states. Research Design and Methods. Fifty-eight adults underwent a [13C]glucose breath test with simultaneous measurement of total CO2 production by indirect calorimetry, at baseline and 90 minutes after the ingestion of 15 g of dextrose and 25 mg of [13C]glucose. HOMA was used as a marker of insulin resistance. Results. We found an inverse correlation between HOMA and the breath test δ13CO2 (‰, r=-0.41 (P=0.001. After adjusting for total CO2 production, correlations between HOMA and fasting glucose were less strong but remained significant. An ROC curve was constructed using δ13CO2 (‰ and HOMA values; the cut-off point was 9.99‰ δ13CO2, corresponding to a sensitivity of 80.0 (95% CI: 51.9, 95.7 and a specificity of 67.4 (95% CI: 51.5, 80.9. Conclusions. The [13C]glucose breath test is a simple noninvasive procedure but was not sufficiently robust for an accurate diagnosis of insulin resistance. Our findings suggest that the test might be helpful in identifying individuals who are not IR, which in turn may contribute to improved diabetes prevention.

  2. The Impact of Regression to the Mean on Economic Evaluation in Quasi-Experimental Pre-Post Studies: The Example of Total Knee Replacement Using Data from the Osteoarthritis Initiative.

    Science.gov (United States)

    Schilling, Chris; Petrie, Dennis; Dowsey, Michelle M; Choong, Peter F; Clarke, Philip

    2017-12-01

    Many treatments are evaluated using quasi-experimental pre-post studies susceptible to regression to the mean (RTM). Ignoring RTM could bias the economic evaluation. We investigated this issue using the contemporary example of total knee replacement (TKR), a common treatment for end-stage osteoarthritis of the knee. Data (n = 4796) were obtained from the Osteoarthritis Initiative database, a longitudinal observational study of osteoarthritis. TKR patients (n = 184) were matched to non-TKR patients, using propensity score matching on the predicted hazard of TKR and exact matching on osteoarthritis severity and health-related quality of life (HrQoL). The economic evaluation using the matched control group was compared to the standard method of using the pre-surgery score as the control. Matched controls were identified for 56% of the primary TKRs. The matched control HrQoL trajectory showed evidence of RTM accounting for a third of the estimated QALY gains from surgery using the pre-surgery HrQoL as the control. Incorporating RTM into the economic evaluation significantly reduced the estimated cost effectiveness of TKR and increased the uncertainty. A generalized ICER bias correction factor was derived to account for RTM in cost-effectiveness analysis. RTM should be considered in economic evaluations based on quasi-experimental pre-post studies. Copyright © 2017 John Wiley & Sons, Ltd. Copyright © 2017 John Wiley & Sons, Ltd.

  3. Changes in affect after completing a mailed survey about trauma: two pre- and post-test studies in former disability applicants for posttraumatic stress disorder

    Directory of Open Access Journals (Sweden)

    Maureen Murdoch

    2017-05-01

    Full Text Available Abstract Background One potential concern with using mailed surveys containing trauma-related content is the possibility of re-traumatizing survivors without a trained mental health professional present. Prior research provides insufficient guidance regarding the prevalence and magnitude of this risk because the psychological harms of trauma-related surveys have typically been estimated using single post-test observations. Post-test observations cannot quantify magnitude of change in participants’ emotional states and may over or under estimate associations between participants’ characteristics (risk factors and post-survey upset. Methods We conducted two pre- and post-test studies in samples of former applicants for posttraumatic stress disorder disability benefits: 191 males who served during Gulf War I plus 639 male and 921 female Veterans who served sometime between 1955 and 1998. We used two 9-point items from the Self-Assessment Manikins to measure participants’ valence (sadness/happiness and arousal (tenseness/calmness before and after they completed mailed surveys asking about trauma-related symptoms or experiences. We examined the following potential predictors for post-survey sadness and tenseness: screening positive for posttraumatic stress disorder, having a serious mental illness, and history of military sexual assault or combat. Results After the survey, across the groups, 29.3–41.8% were sadder, 45.3–52.2% had no change in valence, and 12.9–22.5% were happier; 31.7–40.2% were tenser, 40.6–48.2% had no change in arousal, and 17.3–24.0% were calmer. The mean increase in sadness or tenseness post-survey was less than one point in all groups (SD’s < 1.7. Cohen’s d ranged from 0.07 to 0.30. Most hypothesized predictors were associated with greater baseline sadness or tenseness, but not necessarily with larger post-survey changes. Women with a history of military sexual assault had the largest net post

  4. Comparison of different tests used in mapping the Greek virgin olive oil production for the determination of its total antioxidant capacity

    Directory of Open Access Journals (Sweden)

    Georgiou, Constantinos A.

    2010-03-01

    Full Text Available This study aims to map the total antioxidant capacity (TAC of 50 Greek olive oil samples from the 2005-2006 season according to production region and cultivar and to compare the 2, 2’-azino-bis (3-ethylbenzo-thiazoline-6- sulfonic acid (ABTS, 2, 2-diphenyl-1-picrylhydrazyl radical (DPPH and Folin-Ciocalteu tests for use with olive oil. Antioxidant capacities determined in the hydrophilic fraction range between 5.42 - 22.5 mM gallic acid Kg-1 olive oil for the ABTS method and 1.29 - 9.95 mM Kg-1 for the DPPH method while in total, olive oil TAC ranges between 77 - 177 mM Kg-1 as assessed by the DPPH method. The results of total phenol content range between 3.8 and 29.4 mM Kg-1 olive oil. Total phenol content correlates with total antioxidant capacity assessed in the hydrophilic fraction through the DPPH (r = 0.89 and the ABTS (r = 0.69 assays. The hydrophilic fraction DPPH values correlate significantly with the ABTS values (r = 0.81. However, the DPPH values for total olive oil correlate poorly with the ABTS assay, the Folin-Ciocalteu method and the DPPH assay in hydrophilic fraction. Although total phenolic content shows good correlation with ABTS and DPPH values and could serve as a useful indicator for olive oil antioxidant capacity, the use of a battery of tests contributes to better characterization of the antioxidant capacity of olive oil.El objetivo de este estudio es el mapeo de la actividad antioxidante total (TAC de 50 aceites de oliva Griego de los años 2005-2006 de acuerdo a su región y cultivar, y se comparan los ensayos del ácido 2, 2’-azino-bis (3-etilbenzo-tiazolina- 6-sulfónico (ABTS, del 2,2-difenil-1-picrlhidrazil radical (DPPH y de Folin-Ciocalteu. La capacidad antioxidante determinada en la fracción hidrofílica varió entre 5.42-22.5 mM de ácido gálico Kg-1 de aceite para el método ABTS y 1.29- 9.95 mM Kg-1 de aceite para el método de DPPH mientras que la TAC del aceite de oliva completo varió entre 77-177 m

