TENERIFE program: high temperature experiments on A 4 tons UF6 container

International Nuclear Information System (INIS)

Casselman, C.; Duret, B.; Seiler, J.M.; Ringot, C.; Warniez, P.; Wataru, M.; Shiomi, S.; Ozaki, S.; Yamakawa, H.

1993-01-01

To know the input of the future thermo-mechanical code, we have to get a better understanding of the thermo-physical evolution of the UF 6 which pressurizes the container. This evolution is function of: a) the heat transfer rate from the fire to the container b) the UF 6 behaviour in the container. These tests are essentially analytical at simulated fire temperatures of between 800 and 1000degC. They use a representative mass of UF 6 (around 4 tons). The tests will not seek to rupture the test container which has a diameter equal to the 48Y container, but shorter length. These tests carried out in realistic conditions (typical thermal gradient at the wall, characteristic period for UF 6 internal mass transfer) should make possible to improve knowledge of two fundamental phenomena: 1) vaporization of UF 6 on contact with the heated wall (around 400degC), a phenomenon which controls the container internal pressurization kinetic, 2) the equivalent conductivity of solid UF 6 , a phenomenon which is linked to the heat transfer by UF 6 vaporization-condensation through the solid's porosities and which depends on the diameter of the container. In addition, they will allow the influence of other parameters to be studied, such as UF 6 container filling mode or the mechanical characteristics of the container material. A UF 6 container fitted with instruments (wall temperature, UF 6 temperature, pressure) is heated by a rapid heat transient in a radiating furnace where the temperature and thermal power supplied can be measured. The test continues until pre-established thresholds have been reached: 1) strain threshold measured on the container surface (strain gauges positioned on the outside), 2) maximum temperature threshold of UF 6 , 3) container internal pressure threshold. (J.P.N.)

Fluorescence from gaseous UF/sub 6/ excited by a near-UV dye laser. [Decay time,quenching rate,room temperature

Energy Technology Data Exchange (ETDEWEB)

Benetti, P [Pavia Univ. (Italy); Cubeddu, R; Sacchi, C A; Svelto, O; Zaraga, F [Politecnico di Milano (Italy)

1976-06-01

Preliminary data are reported on the visible fluorescence of gaseous UF/sub 6/ excited by a dye laser at 374 nm. A decay time of 500 ns at p = 0 and a quenching rate of 5.7 x 10/sup -12/cm/sup 3/molec/sup -1/s/sup -1/ have been measured at room temperature.

Technical documentation of HGSYSTEM/UF6 model

International Nuclear Information System (INIS)

Hanna, S.R.; Chang, J.C.; Zhang, J.X.

1996-01-01

MMES has been directed to upgrade the safety analyses for the gaseous diffusion plants at Paducah KY and Piketon OH. These will require assessment of consequences of accidental releases of UF 6 to the atmosphere at these plants. The HGSYSTEM model has been chosen as the basis for evaluating UF 6 releases; it includes dispersion algorithms for dense gases and treats the chemistry and thermodynamics of HF, a major product of the reaction of UF 6 with water vapor in air. Objective of this project was to incorporate additional capability into HGSYSTEM: UF 6 chemistry and thermodynamics, plume lift-off algorithms, and wet and dry deposition. The HGSYSTEM modules are discussed. The hybrid HGSYSTEM/UF 6 model has been evaluated in three ways

Evaluation of tecniques for controlling UF6 release clouds in the GAT environmental chamber

International Nuclear Information System (INIS)

Lux, C.J.

1982-01-01

Studies designed to characterize the reaction between UF 6 and atmospheric moisture, evaluate environmental variables of UF 6 cloud formation and ultimate cloud fate, and UF 6 release cloud control procedure have been conducted in the 1200 cu. ft. GAT environmental chamber. In earlier chamber experiments, 30 separate UF 6 release tests indicated that variations of atmospheric conditions and sample sizes had no significant effect on UO 2 F 2 particle size distribution, release cloud formation, or cloud settling rates. During the past year, numerous procedures have been evaluated for accelerating UF 6 cloud knockdown in a series of 37 environmental chamber releases. Knockdown procedures included: coarse water spray; air jet; steam spray (electrostatically charged and uncharged); carbon dioxide; Freon-12; fine water mist (uncharged); boric acid mist (charged and uncharged); and an ionized dry air stream. UF 6 hydrolysis cloud settling rates monitored by a laser/powermeter densitometer, indicated the relative effectiveness of various cloud knockdown techniques. Electrostatically charged boric acid/water mist, and electrostatically ionized dry air were both found to be very effective, knocking down the UO 2 F 2 release cloud particles in two to five minutes. Work to adapt these knockdown techniques for use under field conditions is continuing, taking into account recovery of the released uranium as well as nuclear criticality constraints

Sensitometric characteristics of UF-4, UF-5, and UFSh-O films in the quantum-energy range of 5-30 keV

International Nuclear Information System (INIS)

Datsko, I.M.; Slabkovskaya, M.A.; Sokolov, A.S.; Uvarova, N.V.; Sheromov, M.A.

1987-01-01

The sensitivity, gamma, and transmission of UF-4, UF-5, and UFSh-O for quanta with energies of 5-30 keV extracted from a beam of synchrotron radiation are measured. UFSh-O photographic film is more sensitive by a factor of 1.5-2 than are the UF-4 and UF-5 films. The gamma of all the films is greatly dependent on the quantum energy

Investigation of UF6 behavior in a fire

International Nuclear Information System (INIS)

Williams, W.R.

1988-01-01

Reactions between UF 6 and combustible gases and the potential for UF 6 -filled cylinders to rupture when exposed to fire are addressed. Although the absence of kinetic data prevents specific identification and quantification of the chemical species formed, potential reaction products resulting from the release of UF 6 into a fire include UF 4 , UO 2 F 2 , HF, C, CF 4 ,COF 2 , and short chain, fluorinated or partially fluorinated hydrocarbons. Such a release adds energy to a fire relative to normal combustion reactions. Time intervals to an assumed point of rupture for UF 6 -filled cylinders exposed to fire are estimated conservatively. Several related studies are also summarized, including a test series in which small UF 6 -filled cylinders were immersed in fire resulting in valve failures and explosive ruptures. It is concluded that all sizes of UF 6 cylinders currently in use may rupture within 30 minutes when totally immersed in a fire. For cylinders adjacent to fires, rupture of the larger cylinders appears much less likely

ANALYSIS OF RELAPSE RATE AND METASTASES OF HIGH DIFFERENTIATED THYROID CANCER

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E. V. Savenok

2015-01-01

Full Text Available  Analysis of rate of relapses and metastases with well-differentiated thyroid cancer was performed for patients in 2009 to 2013. The study involved 189 patients with thyroid cancer including 98 (51.9 % patients suffering from papillary thyroid cancer, 77 (40.7 % patients suffering from follicular thyroid cancer, and 14 (7.4 % patients suffering from medullary thyroid cancer. 2.04 % of the 98 patients suffering from papillary thyroid cancer manifested a relapse, and lymphogenic metastases of cancer were revealed with 1.0 % of patients. With follicular thyroid cancer (n = 77, lymphogenic metastases were registered in 7.8 % of cases, relapses were revealed in 1.3 % of cases. This analysis demonstrated that observation of patients for 5 years revealed a higher percentage of metastases with patients that suffered from follicular thyroid cancer.

Relapse rates after psychotherapy for depression - stable long-term effects? A meta-analysis.

Science.gov (United States)

Steinert, Christiane; Hofmann, Mareike; Kruse, Johannes; Leichsenring, Falk

2014-10-01

Depression is the most common mental disorder. Effective psychotherapeutic treatments for depression exist; however, data on their long-term effectiveness beyond a time span of two years is still scarce. Our aim was to perform a meta-analysis, investigating (a) overall rates of relapse more than two years after psychotherapy (meta-analysis 1), and (b) if psychotherapy has more enduring effects than non-psychotherapeutic comparison conditions (e.g. pharmacotherapy, treatment as usual), again beyond a time span of two years post-therapy (meta-analysis 2). We searched electronic databases Medline, PsycINFO and the COCHRANE Library. Main selection criteria were (i) RCT of psychotherapy with follow-up interval of more than 2 years, (ii) primary diagnosis of depression, assessed by observer ratings, (iii) report of relapse at follow-up. We identified 11 studies, 6 of which included a non-psychotherapeutic comparison condition. Together they comprised long-term data of 966 patients. Mean follow-up duration was 4.4 years. The overall relapse rate at long-term follow-up was 0.39 (95% CI 0.29, 0.50). Psychotherapy resulted in significantly less relapses (53.1% vs. 71.1%, OR 0.51; 95% CI 0.32, 0.82, p=0.005) than comparison treatments. This finding corresponded to a number needed to treat (NNT) of 5.55. Results can only be preliminary as data was sparse and studies differed methodologically. Heterogeneity in the first meta-analysis was high (I(2)=82%). Results indicated publication bias. The relapse rate more than two years after psychotherapy is relatively high, but significantly lower compared to non-psychotherapeutic treatments. Multiannual follow-ups should routinely be included in future psychotherapy RCTs. Copyright © 2014 Elsevier B.V. All rights reserved.

Epidemiologisk forskning om uførepensjon i Norden

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Johan Håkon Bjørngaard

2010-01-01

Full Text Available En relativ stor andel av befolkningen i yrkesaktiv alder i de nordiske landene mottar uførepensjon, og i Norge er det en klar tendens til økning. Parallelt med dette har interessen for forskning rundt uførepensjon som fenomen økt. Vi har i denne studien beskrevet den epidemiologiske forskningen om uførepensjon i Norden. I en systematisk litteraturgjennomgang fant vi 118 aktuelle artikler. Alle de nordiske landene er godt representert. Kohortstudier med uførepensjon som endepunkt utgjorde hovedvekten av materialet, hvor 67 var populasjonsbaserte mens 29 tok utgangspunkt i selekterte pasientpopulasjoner. I alt seks kohortstudier benyttet uførepensjon som eksponering. Vi fant videre syv kasus-kontrollstudier og ni forsøk. Det er betydelig dokumentasjon på at ulike sykdommer og helseplager er assosiert med økt risiko for uførhet, i tillegg til at sosioøkonomiske og arbeidsrelaterte forhold er av betydning. Gjennomgangen viser at den epidemiologiske forskningen for det meste har rettet blikket mot individuelle årsaker til uførepensjonering. Selv om denne forskningen er viktig, kan den neppe forklare økningen vi har sett i det siste tiåret. Den videre forskningen bør utforske nærmere hvordan individuell sårbarhet ender i utstøtelse fra arbeidslivet. Med tanke på den omfattende forskningen om årsaker på dette feltet, bør man også i større grad gjennomføre forsøk for å bedre utsatte gruppers arbeidsdeltakelse.Bjørngaard JH, Krokstad S, Johnsen R, Karlsen AO, Pape K, Støver M, Sund E, Westin S. Epidemiological research on disability benefits in the Nordic countries. Nor J Epidemiol 2009; 19 (2: 103-114 ENGLISH SUMMARYA substantial part of the workforce in the Nordic countries receives a disability benefit, and in Norway this beneficiary rate is growing. As a result, disability benefit has been the subject of new interest and research. In this study we have reviewed the epidemiological research on disability benefit in the

Thermal plasma reduction of UF6

International Nuclear Information System (INIS)

Fincke, J.R.; Swank, W.D.; Haggard, D.C.

1995-01-01

This paper describes the experimental demonstration of a process for the direct plasma reduction of depleted uranium hexafluoride to uranium metal. The process exploits the large departures from equilibrium that can be achieved in the rapid supersonic expansion of a totally dissociated and partially ionized mixture of UF 6 , Ar, He, and H 2 . The process is based on the rapid condensation of subcooled uranium vapor and the relatively slow rate of back reaction between metallic uranium and HF to F 2 to reform stable fluorides. The high translational velocities and rapid cooling result in an overpopulation of atomic hydrogen which persists throughout the expansion process. Atomic hydrogen shifts the equilibrium composition by inhibiting the reformation of uranium-fluorine compounds. This process has the potential to reduce the cost of reducing UF 6 to uranium metal with the added benefit of being a virtually waste free process. The dry HF produced is a commodity which has industrial value

Pilot plant UF6 to UF4 test operations report

International Nuclear Information System (INIS)

Bicha, W.J.; Fallings, M.; Gilbert, D.D.; Koch, G.E.; Levine, P.J.; McLaughlin, D.F.; Nuhfer, K.R.; Reese, J.C.

1987-02-01

The FMPC site includes a plant designed for the reduction of uranium hexafluoride (UF 6 ) to uranium tetrafluoride (UF 4 ). Limited operation of the upgraded reduction facility began in August 1984 and continued through January 19, 1986. A reaction vessel ruptured on that date causing the plant operation to be shut down. The DOE conducted a Class B investigation with the findings of the investigation board issued in preliminary form in May 1986 and as a final recommendation in July 1986. A two-phase restart of the plant was planned and implemented. Phase I included implementing safety system modifications, changing reaction vessel temperature control strategy, and operating the reduction plant under an 8-week controlled test. The results of the test period are the subject of this report. 41 figs., 11 tabs

The process research of drying UF4 by microwave

International Nuclear Information System (INIS)

Wen Guo; Wang Yunbo; Liu Long

2010-01-01

This paper make use of microwave to dry UF 4 filter cake, the aim is desorbed adsorption water. The research focus on such process conditions, boat material, thickness of filter cake, drying time, setting temperature, heating power and so on. the research of desorption crystal water of UF 4 that dried by microwave in fixed bed .When UF 4 drying by microwave and claiming by fixed bed, the qualified UF 4 powder is prepared. The research is shown that microwave can desorbs adsorption water which contain in UF 4 filter cake. There is a stable water contents in UF 4 after drying, and the sum of two members is less. After drying by microwave and claiming by fixed bed, the contents of water, UO 2 and UO 2 F 2 are all according to the quality standard. (authors)

Uranium isotope fractionation resulting from UF6 vapor distillation from containers

International Nuclear Information System (INIS)

Hedge, W.D.; Turner, C.M.

1985-01-01

This empirical study for possible isotopic fractionation due to UF 6 vapor distillation from valved containers was performed to determine the effects of repeated vapor sampling. Four different experiments were performed, each of which varied by the method of measuring the isotopic contents and/or by the difference in temperature gradients as follows: The ratio of the parent UF 6 to the desublimed UF 6 collected at liquid nitrogen temperature and homogenized was measured by sampling the containers. The ratio of the parent UF 6 to the desublimed UF 6 collected at liquid nitrogen temperature and homogenized was measured by direct comparison to each other without subsampling. The ratio of the parent UF 6 to the desublimed UF 6 collected at liquid nitrogen and ice-water temperatures and homogenized was measured by indirect comparison to a common UF 6 reference material without subsampling. The ratio of the parent UF 6 to the desublimed UF 6 collected at liquid nitrogen temperature without homogenizing was measured by indirect comparison to a common UF 6 reference. Gas-phase, relative mass spectrometry was used for all isotopic measurements. Results of the study indicate that fractionation does occur. The U-235 isotope becomes more enriched in the parent container as the UF 6 is vaporized from it and desublimed into the receiving cylinder; i.e., the vaporized fraction is enriched in the U-238 isotope. The degree of fractionation indicates that the separation is due to the U-238 isotope of UF 6 having a higher vapor pressure than the U-235 isotope of UF 6 . 3 refs., 4 figs., 4 tabs

UF{sub 6} cylinder fire test

Energy Technology Data Exchange (ETDEWEB)

Park, S.H. [Oak Ridge K-25 Site, Oak Ridge, TN (United States)

1991-12-31

With the increasing number of nuclear reactors for power generation, there is a comparable increase in the amount of UF{sub 6} being transported. Likewise, the probability of having an accident involving UF{sub 6}-filled cylinders also increases. Accident scenarios which have been difficult to assess are those involving a filled UF{sub 6} cylinder subjected to fire. A study is underway at the Oak Ridge K-25 Site, as part of the US DOE Enrichment Program, to provide empirical data and a computer model that can be used to evaluate various cylinder-in-fire scenarios. It is expected that the results will provide information leading to better handling of possible fire accidents as well as show whether changes should be made to provide different physical protection during shipment. The computer model being developed will be capable of predicting the rupture of various cylinder sizes and designs as well as the amount of UF{sub 6}, its distribution in the cylinder, and the conditions of the fire.

Analyses of postulated accidental releases of UF6 inside process buildings

International Nuclear Information System (INIS)

Oliveira Neto, Jose Messias de; Nunes, Beatriz Guimaraes; Dias, Cristiane

2009-01-01

Uranium Hexafluoride is a material used in the various processes which comprise the front end of the nuclear fuel cycle (conversion, enrichment and fuel fabrication). Confinement of UF 6 is a very important safety requirement since this material is highly reactive and presents safety hazards to humans. The present paper discusses the safety relevant aspects of accidental releases of UF 6 inside process confinement buildings. Postulated accidental scenarios are analyzed and their consequences evaluated. Implant releases rates are estimated using computer code predictions. A time dependent homogeneous compartment model is used to predict concentrations of UF 6 , hydrogen fluoride and uranyl fluoride inside a confinement building, as well as to evaluate source terms released to the atmosphere. These source terms can be used as input to atmospheric dispersion models to evaluate consequences to the environment. The results can also be used to define adequate protective measures for emergency situations. (author)

Daily corticosteroids reduce infection-associated relapses in frequently relapsing nephrotic syndrome: a randomized controlled trial.

Science.gov (United States)

Gulati, Ashima; Sinha, Aditi; Sreenivas, Vishnubhatla; Math, Aparna; Hari, Pankaj; Bagga, Arvind

2011-01-01

Relapses of nephrotic syndrome often follow minor infections, commonly of the upper respiratory tract. Daily administration of maintenance prednisolone during intercurrent infections was examined to determine whether the treatment reduces relapse rates in children with frequently relapsing nephrotic syndrome. In a randomized controlled trial (nonblind, parallel group, tertiary-care hospital), 100 patients with idiopathic, frequently relapsing nephrotic syndrome eligible for therapy with prolonged low-dose, alternate-day prednisolone with or without levamisole were randomized to either receive their usual dose of alternate-day prednisolone daily for 7 days during intercurrent infections (intervention group) or continue alternate-day prednisolone (controls). Primary outcome was assessed by comparing the rates of infection-associated relapses at 12-month follow-up. Secondary outcomes were the frequency of infections and the cumulative amount of prednisolone received in both groups. Patients in the intervention group showed significantly lower infection-associated (rate difference, 0.7 episodes/patient per year; 95% confidence intervals [CI] 0.3, 1.1) and lower total relapse rates (0.9 episodes/patient per year, 95% CI 0.4, 1.4) without increase in steroid toxicity. Poisson regression, adjusted for occurrence of infections, showed that daily administration of prednisolone during infections independently resulted in 59% reduction in frequency of relapses (rate ratio, 0.41; 95% CI 0.3, 0.6). For every six patients receiving this intervention, one showed a reduction of relapse frequency to less than three per year. Daily administration of maintenance doses of prednisolone, during intercurrent infections, significantly reduces relapse rates and the proportion of children with frequently relapsing nephrotic syndrome.

Application of the HGSYSTEM/UF6 model to simulate atmospheric dispersion of UF6 releases from uranium enrichment plants

International Nuclear Information System (INIS)

Goode, W.D. Jr.; Bloom, S.G.; Keith, K.D. Jr.

1995-01-01

Uranium hexafluoride is a dense, reactive gas used in Gaseous Diffusion Plants (GDPs) to make uranium enriched in the 235 U isotope. Large quantities of UF 6 exist at the GDPs in the form of in-process gas and as a solid in storage cylinders; smaller amounts exist as hot liquid during transfer operations. If liquid UF 6 is released to the environment, it immediately flashes to a solid and a dense gas that reacts rapidly with water vapor in the air to form solid particles of uranyl fluoride and hydrogen fluoride gas. Preliminary analyses were done on various accidental release scenarios to determine which scenarios must be considered in the safety analyses for the GDPS. These scenarios included gas releases due to failure of process equipment and liquid/gas releases resulting from a breach of transfer piping from a cylinder. A major goal of the calculations was to estimate the response time for mitigating actions in order to limit potential off-site consequences of these postulated releases. The HGSYSTEM/UF 6 code was used to assess the consequences of these release scenarios. Inputs were developed from release calculations which included two-phase, choked flow followed by expansion to atmospheric pressure. Adjustments were made to account for variable release rates and multiple release points. Superpositioning of outputs and adjustments for exposure time were required to evaluate consequences based on health effects due to exposures to uranium and HF at a specific location

Conversion of non-nuclear grade feedstock to UF4

International Nuclear Information System (INIS)

Ponelis, A.A.; Slabber, M.N.; Zimmer, C.H.E.

1987-01-01

The South African Conversion route is based on the direct feed of ammonium di-uranate produced by any one of a number of different mines. The physical and chemical characteristics of the feedstock can thus vary considerably and influence the conversion rate as well as the final UF 6 product purity. The UF 4 conversion reactor is a Moving Bed Reactor (MBR) with countercurrent flow of the reacting gas phases. Initial problems to continuously operate the MBR were mostly concerned with the physical nature of the UO 3 feed particles. Different approaches to eventually obtain a successful MBR are discussed. Besides obtaining UO 3 feed particles with certain physical attributes, the chemical impurities also have an effect on the operability of the MBR. The influence of the feedstock variables on the reduction and hydrofluorination rates after calcining has largely been determined from laboratory and pilot studies. The effect of chemical impurities such as sodium and potassium on the sinterability of the reacting particles and therefore the optimum temperature range in the MBR is also discussed. Confirmation of the effect of sodium and potassium impurities on the conversion rate has been obtained from large scale reactor operation. (author)

IIVP salvage regimen induces high response rates in patients with relapsed lymphoma before autologous stem cell transplantation.

Science.gov (United States)

Abali, Huseyin; Oyan, Basak; Koc, Yener; Kars, Ayse; Barista, Ibrahim; Uner, Aysegul; Turker, Alev; Demirkazik, Figen; Tekin, Fatma; Tekuzman, Gulten; Kansu, Emin

2005-06-01

Patients with relapsed lymphoma can be cured with high-dose chemotherapy and autologous hematopoietic stem cell transplantation (HSCT). New therapeutic approaches with better cytoreductive capacity are needed for relapsed patients to keep their chance for cure with transplantation. We report 30 patients with relapsed lymphoma, median age 43 years, treated with IIVP salvage regimen consisting of ifosfamide, mesna, idarubicin, and etoposide for 2 or 3 cycles. Seventeen patients had non-Hodgkin lymphoma (NHL) and 13 patients had Hodgkin disease (HD). Fourteen (47%) patients were at their first relapse. Overall response rate was 86.6% (n = 26) with 19 patients (63.3%) achieving complete response. Overall response rate was 92% in patients with HD and 82% in NHL. The most frequent side effects observed were grade III-IV neutropenia (87%) and thrombocytopenia (73%). IIVP regimen is a highly effective salvage therapy for patients with relapsed HD or NHL who are candidates for autologous HSCT. Close follow up is necessary because of the high incidence of grade III-IV hematologic toxicity.

Criticality safety review of 2 1/2-, 10-, and 14-ton UF6 cylinders

International Nuclear Information System (INIS)

Broadhead, B.L.

1991-10-01

Currently, UF 6 cylinders designed to contain 2 1/2 tons of UF 6 are classified as Fissile Class 2 packages with a transport index (TI) of 5 for the purpose of transportation. The 10-ton UF 6 cylinders are classified as Fissile Class 1 with no TI assigned for transportation. The 14-ton cylinders, although not certified for transport with enrichments greater than 1 wt % because they have no approved overpack, can be used in on-site operations for enrichments greater than 1 wt %. The maximum 235 U enrichments for these cylinders are 5.0 wt % for the 2 1/2-ton cylinder and 4.5 wt % for the 10- and 14-ton cylinders. This work reviews the suitability for reclassification of the 2 1/2-ton UF 6 packages as Fissile Class 1 with a maximum 235 U enrichment of 5 wt %. Additionally, the 10- and 14-ton cylinders are reviewed to address a change in maximum 235 U enrichment from 4.5 to 5 wt %. Based on this evaluation, the 2 1/2-ton UF 6 cylinders meet the 10 CFR.71 criteria for Fissile Class 1 packages, and no TI is needed for criticality safety purposes; however, a TI may be required based on radiation from the packages. Similarly, the 10- and 14-ton UF 6 packages appear acceptable for a maximum enrichment rating change to 5 wt % 235 U. 11 refs., 13 figs., 7 tabs

The mortality and response rate after FLANG regimen in patients with refractory/relapsed acute leukemia

Directory of Open Access Journals (Sweden)

Vali A Mehrzad

2012-01-01

Full Text Available Background: Oncologists today are greatly concerned about the treatment of relapsed/refractory acute leukemia. FLANG regimen, combination of novantron, cytarabine, fludarabine, and granulocyte-colony stimulating factor, has been used in treatment of refractory/relapsed acute leukemia since 1990s. The present study has evaluated mortality and response rate of this regimen. Materials and Methods: In this study, 25 patients with refractory/relapsed acute leukemia aged 15-55 years underwent FLANG regimen at Seyed-Al-Shohada Hospital, Isfahan, Iran during 2008-2009. One month later, bone marrow samples were taken to evaluate the responsiveness to treatment. Participants were followed for a year. The data was analyzed by student-t and chi-square tests, logistic, and Cox regression analysis, and Kaplan-Meier curves in SPSS 19. Results: Out of the 25 patients, 8 patients (32% had acute lymphoblastic leukemia (5 refractory and 3 relapsed cases and 17 subjects had acute myeloid leukemia (7 refractory and 10 relapsed cases. According to the bone marrow biopsies taken one month after FLANG regimen, 10 patients (40% had responded to treatment. Five patients of the 10 responders underwent successful bone marrow transplantation (BMT. On the other hand, 13 patients (52%, who had not entered the CR period, died during the follow-up. Logistic regression analysis did not reveal any significant associations between disease type and responsiveness to treatment. Conclusion: This study indicated higher rates of unresponsiveness to treatment while its mortality rate was comparable with other studies. Overall, according to limitations for BMT (as the only chance for cure in Iran, it seems that FLANG therapy is an acceptable choice for these patients.

UF6 Density and Mass Flow Measurements for Enrichment Plants using Acoustic Techniques

Energy Technology Data Exchange (ETDEWEB)

Good, Morris S.; Smith, Leon E.; Warren, Glen A.; Jones, Anthony M.; Ramuhalli, Pradeep; Roy, Surajit; Moran, Traci L.; Denslow, Kayte M.; Longoni, Gianluca

2017-09-01

A key enabling capability for enrichment plant safeguards being considered by the International Atomic Energy Agency (IAEA) is high-accuracy, noninvasive, unattended measurement of UF6 gas density and mass flow rate. Acoustic techniques are currently used to noninvasively monitor gas flow in industrial applications; however, the operating pressures at gaseous centrifuge enrichment plants (GCEPs) are roughly two orders magnitude below the capabilities of commercial instrumentation. Pacific Northwest National Laboratory is refining acoustic techniques for estimating density and mass flow rate of UF6 gas in scenarios typical of GCEPs, with the goal of achieving 1% measurement accuracy. Proof-of-concept laboratory measurements using a surrogate gas for UF6 have demonstrated signatures sensitive to gas density at low operating pressures such as 10–50 Torr, which were observed over the background acoustic interference. Current efforts involve developing a test bed for conducting acoustic measurements on flowing SF6 gas at representative flow rates and pressures to ascertain the viability of conducting gas flow measurements under these conditions. Density and flow measurements will be conducted to support the evaluation. If successful, the approach could enable an unattended, noninvasive approach to measure mass flow in unit header pipes of GCEPs.

HEU to LEU Conversion and Blending Facility: UF6 blending alternative to produce LEU UF6 for commercial use

International Nuclear Information System (INIS)

1995-09-01

US DOE is examining options for disposing of surplus weapons-usable fissile materials and storage of all weapons-usable fissile materials; the nuclear material will be converted to a form more proliferation- resistant than the original form. Examining options for increasing the proliferation resistance of highly enriched uranium (HEU) is part of this effort. Five technologies for blending HEU will be assessed; blending as UF 6 to produce a UF 6 product for commercial use is one of them. This document provides data to be used in the environmental impact analysis for the UF 6 blending HEU disposition option. Resource needs, employment needs, waste and emissions from plant, hazards, accident scenarios, and intersite transportation are discussed

Measurement of 235U content and flow of UF6 using delayed neutrons or gamma rays following induced fission

International Nuclear Information System (INIS)

Stromswold, D.C.; Peurrung, A.J.; Reeder, P.L.; Perkins, R.W.

1996-06-01

Feasibility experiments conducted at Pacific Northwest National Laboratory demonstrate that either delayed neutrons or energetic gamma rays from short-lived fission products can be used to monitor the blending of UF 6 gas streams. A 252 Cf neutron source was used to induce 235 U fission in a sample, and delayed neutrons and gamma rays were measured after the sample moved open-quotes down-stream.close quotes The experiments used a UO 2 powder that was transported down the pipe to simulate the flowing UF 6 gas. Computer modeling and analytic calculation extended the test results to a flowing UF 6 gas system. Neutron or gamma-ray measurements made at two downstream positions can be used to indicate both the 235 U content and UF 6 flow rate. Both the neutron and gamma-ray techniques have the benefits of simplicity and long-term reliability, combined with adequate sensitivity for low-intrusion monitoring of the blending process. Alternatively, measuring the neutron emission rate from (a, n) reactions in the UF 6 provides an approximate measure of the 235 U content without using a neutron source to induce fission

Review of potential models for UF6 dispersion

International Nuclear Information System (INIS)

Sykes, R.I.; Lewellen, W.S.

1992-07-01

A survey of existing atmospheric dispersion models has been conducted to determine the most appropriate basis for the development of a model for predicting the consequences of an accidental UF 6 release. The model is required for safety analysis studies and should therefore be computationally efficient. The release of UF 6 involves a number of physical phenomena which make the situation more complicated than passive dispersion of a trace gas. The safety analysis must consider the density variations in the UF 6 cloud, which can be heavier or lighter than the ambient air. The release also involves rapid chemical reactions and associated heat release, which must be modeled. Other Department of Energy storage facilities require a dense gas prediction capability, so the model must be sufficiently general for use with a variety of release scenarios. The special problems associated with UF 6 make it unique, so there are very few models with existing capability for the problem. There are, however, a large number of dense gas dispersion models, some with relevant chemical reaction modeling, that could potentially form the basis of an advanced UF 6 model. We have examined a large selection of possible candidates, and selected 5 models for detailed consideration

Urenco`s experience of UF{sub 6} handling

Energy Technology Data Exchange (ETDEWEB)

Saelmans, F. [Urenco Almelo (Netherlands); Scane, C. [Urenco Capenhurst (United Kingdom); Christofzik, J. [Urenco Gronau (Germany)

1991-12-31

Urenco operates enrichment plants at three sites, Almelo (Netherlands), Capenhurst (United Kingdom) and Gronau (Germany). Current installed separative work capacity is 2,500 tSWpa. Since 1971, when the first pilot plants were built, enrichment production has totalled 18,000 tSW. During this last 20 years over 3,500 48 containers of UF{sub 6} have been fed to the plants, over 3,700 30 containers have been filled with product and delivered successfully to Urenco`s customers worldwide and over 3,000 48 containers of depleted tails have been filled and have either been returned to customers or retained for long term storage on site. The paper gives a brief outline of Urenco`s experience in handling UF{sub 6}: the equipment and methods used in receiving, feeding, filling, blending, liquid sampling, storing, moving on site and despatching of UF{sub 6} containers. Some of the difficulties experienced with UF{sub 6} containers are appended.

Metamorphosis: Phases of UF{sub 6}

Energy Technology Data Exchange (ETDEWEB)

Dyer, R.H. [Department of Energy, Oak Ridge, TN (United States)

1991-12-31

A 15-minute videotape is presented. The subject matter is 150 grams of UF{sub 6} sealed in a glass tube. Close-up views show the UF{sub 6} as phase changes are effected by the addition or removal of heat from the closed system. The solid-to-liquid transition is shown as heat is added, both slowly and rapidly. The solid phases which result from freezing and from desublimation are contrasted. In the solid state, uranium hexafluoride is a nearly-white, dense crystalline solid. The appearance of this solid depends on whether it is formed by freezing from the liquid or by desublimation from the vapor phase. If frozen from the liquid, the solid particles take the form of irregularly shaped coarse grains, while the solid product of desublimation tends to be a rather formless mass without individually distinguishable particles. The changes in state are presented in terms of the UF{sub 6} phase diagram.

Synthesis and characterization of a new uranium(V) compound: H3O+UF6-

International Nuclear Information System (INIS)

Masson, J.P.; Desmoulin, J.P.; Charpin, P.; Bougon, R.

1976-01-01

The reaction of equimolar amounts of UF 5 and H 2 O in hydrogen fluoride results in the partial dissolution of UF 5 , yielding a blue-green solution from which the new salt oxonium hexafluorouranate(V)(H 3 O + UF 6 - ) could be isolated as a green crystalline solid. Calorimetric measurements showed H 3 O + UF 6 - to decompose at about 68 0 C and its heat of formation to be equal to -628 +- 2 kcal mol. Its ionic nature in the solid state and in HF solutions was demonstrated from vibrational and electronic spectra. The electronic spectrum is closely similar to those of LiUF 6 , NaUF 6 , and CsUF 6 and differs from those of RbUF 6 and KUF 6 . This adduct shows a strong ESR signal, with g = -0.78 +- 0.10, characteristic of UF 6 - salts. Based on its x-ray powder diffraction pattern, H 3 O + UF 6 - is cubic with a = 5.2229 +- 0.0005 A

HGSYSTEMUF6, Simulating Dispersion Due to Atmospheric Release of Uranium Hexafluoride (UF6)

International Nuclear Information System (INIS)

Hanna, G; Chang, J.C.; Zhang, J.X.; Bloom, S.G.; Goode, W.D. Jr; Lombardi, D.A.; Yambert, M.W.

