The challenge of home discharge with a total artificial heart: the La Pitie Salpetriere experience.

Science.gov (United States)

Demondion, Pierre; Fournel, Ludovic; Niculescu, Michaela; Pavie, Alain; Leprince, Pascal

2013-11-01

The total artificial heart (TAH) helps to counteract the current decrease in heart donors and is likely to bridge patients to transplant under favourable conditions. Today's mobile consoles facilitate home discharge. The aim of this study was to report on the La Pitie Hospital experience with CardioWest TAH recipients, and more particularly, on generally successful outpatient' management. A retrospective analysis was performed on clinical and biological data from patients implanted with a TAH between December 2006 and July 2010 in a single institution. Morbi-mortality during hospital stay, number and causes of rehospitalizations, quality of life during home discharge, bridge to transplant results and survival have all been analysed. Twenty-seven patients were implanted with the CardioWest. Fifteen patients (55.5%) died during support. Prior to home discharge, the most frequent cause of death was multi-organ failure (46.6%). Twelve patients were discharged home from hospital within a median of 88 days [range 35-152, interquartile range 57] postimplantation. Mean rehospitalization rate was 1.2 by patient, on account of device infection (n = 7), technical problems with the console (n = 3) and other causes (n = 4). Between discharge and transplant, patients spent 87% of their support time out of hospital. All patients who returned home with the TAH were subsequently transplanted, and 1 died in post-transplant. Despite the morbidity and mortality occurring during the postimplantation period, home discharge with a TAH is possible. Portables drivers allow for a safe return home. Aside from some remaining weak points such as infectious complications or noise, CardioWest TAH allows for successful rehabilitation of graft candidates, and assures highly satisfactory transplant results.

Development of Joint Climate and Discharge Projections for the International Rhine River Basin - the CHR RheinBlick2050 Project

Science.gov (United States)

Görgen, K.; Pfister, L.

2008-12-01

The anticipated climate change will lead to modified hydro-meteorological regimes that influence discharge behaviour and hydraulics of rivers. This has variable impacts on managed (anthropogenic) and unmanaged (natural) systems, depending on their sensitivity and vulnerability (ecology, economy, infrastructure, transport, energy production, water management, etc.). Decision makers in these contexts need adequate adaptation strategies to minimize adverse effects of climate change, i.e. an improved knowledge on the potential impacts including uncertainties means an extension of the informed options open to users. The goal of the highly applied study presented here is the development of joint, consistent climate and discharge projections for the international Rhine River catchments (Switzerland, France, Germany, Netherlands) in order to assess future changes of hydro-meteorological regimes in the meso- and macroscale Rhine River catchments and to derive and improve the understanding of such impacts on hydrologic and hydraulic processes. The RheinBlick2050 project is an international effort initiated by the International Commission for the Hydrology of the Rhine Basin (CHR) in close cooperation with the International Commission for the Protection of the Rhine. The core experiment design foresees a data-synthesis, multi-model approach where (transient) (bias- corrected) regional climate change projections are used as forcing data for existing calibrated hydrological (and hydraulic) models at a daily temporal resolution over mesoscale catchments of the Rhine River. Mainly for validation purposes, hydro-meteorological observations from national weather services are compiled into a new consistent 5 km x 5 km reference dataset from 1961 to 2005. RCM data are mainly used from the ENSEMBLES project and other existing dynamical downscaling model runs to derive probabilistic ensembles and thereby also access uncertainties on a regional scale. A benchmarking is helping to

Load estimation and assessment of land-based pollution for Quanzhou Bay and their relevance to the Total Quantity Control of Pollutants Discharged into the Sea (TQCPS) Program in China

Science.gov (United States)

Zhao, W. L.; Yang, S. Y.; Wang, J.; Xiao, J. M.; Lu, X. X.; Lin, J.; Huang, P.; Cai, M. G.

2015-12-01

The Total Quantity Control of Pollutants Discharged into the Sea (TQCPS) Program belonged to the Public Science and Technology Research Funds Projects of Ocean in China, launched in 2008. As one of the most important and typical demonstration cases of the TQCPS Program, a full investigation of the land-based pollutions discharges around Quanzhou Bay, China developed the total input for three main environmental factors (NH3-N, TP, COD) which were estimated and quantified in 2008 and 2012, respectively. Combined with the trend of seawater quality changes in Quanzhou Bay in the same periods, the effects of the program's implementation were then evaluated. On the whole, by using the basic survey data and export coefficient method, the total amounts of NH3-N, TP and COD discharged into the bay were estimated to be approximately 888.3, 130.6 and 14527.4 t/a in 2008, and 1518.6, 558.8 and 19986.7 t/a in 2012, respectively, where the percentage of the discharge from domestic sources (46.5% in 2008 and 45.2% in 2012) was generally higher than that from the other sources. Based on the characteristic of geography and administrative division, the land areas around the bay were divided into three parts: the south coast region (SCR), the west coast region (WCR), and the north coast region (NCR). The SCR and WCR accounted for 59.2 and 35.4% of the COD loads, and 49.2 and 48.0% of NH3-N loads in 2008. The NCR contributed less of the industrial pollution, but most to domestic pollution (54.1%), followed by 26.2% in the SCR in 2012. The contributions of the discharge from different land areas to the pollution of Quanzhou Bay were found to be differed in 2008 and 2012. Due to the difference in the levels of the economic development among these three areas, the discharge of pollutants from the north coast was much lower than that from the other two parts in 2008; however, following our suggestion of the moderation and optimization of the industrial distribution and the sewage

Project Management and Total Quality Management : Complementary or confused?

Directory of Open Access Journals (Sweden)

Selma KATLANE BEN MLOUKA

2009-01-01

Full Text Available Quality management and project management appear as themes of strategic management today. The adoption of the project management constitutes a new way in organizing the production. It helps to cope with the complexity of the environment, to reduce the product life cycles and to make working arrangements more flexible. It should also adapt to the ICT revolution and restructuring of enterprises due to the dematerialisation of structures and transactions. Quality management, applied to more operations and strongly influenced by the quantitative approach seems compatible with project management. Indeed, the two paradigms emphasize the importance of customer satisfaction, teamwork, the role of leadership and the continuous improvement of processes and products. This paper aims to revisit the principles of relationship between total quality management and project management. Having shown the importance of incorporating fine patterns and project quality in business organization, we will explain how the ability to generate, select and conduct projects in an oriented accountability of management is able to enroll in a total quality.

Modelling the combined impact of radionuclide discharges reaching rivers

International Nuclear Information System (INIS)

Hilton, J.; Small, S.; Hornby, D.; Scarlett, P.; Harvey, M.; Simmonds, J.; Bexon, A.; Jones, A.

2003-01-01

The Agency currently authorises direct and indirect (via sewerage systems) discharges of liquid radioactive wastes to rivers from nuclear sites and other registered users of radioactivity. Discharges are normally authorised on a site-by-site basis, taking into account the radiological assessment. Radiological assessments are normally made using dilution models to estimate radionuclide activities in the effluents themselves and in the receiving rivers. These data are then combined with information on habits and dose factor information to give a dose assessment for individuals exposed to the discharge. For each site the highest radiological impact is expected immediately downstream of the disposal point where concentrations of radionuclides and resulting doses are highest. The concentration and doses are expected to decline with increasing distance downstream of the disposal point. However, if discharges are made into the river from other establishments higher up the catchment, the total dose may be higher. Recent Environment Agency research projects provided evidence of the potential radiological significance of multiple discharges to a single river. In the light of these studies, the Agency require a robust modelling tool to assist in the assessment of the effects of combined discharges to river systems. The aim of this R and D project was to develop and test modelling tools that could be used to make assessments of the impact of multiple radiological discharge into river systems and to trial them on the upper Thames river system

A Lean Six Sigma quality improvement project to increase discharge paperwork completeness for admission to a comprehensive integrated inpatient rehabilitation program.

Science.gov (United States)

Neufeld, Nathan J; Hoyer, Erik H; Cabahug, Philippines; González-Fernández, Marlís; Mehta, Megha; Walker, N Colbey; Powers, Richard L; Mayer, R Samuel

2013-01-01

Lean Six Sigma (LSS) process analysis can be used to increase completeness of discharge summary reports used as a critical communication tool when a patient transitions between levels of care. The authors used the LSS methodology as an intervention to improve systems process. Over the course of the project, 8 required elements were analyzed in the discharge paperwork. The authors analyzed the discharge paperwork of patients (42 patients preintervention and 143 patients postintervention) of a comprehensive integrated inpatient rehabilitation program (CIIRP). Prior to this LSS project, 61.8% of required discharge elements were present. The intervention improved the completeness to 94.2% of the required elements. The percentage of charts that were 100% complete increased from 11.9% to 67.8%. LSS is a well-established process improvement methodology that can be used to make significant improvements in complex health care workflow issues. Specifically, the completeness of discharge documentation required for transition of care to CIIRP can be improved.

Projections of spent fuel to be discharged by the U.S. nuclear power industry

International Nuclear Information System (INIS)

Alexander, C.W.; Kee, C.W.; Croff, A.G.; Blomeke, J.O.

1977-10-01

Calculated properties of spent fuel projected to be discharged and accumulated by the U.S. nuclear power industry through the year 2031 A.D. are presented. The projections are based on installed nuclear capacities of 380 and 543 GW(e) in the year 2000 and 2030, respectively. They include compilations of the grams of the elements, curies of radioactivity, thermal decay power, photon and neutron emission rates, and radiotoxicities of the assemblies that are accumulated at a Spent Unreprocessed Fuel Facility (SURFF), allowing for delays of 5 and 10 years before shipment to SURFF

Projections of spent fuel to be discharged by the U. S. nuclear power industry

Energy Technology Data Exchange (ETDEWEB)

Alexander, C.W.; Kee, C.W.; Croff, A.G.; Blomeke, J.O.

1977-10-01

Calculated properties of spent fuel projected to be discharged and accumulated by the U.S. nuclear power industry through the year 2031 A.D. are presented. The projections are based on installed nuclear capacities of 380 and 543 GW(e) in the year 2000 and 2030, respectively. They include compilations of the grams of the elements, curies of radioactivity, thermal decay power, photon and neutron emission rates, and radiotoxicities of the assemblies that are accumulated at a Spent Unreprocessed Fuel Facility (SURFF), allowing for delays of 5 and 10 years before shipment to SURFF.

Intra-articular Analgesia and Discharge to Home Enhance Recovery Following Total Knee Replacement.

Science.gov (United States)

Duggal, Shivi; Flics, Susan; Cornell, Charles N

2015-02-01

The increasing demand for total knee arthroplasty (TKR) and the initiatives to reduce health care spending have put the responsibility for efficient care on hospitals and providers. Multidisciplinary care pathways have been shown to shorten length of stay and result in improved short-term outcomes. However, common problems such as post-op nausea, orthostasis, and quad weakness remain, while reliance on discharge to rehabilitation facilities may also prolong hospital stay. Our aim was to document that combined modifications of our traditional clinical pathway for unilateral TKR could lead to improved short-term outcomes. We pose the following research questions. Can pathway modifications which include intra-articular infusion and saphenous nerve block (SNB) provide adequate pain relief and eliminate common side effects promoting earlier mobilization? Can planning for discharge to home avoid in-patient rehab stays? Can these combined modifications decrease length of stay even in patients with complex comorbidities indicated by higher ASA class? Will discharge to home incur an increase in complications or a failure to achieve knee range of motion? A retrospective review was performed and identified two cohorts. Group A included 116 patients that underwent unilateral TKR for osteoarthritis between August 2009 and August 2010. Group B included 171 patients that underwent unilateral TKR for osteoarthritis between February 2012 to February 2013. Group A patients were treated with spinal anesthesia with patient-controlled epidural analgesia (PCEA)/femoral nerve block (FNB) for the first 48 h after surgery. Discharge planning was initiated after admission. Group B had spinal anesthesia with SNB and received a continuous intra-articular infusion of 0.2% ropivicaine for 48 h post-op. Discharge planning was initiated with a case manager prior to hospitalization and discharge to home was declared the preferred approach. An intensive home PT program was made available through

Fall Risk Score at the Time of Discharge Predicts Readmission Following Total Joint Arthroplasty.

Science.gov (United States)

Ravi, Bheeshma; Nan, Zhang; Schwartz, Adam J; Clarke, Henry D

2017-07-01

Readmission among Medicare recipients is a leading driver of healthcare expenditure. To date, most predictive tools are too coarse for direct clinical application. Our objective in this study is to determine if a pre-existing tool to identify patients at increased risk for inpatient falls, the Hendrich Fall Risk Score, could be used to accurately identify Medicare patients at increased risk for readmission following arthroplasty, regardless of whether the readmission was due to a fall. This study is a retrospective cohort study. We identified 2437 Medicare patients who underwent a primary elective total joint arthroplasty (TJA) of the hip or knee for osteoarthritis between 2011 and 2014. The Hendrich Fall Risk score was recorded for each patient preoperatively and postoperatively. Our main outcome measure was hospital readmission within 30 days of discharge. Of 2437 eligible TJA recipients, there were 226 (9.3%) patients who had a score ≥6. These patients were more likely to have an unplanned readmission (unadjusted odds ratio 2.84, 95% confidence interval 1.70-4.76, P 3 days (49.6% vs 36.6%, P = .0001), and were less likely to be sent home after discharge (20.8% vs 35.8%, P fall risk score after TJA is strongly associated with unplanned readmission. Application of this tool will allow hospitals to identify these patients and plan their discharge. Copyright © 2017 Elsevier Inc. All rights reserved.

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.

Chambolle's Projection Algorithm for Total Variation Denoising

Directory of Open Access Journals (Sweden)

Joan Duran

2013-12-01

Full Text Available Denoising is the problem of removing the inherent noise from an image. The standard noise model is additive white Gaussian noise, where the observed image f is related to the underlying true image u by the degradation model f=u+n, and n is supposed to be at each pixel independently and identically distributed as a zero-mean Gaussian random variable. Since this is an ill-posed problem, Rudin, Osher and Fatemi introduced the total variation as a regularizing term. It has proved to be quite efficient for regularizing images without smoothing the boundaries of the objects. This paper focuses on the simple description of the theory and on the implementation of Chambolle's projection algorithm for minimizing the total variation of a grayscale image. Furthermore, we adapt the algorithm to the vectorial total variation for color images. The implementation is described in detail and its parameters are analyzed and varied to come up with a reliable implementation.

Total and Spectral Solar Irradiance Sensor (TSIS) Project Status

Science.gov (United States)

Carlisle, Candace

2018-01-01

TSIS-1 studies the Sun's energy input to Earth and how solar variability affects climate. TSIS-1 will measure both the total amount of light that falls on Earth, known as the total solar irradiance (TSI), and how that light is distributed among ultraviolet, visible and infrared wavelengths, called solar spectral irradiance (SSI). TSIS-1 will provide the most accurate measurements of sunlight and continue the long-term climate data record. TSIS-1 includes two instruments: the Total Irradiance Monitor (TIM) and the Spectral Irradiance Monitor (SIM), integrated into a single payload on the International Space Station (ISS). The TSIS-1 TIM and SIM instruments are upgraded versions of the two instruments that are flying on the Solar Radiation and Climate Experiment (SORCE) mission launched in January 2003. NASA Goddard's TSIS project responsibilities include project management, system engineering, safety and mission assurance, and engineering oversight for TSIS-1. TSIS-1 was installed on the International Space Station in December 2017. At the end of the 90-day commissioning phase, responsibility for TSIS-1 operations transitions to the Earth Science Mission Operations (ESMO) project at Goddard for its 5-year operations. NASA contracts with the University of Colorado Laboratory for Atmospheric and Space Physics (LASP) for the design, development and testing of TSIS-1, support for ISS integration, science operations of the TSIS-1 instrument, data processing, data evaluation, calibration and delivery to the Goddard Earth Science Data and Information Services Center (GES DISC).

Estimated radiological effects of the normal discharge of radioactivity from nuclear power plants in the Netherlands with a total capacity of 3500 MWe

International Nuclear Information System (INIS)

Lugt, G. van der; Wijker, H.; Kema, N.V.

1977-01-01

In the Netherlands discussions are going on about the installation of three nuclear power plants, leading with the two existing plants to a total capacity of 3500 MWe. To have an impression of the radiological impact of this program, calculations were carried out concerning the population doses due to the discharge of radioactivity from the plants during normal operation. The discharge via the ventilation stack gives doses due to noble gases, halogens and particulate material. The population dose due to the halogens in the grass-milk-man chain is estimated using the real distribution of grass-land around the reactor sites. It could be concluded that the population dose due to the contamination of crops and fruit is negligeable. A conservative estimation is made for the dose due to the discharge of tritium. The population dose due to the discharge in the cooling water is calculated using the following pathways: drinking water; consumption of fish; consumption of meat from animals fed with fish products. The individual doses caused by the normal discharge of a 1000 MWe plant appeared to be very low, mostly below 1 mrem/year. The population dose is in the order of some tens manrems. The total dose of the 5 nuclear power plants to the dutch population is not more than 70 manrem. Using a linear dose-effect relationship the health effects to the population are estimated and compared with the normal frequency

Hospital Discharge Information After Elective Total hip or knee Joint Replacement Surgery: A clinical Audit of preferences among general practitioners

Directory of Open Access Journals (Sweden)

Andrew M Briggs

2012-05-01

Full Text Available AbstractThe demand for elective joint replacement (EJR surgery for degenerative joint disease continues to rise in Australia, and relative to earlier practices, patients are discharged back to the care of their general practitioner (GP and other community-based providers after a shorter hospital stay and potentially greater post-operative acuity. In order to coordinate safe and effective post-operative care, GPs rely on accurate, timely and clinically-informative information from hospitals when their patients are discharged. The aim of this project was to undertake an audit with GPs regarding their preferences about the components of information provided in discharge summaries for patients undergoing EJR surgery for the hip or knee. GPs in a defined catchment area were invited to respond to an online audit instrument, developed by an interdisciplinary group of clinicians with knowledge of orthopaedic surgery practices. The 15-item instrument required respondents to rank the importance of components of discharge information developed by the clinician working group, using a three-point rating scale. Fifty-three GPs and nine GP registrars responded to the audit invitation (11.0% response rate. All discharge information options were ranked as ‘essential’ by a proportion of respondents, ranging from 14.8–88.5%. Essential information requested by the respondents included early post-operative actions required by the GP, medications prescribed, post-operative complications encountered and noting of any allergies. Non-essential information related to the prosthesis used. The provision of clinical guidelines was largely rated as ‘useful’ information (47.5–56.7%. GPs require a range of clinical information to safely and effectively care for their patients after discharge from hospital for EJR surgery. Implementation of changes to processes used to create discharge summaries will require engagement and collaboration between clinical staff

Measurements of the total energy lost per electron-ion pair lost in low-pressure inductive argon, helium, oxygen and nitrogen discharge

International Nuclear Information System (INIS)

Lee, Young-Kwang; Ku, Ju-Hwan; Chung, Chin-Wook

2011-01-01

Experimental measurements of the total energy lost per electron-ion pair lost, ε T , were performed in a low-pressure inductive atomic gases (Ar, He) and molecular gases (O 2 , N 2 ) discharge. The value of ε T was determined from a power balance based on the electropositive global (volume-averaged) model. A floating harmonic method was employed to measure ion fluxes and electron temperatures at the discharge wall. In the pressure range 5-50 mTorr, it was found that the measured ε T ranged from about 70 to 150 V for atomic gases, but from about 180 to 1300 V for molecular gases. This difference between atomic and molecular discharge is caused by additional collisional energy losses of molecular gases. For argon discharge, the stepwise ionization effect on ε T was observed at relatively high pressures. For different gases, the measured ε T was evaluated with respect to the electron temperature, and then compared with the calculation results, which were derived from collisional and kinetic energy loss. The measured ε T and their calculations showed reasonable agreement.

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....

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...

Challenges in the delivery of nutrition services to hospital discharged older adults: the community connections demonstration project.

Science.gov (United States)

Sahyoun, Nadine R; Akobundu, Ucheoma; Coray, Kevin; Netterville, Linda

2009-04-01

The objective of this project was to explore the effort necessary to transform the Older Americans Act Nutrition Program (OAANP) into core programs within an integrated health care delivery system that serves hospital-discharged older adults in order to assist them in reintegrating into the community. Six OAANPs in six states were funded and provided technical assistance to develop coalitions with hospitals and community organizations. Each demonstration site was unique and faced many challenges in reaching out to a hospitalized vulnerable population. This project also provided opportunities to try out new initiatives and examine their sustainability within the community.

Comparative analysis of discharges into Lake Michigan, Phase I - Southern Lake Michigan.

Energy Technology Data Exchange (ETDEWEB)

Veil, J. A.; Elcock, D.; Gasper, J. R.; Environmental Science Division

2008-06-30

BP Products North America Inc. (BP) owns and operates a petroleum refinery located on approximately 1,700 acres in Whiting, East Chicago, and Hammond, Indiana, near the southern tip of Lake Michigan. BP provided funding to Purdue University-Calumet Water Institute (Purdue) and Argonne National Laboratory (Argonne) to conduct studies related to wastewater treatment and discharges. Purdue and Argonne are working jointly to identify and characterize technologies that BP could use to meet the previous discharge permit limits for total suspended solids (TSS) and ammonia after refinery modernization. In addition to the technology characterization work, Argonne conducted a separate project task, which is the subject of this report. In Phase I of a two-part study, Argonne estimated the current levels of discharge to southern Lake Michigan from significant point and nonpoint sources in Illinois, Indiana, and portions of Michigan. The study does not consider all of the chemicals that are discharged. Rather, it is narrowly focused on a selected group of pollutants, referred to as the 'target pollutants'. These include: TSS, ammonia, total and hexavalent chromium, mercury, vanadium, and selenium. In Phase II of the study, Argonne will expand the analysis to cover the entire Lake Michigan drainage basin.

Taser X26 discharges in swine: ventricular rhythm capture is dependent on discharge vector.

Science.gov (United States)

Valentino, Daniel J; Walter, Robert J; Dennis, Andrew J; Margeta, Bosko; Starr, Frederic; Nagy, Kimberly K; Bokhari, Faran; Wiley, Dorion E; Joseph, Kimberly T; Roberts, Roxanne R

2008-12-01

Data from our previous studies indicate that Taser X26 stun devices can acutely alter cardiac function in swine. We hypothesized that most transcardiac discharge vectors would capture ventricular rhythm, but that other vectors, not traversing the heart, would fail to capture the ventricular rhythm. Using an Institutional Animal Care and Use Committee (IACUC) approved protocol, four Yorkshire pigs (25-36 kg) were anesthetized, paralyzed with succinylcholine (2 mg/kg), and then exposed to 10 second discharges from a police-issue Taser X26. For most discharges, the barbed darts were pushed manually into the skin to their full depth (12 mm) and were arranged in either transcardiac (such that a straight line connecting the darts would cross the region of the heart) or non-transcardiac vectors. A total of 11 different vectors and 22 discharge conditions were studied. For each vector, by simply rotating the cartridge 180-degrees in the gun, the primary current-emitting dart was changed and the direction of current flow during the discharge was reversed without physically moving the darts. Echocardiography and electrocardiograms (ECGs) were performed before, during, and after all discharges. p values captured immediately in 52.5% (31 of 59) of the discharges on the ventral surface of the animal. In each of these cases, capture of the ventricular rhythm with rapid ventricular contractions consistent with ventricular tachycardia (VT) or flutter was seen throughout the discharge. A total of 27 discharges were administered with transcardiac vectors and ventricular capture occurred in 23 of these discharges (85.2% capture rate). A total of 32 non-transcardiac discharges were administered ventrally and capture was seen in only eight of these (25% capture rate). Ventricular fibrillation (VF) was seen with two vectors, both of which were transcardiac. In the remaining animals, VT occurred postdischarge until sinus rhythm was regained spontaneously. For most transcardiac vectors

Preliminary investigation Area 12 fleet operations steam cleaning discharge area Nevada Test Site

International Nuclear Information System (INIS)

1996-07-01

This report documents the characterization activities and findings of a former steam cleaning discharge area at the Nevada Test Site. The former steam cleaning site is located in Area 12 east of Fleet Operations Building 12-16. The characterization project was completed as a required condition of the ''Temporary Water Pollution Control Permit for the Discharge From Fleet Operations Steam Cleaning Facility'' issued by the Nevada Division of Environmental Protection. The project objective was to collect shallow soil samples in eight locations in the former surface discharge area. Based upon field observations, twelve locations were sampled on September 6, 1995 to better define the area of potential impact. Samples were collected from the surface to a depth of approximately 0.3 meters (one foot) below land surface. Discoloration of the surface soil was observed in the area of the discharge pipe and in localized areas in the natural drainage channel. The discoloration appeared to be consistent with the topographically low areas of the site. Hydrocarbon odors were noted in the areas of discoloration only. Samples collected were analyzed for bulk asbestos, Toxicity Characteristic Leaching Procedure (TCLP) metals, total petroleum hydrocarbons (TPHs), volatile organic compounds (VOCs), semi-volatile organic compounds (Semi-VOCs), and gamma scan

Ileostomy - discharge

Science.gov (United States)

... dried fruits (such as raisins), mushrooms, chunky relishes, coconut, and some Chinese vegetables. Tips for when no ... ask your doctor Living with your ileostomy Low-fiber diet Small bowel resection - discharge Total colectomy or ...

Concentration and flux of total and dissolved phosphorus, total nitrogen, chloride, and total suspended solids for monitored tributaries of Lake Champlain, 1990-2012

Science.gov (United States)

Medalie, Laura

2014-01-01

Annual and daily concentrations and fluxes of total and dissolved phosphorus, total nitrogen, chloride, and total suspended solids were estimated for 18 monitored tributaries to Lake Champlain by using the Weighted Regressions on Time, Discharge, and Seasons regression model. Estimates were made for 21 or 23 years, depending on data availability, for the purpose of providing timely and accessible summary reports as stipulated in the 2010 update to the Lake Champlain “Opportunities for Action” management plan. Estimates of concentration and flux were provided for each tributary based on (1) observed daily discharges and (2) a flow-normalizing procedure, which removed the random fluctuations of climate-related variability. The flux bias statistic, an indicator of the ability of the Weighted Regressions on Time, Discharge, and Season regression models to provide accurate representations of flux, showed acceptable bias (less than ±10 percent) for 68 out of 72 models for total and dissolved phosphorus, total nitrogen, and chloride. Six out of 18 models for total suspended solids had moderate bias (between 10 and 30 percent), an expected result given the frequently nonlinear relation between total suspended solids and discharge. One model for total suspended solids with a very high bias was influenced by a single extreme value; however, removal of that value, although reducing the bias substantially, had little effect on annual fluxes.

Home Discharge and Out-of-Hospital Follow-Up of Total Artificial Heart Patients Supported by a Portable Driver System

Science.gov (United States)

2014-01-01

To enhance ambulation and facilitate hospital discharge of total artificial heart (TAH)–supported patients, we adapted a mobile ventricular assistance device (VAD) driver (Excor) for TAH use and report on the performance of Excor-driven TAH patients discharged home. Ten patients stabilized on a TAH, driven by the CSS (“Circulatory Support System”), were progressively switched over to the Excor in hospital over 14 days as a pilot, with daily hemodynamics and laboratory parameters measured. Twenty-two stable TAH patients were subsequently placed on the Excor, trained, and discharged home. Clinical and hemodynamic parameters were followed. All pilot study patients were clinically stable on the Excor, with no decrease in TAH output noted (6.3 + 0.3 L/min [day 1] vs. 5.8 + 0.2 L/min [day 14], p = 0.174), with a trend suggesting improvement of both hepatic and renal function. Twenty-two TAH patients were subsequently successfully discharged home on the portable driver and were supported out of hospital for up to 598 days (range, 2–598; mean = 179 ± 140 days), remaining ambulatory, New York Heart Association (NYHA) class I or II, and free of readmission for 88.5% of the time of support. TAH patients may be effectively and safely supported by a mobile drive system. As such, the utility of the TAH may be extended to support patients beyond the hospital, at home, with overall ambulatory freedom. PMID:24577369

Optimized design of total energy systems: The RETE project

Science.gov (United States)

Alia, P.; Dallavalle, F.; Denard, C.; Sanson, F.; Veneziani, S.; Spagni, G.

1980-05-01

The RETE (Reggio Emilia Total Energy) project is discussed. The total energy system (TES) was developed to achieve the maximum quality matching on the thermal energy side between plant and user and perform an open scheme on the electrical energy side by connection with the Italian electrical network. The most significant qualitative considerations at the basis of the plant economic energy optimization and the selection of the operating criterion most fitting the user consumption characteristics and the external system constraints are reported. The design methodology described results in a TES that: in energy terms achieves a total efficiency evaluated on a yearly basis to be equal to about 78 percent and a fuel saving of about 28 percent and in economic terms allows a recovery of the investment required as to conventional solutions, in about seven years.

Excimer lamp pumped by a triggered discharge

Energy Technology Data Exchange (ETDEWEB)

Baldacchini, G.; Bollanti, S.; Di Lazzaro, P.; Flora, F.; Giordano, G.; Letardi, T.; Renieri, A.; Schina, G. [ENEA, Centro Ricerche Frascati, Rome (Italy). Dip. Innovazione; Clementi, G.; Muzzi, F.; Zheng, C.E. [EL.EN. (Electronic Engineering), Florence (Italy)

1996-11-01

Radiation characteristics and discharge performances of an excimer lamp are described. The discharge of the HCl/Xe gas mixture at an atmospheric pressure, occurring near the quartz tube wall, is initiated by a trigger wire. A maximum total UV energy of about 0.4 J in a (0.8-0.9) {mu}s pulse, radiated from a 10 cm discharge length, is obtained with a total discharge input energy of 8 J. Excimer lamps are the preferred choice for medical and material processing irradiations, when the monochromaticity or coherence of UV light is not required, due to their low cost, reliability and easy maintenance.

Effective Discharge and Annual Sediment Yield on Brazos River

Science.gov (United States)

Rouhnia, M.; Salehi, M.; Keyvani, A.; Ma, F.; Strom, K. B.; Raphelt, N.

2012-12-01

Geometry of an alluvial river alters dynamically over the time due to the sediment mobilization on the banks and bottom of the river channel in various flow rates. Many researchers tried to define a single representative discharge for these morphological processes such as "bank-full discharge", "effective discharge" and "channel forming discharge". Effective discharge is the flow rate in which, the most sediment load is being carried by water, in a long term period. This project is aimed to develop effective discharge estimates for six gaging stations along the Brazos River from Waco, TX to Rosharon, TX. The project was performed with cooperation of the In-stream Flow Team of the Texas Water Development Board (TWDB). Project objectives are listed as: 1) developing "Flow Duration Curves" for six stations based on mean-daily discharge by downloading the required, additional data from U.S Geological Survey website, 2) developing "Rating Curves" for six gaging stations after sampling and field measurements in three different flow conditions, 3) developing a smooth shaped "Sediment Yield Histogram" with a well distinguished peak as effective discharge. The effective discharge was calculated using two methods of manually and automatic bin selection. The automatic method is based on kernel density approximation. Cross-sectional geometry measurements, particle size distributions and water field samples were processed in the laboratory to obtain the suspended sediment concentration associated with flow rate. Rating curves showed acceptable trends, as the greater flow rate we experienced, the more sediment were carried by water.

Generation of ozone by pulsed corona discharge over water surface in hybrid gas-liquid electrical discharge reactor

Czech Academy of Sciences Publication Activity Database

Lukeš, Petr; Člupek, Martin; Babický, Václav; Šunka, Pavel; Janda, V.

2005-01-01

Roč. 38, č. 3 (2005), s. 409-416 ISSN 0022-3727 R&D Projects: GA ČR(CZ) GA202/02/1026 Institutional research plan: CEZ:AV0Z20430508 Keywords : Corona discharge * hybrid reactor * ozone * water treatment Subject RIV: BL - Plasma and Gas Discharge Physics Impact factor: 1.957, year: 2005

Influence of Duty Cycle on Ozone Generation and Discharge Using Volume Dielectric Barrier Discharge

Czech Academy of Sciences Publication Activity Database

Wei, L.S.; Pongrác, Branislav; Zhang, Y.F.; Liang, X.; Prukner, Václav; Šimek, Milan

2018-01-01

Roč. 38, č. 2 (2018), s. 355-364 ISSN 0272-4324 R&D Projects: GA ČR(CZ) GA15-04023S Institutional support: RVO:61389021 Keywords : Ozone generation * Volume dielectric barrier discharge * Electrical characteristics * Duty cycle * Adjustable ozone concentration Subject RIV: BL - Plasma and Gas Discharge Physics OBOR OECD: Fluids and plasma physics (including surface physics) Impact factor: 2.355, year: 2016 https://link.springer.com/article/10.1007%2Fs11090-017-9866-y

Industrial water resources management based on violation risk analysis of the total allowable target on wastewater discharge.

Science.gov (United States)

Yue, Wencong; Cai, Yanpeng; Xu, Linyu; Yang, Zhifeng; Yin, Xin'An; Su, Meirong

2017-07-11

To improve the capabilities of conventional methodologies in facilitating industrial water allocation under uncertain conditions, an integrated approach was developed through the combination of operational research, uncertainty analysis, and violation risk analysis methods. The developed approach can (a) address complexities of industrial water resources management (IWRM) systems, (b) facilitate reflections of multiple uncertainties and risks of the system and incorporate them into a general optimization framework, and (c) manage robust actions for industrial productions in consideration of water supply capacity and wastewater discharging control. The developed method was then demonstrated in a water-stressed city (i.e., the City of Dalian), northeastern China. Three scenarios were proposed according to the city's industrial plans. The results indicated that in the planning year of 2020 (a) the production of civilian-used steel ships and machine-made paper & paperboard would reduce significantly, (b) violation risk of chemical oxygen demand (COD) discharge under scenario 1 would be the most prominent, compared with those under scenarios 2 and 3, (c) the maximal total economic benefit under scenario 2 would be higher than the benefit under scenario 3, and (d) the production of rolling contact bearing, rail vehicles, and commercial vehicles would be promoted.

Estimated discharge of treated wastewater in Florida, 1990

Science.gov (United States)

Marella, R.L.

1994-01-01

According to the Florida Department of Environ- mental Protection, 5,100 wastewater treatment systems were in operation during 1990. Of this total, 72 percent were domestic wastewater facilities and 28 percent were industrial waste- water facilities. The number of wastewater systems inventoried for 1990 was 1,062 (systems that treated and discharged more than 0.01 Mgal/d or had a plant capacity of greater than 0.04 Mgal/d. Based on this inventory, the estimated discharge of treated wastewater in Florida during 1990 totaled 1,638 million gallons per day. Approxi- mately 65 percent of this water was discharged to surface water during 1990 and the remaining 35 percent was discharged to ground water. Discharge to surface water includes effluent outfalls into the Atlantic Ocean (32 percent), while the re- maining (68 percent) is discharged into the Gulf of Mexico, bays, rivers, wetlands, and other surface water bodies throughout Florida. Discharge to ground-water includes treated effluent outfalls to land application systems (reuse systems and spray fields), drain fields, percolation ponds (51 percent), and to injection wells (49 percent). An estimated 322 million gallons per day of the treated domestic and industrial wastewater was reused during 1990. Discharge of treated domestic wastewater from the 994 systems inventoried in Florida during 1990 totaled 1,353 million gallons per day and served an estimated 8.58 million people (66 percent of the population of Florida in 1990). The remaining 34 percent of the popu- lation (4.36 million) are served by the 2,700 smaller domestic wastewater systems or have individual septic tanks. In 1990, there were 1.56 million septic tanks in Florida. Discharge of industrial wastewater was inventoried for 68 systems in 1990 and totaled 285 million gallons per day. Discharge of domestic wastewater in- creased more than 20 percent and industrial wastewater discharge increased 5 percent from 1985 to 1990. (USGS)

Fluctuations in isometric muscle force can be described by one linear projection of low-frequency components of motor unit discharge rates.

Science.gov (United States)

Negro, Francesco; Holobar, Ales; Farina, Dario

2009-12-15

The aim of the study was to investigate the relation between linear transformations of motor unit discharge rates and muscle force. Intramuscular (wire electrodes) and high-density surface EMG (13 x 5 electrode grid) were recorded from the abductor digiti minimi muscle of eight healthy men during 60 s contractions at 5%, 7.5% and 10% of the maximal force. Spike trains of a total of 222 motor units were identified from the EMG recordings with decomposition algorithms. Principal component analysis of the smoothed motor unit discharge rates indicated that one component (first common component, FCC) described 44.2 +/- 7.5% of the total variability of the smoothed discharge rates when computed over the entire contraction interval and 64.3 +/- 10.2% of the variability when computed over 5 s intervals. When the FCC was computed from four or more motor units per contraction, it correlated with the force produced by the muscle (62.7 +/- 10.1%) by a greater degree (P FCC and the force signal increased up to 71.8 +/- 13.1% when the duration and the shape of the smoothing window for discharge rates were similar to the average motor unit twitch force. Moreover, the coefficients of variation (CoV) for the force and for the FCC signal were correlated in all subjects (R(2) range = 0.14-0.56; P measures on the tibialis anterior muscle of an additional eight subjects during contractions at forces up to 20% of the maximal force (e.g. FCC explained 59.8 +/- 11.0% of variability of the smoothed discharge rates). In conclusion, one signal captures most of the underlying variability of the low-frequency components of motor unit discharge rates and explains large part of the fluctuations in the motor output during isometric contractions.

Estimating sediment discharge: Appendix D

Science.gov (United States)

Gray, John R.; Simões, Francisco J. M.

2008-01-01

Sediment-discharge measurements usually are available on a discrete or periodic basis. However, estimates of sediment transport often are needed for unmeasured periods, such as when daily or annual sediment-discharge values are sought, or when estimates of transport rates for unmeasured or hypothetical flows are required. Selected methods for estimating suspended-sediment, bed-load, bed- material-load, and total-load discharges have been presented in some detail elsewhere in this volume. The purposes of this contribution are to present some limitations and potential pitfalls associated with obtaining and using the requisite data and equations to estimate sediment discharges and to provide guidance for selecting appropriate estimating equations. Records of sediment discharge are derived from data collected with sufficient frequency to obtain reliable estimates for the computational interval and period. Most sediment- discharge records are computed at daily or annual intervals based on periodically collected data, although some partial records represent discrete or seasonal intervals such as those for flood periods. The method used to calculate sediment- discharge records is dependent on the types and frequency of available data. Records for suspended-sediment discharge computed by methods described by Porterfield (1972) are most prevalent, in part because measurement protocols and computational techniques are well established and because suspended sediment composes the bulk of sediment dis- charges for many rivers. Discharge records for bed load, total load, or in some cases bed-material load plus wash load are less common. Reliable estimation of sediment discharges presupposes that the data on which the estimates are based are comparable and reliable. Unfortunately, data describing a selected characteristic of sediment were not necessarily derived—collected, processed, analyzed, or interpreted—in a consistent manner. For example, bed-load data collected with

Biological effects from discharge of cooling water from thermal power plants

International Nuclear Information System (INIS)

1976-12-01

Results are reported for a Danish project on biological effects from discharge of cooling water from thermal power plants. The purpose of the project was to provide an up-to-date knowledge of biological effects of cooling water discharge and of organization and evaluation of recipient investigations in planned and established areas. (BP)

Project Management in Public Administration. TPM – Total Project Management Maturity Model. The Case of Slovenian Public Administration

Directory of Open Access Journals (Sweden)

Gordana ŽURGA

2018-02-01

Full Text Available The purpose of the article is to present the importance of project management for the functioning of public administration, and its contribution to the realization of the developmental goals of the government. For this, integration of strategic management and project management is of vital importance. The methodology used is a combination of literature review, a case study of project management in public administration of the Republic of Slovenia, and development of a maturity model of project management in public administration, with its verifi cation on the case of Slovenia. The main contribution of the study is development of TPM – Total Project Management maturity model for public administration. Upon the TPM maturity model, project management in Slovene public administration is assessed and discussed. Out of fi ve maturity levels, the results for project management in Slovene public administration are: management of projects – level 2 (initiated, management of programs of projects – level 2 (initiated, management of portfolios of projects – level 3 (implemented, organizational support for project management – level 3 (implemented, HRM for project management – level 2 (initiated, and integration of project management and strategic management – level 3 (implemented. General fi ndings and recommendations in this respect are drawn, together with indicated areas for possible further research and investigation.

Modified PADSS (Post Anaesthetic Discharge Scoring System) for monitoring outpatients discharge.

Science.gov (United States)

Palumbo, Piergaspare; Tellan, Guglielmo; Perotti, Bruno; Pacilè, Maria Antonietta; Vietri, Francesco; Illuminati, Giulio

2013-01-01

The decision to discharge a patient undergoing day surgery is a major step in the hospitalization pathway, because it must be achieved without compromising the quality of care, thus ensuring the same assistance and wellbeing as for a long-term stay. Therefore, the use of an objective assessment for the management of a fair and safe discharge is essential. The authors propose the Post Anaesthetic Discharge Scoring System (PADSS), which considers six criteria: vital signs, ambulation, nausea/vomiting, pain, bleeding and voiding. Each criterion is given a score ranging from 0 to 2. Only patients who achieve a score of 9 or more are considered ready for discharge. Furthermore, PADSS has been modified to ensure a higher level of safety, thus the "vital signs" criteria must never score lower than 2, and none of the other five criteria must ever be equal to 0, even if the total score reaches 9. The effectiveness of PADSS was analyzed on 2432 patients, by recording the incidence of postoperative complications and the readmission to hospital. So far PADDS has proved to be an efficient system that guarantees safe discharge.

[The glow discharge as an atomization and ionization source

International Nuclear Information System (INIS)

1990-01-01

This is to summarize the research progress in this project at the University of Florida over the past 13 months. In keeping with the directions of the Federal Demonstration Project, the report will be brief, presenting an overview of the major findings. We have continued the study of the glow discharge, primarily as an ionization source for elemental analysis. Glow discharge interest continues to grow in the analytical chemistry community as evidenced by the number of special symposia at major conferences, by the new researchers entering the field, and by the introduction of new instrumentation. There is little doubt that glow discharge mass spectrometry, for example, is now a major technique in the elemental analysis of solids

Deposition of protective coatings in rf organosilicon discharges

Czech Academy of Sciences Publication Activity Database

Zajíčková, L.; Buršíková, V.; Kučerová, Z.; Franta, D.; Dvořák, P.; Šmíd, R.; Peřina, Vratislav; Macková, Anna

2007-01-01

Roč. 16, č. 1 (2007), s. 123-132 ISSN 0963-0252 R&D Projects: GA MŠk(CZ) LC06041 Institutional research plan: CEZ:AV0Z10480505 Keywords : organosilicon discharges, hardness and elastic modulus, protectove coating s Subject RIV: BL - Plasma and Gas Discharge Physics Impact factor: 2.120, year: 2007

Same-day discharge after laparoscopic hysterectomy.

Science.gov (United States)

Perron-Burdick, Misa; Yamamoto, Miya; Zaritsky, Eve

2011-05-01

To estimate readmission rates and emergency care use by patients discharged home the same day after laparoscopic hysterectomy. This was a retrospective case series of patients discharged home the same-day after total or supracervical laparoscopic hysterectomy in a managed care setting. Chart reviews were performed for outcomes of interest which included readmission rates, emergency visits, and surgical and demographic characteristics. The two hysterectomy groups were compared using χ² tests for categorical variables and t tests or Wilcoxon rank-sum tests for continuously measured variables. One-thousand fifteen laparoscopic hysterectomies were performed during the 3-year study period. Fifty-two percent (n=527) of the patients were discharged home the same-day; of those, 46% (n=240) had total laparoscopic hysterectomies and 54% (n=287) had supracervical. Cumulative readmission rates were 0.6%, 3.6%, and 4.0% at 48 hours, 3 months, and 12 months, respectively. The most common readmission diagnoses included abdominal incision infection, cuff dehiscence, and vaginal bleeding. Less than 4% of patients presented for emergency care within 48 or 72 hours, most commonly for nausea or vomiting, pain, and urinary retention. Median uterine weight was 155 g, median blood loss was 70 mL, and median surgical time was 150 minutes. There was no difference in readmission rates or emergency visits for the total compared with the supracervical laparoscopic hysterectomy group. Same-day discharge after laparoscopic hysterectomy is associated with low readmission rates and minimal emergency visits in the immediate postoperative period. Same-day discharge may be a safe option for healthy patients undergoing uncomplicated laparoscopic hysterectomy.

The making of local hospital discharge arrangements

DEFF Research Database (Denmark)

Burau, Viola; Bro, Flemming

2015-01-01

Background Timely discharge is a key component of contemporary hospital governance and raises questions about how to move to more explicit discharge arrangements. Although associated organisational changes closely intersect with professional interests, there are relatively few studies in the lite......Background Timely discharge is a key component of contemporary hospital governance and raises questions about how to move to more explicit discharge arrangements. Although associated organisational changes closely intersect with professional interests, there are relatively few studies...... in the literature on hospital discharge that explicitly examine the role of professional groups. Recent contributions to the literature on organisational studies of the professions help to specify how professional groups in hospitals contribute to the introduction and routinisation of discharge arrangements...... for patients with prostate cancer in two hospitals in Denmark. This represents a typical case that involves changes in professional practice without being first and foremost a professional project. The multiple case design also makes the findings more robust. The analysis draws from 12 focus groups...

Capacitor Discharge - A Capacitor Tutorial [video

OpenAIRE

Naval Postgraduate School Physics

2014-01-01

NPS Physics Physics Demonstrations Here's a capacitor discharge demonstrated by physicist Dr. Dernardo. Dr. D gives a nice capacitor lesson along with some fireworks. Charging and Discharging a Capacitor is dangerous. Do not try this at home. Dr. Bruce Denardo uses eleven 9V batteries, connected in series for a total of 99 creating a pretty large spark.

Human striatal recordings reveal abnormal discharge of projection neurons in Parkinson's disease.

Science.gov (United States)

Singh, Arun; Mewes, Klaus; Gross, Robert E; DeLong, Mahlon R; Obeso, José A; Papa, Stella M

2016-08-23

Circuitry models of Parkinson's disease (PD) are based on striatal dopamine loss and aberrant striatal inputs into the basal ganglia network. However, extrastriatal mechanisms have increasingly been the focus of attention, whereas the status of striatal discharges in the parkinsonian human brain remains conjectural. We now report the activity pattern of striatal projection neurons (SPNs) in patients with PD undergoing deep brain stimulation surgery, compared with patients with essential tremor (ET) and isolated dystonia (ID). The SPN activity in ET was very low (2.1 ± 0.1 Hz) and reminiscent of that found in normal animals. In contrast, SPNs in PD fired at much higher frequency (30.2 ± 1.2 Hz) and with abundant spike bursts. The difference between PD and ET was reproduced between 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine-treated and normal nonhuman primates. The SPN activity was also increased in ID, but to a lower level compared with the hyperactivity observed in PD. These results provide direct evidence that the striatum contributes significantly altered signals to the network in patients with PD.

Professional Fee Ratios for US Hospital Discharge Data.

Science.gov (United States)

Peterson, Cora; Xu, Likang; Florence, Curtis; Grosse, Scott D; Annest, Joseph L

2015-10-01

US hospital discharge datasets typically report facility charges (ie, room and board), excluding professional fees (ie, attending physicians' charges). We aimed to estimate professional fee ratios (PFR) by year and clinical diagnosis for use in cost analyses based on hospital discharge data. The subjects consisted of a retrospective cohort of Truven Health MarketScan 2004-2012 inpatient admissions (n=23,594,605) and treat-and-release emergency department (ED) visits (n=70,771,576). PFR per visit was assessed as total payments divided by facility-only payments. Using ordinary least squares regression models controlling for selected characteristics (ie, patient age, comorbidities, etc.), we calculated adjusted mean PFR for admissions by health insurance type (commercial or Medicaid) per year overall and by Major Diagnostic Category (MDC), Diagnostic Related Group, Healthcare Cost and Utilization Project Clinical Classification Software, and primary International Classification of Diseases, 9th Edition, Clinical Modification (ICD-9-CM) diagnosis, and for ED visits per year overall and by MDC and primary ICD-9-CM diagnosis. Adjusted mean PFR for 2012 admissions, including preceding ED visits, was 1.264 (95% CI, 1.264, 1.265) for commercially insured admissions (n=2,614,326) and 1.177 (1.176, 1.177) for Medicaid admissions (n=816,503), indicating professional payments increased total per-admission payments by an average 26.4% and 17.7%, respectively, above facility-only payments. Adjusted mean PFR for 2012 ED visits was 1.286 (1.286, 1.286) for commercially insured visits (n=8,808,734) and 1.440 (1.439, 1.440) for Medicaid visits (n=2,994,696). Supplemental tables report 2004-2012 annual PFR estimates by clinical classifications. Adjustments for professional fees are recommended when hospital facility-only financial data from US hospital discharge datasets are used to estimate health care costs.

Spatial Characteristics and Driving Factors of Provincial Wastewater Discharge in China.

Science.gov (United States)

Chen, Kunlun; Liu, Xiaoqiong; Ding, Lei; Huang, Gengzhi; Li, Zhigang

2016-12-09

Based on the increasing pressure on the water environment, this study aims to clarify the overall status of wastewater discharge in China, including the spatio-temporal distribution characteristics of wastewater discharge and its driving factors, so as to provide reference for developing "emission reduction" strategies in China and discuss regional sustainable development and resources environment policies. We utilized the Exploratory Spatial Data Analysis (ESDA) method to analyze the characteristics of the spatio-temporal distribution of the total wastewater discharge among 31 provinces in China from 2002 to 2013. Then, we discussed about the driving factors, affected the wastewater discharge through the Logarithmic Mean Divisia Index (LMDI) method and classified those driving factors. Results indicate that: (1) the total wastewater discharge steadily increased, based on the social economic development, with an average growth rate of 5.3% per year; the domestic wastewater discharge is the main source of total wastewater discharge, and the amount of domestic wastewater discharge is larger than the industrial wastewater discharge. There are many spatial differences of wastewater discharge among provinces via the ESDA method. For example, provinces with high wastewater discharge are mainly the developed coastal provinces such as Jiangsu Province and Guangdong Province. Provinces and their surrounding areas with low wastewater discharge are mainly the undeveloped ones in Northwest China; (2) The dominant factors affecting wastewater discharge are the economy and technological advance; The secondary one is the efficiency of resource utilization, which brings about the unstable effect; population plays a less important role in wastewater discharge. The dominant driving factors affecting wastewater discharge among 31 provinces are divided into three types, including two-factor dominant type, three-factor leading type and four-factor antagonistic type. In addition, the

Impact of the economic downturn on total joint replacement demand in the United States: updated projections to 2021.

Science.gov (United States)

Kurtz, Steven M; Ong, Kevin L; Lau, Edmund; Bozic, Kevin J

2014-04-16

Few studies have explored the role of the National Health Expenditure and macroeconomics on the utilization of total joint replacement. The economic downturn has raised questions about the sustainability of growth for total joint replacement in the future. Previous projections of total joint replacement demand in the United States were based on data up to 2003 using a statistical methodology that neglected macroeconomic factors, such as the National Health Expenditure. Data from the Nationwide Inpatient Sample (1993 to 2010) were used with United States Census and National Health Expenditure data to quantify historical trends in total joint replacement rates, including the two economic downturns in the 2000s. Primary and revision hip and knee arthroplasty were identified using codes from the International Classification of Diseases, Ninth Revision, Clinical Modification. Projections in total joint replacement were estimated using a regression model incorporating the growth in population and rate of arthroplasties from 1993 to 2010 as a function of age, sex, race, and census region using the National Health Expenditure as the independent variable. The regression model was used in conjunction with government projections of National Health Expenditure from 2011 to 2021 to estimate future arthroplasty rates in subpopulations of the United States and to derive national estimates. The growth trend for the incidence of joint arthroplasty, for the overall United States population as well as for the United States workforce, was insensitive to economic downturns. From 2009 to 2010, the total number of procedures increased by 6.0% for primary total hip arthroplasty, 6.1% for primary total knee arthroplasty, 10.8% for revision total hip arthroplasty, and 13.5% for revision total knee arthroplasty. The National Health Expenditure model projections for primary hip replacement in 2020 were higher than a previously projected model, whereas the current model estimates for total

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...

Efforts to find a better measuring system for climatic gas discharges. CICERO in a new EU project which aims to improve GWP and radiation contribution expressions

International Nuclear Information System (INIS)

Fuglestvedt, Jan

2000-01-01

The article describes the problems with the present system used by the Kyoto protocol and the project efforts for improving the formulas and models of expressing climatic gas discharge measurements through a common measuring unit

Case Study on Justification: High Intensity Discharge Lamps. Annex II

International Nuclear Information System (INIS)

2016-01-01

High intensity discharge lamps produce bright white light of a high intensity in an energy efficient manner. These lamps are typically used in large numbers in public and professional settings such as shops, warehouses, hotels and offices. They are also used in outdoor applications to illuminate streets, buildings, statues, flags and gardens and further as architectural lighting. They also have applications associated with film projection in cinemas, manufacture of semiconductors, fluorescence endoscopy and microscopy, schlieren photography, hologram projection, ultraviolet curing, sky beamers and car headlights. Some types of high intensity discharge lamp, as well as certain other consumer products for lighting, contain radioactive substances for functional reasons. The radionuclides that are typically incorporated into high intensity discharge lamps are 85 Kr and 232 Th. Given the wide range of uses, specific decisions on justification may be required for different applications. A small number of safety assessments for high intensity discharge lamps have been carried out and published. No published decisions at the national level specifically addressing the justification of the use of high intensity discharge lamps have been identified

Simulation and Modelling of Climate Change Effects on River Awara Flow Discharge using WEAP Model

Directory of Open Access Journals (Sweden)

Oyati E.N.

2017-11-01

Full Text Available Modelling of stream flow and discharge of river Awara under changed climate conditions using CLIMGEN for stochastic weather generation and WEAP model was used to simulate reserviour storage volume, water demand and river discharges at high spatial resolution (0.5°×0.5°, total 66,420 grid cells. Results of CLM-Based flow measurement shows a linear regression with R 2 = 0.99 for IFPRI-MNP- IGSM_WRS calibration. Sensitivity simulation of ambient long-term shows an increase in temperature with 0.5 o c thus the results of the studies generally show that annual runoff and river discharges could largely decrease. The projection of water demand 150 million m 3 by 2020 against the reservoir storage volume 60 million m 3 and decrease in rainfall depth by -5.7 mm. The output of the combined models used in this study is veritable to create robust water management system under different climate change scenarios.

Age and weight at final discharge from an early discharge programme for stable but tube-fed preterm infants

DEFF Research Database (Denmark)

Ahnfeldt, A M; Stanchev, H.; Jørgensen, Henrik Løvendahl

2015-01-01

the programme (p difference in weight-for-age at discharge (p = 0.15), but infants in the early discharge group were more frequently fully or partly breastfed (88% versus 80%, p ... comparability of the two groups, weight-for-age at discharge was similar, but the programme appeared to allow better breastfeeding success at the expense of a later final discharge......., and during the programme, they received home visits by neonatal nurses. We evaluated the programme, focusing on the infants' well-being, using weight gain, breastfeeding rates and total duration of hospitalisation as outcomes. METHODS: Over an 11-year period, 500 infants participated in the programme...

Eclipse Soundscapes Project: Making the August 21, 2017 Total Solar Eclipse Accessible to Everyone

Science.gov (United States)

Winter, H. D., III

2017-12-01

The Eclipse Soundscapes Project delivered a multisensory experience that allowed the blind and visually impaired to engage with the August 21, 2017 total solar eclipse along with their sighted peers in a way that would not have been possible otherwise. The project, from the Smithsonian Astrophysical Observatory and NASA's Heliophysics Education Consortium, includes illustrative audio descriptions of the eclipse in real time, recordings of the changing environmental sounds during the eclipse, and an interactive "rumble map" app that allows users to experience the eclipse through touch and sound. The Eclipse Soundscapes Project is working with organizations such as the National Parks Service (NPS), Science Friday, and Brigham Young University and by WGBH's National Center for Accessible Media (NCAM) to bring the awe and wonder of the total solar eclipse and other astronomical phenomena to a segment of the population that has been excluded from and astronomy and astrophysics for far too long, while engaging all learners in new and exciting ways.

HIGH PERFORMANCE STATIONARY DISCHARGES IN THE DIII-D TOKAMAK

International Nuclear Information System (INIS)

Luce, T.C.; Wade, M.R.; Ferron, J.R.; Politzer, P.A.; Hyatt, A.W.; Sips, A.C.C.; Murakami, M.