  5. Easy fix for clinical laboratories for the false-positive defect with the Abbott AxSym total beta-hCG test.

    Science.gov (United States)

    Cole, Laurence A; Khanlian, Sarah A

    2004-05-01

    False-positive hCG results can lead to erroneous diagnoses and needless chemotherapy and surgery. In the last 2 years, eight publications described cases involving false-positive hCG tests; all eight involved the AxSym test. We investigated the source of this abundance of cases and a simple fix that may be used by clinical laboratories. False-positive hCG was primarily identified by absence of hCG in urine and varying or negative hCG results in alternative tests. Seventeen false-positive serum samples in the AxSym test were evaluated undiluted and at twofold dilution with diluent containing excess goat serum or immunoglobulin. We identified 58 patients with false-positive hCG, 47 of 58 due to the Abbott AxSym total hCGbeta test (81%). Sixteen of 17 of these "false-positive" results (mean 100 mIU/ml) became undetectable when tested again after twofold dilution. A simple twofold dilution with this diluent containing excess goat serum or immunoglobulin completely protected 16 of 17 samples from patients having false-positive results. It is recommended that laboratories using this test use twofold dilution as a minimum to prevent false-positive results.

  6. Design, irradiation, and post-irradiation examination of the UC and (U,Pu)C fuel rods of the test groups Mol-11/K1 and Mol-11/K2

    International Nuclear Information System (INIS)

    Freund, D.; Elbel, H.; Steiner, H.

    1976-06-01

    The test groups K1 and K2 of the irradiation experiment Mol-11 are reported. Design, irradiation, and post-irradiation examination of the fuel rods irradiated are described. Mol-11/K1 consisted of one fuel rod with UC of 94% T.D. and helium bonding. This test group was intended to prove the high power irradiation capsule in pile. Mol-11/K2 consists of three fuel rods in total. One of these is presently still in the reactor. In this test group mixed carbide fuel of 83% T.D. and 15% Pu content under helium bonding is irradiated. The fuel rod K2-2 was provided with a capillary tube for the continuous measurement of fission gas pressure built up. 1.4988 stainless steel was chosen as cladding material. The final burnup lies between 35 and 70 MWd/kg M. Post-irradiation examination of the two test groups covers a theoretical analysis of the irradiation behaviour. (orig./GSCH) [de

  7. Changes in screening behaviors and attitudes toward screening from pre-test genetic counseling to post-disclosure in Lynch syndrome families

    Science.gov (United States)

    Burton-Chase, Allison M.; Hovick, Shelly R.; Peterson, Susan K.; Marani, Salma K.; Vernon, Sally W.; Amos, Christopher I.; Frazier, Marsha L.; Lynch, Patrick M.; Gritz, Ellen R.

    2013-01-01

    Purpose This study examined colonoscopy adherence and attitudes towards colorectal cancer (CRC) screening in individuals who underwent Lynch syndrome genetic counseling and testing. Methods We evaluated changes in colonoscopy adherence and CRC screening attitudes in 78 cancer-unaffected relatives of Lynch syndrome mutation carriers before pre-test genetic counseling (baseline) and at 6 and 12 months post-disclosure of test results (52 mutation-negative, 26 mutation-positive). Results While both groups were similar at baseline, at 12 months post-disclosure, a greater number of mutation-positive individuals had had a colonoscopy compared with mutation-negative individuals. From baseline to 12 months post-disclosure, the mutation-positive group demonstrated an increase in mean scores on measures of colonoscopy commitment, self-efficacy, and perceived benefits of CRC screening, and a decrease in mean scores for perceived barriers to CRC screening. Mean scores on colonoscopy commitment decreased from baseline to 6 months in the mutation-negative group. Conclusion Adherence to risk-appropriate guidelines for CRC surveillance improved after genetic counseling and testing for Lynch syndrome. Mutation-positive individuals reported increasingly positive attitudes toward CRC screening after receiving genetic test results, potentially reinforcing longer term colonoscopy adherence. PMID:23414081

  8. Reliable experimental setup to test the pressure modulation of Baerveldt Implant tubes for reducing post-operative hypotony

    Science.gov (United States)

    Ramani, Ajay

    Glaucoma encompasses a group of conditions that result in damage to the optic nerve and can cause loss of vision and blindness. The nerve is damaged due to an increase in the eye's internal (intraocular) pressure (IOP) above the nominal range of 15 -- 20 mm Hg. There are many treatments available for this group of diseases depending on the complexity and stage of nerve degradation. In extreme cases where drugs or laser surgery do not create better conditions for the patient, ophthalmologists use glaucoma drainage devices to help alleviate the IOP. Many drainage implants have been developed over the years and are in use; but two popular implants are the Baerveldt Glaucoma Implant and the Ahmed Glaucoma Valve Implant. Baerveldt Implants are non-valved and provide low initial resistance to outflow of fluid, resulting in post-operative complications such as hypotony, where the IOP drops below 5 mm of Hg. Ahmed Glaucoma Valve Implants are valved implants which initially restrict the amount of fluid flowing out of the eye. The long term success rates of Baerveldt Implants surpass those of Ahmed Valve Implants because of post-surgical issues; but Baerveldt Implants' initial effectiveness is poor without proper flow restriction. This drives the need to develop new ways to improve the initial effectiveness of Baerveldt Implants. A possible solution proposed by our research team is to place an insert in the Baerveldt Implant tube of inner diameter 305 microns. The insert must be designed to provide flow resistance for the early time frame [e.g., first 30 -- 60 post-operative days] until sufficient scar tissue has formed on the implant. After that initial stage with the insert, the scar tissue will provide the necessary flow resistance to maintain the IOP above 5 mm Hg. The main objective of this project was to develop and validate an experimental apparatus to measure pressure drop across a Baerveldt Implant tube, with and without inserts. This setup will be used in the

  9. Test-retest reliability at the item level and total score level of the Norwegian version of the Spinal Cord Injury Falls Concern Scale (SCI-FCS).