2001-01-01

1 - Description of program or function: HGSYSTEMUF6 is a suite of models designed for use in estimating consequences associated with accidental, atmospheric release of Uranium Hexafluoride (UF 6 ) and its reaction products, namely Hydrogen Fluoride (HF), and other non-reactive contaminants which are either negatively, neutrally, or positively buoyant. It is based on HGSYSTEM Version 3.0 of Shell Research LTD., and contains specific algorithms for the treatment of UF 6 chemistry and thermodynamics. HGSYSTEMUF6 contains algorithms for the treatment of dense gases, dry and wet deposition, effects due to the presence of buildings (canyon and wake), plume lift-off, and the effects of complex terrain. The models components of the suite include (1) AEROPLUME/RK, used to model near-field dispersion from pressurized two-phase jet releases of UF6 and its reaction products, (2) HEGADAS/UF6 for simulating dense, ground based release of UF 6 , (3) PGPLUME for simulation of passive, neutrally buoyant plumes (4) UF6Mixer for modeling warm, potentially reactive, ground-level releases of UF 6 from buildings, and (5) WAKE, used to model elevated and ground-level releases into building wake cavities of non-reactive plumes that are either neutrally or positively buoyant. 2 - Methods: The atmospheric release and transport of UF 6 is a complicated process involving the interaction between dispersion, chemical and thermodynamic processes. This process is characterized by four separate stages (flash, sublimation, chemical reaction entrainment and passive dispersion) in which one or more of these processes dominate. The various models contained in the suite are applicable to one or more of these stages. For example, for modeling reactive, multiphase releases of UF 6 , the AEROPLUME/RK component employs a process-splitting scheme which numerically integrates the differential equations governing dispersion, UF 6 chemistry, and thermodynamics. This algorithm is based on the assumption that

Depleted UF6 programmatic environmental impact statement

International Nuclear Information System (INIS)

1997-01-01

The US Department of Energy has developed a program for long-term management and use of depleted uranium hexafluoride, a product of the uranium enrichment process. As part of this effort, DOE is preparing a Programmatic Environmental Impact Statement (PEIS) for the depleted UF 6 management program. This report duplicates the information available at the web site (http://www.ead.anl.gov/web/newduf6) set up as a repository for the PEIS. Options for the web site include: reviewing recent additions or changes to the web site; learning more about depleted UF 6 and the PEIS; browsing the PEIS and related documents, or submitting official comments on the PEIS; downloading all or part of the PEIS documents; and adding or deleting one's name from the depleted UF 6 mailing list

Computer programs for developing source terms for a UF{sub 6} dispersion model to simulate postulated UF{sub 6} releases from buildings

Energy Technology Data Exchange (ETDEWEB)

Williams, W.R.

1985-03-01

Calculational methods and computer programs for the analysis of source terms for postulated releases of UF{sub 6} are presented. Required thermophysical properties of UF{sub 6}, HF, and H{sub 2}O are described in detail. UF{sub 6} reacts with moisture in the ambient environment to form HF and H{sub 2}O. The coexistence of HF and H{sub 2}O significantly alters their pure component properties, and HF vapor polymerizes. Transient compartment models for simulating UF{sub 6} releases inside gaseous diffusion plant feed and withdrawl buildings and cascade buildings are also described. The basic compartment model mass and energy balances are supported by simple heat transfer, ventilation system, and deposition models. A model that can simulate either a closed compartment or a steady-state ventilation system is also discussed. The transient compartment models provide input to an atmospheric dispersion model as output.

2D modelling of a UF6 container in a fire

International Nuclear Information System (INIS)

Duret, B.; Seiler, J.M.

1993-01-01

We present some results on 2D thermal modelisation of the behaviour of UF6 in a fire. A cylindrical container is engulfed by a high temperature space where the heat transfer is expected to occur by radiation only. During the first minutes, we assume that the thermal resistance is between the external wall and the UF6 solid, the heat transfer can be split up into three kinds: 1) conduction to solid UF6 through a contact surface. 2) radiative transfer. 3) gas layer with a small heat conductance. This thermal resistance is initially determined by the UF6 filling type, shape and also is time dependant by thermal dilatation effects. On the onset of liquifying the heat transfer increases because of the larger liquid exchange. The liquid and boiling heat flow is then calculated by a model on the basis of classical correlations in vertical cavities. Numerical evaluations have been performed with a finite element model using: ANSYS. With a realistic hypothesis, the effect of the following parameters is estimated: thermal conductivity of UF6 solid, contact surface fraction, UF6 emissivity, gas gap thickness, liquid UF6 wall exchange, solid liquid transition criteria, non condensation factor k. (J.P.N.)

Materials considerations for UF6 gas-core reactor. Interim report for preliminary design study

International Nuclear Information System (INIS)

Wagner, P.

1977-04-01

The limiting materials problem in a high-temperature UF 6 core reactor is the corrosion of the core containment vessel. The UF 6 , the lower fluorides of uranium, and the fluorine that exist at the anticipated reactor operating conditions (1000 K and about one atmosphere UF 6 ) are all corrosive. Because of this, the materials evaluation effort for this reactor design study has concentrated on the identification of a viable system for the containment vessel that meets both the materials and neutronic requirements. A study of the literature has revealed that the most promising corrosion-resistant candidates are Ni or Ni-Al alloys. One of the conclusions of this work is that the containment vessel use a nickel liner or clad since the use of Ni as a structural member is precluded by its relative blackness to thermal neutrons. Estimates of corrosion rates of Ni and Ni-Al alloys, the effects of the pressure and temperature of F 2 on the corrosion rates, calculated equilibrium gas compositions at reactor core operating conditions, suggested methods of fabrication, and recommendations for future research and development are included

Long-term evaluation of fluoroelastomer O-rings in UF6

International Nuclear Information System (INIS)

Russell, R.G.; Otey, M.G.; Dippo, G.L.

1986-01-01

A major component in the gaseous centrifuge enrichment plant (GCEP) was fluoroelastomer O-rings, which were used to seal the uranium hexafluoride (UF 6 ) gas system. A program utilizing accelerated test conditions was used to help identify the best material out of four selected candidates and to predict the service life of these materials at GCEP conditions. The tests included accelerated temperatures, mechanical stress, and UF 6 exposure. Data were evaluated using the Newman--Keuls 1 ranking system to identify the best material and a zero-order reaction rate equation to help predict service life. This presentation includes a description of the test facility, the materials tested, the types of tests, objectives of the study, service life predictions, and conclusions. The O-rings are predicted to last approx. 30 years, and a high-molecular-weight polymer had the best performance ranking

HEU to LEU Conversion and Blending Facility: UF{sub 6} blending alternative to produce LEU UF{sub 6} for commercial use

Energy Technology Data Exchange (ETDEWEB)

NONE

1995-09-01

US DOE is examining options for disposing of surplus weapons-usable fissile materials and storage of all weapons-usable fissile materials; the nuclear material will be converted to a form more proliferation- resistant than the original form. Examining options for increasing the proliferation resistance of highly enriched uranium (HEU) is part of this effort. Five technologies for blending HEU will be assessed; blending as UF{sub 6} to produce a UF{sub 6} product for commercial use is one of them. This document provides data to be used in the environmental impact analysis for the UF{sub 6} blending HEU disposition option. Resource needs, employment needs, waste and emissions from plant, hazards, accident scenarios, and intersite transportation are discussed.

Safety provisions for UF{sub 6} handling in the design of a new UF{sub 6} conversion plant

Energy Technology Data Exchange (ETDEWEB)

Bannister, S.P. [British Nuclear Fuels plc, Preston (United Kingdom)

1991-12-31

British Nuclear Fuels plc (BNFL) Fuel Division is currently undertaking the final design and construction of a new UF{sub 6} conversion plant at its production site at Springfields near Preston in the north of England. The Company has gained much experience in the handling of UF{sub 6} during operation of plants on site since 1961. The major hazard occurs during the liquefication cycle and the basis of the maximum credible incident scenario adopted for safety assessment and design purposes is discussed. This paper considers the design features which have been incorporated in the new plant to counter the hazards presented by the presence of UF{sub 6} in gaseous and liquid form and explains current thinking on operational procedures in areas of potential risk such as cylinder filling. The plant emergency response philosophy and systems are described and specific design provisions which have been included to satisfy the UK regulatory bodies are outlined in some detail.

Anisotropy of the fluorine chemical shift tensor in UF6

International Nuclear Information System (INIS)

Rigny, P.

1965-04-01

An 19 F magnetic resonance study of polycrystalline UF 6 is presented. The low temperature complex line can be analyzed as the superposition of two distinct lines, which is attributed to a distortion of the UF 6 octahedron in the solid. The shape of the two components is studied. Their width is much larger than the theoretical dipolar width, and must be explained by large anisotropies of the fluorine chemical shift tensors. The resulting shape functions of the powder spectra are determined. The values of the parameters of the chemical shift tensors yield estimates of the characters of the U-F bonds, and this gives some information on the ground state electronic wave function of the UF 6 molecule in the solid. (author) [fr

Benchmark calculation of APOLLO-2 and SLAROM-UF in a fast reactor lattice

International Nuclear Information System (INIS)

Hazama, T.

2009-07-01

A lattice cell benchmark calculation is carried out for APOLLO2 and SLAROM-UF on the infinite lattice of a simple pin cell featuring a fast reactor. The accuracy in k-infinity and reaction rates is investigated in their reference and standard level calculations. In the 1. reference level calculation, APOLLO2 and SLAROM-UF agree with the reference value of k-infinity obtained by a continuous energy Monte Carlo calculation within 50 pcm. However, larger errors are observed in a particular reaction rate and energy range. The major problem common to both codes is in the cross section library of 239 Pu in the unresolved energy range. In the 2. reference level calculation, which is based on the ECCO 1968 group structure, both results of k-infinity agree with the reference value within 100 pcm. The resonance overlap effect is observed by several percents in cross sections of heavy nuclides. In the standard level calculation based on the APOLLO2 library creation methodology, a discrepancy appears by more than 300 pcm. A restriction is revealed in APOLLO2. Its standard cross section library does not have a sufficiently small background cross section to evaluate the self shielding effect on 56 Fe cross sections. The restriction can be removed by introducing the mixture self-shielding treatment recently introduced to APOLLO2. SLAROM-UF original standard level calculation based on the JFS-3 library creation methodology is the best among the standard level calculations. Improvement from the SLAROM-UF standard level calculation is achieved mainly by use of a proper weight function for light or intermediate nuclides. (author)

UF6 Cylinder Imaging by Fast Neutron Transmission Tomography

International Nuclear Information System (INIS)

McElroy, R.; Hausladen, P.; Blackston, M.; Croft, S.

2015-01-01

The common use Non-Destructive Assay techniques for the determination of 235 U enrichment and mass of UF6 cylinders used in the production of nuclear reactor fuel require prior knowledge of the physical distribution of the UF6 within the cylinder. The measurement performance for these techniques is typically evaluated based on assumed bounding case distributions of the material. However, little direct data such as radiographic or tomographic images, regarding the distribution of the UF6 within the cylinder is available against which to judge these assumptions. We have developed and tested a prototype active neutron tomographic imaging system employing an Associated Particle Imaging (API) neutron generator and an array of pixelated neutron scintillation counters. This system has been successfully used to obtain the 3-dimensional map of the distribution of UF6 within a type 12B storage cylinder. Results from these measurements are presented and the potential performance and utility of this technique with larger 30B and 48Y cylinders is discussed. (author)

Photochemical removal of NpF6 and PuF6 from UF6 gas streams

International Nuclear Information System (INIS)

Beitz, J.V.; Williams, C.W.

1990-01-01

A novel photochemical method of removing reactive fluorides from UF 6 gas has been discovered. This method reduces generated waste to little more than the volume of the removed impurities, minimizes loss of UF 6 , and can produce a recyclable by-product, fluorine gas. In our new method, impure UF 6 , is exposed to ultraviolet light which dissociates the UF 6 to UF 5 and fluorine atom. Impurities which chemically react with UF 5 are reduced and form solid compounds easily removed from the gas while UF 5 is converted back to UF 6 . Proof-of-concept testing involved UF 6 containing NpF 6 and PuF 6 with CO added as a fluorine atom scavenger. In a single photolysis step, greater than 5000-fold reduction of PuF 6 was demonstrated while reducing NpF 6 by more than 40-fold. This process is likely to remove corrosion and fission product fluorides that are more reactive than UF 6 and has been demonstrated without an added fluorine atom scavenger by periodically removing photogenerated fluorine gas. 44 refs., 3 figs., 2 tabs

Perekayasaan Heat Exchanger Sebagai Pemanas Umpan Uf 6 Dalam Pabrik Elemen Bakar Nuklir

OpenAIRE

Zacharias, Petrus; Pancoko, Marliyadi

2011-01-01

DESIGN OF HEAT EXCHANGER FOR HEATING UF6 FEED IN NUCLEAR FUEL ELEMENT PLANT. The process of conversion of UF6 to UO through Integrated Dry Route (IDR) i s done in a rotary kiln reactor. There are two stages of initi al treatment / conditioni ng before inserting the UF 6 in to the reactor : changing UF6 2 solid into the gas phase at a temperature of 60°C in an evaporator, and then, raising the temperature of UF C to 2900 C i n a Heat Exchanger (HE). Therefore it i s necessary to desi gn...

Investigation of technology for the monitoring of UF6 mass flow in UF6 streams diluted with H2

International Nuclear Information System (INIS)

Baker, O.J.; Cooley, J.N.; Hewgley, W.A.; Moran, B.W.; Swindle, D.W. Jr.

1986-12-01

The applicability, availability, and effectiveness of gas flow meters are assessed as a means for verifying the mass flows of pure UF 6 streams diluted with a carrier gas. The initial survey identified the orifice, pitot tube, thermal, vortex shedding, and vortex precession (swirl) meters as promising for the intended use. Subsequent assessments of these flow meters revealed that two - the orifice meter and the pitot tube meter - are the best choices for the proposed applications: the first is recommended for low velocity gas, small diameter piping; the latter, for high velocity gas, large diameter piping. Final selection of the gas flow meters should be based on test loop evaluations in which the proposed meters are subjected to gas flows, temperatures, and pressures representative of those expected in service. Known instruments are evaluated that may be applicable to the measurement of uranium or UF 6 concentration in a UF 6 - H 2 process stream at an aerodynamic enrichment plant. Of the six procedures evaluated, four have been used for process monitoring in a UF 6 environment: gas mass spectrometry, infrared-ultraviolet-visible spectrophotometry, gas chromatography, and acoustic gas analysis. The remaining two procedures, laser fluorimetry and atomic absorption spectroscopy, would require significant development work before they could be used for process monitoring. Infrared-ultravioloet-visible spectrophotometry is judged to be the best procedure currently available to perform the required measurement

Investigation of technology for monitoring UF6 mass flow

International Nuclear Information System (INIS)

Cooley, J.N.; Moran, B.W.; Swindle, D.W. Jr.

1987-06-01

The applicability of gas flow meters, in-line enrichment monitors, and instruments for measuring uranium or UF 6 concentrations in process streams as a means for verifying declared plant throughput have been investigated. The study was performed to assist the International Atomic Energy Agency in the development of an effective international safeguards approach for aerodynamic uranium enrichment plants. Because the process gas in an aerodynamic enrichment facility is a mixture of UF 6 and H 2 , a mass flow measurement in conjunction with a measurement of the uranium (or UF 6 ) concentration in the process gas is required to quantify the amount of uranium being fed into, and withdrawn from, the cascades for nuclear materials accountability verification. In-line enrichment monitors developed for the US gas centrifuge enrichment plant are found to be applicable only to pure UF 6 streams. Of the five gas flow meters evaluated, the orifice meter and the pitot tube meter are judged the best choices for the proposed applications: the first is recommended for low-velocity gas, small diameter piping; the latter, for high-velocity gas, large diameter piping. Of the six procedures evaluated for measurement of uranium or UF 6 concentration in a mixed process stream, infrared-ultraviolet-visible spectrophotometry is judged to be the best procedure currently available to perform the required measurement. 4 refs., 3 figs., 3 tabs

Investigation of the UF6 aerosol behavior in air, (4)

International Nuclear Information System (INIS)

Ishida, Junichiro; Sakamoto, Genji; Takeda, Seiichi; Kato, Jinzo

1979-01-01

When gaseous uranium hexafluoride (UF 6 ) is released into air, it hydrolizes with moisture in air to produce HF gas and particulate UO 2 F 2 which is visible. The lowest visible concentration in air is about 5 x 10 -8 μCi/cm 3 in case of releasing UF 6 and about 10 -9 μCi/cm 3 in case of released UF 6 cloud. By watching the occurrence of released UF 6 cloud, it is possible to take necessary action without delay. But in the case that there is no one to watch or that the concentration is not high enough to be visible, an alarm monitor system has to be relied on. Therefore the characteristics of the alarm monitors which can detect UF 6 promptly were examined. As UF 6 is hydrolized into gaseous HF and particulate UO 2 F 2 , three monitoring methods are considered; (1) to detect the alpha radiation of uranium, (2) to detect HF gas and (3) to detect airborne particles (aerosol). Performance tests were conducted on an alpha dust monitor, an electrochemical HF monitor, a thin film electrolyte HF monitor and an ionized smoke detector. The relationship between radioactivity concentration and HF concentration was investigated especially regarding with the conditions of released UF 6 amount and the distance from a release point to the observation point. The experimental facilities containing a large glove-box made of SUS and acrylic resin walls, a dust monitor, an HF monitor, a smoke detector and a filter, and the experimental procedure are explained. As the experimental results, the response characteristics of the dust monitor and HF monitor, the relationship of radioactivity concentration to HF concentration in air and the relation of the distance from the release point to the concentration of U and HF are presented. (Nakai, Y.)

New regulatory aspects of UF6 transport

International Nuclear Information System (INIS)

Biaggio, A.L.; Lee Gonzales, H.M.; Lopez Vietri, J.R.; Novo, R.G.

1987-01-01

In nuclear industry, a great amount of uranium is transformed from a chemical form to another. When the fuel cycle requires enrichment, uranium hexafluoride (UF 6) is handled, stored and transported in great quantities. To analyze the risks involved in possible accidents associated with UF 6 , radiological and chemical aspects must be considered. So far, the international practice was based on the adoption of regulations from a particular country (ANSI No. 14.1-1982.U.S.A.). In this way, the adoption of these norms at international level is difficult. For that reason, the International Atomic Energy Agency has attempted to consider the chemical risks associated with UF 6 in order to establish a more universal basis ('Recommendations for Providing Protection during the Transport of Uranium Hexafluoride' IAEA-TECDOC-423, Vienna, June 1987 - Austria). A critical analysis of these recommendations is presented in this work. The coherence and the degree of completion of the new recommendations are evaluated and the safety level is compared with that of the accepted regulations for toxic or corrosive substances and for radioactive materials transport. (Author)

Aspects of uranium chemistry pertaining to UF{sub 6} cylinder handling

Energy Technology Data Exchange (ETDEWEB)

Ritter, R.L.; Barber, E.J. [Martin Marietta Energy Systems, Inc., Oak Ridge, TN (United States)

1991-12-31

Under normal conditions, the bulk of UF{sub 6} in storage cylinders will be in the solid state with an overpressure of gaseous UF{sub 6} well below one atmosphere. Corrosion of the interior of the cylinder will be very slow, with formation of a small amount of reduced fluoride, probably U{sub 2}F{sub 9}. The UO{sub 3}-HF-H{sub 2}O phase diagram indicates that reaction of any inleaking water vapor with the solid UF{sub 6} will generate the solid material [H{sub 3}O]{sub 2}(U(OH){sub 4}F{sub 4}) in equilibrium with an aqueous HF solution containing only small amounts of uranium. The corrosion of the steel cylinder by these materials may be enhanced over that observed with gaseous anhydrous UF{sub 6}.

Gender differences in alcohol and substance use relapse.

Science.gov (United States)

Walitzer, Kimberly S; Dearing, Ronda L

2006-03-01

This review explores gender differences in relapse and characteristics of relapse events in alcohol and substance use. For alcohol, relapse rates were similar across gender. Although negative mood, childhood sexual abuse, alcohol-related self-efficacy, and poorer coping strategies predicted alcohol relapse, gender did not moderate these effects. Gender did moderate the association between marriage and alcohol relapse. For women, marriage and marital stress were risk factors for alcohol relapse; among men, marriage lowered relapse risk. This gender difference in the role of marriage in relapse may be a result of partner differences in problem drinking. Alcoholic women are more likely to be married to heavy drinking partners than are alcoholic men; thus, alcoholic women may be put at risk of relapse by marriage and alcoholic men may be protected by marriage. There are fewer studies documenting gender differences in substance abuse relapse so conclusions are limited and tentative. In contrast to the lack of gender differences in alcohol relapse rates, women appear less likely to experience relapse to substance use, relative to men. Women relapsing to substance use appear to be more sensitive to negative affect and interpersonal problems. Men, in contrast, may be more likely to have positive experiences prior to relapse.

Sampling and characterization of aerosols formed in the atmospheric hydrolysis of UF6

International Nuclear Information System (INIS)

Bostick, W.D.; McCulla, W.H.; Pickrell, P.W.; Branam, D.A.

1983-01-01

When gaseous UF 6 is released into the atmosphere, it rapidly reacts with ambient moisture to form an aerosol of uranyl fluoride and HF. As part of our Safety Analysis program, we have performed several experimental releases of UF 6 (from natural uranium) in contained volumes in order to investigate techniques for sampling and characterizing the aerosol materials. The aggregrate particle morphology and size distribution have been found to be dependent upon several conditions, including the relative humidity at the time of the release and the elapse time after the release. Aerosol composition and settling rate have been investigated using isokinetic samplers for the separate collection of UO 2 F 2 and HF, and via laser spectroscopic remote sensing (Mie scatter and infrared spectroscopy). 8 references

Preliminary Hazard Analysis applied to Uranium Hexafluoride - UF6 production plant

International Nuclear Information System (INIS)

Tomzhinsky, David; Bichmacher, Ricardo; Braganca Junior, Alvaro; Peixoto, Orpet Jose

1996-01-01

The purpose of this paper is to present the results of the Preliminary hazard Analysis applied to the UF 6 Production Process, which is part of the UF 6 Conversion Plant. The Conversion Plant has designed to produce a high purified UF 6 in accordance with the nuclear grade standards. This Preliminary Hazard Analysis is the first step in the Risk Management Studies, which are under current development. The analysis evaluated the impact originated from the production process in the plant operators, members of public, equipment, systems and installations as well as the environment. (author)

The electron spectrum of UF6 recorded in the gas phase

Science.gov (United States)

Mârtensson, N.; Malmquist, P.-Å.; Svensson, S.; Johansson, B.

1984-06-01

Gas phase core and valence electron spectra from UF6, excited by AlKα monochromatized x rays, in the binding energy range 0-1000 eV are presented. It is shown that the AlKα excited valence electron spectrum can be used to reassign the highest occupied molecular orbital (HOMO) in UF6. Many-body effects on the core levels are discussed and core level lifetimes are determined. The shift between solid phase and gas phase electron binding energies for core lines is used to discuss the U5 f population in UF6.

UF{sub 6} cylinder inspections at PGDP

Energy Technology Data Exchange (ETDEWEB)

Lamb, G.W.; Whinnery, W.N. [Martin Marietta Energy Systems, Inc., Paducah, KY (United States)

1991-12-31

Routine inspections of all UF{sub 6} cylinders at the Paducah Gaseous Diffusion Plant have been mandated by the Department of Energy. A specific UF{sub 6} cylinder inspection procedure for what items to inspect and training for the operators prior to inspection duty are described. The layout of the cylinder yards and the forms used in the inspections are shown. The large number of cylinders (>30,000) to inspect and the schedule for completion on the mandated time table are discussed. Results of the inspections and the actions to correct the deficiencies are explained. Future inspections and movement of cylinders for relocation of certain cylinder yards are defined.

Gas-phase UF6 enrichment monitor for enrichment plant safeguards

International Nuclear Information System (INIS)

Strittmatter, R.B.; Tape, J.W.

1980-03-01

An in-line enrichment monitor is being developed to provide real-time enrichment data for the gas-phase UF 6 feed stream of an enrichment plant. The nondestructive gamma-ray assay method can be used to determine the enrichment of natural UF 6 with a relative precision of better than 1% for a wide range of pressures

High temperature experiments on a 4 tons UF6 container TENERIFE program

Energy Technology Data Exchange (ETDEWEB)

Casselman, C.; Duret, B.; Seiler, J.M.; Ringot, C.; Warniez, P.

1991-12-31

The paper presents an experimental program (called TENERIFE) whose aim is to investigate the behaviour of a cylinder containing UF{sub 6} when exposed to a high temperature fire for model validation. Taking into account the experiments performed in the past, the modelization needs further information in order to be able to predict the behaviour of a real size cylinder when engulfed in a 800{degrees}C fire, as specified in the regulation. The main unknowns are related to (1) the UF{sub 6} behaviour beyond the critical point, (2) the relationship between temperature field and internal pressure and (3) the equivalent conductivity of the solid UF{sub 6}. In order to investigate these phenomena in a representative way it is foreseen to perform experiments with a cylinder of real diameter, but reduced length, containing 4 tons of UF{sub 6}. This cylinder will be placed in an electrically heated furnace. A confinement vessel prevents any dispersion of UF{sub 6}. The heat flux delivered by the furnace will be calibrated by specific tests. The cylinder will be changed for each test.

Natural phenomena evaluations of the K-25 site UF6 cylinder storage yards

International Nuclear Information System (INIS)

Fricke, K.E.

1996-01-01

The K-25 Site UF 6 cylinder storage yards are used for the temporary storage of UF 6 normal assay cylinders and long-term storage of other UF 6 cylinders. The K-25 Site UF 6 cylinder storage yards consist of six on-site areas: K-1066-B, K-1066-E, K-1066-F, K-1066-J, K-1066-K and K-1066-L. There are no permanent structures erected on the cylinder yards, except for five portable buildings. The operating contractor for the K-25 Site is preparing a Safety Analysis Report (SAR) to examine the safety related aspects of the K-25 Site UF 6 cylinder storage yards. The SAR preparation encompasses many tasks terminating in consequence analysis for the release of gaseous and liquid UF 6 , one of which is the evaluation of natural phenomena threats, such as earthquakes, floods, and winds. In support of the SAR, the six active cylinder storage yards were evaluated for vulnerabilities to natural phenomena, earthquakes, high winds and tornados, tornado-generated missiles, floods (local and regional), and lightning. This report summarizes those studies. 30 refs

High rates of relapse in adolescents crack users after inpatient clinic discharge

Directory of Open Access Journals (Sweden)

Rosemeri Siqueira Pedroso

Full Text Available ABSTRACT Objective The objective of the present study was to evaluate 88 adolescent crack users referred to hospitalization and to follow them up after discharge to investigate relapse and factors associated with treatment. Methods Cohort (30 and 90 days after discharge from a psychiatric hospital and a rehab clinic for treatment for chemical dependency in Porto Alegre between 2011 and 2012. Instruments: Semi-structured interview, conducted to evaluate the sociodemographic profile of the sample and describe the pattern of psychoactive substance use; Crack Use Relapse Scale/CURS; Questionnaire Tracking Users to Crack/QTUC; K-SADS-PL. Results In the first follow-up period (30 days after discharge, 65.9% of participants had relapsed. In the second follow-up period (90 days after discharge, 86.4% of participants had relapsed. Conclusion This is one of the first studies that show the extremely high prevalence of early relapse in adolescent crack users after discharge, questioning the cost/benefit of inpatient treatment for this population. Moreover, these results corroborate studies which suggested, young psychostimulants users might need tailored intensive outpatient treatment with contingency management and other behavioral strategies, in order to increase compliance and reduce drug or crime relapse, but this specific therapeutic modality is still scarce and must be developed in Brazil.

Cytomegalovirus reactivation is associated with a lower rate of early relapse in myeloid malignancies independent of in-vivo T cell depletion strategy.

Science.gov (United States)

Hilal, Talal; Slone, Stacey; Peterson, Shawn; Bodine, Charles; Gul, Zartash

2017-06-01

The association between cytomegalovirus (CMV) reactivation and relapse risk has not been evaluated in relation to T cell depletion strategies. We evaluated 93 patients who underwent allogeneic hematopoietic stem cell transplantation (HSCT) and analyzed the association between T cell depletion strategies with the cumulative incidence of relapse and CMV reactivation. A total of 33% of patients who received ATG vs. 34% who received alemtuzumab developed CMV reactivation. The cumulative incidence of relapse was 3% at 1year and 20% at 3 years in patients with CMV reactivation vs. 30% at 1year and 38% at 3 years in patients without CMV reactivation (p=0.02). When analyzed separately, this effect persisted in the myeloid, but not the lymphoid group. There was a numerical trend towards increased non-relapse mortality (NRM) in patients with CMV reactivation, especially in the myeloid group. The choice of T cell depleting agent and the rate of CMV reactivation were not associated with different overall survival (OS) rates. These results suggest that the choice of T cell depletion strategy may have similar effects on rates of CMV reactivation, disease relapse, and survival. Further studies examining these variables in patients not exposed to in-vivo T cell depleting agents may be of interest. Copyright © 2017 Elsevier Ltd. All rights reserved.

Radioiodine therapy in toxic multinodular goiter- the influence of carbimazole therapy and dietary iodine on relapse rates

International Nuclear Information System (INIS)

Mitra, S.; Muthu, G.S.

2007-01-01

Full text: The relapse rate of radioiodine therapy in toxic multinodular goiter (TMNG) is reported to be around 34% at one year. The effect of antithyroid drugs on the response rate is controversial with studies reporting a higher relapse rate in patients pretreated with antithyroid drugs. Other studies report no influence of pretreatment with antithyroid drugs. The thyroid clinic at Tata Main Hospital is a referral center for thyroid disorders in Jamshedpur. 63 patients of TMNG (Group A) were treated with Radioiodine between 1995-2003. The demographic profile of these patients was as follows: M/F- 38%: 62%, 76% of patients were above 40 years, 85% had been on anti-thyroid drugs for more than 18 months. Fixed dose radioiodine in an oral dose varying from 5-10 mCi was given in all patients of Group A. 32.4 % of patients continued to be toxic or relapsed after a period of euthyroid status within 1 year of Radioiodine therapy. A change in protocol for radioiodine therapy was introduced in 2003. This included withdrawal of antithyroid drugs for one month before radioiodine therapy and the use of noniodized salt and abstinence from seafood in diet during this period. 33 TMN Goiter patients (Group B) followed this protocol before receiving Radioiodine. The dose of Radioiodine remained 5-10 mCi. The age and sex profile of Group A and B were comparable. However, Group B patients had been on antithyroid drugs for a shorter period (p< 0.001). The dose of Radioiodine in 94% of Group B patients was between 7-10mCi, whereas this was 63.4% in Group A. The rest of the patients had received a dose between 5-7 mCi. The relapse rate in Group B was 9.1% compared to 32.4% in Group A. Improvement in response rates with increase in Radioiodine dose remains controversial.P PThe better response rate in Group B patients may be attributed to the withdrawal of antithyroid drugs for one month before therapy and the reduction in dietary intake of Iodine for a month before therapy. However, a

Properties of Sago Particleboards Resinated with UF and PF Resin

Directory of Open Access Journals (Sweden)

Chen Chiang Tay

2016-01-01

Full Text Available The sago processing industry in Mukah, Sarawak, had generated huge amount of sago waste after the milling process and scientists have employed the waste into composite material. In this work, sago residues were mixed with the Phenol Formaldehyde (PF and Urea Formaldehyde (UF for particleboard fabrication. The fabrication and testing methods are based on JIS A 5908 Standard. A single layer particleboard using sago particles was fabricated at targeted density of 600 kg/m3. Particles with weight fractions of 90%, 85%, and 80% with two different matrices were used in the fabrication. The results demonstrated that the samples with different weight fraction and matrix have great influence on the mechanical properties such as MOR, MOE, Young’s Modulus, tensile strength, impact strength, screw test, and internal bonding. The sago UF/PF particleboard only displays single stage decomposition. All the panels underwent physical tests which are water absorption and thickness swelling. The combination of sago particles with UF/PF can be utilized for general indoor application purposes such as furniture manufacturing. Sago particleboard made by UF/PF provided the advantages like optimized performance, minimized weight and volume, cost effectiveness, chemical resistance, and resistance to biodegradation.

On-Line Enrichment Monitor for UF{sub 6} Gas Centrifuge Enrichment Plant

Energy Technology Data Exchange (ETDEWEB)

Ianakiev, K. D.; Boyer, B.; Favalli, A.; Goda, J. M.; Hill, T.; Keller, C.; Lombardi, M.; Paffett, M.; MacArthur, D. W.; McCluskey, C.; Moss, C. E.; Parker, R.; Smith, M. K.; Swinhoe, M. T. [Los Alamos National Laboratory, Los Alamos (United States)

2012-06-15

This paper is a continuation of the Advanced Enrichment Monitoring Technology for UF{sub 6} Gas Centrifuge Enrichment Plant (GCEP) work, presented in the 2010 IAEA Safeguards Symposium. Here we will present the system architecture for a planned side-by-side field trial test of passive (186-keV line spectroscopy and pressure-based correction for UF{sub 6} gas density) and active (186-keV line spectroscopy and transmission measurement based correction for UF{sub 6} gas density) enrichment monitoring systems in URENCO's enrichment plant in Capenhurst. Because the pressure and transmission measurements of UF{sub 6} are complementary, additional information on the importance of the presence of light gases and the UF{sub 6} gas temperature can be obtained by cross-correlation between simultaneous measurements of transmission, pressure and 186-keV intensity. We will discuss the calibration issues and performance in the context of accurate, on-line enrichment measurement. It is hoped that a simple and accurate on-line enrichment monitor can be built using the UF{sub 6} gas pressure provided by the Operator, based on online mass spectrometer calibration, assuming a negligible (a small fraction of percent) contribution of wall deposits. Unaccounted-for wall deposits present at the initial calibration will lead to unwanted sensitivity to changes in theUF{sub 6} gas pressure and thus to error in the enrichment results. Because the accumulated deposits in the cascade header pipe have been identified as an issue for Go/No Go measurements with the Cascade Header Enrichment Monitor (CHEM) and Continuous Enrichment Monitor (CEMO), it is important to explore their effect. Therefore we present the expected uncertainty on enrichment measurements obtained by propagating the errors introduced by deposits, gas density, etc. and will discuss the options for a deposit correction during initial calibration of an On-Line Enrichment Monitor (OLEM).