2003-01-01

Recent experiments in the DIII-D tokamak [J.L. Luxon, Nucl. Fusion 42,614 (2002)] have demonstrated high β with good confinement quality under stationary conditions. Two classes of stationary discharges are observed--low q 95 discharges with sawteeth and higher q 95 without sawteeth. The discharges are deemed stationary when the plasma conditions are maintained for times greater than the current profile relaxation time. In both cases the normalized fusion performance (β N H 89P /q 95 2 ) reaches or exceeds the value of this parameter projected for Q fus = 10 in the International Thermonuclear Experimental Reactor (ITER) design [R. Aymar, et al., Plasma Phys. Control. Fusion 44, 519 (2002)]. The presence of sawteeth reduces the maximum achievable normalized β, while confinement quality (confinement time relative to scalings) is largely independent of q 95 . Even with the reduced β limit, the normalized fusion performance maximizes at the lowest q 95 . Projections to burning plasma conditions are discussed, including the methodology of the projection and the key physics issues which still require investigation

Electronic Discharge Letter Mobile App

NARCIS (Netherlands)

Lezcano, Leonardo; Triana, Michel; Ternier, Stefaan; Hartkopf, Kathleen; Stieger, Lina; Schroeder, Hanna; Sopka, Sasa; Drachsler, Hendrik; Maher, Bridget; Henn, Patrick; Orrego, Carola; Specht, Marcus

2014-01-01

The electronic discharge letter mobile app takes advantage of Near Field Communication (NFC) within the PATIENT project and a related post-doc study. NFC enabled phones to read passive RFID tags, but can also use this short-range wireless technology to exchange (small) messages. NFC in that sense

Discharges and impacts from la Hague plant: history and recent achievements

International Nuclear Information System (INIS)

Kalimbadjian, J.; Rincel, X.

1998-01-01

Industrial reprocessing at La Hague was started in 1966. During 30 years. the annual rate of production gradually increased, up to more than 1,600 tons. Simultaneously, considerable innovative design and technology was introduced at all steps of the process, including effluent treatment and waste management. The characteristics of reprocessed fuel elements also changed. from low burn-up metallic fuel to high burn-up oxides. Reflecting all those evolutions, the plant discharges to the atmosphere and to the sea have shown significant variations in quantity and in composition. The complete history of liquid and gaseous releases displays a broad spectrum of situations, as to the relative weight of each radionuclide. However, the level of discharge has always remained significantly lower than the authorized limits. whatever radionuclide. Moreover, discharges to the sea have continuously decreased for 10 years, in spite of fast rising rate of production. As to the total radiological impact of discharges. it was permanently maintained well within the acceptable level of 0.15 mSv/year for the reference groups of neighbouring population, as decided for the level of authorizations. Since 1988, several actions have been decided in order to minimize the present and future impacts: improved liquid effluent treatment, extended recycling of liquid effluents towards vitrification, supplementary filtration of gaseous effluents for iodine scavenging. As a result, the plant will be able to maintain the overall impact from all discharges at less than the present acceptable level, in spite of projected wider domain of operations: - modified grades of reprocessed fuel, - decommissioning operations; - treatment of older waste stocks. (author)

Implementation of a Total Hip Arthroplasty Care Pathway at a High-Volume Health System: Effect on Length of Stay, Discharge Disposition, and 90-Day Complications.

Science.gov (United States)

Featherall, Joseph; Brigati, David P; Faour, Mhamad; Messner, William; Higuera, Carlos A

2018-06-01

Standardized care pathways are evidence-based algorithms for optimizing an episode of care. Despite the theoretical promise of care pathways, there is an inconsistent literature demonstrating improvements in patient care. The authors hypothesized that implementing a care pathway, across 11 hospitals, would decrease hospital length of stay (LOS), decrease postoperative complications at 90 days, and increase discharges to home. A multidisciplinary team developed an evidence-based care pathway for total hip arthroplasty (THA) perioperative care. All patients receiving THA in 2013 (pre-protocol, historical control), 2014 (transition), and 2015 (full protocol implementation) were included in the analysis. Multivariable regression assessed the relationship of the care pathway to 90-day postoperative complications, LOS, and discharge disposition. Cost savings were estimated using previously published postarthroplasty episode and per diem hospital costs. A total of 6090 primary THAs were conducted during the study period. After adjusting for the covariates, the full protocol implementation was associated with a decrease in LOS (mean ratio, 0.747; 95% confidence interval [CI; 0.727, 0.767]) and an increase in discharges to home (odds ratio, 2.079; 95% CI [1.762, 2.456]). The full protocol implementation was not associated with a change in 90-day complications (odds ratio, 1.023; 95% CI [0.841, 1.245]). Payer-perspective-calculated theoretical cost savings, including both index admission and postdischarge costs, were $2533 per patient. The THA care pathway implementation was successful in reducing LOS and increasing discharges to home. The care pathway was not associated with a change in 90-day complications; further targeted interventions in this area are needed. Despite care standardization efforts, high-volume hospitals and surgeons had higher performance. Extrapolation of theoretical cost savings indicates that widespread THA care pathway adoption could lead to national

Management and construction of a major zero discharge water supply and treatment scheme at Mount Piper Power Station, Australia

Energy Technology Data Exchange (ETDEWEB)

Wong, P.; Docker, P.; Gabbrielli, E.; Wade, P. [Pacific Power, Sydney, NSW (Australia)

1994-09-01

Excellence in the organisation and management of a large multi-disciplinary design and construct project such as the zero discharge water supply and treatment scheme for Mount Piper coal-fired power station was essential to its successful execution. This paper discusses the management philosophies and strategies of Pacific Power and Transfield-PWT Asia/Pacific that resulted in this project being completed to the satisfaction of the client in the minimum time without delays and cost increases caused by interfaces between the parties. It highlights the advantages of contract packaging and placing the total responsibility for the performance and integration of a complex project system on one organisation. 2 refs., 6 figs.

Capacitor discharge process for welding braided cable

Science.gov (United States)

Wilson, Rick D.

1995-01-01

A capacitor discharge process for welding a braided cable formed from a plurality of individual cable strands to a solid metallic electrically conductive member comprises the steps of: (a) preparing the electrically conductive member for welding by bevelling one of its end portions while leaving an ignition projection extending outwardly from the apex of the bevel; (b) clamping the electrically conductive member in a cathode fixture; (c) connecting the electrically conductive member clamped in the cathode fixture to a capacitor bank capable of being charged to a preselected voltage value; (d) preparing the braided cable for welding by wrapping one of its end portions with a metallic sheet to form a retaining ring operable to maintain the individual strands of the braided cable in fixed position within the retaining ring; (e) clamping the braided cable and the retaining ring as a unit in an anode fixture so that the wrapped end portion of the braided cable faces the ignition projection of the electrically conductive member; and (f) moving the cathode fixture towards the anode fixture until the ignition projection of the electrically conductive member contacts the end portion of the braided cable thereby allowing the capacitor bank to discharge through the electrically conductive member and through the braided cable and causing the electrically conductive member to be welded to the braided cable via capacitor discharge action.

Long pulse KrCl laser with a high discharge quality

NARCIS (Netherlands)

Casper, L.C.; Bastiaens, Hubertus M.J.; Peters, P.J.M.; Boller, Klaus J.; Hofstra, R.M.

2007-01-01

The discharge quality and optimum pump parameters of a long-pulse high-pressure gas discharge excited KrCl laser are investigated. A three-electrode prepulse–mainpulse excitation circuit is employed as pump source. The discharge volume contains a gas mixture of HCl/Kr/Ne operated at a total pressure

Impact of Pharmacist Facilitated Discharge Medication Reconciliation

Directory of Open Access Journals (Sweden)

Todd M. Super

2014-07-01

Full Text Available Preventable adverse drug events occur frequently at transitions in care and are a problem for many patients following hospital discharge. Many of these problems can be attributed to poor medication reconciliation. The purpose of this study was to assess the impact that direct pharmacist involvement in the discharge medication reconciliation process had on medication discrepancies, patient outcomes, and satisfaction. A cohort study of 70 patients was designed to assess the impact of pharmacist facilitated discharge medication reconciliation at a 204-bed community hospital in Battle Creek, Michigan, USA. Discharge summaries were analyzed to compare patients who received standard discharge without pharmacist involvement to those having pharmacist involvement. The total number of discrepancies in the group without pharmacist involvement was significantly higher than that of the pharmacist facilitated group.

Self-stabilized discharge filament in plane-parallel barrier discharge configuration: formation, breakdown mechanism, and memory effects

Science.gov (United States)

Tschiersch, R.; Nemschokmichal, S.; Bogaczyk, M.; Meichsner, J.

2017-10-01

Single self-stabilized discharge filaments were investigated in the plane-parallel electrode configuration. The barrier discharge was operated inside a gap of 3 mm shielded by glass plates to both electrodes, using helium-nitrogen mixtures and a square-wave feeding voltage at a frequency of 2 kHz. The combined application of electrical measurements, ICCD camera imaging, optical emission spectroscopy and surface charge diagnostics via the electro-optic Pockels effect allowed the correlation of the discharge development in the volume and on the dielectric surfaces. The formation criteria and existence regimes were found by systematic variation of the nitrogen admixture to helium, the total pressure and the feeding voltage amplitude. Single self-stabilized discharge filaments can be operated over a wide parameter range, foremost, by significant reduction of the voltage amplitude after the operation in the microdischarge regime. Here, the outstanding importance of the surface charge memory effect on the long-term stability was pointed out by the recalculated spatio-temporally resolved gap voltage. The optical emission revealed discharge characteristics that are partially reminiscent of both the glow-like barrier discharge and the microdischarge regime, such as a Townsend pre-phase, a fast cathode-directed ionization front during the breakdown and radially propagating surface discharges during the afterglow.

Ballooning stability of JET discharges

International Nuclear Information System (INIS)

Huysmans, G.T.A.; Goedbloed, J.P.; Galvao, R.M.O.; Lazzaro, E.; Smeulders, P.

1989-01-01

Conditions under which ballooning modes are expected to be excited have recently been obtained in two different types of discharges in JET. In the first type, extremely large pressure gradients have been produced in the plasma core through pellet injections in the current rise phase followed by strong additional heating. In the second type, the total pressure of the discharge is approaching the Troyon limit. The stability of these discharges with respect to the ideal MHD ballooning modes has been studied with the stability code HBT. The equilibria are reconstructed with the IDENTC code using the external magnetic measurements and the experimental pressure profile. The results show that the evaluated high beta discharge is unstable in the central region of the plasma. This instability is related to the low shear and not to a large pressure gradient, as expected at the Troyon limit. In the pellet discharges the regions with the large pressure gradients are unstable to ballooning modes at the time of the beta decay, which ends the period of enhanced performance. The maximum pressure gradient in these discharges is limited by the boundary of the first region of stability. The observed phenomena at the beta decay are similar to those observed at the beta limit in DIII-D and TFTR. (author)

Electric-discharge-pumped nitrogen ion laser

Science.gov (United States)

Laudenslager, J. B.; Pacala, T. J.; Wittig, C.

1976-01-01

The routine operation is described of an N2(+) laser oscillating on the first negative band system of N2(+) which is produced in a preionized transverse discharge device. The discharge design incorporates features which favor the efficient production of the excitation transfer reaction of He2(+) with N2. A capacitive discharge switched by means of a high-current grounded grid thyratron is used to meet the design requirement of a volumetric discharge in high-pressure gas mixtures where the electric discharge need not have an ultrafast rise time (greater than 10 nsec) but should be capable of transferring large quantities of stored electric energy to the gas. A peak power of 180 kW in an 8-nsec laser pulse was obtained with a 0.1% mixture of N2 in helium at a total pressure of 3 atm. The most intense laser oscillations were observed on the (0,1) vibrational transition at 427.8 microns.

Angina - discharge

Science.gov (United States)

Chest pain - discharge; Stable angina - discharge; Chronic angina - discharge; Variant angina - discharge; Angina pectoris - discharge; Accelerating angina - discharge; New-onset angina - discharge; Angina-unstable - discharge; ...

Current discharge management of acute coronary syndromes: baseline results from a national quality improvement initiative.

Science.gov (United States)

Wai, A; Pulver, L K; Oliver, K; Thompson, A

2012-05-01

Evidence-practice gaps exist in the continuum of care for patients with acute coronary syndromes (ACS), particularly at hospital discharge. We aimed to describe the methodology and baseline results of the Discharge Management of Acute Coronary Syndromes (DMACS) project, focusing on the prescription of guideline-recommended medications, referral to cardiac rehabilitation and communication between the hospital, patient and their primary healthcare professionals. DMACS employed Drug Use Evaluation methodology involving data collection, evaluation and feedback, and targeted educational interventions. Adult patients with ACS discharged during a 4-month period were eligible to participate. Data were collected (maximum 50 patients) at each site through an inpatient medical record review, a general practitioner (GP) postal/fax survey conducted 14 days post discharge and a patient telephone survey 3 months post discharge. Forty-nine hospitals participated in the audit recruiting 1545 patients. At discharge, 57% of patients were prescribed a combination of antiplatelet agent(s), beta-blocker, statin and angiotensin-converting enzyme inhibitor and/or angiotensin II-antagonist. At 3 months post discharge, 48% of patients reported using the same combination. Some 67% of patients recalled being referred to cardiac rehabilitation; of these, 33% had completed the programme. In total, 83% of patients had a documented ACS management plan at discharge. Of these, 90% included a medication list, 56% a chest pain action plan and 54% risk factor modification advice. Overall, 65% of GPs rated the quality of information received in the discharge summary as 'very good' to 'excellent'. The findings of our baseline audit showed that despite the robust evidence base and availability of national guidelines, the management of patients with ACS can be improved. These findings will inform a multifaceted intervention strategy to improve adherence to guidelines for the discharge management of

Permitted water pollution discharges and population cancer and non-cancer mortality: toxicity weights and upstream discharge effects in US rural-urban areas.

Science.gov (United States)

Hendryx, Michael; Conley, Jamison; Fedorko, Evan; Luo, Juhua; Armistead, Matthew

2012-04-02

The study conducts statistical and spatial analyses to investigate amounts and types of permitted surface water pollution discharges in relation to population mortality rates for cancer and non-cancer causes nationwide and by urban-rural setting. Data from the Environmental Protection Agency's (EPA) Discharge Monitoring Report (DMR) were used to measure the location, type, and quantity of a selected set of 38 discharge chemicals for 10,395 facilities across the contiguous US. Exposures were refined by weighting amounts of chemical discharges by their estimated toxicity to human health, and by estimating the discharges that occur not only in a local county, but area-weighted discharges occurring upstream in the same watershed. Centers for Disease Control and Prevention (CDC) mortality files were used to measure age-adjusted population mortality rates for cancer, kidney disease, and total non-cancer causes. Analysis included multiple linear regressions to adjust for population health risk covariates. Spatial analyses were conducted by applying geographically weighted regression to examine the geographic relationships between releases and mortality. Greater non-carcinogenic chemical discharge quantities were associated with significantly higher non-cancer mortality rates, regardless of toxicity weighting or upstream discharge weighting. Cancer mortality was higher in association with carcinogenic discharges only after applying toxicity weights. Kidney disease mortality was related to higher non-carcinogenic discharges only when both applying toxicity weights and including upstream discharges. Effects for kidney mortality and total non-cancer mortality were stronger in rural areas than urban areas. Spatial results show correlations between non-carcinogenic discharges and cancer mortality for much of the contiguous United States, suggesting that chemicals not currently recognized as carcinogens may contribute to cancer mortality risk. The geographically weighted

Permitted water pollution discharges and population cancer and non-cancer mortality: toxicity weights and upstream discharge effects in US rural-urban areas

Directory of Open Access Journals (Sweden)

Hendryx Michael

2012-04-01

Full Text Available Abstract Background The study conducts statistical and spatial analyses to investigate amounts and types of permitted surface water pollution discharges in relation to population mortality rates for cancer and non-cancer causes nationwide and by urban-rural setting. Data from the Environmental Protection Agency's (EPA Discharge Monitoring Report (DMR were used to measure the location, type, and quantity of a selected set of 38 discharge chemicals for 10,395 facilities across the contiguous US. Exposures were refined by weighting amounts of chemical discharges by their estimated toxicity to human health, and by estimating the discharges that occur not only in a local county, but area-weighted discharges occurring upstream in the same watershed. Centers for Disease Control and Prevention (CDC mortality files were used to measure age-adjusted population mortality rates for cancer, kidney disease, and total non-cancer causes. Analysis included multiple linear regressions to adjust for population health risk covariates. Spatial analyses were conducted by applying geographically weighted regression to examine the geographic relationships between releases and mortality. Results Greater non-carcinogenic chemical discharge quantities were associated with significantly higher non-cancer mortality rates, regardless of toxicity weighting or upstream discharge weighting. Cancer mortality was higher in association with carcinogenic discharges only after applying toxicity weights. Kidney disease mortality was related to higher non-carcinogenic discharges only when both applying toxicity weights and including upstream discharges. Effects for kidney mortality and total non-cancer mortality were stronger in rural areas than urban areas. Spatial results show correlations between non-carcinogenic discharges and cancer mortality for much of the contiguous United States, suggesting that chemicals not currently recognized as carcinogens may contribute to cancer

Process Improvement Project Using Tranexamic Acid Is Cost-Effective in Reducing Blood Loss and Transfusions After Total Hip and Total Knee Arthroplasty.

Science.gov (United States)

Demos, Harry A; Lin, Zilan X; Barfield, William R; Wilson, Sylvia H; Robertson, Dawn C; Pellegrini, Vincent D

2017-08-01

Tranexamic acid (TXA) has been associated with decreased blood loss and transfusion after total hip arthroplasty (THA) and total knee arthroplasty (TKA). The purpose of this study was to examine both transfusion utilization and the economic impact of a Process Improvement Project implementing TXA for THA and TKA. After standardization of TXA administration in THA and TKA patients, retrospective data were compared from 12 consecutive months before (group A, n = 336 procedures) and after (group B, n = 436 procedures) project initiation. TXA administration increased with project implementation (group A = 3.57%, group B = 86.01%) and was associated with reductions in perioperative hemoglobin decrement (20.2%), patients transfused (45%), and number of units transfused per patient (61.9%). Cost savings were notable per patient ($128) and annually program wide ($55,884) with the primary THA subgroup contributing the most to the savings. No increase in adverse effects was observed. Standardized administration of TXA is an effective and economically favorable blood-reduction strategy for patients undergoing elective THA or TKA. Although reduction in transfusions with TXA may be greater after TKA, the economic and clinical impact of transfusion reduction is more substantial in THA patients. Copyright © 2017 Elsevier Inc. All rights reserved.

Magnetic-field control of low-pressure diffuse discharges

International Nuclear Information System (INIS)

Cooper, J.R.

1986-01-01

Application of a magnetic field in a direction transverse to the electric field in a diffuse discharge can have a strong effect on the transport parameters in the discharge medium and on the external characteristics of the discharge as a whole. Deviations in these transport parameters were investigated in this work by means of Monte Carlo calculations, and the electrical characteristics of the total discharge were observed experimentally. Results of the theoretical investigation show that, in attaching gas mixtures, both the ionization and attachment-rate coefficients in the positive column of the discharge are changed such that the combined effect results in an increase in resistivity. Experimentally, it is seen that application of a crossed magnetic field to an abnormal glow discharge in attaching gases in a certain parameter range causes the discharge voltage to increase significantly. The effect seems to be most strongly influenced by processes in the cathode-fall region

Pump effect of a capillary discharge in electrically conductive liquids

Czech Academy of Sciences Publication Activity Database

De Baerdemaeker, F.; Šimek, Milan; Leys, C.; Verstraete, W.

2007-01-01

Roč. 27, č. 4 (2007), s. 473-485 ISSN 0272-4324 R&D Projects: GA AV ČR IAA1043403 Institutional research plan: CEZ:AV0Z20430508 Keywords : water * conductive * capillary * AC discharge * pump Subject RIV: BL - Plasma and Gas Discharge Physics Impact factor: 1.747, year: 2007 http://www.springerlink.com/content/w802073563282272/fulltext.pdf

Ozone formation by gaseous corona discharge generated above aqueous solution

Czech Academy of Sciences Publication Activity Database

Lukeš, Petr; Člupek, Martin; Babický, Václav; Šunka, Pavel

2004-01-01

Roč. 54, suppl. C (2004), C909-C913 ISSN 0011-4626. [Symposium on Plasma Physics and Technology /21st/. Praha, 14.06.2004-17.06.2004] R&D Projects: GA ČR GA202/02/1026 Keywords : corona discharg, ozone Subject RIV: BL - Plasma and Gas Discharge Physics Impact factor: 0.292, year: 2004

Total Quality Management: Analysis, Evaluation and Implementation Within ACRV Project Teams

Science.gov (United States)

Raiman, Laura B.

1991-01-01

Total quality management (TQM) is a cooperative form of doing business that relies on the talents of everyone in an organization to continually improve quality and productivity, using teams and an assortment of statistical and measurement tools. The Assured Crew Return Vehicle (ACRV) Project Office was identified as an excellent project in which to demonstrate the applications and benefits of TQM processes. As the ACRV Program moves through its various stages of development, it is vital that effectiveness and efficiency be maintained in order to provide the Space Station Freedom (SSF) crew an affordable, on-time assured return to Earth. A critical factor for the success of the ACRV is attaining the maximum benefit from the resources applied to the program. Through a series of four tutorials on various quality improvement techniques, and numerous one-on-one sessions during the SSF's 10-week term in the project office, results were obtained which are aiding the ACRV Office in implementing a disciplined, ongoing process for generating fundamental decisions and actions that shape and guide the organization. Significant advances were made in improving the processes for two particular groups - the correspondence distribution team and the WATER Test team. Numerous people from across JSC were a part of the various team activities including engineering, man systems, and safety. The work also included significant interaction with the support contractor to the ACRV Project. The results of the improvement activities can be used as models for other organizations desiring to operate under a system of continuous improvement. In particular, they have advanced the ACRV Project Teams further down the path of continuous improvement, in support of a working philosophy of TQM.

Total pollution effect of urban surface runoff.

Science.gov (United States)

Luo, Hongbing; Luo, Lin; Huang, Gu; Liu, Ping; Li, Jingxian; Hu, Sheng; Wang, Fuxiang; Xu, Rui; Huang, Xiaoxue

2009-01-01

For pollution research with regard to urban surface runoff, most sampling strategies to date have focused on differences in land usage. With single land-use sampling, total surface runoff pollution effect cannot be evaluated unless every land usage spot is monitored. Through a new sampling strategy known as mixed stormwater sampling for a street community at discharge outlet adjacent to river, this study assessed the total urban surface runoff pollution effect caused by a variety of land uses and the pollutants washed off from the rain pipe system in the Futian River watershed in Shenzhen City of China. The water quality monitoring indices were COD (chemical oxygen demand), TSS (total suspend solid), TP (total phosphorus), TN (total nitrogen) and BOD (biochemical oxygen demand). The sums of total pollution loads discharged into the river for the four indices of COD, TSS, TN, and TP over all seven rainfall events were very different. The mathematical model for simulating total pollution loads was established from discharge outlet mixed stormwater sampling of total pollution loads on the basis of four parameters: rainfall intensity, total land area, impervious land area, and pervious land area. In order to treat surface runoff pollution, the values of MFF30 (mass first flush ratio) and FF30 (first 30% of runoff volume) can be considered as split-flow control criteria to obtain more effective and economical design of structural BMPs (best management practices) facilities.

Orderly Discharging Strategy for Electric Vehicles at Workplace Based on Time-of-Use Price

Directory of Open Access Journals (Sweden)

Lixing Chen

2016-01-01

Full Text Available According to the parking features of electric vehicles (EVs and load of production unit, a power supply system including EVs charging station was established, and an orderly discharging strategy for EVs was proposed as well to reduce the basic tariff of producer and improve the total benefits of EV discharging. Based on the target of maximizing the annual income of producer, considering the total benefits of EV discharging, the electric vehicle aggregator (EVA and time-of-use (TOU price were introduced to establish the optimization scheduling model of EVs discharging. Furthermore, an improved artificial fish swarm algorithm (IAFSA combined with the penalty function methods was applied to solve the model. It can be shown from the simulation results that the optimal solution obtained by IAFSA is regarded as the orderly discharging strategy for EVs, which could reduce the basic tariff of producer and improve the total benefits of EV discharging.

Multi-Model Assessment of Global Hydropower and Cooling Water Discharge Potential Under Climate Change

Science.gov (United States)

van Vliet, M. T. H.; van Beek, L. P. H.; Eisener, S.; Wada, Y.; Bierkens, M. F. P.

2016-01-01

Worldwide, 98% of total electricity is currently produced by thermoelectric power and hydropower. Climate change is expected to directly impact electricity supply, in terms of both water availability for hydropower generation and cooling water usage for thermoelectric power. Improved understanding of how climate change may impact the availability and temperature of water resources is therefore of major importance. Here we use a multi-model ensemble to show the potential impacts of climate change on global hydropower and cooling water discharge potential. For the first time, combined projections of streamflow and water temperature were produced with three global hydrological models (GHMs) to account for uncertainties in the structure and parametrization of these GHMs in both water availability and water temperature. The GHMs were forced with bias-corrected output of five general circulation models (GCMs) for both the lowest and highest representative concentration pathways (RCP2.6 and RCP8.5). The ensemble projections of streamflow and water temperature were then used to quantify impacts on gross hydropower potential and cooling water discharge capacity of rivers worldwide. We show that global gross hydropower potential is expected to increase between +2.4% (GCM-GHM ensemble mean for RCP 2.6) and +6.3% (RCP 8.5) for the 2080s compared to 1971-2000. The strongest increases in hydropower potential are expected for Central Africa, India, central Asia and the northern high-latitudes, with 18-33% of the world population living in these areas by the 2080s. Global mean cooling water discharge capacity is projected to decrease by 4.5-15% (2080s). The largest reductions are found for the United States, Europe, eastern Asia, and southern parts of South America, Africa and Australia, where strong water temperature increases are projected combined with reductions in mean annual streamflow. These regions are expected to affect 11-14% (for RCP2.6 and the shared socioeconomic

Surgical discharge summaries: improving the record.

Science.gov (United States)

Adams, D C; Bristol, J B; Poskitt, K R

1993-03-01

The problem area of communication between hospital and general practitioners may potentially be improved by the advent of new information technology. The introduction of a regional computer database for general surgery allows the rapid automated production of discharge summaries and has provided us with the opportunity for auditing the quality of old and new styles of discharge communication. A total of 118 general practitioners were sent a postal questionnaire to establish their views on the relative importance of various aspects of patient information and management after discharge. A high response rate (97%) indicated the interest of general practitioners in this topic. The majority (73%) believed that summaries should be delayed no more than 3 days. The structured and shortened new format was preferred to the older style of discharge summary. The older format rarely arrived within an appropriate time and its content was often felt to be either inadequate (35%) or excessive (7%) compared with the new format (8% and 1%, respectively). The diagnosis, information given to the patient, clinic date, list of medications and investigations were considered the more important details in the summary. Improvements in the discharge information were suggested and have subsequently been incorporated in our discharge policy. The use of new information technology, intended to facilitate clinical audit, has improved our ability to generate prompt, well-structured discharge summaries which are accepted by the general practitioners.

Application of Total Quality Management (TQM Requirements in Risk Management in Construction Projects in Iraq

Directory of Open Access Journals (Sweden)

Entisar K. Al-Geelawee

2016-06-01

Full Text Available Total quality management considers one of the modern scientific entrances which practiced by productivity service organizations alike to provide appropriate quality required outputs according to the needs and desires of customers manage , enable the organization seeking to continue and grow in light of the increasing competition from the satisfy and provide the appropriate total quality management requirements whenever led to face risks that they may have in a manner in which they can be addressed and find ways to avoid them in the future when repeated. The research has consist of two main parts firstly have included a review of the most important concepts of total quality management in addition to the concept of risk analysis and management in construction projects and how to apply the concept of total quality management in the risk analysis and management. Second part included the practical part of the research, which was open and closed questionnaire for experts in the construction industry to obtain required informations for the application of total quality management requirements in risk management in construction projects in Iraq. One of the main findings of the research is that top management support has a high impact on risk management in addition to continuous improvement, training and education, while the participation of all employees in the organization and constant stimulation and focusing on the customer as one of the total quality management requirements had a moderate impact on risk management.

[Duration of breast feeding after mandatory early discharge].

Science.gov (United States)

Kierkegaard, O

1993-08-23

A trial arrangement for mandatory early discharge for all normal multiparae was started in 1990 and the duration of breastfeeding was investigated by a questionnaire. 89 mothers who stayed at the hospital were compared to 113 mothers who were discharged within 24 hours after delivery. The latter group was also compared to 122 early discharged mothers who delivered 14-17 months after the trial arrangement had started. The three groups were comparable in all aspects. After four weeks a large proportion of the later discharged mothers were still breastfeeding compared to the other two groups (p < 0.001). This difference disappeared later, hence when comparing the total duration of breastfeeding no differences were found between the three groups.

Potential efficiencies of open- and closed-cycle CO, supersonic, electric-discharge lasers

Science.gov (United States)

Monson, D. J.

1976-01-01

Computed open- and closed-cycle system efficiencies (laser power output divided by electrical power input) are presented for a CW carbon monoxide, supersonic, electric-discharge laser. Closed-system results include the compressor power required to overcome stagnation pressure losses due to supersonic heat addition and a supersonic diffuser. The paper shows the effect on the system efficiencies of varying several important parameters. These parameters include: gas mixture, gas temperature, gas total temperature, gas density, total discharge energy loading, discharge efficiency, saturated gain coefficient, optical cavity size and location with respect to the discharge, and supersonic diffuser efficiency. Maximum open-cycle efficiency of 80-90% is predicted; the best closed-cycle result is 60-70%.

Dielectric barrier discharges applied for optical spectrometry

Czech Academy of Sciences Publication Activity Database

Brandt, S.; Schütz, A.; Klute, F. D.; Kratzer, Jan; Franzke, J.

2016-01-01

Roč. 123, SEP (2016), s. 6-32 ISSN 0584-8547 R&D Projects: GA ČR GA14-23532S Institutional support: RVO:68081715 Keywords : dielectric barrier discharge * analytical spectroscopy * applications Subject RIV: CB - Analytical Chemistry , Separation Impact factor: 3.241, year: 2016

Dielectric barrier discharges applied for optical spectrometry

Czech Academy of Sciences Publication Activity Database

Brandt, S.; Schütz, A.; Klute, F. D.; Kratzer, Jan; Franzke, J.

2016-01-01

Roč. 123, SEP (2016), s. 6-32 ISSN 0584-8547 R&D Projects: GA ČR GA14-23532S Institutional support: RVO:68081715 Keywords : dielectric barrier discharge * analytical spectroscopy * applications Subject RIV: CB - Analytical Chemistry, Separation Impact factor: 3.241, year: 2016

Non-linear macro evolution of a dc driven micro atmospheric glow discharge

Energy Technology Data Exchange (ETDEWEB)

Xu, S. F.; Zhong, X. X., E-mail: xxzhong@sjtu.edu.cn [The State Key Laboratory on Fiber Optic Local Area, Communication Networks and Advanced Optical Communication Systems, Key Laboratory for Laser Plasmas and Department of Physics and Astronomy, Shanghai Jiao Tong University, Shanghai 200240 (China)

2015-10-15

We studied the macro evolution of the micro atmospheric glow discharge generated between a micro argon jet into ambient air and static water. The micro discharge behaves similarly to a complex ecosystem. Non-linear behaviors are found for the micro discharge when the water acts as a cathode, different from the discharge when water behaves as an anode. Groups of snapshots of the micro discharge formed at different discharge currents are captured by an intensified charge-coupled device with controlled exposure time, and each group consisted of 256 images taken in succession. Edge detection methods are used to identify the water surface and then the total brightness is defined by adding up the signal counts over the area of the micro discharge. Motions of the water surface at different discharge currents show that the water surface lowers increasingly rapidly when the water acts as a cathode. In contrast, the water surface lowers at a constant speed when the water behaves as an anode. The light curves are similar to logistic growth curves, suggesting that a self-inhibition process occurs in the micro discharge. Meanwhile, the total brightness increases linearly during the same time when the water acts as an anode. Discharge-water interactions cause the micro discharge to evolve. The charged particle bomb process is probably responsible for the different behaviors of the micro discharges when the water acts as cathode and anode.

A study of coherent radiation generated in an ablative capillary discharge

Czech Academy of Sciences Publication Activity Database

Hübner, Jakub; Vrba, Pavel

2013-01-01

Roč. 53, č. 2 (2013), s. 79-87 ISSN 1210-2709 R&D Projects: GA ČR GAP102/12/2043 Institutional support: RVO:61389021 Keywords : capillary discharge * XUV or soft X-ray laser * plasma modeling * ablation Subject RIV: BL - Plasma and Gas Discharge Physics https://ojs.cvut.cz/ojs/index.php/ap/article/view/1787/1619

Changes in the world rivers' discharge projected from an updated high resolution dataset of current and future climate zones

Science.gov (United States)

Santini, Monia; di Paola, Arianna

2015-12-01

In this paper, an updated global map of the current climate zoning and of its projections, according to the Köppen-Geiger classification, is first provided. The map at high horizontal resolution (0.5° × 0.5°), representative of the current (i.e. 1961-2005) conditions, is based on the Climate Research Unit dataset holding gridded series of historical observed temperature and precipitation, while projected conditions rely on the simulated series, for the same variables, by the General Circulation Model CMCC-CM. Modeled variables were corrected for their bias and then projections of climate zoning were generated for the medium term (2006-2050) and long term (2056-2100) future periods, under RCP 4.5 and RCP 8.5 emission scenarios. Results show that Equatorial and Arid climates will spread at the expenses of Snow and Polar climates, with the Warm Temperate experiencing more moderate increase. Maps of climate zones are valuable for a wide range of studies on climate change and its impacts, especially those regarding the water cycle that is strongly regulated by the combined conditions of precipitation and temperature. As example of large scale hydrological applications, in this work we tested and implemented a spatial statistical procedure, the geographically weighted regression among climate zones' surface and mean annual discharge (MAD) at hydrographic basin level, to quantify likely changes in MAD for the main world rivers monitored through the Global Runoff Data Center database. The selected river basins are representative of more than half of both global superficial freshwater resources and world's land area. Globally, a decrease in MAD is projected both in the medium term and long term, while spatial differences highlight how some areas require efforts to avoid consequences of amplified water scarcity, while other areas call for strategies to take the opportunity from the expected increase in water availability. Also the fluctuations of trends between the

Optimal design of zero-water discharge rinsing systems.

Science.gov (United States)

Thöming, Jorg

2002-03-01

This paper is about zero liquid discharge in processes that use water for rinsing. Emphasis was given to those systems that contaminate process water with valuable process liquor and compounds. The approach involved the synthesis of optimal rinsing and recycling networks (RRN) that had a priori excluded water discharge. The total annualized costs of the RRN were minimized by the use of a mixed-integer nonlinear program (MINLP). This MINLP was based on a hyperstructure of the RRN and contained eight counterflow rinsing stages and three regenerator units: electrodialysis, reverse osmosis, and ion exchange columns. A "large-scale nickel plating process" case study showed that by means of zero-water discharge and optimized rinsing the total waste could be reduced by 90.4% at a revenue of $448,000/yr. Furthermore, with the optimized RRN, the rinsing performance can be improved significantly at a low-cost increase. In all the cases, the amount of valuable compounds reclaimed was above 99%.

Radiographer-led discharge in accident and emergency - The results of a pilot project

International Nuclear Information System (INIS)

Snaith, Beverly A.

2007-01-01

Introduction: The radiographers role in trauma has been traditionally limited to image acquisition, but has evolved to include responsibility for image interpretation. The contribution to ongoing patient management has been limited, despite pressure on A and E systems to decrease any potential delays. Background: Three experienced reporting radiographers were trained to discharge patients with a normal radiology report or refer to A and E for further management, following a documented management plan by the examining clinician in A and E. Discharge included advice on the acute management of soft tissue injuries including analgesia and exercise. Methodology: Over a 4-month period in early 2004 all patients whose examinations received a report at the time of attendance (hot report) were included and data were collected in relation to those who were discharged including journey times and further A and E attendances. Data were also collected regarding patients recalled to the A and E department due to misinterpretation of radiographs during the study period. Results: The radiographers hot reported 1760 examinations, discharging 88 (5%) and referring a further 26 (2%) directly for treatment. The number of patients recalled due to misinterpretation of the radiographs was decreased by 52% when compared with the previous 3 years data. Conclusion: Radiographers can safely extend their roles outside of the radiology department and contribute to the management of patients whilst decreasing risk of radiographic misinterpretation by A and E

Habitat sequencing and the importance of discharge in inferences

Science.gov (United States)

Robert H. Hilderbrand; A. Dennis Lemly; C. Andrew Dolloff

1999-01-01

The authors constructed stream maps for a low-­gradient trout stream in southwestern Virginia during autumn (base flow) and spring (elevated flows) to compare spatial and temporal variation in stream habitats. Pool-riffle sequencing and total area occupied by pools and riffles changed substantially depending on the level of discharge: reduced discharge resulted in an...

Hydrogeological controls on spatial patterns of groundwater discharge in peatlands

Directory of Open Access Journals (Sweden)

D. K. Hare

2017-11-01

Full Text Available Peatland environments provide important ecosystem services including water and carbon storage, nutrient processing and retention, and wildlife habitat. However, these systems and the services they provide have been degraded through historical anthropogenic agricultural conversion and dewatering practices. Effective wetland restoration requires incorporating site hydrology and understanding groundwater discharge spatial patterns. Groundwater discharge maintains wetland ecosystems by providing relatively stable hydrologic conditions, nutrient inputs, and thermal buffering important for ecological structure and function; however, a comprehensive site-specific evaluation is rarely feasible for such resource-constrained projects. An improved process-based understanding of groundwater discharge in peatlands may help guide ecological restoration design without the need for invasive methodologies and detailed site-specific investigation. Here we examine a kettle-hole peatland in southeast Massachusetts historically modified for commercial cranberry farming. During the time of our investigation, a large process-based ecological restoration project was in the assessment and design phases. To gain insight into the drivers of site hydrology, we evaluated the spatial patterning of groundwater discharge and the subsurface structure of the peatland complex using heat-tracing methods and ground-penetrating radar. Our results illustrate that two groundwater discharge processes contribute to the peatland hydrologic system: diffuse lower-flux marginal matrix seepage and discrete higher-flux preferential-flow-path seepage. Both types of groundwater discharge develop through interactions with subsurface peatland basin structure, often where the basin slope is at a high angle to the regional groundwater gradient. These field observations indicate strong correlation between subsurface structures and surficial groundwater discharge. Understanding these general patterns

Hydrogeological controls on spatial patterns of groundwater discharge in peatlands

Science.gov (United States)

Hare, Danielle K.; Boutt, David F.; Clement, William P.; Hatch, Christine E.; Davenport, Glorianna; Hackman, Alex

2017-11-01

Peatland environments provide important ecosystem services including water and carbon storage, nutrient processing and retention, and wildlife habitat. However, these systems and the services they provide have been degraded through historical anthropogenic agricultural conversion and dewatering practices. Effective wetland restoration requires incorporating site hydrology and understanding groundwater discharge spatial patterns. Groundwater discharge maintains wetland ecosystems by providing relatively stable hydrologic conditions, nutrient inputs, and thermal buffering important for ecological structure and function; however, a comprehensive site-specific evaluation is rarely feasible for such resource-constrained projects. An improved process-based understanding of groundwater discharge in peatlands may help guide ecological restoration design without the need for invasive methodologies and detailed site-specific investigation. Here we examine a kettle-hole peatland in southeast Massachusetts historically modified for commercial cranberry farming. During the time of our investigation, a large process-based ecological restoration project was in the assessment and design phases. To gain insight into the drivers of site hydrology, we evaluated the spatial patterning of groundwater discharge and the subsurface structure of the peatland complex using heat-tracing methods and ground-penetrating radar. Our results illustrate that two groundwater discharge processes contribute to the peatland hydrologic system: diffuse lower-flux marginal matrix seepage and discrete higher-flux preferential-flow-path seepage. Both types of groundwater discharge develop through interactions with subsurface peatland basin structure, often where the basin slope is at a high angle to the regional groundwater gradient. These field observations indicate strong correlation between subsurface structures and surficial groundwater discharge. Understanding these general patterns may allow resource

Effects of vaginal discharge on female sexual function.

Science.gov (United States)

Gungor, Ayse N C; Uludag, Aysegul; Sahin, Melih; Gencer, Meryem; Uysal, Ahmet

2014-01-01

To assess the effects of vaginal discharge on female sexual dysfunction (FSD) by using the Female Sexual Function Index (FSFI). In a study at a university hospital in Canakkale, Turkey, women affected by vaginal discharge and age-matched healthy control women were recruited between January and December 2012. Women were grouped in accordance with their vaginal discharge complaints and each participant completed the FSFI questionnaire. A total of 114 women were included in the study. Women in the first group (n=58) had no vaginal discharge or had physiologic vaginal discharge, those in the second group (n=29) had abnormal vaginal discharge with itching, and those in the third group (n=27) had abnormal vaginal discharge without itching. Compared with the first group, women in the second and third groups had higher FSFI scores for desire, arousal, orgasm, and pain, in addition to higher overall FSFI scores. Women with genital malodor had significantly higher FSFI scores than patients without genital malodor (23.83 ± 5.07 vs 21.15 ± 4.78; P=0.008). Women with abnormal vaginal discharges were found to have better FSFI scores for some domains. This finding may be attributed to the adverse effects of sexual intercourse on vaginal infections. © 2013.

Pancreatitis - discharge

Science.gov (United States)

Chronic pancreatitis - discharge; Pancreatitis - chronic - discharge; Pancreatic insufficiency - discharge; Acute pancreatitis - discharge ... You were in the hospital because you have pancreatitis. This is a swelling of the pancreas. You ...

Disruption characteristics in PDX with limiter and divertor discharges

International Nuclear Information System (INIS)

Couture, P.; McGuire, K.

1986-09-01

A comparison has been made between the characteristics of disruptions with limiter and divertor configurations in PDX. A large data base on disruptions has been collected over four years of machine operation, and a total of 15,000 discharges are contained in the data file. It was found that divertor discharges have less disruptions during ramp up and flattop of the plasma current. However, for divertor discharges a large number of fast, low current disruptions take place during the current ramp down. These disruptions are probably caused by the deformation of the plasma shape

Utility of functional status for classifying community versus institutional discharges after inpatient rehabilitation for stroke.

Science.gov (United States)

Reistetter, Timothy A; Graham, James E; Deutsch, Anne; Granger, Carl V; Markello, Samuel; Ottenbacher, Kenneth J

2010-03-01

To evaluate the ability of patient functional status to differentiate between community and institutional discharges after rehabilitation for stroke. Retrospective cross-sectional design. Inpatient rehabilitation facilities contributing to the Uniform Data System for Medical Rehabilitation. Patients (N=157,066) receiving inpatient rehabilitation for stroke from 2006 and 2007. Not applicable. Discharge FIM rating and discharge setting (community vs institutional). Approximately 71% of the sample was discharged to the community. Receiver operating characteristic curve analyses revealed that FIM total performed as well as or better than FIM motor and FIM cognition subscales in differentiating discharge settings. Area under the curve for FIM total was .85, indicating very good ability to identify persons discharged to the community. A FIM total rating of 78 was identified as the optimal cut point for distinguishing between positive (community) and negative (institution) tests. This cut point yielded balanced sensitivity and specificity (both=.77). Discharge planning is complex, involving many factors. Identifying a functional threshold for classifying discharge settings can provide important information to assist in this process. Additional research is needed to determine if the risks and benefits of classification errors justify shifting the cut point to weight either sensitivity or specificity of FIM ratings. Copyright 2010 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

Assesment of safe discharge limits in the nuclear industry

International Nuclear Information System (INIS)

Van As, D.

1984-01-01

Routine releases from the nuclear industry to the environment are controlled by three principles, viz. that the practice creating the effluents should be kept as low as reasonably achievable, and radiation dose limits should not be exceeded. In the nuclear industry, the discharge of radioactive effluent is controlled by a system of dose limitation. The application of this system to conventional effluents require: i) a quantitative relationship between intake and effect so as to establish intake limits; ii) environmental models that will allow calculation of the relationship between discharge and intake; iii) a measure of the total detriment due to the discharge. For such a system discharge limits can be established for the desired level of risk (safety)

Heart pacemaker - discharge

Science.gov (United States)

Cardiac pacemaker implantation - discharge; Artificial pacemaker - discharge; Permanent pacemaker - discharge; Internal pacemaker - discharge; Cardiac resynchronization therapy - discharge; CRT - discharge; ...

Report on a survey in fiscal 1999. Survey and study on the 'measures for promoting discharge right transaction/joint implementation (JI) / clean development mechanism (CDM) project'; 1999 nendo 'haishutsuken torihiki / JI / CDM project suishin hosaku' ni kansuru chosa kenkyu hokokusho

Energy Technology Data Exchange (ETDEWEB)

NONE

2000-03-01

The third conference (COP3) of the United Nations Framework Convention on Climate Change held in December 1997 in Kyoto has adopted the Kyoto mechanisms (the 'discharge right transaction', the 'joint implementation (JI)' among advanced countries, and the 'clean development mechanism (CDM)' applied to developing countries). The Kyoto mechanisms are intended to provide flexibility to the methods to achieve the greenhouse effect gas reduction targets established in the Kyoto Protocol. The Kyoto mechanisms are considered to be implemented even during the year 2000, whose details are scheduled to be decided at COP6. Since the advanced countries have established the targets for reduction of greenhouse effect gas emission, governments and research institutes are taking various approaches. In addition, since the targets for reduction of greenhouse effect gas emission have been established, discussions are indispensable on methodology to establish the quantity of discharge and absorption of greenhouse effect gases (the so-called base line) when no project exists, as required to calculate the discharge reduction quantity as a result of implementing the project. The present survey has held study meetings attended by learned people, and compiled the results of the discussions. (NEDO)

Notice of intent to discharge water contaminants. Waste Isolation Pilot Plant, Eddy County, NM

International Nuclear Information System (INIS)

Hart, J.S.; Porter, K.R.; Register, J.K.

1983-04-01

This report provides information in support of a ''Notice of Intent to Discharge Water Contaminants,'' pursuant to Section 1-201 of the New Mexico Water Quality Control Commission Regulations. The anticipated discharges are not expected to move directly or indirectly into groundwater. These discharges will be caused by activities related to the construction of the Waste Isolation Pilot Plant (WIPP), a US Department of Energy (DOE) research and development program to demonstrate the safe disposal of radioactive wastes resulting from defense activities and programs of the United States. The facility is to be developed in deep layers of bedded salt. The WIPP site is located in Eddy County, New Mexico, about 26 miles east of Carlsbad. The US Department of Energy, WIPP Project Office, Albuquerque, New Mexico, as the sponsor of the project, is responsible for any discharges from the site. The following sections describe generally the WIPP construction activities. Pertinent site conditions, potential sources of discharges and their expected effects, and proposed groundwater monitoring efforts are also described

State waste discharge permit application: 200 Area Treated Effluent Disposal Facility (Project W-049H)

Energy Technology Data Exchange (ETDEWEB)

1994-08-01

As part of the original Hanford Federal Facility Agreement and Concent Order negotiations, US DOE, US EPA and the Washington State Department of Ecology agreed that liquid effluent discharges to the ground to the Hanford Site are subject to permitting in the State Waste Discharge Permit Program (SWDP). This document constitutes the SWDP Application for the 200 Area TEDF stream which includes the following streams discharged into the area: Plutonium Finishing Plant waste water; 222-S laboratory Complex waste water; T Plant waste water; 284-W Power Plant waste water; PUREX chemical Sewer; B Plant chemical sewer, process condensate, steam condensate; 242-A-81 Water Services waste water.

State waste discharge permit application: 200 Area Treated Effluent Disposal Facility (Project W-049H)

International Nuclear Information System (INIS)

1994-08-01

As part of the original Hanford Federal Facility Agreement and Concent Order negotiations, US DOE, US EPA and the Washington State Department of Ecology agreed that liquid effluent discharges to the ground to the Hanford Site are subject to permitting in the State Waste Discharge Permit Program (SWDP). This document constitutes the SWDP Application for the 200 Area TEDF stream which includes the following streams discharged into the area: Plutonium Finishing Plant waste water; 222-S laboratory Complex waste water; T Plant waste water; 284-W Power Plant waste water; PUREX chemical Sewer; B Plant chemical sewer, process condensate, steam condensate; 242-A-81 Water Services waste water

PEO-like Plasma Polymers Prepared by Atmospheric Pressure Surface Dielectric Barrier Discharge

Czech Academy of Sciences Publication Activity Database

Gordeev, I.; Choukourov, A.; Šimek, Milan; Prukner, Václav; Biederman, H.

2012-01-01

Roč. 9, č. 8 (2012), s. 782-791 ISSN 1612-8850 R&D Projects: GA ČR(CZ) GD104/09/H080 Institutional research plan: CEZ:AV0Z20430508 Keywords : fibrinogen * non-fouling properties * PEO * plasma polymerization * surface dielectric barrier discharge Subject RIV: BL - Plasma and Gas Discharge Physics Impact factor: 3.730, year: 2012

Neural control of phrenic motoneuron discharge

Science.gov (United States)

Lee, Kun-Ze; Fuller, David D.

2011-01-01

Phrenic motoneurons (PMNs) provide a synaptic relay between bulbospinal respiratory pathways and the diaphragm muscle. PMNs also receive propriospinal inputs, although the functional role of these interneuronal projections has not been established. Here we review the literature regarding PMN discharge patterns during breathing and the potential mechanisms that underlie PMN recruitment. Anatomical and neurophysiological studies indicate that PMNs form a heterogeneous pool, with respiratory-related PMN discharge and recruitment patterns likely determined by a balance between intrinsic MN properties and extrinsic synaptic inputs. We also review the limited literature regarding PMN bursting during respiratory plasticity. Differential recruitment or rate modulation of PMN subtypes may underlie phrenic motor plasticity following neural injury and/or respiratory stimulation; however this possibility remains relatively unexplored. PMID:21376841

Assessment of the level of chromium species in the discharged ...

African Journals Online (AJOL)

The purpose of this study was to assess the level of chromium species in the discharged effluents of selected tanneries in the Amhara Region; Haik and Debre Berhan tanneries. The level of total chromium, and hexavalent chromium in the discharged effluent of the studied tanneries were determined using the ICP-OES, and ...

Obtaining a follow-up appointment before discharge protects against readmission for patients with acute coronary syndrome and heart failure: A quality improvement project.

Science.gov (United States)

Baky, Vidagay; Moran, Dane; Warwick, Tessa; George, Alice; Williams, Tammy; McWilliams, Eric; Marine, Joseph E

2018-04-15

Cardiac patients have a high risk of readmission following hospital discharge. The aim of our project was to examine the factors associated with increased readmission rate, with a view to eventually decrease the rate of readmission for patients admitted to the hospital due to acute coronary syndrome (ACS) or heart failure. Patients admitted to the cardiac step-down unit at a single private hospital from 2015 to 2016 were included in our study. Interventions that were employed included: (1) improved pre-discharge follow-up appointment scheduling, (2) medication education by a pharmacist, and (3) timely discharge planning. Our primary outcome of interest was all-cause rate of hospital readmission within 30days. We conducted a multivariate analysis to determine the factors that were predictive of readmission rate. 578 patients were included in the study and 402 were diagnosed with ACS (69.9%). The rate of readmission was 14.2% for patients with heart failure, compared to 7.5% for patients with ACS. Following the bundle of interventions, patients were significantly more likely to receive an appointment (45.6% vs. 75.4%, pReadmission rate was comparable following the intervention (8.6% vs. 9.7%), but patients that received an appointment had 0.374 times lower odds of being readmitted (p=0.004). While our package of interventions did not lead to a significant decline in our readmission rate, patients who received a follow-up appointment prior to discharge were strongly protected against readmission. Copyright © 2017. Published by Elsevier B.V.

Projection of US LWR spent fuel storage requirements

International Nuclear Information System (INIS)

Fletcher, J.F.; Cole, B.M.; Purcell, W.L.; Rau, R.G.

1982-11-01

The spent fuel storage requirements projection is based on data supplied for each operating or planned nuclear power power plant by the operting utilities. The data supplied by the utilities encompassed details of plant operating history, past records of fuel discharges, current inventories in reactor spent fuel storage pools, and projections of future discharge patterns. Data on storage capacity of storage pools and on characterization of the discharged fuel are also included. The data supplied by the utilities, plus additional data from other appropriate sources, are maintained on a computerized data base by Pacific Northwest Laboratory. The spent fuel requirements projection was based on utility data updated and verified as of December 31, 1981

Discharge data from 50 selected rivers for GCM validation

International Nuclear Information System (INIS)

Duemenil, L.; Isele, K.; Liebscher, H.J.; Schroeder, U.; Schumacher, M.; Wilke, K.

1993-01-01

This Technical Report refers to a joint project between GRDC Koblenz and MPI Hamburg. The Global Runoff Data Centre operates under the auspieces of WMO at the Federal Institute of Hydrology (Bundesanstalt fuer Gewaesserkunde) in Koblenz. River discharge data of the 50 largest rivers provide an independent data source for the validation of the hydrological cycle in general circulation models. This type of data is particularly valuable, because in some cases the available time series are exceptionally long. The data are presented as time series of annual average discharge (averaged over the period for which data is available, see below for caveats) and as annual cycles of monthly mean discharge averaged over the length of the time series available. (orig./KW)

Deployment of lean six sigma in care coordination: an improved discharge process.

Science.gov (United States)

Breslin, Susan Ellen; Hamilton, Karen Marie; Paynter, Jacquelyn

2014-01-01

This article presents a quality improvement project to reduce readmissions in the Medicare population related to heart failure, acute myocardial infarction, and pneumonia. The article describes a systematic approach to the discharge process aimed at improving transitions of care from hospital to post-acute care, utilizing Lean Six Sigma methodology. Inpatient acute care hospital. A coordinated discharge process, which includes postdischarge follow-up, can reduce avoidable readmissions. Implications for The quality improvement project demonstrated the significant role case management plays in preventing costly readmissions and improving outcomes for patients through better transitions of care from the hospital to the community. By utilizing Lean Six Sigma methodology, hospitals can focus on eliminating waste in their current processes and build more sustainable improvements to deliver a safe, quality, discharge process for their patients. Case managers are leading this effort to improve care transitions and assure a smoother transition into the community postdischarge..

Evaluation of common organisms causing vaginal discharge.

Science.gov (United States)

Khan, Shazia A; Amir, Fauzia; Altaf, Shagufta; Tanveer, Raazia

2009-01-01

Vaginal discharge is very common problem among females. Alteration in balance of normal vaginal organisms can cause the overgrowth of the bacteria that creates vaginal discharge. It is common among sexually active women yet there still remain gaps in our knowledge of this infectious disorder. To evaluate the frequency of bacterial vaginosis (BV), vaginal candidiasis (VC), vaginal trichomoniasis and Group B streptococcus in women complaining of vaginal discharge in our setup. A total of 100 women of reproductive age group with the complaint of vaginal discharge were included in the study. After filling proforma patients were examined by speculum examination and two high vaginal swabs (HVS) were collected aseptically from each patient. One swab was used for making wet mount for clue cells, pus cells and for motility of Trichomonas vaginalis. The other swab was used to check pH and Amine test. The growth was confirmed by Gram staining in each case. Gardnerrella vaginalis were isolated in 28%, Group B streptococcus in 5% and T. vaginolis in 4% of women. Gardnerella vaginalis causing BV is the most common cause of vaginal discharge in otherwise healthy women of reproductive age group in our setup.

Dynamic characteristics of positive hollow needle to plate atmospheric pressure discharge

Czech Academy of Sciences Publication Activity Database

Khun, J.; Šimek, Milan; Pekárek, S.; Schmidt, Jiří

2006-01-01

Roč. 56, suppl.B (2006), s. 830-836 ISSN 0011-4626. [Symposium on Plasma Physics and Technology/22nd./. Praha, 26.6.2006-29.6.2006] R&D Projects: GA AV ČR(CZ) IAA1043403 Institutional research plan: CEZ:AV0Z20430508 Keywords : positive corona discharge * streamer * mean repetition frequency * mean propagation velocity Subject RIV: BL - Plasma and Gas Discharge Physics Impact factor: 0.568, year: 2006

Route to Soft X-ray Laser Pumped by Gas-Filled-Capillary Discharge

Czech Academy of Sciences Publication Activity Database

Koláček, Karel; Schmidt, Jiří; Prukner, Václav; Řípa, Milan; Frolov, Oleksandr; Štraus, Jaroslav; Vrba, Pavel

2004-01-01

Roč. 34, - (2004), s. 154-157 ISSN 1433-5581. [First Cairo Conference on Plasma Physics & Applications. Cairo, 11.10.2003-15.10.2003] R&D Projects: GA ČR(CZ) GA202/03/0711 Grant - others:GA MŠk1(CZ) LA 235 Keywords : fast capillary discharge * soft x-Ray laser Subject RIV: BL - Plasma and Gas Discharge Physics

Plasma Discharge Process in a Pulsed Diaphragm Discharge System

Science.gov (United States)

Duan, Jianjin; Hu, Jue; Zhang, Chao; Wen, Yuanbin; Meng, Yuedong; Zhang, Chengxu

2014-12-01

As one of the most important steps in wastewater treatment, limited study on plasma discharge process is a key challenge in the development of plasma applications. In this study, we focus on the plasma discharge process of a pulsed diaphragm discharge system. According to the analysis, the pulsed diaphragm discharge proceeds in seven stages: (1) Joule heating and heat exchange stage; (2) nucleated site formation; (3) plasma generation (initiation of the breakdown stage); (4) avalanche growth and plasma expansion; (5) plasma contraction; (6) termination of the plasma discharge; and (7) heat exchange stage. From this analysis, a critical voltage criterion for breakdown is obtained. We anticipate this finding will provide guidance for a better application of plasma discharges, especially diaphragm plasma discharges.

audio-ultrasonic waves by argon gas discharge

International Nuclear Information System (INIS)

Ragheb, M.S.