    Science.gov (United States)

    Roaldsen, Kirsti Skavberg; Måøy, Åsa Blad; Jørgensen, Vivien; Stanghelle, Johan Kvalvik

    2016-05-01

    Translation of the Spinal Cord Injury Falls Concern Scale (SCI-FCS), and investigation of test-retest reliability on item-level and total-score-level. Translation, adaptation and test-retest study. A specialized rehabilitation setting in Norway. Fifty-four wheelchair users with a spinal cord injury. The median age of the cohort was 49 years, and the median number of years after injury was 13. Interventions/measurements: The SCI-FCS was translated and back-translated according to guidelines. Individuals answered the SCI-FCS twice over the course of one week. We investigated item-level test-retest reliability using Svensson's rank-based statistical method for disagreement analysis of paired ordinal data. For relative reliability, we analyzed the total-score-level test-retest reliability with intraclass correlation coefficients (ICC2.1), the standard error of measurement (SEM), and the smallest detectable change (SDC) for absolute reliability/measurement-error assessment and Cronbach's alpha for internal consistency. All items showed satisfactory percentage agreement (≥69%) between test and retest. There were small but non-negligible systematic disagreements among three items; we recovered an 11-13% higher chance for a lower second score. There was no disagreement due to random variance. The test-retest agreement (ICC2.1) was excellent (0.83). The SEM was 2.6 (12%), and the SDC was 7.1 (32%). The Cronbach's alpha was high (0.88). The Norwegian SCI-FCS is highly reliable for wheelchair users with chronic spinal cord injuries.

  10. Total algorithms

    NARCIS (Netherlands)

    Tel, G.

    We define the notion of total algorithms for networks of processes. A total algorithm enforces that a "decision" is taken by a subset of the processes, and that participation of all processes is required to reach this decision. Total algorithms are an important building block in the design of

  11. 78 FR 69434 - Post-Summary Corrections to Entry Summaries Filed in ACE Pursuant to the ESAR IV Test...

    Science.gov (United States)

    2013-11-19

    ... the testing of National Customs Automation Program (NCAP) components. A chronological listing of... conduct a NCAP test concerning new ACE ESAR IV capabilities (``ESAR IV test''). The ESAR IV test permitted... IV) Capabilities: 76 FR 37136 (June 24, 2011). NCAP Test Concerning the Document Imaging System: 77...

  12. Status of the Review of Electric Items in Spain Related to the Post-Fukushima Stress Test Programme

    International Nuclear Information System (INIS)

    Martinez Moreno, Manuel R.; Perez Rodriguez, Alfonso

    2015-01-01

    Spain Authorities has established a comprehensive compilation of the actions currently related to the post-Fukushima program. It has been initiated both at national and international level and it is developed in an Action Plan. This Plan is aligned to the 6 topics identified in the August 2012 CNS-EOM report, and organized in four parts. One of these parts is related to the loss of electrical power and with a clear objective in implemented new features on increase robustness. This program has been reinforced and the task of Electric Issues has been incremented as a consequence of this Plan. The normal tasks of the Electric Systems and I and C Branch will be presented with the Fukushima related issues as well. The Consejo de Seguridad Nuclear -CSN-(Nuclear Safety Council) maintains a permanent program of control and surveillance of nuclear safety issues in Spanish Nuclear Power Plants. The Electric Systems and I and C Branch of the CSN have different tasks related Electric Issues: - Inspection, control and evaluation of different topics in normal and accidents operation. - Surveillance Testing Inspections. - Design Modifications Inspections and evaluation. - Reactive inspections - Other activities: Participation in Escered project (a before Fukushima Accident) with an objective of analyzed exterior grid stability and check that electric faults in the NPPs vicinity did not cause the simultaneous loss of the offsite supplies fault effects with interaction in inner related systems. Other task related with the management of aging and long-term operation. Now, as a consequence, it has been incremented its task with some new Fukushima related topics: - Analysis of beyond accident related with U.S. SBO Rule (Reg. Guide 1.155) is a part of the design bases for the Spanish plants designed by Westinghouse/ General Electric; switchyard/grid events and extreme weather events are considered, with 10 minutes to connect an alternate source (if provided; if not, use of d

  13. Post-Closure Inspection Report for Corrective Action Unit 427: Septic Waste Systems 2 and 6 Tonopah Test Range, Nevada Calendar Year 2000; TOPICAL

    International Nuclear Information System (INIS)

    K. B. Campbell

    2001-01-01

    Post-closure inspection requirements for the Area 3 Septic Waste Systems 2 and 6 (Corrective Action Unit[CAU] 427) (Figure 1) are described in Closure Report for Corrective Action Unit 427. Area 3 Septic Waste Systems 2 and 6. Tonopah Test Range, Nevada, report number DOE/NV-561. The Closure Report (CR) was submitted to the Nevada Division of Environmental Protection (NDEP) on August 16, 1999. The CR (containing the Post-Closure Inspection Plan) was approved by the NDEP on August 27, 1999. The annual post-closure inspection at CAU 427 consists of the following: Verification of the presence of all leachfield and septic tank below-grade markers; Verification that the warning signs are in-place, intact, and readable; and Visual observation of the soil and asphalt cover for indications of subsidence, erosion, and unauthorized use. The site inspections were conducted on June 20, 2000, and November 21, 2000. All inspections were made after NDEP approval of the CR and were conducted in accordance with the Post-Closure Inspection Plan in the NDEP-approved CR. No maintenance or repairs were conducted at the site. This report includes copies of inspection checklists, photographs, recommendations, and conclusions. Copies of the Post-Closure Inspection Checklists are found in Attachment A, a copy of the field notes is found in Attachment B, and a copy of the inspection photographs is found in Attachments C

  14. Post-Closure Inspection Report for Corrective Action Unit 453: Area 9 UXO Landfill Tonopah Test Range, Nevada, Calendar Year 2000; TOPICAL

    International Nuclear Information System (INIS)

    K. B. Campbell

    2001-01-01

    Post-closure monitoring requirements for the Area 9 Unexploded Ordnance Landfill (Corrective Action Unit[CAU] 453) (Figure 1) are described in Closure Report for Corrective Action Unit 453: Area 9 UXO Landfill, Tonopah Test Range, Nevada, report number DOE/NV-284. The Closure Report (CR) was submitted to the Nevada Division of Environmental Protection (NDEP) on August 5,1999. The CR (containing the Post-Closure Monitoring Plan) was approved by the NDEP on September 10,1999. Post-closure monitoring at CAU 453 consists of the following: (1) Site inspections done twice a year to evaluate the condition of the unit; (2) Verification that the site is secure; (3) Notice of any subsidence or deficiencies that may compromise the integrity of the unit; (4) Remedy of any deficiencies within 90 days of discovery; and (5) Preparation and submittal of an annual report. Site inspections were conducted on June 20, 2000 and November 21, 2000. Both site inspections were conducted after NDEP approval of the CR, and in accordance with the Post-Closure Monitoring Plan in the NDEP-approved CR. This report includes copies of the inspection checklists, photographs, recommendations, and conclusions. The Post-Closure Inspection Checklists are found in Attachment A, a copy of the field notes is found in Attachment B, and inspection photographs are found in Attachment C

  15. Total iron binding capacity

    Science.gov (United States)

    ... page: //medlineplus.gov/ency/article/003489.htm Total iron binding capacity To use the sharing features on this page, please enable JavaScript. Total iron binding capacity (TIBC) is a blood test to ...