Évolution qualitative et quantitative des composantes de l'œuf ...

African Journals Online (AJOL)

SARAH

28 févr. 2014 ... contrôle de coquille et de calibre dans les fermes. Mots clés : œuf, pondeuse, ... dynamique qualitative des composantes de l'œuf . Certains auteurs ont ... programme de conduite et de gestion d'élevage. Élevées en bande ...

Transport of UF6 in compliance with TS-R-1

International Nuclear Information System (INIS)

Dekker, B.G.

2004-01-01

The IAEA Regulations TS-R-1 (ST-1, Revised) 1996 Edition include requirements for packages containing uranium hexafluoride (UF6); these are the first and only substance-specific requirements in the IAEA regulations. These requirements have already particularly affected, and will further affect, the transport of non-fissile and fissile excepted UF 6 and the packages used for these transports. Non-fissile and fissile excepted UF6 (ASTM C 787) has been transported worldwide for decades in a safe and reliable manner, using internationally standardised packages. Under the auspices of the World Nuclear Transport Institute (WNTI), an industry working group has been evaluating the existing packages against the requirements in TS-R-1. As new requirements came into effect, there were new challenges for the use of these standard packages, including the free drop test and the thermal requirements. In close cooperation with the WNTI HEXT Industry Working Group, a consortium of UF6 producers/users has worked together on the design and development, testing and certification of technical solutions for modification and optimisation of the existing packages to comply with TS-R-1. This paper reviews the existing standard packages against the requirements in TS-R-1. An update is also given describing the enhancements to the standard packages that have been designed and developed recently. The paper also describes how these solutions have been tested and certified, as well as the status of implementation. Finally, a review is made of the options that are available internationally to transport UF6 in compliance with TS-R-1. (author)

Confirmatory measurements of UF6 using the neutron self-interrogation method

International Nuclear Information System (INIS)

Stewart, J.E.; Ensslin, N.; Menlove, H.O.; Cowder, L.R.; Polk, P.J.

1985-01-01

A passive neutron counting method has been developed for measurement of the 235 U mass in Model 5A cylinders of UF 6 . The unique neutronic properties of UF 6 containing highly enriched uranium (HEU) permit 235 U assay using only passive neutron counting. The sample effectively assays itself by self-interrogation. Shipped from enrichment plants and received at fuel fabrication and conversion facilities, 5A UF 6 cylinders hold up to approx.17 kg of 235 U each. Field measurements at the Portsmouth Gaseous Diffusion Plant (GDP) showed an average assay accuracy of 6.8% (1sigma) for 44 cylinders with enrichments from 6 to 98% and with a range of fill heights. Further measurements on 38 cylinders containing 97%-enriched material yielded an accuracy of 2.8% (1sigma). Typical counting times for these measurements were less than 5 min. An in-plant instrument for receipts confirmation measurements of 5A UF 6 cylinders has been developed for the Savannah River Plant. The Receipts Assay Monitor (RAM) is currently being tested and calibrated. It is designed to confirm declared fissile mass in all incoming 5A cylinders containing HEU in the form of UF 6 . One of the computer-controlled features is a removable cadmium liner for the sample cavity. The liner allows a sample fill-height correction, which significantly improves assay accuracy

Recycling Cellulase from Enzymatic Hydrolyzate of Laser-Pretreated Corn Stover by UF Membrane

Directory of Open Access Journals (Sweden)

Shuang-Qi Tian

2015-09-01

Full Text Available The ultrafiltration membrane reactor, utilizing a membrane module with a suitable molecular weight alleyway, retains the larger cellulase components. Smaller molecules, such as the fermentable reducing sugars and water, pass through the membrane. The purpose of this work was to investigate the capability of recycling cellulase in the UF membrane. PS30 hollow fiber membrane, an ultrafiltration method using internal pressure, was found to be an ideal membrane separation device, allowing re-use of the enzyme. A Box-Behnken experimental design (BBD established the following optimum pretreatment parameters: operation pressure at 1.73 bar, temperature at 36.38 °C, and a pH of 5.92. Under these conditions, the model predicted a membrane flux yield of 2.3174 L/(m2•h. The rejection rate of the UF membrane was over 95%.

18 years experience on UF{sub 6} handling at Japanese nuclear fuel manufacturer

Energy Technology Data Exchange (ETDEWEB)

Fujinaga, H.; Yamazaki, N.; Takebe, N. [Japan Nucelar Fuel Conversion Co., Ltd., Ibaraki (Japan)

1991-12-31

In the spring of 1991, a leading nuclear fuel manufacturing company in Japan, celebrated its 18th anniversary. Since 1973, the company has produced over 5000 metric ton of ceramic grade UO{sub 2} powder to supply to Japanese fabricators, without major accident/incident and especially with a successful safety record on UF{sub 6} handling. The company`s 18 years experience on nuclear fuel manufacturing reveals that key factors for the safe handling of UF{sub 6} are (1) installing adequate facilities, equipped with safety devices, (2) providing UF{sub 6} handling manuals and executing them strictly, and (3) repeating on and off the job training for operators. In this paper, equipment and the operation mode for UF{sub 6} processing at their facility are discussed.

Electron affinity of UF6. Final report, March 1, 1976--June 30, 1977

International Nuclear Information System (INIS)

Rothe, E.W.

1977-06-01

Ionization reactions are observed in crossed molecular beams, usually of thermal energy, alkalis and MoF 6 , WF 6 and UF 6 . Previous studies have indicated large electron affinities for these hexafluorides, and this is confirmed here. Ionization at thermal energies proceeds with the alkali dimers, A 2 , for all three hexafluorides, but with alkali atoms, A, only for UF 6 . Several ionization paths are observed, allowing the deduction of molecular energies. A few experiments are done with eV-range beams. Lower limits for the elecron affinities are 4.5, 3.3, 4.9, 4.3 and 1.9 eV for MoF 6 , MoF 5 , WF 6 , UF 6 and UF 5 , respectively. Possible mechanisms are discussed

Results of ultrasonic testing evaluations on UF6 storage cylinders

International Nuclear Information System (INIS)

Lykins, M.L.

1997-02-01

The three site cylinder management program is responsible for the safe storage of the DOE owned UF 6 storage cylinders at PORTS, PGDP and at the K-25 site. To ensure the safe storage of the UF 6 in the cylinders, the structural integrity of the cylinders must be evaluated. This report represents the latest cylinder integrity investigation that utilized wall thickness evaluations to identify thinning due to atmospheric exposure

UF{sub 6} tiedowns for truck transport - right way/wrong way

Energy Technology Data Exchange (ETDEWEB)

Stout, F.W. Jr. [Martin Marietta Energy Systems, Inc., Oak Ridge, TN (United States)

1991-12-31

Tiedown systems for truck transport of UF{sub 6} must be defined and controlled to assure the least risk for hauling the material over the highways. This paper and an associated poster display will present the current status of regulatory criteria for tiedowns, analyze the structural stresses involved in tiedowns for two major UF{sub 6} packaging systems, the 21PF series of overpacks and the 48 in. diameter shipping cylinders, and will present photographs showing some {open_quote}right ways{close_quotes} and some {open_quotes}wrong (or risky) ways{close_quotes} currently used for tiedown systems. Risky tiedown methods must be replaced with safer less risky methods to insure the safe transport of UF{sub 6}.

The regulations and the problems of their implementation in UF6 transport

International Nuclear Information System (INIS)

Devillers, C.; Grenier, M.; Ringot, C.; Warniez, P.

1988-12-01

UF 6 is currently transported in packagings which were developed in the sixties - standardized and used all over the world, these packagings perform their duty adequately. Nevertheless, the growing amounts of UF 6 and the changes in the regulations now raises the problem of compliance of these packagings with the latter. The problems which deserve special attention are: selection of the packaging type in terms of the origin and the enrichment, design of valve covers, behaviour at low temperatures, regulatory requirements in handling, tying down cleaning and unloading, allowable dose rate increase in case of minor mishaps, behaviour in fire, taking into account the toxicity, identification of special features required in the case of controlled moderation of fissile packages, transport conditions of empty packagings containing heels. In this paper are reviewed the results of this analysis, which is limited to the case of transport using cylinders of 48Y and 30B

Computer simulation of cooling properties of UF5 hot-clusters in argon

International Nuclear Information System (INIS)

Okamoto, Tsuyoshi; Ohno, Fubito

1999-01-01

Brownian collision-coalescence models have been proposed by many researchers to describe a cluster or a particle growth process. In these mathematical models, the effect of a cluster temperature on a sticking probability is not included, although the cluster temperature is one of the most important factors which determines the particle growth rate at the incipient stage of coagulation. A hot-cluster consisting of 30 UF 5 molecules is formed in a computer and is bombarded with argon atoms. Measuring a kinetic energy of argon atom scattered from the hot-cluster, the cluster temperature can be estimated by molecular dynamics simulations. It is concluded that the hot-cluster is rapidly cooled under the conditions of molecular laser isotope separation (MLIS) process, so that the cluster-argon system can reach its thermal equilibrium state. Therefore, in the analysis of the dynamics of clustering process, the temperature of UF 5 molecular cluster may be set equal to that of argon gas. (author)

Study on treating of low-level radioactive reactor wastewater by combined membrane process (UF-RO)

International Nuclear Information System (INIS)

Lu Yunyun; Cao Qiru; Chen Yunming; Huang Lijuan; Bai Xiaofeng; Li Bing; Feng Liang

2013-01-01

According to the characteristics of radionuclide exists in the low-level radioactive reactor waste water from HFETR, we use a new combined membrane process separation technology to study the efficient treating of low-lever radioactive reactor wastewater. First, the prepared the simulated wastewater contained Cs + , Sr 2+ , CO 2+ , Ni 2+ , and Fe 3+ . Then, we sequentially investigated the pressure, ion concentration, pH value and EDTA, which have effects on the desalination rate of membrane processing metal ions in wastewater. The results show that: in the condition of pH = 7, and added 0.15 mol/L EDTA, the simulated wastewater separated by UF-RO, desalination rates of Cs + , Sr 2+ , CO 2+ , Ni 2+ and Fe 3+ are all above 95%; In the subsequent trials, adding 0.15 mol/L EDTA into the radioactive residuary solution, and then treating by UF-RO-RO, the decontamination efficiency can reach 95.7%. (authors)

Evaluation of a dry process for conversion of U-AVLIS product to UF6. Milestone U361

International Nuclear Information System (INIS)

1992-05-01

A technical and engineering evaluation has been completed for a dry UF 6 production system to convert the product of an initial two-line U-AVLIS plant. The objective of the study has been to develop a better understanding of process design requirements, capital and operating costs, and demonstration requirements for this alternate process. This report summarizes the results of the study and presents various comparisons between the baseline and alternate processes, building on the information contained in UF 6 Product Alternatives Review Committee -- Final Report. It also provides additional information on flowsheet variations for the dry route which may warrant further consideration. The information developed by this study and conceptual design information for the baseline process will be combined with information to be developed by the U-AVLIS program and by industrial participants over the next twelve months to permit a further comparison of the baseline and alternate processes in terms of cost, risk, and compatibility with U-AVLIS deployment schedules and strategies. This comparative information will be used to make a final process flowsheet selection for the initial U-AVLIS plant by March 1993. The process studied is the alternate UF 6 production flowsheet. Process steps are (1) electron-beam distillation to reduce enriched product iron content from about 10 wt % or less, (2) hydrofluorination of the metal to UF 4 , (3) fluorination of UF 4 to UF 6 , (4) cold trap collection of the UF 6 product, (5) UF 6 purification by distillation, and (6) final blending and packaging of the purified UF 6 in cylinders. A preliminary system design has been prepared for the dry UF 6 production process based on currently available technical information. For some process steps, such information is quite limited. Comparisons have been made between this alternate process and the baseline plant process for UF 6 production

The Comparing Options for Management: Patient-centered Results for Uterine Fibroids (COMPARE-UF) Registry: Rationale and Design.

Science.gov (United States)

Stewart, Elizabeth A; Lytle, Barbara L; Thomas, Laine; Wegienka, Ganesa R; Jacoby, Vanessa; Diamond, Michael P; Nicholson, Wanda K; Anchan, Raymond M; Venable, Sateria; Wallace, Kedra; Marsh, Erica E; Maxwell, George L; Borah, Bijan J; Catherino, William H; Myers, Evan R

2018-05-08

To design and establish a uterine fibroid (UF) registry based in the United States (US) to provide comparative effectiveness data regarding UF treatment. We report here the design and initial recruitment for the Comparing Options for Management: Patient-centered Results for Uterine Fibroids (COMPARE-UF) registry (Clinicaltrials.gov, NCT02260752), funded by the Agency for Healthcare Research and Quality (AHRQ) in collaboration with the-Patient-Centered Outcomes Research Institute (PCORI). COMPARE-UF is designed to help answer critical questions about treatment options for women with symptomatic UF. Women undergoing a procedure for UF (hysterectomy, myomectomy [abdominal, hysteroscopic, vaginal and laparoscopic/robotic], endometrial ablation, radiofrequency fibroid ablation, uterine artery embolization, magnetic resonance guided focused ultrasound or progestin-releasing intrauterine device insertion) at one of the COMPARE-UF sites are invited to participate in a prospective registry with three years follow-up for post-procedural outcomes. Enrolled participants provide annual follow-up through an online portal or through traditional phone contact. A central data abstraction center provides information obtained from imaging, operative or procedural notes and pathology reports. Women with uterine fibroids and other stakeholders are a key part of the COMPARE-UF registry and participate at all points from study design to dissemination of results. We built a network of nine clinical sites across the US with expertise in the care of women with UF to capture geographic, racial, ethnic and procedural diversity. Of the initial 2031 women enrolled in COMPARE-UF, 42% are self-identified as Black or African-American and 40% are age 40 years or younger with 16% of participants under age 35. Women undergoing myomectomy comprise the largest treatment group at 46% of all procedures with laparoscopic or robotic myomectomy comprising the largest subset of myomectomies at 19% of all

Reduction in relapse rate of radioiodine therapy in patients of toxic multinodular goiter: a quality improvement project

International Nuclear Information System (INIS)

Mitra, Sujata; Muthu, Sonai G.

2012-01-01

Radioiodine ( 131 I) therapy is the definitive treatment of toxic multinodular goiter (TMNG). Treatment failure may result in relapse after 131 I therapy. The present study was undertaken to reduce treatment failure rate of 131 I therapy in TMNG patients. Multiple causes may have lead to treatment failure of 131 I in TMNG patients making it difficult to establish a direct cause-effect relationship and take corrective action. Therefore, the JURAN methodology of quality improvement was applied. The treatment failure rate in 80 TMNG patients treated with 131 I in the period 2003-06 was 29%. The root cause analysis identified delay in decision to radioablate and concomitant antithyroid drugs (ATD) with 131 I therapy as factors leading to relapse. In 2007, a change in management was introduced with decision to radioablate all TMNG patients not remitting at 1 year of ATD and to withdraw ATD for 2 weeks prior to 131 I therapy. A total of 63 patients of TMNG followed the changed protocol between 2007 and 2009. Further analysis showed that one of the factors identified in the initial brainstorming (high iodide pool in the patient) had not been addressed in the protocol currently followed. The protocol was modified to include patient preparation and implemented after standardization. The post- 131 I relapse rate in patients treated after implementation of the new protocol from 2007 to 2009 was 18% which further reduced to 16% in 2011 after modification of the protocol. The failure rate of 131 I therapy in TMNG reduced from 29% to 16% through standardization of the treatment procedure achieved by the use of Juran Methodology that helped to identify process-related defects. (author)

The feasibility of nanofiltration membrane bioreactor (NF-MBR)+reverse osmosis (RO) process for water reclamation: Comparison with ultrafiltration membrane bioreactor (UF-MBR)+RO process.

Science.gov (United States)

Tay, Ming Feng; Liu, Chang; Cornelissen, Emile R; Wu, Bing; Chong, Tzyy Haur

2018-02-01

This study examines the feasibility of a novel nanofiltration membrane bioreactor (NF-MBR) followed by reverse osmosis (RO) process for water reclamation at 90% recovery and using an ultrafiltration MBR (UF-MBR)+RO as baseline for comparison. Both MBRs adopted the same external hollow fiber membrane configurations and operating conditions. The collected permeates of the MBRs were subsequently fed to the respective RO systems. The results showed that the NF-MBR (operated at a constant flux of 10 L/m 2 h) achieved superior MBR permeate quality due to enhanced biodegradation and high rejection capacity of the NF membrane, leading to lower RO fouling rates (∼3.3 times) as compared to the UF-MBR. Further analysis indicated that the cake layer fouling that caused the cake-enhanced osmotic pressure (CEOP) effect contributed predominantly to the transmembrane pressure (TMP) increase in the NF-MBR, while irreversible pore fouling was the major reason for UF membrane fouling. Furthermore, it was found that the biopolymers (i.e., organics with MW > 10 kDa) were the main components present in the foulants of the NF/UF membranes and RO membranes. The analysis indicated that the NF-MBR + RO system at recovery of 90% has comparable energy consumption as the UF-MBR + RO system at recovery of 75%. Our findings proved the feasibility of the NF-MBR + RO for water reclamation at a high recovery rate. Copyright © 2017 Elsevier Ltd. All rights reserved.

Integrating UF6 Cylinder RF Tracking With Continuous Load Cell Monitoring for Verifying Declared UF6 Feed and Withdrawal Operations Verifying Declared UF6 Feed and Withdrawal Operations

International Nuclear Information System (INIS)

Krichinsky, Alan M.; Miller, Paul; Pickett, Chris A.; Richardson, Dave; Rowe, Nathan C.; Whitaker, J. Michael; Younkin, James R.

2009-01-01

Oak Ridge National Laboratory is demonstrating the integration of UF6 cylinder tracking, using RF technology, with continuous load cell monitoring (CLCM) at mock UF6 feed and withdrawal (F and W) stations. CLCM and cylinder tracking are two of several continuous-monitoring technologies that show promise in providing integrated safeguards of F and W operations at enrichment plants. Integrating different monitoring technologies allows advanced, automated event processing to screen innocuous events thereby minimizing false alerts to independent inspectors. Traditionally, international inspectors rely on batch verification of material inputs and outputs derived from operator declarations and periodic on-site inspections at uranium enrichment plants or other nuclear processing facilities. Continuously monitoring F and W activities between inspections while providing filtered alerts of significant operational events will substantially increase the amount of valuable information available to inspectors thereby promising to enhance the effectiveness of safeguards and to improve efficiency in conducting on-site inspections especially at large plants for ensuring that all operations are declared.

[Research and control of relapse tuberculosis cases].

Science.gov (United States)

Yamagishi, Fumio; Toyota, Makoto

2009-12-01

With this symposium, we focused on the relapse of tuberculosis in Japan. Out of 19,893 tuberculosis patients registered in 2007 in Japan, 7.48% were classified as relapse cases. Relapse cases have the risk of acquired drug resistance. But we have few analyses of the proportion of relapse tuberculosis cases with standard short course regimens for six months, factors contributing to tuberculosis relapse and the proportion of drug resistance among relapse TB cases in Japan. Therefore we analyzed the relapse tuberculosis cases in two rural areas and three urban areas. We also analyzed the proportion of drug resistance among relapse cases with the data of drug susceptibility survey of Ryoken. 1. Research of relapse tuberculosis cases: Makoto TOYOTA (Kochi City Public Health Center). To clarify the relapse rate and factors contributing to tuberculosis relapse, we investigated the relapse tuberculosis cases in the municipality where the proportion of elderly tuberculosis patients was high. Out of 902 tuberculosis patients registered in Kochi City Public Health Center during 10 years, 20 pulmonary tuberculosis patients were confirmed relapse cases with initial registered records. Pretreatment cavitations, sputum culture positivity at 2 months, medical miss-management (e.g. number of doses, duration of therapy) and poor adherence were considered to be factors contributing to tuberculosis relapse. Out of 20 relapse cases, 12 cases were detected with symptoms, while only 3 cases were detected by examination in law. 2. A clinical study on relapse cases of pulmonary tuberculosis: Shuichi TAKIKAWA (National Hospital Organization Nishibeppu National Hospital). The relapse of pulmonary tuberculosis was investigated. In the cases with a treatment history before short course chemotherapy, drug resistance rate was high, and thus it needs to be cautious of drug resistance at the time of the retreatment. In the cases with a treatment history of short course chemotherapy, relapse cases

The applicability of fluoride volatility process to producing UF6 from yellow cake

International Nuclear Information System (INIS)

Xia Dechang

2005-01-01

The schematic diagrams producing UF 6 from yellow cake are showed in this paper. The characteristics and process improvements of the fluoride volatility process are explained. The applicability of the fluoride volatility process to producing UF 6 from yellow cake is discussed. (authors)

Avslag på uførepensjon

Directory of Open Access Journals (Sweden)

Anders M. Galaasen

2010-01-01

Full Text Available Introduksjon: Mens mye er skrevet om hvem som får uførepensjon, foreligger det få vitenskapelige artikler om avslag på søknad om uførepensjon.Mål: Vi har gjennomført en undersøkelse over hvem som får avslag på søknad om uførepensjon og hvorledes det går med dem i en 6-7 års oppfølging.Metoder: Data fra FD-trygd, koplet med Statistisk sentralbyrås demografiske data er brukt for å sammenlikne dem som får avslag med dem som blir innvilget uførepensjon 1993 ut fra alder, kjønn, utdanning, etnisitet og inntekt. Trygdestatus for dem med avslag er så fulgt til 2000.Resultater: Vi har funnet at kvinner oftere får avslag enn menn, at de eldste og yngste sjeldnere får avslag og at de med minst inntekt og ikke-vestlig bakgrunn oftere får avslag, mens avslagsprosenten er omtrent den samme på alle utdanningsnivåer. I en oppfølging frem til 2000 viser det seg at de fleste ender opp med trygdeytelser, og at kjønnsforskjellene ytterligere forsterkes. De få av de yngste som får avslag, er relativt hyppig fortsatt uten ytelser.Konklusjon: Selv om noen av dem som får avslag, klarer å komme tilbake til normalt lønnsarbeid, og derigjennom bidra til økt produktivitet, resulterer avslag oftere kun i en utsettelse av overgang til permanente trygdeytelser. Hva den eventuelle samfunnsøkonomiske gevinsten av en slik utsettelse er, når man også tar i betraktning økt saksbehandling fra NAV, samt utgifter til attføring og rehabilitering, er et spørsmål for videre forskning. Galaasen AM, Bruusgaard D, Claussen B. Denial of disability pension. Nor J Epidemiol 2009; 19 (2: 203-208. ENGLISH SUMMARYIntroduction: While much is written about who gets disability pensions, there are few scientific articles on the denial of disability pension.Objective: We conducted a survey of who is rejected disability pension and how their life situation evolves in a 6- 7-year follow-up.Methods: Data from FD-trygd, coupled with Statistics Norway

Clinical factors related to schizophrenia relapse.

Science.gov (United States)

Porcelli, Stefano; Bianchini, Oriana; De Girolamo, Giovanni; Aguglia, Eugenio; Crea, Luciana; Serretti, Alessandro

2016-01-01

Relapses represent one of the main problems of schizophrenia management. This article reviews the clinical factors associated with schizophrenia relapse. A research of the last 22 years of literature data was performed. Two-hundred nineteen studies have been included. Three main groups of factors are related to relapse: factors associated with pharmacological treatment, add-on psychotherapeutic treatments and general risk factors. Overall, the absence of a maintenance therapy and treatment with first generation antipsychotics has been associated with higher risk of relapse. Further, psychotherapy add-on, particularly with cognitive behaviour therapy and psycho-education for both patients and relatives, has shown a good efficacy for reducing the relapse rate. Among general risk factors, some could be modified, such as the duration of untreated psychosis or the substance misuse, while others could not be modified as male gender or low pre-morbid level of functioning. Several classes of risk factors have been proved to be relevant in the risk of relapse. Thus, a careful assessment of the risk factors here identified should be performed in daily clinical practice in order to individualise the relapse risk for each patient and to provide a targeted treatment in high-risk subjects.

Reduction in relapse rate of radioiodine therapy in patients of toxic multinodular goiter: a quality improvement project

Energy Technology Data Exchange (ETDEWEB)

Mitra, Sujata; Muthu, Sonai G., E-mail: sujatamitra@tatasteel.com [Department of Nuclear Medicine, Tata Main Hospital, Jamshedpur (India)

2012-01-15

Radioiodine ({sup 131}I) therapy is the definitive treatment of toxic multinodular goiter (TMNG). Treatment failure may result in relapse after {sup 131}I therapy. The present study was undertaken to reduce treatment failure rate of {sup 131}I therapy in TMNG patients. Multiple causes may have lead to treatment failure of {sup 131}I in TMNG patients making it difficult to establish a direct cause-effect relationship and take corrective action. Therefore, the JURAN methodology of quality improvement was applied. The treatment failure rate in 80 TMNG patients treated with {sup 131}I in the period 2003-06 was 29%. The root cause analysis identified delay in decision to radioablate and concomitant antithyroid drugs (ATD) with {sup 131}I therapy as factors leading to relapse. In 2007, a change in management was introduced with decision to radioablate all TMNG patients not remitting at 1 year of ATD and to withdraw ATD for 2 weeks prior to {sup 131}I therapy. A total of 63 patients of TMNG followed the changed protocol between 2007 and 2009. Further analysis showed that one of the factors identified in the initial brainstorming (high iodide pool in the patient) had not been addressed in the protocol currently followed. The protocol was modified to include patient preparation and implemented after standardization. The post-{sup 131}I relapse rate in patients treated after implementation of the new protocol from 2007 to 2009 was 18% which further reduced to 16% in 2011 after modification of the protocol. The failure rate of {sup 131}I therapy in TMNG reduced from 29% to 16% through standardization of the treatment procedure achieved by the use of Juran Methodology that helped to identify process-related defects. (author)

Pharmacometric Analysis of the Relationship Between Absolute Lymphocyte Count and Expanded Disability Status Scale and Relapse Rate, Efficacy End Points, in Multiple Sclerosis Trials.

Science.gov (United States)

Novakovic, A M; Thorsted, A; Schindler, E; Jönsson, S; Munafo, A; Karlsson, M O

2018-05-10

The aim of this work was to assess the relationship between the absolute lymphocyte count (ALC), and disability (as measured by the Expanded Disability Status Scale [EDSS]) and occurrence of relapses, 2 efficacy endpoints, respectively, in patients with remitting-relasping multiple sclerosis. Data for ALC, EDSS, and relapse rate were available from 1319 patients receiving placebo and/or cladribine tablets. Pharmacodynamic models were developed to characterize the time course of the endpoints. ALC-related measures were then evaluated as predictors of the efficacy endpoints. EDSS data were best fitted by a model where the logit-linear disease progression is affected by the dynamics of ALC change from baseline. Relapse rate data were best described by the Weibull hazard function, and the ALC change from baseline was also found to be a significant predictor of time to relapse. Presented models have shown that once cladribine exposure driven ALC-derived measures are included in the model, the need for drug effect components is of less importance (EDSS) or disappears (relapse rate). This simplifies the models and theoretically makes them mechanism specific rather than drug specific. Having a reliable mechanism-specific model would allow leveraging historical data across compounds, to support decision making in drug development and possibly shorten the time to market. © 2018, The American College of Clinical Pharmacology.

Translation and validation of the Uterine Fibroid Symptom and Quality of Life (UFS-QOL questionnaire for the Brazilian Portuguese language

Directory of Open Access Journals (Sweden)

Luiz Gustavo Oliveira Brito

2017-03-01

Full Text Available ABSTRACT CONTEXT AND OBJECTIVE: Uterine fibroids (UF, also known as leiomyomas, are the most prevalent gynecological tumors. The Uterine Fibroid Symptoms and Quality of Life (UFS-QOL is the only specific questionnaire that assesses symptom intensity and quality-of-life issues for women with symptomatic UF; however, it only exists in the English language. Thus, we aimed to translate and culturally validate the UFS-QOL questionnaire for the Brazilian Portuguese language. DESIGN AND SETTING: Cross-sectional study, Department of Gynecology and Obstetrics, FMRP-USP. METHODS: 113 patients with UF (case group and 55 patients without UF (control group were interviewed using the UFS-QOL questionnaire after translation and cultural adaptation. The Short Form-36 questionnaire was used as a control. Demographic and psychometric variables were analyzed. RESULTS: Women with UF presented higher mean age, body mass index, weight, parity and comorbidities than the control group (P < 0.05. The most prevalent complaints were abnormal uterine bleeding (93.8%, pelvic pain (36.3% and extrinsic compression (10.6% and these presented adequate construct validity regarding UFS-QOL severity (P < 0.05. The UFS-QOL questionnaire presented good internal consistency regarding symptom severity and quality-of-life-related domains (intraclass correlation coefficient, ICC = 0.82/0.88. Structural validity presented correlation coefficients ranging from 0.59 to 0.91. Test-retest comparison did not show differences among the UFS-QOL subscales. After treatment, women with UF presented improvements on all subscales. CONCLUSION: The UFS-QOL questionnaire presented adequate translation to the Brazilian Portuguese language, with good internal consistency, discriminant validity, construct validity, structural validity and responsiveness, along with adequate test-retest results.

A randomized controlled trial to compare cure and relapse rate of paucibacillary multidrug therapy with monthly rifampicin, ofloxacin, and minocycline among paucibacillary leprosy patients in Agra District, India

Directory of Open Access Journals (Sweden)

Anil Kumar

2015-01-01

Full Text Available Objectives: To study cure rate and relapse rate of standard World Health Organization paucibacillary multidrug therapy (PB-MDT with monthly rifampicin, ofloxacin, and minocycline for six months (ROM-6 among paucibacillary leprosy patients. Methods: A total of 268 patients, detected during active search in Agra district during 2001-2004, who had paucibacillary (PB leprosy having 1-5 skin lesions and/or one nerve thickening/tenderness, were allocated, using random number tables, to two treatment groups; PB-MDT and ROM-6. On the first day of the month, dose of PB-MDT and of the ROM were given under supervision for 6 months. After completion of drug therapy, patients were followed every 6 months for first 5 years and later annually for next 3 years for monitoring disease status, cure rates, reactions and relapses. Cηi σθuαρε test was used to compare relapse rates. Results: The cure rate at 2 years was 99% in ROM-6 and 97.0% in PB-MDT group, of those who completed treatment and the difference was statistically not significant. At 5 years, only 88 patients in PB-MDT group and 90 patients in ROM-6 group could be followed; all were observed to be cured. However, during the period of 5-8 years, 3 of 67 patients in PB-MDT group and 1 of 73 in ROM-6 group were observed to have relapsed. In all, 10 relapses were noted (3 in ROM-6 and 7 in PB-MDT group giving a relapse rate of 1.10/100 person years in PB-MDT and 0.435/100 person years in ROM groups (P = 0.053 ; statistically not significant. Of the 10 relapses, 5 occurred within 5 years (3 in PB-MDT group and 2 in ROM-6, 4 during 5-8 years (3 in PB-MDT and 1 in ROM-6, and 1 occurred in MDT group after 8 years. Limitation: A number of patients were lost to follow up after release from treatment and thus actual number of relapses in the study could not be assessed. Additionally, diagnosis was purely clinical and histology could not be done for reasons related to functional difficulties in the field

Scenarios and analytical methods for UF6 releases at NRC-licensed fuel cycle facilities

International Nuclear Information System (INIS)

Siman-Tov, M.; Dykstra, J.; Holt, D.D.; Huxtable, W.P.; Just, R.A.; Williams, W.R.

1984-06-01

This report identifies and discusses potential scenarios for the accidental release of UF 6 at NRC-licensed UF 6 production and fuel fabrication facilities based on a literature review, site visits, and DOE enrichment plant experience. Analytical tools needed for evaluating source terms for such releases are discussed, and the applicability of existing methods is reviewed. Accident scenarios are discussed under the broad headings of cylinder failures, UF 6 process system failures, nuclear criticality events, and operator errors and are categorized by location, release source, phase of UF 6 prior to release, release flow characteristics, release causes, initiating events, and UF 6 inventory at risk. At least three types of releases are identified for further examination: (1) a release from a liquid-filled cylinder outdoors, (2) a release from a pigtail or cylinder in a steam chest, (3) an indoor release from either (a) a pigtail or liquid-filled cylinder or (b) other indoor source depending on facility design and operating procedures. Indoor release phenomena may be analyzed to determine input terms for a ventilation model by using a time-dependent homogeneous compartment model or a more complex hydrodynamic model if time-dependent, spatial variations in concentrations, temperature, and pressure are important. Analytical tools for modeling directed jets and explosive releases are discussed as well as some of the complex phenomena to be considered in analyzing UF 6 releases both indoors and outdoors

Determination of UO2 little quantity in UF4 by X-rays diffraction

International Nuclear Information System (INIS)

Costa, M.I.; Sato, I.M.; Imakuma, K.