2010-01-01

in the present work, wave emission formed by audio-ultrasonic plasma is investigated. the evidence of the magnetic and electric fields presence is performed by experimental technique. comparison between experimental field measurements and several plasma wave methods reveals the plasma audio-ultrasonic radiations mode. this plasma is a symmetrically driven capacitive discharge, consisting of three interactive regions: the electrodes, the sheaths, and the positive column regions . the discharge voltage is up to 900 volts, the discharge current flowing through the plasma attains a value of 360 mA .the frequency of the discharge voltage covers the audio and the ultrasonic range up to 100 khz. the effective plasma working distance has increased to attain the total length of the tube of 40 cm. a non-disturbing method using an external coil is used to measure the electric discharge field in a plane perpendicular to that of the plasma axe tube. this method proves the existence of a current flowing in a direction perpendicular to the plasma axe tube. a system of minute coils sensors proved the existence of two fields in two perpendicular directions . comparison between different observed fields reveals the existence of propagating electromagnetic waves due to the alternating current flowing through the skin plasma tube. the field intensity distribution along the tube draws the discharge current behavior between the two plasma electrodes that can be used to predict the range of the plasma discharge current.

Simulating the inception of pulsed discharges near positive electrodes

Science.gov (United States)

Teunissen, Jannis; Ebert, Ute

2013-09-01

With 3D particle simulations we study the inception of pulsed discharges near positive electrodes. In different geometries, we first determine the breakdown voltage. Then we study the probability of inception for a fast voltage pulse. This probability mostly depends on the availability of seed electrons to generate the initial electron avalanches. These results are compared with experimental observations. Then we investigate how the shape of a starting discharge affects its further development. In particular, we discuss the formation of so-called ``inception clouds.'' JT was supported by STW-project 10755.

Double discharges in unipolar-pulsed dielectric barrier discharge xenon excimer lamps

International Nuclear Information System (INIS)

Liu Shuhai; Neiger, Manfred

2003-01-01

Excitation of dielectric barrier discharge xenon excimer lamps by unipolar short square pulses is studied in this paper. Two discharges with different polarity are excited by each voltage pulse (double discharge phenomenon). The primary discharge occurs at the top or at the rising flank of the applied unipolar square pulse, which is directly energized by the external circuit. The secondary discharge with the reversed polarity occurs at the falling flank or shortly after the falling flank end (zero external voltage) depending on the pulse width, which is energized by the energy stored by memory charges deposited by the primary discharge. Fast-speed ICCD imaging shows the primary discharge has a conic discharge appearance with a channel broadening on the anode side. This channel broadening increases with increasing the pulse top level. Only the anode-side surface discharge is observed in the primary discharge. The surface discharge on the cathode side which is present in bipolar sine voltage excitation is not observed. On the contrary, the secondary discharge has only the cathode-side surface discharge. The surface discharge on the anode side is not observed. The secondary discharge is much more diffuse than the primary discharge. Time-resolved emission measurement of double discharges show the secondary discharge emits more VUV xenon excimer radiation but less infrared (IR) xenon atomic emission than the primary discharge. It was found that the IR xenon atomic emission from the secondary discharge can be reduced by shortening the pulse width. The energy efficiency of unipolar-pulsed xenon excimer lamps (the overall energy efficiency of double discharges) is much higher than that obtained under bipolar sine wave excitation. The output VUV spectrum under unipolar pulse excitation is found to be identical to that under sine wave excitation and independent of injected electric power

Relativistic Electrons in Electric Discharges

DEFF Research Database (Denmark)

Cinar, Deniz

at the time when also gigantic electric discharges were observed at 10-90 km altitude in the stratosphere and mesosphere, the so called “jets” and “sprites”, commonly referred to as “Transient Luminous Events” (TLEs). TGFs were _rst thought connected to TLEs, but later research has pointed to lightning......Thunderstorms generate bursts of X- and Gamma radiation. When observed from spacecraft, the bursts are referred to as “Terrestrial Gamma-ray Flashes” (TGFs). They are bremsstrahlung from energetic electrons accelerated in thunderstorm electric _elds. The TGFs were _rst observed in the 90ties...... discharges as the source. The “Atmosphere-Space Interactions Monitor” (ASIM) for the International Space Station in 2016, led by DTU Space, and the French microsatellite TARANIS, also with launch in 2016, will identify with certainty the source of TGFs. In preparation for the missions, the Ph.D. project has...

Personality and Total Health Through Life Project Eye Substudy: Methodology and Baseline Retinal Features.

Science.gov (United States)

Wijngaarden, Peter Van; Keel, Stuart; Hodgson, Lauren A B; Kumar, Dinesh K; Aliahmad, Behzad; Paim, Cistiane C; Kiely, Kim M; Cherbuin, Nicolas; Anstey, Kaarin J; Dirani, Mohamed

2017-01-01

To describe the methodology and present the retinal grading findings of an older sample of australians with well-defined indices of neurocognitive function in the Personality and total Health (PATH) through life project. A cross-sectional study. Three hundred twenty-six individuals from the PatH through life project were invited to participate. Participants completed a general questionnaire and 2-field, 45-degree nonmydriatic color digital retinal photography. Photographs were graded for retinal pathology according to established protocols. Two hundred fifty-four (77.9%) subjects, aged 72 to 78 years, agreed to participate in the eye substudy. gradable images of at least 1 eye were acquired in 211 of 254 subjects (83.1%). retinal photographic screening identified 1 or more signs of pathology in 130 of the 174 subjects (74.7%) with gradable images of both eyes. a total of 45 participants (17.7%) had self-reported diabetes and diabetic retinopathy was observed in 22 (48.9%) of these participants. This well-defined sample of older australians provides a unique opportunity to interrogate associations between retinal findings, including retinal vascular geometric parameters, and indices of neurocognitive function. Copyright 2017 Asia-Pacific Academy of Ophthalmology.

Deposition of carbon nanostructures by surfatron generated discharge

Czech Academy of Sciences Publication Activity Database

Davydova, Marina; Šmíd, Jiří; Hubička, Zdeněk; Kromka, Alexander

2014-01-01

Roč. 54, č. 6 (2014), s. 389-393 ISSN 1210-2709 R&D Projects: GA TA ČR TA01011740; GA ČR(CZ) GP14-06054P Institutional support: RVO:68378271 Keywords : carbon nanostructures * microwave plasma * PECVD * surfatron Subject RIV: BL - Plasma and Gas Discharge Physics

High performance discharges in the Lithium Tokamak eXperiment with liquid lithium walls

Energy Technology Data Exchange (ETDEWEB)

Schmitt, J. C.; Bell, R. E.; Boyle, D. P.; Esposti, B.; Kaita, R.; Kozub, T.; LeBlanc, B. P.; Lucia, M.; Maingi, R.; Majeski, R.; Merino, E.; Punjabi-Vinoth, S.; Tchilingurian, G. [Princeton Plasma Physics Laboratory, Princeton, New Jersey 08543 (United States); Capece, A.; Koel, B.; Roszell, J. [Princeton University, Princeton, New Jersey 08544 (United States); Biewer, T. M.; Gray, T. K. [Oak Ridge National Laboratory, Oak Ridge, Tennessee 37831 (United States); Kubota, S. [University of California at Los Angeles, Los Angeles, California 90095 (United States); Beiersdorfer, P. [Lawrence Livermore National Laboratory, Livermore, California 94550 (United States); and others

2015-05-15

The first-ever successful operation of a tokamak with a large area (40% of the total plasma surface area) liquid lithium wall has been achieved in the Lithium Tokamak eXperiment (LTX). These results were obtained with a new, electron beam-based lithium evaporation system, which can deposit a lithium coating on the limiting wall of LTX in a five-minute period. Preliminary analyses of diamagnetic and other data for discharges operated with a liquid lithium wall indicate that confinement times increased by 10× compared to discharges with helium-dispersed solid lithium coatings. Ohmic energy confinement times with fresh lithium walls, solid and liquid, exceed several relevant empirical scaling expressions. Spectroscopic analysis of the discharges indicates that oxygen levels in the discharges limited on liquid lithium walls were significantly reduced compared to discharges limited on solid lithium walls. Tokamak operations with a full liquid lithium wall (85% of the total plasma surface area) have recently started.

High performance discharges in the Lithium Tokamak eXperiment with liquid lithium walls

International Nuclear Information System (INIS)

Schmitt, J. C.; Bell, R. E.; Boyle, D. P.; Esposti, B.; Kaita, R.; Kozub, T.; LeBlanc, B. P.; Lucia, M.; Maingi, R.; Majeski, R.; Merino, E.; Punjabi-Vinoth, S.; Tchilingurian, G.; Capece, A.; Koel, B.; Roszell, J.; Biewer, T. M.; Gray, T. K.; Kubota, S.; Beiersdorfer, P.

2015-01-01

The first-ever successful operation of a tokamak with a large area (40% of the total plasma surface area) liquid lithium wall has been achieved in the Lithium Tokamak eXperiment (LTX). These results were obtained with a new, electron beam-based lithium evaporation system, which can deposit a lithium coating on the limiting wall of LTX in a five-minute period. Preliminary analyses of diamagnetic and other data for discharges operated with a liquid lithium wall indicate that confinement times increased by 10× compared to discharges with helium-dispersed solid lithium coatings. Ohmic energy confinement times with fresh lithium walls, solid and liquid, exceed several relevant empirical scaling expressions. Spectroscopic analysis of the discharges indicates that oxygen levels in the discharges limited on liquid lithium walls were significantly reduced compared to discharges limited on solid lithium walls. Tokamak operations with a full liquid lithium wall (85% of the total plasma surface area) have recently started

Watershed and discharge influences on the phase distribution and tributary loading of total mercury and methylmercury into Lake Superior

International Nuclear Information System (INIS)

Babiarz, Christopher; Hoffmann, Stephen; Wieben, Ann; Hurley, James; Andren, Anders; Shafer, Martin; Armstrong, David

2012-01-01

Knowledge of the partitioning and sources of mercury are important to understanding the human impact on mercury levels in Lake Superior wildlife. Fluvial fluxes of total mercury (Hg T ) and methylmercury (MeHg) were compared to discharge and partitioning trends in 20 sub-basins having contrasting land uses and geological substrates. The annual tributary yield was correlated with watershed characteristics and scaled up to estimate the basin-wide loading. Tributaries with clay sediments and agricultural land use had the largest daily yields with maxima observed near the peak in water discharge. Roughly 42% of Hg T and 57% of MeHg was delivered in the colloidal phase. Tributary inputs, which are confined to near-shore zones of the lake, may be more important to the food-web than atmospheric sources. The annual basin-wide loading from tributaries was estimated to be 277 kg yr −1 Hg T and 3.4 kg yr −1 MeHg (5.5 and 0.07 mg km −2 d −1 , respectively). - Highlights: ► The highest mercury yields occurred during spring melt except in forested watersheds. ► Roughly half of the mercury yield occurred in the colloidal phase. ► About 277 kg of Hg T and 3.4 kg of MeHg were delivered annually via tributaries. ► Whole-water MeHg loading was roughly equivalent to the estimated atmospheric loading. ► Watersheds with peat, loam or sandy soils deliver more MeHg than those with clays. - Tributary inputs, which are confined to the near-shore zones of Lake Superior, provide more mercury to these sensitive aquatic habitats than direct atmospheric deposition.

Research on High Current Pulse Discharges at IPP ASci CR

Czech Academy of Sciences Publication Activity Database

Koláček, Karel; Schmidt, Jiří; Prukner, Václav; Štraus, Jaroslav; Frolov, Oleksandr; Martínková, M.

2006-01-01

Roč. 56, suppl. B (2006), s. 259-266 ISSN 0011-4626. [Symposium on Plasma Physics and Technology/22nd./. Praha, 26.6.2006-29.6.2006] R&D Projects: GA ČR GA202/06/1324; GA MŠk 1P04LA235 Institutional research plan: CEZ:AV0Z20430508 Keywords : Pulsed high current capillary discharge * amplified spontaneous emission * soft X-ray laser Subject RIV: BL - Plasma and Gas Discharge Physics Impact factor: 0.568, year: 2006

Soft X-ray emission of a fast-capillary-discharge device

Czech Academy of Sciences Publication Activity Database

Schmidt, Jiří; Koláček, Karel; Štraus, Jaroslav; Prukner, Václav; Frolov, Oleksandr; Boháček, Vladislav

2005-01-01

Roč. 13, č. 2 (2005), s. 105-109 ISSN 1051-9998. [International Conference on High- Power Particle Beams, BEAMS /15th./. St. Petersburg, 18.7.2004-23.7.2004] R&D Projects: GA AV ČR(CZ) KSK2043105; GA ČR(CZ) GA202/03/0711 Institutional research plan: CEZ:AV0Z20430508 Keywords : pre-pulse plasma * capillary discharge * soft X-ray laser Subject RIV: BL - Plasma and Gas Discharge Physics Impact factor: 0.271, year: 2005

Postoperative Calcium Management in Same-Day Discharge Thyroid and Parathyroid Surgery.

Science.gov (United States)

Nelson, Kurt L; Hinson, Andrew M; Lawson, Bradley R; Middleton, Derek; Bodenner, Donald L; Stack, Brendan C

2016-05-01

To describe a safe and effective postoperative prophylactic calcium regimen for same-day discharge thyroid and parathyroid surgery. Case series with chart review. Tertiary referral academic institution. In total, 162 adult patients who underwent total thyroidectomy, completion thyroidectomy, unilateral parathyroidectomy, parathyroidectomy with bilateral neck exploration, or revision parathyroidectomy were identified preoperatively to be candidates for same-day discharge. All patients in this study were successfully discharged the same day on our standard prophylactic calcium regimen. Less than 1% (1/162) of patients re-presented to the hospital within 30 days of surgery, and that patient was successfully discharged from the emergency department after negative workup for hypocalcemia. There was no significant difference between preoperative and postoperative calcium levels in the total/completion thyroidectomy groups (9.3 vs 9.2 mg/dL, respectively; P = .14). The average postoperative calcium level in the parathyroid group was well within normal limits (9.5 mg/dL), and the difference in postoperative calcium levels between revision and primary parathyroidectomy cases was not significantly different (P = .34). The reported calcium regimen demonstrates a safe, effective, and objective means of postoperative calcium management in outpatient thyroid and parathyroid surgery in appropriately selected patients. © American Academy of Otolaryngology—Head and Neck Surgery Foundation 2016.

Parameters for Fabricating Nano-Au Colloids through the Electric Spark Discharge Method with Micro-Electrical Discharge Machining.

Science.gov (United States)

Tseng, Kuo-Hsiung; Chung, Meng-Yun; Chang, Chaur-Yang

2017-06-02

In this study, the Electric Spark Discharge Method (ESDM) was employed with micro-electrical discharge machining (m-EDM) to create an electric arc that melted two electrodes in deionized water (DW) and fabricated nano-Au colloids through pulse discharges with a controlled on-off duration (T ON -T OFF ) and a total fabrication time of 1 min. A total of six on-off settings were tested under normal experimental conditions and without the addition of any chemical substances. Ultraviolet-visible spectroscopy (UV-Vis), Zetasizer Nano measurements, and scanning electron microscopy-energy dispersive X-ray (SEM-EDX) analyses suggested that the nano-Au colloid fabricated at 10-10 µs (10 µs on, 10 µs off) had higher concentration and suspension stability than products made at other T ON -T OFF settings. The surface plasmon resonance (SPR) of the colloid was 549 nm on the first day of fabrication and stabilized at 532 nm on the third day. As the T ON -T OFF period increased, the absorbance (i.e., concentration) of all nano-Au colloids decreased. Absorbance was highest at 10-10 µs. The SPR peaks stabilized at 532 nm across all T ON -T OFF periods. The Zeta potential at 10-10 µs was -36.6 mV, indicating that no nano-Au agglomeration occurred and that the particles had high suspension stability.

Review of Oceanographic and Geochemical Data Collected in Massachusetts Bay during a Large Discharge of Total Suspended Solids from Boston's Sewage-Treatment System and Ocean Outfall in August 2002

Science.gov (United States)

Bothner, Michael H.; Butman, Bradford; Casso, Michael A.

2010-01-01

During the period August 14-23, 2002, the discharge of total suspended solids (TSS) from the Massachusetts Water Resources Authority sewage-treatment plant ranged from 32 to 132 milligrams per liter, causing the monthly average discharge to exceed the limit specified in the National Pollution Discharge Elimination System permit. Time-series monitoring data collected by the U.S. Geological Survey in western Massachusetts Bay were examined to evaluate changes in environmental conditions during and after this exceedance event. The rate of sediment trapping and the concentrations of near-bottom suspended sediment measured near the outfall in western Massachusetts Bay increased during this period. Because similar increases in sediment-trapping rate were observed in the summers of 2003 and 2004, however, the increase in 2002 cannot be definitively attributed to the increased TSS discharge. Concentrations of copper and silver in trapped sediment collected 10 and 20 days following the 2002 TSS event were elevated compared to those in pre-event samples. Maximum concentrations were less than 50 percent of toxicity guidelines. Photographs of surficial bottom sediments obtained before and after the TSS event do not show sediment accumulation on the sea floor. Concentrations of silver, Clostridium perfringens, and clay in surficial bottom sediments sampled 10 weeks after the discharge event at a depositional site 3 kilometers west of the outfall were unchanged from those in samples obtained before the event. Simulation of the TSS event by using a coupled hydrodynamic-wave-sediment-transport model could enhance understanding of these observations and of the effects of the exceedance on the local marine environment.

Environmental Compliance Guide. Guidance manual for Department of Energy compliance with the Clean Water Act: National Pollutant Discharge Elimination System (NPDES)

Energy Technology Data Exchange (ETDEWEB)

1982-07-01

This manual provides general guidance for Department of Energy (DOE) officials for complying with Sect. 402 of the Clean Water Act (CWA) of 1977 and amendments. Section 402 authorizes the US Environmental Protection Agency (EPA) or states with EPA approved programs to issue National Pollutant Discharge Elimination System (NPDES) permits for the direct discharge of waste from a point source into waters of the United States. Although the nature of a project dictates the exact information requirements, every project has similar information requirements on the environmental setting, type of discharge(s), characterization of effluent, and description of operations and wastewater treatment. Additional information requirements for projects with ocean discharges, thermal discharges, and cooling water intakes are discussed. Guidance is provided in this manual on general methods for collecting, analyzing, and presenting information for an NPDES permit application. The NPDES program interacts with many sections of the CWA; therefore, background material on pertinent areas such as effluent limitations, water quality standards, toxic substances, and nonpoint source pollutants is included in this manual. Modifications, variances, and extensions applicable to NPDES permits are also discussed.

Performance Modeling of a Vanadium Redox Flow Battery during Discharging

International Nuclear Information System (INIS)

Yang, W.W.; He, Y.L.; Li, Y.S.

2015-01-01

A two-dimensional quasi-steady-state model is presented to simulate coupled mass-species-charge transfer and electrochemical reactions in all vanadium redox flow battery. Emphasis is located on examining the influences of applied current density, initial vanadium concentration, initial acid concentration and electrolyte flow rate on overpotentials in both electrodes, ohmic loss in electrolyte phase as well as battery discharging voltage. It is indicated that overpotential in negative electrode is the dominant factor causing the loss of battery discharging voltage at relatively lower or higher state of charge, while ohmic loss in electrolyte phase is dominant when discharging at moderate state of charge. Increasing initial vanadium concentration, the battery discharging voltage is significantly increased due to the reduced overpotentials in both electrodes. With the increase in initial acid concentration, the battery discharging voltage is also obviously increased because of increased open circuit voltage and decreased ohmic loss in electrolyte phase. As the electrolyte flow rate increases, the total discharging time is extended due to the retarded concentration polarization and the battery discharging voltage is obviously increased at lower state of charge

Necessary conditions for the homogeneous formation of a volume avalanche discharge with specific applications to rare gas-halide excimer laser discharges

International Nuclear Information System (INIS)

Levatter, J.I.

1979-01-01

Self-sustained/avalanche discharges are an efficient method of rare gas-halide excimer laser excitation in small systems. However, with the exceptions of the work reported here, experiments attempting to increase the laser energy output by scaling up the discharge volume and/or pulse duration have not been successful. The major problem encountered in scaling experiments has been the formation of arc channels in the discharge volume. The presence of arcing can totally disrupt proper laser operation. This problem stems from a general lack of understanding of high pressure avalanche discharge phenomena. Therefore, clarifying the basic discharge formation process and establishing a set of criteria under which a homogeneous avalanche discharge can be obtained is of central importance in defining the scaling limits of avalanche discharge lasers. The work presented here reviews the phenomena involved in high E/n (electric field to gas number density ratio) breakdown and its relationship to the formation of spatially homogeneous discharges. This relationship was first explored by A.J. Palmer in 1974. The basic requirement of his model was that the preionization density be large enough to cause an appreciable overlap of the primary electron avalanches and hence smooth out the ensuing space-charge fields to the extent that individual streamer formation would be prevented. This is the same basic model used in the more detailed discharge formation analysis developed here except that the effects of a time varying electric field caused by a finite voltage rise time and the effects due to the various electrochemical properties of the gas mixture are property taken into consideration

Effects of coal-mine discharges on the quality of the Stonycreek River and its tributaries, Somerset and Cambria counties, Pennsylvania

Science.gov (United States)

Williams, Donald R.; Sams, James I.; Mulkerrin, Mary E.

1996-01-01

This report describes the results of a study by the U.S. Geological Survey, done in cooperation with the Somerset Conservation District, to locate and sample abandoned coal-mine discharges in the Stonycreek River Basin, to prioritize the mine discharges for remediation, and to determine the effects of the mine discharges on water quality of the Stonycreek River and its major tributaries. From October 1991 through November 1994, 270 abandoned coal-mine discharges were located and sampled. Discharges from 193 mines exceeded U.S. Environmental Protection Agency effluent standards for pH, discharges from 122 mines exceeded effluent standards for total-iron concentration, and discharges from 141 mines exceeded effluent standards for total-manganese concentration. Discharges from 94 mines exceeded effluent standards for all three constituents. Only 40 mine discharges met effluent standards for pH and concentrations of total iron and total manganese.A prioritization index (PI) was developed to rank the mine discharges with respect to their loading capacity on the receiving stream. The PI lists the most severe mine discharges in a descending order for the Stonycreek River Basin and for subbasins that include the Shade Creek, Paint Creek, Wells Creek, Quemahoning Creek, Oven Run, and Pokeytown Run Basins.Passive-treatment systems that include aerobic wetlands, compost wetlands, and anoxic limestone drains (ALD's) are planned to remediate the abandoned mine discharges. The successive alkalinity-producing-system treatment combines ALD technology with the sulfate reduction mechanism of the compost wetland to effectively remediate mine discharge. The water quality and flow of each mine discharge will determine which treatment system or combination of treatment systems would be necessary for remediation.A network of 37 surface-water sampling sites was established to determine stream-water quality during base flow. A series of illustrations show how water quality in the mainstem

Corona-like multistreamer discharge in water for cylindrical shock wave generation

Czech Academy of Sciences Publication Activity Database

Prukner, Václav; Koláček, Karel; Schmidt, Jiří; Štraus, Jaroslav; Frolov, Oleksandr; Martínková, M.

2006-01-01

Roč. 56, suppl.B (2006), s. 342-348 ISSN 0011-4626. [Symposium on Plasma Physics and Technology/22nd./. Praha, 26.6.2006-29.6.2006] R&D Projects: GA ČR GA202/06/1324; GA MŠk 1P04LA235 Institutional research plan: CEZ:AV0Z20430508 Keywords : Shock wave in water * Corona-like multi-streamer discharge Subject RIV: BL - Plasma and Gas Discharge Physics Impact factor: 0.568, year: 2006

Climate Change on Discharge and Sedimentation of River Awara, Nigeria

Directory of Open Access Journals (Sweden)

Philipa O. Idogho

2014-07-01

Full Text Available The dynamics of variation in effect of climate change on discharges and sedimentation mechanism of River Awara is investigated using 14-year data of rainfall (mm, discharges (m 3 /s, temperature ( 0 c and sediment load (t. Surface runoff (mm was computed using Water Balance Equation and some other empirical iteration based on the observed rainfall and temperature over a period of time. Analysis of Paired Sample reveals the relationship between tested hydrological variables: Rainfall-Runoff; Runoff-Sediment load; and DischargeSediment load are significant at 0.95 level of confidence interval. Logarithm calibration curve further illustrates that Rainfall-Runoff and Runoff-Sediment have coefficient values (R 2 of 0.996 and 0.822 respectively. Analytical iteration shows that the intensity and duration of precipitation determine the magnitude of river, generation of surface runoff and sedimentation rate. Increase in rainfall depth by 100 mm within the 14-year has resulted to serious erodobility and erositivity around River Awara. Cumulative average sediment load ratio of 0.46 has significantly reduced the reservoir capacity of the river by 10%. 78% of total annual surface runoff is lost to ocean; since reservoir capacity has been silted up which in turns reduces the volume of water that could be held for storage, treatment and distribution for its intended purposes. Comparative physics-based output indicates that temperature increase of 0.7 0 c between 1997 and 2004, due to internal processes of the Earth and some human activities. It is however projected that temperature will rise by 0.9 0 c by the end of 2015. Projected rise in temperature will adversely affect hydrological cycle and complicate already scarce-water resources due to intensive evapotranspiration, infiltration and reduction in stream flow. Holistic integration using bottom-up mechanism needs to be applied to address this constraint. Dredging of river Awara is very important to enhance

Nipple Discharge

Science.gov (United States)

... any unexpected nipple discharge evaluated by a doctor. Nipple discharge in men under any circumstances could be a problem and needs further evaluation. One or both breasts may produce a nipple discharge, either spontaneously or when you squeeze your ...

Lung surgery - discharge

Science.gov (United States)

... Lung biopsy - discharge; Thoracoscopy - discharge; Video-assisted thoracoscopic surgery - discharge; VATS - discharge ... milk) for 2 weeks after video-assisted thoracoscopic surgery and 6 to 8 weeks after open surgery. ...

Organic synthetic dye degradation by modified pinhole discharge

Czech Academy of Sciences Publication Activity Database

Božic' Lončaric', A.; Koprivanac, N.; Šunka, Pavel; Člupek, Martin; Babický, Václav

2004-01-01

Roč. 54, suppl.C (2004), C958-C963 ISSN 0011-4626. [Symposium on Plasma Physics and Technology /21st/. Praha, 14.06.2004-17.06.2004] R&D Projects: GA ČR GA202/02/1026 Keywords : organic synthetic Subject RIV: BL - Plasma and Gas Discharge Physics Impact factor: 0.292, year: 2004

Total Variation-Based Reduction of Streak Artifacts, Ring Artifacts and Noise in 3D Reconstruction from Optical Projection Tomography

Czech Academy of Sciences Publication Activity Database

Michálek, Jan

2015-01-01

Roč. 21, č. 6 (2015), s. 1602-1615 ISSN 1431-9276 R&D Projects: GA MŠk(CZ) LH13028; GA ČR(CZ) GA13-12412S Institutional support: RVO:67985823 Keywords : optical projection tomography * microscopy * artifacts * total variation * data mismatch Subject RIV: EA - Cell Biology Impact factor: 1.730, year: 2015

Surface modification by EUV laser beam based on capillary discharge

Czech Academy of Sciences Publication Activity Database

Frolov, Oleksandr; Koláček, Karel; Schmidt, Jiří; Štraus, Jaroslav; Prukner, Václav; Shukurov, A.

-, č. 58 (2011), s. 484-487 ISSN 2010-376X. [International Conference on Fusion and Plasma Physics. Bali, Indonésie, 26.10.2011-28.10.2011] R&D Projects: GA AV ČR KAN300100702; GA MŠk LA08024; GA MŠk(CZ) LC528 Institutional research plan: CEZ:AV0Z20430508 Keywords : soft x-ray * EUV * laser * radiation * source * capillary * discharge * plasma * ablation * surface modification Subject RIV: BL - Plasma and Gas Discharge Physics http://www.waset.org/journals/waset/v58/v58-99.pdf

Influences of rainfall variables and antecedent discharge on urban effluent concentrations and loads in wet weather.

Science.gov (United States)

Xu, Zuxin; Xiong, Lijun; Li, Huaizheng; Liao, Zhengliang; Yin, Hailong; Wu, Jun; Xu, Jin; Chen, Hao

2017-04-01

For storm drainages inappropriately connected with sewage, wet weather discharge is a major factor that adversely affects receiving waters. A study of the wet weather influences of rainfall-discharge variables on storm drainages connected with sewage was conducted in the downtown Shanghai area (374 ha). Two indicators, event mean concentration (EMC) and event pollutant load per unit area (EPL), were used to describe the pollution discharge during 20 rain events. The study showed that the total rainfall and discharge volume were important factors that affect the EMCs and EPLs of the chemical oxygen demand, total phosphorus, and especially those of NH 4 + -N. The pollutant concentrations at the beginning of the discharge and the discharge period were also major factors that influence the EMCs of these three pollutants. Regression relationships between the rainfall-discharge variables and discharge volume/ EPLs (R 2 = 0.824-0.981) were stronger than the relationships between the rainfall-discharge variables and EMCs. These regression equations can be considered reliable in the system, with a relative validation error of less than ±10% for the discharge volume, and less than ±20% for the EPLs. The results presented in this paper provide guidance for effectively controlling pollution in similar storm drainages.

Surface modification of polyethylene by diffuse barrier discharge plasma

Czech Academy of Sciences Publication Activity Database

Novák, I.; Števiar, M.; Popelka, A.; Chodák, I.; Mosnáček, J.; Špírková, Milena; Janigová, I.; Kleinová, A.; Sedliačik, J.; Šlouf, Miroslav

2013-01-01

Roč. 53, č. 3 (2013), s. 516-523 ISSN 0032-3888 R&D Projects: GA AV ČR(CZ) IAAX08240901 Institutional research plan: CEZ:AV0Z40500505 Keywords : low-density polyethylene * plasma discharge * surface modification Subject RIV: JI - Composite Materials Impact factor: 1.441, year: 2013

Hydrogen Peroxide and Ozone Formation in Hybrid Gas-Liquid Electrical Discharge Reactors

Czech Academy of Sciences Publication Activity Database

Lukeš, Petr; Appleton, A. T.; Locke, B. R.

2004-01-01

Roč. 40, č. 1 (2004), s. 60-67 ISSN 0093-9994. [IEEE Industry Applications Society Annual Meeting 2002/37th./. Pittsburgh, Pennsylvania , 13.10.2002-18.10.2002] R&D Projects: GA ČR GA202/02/1026; GA MŠk ME 472 Grant - others:NSF(US) INT0086351 Keywords : hydrogen peroxide, ozone, corona discharge, water treatment, hybrid reactor Subject RIV: BL - Plasma and Gas Discharge Physics Impact factor: 0.987, year: 2004

Predictability of current and future multi-river discharges: Ganges, Brahmaputra, Yangtze, Blue Nile, and Murray-Darling rivers

Science.gov (United States)

Jian, Jun

2007-12-01

Determining river discharge is of critical importance to many societies as they struggle with fresh water supply and risk of flooding. In Bangladesh, floods occur almost every year but with sufficient irregularity to have adverse social and economical consequences. Important goals are to predict the discharge to be used for the optimization of agricultural practices, disaster mitigation and water resource management. The aim of this study is to determine the predictability of river discharge in a number of major rivers on time scale varying from weeks to a century. We investigated predictability considering relationship between SST and discharge. Next, we consider IPCC model projections of river discharge while the models are statistically adjusted against observed discharges. In this study, we consider five rivers, the Ganges, the Brahmaputra, the Yangtze, the Blue Nile, and the Murray-Darling Rivers. On seasonal time scales, statistically significant correlations are found between mean monthly equatorial Pacific sea surface temperature (SST) and the summer Ganges discharge with lead times of 2-3 months due to oscillations of the El Nino-Southern Oscillation (ENSO) phenomena. In addition, there are strong correlations in the southwest and northeast Pacific. These, too, appear to be tied to the ENSO cycle. The Brahmaputra discharge, on the other hand, shows somewhat weaker relationships with tropical SST. Strong lagged correlations relationships are found with SST in the Bay of Bengal but these are the result of very warm SSTs and exceptional Brahmaputra discharge during the summer of 1998. When this year is removed from the time series, relationships weaken everywhere except in the northwestern Pacific for the June discharge and in areas of the central Pacific straddling the equator for the July discharge. The relationships are relative strong, but they are persistent from month to month and suggest that two different and sequential factors influence Brahmaputra

Vessel Sewage Discharges: No-Discharge Zones (NDZs)

Science.gov (United States)

States may petition the EPA to establish areas, called no discharge zones (NDZs), where vessel sewage discharges are prohibited. This page describes how NDZs are designated, the types of designations, who enforces them, and how to comply.

Analysis of aspects of quality of life in teachers' voice after discharged: longitudinal study.

Science.gov (United States)

Ferreira, Josiane Mendes; Campos, Nathália Ferreira; Bassi, Iara Barreto; Santos, Marco Aurélio Rocha; Teixeira, Letícia Caldas; Gama, Ana Cristina Côrtes

2013-01-01

To evaluate the long-term effects of voice therapy on the life quality of teachers who were discharged or abandoned the voice therapy for dysphonia. This was a longitudinal study based on analysis of assessments with teachers of municipal schools in Belo Horizonte, who were referred to voice therapy and were discharged or abandoned the speech-language therapy for more than six months. A total of 33 teachers in the discharged group and 20 teachers in the abandoned group were contacted by phone and invited to participate in the study by answering the Voice activity and participation profile, which was forwarded to the researchers and sent via letter. At the moment of the pre speech therapy, the discharged and abandoned groups were homogeneous, except in relation to daily communication parameter. Comparing the discharged group in the pre and post speech-language therapy, it was showed improvements in social communication parameter as well as in the total score. The discharged group presented worsening in self-perception parameter when comparing the average values in the post therapy and current moments, and the group abandoned presented worsening in work, social communication and total score when comparing to the average values in the pre therapy and current moments. The discharged and abandoned groups differ in the present moment in all investigated parameters. Speech-language therapy for dysphonia have long term positive effects on life quality and voice of teachers who were soon discharged from the therapy and in a period of two years on average. Teachers who have abandoned treatment and did not obtain improvement in the voice showed negative impact in life quality and voice in a time of 2 years and 2 months on average.

[A study of home care needs of patients at discharge and effects of home care--centered on patients discharged from a rural general hospital].

Science.gov (United States)

Choi, Y S; Kim, D H; Storey, M; Kim, C J; Kang, K S

1992-01-01

The study was carried out at W. hospital, an affiliated hospital of Y university, involved a total of 163 patients who were discharged from the hospital between May 1990 and March 1991. Data collection was twice, just prior to discharge and a minimum of three months post discharge. Thirty patients who lived within a hour travel time of the hospital received home care during the three months post discharge. Nursing diagnoses and nursing interventions for these patients were analyzed in this study. The results of the study are summarized as follows: 1. Discharge needs for the subjects of the study were analyzed using Gordon's eleven functional categories and it was found that 48.3% of the total sample had identified nursing needs. Of these, the needs most frequently identified were in the categories of sexuality, 79.3%, health perception, 68.2% self concept, 62.5%, and sleep and rest 62.5%. Looking at the nursing diagnosis that were made for the 30 patients receiving home care, the following diagnoses were the most frequently given; alteration in sexual pattern 79.3%, alterations in health maintenance, 72.6%, alteration in comfort, 68.0%, depression, 64.0%, noncompliance with diet therapy, 63.7%, alteration in self concept, 55.6%, and alteration in sleep pattern, 53%. 2. In looking at the effects of home nursing care as demonstrated by changes in the functional categories over the three month period, it was found that of the 11 functional categories, the need level for health perception, nutrition, activity and self concept decreased slightly over the three month period. On the average sleep patterns improved, but restfulness was slightly less and bowel elimination patterns improved but satisfaction with urinary elimination was slightly less. On the other hand, role enactment, sexuality, stress management and spirituality decreased slightly. The only results that were statistically significant at the 0.05 level were improvement in digestion and decrease in pain. No

Sleep deprivation and spike-wave discharges in epileptic rats

OpenAIRE

Drinkenburg, W.H.I.M.; Coenen, A.M.L.; Vossen, J.M.H.; Luijtelaar, E.L.J.M. van

1995-01-01

The effects of sleep deprivation were studied on the occurrence of spike-wave discharges in the electroencephalogram of rats of the epileptic WAG/Rij strain, a model for absence epilepsy. This was done before, during and after a period of 12 hours of near total sleep deprivation. A substantial increase in the number of spike-wave discharges was found during the first 4 hours of the deprivation period, whereas in the following deprivation hours epileptic activity returned to baseline values. I...

Spectrum of vaginal discharge in a tertiary care setting.

Science.gov (United States)

Sivaranjini, R; Jaisankar, Tj; Thappa, Devinder Mohan; Kumari, Rashmi; Chandrasekhar, Laxmisha; Malathi, M; Parija, Sc; Habeebullah, S

2013-07-01

Vaginal discharge is one of the common reasons for gynecological consultation. Many of the causes of vaginitis have a disturbed vaginal microbial ecosystem associated with them. Effective treatment of vaginal discharge requires that the etiologic diagnosis be established and identifying the same offers a precious input to syndromic management and provides an additional strategy for human immunodeficiency virus prevention. The present study was thus carried out to determine the various causes of vaginal discharge in a tertiary care setting. A total of 400 women presenting with vaginal discharge of age between 20 and 50 years, irrespective of marital status were included in this study and women who had used antibiotics or vaginal medication in the previous 14 days and pregnant women were excluded. Of the 400 women with vaginal discharge studied, a diagnosis was established in 303 women. Infectious causes of vaginal discharge were observed in 207 (51.75%) women. Among them, bacterial vaginosis was the most common cause seen in 105 (26.25%) women. The other infections observed were candidiasis alone (61, 15.25%), trichomoniasis alone (12, 3%), mixed infections (22, 5.5%) and mucopurulent cervicitis (7 of the 130 cases looked for, 8.46%). Among the non-infectious causes, 72 (18%) women had physiological vaginal discharge and 13 (3.3%) women had cervical in situ cancers/carcinoma cervix. The pattern of infectious causes of vaginal discharge observed in our study was comparable with the other studies in India. Our study emphasizes the need for including Papanicolaou smear in the algorithm for evaluation of vaginal discharge, as it helps establish the etiology of vaginal discharge reliably and provides a valuable opportunity to screen for cervical malignancies.

Comparison of discharges with core transport barriers on DIII-D and JET

International Nuclear Information System (INIS)

Luce, T.C.; Alper, B.; Challis, C.D.

1997-07-01

The basic phenomenology of discharges with core transport barriers is the same for DIII-D and JET. The limitations on performance in both cases are well described by MHD stability calculations. Since the discharge behavior of the two machines is so similar, it seems reasonable to apply a simple parameterization of fusion performance which describes well the best performance discharges on DIII-D. The highest fusion performance shot on JET has Q DD = 3.1 10 -3 at 3.2 MA. Scaling from the highest Q DD DIII-D single-null discharge would predict Q DD = 4.2 10 -3 for JET. Raising the plasma current to 4.0 MA would increase the projection to 6.6 10 -3 . Realization of such performance would require significant effort to develop lower q plasmas with an H-mode edge. Because the performance is so closely tied to the current profile, this class of discharges also shows significant potential for steady state if current profile control can be demonstrated

Vibrational kinetics in CO electric discharge lasers - Modeling and experiments

Science.gov (United States)

Stanton, A. C.; Hanson, R. K.; Mitchner, M.

1980-01-01

A model of CO laser vibrational kinetics is developed, and predicted vibrational distributions are compared with measurements. The experimental distributions were obtained at various flow locations in a transverse CW discharge in supersonic (M = 3) flow. Good qualitative agreement is obtained in the comparisons, including the prediction of a total inversion at low discharge current densities. The major area of discrepancy is an observed loss in vibrational energy downstream of the discharge which is not predicted by the model. This discrepancy may be due to three-dimensional effects in the experiment which are not included in the model. Possible kinetic effects which may contribute to vibrational energy loss are also examined.

Optical and electrical characteristics of hollow needle to plate atmospheric pressure discharge in nitrogen

Czech Academy of Sciences Publication Activity Database

Šimek, Milan; Schmidt, Jiří; Pekárek, S.; Khun, J.

2006-01-01

Roč. 51, č. 5 (2006), s. 27 ISSN 0003-0503. [Annual Gaseous Electronic Conference/59nd./. Columbus,Ohio, USA, 10.10.2006-13.10.2006] R&D Projects: GA AV ČR(CZ) IAA1043403 Institutional research plan: CEZ:AV0Z20430508 Keywords : positive corona discharge * streamer * mean repetition frequency * mean propagation velocity Subject RIV: BL - Plasma and Gas Discharge Physics

Partial Discharge Tests using the Cigré II method

DEFF Research Database (Denmark)

Casale, M. Di Lorenzo del; Schifani, R.; Holbøll, Joachim

2000-01-01

In this paper, the results of an experimental project on insulating material aging, performed in both Denmark and Italy, are reported. This study was concerned with partial discharge (PD) behavior at temperatures between 30 and 80°C using CIGRE method II. The material tested was a commercial...... polymethylmethacrylate (PMMA) which was chosen not for its good dielectric properties but rather because much of its discharge resistance data at ambient temperature is already well documented. A description is given of the theoretical and experimental methodology followed in this work. Mixed Weibull analysis techniques...... in terms of the PD amplitude and phase distribution characteristics were employed to distinguish the presence of different aging mechanisms. Such a difference was observed at 30 and at 80°C. At 30°C the analysis inferred a single discharge aging process acting until breakdown, while at 80°C the results...

Implementation and implication of total quality management on client- contractor relationship in residential projects

Science.gov (United States)

Murali, Swetha; Ponmalar, V.

2017-07-01

To make innovation and continuous improvement as a norm, some traditional practices must become unlearnt. Change for growth and competitiveness are required for sustainability for any profitable business such as the construction industry. The leading companies are willing to implement Total Quality Management (TQM) principles, to realise potential advantages and improve growth and efficiency. Ironically, researches recollected quality as the most significant provider for competitive advantage in industrial leadership. The two objectives of this paper are 1) Identify TQM effectiveness in residential projects and 2) Identify the client satisfaction/dissatisfaction areas using Analytical Hierarchy Process (AHP) and suggest effective mitigate measures. Using statistical survey techniques like set of questionnaire survey, it is observed that total quality management was applied in some leading successful organization to an extent. The main attributes for quality achievement can be defined as teamwork and better communication with single agreed goal between client and contractor. Onsite safety is a paramount attribute in the identifying quality within the residential projects. It was noticed that the process based quality methods such as onsite safe working condition; safe management system and modern engineering process safety controls etc. as interlinked functions. Training and effective communication with all stakeholders on quality management principles is essential for effective quality work. Late Only through effective TQM principles companies can avoid some contract litigations with an increased client satisfaction Index.

Low-temperature hydrogenation of diamond nanoparticles using diffuse coplanar surface barrier discharge at atmospheric pressure

Czech Academy of Sciences Publication Activity Database

Kromka, Alexander; Čech, J.; Kozak, Halyna; Artemenko, Anna; Ižák, Tibor; Čermák, Jan; Rezek, Bohuslav; Černák, M.

2015-01-01

Roč. 252, č. 11 (2015), s. 2602-2607 ISSN 0370-1972 R&D Projects: GA ČR(CZ) GBP108/12/G108 Institutional support: RVO:68378271 Keywords : atmospheric plasma * diamond nanoparticles * diffuse coplanar surface barrier discharge * FTIR * XPS Subject RIV: BL - Plasma and Gas Discharge Physics Impact factor: 1.522, year: 2015

The impact of social isolation on delayed hospital discharges of older hip fracture patients and associated costs.

Science.gov (United States)

Landeiro, F; Leal, J; Gray, A M

2016-02-01

Delayed discharges represent an inefficient use of acute hospital beds. Social isolation and referral to a public-funded rehabilitation unit were significant predictors of delayed discharges while admission from an institution was a protective factor for older hip fracture patients. Preventing delays could save between 11.2 and 30.7 % of total hospital costs for this patient group. Delayed discharges of older patients from acute care hospitals are a major challenge for administrative, humanitarian, and economic reasons. At the same time, older people are particularly vulnerable to social isolation which has a detrimental effect on their health and well-being with cost implications for health and social care services. The purpose of the present study was to determine the impact and costs of social isolation on delayed hospital discharge. A prospective study of 278 consecutive patients aged 75 or older with hip fracture admitted, as an emergency, to the Orthopaedics Department of Hospital Universitário de Santa Maria, Portugal, was conducted. A logistic regression model was used to examine the impact of relevant covariates on delayed discharges, and a negative binomial regression model was used to examine the main drivers of days of delayed discharges. Costs of delayed discharges were estimated using unit costs from national databases. Mean age at admission was 85.5 years and mean length of stay was 13.1 days per patient. Sixty-two (22.3 %) patients had delayed discharges, resulting in 419 bed days lost (11.5 % of the total length of stay). Being isolated or at a high risk of social isolation, measured with the Lubben social network scale, was significantly associated with delayed discharges (odds ratio (OR) 3.5) as was being referred to a public-funded rehabilitation unit (OR 7.6). These two variables also increased the number of days of delayed discharges (2.6 and 4.9 extra days, respectively, holding all else constant). Patients who were admitted from an

Improved estimates of filtered total mercury loadings and total mercury concentrations of solids from potential sources to Sinclair Inlet, Kitsap County, Washington

Science.gov (United States)

Paulson, Anthony J.; Conn, Kathleen E.; DeWild, John F.

2013-01-01

Previous investigations examined sources and sinks of mercury to Sinclair Inlet based on historic and new data. This included an evaluation of mercury concentrations from various sources and mercury loadings from industrial discharges and groundwater flowing from the Bremerton naval complex to Sinclair Inlet. This report provides new data from four potential sources of mercury to Sinclair Inlet: (1) filtered and particulate total mercury concentrations of creek water during the wet season, (2) filtered and particulate total mercury releases from the Navy steam plant following changes in the water softening process and discharge operations, (3) release of mercury from soils to groundwater in two landfill areas at the Bremerton naval complex, and (4) total mercury concentrations of solids in dry dock sumps that were not affected by bias from sequential sampling. The previous estimate of the loading of filtered total mercury from Sinclair Inlet creeks was based solely on dry season samples. Concentrations of filtered total mercury in creek samples collected during wet weather were significantly higher than dry weather concentrations, which increased the estimated loading of filtered total mercury from creek basins from 27.1 to 78.1 grams per year. Changes in the concentrations and loading of filtered and particulate total mercury in the effluent of the steam plant were investigated after the water softening process was changed from ion-exchange to reverse osmosis and the discharge of stack blow-down wash began to be diverted to the municipal water-treatment plant. These changes reduced the concentrations of filtered and particulate total mercury from the steam plant of the Bremerton naval complex, which resulted in reduced loadings of filtered total mercury from 5.9 to 0.15 grams per year. Previous investigations identified three fill areas on the Bremerton naval complex, of which the western fill area is thought to be the largest source of mercury on the base

[Early discharge of newborns: what problems should we anticipate?].

Science.gov (United States)

Straczek, H; Vieux, R; Hubert, C; Miton, A; Hascoet, J-M

2008-06-01

Following Nordic and Anglo-Saxon countries, France is directing towards an early discharge policy from maternity hospitals. French National Authority for Health has published recommendations focusing on the importance to highlight the dangers of such a policy so as to be able to anticipate them. To describe the complications diagnosed in the newborn infants from day 2 to the current hospital's discharge (noteworthy, if infants are discharged early, these complications may occur at home) to determine predictive factors and to validate those proposed by the French National Authority for Health. Prospective study conducted in the maternity ward of Nancy's level III facility, from January 6th to May 6th 2005. Nine hundred and three newborn infants were included. Forty-two (4.6%) presented with complications diagnosed from day 2 to hospital's discharge, among which 4 required urgent neonatal care. The most frequent complication was hyperbilirubinemia: 23 newborns were treated with phototherapy between day 2 and day 10. Statistically significant risk factors of hyperbilirubinemia after day 2 in multivariate analysis were instrumental vaginal delivery (OR=2.94; CI 95% [1.04-8.34]) and jaundice before day 2 (OR=7.39; CI 95% [2.66-20.55]). According to the French National Authority for Health's policy, 33 among 42 infants presenting with a complication would have been withdrawn from an early discharge program. In our population, French National Authority for Health's recommendations were relevant to guide an early discharge project.

Variables associated with vaginal discharge after ultrasound-guided percutaneous microwave ablation for adenomyosis.

Science.gov (United States)

Xu, Rui-Fang; Zhang, Jing; Han, Zhi-Yu; Zhang, Bing-Song; Liu, Hui; Li, Xiu-Mei; Ge, Hai-Long; Dong, Xue-Juan

2016-08-01

Objective The aim of this study was to analyse the significant variables for vaginal discharge after ultrasound-guided percutaneous microwave ablation (PMWA) therapy. Materials and methods PMWA was performed on 117 patients with adenomyosis from October 2012 to July 2014. The presence or absence, colour, quantity and duration of vaginal discharge, which was different from pre-ablation, were recorded within 1 year after PMWA. Patients were categorised into G1 (n = 26, without vaginal discharge), G2 (n = 40, vaginal discharge lasting 1 to 19 days), and G3 (n = 51, vaginal discharge lasting ≥20 days) groups. The potentially correlative variables were analysed. Variables with significant correlations with vaginal discharge post-ablation were identified via binary logistic regression analysis. Results The differences in adenomyosis type, pre-ablation uterine volume, total microwave ablation energy, total non-perfused volume (NPV) and minimum distance from the non-perfused lesion (NPL) margin to the endomyometrial junction (EMJ) among groups were statistically significant (p = 0.005, p = 0.000, p = 0.000, p = 0.005 and p = 0.000, respectively). Minimum distance from the NPL margin to the EMJ was the strongest predictor of vaginal discharge post-ablation with odds ratio (OR) 0.632, p = 0.018, 95% CI 0.432-0.923. Patients with diffuse adenomyosis were more likely to have prolonged vaginal discharge (≥20 days) post-ablation (OR 3.461, p = 0.000, 95% CI 1.759-7.536). Conclusion The minimum distance from the NPL margin to the EMJ and adenomyosis type were significantly associated with vaginal discharge post-ablation.

Hydrotherapy after total knee arthroplasty. A follow-up study.

Science.gov (United States)

Giaquinto, S; Ciotola, E; Dall'Armi, V; Margutti, F

2010-01-01

The study evaluated the subjective functional outcome following total knee arthroplasty (TKA) in participants who underwent hydrotherapy (HT) six months after discharge from a rehabilitation unit. A total of 70 subjects, 12 of which were lost at follow-up, were randomly assigned to either a conventional gym treatment (N=30) or HT (N=28). A prospective design was performed. Participants were interviewed with Western-Ontario McMasters Universities Osteoarthritis Index (WOMAC) at admission, at discharge and six months later. Kruskal-Wallis and Wilcoxon tests were applied for statistical analysis. Both groups improved. The WOMAC subscales, namely pain, stiffness and function, were all positively affected. Statistical analysis indicates that scores on all subscales were significantly lower for the HT group. The benefits gained by the time of discharge were still found after six months. HT is recommended after TKA in a geriatric population. Copyright 2009 Elsevier Ireland Ltd. All rights reserved.

Filamentation of diamond nanoparticles treated in underwater corona discharge

Czech Academy of Sciences Publication Activity Database

Jirásek, Vít; Lukeš, Petr; Kozak, Halyna; Artemenko, Anna; Člupek, Martin; Čermák, Jan; Rezek, Bohuslav; Kromka, Alexander

2016-01-01

Roč. 6, č. 3 (2016), 2352-2360 ISSN 2046-2069 R&D Projects: GA ČR GA15-01687S; GA MŠk(CZ) LD14011 Institutional support: RVO:68378271 ; RVO:61389021 Keywords : nanodiamonds * pulsed streamer corona discharge * filamentation Subject RIV: BM - Solid Matter Physics ; Magnetism Impact factor: 3.108, year: 2016

Novel concept of electric discharge oxygen-iodine laser

Czech Academy of Sciences Publication Activity Database

Schmiedberger, Josef; Jirásek, Vít; Kodymová, Jarmila; Rohlena, Karel

2009-01-01

Roč. 54, č. 2 (2009), 239-248 ISSN 1434-6060 R&D Projects: GA ČR GA202/07/0323 Grant - others:US Air Force EOARD(US) FA8655-06-1-3034 Institutional research plan: CEZ:AV0Z10100523 Keywords : chemical lasers * plasma torches * high-frequency and RF discharges Subject RIV: BH - Optics, Masers, Lasers Impact factor: 1.420, year: 2009

Environmental effects of large discharges of cooling water. Experiences from Swedish nuclear power plants

International Nuclear Information System (INIS)

Ehlin, Ulf; Lindahl, Sture; Neuman, Erik; Sandstroem, Olof; Svensson, Jonny

2009-07-01

Monitoring the environmental effects of cooling water intake and discharge from Swedish nuclear power stations started at the beginning of the 1960s and continues to this day. In parallel with long-term monitoring, research has provided new knowledge and methods to optimise possible discharge locations and design, and given the ability to forecast their environmental effects. Investigations into the environmental effects of cooling-water are a prerequisite for the issuing of power station operating permits by the environmental authorities. Research projects have been carried out by scientists at universities, while the Swedish Environmental Protection Agency, the Swedish Board of Fisheries, and the Swedish Meteorological and Hydrological Institute, SMHI, are responsible for the greater part of the investigations as well as of the research work. The four nuclear power plants dealt with in this report are Oskarshamn, Ringhals, Barsebaeck and Forsmark. They were taken into operation in 1972, 1975, 1975 and 1980 resp. - a total of 12 reactors. After the closure of the Barsebaeck plants in 2005, ten reactors remain in service. The maximum cooling water discharge from the respective stations was 115, 165, 50 and 135 m 3 /s, which is comparable to the mean flow of an average Swedish river - c:a 150 m 3 /s. The report summarizes studies into the consequences of cooling water intake and discharge. Radiological investigations made at the plants are not covered by this review. The strategy for the investigations was elaborated already at the beginning of the 1960s. The investigations were divided into pre-studies, baseline investigations and monitoring of effects. Pre-studies were partly to gather information for the technical planning and design of cooling water intake and outlet constructions, and partly to survey the hydrographic and ecological situation in the area. Baseline investigations were to carefully map the hydrography and ecology in the area and their natural

State waste discharge permit application for cooling water and condensate discharges

Energy Technology Data Exchange (ETDEWEB)

Haggard, R.D.

1996-08-12

The following presents the Categorical State Waste Discharge Permit (SWDP) Application for the Cooling Water and Condensate Discharges on the Hanford Site. This application is intended to cover existing cooling water and condensate discharges as well as similar future discharges meeting the criteria set forth in this document.

The transition mechanism from a symmetric single period discharge to a period-doubling discharge in atmospheric helium dielectric-barrier discharge

International Nuclear Information System (INIS)

Zhang, Dingzong; Wang, Yanhui; Wang, Dezhen

2013-01-01

Period-doubling and chaos phenomenon have been frequently observed in atmospheric-pressure dielectric-barrier discharges. However, how a normal single period discharge bifurcates into period-doubling state is still unclear. In this paper, by changing the driving frequency, we study numerically the transition mechanisms from a normal single period discharge to a period-doubling state using a one-dimensional self-consistent fluid model. The results show that before a discharge bifurcates into a period-doubling state, it first deviates from its normal operation and transforms into an asymmetric single period discharge mode. Then the weaker discharge in this asymmetric discharge will be enhanced gradually with increasing of the frequency until it makes the subsequent discharge weaken and results in the discharge entering a period-doubling state. In the whole transition process, the spatial distribution of the charged particle density and the electric field plays a definitive role. The conclusions are further confirmed by changing the gap width and the amplitude of the applied voltage

The transition mechanism from a symmetric single period discharge to a period-doubling discharge in atmospheric helium dielectric-barrier discharge

Energy Technology Data Exchange (ETDEWEB)

Zhang, Dingzong; Wang, Yanhui; Wang, Dezhen [School of Physics and Optoelectronic Technology, Dalian University of Technology, Dalian 116024 (China)

2013-06-15

Period-doubling and chaos phenomenon have been frequently observed in atmospheric-pressure dielectric-barrier discharges. However, how a normal single period discharge bifurcates into period-doubling state is still unclear. In this paper, by changing the driving frequency, we study numerically the transition mechanisms from a normal single period discharge to a period-doubling state using a one-dimensional self-consistent fluid model. The results show that before a discharge bifurcates into a period-doubling state, it first deviates from its normal operation and transforms into an asymmetric single period discharge mode. Then the weaker discharge in this asymmetric discharge will be enhanced gradually with increasing of the frequency until it makes the subsequent discharge weaken and results in the discharge entering a period-doubling state. In the whole transition process, the spatial distribution of the charged particle density and the electric field plays a definitive role. The conclusions are further confirmed by changing the gap width and the amplitude of the applied voltage.