  16. Promoting male partner HIV testing and safer sexual decision making through secondary distribution of self-tests by HIV-negative female sex workers and women receiving antenatal and post-partum care in Kenya: a cohort study.

    Science.gov (United States)

    Thirumurthy, Harsha; Masters, Samuel H; Mavedzenge, Sue Napierala; Maman, Suzanne; Omanga, Eunice; Agot, Kawango

    2016-06-01

    Increased uptake of HIV testing by men in sub-Saharan Africa is essential for the success of combination prevention. Self-testing is an emerging approach with high acceptability, but little evidence exists on the best strategies for test distribution. We assessed an approach of providing multiple self-tests to women at high risk of HIV acquisition to promote partner HIV testing and to facilitate safer sexual decision making. In this cohort study, HIV-negative women aged 18-39 years were recruited at two sites in Kisumu, Kenya: a health facility with antenatal and post-partum clinics and a drop-in centre for female sex workers. Participants gave informed consent and were instructed on use of oral fluid based rapid HIV tests. Participants enrolled at the health facility received three self-tests and those at the drop-in centre received five self-tests. Structured interviews were conducted with participants at enrolment and over 3 months to determine how self-tests were used. Outcomes included the number of self-tests distributed by participants, the proportion of participants whose sexual partners used a self-test, couples testing, and sexual behaviour after self-testing. Between Jan 14, 2015, and March 13, 2015, 280 participants were enrolled (61 in antenatal care, 117 in post-partum care, and 102 female sex workers); follow-up interviews were completed for 265 (96%). Most participants with primary sexual partners distributed self-tests to partners: 53 (91%) of 58 participants in antenatal care, 91 (86%) of 106 in post-partum care, and 64 (75%) of 85 female sex workers. 82 (81%) of 101 female sex workers distributed more than one self-test to commercial sex clients. Among self-tests distributed to and used by primary sexual partners of participants, couples testing occurred in 27 (51%) of 53 in antenatal care, 62 (68%) of 91 from post-partum care, and 53 (83%) of 64 female sex workers. Among tests received by primary and non-primary sexual partners, two (4%) of 53

  17. 77 FR 60481 - Design, Inspection, and Testing Criteria for Air Filtration and Adsorption Units of Post-Accident...

    Science.gov (United States)

    2012-10-03

    ... filtration and iodine adsorption units of ESF atmosphere cleanup systems in light-water-cooled nuclear power... Filtration and Adsorption Units of Post-Accident Engineered-Safety-Feature Atmosphere Cleanup Systems in Light-Water-Cooled Nuclear Power Plants AGENCY: Nuclear Regulatory Commission. ACTION: Regulatory guide...

  18. Early post-operative pulmonary function tests after mitral valve replacement: Minimally invasive versus conventional approach. Which is better?

    Directory of Open Access Journals (Sweden)

    Magdy Gomaa

    2016-12-01

    Conclusion: Minimally invasive right anterolateral mini-thoracotomy is as safe as median sternotomy for mitral valve surgery, with fewer complications and postoperative pain, less ICU and hospital stay, fast recovery to work with no movement restriction after surgery. There was a highly significant difference denoting better post operative pulmonary function of the minimally invasive approach.

  19. Diagnostic value of post-heparin lipase testing in detecting common genetic variants in the LPL and LIPC genes

    NARCIS (Netherlands)

    van Hoek, Mandy; Dallinga-Thie, Geesje M.; Steyerberg, Ewout W.; Sijbrands, Eric J. G.

    2009-01-01

    Post-heparin lipoprotein lipase and hepatic lipase activities are used to identify primary disorders of triglyceride and HDL-cholesterol metabolism. Their ability to identify common variants in the lipoprotein lipase (LPL) and hepatic lipase (LIPC) genes is unclear. To investigate the ability of

  20. IVGEN Post Flight Analysis

    Science.gov (United States)

    Mcquillen, John; Brown, Dan; Hussey, Sam; Zoldak, John

    2014-01-01

    The Intravenous Fluid Generation (IVGEN) Experiment was a technology demonstration experiment that purified ISS potable water, mixed it with salt, and transferred it through a sterilizing filter. On-orbit performance was verified as appropriate and two 1.5 l bags of normal saline solution were returned to earth for post-flight testing by a FDA certified laboratory for compliance with United States Pharmacopiea (USP) standards. Salt concentration deviated from required values and an analysis identified probable causes. Current efforts are focused on Total Organic Content (TOC) testing, and shelf life.The Intravenous Fluid Generation (IVGEN) Experiment demonstrated the purification of ISS potable water, the mixing of the purified water with sodium chloride, and sterilization of the solution via membrane filtration. On-orbit performance was monitored where feasible and two 1.5-liter bags of normal saline solution were returned to earth for post-flight testing by a FDA-registered laboratory for compliance with United States Pharmacopeia (USP)standards [1]. Current efforts have been focused on challenge testing with identified [2] impurities (total organic-carbon), and shelf life testing. The challenge testing flowed known concentrations of contaminants through the IVGEN deionizing cartridge and membrane filters to test their effectiveness. One finding was that the filters and DI-resin themselves contribute to the contaminant load during initial startup, suggesting that the first 100 ml of fluid be discarded. Shelf life testing is ongoing and involves periodic testing of stored DI cartridges and membrane filters that are capped and sealed in hermetic packages. The testing is conducted at six month intervals measuring conductivity and endotoxins in the effluent. Currently, the packaging technique has been successfully demonstrated for one year of storage testing. The USP standards specifies that the TOC be conducted at point of generation as opposed to point of