1977-01-01

In the fluorination process, the final product UF 4 contain different levels of UO 2 as a contaminant. A routine method for quantitative analysis by x-ray diffraction has been developed. Standard curves have been plotted using mixtures of UO 2 /UF 4 with measures of intensity of (III) peak of UO 2 by the step scanning process. The integrated intensity versus UO 2 concentration curves present a linear behavior in the range from 0 to 4%. A good reprodutibility of measuring process has been observed through statistical analysis which permits to determine low fractions of UO 2 in UF 4 with +- 0,08% of accuracy [pt

Evaluation of a dry process for conversion of U-AVLIS product to UF{sub 6}. Milestone U361

Energy Technology Data Exchange (ETDEWEB)

NONE

1992-05-01

A technical and engineering evaluation has been completed for a dry UF{sub 6} production system to convert the product of an initial two-line U-AVLIS plant. The objective of the study has been to develop a better understanding of process design requirements, capital and operating costs, and demonstration requirements for this alternate process. This report summarizes the results of the study and presents various comparisons between the baseline and alternate processes, building on the information contained in UF{sub 6} Product Alternatives Review Committee -- Final Report. It also provides additional information on flowsheet variations for the dry route which may warrant further consideration. The information developed by this study and conceptual design information for the baseline process will be combined with information to be developed by the U-AVLIS program and by industrial participants over the next twelve months to permit a further comparison of the baseline and alternate processes in terms of cost, risk, and compatibility with U-AVLIS deployment schedules and strategies. This comparative information will be used to make a final process flowsheet selection for the initial U-AVLIS plant by March 1993. The process studied is the alternate UF{sub 6} production flowsheet. Process steps are (1) electron-beam distillation to reduce enriched product iron content from about 10 wt % or less, (2) hydrofluorination of the metal to UF{sub 4}, (3) fluorination of UF{sub 4} to UF{sub 6}, (4) cold trap collection of the UF{sub 6} product, (5) UF{sub 6} purification by distillation, and (6) final blending and packaging of the purified UF{sub 6} in cylinders. A preliminary system design has been prepared for the dry UF{sub 6} production process based on currently available technical information. For some process steps, such information is quite limited. Comparisons have been made between this alternate process and the baseline plant process for UF{sub 6} production.

Review of models used for determining consequences of UF6 release: Model evaluation report. Volume 2

International Nuclear Information System (INIS)

Nair, S.K.; Chambers, D.B.; Park, S.H.; Radonjic, Z.R.; Coutts, P.T.; Lewis, C.J.; Hammonds, J.S.; Hoffman, F.O.

1997-11-01

Three uranium hexafluoride-(UF 6 -) specific models--HGSYSTEM/UF 6 , Science Application International Corporation, and RTM-96; three dense-gas models--DEGADIS, SLAB, and the Chlorine Institute methodology; and one toxic chemical model--AFTOX--are evaluated on their capabilities to simulate the chemical reactions, thermodynamics, and atmospheric dispersion of UF 6 released from accidents at nuclear fuel-cycle facilities, to support Integrated Safety Analysis, Emergency Response Planning, and Post-Accident Analysis. These models are also evaluated for user-friendliness and for quality assurance and quality control features, to ensure the validity and credibility of the results. Model performance evaluations are conducted for the three UF 6 -specific models, using field data on releases of UF 6 and other heavy gases. Predictions from the HGSYSTEM/UF 6 and SAIC models are within an order of magnitude of the field data, but the SAIC model overpredicts beyond an order of magnitude for a few UF 6 -specific data points. The RTM-96 model provides overpredictions within a factor of 3 for all data points beyond 400 m from the source. For one data set, however, the RTM-96 model severely underpredicts the observations within 200 m of the source. Outputs of the models are most sensitive to the meteorological parameters at large distances from the source and to certain source-specific and meteorological parameters at distances close to the source. Specific recommendations are being made to improve the applicability and usefulness of the three models and to choose a specific model to support the intended analyses. Guidance is also provided on the choice of input parameters for initial dilution, building wake effects, and distance to completion of UF 6 reaction with water

Handling of UF6 in U.S. gaseous diffusion plants

International Nuclear Information System (INIS)

Legeay, A.J.

1978-01-01

A comprehensive systems analysis of UF 6 handling has been made in the three U.S. gaseous diffusion plants and has resulted in a significant impact on the equipment design and the operating procedures of these facilities. The equipment, facilities, and industrial practices in UF 6 handling operations as they existed in the early 1970's are reviewed with particular emphasis placed on the changes which have been implemented. The changes were applied to the systems and operating methods which evolved from the design, startup, and operation of the Oak Ridge Gaseous Diffusion Plant in 1945

Recurrence and Relapse in Bipolar Mood Disorder

Directory of Open Access Journals (Sweden)

S Gh Mousavi

2004-06-01

Full Text Available Background: Despite the effectiveness of pharmacotherapy in acute phase of bipolar mood disorder, patients often experience relapses or recurrent episodes. Hospitalization of patients need a great deal of financial and humanistic resources which can be saved through understanding more about the rate of relapse and factors affecting this rate. Methods: In a descriptive analytical study, 380 patients with bipolar disorder who were hospitalized in psychiatric emergency ward of Noor hospital, Isfahan, Iran, were followed. Each patient was considered for; the frequency of relapse and recurrence, kind of pharmachotherapy, presence of psychotherapeutic treatments, frequency of visits by psychiatrist and the rank of present episode. Results: The overall prevalence of recurrence was 42.2%. Recurrence was lower in patients using lithium carbonate or sodium valproate or combined therapy (about 40%, compared to those using carbamazepine (80%. Recurrence was higher in patients treated with only pharmacotherapy (44.5% compared to those treated with both pharmacotherapy and psychotherapy (22.2%. Patients who were visited monthy by psychiatrist had lower rate of recurrence compared to those who had irregular visits. Conclusion: The higher rate of recurrence observed in carbamazepine therapy may be due to its adverse reactions and consequently poor compliance to this drug. Lower rates of recurrence with psychotherapy and regular visits may be related to the preventive effects of these procedures and especially to the effective management of stress. Keywords: Bipolar Mood Disorder, Recurrence, Relapse.

Regional homogeneity changes between heroin relapse and non-relapse patients under methadone maintenance treatment: a resting-state fMRI study.

Science.gov (United States)

Chang, Haifeng; Li, Wei; Li, Qiang; Chen, Jiajie; Zhu, Jia; Ye, Jianjun; Liu, Jierong; Li, Zhe; Li, Yongbin; Shi, Ming; Wang, Yarong; Wang, Wei

2016-08-18

Methadone maintenance treatment (MMT) is recognized as one of the most effective treatments for heroin addiction but its effect is dimmed by the high incidence of heroin relapse. However, underlying neurobiology mechanism of heroin relapse under MMT is still largely unknown. Here, we took advantage of a resting-state fMRI technique by analysis of regional homogeneity (ReHo), and tried to explore the difference of brain function between heroin relapsers and non-relapsers in MMT. Forty MMT patients were included and received a 12-month follow-up. All patients were given baseline resting-state fMRI scans by using a 3.0 T GE Signa Excite HD whole-body MRI system. Monthly self-report and urine test were used to assess heroin relapse or non-relapse. Subjective craving was measured with visual analog scale. The correlation between ReHo and the degree of heroin relapse was analyzed. Compared with the non-relapsers, ReHo values were increased in the bilateral medial orbitofrontal cortex, right caudate, and right cerebellum of the heroin relapsers while those in the left parahippocampal gyrus, left middle temporal gyrus, right lingual gyrus, and precuneus were decreased in heroin relapsers. Importantly, altered ReHo in the right caudate were positively correlated with heroin relapse rates or subjective craving response. Using the resting-state fMRI technique by analysis of ReHo, we provided the first resting-state fMRI evidence that right caudate may serve as a potential biomarker for heroin relapse prediction and also as a promising target for reducing relapse risk.

The determination of UO2 and UF4 in fused fluoride salts

International Nuclear Information System (INIS)

Batiste, D.J.; Lee, D.A.

1989-01-01

The determination of uranium oxide solubilities in fused fluoride salts is important in the electrolytic preparation of uranium metal. This project was initiated to develop a method for the determination of UO 2 separately from UF 4 in UF 4 -CaF 2 -LiF fused salts. Previous methods used for the determination of UO 2 in fused fluoride salts involved inert gas fusions where oxygen was liberated as CO 2 , and hydrofluorination where oxygen was released as H 2 O; but the special equipment used for these procedures was no longer available. These methods assumed that all of the oxygen liberated was due to UO 2 and does not consider impurities from reagents and other oxygen sources that amount to a bias of approximately 0.3 wt %. This titrimetric method eliminates the bias by selectively extracting the UF 4 with a Na 2 EDTA-H 3 BO 3 solution. The remaining uranium oxide residue is treated and titrated gravimetrically to a potentiometric endpoint with NBS standard K 2 Cr 2 O 7 . An aliquot of the Na 2 EDTA-H 3 BO 3 extract is also titrated gravimetrically to a potentiometric endpoint, this uranium component is determined and calculated as UF 4 . 4 refs., 2 figs., 2 tabs

The approach of toxic and radiological risk equivalence in UF6 transport

International Nuclear Information System (INIS)

Ringot, C.; Hamard, J.

1989-01-01

After a brief description of the present situation concerning the safety of the transport of UF6 and the new regulation project which is being developed under the behalf of IAEA, the equivalence of radioactive and chemical risks is considered for UF6 transport regulations. The concept of low specific activity appearing misfitting to toxic gas, it is proposed a quantity limit of material, T 2 (equivalent to A 2 for radioactive materials), for packagings which do not resist to accidental conditions, (9 m drop, 800 0 C, 30 minutes fire environment). It is proposed that this limit is chosen as the release rate which is acceptable after the IAEA tests for packages having a capacity higher than T 2 kilograms. The fire being considered as the most severe situation for the toxic risk, different possible scenarios are described. This approach of risk equivalence leads to impose that the packaging resists a 800 0 C - 30 minutes fire and that in this condition the release is less than T 2 . The problem of the behaviour of the shell and the openings (in particular the valve) is raised in this context [fr

Testing of one-inch UF{sub 6} cylinder valves under simulated fire conditions

Energy Technology Data Exchange (ETDEWEB)

Elliott, P.G. [Martin Marietta Energy Systems, Inc., Paducah, KY (United States)

1991-12-31

Accurate computational models which predict the behavior of UF{sub 6} cylinders exposed to fires are required to validate existing firefighting and emergency response procedures. Since the cylinder valve is a factor in the containment provided by the UF{sub 6} cylinder, its behavior under fire conditions has been a necessary assumption in the development of such models. Consequently, test data is needed to substantiate these assumptions. Several studies cited in this document provide data related to the behavior of a 1-inch UF{sub 6} cylinder valve in fire situations. To acquire additional data, a series of tests were conducted at the Paducah Gaseous Diffusion Plant (PGDP) under a unique set of test conditions. This document describes this testing and the resulting data.

Rupture of Model 48Y UF6 cylinder and release of uranium hexafluoride. Cylinder overfill, March 12-13, 1986. Investigation of a failed UF6 shipping container. Volume 2

International Nuclear Information System (INIS)

1986-06-01

NUREG-1179, Volume 1, reported on the rupture of a Model 48Y uranium hexafluoride (UF 6 ) cylinder and the subsequent release of UF 6 . At the time of publication, a detailed metallurgical examination of the damaged cylinder was under way and results were not available. Subsequent to the publication of Volume 1, a second incident occurred at the Sequoyah Fuels Corporation facility. On March 13, 1986, a Model 48X cylinder was overfilled during a special one-time draining procedure; however, no release of UF 6 occurred. An Augmented Investigation Team investigated this second incident. This report, NUREG-1179, Volume 2, presents the findings made by the Augmented Investigation Team of the March 13 incident and the report of the detailed metallurgical examination conducted by Battelle Columbus Division of the cylinder damaged on January 4, 1986

Development of AN Active 238UF6 Gas Target

Science.gov (United States)

Eckardt, C.; Enders, J.; Freudenberger, M.; Göök, A.; von Neumann-Cosel, P.; Oberstedt, A.; Oberstedt, S.

2014-09-01

Detailed studies of the fission process, e.g., the search for parity nonconservation (PNC) effects, the energy dependence of fission modes or the population of fission isomers, depend on high quality data, therefore requiring high luminosities. An active gas target containing uranium may overcome the deterioration of energy and angular resolution caused by large solid target thicknesses. A single Frisch-grid ionization chamber has been built to test a mixture of standard counting gases (e.g., argon) with depleted uranium hexafluoride (238UF6), utilizing a triple alpha source to evaluate signal quality and drift velocity. For mass fractions of up to 4 percent of 238U the drift velocity increases with rising UF6 content, while a good signal quality and energy resolution is preserved.

Enhancing Brain Lesions during Acute Optic Neuritis and/or Longitudinally Extensive Transverse Myelitis May Portend a Higher Relapse Rate in Neuromyelitis Optica Spectrum Disorders.

Science.gov (United States)

Orman, G; Wang, K Y; Pekcevik, Y; Thompson, C B; Mealy, M; Levy, M; Izbudak, I

2017-05-01

Neuromyelitis optica spectrum disorders are inflammatory demyelinating disorders with optic neuritis and/or longitudinally extensive transverse myelitis episodes. We now know that neuromyelitis optica spectrum disorders are associated with antibodies to aquaporin-4, which are highly concentrated on astrocytic end-feet at the blood-brain barrier. Immune-mediated disruption of the blood-brain barrier may manifest as contrast enhancement on brain MR imaging. We aimed to delineate the extent and frequency of contrast enhancement on brain MR imaging within 1 month of optic neuritis and/or longitudinally extensive transverse myelitis attacks and to correlate contrast enhancement with outcome measures. Brain MRIs of patients with neuromyelitis optica spectrum disorders were evaluated for patterns of contrast enhancement (periependymal, cloudlike, leptomeningeal, and so forth). The Fisher exact test was used to evaluate differences between the proportion of contrast enhancement in patients who were seropositive and seronegative for aquaporin-4 antibodies. The Mann-Whitney test was used to compare the annualized relapse rate and disease duration between patients with and without contrast enhancement and with and without seropositivity. Brain MRIs of 77 patients were evaluated; 59 patients (10 males, 49 females) were scanned within 1 month of optic neuritis and/or longitudinally extensive transverse myelitis attacks and were included in the analysis. Forty-eight patients were seropositive, 9 were seronegative, and 2 were not tested for aquaporin-4 antibodies. Having brain contrast enhancement of any type during an acute attack was significantly associated with higher annualized relapse rates ( P = .03) and marginally associated with shorter disease duration ( P = .05). Having periependymal contrast enhancement was significantly associated with higher annualized relapse rates ( P = .03). Brain MRIs of patients with neuromyelitis optica spectrum disorders with contrast

Modeling and analyses of postulated UF6 release accidents in gaseous diffusion plant

International Nuclear Information System (INIS)

Kim, S.H.; Taleyarkhan, R.P.; Keith, K.D.; Schmidt, R.W.; Carter, J.C.; Dyer, R.H.

1995-10-01

Computer models have been developed to simulate the transient behavior of aerosols and vapors as a result of a postulated accident involving the release of uranium hexafluoride (UF 6 ) into the process building of a gaseous diffusion plant. UF 6 undergoes an exothermic chemical reaction with moisture (H 2 O) in the air to form hydrogen fluoride (HF) and radioactive uranyl fluoride (UO 2 F 2 ). As part of a facility-wide safety evaluation, this study evaluated source terms consisting of UO 2 F 2 as well as HF during a postulated UF 6 release accident in a process building. In the postulated accident scenario, ∼7900 kg (17,500 lb) of hot UF 6 vapor is released over a 5 min period from the process piping into the atmosphere of a large process building. UO 2 F 2 mainly remains as airborne-solid particles (aerosols), and HF is in a vapor form. Some UO 2 F 2 aerosols are removed from the air flow due to gravitational settling. The HF and the remaining UO 2 F 2 are mixed with air and exhausted through the building ventilation system. The MELCOR computer code was selected for simulating aerosols and vapor transport in the process building. MELCOR model was first used to develop a single volume representation of a process building and its results were compared with those from past lumped parameter models specifically developed for studying UF 6 release accidents. Preliminary results indicate that MELCOR predicted results (using a lumped formulation) are comparable with those from previously developed models

Extending supplementary feeding for children younger than 5 years with moderate acute malnutrition leads to lower relapse rates

Science.gov (United States)

Children with moderate acute malnutrition (MAM) have a high rate of relapse and death in the year following recovery. In this pilot study, we evaluate the long-term benefits of an extended course of nutritional therapy for children with MAM. Rural Malawian children 6 to 59 months old with MAM, defin...

Obtaining of uranium tetrafluoride UF4 by electrodialysis reactive from uranium concentrates

International Nuclear Information System (INIS)

Munoz Lay, Danny Mauricio

2014-01-01

The generation of uranium fuels has always been a topic worldwide. The uranium fuel manufacturing base is made under very strict parameters of radiological and industrial safety, being a stage called 'nuclear fuel cycle'. In Chile, it is done constant research for fuels. This report focuses primarily on participating in such research; mainly in the production of uranium tetrafluoride (UF 4 ) .The tetrafluoride production is very crucial for the nuclear fuel industry. Its production varies from precipitation in stirred conditions to electrolysis in mercury. However, both processes has shortcomings either in performance and environmental pollution, which is why it is proposed a new method of production based on a friendly process to the environment and easier to operate, the reactive electrodialysis (RED). Electrodialysis is a hybrid reactive process of separation by membranes, cationic and / or anionic, namely, ionic species. In the process, ions are induced to move by an electric potential applied and separated by these membranes, a highly selective physical barrier which allows passage of ions with certain charge, and prevents the passage of oppositely charged ions. And in turn, it is reactive because it forces a chemical reaction, redox, to obtain uranium tetrafluoride (UF 4 ). The results of these experiments show that by reactive electrodialysis, NH 4 UF 5 deposits were obtained. However, calcinating the NH 4 UF 5 to 450 o C, it decomposes to obtain uranium tetrafluoride, UF 4 . The best working conditions were obtained with an electric current of 0.5 (A), 41 o C and a flow of 16 (ml / s) of the electrolyte. It was possible to obtain 5,995 (g) to 3 (h), giving a current efficiency of 71.42%. In turn, working at high temperatures and flow recirculation is possible to operate with a potential difference of 1.7 (V)

Review of models used for determining consequences of UF{sub 6} release: Model evaluation report. Volume 2

Energy Technology Data Exchange (ETDEWEB)

Nair, S.K.; Chambers, D.B.; Park, S.H.; Radonjic, Z.R.; Coutts, P.T.; Lewis, C.J.; Hammonds, J.S.; Hoffman, F.O. [Senes Oak Ridge, Inc., TN (United States). Center for Risk Analysis

1997-11-01

Three uranium hexafluoride-(UF{sub 6}-) specific models--HGSYSTEM/UF{sub 6}, Science Application International Corporation, and RTM-96; three dense-gas models--DEGADIS, SLAB, and the Chlorine Institute methodology; and one toxic chemical model--AFTOX--are evaluated on their capabilities to simulate the chemical reactions, thermodynamics, and atmospheric dispersion of UF{sub 6} released from accidents at nuclear fuel-cycle facilities, to support Integrated Safety Analysis, Emergency Response Planning, and Post-Accident Analysis. These models are also evaluated for user-friendliness and for quality assurance and quality control features, to ensure the validity and credibility of the results. Model performance evaluations are conducted for the three UF{sub 6}-specific models, using field data on releases of UF{sub 6} and other heavy gases. Predictions from the HGSYSTEM/UF{sub 6} and SAIC models are within an order of magnitude of the field data, but the SAIC model overpredicts beyond an order of magnitude for a few UF{sub 6}-specific data points. The RTM-96 model provides overpredictions within a factor of 3 for all data points beyond 400 m from the source. For one data set, however, the RTM-96 model severely underpredicts the observations within 200 m of the source. Outputs of the models are most sensitive to the meteorological parameters at large distances from the source and to certain source-specific and meteorological parameters at distances close to the source. Specific recommendations are being made to improve the applicability and usefulness of the three models and to choose a specific model to support the intended analyses. Guidance is also provided on the choice of input parameters for initial dilution, building wake effects, and distance to completion of UF{sub 6} reaction with water.

Assessment of UF6 Equation of State

Energy Technology Data Exchange (ETDEWEB)

Brady, P; Chand, K; Warren, D; Vandersall, J

2009-02-11

A common assumption in the mathematical analysis of flows of compressible fluids is to treat the fluid as a perfect gas. This is an approximation, as no real fluid obeys the perfect gas relationships over all temperature and pressure conditions. An assessment of the validity of treating the UF{sub 6} gas flow field within a gas centrifuge with perfect gas relationships has been conducted. The definition of a perfect gas is commonly stated in two parts: (1) the gas obeys the thermal equation of state, p = {rho}RT (thermally perfect), and, (2) the gas specific heats are constant (calorically perfect). Analysis indicates the thermally perfect assumption is valid for all flow conditions within the gas centrifuge, including shock fields. The low operating gas pressure is the primary factor in the suitability of the thermally perfect equation of state for gas centrifuge computations. UF{sub 6} is not calorically perfect, as the specific heats vary as a function of temperature. This effect is insignificant within the bulk of the centrifuge gas field, as gas temperatures vary over a narrow range. The exception is in the vicinity of shock fields, where temperature, pressure, and density gradients are large, and the variation of specific heats with temperature should be included in the technically detailed analyses. Results from a normal shock analysis incorporating variable specific heats is included herein, presented in the conventional form of shock parameters as a function of inlet Mach Number. The error introduced by assuming constant specific heats is small for a nominal UF{sub 6} shock field, such that calorically perfect shock relationships can be used for scaling and initial analyses. The more rigorous imperfect gas analysis should be used for detailed analyses.

Scoping study to expedite development of a field deployable and portable instrument for UF6 enrichment assay

Energy Technology Data Exchange (ETDEWEB)

Chan, George; Valentine, John D.; Russo, Richard E.

2017-09-14

The primary objective of the present study is to identity the most promising, viable technologies that are likely to culminate in an expedited development of the next-generation, field-deployable instrument for providing rapid, accurate, and precise enrichment assay of uranium hexafluoride (UF6). UF6 is typically involved, and is arguably the most important uranium compound, in uranium enrichment processes. As the first line of defense against proliferation, accurate analytical techniques to determine the uranium isotopic distribution in UF6 are critical for materials verification, accounting, and safeguards at enrichment plants. As nuclear fuel cycle technology becomes more prevalent around the world, international nuclear safeguards and interest in UF6 enrichment assay has been growing. At present, laboratory-based mass spectrometry (MS), which offers the highest attainable analytical accuracy and precision, is the technique of choice for the analysis of stable and long-lived isotopes. Currently, the International Atomic Energy Agency (IAEA) monitors the production of enriched UF6 at declared facilities by collecting a small amount (between 1 to 10 g) of gaseous UF6 into a sample bottle, which is then shipped under chain of custody to a central laboratory (IAEA’s Nuclear Materials Analysis Laboratory) for high-precision isotopic assay by MS. The logistics are cumbersome and new shipping regulations are making it more difficult to transport UF6. Furthermore, the analysis is costly, and results are not available for some time after sample collection. Hence, the IAEA is challenged to develop effective safeguards approaches at enrichment plants. In-field isotopic analysis of UF6 has the potential to substantially reduce the time, logistics and expense of sample handling. However, current laboratory-based MS techniques require too much infrastructure and operator expertise for field deployment and operation. As outlined in the IAEA Department of Safeguards Long

Treatment of poultry slaughterhouse wastewater using a static granular bed reactor (SGBR) coupled with ultrafiltration (UF) membrane system.

Science.gov (United States)

Basitere, M; Rinquest, Z; Njoya, M; Sheldon, M S; Ntwampe, S K O

2017-07-01

The South African poultry industry has grown exponentially in recent years due to an increased demand for their products. As a result, poultry plants consume large volumes of high quality water to ensure that hygienically safe poultry products are produced. Furthermore, poultry industries generate high strength wastewater, which can be treated successfully at low cost using anaerobic digesters. In this study, the performance of a bench-scale mesophilic static granular bed reactor (SGBR) containing fully anaerobic granules coupled with an ultrafiltration (UF) membrane system, as a post-treatment system, was investigated. The poultry slaughterhouse wastewater was characterized by a chemical oxygen demand (COD) range between 1,223 and 9,695mg/L, average biological oxygen demand of 2,375mg/L and average fats, oil and grease (FOG) of 554mg/L. The SGBR anaerobic reactor was operated for 9 weeks at different hydraulic retention times (HRTs), i.e. 55 and 40 h, with an average organic loading rate (OLR) of 1.01 and 3.14g COD/L.day. The SGBR results showed an average COD, total suspended solids (TSS) and FOG removal of 93%, 95% and 90% respectively, for both OLR. The UF post-treatment results showed an average of COD, TSS and FOG removal of 64%, 88% and 48%, respectively. The overall COD, TSS and FOG removal of the system (SGBR and UF membrane) was 98%, 99.8%, and 92.4%, respectively. The results of the combined SGBR reactor coupled with the UF membrane showed a potential to ensure environmentally friendly treatment of poultry slaughterhouse wastewater.

Multimodal Hazard Rate for Relapse in Breast Cancer: Quality of Data and Calibration of Computer Simulation

Directory of Open Access Journals (Sweden)

Michael Retsky

2014-11-01

Full Text Available Much has occurred since our 2010 report in Cancers. In the past few years we published several extensive reviews of our research so a brief review is all that will be provided here. We proposed in the earlier reports that most relapses in breast cancer occur within 5 years of surgery and seem to be associated with some unspecified manner of surgery-induced metastatic initiation. These events can be identified in relapse data and are correlated with clinical data. In the last few years an unexpected mechanism has become apparent. Retrospective analysis of relapse events by a Brussels anesthesiology group reported that a perioperative NSAID analgesic seems to reduce early relapses five-fold. We then proposed that primary surgery produces a transient period of systemic inflammation. This has now been identified by inflammatory markers in serum post mastectomy. That could explain the early relapses. It is possible that an inexpensive and non-toxic NSAID can reduce breast cancer relapses significantly. We want to take this opportunity to discuss database quality issues and our relapse hazard data in some detail. We also present a demonstration that the computer simulation can be calibrated with Adjuvant-on-line, an often used clinical tool for prognosis in breast cancer.

Whole-body voxel phantoms of paediatric patients—UF Series B

Science.gov (United States)

Lee, Choonik; Lee, Choonsik; Williams, Jonathan L.; Bolch, Wesley E.

2006-09-01

Following the previous development of the head and torso voxel phantoms of paediatric patients for use in medical radiation protection (UF Series A), a set of whole-body voxel phantoms of paediatric patients (9-month male, 4-year female, 8-year female, 11-year male and 14-year male) has been developed through the attachment of arms and legs from segmented CT images of a healthy Korean adult (UF Series B). Even though partial-body phantoms (head-torso) may be used in a variety of medical dose reconstruction studies where the extremities are out-of-field or receive only very low levels of scatter radiation, whole-body phantoms play important roles in general radiation protection and in nuclear medicine dosimetry. Inclusion of the arms and legs is critical for dosimetry studies of paediatric patients due to the presence of active bone marrow within the extremities of children. While the UF Series A phantoms preserved the body dimensions and organ masses as seen in the original patients who were scanned, comprehensive adjustments were made for the Series B phantoms to better match International Commission on Radiological Protection (ICRP) age-interpolated reference body masses, body heights, sitting heights and internal organ masses. The CT images of arms and legs of a Korean adult were digitally rescaled and attached to each phantom of the UF series. After completion, the resolutions of the phantoms for the 9-month, 4-year, 8-year, 11-year and 14-year were set at 0.86 mm × 0.86 mm × 3.0 mm, 0.90 mm × 0.90 mm × 5.0 mm, 1.16 mm × 1.16 mm × 6.0 mm, 0.94 mm × 0.94 mm × 6.00 mm and 1.18 mm × 1.18 mm × 6.72 mm, respectively.

The Alcohol Relapse Risk Assessment: a scoring system to predict the risk of relapse to any alcohol use after liver transplant.

Science.gov (United States)

Rodrigue, James R; Hanto, Douglas W; Curry, Michael P

2013-12-01

Alcohol relapse after liver transplant heightens concern about recurrent disease, nonadherence to the immunosuppression regimen, and death. To develop a scoring system to stratify risk of alcohol relapse after liver transplant. Retrospective medical record review. All adult liver transplants performed from May 2002 to February 2011 at a single center in the United States. The incidence of return to any alcohol consumption after liver transplant. Thirty-four percent (40/118) of patients with a history of alcohol abuse/dependency relapsed to use of any alcohol after liver transplant. Nine of 25 hypothesized risk factors were predictive of alcohol relapse after liver transplant: absence of hepatocellular carcinoma, tobacco dependence, continued alcohol use after liver disease diagnosis, low motivation for alcohol treatment, poor stress management skills, no rehabilitation relationship, limited social support, lack of nonmedical behavioral consequences, and continued engagement in social activities with alcohol present. Each independent predictor was assigned an Alcohol Relapse Risk Assessment (ARRA) risk value of 1 point, and patients were classified into 1 of 4 groups by ARRA score: ARRA I = 0, ARRA II = 1 to 3, ARRA III = 4 to 6, and ARRA IV = 7 to 9. Patients in the 2 higher ARRA classifications had significantly higher rates of alcohol relapse and were more likely to return to pretransplant levels of drinking. Alcohol relapse rates are moderately high after liver transplant. The ARRA is a valid and practical tool for identifying pretransplant patients with alcohol abuse or dependency at elevated risk of any alcohol use after liver transplant.

[Application of Competing Risks Model in Predicting Smoking Relapse Following Ischemic Stroke].

Science.gov (United States)

Hou, Li-Sha; Li, Ji-Jie; Du, Xu-Dong; Yan, Pei-Jing; Zhu, Cai-Rong

2017-07-01

To determine factors associated with smoking relapse in men who survived from their first stroke. Data were collected through face to face interviews with stroke patients in the hospital, and then repeated every three months via telephone over the period from 2010 to 2014. Kaplan-Meier method and competing risk model were adopted to estimate and predict smoking relapse rates. The Kaplan-Meier method estimated a higher relapse rate than the competing risk model. The four-year relapse rate was 43.1% after adjustment of competing risk. Exposure to environmental tobacco smoking outside of home and workplace (such as bars and restaurants) ( P =0.01), single ( P <0.01), and prior history of smoking at least 20 cigarettes per day ( P =0.02) were significant predictors of smoking relapse. When competing risks exist, competing risks model should be used in data analyses. Smoking interventions should give priorities to those without a spouse and those with a heavy smoking history. Smoking ban in public settings can reduce smoking relapse in stroke patients.

Lapse and relapse following inpatient treatment of opiate dependence.

LENUS (Irish Health Repository)

Smyth, B P

2010-06-01

We conducted a prospective follow-up study of consecutive opiate dependent patients admitted to a residential addiction treatment service for detoxification. We measured the rate of relapse following discharge, and sought to identify factors that were associated with early relapse (i.e., a return to daily opiate use). Follow-up interviews were conducted with 109 patients, of whom, 99 (91%) reported a relapse. The initial relapse occurred within one week in 64 (59%) cases. Multivariate survival analysis revealed that earlier relapse was significantly predicted by younger age, greater heroin use prior to treatment, history of injecting, and a failure to enter aftercare. Unexpectedly, those who were in a relationship with an opiate user had significantly delayed relapse. Those who completed the entire six-week inpatient treatment programme also had a significantly delayed relapse. In order to reduce relapse and the associated increased risk of fatal overdose, services providing residential opiate detoxification should prepare people for admission, strive to retain them in treatment for the full admission period and actively support their entry into planned aftercare in order to improve outcome.

Application of fixed bed trapping technology for the removal of low concentration UF6 from plant gaseous effluent streams

International Nuclear Information System (INIS)

Russell, R.G.

1987-01-01

For the trapping of UF 6 in nitrogen, NaF > Al 2 O 3 > CaSO 4 . UF 6 inlet concentration has little effect on loading of alumina. Velocity shows an effect on UF 6 loading on alumina, with higher loading at low velocity. There is no significant difference in UF 6 loading between alumina 201A and 202HF. UF 6 outlet concentrations prior to breakthrough were measured to be as low as 2 O 3 until breakthrough (6.6% vs 5.3%), after which NaF experiences more loading (7.5% vs 11.5% at 1 ppM in the outlet). Higher trap loadings at lower pressures for both NaF and Al 2 O 3 . Al 2 O 3 was more efficient than NaF at higher velocities

Thermal reactions of uranium metal, UO 2, U 3O 8, UF 4, and UO 2F 2 with NF 3 to produce UF 6

Science.gov (United States)

McNamara, Bruce; Scheele, Randall; Kozelisky, Anne; Edwards, Matthew

2009-11-01

This paper demonstrates that NF 3 fluorinates uranium metal, UO 2, UF 4, UO 3, U 3O 8, and UO 2F 2·2H 2O to produce the volatile UF 6 at temperatures between 100 and 550 °C. Thermogravimetric and differential thermal analysis reaction profiles are described that reflect changes in the uranium fluorination/oxidation state, physiochemical effects, and instances of discrete chemical speciation. Large differences in the onset temperatures for each system investigated implicate changes in mode of the NF 3 gas-solid surface interaction. These studies also demonstrate that NF 3 is a potential replacement fluorinating agent in the existing nuclear fuel cycle and in actinide volatility reprocessing.

Cladribine tablets for relapsing-remitting multiple sclerosis

DEFF Research Database (Denmark)

Rammohan, Kottil; Giovannoni, Gavin; Comi, Giancarlo

2012-01-01

BACKGROUND: In the phase III CLARITY study, treatment with cladribine tablets at cumulative doses of 3.5 or 5.25mg/kg over 96 weeks led to significant reductions in annualized relapse rates (ARR) versus placebo in patients with relapsing-remitting multiple sclerosis. Further post hoc analyses...... of CLARITY study data were conducted to determine the efficacy of cladribine tablets across patient subgroups stratified by baseline characteristics. METHODS: Relapse rates over the 96-week CLARITY study were analyzed in cohorts stratified by demographics; disease duration; treatment history and disease...... activity at baseline. RESULTS: In the intent-to-treat population (n=437, 433 and 456 in the placebo, cladribine 3.5 and 5.25mg/kg groups, respectively), treatment with cladribine tablets 3.5 and 5.25mg/kg led to consistent improvements in ARR versus placebo in patients stratified by gender; age (≤40...