Hysterectomy - vaginal - discharge

Science.gov (United States)

Vaginal hysterectomy - discharge; Laparoscopically assisted vaginal hysterectomy - discharge; LAVH - discharge ... you were in the hospital, you had a vaginal hysterectomy. Your surgeon made a cut in your ...

Radio frequency glow discharge source with integrated voltage and current probes used for evaluation of discharge parameters

International Nuclear Information System (INIS)

Wilken, L.; Hoffmann, V.; Wetzig, K.

2006-01-01

A radio frequency (rf) Grimm-type glow discharge source for the chemical analysis of solid samples, with integrated voltage and current probes, was developed. All elements of a plasma equivalent circuit are determined from the measured current-voltage characteristics. The procedure is based on the independent evaluation of the ion current and electron current region. The physical meaning of the parameters is investigated by comparisons with measurements from dc glow discharges. We found that the reduced rf current of the powered electrode is comparable to the reduced current in dc discharges. A formula is developed that corrects the reduced current due to gas heating. The sheath thickness at the powered rf electrode is evaluated and is between 75 and 1100 μm. The voltage of the bulk plasma is in the range 2-15 V, and the resistance is between 30 and 400 Ω. The bulk plasma consumes about 3% of the total power, and the reduced voltage is comparable to the reduced electrical field in the positive column of direct current discharges. The sheath voltage at the grounded electrode is in the range 25-100 V, the capacities are between 10 and 400 pF, and the resistances are in the range 100 Ω-5000 Ω. We also found invariants for the evaluated sheath parameters

Simulation of DIII-D Flat q Discharges

International Nuclear Information System (INIS)

Kessel, C.E.; Garofalo, A.; Terpstra, T.

2004-01-01

The Advanced Tokamak plasma configuration has significant potential for the economical production of fusion power. Research on various tokamak experiments are pursuing these plasmas to establish high β, high bootstrap current fraction, 100% noninductive current, and good energy confinement, in a quasi-stationary state. One candidate is the flat q discharge produced in DIII-D, where the safety factor varies from 2.0 on axis, to slightly below 2.0 at the minimum, and then rises to about 3.5 at the 95% surface. This plasma is prototypical of those studied for power plants in the ARIES tokamak studies. The plasma is produced by ramping up the plasma current and ramping down the toroidal field throughout the discharge. The plasma current reaches 1.65 MA, and the toroidal field goes from 2.25 to 1.6 T. The q min remains high and at large radius, ρ ∼ 0.6. The plasma establishes an internal transport barrier in the ion channel, and transitions to H-mode. The free-boundary Tokamak Simulation Code (TSC) is being used to model the discharge and project the impact of changes in the plasma current, toroidal field, and injected power programming

Photodebromination of Opaque Slurries Using Titania-Coated Mercury Electrodeless Discharge Lamps.

Czech Academy of Sciences Publication Activity Database

Kaštánek, František; Církva, Vladimír; Kmentová, Hana; Kaštánek, P.; Šolcová, Olga

2016-01-01

Roč. 3, č. 7 (2016), s. 5262-5267 ISSN 2458-9403 R&D Projects: GA TA ČR TA04020700 Institutional support: RVO:67985858 Keywords : photocatalysis * electrodeless discharge lamp * polybrominated diphenyl ethers Subject RIV: CI - Industrial Chemistry, Chemical Engineering

Numerical simulation studies of the groundwater discharge to streams from abandoned uranium mill tailings

International Nuclear Information System (INIS)

Abdul, A.S.; Gillham, R.W.

1984-06-01

This report presents an evaluation of the results of simulation studies of groundwater discharge to streams from abandoned uranium mill tailings and the effects of this discharge on the flux of contaminants to surface water systems. In particular, a discussion of the sensitivity of subsurface discharge to specific geometirc, climatic and hydrogeologic factors is presented. Simulations were carried out using a two-dimensional numerical finite-element unsaturated-saturated flow model. A total of twenty-six simulations were made. The first twenty-four of these considered a tailings medium with homogeneous and isotropic hydraulic properties and with textural properties similar to those of sandy geological materials. In addition, two simulations were carried out for tailings materials with hydraulic properties that are similar to those of silt-loam. The results indicated that the actual quantity of subsurface discharge depends on many factors including rainfall rate and duration, surface slope, and texture. However, for the medium-fine sand material, subsurface discharge was always a significant component of the total discharge. Within the context of uranium tailings management this implies that large quantities of contaminants from subsurface sources of medium-textured tailings can be expected to be discharged to streams during stormflow events. Therefore there is reason to suspect that untreated runoff from such tailings will contain significant concentrations of contaminants for long periods of time

Hip fracture - discharge

Science.gov (United States)

... neck fracture repair - discharge; Trochanteric fracture repair - discharge; Hip pinning surgery - discharge ... in the hospital for surgery to repair a hip fracture, a break in the upper part of ...

Flow discharge prediction in compound channels using linear genetic programming

Science.gov (United States)

Azamathulla, H. Md.; Zahiri, A.

2012-08-01

SummaryFlow discharge determination in rivers is one of the key elements in mathematical modelling in the design of river engineering projects. Because of the inundation of floodplains and sudden changes in river geometry, flow resistance equations are not applicable for compound channels. Therefore, many approaches have been developed for modification of flow discharge computations. Most of these methods have satisfactory results only in laboratory flumes. Due to the ability to model complex phenomena, the artificial intelligence methods have recently been employed for wide applications in various fields of water engineering. Linear genetic programming (LGP), a branch of artificial intelligence methods, is able to optimise the model structure and its components and to derive an explicit equation based on the variables of the phenomena. In this paper, a precise dimensionless equation has been derived for prediction of flood discharge using LGP. The proposed model was developed using published data compiled for stage-discharge data sets for 394 laboratories, and field of 30 compound channels. The results indicate that the LGP model has a better performance than the existing models.

Time-resolved investigation of an asymmetric bipolar pulsed magnetron deposition discharge: Influence of pressure

NARCIS (Netherlands)

Dunger, Th.; Welzel, Th.; Welzel, S.; Richter, F.

2005-01-01

A bipolar pulsed magnetron deposition discharge has been studied with pulse frequencies of 100 and 150 kHz, respectively. The discharge was operated in an argon/oxygen mixture at different total pressures with a circular magnesium target as cathode. Time-resolved Langmuir double probe measurements

Large-scale retrospective evaluation of regulated liquid chromatography-mass spectrometry bioanalysis projects using different total error approaches.

Science.gov (United States)

Tan, Aimin; Saffaj, Taoufiq; Musuku, Adrien; Awaiye, Kayode; Ihssane, Bouchaib; Jhilal, Fayçal; Sosse, Saad Alaoui; Trabelsi, Fethi

2015-03-01

The current approach in regulated LC-MS bioanalysis, which evaluates the precision and trueness of an assay separately, has long been criticized for inadequate balancing of lab-customer risks. Accordingly, different total error approaches have been proposed. The aims of this research were to evaluate the aforementioned risks in reality and the difference among four common total error approaches (β-expectation, β-content, uncertainty, and risk profile) through retrospective analysis of regulated LC-MS projects. Twenty-eight projects (14 validations and 14 productions) were randomly selected from two GLP bioanalytical laboratories, which represent a wide variety of assays. The results show that the risk of accepting unacceptable batches did exist with the current approach (9% and 4% of the evaluated QC levels failed for validation and production, respectively). The fact that the risk was not wide-spread was only because the precision and bias of modern LC-MS assays are usually much better than the minimum regulatory requirements. Despite minor differences in magnitude, very similar accuracy profiles and/or conclusions were obtained from the four different total error approaches. High correlation was even observed in the width of bias intervals. For example, the mean width of SFSTP's β-expectation is 1.10-fold (CV=7.6%) of that of Saffaj-Ihssane's uncertainty approach, while the latter is 1.13-fold (CV=6.0%) of that of Hoffman-Kringle's β-content approach. To conclude, the risk of accepting unacceptable batches was real with the current approach, suggesting that total error approaches should be used instead. Moreover, any of the four total error approaches may be used because of their overall similarity. Lastly, the difficulties/obstacles associated with the application of total error approaches in routine analysis and their desirable future improvements are discussed. Copyright © 2015 Elsevier B.V. All rights reserved.

The relationship between inpatient discharge timing and emergency department boarding.

Science.gov (United States)

Powell, Emilie S; Khare, Rahul K; Venkatesh, Arjun K; Van Roo, Ben D; Adams, James G; Reinhardt, Gilles

2012-02-01

Patient crowding and boarding in Emergency Departments (EDs) impair the quality of care as well as patient safety and satisfaction. Improved timing of inpatient discharges could positively affect ED boarding, and this hypothesis can be tested with computer modeling. Modeling enables analysis of the impact of inpatient discharge timing on ED boarding. Three policies were tested: a sensitivity analysis on shifting the timing of current discharge practices earlier; discharging 75% of inpatients by 12:00 noon; and discharging all inpatients between 8:00 a.m. and 4:00 p.m. A cross-sectional computer modeling analysis was conducted of inpatient admissions and discharges on weekdays in September 2007. A model of patient flow streams into and out of inpatient beds with an output of ED admitted patient boarding hours was created to analyze the three policies. A mean of 38.8 ED patients, 22.7 surgical patients, and 19.5 intensive care unit transfers were admitted to inpatient beds, and 81.1 inpatients were discharged daily on September 2007 weekdays: 70.5%, 85.6%, 82.8%, and 88.0%, respectively, occurred between noon and midnight. In the model base case, total daily admitted patient boarding hours were 77.0 per day; the sensitivity analysis showed that shifting the peak inpatient discharge time 4h earlier eliminated ED boarding, and discharging 75% of inpatients by noon and discharging all inpatients between 8:00 a.m. and 4:00 p.m. both decreased boarding hours to 3.0. Timing of inpatient discharges had an impact on the need to board admitted patients. This model demonstrates the potential to reduce or eliminate ED boarding by improving inpatient discharge timing in anticipation of the daily surge in ED demand for inpatient beds. Copyright © 2012 Elsevier Inc. All rights reserved.

Predictors of Discharge to Home after Thrombolytic Treatment in Right Hemisphere Infarct Patients

Directory of Open Access Journals (Sweden)

E-I. Ruuskanen

2010-01-01

Full Text Available Background The aim of the study was to assess the association between thrombolysis and length of hospital stay after right hemisphere (RH infarct, and to identify which cognitive functions were predictive of discharge. Methods The study group consisted of 75 acute RH patients. Thirty-three patients had thrombolysis. Neuropsychologicalexaminations were performed within 11 days of stroke onset. The cognitive predictors were visual neglect, visual memory, visual search and reasoning and visuoconstructive abilities. The outcome variable was time from stroke to discharge to home. Results Thrombolysis emerged as a statistically significant predictor of discharge time in patients with moderate/severe stroke (NIHSS ≥5. In the total series of patients and in patients with mild stroke (NIHSS <5, thrombolysiswas not significantly associated with discharge time. Milder visuoconstructive defects shortened the hospital stay of the whole patient group and of patients with moderate/severe stroke. In all patient groups, independence in activitiesof daily living (ADL was a significant single predictor of a shorter hospital stay. The best combination of predictors for discharge was independence in ADL in the total series of patients and in patients with mild stroke, and thrombolysis and independence in ADL in patients with moderate/severe stroke. Conclusions Thrombolytic treatment was a significant predictor of earlier discharge to home in patients with moderate/severe RH infarct, while cognitive functions had less predictive power.

Radioactive liquid wastes discharged to ground in the 200 areas during 1985

International Nuclear Information System (INIS)

Aldrich, R.C.

1986-03-01

This document summarizes radioactive liquids discharged to the ground in the 200 areas of the Hanford site and is provided pursuant to Department of Energy (DOE) Order 5484.1A, ''Environmental Protection, Safety, and Health Protection Information Reporting Requirements.'' There are twenty-eight liquid discharge streams in the 200 areas excluding sanitary sewers. Twenty-five streams were normally or potentially contaminated with radioactive material in 1985. Two streams had no potential for radioactive contamination but were included as adjustments in this report to maintain an accurate record of the total volume of the discharges to each disposal site. One stream, the 242-S Evaporator cooling water discharge, was not used during 1985

Travelling-wave-sustained discharges

International Nuclear Information System (INIS)

Schlueter, Hans; Shivarova, Antonia

2007-01-01

This review is on discharges maintained by travelling waves: new plasma sources, discovered in 1974 and considered as a prototype of the gas discharges according to their definition as nonlinear systems which unify in a self-consistent manner plasmas and fields. In the presentation here of the fluid-plasma models of the diffusion-controlled regime of the travelling-wave-sustained discharges (TWSDs), the basic features of the discharge maintenance-the discharge self-consistency and the electron heating in the high-frequency field-are stressed. Operation of stationary and pulsed discharges, discharge maintenance without and in external magnetic fields as well as discharge production in different gases (argon, helium, helium-argon gas mixtures and hydrogen) are covered. Modulation instability of diffusion-controlled discharges and discharge filamentation at higher gas pressures are also included in the review. Experimental findings which motivate aspects of the reported modelling are pointed out

Asthma - child - discharge

Science.gov (United States)

Pediatric asthma - discharge; Wheezing - discharge; Reactive airway disease - discharge ... Your child has asthma , which causes the airways of the lungs to swell and narrow. In the hospital, the doctors and nurses helped ...

Glow discharging device

International Nuclear Information System (INIS)

Maeno, Katsuki; Kawasaki, Kozo; Hiratsuka, Hajime; Kawashima, Shuichi.

1989-01-01

In a thermonuclear device, etc. impurities adsorbed to inner walls of a vacuum vessel by glow discharge are released to clean the vacuum vessel for preventing intrusion of the impurities into plasmas. The object of the present invention is to minimize the capacity of a power source equipment for the glow discharge device to the least extent. That is, a stabilization resistance is connected in series between each of a plurality of anodes which are inserted and arranged at the inside of a vacuum vessel as a cathode and a power source respectively. The resistance value R is selected so as to satisfy the relation: R < (Vi - Vm)/Ii, in which Vi: glow discharge starting voltage, Vm: glow discharge keeping voltage, Ii: glow discharge starting current. Accordingly, if a voltage is applied from a power source to a plurality of anodes, scattering of electric discharge between the anodes can be suppressed and the effect of voltage drop during discharge by the stabilization resistance can be eliminated. As a result, it is possible to provide an economically advantageous glow discharge device with the capacity for the power source facility being to the least extent. (K.M.)

Clinician Perceptions of the Importance of Hospital Discharge Components for Children.

Science.gov (United States)

Blaine, Kevin; Rogers, Jayne; OʼNeill, Margaret R; McBride, Sarah; Faerber, Jennifer; Feudtner, Chris; Berry, Jay G

Discharging hospitalized children involves several different components, but their relative value is unknown. We assessed which discharge components are perceived as most and least important by clinicians. March and June of 2014, we conducted an online discrete choice experiment (DCE) among national societies representing 704 nursing, physician, case management, and social work professionals from 46 states. The DCE consisted of 14 discharge care components randomly presented two at a time for a total of 28 choice tasks. Best-worst scaling of participants' choices generated mean relative importance (RI) scores for each component, which allowed for ranking from least to most important. Participants, regardless of field or practice setting, perceived "Discharge Education/Teach-Back" (RI 11.1 [95% confidence interval, CI: 11.0-11.3]) and "Involve the Child's Care Team" (RI 10.6 [95% CI: 10.4-10.8]) as the most important discharge components, and "Information Reconciliation" (RI 4.1 [95% CI: 3.9-4.4]) and "Assigning Roles/Responsibilities of Discharge Care" (RI 2.8 [95% CI: 2.6-3.0]) as least important. A diverse group of pediatric clinicians value certain components of the pediatric discharge care process much more than others. Efforts to optimize the quality of hospital discharge for children should consider these findings.

Attenuated total reflectance-FT-IR spectroscopy for gunshot residue analysis: potential for ammunition determination.

Science.gov (United States)

Bueno, Justin; Sikirzhytski, Vitali; Lednev, Igor K

2013-08-06

The ability to link a suspect to a particular shooting incident is a principal task for many forensic investigators. Here, we attempt to achieve this goal by analysis of gunshot residue (GSR) through the use of attenuated total reflectance (ATR) Fourier transform infrared spectroscopy (FT-IR) combined with statistical analysis. The firearm discharge process is analogous to a complex chemical process. Therefore, the products of this process (GSR) will vary based upon numerous factors, including the specific combination of the firearm and ammunition which was discharged. Differentiation of FT-IR data, collected from GSR particles originating from three different firearm-ammunition combinations (0.38 in., 0.40 in., and 9 mm calibers), was achieved using projection to latent structures discriminant analysis (PLS-DA). The technique was cross (leave-one-out), both internally and externally, validated. External validation was achieved via assignment (caliber identification) of unknown FT-IR spectra from unknown GSR particles. The results demonstrate great potential for ATR-FT-IR spectroscopic analysis of GSR for forensic purposes.

Nuclear and isotopic techniques for the characterization of submarine groundwater discharge in coastal zones. Results of a coordinated research project 2001-2006

International Nuclear Information System (INIS)

2007-07-01

Submarine groundwater discharge (SGD) is now recognized as an important pathway between land and sea. As such, this flow may contribute to the biogeochemical and other marine budgets of nearshore waters. These discharges typically display significant spatial and temporal variability, making direct assessments difficult. Groundwater seepage is patchy, diffuse, temporally variable, and may involve multiple aquifers. Thus, the measurement of its magnitude and associated chemical fluxes is a challenging enterprise. An initiative on SGD characterization was developed by the IAEA and UNESCO in 2000 as a 5-year plan to assess methodologies and importance of SGD for coastal zone management. The IAEA component included a Coordinated Research Project (CRP) on Nuclear and Isotopic Techniques for the Characterization of Submarine Groundwater Discharge (SGD) in Coastal Zones, carried out jointly by the IAEA's Isotope Hydrology Section in Vienna and the Marine Environment Laboratory in Monaco, together with 9 laboratories from 8 countries. In addition to the IAEA, the Intergovernmental Oceanographic Commission (IOC) and the International Hydrological Programme (IHP) have provided support. This overall effort originally grew from a project sponsored by the Scientific Committee on Ocean Research (SCOR) who established a Working Group (112) on SGD. The activities included joint meetings (Vienna 2000, 2002, and 2005; Syracuse, Italy, 2001; and Monaco 2004), sampling expeditions (Australia 2000; Sicily 2001 and 2002; New York 2002; Brazil 2003; and Mauritius 2005), joint analytical work, data evaluation, and preparation of joint publications. The objectives of the CRP included the improvement of capabilities for water resources and environmental management of coastal zones; application of recently developed nuclear and isotopic techniques suitable for quantitative estimation of various components of SGD; understanding of the influence of SGD on coastal processes and on groundwater

Characterization of stormwater discharges from Las Flores Industrial Park, Rio Grande, Puerto Rico, 1998-99

Science.gov (United States)

Rodriguez, Jose M.

2000-01-01

Stormwater discharges from Las Flores Industrial Park, Rio Grande, Puerto Rico, were characterized from June 1998 to July 1999 by measuring the flow rate at two outfalls, delineating the drainage areas for each outfall, and calculating the volume of the stormwater discharges. Stormwater-discharge samples were collected and analyzed to determine the quality of the discharges. Constituent loads and loads per area were estimated for each drainage area. The studied drainage subareas covered approximately 46 percent of the total area of the Las Flores Industrial Park. Industrial groups represented in the study areas include manufacturers of textile, electronics, paper, fabricated metal, plastic, and chemical products. The concentrations of oil and grease (1 to 6 milligrams per liter), biochemical oxygen demand (4.7 to 16 milligrams per liter), total organic carbon (5.8 to 36 milligrams per liter), total suspended solids (28 to 100 milligrams per liter), and total phosphorous (0.11 to 0.78 milligrams per liter) from all the samples collected were less than the U.S. Environmental Protection Agency stormwater benchmark concentrations. Concentrations of chemical oxygen demand (15.8 to 157 milligrams per liter) and nitrate and nitrite (0.06 to 1.75 milligrams per liter) exceeded benchmark concentrations at one of the studied drainage areas. Total Kjeldahl nitrogen concentrations (1.00 to 3.20 milligrams per liter) exceeded the benchmark concentrations at the two studied drainage areas. Maximum concentrations for oil and grease, biochemical oxygen demand, chemical oxygen demand, total organic carbon, total Kjeldahl nitrogen, nitrate plus nitrite, and total phosphorous were detected in an area where electronics, plastics, and chemical products are currently manufactured. The maximum concentration of total suspended solids was detected at an area where textile, paper, plastic, chemical, and fabricated metal products are manufactured.

Penetration of gas discharge through the gas–liquid interface into the bulk volume of conductive aqueous solution

Czech Academy of Sciences Publication Activity Database

Hoffer, Petr; Koláček, Karel; Stelmashuk, Vitaliy; Lukeš, Petr

2015-01-01

Roč. 43, č. 11 (2015), s. 3868-3875 ISSN 0093-3813 R&D Projects: GA ČR(CZ) GA15-12987S Institutional support: RVO:61389021 Keywords : atmospheric - pressure plasmas * electric discharges * liquids * water Subject RIV: BL - Plasma and Gas Discharge Physics Impact factor: 0.958, year: 2015

Incidence, risk factors and the healthcare cost of falls postdischarge after elective total hip and total knee replacement surgery: protocol for a prospective observational cohort study

Science.gov (United States)

Hill, Anne-Marie; Ross-Adjie, Gail; McPhail, Steven M; Monterosso, Leanne; Bulsara, Max; Etherton-Beer, Christopher; Powell, Sarah-Jayne; Hardisty, Gerard

2016-01-01

Introduction The number of major joint replacement procedures continues to increase in Australia. The primary aim of this study is to determine the incidence of falls in the first 12 months after discharge from hospital in a cohort of older patients who undergo elective total hip or total knee replacement. Methods and analyses A prospective longitudinal observational cohort study starting in July 2015, enrolling patients aged ≥60 years who are admitted for elective major joint replacement (n=267 total hip replacement, n=267 total knee replacement) and are to be discharged to the community. Participants are followed up for 12 months after hospital discharge. The primary outcome measure is the rate of falls per thousand patient-days. Falls data will be collected by 2 methods: issuing a falls diary to each participant and telephoning participants monthly after discharge. Secondary outcomes include the rate of injurious falls and health-related quality of life. Patient-rated outcomes will be measured using the Oxford Hip or Oxford Knee score. Generalised linear mixed modelling will be used to examine the falls outcomes in the 12 months after discharge and to examine patient and clinical characteristics predictive of falls. An economic evaluation will be conducted to describe the nature of healthcare costs in the first 12 months after elective joint replacement and estimate costs directly attributable to fall events. Ethics and dissemination The results will be disseminated through local site networks and will inform future services to support older people undergoing hip or knee joint replacement and also through peer-reviewed publications and medical conferences. This study has been approved by The University of Notre Dame Australia and local hospital human research ethics committees. Trial registration number ACTRN12615000653561; Pre-results. PMID:27412102

Prevalence of Total Hip and Knee Replacement in the United States.

Science.gov (United States)

Maradit Kremers, Hilal; Larson, Dirk R; Crowson, Cynthia S; Kremers, Walter K; Washington, Raynard E; Steiner, Claudia A; Jiranek, William A; Berry, Daniel J

2015-09-02

Descriptive epidemiology of total joint replacement procedures is limited to annual procedure volumes (incidence). The prevalence of the growing number of individuals living with a total hip or total knee replacement is currently unknown. Our objective was to estimate the prevalence of total hip and total knee replacement in the United States. Prevalence was estimated using the counting method by combining historical incidence data from the National Hospital Discharge Survey and the Healthcare Cost and Utilization Project (HCUP) State Inpatient Databases from 1969 to 2010 with general population census and mortality counts. We accounted for relative differences in mortality rates between those who have had total hip or knee replacement and the general population. The 2010 prevalence of total hip and total knee replacement in the total U.S. population was 0.83% and 1.52%, respectively. Prevalence was higher among women than among men and increased with age, reaching 5.26% for total hip replacement and 10.38% for total knee replacement at eighty years. These estimates corresponded to 2.5 million individuals (1.4 million women and 1.1 million men) with total hip replacement and 4.7 million individuals (3.0 million women and 1.7 million men) with total knee replacement in 2010. Secular trends indicated a substantial rise in prevalence over time and a shift to younger ages. Around 7 million Americans are living with a hip or knee replacement, and consequently, in most cases, are mobile, despite advanced arthritis. These numbers underscore the substantial public health impact of total hip and knee arthroplasties. Copyright © 2015 by The Journal of Bone and Joint Surgery, Incorporated.

33 CFR 336.1 - Discharges of dredged or fill material into waters of the U.S.

Science.gov (United States)

2010-07-01

... 33 Navigation and Navigable Waters 3 2010-07-01 2010-07-01 false Discharges of dredged or fill material into waters of the U.S. 336.1 Section 336.1 Navigation and Navigable Waters CORPS OF ENGINEERS... ENGINEERS DREDGING PROJECTS INVOLVING THE DISCHARGE OF DREDGED MATERIAL INTO WATERS OF THE U.S. AND OCEAN...

Discharge and infection in retinoblastoma post-enucleation sockets.

Science.gov (United States)

Mourits, Daphne L; Hartong, Dyonne T; Budding, Andries E; Bosscha, Machteld I; Tan, H Stevie; Moll, Annette C

2017-01-01

To investigate the causes and treatment options for socket discharge and infection in patients enucleated for retinoblastoma (Rb). A questionnaire was filled out by (parents of) ocular prosthesis-wearing patients with a history of enucleation as treatment for Rb. We collected data on patients' characteristics, cleaning habits of the prosthesis, frequency of socket irritation, discharge, and infection, and use of antibiotics. With ordinal logistic regression analysis, factors related to the outcome parameters (frequency of irritation, mucoid and purulent discharge) were identified. In a subset of young asymptomatic and symptomatic patients, a swab culture of the socket was performed to determine the presence of microorganisms. A total of 186 patients or their parents (mean age of the patients: 17.3 years, ranging from 0.8 to 88.3 years) filled out the questionnaire. Irritation, mucoid discharge, and purulent discharge were frequently (once a month or more often) experienced in 75 (39.5%), 127 (66.8%), and 15 (13.2%) sockets, respectively. Younger age was associated with a higher frequency of mucoid and purulent discharge. Radiation therapy, chemotherapy, gender, age at surgery, cleaning frequency, and nocturnal wear were not associated with the outcome parameters. In a subgroup of 26 patients, the sockets were swabbed and cultured. All symptomatic patients had a positive bacterial culture versus 15% (2/13) of the asymptomatic patients ( P socket infection. These complaints were found to decrease with increasing age, but did not seem to be influenced by cleaning or wearing habits. Symptomatic sockets, with and without discharge, were correlated with the presence of pathogenic bacteria for which local antibiotic treatment seemed effective in most cases.

Quantifying uncertainty in the impacts of climate change on river discharge in sub-catchments of the Yangtze and Yellow River Basins, China

Directory of Open Access Journals (Sweden)

H. Xu

2011-01-01

Full Text Available Quantitative evaluations of the impacts of climate change on water resources are primarily constrained by uncertainty in climate projections from GCMs. In this study we assess uncertainty in the impacts of climate change on river discharge in two catchments of the Yangtze and Yellow River Basins that feature contrasting climate regimes (humid and semi-arid. Specifically we quantify uncertainty associated with GCM structure from a subset of CMIP3 AR4 GCMs (HadCM3, HadGEM1, CCSM3.0, IPSL, ECHAM5, CSIRO, CGCM3.1, SRES emissions scenarios (A1B, A2, B1, B2 and prescribed increases in global mean air temperature (1 °C to 6 °C. Climate projections, applied to semi-distributed hydrological models (SWAT 2005 in both catchments, indicate trends toward warmer and wetter conditions. For prescribed warming scenarios of 1 °C to 6 °C, linear increases in mean annual river discharge, relative to baseline (1961–1990, for the River Xiangxi and River Huangfuchuan are +9% and 11% per +1 °C respectively. Intra-annual changes include increases in flood (Q05 discharges for both rivers as well as a shift in the timing of flood discharges from summer to autumn and a rise (24 to 93% in dry season (Q95 discharge for the River Xiangxi. Differences in projections of mean annual river discharge between SRES emission scenarios using HadCM3 are comparatively minor for the River Xiangxi (13 to 17% rise from baseline but substantial (73 to 121% for the River Huangfuchuan. With one minor exception of a slight (−2% decrease in river discharge projected using HadGEM1 for the River Xiangxi, mean annual river discharge is projected to increase in both catchments under both the SRES A1B emission scenario and 2° rise in global mean air temperature using all AR4 GCMs on the CMIP3 subset. For the River Xiangxi, there is substantial uncertainty associated with GCM structure in the magnitude of the rise in flood (Q05 discharges (−1 to 41% under SRES A1B and −3 to 41% under 2�

An ultra miniature pinch-focus discharge

International Nuclear Information System (INIS)

Soto, L.; Pavez, C.; Moreno, J.; Pavez, C.; Barbaglia, M.; Clausse, A.

2004-01-01

As a way to investigate the minimum energy to produce a pinch plasma focus discharge, an ultra miniature device has been designed and constructed (nano focus NF: 5 nF, 5-10 kV, 5-10 kA, 60-250 mJ, 16 ns time to peak current). Sub-millimetric anode radius covered by a coaxial insulator were used for experiments in hydrogen. Evidence of pinch was observed in electrical signals in discharges operating at 60 mJ. A single-frame image converter camera (4 ns exposure) was used to obtain plasma images in the visible range. The dynamics observed from the photographs is consistent with: a) formation of a plasma sheath close to the insulator surface, b) fast axial motion of the plasma sheath, c) radial compression over the anode, and d) finally the plasma is detached from the anode in the axial direction. The total time since stage a) to d) was observed to be about 30 ns. X ray and neutron emission is being studied. Neutron yield of the order of 10 3 neutrons per shot is expected for discharges operating in deuterium at 10 kA. (authors)

Numerical simulations of river discharges, nutrient flux and nutrient dispersal in Jakarta Bay, Indonesia.

Science.gov (United States)

van der Wulp, Simon A; Damar, Ario; Ladwig, Norbert; Hesse, Karl-J

2016-09-30

The present application of numerical modelling techniques provides an overview of river discharges, nutrient flux and nutrient dispersal in Jakarta Bay. A hydrological model simulated river discharges with a total of 90 to 377m(3)s(-1) entering Jakarta Bay. Daily total nitrogen and total phosphorus loads ranged from 40 to 174tons and 14 to 60tons, respectively. Flow model results indicate that nutrient gradients are subject to turbulent mixing by tides and advective transport through circulation driven by wind, barotropic and baroclinic pressure gradients. The bulk of nutrient loads originate from the Citarum and Cisadane rivers flowing through predominantly rural areas. Despite lower nutrient loads, river discharges from the urban area of Jakarta exhibit the highest impact of nutrient concentrations in the near shore area of Jakarta Bay and show that nutrient concentrations were not only regulated by nutrient loads but were strongly regulated by initial river concentrations and local flow characteristics. Copyright © 2016 Elsevier Ltd. All rights reserved.

Angioplasty and stent - heart - discharge

Science.gov (United States)

Drug-eluting stents - discharge; PCI - discharge; Percutaneous coronary intervention - discharge; Balloon angioplasty - discharge; Coronary angioplasty - discharge; Coronary artery angioplasty - discharge; Cardiac ...

Increasing Mississippi river discharge throughout the twenty-first century influenced by changes in climate, land use and atmospheric CO2

Science.gov (United States)

Tao, B.; Tian, H.; Ren, W.; Yang, J.; Yang, Q.; He, R.; Cai, W. J.; Lohrenz, S. E.

2014-12-01

Previous studies have demonstrated that changes in temperature and precipitation (hereafter climate change) would influence river discharge, but the relative importance of climate change, land use, and elevated atmospheric CO2 have not yet been fully investigated. Here we examined how river discharge in the Mississippi River basin in the 21st century might be influenced by these factors using the Dynamic Land Ecosystem Model driven by atmospheric CO2, downscaled GCMs climate and land use scenarios. Our results suggest that river discharge would be substantially enhanced (10.7-59.8%) by the 2090s compared to the recent decade (2000s), though large discrepancies exist among different climate, atmospheric CO2, and land use change scenarios. Our factorial analyses further indicate that the combined effects of land use change and human-induced atmospheric CO2 elevation on river discharge would outweigh climate change effect under the high emission scenario (A2) of Intergovernmental Panel for Climate Change. Our study offers the first attempt to project potential changes in river discharge in response to multiple future environmental changes. It demonstrates the importance of land use change and atmospheric CO2 concentrations in projecting future changes in hydrologic processes. The projected increase river discharge implies that riverine fluxes of carbon, nutrients and pesticide from the MRB to the coastal regions would increase in the future, and thus may influence the states of ocean acidification and hypoxia and deteriorate ocean water quality. Further efforts will also be needed to account for additional environmental factors (such as nitrogen deposition, tropospheric ozone pollution, dam construction, etc.) in projecting changes in the hydrological cycle.

Nurse-led telephone follow-up after total knee arthroplasty

DEFF Research Database (Denmark)

Szöts, Kirsten; Konradsen, Hanne; Solgaard, Søren

2015-01-01

AIM AND OBJECTIVES: To generate information on how telephone follow-up consultations, structured by nursing status according to the VIPS-model, functioned after total knee arthroplasty. The objectives were to unfold the content of the telephone follow-ups according to the structure for nursing...... status and to explore the patients' views of the telephone follow-ups. BACKGROUND: The length of stay in hospital following total knee arthroplasty has fallen markedly, and patients now have to be responsible for their recovery from a very early stage. After discharge, patients may experience a variety...... Telephone follow-up was valued by total knee arthroplasties patients as representing a holistic approach and providing adequate information, counselling and support after discharge to home. Three categories were identified with regard to the patients' views: 'A means for reflection and provision of adequate...

Pediatric heart surgery - discharge

Science.gov (United States)

... discharge; Heart valve surgery - children - discharge; Heart surgery - pediatric - discharge; Heart transplant - pediatric - discharge ... Geme JW, Schor NF, eds. Nelson Textbook of Pediatrics . 20th ed. Philadelphia, PA: Elsevier; 2016:chap 434. ...

Riskgov European Project. Comparative analysis of risk governance for radiological and chemical discharges of industrial installations. Final report

International Nuclear Information System (INIS)

Schneider, T.; Schieber, C.; Vaillant, L.; Heriard Dubreuil, G.; Gadbois, S.; Oudiz, A.; Bourgoignon, F.; Milochevitch, A.; PATERSON, J.; Brownless, G.; Bandle, T.; Hansson, S.O.; Hayenhjelm, M.

2004-11-01

The objective of the RISKGOV Project is to analyse and identify quality criteria for the governance of industrial activities giving rise to risks to people and the environment from radioactive and chemical discharges during normal operations. For this purpose, RISKGOV aims at: 1) analysing and comparing the elements contributing to the quality of governance systems associated with environmental discharges from nuclear and chemical installations; 2) providing a series of criteria to assess the quality of the governance of risk activities. In total, 8 case studies were conducted, covering radioactive and chemical releases related to local and international contexts and referring to innovative risk governance processes in France, Sweden and the United Kingdom: - The role of local liaison committees with regard to the management of discharges of installations: - France: Local liaison committee of the Gravelines Nuclear Power Plant, - Sweden: Local liaison committees of the Barsebaeck Nuclear Power Plant and the Rohm and Hass Chemical installation, - The dialogue process during the preparation of re-authorisation of radioactive discharges: - France: COGEMA-La Hague facility, - United-Kingdom: Devonport Royal Dockyard, - The dialogue process in a regional context: - France: Management of air quality around the industrial site of Etang de Berre, - The dialogue process in an international context: - Implementation of the OSPAR Convention for chemical and radioactive releases, - The abandonment of the Brent Spar offshore platform. The analysis was performed by a multidisciplinary research team and based notably on interviews with key stakeholders directly involved in these innovative risk governance processes. The following dimensions were addressed: a) The guiding principles of the decision-making process; b) The role of expertise; c) The stakeholders involvement process; d) The factors integrated into the decision-framing and decision-taking processes; e) The

Cognition, continence and transfer status at the time of discharge from an acute hospital setting and their associations with an unfavourable discharge outcome after stroke.

Science.gov (United States)

Myint, Phyo K; Vowler, Sarah L; Redmayne, Oliver; Fulcher, Robert A

2008-01-01

Current demographic trends pose a major societal challenge due to the rising number of older people with chronic conditions such as stroke. The relative impact of various disabilities at the time of discharge from an acute unit on discharge outcome is poorly understood. To examine the association between cognition, continence and transfer status at the time of discharge from the acute stroke unit and discharge destination. A retrospective stroke register database study was conducted in an acute stroke unit in a UK hospital with a catchment population of 568,000. Consecutive acute stroke admissions between 1997 and 2003 who were discharged alive were identified and the likelihood of adverse discharge outcomes defined as institutionalization or a requirement for longer-term rehabilitation was estimated. A total of 2,521 discharges were analyzed (median length of hospital stay 8 days). The presence of confusion, urinary incontinence or the need for help with transfers at the time of discharge predicted a higher likelihood of an adverse outcome even after controlling for age, stroke subtype, premorbid Rankin score and length of hospital stay. The need for help with transfers appeared to be the most consistent and significant factor associated with an adverse outcome regardless of age, sex or stroke subtype across the sample distribution. The ability to transfer has a pivotal role in the clinical decision making of discharge destination after stroke. Understanding of the factors which may increase the potential for improving this ability after acute stroke could have an impact on clinical outcome. Copyright 2008 S. Karger AG, Basel.

Behavior of spring discharge dynamic at forest and Grassland mountain catchments

Czech Academy of Sciences Publication Activity Database

Pavelka, Marian; Acosta, Manuel; Janouš, Dalibor; Czerný, Radek; Tomášková, Ivana

2007-01-01

Roč. 20, č. 1 (2007), s. 55-60 ISSN 1803-2451 R&D Projects: GA MŠk 1P05OC027 Institutional research plan: CEZ:AV0Z60870520 Keywords : precipitation * spring discharge * evapotranspiration * Norway spruce * grassland * roots Subject RIV: GK - Forestry

Total Variation and Tomographic Imaging from Projections

DEFF Research Database (Denmark)

Hansen, Per Christian; Jørgensen, Jakob Heide

2011-01-01

or 3D reconstruction from noisy projections. We demonstrate that for a small signal-to-noise ratio, this new approach allows us to compute better (i.e., more reliable) reconstructions than those obtained by classical methods. This is possible due to the use of the TV reconstruction model, which...

Level of consciousness at discharge and associations with outcome after ischemic stroke.

Science.gov (United States)

Reznik, Michael E; Yaghi, Shadi; Jayaraman, Mahesh V; McTaggart, Ryan A; Hemendinger, Morgan; Mac Grory, Brian C; Burton, Tina M; Cutting, Shawna M; Thompson, Bradford B; Wendell, Linda C; Mahta, Ali; Potter, N Stevenson; Daiello, Lori A; Kosar, Cyrus M; Jones, Richard N; Furie, Karen L

2018-07-15

Many factors may potentially complicate the stroke recovery process, including persistently impaired level of consciousness (LOC)-whether from residual stroke effects or from superimposed delirium. We aimed to determine the degree to which impaired LOC at hospital discharge is associated with outcomes after ischemic stroke. We conducted a single-center retrospective cohort study using prospectively-collected data from 2015 to 2017, collecting total NIHSS-LOC score at discharge as well as subscores for responsiveness (LOC-R), orientation questions (LOC-Q), and command-following (LOC-C). We determined associations between LOC scores and 3-month outcome using logistic regression, with discharge location (skilled nursing facility [SNF] vs. inpatient rehabilitation) representing a pre-specified secondary outcome. We identified 1003 consecutive patients with ischemic stroke who survived to discharge, of whom 32% had any LOC score > 0. Total LOC score at discharge was associated with unfavorable 3-month outcome (OR 4.9 [95% CI 2.4-9.8] for LOC = 1; OR 8.0 [2.7-23.9] for LOC = 2-3; OR 6.3 [2.1-18.5] for LOC = 4-5; all patients with LOC = 6-7 had poor outcomes), as were subscores for LOC-R (OR 5.3 [1.3-21.2] for LOC-R = 1; all patients with LOC-R = 2-3 had poor outcomes) and LOC-Q (OR 4.1 [2.1-8.3] for LOC-Q = 1; OR 4.9 [1.8-13.5] for LOC-Q = 2). Total LOC score (OR 2.6 [1.3-5.3] for LOC = 1; OR 3.1 [1.2-8.2] for LOC = 2-3) and LOC-Q (OR 3.3 [1.6-6.6] for LOC-Q = 1; OR 3.4 [1.3-9.0] for LOC-Q = 2) were also associated with discharge to SNF rather than to inpatient rehabilitation. The presence of impaired consciousness or disorientation at discharge is associated with markedly worse outcomes after ischemic stroke. Further studies are necessary to determine the separate effects of residual stroke-related LOC changes and those caused by superimposed delirium. Copyright © 2018 Elsevier B.V. All rights reserved.

Projection potentials and angular momentum convergence of total energies in the full-potential Korringa–Kohn–Rostoker method

International Nuclear Information System (INIS)

Zeller, Rudolf

2013-01-01

Although the full-potential Korringa–Kohn–Rostoker Green function method yields accurate results for many physical properties, the convergence of calculated total energies with respect to the angular momentum cutoff is usually considered to be less satisfactory. This is surprising because accurate single-particle energies are expected if they are calculated by Lloyd’s formula and because accurate densities and hence accurate double-counting energies should result from the total energy variational principle. It is shown how the concept of projection potentials can be used as a tool to analyse the convergence behaviour. The key factor blocking fast convergence is identified and it is illustrated how total energies can be improved with only a modest increase of computing time. (paper)

Symptoms after hospital discharge following hematopoietic stem cell transplantation

Directory of Open Access Journals (Sweden)

Gamze Oguz

2014-01-01

Full Text Available Aims: The purposes of this study were to assess the symptoms of hematopoietic stem cell transplant patients after hospital discharge, and to determine the needs of transplant patients for symptom management. Materials and Methods: The study adopted a descriptive design. The study sample comprised of 66 hematopoietic stem cell transplant patients. The study was conducted in Istanbul. Data were collected using Patient Information Form and Memorial Symptom Assessment Scale (MSAS. Results: The frequency of psychological symptoms in hematopoietic stem cell transplant patients after discharge period (PSYCH subscale score 2.11 (standard deviation (SD = 0.69, range: 0.93-3.80 was higher in hematopoietic stem cell transplant patients than frequency of physical symptoms (PHYS subscale score: 1.59 (SD = 0.49, range: 1.00-3.38. Symptom distress caused by psychological and physical symptoms were at moderate level (Mean = 1.91, SD = 0.60, range: 0.95-3.63 and most distressing symptoms were problems with sexual interest or activity, difficulty sleeping, and diarrhea. Patients who did not have an additional chronic disease obtained higher MSAS scores. University graduates obtained higher Global Distress Index (GDI subscale and total MSAS scores with comparison to primary school graduates. Total MSAS, MSAS-PHYS subscale, and MSAS-PSYCH subscale scores were higher in patients with low level of income (P < 0.05. The patients (98.5% reported to receive education about symptom management after hospital discharge. Conclusions: Hematopoietic stem cell transplant patients continue to experience many distressing physical or psychological symptoms after discharge and need to be supported and educated for the symptom management.

Discharge current characteristics as an 'electrical method' for glow discharge plasma diagnosis

International Nuclear Information System (INIS)

Toma, M.; Paraschivescu, Alina; Morminches, Anisoara

2001-01-01

In its simplest form, the glow discharge can be established by passing an electric current through gas between two electrodes. The gas and the electrodes are contained in an insulating envelope. In many technological applications, and not only, the plasma devices are often treated like a black box. There is a series of external parameters or control variables which can be adjusted to obtain a desired effect, namely, the operating voltage, gas pressure, gas nature, gas flow rate, magnetic field strength and magnetic field configuration, electric field geometry, interelectrode distance, and cathode characteristics. The discharge current can be controlled by each of the above control variables. The core idea of this work is the following: a lot of information about the phenomena from the discharge volume, at electrodes or at the discharge bounding wall surface, can be obtained knowing how the change of one of the control parameters influences the discharge current. The following regimes were analyzed: dark discharges (background ionization, saturation regime, Townsend regime, corona regime), glow discharge (the normal and abnormal discharge) and arc discharge (glow to arc transition, non-thermal arcs, thermal arcs). It was concluded that the nonlinearity in the shape of the discharge current characteristics as a function of an external control parameter, can be correlated with the elementary processes and the dynamics of different space charge structures generated in plasma devices. (authors)

Numerical simulations of river discharges, nutrient flux and nutrient dispersal in Jakarta Bay, Indonesia

International Nuclear Information System (INIS)

Wulp, Simon A. van der; Damar, Ario; Ladwig, Norbert; Hesse, Karl-J.

2016-01-01

The present application of numerical modelling techniques provides an overview of river discharges, nutrient flux and nutrient dispersal in Jakarta Bay. A hydrological model simulated river discharges with a total of 90 to 377 m 3 s −1 entering Jakarta Bay. Daily total nitrogen and total phosphorus loads ranged from 40 to 174 tons and 14 to 60 tons, respectively. Flow model results indicate that nutrient gradients are subject to turbulent mixing by tides and advective transport through circulation driven by wind, barotropic and baroclinic pressure gradients. The bulk of nutrient loads originate from the Citarum and Cisadane rivers flowing through predominantly rural areas. Despite lower nutrient loads, river discharges from the urban area of Jakarta exhibit the highest impact of nutrient concentrations in the near shore area of Jakarta Bay and show that nutrient concentrations were not only regulated by nutrient loads but were strongly regulated by initial river concentrations and local flow characteristics. - Highlights: • Full overview of river discharges, nutrient flux and nutrient levels in Jakarta Bay • Important overview of nutrient flux from individual rivers • Simulations identify the principal drivers of water circulation and nutrient gradient. • Nutrient dispersion model includes the local effects of the Java Sea current system.

Heart attack - discharge

Science.gov (United States)

... and lifestyle Cholesterol - drug treatment Controlling your high blood pressure Deep vein thrombosis - discharge Dietary fats explained Fast food tips Heart attack - discharge Heart attack - what to ask your doctor Heart bypass ... pacemaker - discharge High blood pressure - what to ask your doctor How to read ...

Utilizing a Post-discharge Telephone Call in Outpatient Parenteral Antimicrobial Therapy (OPAT): Findings from a Quality Improvement Project

Science.gov (United States)

Felder, Kimberly; Vaz, Louise; Barnes, Penelope; Varley, Cara

2017-01-01

Abstract Background Transitions of care from hospitals to outpatient settings, especially for patients requiring outpatient parenteral antimicrobial therapy (OPAT) are complex. OPAT complications, such as adverse antimicrobial reactions, vascular access problems, and hospital readmissions are common. Data from transitions of care literature suggest that post-discharge telephone calls (TCs) may significantly decrease re-hospitalization but no studies have assessed the utility of post-discharge TCs as an OPAT program quality improvement process. Methods Adult OPAT patients discharged from our hospital between April 1, 2015 and May 31, 2016 were queried for post-discharge concerns. TCs to patients or their caregivers were administered by trained medical assistants within the Department of Infectious Diseases using a standardized script and documented in the electronic medical record (EMR). Feasibility was assessed using call completion rate. The type and frequency of reported issues were analyzed by retrospective chart review. Results 636 of 689 eligible adult OPAT patients or their caregivers received a TC with responses to scripted questions documented in the EMR (92% completion rate). 302 patients (47%) reported 319 issues, including 293 (92%) relevant to OPAT. Antimicrobial issues included diarrhea/stool changes (58; 9%); nausea/vomiting (27; 4%); and missed antimicrobial doses (22; 3%). Vascular access issues included line patency concerns (21; 3%); vascular access dressing problems (17; 2.6%) and arm pain/swelling (6; 1%). OPAT vendor issues included delays in lab or line care services (23; 4%) and OPAT orders reported as lost/not received (21; 3%). Other ID-related issues included fevers/chills/sweats (27; 4%), wound concerns (16; 2.5%), and pain (15; 2.5%). Conclusion Adding a post-discharge TC to an OPAT program was feasible and resulted in frequent and early identification of significant OPAT patient and caregiver concerns. Findings suggest potential high

'Being a conduit' between hospital and home: stakeholders' views and perceptions of a nurse-led Palliative Care Discharge Facilitator Service in an acute hospital setting.

Science.gov (United States)

Venkatasalu, Munikumar Ramasamy; Clarke, Amanda; Atkinson, Joanne

2015-06-01

To explore and critically examine stakeholders' views and perceptions concerning the nurse-led Palliative Care Discharge Service in an acute hospital setting and to inform sustainability, service development and future service configuration. The drive in policy and practice is to enable individuals to achieve their preferred place of care during their last days of life. However, most people in UK die in acute hospital settings against their wishes. To facilitate individuals' preferred place of care, a large acute hospital in northeast England implemented a pilot project to establish a nurse-led Macmillan Palliative Care Discharge Facilitator Service. A pluralistic evaluation design using qualitative methods was used to seek stakeholders' views and perceptions of this service. In total, 12 participants (five bereaved carers and seven health professionals) participated in the evaluation. Semi-structured interviews were conducted with bereaved carers who used this service for their relatives. A focus group and an individual interview were undertaken with health professionals who had used the service since its inception. Individual interviews were also conducted with the Discharge Facilitator and service manager. Analysis of all data was guided by Framework Analysis. Four key themes emerged relating to the role of the Discharge Facilitator Service: achieving preferred place of care; the Discharge Facilitator as the 'conduit' between hospital and community settings; delays in hospital discharge and stakeholders' perceptions of the way forward for the service. The Discharge Facilitator Service acted as a reliable resource and support for facilitating the fast-tracking of end-of-life patients to their preferred place of care. Future planning for hospital-based palliative care discharge facilitating services need to consider incorporating strategies that include: increased profile of the service, expansion of service provision and the Discharge Facilitator's earlier

Does adding a dietician to the liaison team after discharge of geriatric patients improve nutritional outcome

DEFF Research Database (Denmark)

Beck, Anne Marie; Tolstrup Andersen, Ulla; Leedo, Eva

2015-01-01

(70 + years and at nutritional risk) at discharge. INTERVENTIONS: Participants were randomly allocated to receive discharge Liaison-Team vs. discharge Liaison-Team in cooperation with a dietician. The dietician performed a total of three home visits with the aim of developing and implementing......OBJECTIVES: The objective was to test whether adding a dietician to a discharge Liaison-Team after discharge of geriatric patients improves nutritional status, muscle strength and patient relevant outcomes. DESIGN: Twelve-week randomized controlled trial. SETTING AND SUBJECTS: Geriatric patients...... an individual nutritional care plan. The first visit took place at the day of discharge together with the discharge Liaison-Team while the remaining visits took place approximately three and eight weeks after discharge and were performed by a dietician alone. MAIN MEASURES: Nutritional status (weight...

Luminous phase of nanosecond discharge in deionized water: morphology, propagation velocity and optical emission.

Czech Academy of Sciences Publication Activity Database

Šimek, Milan; Pongrác, Branislav; Babický, Václav; Člupek, Martin; Lukeš, Petr

2017-01-01

Roč. 26, č. 7 (2017), č. článku 07LT01. ISSN 0963-0252 R&D Projects: GA ČR(CZ) GA15-12987S Institutional support: RVO:61389021 Keywords : water * nanosecond discharge * emission spectra * breakdown Subject RIV: BL - Plasma and Gas Discharge Physics OBOR OECD: Fluids and plasma physics (including surface physics) Impact factor: 3.302, year: 2016 http://iopscience.iop.org/article/10.1088/1361-6595/aa758d

Effect of liquid waste discharges from steam generating facilities

Energy Technology Data Exchange (ETDEWEB)

McGuire, H.E. Jr.

1977-09-01

This report contains a summary of the effects of liquid waste discharges from steam electric generating facilities on the environment. Also included is a simplified model for use in approximately determining the effects of these discharges. Four basic fuels are used in steam electric power plants: three fossil fuels--coal, natural gas, and oil; and uranium--presently the basic fuel of nuclear power. Coal and uranium are expected to be the major fuels in future years. The following power plant effluents are considered: heat, chlorine, copper, total dissolved solids, suspended solids, pH, oil and grease, iron, zinc, chrome, phosphorus, and trace radionuclides.

Effect of liquid waste discharges from steam generating facilities

International Nuclear Information System (INIS)

McGuire, H.E. Jr.

1977-09-01

This report contains a summary of the effects of liquid waste discharges from steam electric generating facilities on the environment. Also included is a simplified model for use in approximately determining the effects of these discharges. Four basic fuels are used in steam electric power plants: three fossil fuels--coal, natural gas, and oil; and uranium--presently the basic fuel of nuclear power. Coal and uranium are expected to be the major fuels in future years. The following power plant effluents are considered: heat, chlorine, copper, total dissolved solids, suspended solids, pH, oil and grease, iron, zinc, chrome, phosphorus, and trace radionuclides

Behavior of spring discharge dynamic at forest and grassland mountain catchments

Czech Academy of Sciences Publication Activity Database

Pavelka, Marian; Acosta, Manuel; Janouš, Dalibor; Czerný, Radek; Tomášková, Ivana

2007-01-01

Roč. 1, č. 20 (2007), s. 55-60. ISBN 978-80-7375-069-5 R&D Projects: GA MŠk 1P05OC027 Institutional research plan: CEZ:AV0Z60870520 Keywords : precipitation * spring discharge * evapotranspiration * Norway spruce * grassland * roots Subject RIV: GK - Forestry

Breakdown of methylene blue and methyl orange by pulsed corona discharge

Science.gov (United States)

Grabowski, L. R.; van Veldhuizen, E. M.; Pemen, A. J. M.; Rutgers, W. R.

2007-05-01

The recently developed corona above water technique is applied to water containing 10 mg l-1 methylene blue (MB) or methyl orange (MO). The corona discharge pulses are created with a spark gap switched capacitor followed by a transmission line transformer. The pulse amplitude is 40 kV; its duration is 50 ns. At a pulse repetition rate of 10 Hz this leads to an average power of 0.6 W into the discharge. MB and MO are completely decolourized in ~20 min. This corresponds to a yield of ~4.5 gr kW-1h-1, which is much higher than obtained with other discharge techniques or sonoluminescence. The high yield is reflected in the observed temperature increase of only ~1 K. Tests with additional chemicals show that the initial speed of the conversion can be influenced but the total time required for total decolourization is constant. Further, it follows that the main oxidation path of the dyes is by direct ozone attack and the conversion products are strong acids.

Breakdown of methylene blue and methyl orange by pulsed corona discharge

Energy Technology Data Exchange (ETDEWEB)

Grabowski, L R [Department of Applied Physics, Technische Universiteit Eindhoven (Netherlands); Veldhuizen, E M van [Department of Applied Physics, Technische Universiteit Eindhoven (Netherlands); Pemen, A J M [Department of Electrical Engineering, Technische Universiteit Eindhoven (Netherlands); Rutgers, W R [Department of Applied Physics, Technische Universiteit Eindhoven (Netherlands)

2007-05-15

The recently developed corona above water technique is applied to water containing 10 mg l{sup -1} methylene blue (MB) or methyl orange (MO). The corona discharge pulses are created with a spark gap switched capacitor followed by a transmission line transformer. The pulse amplitude is 40 kV; its duration is 50 ns. At a pulse repetition rate of 10 Hz this leads to an average power of 0.6 W into the discharge. MB and MO are completely decolourized in {approx}20 min. This corresponds to a yield of {approx}4.5 gr kW{sup -1}h{sup -1}, which is much higher than obtained with other discharge techniques or sonoluminescence. The high yield is reflected in the observed temperature increase of only {approx}1 K. Tests with additional chemicals show that the initial speed of the conversion can be influenced but the total time required for total decolourization is constant. Further, it follows that the main oxidation path of the dyes is by direct ozone attack and the conversion products are strong acids.

Breakdown of methylene blue and methyl orange by pulsed corona discharge

International Nuclear Information System (INIS)

Grabowski, L R; Veldhuizen, E M van; Pemen, A J M; Rutgers, W R

2007-01-01

The recently developed corona above water technique is applied to water containing 10 mg l -1 methylene blue (MB) or methyl orange (MO). The corona discharge pulses are created with a spark gap switched capacitor followed by a transmission line transformer. The pulse amplitude is 40 kV; its duration is 50 ns. At a pulse repetition rate of 10 Hz this leads to an average power of 0.6 W into the discharge. MB and MO are completely decolourized in ∼20 min. This corresponds to a yield of ∼4.5 gr kW -1 h -1 , which is much higher than obtained with other discharge techniques or sonoluminescence. The high yield is reflected in the observed temperature increase of only ∼1 K. Tests with additional chemicals show that the initial speed of the conversion can be influenced but the total time required for total decolourization is constant. Further, it follows that the main oxidation path of the dyes is by direct ozone attack and the conversion products are strong acids

Specific Localization of High-Voltage Discharge in Vicinity of Two Gases

Science.gov (United States)

Leonov, Sergey; Shurupov, Michail; Shneider, Michail; Napartovich, Anatoly; Kochetov, Igor

2011-10-01

A subject of paper is the appearance and dynamics of sub-microsecond long filamentary high-voltage discharge generated in atmosphere, and in non-homogeneous gaseous media. Typical discharge parameters are: maximal current 1-3kA, breakdown voltage >100 kV, duration 30-100 ns, gap distance 50-100mm. The effect of discharge specific localization within mixing layer of two gases is particularly discussed. The second discussed idea is the filamentary discharge movement within a region with concentration gradient of different components. For the short-pulse discharge the physical mechanism appears as the following. The first stage of the spark breakdown is the multiple streamers propagation from the high-voltage electrode toward the grounded one. In case of high-power electrical source those streamers occupy a huge volume of the gas, covering all possible paths for the further development. The next phase consists of the real selection of the discharge path among the multiple channels with non-zero conductivity. Experiments and calculations are presented for Air-CO2 and Air-C2H4 pairs. The effects found are supposed to be applied for lightning prediction/protection, and for high-speed mixing acceleration. The work was funded through EOARD-ISTC project #3793p. Some part of this work was supported by RFBR grant #10-08-00952.