  1. Conditional non-independence of radiographic image features and the derivation of post-test probabilities – A mammography BI-RADS example

    International Nuclear Information System (INIS)

    Benndorf, Matthias

    2012-01-01

    Bayes' theorem has proven to be one of the cornerstones in medical decision making. It allows for the derivation of post-test probabilities, which in case of a positive test result become positive predictive values. If several test results are observed successively Bayes' theorem may be used with assumed conditional independence of test results or with incorporated conditional dependencies. Herein it is examined whether radiographic image features should be considered conditionally independent diagnostic tests when post-test probabilities are to be derived. For this purpose the mammographic mass dataset from the UCI (University of California, Irvine) machine learning repository is analysed. It comprises the description of 961 (516 benign, 445 malignant) mammographic mass lesions according to the BI-RADS (Breast Imaging: Reporting and Data System) lexicon. Firstly, an exhaustive correlation matrix is presented for mammography BI-RADS features among benign and malignant lesions separately; correlation can be regarded as measure for conditional dependence. Secondly, it is shown that the derived positive predictive values for the conjunction of the two features “irregular shape” and “spiculated margin” differ significantly depending on whether conditional dependencies are incorporated into the decision process or not. It is concluded that radiographic image features should not generally be regarded as conditionally independent diagnostic tests.

  2. Method Performance of Total Mercury (Hg) Testing in the Biological Samples by Using Cold Vapour Atomic Absorption Spectrophotometer (CV-AAS)

    International Nuclear Information System (INIS)

    Susanna TS; Samin

    2007-01-01

    Method performance (validation) of total mercury (Hg) testing in the biological samples by using cold vapour atomic absorption spectrophotometer (CV-AAS) has been done. The objective of this research is to know the method performance of CV-AAS as one of points for the accreditation testing of laboratory according IS0/IEC 17025-2005. The method performance covering limit of detection (LOD), accuracy, precision and bias. As a standard material used SRM Oyster Tissue 15660 from Winopal Forshung Germany, whereas the biological samples were human hair. In principle of mercury testing for solid samples using CV-AAS is dissolving this sample and standard with 10 mL HNO 3 supra pure into a closed quartz tube and heating at 150 °C for 4 hours. The concentration of mercury in each samples was determined at the condition of operation were stirring time (T 1 ) 70 seconds, delay time (T 2 ) 15 seconds, heating time (T 3 ) 13 seconds and cooling time (T 4 ) of 25 seconds. Mercury ion in samples are reduced with SnCl 2 10 % in H 2 SO 4 20 %, and then the vapour of mercury from reduction is passed in NaOH 20 % solution and aquatridest. The result of method performance were: limit of detection (LOD) = 0.085 ng, accuracy 99.70 %, precision (RSD) = 1.64 % and bias = 0.30 %. From the validation result showed that the content of mercury total was in the range of certified values. The total mercury content (Hg) in human hair were varied from 406.93 - 699.07 ppb. (author)

  3. Post-Closure Inspection and Monitoring Report for Corrective Action Unit 110: Area 3 WMD U-3ax/bl Crater, Nevada Test Site, Nevada

    Energy Technology Data Exchange (ETDEWEB)

    U.S. Department of Energy, National Nuclear Security Administration Nevada Site Office; Bechtel Nevada

    2006-08-01

    This Post-Closure Inspection and Monitoring Report provides the results and inspections and monitoring for Corrective Action Unit 110: Area 3 Waste Management Division U-3ax/bl Crater, Nevada Test Site, Nevada. This report includes an analysis and summary of the site inpsections, repairs and maintenance, meteorological information, and soil moisture monitoring data obtained at Corrective Action Unit 110, for the annual period July 2005 thrugh June 2006.

  4. Theoretical frameworks for testing relativistic gravity. IV - A compendium of metric theories of gravity and their post-Newtonian limits.

    Science.gov (United States)

    Ni, W.-T.

    1972-01-01

    Metric theories of gravity are compiled and classified according to the types of gravitational fields they contain, and the modes of interaction among those fields. The gravitation theories considered are classified as (1) general relativity, (2) scalar-tensor theories, (3) conformally flat theories, and (4) stratified theories with conformally flat space slices. The post-Newtonian limit of each theory is constructed and its Parametrized Post-Newtonian (PPN) values are obtained by comparing it with Will's version of the formalism. Results obtained here, when combined with experimental data and with recent work by Nordtvedt and Will and by Ni, show that, of all theories thus far examined by our group, the only currently viable ones are general relativity, the Bergmann-Wagoner scalar-tensor theory and its special cases (Nordtvedt; Brans-Dicke-Jordan), and a recent, new vector-tensor theory by Nordtvedt, Hellings, and Will.

  5. Totally James

    Science.gov (United States)

    Owens, Tom

    2006-01-01

    This article presents an interview with James Howe, author of "The Misfits" and "Totally Joe". In this interview, Howe discusses tolerance, diversity and the parallels between his own life and his literature. Howe's four books in addition to "The Misfits" and "Totally Joe" and his list of recommended books with lesbian, gay, bisexual, transgender,…

  6. Effects of memantine on cognition in patients with moderate to severe Alzheimer's disease: post-hoc analyses of ADAS-cog and SIB total and single-item scores from six randomized, double-blind, placebo-controlled studies.

    Science.gov (United States)

    Mecocci, Patrizia; Bladström, Anna; Stender, Karina

    2009-05-01

    The post-hoc analyses reported here evaluate the specific effects of memantine treatment on ADAS-cog single-items or SIB subscales for patients with moderate to severe AD. Data from six multicentre, randomised, placebo-controlled, parallel-group, double-blind, 6-month studies were used as the basis for these post-hoc analyses. All patients with a Mini-Mental State Examination (MMSE) score of less than 20 were included. Analyses of patients with moderate AD (MMSE: 10-19), evaluated with the Alzheimer's disease Assessment Scale (ADAS-cog) and analyses of patients with moderate to severe AD (MMSE: 3-14), evaluated using the Severe Impairment Battery (SIB), were performed separately. The mean change from baseline showed a significant benefit of memantine treatment on both the ADAS-cog (p ADAS-cog single-item analyses showed significant benefits of memantine treatment, compared to placebo, for mean change from baseline for commands (p < 0.001), ideational praxis (p < 0.05), orientation (p < 0.01), comprehension (p < 0.05), and remembering test instructions (p < 0.05) for observed cases (OC). The SIB subscale analyses showed significant benefits of memantine, compared to placebo, for mean change from baseline for language (p < 0.05), memory (p < 0.05), orientation (p < 0.01), praxis (p < 0.001), and visuospatial ability (p < 0.01) for OC. Memantine shows significant benefits on overall cognitive abilities as well as on specific key cognitive domains for patients with moderate to severe AD. (c) 2009 John Wiley & Sons, Ltd.