UF{sub 6} cylinder lifting equipment enhancements

Energy Technology Data Exchange (ETDEWEB)

Hortel, J.M. [Martin Marietta Energy Systems, Inc., Piketon, OH (United States)

1991-12-31

This paper presents numerous enhancements that have been made to the Portsmouth lifting equipment to ensure the safe handling of cylinders containing liquid uranium hexafluoride (UF{sub 6}). The basic approach has been to provide redundancy to all components of the lift path so that any one component failure would not cause the load to drop or cause any undesirable movement.

Prefrontal cortex plasticity mechanisms in drug seeking and relapse

NARCIS (Netherlands)

van den Oever, M.C.; Spijker, S.; Smit, A.B.; de Vries, T.J.

2010-01-01

Development of pharmacotherapy to reduce relapse rates is one of the biggest challenges in drug addiction research. The enduring nature of relapse suggests that it is maintained by long-lasting molecular and cellular adaptations in the neuronal circuitry that mediates learning and processing of

Method for selectively removing fluorine and fluorine-containing contaminants from gaseous UF/sub 6/. [ClF/sub 3/

Science.gov (United States)

Jones, R.L.; Otey, M.G.; Perkins, R.W.

1980-11-24

This invention is a method for effecting preferential removal and immobilization of certain gaseous contaminants from gaseous UF/sub 6/. The contaminants include fluorine and fluorides which are more reactive with CaCO/sub 3/ than is UF/sub 6/. The method comprises contacting the contaminant-carrying UF/sub 6/ with particulate CaCO/sub 3/ at a temperature effecting reaction of the contaminant and the CaCO/sub 3/.

In-line coagulation prior to UF of treated domestic wastewater - foulants removal, fouling control and phosphorus removal

KAUST Repository

Zheng, Xing; Plume, Stephan; Ernst, Mathias; Croue, Jean-Philippe; Jekel, Martin R.

2012-01-01

The present work investigated fouling control and phosphorus removal by applying in-line coagulation prior to ultrafiltration (UF) of treated domestic wastewater. Experiments were conducted in both lab- and pilot-scale under close to neutral pH condition. Lab-scale foulant removal tests showed that increasing the dosage of FeCl3, AlCl3 and polymeric aluminum chloride (PACl) can improve biopolymer removal. Specifically, PACl reduced preferentially the proteinaceous fraction of biopolymer while the other two coagulants showed no significant preference. The filterability of water samples was improved after coagulation, which is contributed to biopolymer removal and the formation of larger particles. Pilot UF experiments demonstrated that in-line coagulation improved the performance of UF to a large extent. Within 0.037-0.148mmol Me3+/L dosage range, adding more FeCl3 and AlCl3 slowed down the development of trans-membrane pressure (TMP) correspondingly, while changing PACl dosage showed little effect on the variation of TMP increase rate. Further investigations indicated that PACl related precipitates contributed to more irreversible fouling than that which the monomeric coagulants made. Fouling control is thus considered as a co-effect determined by foulant removal efficiency, fouling layer structure and the adherence of hydrolysis products/precipitates onto the membrane. With respect to phosphorus removal, dosing FeCl3 and AlCl3 achieved higher removal efficiency than using PACl. Based on lab- and pilot-scale results, dosing FeCl3 and AlCl3 at a relative dosage of over 2.5mol Me3+ per mol total phosphorus (TP) in feedwater is necessarily required to keep the TP concentration under 50μg/L in UF permeate. © 2012 Elsevier B.V.

In-line coagulation prior to UF of treated domestic wastewater - foulants removal, fouling control and phosphorus removal

KAUST Repository

Zheng, Xing

2012-06-01

The present work investigated fouling control and phosphorus removal by applying in-line coagulation prior to ultrafiltration (UF) of treated domestic wastewater. Experiments were conducted in both lab- and pilot-scale under close to neutral pH condition. Lab-scale foulant removal tests showed that increasing the dosage of FeCl3, AlCl3 and polymeric aluminum chloride (PACl) can improve biopolymer removal. Specifically, PACl reduced preferentially the proteinaceous fraction of biopolymer while the other two coagulants showed no significant preference. The filterability of water samples was improved after coagulation, which is contributed to biopolymer removal and the formation of larger particles. Pilot UF experiments demonstrated that in-line coagulation improved the performance of UF to a large extent. Within 0.037-0.148mmol Me3+/L dosage range, adding more FeCl3 and AlCl3 slowed down the development of trans-membrane pressure (TMP) correspondingly, while changing PACl dosage showed little effect on the variation of TMP increase rate. Further investigations indicated that PACl related precipitates contributed to more irreversible fouling than that which the monomeric coagulants made. Fouling control is thus considered as a co-effect determined by foulant removal efficiency, fouling layer structure and the adherence of hydrolysis products/precipitates onto the membrane. With respect to phosphorus removal, dosing FeCl3 and AlCl3 achieved higher removal efficiency than using PACl. Based on lab- and pilot-scale results, dosing FeCl3 and AlCl3 at a relative dosage of over 2.5mol Me3+ per mol total phosphorus (TP) in feedwater is necessarily required to keep the TP concentration under 50μg/L in UF permeate. © 2012 Elsevier B.V.

[Experimental evaluation of the Sysmex UF-1000i for ruling out non-gonococcal urethritis].

Science.gov (United States)

Grosso, Shamanta; Bruschetta, Graziano; Camporese, Alessandro

2012-09-01

Acute nongonococcal urethritis (NGU) is one of the commonest sexually transmitted infections affecting men and women. The diagnosis of NGU has traditionally required microscopic evidence of urethritis. However, a significant proportion of patients with urethral symptoms do not have microscopic evidence of urethritis. The purpose of the present study was to evaluate the analytical performance of the UF1000i, a recently introduced fluorescence flow cytometer intended for urinalysis purposes which provides new analytical features that seem particularly suitable for microbiological diagnostics, for ruling out NGU or predicting the presence of infection. The Sysmex UF1000i is a flow cytometry analyzer capable of quantifying a lot of particles, including bacteria (BACT) and white blood cells (WBCs). To evaluate the analytical performance of the UF1000i as a method for ruling out NGU, we examined 200 urethral smear samples, collected in a new liquid transport medium (Copan), and compared the UF1000i results with standard culture/molecular and microscopic Gram stain results. With instrument cut-off values of 200 BACT x 10^6/L and 500 WBCs x 10^6/L, we obtained a sensitivity of 84%, a specificity of 82%, and a high negative predictive value (96%). Culture/molecular detection of pathogens remains the gold standard technique for the diagnosis of NGU. However, the Sysmex UF1000i is capable of improving the efficiency of NGU presumptive diagnosis, providing results in a few minutes, with a high negative predictive value and high values of sensitivity.

The toxic and radiological risk equivalence approach in UF6 transport

International Nuclear Information System (INIS)

Ringot, C.; Hamard, J.

1988-12-01

After a brief description of the safety in transport of UF 6 , we discuss the equivalence of the radioactive and chemical risks in UF 6 transport regulations. As the concept of low specific activity appears to be ill-suited for a toxic gas, we propose a quantity of material limit designated T 2 (equivalent to A 2 for radioactive substances) for packagings unable to withstand accident conditions (9 m drop, 800 0 C fire environment for 30 minutes). It is proposed that this limit be chosen for the amount of release acceptable after AIEA tests. Different possible scenarios are described, with fire assumed to be the most severe toxic risk situation

Dynamic coating of mf/uf membranes for fouling mitigation

KAUST Repository

Tabatabai, S. Assiyeh Alizadeh; Leiknes, TorOve

2017-01-01

A membrane system including an anti-fouling layer and a method of applying an anti-fouling layer to a membrane surface are provided. In an embodiment, the surface is a microfiltration (MF) or an ultrafiltration (UF) membrane surface. The anti

TBI parameters and relapse of acute leukemia

International Nuclear Information System (INIS)

Sugawara, Tadashi; Inoue, Toshihiko; Mori, Tomoyuki.

1994-01-01

The purpose of this study, which involved 240 acute leukemia patients (ALL: 115, ANL: 125) who received an allogeneic bone marrow transplantation (BMT) with preconditioning by total body irradiation (TBI) and chemotherapy, was to examine retrospectively the TBI factors that may have influenced a leukemic relapse. The patients were divided into two groups: 124 patients who had received their BMT within a diagnosis-transplantation period of 9 months or less (DTP9 group), and 116 patients who had received their BMT within a diagnosis-transplantation period of 10 months or more (DTP10 group). It was concluded that: (1) the higher the TBI dose, the fewer the relapse rates in DTP9 group; (2) the longer the TBI period, the greater the increase in the relapse rate in DTP10 group. It was thus speculated that an effective TBI regimen for acute leukemia patients may vary depending on the length of time that has elapsed from the diagnosis of leukemia to the BMT. (author)

Conversion of U3O8 to UF6

International Nuclear Information System (INIS)

Bodu, R.L.

1975-01-01

Three main processes for the production of UF 6 from the uranium ores (yellow cake) is described. The economic aspects of the conversion - capital cost, operating costs and conversion market and the future of conversion - capacity and prices - are discussed. (HPH) [de

An intervention study to prevent relapse in patients with schizophrenia

NARCIS (Netherlands)

van Meijel, B.; Kruitwagen, C.; van der Gaag, M.; Kahn, R.S.; Grypdonck, M.H.E.

2006-01-01

Purpose: To determine whether the use of relapse prevention plans (RPPs) in nursing practice is an effective intervention in reducing relapse rates among patients with schizophrenia. Design and Methods: Experimental design. Patients with schizophrenia (or a related psychotic disorder) and nurses

Vaginal HDR-afterloading in the treatment of endometrial carcinoma - analysis of side effects and relapse rates

International Nuclear Information System (INIS)

Weiss, E.; Arnold-Bofinger, H.; Weidner, N.; Hirnle, P.; Bamberg, M.

1996-01-01

Introduction: In a retrospective analysis side effects, relapse rates and the value of in vivo dosimetry for vaginal HDR-brachytherapy (BT) in women with endometrial carcinoma are evaluated. Material and Methods: From 1987 to 1993 124 women received vaginal HDR-BT (Ir-192) only for adjuvant treatment of early endometrial carcinoma. The usual fractionation was 1x7 Gy per week applied to the surface of the vaginal cylinder to a total dose of 21 Gy. During BT we performed in vivo dosimetry using bladder and rectal probes. The measured doses per patient in the bladder ranged from 1.5 to 9.8 Gy, 6.7 Gy in the mean. In the rectum the mean dose was 8.2 Gy (1.7 to 13.8 Gy). Results: The analysis of side effects shows that only 23 of 124 women (18 %) reported any problems at all. 13 women (10 %) noticed dysuria or pollakisuria for a maximum of 6 weeks. The average measured bladder dose in those patients was 5.3 Gy, (below the average bladder dose of 6.7 Gy). Diarrhea was reported in 3 patients (2 %), in those the average measured rectal dose was 6.8 Gy (lower than the average rectal dose of 8.2 Gy). 6 women (5 %) received antibiotic treatment because of bacteriuria. Of all patients 10 (8%) had a pelvic relapse, 3 in the vagina only. 5 women showed distant metastases during follow-up (3 of those having also a local relapse). Discussion and Conclusion: With only 2 % vaginal relapses HDR-BT is a save method to reduce the probability of vaginal metastases of endometrial carcinoma in an adjuvant setting. Moreover the incidence of acute side effects is low, no lasting complications were seen in our patients. There existed no correlation between the incidence of side effects and the measured in vivo doses in bladder and rectum, questioning the future usage in the era of well advanced BT-planning systems

Alternative method of retesting UF{sub 6} cylinders

Energy Technology Data Exchange (ETDEWEB)

Christ, R. [Nuclear Crago + Service GmbH, Hanau (Germany)

1991-12-31

The paper describes an alternative method to perform the periodic inspection of UF{sub 6} cylinders. The hydraulic test is replaced by ultrasonic checking of wall thickness and by magnetic particle testing of all the weld seams. Information about the legal background, the air leak test and the qualification of inspectors is also given.

Reimiep 87. An interlaboratory U-235 enrichment determination by gamma measurement on solid UF6 sample

International Nuclear Information System (INIS)

Aparo, M.; Cresti, P.

1988-01-01

Gamma spectroscopy technique, based on the measurement of U 235 186 KeV flux, is now currently used for the determination of Uranium enrichment in different material of nuclear fuel cycle, namely: Uranium metallic, UO 2 pellets, UF 6 liquid or solid. The present paper describes the use of such a technique and the obtained results in determining the U 235 /U atomic isotopic abundance on a certified UF 6 solid sample. The measurements have been carried out in the frame work of the partecipation to the ''UF 6 Interlaboratory Measurements Evaluation Programme'' organized by CBNM/Geel with the support of the ESARDA (European Safeguards Research and Development Association)

Treatment of car wash wastewater by UF membranes

Science.gov (United States)

Istirokhatun, Titik; Destianti, Puti; Hargianintya, Adenira; Oktiawan, Wiharyanto; Susanto, Heru

2015-12-01

The existence of car wash service facilitates car owners to remove dirt and grime from their vehicles. However, the dirt washed off vehicles as well as the cleaning materials themselves may be harmful to the environment if they are not properly managed and discharged. Many technologies have been proposed to treat car wash wastewater such as coagulation flocculation, tricking filter and flocculation-flotation. Nevertheless, these technologies have low efficiency to eliminate oil and small organic compounds. Ultrafiltration (UF) membranes were used in this study to treat car wash wastewater. This study investigated the performance of UF membranes under various pressures to remove COD, oil and grease, and also turbidity from car wash waste water. The membrane performance was examined by investigation of permeate flux and membrane rejection. The results meet the standard of environmental regulation and it is possible to be reused. The highest rejection was shown by PES10 (polyethersulfone 10 kDa) in 1 bar operation with complete rejection for both turbidity and oil and grace and 95% rejection for COD.

Metals, heavy metals and microorganism removal from spent filter backwash water by hybrid coagulation-UF processes

Directory of Open Access Journals (Sweden)

Mokhtar Mahdavi

2018-04-01

Full Text Available Spent filter backwash water (SFBW reuse has attracted particular attention, especially in countries that experience water scarcity. It can act as a permanent water source until the water treatment plant is working. In this study, the concentrations of Fe, Al, Pb, As, and Cd with total and fecal coliform (TC/FC were investigated in raw and treated SFBW by hybrid coagulation-UF processes. The pilot plant consisted of pre-sedimentation, coagulation, flocculation, clarification, and ultrafiltration (UF units. Poly-aluminum ferric chloride (PAFCL and ferric chloride (FeCl3 were used as pretreatment. The results showed that, at the optimum dose of PAFCl, the average removal of TC and FC was 88 and 79% and with PAFCl-UF process, it reached 100 and 100%, respectively. For FeCl3, removal efficiency of TC and FC were 81 and 72% and by applying FeCl3-UF process, it reached 100 and 100%, respectively. In comparison with FeCl3, PAFCl showed better removal efficiency for Fe, Pb, As, and Cd, except residual Al concentration. Coagulation-UF process could treat SFBW efficiently and treated SFBW could meet the US-EPA drinking water standard. Health risk index values of Fe, AL, Pb, AS, and Cd in treated SFBW indicate no risk of exposure to the use of this water.

Probing the electronic structures of low oxidation-state uranium fluoride molecules UF{sub x}{sup −} (x = 2−4)

Energy Technology Data Exchange (ETDEWEB)

Li, Wei-Li; Jian, Tian; Lopez, Gary V.; Wang, Lai-Sheng, E-mail: lai-sheng-wang@brown.edu [Department of Chemistry, Brown University, Providence, Rhode Island 02912 (United States); Hu, Han-Shi; Li, Jun, E-mail: junli@tsinghua.edu.cn [Department of Chemistry and Key Laboratory of Organic Optoelectronics and Molecular Engineering of Ministry of Education, Tsinghua University, Beijing 100084 (China); William R. Wiley Environmental Molecular Sciences Laboratory, Pacific Northwest National Laboratory, Richland, Washington 99352 (United States); Su, Jing [Department of Chemistry and Key Laboratory of Organic Optoelectronics and Molecular Engineering of Ministry of Education, Tsinghua University, Beijing 100084 (China)

2013-12-28

We report the experimental observation of gaseous UF{sub x}{sup −} (x = 2−4) anions, which are investigated using photoelectron spectroscopy and relativistic quantum chemistry. Vibrationally resolved photoelectron spectra are obtained for all three species and the electron affinities of UF{sub x} (x = 2−4) are measured to be 1.16(3), 1.09(3), and 1.58(3) eV, respectively. Significant multi-electron transitions are observed in the photoelectron spectra of U(5f{sup 3}7s{sup 2})F{sub 2}{sup −}, as a result of strong electron correlation effects of the two 7s electrons. The U−F symmetric stretching vibrational modes are resolved for the ground states of all UF{sub x} (x = 2−4) neutrals. Theoretical calculations are performed to qualitatively understand the photoelectron spectra. The entire UF{sub x}{sup −} and UF{sub x} (x = 1−6) series are considered theoretically to examine the trends of U−F bonding and the electron affinities as a function of fluorine coordination. The increased U−F bond lengths and decreased bond orders from UF{sub 2}{sup −} to UF{sub 4}{sup −} indicate that the U−F bonding becomes weaker as the oxidation state of U increases from I to III.

Temporary patching of damaged UF{sub 6} cylinders

Energy Technology Data Exchange (ETDEWEB)

Cardenas, A.L. [Martin Marietta Energy Systems, Inc., OH (United States)

1991-12-31

Patching techniques based on application of epoxy resins have been developed for temporarily repairing UF{sub 6} cylinders which have sustained relatively minor damage and must be safely emptied. The method is considerably faster and simpler than metallurgical weld repairs. Laboratory tests, detailed operational procedures, and case histories of experience at the Portsmouth Gaseous Diffusion Plant are described.

Factors associated with relapse in schizophrenia

African Journals Online (AJOL)

increases the economic burden on health care systems because of its associated morbidity .... Depression in schizophrenia has been associated with higher rates of relapse ... The researchers approached the psychiatric nursing staff of mental.

Electrically Cooled Germanium System for Measurements of Uranium Enrichments in UF6 Cylinders

International Nuclear Information System (INIS)

Dvornyak, P.; Koestlbauer, M.; Lebrun, A.; Murray, M.; Nizhnik, V.; Saidler, C.; Twomey, T.

2010-01-01

Measurements of Uranium enrichment in UF6 cylinders is a significant part of the IAEA Safeguards verification activities at enrichment and conversion plants. Nowadays, one of the main tools for verification of Uranium enrichment in UF6 cylinders used by Safeguards inspectors is the gamma spectroscopy system with HPGe detector cooled with liquid nitrogen. Electrically Cooled Germanium System (ECGS) is a new compact and portable high resolution gamma spectrometric system free from liquid nitrogen cooling, which can be used for the same safeguards applications. It consists of the ORTEC Micro-trans-SPEC HPGe Portable Spectrometer, a special tungsten collimator and UF6 enrichment measurement software. The enrichment of uranium is determined by of quantifying the area of the 185.7 keV peak provided that the measurement is performed with a detector viewing an infinite thickness of material. Prior starting the verification of uranium enrichment at the facility, the ECGS has to be calibrated with a sample of known uranium enrichment, material matrix, container wall thickness and container material. Evaluation of the ECGS capabilities was performed by carrying out a field test on actual enrichment verification of uranium in UF6 cylinder or other forms of uranium under infinite thickness conditions. The results of these evaluations allow to say that the use of ECGS will enhance practicality of the enrichment measurements and support unannounced inspection activities at enrichment and conversion plants. (author)

Presentation and interpretation of field experiments of gaseous UF6 releases in the atmosphere

International Nuclear Information System (INIS)

Crabol, B.; Boulaud, D.; Deville-Cavelin, G.

1992-01-01

An experimental programme concerning the behaviour of UF 6 released in gaseous phase in the atmosphere has been conducted in the years 1986-1989 by the french Atomic Energy Commission and Eurodif. Three field tests have been performed on the CEA/CESTA experimental site. These experiments permitted to get informations about the kinetics of the hydrolysis reaction of the UF 6 , the behaviour of the hydrolysis products in the atmosphere and the granulometry of the solid particles

Presentation and interpretation of field experiments of gaseous UF6 releases in the atmosphere

Energy Technology Data Exchange (ETDEWEB)

Crabol, B.; Boulaud, D.; Deville-Cavelin, G. [CEA Centre d`Etudes de Fontenay-aux-Roses, 92 (France). Dept. de Protection de l`Environnement et des Installations; Geisse, C.; Iacona, L. [EURODIF, 26 - Pierrelatte (France)

1992-12-31

An experimental programme concerning the behaviour of UF{sub 6} released in gaseous phase in the atmosphere has been conducted in the years 1986-1989 by the french Atomic Energy Commission and Eurodif. Three field tests have been performed on the CEA/CESTA experimental site. These experiments permitted to get informations about the kinetics of the hydrolysis reaction of the UF{sub 6}, the behaviour of the hydrolysis products in the atmosphere and the granulometry of the solid particles.

Effects of needs-assessment-based psycho-education of schizophrenic patients' families on the severity of symptoms and relapse rate of patients.

Science.gov (United States)

Kheirabadi, Gholam Reza; Rafizadeh, Mahnaz; Omranifard, Victoria; Yari, Azam; Maracy, Mohammad Reza; Mehrabi, Tayebe; Sadri, Sima

2014-11-01

Family psycho-education is one of the most effective interventions for preventing relapse in patients with schizophrenia. We evaluated the efficacy of a needs-assessment-based educational program in comparison with a current program (textbook based) in the treatment of schizophrenia. Patients with schizophrenia and their families (N = 60) were allocated to needs-assessment-based education (treatment) and textbook-based (control) programs; both included 10 sessions of education within about 6 months. Symptoms were assessed by the Positive and Negative Syndrome Scale (PANSS) prior to intervention and every 3 months for a total of 18 months. A 25% decrease or increase in total PANSS score was considered as response or relapse, respectively. Forty-two cases completed the study. The total PANSS score was significantly decreased in both groups with more reduction in the treatment group. Positive and negative scale scores were reduced in the treatment group, but not significantly in the control group. Response rate was higher in the treatment group and relapse rate was lower (15% vs. 27.2%, P = 0.279). In logistic regression analysis, needs-assessment-based psycho-education was associated with more treatment response. Needs-assessment-based psycho-education is more effective than textbook-based education for treating schizophrenia. We recommend psychiatric care centers to conduct needs-assessment and develop their own program for family psycho-education.

Hybrid coagulation-UF processes for spent filter backwash water treatment: a comparison studies for PAFCl and FeCl3 as a pre-treatment.

Science.gov (United States)

Ebrahimi, Afshin; Amin, Mohammad Mehdi; Pourzamani, Hamidreza; Hajizadeh, Yaghoub; Mahvi, Amir Hossein; Mahdavi, Mokhtar; Rad, Mohammad Hassan Rabie

2017-08-01

In this study, the reclamation of clean water from spent filter backwash water (SFBW) was investigated through pilot-scale experiments. The pilot plant consisted of pre-sedimentation, coagulation, flocculation, clarification, and ultrafiltration (UF). Two coagulants of PAFCl and FeCl 3 were investigated with respect to their performance on treated SFBW quality and UF membrane fouling. At the optimum dose of PAFCl and FeCl 3 turbidity removal of 99.6 and 99.4% was attained, respectively. PAFCl resulted in an optimum UV 254 , TOC, and DOC removal of 80, 83.6, and 72.7%, respectively, and FeCl 3 caused the removal of those parameters by 76.7, 80.9, and 65.9%, respectively. PAFCl removed hydrophilic and transphilic constituent better than FeCl 3 , but FeCl 3 had, to some extent, higher affinities to a hydrophobic fraction. It was concluded that PAFCl showed a better coagulation performance in most cases and caused a lower membrane fouling rate compared to FeCl 3 . Finally, the treated SFBW with both coagulant-UF systems met the drinking water standards.

Experimental study of lactose hydrolysis and separation in cstr-uf membrane reactor

Directory of Open Access Journals (Sweden)

M. Namvar-Mahboub

2012-09-01

Full Text Available In this study, the effect of processing conditions on the performance of continuous stirred tank -ultrafiltration (CSTR-UF in dead - end mode was investigated. An UF membrane with a molecular weight cutoff of 3 kDa made of regenerated cellulose material was used to separate enzyme from products. The effect of operating pressure ranging between 2 and 5 bar and time on the performance of the CSTR-UF system was studied. The experiments were performed with a 0.139 molar aqueous solution of lactose as feed. According to the experimental data, the lactose concentration in the permeate decreased with time due to concentration polarization and hydrolysis. It was found that the rejection factor of lactose increases from 33 to 77% with time from 5 to 85 min. Permeation flux of the membrane was evaluated in terms of pure water flux (PWF and lactose aqueous solution. Results showed that a high operating pressure led to a high permeation flux for both mentioned cases. Also, adding lactose and enzyme to pure water caused a reduction of the permeation flux due to concentration polarization.

Reduction in relapse rate of radioiodine therapy in patients of toxic multinodular goiter: A quality improvement project

OpenAIRE

Mitra, Sujata; Muthu, Sonai G

2012-01-01

Introduction: Radioiodine (I-131) therapy is the definitive treatment of toxic multinodular goiter (TMNG). Treatment failure may result in relapse after I-131 therapy. The present study was undertaken to reduce treatment failure rate of I-131 therapy in TMNG patients. Materials and Methods: Multiple causes may have lead to treatment failure of I-131 in TMNG patients making it difficult to establish a direct cause?effect relationship and take corrective action. Therefore, the JURAN methodology...

Uniform deposition of uranium hexafluoride (UF6): Standardized mass deposits and controlled isotopic ratios using a thermal fluorination method

Energy Technology Data Exchange (ETDEWEB)

McNamara, Bruce K.; O’Hara, Matthew J.; Casella, Andrew M.; Carter, Jennifer C.; Addleman, R. Shane; MacFarlan, Paul J.

2016-07-01

Abstract: We report a convenient method for the generation of volatile uranium hexafluoride (UF6) from solid uranium oxides and other uranium compounds, followed by uniform deposition of low levels of UF6 onto sampling coupons. Under laminar flow conditions, UF6 is shown to interact with surfaces within the chamber to a highly predictable degree. We demonstrate the preparation of uranium deposits that range between ~0.01 and 470±34 ng∙cm-2. The data suggest the method can be extended to creating depositions at the sub-picogram∙cm-2 level. Additionally, the isotopic composition of the deposits can be customized by selection of the uranium source materials. We demonstrate a layering technique whereby two uranium solids, each with a different isotopic composition, are employed to form successive layers of UF6 on a surface. The result is an ultra-thin deposit of UF6 that bears an isotopic signature that is a composite of the two uranium sources. The reported deposition method has direct application to the development of unique analytical standards for nuclear safeguards and forensics.

Improved outcome after relapse in children with acute myeloid leukaemia

DEFF Research Database (Denmark)

Abrahamsson, Jonas; Clausen, Niels; Gustafsson, Göran

2007-01-01

investigated. The study included all 146 children in the Nordic countries diagnosed with AML between 1988 and 2003, who relapsed. Data on disease characteristics and relapse treatment were related to outcome. Sixty-six percentage achieved remission with survival after relapse (5 years) 34 +/- 4%. Of 122......In the Nordic Society for Paediatric Haematology and Oncology paediatric study acute myeloid leukaemia (AML) 93, event-free survival was 50% and overall survival was 66%, indicating that many patients were cured following relapse. Factors influencing outcome in children with relapsed AML were...... patients who received re-induction therapy, 77% entered remission with 40 +/- 5% survival. Remission rates were similar for different re-induction regimens but fludarabine, cytarabine, granulocyte colony-stimulating factor-based therapy had low treatment-related mortality. Prognostic factors for survival...

Orexin Receptor Targets for Anti-Relapse Medication Development in Drug Addiction

Directory of Open Access Journals (Sweden)

Ronald E. See

2011-06-01

Full Text Available Drug addiction is a chronic illness characterized by high rates of relapse. Relapse to drug use can be triggered by re-exposure to drug-associated cues, stressful events, or the drug itself after a period of abstinence. Pharmacological intervention to reduce the impact of relapse-instigating factors offers a promising target for addiction treatment. Growing evidence has implicated an important role of the orexin/hypocretin system in drug reward and drug-seeking, including animal models of relapse. Here, we review the evidence for the role of orexins in modulating reward and drug-seeking in animal models of addiction and the potential for orexin receptors as specific targets for anti-relapse medication approaches.

Computational simulation studies of the reduction process of UF4 to metallic uranium

International Nuclear Information System (INIS)

Borges, Wesden de Almeida

2011-01-01

The production of metallic uranium is essential for production of fuel elements for using in nuclear reactors manufacturing of radioisotopes and radiopharmaceuticals. In IPEN, metallic uranium is produced by magnesiothermical reduction of UF 4 . This reaction is performed in a closed graphite crucible inserted in a sealed metal reactor and no contact with the outside environment. The set is gradually heated in an oven pit, until it reaches the ignition temperature of the reaction (between 600-650 degree C). The modeling of the heating profile of the system can be made using simulation programs by finite element method. Through the thermal profiles in the load, we can have a notion of heating period required for the reaction to occur, allowing the identification of the same group in a greater or smaller yield in metallic uranium production. Thermal properties of UF 4 are estimated, obtaining thermal conductivity and heat capacity using the Flash Laser Method, and for the load UF 4 + Mg, either. The results are compared to laboratory tests to simulate the primary production process. (author)

Impact of side-effects of atypical antipsychotics on non-compliance, relapse and cost.

Science.gov (United States)

Mortimer, A; Williams, P; Meddis, D

2003-01-01

Atypical antipsychotics generally have milder side-effects than conventional antipsychotics, but also differ among themselves in this respect. This study aimed to compare the impact of different side-effect profiles of individual atypical antipsychotics on non-compliance, relapse and cost in schizophrenia. A state-transition model was built using literature data supplemented by expert opinion. The model found that quetiapine and ziprasidone were similar in estimated non-compliance and relapse rates. Olanzapine and risperidone had higher estimated non-compliance and relapse rates, and incremental, 1-year, per-patient direct costs, using US-based cost data, of approximately $530 (95% confidence interval [CI] approximately $275, $800), and approximately $485 (95% CI approximately $235, $800), respectively, compared with quetiapine. Incremental costs attributable to different side-effect profiles were highly significant. This study shows that differing side-effect profiles of the newer antipsychotic agents are likely to lead to different compliance rates, and consequent variation in relapse rates. The cost implications of these heterogenous clinical outcomes are substantial.

MF/UF rejection and fouling potential of algal organic matter from bloom-forming marine and freshwater algae

KAUST Repository

Villacorte, Loreen O.

2015-07-01

Pretreatment with microfiltration (MF) or ultrafiltration (UF) membranes has been proposed for seawater reverse osmosis (SWRO) plants to address operational issues associated with algal blooms. Here, we investigated the MF/UF rejection and fouling potential of algal organic matter (AOM) released by common species of bloom-forming marine (Alexandrium tamarense and Chaetoceros affinis) and freshwater (Microcystis sp.) algae. Batch culture monitoring of the three algal species illustrated varying growth pattern, cell concentration, AOM released and membrane fouling potential. The high membrane fouling potential of the cultures can be directly associated (R2>0.85) with AOM such as transparent exopolymer particle (TEP) while no apparent relationship with algal cell concentration was observed. The AOM comprised mainly biopolymers (e.g., polysaccharides and proteins) and low molecular weight organic compounds (e.g., humic-like substances). The former were largely rejected by MF/UF membranes while the latter were poorly rejected. MF (0.4μm and 0.1μm pore size) rejected 14%-56% of biopolymers while conventional UF (100kDa) and tight UF (10kDa) rejected up to 83% and 97%, respectively. The retention of AOM resulted in a rapid increase in trans-membrane pressure (δP) over time, characterised by pore blocking followed by cake filtration with enhanced compression as illustrated by an exponential progression of δP. © 2015 Elsevier B.V.

Theoretical study of relativistic effects in the electronic structure and chemical bonding of UF6

International Nuclear Information System (INIS)

Onoe, Jun; Takeuchi, Kazuo; Sekine, Rika; Nakamatsu, Hirohide; Mukoyama, Takeshi; Adachi, Hirohiko.

1992-01-01

We have performed the relativistic molecular orbital calculation for the ground state of UF 6 , using the discrete-variational Dirac-Slater method (DV-DS), in order to elucidate the relativistic effects in the electronic structure and chemical bonding. Compared with the electronic structure calculated by the non-relativistic Hartree-Fock-Slater (DV-X α )MO method, not only the direct relativistic effects (spin-orbit splitting etc), but also the indirect effect due to the change in screening core potential charge are shown to be important in the MO level structure. From the U-F bond overlap population analysis, we found that the U-F bond formation can be explained only by the DV-DS, not by the DV-X α . The calculated electronic structure in valence energy region (-20-OeV) and excitation energies in UV region are in agreement with experiments. (author)

Relapse of imported Plasmodium vivax malaria is related to primaquine dose: a retrospective study

Directory of Open Access Journals (Sweden)

Townell Nicola

2012-06-01

Full Text Available Abstract Background Relapsing Plasmodium vivax infection results in significant morbidity for the individual and is a key factor in transmission. Primaquine remains the only licensed drug for prevention of relapse. To minimize relapse rates, treatment guidelines have recently been revised to recommend an increased primaquine dose, aiming to achieve a cumulative dose of ≥6 mg/kg, i.e. ≥420 mg in a 70 kg patient. The aims of this study were to characterize the epidemiology of P. vivax infection imported into Queensland Australia, to determine the rates of relapse, to investigate the use of primaquine therapy, and its efficacy in the prevention of relapse. Methods A retrospective study was undertaken of laboratory confirmed P. vivax infection presenting to the two major tertiary hospitals in Queensland, Australia between January 1999 and January 2011. Primaquine dosing was classified as no dose, low dose ( Results Twenty relapses occurred following 151 primary episodes of P. vivax infection (13.2%. Relapses were confirmed among 3/21 (14.2%, 9/50 (18.0%, 1/54 (1.9% and 7/18 (38.9% of patients administered no dose, low dose, high dose and unknown primaquine dose respectively. High dose primaquine therapy was associated with a significantly lower rate of relapse compared to patients who were prescribed low dose therapy (OR 11.6, 95% CI 1.5-519, p = 0.005. Conclusions Relapse of P. vivax infection is more likely in patients who received low dose primaquine therapy. This study supports the recommendations that high dose primaquine therapy is necessary to minimize relapse of P. vivax malaria.