Technical and economic aspects of purification strategies to minimise discharge water from companies with closed soilless cultivation systems

NARCIS (Netherlands)

Os, E.A. van; Bruins, M.; Beerling, E.; Jurgens, R.; Appelman, W.; Enthoven, N.

2014-01-01

The aim of the research project was to achieve closure by two complementary means: 1) maximising reuse of the nutrient solution by solving problems in recirculation that leads to discharge, and 2) purification of the left over discharged water. In this paper the technical and economic aspects of

Technical and economic aspects of purification strategies to minimise discharge water from companies with closed soilless cultivation systems

NARCIS (Netherlands)

Os, van E.A.; Bruins, M.A.; Beerling, E.A.M.; Jurgens, R.; Appelman, W.; Enthoven, N.

2014-01-01

The aim of the research project was to achieve closure by two complementary means: 1) maximising reuse of the nutrient solution by solving problems in recircula-tion that leads to discharge, and 2) purification of the left over discharged water. In this paper the technical and economic aspects of

Investigation on discharge characteristics of a coaxial dielectric barrier discharge reactor driven by AC and ns power sources

Science.gov (United States)

Qian, WANG; Feng, LIU; Chuanrun, MIAO; Bing, YAN; Zhi, FANG

2018-03-01

A coaxial dielectric barrier discharge (DBD) reactor with double layer dielectric barriers has been developed for exhaust gas treatment and excited either by AC power or nanosecond (ns) pulse to generate atmospheric pressure plasma. The comparative study on the discharge characteristics of the discharge uniformity, power deposition, energy efficiency, and operation temperature between AC and ns pulsed coaxial DBD is carried out in terms of optical and electrical characteristics and operation temperature for optimizing the coaxial DBD reactor performance. The voltages across the air gap and dielectric layer and the conduction and displacement currents are extracted from the applied voltages and measured currents of AC and ns pulsed coaxial DBDs for the calculation of the power depositions and energy efficiencies through an equivalent electrical model. The discharge uniformity and operating temperature of the coaxial DBD reactor are monitored and analyzed by optical images and infrared camera. A heat conduction model is used to calculate the temperature of the internal quartz tube. It is found that the ns pulsed coaxial DBD has a much higher instantaneous power deposition in plasma, a lower total power consumption, and a higher energy efficiency compared with that excited by AC power and is more homogeneous and stable. The temperature of the outside wall of the AC and ns pulse excited coaxial DBD reaches 158 °C and 64.3 °C after 900 s operation, respectively. The experimental results on the comparison of the discharge characteristics of coaxial DBDs excited by different powers are significant for understanding of the mechanism of DBDs, reducing energy loss, and optimizing the performance of coaxial DBD in industrial applications.

Analysis of Fluvial Sediment Discharges into Kubanni Reservoir ...

African Journals Online (AJOL)

The sediment discharges into the Kubanni Reservoir (KR) has been measured and analysed in this study. The predominant sandy-clay sediment in the reservoir has an estimated total sediment load of 20,387,000 kg/year. The depth and area coverage of the reservoir was surveyed using a defined distributed grid line ...

Auxiliary glow discharge in the trigger unit of a hollow-cathode thyratron

Energy Technology Data Exchange (ETDEWEB)

Korolev, Yu. D.; Landl, N. V., E-mail: landl@lnp.hcei.tsc.ru; Geyman, V. G.; Frants, O. B.; Shemyakin, I. A.; Nekhoroshev, V. O. [Russian Academy of Sciences, Institute of High-Current Electronics, Siberian Branch (Russian Federation)

2016-08-15

Results from studies of a low-current glow discharge with a hollow cathode are presented. A specific feature of the discharge conditions was that a highly emissive tablet containing cesium carbonate was placed in the cathode cavity. In the absence of a tablet, the discharge ignition voltage was typically ≥3.5 kV, while the burning voltage was in the range of 500–600 V. The use of the tablet made it possible to decrease the ignition voltage to 280 V and maintain the discharge burning voltage at a level of about 130 V. A model of the current sustainment in a hollow-cathode discharge is proposed. Instead of the conventional secondary emission yield, the model uses a generalized emission yield that takes into account not only ion bombardment of the cathode, but also the emission current from an external source. The model is used to interpret the observed current−voltage characteristics. The results of calculations agree well with the experimental data. It is shown that, in some discharge modes, the external emission current from the cathode can reach 25% of the total discharge current.

Low levels of serum total antioxidant capacity and presence at admission and absence at discharge of a day/night change as a marker of acute paranoid schizophrenia relapse.

Science.gov (United States)

Morera-Fumero, Armando L; Díaz-Mesa, Estefanía; Abreu-Gonzalez, Pedro; Fernandez-Lopez, Lourdes; Cejas-Mendez, Maria Del Rosario

2017-03-01

An oxidant-antioxidant system dysregulation has been described as a schizophrenia pathophysiological base. The total antioxidant capacity (TAC) is one measure of the antioxidant capacity of a system. Day/night concentration changes is a biological characteristic of hormones such as melatonin or cortisol. There is no information about TAC day/night changes in schizophrenia. Studying the existence of a day/night TAC change in schizophrenia. Forty-three DSM-IV paranoid schizophrenia inpatients participated in the study. Thirty healthy subjects matched by age and gender acted as control group. Blood was sampled at 12:00 and 00:00h the day after admission and the day before discharge. Serum TAC was measured by the ABTS radical cation technique and expressed in Trolox mmol/L. Patients had significantly lower TAC levels at admission and discharge (12:00 and 00:00) than controls. At admission patients had a TAC day/night change, with higher day-time than night-time levels (0.66±0.14 vs 0.60±0.15) as well as healthy subjects (0.83±0.07 vs 0.77±0.11). At discharge patients had a similar TAC level at 12:00 and 00:00 (0.64±0.15 vs 0.63±0.14). Schizophrenic patients present a deficit of the antioxidant system. The initial presence and the later absence of a day/night change deserves future studies. Copyright © 2017 Elsevier Ireland Ltd. All rights reserved.

Mass spectrometry investigation of magnetron sputtering discharges

Czech Academy of Sciences Publication Activity Database

Pokorný, Petr; Musil, Jindřich; Lančok, Ján; Fitl, Přemysl; Novotný, Michal; Bulíř, Jiří; Vlček, Jan

2017-01-01

Roč. 143, č. 6 (2017), s. 438-443 ISSN 0042-207X R&D Projects: GA MŠk LO1409; GA MŠk LM2015088; GA TA ČR(CZ) TA03010490; GA ČR GA17-13427S Institutional support: RVO:68378271 Keywords : mass spectrometry * atoms * radicals and ions * RF discharge * contamination * metallic films Subject RIV: BM - Solid Matter Physics ; Magnetism OBOR OECD: Condensed matter physics (including formerly solid state physics, supercond.) Impact factor: 1.530, year: 2016

Total Suspended Load and Sediment Yield of Kayan River, Bulungan District, East Kalimantan

Directory of Open Access Journals (Sweden)

Suprapto Dibyosaputro

2016-12-01

Full Text Available This research was carried out the the drainage system of Kayan river, Bulungan District, East Kalimantan. The purpose of the research were to study the physical conditions of the Kayan catchment area, calculate the suspended sediment load, and to define the total sediment yield of Kayan River. Observation method were used in this research both of direct field observation as well as laboratory observation. Data acquired in this study were include of climatic data, geology, geomorphology, soil and land cover data. Besides also rain-fall data, temperature, river discharge and suspended sediment load. The total sediment yield were calculated by mean of mathematical and statistical analysis especially of linier regression analysis. The result of the research show that total the sediment yield of Kayan River with drainage area of 6,329.452 km² is about 236,921.25 m³/km²/year. The interesting result of the statistical analysis was that the existing negative correlation between river discharge and suspended sediment load. It is the effect of the location of discharge and suspended measurement. This condition caused by sea tide effect on river discharge at the apex delta. During high tide water river trend rising up on discharge but not on suspended sediment load. Instead, also existing setting down processes takes places of the suspended sediment load into the river bottom upper stream and the apex.

Risk assessment of radionuclide discharges to sanitary sewers

International Nuclear Information System (INIS)

Galpin, F.L.; Merrell, G.; Rogers, V.C.

1996-01-01

This presentation describes the basic approach and conduct of a study of the possible risks and consequences of radionuclide discharges into a sewage treatment system. The study's objective was to determine if there were any possible significant exposures to either WSSC workers or the public form the discharge of radioactive material into the sewer system. The conduct of this study included a review of applicable regulations, and a case study of some past contamination events. The evaluation of potential occupational exposures involved measurements in the collection system were selected based on their location relative to potential dischargers. Measurement points at the treatment works were selected at points where biosolids might accumulate. Both passive, (TLD) and active, (scintillation detector) measurements were made. A limited number of samples were taken and analyzed. Potential doses to the public were estimated based on the possible pathways to man. Due both to limited resources and other project constraints several assumptions and bounding calculations were necessary to meet the objective. Although the study concluded that there were no present significant health concerns, followup evaluations were recommended. 7 refs., 1 fig., 1 tab

Controlled structures in laterally patterned barrier discharges by illumination of the semiconductor electrode

International Nuclear Information System (INIS)

Wild, R; Schumann, T; Stollenwerk, L

2014-01-01

In this contribution, we present a possibility to actively control emerging patterns in laterally extended barrier discharges. One of the barriers is a high-ohmic semiconductive GaAs electrode. As the electrode is illuminated from its plasma-far side, the voltage inside the plasma gap is increased. If the gap voltage becomes higher than the ignition voltage of the gas, a discharge is started. A corresponding electrical model is given. The lateral resolution of control for a laterally homogeneous discharge is investigated. It is found that the luminescence of the discharge is controlled by both a variation of illumination power density and a variation of the applied voltage. However, during an increase in the applied voltage, the discharge may become larger than the area of illumination. Further, an investigation of the patterned discharge control shows that the number of current spots depends on the illumination power density and the area of illumination. The behaviour of current spot appearance suggests an inhibitory influence, preventing a discharge in its immediate surrounding and limiting the total number of current spots. (paper)

Effects of River Discharge and Land Use and Land Cover (LULC) on Water Quality Dynamics in Migina Catchment, Rwanda

Science.gov (United States)

Uwimana, Abias; van Dam, Anne; Gettel, Gretchen; Bigirimana, Bonfils; Irvine, Kenneth

2017-09-01

Agricultural intensification may accelerate the loss of wetlands, increasing the concentrations of nutrients and sediments in downstream water bodies. The objective of this study was to assess the effects of land use and land cover and river discharge on water quality in the Migina catchment, southern Rwanda. Rainfall, discharge and water quality (total nitrogen, total phosphorus, total suspended solids, dissolved oxygen, conductivity, pH, and temperature) were measured in different periods from May 2009 to June 2013. In 2011, measurements were done at the outlets of 3 sub-catchments (Munyazi, Mukura and Akagera). Between May 2012 and May 2013 the measurements were done in 16 reaches of Munyazi dominated by rice, vegetables, grass/forest or ponds/reservoirs. Water quality was also measured during two rainfall events. Results showed seasonal trends in water quality associated with high water flows and farming activities. Across all sites, the total suspended solids related positively to discharge, increasing 2-8 times during high flow periods. Conductivity, temperature, dissolved oxygen, and pH decreased with increasing discharge, while total nitrogen and total phosphorus did not show a clear pattern. The total suspended solids concentrations were consistently higher downstream of reaches dominated by rice and vegetable farming. For total nitrogen and total phosphorus results were mixed, but suggesting higher concentration of total nitrogen and total phosphorus during the dry and early rainy (and farming) season, and then wash out during the rainy season, with subsequent dilution at the end of the rains. Rice and vegetable farming generate the transport of sediment as opposed to ponds/reservoir and grass/forest.

CO-AXIAL DISCHARGES

Science.gov (United States)

Luce, J.S.; Smith, L.P.

1960-11-22

A method and apparatus are given for producing coaxial arc discharges in an evacuated enclosure and within a strong, confining magnetic field. The arcs are maintained at a high potential difference. Electrons will diffuse to the more positive arc from the negative arc, and positive ions will diffuse from the more positive arc to the negative arc. Coaxial arc discharges have the advantage that ions which return to strike the positive arc discharge will lose no energy since they do not strike a solid wall or electrode. Those discharges are useful in confining an ionized plasma between the discharges, and have the advantage of preventing impurities from the walls of the enclosure from entering ihe plasma area because of the arc barrier set up bv the cylindrical outer arc.

[Serum total cholesterol levels and eligibility for long-term care insurance: a prospective cohort study of the Tsurugaya project].

Science.gov (United States)

Hoshi, Rena; Tomata, Yasutake; Kakizaki, Masako; Tsuboya, Toru; Nagai, Masato; Watanabe, Ikue; Hozawa, Atsushi; Tsuji, Ichiro

2013-08-01

The purpose of this study was to examine the relationship between serum total cholesterol levels and certification eligibility for long-term care insurance in elderly Japanese individuals. The Tsurugaya Project was a comprehensive geriatric assessment conducted for community-dwelling elderly individuals aged ≥70 years in the Tsurugaya area, Sendai, Japan. Of the 2,925 inhabitants, 958 subjects participated in the Tsurugaya Project. For this analysis, we used 827 subjects who gave informed consent and were not qualified for long-term care insurance at the time of the baseline survey. Subjects were followed up for 6 years. We classified the subjects into 4 quintiles and used the fourth quintile (212-230 mg/dL) as a reference for statistical analysis. We used Cox proportional hazards model to estimate the hazard ratios (HRs) and 95% confidence intervals (CIs) of certification eligibility for long-term care insurance according to total cholesterol levels in serum. During 6 years of follow-up, a total of 214 subjects were qualified for long-term care insurance certification. The lowest serum total cholesterol level (care insurance certification. Compared with the fourth quintile, multivariate HRs (95%CIs) of long-term care insurance certification were 1.91 (1.23-2.98), 1.36 (0.85-2.18), 0.99 (0.62-1.56), 1.38 (0.88-2.17), for total cholesterol levels were significantly associated with increased eligibility for long-term care insurance certification even after adjusting for a variety of confounding factors.

A national discharge load of perfluoroalkyl acids derived from industrial wastewater treatment plants in Korea

Energy Technology Data Exchange (ETDEWEB)

Kim, Hee-Young; Seok, Hyun-Woo [Department of Civil and Environmental Engineering, Pusan National University, Busan 46241 (Korea, Republic of); Kwon, Hye-Ok; Choi, Sung-Deuk [School of Urban and Environmental Engineering, Ulsan National Institute of Science and Technology, Ulsan 44919 (Korea, Republic of); Seok, Kwang-Seol [Chemical Research Division, National Institute of Environmental Research, Incheon 22689 (Korea, Republic of); Oh, Jeong Eun [Department of Civil and Environmental Engineering, Pusan National University, Busan 46241 (Korea, Republic of)

2016-09-01

Levels of 11 perfluoroalkyl acids (PFAAs), including perfluorooctanoic acid (PFOA) and perfluorooctane sulfonic acid (PFOS), were measured in wastewater (influent and effluent) and sludge samples collected from 25 industrial wastewater treatment plants (I-WWTPs) in five industrial sectors (chemicals, electronics, metals, paper, and textiles) in South Korea. The highest ∑{sub 11}PFAAs concentrations were detected in the influent and effluent from the paper (median: 411 ng/L) and textile (median: 106 ng/L) industries, and PFOA and PFOS were the predominant PFAAs (49–66%) in wastewater. Exceptionally high levels of PFAAs were detected in the sludge associated with the electronics (median: 91.0 ng/g) and chemical (median: 81.5 ng/g) industries with PFOS being the predominant PFAA. The discharge loads of 11 PFAAs from I-WWTP were calculated that total discharge loads for the five industries were 0.146 ton/yr. The textile industry had the highest discharge load with 0.055 ton/yr (PFOA: 0.039 ton/yr, PFOS: 0.010 ton/yr). Municipal wastewater contributed more to the overall discharge of PFAAs (0.489 ton/yr) due to the very small industrial wastewater discharge compared to municipal wastewater discharge, but the contribution of PFAAs from I-WWTPs cannot be ignored. - Highlights: • 11 PFAAs in wastewater and sludge from 5 industrial sectors were investigated. • PFOA and PFOS were the dominant in wastewater while PFOS was predominant in sludge. • The total discharge loads from 5 industrial sectors 0.146 ton/yr. • The textile industry showed the highest discharge load with 0.055 ton/yr.

SWEIS Yearbook-2012 Comparison of 2012 Data to Projections of the 2008 Site-Wide Environmental Impact Statement for Continued Operation of Los Alamos National Laboratory

Energy Technology Data Exchange (ETDEWEB)

Mahowald, Hallie B. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Wright, Marjorie Alys [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)

2014-01-16

Los Alamos National Laboratory (LANL or the Laboratory) operations data for Calendar Year (CY) 2012 mostly fell within the 2008 Site-Wide Environmental Impact Statement (SWEIS) projections. Operation levels for one LANL facility exceeded the 2008 SWEIS capability projections—Radiochemistry Facility; however, none of the capability increases caused exceedances in radioactive air emissions, waste generation, or National Pollutant Discharge Elimination System (NPDES) discharge. Several facilities exceeded the2008 SWEIS levels for waste generation quantities; however, all were one-time, non-routine events that do not reflect the day-to-day operations of the Laboratory. In addition, total site-wide waste generation quantities were below SWEIS projections for all waste types, reflecting the overall levels of operations at both the Key and Non-Key Facilities. Although gas and electricity consumption have remained within the 2008 SWEIS limits for utilities, water consumption exceeded the 2008 SWEIS projections by 27 million gallons in CY 2012.

Minding the gap: Interprofessional communication during inpatient and post discharge chasm care.

Science.gov (United States)

Scotten, Mitzi; Manos, Eva LaVerne; Malicoat, Allison; Paolo, Anthony M

2015-07-01

Poor communication is cited as a main cause of poor patient outcomes and errors in healthcare, and clear communication can be especially critical during transitions such as discharge. In this project, communication was standardized for clarity, and techniques were implemented to continue care from inpatient, to discharge, across the post-discharge chasm, to hand-off with the primary care provider (PCP). The interprofessional (IP) quality improvement initiative included: (1) evidence-based teamwork system; (2) in situ simulation; (3) creation of an IP model of care; and (4) innovations in use of telehealth technology to continue care post-discharge. Measures inpatient/parent satisfaction and the attitudes of the care team have improved. Traditional methods of communication and transition do not meet patient or healthcare provider needs. Communication must be standardized to be understandable and be used by the IP team. Care must continue post-discharge by utilizing technology to increase quality and continuity of care. Improving and practicing communication skills may lead to reductions in healthcare errors and readmissions, and may decrease the length of stay and improve satisfaction of care teams. Published by Elsevier Ireland Ltd.

Hysteretic behavior of stage-discharge relationships in urban streams

Science.gov (United States)

Miller, A. J.; Lindner, G. A.

2009-12-01

Reliable stage-discharge relationships or rating curves are of critical importance for accurate calculation of streamflow and maintenance of long-term flow records. Urban streams offer particular challenges for the maintenance of accurate rating curves. It is often difficult or impossible to collect direct discharge measurements at high flows, many of which are generated by short-duration high-intensity summer thunderstorms, both because of dangerous conditions in the channel and also because the stream rises and falls so rapidly that field crews cannot reach sites in time and sometimes cannot make measurements rapidly enough to keep pace with changing water levels even when they are on site during a storm. Work in urban streams in the Baltimore metropolitan area has shown that projection of rating curves beyond the range of measured flows can lead to overestimation of flood peaks by as much as 100%, and these can only be corrected when adequate field data are available to support modeling efforts. Even moderate flows that are above safe wading depth and velocity may best be estimated using hydraulic models. Current research for NSF CNH project 0709659 includes the application of 2-d depth-averaged hydraulic models to match existing rating curves over a range of low to moderate flows and to extend rating curves for higher flows, based on field collection of high-water marks. Although it is generally assumed that stage-discharge relationships are single-valued, we find that modeling results in small urban streams often generate hysteretic relationships, with higher discharges on the rising limb of the hydrograph than on the falling limb. The difference between discharges for the same stage on the rising and falling limb can be on the order of 20-30% even for in-channel flows that are less than 1 m deep. As safety considerations dictate that it is preferable to make direct discharge measurements on the falling limb of the hydrograph, the higher direct measurements

Cathode voltage and discharge current oscillations in HiPIMS

Czech Academy of Sciences Publication Activity Database

Klein, P.; Hnilica, J.; Hubička, Zdeněk; Čada, Martin; Šlapanská, M.; Zemánek, M.; Vašina, P.

2017-01-01

Roč. 26, č. 5 (2017), s. 1-12, č. článku 055015. ISSN 0963-0252 R&D Projects: GA ČR(CZ) GA15-00863S Institutional support: RVO:68378271 Keywords : HiPIMS * voltage and current oscillations * spokes Subject RIV: BL - Plasma and Gas Discharge Physics OBOR OECD: Fluids and plasma physics (including surface physics) Impact factor: 3.302, year: 2016

Planar UV excilamp excited by a surface barrier discharge

Energy Technology Data Exchange (ETDEWEB)

Guivan, N N [Department of Quantum Electronics, Uzhgorod National University, Pidgirna 46, Uzhgorod 88000 (Ukraine); Janca, J [Department of Physical Electronics, Masaryk University, Kotlarska 2, Brno 61137 (Czech Republic); Brablec, A [Department of Physical Electronics, Masaryk University, Kotlarska 2, Brno 61137 (Czech Republic); Stahel, P [Department of Physical Electronics, Masaryk University, Kotlarska 2, Brno 61137 (Czech Republic); SlavIcek, P [Department of Physical Electronics, Masaryk University, Kotlarska 2, Brno 61137 (Czech Republic); Shimon, L L [Department of Quantum Electronics, Uzhgorod National University, Pidgirna 46, Uzhgorod 88000 (Ukraine)

2005-09-07

In this paper, the typical characteristics of a planar excilamp based on KrCl* and XeCl* exciplex molecules are presented. The excitation of the working mixture Kr/Xe/Cl{sub 2} is realized by means of the surface barrier discharge at pressures of 0.1-1 bar. The following properties are measured and discussed: spectra emitted by the plasma in the UV/VIS/NIR spectral range, intensity of emitted light versus total pressure in the discharge, the composition of the working mixture and the power of emitted light. The radiation power versus input electric power, and space distribution of the emitted light including basic electrical parameters of the discharge were also measured. It was shown that the characteristic power of UV radiation emitted in the spectral range 200-400 nm is about 6 mW cm{sup -2} while the efficiency could be about 8%.

[Effectiveness of an early discharge program after normal childbirth].

Science.gov (United States)

Teulón González, M; Martínez Pillado, M; Cuadrado Martín, M M; Rivero Martín, M J; Cerezuela Requena, J F

To implement a program of early hospital discharge after an uncomplicated birth, in order to improve the effectiveness, as well as ensuring clinical safety and patient acceptability. Descriptive study of the effectiveness of an early discharge program after uncomplicated delivery between February 2012 and September 2013. The populations are post-partum women and newborns admitted to the University Hospital of Fuenlabrada, with a duration of less than 24h after uncomplicated delivery that met the defined inclusion criteria. Satisfaction was assessed using a Likert scale. The effectiveness of the program was monitored by safety indicators, productivity, adaptation, and continuity of care. A total of 20% of cases capable of early discharge from Fuenlabrada University Hospital completed the program. Almost all (94%) were normal deliveries. The 188 cases included were from 911 patients with uncomplicated childbirth, accounting for 6.5% of the 2,857 total births. The mean stay of patients included showed a decrease of 50% (2.4 to 1.2 days). All patients received continuity of care after hospital discharge. The review consultation was reprogrammed for 4.8% of cases, with 2% of patients re-admitted within 96h. with no serious problems. Four newborns (2%) required attention in the emergency department (mother or newborn) before 96h. The assessment of patient satisfaction achieved a score of 4.5 out of 5. The program achieved a decrease in the average stay by 50%, favouring the autonomy of midwives. This acceptance level is in line with similar interventions. The deployment of the program may be useful for other changes in care processes. Copyright © 2016 SECA. Publicado por Elsevier España, S.L.U. All rights reserved.

Discharge Coefficient of Rectangular Short-Crested Weir with Varying Slope Coefficients

Directory of Open Access Journals (Sweden)

Yuejun Chen

2018-02-01

Full Text Available Rectangular short-crested weirs are widely used for simple structure and high discharge capacity. As one of the most important and influential factors of discharge capacity, side slope can improve the hydraulic characteristics of weirs at special conditions. In order to systemically study the effects of upstream and downstream slope coefficients S1 and S2 on overflow discharge coefficient in a rectangular short-crested weir the Volume of Fluid (VOF method and the Renormalization Group (RNG κ-ε turbulence model are used. In this study, the slope coefficient ranges from V to 3H:1V and each model corresponds to five total energy heads of H0 ranging from 8.0 to 24.0 cm. Comparisons of discharge coefficients and free surface profiles between simulated and laboratory results display a good agreement. The simulated results show that the difference of discharge coefficients will decrease with upstream slopes and increase with downstream slopes as H0 increases. For a given H0, the discharge coefficient has a convex parabolic relation with S1 and a piecewise linearity relation with S2. The maximum discharge coefficient is always obtained at S2 = 0.8. There exists a difference between upstream and downstream slope coefficients in the influence range of free surface curvatures. Furthermore, a proposed discharge coefficient equation by nonlinear regression is a function of upstream and downstream slope coefficients.

No-moving-part electro/fluidic transducer based on plasma discharge effect

Czech Academy of Sciences Publication Activity Database

Tesař, Václav; Šonský, Jiří

2015-01-01

Roč. 232, August (2015), s. 20-29 ISSN 0924-4247 R&D Projects: GA ČR GA13-23046S Institutional support: RVO:61388998 Keywords : transducer * fluidic * plasma discharge Subject RIV: BK - Fluid Dynamics Impact factor: 2.201, year: 2015 http://www.sciencedirect.com/science/article/pii/S092442471500206X

A descriptive study of urethral discharge among men in Fiji.

Science.gov (United States)

Gaunavinaka, Lavenia; Balak, Dashika; Varman, Sumanthla; Ram, Sharan; Graham, Stephen M

2014-10-17

Urethral discharge is a common presentation of sexually transmitted infection (STI) in men and known pathogens include Neisseria gonorrhoeae and Chlamydia trachomatis. There are no published data of the burden of urethral discharge among men in Fiji. To evaluate urethral discharge among men to determine the incidence, the frequency of recurrence and reported at-risk behaviour. We conducted a retrospective, descriptive study of clinical records of all men presenting with urethral discharge to two major reproductive health clinics. Data collected included self-reported at-risk behaviours, results of abnormal syphilis serology and antibiotics prescribed. The frequency of recurrence in the following 1-2 years of initial presentation was determined along with microbiological findings from urethral swab in this group. A total of 748 males presented with urethral discharge to the clinic in one year. This represents an incidence rate of at least 295 per 100,000 adult males per year in the study population. Within the next 1-2 years of the initial presentation, 102 (14%) of these re-presented out of which 42 had urethral swab taken for etiological diagnosis. The commonest isolate was Neisseria gonorrhoeae. Results of syphilis tests were available for 560 (75%) of patients and 29 (5%) were positive. Recurrence was not associated with self-reported at-risk behaviours. The incidence of urethral discharge among males in Fiji is very high and prevention strategies are urgently needed.

Spectroscopic characteristics of H-alpha/O-I atomic lines generated by nanosecond pulsed corona-like discharge in deionized water

Czech Academy of Sciences Publication Activity Database

Pongrác, Branislav; Šimek, Milan; Člupek, Martin; Babický, Václav; Lukeš, Petr

2018-01-01

Roč. 51, č. 12 (2018), č. článku 124001. ISSN 0022-3727 R&D Projects: GA ČR(CZ) GA15-12987S Institutional support: RVO:61389021 Keywords : underwater discharge * nanosecond pulsed discharge * time-resolved emission spectroscopy Subject RIV: BL - Plasma and Gas Discharge Physics OBOR OECD: Fluids and plasma physics (including surface physics) Impact factor: 2.588, year: 2016 http://iopscience.iop.org/article/10.1088/1361-6463/aaabb1/meta

Solid discharge and landslide activity at basin scale

Science.gov (United States)

Ardizzone, F.; Guzzetti, F.; Iadanza, C.; Rossi, M.; Spizzichino, D.; Trigila, A.

2012-04-01

This work presents a preliminary analysis aimed at understanding the relationship between landslide sediment supply and sediment yield at basin scale in central and southern Italy. A database of solid discharge measurements regarding 116 gauging stations, located along the Apennines chain in Italy, has been compiled by investigating the catalogues, named Annali Idrologici, published by Servizio Idrografico e Mareografico Italiano in the period from 1917 to 1997. The database records several information about the 116 gauging stations, and especially reports the sediment yield monthly measurements (103 ton) and the catchments area (km2). These data have been used to calculate the average solid yield and the normalized solid yield for each station in the observation period. The Italian Landslide Inventory (Progetto IFFI) has been used to obtained the size of the landslides, in order to estimate the landslide mobilization rates. The IFFI Project funded by the Italian Government is realized by ISPRA (Italian National Institute for Environmental Protection and Research - Geological Survey of Italy) in partnership with the 21 Regions and Self Governing Provinces. 21 of the 116 gauging stations and the related catchments have been selected on the basis of the length of the solid discharge observation period and excluding the catchments with dams located upstream the stations. The landslides inside the selected catchments have been extracted from the IFFI inventory, calculating the planimetric area of each landslide. Considering both the shallow and deep landslides, the landslide volume has been estimated using an empirical power law relation (landslide area vs. volume). The total landslide volume in the study areas and the average sediment yield measured at the gauging stations have been compared, analysing the behaviour of the basins which drainage towards the Tyrrhenian sea and the basins which drainage towards the Adriatic sea.

Nitrates in Groundwater Discharges from the Azores Archipelago: Occurrence and Fluxes to Coastal Waters

Directory of Open Access Journals (Sweden)

J. Virgílio Cruz

2017-02-01

Full Text Available Groundwater discharge is an important vector of chemical fluxes to the ocean environment, and as the concentration of nutrients is often higher in discharging groundwater, the deterioration of water quality in the receiving environment can be the result. The main objective of the present paper is to estimate the total NO3 flux to coastal water bodies due to groundwater discharge in the volcanic Azores archipelago (Portugal. Therefore, 78 springs discharging from perched-water bodies have been monitored since 2003, corresponding to cold (mean = 14.9 °C and low mineralized (47.2–583 µS/cm groundwater from the sodium-bicarbonate to sodium-chloride water types. A set of 36 wells was also monitored, presenting groundwater with a higher mineralization. The nitrate content in springs range between 0.02 and 37.4 mg/L, and the most enriched samples are associated to the impact of agricultural activities. The total groundwater NO3 flux to the ocean is estimated in the range of 5.23 × 103 to 190.6 × 103 mol/km2/a (∑ = ~523 × 103 mol/km2/a, exceeding the total flux associated to surface runoff (∑ = ~281 × 103 mol/km2/a. In the majority of the islands, the estimated fluxes are higher than runoff fluxes, with the exception of Pico (47.2%, Corvo (46% and Faial (7.2%. The total N-NO3 flux estimated in the Azores (~118.9 × 103 mol/km2/a is in the lower range of estimates made in other volcanic islands.

Sleep deprivation and spike-wave discharges in epileptic rats

NARCIS (Netherlands)

Drinkenburg, W.H.I.M.; Coenen, A.M.L.; Vossen, J.M.H.; Luijtelaar, E.L.J.M. van

1995-01-01

The effects of sleep deprivation were studied on the occurrence of spike-wave discharges in the electroencephalogram of rats of the epileptic WAG/Rij strain, a model for absence epilepsy. This was done before, during and after a period of 12 hours of near total sleep deprivation. A substantial

Emission spectra of a pulse needle-to-plane corona-like discharge in conductive aqueous solution

Czech Academy of Sciences Publication Activity Database

Šimek, Milan; Člupek, Martin; Babický, Václav; Lukeš, Petr; Šunka, Pavel

2012-01-01

Roč. 21, č. 5 (2012), 055031-055031 ISSN 0963-0252 R&D Projects: GA AV ČR IAAX00430802 Institutional research plan: CEZ:AV0Z20430508 Keywords : Water * pulsed electrical breakdown * point-plane geometry * streamer propagation * corona discharge * emission spectroscopy Subject RIV: BL - Plasma and Gas Discharge Physics Impact factor: 2.515, year: 2012 http://iopscience.iop.org/0963-0252/21/5/055031/pdf/0963-0252_21_5_055031.pdf

Amplification of spontaneous emission of neon-like argon in a fast gas-filled capillary discharge

Czech Academy of Sciences Publication Activity Database

Koláček, Karel; Schmidt, Jiří; Boháček, Vladislav; Řípa, Milan; Frolov, Oleksandr; Vrba, Pavel; Štraus, Jaroslav; Prukner, Václav; Rupasov, A. A.; Shikanov, A. S.

2008-01-01

Roč. 34, č. 2 (2008), s. 162-168 ISSN 1063-780X R&D Projects: GA ČR GA202/06/1324; GA MŠk LA08024; GA AV ČR KJB100430702; GA AV ČR KAN300100702 Institutional research plan: CEZ:AV0Z20430508 Keywords : soft X-ray * laser * fast high-current * capillary discharge Subject RIV: BL - Plasma and Gas Discharge Physics Impact factor: 0.785, year: 2008

Interoperability challenges in river discharge modelling: A cross domain application scenario

Science.gov (United States)

Santoro, Mattia; Andres, Volker; Jirka, Simon; Koike, Toshio; Looser, Ulrich; Nativi, Stefano; Pappenberger, Florian; Schlummer, Manuela; Strauch, Adrian; Utech, Michael; Zsoter, Ervin

2018-06-01

River discharge is a critical water cycle variable, as it integrates all the processes (e.g. runoff and evapotranspiration) occurring within a river basin and provides a hydrological output variable that can be readily measured. Its prediction is of invaluable help for many water-related tasks including water resources assessment and management, flood protection, and disaster mitigation. Observations of river discharge are important to calibrate and validate hydrological or coupled land, atmosphere and ocean models. This requires using datasets from different scientific domains (Water, Weather, etc.). Typically, such datasets are provided using different technological solutions. This complicates the integration of new hydrological data sources into application systems. Therefore, a considerable effort is often spent on data access issues instead of the actual scientific question. This paper describes the work performed to address multidisciplinary interoperability challenges related to river discharge modeling and validation. This includes definition and standardization of domain specific interoperability standards for hydrological data sharing and their support in global frameworks such as the Global Earth Observation System of Systems (GEOSS). The research was developed in the context of the EU FP7-funded project GEOWOW (GEOSS Interoperability for Weather, Ocean and Water), which implemented a "River Discharge" application scenario. This scenario demonstrates the combination of river discharge observations data from the Global Runoff Data Centre (GRDC) database and model outputs produced by the European Centre for Medium-Range Weather Forecasts (ECMWF) predicting river discharge based on weather forecast information in the context of the GEOSS.

Discharge lamp technologies

Energy Technology Data Exchange (ETDEWEB)

Dakin, J. [GE Lighting, Cleveland, OH (United States)

1994-12-31

This talk is an overview of discharge lamp technology commonly employed in general lighting, with emphasis on issues pertinent to lighting for plant growth. Since the audience is primarily from the plant growth community, and this begins the light source part of the program, we will start with a brief description of the discharge lamps. Challenges of economics and of thermal management make lamp efficiency a prime concern in controlled environment agriculture, so we will emphasize science considerations relating to discharge lamp efficiency. We will then look at the spectra and ratings of some representative lighting products, and conclude with a discussion of technological advance. A general overview of discharge lighting technology can be found in the book of Waymouth (1971). A recent review of low pressure lighting discharge science is found in Dakin (1991). The pioneering paper of Reiling (1964) provides a good introduction to metal halide discharges. Particularly relevant to lighting for plant growth, a recent and thorough treatment of high pressure Na lamps is found in the book by deGroot and vanVliet (1986). Broad practical aspects of lighting application are thoroughly covered in the IES Lighting Handbook edited by Kaufman (1984).

Tennis elbow surgery - discharge

Science.gov (United States)

... epicondylitis surgery - discharge; Lateral tendinosis surgery - discharge; Lateral tennis elbow surgery - discharge ... long as you are told. This helps ensure tennis elbow will not return. You may be prescribed a ...

Plasma-Enhanced Combustion of Hydrocarbon Fuels and Fuel Blends Using Nanosecond Pulsed Discharges

Energy Technology Data Exchange (ETDEWEB)

Cappelli, Mark; Mungal, M Godfrey

2014-10-28

This project had as its goals the study of fundamental physical and chemical processes relevant to the sustained premixed and non-premixed jet ignition/combustion of low grade fuels or fuels under adverse flow conditions using non-equilibrium pulsed nanosecond discharges.

Stress response of Escherichia coli induced by surface streamer discharge in humid air

Czech Academy of Sciences Publication Activity Database

Doležalová, Eva; Prukner, Václav; Lukeš, Petr; Šimek, Milan

2016-01-01

Roč. 49, č. 7 (2016), s. 075401 ISSN 0022-3727 R&D Projects: GA MŠk(CZ) LD13010; GA MŠk(CZ) LD14080 Grant - others:European Cooperation in Science and Technology(XE) COST MP1101 Program:Materials, Physical and Nanosciences COST Action MP1101 Institutional support: RVO:61389021 Keywords : bacterial activity * culturability * dielectric barrier discharges (DBD) * lipid peroxidation * stress Subject RIV: BL - Plasma and Gas Discharge Physics Impact factor: 2.588, year: 2016 http://iopscience.iop.org/article/10.1088/0022-3727/49/7/075401/meta

Breakdown transient study of plasma distributions in a 2.45 GHz hydrogen discharge

Energy Technology Data Exchange (ETDEWEB)

Cortázar, O.D., E-mail: daniel.cortazar@uclm.es [Universidad de Castilla-La Mancha, ETSII-INEI, Applied Mechanics and Projects Department, C.J. Cela s/n, 13170 Ciudad Real (Spain); Megía-Macías, A. [ESS Bilbao Consortium, Polígono Ugaldeguren-III Pol. A 7B, 48170-Zamudio, Vizcaya (Spain); Tarvainen, O.; Koivisto, H. [University of Jyväskylä, Department of Physics, PO Box 35 (YFL), 40500 Jyväskylä (Finland)

2015-05-01

Plasma distribution transients associated with the breakdown of a 2.45 GHz hydrogen discharge similar to high current microwave ion sources are studied by means of an ultra-fast frame image acquisition system in visible light range. Eight different plasma distributions have been studied by photographing the 2D projections of the discharge through a transparent plasma electrode. The temporal evolution of images in Balmer-alpha and Fulcher band wavelengths have been recorded associated to atomic and molecular excitation and ionization processes. Some unexpected plasma distributions transient behaviors during breakdown are reported.

Stress response of Escherichia coli induced by surface streamer discharge in humid air

Czech Academy of Sciences Publication Activity Database

Doležalová, Eva; Prukner, Václav; Lukeš, Petr; Šimek, Milan

2016-01-01

Roč. 49, č. 7 (2016), č. článku 075401. ISSN 0022-3727 R&D Projects: GA MŠk(CZ) LD13010; GA MŠk(CZ) LD14080 Grant - others:European Cooperation in Science and Technology(XE) COST MP1101 Program:Materials, Physical and Nanosciences COST Action MP1101 Institutional support: RVO:61389021 Keywords : bacterial activity * culturability * dielectric barrier discharges (DBD) * lipid peroxidation * stress Subject RIV: BL - Plasma and Gas Discharge Physics Impact factor: 2.588, year: 2016 http://iopscience.iop.org/article/10.1088/0022-3727/49/7/075401/meta

Fluorescence measurement of atomic oxygen concentration in a dielectric barrier discharge

Czech Academy of Sciences Publication Activity Database

Dvořák, P.; Mrkvičková, M.; Obrusník, A.; Kratzer, Jan; Dědina, Jiří; Procházka, V.

2017-01-01

Roč. 26, č. 6 (2017), s. 1-11, č. článku 065020. ISSN 0963-0252 R&D Projects: GA ČR GA14-23532S; GA ČR(CZ) GA17-04329S Institutional support: RVO:68081715 Keywords : TALIF * dielectric barrier discharge * O radicals Impact factor: 3.302, year: 2016

Clinicopathological Risk Factors and Biochemical Predictors of Safe Discharge after Total Thyroidectomy and Central Compartment Node Dissection for Thyroid Cancer: A Prospective Study

Directory of Open Access Journals (Sweden)

Yu-mi Lee

2015-01-01

Full Text Available To determine the clinicopathological risk factors and reliable biochemical predictors of the development of hypocalcemic symptoms after total thyroidectomy on the basis of serum calcium and intact parathyroid hormone (PTH levels measured 1 hour after surgery, a prospective study was performed on 817 patients who underwent a total thyroidectomy with central compartment node dissection (CCND due to well-differentiated thyroid cancer. We evaluated the correlations between hypocalcemic symptom development and clinicopathological factors. And the predictability for hypocalcemic symptom development of intact PTH cut-offs (<10 pg/mL and <20 pg/mL, resp. according to serum calcium level subgroup was analyzed. Female gender (P<0.001 was the only independent risk factor for hypocalcemic symptom development in multivariate regression analysis. The negative predictive value (NPV of intact PTH, signifying nondevelopment of hypocalcemic symptoms, was higher than the positive predictive value (PPV which signified development of hypocalcemic symptoms. In addition, when we applied the different adoption of the intact PTH cut-off according to serum calcium level, we could obtain more increased NPVs. A female gender and the application of more specific cut-offs for intact PTH according to the serum calcium levels measured 1 hour after surgery may help the patients to be more safely discharged.

Quality management for discharge measurements in Bavaria

Energy Technology Data Exchange (ETDEWEB)

Roth, Carmen [Hydrology of surface Waters, Bavarian Environment Agency, Hof (Germany)], E-mail: Carmen.Roth@lfu.bayern.de

2008-11-01

The hydrology of surface waters is based on the knowledge of the two main hydrological parameters, water level and discharge. These data are not only needed for almost every hydrological planning, but are very important for the management of high and low water. Our long term goal is a complete registration of every natural runoff - covering everything from low to high water - at our 600 measuring stations using limited resources but at the same time achieving high reliability and quality. To this point we are currently enforcing the use of modern data acquisition technology for water level and discharge measurements. The new techniques enable a continuous registration of water levels, actual velocity and consequently the discharge. Currently we are using gauging methods like the well known bubble gauge and radar, while the ultrasonic systems become more and more frequent. The moving boat techniques using the ultrasonic-Doppler-systems (e.g. ADCP, Q-Liner) are gradually substituting traditional methods for discharge measurement. In addition to that hydraulic methods (e. g. SIMK (registered) ) are being incorporated in the measuring systems as well. Since 2000 almost all gauges have been equipped with data loggers and automatic data transmission systems. One of the outcomes of these investments is the online availability of hydrological data on our website (www.hnd.bayern.de) where high quality data can be easily accessed. A new project has been initiated to improve the present rating curve. By means of hydraulic calculation the curve will be verified and if necessary adjusted to minimise deviations in the near future, which is of high importance especially for flooding forecasts.

Quality management for discharge measurements in Bavaria

International Nuclear Information System (INIS)

Roth, Carmen

2008-01-01

The hydrology of surface waters is based on the knowledge of the two main hydrological parameters, water level and discharge. These data are not only needed for almost every hydrological planning, but are very important for the management of high and low water. Our long term goal is a complete registration of every natural runoff - covering everything from low to high water - at our 600 measuring stations using limited resources but at the same time achieving high reliability and quality. To this point we are currently enforcing the use of modern data acquisition technology for water level and discharge measurements. The new techniques enable a continuous registration of water levels, actual velocity and consequently the discharge. Currently we are using gauging methods like the well known bubble gauge and radar, while the ultrasonic systems become more and more frequent. The moving boat techniques using the ultrasonic-Doppler-systems (e.g. ADCP, Q-Liner) are gradually substituting traditional methods for discharge measurement. In addition to that hydraulic methods (e. g. SIMK (registered) ) are being incorporated in the measuring systems as well. Since 2000 almost all gauges have been equipped with data loggers and automatic data transmission systems. One of the outcomes of these investments is the online availability of hydrological data on our website (www.hnd.bayern.de) where high quality data can be easily accessed. A new project has been initiated to improve the present rating curve. By means of hydraulic calculation the curve will be verified and if necessary adjusted to minimise deviations in the near future, which is of high importance especially for flooding forecasts.

A Continuous Quality Improvement Project to Implement Infant-Driven Feeding as a Standard of Practice in the Newborn/Infant Intensive Care Unit.

Science.gov (United States)

Chrupcala, Kimberly A; Edwards, Taryn M; Spatz, Diane L

2015-01-01

To increase the number of neonates who were fed according to cues prior to discharge and potentially decrease length of stay. Continuous quality improvement. Eighty-five bed level IV neonatal intensive care unit. Surgical and nonsurgical neonates of all gestational ages. Neonates younger than 32 weeks gestation, who required intubation, continuous positive airway pressure (CPAP), high flow nasal cannula (HFNC), or did not have suck or gag reflexes were excluded as potential candidates for infant-driven feeding. The project was conducted over a 13-month period using the following methods: (a) baseline data collection, (b) designation of Infant Driven Feeding (IDF) Champions, (c) creation of a multidisciplinary team, (d) creation of electronic health record documentation, (e) initial staff education, (f) monthly team meetings, (g) reeducation throughout the duration of the project, and (h) patient-family education. Baseline data were collected on 20 neonates with a mean gestational age of 36 0/7(th) weeks and a mean total length of stay (LOS) of 43 days. Postimplementation data were collected on 150 neonates with a mean gestational age of 36 1/7(th) weeks and a mean total LOS of 36.4 days. A potential decrease in the mean total LOS of stay by 6.63 days was achieved during this continuous quality improvement (CQI) project. Neonates who are fed according to cues can become successful oral feeders and can be safely discharged home regardless of gestational age or diagnosis. © 2015 AWHONN, the Association of Women's Health, Obstetric and Neonatal Nurses.

Discharge Characteristics of Series Surface/Packed-Bed Discharge Reactor Diven by Bipolar Pulsed Power

International Nuclear Information System (INIS)

Hu Jian; Jiang Nan; Li Jie; Shang Kefeng; Lu Na; Wu Yan; Mizuno Akira

2016-01-01

The discharge characteristics of the series surface/packed-bed discharge (SSPBD) reactor driven by bipolar pulse power were systemically investigated in this study. In order to evaluate the advantages of the SSPBD reactor, it was compared with traditional surface discharge (SD) reactor and packed-bed discharge (PBD) reactor in terms of the discharge voltage, discharge current, and ozone formation. The SSPBD reactor exhibited a faster rising time and lower tail voltage than the SD and PBD reactors. The distribution of the active species generated in different discharge regions of the SSPBD reactor was analyzed by optical emission spectra and ozone analysis. It was found that the packed-bed discharge region (3.5 mg/L), rather than the surface discharge region (1.3 mg/L) in the SSPBD reactor played a more important role in ozone generation. The optical emission spectroscopy analysis indicated that more intense peaks of the active species (e.g. N2 and OI) in the optical emission spectra were observed in the packed-bed region. (paper)

Particle retention during long discharges in Tore Supra and JET

International Nuclear Information System (INIS)

Loarer, T.; Tsitrone, E.; Brosset, C.; Bucalossi, J.; Gunn, J.; Joffrin, E.; Monier-Garbet, P.; Pegourie, B.; Thomas, P.; Lomas, P.; Ongena, J.

2003-01-01

The particle balances and the associated particle retentions for the long discharge experiments performed in Tore-Supra and for the L and H mode discharges carried out in JET are reported in this paper. From the reported experiments, the same particle retention behaviors are observed in Tore-Supra and JET in spite of the differences between the plasma geometry and the confinement mode (respectively limiter L-mode and divertor H-mode). A particle retention up to 70-80% of Γ(puff) for the larger gas injection has been obtained in JET. The particle retention behavior observed with the gas puff appears to be strongly dominant in the particle retention process. Indeed, no influence has been noticed from the active pumping, the saturation of the recycling area (0.4 D/C), the precedent discharges history (in terms of total 'particles retained' in the vessel) and even from the disruptions (conditioning). Also, the outgassing between discharges becomes negligible in terms of particle recovering when Γ(puff) and/or the discharge duration are increased. Finally, neither the edge localized modes (ELMs type-I or III) nor the disruptions modify the reported behaviour. For ITER, the particle retention is strictly limited and from the presented results it seems that strong gas injection should be avoided. (A.C.)

Autologous Stem Cell Transplantation in Patients With Multiple Myeloma: An Activity-based Costing Analysis, Comparing a Total Inpatient Model Versus an Early Discharge Model.

Science.gov (United States)

Martino, Massimo; Console, Giuseppe; Russo, Letteria; Meliado', Antonella; Meliambro, Nicola; Moscato, Tiziana; Irrera, Giuseppe; Messina, Giuseppe; Pontari, Antonella; Morabito, Fortunato

2017-08-01

Activity-based costing (ABC) was developed and advocated as a means of overcoming the systematic distortions of traditional cost accounting. We calculated the cost of high-dose chemotherapy and autologous stem cell transplantation (ASCT) in patients with multiple myeloma using the ABC method, through 2 different care models: the total inpatient model (TIM) and the early-discharge outpatient model (EDOM) and compared this with the approved diagnosis related-groups (DRG) Italian tariffs. The TIM and EDOM models involved a total cost of €28,615.15 and €16,499.43, respectively. In the TIM model, the phase with the greatest economic impact was the posttransplant (recovery and hematologic engraftment) with 36.4% of the total cost, whereas in the EDOM model, the phase with the greatest economic impact was the pretransplant (chemo-mobilization, apheresis procedure, cryopreservation, and storage) phase, with 60.4% of total expenses. In an analysis of each episode, the TIM model comprised a higher absorption than the EDOM. In particular, the posttransplant represented 36.4% of the total costs in the TIM and 17.7% in EDOM model, respectively. The estimated reduction in cost per patient using an EDOM model was over €12,115.72. The repayment of the DRG in Calabrian Region for the ASCT procedure is €59,806. Given the real cost of the transplant, the estimated cost saving per patient is €31,190.85 in the TIM model and €43,306.57 in the EDOM model. In conclusion, the actual repayment of the DRG does not correspond to the real cost of the ASCT procedure in Italy. Moreover, using the EDOM, the cost of ASCT is approximately the half of the TIM model. Copyright © 2017 Elsevier Inc. All rights reserved.

Simulating extreme low-discharge events for the Rhine using a stochastic model

Science.gov (United States)

Macian-Sorribes, Hector; Mens, Marjolein; Schasfoort, Femke; Diermanse, Ferdinand; Pulido-Velazquez, Manuel

2017-04-01

(the summer half year, where water demands are highest). Frequency analysis was performed for both indicators and time spans for the generated time series and the historical records. The comparison between observed and generated series showed that the ARMA model provides a good reproduction of the maximum deficits and total discharges, especially for the summer half-year period. The resulting synthetic series are therefore considered credible. These synthetic series, with its wealth of information, can then be used as inputs for the damage assessment models, together with information on precipitation deficits, in order to estimate the risk that lower inflows can have on the urban, the agricultural, the shipping sector and so on. This will help in associating economic losses and periods of return, as well as for estimating how droughts with similar periods of return but different patterns can lead to different damages. ACKNOWLEDGEMENT This study has been supported by the European Union's Horizon 2020 research and innovation programme under the IMPREX project (grant agreement no: 641.811), and by the Climate-KIC Pioneers into Practice Program supported by the European Union's EIT.

Prostate brachytherapy - discharge

Science.gov (United States)

Implant therapy - prostate cancer - discharge; Radioactive seed placement - discharge ... You had a procedure called brachytherapy to treat prostate cancer. Your treatment lasted 30 minutes or more, ...

Post discharge issues identified by a call-back program: identifying improvement opportunities.

Science.gov (United States)

Ojeda, Patricia I; Kara, Areeba

2017-12-01

The period following discharge from the hospital is one of heightened vulnerability. Discharge instructions serve as a guide during this transition. Yet, clinicians receive little feedback on the quality of this document that ties into the patients' experience. We reviewed the issues voiced by discharged patients via a call-back program and compared them to the discharge instructions they had received. At our institution, patients receive an automated call forty-eight hours following discharge inquiring about progress. If indicated by the response to the call, they are directed to a nurse who assists with problem solving. We reviewed the nursing documentation of these encounters for a period of nine months. The issues voiced were grouped into five categories: communication, medications, durable medical equipment/therapies, follow up and new or ongoing symptoms. The discharge instructions given to each patient were reviewed. We retrieved data on the number of discharges from each specialty from the hospital over the same period. A total of 592 patients voiced 685 issues. The numbers of patients discharged from medical or surgical services identified as having issues via the call-back line paralleled the proportions discharged from medical and surgical services from the hospital during the same period. Nearly a quarter of the issues discussed had been addressed in the discharge instructions. The most common category of issues was related to communication deficits including missing or incomplete information which made it difficult for the patient to enact or understand the plan of care. Medication prescription related issues were the next most common. Resource barriers and questions surrounding medications were often unaddressed. Post discharge issues affect patients discharged from all services equally. Data from call back programs may provide actionable targets for improvement, identify the inpatient team's 'blind spots' and be used to provide feedback to clinicians.

Impact of pharmacists assisting with prescribing and undertaking medication review on oxycodone prescribing and supply for patients discharged from surgical wards.

Science.gov (United States)

Tran, T; Taylor, S E; Hardidge, A; Findakly, D; Aminian, P; Elliott, R A

2017-10-01

Overprescribing of oxycodone is a contributor to the epidemic of prescription opioid misuse and deaths. Practice models to optimize oxycodone prescribing and supply need to be evaluated. We explored the impact of pharmacist-assisted discharge prescribing and medication review on oxycodone prescribing and supply for patients discharged from surgical wards. A retrospective audit was conducted on two surgical inpatient wards following a 16-week prospective pre- and post-intervention study. During the pre-intervention period, discharge prescriptions were prepared by hospital doctors and then reviewed by a ward pharmacist (WP) before being dispensed. Post-intervention, prescriptions were prepared by a project pharmacist in consultation with hospital doctors and then reviewed by a WP and dispensed. Proportion of patients who were prescribed, and proportion supplied, oxycodone on discharge; Median amount (milligrams) of oxycodone prescribed and supplied, for patients who were prescribed and supplied at least one oxycodone-containing preparation, respectively. A total of 320 and 341 patients were evaluated pre- and post-intervention, respectively. Pre-intervention, 75.6% of patients were prescribed oxycodone; after WP review, 60.3% were supplied oxycodone (Psupplied was 100 milligrams/patient. Post-intervention, 68.6% of patients were prescribed oxycodone; after WP review, 57.8% were supplied oxycodone (Psupplied was 50 milligrams/patient (difference in amount prescribed and supplied: 50 milligrams, Psupplied oxycodone but not the amount supplied/patient. Having a pharmacist assist with prescribing reduced the amount of oxycodone supplied. © 2017 John Wiley & Sons Ltd.