  7. HPV E6/E7 mRNA Testing Is More Specific than Cytology in Post-Colposcopy Follow-Up of Women with Negative Cervical Biopsy

    Science.gov (United States)

    Sørbye, Sveinung Wergeland; Arbyn, Marc; Fismen, Silje; Gutteberg, Tore Jarl; Mortensen, Elin Synnøve

    2011-01-01

    Background In Norway, women with negative or low-grade cervical biopsies (normal/CIN1) are followed up after six months in order to decide on further follow-up or recall for screening at three-year intervals. A high specificity and positive predictive value (PPV) of the triage test is important to avoid unnecessary diagnostic and therapeutic procedures whereas a low risk of high-grade disease among triage negative women assures safety. Materials and Methods At the University Hospital of North Norway, cytology and the HPV mRNA test PreTect HPV-Proofer, detecting E6/E7 mRNA from HPV types 16, 18, 31, 33 and 45, are used in post-colposcopy follow-up of women with negative or low-grade biopsy. In this study, women with negative biopsy after high grade cytology (ASC-H/HSIL) and/or positive HPV mRNA test in the period 2005–2009 were included (n = 520). Histologically confirmed cervical intraepithelial neoplasia of grade 2 or worse (CIN2+) was used as study endpoint. Results Of 520 women with negative or low-grade biopsy, 124 women (23.8%) had CIN2+ in follow-up biopsy. The sensitivity and specificity of the HPV mRNA test were 89.1% (95% CI, 80.1–98.1) and 92.5% (95% CI, 88.2–96.7), respectively. The ratios of sensitivity, specificity and PPV of HPV mRNA testing compared to repeat cytology for finding CIN2+ was 1.05 (95% CI: 0.92–1.21), 1.21 (95% CI: 1.12–1.32), and 1.49 (95% CI: 1.20–1.86), respectively. The PPV of mRNA was 77.3% (95% CI, 59.8–94.8) in women aged 40 or older. Conclusion Women with negative cervical biopsy require follow-up before resumption of routine screening. Post-colposcopy HPV mRNA testing was as sensitive but more specific than post-colposcopy cytology. In addition, the HPV mRNA test showed higher PPV. A positive mRNA test post-colposcopy could justify treatment in women above 40 years. PMID:21998748

  8. Modelization Post-test experiment IFA-650.10 HALDEN with FRAP series codes; Modelizacion post-test del experimento HALDEN IFA-650.10 con los codigos de la serie FRAP

    Energy Technology Data Exchange (ETDEWEB)

    Vallejo, I.; Herranz, L. E.

    2013-07-01

    There is a need to review the criteria for security relating to LOCA accidents , including the effect of different materials of pod, as well as conditions of high burned as fuel. In this work is modeled with code FRAPTRAN-1.4 the IFA-650.10 experiment executed in the experimental reactor HALDEN. It is an approximation to the thermo-hydraulic rod-refrigerant and the results are compared with experimental measurements. The thermal behavior shows good agreement with the experimental measures; mechanical parameters are observed light quality deviations in pod and very good quantitative agreement in the maximum elongation; the diameter calculated at the end of the simulation above - predicts the post-irradiation values and oxide presents a good deal.

  9. FY 1992 report on the results of the demonstration test on the methanol conversion at oil-fired power plant. Demonstration test on a methanol reformation type power generation total system; 1992 nendo sekiyu karyoku hatsudensho metanoru tenkan tou jissho shiken. Metanoru kaishitsu gata hatsuden total system jissho shiken

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1993-03-01

    For the promotion of introduction of methanol to oil-fired power plant, based on the results of the element study, operational study was conducted of a 1,000kW class total system plant for which each of the elements was combined, and the FY 1992 results were summarized. In the operational study, data on various kinds of operational study were sampled of each of the simple cycle/regeneration cycle of liquid methanol and simple cycle/regeneration cycle of gas methanol. As to the reformed gas/water injection/regeneration cycle, all functions as a total system plant worked normally, and it was confirmed that the reformed gas/water injection/regeneration cycle operation could be made possible. Besides, the following were conducted: confirmation test on the performance of the developmental catalyst used in the operational study by bench-scale test device, trial operation for adjustment of gas turbine and combustion study such as the performance test in each cycle, manufacture/study of catalyst for the total system, study for longevity of catalyst for the total system, etc. (NEDO)

  10. Reliability of maximal isometric knee strength testing with modified hand-held dynamometry in patients awaiting total knee arthroplasty: useful in research and individual patient settings? A reliability study

    NARCIS (Netherlands)

    Koblbauer, Ian F. H.; Lambrecht, Yannick; van der Hulst, Micheline L. M.; Neeter, Camille; Engelbert, Raoul H. H.; Poolman, Rudolf W.; Scholtes, Vanessa A.

    2011-01-01

    Patients undergoing total knee arthroplasty (TKA) often experience strength deficits both pre- and post-operatively. As these deficits may have a direct impact on functional recovery, strength assessment should be performed in this patient population. For these assessments, reliable measurements

  11. Reliability of maximal isometric knee strength testing with modified hand-held dynamometry in patients awaiting total knee arthroplasty: useful in research and individual patient settings? A reliability study

    NARCIS (Netherlands)

    Koblbauer, I.F.H.; Lambrecht, Y.; van der Hulst, M.L.M.; Neeter, C.; Engelbert, R.H.H.; Poolman, R.W.; Scholtes, V.A.