MF/UF rejection and fouling potential of algal organic matter from bloom-forming marine and freshwater algae

KAUST Repository

Villacorte, Loreen O.; Ekowati, Yuli; Winters, Harvey; Amy, Gary L.; Schippers, Jan Cornelis; Kennedy, Maria Dolores

2015-01-01

the latter were poorly rejected. MF (0.4μm and 0.1μm pore size) rejected 14%-56% of biopolymers while conventional UF (100kDa) and tight UF (10kDa) rejected up to 83% and 97%, respectively. The retention of AOM resulted in a rapid increase in trans

Argon/UF6 plasma exhaust gas reconstitution experiments using preheated fluorine and on-line diagnostics. [fissioning uranium plasma core reactor design

Science.gov (United States)

Roman, W. C.

1979-01-01

The feasibility of employing a flowing, high-temperature, pure fluorine/UF6 regeneration system to efficiently convert a large fraction of the effluent plasma exhaust back to pure UF6 was demonstrated. The custom built T.O.F. mass spectrometer sampling system permitted on-line measurements of the UF6 concentration at different locations in the exhaust system. Negligible amounts ( 100 ppm) of UF6 were detected in the axial bypass exhaust duct and the exhaust ducts downstream of the cryogenic trap system used to collect the UF6, thus verifying the overall system efficiency over a range of operating conditions. Use of a porous Monel duct as part of the exhaust duct system, including provision for injection of pure fluorine, provided a viable technique to eliminate uranium compound residue on the inside surface of the exhaust ducts. Typical uranium compound mass deposition per unit area of duct was 2 micron g/sq cm. This porous duct technique is directly applicable to future uranium compound transfer exhaust systems. Throughout these experiments, additional basic data on the corrosion aspects of hot, pressurized UF6/fluorine were also accumulated.

The Effects of Family-Centered Problem-Solving Education on Relapse Rate, Self Efficacy and Self Esteem Among Substance Abusers.

Science.gov (United States)

Habibi, Rahim; Nikbakht Nasrabadi, Alireza; Shabany Hamedan, Maryam; Saleh Moqadam, Amirreza

2016-03-01

The success of drug abuse treatment and relapse prevention methods depends widely on not only pharmaceutical and non-pharmaceutical therapies but also self efficacy and self esteem promotion. The current study attempted to clarify the effects of Problem Solving Education (PSE) on relapse rate, self efficacy and self esteem among drug abusers. This non-controlled clinical trial (quasi-experimental) assessed 60 opium and heroin abusers who were willing to quit and were referred to the Mehr Center of Addiction Treatment and Rehabilitation Facility. The patients were allocated to two groups of 30 (intervention and control groups). While both groups received the routine care of the clinic, the intervention group also attended eight 45-minute family-centered PSE sessions. The Coopersmith Self esteem Inventory and Quit Addiction Self efficacy Questionnaire were filled out for all subjects before and after the intervention. Drug relapse was investigated four times with two-week intervals. The two groups were compared using chi-square and Student's-t tests. Logistic regression analysis was applied to determine factors affecting drug relapse. A total of 45 individuals (21 and 24 in the intervention and control groups, respectively) completed the study. At baseline, the two groups had no significant difference regarding their mean scores of self esteem and self efficacy (P = 0.692 and 0.329, respectively). After the intervention, however, the mean changes of self esteem scores were 20.10 ± 3.75 for the intervention group and 4.50 for the control group (P self efficacy scores in the mentioned groups were 34 34.17 ± 5.19 and 9.03± 2.04, respectively (P self efficacy and self esteem among patients.

Analysis of an indirect neutron signature for enhanced UF_6 cylinder verification

International Nuclear Information System (INIS)

Kulisek, J.A.; McDonald, B.S.; Smith, L.E.; Zalavadia, M.A.; Webster, J.B.

2017-01-01

The International Atomic Energy Agency (IAEA) currently uses handheld gamma-ray spectrometers combined with ultrasonic wall-thickness gauges to verify the declared enrichment of uranium hexafluoride (UF_6) cylinders. The current method provides relatively low accuracy for the assay of "2"3"5U enrichment, especially for natural and depleted UF_6. Furthermore, the current method provides no capability to assay the absolute mass of "2"3"5U in the cylinder due to the localized instrument geometry and limited penetration of the 186-keV gamma-ray signature from "2"3"5U. Also, the current verification process is a time-consuming component of on-site inspections at uranium enrichment plants. Toward the goal of a more-capable cylinder assay method, the Pacific Northwest National Laboratory has developed the hybrid enrichment verification array (HEVA). HEVA measures both the traditional 186-keV direct signature and a non-traditional, high-energy neutron-induced signature (HEVA_N_T). HEVA_N_T enables full-volume assay of UF_6 cylinders by exploiting the relatively larger mean free paths of the neutrons emitted from the UF_6. In this work, Monte Carlo modeling is used as the basis for characterizing HEVA_N_T in terms of the individual contributions to HEVA_N_T from nuclides and hardware components. Monte Carlo modeling is also used to quantify the intrinsic efficiency of HEVA for neutron detection in a cylinder-assay geometry. Modeling predictions are validated against neutron-induced gamma-ray spectra from laboratory measurements and a relatively large population of Type 30B cylinders spanning a range of enrichments. Implications of the analysis and findings on the viability of HEVA for cylinder verification are discussed, such as the resistance of the HEVA_N_T signature to manipulation by the nearby placement of neutron-conversion materials.

Review of models used for determining consequences of UF6 release: Development of model evaluation criteria. Volume 1

International Nuclear Information System (INIS)

Nair, S.K.; Chambers, D.B.; Park, S.H.; Hoffman, F.O.

1997-11-01

The objective of this study is to examine the usefulness and effectiveness of currently existing models that simulate the release of uranium hexafluoride from UF 6 -handling facilities, subsequent reactions of UF 6 with atmospheric moisture, and the dispersion of UF 6 and reaction products in the atmosphere. The study evaluates screening-level and detailed public-domain models that were specifically developed for UF 6 and models that were originally developed for the treatment of dense gases but are applicable to UF 6 release, reaction, and dispersion. The model evaluation process is divided into three specific tasks: model-component evaluation; applicability evaluation; and user interface and quality assurance and quality control (QA/QC) evaluation. Within the model-component evaluation process, a model's treatment of source term, thermodynamics, and atmospheric dispersion are considered and model predictions are compared with actual observations. Within the applicability evaluation process, a model's applicability to Integrated Safety Analysis, Emergency Response Planning, and Post-Accident Analysis, and to site-specific considerations are assessed. Finally, within the user interface and QA/QC evaluation process, a model's user-friendliness, presence and clarity of documentation, ease of use, etc. are assessed, along with its handling of QA/QC. This document presents the complete methodology used in the evaluation process

Nuclear criticality safety aspects of gaseous uranium hexafluoride (UF6) in the diffusion cascade

International Nuclear Information System (INIS)

Huffer, J.E.

1997-04-01

This paper determines the nuclear safety of gaseous UF 6 in the current Gaseous Diffusion Cascade and auxiliary systems. The actual plant safety system settings for pressure trip points are used to determine the maximum amount of HF moderation in the process gas, as well as the corresponding atomic number densities. These inputs are used in KENO V.a criticality safety models which are sized to the actual plant equipment. The ENO V.a calculation results confirm nuclear safety of gaseous UF 6 in plant operations

UV dissociation of vibrationally excited UF6

International Nuclear Information System (INIS)

Alexandre, M.; Clerc, M.; Gagnon, R.; Gilbert, M.; Isnard, P.; Nectoux, P.; Rigny, P.; Weulersse, J.M.

1983-01-01

Before application of laser photodissociation of UF 6 to the separation of uranium isotopes becomes practical, isotopic selectivity should be optimized. We present here results on the cross sections involved in the irradiation of UF 6 simultaneously with infrared and ultraviolet lasers, as a function of wavelengths, fluence and temperature (at 293 K and 105 K, in an adiabatic expansion). The experiment uses a Nd 3+ YAG pumped lithium niobate optical parametric oscillator as a tunable 16 μ light source. Energies of the order of 1 mJ can be obtained with linewidths smaller than 0.1 cm - . The UV source used is based on ND 3+ YAG pumped dye laser and various frequency mixing schemes. At low temperature the frequency variation of the absorbed infrared energy per molecule depends markedly on the IR fluence phisub(IR) with a maximum value varying as phisub(IR)sup(-1/2) and a frequency extension far beyond the low level absorption spectrum. The absorbed vibrational energy leads to a change in the UV cross section comparable with the effect of a rise in temperature. Using this a model is put forward to express the isotopic selectivity 235 U/ 238 U as a function of UV wavelength and IR irradiation conditions. Experimental results agree with this model, and yield to maximum selectivity close to two [fr

Laboratory and pilot-plant studies on the conversion of uranyl nitrate hexahydrate to UF6 by fluidized-bed processes

International Nuclear Information System (INIS)

Youngblood, E.L.; Urza, I.J.; Cathers, G.I.

1977-06-01

This report describes laboratory and pilot-plant studies on the conversion of uranyl nitrate hexahydrate (UNH) to UF 6 and on purification of the UF 6 . Experimental laboratory studies on the removal of residual nitrate from uranium trioxide (UO 3 ) calcine and the fluorination of technetium and subsequent sorption on MgF 2 were conducted to support the pilot-plant work. Two engineering-scale pilot plants utilizing fluidized-bed processes were constructed for equipment and process testing of the calcination of UNH to UO 3 and the direct fluorination of UO 3 to UF 6

Transport of natural UF6 in a challenging environment

International Nuclear Information System (INIS)

Chollet, P.; Presta, A.

2004-01-01

At the entrance of the nuclear fuel cycle, the front-end material transportation takes a major and specific place. After years of stability the landscape of front-end industry is going toward significant changes regarding capacity, implementation of new technologies, imbalance of conversion capacity between geographical areas with increasing volumes of natural UF6 to transport and transport issues such as new regulations and denial of shipments by liners and ports. Facing this evolution the front end-industry is re-organizing its environment to increase robustness of the logistical chain: by being active in industrial organizations such as WNTI and WNA to share technical views and develop licensed standard transport equipment usable worldwide by developing other safe and reliable comprehensive logistics solutions as an alternative to conventional transport means. Our paper will describe the solutions under review to meet nuclear fuel cycle companies expectations: qualification of several robust logistics systems chartered vessels for maritime transport of UF6 specific 20' flat racks for safer handling of 48Y cylinders with future thermal protections

Transport of natural UF6 in a challenging environment

Energy Technology Data Exchange (ETDEWEB)

Chollet, P.; Presta, A. [COGEMA Logistics (AREVA Group) (France)

2004-07-01

At the entrance of the nuclear fuel cycle, the front-end material transportation takes a major and specific place. After years of stability the landscape of front-end industry is going toward significant changes regarding capacity, implementation of new technologies, imbalance of conversion capacity between geographical areas with increasing volumes of natural UF6 to transport and transport issues such as new regulations and denial of shipments by liners and ports. Facing this evolution the front end-industry is re-organizing its environment to increase robustness of the logistical chain: by being active in industrial organizations such as WNTI and WNA to share technical views and develop licensed standard transport equipment usable worldwide by developing other safe and reliable comprehensive logistics solutions as an alternative to conventional transport means. Our paper will describe the solutions under review to meet nuclear fuel cycle companies expectations: qualification of several robust logistics systems chartered vessels for maritime transport of UF6 specific 20' flat racks for safer handling of 48Y cylinders with future thermal protections.

Validation of the Cristallini Sampling Method for UF6 by High Precision Double-Spike Measurements

OpenAIRE

RICHTER STEPHAN; JAKOBSSON ULF; HIESS JOE; AMARAGGI D.

2017-01-01

The so-called "Cristallini Method" for sampling of UF6 by adsorption and hydrolysis in alumina pellets inside a fluorothene P-10 tube was developed by the Brazilian-Argentine Agency for Accounting and Control of Nuclear Materials (ABACC) several years ago. This method has several advantages compared to the currently used sampling method, for which UF6 is distilled into a stainless steel tube for transportation, with hydrolysis and isotopic analysis being performed after shipping to the analyt...

Relapsing-Remitting MS (RRMS)

Medline Plus

Full Text Available ... MS Relapsing-remitting MS (RRMS) Share this page Facebook Twitter Email Relapsing-remitting MS (RRMS) Relapsing-remitting ... Here Start Here Colophon Stay Informed Join Us Facebook Twitter LinkedIn YouTube Pinterest MS Connection About the ...

Relapsing-Remitting MS (RRMS)

Medline Plus

Full Text Available ... Relapsing-remitting MS (RRMS) Share this page Facebook Twitter Email Relapsing-remitting MS (RRMS) Relapsing-remitting MS ( ... Start Here Colophon Stay Informed Join Us Facebook Twitter LinkedIn YouTube Pinterest MS Connection About the Society ...

Economical and neutronic performance of HYLIFE-II with mixture of 90% flibe + 10% UF4 (or ThF4)

International Nuclear Information System (INIS)

Uenalan, Sebahattin

2004-01-01

This work investigated the neutronics behavior and the economics of the HYLIFE-II reactor with ThF 4 and UF 4 , which produces an electrical power of 1 GW from the fusion power of 2.857 GW during the operation period of 30 years. The use of ThF 4 and UF 4 is realized by a mixture zone consisted of 90% flibe (Li 2 BeF 4 ) and 10% fuel, instead of 100% flibe coolant. The mixture compositions are selected as 90% flibe + 10% UF 4 , 90% flibe + 10% ThF 4 and 90% flibe + 5% UF 4 + 5% ThF 4 . The capacity factor of the reactor is 0.75. The mixtures, with zone thickness of 65 cm were circulated with periods of 20.22, 19.89 and 20.11 s during the operation period of 30 years, respectively. In addition, for flibe + UF 4 , power stabilization by means of plutonium separation from the mixture was applied. The use of fuel materials in the HYLIFE-II reactor resulted in high energy production, sufficient tritium breeding, significant fissile fuel breeding and low radiation damage in the first wall. The average values of tritium breeding ratio over 30 years are between 1.08 and 1.12, higher than 1.0 indicating sufficient tritium breeding. Generally, the mixtures with ThF 4 show better performance than the mixture with UF 4 in terms of more energy production and significant fissile fuel breeding. The neutronic performance of the reactor increases with the operational period. However, the stabilization process performed after operation for 6 years causes all neutronic values to remain nearly constant during the followed operation time. At the 6th year of operation, the power production, which is ∼1540 MW(electric) at startup, reached the electrical power of 2 GW for flibe + UF 4 . The power production without the separation process reached ∼3500 MW(electric) for the mixtures with ThF 4 and ∼3000 MW(electric) for the mixture with UF 4 . At the end of the operation period, helium production values in the first wall, made of Hastelloy, are calculated as 590 ppm without the

The Accuracy of the Sysmex UF-1000i in Urine Bacterial Detection Compared With the Standard Urine Analysis and Culture.

Science.gov (United States)

Erdman, Patrick; Anderson, Brian; Zacko, J Christopher; Taylor, Kirk; Donaldson, Keri

2017-11-01

- Urinary tract infections are characterized by the presence of microbial pathogens within the urinary tract. They represent one of the most common infections in hospitalized and clinic patients. - To model the parameters of the Sysmex UF-1000i to the gold standard, urine culture, and to compare the detection of dipstick leukocyte esterase and nitrates to urine cultures and UF-1000i results. - Data were compared from urine samples collected in sterile containers for bacterial culture and microscopic analysis. One sample was used to inoculate a 5% sheep blood agar and MacConkey agar plate using a 0.001-mL calibrated loop. The second sample was analyzed by urinalysis-associated microscopy. The media plates were investigated for growth after 18 to 24 hours of aerobic incubation at 37°C. The second sample was analyzed for bacteria and leukocytes with the Sysmex UF-1000i according to the manufacturer's guidelines. Three definitions for culture results, sensitivity, and specificity at different cutoff values were calculated for the UF-1000i. - The negative predictive value for any positive culture in the adult population included in the study was 95.5%, and the negative predictive value for positive cultures containing growth of 100 000 or more colony-forming units was 99.3% using the Sysmex UF-1000i. - Sysmex UF-1000i showed 98% sensitivity and 93.7% specificity with a 95.5% negative predictive value. Thus, a negative screen with the UF-1000i using defined thresholds for white blood cell counts and bacteria was likely to be a true negative, decreasing the need for presumptive antibiotics.

Actual and Idealized Crystal Field Parameterizations for the Uranium Ions in UF 4

Science.gov (United States)

Gajek, Z.; Mulak, J.; Krupa, J. C.

1993-12-01

The crystal field parameters for the actual coordination symmetries of the uranium ions in UF 4, C2 and C1, and for their idealizations to D2, C2 v , D4, D4 d , and the Archimedean antiprism point symmetries are given. They have been calculated by means of both the perturbative ab initio model and the angular overlap model and are referenced to the recent results fitted by Carnall's group. The equivalency of some different sets of parameters has been verified with the standardization procedure. The adequacy of several idealized approaches has been tested by comparison of the corresponding splitting patterns of the 3H 4 ground state. Our results support the parameterization given by Carnall. Furthermore, the parameterization of the crystal field potential and the splitting diagram for the symmetryless uranium ion U( C1) are given. Having at our disposal the crystal field splittings for the two kinds of uranium ions in UF 4, U( C2) and U( C1), we calculate the model plots of the paramagnetic susceptibility χ( T) and the magnetic entropy associated with the Schottky anomaly Δ S( T) for UF 4.

CAR-T cells and allogeneic hematopoietic stem cell transplantation for relapsed/refractory B-cell acute lymphoblastic leukemia.

Science.gov (United States)

Liu, Jun; Zhang, Xi; Zhong, Jiang F; Zhang, Cheng

2017-10-01

Relapsed/refractory acute lymphoblastic leukemia (ALL) has a low remission rate after chemotherapy, a high relapse rate and poor long-term survival even when allogeneic hematopoietic stem cell transplantation (allo-HSCT) is performed. Chimeric antigen receptors redirected T cells (CAR-T cells) can enhance disease remission with a favorable outcome for relapsed/refractory ALL, though some cases quickly relapsed after CAR-T cell treatment. Thus, treatment with CAR-T cells followed by allo-HSCT may be the best way to treat relapsed/refractory ALL. In this review, we first discuss the different types of CAR-T cells. We then discuss the treatment of relapsed/refractory ALL using only CAR-T cells. Finally, we discuss the use of CAR-T cells, followed by allo-HSCT, for the treatment of relapsed/refractory ALL.

Experimental Determination of the Solubility of Industrial UF4 Particles

International Nuclear Information System (INIS)

Chazel, V.; Houpert, P.; Paquet, F.; Ansoborlo, E.; Henge-Napoli, M.H.

2000-01-01

The chemical solubility in cell culture medium and in Gamble's solution and the biokinetic behaviour on rats of an industrial UF 4 compound have been studied in order to predict experimentally absorption parameters (f r , s r , s s ) after inhalation and to provide data for interpreting bioassay data. According to these results, this compound has been found to have an intermediate type of absorption between Types F and M as designated by ICRP for the human respiratory tract. A dose coefficient of 1.4 μSv.Bq -1 has been calculated for an inhaled aerosol with an AMAD of 5.1 μm (σg 2.5), which corresponded to the mean value encountered at the fluorination workplace. Predictive urinary and faecal excretion and lung retention curves have also been deduced to calculate the incorporated activity and the received dose in case of an inhalation of UF 4 by workers. (author)

Technology Assessment for Proof-of-Concept UF6 Cylinder Unique Identification Task 3.1.2 Report – Survey and Assessment of Technologies

Energy Technology Data Exchange (ETDEWEB)

Wylie, Joann; Hockert, John

2014-04-24

The National Nuclear Security Administration (NNSA) Office of Nonproliferation and International Security’s (NA-24) Next Generation Safeguards Initiative (NGSI) and the nuclear industry have begun to develop approaches to identify and monitor uranium hexafluoride (UF6) cylinders. The NA-24 interest in a global monitoring system for UF6 cylinders relates to its interest in supporting the International Atomic Energy Agency (IAEA) in deterring and detecting diversion of UF6 (e.g., loss of cylinder in transit) and undeclared excess production at conversion and enrichment facilities. The industry interest in a global monitoring system for UF6 cylinders relates to the improvements in operational efficiencies that such a system would provide. This task is part of an effort to survey and assess technologies for a UF6 cylinder to identify candidate technologies for a proof-of-concept demonstration and evaluation for the Cylinder Identification System (CIS).

Presentation and interpretation of field experiments of gaseous UF{sub 6} releases in the atmosphere

Energy Technology Data Exchange (ETDEWEB)

Crabol, B.; Boulaud, D.; Deville-Cavelin, G. [CEA/Inst. de Protection et de Surete Nucleaire, Dept. de Protection de l' Environnement et des Installations, Fontenay-aux-Roses (France); Geisse, C.; Iacona, L. [EURODIF/Production, Site de Tricastin, Pierrelatte Cedex (France)

1992-07-01

An experimental programme concerning the behaviour of UF{sub 6} released in gaseous phase in the atmosphere has been conducted in the years 1986-1989 by the French Atomic Energy Commission and EURODIF. Three field tests have been performed on the CEA/CESTA experimental site. These experiments permitted to get information about the kinetics of the hydrolysis reaction of the UF{sub 6}, the behaviour of the hydrolysis products in the atmosphere and the granulometry of the solid particles. (author)

Tight ceramic UF membrane as RO pre-treatment: the role of electrostatic interactions on phosphate rejection.

Science.gov (United States)

Shang, Ran; Verliefde, Arne R D; Hu, Jingyi; Zeng, Zheyi; Lu, Jie; Kemperman, Antoine J B; Deng, Huiping; Nijmeijer, Kitty; Heijman, Sebastiaan G J; Rietveld, Luuk C

2014-01-01

Phosphate limitation has been reported as an effective approach to inhibit biofouling in reverse osmosis (RO) systems for water purification. The rejection of dissolved phosphate by negatively charged TiO2 tight ultrafiltration (UF) membranes (1 kDa and 3 kDa) was observed. These membranes can potentially be adopted as an effective process for RO pre-treatment in order to constrain biofouling by phosphate limitation. This paper focuses on electrostatic interactions during tight UF filtration. Despite the larger pore size, the 3 kDa ceramic membrane exhibited greater phosphate rejection than the 1 kDa membrane, because the 3 kDa membrane has a greater negative surface charge and thus greater electrostatic repulsion against phosphate. The increase of pH from 6 to 8.5 led to a substantial increase in phosphate rejection by both membranes due to increased electrostatic repulsion. At pH 8.5, the maximum phosphate rejections achieved by the 1 kDa and 3 kDa membrane were 75% and 86%, respectively. A Debye ratio (ratio of the Debye length to the pore radius) is introduced in order to evaluate double layer overlapping in tight UF membranes. Threshold Debye ratios were determined as 2 and 1 for the 1 kDa and 3 kDa membranes, respectively. A Debye ratio below the threshold Debye ratio leads to dramatically decreased phosphate rejection by tight UF membranes. The phosphate rejection by the tight UF, in combination with chemical phosphate removal by coagulation, might accomplish phosphate-limited conditions for biological growth and thus prevent biofouling in the RO systems. Copyright © 2013 Elsevier Ltd. All rights reserved.

Modelling of the behaviour of a UF_6 container in a fire

International Nuclear Information System (INIS)

Pinton, Eric

1996-01-01

This thesis is justified by the safety needs about storage and transport of UF_6 containers. To define their behaviour under fire conditions, a modelling was developed. Before tackling the numerical modelling, a phenomenological interpretation with experimental results of containers inside a furnace (800 C) during a fixed period was carried out. The internal heat transfers were considerably improved with these results. The 2D elaborated model takes into account most of the physical phenomena encountered in this type of situation (boiling, evaporation, condensation, radiant heat transfers through an absorbing gas, convection, pressurisation, thermal contact resistance, UF_6 expansion, solid core sinking in the liquid, elastic and plastic deformations of the steel container). This model was successfully confronted with experiments. (author) [fr

Radiation-Triggered Surveillance for UF6 Monitoring

Energy Technology Data Exchange (ETDEWEB)

Curtis, Michael M. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States)

2015-12-01

This paper recommends the use of radiation detectors, singly or in sets, to trigger surveillance cameras. Ideally, the cameras will monitor cylinders transiting the process area as well as the process area itself. The general process area will be surveyed to record how many cylinders have been attached and detached to the process between inspections. Rad-triggered cameras can dramatically reduce the quantity of recorded images, because the movement of personnel and equipment not involving UF6 cylinders will not generate a surveillance review file.

Significance of definitions of relapse after discontinuation of oral antivirals in HBeAg-negative chronic hepatitis B.

Science.gov (United States)

Papatheodoridis, George V; Manolakopoulos, Spilios; Su, Tung-Hung; Siakavellas, Spyros; Liu, Chun-Jen; Kourikou, Anastasia; Yang, Hung-Chih; Kao, Jia-Horng

2017-08-31

Relapses are observed in most hepatitis B e antigen (HBeAg)-negative chronic hepatitis B patients who discontinue treatment with nucleos(t)ide analogues (NAs); however, the rates of relapse vary widely among studies, and whether all patients with relapse need retreatment is unclear. The aim of this study was to assess the impact of different definitions on the rates of posttreatment relapse and therefore on the probability of retreatment in patients who have discontinued effective long-term NA therapy. In total, 130 HBeAg-negative chronic hepatitis B patients without cirrhosis and before NA treatment were included. All had on-therapy virological remission for ≥24 months and close follow-up for ≥12 months after stopping NA treatment or until retreatment, which started on stringent predefined criteria. Relapses rates based on several predetermined definitions of virological and perhaps biochemical criteria were assessed. The median duration of therapy was 60 months and the median duration of on-therapy virological remission was 43 months. During a median off-NAs follow-up of 15 months, no patient experienced liver decompensation or died. Cumulative relapse rates were 2%-49%, 4%-73%, 11%-82%, and 16%-90% at 3, 6, 12, and 24 months, respectively, whereas cumulative retreatment rates were 15%, 22%, and 40% at 6, 12, and 24 months, respectively, after discontinuation of NA therapy. No patient characteristic was independently associated with the probability of relapse based on at least two definitions or of retreatment. In HBeAg-negative chronic hepatitis B patients who discontinue NA therapy, the definition of relapse has a great impact on off-NAs relapse rates and potentially on the probability of retreatment. Regardless of definition, off-NAs relapses cannot be easily predicted by patient characteristics. A substantial proportion of such patients may not require retreatment if stringent criteria are adopted. (Hepatology 2017). © 2017 by the American Association

[Relapse: causes and consequences].

Science.gov (United States)

Thomas, P

2013-09-01

Relapse after a first episode of schizophrenia is the recurrence of acute symptoms after a period of partial or complete remission. Due to its variable aspects, there is no operational definition of relapse able to modelise the outcome of schizophrenia and measure how the treatment modifies the disease. Follow-up studies based on proxys such as hospital admission revealed that 7 of 10 patients relapsed after a first episode of schizophrenia. The effectiveness of antipsychotic medications on relapse prevention has been widely demonstrated. Recent studies claim for the advantages of atypical over first generation antipsychotic medication. Non-adherence to antipsychotic represents with addictions the main causes of relapse long before some non-consensual factors such as premorbid functioning, duration of untreated psychosis and associated personality disorders. The consequences of relapse are multiple, psychological, biological and social. Pharmaco-clinical studies have demonstrated that the treatment response decreases with each relapse. Relapse, even the first one, will contribute to worsen the outcome of the disease and reduce the capacity in general functionning. Accepting the idea of continuing treatment is a complex decision in which the psychiatrist plays a central role besides patients and their families. The development of integrated actions on modifiable risk factors such as psychosocial support, addictive comorbidities, access to care and the therapeutic alliance should be promoted. Relapse prevention is a major goal of the treatment of first-episode schizophrenia. It is based on adherence to the maintenance treatment, identification of prodromes, family active information and patient therapeutical education. Copyright © 2013 L’Encéphale. Published by Elsevier Masson SAS.. All rights reserved.

Heat transfer characteristics of UF6 in a container heated from outer surface. Pt. 1. Thermal hydraulic analysis method taking account of phase change and volume expansion

International Nuclear Information System (INIS)

Wataru, Masumi; Gomi, Yoshio; Yamakawa, Hidetsugu; Tsumune, Daisuke

1995-01-01

Natural UF6 is transported in a steel container from foreign countries to the enrichment plant in Japan. If the container meets fire accident, it is heated by fire (800degC) and rupture of the container may occur. For the safety point of view, it is necessary to know whether rupture occurs or not. Because UF6 has a radiological and chemical hazards, it is difficult to perform a demonstration test with UF6. So thermal calculation method has to be developed. The rupture is caused by UF6 gaseous pressure or volume expansion of liquid UF6. To know time history of internal pressure and temperature distribution in the container, it is important to evaluate thermal phenomena of UF6. When UF6 is heated, it changes from solid to liquid or gas at low temperature (64degC) and then its volume expands little by little. In this study, thermal calculation method has been developed taking phase change and thermal expansion of UF6 into account. In the calculation, a two-dimensional model is adopted and natural convection of liquid UF6 is analyzed. As a result of this study, numerical solutions have been obtained taking phase change and volume expansion into account. (author)

Thermodynamic assessment of the LiF–ThF{sub 4}–PuF{sub 3}–UF{sub 4} system

Energy Technology Data Exchange (ETDEWEB)

Capelli, E. [European Commission, Joint Research Centre, Institute for Transuranium Elements, P.O. Box 2340, 76125 Karlsruhe (Germany); Department of Radiation Science and Technology, Faculty of Applied Physics, Delft University of Technology, Delft 2629JB (Netherlands); Beneš, O., E-mail: ondrej.benes@ec.europa.eu [European Commission, Joint Research Centre, Institute for Transuranium Elements, P.O. Box 2340, 76125 Karlsruhe (Germany); Konings, R.J.M. [European Commission, Joint Research Centre, Institute for Transuranium Elements, P.O. Box 2340, 76125 Karlsruhe (Germany); Department of Radiation Science and Technology, Faculty of Applied Physics, Delft University of Technology, Delft 2629JB (Netherlands)

2015-07-15

The LiF–ThF{sub 4}–PuF{sub 3}–UF{sub 4} system is the reference salt mixture considered for the Molten Salt Fast Reactor (MSFR) concept started with PuF{sub 3}. In order to obtain the complete thermodynamic description of this quaternary system, two binary systems (ThF{sub 4}–PuF{sub 3} and UF{sub 4}–PuF{sub 3}) and two ternary systems (LiF–ThF{sub 4}–PuF{sub 3} and LiF–UF{sub 4}–PuF{sub 3}) have been assessed for the first time. The similarities between CeF{sub 3}/PuF{sub 3} and ThF{sub 4}/UF{sub 4} compounds have been taken into account for the presented optimization as well as in the experimental measurements performed, which have confirmed the temperatures predicted by the model. Moreover, the experimental results and the thermodynamic database developed have been used to identify potential compositions for the MSFR fuel and to evaluate the influence of partial substitution of ThF{sub 4} by UF{sub 4} in the salt.

Thermodynamic assessment of the LiF–ThF4–PuF3–UF4 system

NARCIS (Netherlands)

Capelli, E.; Benes, O.; Konings, R.J.M.

2015-01-01

The LiF–ThF4–PuF3–UF4 system is the reference salt mixture considered for the Molten Salt Fast Reactor (MSFR) concept started with PuF3. In order to obtain the complete thermodynamic description of this quaternary system, two binary systems (ThF4–PuF3 and UF4–PuF3) and two ternary systems

[Clinical and biological prognostic factors in relapsed acute myeloid leukemia patients].

Science.gov (United States)

Yébenes-Ramírez, Manuel; Serrano, Josefina; Martínez-Losada, Carmen; Sánchez-García, Joaquín

2016-09-02

Acute myeloid leukemia (AML) is the most frequent type of acute leukemia in adults. Despite recent advances in the characterization of pathogenesis of AML, the cure rates are under 40%, being leukemia relapse the most common cause of treatment failure. Leukaemia relapse occurs due to clonal evolution or clonal escape. In this study, we aimed to analyze the clinical and biological factors influencing outcomes in patients with AML relapse. We included a total of 75 AML patients who experienced leukaemia relapse after achieving complete remission. We performed complete immunophenotyping and conventional karyotyping in bone marrow aspirates obtained at diagnosis and at leukemia relapse. Overall survival (OS) of the series was 3.7%±2.3, leukaemia progression being the most common cause of death. Patients relapsing before 12 months and those with adverse cytogenetic-molecular risk had statistically significant worse outcomes. A percentage of 52.5 of patients showed phenotypic changes and 50% cytogenetic changes at relapse. We did not find significant clinical factors predicting clonal evolution. The presence of clonal evolution at relapse did not have a significant impact on outcome. Patients with relapsed AML have a dismal prognosis, especially those with early relapse and adverse cytogenetic-molecular risk. Clonal evolution with phenotypic and cytogenetic changes occurred in half of the patients without predictive clinical factors or impact on outcome. Copyright © 2016 Elsevier España, S.L.U. All rights reserved.

Analysis of an indirect neutron signature for enhanced UF{sub 6} cylinder verification

Energy Technology Data Exchange (ETDEWEB)

Kulisek, J.A., E-mail: Jonathan.Kulisek@pnnl.gov; McDonald, B.S.; Smith, L.E.; Zalavadia, M.A.; Webster, J.B.