Atomization of bismuthane in a dielectric barrier discharge: A mechanistic study

Czech Academy of Sciences Publication Activity Database

Kratzer, Jan; Zelina, Ondřej; Svoboda, Milan; Sturgeon, R. E.; Mester, Z.; Dědina, Jiří

2016-01-01

Roč. 88, č. 3 (2016), s. 1804-1811 ISSN 0003-2700 R&D Projects: GA ČR GA14-23532S Grant - others:GA AV ČR(CZ) M200311202 Institutional support: RVO:68081715 Keywords : dielectric barrier discharge * hydride generation * mechanistic study Subject RIV: CB - Analytical Chemistry, Separation Impact factor: 6.320, year: 2016

Atomization of bismuthane in a dielectric barrier discharge: A mechanistic study

Czech Academy of Sciences Publication Activity Database

Kratzer, Jan; Zelina, Ondřej; Svoboda, Milan; Sturgeon, R. E.; Mester, Z.; Dědina, Jiří

2016-01-01

Roč. 88, č. 3 (2016), s. 1804-1811 ISSN 0003-2700 R&D Projects: GA ČR GA14-23532S Grant - others:GA AV ČR(CZ) M200311202 Institutional support: RVO:68081715 Keywords : dielectric barrier discharge * hydride generation * mechanistic study Subject RIV: CB - Analytical Chemistry , Separation Impact factor: 6.320, year: 2016

Synthesis of Poly (Butyl Methacrylate/Butyl Acrylate) Highly Absorptive Resin Using Glow Discharge Electrolysis

International Nuclear Information System (INIS)

Li Yan; Yao Mengqi; Liao Ruirui; Yang Wu; Gao Jinzhang; Ren Jie

2014-01-01

A highly absorptive resin poly (butyl methacrylate (BMA)-co-butyl acrylate (BA)) was prepared by emulsion polymerization, which was initiated by glow discharge electrolysis plasma (GDEP). The effects of discharge voltage, discharge time, monomer ratio and the amounts of cross-linking agent were examined and discussed in detail. The chemical structure of the obtained resin was characterized by means of attenuated total reflectance Fourier transform infrared spectroscopy, thermogravimetric analysis, and scanning electron microscopy. The optimal conditions were obtained as: discharge voltage was 600 V, discharge time was 8 min, the ratios of BMA:BA being 2:1 for chloroform and 3:1 for xylene, with 2% N, N'-methylenebis. Under optimal conditions, the oil absorbency was 70 g/g for chloroform and 46 g/g for xylene. Moreover, the absorptive dynamical behavior of the resulting resin was also investigated

Early hospital discharge of the healthy term neonate: the Italian perspective.

Science.gov (United States)

Petrone, E; Mansi, G; Tosco, A; Capasso, L; Migliaro, F; Umbaldo, A; Romano, A; Paludetto, R; Raimondi, F

2008-06-01

An appropriate timing of hospital discharge of the healthy, term neonate represents a balance between birth medicalization and surveillance of immediate health hazards. In the absence of European recommendations, the authors have conducted a broad national survey on the current policies of neonatal discharge. A 13-item questionnaire was sent to 136 Italian birth centers. Quantitative variables were expressed as mean+/-range. Qualitative variables were expressed as frequencies. chi squared test was used for variables comparison. Mean age at discharge for a vaginally delivered neonate was 72 hours. Twelve percent of centres would not schedule a follow-up appointment. Neonates born after a cesarean section were discharged at a mean age of 97 hours. Almost all centres (95/98) would discharge an healthy infant without risk factors for hyperbilirubinemia with a total serum bilirubin (TSB) of 13 mg/dL at 72 hours but 14.7% of these centers would not recheck TSB. The same healthy neonate would be discharged at the age of 45 hours with a TSB=10 mg/dL in 67/98 centers and in 11.9% of cases would not be rechecked. Most Italian hospitals discharge healthy, term neonates born after spontaneous vaginal delivery (SVD) at over 72 hours of age. This policy should protect from missed diagnoses of clinical importance (e.g. hyperbilirubinemia). On the other hand, a prolonged hospitalization tends to increase maternal discomfort and medical costs. Implementing a protocol of home visits/clinic follow-up appointments after an earlier discharge may minimize health hazards and medical costs and optimizing the patient's feedback.

High Power DC Diaphragm Discharge Excited in a Vapor Bubble for the Treatment of Water

Czech Academy of Sciences Publication Activity Database

Lukeš, Petr; Člupek, Martin; Babický, Václav; Doležalová, Eva; Sisrová, Irena; Maršálková, Eliška; Maršálek, Blahoslav

2013-01-01

Roč. 33, č. 1 (2013), s. 83-95 ISSN 0272-4324 R&D Projects: GA AV ČR IAAX00430802; GA ČR(CZ) GD104/09/H080 Institutional support: RVO:61389021 ; RVO:67985939 Keywords : Diaphragm discharge * Water * Hydrogen peroxide * Phenol * Bacteria * Algae Subject RIV: BL - Plasma and Gas Discharge Physics; EF - Botanics (BU-J) Impact factor: 1.599, year: 2013 http://link.springer.com/content/pdf/10.1007%2Fs11090-012-9432-6.pdf

Treatment of Dyeing Wastewater by Using Positive Pulsed Corona Discharge to Water Surface

Science.gov (United States)

Young, Sun Mok; Hyun, Tae Ahn; Joeng, Tai Kim

2007-02-01

This study investigated the treatment of textile-dyeing wastewater by using an electrical discharge technique (positive pulsed corona discharge). The high-voltage electrode was placed above the surface of the wastewater while the ground electrode was submerged in the wastewater. The electrical discharge starting at the tip of the high voltage electrode propagated toward the surface of the wastewater, producing various oxidative radicals and ozone. Oxygen was used as the working gas instead of air to prevent nitrogen oxides from forming. The simulated wastewater was made up with amaranth, which is a kind of azo dye. The results obtained showed that the chromaticity of the wastewater was almost completely removed within an hour. The ultraviolet/visible spectra of the wastewater treated by the electrical discharge revealed that the total hydrocarbon level also decreased significantly.

Treatment of Dyeing Wastewater by Using Positive Pulsed Corona Discharge to Water Surface

International Nuclear Information System (INIS)

Mok, Young Sun; Ahn, Hyun Tae; Kim, Joeng Tai

2007-01-01

This study investigated the treatment of textile-dyeing wastewater by using an electrical discharge technique (positive pulsed corona discharge). The high-voltage electrode was placed above the surface of the wastewater while the ground electrode was submerged in the wastewater. The electrical discharge starting at the tip of the high voltage electrode propagated toward the surface of the wastewater, producing various oxidative radicals and ozone. Oxygen was used as the working gas instead of air to prevent nitrogen oxides from forming. The simulated wastewater was made up with amaranth, which is a kind of azo dye. The results obtained showed that the chromaticity of the wastewater was almost completely removed within an hour. The ultraviolet/visible spectra of the wastewater treated by the electrical discharge revealed that the total hydrocarbon level also decreased significantly

Discharge and infection in retinoblastoma post-enucleation sockets

Directory of Open Access Journals (Sweden)

Mourits DL

2017-03-01

Full Text Available Daphne L Mourits,1 Dyonne T Hartong,1 Andries E Budding,2 Machteld I Bosscha,1 H Stevie Tan,1 Annette C Moll1 1Department of Ophthalmology, VU University Medical Center, 2Department of Microbiology, Academic Medical Center, Amsterdam, the Netherlands Purpose: To investigate the causes and treatment options for socket discharge and infection in patients enucleated for retinoblastoma (Rb. Methods: A questionnaire was filled out by (parents of ocular prosthesis-wearing patients with a history of enucleation as treatment for Rb. We collected data on patients’ characteristics, cleaning habits of the prosthesis, frequency of socket irritation, discharge, and infection, and use of antibiotics. With ordinal logistic regression analysis, factors related to the outcome parameters (frequency of irritation, mucoid and purulent discharge were identified. In a subset of young asymptomatic and symptomatic patients, a swab culture of the socket was performed to determine the presence of microorganisms. Results: A total of 186 patients or their parents (mean age of the patients: 17.3 years, ranging from 0.8 to 88.3 years filled out the questionnaire. Irritation, mucoid discharge, and purulent discharge were frequently (once a month or more often experienced in 75 (39.5%, 127 (66.8%, and 15 (13.2% sockets, respectively. Younger age was associated with a higher frequency of mucoid and purulent discharge. Radiation therapy, chemotherapy, gender, age at surgery, cleaning frequency, and nocturnal wear were not associated with the outcome parameters. In a subgroup of 26 patients, the sockets were swabbed and cultured. All symptomatic patients had a positive bacterial culture versus 15% (2/13 of the asymptomatic patients (P<0.001. Common cold was correlated with both symptoms and presence of bacteria. Haemophilus influenzae and Staphylococcus aureus were the species most frequently cultured. Conclusion: Ocular prosthesis-wearing patients often experienced mucoid

Reconstructing the history of 14C discharges from Sellafield. Part 2. Aquatic discharges

International Nuclear Information System (INIS)

Cook, G.T.; MacKenzie, A.B.; Naysmith, F.H.; Anderson, R.; Naysmith, P.; Kershaw, P.J.

2004-01-01

Prior to 1984, the reported marine 14 C discharges from Sellafield were estimates: 0.2 TBq per annum from 1952 to 1969 and 1 TBq per annum until 1984 when measurements commenced. The relationship between the net excess 14 C activity in annually collected Nori (Porphyra umbilicalis) seaweed samples and the annual discharges (estimated and measured) implies that the discharges were not as constant as the estimates. Based on the relationship between post-1984 measured discharges and the excess 14 C in the seaweed, two simple empirical models were used to re-calculate the discharges between 1967 and 1984. Gamma-spectrometry measurements on the seaweed also indicate that Porphyra is a sensitive indicator of changes in discharge of other radionuclides, brought about by the introduction of new waste clean-up technologies within Sellafield. (author)

GPU-based fast cone beam CT reconstruction from undersampled and noisy projection data via total variation

International Nuclear Information System (INIS)

Jia Xun; Lou Yifei; Li Ruijiang; Song, William Y.; Jiang, Steve B.

2010-01-01

Purpose: Cone-beam CT (CBCT) plays an important role in image guided radiation therapy (IGRT). However, the large radiation dose from serial CBCT scans in most IGRT procedures raises a clinical concern, especially for pediatric patients who are essentially excluded from receiving IGRT for this reason. The goal of this work is to develop a fast GPU-based algorithm to reconstruct CBCT from undersampled and noisy projection data so as to lower the imaging dose. Methods: The CBCT is reconstructed by minimizing an energy functional consisting of a data fidelity term and a total variation regularization term. The authors developed a GPU-friendly version of the forward-backward splitting algorithm to solve this model. A multigrid technique is also employed. Results: It is found that 20-40 x-ray projections are sufficient to reconstruct images with satisfactory quality for IGRT. The reconstruction time ranges from 77 to 130 s on an NVIDIA Tesla C1060 (NVIDIA, Santa Clara, CA) GPU card, depending on the number of projections used, which is estimated about 100 times faster than similar iterative reconstruction approaches. Moreover, phantom studies indicate that the algorithm enables the CBCT to be reconstructed under a scanning protocol with as low as 0.1 mA s/projection. Comparing with currently widely used full-fan head and neck scanning protocol of ∼360 projections with 0.4 mA s/projection, it is estimated that an overall 36-72 times dose reduction has been achieved in our fast CBCT reconstruction algorithm. Conclusions: This work indicates that the developed GPU-based CBCT reconstruction algorithm is capable of lowering imaging dose considerably. The high computation efficiency in this algorithm makes the iterative CBCT reconstruction approach applicable in real clinical environments.

GPU-based fast cone beam CT reconstruction from undersampled and noisy projection data via total variation.

Science.gov (United States)

Jia, Xun; Lou, Yifei; Li, Ruijiang; Song, William Y; Jiang, Steve B

2010-04-01

Cone-beam CT (CBCT) plays an important role in image guided radiation therapy (IGRT). However, the large radiation dose from serial CBCT scans in most IGRT procedures raises a clinical concern, especially for pediatric patients who are essentially excluded from receiving IGRT for this reason. The goal of this work is to develop a fast GPU-based algorithm to reconstruct CBCT from undersampled and noisy projection data so as to lower the imaging dose. The CBCT is reconstructed by minimizing an energy functional consisting of a data fidelity term and a total variation regularization term. The authors developed a GPU-friendly version of the forward-backward splitting algorithm to solve this model. A multigrid technique is also employed. It is found that 20-40 x-ray projections are sufficient to reconstruct images with satisfactory quality for IGRT. The reconstruction time ranges from 77 to 130 s on an NVIDIA Tesla C1060 (NVIDIA, Santa Clara, CA) GPU card, depending on the number of projections used, which is estimated about 100 times faster than similar iterative reconstruction approaches. Moreover, phantom studies indicate that the algorithm enables the CBCT to be reconstructed under a scanning protocol with as low as 0.1 mA s/projection. Comparing with currently widely used full-fan head and neck scanning protocol of approximately 360 projections with 0.4 mA s/projection, it is estimated that an overall 36-72 times dose reduction has been achieved in our fast CBCT reconstruction algorithm. This work indicates that the developed GPU-based CBCT reconstruction algorithm is capable of lowering imaging dose considerably. The high computation efficiency in this algorithm makes the iterative CBCT reconstruction approach applicable in real clinical environments.

Laparoscopic total pancreatectomy

Science.gov (United States)

Wang, Xin; Li, Yongbin; Cai, Yunqiang; Liu, Xubao; Peng, Bing

2017-01-01

Abstract Rationale: Laparoscopic total pancreatectomy is a complicated surgical procedure and rarely been reported. This study was conducted to investigate the safety and feasibility of laparoscopic total pancreatectomy. Patients and Methods: Three patients underwent laparoscopic total pancreatectomy between May 2014 and August 2015. We reviewed their general demographic data, perioperative details, and short-term outcomes. General morbidity was assessed using Clavien–Dindo classification and delayed gastric emptying (DGE) was evaluated by International Study Group of Pancreatic Surgery (ISGPS) definition. Diagnosis and Outcomes: The indications for laparoscopic total pancreatectomy were intraductal papillary mucinous neoplasm (IPMN) (n = 2) and pancreatic neuroendocrine tumor (PNET) (n = 1). All patients underwent laparoscopic pylorus and spleen-preserving total pancreatectomy, the mean operative time was 490 minutes (range 450–540 minutes), the mean estimated blood loss was 266 mL (range 100–400 minutes); 2 patients suffered from postoperative complication. All the patients recovered uneventfully with conservative treatment and discharged with a mean hospital stay 18 days (range 8–24 days). The short-term (from 108 to 600 days) follow up demonstrated 3 patients had normal and consistent glycated hemoglobin (HbA1c) level with acceptable quality of life. Lessons: Laparoscopic total pancreatectomy is feasible and safe in selected patients and pylorus and spleen preserving technique should be considered. Further prospective randomized studies are needed to obtain a comprehensive understanding the role of laparoscopic technique in total pancreatectomy. PMID:28099344

NIPPLE DISCHARGE

Directory of Open Access Journals (Sweden)

T. N. Bukharova

2008-01-01

Full Text Available According to the data available in the literature, as high as 50% of women have benign breast tumors frequently accompanied by nip- ple discharge. Nipple discharge may be serous, bloody, purulent, and colostric. The most common causes are breast abscess, injury, drugs, prolactinoma, intraductal pappiloma, ductal ectasia, intraductal cancer (not more than 10%.

The Ideal Hospital Discharge Summary: A Survey of U.S. Physicians.

Science.gov (United States)

Sorita, Atsushi; Robelia, Paul M; Kattel, Sharma B; McCoy, Christopher P; Keller, Allan Scott; Almasri, Jehad; Murad, Mohammad Hassan; Newman, James S; Kashiwagi, Deanne T

2017-09-06

Hospital discharge summaries enable communication between inpatient and outpatient physicians. Despite existing guidelines for discharge summaries, they are frequently suboptimal. The aim of this study was to assess physicians' perspectives about discharge summaries and the differences between summaries' authors (hospitalists) and readers (primary care physicians [PCPs]). A national survey of 1600 U.S. physicians was undertaken. Primary measures included physicians' preferences in discharge summary standardization, content, format, and audience. A total of 815 physicians responded (response rate = 51%). Eighty-nine percent agreed that discharge summaries "should have a standardized format." Most agreed that summaries should "document everything that was done, found, and recommended in the hospital" (64%) yet "only include details that are highly pertinent to the hospitalization" (66%). Although 74% perceived patients as an important audience of discharge summaries, only 43% agreed that summaries "should be written in language that patients…can easily understand," and 68% agreed that it "should be written solely for provider-to-provider communication." Compared with hospitalists, PCPs preferred comprehensive summaries (68% versus 59%, P = 0.002). More PCPs agreed that separate summaries should be created for patients and for provider-to-provider communication than hospitalists (60% versus 47%, P summary" (44% versus 23%, P summary" (60% versus 38%, P summaries should have a standardized format but do not agree on how comprehensive or in what format they should be. Efforts are necessary to build consensus toward the ideal discharge summary.

Characteristics of ultraviolet light and radicals formed by pulsed discharge in water

Science.gov (United States)

Sun, Bing; Kunitomo, Shinta; Igarashi, Chiaki

2006-09-01

In this investigation, the ultraviolet light characteristics and OH radical properties produced by a pulsed discharge in water were studied. For the plate-rod reactor, it was found that the ultraviolet light energy has a 3.2% total energy injected into the reactor. The ultraviolet light changed with the peak voltage and electrode distance. UV characteristics in tap water and the distilled water are given. The intensity of the OH radicals was the highest for the 40 mm electrode distance reactor. In addition, the properties of hydrogen peroxide and ozone were also studied under arc discharge conditions. It was found that the OH radicals were in the ground state and the excited state when a pulsed arc discharge was used. The ozone was produced by the arc discharge even if the oxygen gas is not bubbled into the reactor. The ozone concentration produces a maximum value with treatment time.

Characteristics of ultraviolet light and radicals formed by pulsed discharge in water

Energy Technology Data Exchange (ETDEWEB)

Sun Bing [Dalian Maritime University, College of Environment, 1st Linghai Road, Dalian (China); Kunitomo, Shinta [Ebara Corporation, 1-6-27, Konan, Minato-ku 108-8480 (Japan); Igarashi, Chiaki [Ebara Research Co. Ltd, 2-1, Honfujisawa 4-chome, Fujisawa 251-8502 (Japan)

2006-09-07

In this investigation, the ultraviolet light characteristics and OH radical properties produced by a pulsed discharge in water were studied. For the plate-rod reactor, it was found that the ultraviolet light energy has a 3.2% total energy injected into the reactor. The ultraviolet light changed with the peak voltage and electrode distance. UV characteristics in tap water and the distilled water are given. The intensity of the OH radicals was the highest for the 40 mm electrode distance reactor. In addition, the properties of hydrogen peroxide and ozone were also studied under arc discharge conditions. It was found that the OH radicals were in the ground state and the excited state when a pulsed arc discharge was used. The ozone was produced by the arc discharge even if the oxygen gas is not bubbled into the reactor. The ozone concentration produces a maximum value with treatment time.

Role of secondary emission on discharge dynamics in an atmospheric pressure dielectric barrier discharge

Energy Technology Data Exchange (ETDEWEB)

Tay, W. H.; Kausik, S. S.; Yap, S. L.; Wong, C. S., E-mail: cswong@um.edu.my [Plasma Technology Research Centre, Department of Physics, Faculty of Science, University of Malaya, 50603 Kuala Lumpur (Malaysia)

2014-04-15

The discharge dynamics in an atmospheric pressure dielectric barrier discharge (DBD) is studied in a DBD reactor consisting of a pair of stainless steel parallel plate electrodes. The DBD discharge has been generated by a 50 Hz ac high voltage power source. The high-speed intensified charge coupled device camera is used to capture the images of filaments occurring in the discharge gap. It is observed that frequent synchronous breakdown of micro discharges occurs across the discharge gap in the case of negative current pulse. The experimental results reveal that secondary emissions from the dielectric surface play a key role in the synchronous breakdown of plasma filaments.

Modelling of a Nitrogen X-ray Laser pumped by Capillary Discharge

Czech Academy of Sciences Publication Activity Database

Vrba, Pavel; Vrbová, M.; Bobrova, N. A.; Sasorov, P. V.

2005-01-01

Roč. 3, č. 4 (2005), s. 564-580 ISSN 1644-3608 R&D Projects: GA MŠk(CZ) 1P04LA235 Institutional research plan: CEZ:AV0Z20430508 Keywords : MHD simulations * Z-pinch * Ion kinetics * Recombination Pumping * X-Ray laser Subject RIV: BL - Plasma and Gas Discharge Physics Impact factor: 0.524, year: 2005

Modelling electric discharge chemistry

International Nuclear Information System (INIS)

McFarlane, J.; Wren, J.C.

1991-07-01

The chemistry occurring in a electric discharge was modelled to predict how it would be influenced by discharge conditions. The discharge was characterized by a calculated Boltzmann electron-energy distribution, from which rate constants for electron-molecule processes in air were determined. These rate constants were used in a chemical kinetics calculation that also included reactions between neutral molecules, ions, free radicals and electronically excited species. The model describes how the discharge chemistry was influenced by humidity, electric field, electron number density, and concentrations of key reagents identified in the study. The use of an electric discharge to destroy airborne contaminant molecules was appraised, the targeted contaminants being CF 2 Cl 2 , HCN, and SO 2 . The modelling results indicate that an electric discharge should be able to remove HCN and CF 2 Cl 2 effectively, especially if the discharge conditions have been optimized. Effective destruction is achieved with a moderate electric field (over 1 x 10 -15 V.cm 2 ), a substantial electron number density (over 1 x 10 12 cm -3 ), and the presence of H 2 0 in the process air. The residence time in the discharge was also shown to be important in contaminant destruction. An attempt was made to explain the results of the electric discharge abatement of SO 2 , a component of a simulated flue-gas mixture. Results from the model indicate that the discharge parameters that increase the concentration of hydroxyl radical also increase the rate of decomposition of SO 2 . An objective of the study was to explain the apparent enhancement of SO 2 destruction by the presence of a small amount of NO 2 . It was thought that a likely explanation would be the stabilization of HOSO 2 , an important intermediate in the oxidation of SO 2 by NO 2 . (49 figs., 14 tabs., 75 refs.)

Improvement of ozone yield by a multi-discharge type ozonizer using superposition of silent discharge plasma

International Nuclear Information System (INIS)

Song, Hyun-Jig; Chun, Byung-Joon; Lee, Kwang-Sik

2004-01-01

In order to improve ozone generation, we experimentally investigated the silent discharge plasma and ozone generation characteristics of a multi-discharge type ozonizer. Ozone in a multi-discharge type ozonizer is generated by superposition of a silent discharge plasma, which is simultaneously generated in separated discharge spaces. A multi-discharge type ozonizer is composed of three different kinds of superposed silent discharge type ozonizers, depending on the method of applying power to each electrode. We observed that the discharge period of the current pulse for a multi discharge type ozonizer can be longer than that of silent discharge type ozonizer with two electrodes and one gap. Hence, ozone generation is improved up to 17185 ppm and 783 g/kwh in the case of the superposed silent discharge type ozonizer for which an AC high voltages with a 180 .deg. phase difference were applied to the internal electrode and the external electrode, respectively, with the central electrode being grounded.

State, federal, nuclear interface: projected AFR needs to year 2000. Executive conference

International Nuclear Information System (INIS)

King, F.D.

1981-01-01

This paper discusses the requirements for additional storage based on various assumptions concerning the plans of nuclear utilities for fuel storage. The data used for the storage projections are being used by the Department of Energy in planning fuel storage, waste disposal operations, and facility requirements; they are also used in evaluating the environmental impacts of waste operations, in calculating the need for waste transport systems, and to set fees to be charged for spent fuel storage and disposal. The most probable demand for AFR storage of spent fuel from domestic reactors in the near term (before 1990) is projected to be approximately 1800 MT. This value is expected to increase rapidly to a total of over 16,000 MT by the year 2000. It is improbable that AFR storage requirements will exceed 22,000 MT by the year 2000 or (assuming reprocessing does not occur) that they will be less than 14,000 MT. Most of the AFR demand will occur after 1985, but a few reactors will operate without sufficient storage space to effect a full core discharge before then. Currently five reactors are without such space, but plans are for them to regain it. These AFR storage projections are significantly lower than prior projections. The decrease in near term storage demands is mainly due to the utilities planning or implementing intrasite fuel movements (onsite transfers) or intra-utility shipments (transshipments) and pool capacity expansions. The longer term decreases in spent fuel storage needs result from delays in the startup of committed reactors and the planned use of longer reactor fuel cycles (increased fuel exposure). The decreased demand for AFR storage is compatible with the previously announced delays in providing government AFR facilities and decreases the projected number of reactors that might be forced to operate without capacity for a full core discharge

Pending laboratory tests and the hospital discharge summary in patients discharged to sub-acute care.

Science.gov (United States)

Walz, Stacy E; Smith, Maureen; Cox, Elizabeth; Sattin, Justin; Kind, Amy J H

2011-04-01

Previous studies have noted a high (41%) prevalence and poor discharge summary communication of pending laboratory (lab) tests at the time of hospital discharge for general medical patients. However, the prevalence and communication of pending labs within a high-risk population, specifically those patients discharged to sub-acute care (i.e., skilled nursing, rehabilitation, long-term care), remains unknown. To determine the prevalence and nature of lab tests pending at hospital discharge and their inclusion within hospital discharge summaries, for common sub-acute care populations. Retrospective cohort study. Stroke, hip fracture, and cancer patients discharged from a single large academic medical center to sub-acute care, 2003-2005 (N = 564) Pending lab tests were abstracted from the laboratory information system (LIS) and from each patient's discharge summary, then grouped into 14 categories and compared. Microbiology tests were sub-divided by culture type and number of days pending prior to discharge. Of sub-acute care patients, 32% (181/564) were discharged with pending lab tests per the LIS; however, only 11% (20/181) of discharge summaries documented these. Patients most often left the hospital with pending microbiology tests (83% [150/181]), particularly blood and urine cultures, and reference lab tests (17% [30/181]). However, 82% (61/74) of patients' pending urine cultures did not have 24-hour preliminary results, and 19% (13/70) of patients' pending blood cultures did not have 48-hour preliminary results available at the time of hospital discharge. Approximately one-third of the sub-acute care patients in this study had labs pending at discharge, but few were documented within hospital discharge summaries. Even after considering the availability of preliminary microbiology results, these omissions remain common. Future studies should focus on improving the communication of pending lab tests at discharge and evaluating the impact that this improved

Discharge Characteristics of Series Surface/Packed-Bed Discharge Reactor Diven by Bipolar Pulsed Power

Science.gov (United States)

Hu, Jian; Jiang, Nan; Li, Jie; Shang, Kefeng; Lu, Na; Wu, Yan; Mizuno, Akira

2016-03-01

The discharge characteristics of the series surface/packed-bed discharge (SSPBD) reactor driven by bipolar pulse power were systemically investigated in this study. In order to evaluate the advantages of the SSPBD reactor, it was compared with traditional surface discharge (SD) reactor and packed-bed discharge (PBD) reactor in terms of the discharge voltage, discharge current, and ozone formation. The SSPBD reactor exhibited a faster rising time and lower tail voltage than the SD and PBD reactors. The distribution of the active species generated in different discharge regions of the SSPBD reactor was analyzed by optical emission spectra and ozone analysis. It was found that the packed-bed discharge region (3.5 mg/L), rather than the surface discharge region (1.3 mg/L) in the SSPBD reactor played a more important role in ozone generation. The optical emission spectroscopy analysis indicated that more intense peaks of the active species (e.g. N2 and OI) in the optical emission spectra were observed in the packed-bed region. supported by National Natural Science Foundation of China (No. 51177007), the Joint Funds of National Natural Science Foundation of China (No. U1462105), and Dalian University of Technology Fundamental Research Fund of China (No. DUT15RC(3)030)

Investigation of airflow effects on the dielectric barrier discharge with single/double discharge channel arrangement

Science.gov (United States)

Fan, Zhihui; Yan, Huijie; Liu, Yidi; Guo, Hongfei; Wang, Yuying; Ren, Chunsheng

2018-05-01

Atmospheric-pressure dielectric barrier discharge (DBD) with airflow participation has been widely used in recent years. In this paper, effects of airflow on DBD characteristics are experimentally investigated by single/double pin-to-plate DBD arrangements with an AC exciting source. The discharge electrical characteristics and the movements of discharge channels in airflow are investigated with a single pin electrode arrangement. The current intensities increase in positive cycles and decrease in negative cycles with the increase in airflow velocity. The transition from a filamentary discharge to a diffuse discharge is observed under certain airflow conditions, and the discharge channels move with the airflow with a movement velocity less than the corresponding airflow velocity. In the cases of double pin electrode arrangements, the repulsion between double pin discharge channels is apparent at a 10 mm distance but is not obvious at a 20 mm distance. When the airflow is introduced into the discharge gap, not as in the case of single pin electrode arrangement, the movements of discharge channels in airflow are affected by adjacent discharge channels. The corresponding reasons are analyzed in the paper.

Electric discharges in an electrostatic machine. Analysis of work by J.A. Staniforth and C.M. Cooke

International Nuclear Information System (INIS)

Frick, G.

1988-04-01

Electric discharges, stored energy, and transient phenomena in electrostatic accelerators are reviewed in the framework of the Vivitron project. Before discharge, predischarge phenomena governed by the value of the electric field and the geometry appear. Transient phenomena appear after discharge. The alternance lasts from 20 to 100 nsec. Waves propagating along the electrodes can cause other discharges, after a time lapse. Overvoltages of a factor of 1.5 to 2 can appear. If they provoke fresh discharges, formation times may be such that in many cases the overvoltages remain present throughout times of this order of magnitude. The behavior of a solid insulator under such conditions is unknown, and the behavior inside the tube is poorly understood. If the initial arc is produced outside the tube, a large part of the available energy will be dissipated before the arrival of the overvoltage at the sensitive part of the tube. If the discharge begins in the tube, it will propagate outside because of the short circuit created in the tube by the discharges. For rapid phenomena, it is possible that the spark gaps may not always operate efficiently, especially for vacuum discharges [fr

Recovery after total intravenous general anaesthesia or spinal anaesthesia for total knee arthroplasty

DEFF Research Database (Denmark)

Harsten, A; Kehlet, H; Toksvig-Larsen, S

2013-01-01

BACKGROUND: /st>This study was undertaken to compare the effects of general anaesthesia (GA) and spinal anaesthesia (SA) on the need for postoperative hospitalization and early postoperative comfort in patients undergoing fast-track total knee arthroplasty (TKA). METHODS: /st>One hundred and twenty....... Secondary outcome parameters included actual time of discharge, postoperative pain, intraoperative blood loss, length of stay in the Post Anaesthesia Care Unit, dizziness, postoperative nausea and vomiting, need for urinary catheterization and subject satisfaction. RESULTS: /st>GA resulted in shorter LOS...

Diffusion of condenser water discharge

International Nuclear Information System (INIS)

Iwakiri, Toshio

1977-01-01

Thermal and nuclear power stations in Japan are mostly located in coastal area, and the cooling water is discharged into sea as warm water. Recently, large interest is taken in this matter, and it is desirable to predict the diffusion of warm discharge accurately and to take effective measures for lowering the temperature. As for the methods of predicting the diffusion of warm discharge, simplified estimation, mathematical analysis and hydrographical model experiment are used corresponding to objects and conditions. As for the measures to lower temperature, the method of discharging warm water into deep sea bottom was confirmed to be very effective. In this paper, the phenomena of diffusion of warm discharge in sea, the methods of predicting the diffusion of warm discharge, and the deep sea discharge as the measure for lowering temperature are outlined. The factors concerning the diffusion of warm discharge in sea are the conditions of discharge, topography and sea state, and the diffusion is roughly divided into mixing diffusion in the vicinity of warm water outlet and eddy diffusion in distant region. It is difficult to change artificially the conditions of diffusion in distant region, and the measures of raising the rate of dilution in near region are effective, therefore the deep sea discharge is adopted. (Kako, I.)

A literature review of organisational, individual and teamwork factors contributing to the ICU discharge process.

Science.gov (United States)

Lin, Frances; Chaboyer, Wendy; Wallis, Marianne

2009-02-01

It is everyday news that we need more intensive care unit (ICU) beds, thus effective use of existing resources is imperative. The aim of this literature review was to critically analyse current literature on how organizational factors, individual factors and teamwork factors influence the ICU discharge process. A better understanding of discharge practices has the potential to ultimately influence ICU resource availability. Databases including CINAHL, MEDLINE, PROQUEST, SCIENCE DIRECT were searched using key terms such as ICU discharge, discharge process, ICU guidelines and policies, discharge decision-making, ICU organisational factors, ICU and human factors, and ICU patient transfer. Articles' reference lists were also used to locate relevant literature. A total of 21 articles were included in the review. Only a small number of ICUs used written patient discharge guidelines. Consensus, rather than empirical evidence, dictates the importance of guidelines and policies. Premature discharge, discharge after hours and discharge by triage still exist due to resources constraints, even though the literature suggests these are associated with increased mortality. Teamwork and team training appear to be effective in improving efficiency and communication between professions or between clinical areas. However, this aspect has rarely been researched in relation to ICU patient discharge. Intensive care patient discharge is influenced by organisational factors, individual factors and teamwork factors. Organisational interventions are effective in reducing ICU discharge delay and shortening patient hospital stay. More rigorous research is needed to discover how these factors influence the ICU discharge process.

Vessel Sewage Discharges

Science.gov (United States)

Vessel sewage discharges are regulated under Section 312 of the Clean Water Act, which is jointly implemented by the EPA and Coast Guard. This homepage links to information on marine sanitation devices and no discharge zones.

Capacitor discharge engineering

CERN Document Server

Früngel, Frank B A

1976-01-01

High Speed Pulse Technology, Volume III: Capacitor Discharge Engineering covers the production and practical application of capacitor dischargers for the generation and utilization of high speed pulsed of energy in different forms. This nine-chapter volume discusses the principles of electric current, voltage, X-rays, gamma rays, heat, beams of electrons, neutrons and ions, magnetic fields, sound, and shock waves in gases and liquids. Considerable chapters consider the applications of capacitor discharges, such as impulse hardening of steel, ultrapulse welding of precision parts, X-ray flash t

Formation of self-organized anode patterns in arc discharge simulations

International Nuclear Information System (INIS)

Trelles, Juan Pablo

2013-01-01

Pattern formation and self-organization are phenomena commonly observed experimentally in diverse types of plasma systems, including atmospheric-pressure electric arc discharges. However, numerical simulations reproducing anode pattern formation in arc discharges have proven exceedingly elusive. Time-dependent three-dimensional thermodynamic non-equilibrium simulations reveal the spontaneous formation of self-organized patterns of anode attachment spots in the free-burning arc, a canonical thermal plasma flow established by a constant dc current between an axi-symmetric electrode configuration in the absence of external forcing. The number of spots, their size and distribution within the pattern depend on the applied total current and on the resolution of the spatial discretization, whereas the main properties of the plasma flow, such as maximum temperatures, velocity and voltage drop, depend only on the former. The sensibility of the solution to the spatial discretization stresses the computational requirements for comprehensive arc discharge simulations. The obtained anode patterns qualitatively agree with experimental observations and confirm that the spots originate at the fringes of the arc–anode attachment. The results imply that heavy-species–electron energy equilibration, in addition to thermal instability, has a dominant role in the formation of anode spots in arc discharges. (paper)

Riverine discharges to Chesapeake Bay: Analysis of long-term (1927–2014) records and implications for future flows in the Chesapeake Bay basin

Science.gov (United States)

Rice, Karen; Moyer, Douglas; Mills, Aaron L.

2017-01-01

The Chesapeake Bay (CB) basin is under a total maximum daily load (TMDL) mandate to reduce nitrogen, phosphorus, and sediment loads to the bay. Identifying shifts in the hydro-climatic regime may help explain observed trends in water quality. To identify potential shifts, hydrologic data (1927–2014) for 27 watersheds in the CB basin were analyzed to determine the relationships among long-term precipitation and stream discharge trends. The amount, frequency, and intensity of precipitation increased from 1910 to 1996 in the eastern U.S., with the observed increases greater in the northeastern U.S. than the southeastern U.S. The CB watershed spans the north-to-south gradient in precipitation increases, and hydrologic differences have been observed in watersheds north relative to watersheds south of the Pennsylvania—Maryland (PA-MD) border. Time series of monthly mean precipitation data specific to each of 27 watersheds were derived from the Precipitation-elevation Regression on Independent Slopes Model (PRISM) dataset, and monthly mean stream-discharge data were obtained from U.S. Geological Survey streamgage records. All annual precipitation trend slopes in the 18 watersheds north of the PA-MD border were greater than or equal to those of the nine south of that border. The magnitude of the trend slopes for 1927–2014 in both precipitation and discharge decreased in a north-to-south pattern. Distributions of the monthly precipitation and discharge datasets were assembled into percentiles for each year for each watershed. Multivariate correlation of precipitation and discharge within percentiles among the groups of northern and southern watersheds indicated only weak associations. Regional-scale average behaviors of trends in the distribution of precipitation and discharge annual percentiles differed between the northern and southern watersheds. In general, the linkage between precipitation and discharge was weak, with the linkage weaker in the northern watersheds

Geospatial database of estimates of groundwater discharge to streams in the Upper Colorado River Basin

Science.gov (United States)

Garcia, Adriana; Masbruch, Melissa D.; Susong, David D.

2014-01-01

The U.S. Geological Survey, as part of the Department of the Interior’s WaterSMART (Sustain and Manage America’s Resources for Tomorrow) initiative, compiled published estimates of groundwater discharge to streams in the Upper Colorado River Basin as a geospatial database. For the purpose of this report, groundwater discharge to streams is the baseflow portion of streamflow that includes contributions of groundwater from various flow paths. Reported estimates of groundwater discharge were assigned as attributes to stream reaches derived from the high-resolution National Hydrography Dataset. A total of 235 estimates of groundwater discharge to streams were compiled and included in the dataset. Feature class attributes of the geospatial database include groundwater discharge (acre-feet per year), method of estimation, citation abbreviation, defined reach, and 8-digit hydrologic unit code(s). Baseflow index (BFI) estimates of groundwater discharge were calculated using an existing streamflow characteristics dataset and were included as an attribute in the geospatial database. A comparison of the BFI estimates to the compiled estimates of groundwater discharge found that the BFI estimates were greater than the reported groundwater discharge estimates.

Discharge Planning in Chronic Conditions

Science.gov (United States)

McMartin, K

2013-01-01

Background Chronically ill people experience frequent changes in health status accompanied by multiple transitions between care settings and care providers. Discharge planning provides support services, follow-up activities, and other interventions that span pre-hospital discharge to post-hospital settings. Objective To determine if discharge planning is effective at reducing health resource utilization and improving patient outcomes compared with standard care alone. Data Sources A standard systematic literature search was conducted for studies published from January 1, 2004, until December 13, 2011. Review Methods Reports, randomized controlled trials, systematic reviews, and meta-analyses with 1 month or more of follow-up and limited to specified chronic conditions were examined. Outcomes included mortality/survival, readmissions and emergency department (ED) visits, hospital length of stay (LOS), health-related quality of life (HRQOL), and patient satisfaction. Results One meta-analysis compared individualized discharge planning to usual care and found a significant reduction in readmissions favouring individualized discharge planning. A second meta-analysis compared comprehensive discharge planning with postdischarge support to usual care. There was a significant reduction in readmissions favouring discharge planning with postdischarge support. However, there was significant statistical heterogeneity. For both meta-analyses there was a nonsignificant reduction in mortality between the study arms. Limitations There was difficulty in distinguishing the relative contribution of each element within the terms “discharge planning” and “postdischarge support.” For most studies, “usual care” was not explicitly described. Conclusions Compared with usual care, there was moderate quality evidence that individualized discharge planning is more effective at reducing readmissions or hospital LOS but not mortality, and very low quality evidence that it is more

Estimating groundwater discharge into the ocean in the Yucatán Peninsula

Science.gov (United States)

Alvarez Rodriguez, G.; Gutierrez-Jurado, H. A.; Uuh-Sonda, J.

2017-12-01

The Yucatán peninsula is an emerged flat carbonate block abundant in soluble rocks. High permeability and dissolution of the rock, facilitates the development of channels, sinkholes and caves where underground rivers discharge into the ocean. There are no rivers or streams acting as a surface drainage system, all rainfall water entering the peninsula is discharged either as evapotranspiration (ET) or as underground runoff into the ocean. To date there are no estimates of the total groundwater discharge from the peninsula into the sea, and of the spatial distribution of recharge and discharge areas thereby hindering efforts to understand the dynamics of a complex hydrologic system. In this study, we estimate the discharge (Q) by solving the water balance equation (ΔS=PPT-ET-Q) using remote sensing products over a period of 12 years; the change in storage (ΔS) was retrieved from the satellite GRACE; precipitation (PPT) from the Tropical Rainfall Measuring Mission; and evapotranspiration (ET) from the Moderate Resolution Imaging Spectroradiometer. Results show that freshwater discharge via evapotranspiration can be a significant portion of the water budget depending on the climatic conditions throughout the year. We observe high recharge-discharge inter-annual variability in the center of the peninsula and some clearly defined recharge and discharge zones around the perimeter. On average the dryer north-east and wetter north-western parts of the peninsula act as recharge zones (where the influx of water is higher than the outflow), while the central-northern part of the peninsula corresponding to agricultural lands, acts as a discharge zone (outflow is higher than influx). The most southern region of the peninsula and the western mangroves are always discharge zones. Finally, our analyses reveal a number of highly subsidized zones, where precipitation levels are consistently lower than evapotranspiration, hence indicating the presence of groundwater dependent

Hydrogen discharges operating at atmospheric pressure in a semiconductor gas discharge system

Energy Technology Data Exchange (ETDEWEB)

Aktas, K; Acar, S; Salamov, B G [Physics Department, Faculty of Arts and Sciences, Gazi University, 06500 Ankara (Turkey)

2011-08-15

Analyses of physical processes which initiate electrical breakdown and spatial stabilization of current and control it with a photosensitive cathode in a semiconductor gas discharge system (SGDS) are carried out in a wide pressure range up to atmospheric pressure p, interelectrode distance d and diameter D of the electrode areas of the semiconductor cathode. The study compares the breakdown and stability curves of the gas discharge in the planar SGDS where the discharge gap is filled with hydrogen and air in two cases. The impact of the ionizing component of the discharge plasma on the control of the stable operation of the planar SGDS is also investigated at atmospheric pressure. The loss of stability is primarily due to modification of the semiconductor-cathode properties on the interaction with low-energy hydrogen ions and the formation of a space charge of positive ions in the discharge gap which changes the discharge from Townsend to glow type. The experimental results show that the discharge current in H{sub 2} is more stable than in air. The breakdown voltages are measured for H{sub 2} and air with parallel-plane electrodes, for pressures between 28 and 760 Torr. The effective secondary electron emission (SEE) coefficient is then determined from the breakdown voltage results and compared with the experimental results. The influence of the SEE coefficient is stated in terms of the differences between the experimental breakdown law.

Discharges from nuclear power stations

International Nuclear Information System (INIS)

1991-02-01

HM Inspectorate of Pollution commissioned, with authorising responsibilities in England and Wales, a study into the discharges of radioactive effluents from Nuclear Power Stations. The study considered arisings from nuclear power stations in Europe and the USA and the technologies to treat and control the radioactive discharges. This report contains details of the technologies used at many nuclear power stations to treat and control radioactive discharges and gives, where information was available, details of discharges and authorised discharge limits. (author)

[Applications of atomic emission spectrum from liquid electrode discharge to metal ion detection].

Science.gov (United States)

Mao, Xiu-Ling; Wu, Jian; Ying, Yi-Bin

2010-02-01

The fast and precise detection of metal ion is an important research project concerning studies in diverse academic fields and different kinds of detecting technologies. In the present paper, the authors review the research on atomic emission spectrum based on liquid electrode discharge and its applications in the detection of metal ion. In the first part of this paper the principles and characteristics of the methods based on electrochemistry and spectroscopy were introduced. The methods of ion-selective electrode (ISE), anodic stripping voltammetry, atomic emission spectrum and atomic absorption spectrum were included in this part and discussed comparatively. Then the principles and characteristics of liquid electrode spectra for metal ion detection were introduced. The mechanism of the plasma production and the characteristics of the plasma spectrum as well as its advantages compared with other methods were discussed. Secondly, the authors divided the discharge system into two types and named them single liquid-electrode discharge and double-liquid electrode respectively, according to the number of the liquid electrode and the configuration of the discharge system, and the development as well as the present research status of each type was illustrated. Then the characteristics and configurations of the discharge systems including ECGD, SCGD, LS-APGD and capillary discharge were discussed in detail as examples of the two types. By taking advantage of the technology of atomic emission spectrum based on liquid electrode discharge, the detecting limit of heavy metals such as copper, mercury and argent as well as active metal ions including sodium, potass and magnesium can achieve microg x L(-1). Finally, the advantages and problems of the liquid-electrode discharge applied in detection of metal ion were discussed. And the applications of the atomic emission spectrum based on liquid electrode discharge were prospected.

Quantifying Construction Site Sediment Discharge Risk and Treatment Potential

Science.gov (United States)

Ferrell, L.; Beighley, R. E.

2006-12-01

, stock piles, temporary roads, finished grade, others). Preliminary site monitoring, experimental results, and a conceptual model for estimating the time depend risk of sediment discharge over the duration of a construction project are presented.

Early discharge following birth

DEFF Research Database (Denmark)

Nilsson, Ingrid M. S.; Kronborg, Hanne; Knight, Christopher H.

2017-01-01

.26–0.48) and primiparous compared to multiparous had an OR of 0.22 (CI 0.17–0.29) for early discharge. Other predictors for early discharge were: no induction of labour, no epidural painkiller, bleeding less than 500 ml during delivery, higher gestational age, early expected discharge and positive breastfeeding experience...

Efficiency of ozone production by pulsed positive corona discharge in synthetic air

Czech Academy of Sciences Publication Activity Database

Šimek, Milan; Člupek, Martin

2002-01-01

Roč. 35, č. 11 (2002), s. 1171-1175 ISSN 0022-3727 R&D Projects: GA AV ČR IAA1043102; GA ČR GA202/99/1298 Institutional research plan: CEZ:AV0Z2043910 Keywords : corona, synthetic air Subject RIV: BL - Plasma and Gas Discharge Physics Impact factor: 1.366, year: 2002

FY 1999 report on the results of 'the model project for effective utilization of the waste heat discharged from the combustion of paper-manufacturing sludge'; 1999 nendo seika hokoku. Seishi surajji nensho hainetsu yuko riyo moderu jigyo

Energy Technology Data Exchange (ETDEWEB)

NONE

2001-03-01

For the purpose of reducing the consumption of fossil fuel and reducing emissions of global warming gases in Malaysia, a model project for thermally effective use of the sludge discharged from paper-manufacturing plant was carried out. Concretely, the paper-manufacturing sludge discharged from paper-manufacturing plant is to be dewatered and improved of its lower heating value. Then, the sludge is to be burned in fluidized bed incinerator, and the steam is to be generated by recovering heat using waste heat recovering boiler. The steam obtained is to be used as process steam of the plant. In this fiscal year, the first year of the project, the attachment to the agreement was prepared in terms of the allotment of the project work between Japan and Malaysia, various kinds of gist, schedules, etc. and signed. After that, the determination of the basic specifications for facilities was made according to the attachment to the agreement. Now, the basic design of the whole plant is being made. The design of the process flow sheet, design of the layout plan for plant equipment, etc. were finished. The goods to be purchased are now being estimated and assessed. Moreover, as to the civil engineering/construction design, drawings of the basic design are now being made. (NEDO)

Electrostatic analyzer for electron and ion energy in glow discharge tube

International Nuclear Information System (INIS)

Bong Kil Yeon.

1984-01-01

The project, the construction and use of an electrostatic energy analyser (Faraday Cup) are described explaining physically its working mechanism. The analyser was used in a glow discharge tube with air and an air-argon mixture. A chapter with the theory of the glow discharge is included. The ion and electron temperatures, the plasma potential and the distribution function for ions and electrons were measured. The electron temperature and plasma potential were also measured using a Langmuir probe and the results show reasonable agreement with the results of the analyser. Good fits of the experimental electron and ion distribution functions were obtained with Maxwellian distributions centered values near the plasma potential. Finally, we discuss the performance of the analyser compared to Langmuir probes. (author) [pt

A Multidisciplinary Quality Improvement Approach Increases Breastmilk Availability at Discharge from the Neonatal Intensive Care Unit for the Very-Low-Birth-Weight Infant.

Science.gov (United States)

Bixby, Christine; Baker-Fox, Cindy; Deming, Crystal; Dhar, Vijay; Steele, Caroline

2016-03-01

Mothers of very-low-birth-weight (VLBW) infants often struggle to establish and maintain a milk supply. Children's Hospital of Orange County (CHOC Children's) data from 2005 to 2011 showed that while the total percentage of all neonatal intensive care unit (NICU) babies being discharged on breastmilk had remained stable, the percentage of VLBW babies with breastmilk at discharge had declined. This information resulted in a quality improvement initiative to remove barriers and implement programs shown to have the greatest impact on initiating and sustaining lactation in this patient subset. The objective of this initiative was to increase breastmilk availability at discharge for the VLBW population. A multidisciplinary program was initiated, which included NICU parent and staff education, clarification of roles, and improved access to pumping supplies. Physicians and nurses completed online education. An algorithm defining roles in lactation support was developed, and a resource team of trained bedside nurses was formed. Lactation consultant time was then refocused on the VLBW population. In addition, "Lactation Support" was added to the physician daily documentation to bring the topic to daily bedside rounds. Twice weekly lactation rounds between the lactation consultant and neonatologist addressed lactation concerns for each dyad. To address pumping issues, the loaner pump program was enhanced. To assess the effectiveness of the initiative, breastmilk availability at discharge for the VLBW population at CHOC Children's was compared from baseline (2011) to the end of June 2015. VLBW breastmilk availability at discharge upon project initiation was 58.7% and increased by 36% to a final rate of 80% by 2013--a rate sustained through the first 6 months of 2015. The results of this initiative suggest that a multidisciplinary approach, including education, changes in workflow, and redefinition of roles, is effective in improving breastmilk rates at discharge in the VLBW

Intratelencephalic corticostriatal neurons equally excite striatonigral and striatopallidal neurons and their discharge activity is selectively reduced in experimental parkinsonism

OpenAIRE

Ballion, B. (B.); Mallet, N. (Nicolas); Bezard, E. (E.); Lanciego, J.L. (José Luis); Gonon, F. (Francois)

2008-01-01

Striatonigral and striatopallidal neurons form distinct populations of striatal projection neurons. Their discharge activity is imbalanced after dopaminergic degeneration in Parkinson's disease. Striatal projection neurons receive massive cortical excitatory inputs from bilateral intratelencephalic (IT) neurons projecting to both the ipsilateral and contralateral striatum and from collateral axons of ipsilateral neurons that send their main axon through the pyramidal tract (PT). Previous anat...

Communication, functional disorders and lifestyle changes after total laryngectomy

NARCIS (Netherlands)

Ackerstaff, A. H.; Hilgers, F. J.; Aaronson, N. K.; Balm, A. J.

1994-01-01

Functional changes after total laryngectomy, including voice quality, hyposmia and dysgeusia, nasal discharge, swallowing and smoking habits were studied by means of a structured interview with 63 laryngectomized patients. Eighty per cent of the patients reported that they were satisfied with the

Impact of Home Health Care on Health Care Resource Utilization Following Hospital Discharge: A Cohort Study.

Science.gov (United States)

Xiao, Roy; Miller, Jacob A; Zafirau, William J; Gorodeski, Eiran Z; Young, James B

2018-04-01

As healthcare costs rise, home health care represents an opportunity to reduce preventable adverse events and costs following hospital discharge. No studies have investigated the utility of home health care within the context of a large and diverse patient population. A retrospective cohort study was conducted between 1/1/2013 and 6/30/2015 at a single tertiary care institution to assess healthcare utilization after discharge with home health care. Control patients discharged with "self-care" were matched by propensity score to home health care patients. The primary outcome was total healthcare costs in the 365-day post-discharge period. Secondary outcomes included follow-up readmission and death. Multivariable linear and Cox proportional hazards regression were used to adjust for covariates. Among 64,541 total patients, 11,266 controls were matched to 6,363 home health care patients across 11 disease-based Institutes. During the 365-day post-discharge period, home health care was associated with a mean unadjusted savings of $15,233 per patient, or $6,433 after adjusting for covariates (p Home health care independently decreased the hazard of follow-up readmission (HR 0.82, p home health care most benefited patients discharged from the Digestive Disease (death HR 0.72, p home health care was associated with significant reduction in healthcare utilization and decreased hazard of readmission and death. These data inform development of value-based care plans. Copyright © 2018 Elsevier Inc. All rights reserved.

Application of an antenna excited high pressure microwave discharge to compact discharge lamps

International Nuclear Information System (INIS)

Kando, M; Fukaya, T; Ohishi, Y; Mizojiri, T; Morimoto, Y; Shido, M; Serita, T

2008-01-01

A novel type of high pressure microwave discharge has been investigated to feed the microwave power at the centre of the compact high pressure discharge lamps using the antenna effect. This method of microwave discharge is named as the antenna excited microwave discharge (AEMD). The 2.45 GHz microwave of around 50 W from the solid state microwave generator can sustain a stable plasma column in the small gap between a couple of antennas fitted on the compact lamp filled with discharge gases at a pressure higher than atmosphere. The AEMD has been applied to a compact metal halide lamp and an extremely high pressure mercury discharge lamp. As a result, the metal halide lamp showed high luminous efficacy of around 130 lm W -1 . The excellent lamp properties obtained here can be explained by the low heating loss at the antennas and the lamp wall. The profiles of the microwave electric field in the lamp and the microwave launcher have been numerically calculated to consider the microwave power supply into the lamp

Development of a discharge model for the Bopp and Reuther Degasser/Condenser relief valves for heat sink assessment

International Nuclear Information System (INIS)

Hasnaoui, C. . chiheb@hasnaoui.net; Huynh, M.

2004-01-01

A total loss of all sustained engineering heat sinks is considered as a severe accident with low probability of occurrence. Following a total loss of all sustained engineering heat sinks, the Degasser/Condenser relief valves (3332-RV11 and RV21) would then become the sole means available for the depressurization of the primary heat transport system. Accurate estimation of the discharge through these valves is required to assess the impact of this kind of accident on fuel cooling and the primary circuit integrity. This paper describes a model used to estimate the Degasser/Condenser relief valve discharge capacity. This model is used to predict the flow discharge under a range of conditions upstream of the relief valves; from sub-cooled to saturated liquid and up to vapor conditions. The defined model is then used to estimate the relief valve discharge rates under various hypothetical conditions of the PHTS using the Cathena code. (author)

Effects of Postacute Settings on Readmission Rates and Reasons for Readmission Following Total Knee Arthroplasty.

Science.gov (United States)

Welsh, Rodney Laine; Graham, James E; Karmarkar, Amol M; Leland, Natalie E; Baillargeon, Jacques G; Wild, Dana L; Ottenbacher, Kenneth J

2017-04-01

Examine the effects of postacute discharge setting on unplanned hospital readmissions following total knee arthroplasty (TKA) in older adults. Secondary analyses of 100% Medicare (inpatient) claims files. Acute hospitals across the United States. Medicare fee-for-service beneficiaries ≥66 years of age who were discharged from an acute hospital following TKA in 2009-2011 (n = 608,031). The outcome measure was unplanned readmissions at 30, 60, and 90 days. The independent variable of interest was postacute discharge setting: inpatient rehabilitation facility (IRF), skilled nursing facility (SNF), or community. Covariates included demographic, clinical, and facility-level factors. The top 10 reasons for readmission were tabulated for each discharge setting across the 3 consecutive 30-day time periods. A total of 32,226 patients (5.3%) were re-admitted within 30 days. Compared with community discharge, patients discharged to IRF and SNF had 44% and 40% higher odds of 30-day readmission, respectively. IRF and SNF discharge settings were also associated with 48% and 45% higher odds of 90-day readmission, respectively, compared with community discharge. The largest increase in readmission rates occurred within the first 30 days of hospital discharge for each discharge setting. From 1 to 30 days, postoperative and post-traumatic infections were among the top causes for readmission in all 3 discharge settings. From 31 to 60 days, postoperative or traumatic infections remained in the top 5-7 reasons for readmission in all settings, but they were not in the top 10 at 61 to 90 days. Patients discharged to either SNF or IRF, in comparison with those discharged to the community, had greater likelihood of readmission within 30 and 90 days. The reasons for readmission were relatively consistent across discharge settings and time periods. These findings provide new information relevant to the delivery of postacute care to older adults following TKA. Copyright © 2017

Microwave Photochemistry IV: Preparation of the Electrodeless Discharge Lamps for Photochemical Applications

Czech Academy of Sciences Publication Activity Database

Církva, Vladimír; Vlková, Leona; Relich, Stanislav; Hájek, Milan

2006-01-01

Roč. 179, 1-2 (2006), s. 229-233 ISSN 1010-6030 R&D Projects: GA AV ČR KSK4040110; GA ČR GA203/02/0879 Institutional research plan: CEZ:AV0Z40720504 Keywords : microwave photochemistry * electrodeless discharge lamp * uv/vis source Subject RIV: CC - Organic Chemistry Impact factor: 2.098, year: 2006

Optical diagnostics of streamer discharges in atmospheric gases

Czech Academy of Sciences Publication Activity Database

Šimek, Milan

2014-01-01

Roč. 47, č. 46 (2014), s. 463001-463001 ISSN 0022-3727 R&D Projects: GA ČR(CZ) GAP205/12/1709 Grant - others:Rada Programu interní podpory projektů mezinárodní spolupráce AV ČR(CZ) M100431201 Program:M Institutional support: RVO:61389021 Keywords : streamer * optical diagnostics * laser-induced fluorescence * LIF * TALIF * red-sprite Subject RIV: BL - Plasma and Gas Discharge Physics Impact factor: 2.721, year: 2014 http://iopscience.iop.org/0022-3727/47/46/463001/pdf/0022-3727_47_46_463001.pdf

The catalytic role of tungsten electrode material in the plasmachemical activity of a pulsed corona discharge in water

Czech Academy of Sciences Publication Activity Database

Lukeš, Petr; Člupek, Martin; Babický, Václav; Sisrová, I.; Janda, V.