    2011-01-01

    Background: Patients undergoing total knee arthroplasty (TKA) often experience strength deficits both pre- and post-operatively. As these deficits may have a direct impact on functional recovery, strength assessment should be performed in this patient population. For these assessments, reliable

  12. Energia total de ruptura: um teste biomecânico para avaliação de material biológico com propriedade viscoelástica não linear Total energy of rupture: a biomechanical test to evaluate non-linear viscoelastic biological material

    Directory of Open Access Journals (Sweden)

    Feng Chung Wu

    2004-12-01

    Full Text Available Objetivo: Apresentação do teste biomecânico Energia Total de Ruptura para o estudo da resistência intrínseca de material biológico com propriedade viscoelástica não-linear representado neste trabalho por segmento íntegro de cólon descendente de rato. Métodos: Implementação do teste biomecânico Energia Total de Ruptura e do Sistema de Aquisição e Análise de dados Biomecânicos - SABI 2.0. Para esse fim, foram utilizados conceitos físico-mecânicos, computacionais e biomecânicos e como corpos de teste, 15 espécimes de cólon descendente de ratos. Resultados: O teste biomecânico Energia Total de Ruptura permitiu o cálculo da energia total acumulada necessária para promover a ruptura dos corpos de prova durante os ensaios mecânicos. Por meio da automatização e gerenciamento da aquisição e análise dos dados capturados foi possível a geração de gráficos e relatórios descritivos e estatísticos. Conclusão: Fundamentado em conceitos físico-mecânicos, computacionais e biomecânicos, o teste Energia Total de Ruptura pôde proporcionar análise matemática do comportamento dos segmentos de cólon descendente de ratos durante os ensaios, demonstrando ser um possível método de medição da resistência intrínseca desse material biológico com propriedade viscoelástica não-linear.Purpose: Presentation of the Total Energy of Rupture biomechanical test to evaluate the intrinsic resistance of the rat’s left colon which presents a non-linear viscoelastic property. Methods: Implementation of Total Energy of Rupture test (ETR and the Biomechanical Data Acquisition and Analysis System (SABI 2.0 based on physic-mechanical, computational and biomechanical concepts. Fifteen specimens of Wistar adults rat’s left colon where considered for experiments. Results: Using the TER biomechanical test it was possible calculate the accumulated total energy necessary to promote the specimens rupture during the mechanical trial. It was

  13. Post-Closure Inspection Report for Corrective Action Unit 404: Roller Coaster Sewage Lagoons and North Disposal Trench Tonopah Test Range, Nevada, Calendar Year 2000

    Energy Technology Data Exchange (ETDEWEB)

    K. B. Campbell

    2001-06-01

    Post-closure monitoring requirements for the Roller Coaster Sewage Lagoons and North Disposal Trench (Corrective Action Unit [CAW 404]) (Figure 1) are described in Closure Report for Corrective Action Unit 404, Roller Coaster Sewage Lagoons and North Disposal Trench, Tonopah Test Range, Nevada, report number DOE/NV--187. The Closure Report (CR) was submitted to the Nevada Division of Environmental Protection (NDEP) on September 11, 1998. Permeability results of soils adjacent to the engineered cover and a request for closure of CAU 404 were transmitted to the NDEP on April 29, 1999. The CR (containing the Post-Closure Monitoring Plan) was approved by the NDEP on May 18, 1999. Post-closure monitoring at CAU 404 consists of the following: (1) Site inspections done twice a year to evaluate the condition of the unit; (2) Verification that the site is secure; (3) Notice of any subsidence or deficiencies that may compromise the integrity of the unit; (4) Remedy of any deficiencies within 90 days of discovery; and (5) Preparation and submittal of an annual report. Site inspections were conducted on June 19, 2000, and November 21, 2000. The site inspections were conducted after completion of the revegetation activities (October 30, 1997) and NDEP approval of the CR (May 18, 1999). All site inspections were conducted in accordance with the Post-Closure Monitoring Plan in the NDEP-approved CR. This report includes copies of inspection checklists, photographs, recommendations, and conclusions. The Post-Closure Inspection Checklists are found in Attachment A, a copy of the field notes is found in Attachment B, and copies of the inspection photographs are found in Attachment C.

  14. Post-Closure Inspection Report for Corrective Action Unit 404: Roller Coaster Sewage Lagoons and North Disposal Trench Tonopah Test Range, Nevada, Calendar Year 2000; TOPICAL

    International Nuclear Information System (INIS)

    K. B. Campbell

    2001-01-01

    Post-closure monitoring requirements for the Roller Coaster Sewage Lagoons and North Disposal Trench (Corrective Action Unit[CAW 404]) (Figure 1) are described in Closure Report for Corrective Action Unit 404, Roller Coaster Sewage Lagoons and North Disposal Trench, Tonopah Test Range, Nevada, report number DOE/NV-187. The Closure Report (CR) was submitted to the Nevada Division of Environmental Protection (NDEP) on September 11, 1998. Permeability results of soils adjacent to the engineered cover and a request for closure of CAU 404 were transmitted to the NDEP on April 29, 1999. The CR (containing the Post-Closure Monitoring Plan) was approved by the NDEP on May 18, 1999. Post-closure monitoring at CAU 404 consists of the following: (1) Site inspections done twice a year to evaluate the condition of the unit; (2) Verification that the site is secure; (3) Notice of any subsidence or deficiencies that may compromise the integrity of the unit; (4) Remedy of any deficiencies within 90 days of discovery; and (5) Preparation and submittal of an annual report. Site inspections were conducted on June 19, 2000, and November 21, 2000. The site inspections were conducted after completion of the revegetation activities (October 30, 1997) and NDEP approval of the CR (May 18, 1999). All site inspections were conducted in accordance with the Post-Closure Monitoring Plan in the NDEP-approved CR. This report includes copies of inspection checklists, photographs, recommendations, and conclusions. The Post-Closure Inspection Checklists are found in Attachment A, a copy of the field notes is found in Attachment B, and copies of the inspection photographs are found in Attachment C

  15. POST-CLOSURE INSPECTION REPORT FOR CORRECTIVE ACTION UNIT 92: AREA 6 DECON PAD FACILITY, NEVADA. TEST SITE NEVADA, FOR THE PERIOD JANUARY 2004 - DECEMBER 2004

    International Nuclear Information System (INIS)

    BECHTEL NEVADA

    2005-01-01

    This Post-Closure Inspection Report provides an analysis and summary of inspections for Corrective Action Unit (CAU) 92, Area 6 Decon Pond Facility, Nevada Test Site, Nevada. CAU 92 was closed in accordance with the Resource Conservation and Recovery Act (RCRA) Part B Operational Permit (Nevada Division of Environmental Protection, 1995) and the Federal Facility Agreement and Consent Order of 1996 on May 11, 1999. CAU 92 consists of two Corrective Action Sites (CASs): CAS 06-04-01, Decon Pad oil/Water Separator; and CAS 06-05-02, Decontamination Pond (RCRA). Both CASs have use restrictions; however, only CAS 06-05-02, Decontamination Pond (RCRA), requires post-closure inspections. CAS 06-04-01, Decon Pad Oil/Water Separator, is located inside the fence at the Building 6-605 compound. This report covers the annual period January 2004 through December 2004

  16. Substance use and misuse in burn patients: Testing the classical hypotheses of the interaction between post-traumatic symptomatology and substance use.