2017-02-21

The International Atomic Energy Agency (IAEA) currently uses handheld gamma-ray spectrometers combined with ultrasonic wall-thickness gauges to verify the declared enrichment of uranium hexafluoride (UF{sub 6}) cylinders. The current method provides relatively low accuracy for the assay of {sup 235}U enrichment, especially for natural and depleted UF{sub 6}. Furthermore, the current method provides no capability to assay the absolute mass of {sup 235}U in the cylinder due to the localized instrument geometry and limited penetration of the 186-keV gamma-ray signature from {sup 235}U. Also, the current verification process is a time-consuming component of on-site inspections at uranium enrichment plants. Toward the goal of a more-capable cylinder assay method, the Pacific Northwest National Laboratory has developed the hybrid enrichment verification array (HEVA). HEVA measures both the traditional 186-keV direct signature and a non-traditional, high-energy neutron-induced signature (HEVA{sub NT}). HEVA{sub NT} enables full-volume assay of UF{sub 6} cylinders by exploiting the relatively larger mean free paths of the neutrons emitted from the UF{sub 6}. In this work, Monte Carlo modeling is used as the basis for characterizing HEVA{sub NT} in terms of the individual contributions to HEVA{sub NT} from nuclides and hardware components. Monte Carlo modeling is also used to quantify the intrinsic efficiency of HEVA for neutron detection in a cylinder-assay geometry. Modeling predictions are validated against neutron-induced gamma-ray spectra from laboratory measurements and a relatively large population of Type 30B cylinders spanning a range of enrichments. Implications of the analysis and findings on the viability of HEVA for cylinder verification are discussed, such as the resistance of the HEVA{sub NT} signature to manipulation by the nearby placement of neutron-conversion materials.

235U enrichment determination on UF6 cylinders with CZT detectors

Science.gov (United States)

Berndt, Reinhard; Mortreau, Patricia

2018-04-01

Measurements of uranium enrichment in UF6 transit cylinders are an important nuclear safeguards verification task, which is performed using a non-destructive assay method, the traditional enrichment meter, which involves measuring the count rate of the 186 keV gamma ray. This provides a direct measure of the 235U enrichment. Measurements are typically performed using either high-resolution detectors (Germanium) with e-cooling and battery operation, or portable devices equipped with low resolution detectors (NaI). Despite good results being achieved when measuring Low Enriched Uranium in 30B type cylinders and natural uranium in 48Y type containers using both detector systems, there are situations, which preclude the use of one or both of these systems. The focus of this work is to address some of the recognized limitations in relation to the current use of the above detector systems by considering the feasibility of an inspection instrument for 235U enrichment measurements on UF6 cylinders using the compact and light Cadmium Zinc Telluride (CZT) detectors. In the present work, test measurements were carried out, under field conditions and on full-size objects, with different CZT detectors, in particular for situations where existing systems cannot be used e.g. for stacks of 48Y type containers with depleted uranium. The main result of this study shows that the CZT detectors, actually a cluster of four μCZT1500 micro spectrometers provide as good results as the germanium detector in the ORTEC Micro-trans SPEC HPGe Portable spectrometer, and most importantly in particular for natural and depleted uranium in 48Y cylinders.

Predicting Relapse among Young Adults: Psychometric Validation of the Advanced Warning of Relapse (AWARE) Scale

Science.gov (United States)

Kelly, John F.; Hoeppner, Bettina B.; Urbanoski, Karen A.; Slaymaker, Valerie

2011-01-01

Objective Failure to maintain abstinence despite incurring severe harm is perhaps the key defining feature of addiction. Relapse prevention strategies have been developed to attenuate this propensity to relapse, but predicting who will, and who will not, relapse has stymied attempts to more efficiently tailor treatments according to relapse risk profile. Here we examine the psychometric properties of a promising relapse risk measure - the Advance WArning of RElapse scale (AWARE) scale (Miller and Harris, 2000) in an understudied but clinically important sample of young adults. Method Inpatient youth (N=303; Age 18-24; 26% female) completed the AWARE scale and the Brief Symptom Inventory-18 (BSI) at the end of residential treatment, and at 1-, 3-, and 6-months following discharge. Internal and convergent validity was tested for each of these four timepoints using confirmatory factor analysis and correlations (with BSI scores). Predictive validity was tested for relapse 1, 3, and 6 months following discharge, as was incremental utility, where AWARE scores were used as predictors of any substance use while controlling for treatment entry substance use severity and having spent time in a controlled environment following treatment. Results Confirmatory factor analysis revealed a single, internally consistent, 25-item factor that demonstrated convergent validity and predicted subsequent relapse alone and when controlling for other important relapse risk predictors. Conclusions The AWARE scale may be a useful and efficient clinical tool for assessing short-term relapse risk among young people and, thus, could serve to enhance the effectiveness of relapse prevention efforts. PMID:21700396

Predicting relapse among young adults: psychometric validation of the Advanced WArning of RElapse (AWARE) scale.

Science.gov (United States)

Kelly, John F; Hoeppner, Bettina B; Urbanoski, Karen A; Slaymaker, Valerie

2011-10-01

Failure to maintain abstinence despite incurring severe harm is perhaps the key defining feature of addiction. Relapse prevention strategies have been developed to attenuate this propensity to relapse, but predicting who will, and who will not, relapse has stymied attempts to more efficiently tailor treatments according to relapse risk profile. Here we examine the psychometric properties of a promising relapse risk measure-the Advance WArning of RElapse (AWARE) scale (Miller & Harris, 2000) in an understudied but clinically important sample of young adults. Inpatient youth (N=303; Ages 18-24; 26% female) completed the AWARE scale and the Brief Symptom Inventory-18 (BSI) at the end of residential treatment, and at 1-, 3-, and 6-months following discharge. Internal and convergent validity was tested for each of these four timepoints using confirmatory factor analysis and correlations (with BSI scores). Predictive validity was tested for relapse 1, 3, and 6 months following discharge, as was incremental utility, where AWARE scores were used as predictors of any substance use while controlling for treatment entry substance use severity and having spent time in a controlled environment following treatment. Confirmatory factor analysis revealed a single, internally consistent, 25-item factor that demonstrated convergent validity and predicted subsequent relapse alone and when controlling for other important relapse risk predictors. The AWARE scale may be a useful and efficient clinical tool for assessing short-term relapse risk among young people and, thus, could serve to enhance the effectiveness of relapse prevention efforts. Copyright © 2011 Elsevier Ltd. All rights reserved.

Nuclear criticality safety aspects of gaseous uranium hexafluoride (UF{sub 6}) in the diffusion cascade

Energy Technology Data Exchange (ETDEWEB)

Huffer, J.E. [Parallax, Inc., Atlanta, GA (United States)

1997-04-01

This paper determines the nuclear safety of gaseous UF{sub 6} in the current Gaseous Diffusion Cascade and auxiliary systems. The actual plant safety system settings for pressure trip points are used to determine the maximum amount of HF moderation in the process gas, as well as the corresponding atomic number densities. These inputs are used in KENO V.a criticality safety models which are sized to the actual plant equipment. The ENO V.a calculation results confirm nuclear safety of gaseous UF{sub 6} in plant operations..

Predictors of marijuana relapse in the human laboratory: robust impact of tobacco cigarette smoking status.

Science.gov (United States)

Haney, Margaret; Bedi, Gillinder; Cooper, Ziva D; Glass, Andrew; Vosburg, Suzanne K; Comer, Sandra D; Foltin, Richard W

2013-02-01

Few marijuana smokers in treatment achieve sustained abstinence, yet factors contributing to high relapse rates are unknown. Study 1: data from five inpatient laboratory studies assessing marijuana intoxication, withdrawal, and relapse were combined to assess factors predicting the likelihood and severity of relapse. Daily, nontreatment-seeking marijuana smokers (n = 51; 10 ± 5 marijuana cigarettes/day) were enrolled. Study 2: to isolate the effects of cigarette smoking, marijuana intoxication, withdrawal, and relapse were assessed in daily marijuana and cigarette smokers (n = 15) under two within-subject, counter-balanced conditions: while smoking tobacco cigarettes as usual (SAU), and after at least 5 days without cigarettes (Quit). Study 1: 49% of participants relapsed the first day active marijuana became available. Tobacco cigarette smokers (75%), who were not abstaining from cigarettes, were far more likely to relapse than non-cigarette smokers (odds ratio: 19, p marijuana administration and those with more negative affect and sleep disruption during marijuana withdrawal were more likely to have severe relapse episodes (p 87%) relapsed to marijuana whether in the SAU or Quit phase. Tobacco cigarette smoking did not significantly influence relapse, nor did it affect marijuana intoxication or most symptoms of withdrawal relative to tobacco cessation. Daily marijuana smokers who also smoke cigarettes have high rates of marijuana relapse, and cigarette smoking versus recent abstinence does not directly influence this association. These data indicate that current cigarette smoking is a clinically important marker for increased risk of marijuana relapse. Copyright © 2013 Society of Biological Psychiatry. Published by Elsevier Inc. All rights reserved.

[Central nervous system relapse in diffuse large B cell lymphoma: Risk factors].

Science.gov (United States)

Sancho, Juan-Manuel; Ribera, Josep-Maria

2016-01-15

Central nervous system (CNS) involvement by lymphoma is a complication associated, almost invariably, with a poor prognosis. The knowledge of the risk factors for CNS relapse is important to determine which patients could benefit from prophylaxis. Thus, patients with very aggressive lymphomas (such as lymphoblastic lymphoma or Burkitt's lymphoma) must systematically receive CNS prophylaxis due to a high CNS relapse rate (25-30%), while in patients with indolent lymphoma (such as follicular lymphoma or marginal lymphoma) prophylaxis is unnecessary. However, the question about CNS prophylaxis in patients with diffuse large B-cell lymphoma (DLBCL), the most common type of lymphoma, remains controversial. The information available is extensive, mainly based on retrospective and heterogeneous studies. There seems that immunochemotherapy based on rituximab reduces the CNS relapse rate. On the other hand, patients with increased serum lactate dehydrogenase plus more than one extranodal involvement seem to have a higher risk of CNS relapse, but a prophylaxis strategy based only on the presence of these 2 factors does not prevent all CNS relapses. Patients with involvement of testes or breast have high risk of CNS relapse and prophylaxis is mandatory. Finally, CNS prophylaxis could be considered in patients with DLBCL and renal or epidural space involvement, as well as in those cases with MYC rearrangements, although additional studies are necessary. Copyright © 2015 Elsevier España, S.L.U. All rights reserved.

Relapse Prevention: An Introduction to Marlatt’s Cognitive – Behavior Model

Directory of Open Access Journals (Sweden)

Farshad Nemati

2002-10-01

Full Text Available High rate of relapse after apparently successful treatment is a common problem facing with most approaches to treatment of drug dependency. This has led to the development of a variety of strategies for relapse prevention. Among these, Marlatt’s cognitive – behavioural model has received a good deal of attention. It is based on two major axes: Identification of warning sings and development of necessary skills for coping with risk situations. In fact, client’s perception relating to their abilities to cope with high - risk situations can lead to lapse. Relapes is a function of client’s reaction to this initial lapes.Since formal training for addiction counsellors typically includes instruction on Marlatt’s relapes taxonomy and intervention strategies have been designed based on his classification systems of high – risk stimuli, it is nececsary for addiction counsellors to become familiar with this system. This paper presents an overview of Marlatts taxonomy of high – risk situations for relapse and his approach to relapse prevention. Special attention is given to definition of relapse, stages of relaps and relapse prevention strategies.

The effects of duration of glucocorticoid therapy on relapse rate in anti-neutrophil cytoplasm antibody associated vasculitis: A meta-analysis

Science.gov (United States)

Walsh, Michael; Merkel, Peter A.; Mahr, Alfred; Jayne, David

2010-01-01

Objective Disease relapses are common for patients with anti-neutrophil cytoplasm antibody associated vasculitis (AAV). The role of low-dose glucocorticoids (GC) in relapse prevention is controversial. We undertook a systematic review and meta-analysis to determine if GC target doses influence relapses of AAV. Methods Medline, EMBASE and Cochrane databases were searched for observational studies and randomized controlled trials of treatment of AAV that included a predefined GC treatment plan. The association of GC target dose with the proportion of relapses in studies was assessed using meta-regression and multi-level generalized linear modeling. Results Thirteen studies (983 patients) were identified for inclusion. There were no studies directly comparing GC regimens. We classified 288 patients as having a non-zero GC target dose by study end and 695 patients as having a zero GC target dose by study end. The pooled proportion of patients with a relapse was 36% (95% confidence interval [CI] 25 to 47%). GC regimen was the most significant variable explaining the variability between the proportions of patients with relapses. The proportion of patients with a relapse was 14% (95% CI 10 to 19%) in non-zero GC target dose and 43% (95% CI 33 to 52%) in zero GC target dose studies. Differences other than GC regimens exist between studies that complicate the comparability of trials and isolation of the variability in relapses due to GC target alone. Conclusions Studies with longer courses of GC in AAV are associated with fewer relapses. These results have implications for study design and outcome assessment in clinical trials of AAV. PMID:20235186

Laboratory and pilot-plant studies on the conversion of uranyl nitrate hexahydrate to UF/sub 6/ by fluidized-bed processes

Energy Technology Data Exchange (ETDEWEB)

Youngblood, E.L.; Urza, I.J.; Cathers, G.I.

1977-06-01

This report describes laboratory and pilot-plant studies on the conversion of uranyl nitrate hexahydrate (UNH) to UF/sub 6/ and on purification of the UF/sub 6/. Experimental laboratory studies on the removal of residual nitrate from uranium trioxide (UO/sub 3/) calcine and the fluorination of technetium and subsequent sorption on MgF/sub 2/ were conducted to support the pilot-plant work. Two engineering-scale pilot plants utilizing fluidized-bed processes were constructed for equipment and process testing of the calcination of UNH to UO/sub 3/ and the direct fluorination of UO/sub 3/ to UF/sub 6/.

A 1D coordination polymer of UF{sub 5} with HCN as a ligand

Energy Technology Data Exchange (ETDEWEB)

Scheibe, Benjamin; Rudel, Stefan S.; Buchner, Magnus R.; Kraus, Florian [Fachbereich Chemie, Philipps-Universitaet Marburg (Germany); Karttunen, Antti J. [Department of Chemistry, Aalto University (Finland)

2017-01-05

β-Uranium(V) fluoride was reacted with liquid anhydrous hydrogen cyanide to obtain a 1D coordination polymer with the composition {sup 1}{sub ∞}[UF{sub 5}(HCN){sub 2}], {sup 1}{sub ∞}[UF{sub 4/1}F{sub 2/2}-(HCN){sub 2/1}], revealed by single-crystal X-ray structure determination. The reaction system was furthermore studied by means of vibrational and NMR spectroscopy, as well as by quantum chemical calculations. The compound presents the first described polymeric HCN Lewis adduct and the first HCN adduct of a uranium fluoride. (copyright 2017 Wiley-VCH Verlag GmbH and Co. KGaA, Weinheim)

Scoping study to expedite development of a field deployable and portable instrument for UF6 enrichment assay

OpenAIRE

Chan, CYG; Valentine, JD; Russo, RE

2017-01-01

The primary objective of the present study is to identity the most promising, viable technologies that are likely to culminate in an expedited development of the next-generation, field-deployable instrument for providing rapid, accurate, and precise enrichment assay of uranium hexafluoride (UF6). UF6 is typically involved, and is arguably the most important uranium compound, in uranium enrichment processes. As the first line of defense against proliferation, accurate analytical techniques t...

Smoking Cessation and Relapse Prevention among Undergraduate Students: A Pilot Demonstration Project.

Science.gov (United States)

Ramsay, Jim; Hoffmann, Anne

2004-01-01

The prevalence of college students' tobacco use is widely recognized, but successful cessation and relapse-prevention programs for these smokers have drawn little attention. The authors, who explored the feasibility of training peers to lead cessation and relapse-prevention programs for undergraduates, found a quit rate of 88.2%, suggesting that…

Effect of Preserving the Pituitary Stalk During Resection of Craniopharyngioma in Children on the Diabetes Insipidus and Relapse Rates and Long-Term Outcomes.

Science.gov (United States)

Cheng, Jing; Fan, Yanqin; Cen, Bo

2017-09-01

The objective of this study was to investigate the effect of preserving an infiltrated pituitary stalk during the resection of craniopharyngioma of pituitary stalk origin on postoperative outcomes and thus provide a theoretical basis for microsurgical treatment and prognosis. We screened the clinical data of all 103 pediatric patients with craniopharyngioma undergoing surgical treatment at our department between January 2006 and January 2013 and conducted a retrospective analysis of 82 patients with craniopharyngioma originating in the pituitary stalk. The patients were followed up from 12 months to 8 years. We analyzed the effect of preserving the pituitary stalk on the early and persistent diabetes insipidus rates, postoperative relapse rate, and mortality. In the total resection group (n = 67), the early and persistent diabetes insipidus rates were significantly lower in the 46 patients (68.7%) with a pituitary stalk than in those whose pituitary stalk was removed (P  0.05). In the subtotal resection group (n = 15), a significant difference was observed in the early and persistent diabetes insipidus rates (P  0.05). For children with craniopharyngioma of pituitary stalk origin, preserving the pituitary stalk has a significant effect on the early and persistent diabetes insipidus rates. When intraoperative exploration showed excessive adhesion between the tumor and pituitary stalk, we opted to preserve the pituitary stalk, which significantly reduced the early and persistent postoperative diabetes insipidus rates, without significantly increasing the relapse or mortality rate.

Social settings and addiction relapse.

Science.gov (United States)

Walton, M A; Reischl, T M; Ramanthan, C S

1995-01-01

Despite addiction theorists' acknowledgment of the impact of environmental factors on relapse, researchers have not adequately investigated these influences. Ninety-six substance users provided data regarding their perceived risk for relapse, exposure to substances, and involvement in reinforcing activities. These three setting attributes were assessed in their home, work, and community settings. Reuse was assessed 3 months later. When controlling for confounding variables, aspects of the home settings significantly distinguished abstainers from reusers; perceived risk for relapse was the strongest predictor of reuse. Exposure to substances and involvement in reinforcing activities were not robust reuse indicators. The work and community settings were not significant determinants of reuse. These findings offer some initial support for the utility of examining social settings to better understand addiction relapse and recovery. Identification of setting-based relapse determinants provides concrete targets for relapse prevention interventions.

Ultra-low field NMR for detection and characterization of 235 UF6

Energy Technology Data Exchange (ETDEWEB)

Espy, Michelle A [Los Alamos National Laboratory; Magnelind, Per E [Los Alamos National Laboratory; Matlashov, Andrei N [Los Alamos National Laboratory; Urbaitis, Algis V [Los Alamos National Laboratory; Volegov, Petr L [Los Alamos National Laboratory

2009-01-01

We have demonstrated the first ultra-low field (ULF) nuclear magnetic resonance measurements of uranium hexafluoride (UF{sub 6}), both depleted and 70% enriched, which is used in the uranium enrichment process. A sensitive non-invasive detection system would have an important role in non-proliferation surveillance. A two-frequency technique was employed to remove the transients induced by rapidly switching off the 50 mT pre-polarization field. A mean transverse relaxation time T{sub 2} of 24 ms was estimated for the un-enriched UF{sub 6} sample measured at a mean temperature of 80 C. Nuclear magnetic resonance at ULF has several advantages including the ability to measure through metal, such as pipes, and simple magnetic field generation hardware. We present here recent data and discuss the potential for non-proliferation monitoring of enrichment and flow velocity.

THERMOPHYSICAL PROPERTIES AND WATER ACTIVITY OF TRANSFERRED CHEESE (UF

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Mohsen Dalvi Esfahan

2015-06-01

Full Text Available Few data are available on the thermophysical properties of cheese in the ripening process.The main objective of this work was to investigate the effects of brining and temperature on the thermophysical properties, i.e., thermal conductivity, specific heat, density and water activity of UF cheese and finally we measure surface heat transfer coefficient .Then we develop models for thermophysical properties based on physical and multiple regression concept .

Medical chart validation of an algorithm for identifying multiple sclerosis relapse in healthcare claims.

Science.gov (United States)

Chastek, Benjamin J; Oleen-Burkey, Merrikay; Lopez-Bresnahan, Maria V

2010-01-01

Relapse is a common measure of disease activity in relapsing-remitting multiple sclerosis (MS). The objective of this study was to test the content validity of an operational algorithm for detecting relapse in claims data. A claims-based relapse detection algorithm was tested by comparing its detection rate over a 1-year period with relapses identified based on medical chart review. According to the algorithm, MS patients in a US healthcare claims database who had either (1) a primary claim for MS during hospitalization or (2) a corticosteroid claim following a MS-related outpatient visit were designated as having a relapse. Patient charts were examined for explicit indication of relapse or care suggestive of relapse. Positive and negative predictive values were calculated. Medical charts were reviewed for 300 MS patients, half of whom had a relapse according to the algorithm. The claims-based criteria correctly classified 67.3% of patients with relapses (positive predictive value) and 70.0% of patients without relapses (negative predictive value; kappa 0.373: p value of the operational algorithm. Limitations of the algorithm include lack of differentiation between relapsing-remitting MS and other types, and that it does not incorporate measures of function and disability. The claims-based algorithm appeared to successfully detect moderate-to-severe MS relapse. This validated definition can be applied to future claims-based MS studies.

Relapsing-Remitting MS (RRMS)

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Effect of Radiotherapy Dose and Volume on Relapse in Merkel Cell Cancer of the Skin

International Nuclear Information System (INIS)

Foote, Matthew; Harvey, Jennifer; Porceddu, Sandro

2010-01-01

Purpose: To assess the effect of radiotherapy (RT) dose and volume on relapse patterns in patients with Stage I-III Merkel cell carcinoma (MCC). Patients and Methods: This was a retrospective analysis of 112 patients diagnosed with MCC between January 2000 and December 2005 and treated with curative-intent RT. Results: Of the 112 evaluable patients, 88% had RT to the site of primary disease for gross (11%) or subclinical (78%) disease. Eighty-nine percent of patients had RT to the regional lymph nodes; in most cases (71%) this was for subclinical disease in the adjuvant or elective setting, whereas 21 patients (19%) were treated with RT to gross nodal disease. With a median follow-up of 3.7 years, the 2-year and 5-year overall survival rates were 72% and 53%, respectively, and the 2-year locoregional control rate was 75%. The in-field relapse rate was 3% for primary disease, and relapse was significantly lower for patients receiving ≥50Gy (hazard ratio [HR] = 0.22; 95% confidence interval [CI], 0.06-0.86). Surgical margins did not affect the local relapse rate. The in-field relapse rate was 11% for RT to the nodes, with dose being significant for nodal gross disease (HR = 0.24; 95% CI, 0.07-0.87). Patients who did not receive elective nodal RT had a much higher rate of nodal relapse compared with those who did (HR = 6.03; 95% CI, 1.34-27.10). Conclusion: This study indicates a dose-response for subclinical and gross MCC. Doses of ≥50Gy for subclinical disease and ≥55Gy for gross disease should be considered. The draining nodal basin should be treated in all patients.

Removal of a synthetic organic chemical by PAC-UF systems. II: Model application.

Science.gov (United States)

Matsui, Y; Colas, F; Yuasa, A

2001-02-01

This paper describes several application potentials with a recently developed model for predicting the synthetic organic chemical (SOC) removal by powdered activated carbon (PAC) adsorption during ultrafiltration (UF) and discusses the removal mechanism. The model was successfully applied, without any modification, to dead-end mode operation as well as to cross-flow mode operation, validating the assumption of the internal diffusion control mechanism and the continuously-stirred-tank-reactor (CSTR) concept. Even when UF was operated in a cross-flow mode, PAC added was re-circulating in suspension for only a short time. Then, solute uptake took place mostly by PAC immobilized in membrane tubes not only for dead-end operation but also for cross-flow operation. Therefore, cross-flow operation did not have any advantage regarding the SOC mass transfer on PAC in UF loop over dead-end operation. The model simulation implied that pulse PAC addition at the beginning of filtration cycle resulted better SOC removal than continuous PAC addition. However, for the pulse PAC addition mode, the model predicted somewhat lower effluent SOC concentration than the observed values, and the benefit of pulse PAC application in terms of reducing SOC over its continuous dosage was not confirmed. Longer detention time of PAC dosed in a pulse than continuously dosed PAC could possibly further decrease internal diffusivity.

The Cost of Relapse in Schizophrenia.

Science.gov (United States)

Pennington, Mark; McCrone, Paul

2017-09-01

Schizophrenia is a chronic and debilitating mental illness characterised by periods of relapse that require resource intensive management. Quantifying the cost of relapse is central to the evaluation of the cost effectiveness of treating schizophrenia. We aimed to undertake a comprehensive search of the available literature on the cost of relapse. We performed a search on multiple databases (MEDLINE, Embase, PsycINFO and Health Management Information Consortium) for any study reporting a cost of relapse or data from which such a cost could be calculated. Costs are reported in 2015 international dollars. We found 16 studies reporting costs associated with relapse over a defined period of time and identified a cost associated with hospitalisation for relapse in 43 studies. Eight clinical decision analyses also provided cost estimates. Studies from the US report excess costs of relapse of $6033-$32,753 (2015 Purchasing Power Parity dollars [PPP$]) over periods of 12-15 months. European studies report excess costs of $8665-$18,676 (2015 PPP$) over periods of 6-12 months. Estimates of the cost of hospitalisation for relapse are more diverse, and associated with marked differences in typical length of stay across jurisdictions. Wide ranges in the estimated cost of relapse may reflect differences in sample section and relapse definition as well as practice styles and differences in resource costs. Selection of the most appropriate cost estimate should be guided by the definition of relapse and the analysis setting.

Spectroscopic properties of K5Li2UF10

International Nuclear Information System (INIS)

Karbowiak, M.; Gajek, Z.; Drozdzynski, J.

2005-01-01

A new uranium (III) fluoro-complex of the formula K 5 Li 2 UF 10 has been synthesised and characterised by X-ray powder diffraction and electronic absorption spectra measurements. The compound crystallises in the orthorhombic system, space group Pnma, with a = 20.723, b = 7.809, c = 6.932 A, V = 1121.89 A 3 , Z = 4 and is isostructural with its K 5 Li 2 NdF 10 and K 5 Li 2 LaF 10 analogous. The absorption spectrum of a polycrystalline sample of K 5 Li 2 UF 10 was recorded at 4.2 K in the 3500-45,000 cm -1 range and is discussed. The observed crystal-field levels were assigned and fitted to parameters of the simplified angular overlap model (AOM) and next to those of a semi-empirical Hamiltonian, which was representing the combined atomic and one-electron crystal-field interactions. The starting values of the AOM parameters were obtained from ab initio calculations. The analysis of the spectra enabled the assignment of 71 crystal-field levels of U 3+ with a relatively small r.m.s. deviation of 37 cm -1 . The total splitting of 714 cm -1 was calculated for the 4 I 9/2 ground multiplet

Spectroscopic properties of K 5Li 2UF 10

Science.gov (United States)

Karbowiak, M.; Gajek, Z.; Drożdżyński, J.

2005-04-01

A new uranium (III) fluoro-complex of the formula K 5Li 2UF 10 has been synthesised and characterised by X-ray powder diffraction and electronic absorption spectra measurements. The compound crystallises in the orthorhombic system, space group Pnma, with a = 20.723, b = 7.809, c = 6.932 Å, V = 1121.89 Å 3, Z = 4 and is isostructural with its K 5Li 2NdF 10 and K 5Li 2LaF 10 analogous. The absorption spectrum of a polycrystalline sample of K 5Li 2UF 10 was recorded at 4.2 K in the 3500-45,000 cm -1 range and is discussed. The observed crystal-field levels were assigned and fitted to parameters of the simplified angular overlap model (AOM) and next to those of a semi-empirical Hamiltonian, which was representing the combined atomic and one-electron crystal-field interactions. The starting values of the AOM parameters were obtained from ab initio calculations. The analysis of the spectra enabled the assignment of 71 crystal-field levels of U 3+ with a relatively small r.m.s. deviation of 37 cm -1. The total splitting of 714 cm -1 was calculated for the 4I 9/2 ground multiplet.

Storage and uses alternatives of depleted UF6

International Nuclear Information System (INIS)

Marques, S.; Dotto, R.M.

1988-01-01

The U-enrichment of the Angra-1 pellets (Brazil) have generated about 792 ton of depleted-U, which is nowadays beeing stored by URENCO. The possible sending of this compound to Brazil, added to the fact that in the future, NUCLEI (Nuclebras Enriquecimento Isotopico) itself will generate it, reopens the discussion of the destination of this compound. In this context, the necessity, interest and viability aspects of a reconvertion plant of UF 6 in Brazil are getting important and are, in what follows, breafly discussed. (author) [pt

Prevention of relapse of Graves' disease by treatment with an intrathyroid injection of dexamethasone.

Science.gov (United States)

Mao, Xiao-Ming; Li, Hui-Qin; Li, Qian; Li, Dong-Mei; Xie, Xiao-Jing; Yin, Guo-Ping; Zhang, Peng; Xu, Xiang-Hong; Wu, Jin-Dan; Chen, Song-Wang; Wang, Shu-Kui

2009-12-01

Antithyroid drugs are widely used in the treatment of Graves' disease (GD), but the relapse rate is very high after therapy withdrawal. We evaluated the reduction effects of intrathyroid injection of dexamethasone (IID) on the relapse rate of hyperthyroidism in patients with newly diagnosed GD. A total of 191 patients with GD completed the study. After 6 months of treatment with methimazole (MMI), the patients were randomly assigned to receive either MMI (96 patients) alone or MMI combined with IID (MMI+IID; 95 patients) treatment for 3 months, followed by continuing a dose of MMI that would maintain euthyroidism for the next 9 months in all of the patients. After withdrawal of the medical therapy, patients were followed for 24 months, and the relapse rate of hyperthyroidism was evaluated. No statistical difference was observed in the levels of serum FT(4), TSH, or TSH receptor antibodies (TR-Ab), the thyroid volume, or the TR-Ab positive rate between the two groups at month 6. After the next 3 months of treatment with MMI+IID or MMI alone, the levels of TSH increased significantly, and the levels of serum TR-Ab, the TR-Ab positive rate, and thyroid volume decreased significantly in the MMI+IID group compared with the MMI group. Seven patients (7.4%) experienced a relapse of overt hyperthyroidism in the MMI+IID group and 49 patients (51%) in MMI group during the 2-yr follow-up period (P prevent relapse of hyperthyroidism in GD after medical therapy withdrawal.

Relapsing-Remitting MS (RRMS)

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Styrene process condensate treatment with a combination process of UF and NF for reuse.

Science.gov (United States)

Wang, Aijun; Liu, Guangmin; Huang, Jin; Wang, Lijuan; Li, Guangbin; Su, Xudong; Qi, Hong

2013-01-15

Aiming at reusing the SPC to save water resource and heat energy, a combination treatment process of UF/NF was applied to remove inorganic irons, suspended particles and little amount of organic contaminants in this article. To achieve the indexes of CODM≤5.00 mg L(-1), oil≤2.00 mg L(-1), conductivity≤10.00 μs cm(-1), pH of 6.0-8.0, the NF membrane process was adopted. It was necessary to employ a pretreatment process to reduce NF membrane fouling. Hence UF membrane as an efficient pretreatment unit was proposed to remove the inorganic particles, such as iron oxide catalyst, to meet the influent demands of NF. The effluent of UF, which was less than 0.02 mg L(-1) of total iron, went into a security filter and then was pumped into the NF process unit. High removal efficiencies of CODM, oil and conductivity were achieved by using NF process. The ABS grafting copolymerization experiment showed that the effluent of the combination process met the criteria of ABS production process, meanwhile the process could alleviate the environment pollution. It was shown that this combination process concept was feasible and successful in treating the SPC. Copyright © 2012 Elsevier B.V. All rights reserved.

Uniform deposition of uranium hexafluoride (UF6): Standardized mass deposits and controlled isotopic ratios using a thermal fluorination method.

Science.gov (United States)

McNamara, Bruce K; O'Hara, Matthew J; Casella, Andrew M; Carter, Jennifer C; Addleman, R Shane; MacFarlan, Paul J

2016-07-01

We report a convenient method for the generation of volatile uranium hexafluoride (UF6) from solid uranium oxides and other U compounds, followed by uniform deposition of low levels of UF6 onto sampling coupons. Under laminar flow conditions, UF6 is shown to interact with surfaces within a fixed reactor geometry to a highly predictable degree. We demonstrate the preparation of U deposits that range between approximately 0.01 and 500ngcm(-2). The data suggest the method can be extended to creating depositions at the sub-picogramcm(-2) level. The isotopic composition of the deposits can be customized by selection of the U source materials and we demonstrate a layering technique whereby two U solids, each with a different isotopic composition, are employed to form successive layers of UF6 on a surface. The result is an ultra-thin deposit that bears an isotopic signature that is a composite of the two U sources. The reported deposition method has direct application to the development of unique analytical standards for nuclear safeguards and forensics. Further, the method allows access to very low atomic or molecular coverages of surfaces. Copyright © 2016 Elsevier B.V. All rights reserved.

Potential detection systems for monitoring UF6 releases

International Nuclear Information System (INIS)

Beck, D.E.; Bostick, W.D.; Armstrong, D.P.; McNeely, J.R.; Stockdale, J.A.D.