2011-01-01

Roč. 20, č. 3 (2011), 034011-034011 ISSN 0963-0252 R&D Projects: GA AV ČR IAAX00430802; GA ČR(CZ) GD104/09/H080 Institutional research plan: CEZ:AV0Z20430508 Keywords : corona discharge * water * erosion * tungsten * hydrogen peroxide * dimethylsulfoxide Subject RIV: BL - Plasma and Gas Discharge Physics Impact factor: 2.521, year: 2011 http://www.ipp.cas.cz/Ips/public/lukes_2011a.pdf

Pharmacist-led discharge medication counselling: A scoping review.

Science.gov (United States)

Bonetti, Aline F; Reis, Wálleri C; Lombardi, Natália Fracaro; Mendes, Antonio M; Netto, Harli Pasquini; Rotta, Inajara; Fernandez-Llimos, Fernando; Pontarolo, Roberto

2018-04-24

Discharge medication counselling has produced improved quality of care and health outcomes, especially by reducing medication errors and readmission rates, and improving medication adherence. However, no studies have assembled an evidence-based discharge counselling process for clinical pharmacists. Thus, the present study aims to map the components of the pharmacist-led discharge medication counselling process. We performed a scoping review by searching electronic databases (Pubmed, Scopus, and DOAJ) and conducting a manual search to identify studies published up to July 2017. Studies that addressed pharmacist-led discharge medication counselling, regardless of the population, clinical conditions, and outcomes evaluated, were included. A total of 1563 studies were retrieved, with 75 matching the inclusion criteria. Thirty-two different components were identified, and the most prevalent were the indication of the medications and adverse drug reactions, which were reported in more than 50% of the studies. The components were reported similarly by studies from the USA and the rest of the world, and over the years. However, 2 differences were identified: the use of a dosage schedule, which was more frequent in studies published in 2011 or before and in studies outside the USA; and the teach-back technique, which was used more frequently in the USA. Poor quality reporting was also observed, especially regarding the duration of the counselling, the number of patients, and the medical condition. Mapping the components of the pharmacist-led discharge counselling studies through a scoping review allowed us to reveal how this service is performed around the world. Wide variability in this process and poor reporting were identified. Future studies are needed to define the core outcome set of this clinical pharmacy service to allow the generation of robust evidence and reproducibility in clinical practice. © 2018 John Wiley & Sons, Ltd.

The Role of Frozen Soil in Groundwater Discharge Predictions for Warming Alpine Watersheds

Science.gov (United States)

Evans, Sarah G.; Ge, Shemin; Voss, Clifford I.; Molotch, Noah P.

2018-03-01

Climate warming may alter the quantity and timing of groundwater discharge to streams in high alpine watersheds due to changes in the timing of the duration of seasonal freezing in the subsurface and snowmelt recharge. It is imperative to understand the effects of seasonal freezing and recharge on groundwater discharge to streams in warming alpine watersheds as streamflow originating from these watersheds is a critical water resource for downstream users. This study evaluates how climate warming may alter groundwater discharge due to changes in seasonally frozen ground and snowmelt using a 2-D coupled flow and heat transport model with freeze and thaw capabilities for variably saturated media. The model is applied to a representative snowmelt-dominated watershed in the Rocky Mountains of central Colorado, USA, with snowmelt time series reconstructed from a 12 year data set of hydrometeorological records and satellite-derived snow covered area. Model analyses indicate that the duration of seasonal freezing in the subsurface controls groundwater discharge to streams, while snowmelt timing controls groundwater discharge to hillslope faces. Climate warming causes changes to subsurface ice content and duration, rerouting groundwater flow paths but not altering the total magnitude of future groundwater discharge outside of the bounds of hydrologic parameter uncertainties. These findings suggest that frozen soil routines play an important role for predicting the future location of groundwater discharge in watersheds underlain by seasonally frozen ground.

The role of frozen soil in groundwater discharge predictions for warming alpine watersheds

Science.gov (United States)

Evans, Sarah G.; Ge, Shemin; Voss, Clifford I.; Molotch, Noah P.

2018-01-01

Climate warming may alter the quantity and timing of groundwater discharge to streams in high alpine watersheds due to changes in the timing of the duration of seasonal freezing in the subsurface and snowmelt recharge. It is imperative to understand the effects of seasonal freezing and recharge on groundwater discharge to streams in warming alpine watersheds as streamflow originating from these watersheds is a critical water resource for downstream users. This study evaluates how climate warming may alter groundwater discharge due to changes in seasonally frozen ground and snowmelt using a 2‐D coupled flow and heat transport model with freeze and thaw capabilities for variably saturated media. The model is applied to a representative snowmelt‐dominated watershed in the Rocky Mountains of central Colorado, USA, with snowmelt time series reconstructed from a 12 year data set of hydrometeorological records and satellite‐derived snow covered area. Model analyses indicate that the duration of seasonal freezing in the subsurface controls groundwater discharge to streams, while snowmelt timing controls groundwater discharge to hillslope faces. Climate warming causes changes to subsurface ice content and duration, rerouting groundwater flow paths but not altering the total magnitude of future groundwater discharge outside of the bounds of hydrologic parameter uncertainties. These findings suggest that frozen soil routines play an important role for predicting the future location of groundwater discharge in watersheds underlain by seasonally frozen ground.

Processing device for discharged water from radioactive material handling facility

International Nuclear Information System (INIS)

Kono, Takao; Kono, Hiroyuki; Yasui, Katsuaki; Kataiki, Koichi.

1995-01-01

The device of the present invention comprises a mechanical floating material-removing means for removing floating materials in discharged water, an ultrafiltration device for separating processed water discharged from the removing means by membranes, a reverse osmotic filtration device for separating the permeated water and a condensing means for evaporating condensed water. Since processed water after mechanically removing floating materials is supplied to the ultrafiltration device, the load applied on the filtering membrane is reduced, to simplify the operation control as a total. In addition, since the amount of resultant condensed water is reduced, and the devolumed condensed water is condensed and dried, the condensing device is made compact and the amount of resultant wastes is reduced. (T.M.)

Ways to discharge-based soft X-ray lasers with the wavelength <15 nm

Czech Academy of Sciences Publication Activity Database

Koláček, Karel; Schmidt, Jiří; Prukner, Václav; Frolov, Oleksandr; Štraus, Jaroslav

2008-01-01

Roč. 26, č. 2 (2008), s. 167-178 ISSN 0263-0346. [International Conference on the Frontiers of Plasma Physics and Technology/3rd./. Bangkok, Thailand, 05.03.2007-09.03.2007] R&D Projects: GA ČR GA202/06/1324; GA MŠk LA08024; GA AV ČR KAN300100702; GA AV ČR KJB100430702 Institutional research plan: CEZ:AV0Z20430508 Keywords : soft X-ray * laser * fast high-current capillary discharge * exploding wire in water * focused shock wave in water Subject RIV: BL - Plasma and Gas Discharge Physics Impact factor: 4.420, year: 2008

The development of dielectric barrier discharges in gas gaps and on surfaces

International Nuclear Information System (INIS)

Gibalov, Valentin I.; Pietsch, Gerhard J.

2000-01-01

Dielectric barrier discharges (DBDs) occur in configurations which are characterized by a dielectric layer between conducting electrodes. Two basic configurations can be distinguished: a volume discharge (VD) arrangement with a gas gap; and a surface discharge (SD) arrangement with surface electrode(s) on a dielectric layer and an extensive counter electrode on its reverse side. At atmospheric pressure the DBD consists of numerous microdischarges (VD) and discharge steps (SD), respectively, their number being proportional to the amplitude of the voltage. These events have a short duration in the range of some 10 ns transferring a certain amount of charge within the discharge region. The total transferred charge determines the current and hence the volt-ampere characteristic of each arrangement. The microdischarges (discharge steps) have a complicated spatial structure. The discharge patterns on the dielectric surface depend on the polarity and amplitude of the applied voltage as well as on the specific capacity of the dielectric. Experimental findings on DBDs in air and oxygen are presented and discussed. On the basis of a self-consistent two-dimensional modelling the temporal and spatial development of a microdischarge and discharge step are investigated numerically. The results lead to an understanding of the dynamics of DBDs. Although in VD arrangements cathode-directed streamers appear especially in electronegative gases, their appearance is rather unlikely in SD arrangements. The application of DBDs for plasma-chemical reactions is determined by the productivity, with which the energy of the electric field can be converted into internal states of atoms and/or molecules. Depending on the desired product it could be both the generation of internal electronic states of molecules or atoms and dissociation products of molecules. The discharge current and current density of DBDs in both the SD and VD arrangements as well as the energy release and energy density

Flood Discharge Analysis with Nakayasu Method Using Combination of HEC-RAS Method on Deli River in Medan City

Science.gov (United States)

Harahap, Rumilla; Jeumpa, Kemala; Hadibroto, Bambang

2018-03-01

The problem in this research is how in the rainy season the water does not overflow, does not occur flood and during the dry season does not occur drought so it can adjust the condition or existence of Deli river which is around Medan city. Deli River floods often occur, either caused by a smaller capacity than the existing discharge, lack of maintenance and drainage and disposal systems that do not fit with the environment, resulting in flood subscriptions every year. The purpose of this research is to know flood discharge at Deli river as Flood control in Medan city. This research is analyzed on several methods such as log Pearson, Gumbel and hydrograph unit, while HEC-RAS method is modeling conducted in analyzing the water profile of the Deli River. Furthermore, the calculation of the periodic flood discharge using the Nakayasu Method. Calculation result at Deli River return period flood discharge 2 years with an area of 14.8 km2 annual flood hydrograph the total is 26.79 m3/sec on the hours at the 4th time. Return period flood discharge 5 years with an area of 14.8 km2 annual flood hydrograph the total is 73,44 m3/sec. While 25 annual return period total flood hydrograph is 146.50 m3/sec. With flood analysis can reduce and minimize the risk of losses and land can be mapped if in the area there is flooding.

Dissociation of molecular iodine in RF discharge for oxygen-iodine laser

Czech Academy of Sciences Publication Activity Database

Jirásek, Vít; Schmiedberger, Josef; Čenský, Miroslav; Kodymová, Jarmila

2012-01-01

Roč. 66, č. 4 (2012), 1-6 ISSN 1434-6060 R&D Projects: GA ČR GA202/09/0310 Grant - others:European Office for Aerospace R&D(XE) FA8655-09-1-3092 Institutional research plan: CEZ:AV0Z10100523 Keywords : molecular iodine * RF discharge * dissociation * oxygen-iodine laser * COIL Subject RIV: BH - Optics, Masers, Lasers Impact factor: 1.513, year: 2012

New discharge tube with virtual cathode

International Nuclear Information System (INIS)

Seidelmann, L.; Aubrecht, L.

2003-01-01

Till this time known methods of the excitation of the discharge between electrodes are using either secondary or thermo emission of electrons by the cathode. Usually we speak about the self-maintained discharge. Lifetime of the cathode, that is shortened by the emission, limits in principle, the lifetime of the whole discharge tube. The discharge can, according to the present state of the art, be induced also by the inductive way. Arrangement for excitation of such discharge is rather expensive. The construction of the inductive excited discharge tube is considerably influenced by the necessity of the limitation of the losses in excitation magnetic circuits. Especially length of the discharge and pressure of the working gas are limited by the economic standpoints. Function of the discharge is always connected with unwanted electromagnetic radiation, whose restraint is expensive and represents limiting factor for arrangement of the discharge tube (Authors)

Risks predicting prolonged hospital discharge boarding in a regional acute care hospital.

Science.gov (United States)

Shaikh, Sajid A; Robinson, Richard D; Cheeti, Radhika; Rath, Shyamanand; Cowden, Chad D; Rosinia, Frank; Zenarosa, Nestor R; Wang, Hao

2018-01-30

Prolonged hospital discharge boarding can impact patient flow resulting in upstream Emergency Department crowding. We aim to determine the risks predicting prolonged hospital discharge boarding and their direct and indirect effects on patient flow. Retrospective review of a single hospital discharge database was conducted. Variables including type of disposition, disposition boarding time, case management consultation, discharge medications prescriptions, severity of illness, and patient homeless status were analyzed in a multivariate logistic regression model. Hospital charges, potential savings of hospital bed hours, and whether detailed discharge instructions provided adequate explanations to patients were also analyzed. A total of 11,527 admissions was entered into final analysis. The median discharge boarding time was approximately 2 h. Adjusted Odds Ratio (AOR) of patients transferring to other hospitals was 7.45 (95% CI 5.35-10.37), to court or law enforcement custody was 2.51 (95% CI 1.84-3.42), and to a skilled nursing facility was 2.48 (95% CI 2.10-2.93). AOR was 0.57 (95% CI 0.47-0.71) if the disposition order was placed during normal office hours (0800-1700). AOR of early case management consultation was 1.52 (95% CI 1.37-1.68) versus 1.73 (95% CI 1.03-2.89) for late consultation. Eighty-eight percent of patients experiencing discharge boarding times within 2 h of disposition expressed positive responses when questioned about the quality of explanations of discharge instructions and follow-up plans based on satisfaction surveys. Similar results (86% positive response) were noted among patients whose discharge boarding times were prolonged (> 2 h, p = 0.44). An average charge of $6/bed/h was noted in all hospital discharges. Maximizing early discharge boarding (≤ 2 h) would have resulted in 16,376 hospital bed hours saved thereby averting $98,256.00 in unnecessary dwell time charges in this study population alone. Type of disposition, case

Predictors of need for mechanical ventilation at discharge after tracheostomy in the PICU.

Science.gov (United States)

McCrory, Michael C; Lee, K Jane; Scanlon, Matthew C; Wakeham, Martin K

2016-01-01

The objective of this study was to determine factors predictive of need for mechanical ventilation (MV) upon discharge from the pediatric intensive care unit (PICU) among patients who receive a tracheostomy during their stay. This was a retrospective cohort study using the Virtual PICU Systems (VPS) database. Patients tracheostomy during their PICU stay were included. A total of 680 pediatric patients from 74 PICUs were included, of whom 347 (51%) remained on MV at the time of PICU discharge. Neonates (30/38, 79%) and infants (129/203, 64%) required MV at PICU discharge after tracheostomy more often than adolescents (66/141, 47%) and children (122/298, 41%). Time on MV pre-tracheostomy was longer among those who required MV at discharge (median 18.3 vs. 13.8 days, P tracheostomy (OR 1.01, 95%CI 1.0-1.02, P = 0.01) were significantly associated with increased odds of MV upon PICU discharge, while being a trauma admission was associated with decreased odds (OR 0.45, 95%CI 0.28-0.73, P = 0.001). Younger patients and those with prolonged courses of MV prior to tracheostomy are more likely to continue to need MV upon PICU discharge. © 2015 Wiley Periodicals, Inc.

Methane Conversion to C2 Hydrocarbons by Abnormal Glow Discharge at Atmospheric Pressure

International Nuclear Information System (INIS)

Dai Wei; Yu Hui; Chen Qi; Yin Yongxiang; Dai Xiaoyan

2005-01-01

Methane conversion to C 2 hydrocarbons has been investigated with the addition of hydrogen in a plasma reactor of abnormal glow discharge at atmospheric pressure. The aim of this experiment is to minimize coke formation and improve discharge stability. The typical conditions in the experiment are 300 ml of total feed flux and 400 W of discharge power. The experimental results show that methane conversion is from 91.6% to 35.2% in mol, acetylene selectivity is from 90.2% to 57.6%, and ethylene selectivity is approximately from 7.8% to 3.6%, where the coke increases gradually along with the increase of CH 4 /H 2 from 2: 8 to 9: 1. A stable discharge for a considerable running time can be obtained only at a lower ratio of CH 4 /H 2 2: 8 or 3: 7. These phenomena indicate that the coke deposition during methane conversion is obviously reduced by adding a large amount of hydrogen during an abnormal glow discharge. A qualitative interpretation is presented, namely, with abundant hydrogen, the possibility that hydrogen molecules are activated to hydrogen radicals is increased with the help of the abnormal glow discharge. These hydrogen radicals react with carbon radicals to form C 2 hydrocarbon products. Therefore, the deposition of coke is restrained

Heart bypass surgery - minimally invasive - discharge

Science.gov (United States)

... invasive direct coronary artery bypass - discharge; MIDCAB - discharge; Robot assisted coronary artery bypass - discharge; RACAB - discharge; Keyhole ... M. is also a founding member of Hi-Ethics and subscribes to the principles of the Health ...

Dynamic model based on voltage transfer curve for pattern formation in dielectric barrier glow discharge

Energy Technology Data Exchange (ETDEWEB)

Li, Ben; He, Feng; Ouyang, Jiting, E-mail: jtouyang@bit.edu.cn [School of Physics, Beijing Institute of Technology, Beijing 100081 (China); Duan, Xiaoxi [Research Center of Laser Fusion, CAEP, Mianyang 621900 (China)

2015-12-15

Simulation work is very important for understanding the formation of self-organized discharge patterns. Previous works have witnessed different models derived from other systems for simulation of discharge pattern, but most of these models are complicated and time-consuming. In this paper, we introduce a convenient phenomenological dynamic model based on the basic dynamic process of glow discharge and the voltage transfer curve (VTC) to study the dielectric barrier glow discharge (DBGD) pattern. VTC is an important characteristic of DBGD, which plots the change of wall voltage after a discharge as a function of the initial total gap voltage. In the modeling, the combined effect of the discharge conditions is included in VTC, and the activation-inhibition effect is expressed by a spatial interaction term. Besides, the model reduces the dimensionality of the system by just considering the integration effect of current flow. All these greatly facilitate the construction of this model. Numerical simulations turn out to be in good accordance with our previous fluid modeling and experimental result.

Discharge lamp technologies

Science.gov (United States)

Dakin, James

1994-01-01

This talk is an overview of discharge lamp technology commonly employed in general lighting, with emphasis on issues pertinent to lighting for plant growth. Since the audience is primarily from the plant growth community, and this begins the light source part of the program, we will start with a brief description of the discharge lamps. Challenges of economics and of thermal management make lamp efficiency a prime concern in controlled environment agriculture, so we will emphasize science considerations relating to discharge lamp efficiency. We will then look at the spectra and ratings of some representative lighting products, and conclude with a discussion of technological advances.

Vaginal Discharge: What's Normal, What's Not

Science.gov (United States)

... Staying Safe Videos for Educators Search English Español Vaginal Discharge: What's Normal, What's Not KidsHealth / For Teens / ... Discharge: What's Normal, What's Not Print What Is Vaginal Discharge? Vaginal discharge is fluid that comes from ...

Total space in resolution

Czech Academy of Sciences Publication Activity Database

Bonacina, I.; Galesi, N.; Thapen, Neil

2016-01-01

Roč. 45, č. 5 (2016), s. 1894-1909 ISSN 0097-5397 R&D Projects: GA ČR GBP202/12/G061 EU Projects: European Commission(XE) 339691 - FEALORA Institutional support: RVO:67985840 Keywords : total space * resolution random CNFs * proof complexity Subject RIV: BA - General Mathematics Impact factor: 1.433, year: 2016 http://epubs.siam.org/doi/10.1137/15M1023269

Galactography in non-lactating nipple discharge

Energy Technology Data Exchange (ETDEWEB)

Suh, Myung Ok; Lee, Joo Mi; Moon, Jang Ho; Kang, Ik Won; Chung, Soo Young; Bae, Sang Hoon; Park, Soo Sung [Hallym University College of Medicine, Seoul (Korea, Republic of)

1988-08-15

Nipple discharge in non-lactating breast is classified as 2 groups. The first group is stagnation discharge which is determined by an apocrino-like exfoliation and stagnation within the ductal system. The second group is hyperplastic or neoplastic group. The secretory breast disease combined with nipple discharge can not be diagnosed by simple X-ray mammography of ultrasonography. For differential diagnosis of secretory breast disease and for localization of lesions, the galactography is necessary. We analysed 49 cases of galactography is non-lactating breat and obtained following results. 1. The most common cause of discharge was duct ectasis (39%) in stagnation discharge group and papilloma (23%) in hyperplastic discharge group. 2. Hyperplastic discharge group occurred most frequently in 5th decade of age and was discovered more frequently in fatty parenchymal pattern on simple mammography. 3. The most frequent type of nipple discharge was cloudy-milky type in stagnation group and bloody nature in hyperplastic group. 4. The most common cause of bloody discharge was papilloma (58%). 5. The bloody nipple discharge among 56 cases of breast cancer during 4 years occurred only in 5 cases (9%)

Hydrotherapy after total hip arthroplasty: a follow-up study.

Science.gov (United States)

Giaquinto, S; Ciotola, E; Dall'armi, V; Margutti, F

2010-01-01

The aim of the study was to evaluate the subjective functional outcome of total hip arthroplasty (THA) in patients who underwent hydrotherapy (HT) 6 months after discharge. A prospective randomized study was performed on 70 elderly inpatients with recent THA, who completed a rehabilitation program. After randomization, 33 of them were treated in conventional gyms (no-hydrotherapy group=NHTG) and 31 received HT (hydrotherapy group=HTG). Interviews with the Western-Ontario MacMasters Universities Osteoarthritis Index (WOMAC) were performed at admission, at discharge and 6 months later. Kruskal-Wallis, Mann-Whitney and Wilcoxon tests were applied for statistical analysis. Both groups improved. Pain, stiffness and function were all positively affected. Statistical analysis indicated that WOMAC sub-scales were significantly lower for all patients treated with HT. The benefits at discharge still remained after 6 months. We conclude that HT is recommended after THA in a geriatric population.

CONCAWE effluent speciation project

Energy Technology Data Exchange (ETDEWEB)

Leonards, P.; Comber, M.; Forbes, S.; Whale, G.; Den Haan, K.

2010-09-15

In preparation for the implementation of the EU REACH regulation, a project was undertaken to transfer the high-resolution analytical method for determining hydrocarbon blocks in petroleum products by comprehensive two-dimensional gas chromatography (GCxGC) to a laboratory external to the petroleum industry (Institute for Environmental Studies (IVM) of the VU University of Amsterdam). The method was validated and used for the analysis of petroleum hydrocarbons extracted from refinery effluents. The report describes the technology transfer and the approaches used to demonstrate the successful transfer and application of the GCxGC methodology from analysing petroleum products to the quantitative determination of hydrocarbon blocks in refinery effluents. The report describes all the methods used for all the determinations on the effluent samples along with an overview of the results obtained which are presented in summary tables and graphs. These data have significantly improved CONCAWE's knowledge of what refineries emit in their effluents. A total of 111 Effluent Discharge Samples from 105 CONCAWE refineries in Europe were obtained in the period June 2008 to March 2009. These effluents were analysed for metals, standard effluent parameters (including COD, BOD), oil in water, BTEX and volatile organic compounds. The hydrocarbon speciation determinations and other hydrocarbon analyses are also reported. The individual refinery analytical results are included into this report, coded as per the CONCAWE system. These data will be, individually, communicated to companies and refineries. The report demonstrates that it is feasible to conduct a research programme to investigate the fate and effects of hydrocarbon blocks present in discharged refinery effluents.

Johann Wilhelm Hittorf and the material culture of nineteenth-century gas discharge research.

Science.gov (United States)

Müller, Falk

2011-06-01

In the second half of the nineteenth century, gas discharge research was transformed from a playful and fragmented field into a new branch of physical science and technology. From the 1850s onwards, several technical innovations-powerful high-voltage supplies, the enhancement of glass-blowing skills, or the introduction of mercury air-pumps- allowed for a major extension of experimental practices and expansion of the phenomenological field. Gas discharge tubes served as containers in which resources from various disciplinary contexts could be brought together; along with the experimental apparatus built around them the tubes developed into increasingly complex interfaces mediating between the human senses and the micro-world. The focus of the following paper will be on the physicist and chemist Johann Wilhelm Hittorf (1824-1914), his educational background and his attempts to understand gaseous conduction as a process of interaction between electrical energy and matter. Hittorf started a long-term project in gas discharge research in the early 1860s. In his research he tried to combine a morphological exploration of gas discharge phenomena-aiming at the experimental production of a coherent phenomenological manifold--with the definition and precise measurements of physical properties.

Parental language and dosing errors after discharge from the pediatric emergency department.

Science.gov (United States)

Samuels-Kalow, Margaret E; Stack, Anne M; Porter, Stephen C

2013-09-01

Safe and effective care after discharge requires parental education in the pediatric emergency department (ED). Parent-provider communication may be more difficult with parents who have limited health literacy or English-language fluency. This study examined the relationship between language and discharge comprehension regarding medication dosing. We completed a prospective observational study of the ED discharge process using a convenience sample of English- and Spanish-speaking parents of children 2 to 24 months presenting to a single tertiary care pediatric ED with fever and/or respiratory illness. A bilingual research assistant interviewed parents to ascertain their primary language and health literacy and observed the discharge process. The primary outcome was parental demonstration of an incorrect dose of acetaminophen for the weight of his or her child. A total of 259 parent-child dyads were screened. There were 210 potential discharges, and 145 (69%) of 210 completed the postdischarge interview. Forty-six parents (32%) had an acetaminophen dosing error. Spanish-speaking parents were significantly more likely to have a dosing error (odds ratio, 3.7; 95% confidence interval, 1.6-8.1), even after adjustment for language of discharge, income, and parental health literacy (adjusted odds ratio, 6.7; 95% confidence interval, 1.4-31.7). Current ED discharge communication results in a significant disparity between English- and Spanish-speaking parents' comprehension of a crucial aspect of medication safety. These differences were not explained purely by interpretation, suggesting that interventions to improve comprehension must address factors beyond language alone.

Characteristics of X-point lobe structures in single-null discharges on MAST

Czech Academy of Sciences Publication Activity Database

Harrison, J.R.; Kirk, A.; Chapman, I.T.; Cahyna, Pavel; Liu, Y.; Nardon, E.; Thornton, A.J.

2014-01-01

Roč. 54, č. 6 (2014), 064015-064015 ISSN 0029-5515 R&D Projects: GA ČR GAP205/11/2341 Institutional support: RVO:61389021 Keywords : tokamak * MAST * X-point * resonant magnetic perturbation Subject RIV: BL - Plasma and Gas Discharge Physics Impact factor: 3.062, year: 2014 http://iopscience.iop.org/0029-5515/54/6/064015/pdf/0029-5515_54_6_064015.pdf

Boundary Effect of Planar Glow Dielectric Barrier Discharge and Its Influence on the Discharge Structure

International Nuclear Information System (INIS)

Xu Shaowei; Li Lulu; Ouyang Jiting

2015-01-01

The dielectric barrier discharge (DBD) in the glow regime in neon has been investigated by experiment and two-dimensional (2D) fluid modeling. The discharge was carried out in a planar DBD system with segmented-electrodes driven by square-wave voltage. The results show that the glow DBD originates in the center of the electrode and expands outward to the electrode edge during each half cycle of the voltage, forming a radial structure. The discharge decays firstly in the inner area but sustains longer in the edge area, showing a reversed discharge area. The discharge cannot completely cover the entire electrode surface, but remains a border of non- or weak discharge. The fluid modeling shows a similar result in agreement with the experiments. The simulations indicate that the electric field in the edge area is distorted due to the boundary effect so that the electric field and charge distribution are different from that in the inner part. The distorted field reduces the longitudinal component near the edge and causes the local field to be lower than that in the center, and hence makes the discharge behindhand. It also induces a transverse field that makes the discharge extend radially outward to the edge. The boundary effect plays an important role in the glow DBD structure. (paper)

Assessing submarine groundwater discharge (SGD) and nitrate fluxes in highly heterogeneous coastal karst aquifers: Challenges and solutions

Science.gov (United States)

Montiel, Daniel; Dimova, Natasha; Andreo, Bartolomé; Prieto, Jorge; García-Orellana, Jordi; Rodellas, Valentí

2018-02-01

Groundwater discharge in coastal karst aquifers worldwide represents a substantial part of the water budget and is a main pathway for nutrient transport to the sea. Groundwater discharge to the sea manifests under different forms, making its assessment very challenging particularly in highly heterogeneous coastal systems karst systems. In this study, we present a methodology approach to identify and quantify four forms of groundwater discharge in a mixed lithology system in southern Spain (Maro-Cerro Gordo) that includes an ecologically protected coastal area comprised of karstic marble. We found that groundwater discharge to the sea occurs via: (1) groundwater-fed creeks, (2) coastal springs, (3) diffuse groundwater seepage through seabed sediments, and (4) submarine springs. We used a multi-method approach combining tracer techniques (salinity, 224Ra, and 222Rn) and direct measurements (seepage meters and flowmeters) to evaluate the discharge. Groundwater discharge via submarine springs was the most difficult to assess due to their depth (up to 15 m) and extensive development of the springs conduits. We determined that the total groundwater discharge over the 16 km of shoreline of the study area was at least 11 ± 3 × 103 m3 d-1 for the four types of discharge assessed. Groundwater-derived nitrate (NO3-) fluxes to coastal waters over ∼3 km (or 20%) in a highly populated and farmed section of Maro-Cerro Gordo was 641 ± 166 mol d-1, or ∼75% of the total NO3- loading in the study area. We demonstrate in this study that a multi-method approach must be applied to assess all forms of SGD and derived nutrient fluxes to the sea in highly heterogeneous karst aquifer systems.

Estimates of Nutrient Loading by Ground-Water Discharge into the Lynch Cove Area of Hood Canal, Washington

Science.gov (United States)

Simonds, F. William; Swarzenski, Peter W.; Rosenberry, Donald O.; Reich, Christopher D.; Paulson, Anthony J.

2008-01-01

Low dissolved oxygen concentrations in the waters of Hood Canal threaten marine life in late summer and early autumn. Oxygen depletion in the deep layers and landward reaches of the canal is caused by decomposition of excess phytoplankton biomass, which feeds on nutrients (primarily nitrogen compounds) that enter the canal from various sources, along with stratification of the water column that prevents mixing and replenishment of oxygen. Although seawater entering the canal is the largest source of nitrogen, ground-water discharge to the canal also contributes significant quantities, particularly during summer months when phytoplankton growth is most sensitive to nutrient availability. Quantifying ground-water derived nutrient loads entering an ecologically sensitive system such as Hood Canal is a critical component of constraining the total nutrient budget and ultimately implementing effective management strategies to reduce impacts of eutrophication. The amount of nutrients entering Hood Canal from ground water was estimated using traditional and indirect measurements of ground-water discharge, and analysis of nutrient concentrations. Ground-water discharge to Hood Canal is variable in space and time because of local geology, variable hydraulic gradients in the ground-water system adjacent to the shoreline, and a large tidal range of 3 to 5 meters. Intensive studies of ground-water seepage and hydraulic-head gradients in the shallow, nearshore areas were used to quantify the freshwater component of submarine ground-water discharge (SGD), whereas indirect methods using radon and radium geochemical tracers helped quantify total SGD and recirculated seawater. In areas with confirmed ground-water discharge, shore-perpendicular electrical resistivity profiles, continuous electromagnetic seepage-meter measurements, and continuous radon measurements were used to visualize temporal variations in ground-water discharge over several tidal cycles. The results of these

Numerical study on the discharge characteristics and nonlinear behaviors of atmospheric pressure coaxial electrode dielectric barrier discharges

International Nuclear Information System (INIS)

Zhang Ding-Zong; Wang Yan-Hui; Wang De-Zhen

2017-01-01

The discharge characteristics and temporal nonlinear behaviors of the atmospheric pressure coaxial electrode dielectric barrier discharges are studied by using a one-dimensional fluid model. It is shown that the discharge is always asymmetrical between the positive pulses and negative pulses. The gas gap severely affects this asymmetry. But it is hard to acquire a symmetrical discharge by changing the gas gap. This asymmetry is proportional to the asymmetric extent of electrode structure, namely the ratio of the outer electrode radius to the inner electrode radius. When this ratio is close to unity, a symmetrical discharge can be obtained. With the increase of frequency, the discharge can exhibit a series of nonlinear behaviors such as period-doubling bifurcation, secondary bifurcation and chaotic phenomena. In the period-doubling bifurcation sequence the period- n discharge becomes more and more unstable with the increase of n . The period-doubling bifurcation can also be obtained by altering the discharge gas gap. The mechanisms of two bifurcations are further studied. It is found that the residual quasineutral plasma from the previous discharges and corresponding electric field distribution can weaken the subsequent discharge, and leads to the occurrence of bifurcation. (paper)

Recharge and discharge areas of the Floridan Aquifer in the St. Johns River Water Management District and vicinity, Florida

Science.gov (United States)

Phelps, G.G.

1984-01-01

The Floridan aquifer is the principal source of most of the freshwater used in the St. Johns River Water Management District. An important step in managing water resources is the delineation of recharge and discharge areas. Geohydrologic factors to be considered when delineating recharge and discharge areas include: altitude and configuration of the potentiometric surface; direction and magnitude of the gradient between the water table and the potentiometric surface; and thickness and permeability of the overlying sediments. Recharge to the aquifer comes almost entirely from rainfall within the Water Management District. Significant recharge occurs where the aquifer is at or very near land surface, and where the overlying sediments are very permeable sand so that recharge takes place downward leakage. Recharge also occurs through sinkholes, sinkhole lakes, and other lakes that have a good connection to the aquifer. Major recharge areas are delineated on the map. Discharge occurs in areas of artesian flow (where the potentiometric surface is above land surface), primarily by diffuse upward leakage and by discharge from springs. Fifty-five springs, with total discharge of about 1,600 million gallons per day, are in the Water Management District. Areas of discharge and the location of springs are shown on the map. In 1980, total pumpage in the Water Management District was about 1,000 million gallons per day. Under predevelopment conditions, discharge by springs and upward leakage approximately balanced recharged. Additional discharge by pumpage may or may not be balanced by decreased spring discharge of increased downward leakage. Examination of long-term water level trends can indicate if recharge and discharge balance. Graphs of rainfall, water levels, and municipal pumpage for Jacksonville, Orlando, and Daytona Beach are shown on the map. (USGS)

The effect of an auxiliary discharge on anode sheath potentials in a transverse discharge

International Nuclear Information System (INIS)

Foster, J.E.; Gallimore, A.D.

1997-01-01

A novel scheme that employs the use of an auxiliary discharge has been shown to reduce markedly anode sheath potentials in a transverse discharge. An 8.8 A low-pressure argon discharge in the presence of a transverse magnetic field was used as the plasma source in this study. In such discharges, the transverse flux that is collected by the anode is severely limited due to marked reductions in the transverse diffusion coefficient. Findings of this study indicate that the local electron number density and the transverse flux increase when the auxiliary discharge is operated. Changes in these parameters are reflected in the measured anode sheath voltage. Anode sheath potentials, estimated by using Langmuir probes, were shown to be reduced by over 33% when the auxiliary discharge is operated. These reductions in anode sheath potentials translated into significant reductions in anode power flux as measured using water calorimeter techniques. The reductions in anode power flux also correlate well with changes in the electron transverse flux. Finally, techniques implementing these positive effects in real plasma accelerators are discussed. copyright 1997 American Institute of Physics

Gas-discharge sources with charged particle emission from the plasma of glow discharge with a hollow cathode

CERN Document Server

Semenov, A P

2001-01-01

One studied properties of a magnetron discharge with a cold hollow and uncooled rod cathodes. One demonstrated the dominant effect of thermoelectron emission of a rod cathode heated in a discharge on characteristics of discharge and on emission properties of a gas-discharge plasma and the possibility pf a smooth transition of glow discharge to diffusion mode of arc discharge combustion. Paper describes sources of ions and electrons with improved physical and generalized design and engineering parameters. One shows the promise of the electrode structure of a hollow cathode magnetron discharge to be used as a source, in particular, of the atomic hydrogen and of atom flow of a working rod cathode

Association of nursing-documented ambulation with length of stay following total laparoscopic hysterectomy for benign gynecologic disease

OpenAIRE

Kim, Kidong; Yoo, Sooyoung; Yang, Eun Joo; No, Jae Hong; Hwang, Hee; Kim, Yong-Beom

2013-01-01

Objective The objective was to examine the association of postoperative physical activity with length of stay in patients who received total laparoscopic hysterectomy for benign gynecologic disease. Methods The case group was composed of 70 patients who entered a critical pathway for elective total laparoscopic hysterectomy from 2009 to 2012 and were discharged behind schedule. The control group was selected from patients who were discharged on schedule, and matched to cases using 1:3 ratio p...

Discharge cleaning for a tokamak

International Nuclear Information System (INIS)

Ishii, Shigeyuki

1983-01-01

Various methods of discharge cleaning for tokamaks are described. The material of the first walls of tokamaks is usually stainless steel, inconel, titanium and so on. Hydrogen is exclusively used as the discharge gas. Glow discharge cleaning (GDC), Taylor discharge cleaning (TDC), and electron cyclotron resonance discharge cleaning (ECR-DC) are discussed in this paper. The cleaning by GDC is made by moving a movable anode to the center of a tokamak vassel. Taylor found the good cleaning effect of induced discharge by high pressure and low power discharge. This is called TDC. When the frequency of high frequency discharge in a magnetic field is equal to that of the electron cyclotron resonance, the break down potential is lowered if the pressure is sufficiently low. The ECR-CD is made by using this effect. In TDC and ECR-DC, the electron temperature, which has a close relation to the production rate of H 0 , can be controlled by the pressure. In GDC, the operating pressure was improved by the radio frequency glow (RG) method. However, there is still the danger of arcing. In case of GDC and ECR-DC, the position of plasma can be controlled, but not in case of TDC. The TDC is accepted by most of takamak devices in the world. (Kato, T.)

Development and application of capacitor discharge vaporization technique for fuel aerosol studies

International Nuclear Information System (INIS)

Kelly, M.J.; Kress, T.S.; Parker, G.W.; Rochelle, J.M.; Fontana, M.H.

1976-01-01

Investigations into the behavior of LMFBR fuel as it responds to the levels of energy deposition projected for prompt-critical excursions have been limited because of the difficulty of experimentally achieving the resultant high thermodynamic states in a laboratory. In order to conduct ''source-term'' assessment and fuel aerosol behavioral experiments, the Aerosol Release and Transport program at ORNL has been developing a Capacitor Discharge Vaporization (CDV) technique for using electrical energy, via the discharge from capacitors, to achieve HCDA-like energy state in UO 2 . The paper reports the details of the technique, the developmental test results that have demonstrated feasibility, and a brief description of the proposed experiments that will use the CDV system for safety related studies

Mapping (dis)agreement in hydrologic projections

Science.gov (United States)

Melsen, Lieke A.; Addor, Nans; Mizukami, Naoki; Newman, Andrew J.; Torfs, Paul J. J. F.; Clark, Martyn P.; Uijlenhoet, Remko; Teuling, Adriaan J.

2018-03-01

Hydrologic projections are of vital socio-economic importance. However, they are also prone to uncertainty. In order to establish a meaningful range of storylines to support water managers in decision making, we need to reveal the relevant sources of uncertainty. Here, we systematically and extensively investigate uncertainty in hydrologic projections for 605 basins throughout the contiguous US. We show that in the majority of the basins, the sign of change in average annual runoff and discharge timing for the period 2070-2100 compared to 1985-2008 differs among combinations of climate models, hydrologic models, and parameters. Mapping the results revealed that different sources of uncertainty dominate in different regions. Hydrologic model induced uncertainty in the sign of change in mean runoff was related to snow processes and aridity, whereas uncertainty in both mean runoff and discharge timing induced by the climate models was related to disagreement among the models regarding the change in precipitation. Overall, disagreement on the sign of change was more widespread for the mean runoff than for the discharge timing. The results demonstrate the need to define a wide range of quantitative hydrologic storylines, including parameter, hydrologic model, and climate model forcing uncertainty, to support water resource planning.

Tracer-based quantification of individual frac discharge in single-well multiple-frac backflow: sensitivity study

Science.gov (United States)

Ghergut, Julia; Behrens, Horst; Sauter, Martin

2014-05-01

Within the deep-geothermal research project at GroßSchönebeck in the NE German Basin, targeting volcanic rocks (Lower Rotliegend) and siliciclastics (Upper Rotliegend) in the Lower Permian by means of a well doublet with several screening intervals between 3815 and 4247 m b.s.l., several artificial fractures with different geometric and hydraulic characteristics were created at each well, aiming to increase reservoir performance [1], [2]. It could not be told a priori which of the various fracturing treatments was to prove as most promising in terms of future reservoir productivity. At the intended-production well (GS-4), one large-area waterfrac was created in the low-permeability volcanic rocks, and two gel-proppant fractures in selected sandstone layers. Each fracturing treatment was accompanied by the injection of a water-dissolved tracer slug, followed by a defined volume of tracer-free ('chaser') fluid [3]. Each frac received a different species of a sulfonated aromatic acid salt, as a conservative water tracer. During subsequent backflow tests (either gas-based lifting, or production by means of a downhole submersible pump), each frac can contribute a certain (more or less constant) amount to the measured total discharge (also depending on whether and when each frac 'starts' contributing, and which effective aperture and area it actually 'manifests' during the process). Since these individual-frac discharge amounts cannot be measured directly, it was endeavoured to indirectly determine ('resolve') them from tracer signals as detectable in the overall backflow discharge. Therefore, we need to examine how these tracer signals depend on local discharge values and on local hydrogeologic parameters (matrix porosity, permeability distribution; frac transmissivity, thickness, effective area and aperture), and to what extent hydrogeological uncertainty will impede the inversion of local discharge values. To this end, a parameter sensitivity study was conducted on

FY 1999 report on the results of 'the model project for effective utilization of the waste heat discharged from the combustion of paper-manufacturing sludge'; 1999 nendo seika hokoku. Seishi surajji nensho hainetsu yuko riyo moderu jigyo

Energy Technology Data Exchange (ETDEWEB)

NONE

2001-03-01

For the purpose of reducing the consumption of fossil fuel and reducing emissions of global warming gases in Malaysia, a model project for thermally effective use of the sludge discharged from paper-manufacturing plant was carried out. Concretely, the paper-manufacturing sludge discharged from paper-manufacturing plant is to be dewatered and improved of its lower heating value. Then, the sludge is to be burned in fluidized bed incinerator, and the steam is to be generated by recovering heat using waste heat recovering boiler. The steam obtained is to be used as process steam of the plant. In this fiscal year, the first year of the project, the attachment to the agreement was prepared in terms of the allotment of the project work between Japan and Malaysia, various kinds of gist, schedules, etc. and signed. After that, the determination of the basic specifications for facilities was made according to the attachment to the agreement. Now, the basic design of the whole plant is being made. The design of the process flow sheet, design of the layout plan for plant equipment, etc. were finished. The goods to be purchased are now being estimated and assessed. Moreover, as to the civil engineering/construction design, drawings of the basic design are now being made. (NEDO)

Improving Posthospital Discharge Telephone Reach Rates Through Prehospital Discharge Face-to-Face Meetings.

Science.gov (United States)

Vergara, Franz H; Sheridan, Daniel J; Sullivan, Nancy J; Budhathoki, Chakra

The purpose of this study was to determine whether a face-to-face meeting with patients by a telephonic case manager prehospital discharge would result in increased telephone follow-up (TFU) reach rates posthospital discharge. Acute care adult medicine inpatient units. A quasiexperimental design was utilized. Two adult inpatient medicine units were selected as the intervention and comparison groups. The framework of the study is the transitions theory. A convenience sampling technique was used, whereby 88 eligible patients on the intervention unit received face-to-face meetings prehospital discharge whereas 123 patients on the comparison unit received standard care (no face-to-face meetings). Cross-tabulation and chi-square tests were employed to examine the association of face-to-face meeting intervention and TFU reach rates. Implementing brief (face-to-face meetings by a telephonic case manager prehospital discharge resulted in a TFU reach rate of 87% on the intervention unit, whereas the comparison unit only had a 58% TFU reach rate (p communication with more patients posthospital discharge. A brief prehospital discharge face-to-face meeting with patients assisted them to understand the reasons for a posthospital discharge telephone call, identified the best times to call using accurate telephone numbers, and taught patients how best to prepare for the call. In addition, by meeting patients face-to-face, the telephonic case manager was no longer an unknown person on the telephone asking them questions about their medical condition. These factors combined may have significantly helped to increase TFU reach rates.

Treatment of Wastewater by Ozone Produced in Dielectric Barrier Discharge

Directory of Open Access Journals (Sweden)

Rita Bhatta

2015-01-01

Full Text Available There is rapid diminishing of water resources in many countries due to, for example, population growth and constant reduction in fresh water supply. The sewage wastewater, industrial effluents, and municipal wastewater are directly and indiscriminately discharged into rivers and lakes and thus primarily cause water pollution in Nepal. This has increased the water crisis and also causes environmental deterioration. Therefore, the need for the development of an effective, cheap, and environmentally friendly process for the treatment of wastewater before discharging into aquatic environment has emerged. Treatment by ozone produced from dielectric barrier discharge is one of the emerging technologies for such application. The ozonation process is more effective for disinfection and degradation of organic pollutants from water. The current study describes the treatment of wastewater of selected site within Kathmandu. Results on various physicochemical and microbial parameters of the inlet and outlet samples are discussed. Our results showed slight increase in pH, decrease in chemical oxygen demand, and significant increase in dissolved oxygen after ozonation. Importantly, ozonation caused total reduction of fecal coliform.

Filamentary and diffuse barrier discharges

International Nuclear Information System (INIS)

Kogelschatz, U.

2001-01-01

Barrier discharges, sometimes also referred to as dielectric-barrier discharges or silent discharges, are characterized by the presence of at least one insulating layer in contact with the discharge between two planar or cylindrical electrodes connected to an ac power supply. The main advantage of this type of electrical discharge is, that non-equilibrium plasma conditions in atmospheric-pressure gases can be established in an economic and reliable way. This has led to a number of important applications including industrial ozone generation, surface modification of polymers, plasma chemical vapor deposition, excitation of CO 2 lasers, excimer lamps and, most recently, large-area flat plasma display panels. Depending on the application, the width of the discharge gap can range from less than 0.1 mm to about 100 mm and the applied frequency from below line frequency to several gigahertz. Typical materials used for the insulating layer (dielectric barrier) are glass, quartz, ceramics but also thin enamel or polymer layers

Waste water discharges into natural waters

International Nuclear Information System (INIS)

Marri, P.; Barsanti, P.; Mione, A.; Posarelli, M.

1996-12-01

The aqueous discharges into natural waters is a very technical solution expecially for surface buoyant discharges. It is not only convenient to limit the concentration levels of the discharges, but also to improve the turbolent processes that diluite the discharge. Mostly these processes depend by some geometric parameters of the discharge and by some physical parameters of the effluent and of the receiving water body. An appropriate choice of some parameters, using also suitable mathematical models, allows to design discharges with a very high dilution; so the decreasing of the pollutant levels is improved and the environmental impact can be reduced versus a not diluted effluent. The simulations of a mathematical model, here described, prove that in some circumstances, expecially in case of discharges of fresh water into saline water bodies with a low velocity of the current, the dilution is poor; the effluent can be trapped in a narrow water surface layer where the pollutant concentrations remain high. also far away from the discharge point

Chaos in gas discharges

International Nuclear Information System (INIS)

Piel, A.

1993-01-01

Many gas discharges exhibit natural oscillations which undergo a transition from regular to chaotic behavior by changing an experimental parameter or by applying external modulation. Besides several isolated investigations, two classes of discharge phenomena have been studied in more detail: ionization waves in medium pressure discharges and potential relaxation oscillations in filament cathode discharges at very low pressure. The latter phenomenon will be discussed by comparing experimental results from different discharge arrangements with particle-in-cell simulations and with a model based on the van-der-Pol equation. The filament cathode discharge has two stable modes of operation: the low current anode-glow-mode and the high current temperature-limited-mode, which form the hysteresis curve in the I(U) characteristics. Close to the hysteresis point of the AGM periodic relaxation oscillations occur. The authors demonstrate that the AGM can be understood by ion production in the anode layer, stopping of ions by charge exchange, and trapping in the virtual cathode around the filament. The relaxation oscillations consist of a slow filling phase and a rapid phase that invokes formation of an unstable double-layer, current-spiking, and ion depletion from the cathodic plasma. The relaxation oscillations can be mode-locked by external modulation. Inside a mode-locked state, a period doubling cascade is observed at high modulation degree

The effect of discharge chamber geometry on the characteristics of low-pressure RF capacitive discharges

Energy Technology Data Exchange (ETDEWEB)

Lisovskiy, V.A. [Ecole Polytech, Lab Phys and Technol Plasmas, F-91128 Palaiseau, (France); Booth, J.P. [Lam Res Corp, Fremont, CA 94538 (United States); Landry, K. [Unaxis, F-38100 Grenoble, (France); Douai, D. [CEA Cadarache, Dept Rech Fus Controlee, EURATOM Assoc, F-13108 St Paul Les Durance, (France); Cassagne, V. [Riber, F-95873 Bezons, (France); Yegorenkov, V.D. [Kharkov Natl Univ, Dept Phys, UA-61077 Kharkov, (Ukraine)

2007-07-01

We report the measured extinction curves and current voltage characteristics (CVCs) in several gases of RF capacitive discharges excited at 13.56 MHz in chambers of three different geometries: 1) parallel plates surrounded by a dielectric cylinder ('symmetric parallel plate'); 2) parallel plates surrounded by a metallic cylinder ('asymmetric confined'); and 3) parallel plates inside a much larger metallic chamber ('asymmetric unconfined'), similar to the gaseous electronics conference reference cell. The extinction curves and the CVCs show differences between the symmetric, asymmetric confined, and asymmetric unconfined chamber configurations. In particular, the discharges exist over a much broader range of RF voltages and gas pressures for the asymmetric unconfined chamber. For symmetric and asymmetric confined discharges, the extinction curves are close to each other in the regions near the minima and at lower pressure, but at higher pressure, the extinction curve of the asymmetric confined discharge runs at a lower voltage than the one for the discharge in a symmetric chamber. In the particular cases of an 'asymmetric unconfined chamber' discharge or 'asymmetric confined' one, the RF discharge experiences the transition from a 'weak-current' mode to a 'strong-current' one at lower RF voltages than is the case for a 'symmetric parallel-plate' discharge. (authors)

Discharges with surgical procedures performed less often than once per month per hospital account for two-thirds of hospital costs of inpatient surgery.

Science.gov (United States)

O'Neill, Liam; Dexter, Franklin; Park, Sae-Hwan; Epstein, Richard H

2017-09-01

Most surgical discharges (54%) at the average hospital are for procedures performed no more often than once per month at that hospital. We hypothesized that such uncommon procedures would be associated with an even greater percentage of the total cost of performing all surgical procedures at that hospital. Observational study. State of Texas hospital discharge abstract data: 4th quarter of 2015 and 1st quarter of 2016. Inpatients discharged with a major therapeutic ("operative") procedure. For each of N=343 hospitals, counts of discharges, sums of lengths of stay (LOS), sums of diagnosis related group (DRG) case-mix weights, and sums of charges were obtained for each procedure or combination of procedures, classified by International Classification of Diseases version 10 Procedure Coding System (ICD-10-PCS). Each discharge was classified into 2 categories, uncommon versus not, defined as a procedure performed at most once per month versus those performed more often than once per month. Major procedures performed at most once per month per hospital accounted for an average among hospitals of 68% of the total inpatient costs associated with all major therapeutic procedures. On average, the percentage of total costs associated with uncommon procedures was 26% greater than expected based on their share of total discharges (Pcosts among surgical patients can be attributed to procedures performed at most once per month per hospital. The finding that such uncommon procedures account for a large percentage of costs is important because methods of cost accounting by procedure are generally unsuitable for them. Copyright © 2017 Elsevier Inc. All rights reserved.

National Hospital Discharge Survey: 2003 annual summary with detailed diagnosis and procedure data.

Science.gov (United States)

Kozak, Lola Jean; Lees, Karen A; DeFrances, Carol J

2006-05-01

This report presents 2003 national estimates and trend data on the use of non-Federal short-stay hospitals in the United States. Estimates are provided by patient and hospital characteristics, diagnoses, and surgical and nonsurgical procedures performed. Estimates of diagnoses and procedures are presented according to the International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) codes. The estimates are based on data collected through the National Hospital Discharge Survey (NHDS). The survey has been conducted annually since 1965. In 2003, data were collected for approximately 320,000 discharges. Of the 479 eligible non-Federal short-stay hospitals in the sample, 426 (89 percent) responded to the survey. An estimated 34.7 million inpatients were discharged from non-Federal short-stay hospitals in 2003. They used 167.3 million days of care and had an average length of stay of 4.8 days. Females used almost one-third more days of hospital care than males. Patients with five or more diagnoses rose from 29 percent of discharges in 1990 to 57 percent in 2003. The leading diagnostic category was respiratory diseases for children under 15 years, childbirth for 15-44 year olds, and circulatory diseases for patients 45 years of age and over. Only surgical procedures were performed for 27 percent of discharges, 18 percent had surgical and nonsurgical procedures, and 16 percent had only nonsurgical procedures. A total of 664,000 coronary angioplasties were performed, and stents were inserted during 86 percent of these procedures with drug-eluting stents used in 28 percent. The number and rate of total and primary cesarean deliveries rose from 1995 to 2003. The rate of vaginal birth after cesarean delivery dropped 58 percent, from 35.5 in 1995 to 14.8 in 2003.

Subtotal versus total abdominal hysterectomy

DEFF Research Database (Denmark)

Andersen, Lea Laird; Ottesen, Bent; Alling Møller, Lars Mikael

2015-01-01

OBJECTIVE: The objective of the study was to compare long-term results of subtotal vs total abdominal hysterectomy for benign uterine diseases 14 years after hysterectomy, with urinary incontinence as the primary outcome measure. STUDY DESIGN: This was a long-term follow-up of a multicenter......, randomized clinical trial without blinding. Eleven gynecological departments in Denmark contributed participants to the trial. Women referred for benign uterine diseases who did not have contraindications to subtotal abdominal hysterectomy were randomized to subtotal (n = 161) vs total (n = 158) abdominal...... from discharge summaries from all public hospitals in Denmark. The results were analyzed as intention to treat and per protocol. Possible bias caused by missing data was handled by multiple imputation. The primary outcome was urinary incontinence; the secondary outcomes were pelvic organ prolapse...

Fast capillary discharge facility CAPEX-U as a source of the soft X-ray radiation

Czech Academy of Sciences Publication Activity Database

Frolov, Oleksandr; Koláček, Karel; Schmidt, Jiří; Štraus, Jaroslav; Prukner, Václav

2007-01-01

Roč. 52, č. 16 (2007), s. 295-295 ISSN 0003-0503. [Annual Meeting of the Division of Plasma Physics/49th./. Orlando , Florida, 12.11.2007-16.11.2007] R&D Projects: GA ČR GA202/06/1324; GA AV ČR KJB100430702; GA AV ČR KAN300100702; GA MŠk 1P04LA235 Institutional research plan: CEZ:AV0Z20430508 Keywords : Capillary discharge * x-ray * laser * laser-triggered * spark gap * breakdown * plasma Subject RIV: BL - Plasma and Gas Discharge Physics http://meetings.aps.org/Meeting/DPP07/Content/901

Ignition Features of Plasma-Beam Discharge in Gas-Discharge Electron Gun Operation

Directory of Open Access Journals (Sweden)

Valery A. Tutyk

2013-01-01

Full Text Available The current paper presents the results of experimental researches to determine the mode features of plasma-beam discharge (PBD generation by an electron beam injected by a low-vacuum gasdischarge electron gun (LGEG with the cold cathode and hollow anode on the basis of the high-voltage glow discharge and in the range of helium pressure of P ? 10 ÷ 130 Pa. The PBD boundaries and their dependences on parameters of an electron beam are found. The influence of PBD on parameters of low-vacuum gas-discharge electron gun is revealed. It causes an avalanche increase of electron beam current and burning of plasma-beam discharge in the whole space of the vacuum chamber volume and generation of electromagnetic radiation is revealed. Achieved results will be used for implementation of various vacuum technologies in the medium of reaction gas and generated electromagnetic radiation.

[Implementation of a post-discharge surgical site infection system in herniorrhaphy and mastectomy procedures].

Science.gov (United States)

San Juan Sanz, Isabel; Díaz-Agero-Pérez, Cristina; Robustillo-Rodela, Ana; Pita López, María José; Oliva Iñiguez, Lourdes; Monge-Jodrá, Vicente

2014-10-01

Monitoring surgical site infection (SSI) performed during hospitalization can underestimate its rates due to the shortening in hospital stay. The aim of this study was to determine the actual rates of SSI using a post-discharge monitoring system. All patients who underwent herniorraphy or mastectomy in the Hospital Universitario Ramón y Cajal from 1 January 2011 to 31 December 2011 were included. SSI data were collected prospectively according to the continuous quality improvement indicators (Indicadores Clinicos de Mejora Continua de la Calidad [INCLIMECC]) monitoring system. Post-discharge follow-up was conducted by telephone survey. A total of 409patients were included in the study, of whom 299 underwent a herniorraphy procedure, and 110 underwent a mastectomy procedure. For herniorrhaphy, the SSI rate increased from 6.02% to 7.6% (the post-discharge survey detected 21.7% of SSI). For mastectomy, the SSI rate increased from 1.8% to 3.6% (the post-discharge survey detected 50% of SSI). Post-discharge monitoring showed an increased detection of SSI incidence. Post-discharge monitoring is useful to analyze the real trend of SSI, and evaluate improvement actions. Post-discharge follow-up methods need to standardised. Copyright © 2013 Elsevier España, S.L.U. y Sociedad Española de Enfermedades Infecciosas y Microbiología Clínica. All rights reserved.