    Science.gov (United States)

    Eiroa-Orosa, Francisco Jose; Giannoni-Pastor, Anna; Fidel-Kinori, Sara Guila; Argüello, José María

    2016-01-01

    The authors aimed to test whether the three classical hypotheses of the interaction between post-traumatic symptomatology and substance use (high risk of trauma exposure, susceptibility for post-traumatic symptomatology, and self-medication of symptoms), may be useful in the understanding of substance use among burn patients. Substance use data (nicotine, alcohol, cannabis, amphetamines, cocaine, opiates, and tranquilizers) and psychopathology measures among burn patients admitted to a burn unit and enrolled in a longitudinal observational study were analyzed. Lifetime substance use information (n = 246) was incorporated to analyses aiming to test the high risk hypothesis. Only patients assessed for psychopathology in a 6-month follow-up (n = 183) were included in prospective analyses testing the susceptibility and self-medication hypotheses. Regarding the high risk hypothesis, results show a higher proportion of heroin and tranquilizer users compared to the general population. Furthermore, in line with the susceptibility hypothesis, higher levels of symptomatology were found in lifetime alcohol, tobacco, and drug users during recovery. The self-medication hypothesis could be tested partially due to the hospital stay "cleaning" effect, but severity of symptoms was linked to the amount of caffeine, nicotine, alcohol, and cannabis use after discharge. It was found that the 3 classical hypotheses could be used to understand the link between traumatic experiences and substance use explaining different patterns of burn patient's risk for trauma exposure and emergence of symptomatology.

  17. Post-examination interpretation of objective test data: monitoring and improving the quality of high-stakes examinations--a commentary on two AMEE Guides.

    Science.gov (United States)

    Tavakol, Mohsen; Dennick, Reg

    2012-01-01

    As great emphasis is rightly placed upon the importance of assessment to judge the quality of our future healthcare professionals, it is appropriate not only to choose the most appropriate assessment method, but to continually monitor the quality of the tests themselves, in a hope that we may continually improve the process. This article stresses the importance of quality control mechanisms in the exam cycle and briefly outlines some of the key psychometric concepts including reliability measures, factor analysis, generalisability theory and item response theory. The importance of such analyses for the standard setting procedures is emphasised. This article also accompanies two new AMEE Guides in Medical Education (Tavakol M, Dennick R. Post-examination Analysis of Objective Tests: AMEE Guide No. 54 and Tavakol M, Dennick R. 2012. Post examination analysis of objective test data: Monitoring and improving the quality of high stakes examinations: AMEE Guide No. 66) which provide the reader with practical examples of analysis and interpretation, in order to help develop valid and reliable tests.

  18. Mechanism-based population modelling for assessment of L-cell function based on total GLP-1 response following an oral glucose tolerance test

    DEFF Research Database (Denmark)

    Møller, Jonas B.; Jusko, William J.; Gao, Wei

    2011-01-01

    was to build a mechanism-based population model that describes the time course of total GLP-1 and provides indices for capability of secretion in each subject. The goal was thus to model the secretion of GLP-1, and not its effect on insulin production. Single 75 g doses of glucose were administered orally......GLP-1 is an insulinotropic hormone that synergistically with glucose gives rise to an increased insulin response. Its secretion is increased following a meal and it is thus of interest to describe the secretion of this hormone following an oral glucose tolerance test (OGTT). The aim of this study....... The individual estimates of absorption rate constants were used in the model for GLP-1 secretion. Estimation of parameters was performed using the FOCE method with interaction implemented in NONMEM VI. The final transit/indirect-response model obtained for GLP-1 production following an OGTT included two...

  19. Selecting a cutoff point for a developmental screening test based on overall diagnostic indices and total expected utilities of professional preferences.

    Science.gov (United States)

    Liao, Hua-Fang; Cheng, Ling-Yee; Hsieh, Wu-Shiun; Yang, Ming-Chin

    2010-03-01

    A cutoff point in a test with sounded validity and professional preferences can help to make an accurate clinical decision. This study aimed to determine a cutoff point between two strategies for a developmental screening checklist (referred to as Taipei II). Cutoff point A was set as one or more item failed and cutoff point B was set as two or more items failed or one or more marked item failed. This study was based on the total expected utilities of professional preferences and overall diagnostic indices. A self-administered questionnaire was developed to collect the estimated utility from professionals involved in early childhood interventions (n = 81) regarding four screening outcomes (probabilities of true positive, false positive, true negative, or false negative) and costs. The total expected utilities were calculated from the probabilities of four screening outcomes and utility values. The diagnostic odds ratio was higher for strategy B (695 and 209, respectively) than that of strategy A (184 and 150, respectively) when using the Taipei II on children under 3 years of age and age 3 and over. Strategy B also had a higher median total expected utilities score than strategy A (0.78 vs. 0.72 for children or = 3). If only one cutoff point can be chosen, the authors suggest that clinicians should choose cutoff point B when using the Taipei II for screening. However, two cutoff points of Taipei II, a combination of strategy A and B, can also be used clinically. 2010 Formosan Medical Association & Elsevier. Published by Elsevier B.V. All rights reserved.

  20. Water contents of samples from the Nevada Test Site: total, free (natural state to 1050C), and more tightly bonded (105 to 7000C)

    International Nuclear Information System (INIS)

    Pawloski, G.A.

    1981-05-01

    To help confirm correct functioning of an epithermal neutron sonde, we measured tightly bonded water content of selected Nevada Test Site (NTS) drill holes. Tuff and alluvium samples were dried overnight at 105 0 C. The samples were then heated for 45 min in a split tube furnace at 700 0 C. The water that came off due to this heating was collected and the amount recorded. The error in this procedure is +- 0.59 wt %. Total water can be calculated for samples from analyses of free and tightly bonded water contents. The maximum error in this calculation is equivalent to the error in determining the more tightly bonded water. Average total water content values have been assigned to geologic units. These values, in weight fraction, are alluvium 0.14 +- .05 and tuff 0.19 +- .04. Further division of the tuff gives values of Rainier Mesa 0.15 +- .01, Paintbrush 0.18 +- .03, Tunnel Beds 0.20 +- .04, and Grouse Canyon 0.29 +- .02. Statistically significant differences occur between the tuff and alluvium. Within the tuffs, th