Recharge and discharge calculations to characterize the groundwater hydrologic balance

International Nuclear Information System (INIS)

Liddle, R.G.

1998-01-01

Several methods are presented to quantify the ground water component of the hydrologic balance; including (1) hydrograph separation techniques, (2) water budget calculations, (3) spoil discharge techniques, and (4) underground mine inflow studies. Stream hydrograph analysis was used to calculate natural groundwater recharge and discharge rates. Yearly continuous discharge hydrographs were obtained for 16 watersheds in the Cumberland Plateau area of Tennessee. Baseflow was separated from storm runoff using computerized hydrograph analysis techniques developed by the USGS. The programs RECESS, RORA, and PART were used to develop master recession curves, calculate ground water recharge, and ground water discharge respectively. Station records ranged from 1 year of data to 60 years of data with areas of 0.67 to 402 square miles. Calculated recharge ranged from 7 to 28 inches of precipitation while ground water discharge ranged from 6 to 25 inches. Baseflow ranged from 36 to 69% of total flow. For sites with more than 4 years of data the median recharge was 20 inches/year and the 95% confidence interval for the median was 16.4 to 23.8 inches of recharge. Water budget calculations were also developed independently by a mining company in southern Tennessee. Results showed about 19 inches of recharge is available on a yearly basis. A third method used spoil water discharge measurements to calculate average recharge rate to the mine. Results showed 21.5 inches of recharge for this relatively flat area strip mine. In a further analysis it was shown that premining soil recharge rates of 19 inches consisted of about 17 inches of interflow and 2 inches of deep aquifer recharge while postmining recharge to the spoils had almost no interflow component. OSM also evaluated underground mine inflow data from northeast Tennessee and southeast Kentucky. This empirical data showed from 0.38 to 1.26 gallons per minute discharge per unit acreage of underground workings. This is the

Classification of electrical discharges in DC Accelerators

Energy Technology Data Exchange (ETDEWEB)

Banerjee, Srutarshi, E-mail: sruban.stephens@gmail.com [Accelerator and Pulse Power Division, Bhabha Atomic Research Centre, Trombay, Mumbai 400085 (India); Deb, A.K. [Department of Electrical Engineering, Indian Institute of Technology Kharagpur, Kharagpur 721302 (India); Rajan, Rehim N. [Accelerator and Pulse Power Division, Bhabha Atomic Research Centre, Trombay, Mumbai 400085 (India); Kishore, N.K. [Department of Electrical Engineering, Indian Institute of Technology Kharagpur, Kharagpur 721302 (India)

2016-08-11

Controlled electrical discharge aids in conditioning of the system while uncontrolled discharges damage its electronic components. DC Accelerator being a high voltage system is no exception. It is useful to classify electrical discharges according to the severity. Experimental prototypes of the accelerator discharges are developed. Photomultiplier Tubes (PMTs) are used to detect the signals from these discharges. Time and Frequency domain characteristics of the detected discharges are used to extract features. Machine Learning approaches like Fuzzy Logic, Neural Network and Least Squares Support Vector Machine (LSSVM) are employed to classify the discharges. This aids in detecting the severity of the discharges.

Flow and discharge of groundwater from a snowmelt-affected sandy beach

Science.gov (United States)

Chaillou, G.; Lemay-Borduas, F.; Larocque, M.; Couturier, M.; Biehler, A.; Tommi-Morin, G.

2018-02-01

The study is based on a complex and unique data set of water stable isotopes (i.e., δ18O and δ2H), radon-222 activities (i.e., 222Rn) and groundwater levels to better understand the interaction of fresh groundwater and recirculated seawater in a snowmelt-affected subterranean estuary (STE) in a boreal region (Îles-de-la-Madeleine, Qc, Canada). By using a combination of hydrogeological and marine geochemical approaches, the objective was to analyze and quantify submarine groundwater discharge processes through a boreal beach after the snow melt period, in early June. The distribution of δ18O and δ2H in beach groundwater showed that inland fresh groundwater contributed between 97 and 30% of water masses presented within the STE. A time series of water table levels during the 16 days of the study indicated that tides propagated as a dynamic wave limiting the mass displacement of seawater within the STE. This up-and-down movement of the water table (∼10-30 cm) induced the vertical infiltration of seawater at the falling tide. At the front of the beach, a radon-based mass balance calculated with high-resolution 222Rn survey estimated total SGD of 3.1 m3/m/d at the discharge zone and a mean flow to 1.5 m3/m/d in the bay. The nearshore discharge agreed relatively well with Darcy fluxes calculated at the beach face. Fresh groundwater makes up more than 50% of the total discharge during the measuring campaign. These results indicate that beaches in boreal and cold regions could be important sources of freshwater originate and groundwater-borne solutes and contaminants to the marine environment after the snowmelt.

Prevention of venous thromboembolic disease after total hip and knee arthroplasty.

Science.gov (United States)

Lieberman, Jay R; Hsu, Wellington K

2005-09-01

Patients undergoing total hip and knee arthroplasty are at increased risk for the development of venous thromboembolic disease, and there is general agreement that these patients require prophylaxis. The selection of a prophylactic agent involves a balance between efficacy and safety and often needs to be individualized for specific patients and institutions. Despite extensive research, the ideal agent for prophylaxis against deep venous thrombosis has not been identified. The results of randomized trials indicate that low-molecular-weight heparin, warfarin, and fondaparinux are the most effective prophylactic agents after total hip arthroplasty and that low-molecular-weight heparin, warfarin, fondaparinux, and pneumatic compression boots are the most effective agents after total knee arthroplasty. The duration of prophylaxis against deep venous thrombosis after total hip and knee arthroplasty remains controversial. Prophylaxis should be continued beyond hospital discharge. In the future, the determination of the duration of prophylaxis will be based on the risk stratification of individual patients. The practice of discharging patients from the hospital without prophylaxis, even when the decision is based on negative results of procedures that screen for the presence of deep venous thrombosis, is not cost-effective.

State Waste Discharge Permit application, 183-N Backwash Discharge Pond

Energy Technology Data Exchange (ETDEWEB)

1994-06-01

As part of the Hanford Federal Facility Agreement and Consent Order negotiations (Ecology et al. 1994), the US Department of Energy, Richland Operations Office, the US Environmental Protection Agency, and the Washington State Department of Ecology agreed that liquid effluent discharges to the ground on the Hanford Site which affect groundwater or have the potential to affect groundwater would be subject to permitting under the structure of Chapter 173--216 (or 173--218 where applicable) of the Washington Administrative Code, the State Waste Discharge Permit Program. As a result of this decision, the Washington State Department of Ecology and the US Department of Energy, Richland Operations Office entered into Consent Order No. DE91NM-177, (Ecology and DOE-RL 1991). The Consent Order No. DE91NM-177 requires a series of permitting activities for liquid effluent discharges. Liquid effluents on the Hanford Site have been classified as Phase I, Phase II, and Miscellaneous Streams. The Consent Order No. DE91NM-177 establishes milestones for State Waste Discharge Permit application submittals for all Phase I and Phase II streams, as well as the following 11 Miscellaneous Streams as identified in Table 4 of the Consent Order No. DE91NM-177.

Water reuse achieved by zero discharge of aqueous waste

International Nuclear Information System (INIS)

Kelchner, B.L.

1976-01-01

Plans for zero discharge of aqueous waste from ERDA's nuclear weapons plant near Denver are discussed. Two plants - a process waste treatment facility now under construction, and a reverse osmosis desalting plant now under design, will provide total reuse of waste water for boiler feed and cooling tower supply. Seventy million gallons of water per year will be conserved and downstream municipalities will be free of inadvertent pollution hazards

Experimental study on total dissolved gas supersaturation in water

Directory of Open Access Journals (Sweden)

Lu Qu

2011-12-01

Full Text Available More and more high dams have been constructed and operated in China. The total dissolved gas (TDG supersaturation caused by dam discharge leads to gas bubble disease or even death of fish. Through a series of experiments, the conditions and requirements of supersaturated TDG generation were examined in this study. The results show that pressure (water depth, aeration, and bubble dissolution time are required for supersaturated TDG generation, and the air-water contact area and turbulence intensity are the main factors that affect the generation rate of supersaturated TDG. The TDG supersaturation levels can be reduced by discharging water to shallow shoals downstream of the dam or using negative pressure pipelines. Furthermore, the TDG supersaturation levels in stilling basins have no direct relationship with those in reservoirs. These results are of great importance for further research on the prediction of supersaturated TDG generation caused by dam discharge and aquatic protection.

Standardizing Care and Improving Quality under a Bundled Payment Initiative for Total Joint Arthroplasty.

Science.gov (United States)

Froemke, Cecily C; Wang, Lian; DeHart, Matthew L; Williamson, Ronda K; Ko, Laura Matsen; Duwelius, Paul J

2015-10-01

Increasing demands for episodic bundled payments in total hip and knee arthroplasty are motivating providers to wring out inefficiencies and coordinate services. This study describes a care pathway and gainshare arrangement as the mechanism by which improvements in efficiency were realized under a bundled payment pilot. Analysis of cut-to-close time, LOS, discharge destination, implant cost, and total allowed claims between pre-pilot and pilot cohorts showed an 18% reduction in average LOS (70.8 to 58.2 hours) and a shift from home health and skilled nursing facility discharge to home self-care (54.1% to 63.7%). No significant differences were observed for cut-to-close time and implant cost. Improvements resulted in a 6% reduction in the average total allowed claims per case. Copyright © 2015 Elsevier Inc. All rights reserved.

State-space prediction of spring discharge in a karst catchment in southwest China

Science.gov (United States)

Li, Zhenwei; Xu, Xianli; Liu, Meixian; Li, Xuezhang; Zhang, Rongfei; Wang, Kelin; Xu, Chaohao

2017-06-01

Southwest China represents one of the largest continuous karst regions in the world. It is estimated that around 1.7 million people are heavily dependent on water derived from karst springs in southwest China. However, there is a limited amount of water supply in this region. Moreover, there is not enough information on temporal patterns of spring discharge in the area. In this context, it is essential to accurately predict spring discharge, as well as understand karst hydrological processes in a thorough manner, so that water shortages in this area could be predicted and managed efficiently. The objectives of this study were to determine the primary factors that govern spring discharge patterns and to develop a state-space model to predict spring discharge. Spring discharge, precipitation (PT), relative humidity (RD), water temperature (WD), and electrical conductivity (EC) were the variables analyzed in the present work, and they were monitored at two different locations (referred to as karst springs A and B, respectively, in this paper) in a karst catchment area in southwest China from May to November 2015. Results showed that a state-space model using any combinations of variables outperformed a classical linear regression, a back-propagation artificial neural network model, and a least square support vector machine in modeling spring discharge time series for karst spring A. The best state-space model was obtained by using PT and RD, which accounted for 99.9% of the total variation in spring discharge. This model was then applied to an independent data set obtained from karst spring B, and it provided accurate spring discharge estimates. Therefore, state-space modeling was a useful tool for predicting spring discharge in karst regions in southwest China, and this modeling procedure may help researchers to obtain accurate results in other karst regions.

Recurrent vaginal discharge in children.

Science.gov (United States)

McGreal, Sharon; Wood, Paul

2013-08-01

Childhood vaginal discharge remains a frequent reason for referral from primary to secondary care. The Pediatric and Adolescent Gynecology (PAG) service at Kettering General Hospital was established in 1993 and provides a specialized service that meets the needs of children with gynaecological conditions. To investigate recurrent vaginal discharge noting symptomatology, defining pathogens, common and rarer causes, exploring management regimes, and any changes in practice over time. Retrospective review spanning 15 years identifying prepubertal children attending the outpatient PAG clinic with recurrent vaginal discharge. We reviewed the medical notes individually. 110 patients were identified; 85% were referred from primary care. The age distribution was bimodal at four and eight years. Thirty-five percent of our patients were discharged after the initial consultation. The commonest cause of discharge was vulvovaginitis (82%). Other important causes included suspected sexual abuse (5%), foreign body (3%), labial adhesions (3%), vaginal agenesis (2%). 35% of patients were admitted for vaginoscopy. Vaginal discharge is the most common gynecological symptom in prepubertal girls and can cause repeated clinical episodes. Vulvovaginitis is the most common cause and often responds to simple hygiene measures. Awareness of the less common causes of vaginal discharge is essential. Copyright © 2013 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc. All rights reserved.

Radiological discharges

International Nuclear Information System (INIS)

Woodliffe, J.

1990-01-01

Current practice of North Sea States on the discharge and disposal of liquid radioactive wastes to the North Sea are based on the declaration issued at the Second International Conference on the Protection of the North Sea, known as the London Declaration. This has three main points the first of which emphasises the application of the Best Available Technology to protect the North Sea, the second provides a framework on which future controls on radioactive discharges should be based. The third identifies two parts of the framework; to take into account the recommendations of international organizations and that any repositories of radioactive waste which are built should not pollute the North Sea. This chapter looks at how the concensus based on the London Declaration is working, gauges the progress made in the implementation of the policy goal, identifies existing and future areas for concern and proposes ways of strengthening the control of radioactive discharges. The emphasis is on the United Kingdom practice and regulations for liquid wastes, most of which comes from the Sellafield Reprocessing Plant. (author)

Influence of Plantation Establishment on Discharge Characteristics in a Small Catchment of Tropical Forest

Directory of Open Access Journals (Sweden)

Siti Aisah Shamsuddin

2014-01-01

Full Text Available A study was conducted on the impact of forest clearance on discharge from newly established Hopea odorata plantations catchment (14.4 ha. The stands were two years old when this study commenced in year 2006 and the data collection was carried out for two years. The forested catchment (C3 was clear-cut during the preparation of the forest plantation and catchment C1 was left undisturbed. Discharge and rainfall were measured continuously for two years. The discharge measured from years 1997 to 2003 was used also to determine the water yield before and after forest clear-cut. This study showed that the plantation catchment is more responsive to storm with higher total water yield than in the forested catchment. The effect of forest clear cutting to discharge was clearly shown by the increment in the amount following the clear-cut activities and time taken for the recovery of the discharge back to its original state was almost three years. The peak discharge in C3 also was affected in which the biggest change was obtained during the forest clear-cutting period compared with during calibration and after clearing periods. This study is useful as basis for improving the existing guidelines on forest plantation establishment.

Epidemiology and clinico-investigative study of organisms causing vaginal discharge

Science.gov (United States)

Venugopal, Swetha; Gopalan, Kannan; Devi, Asha; Kavitha, A.

2017-01-01

Background: Abnormal vaginal discharge is a common clinical problem in reproductive age group. It is the second most common problem after abnormal uterine bleeding. It is a neglected health problem, most commonly caused due to vulvovaginal candidiasis, trichomoniasis, and bacterial vaginosis (BV). Objectives: The present study was conducted to determine the prevalence of common organisms causing vaginal discharge and also to know the variety of clinical presentation. Materials and Methods: A cross-sectional descriptive study was conducted in the Skin and STD Outpatient Department of Vinayaka Mission Kirupananda Variyar Medical College Hospital, Salem, who presented with abnormal vaginal discharge between September 2012 and September 2014. A total of 100 women in the reproductive age group who had symptoms of vaginitis were examined. Data were coded and analyzed. Results: Out of the 100 patients examined, 77 (77%) cases were organism positive. Among the positive cases, BV (27%) was the most common microbiological cause of abnormal vaginal discharge, followed by trichomoniasis (25%), vaginal candidiasis (22%), combined infection (Candida and BV) (3%), and nonspecific cases (23%). Conclusion: Out of 100 cases, few cases showed discordance between clinical and laboratory diagnosis. This discordance can be due to pitfalls in identifying the causative agent clinically or obscuring of the findings due to improper treatment received for other ailments. Thus, clinico-investigative correlation is more important than other clinical findings alone. PMID:28442807

Apparatus for measuring total flow in pipes

International Nuclear Information System (INIS)

Matthews, H.

1986-01-01

To obtain a sample representative of the total flow in a pipe over a given period a Pitot tube is located in the pipe and connected to a collector outside the pipe. The collector is pressurised to a pressure substantially equal to the static head of the flow in the pipe via a line. Liquid is discharged from a collector to a container which is vented to atmosphere. (author)

Measurements of time average series resonance effect in capacitively coupled radio frequency discharge plasma

International Nuclear Information System (INIS)

Bora, B.; Bhuyan, H.; Favre, M.; Wyndham, E.; Chuaqui, H.; Kakati, M.

2011-01-01

Self-excited plasma series resonance is observed in low pressure capacitvely coupled radio frequency discharges as high-frequency oscillations superimposed on the normal radio frequency current. This high-frequency contribution to the radio frequency current is generated by a series resonance between the capacitive sheath and the inductive and resistive bulk plasma. In this report, we present an experimental method to measure the plasma series resonance in a capacitively coupled radio frequency argon plasma by modifying the homogeneous discharge model. The homogeneous discharge model is modified by introducing a correction factor to the plasma resistance. Plasma parameters are also calculated by considering the plasma series resonances effect. Experimental measurements show that the self-excitation of the plasma series resonance, which arises in capacitive discharge due to the nonlinear interaction of plasma bulk and sheath, significantly enhances both the Ohmic and stochastic heating. The experimentally measured total dissipation, which is the sum of the Ohmic and stochastic heating, is found to increase significantly with decreasing pressure.

The effect of real-time teleconsultations between hospital-based nurses and patients with severe COPD discharged after an exacerbation

DEFF Research Database (Denmark)

Sorknaes, Anne Dichmann; Bech, Mickael; Madsen, Hanne

2013-01-01

hospital readmissions within 26 weeks of discharge. A total of 266 patients (mean age 72 years) were allocated to either intervention (n¼132) or control (n¼134). There was no significant difference in the unconditional total mean number of hospital readmissions after 26 weeks: mean 1.4 (SD 2...... or mean number of readmission days with AECOPD calculated at 4, 8, 12 and 26 weeks. Thus the addition of one week of teleconsultations between hospital-based nurses and patients with severe COPD discharged after hospitalisation did not significantly reduce readmissions or affect mortality....

Electric discharge during electrosurgery.

Science.gov (United States)

Shashurin, Alexey; Scott, David; Zhuang, Taisen; Canady, Jerome; Beilis, Isak I; Keidar, Michael

2015-04-16

Electric discharge utilized for electrosurgery is studied by means of a recently developed method for the diagnostics of small-size atmospheric plasma objects based on Rayleigh scattering of microwaves on the plasma volume. Evolution of the plasma parameters in the near-electrode sheaths and in the positive column is measured and analyzed. It is found that the electrosurgical system produces a glow discharge of alternating current with strongly contracted positive column with current densities reaching 10(3) A/cm(2). The plasma electron density and electrical conductivities in the channel were found be 10(16) cm(-3) and (1-2) Ohm(-1) cm(-1), respectively. The discharge interrupts every instance when the discharge-driving AC voltage crosses zero and re-ignites again every next half-wave at the moment when the instant voltage exceeds the breakdown threshold.

Assessment of conservation easements, total phosphorus, and total suspended solids in West Fork Beaver Creek, Minnesota, 1999-2012

Science.gov (United States)

Christensen, Victoria G.; Kieta, Kristen A.

2014-01-01

This study examined conservation easements and their effectiveness at reducing phosphorus and solids transport to streams. The U.S. Geological Survey cooperated with the Minnesota Board of Water and Soil Resources and worked collaboratively with the Hawk Creek Watershed Project to examine the West Fork Beaver Creek Basin in Renville County, which has the largest number of Reinvest In Minnesota land retirement contracts in the State (as of 2013). Among all conservation easement programs, a total of 24,218 acres of agricultural land were retired throughout Renville County, and 2,718 acres were retired in the West Fork Beaver Creek Basin from 1987 through 2012. Total land retirement increased steadily from 1987 until 2000. In 2000, land retirement increased sharply because of the Minnesota River Conservation Reserve Enhancement Program, then leveled off when the program ended in 2002. Streamflow data were collected during 1999 through 2011, and total phosphorus and total suspended solids data were collected during 1999 through 2012. During this period, the highest peak streamflow of 1,320 cubic feet per second was in March 2010. Total phosphorus and total suspended solids are constituents that tend to increase with increases in streamflow. Annual flow-weighted mean total-phosphorus concentrations ranged from 0.140 to 0.759 milligrams per liter, and annual flow-weighted mean total suspended solids concentrations ranged from 21.3 to 217 milligrams per liter. Annual flow-weighted mean total phosphorus and total suspended solids concentrations decreased steadily during the first 4 years of water-quality sample collection. A downward trend in flow-weighted mean total-phosphorus concentrations was significant from 1999 through 2008; however, flow-weighted total-phosphorus concentrations increased substantially in 2009, and the total phosphorus trend was no longer significant. The high annual flow-weighted mean concentrations for total phosphorus and total suspended solids

DIII-D UPGRADE PROJECT FINAL REPORT FOR THE PERIOD OCTOBER 1, 1993 THROUGH MAY 31, 2003

International Nuclear Information System (INIS)

STAMBAUGH, RD

2003-01-01

OAK-B135 Under DOE Contracts DE-AC03-89ER51114 and DE-AC03-99ER54463 to General Atomics (GA), three ''capital project'' upgrade projects were accomplished on DIII-D from FY93 to FY03 at a total GA cost of $27.2M. These projects included the Fast Wave Current Drive (FWCD) Upgrade ($8.2M), the Radiative Divertor Upgrade ($7.2M) and the Electron Cyclotron Heating (ECH) Upgrade ($11.8M). The ECH and FWCD upgrades provided DIII-D rf and microwave power for electron heating, driving plasma current, controlling the plasma current profile, controlling tearing mode instabilities, and modulated transport studies.The divertor provided adequate density and impurity control for high triangularity single null plasmas in the Advanced Tokamak (AT) Program and information for International Thermonuclear Experimental Reactor (ITER) divertor design. These upgrades provide the power and density control required to initiate the active control of advanced tokamak discharges, which is the key element in the DIII-D program

Rose Canyon Sustainable Aquaculture Project, San Diego, CA

Science.gov (United States)

Documents related to EPA's preparation of an Environmental Assessment (EA) to analyze the potential impacts related to the issuance of a National Pollutant Discharge Elimination System (NPDES) permit for the Rose Canyon Sustainable Aquaculture Project.

Qualità totale e mobilità totale Total Quality and Total Mobility

Directory of Open Access Journals (Sweden)

Giuseppe Trieste

2010-05-01

Full Text Available FIABA ONLUS (Italian Fund for Elimination of Architectural Barriers was founded in 2000 with the aim of promoting a culture of equal opportunities and, above all, it has as its main goal to involve public and private institutions to create a really accessible and usable environment for everyone. Total accessibility, Total usability and Total mobility are key indicators to define quality of life within cities. A supportive environment that is free of architectural, cultural and psychological barriers allows everyone to live with ease and universality. In fact, people who access to goods and services in the urban context can use to their advantage time and space, so they can do their activities and can maintain relationships that are deemed significant for their social life. The main aim of urban accessibility is to raise the comfort of space for citizens, eliminating all barriers that discriminate people, and prevent from an equality of opportunity. “FIABA FUND - City of ... for the removal of architectural barriers” is an idea of FIABA that has already affected many regions of Italy as Lazio, Lombardy, Campania, Abruzzi and Calabria. It is a National project which provides for opening a bank account in the cities of referring, in which for the first time, all together, individuals and private and public institutions can make a donation to fund initiatives for the removal of architectural barriers within its own territory for a real and effective total accessibility. Last February the fund was launched in Rome with the aim of achieving a Capital without barriers and a Town European model of accessibility and usability. Urban mobility is a prerequisite to access to goods and services, and to organize activities related to daily life. FIABA promotes the concept of sustainable mobility for all, supported by the European Commission’s White Paper. We need a cultural change in management and organization of public means, which might focus on

Predicting tile drainage discharge

DEFF Research Database (Denmark)

Iversen, Bo Vangsø; Kjærgaard, Charlotte; Petersen, Rasmus Jes

used in the analysis. For the dynamic modelling, a simple linear reservoir model was used where different outlets in the model represented tile drain as well as groundwater discharge outputs. This modelling was based on daily measured tile drain discharge values. The statistical predictive model...... was based on a polynomial regression predicting yearly tile drain discharge values using site specific parameters such as soil type, catchment topography, etc. as predictors. Values of calibrated model parameters from the dynamic modelling were compared to the same site specific parameter as used...

Discharge Dialogue

DEFF Research Database (Denmark)

Horsbøl, Anders

2012-01-01

For several years, efforts have been made to strengthen collaboration between health professionals with different specializations and to improve patient transition from hospital to home (care). In the Danish health care system, these efforts have concentrated on cancer and heart diseases, whereas...... coordinator, employed at the hospital, is supposed to anticipate discharge and serve as mediator between the hospital and the municipal home care system. Drawing on methods from discourse and interaction analysis, the paper studies the practice of the discharge coordinator in two encounters between patients...... how the home context provides different resources for identification of patient needs and mutual decision making....

Evaluation of accuracy of linear regression models in predicting urban stormwater discharge characteristics.

Science.gov (United States)

Madarang, Krish J; Kang, Joo-Hyon

2014-06-01

Stormwater runoff has been identified as a source of pollution for the environment, especially for receiving waters. In order to quantify and manage the impacts of stormwater runoff on the environment, predictive models and mathematical models have been developed. Predictive tools such as regression models have been widely used to predict stormwater discharge characteristics. Storm event characteristics, such as antecedent dry days (ADD), have been related to response variables, such as pollutant loads and concentrations. However it has been a controversial issue among many studies to consider ADD as an important variable in predicting stormwater discharge characteristics. In this study, we examined the accuracy of general linear regression models in predicting discharge characteristics of roadway runoff. A total of 17 storm events were monitored in two highway segments, located in Gwangju, Korea. Data from the monitoring were used to calibrate United States Environmental Protection Agency's Storm Water Management Model (SWMM). The calibrated SWMM was simulated for 55 storm events, and the results of total suspended solid (TSS) discharge loads and event mean concentrations (EMC) were extracted. From these data, linear regression models were developed. R(2) and p-values of the regression of ADD for both TSS loads and EMCs were investigated. Results showed that pollutant loads were better predicted than pollutant EMC in the multiple regression models. Regression may not provide the true effect of site-specific characteristics, due to uncertainty in the data. Copyright © 2014 The Research Centre for Eco-Environmental Sciences, Chinese Academy of Sciences. Published by Elsevier B.V. All rights reserved.

Discharge residence of TLD tagged fish

International Nuclear Information System (INIS)

Romberg, G.P.; Prepejchal, W.

1974-01-01

Although visual observations suggested that fish remained in the discharge for considerable periods, temperature-sensitive tags indicated the majority of fish spend less than 50 hr or 10 percent of the time at discharge temperatures. During 1974 a second fish tagging study was conducted, using temperature-sensitive tags to yield discharge residence times of Lake Michigan salmonids at Point Beach thermal discharge. Preliminary results revealed that many fish tag values were close to Unit I line indicating that calculated maximum discharge residence times for these fish will be nearly 100 percent of the elapsed time

Cost and quality implications of discrepancies between admitting and discharge diagnoses.

Science.gov (United States)

McNutt, Robert; Johnson, Tricia; Kane, Jason; Ackerman, Mariel; Odwazny, Richard; Bardhan, Jaydeep

2012-01-01

Presenting and discharge diagnoses of hospitalized patients may differ as a result of patient complexity, diagnostic dilemmas, or errors in clinical judgment at the time of primary assessment. When diagnoses at admission and discharge are not in agreement, this discrepancy may indicate more complex processes of care and resultant costs. It is unclear whether surrogate measures reflecting quality of care are impacted by discrepant diagnoses. To assess whether an association exists between admitting and discharge International Classification of Diseases, Ninth Revision (ICD-9) diagnosis codes and other quality markers including hospital length of stay, total cost of care, and 30-day readmission rate. This was a retrospective, cross-sectional analysis of general internal medicine patients aged 18 years and older. Diagnosis discrepancy was defined as a difference between the 3-digit ICD-9 diagnosis code at admission and the principal 3-digit ICD-9 diagnosis code at discharge. Sixty-eight percent of patients had a diagnosis discrepancy. Diagnosis discrepancy was associated with a 0.41-day increase in length of stay (P < .001), $663 increase in direct costs (P < .001), and a 1.55 times greater odds of readmission within 30 days (P < .001). Diagnosis discrepancy was associated with hospital quality outcome measures. This finding likely reflects variations in patients' diagnostic complexity.

Expansion of a nitrogen discharge by sound

International Nuclear Information System (INIS)

Antinyan, M.A.; Galechyan, G.A.; Tavakalyan, L.B.

1992-01-01

When the background pressure and the discharge current in a gas discharge are raised the plasma column is tightened up into a filament. Then the discharge occupies a region of the discharge tube whose transverse dimensions are substantially less than those of the tube. This contraction phenomenon in discharges restricts the range of parameters used in various devices to the range of relatively low discharge currents and low gas pressures. This contraction interferes with creating high-power gas lasers, since it acts destructively on the lasing process. In order to suppress filamentation of discharges the working gas has been pumped through the system at high speed, with considerable success. The turbulent mixing in the stream plays an important role in creating an uncontracted discharge at high pressures. The purpose of the present work is to study the possibility of undoing the contraction of a nitrogen discharge, which is one of the main components in the operation of a CO 2 laser, by introducing an intense sound wave in the discharge tube. Discharge contraction and the effect of a sound wave propagating along the plasma column have been investigated experimentally in nitrogen by studying the current-voltage characteristics of a contracted discharge. 6 refs., 3 figs

A study on the electrical characteristics of corona discharges for flue gas treatment

International Nuclear Information System (INIS)

Jung, Suk Won

2000-02-01

A wire- cylinder reactor and wire- plate reactor were designed and constructed for generating the corona discharges to be applied to the dissociation of NOx and SOx in the flue gases of combustion engines and power plants. Experiments for the characterization of the corona discharges in air were carried out. To obtain the pulsed voltage shape, a rotary spark gap switch was formed with a DC motor. A discharge circuit was constructed with a resistor (50kΩ ), DC high voltage power supply, a rotary spark gap switch. Two electric probes and voltage probe were installed in order to measure the total current, displacement current, conduction current and applied voltage. The charges, power, and energy in the two reactors were calculated from the measured voltage and current. Also, to find the frequency dependence of the corona discharge, the high frequency (20kHz) and high voltage power supply was used in the wire- cylinder reactor. The each obtained and calculated value from the probes in both reactor cases (high frequency, low frequency ) were compared each other

Factors associated with discharge to home versus discharge to institutional care after inpatient stroke rehabilitation.

Science.gov (United States)

Nguyen, Vu Q C; PrvuBettger, Janet; Guerrier, Tami; Hirsch, Mark A; Thomas, J George; Pugh, Terrence M; Rhoads, Charles F

2015-07-01

To examine sociodemographic and clinical characteristics independently associated with discharge home compared with discharge to a skilled nursing facility (SNF) after acute inpatient rehabilitation. Retrospective cohort study. Three tertiary accredited acute care rehabilitation facilities. Adult patients with stroke (N=2085). Not applicable. Not applicable. Of 2085 patients with stroke treated at 3 centers over a 4-year period, 78.2% (n=1631) were discharged home and 21.8% (n=454) discharged to an SNF. Findings from a multivariable logistic regression analysis indicated that patients were less likely to be discharged home if they were older (odds ratio [OR], .98; 95% confidence interval [CI], .96-.99), separated or divorced (compared with married; OR, .61; 95% CI, .48-.79), or with Medicare health insurance (compared with private insurance; OR, .69; 95% CI, .55-.88), or had dysphagia (OR, .83; 95% CI, .71-.98) or cognitive deficits (OR, .79; 95% CI, .77-.81). The odds of being discharged home were higher for those admitted with a higher motor FIM score (OR, 1.10; 95% CI, 1.09-1.11). The following were not associated with discharge disposition: sex, race, prestroke vocational status, availability of secondary health insurance, number of days from stroke onset to rehabilitation facility admission, stroke type, impairment group, cognitive FIM on admission, other stroke deficits (aphasia, ataxia, neglect, or speech disturbance), stroke complications of hyponatremia or urinary tract infection, or comorbid conditions. One in 5 patients with stroke were discharged to an SNF after inpatient rehabilitation. On admission, several sociodemographic and clinical characteristics were identified that could be considered as important factors in early discussions for discharge planning. Copyright © 2015 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

Feasibility of wear compensation in micro EDM milling based on discharge counting and discharge population characterization

DEFF Research Database (Denmark)

Bissacco, Giuliano; Hansen, Hans Nørgaard; Tristo, G.

2011-01-01

This paper investigates the applicability of real time wear compensation in micro EDM milling based on discharge counting and discharge population characterization. Experiments were performed involving discharge counting and tool electrode wear measurement in a wide range of process parameters...

Mid-21st century projections of hydroclimate in Western Himalayas and Satluj River basin

Science.gov (United States)

Tiwari, Sarita; Kar, Sarat C.; Bhatla, R.

2018-02-01

The Himalayan climate system is sensitive to global warming and climate change. Regional hydrology and the downstream water flow in the rivers of Himalayan origin may change due to variations in snow and glacier melt in the region. This study examines the mid-21st century climate projections over western Himalayas from the Coupled Model Intercomparison Project Phase 5 (CMIP5) global climate models under Representative Concentration Pathways (RCP) scenarios (RCP4.5 and RCP8.5). All the global climate models used in the present analysis indicate that the study region would be warmer by mid-century. The temperature trends from all the models studied here are statistically significant at 95% confidence interval. Multi-model ensemble spreads show that there are large differences among the models in their projections of future climate with spread in temperature ranging from about 1.5 °C to 5 °C over various areas of western Himalayas in all the seasons. Spread in precipitation projections lies between 0.3 and 1 mm/day in all the seasons. Major shift in the timing of evaporation maxima and minima is noticed. The GFDL_ESM2G model products have been downscaled to Satluj River basin using the weather research and forecast (WRF) model and impact of climate change on streamflow has been studied. The reduction of precipitation during JJAS is expected to be > 3-6 mm/day in RCP8.5 as compared to present climate. It is expected that precipitation amount shall increase over Satluj basin in future (mid-21st century) The soil and water assessment tool (SWAT) model has been used to simulate the Satluj streamflow for the present and future climate using GFDL_ESM2G precipitation and temperature data as well as the WRF model downscaled data. The computations using the global model data show that total annual discharge from Satluj will be less in future than that in present climate, especially in peak discharge season (JJAS). The SWAT model with downscaled output indicates that during

Total pressing Indonesian gas development, exports

International Nuclear Information System (INIS)

Anon.

1994-01-01

Total is on track to become Indonesia's leading gas exporter by the turn of the century. Total's aggressive development of its Mahakam Delta acreage in East Kalimantan is intended to keep pace with growing liquefied natural gas demand, mainly from Japan but also increasingly from South Korea and Taiwan. A frantic scramble is under way among natural gas suppliers in the Pacific Rim region, particularly those with current LNG export facilities, to accommodate projections of soaring natural gas demand in the region. Accordingly, Total's Indonesian gas production goal is the centerpiece of a larger strategy to become a major player in the Far East Asia gas scene. Its goals also fall in line with Indonesia's. Facing flat or declining oil production while domestic oil demand continues to soar along with a rapidly growing economy, Indonesia is heeding some studies that project the country could become a net oil importer by the turn of the century. The paper describes Total's Far East strategy, the Mahakam acreage which it operates, the shift to gas development, added discoveries, future development, project spending levels, and LNG export capacity

Prerequisites for Accurate Monitoring of River Discharge Based on Fixed-Location Velocity Measurements

Science.gov (United States)

Kästner, K.; Hoitink, A. J. F.; Torfs, P. J. J. F.; Vermeulen, B.; Ningsih, N. S.; Pramulya, M.

2018-02-01

River discharge has to be monitored reliably for effective water management. As river discharge cannot be measured directly, it is usually inferred from the water level. This practice is unreliable at places where the relation between water level and flow velocity is ambiguous. In such a case, the continuous measurement of the flow velocity can improve the discharge prediction. The emergence of horizontal acoustic Doppler current profilers (HADCPs) has made it possible to continuously measure the flow velocity. However, the profiling range of HADCPs is limited, so that a single instrument can only partially cover a wide cross section. The total discharge still has to be determined with a model. While the limitations of rating curves are well understood, there is not yet a comprehensive theory to assess the accuracy of discharge predicted from velocity measurements. Such a theory is necessary to discriminate which factors influence the measurements, and to improve instrument deployment as well as discharge prediction. This paper presents a generic method to assess the uncertainty of discharge predicted from range-limited velocity profiles. The theory shows that a major source of error is the variation of the ratio between the local and cross-section-averaged velocity. This variation is large near the banks, where HADCPs are usually deployed and can limit the advantage gained from the velocity measurement. We apply our theory at two gauging stations situated in the Kapuas River, Indonesia. We find that at one of the two stations the index velocity does not outperform a simple rating curve.

Waste minimization opportunities at the U.S. Uranium Mill Tailings Remedial Action (UMTRA) Project, Rifle, Colorado, site

International Nuclear Information System (INIS)

Hartmann, G.L.; Arp, S.; Hempill, H.

1993-01-01

At two uranium mill sites in Rifle, Colorado, the US Department of Energy (DOE) Uranium Mill Tailings Remedial Action (UMTRA) Project is removing uranium mill tailings and contaminated subgrade soils. This remediation activity will result in the production of groundwater contaminated with uranium, heavy metals, ammonia, sulfates, and total dissolved solids (TDS). The initial remediation plan called for a wastewater treatment plant for removal of the uranium, heavy metals, and ammonia, with disposal of the treated water, which still includes the sulfates and TDSS, to the Colorado River. The National Pollutant Discharge Elimination (NPDES) permit issued by the Colorado Department of Health for the two Rifle sites contained more restrictive discharge limits than originally anticipated. During the detailed review of alternate treatment systems to meet these more restrictive limits, the proposed construction procedures were reviewed emphasizing the methods to minimize groundwater production to reduce the size of the water treatment facility, or to eliminate it entirely. It was determined that with changes to the excavation procedures and use of the contaminated groundwater for use in dust suppression at the disposal site, discharge to the river could be eliminated completely

Chronic obstructive pulmonary disease - adults - discharge

Science.gov (United States)

... coughing up dark mucus Your fingertips or the skin around your fingernails are blue Alternative Names COPD - adults - discharge; Chronic obstructive airways disease - adults - discharge; Chronic obstructive lung disease - adults - discharge; ...

Does the Risk Assessment and Prediction Tool Predict Discharge Disposition After Joint Replacement?

DEFF Research Database (Denmark)

Hansen, Viktor J.; Gromov, Kirill; Lebrun, Lauren M

2015-01-01

BACKGROUND: Payers of health services and policymakers place a major focus on cost containment in health care. Studies have shown that early planning of discharge is essential in reducing length of stay and achieving financial benefit; tools that can help predict discharge disposition would...... populations is unknown. A low RAPT score is reported to indicate a high risk of needing any form of inpatient rehabilitation after TJA, including short-term nursing facilities. QUESTIONS/PURPOSES: This study attempts (1) to assess predictive accuracy of the RAPT on US patients undergoing total hip and knee....... Based on our findings, the risk categories in our populations should be high risk intermediate risk 7 to 10, and low risk > 10. CONCLUSIONS: The RAPT accurately predicted discharge disposition for high- and low-risk patients in our cohort. Based on our data, intermediate-risk patients should...

The critical role of the routing scheme in simulating peak river discharge in global hydrological models

Science.gov (United States)

Zhao, F.; Veldkamp, T.; Frieler, K.; Schewe, J.; Ostberg, S.; Willner, S. N.; Schauberger, B.; Gosling, S.; Mueller Schmied, H.; Portmann, F. T.; Leng, G.; Huang, M.; Liu, X.; Tang, Q.; Hanasaki, N.; Biemans, H.; Gerten, D.; Satoh, Y.; Pokhrel, Y. N.; Stacke, T.; Ciais, P.; Chang, J.; Ducharne, A.; Guimberteau, M.; Wada, Y.; Kim, H.; Yamazaki, D.

2017-12-01

Global hydrological models (GHMs) have been applied to assess global flood hazards, but their capacity to capture the timing and amplitude of peak river discharge—which is crucial in flood simulations—has traditionally not been the focus of examination. Here we evaluate to what degree the choice of river routing scheme affects simulations of peak discharge and may help to provide better agreement with observations. To this end we use runoff and discharge simulations of nine GHMs forced by observational climate data (1971-2010) within the ISIMIP2a project. The runoff simulations were used as input for the global river routing model CaMa-Flood. The simulated daily discharge was compared to the discharge generated by each GHM using its native river routing scheme. For each GHM both versions of simulated discharge were compared to monthly and daily discharge observations from 1701 GRDC stations as a benchmark. CaMa-Flood routing shows a general reduction of peak river discharge and a delay of about two to three weeks in its occurrence, likely induced by the buffering capacity of floodplain reservoirs. For a majority of river basins, discharge produced by CaMa-Flood resulted in a better agreement with observations. In particular, maximum daily discharge was adjusted, with a multi-model averaged reduction in bias over about 2/3 of the analysed basin area. The increase in agreement was obtained in both managed and near-natural basins. Overall, this study demonstrates the importance of routing scheme choice in peak discharge simulation, where CaMa-Flood routing accounts for floodplain storage and backwater effects that are not represented in most GHMs. Our study provides important hints that an explicit parameterisation of these processes may be essential in future impact studies.

[Severe vaginal discharge following rectal surgery].

Science.gov (United States)

Burg, L C; Bremers, A J A; Heesakkers, J P F A; Kluivers, K B

2018-01-01

Almost 50% of women who have had rectal surgery subsequently develop vaginal discharge. Due to the recurrent and unexpected nature of this heavy discharge, they often experience it as very distressing. Many of these women undergo extensive diagnostic tests that are mainly focused on identifying fistula formation. If no fistula is found, in most cases no other cause for severe vaginal discharge can be demonstrated. In our practice, we saw three patients (49-, 54- and 74-years-old, respectively) with similar severe vaginal discharge after rectal surgery and in whom no explanation for the vaginal discharge could be found. For this reason we conducted a literature search into this condition. Anatomical changes appear to be responsible for heavy vaginal discharge following rectal surgery. Changes in pelvic floor muscles and compression of the distal part of the vagina may lead to pooling of fluid in the proximal part of the vagina, resulting in severe discharge. Symptomatic treatment may reduce the symptoms.

The family living the child recovery process after hospital discharge.

Science.gov (United States)

Pinto, Júlia Peres; Mandetta, Myriam Aparecida; Ribeiro, Circéa Amalia

2015-01-01

to understand the meaning attributed by the family to its experience in the recovery process of a child affected by an acute disease after discharge, and to develop a theoretical model of this experience. Symbolic interactionism was adopted as a theoretical reference, and grounded theory was adopted as a methodological reference. data were collected through interviews and participant observation with 11 families, totaling 15 interviews. A theoretical model consisting of two interactive phenomena was formulated from the analysis: Mobilizing to restore functional balance and Suffering from the possibility of a child's readmission. the family remains alert to identify early changes in the child's health, in an attempt to avoid rehospitalization. the effects of the disease and hospitalization continue to manifest in family functioning, causing suffering even after the child's discharge and recovery.

Organohalogens in chlorinated cooling waters discharged from nuclear power stations

International Nuclear Information System (INIS)

Bean, R.M.; Mann, D.C.; Neitzel, D.A.

1983-01-01

For the power plant discharges studied to date, measured concentrations of trihalomethanes are lower than might be expected, particularly in cooling tower water, which can lose THMs to the atmosphere. In the cooling towers, where chlorine was added in higher concentrations and for longer residence times, halogenated phenols can contribute significantly to the total organic halogen content of the discharge. The way in which cooling towers are operated may also influence the production of halogenated phenols because they concentrate the incoming water by a factor of 4 or 5. In addition, the phenols, which act as a substrate for the halogenating agent, are also probably concentrated by the cooling tower operation and may be prevented from being biodegraded by addition of the same biocide that produces the halogenated phenols. 8 references, 4 tables

Postoperative Morbidity and Discharge Destinations After Fast-Track Hip and Knee Arthroplasty in Patients Older Than 85 Years

DEFF Research Database (Denmark)

Pitter, Frederik T; Jørgensen, Christoffer C; Lindberg-Larsen, Martin

2016-01-01

BACKGROUND: Elderly patients are at risk of increased length of hospital stay (LOS), postoperative complications, readmission, and discharge to destinations other than home after elective total hip arthroplasty (THA) and total knee arthroplasty (TKA). Recent studies have found that enhanced...

Stage-discharge relationship in tidal channels

Science.gov (United States)

Kearney, W. S.; Mariotti, G.; Deegan, L.; Fagherazzi, S.

2016-12-01

Long-term records of the flow of water through tidal channels are essential to constrain the budgets of sediments and biogeochemical compounds in salt marshes. Statistical models which relate discharge to water level allow the estimation of such records from more easily obtained records of water stage in the channel. While there is clearly structure in the stage-discharge relationship, nonlinearity and nonstationarity of the relationship complicates the construction of statistical stage-discharge models with adequate performance for discharge estimation and uncertainty quantification. Here we compare four different types of stage-discharge models, each of which is designed to capture different characteristics of the stage-discharge relationship. We estimate and validate each of these models on a two-month long time series of stage and discharge obtained with an Acoustic Doppler Current Profiler in a salt marsh channel. We find that the best performance is obtained by models which account for the nonlinear and time-varying nature of the stage-discharge relationship. Good performance can also be obtained from a simplified version of these models which approximates the fully nonlinear and time-varying models with a piecewise linear formulation.

The seat of ground water discharge as ore-mabilizing factor in the formatian of hydrogenic uranium deposits

International Nuclear Information System (INIS)

Natal'chenko, B.I.; Gol'dshtejn, R.I.

1982-01-01

The role of structural-hydrogeological factor in the process of ore-controlling zoning development during hydrogeneous deposit formation is discussed, as reflecting in the most objective way the spreading of stratal oxidation zones and morphology of uranium mineralization as regards discharge seats because there are only they which mobilize stratal waters for active displacement. The types of discharge seats of stratal waters and their effect on formation of ore-controlling zones of stratal oxidation with uranium mineralization are presented. The conclusion is drawn that local and regional discharge seats of stratal waters dictate both the spacing of regional fronts of stratal-oxidized rocks and their ore content degree. The displacement of discharge seats or their growing into local regions of alimentation results in reorganization of the total ore-controlling zoning, which enables to consider the seats of water discharge as ore-mobilizing structures in the formation of hydrogenic uranium deposits

Fiscal 1998 research report (New Sunshine Project). Research on the total system for development of superconductor power application technology; 1998 nendo seika hokokusho (new sunshine keikaku). Chodendo denryoku oyo gijutsu kaihatsu total system no kenkyu

Energy Technology Data Exchange (ETDEWEB)

NONE

1996-03-01

This report summarizes the fiscal 1998 research promoted as a part of New Sunshine Project 'R and D project on development of superconductor power application technology.' This project is composed of R and D of superconductor power application technology (Rank 1), study on the total system (Rank 2), and study on review of introduction effects (Rank 3). The project is promoting R and D of the prototype superconducting generator model and elementary technologies based on the basic plan mainly by the research association. The combination test of the developed armature and the multi- cylindrical rotor model or slow response excitation rotor model was finished, and the test of the quick response excitation rotor model is in promotion. Together with R and D of hardware, this project is also promoting R and D of software through review of the introduction effects of superconducting power equipment. In fiscal 1998, the pre- final review was carried out by the project review sub- committee. 2 times of the committee, 12 times of the sub- committee, and several times of the working group were held until March, 1999. (NEDO)

Evaluation of leachate dissolved organic nitrogen discharge effect on wastewater effluent quality.

Science.gov (United States)

Bolyard, Stephanie C; Reinhart, Debra R

2017-07-01

Nitrogen is limited more and more frequently in wastewater treatment plant (WWTP) effluents because of the concern of causing eutrophication in discharge waters. Twelve leachates from eight landfills in Florida and California were characterized for total nitrogen (TN) and dissolved organic nitrogen (DON). The average concentration of TN and DON in leachate was approximately 1146mg/L and 40mg/L, respectively. Solid-phase extraction was used to fractionate the DON based on hydrophobic (recalcitrant fraction) and hydrophilic (bioavailable fraction) chemical properties. The average leachate concentrations of bioavailable (bDON) and recalcitrant (rDON) DON were 16.5mg/L and 18.4mg/L, respectively. The rDON fraction was positively correlated, but with a low R 2 , with total leachate apparent color dissolved UV 254 , chemical oxygen demand (COD), and humic acid (R 2 equals 0.38, 0.49, and 0.40, respectively). The hydrophobic fraction of DON (rDON) was highly colored. This fraction was also associated with over 60% of the total leachate COD. Multiple leachate and wastewater co-treatment simulations were carried out to assess the effects of leachate on total nitrogen wastewater effluent quality using removals for four WWTPs under different scenarios. The calculated pass through of DON suggests that leachate could contribute to significant amounts of nitrogen discharged to aquatic systems. Copyright © 2017 Elsevier Ltd. All rights reserved.

Delayed Hospital Discharges of Older Patients: A Systematic Review on Prevalence and Costs.

Science.gov (United States)

Landeiro, Filipa; Roberts, Kenny; Gray, Alastair Mcintosh; Leal, José

2017-05-23

To determine the prevalence of delayed discharges of elderly inpatients and associated costs. We searched Medline, Embase, Global Health, CAB Abstracts, Econlit, Web of Knowledge, EBSCO - CINAHL, The Cochrane Library, Health Management Information Consortium, and SCIE - Social Care Online for evidence published between 1990 and 2015 on number of days or proportion of delayed discharges for elderly inpatients in acute hospitals. Descriptive and regression analyses were conducted. Data on proportions of delayed discharges were pooled using a random effects logistic model and the association of relevant factors was assessed. Mean costs of delayed discharge were calculated in USD adjusted for Purchasing Power Parity (PPP). Of 64 studies included, 52 (81.3%) reported delayed discharges as proportions of total hospital stay and 9 (14.1%) estimated the respective costs for these delays. Proportions of delayed discharges varied widely, from 1.6% to 91.3% with a weighted mean of 22.8%. This variation was also seen in studies from the same country, for example, in the United Kingdom, they ranged between 1.6% and 60.0%. No factor was found to be significantly associated with delays. The mean costs of delayed discharge also varied widely (between 142 and 31,935 USD PPP adjusted), reflecting the variability in mean days of delay per patient. Delayed discharges occur in most countries and the associated costs are significant. However, the variability in prevalence of delayed discharges and available data on costs limit our knowledge of the full impact of delayed discharges. A standardization of methods is necessary to allow comparisons to be made, and additional studies are required-preferably by disease area-to determine the postdischarge needs of specific patient groups and the estimated costs of delays. © The Author 2017. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Basic Studies of Distributed Discharge Limiters

Science.gov (United States)

2014-02-10

electron avalanche ionization discharges induced by a focused 110 GHz millimeter-wave beam in atmospheric air. Discharges take place in a free volume of...plasma. 3.1.7 Vacuum Ultraviolet emission from pulsed discharges at atmospheric pressure. Fig. 6. Energy level diagram for molecular and...the utilized spectral simulation software, SPECTRAPLOT. 3.1.8 Non-intrusive diagnostic method for dissociation degree in pulsed discharges

Bear Creek Project (Converse County, Wyoming). Draft environmental statement. Docket No. 40-8452

International Nuclear Information System (INIS)

1977-01-01

The Bear Creek Project consists of certain mining and milling operations involving uranium ore deposits located in Converse County, Wyoming. Mining of uranium from six known ore bodies will take place over a period of ten years (estimated); a mill with a nominal capacity of 1000 tons per day of ore will be constructed and operated as long as ore is available. The waste material (tailings) from the mill, also produced at a rate of about 1000 tons per day, will be stored onsite in an impoundment. The project would convert about 2700 acres from grazing use to mining and milling activities for a period of about ten years. Mining activities would disturb (and remove vegetation from) a total of about 1600 acres but, because of ongoing reclamation efforts, max acreage disturbed at any one time would be about 1000 acres, with the average about 650 acres. An estimated 185 acres of highwalls and water remaining after reclamation would be lost to agricultural production. The milling activities would disturb about 430 acres; 330 of these would be reclaimed after operations cease, but the 100-acre tailings area must be considered unavailable for further productive use. Water will be removed from aquifers at about 1000 gpm (range 600 to 2000 gpm) by mine dewatering and mill operations. Long-term effects on groundwater are expected to be minor. Surface water will not be affected by normal operations. There will be no discharge of liquid or solid effluents from the mill. Discharges to air will be small and the effects negligible. The total dose rate to the bone is 1.1 mrem/y, and the whole-body-dose rate is computed to be 0.04 mrem/y

Geriatric Syndromes in Hospitalized Older Adults Discharged to Skilled Nursing Facilities

Science.gov (United States)

Bell, Susan P.; Vasilevskis, Eduard E.; Saraf, Avantika A.; Jacobsen, J. Mary Lou; Kripalani, Sunil; Mixon, Amanda S.; Schnelle, John F.; Simmons, Sandra F.

2016-01-01

Background Geriatric syndromes are common in older adults and associated with adverse outcomes. The prevalence, recognition, co-occurrence and recent onset of geriatric syndromes in patients transferred from hospital to skilled nursing facilities (SNFs) are largely unknown. Design Quality improvement project. Setting Acute care academic medical center and 23 regional partner SNFs. Participants 686 Medicare beneficiaries hospitalized between January 2013 and April 2014 and referred to SNFs. Measurements Nine geriatric syndromes were measured by project staff -- weight loss, decreased appetite, incontinence and pain (standardized interview), depression (Geriatric Depression Scale), delirium (Brief-Confusion Assessment Method), cognitive impairment (Brief Interview for Mental Status), falls and pressure ulcers (hospital medical record utilizing hospital-implemented screening tools). Estimated prevalence, new-onset prevalence and common coexisting clusters were determined. The extent that syndromes were commonly recognized by treating physicians and communicated to SNFs in hospital discharge documentation was evaluated. Results Geriatric syndromes were prevalent in more than 90% of hospitalized adults referred to SNFs; 55% met criteria for 3 or more co-existing syndromes. Overall the most prevalent syndromes were falls (39%), incontinence (39%), decreased appetite (37%) and weight loss (33%). Of individuals that met criteria for 3 or more syndromes, the most common triad clusters included nutritional syndromes (weight loss, loss of appetite), incontinence and depression. Treating hospital physicians commonly did not recognize and document geriatric syndromes in discharge summaries, missing 33–95% of syndromes present as assessed by research personnel. Conclusion Geriatric syndromes in hospitalized older adults transferred to SNF are prevalent and commonly co-exist with the most frequent clusters including nutritional syndromes, depression and incontinence. Despite

Total colectomy or proctocolectomy - discharge

Science.gov (United States)

... to Advanced Skills . 9th ed. New York, NY: Pearson; 2016:chap 26. Read More Colon cancer Ileostomy ... Bethesda, MD 20894 U.S. Department of Health and Human Services National Institutes of Health Page last updated: ...

Supersonic CO electric-discharge lasers

Science.gov (United States)

Hason, R. K.; Mitchner, M.; Stanton, A.

1975-01-01

Laser modeling activity is described which involved addition of an option allowing N2 as a second diatomic gas. This option is now operational and a few test cases involving N2/CO mixtures were run. Results from these initial test cases are summarized. In the laboratory, a CW double-discharge test facility was constructed and tested. Features include: water-cooled removable electrodes, O-ring construction to facilitate cleaning and design modifications, increased discharge length, and addition of a post-discharge observation section. Preliminary tests with this facility using N2 yielded higher power loadings than obtained in the first-generation facility. Another test-section modification, recently made and as yet untested, will permit injection of secondary gases into the cathode boundary layer. The objective will be to vary and enhance the UV emission spectrum from the auxiliary discharge, thereby influencing the level of photoionization in the main discharge region.

The ASDEX Upgrade discharge schedule

International Nuclear Information System (INIS)

Neu, G.; Engelhardt, K.; Raupp, G.; Treutterer, W.; Zasche, D.; Zehetbauer, T.

2007-01-01

ASDEX Upgrade's recently commissioned discharge control system (DCS) marks the transition from a traditional programmed system to a highly flexible 'data driven' one. The allocation of application processes (APs) to controllers, the interconnection of APs through uniquely named signals, and AP control parameter values are all defined as data, and can easily be adapted to the requirements of a particular discharge. The data is laid down in a set of XML documents which APs request via HTTP from a configuration server before a discharge. The use of XML allows for easy parsing, and structural validation through (XSD) schemas. The central input to the configuration process is the discharge schedule (DS), which embodies the dynamic behaviour of a planned discharge as reference trajectories grouped in segments, concatenated through transition conditions. Editing, generation and validation tools, and version control through CVS allow for efficient management of DSs