1994-09-01

In the near future, the Nuclear Regulatory Commission (NRC) will begin to regulate the gaseous diffusion plants. Them is a concern that the smoke detectors currently used for uranium hexafluoride (UF 6 ) release detection will not meet NRC safety system requirements such as high reliability and rapid response. The NRC's position is that licensees should utilize state-of-the-art equipment such as hydrogen fluoride (HF) detectors that would provide more dependable detection of a UF 6 release. A survey of the literature and current vendor information was undertaken to define the state-of-the-art and commercial availability of HF (or other appropriate) detection systems. For the purpose of this report, classification of the available HF detection systems is made on the basis of detection principle (e.g., calorimetric, electrochemical, separational, or optical). Emphasis is also placed on whether the device is primarily sensitive to response from a point source (e.g., outleakage in the immediate vicinity of a specific set of components), or whether the device is potentially applicable to remote sensing over a larger area. Traditional HF point source monitoring typically uses gas sampling tubes or coated paper tapes with color developing indicator, portable and small area HF monitors are often based upon electrochemical or extractive/separational systems; and remote sensing by optical systems holds promise for indoor and outdoor large area monitoring (including plant boundary/ambient air monitoring)

Depleted UF6 Management Information Network - A resource for the public,

Science.gov (United States)

Depleted UF6 Management Information Network Web Site is an online repository of information about the U.S ) and DUF6, research and development efforts for beneficial uses of DU, DOE's program for management of line DUF6 Guide DUF6 Guide line Introductory information about depleted uranium: how it is created

The Effectiveness of Marlaat’s Cognitive Behavior Intervention and Group Treatment Based on Change Stages for Recovery and Relapse Prevention Rates in Male Heroin Crack Addicts

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S Khodadust

2014-11-01

Full Text Available Objective: The aim of this study was the Study of effectiveness of Marlaat’s cognitive behavior intervention and group treatment based on change stages for recovery and relapse rates in male heroin crack addictions. Method: In a experimental research design, 45 men addictions, who were diagnosed as the dependence of the heroin crack on the basis of DSM-IV-TR criteria, were chosen after successfully detoxified. They were divided two experimental groups (30 participants and a control group (15 participants that have been selected by random sampling. The first experimental group was undergone group treatment based on change stages underwent 16 sessions of 1.5 hours, totally 24 hours and the second experimental groups who were undergone Marlaat’s cognitive behavior intervention has been held 15 sessions of 2 hours, totally 24 hours. The control group were just received MMT without any psychotherapy. All participants were assessed by structured interview, urine test, before treatment, after treatment and after 3 months follow up. Results: Results showed that both psychotherapy treatments were affected on recovery and relapse rates. Conclusion: It seems that psychological problems and conflicts before addiction and after addiction could be caused for individuals’ tendency to narcotics consumption. Therefore, applying of psychotherapy could be useful in relapse prevention.

Treatment strategies in patients with AML or high-risk myelodysplastic syndrome relapsed after Allo-SCT.

Science.gov (United States)

Sauer, T; Silling, G; Groth, C; Rosenow, F; Krug, U; Görlich, D; Evers, G; Albring, J; Besoke, R; Mesters, R M; Müller-Tidow, C; Kessler, T; Büchner, T; Berdel, W E; Stelljes, M

2015-04-01

Non-relapse mortality after Allo-SCT has significantly decreased over the last years. Nevertheless, relapse remains a major cause for post SCT mortality in patients with AML and high-risk myelodysplastic syndrome (MDS). In this retrospective single-center analysis, we have analyzed the treatment outcomes of 108 patients with AML or MDS, who relapsed after Allo-SCT. Seventy of these patients (65%) were treated with salvage therapies containing chemotherapy alone, allogeneic cell-based treatment or the combination of both. Thirty-eight patients (35%) received palliative treatment. Median OS after diagnosis of relapse was 130 days. Compared with patients who received chemotherapy alone, response to salvage therapy was significantly improved in patients treated with a combination of chemo- and allogeneic cell-based therapy (CR rate 57% vs 13%, P=0.002). Among risk factors concerning pretreatment characteristics, disease status before first Allo-SCT, and details of transplantation, only the time interval from Allo-SCT to relapse was an independent predictor of response to salvage therapy and OS. These data confirmed that time to relapse after transplantation is an important prognostic factor. Up to now, only patients eligible for treatment regimens containing allogeneic cell-based interventions achieved relevant response rates.

Distinctive clinical course and pattern of relapse in adolescents with medulloblastoma

International Nuclear Information System (INIS)

Tabori, Uri; Sung, Lillian; Hukin, Juliette; Laperriere, Normand; Crooks, Bruce; Carret, Anne-Sophie; Silva, Mariana; Odame, Isaac; Mpofu, Chris; Strother, Douglas; Wilson, Beverly; Samson, Yvan; Bouffet, Eric

2006-01-01

Purpose: To report the clinical course of adolescents with medulloblastoma, with specific emphasis on prognosis and pattern of relapse. Methods and Materials: We retrospectively studied the clinical course and outcomes of children aged 10-20 years with medulloblastoma, treated at centers throughout Canada between 1986 and 2003. To better assess time to relapse, a cohort of patients aged 3-20 years at diagnosis was generated. Results: A total of 72 adolescents were analyzed. Five-year overall survival and event-free survival rates were 78.3% ± 5.4% and 68.0% ± 6.2%, respectively. Late relapses occurred at a median of 3.0 years (range, 0.3-6.8 years). In univariate analysis, conventional risk stratification and the addition of chemotherapy to craniospinal radiation did not have prognostic significance. Female patients had improved overall survival (p = 0.007). Time to relapse increased with age in a linear fashion. After relapse, patients faired poorly regardless of treatment modality. Patients who did not receive chemotherapy initially had improved progression-free survival at relapse (p 0.05). Conclusions: Our study suggests that adolescents with medulloblastoma might have a unique prognosis and pattern of relapse, dissimilar to those in younger children. They might benefit from different risk stratifications and prolonged follow-up. These issues should be addressed in future prospective trials

Therapeutic Community Effectiveness on Self-Esteem and Relapse Rate among Drug Users

Directory of Open Access Journals (Sweden)

Mosayyeb Yarmohammadi-Vasel

2012-04-01

Full Text Available Objective: In recent years, the Therapeutic Community(TC has become a widespread treatment alternative for drug addicts. TC have been widely studied with emphasis on thair effectiveness. The aims of the present study was to examined effectiveness of TC on self esteem and decrease of relapse. Materials & Methods: Research Statistics universe constitutes of all the substance abusers who have come to the TC centers of Tehran and Mashad. samples is chosen as stratified sampling of the cities of Tehran & Mashad. This study conducted among 165 substance abuser, examined their drug use 2 years. The study utilized a quasi-experimental design with one group, clients were tested at 3 points in time pretest (at admission time, posttest (3-6 months after treatment and 1-year Follo-up (1-year after treatment using the self esteem questionnaire. Results: The findings show that (a about half (50% the clients were clean at follow-up (b significant linear increases on self esteem After 3 to 6 months of treatment(P<0.05. Conclusion: This study provides evidence that TC could effective approach to increases on self esteem and decrease of relapse.

Preventing Postpartum Smoking Relapse: A Randomized Clinical Trial.

Science.gov (United States)

Levine, Michele D; Cheng, Yu; Marcus, Marsha D; Kalarchian, Melissa A; Emery, Rebecca L

2016-04-01

Most women who quit smoking during pregnancy will relapse postpartum. Previous efforts to prevent postpartum relapse have been unsuccessful at increasing rates of sustained abstinence. To evaluate the relative efficacy of 2 different approaches to prevent postpartum smoking relapse. Pregnant women who recently had quit smoking were recruited before the end of pregnancy. Intervention sessions were conducted through a combination of telephone calls and in-person visits beginning at delivery and continuing through 24 weeks postpartum. Participants completed assessments at the prenatal baseline and at 12, 24, and 52 weeks postpartum. Participants were recruited between March 2008 and December 2012. The dates of the analysis were April 2014 to February 2015. Women received postpartum-adapted, behavioral smoking relapse prevention intervention and were randomly assigned to an enhanced cognitive behavioral intervention that included additional specialized strategies and content focused on women's postpartum concerns about mood, stress, and weight (Strategies to Avoid Returning to Smoking [STARTS]) or a supportive, time and attention-controlled comparison (SUPPORT). Intervention began before delivery and continued through 24 weeks postpartum. The primary outcome was biochemically confirmed sustained tobacco abstinence at 52 weeks postpartum. Secondary outcomes were self-reported mood, levels of perceived stress, and degree of concern about smoking-related weight gain. The study cohort comprised 300 participants (150 randomly assigned to each group). Their mean (SD) age was 24.99 (5.65) years. Overall, 38.0% (114 of 300), 33.7% (101 of 300), and 24.0% (72 of 300) of the sample maintained abstinence at 12, 24, and 52 weeks' postpartum, respectively. There were no differences between the intervention groups in abstinence or time to relapse. Self-reported depressive symptoms and perceived stress significantly improved over time, and improvements were similar for both

Elevated Serum IL-17 Expression at Cessation Associated with Graves’ Disease Relapse

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Jianhui Li

2018-01-01

Full Text Available Background. Antithyroid drug (ATD treatment occupies the cornerstone therapeutic modality of Graves’ disease (GD with a high relapse rate after discontinuation. This study aimed to assess potential risk factors for GD relapse especially serum interleukin-17 (IL-17 expression. Methods. Consecutive newly diagnosed GD patients who were scheduled to undergo ATD therapy from May 2011 to May 2014 were prospectively enrolled. Risk factors for GD relapse were analyzed by univariate and multivariate Cox proportional hazard analyses. The association between serum IL-17 expression at cessation and GD relapse was analyzed with relapse-free survival (RFS by the Kaplan–Meier survival analysis and log-rank test. Results. Of the 117 patients, 72 (61.5% maintained a remission for 12 months after ATD withdrawal and 45 (38.5% demonstrated GD relapse. The final multivariate Cox analysis indicated elevated IL-17 expression at cessation to be an independent risk factor for GD relapse within 12 months after ATD withdrawal (HR: 3.04, 95% CI: 1.14–7.67, p=0.021. Patients with higher expressions of IL-17 (≥median value at cessation demonstrated a significantly higher RFS than those with lower levels by the Kaplan–Meier analysis and log-rank test (p=0.028. Conclusions. This present study indicated elevated serum IL-17 expression at cessation to be a predictor for GD relapse within 12 months.

Detection of relapse in early stage Hodgkin's disease: role of routine follow up studies

Energy Technology Data Exchange (ETDEWEB)

Torrey, Margaret J; Poen, Joseph C; Hoppe, Richard T

1995-07-01

Purpose: To examine the costs and benefits of an established practice of routine follow-up in a cohort of patients treated with radiation therapy for early stage Hodgkin's disease. Materials and Methods: We retrospectively examined patterns of follow-up and methods of relapse detection among 709 patients with Ann Arbor Stage I-II Hodgkin's disease treated with sub-total lymphoid irradiation (STLI) or total lymphoid irradiation (TLI) between 1969-1994. We determined the probability of relapse detection for each of 7 routine follow up procedures, compared their relative costs, and determined the impact of each procedure on the likelihood of overall survival following salvage therapy. Results: Relapse has occurred in 157 patients (22%) at a median 1.9 years (range 0-13 years) following treatment. 133 relapses (85%) occurred during the first 5 years of follow. Detailed information concerning the method of relapse detection was available on 107 patients. These 107 patients form the basis of this analysis. Relapse was identified by history (Hx) alone in 55% of patients, physical exam (PE) in 14%, chest x-ray (CXR) in 23% and abdominal x-ray (KUB) in 7%. Only one relapse (1%) was identified by a routine laboratory study - erythrocyte sedimentation rate (ESR). The rate of relapse detection was highest for a combination of history and physical exam (78/10,000 exams) followed by CXR (26/10,000 exams), KUB (10/10,000 exams) and ESR (1/10,000 tests). Complete blood count (CBC) and serum chemistries were never the primary factor in detecting HD relapse. Radiographs accounted for greater than 60% of charges while laboratory studies and physician charges accounted for approximately 20% each. The projected charges (1994 dollars) of relapse detection by routine follow up Hx and PE was [dollar]10,600 compared with [dollar]68,200 for CXR, [dollar]141,800 for KUB and [dollar]156,400 for ESR. 10 year actuarial survival following salvage therapy was 65% overall, 65% for patients in whom

Detection of relapse in early stage Hodgkin's disease: role of routine follow up studies

International Nuclear Information System (INIS)

Torrey, Margaret J.; Poen, Joseph C.; Hoppe, Richard T.

1995-01-01

Purpose: To examine the costs and benefits of an established practice of routine follow-up in a cohort of patients treated with radiation therapy for early stage Hodgkin's disease. Materials and Methods: We retrospectively examined patterns of follow-up and methods of relapse detection among 709 patients with Ann Arbor Stage I-II Hodgkin's disease treated with sub-total lymphoid irradiation (STLI) or total lymphoid irradiation (TLI) between 1969-1994. We determined the probability of relapse detection for each of 7 routine follow up procedures, compared their relative costs, and determined the impact of each procedure on the likelihood of overall survival following salvage therapy. Results: Relapse has occurred in 157 patients (22%) at a median 1.9 years (range 0-13 years) following treatment. 133 relapses (85%) occurred during the first 5 years of follow. Detailed information concerning the method of relapse detection was available on 107 patients. These 107 patients form the basis of this analysis. Relapse was identified by history (Hx) alone in 55% of patients, physical exam (PE) in 14%, chest x-ray (CXR) in 23% and abdominal x-ray (KUB) in 7%. Only one relapse (1%) was identified by a routine laboratory study - erythrocyte sedimentation rate (ESR). The rate of relapse detection was highest for a combination of history and physical exam (78/10,000 exams) followed by CXR (26/10,000 exams), KUB (10/10,000 exams) and ESR (1/10,000 tests). Complete blood count (CBC) and serum chemistries were never the primary factor in detecting HD relapse. Radiographs accounted for greater than 60% of charges while laboratory studies and physician charges accounted for approximately 20% each. The projected charges (1994 dollars) of relapse detection by routine follow up Hx and PE was [dollar]10,600 compared with [dollar]68,200 for CXR, [dollar]141,800 for KUB and [dollar]156,400 for ESR. 10 year actuarial survival following salvage therapy was 65% overall, 65% for patients in whom

RESPEITO À CIDADANIA: PROVENDO ACESSIBILIDADE WEB NA UNIVERSIDADE FEDERAL DE SERGIPE (UFS

Directory of Open Access Journals (Sweden)

Quelita Araújo Diniz da Silva

2012-03-01

Full Text Available O acesso à informação facilitado pelas Tecnologias de Informação e Comunicação (TIC é um dos principais elementos da sociedade do conhecimento, sendo visto como possibilidade de inclusão social. Entretanto, alguns indivíduos possuem necessidades, permanentes ou temporárias, que os limitam no acesso às informações disponibilizadas, mantendo-os à periferia da sociedade. Este trabalho tem como objetivo discutir a acessibilidade na Web, discutindo os principais padrões, as diretrizes e técnicas para o projeto de webapps acessíveis. Como também, expor o conceito de tecnologias assistivas e como elas adequam às funcionalidades computacionais ao internauta com necessidades especiais auxiliando-o na navegação. Por fim, descrever um estudo de caso realizado no site da POSGRAP – UFS objetivando viabilizar à comunidade Sergipana à inclusão provendo acessibilidade aos produtos e serviços da UFS.

An open trial of mindfulness-based cognitive therapy for the prevention of perinatal depressive relapse/recurrence.

Science.gov (United States)

Dimidjian, Sona; Goodman, Sherryl H; Felder, Jennifer N; Gallop, Robert; Brown, Amanda P; Beck, Arne

2015-02-01

Pregnant women with histories of depression are at high risk of depressive relapse/recurrence during the perinatal period, and options for relapse/recurrence prevention are limited. Mindfulness-based cognitive therapy (MBCT) has strong evidence among general populations but has not been studied among at-risk pregnant women to prevent depression. We examined the feasibility, acceptability, and clinical outcomes of depression symptom severity and relapse/recurrence associated with MBCT adapted for perinatal women (MBCT-PD). Pregnant women with depression histories were recruited from obstetrics clinics in a large health maintenance organization at two sites and enrolled in MBCT-PD (N = 49). Self-reported depressive symptoms and interview-based assessments of depression relapse/recurrence status were measured at baseline, during MBCT-PD, and through 6-months postpartum. Pregnant women reported interest, engagement, and satisfaction with the program. Retention rates were high, as were rates of completion of daily homework practices. Intent to treat analyses indicated a significant improvement in depression symptom levels and an 18 % rate of relapse/recurrence through 6 months postpartum. MBCT-PD shows promise as an acceptable, feasible, and clinically beneficial brief psychosocial prevention option for pregnant women with histories of depression. Randomized controlled trials are needed to examine the efficacy of MBCT-PD for the prevention of depressive relapse/recurrence during pregnancy and postpartum.

High risk of postpartum relapses in neuromyelitis optica spectrum disorder.

Science.gov (United States)

Klawiter, Eric C; Bove, Riley; Elsone, Liene; Alvarez, Enrique; Borisow, Nadja; Cortez, Melissa; Mateen, Farrah; Mealy, Maureen A; Sorum, Jaime; Mutch, Kerry; Tobyne, Sean M; Ruprecht, Klemens; Buckle, Guy; Levy, Michael; Wingerchuk, Dean; Paul, Friedemann; Cross, Anne H; Jacobs, Anu; Chitnis, Tanuja; Weinshenker, Brian

2017-11-28

To study the effect of pregnancy on the frequency of neuromyelitis optica spectrum disorder (NMOSD) relapse and evaluate rates of pregnancy-related complications in an international multicenter setting. We administered a standardized survey to 217 women with NMOSD from 7 medical centers and reviewed their medical records. We compared the annualized relapse rate (ARR) during a baseline period 2 years prior to a participant's first pregnancy to that during pregnancy and to the 9 months postpartum. We also assessed pregnancy-related complications. There were 46 informative pregnancies following symptom onset in 31 women with NMOSD. Compared to baseline (0.17), ARR was increased both during pregnancy (0.44; p = 0.035) and during the postpartum period (0.69; p = 0.009). The highest ARR occurred during the first 3 months postpartum (ARR 1.33). A total of 8 of 76 (10.5%) with onset of NMOSD prior to age 40 experienced their initial symptom during the 3 months postpartum, 2.9 times higher than expected. The postpartum period is a particularly high-risk time for initial presentation of NMOSD. In contrast to published observations in multiple sclerosis, in neuromyelitis optica, relapse rate during pregnancy was also increased, although to a lesser extent than after delivery. © 2017 American Academy of Neurology.

Provision of relapse prevention interventions in UK NHS Stop Smoking Services: a survey

Directory of Open Access Journals (Sweden)

McEwen Andy

2010-07-01

Full Text Available Abstract Background UK NHS Stop Smoking Services provide cost effective smoking cessation interventions but, as yet, there has been no assessment of their provision of relapse prevention interventions. Methods Electronic questionnaire survey of 185 UK Stop Smoking Services Managers. Results Ninety six Stop Smoking Service managers returned completed questionnaires (52% response rate. Of these, 58.3% (n = 56 ran NHS Stop Smoking Services which provided relapse prevention interventions for clients with the most commonly provided interventions being behavioural support: telephone (77%, group (73%, and individual (54%. Just under half (48%, n = 27 offered nicotine replacement therapy (NRT, 21.4% (n = 12 bupropion; 19.6% (n = 11 varenicline. Over 80% of those providing relapse prevention interventions do so for over six months. Nearly two thirds of all respondents thought it was likely that they would either continue to provide or commence provision of relapse prevention interventions in their services. Of the remaining respondents, 66.7% (n = 22 believed that the government focus on four-week quit rates, and 42.9% (14 services believed that inadequate funding for provision of relapse prevention interventions, were major barriers to introducing these interventions into routine care. Conclusions Just over half of UK managers of NHS Stop Smoking Services who responded to the questionnaire reported that, in their services, relapse prevention interventions were currently provided for clients, despite, at that time, there being a weak evidence base for their effectiveness. The most commonly provided relapse prevention interventions were those for which there was least evidence. If these interventions are found to be effective, barriers would need to be removed before they would become part of routine care.

Emergency preparedness and response in case of a fire accident with (UF6) packages tracking Suez Canal

International Nuclear Information System (INIS)

Salama, M.

2004-01-01

Egypt has a unique problem - the Suez Canal. Radioactive cargo passing regularly through the canal carrying new and spent reactor fuel. Moreover there are also about 1000 metric tons of uranium hexaflouride (UF6) passing through the canal every year. In spite of all precautions taken in the transportation, accidents with packages containing (UF 6 ) and shipped through the Suez Canal, accidents may arise even though the probability is minimal. These accidents, may be accompanied by injuries or death of persons and damage to property. Due to the radiation and criticality hazards of (UF 6 ) and its high risk of chemical toxicity. The probability of a fire accident with a cargo carrying (UF 6 ) during its crossing the Suez Canal can cause serious chemical toxic and radiological hazards, particularly if the accident occurred close or near to one of the three densely populated cities (Port-Said, Ismailia, and Suez), which are located along the Suez Canal, west bank. The government of Egypt has elaborated a national radiological emergency plan inorder to face probable radiological accidents, which may be arised inside the country. Arrangements have been also elaborated for the medical care of any persons who, might be injured or contaminated, or who, have been exposed to severe radiation doses. The motivation of the present paper was undertaken to visualize a fire accident scenario occurring in industrial packages containing UF6 on board of a Cargo crossing the Suez Canal near Port-Said City. The accident scenario and emergency response actions taken during the different phases of the accident are going to be presented and discussed. The proposed emergency response actions taken to face the accident are going to be also presented. The work presented had revealed the importance of public awareness will be needed for populations located in densely populated areas along Suez Canal bank inorder to react timely and effectively to avoid the toxic and radiological hazards

Successful radiotherapy at the rare extramedullary localization of a chemotherapy refractory relapse Burkitt-All

International Nuclear Information System (INIS)

Menschel, E.; Koller, E.; Bernhart, M.; Noesslinger, T.; Pfeilstoecker, M.

2003-01-01

The intensive therapy of the Burkitt-All achieved higher remission rates in the last years. Relapses and therapy refractory are a big medial problem. Radiotherapy in contribution with radiosensitizer used by an extramedullary large relapse of Burkitt-All is documented in this article as a successful therapy method. (boteke)

Analysis of audiometric relapse-free survival in patients with immune-mediated hearing loss exclusively treated with corticosteroids.

Science.gov (United States)

Mata-Castro, Nieves; García-Chilleron, Raimon; Gavilanes-Plasencia, Javier; Ramírez-Camacho, Rafael; García-Fernández, Alfredo; García-Berrocal, José Ramón

2017-10-12

To describe the results in terms of audiometric relapse-free survival and relapse rate in immunomediated hearing loss patients treated exclusively with corticosteroids. Retrospective study of patients with audiometric relapses, monitored from 1995 to 2014, in two centres of the Community of Madrid. We evaluated 31 patients with a mean age of 48.52 years (14.67 SD), of which 61.3% were women. Most hearing loss was fluctuating (48.4%). Only 16.1% of patients had systemic autoimmune disease. There is a moderate positive correlation between the sex variable and the systemic involvement variable (Spearman's correlation coefficient=0.356): specifically, between being female and systemic disease. The relative incidence rate of relapse in the first year was 2.01 relapses/year with a 95% CI (1.32 to 2.92). The mean survival time of the event (audiometric relapse) was 5.25 months (SD 0.756). With multivariate analysis, the only variable that achieved statistical significance was age, with a hazard ratio of 1.032 (95% CI; 1.001-1.063, P=.043). Immune-mediated disease of the inner ear is a chronic disease with relapses. Half of the patients with immunomediated hearing loss treated exclusively with corticosteroids relapse before 6 months of follow-up. In addition, if a patient has not relapsed, they are more likely to relapse as each year passes. Analysis of the of audiometric relapse- free survival will enable the effect of future treatments to be compared and their capacity to reduce the rhythm of relapses. Copyright © 2017 Elsevier España, S.L.U. and Sociedad Española de Otorrinolaringología y Cirugía de Cabeza y Cuello. All rights reserved.

Azathioprine reduces the risk of audiometric relapse in immune-mediated hearing loss.

Science.gov (United States)

Mata-Castro, Nieves; Gavilanes-Plasencia, Javier; Ramírez-Camacho, Rafael; García-Fernández, Alfredo; García-Berrocal, José Ramón

2018-03-01

Current schemes for treatment of immune-mediated hearing loss with sporadic short-course, low-dose corticosteroids, are insufficient. To determine the role of azathioprine in the control of auditory impairment, a longitudinal, observational, descriptive study was performed with 20 patients treated with azathioprine (1.5-2.5mg/kg/day into two doses) for 1year. The loss of 10dB on two consecutive frequencies or 15dB on an isolated frequency was considered as relapse. The mean age of the patients was 52.50years (95%CI: 46.91-58.17), half were women. Bilateral affectation was 65%. 75% had organ specific disease and 25% had systemic autoimmune disease. The difference between baseline PTA (46.49dB; DS18.90) and PTA at 12months (45.47dB; DS18.88) did not reach statistical significance (P=.799). There was a moderate positive correlation between female sex and the presence of systemic disease (R=.577). By applying Student's t for paired data, a significant difference (P=.042) was obtained between the PTA in frequencies up to 1000 Hz (PTA125-1000Hz). The relative incidence rate of relapse per year was .52 relapses/year (95%CI: .19-1.14]). The median time to audiometric relapse-free was 9.70months (DS1.03). Azathioprine maintains the hearing threshold, decreases the risk of relapse, and slows down the rate at which patients relapse, altering the course of immune-mediated inner ear disease. Copyright © 2018 Sociedad Española de Otorrinolaringología y Cirugía de Cabeza y Cuello. Publicado por Elsevier España, S.L.U. All rights reserved.

Impulsive suicide attempts predict post-treatment relapse in alcohol-dependent patients.

Science.gov (United States)

Wojnar, Marcin; Ilgen, Mark A; Jakubczyk, Andrzej; Wnorowska, Anna; Klimkiewicz, Anna; Brower, Kirk J

2008-10-01

The present study was designed to examine the influence of suicidality on relapse in alcohol-dependent patients. Specifically, a lifetime suicide attempt at baseline was used to predict relapse in the year after treatment. Also, the unique contribution of impulsive suicide attempts was examined. A total of 154 patients with alcohol dependence, consecutively admitted to four addiction treatment facilities in Warsaw, Poland participated in the study. Of the 154 eligible patients, 118 (76.6%) completed a standardized follow-up assessment at 12 months. Previous suicide attempts were common in adults treated for alcohol dependence with 43% patients in the present sample reporting an attempt at some point during their lifetime. Additionally, more than 62% of those with a lifetime suicide attempt reported making an impulsive attempt. Lifetime suicide attempts were not associated with post-treatment relapse (chi-square=2.37, d.f.=1, p=0.124). However, impulsive suicide attempts strongly predicted relapse (OR=2.81, 95% CI=1.13-6.95, p=0.026) and time to relapse (OR=2.10, 95% CI=1.18-3.74, p=0.012) even after adjusting for other measures of baseline psychopathology, depression, impulsivity, hopelessness and alcohol use severity. This study is the first to document the relationship between pre-treatment impulsive suicide attempts and higher likelihood of post-treatment relapse in alcohol-dependent patents. Clinicians should routinely conduct an assessment for previous suicide attempts in patients with alcohol use disorders, and when impulsive suicidality is reported, they should recognize the increased risk for relapse and formulate their patients' treatment plans accordingly with the goals of reducing both alcoholic relapse and suicide rates.

Fracture mechanics performance of UF6 containers

International Nuclear Information System (INIS)

Gonzalez, M.E.; Iorio, A.F.; Crespi, J.C.

1993-01-01

The main purpose of this work was to determine the fracture mechanics performance of UF 6 transport cylinders type ANSI N14.1.30B, which was made from ASTM A 516 Grade 70 steel. It was assumed an internal surface axial crack subjected to stresses due to service, proof and transport accident loads. The KUMAR-GERMAN-SHIH elastoplastic methodology gave adequate results for crack depth estimation. The results validate the leak-before-break criteria for service and proof conditions but not for accident ones. In the last case a non-destructive examination must be done in order to assure the absence of defects larger than one third of the cylinder wall thickness. (Author)

Carfilzomib, lenalidomide, and dexamethasone for relapsed multiple myeloma.

Science.gov (United States)

Stewart, A Keith; Rajkumar, S Vincent; Dimopoulos, Meletios A; Masszi, Tamás; Špička, Ivan; Oriol, Albert; Hájek, Roman; Rosiñol, Laura; Siegel, David S; Mihaylov, Georgi G; Goranova-Marinova, Vesselina; Rajnics, Péter; Suvorov, Aleksandr; Niesvizky, Ruben; Jakubowiak, Andrzej J; San-Miguel, Jesus F; Ludwig, Heinz; Wang, Michael; Maisnar, Vladimír; Minarik, Jiri; Bensinger, William I; Mateos, Maria-Victoria; Ben-Yehuda, Dina; Kukreti, Vishal; Zojwalla, Naseem; Tonda, Margaret E; Yang, Xinqun; Xing, Biao; Moreau, Philippe; Palumbo, Antonio

2015-01-08

Lenalidomide plus dexamethasone is a reference treatment for relapsed multiple myeloma. The combination of the proteasome inhibitor carfilzomib with lenalidomide and dexamethasone has shown efficacy in a phase 1 and 2 study in relapsed multiple myeloma. We randomly assigned 792 patients with relapsed multiple myeloma to carfilzomib with lenalidomide and dexamethasone (carfilzomib group) or lenalidomide and dexamethasone alone (control group). The primary end point was progression-free survival. Progression-free survival was significantly improved with carfilzomib (median, 26.3 months, vs. 17.6 months in the control group; hazard ratio for progression or death, 0.69; 95% confidence interval [CI], 0.57 to 0.83; P=0.0001). The median overall survival was not reached in either group at the interim analysis. The Kaplan-Meier 24-month overall survival rates were 73.3% and 65.0% in the carfilzomib and control groups, respectively (hazard ratio for death, 0.79; 95% CI, 0.63 to 0.99; P=0.04). The rates of overall response (partial response or better) were 87.1% and 66.7% in the carfilzomib and control groups, respectively (P<0.001; 31.8% and 9.3% of patients in the respective groups had a complete response or better; 14.1% and 4.3% had a stringent complete response). Adverse events of grade 3 or higher were reported in 83.7% and 80.7% of patients in the carfilzomib and control groups, respectively; 15.3% and 17.7% of patients discontinued treatment owing to adverse events. Patients in the carfilzomib group reported superior health-related quality of life. In patients with relapsed multiple myeloma, the addition of carfilzomib to lenalidomide and dexamethasone resulted in significantly improved progression-free survival at the interim analysis and had a favorable risk-benefit profile. (Funded by Onyx Pharmaceuticals; ClinicalTrials.gov number, NCT01080391.).

Combination treatment with risperidone long-acting injection and psychoeducational approaches for preventing relapse in schizophrenia

Directory of Open Access Journals (Sweden)

Zhao Y

2013-10-01

Full Text Available Yueren Zhao,1–3 Taro Kishi,1 Nakao Iwata,1 Manabu Ikeda3,4 1Department of Psychiatry, Fujita Health University School of Medicine, Toyoake, Aichi, Japan; 2Department of Psychiatry, Okehazama Hospital Fujita Kokoro Care Center, Toyoake, Aichi, Japan; 3Department of Neuropsychiatry, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Kumamoto, Japan; 4Department of Neuropsychiatry, Faculty of Life Sciences, Kumamoto University, Kumamoto, Kumamoto, Japan Abstract: A recent meta-analysis showed that long-acting injectable (LAI antipsychotics were not superior to oral antipsychotics for preventing relapse in patients with schizophrenia. We therefore designed a treatment strategy combining risperidone LAI and COMPASS (COMprehensive Psycho-educational Approach and Scheme Set, an original psychoeducational program supporting treatment with risperidone LAI and evaluating subjective treatment satisfaction, transition of symptoms, and effectiveness in preventing symptomatic relapse. The aim of this study was to examine whether addition of COMPASS to risperidone LAI was more effective in preventing relapse in schizophrenia patients than risperidone LAI alone, with the latter group consisting of patients enrolled in a Phase III trial of risperidone LAI in Japan. Patients were followed up for 6 months, with COMPASS continuously implemented from the transition to the observation phase. The primary efficacy measurements were relapse rate (rates of rehospitalization and discontinuation due to inefficacy. Secondary efficacy measurements were the Brief Psychiatric Rating Scale (BPRS and Global Assessment of Functioning (GAF scores. Of the 96 patients originally enrolled, 19 (19.8% were discontinued from all causes. During the 6-month study period, ten of the 96 patients (10.4% relapsed, compared with a 12.2% relapse rate in patients enrolled in a Phase III trial of risperidone LAI in Japan. Patients showed significant improvements in BPRS total

Calculational criticality analyses of 10- and 20-MW UF6 freezer/sublimer vessels

International Nuclear Information System (INIS)

Jordan, W.C.

1993-02-01

Calculational criticality analyses have been performed for 10- and 20-MW UF 6 freezer/sublimer vessels. The freezer/sublimers have been analyzed over a range of conditions that encompass normal operation and abnormal conditions. The effects of HF moderation of the UF 6 in each vessel have been considered for uranium enriched between 2 and 5 wt % 235 U. The results indicate that the nuclearly safe enrichments originally established for the operation of a 10-MW freezer/sublimer, based on a hydrogen-to-uranium moderation ratio of 0.33, are acceptable. If strict moderation control can be demonstrated for hydrogen-to-uranium moderation ratios that are less than 0.33, then the enrichment limits for the 10-MW freezer/sublimer may be increased slightly. The calculations performed also allow safe enrichment limits to be established for a 20-NM freezer/sublimer under moderation control

Sequential treatment with fluoxetine and relapse--prevention CBT to improve outcomes in pediatric depression.

Science.gov (United States)

Kennard, Betsy D; Emslie, Graham J; Mayes, Taryn L; Nakonezny, Paul A; Jones, Jessica M; Foxwell, Aleksandra A; King, Jessica

2014-10-01

The authors evaluated a sequential treatment strategy of fluoxetine and relapse-prevention cognitive-behavioral therapy (CBT) to determine effects on remission and relapse in youths with major depressive disorder. Youths 8-17 years of age with major depression were treated openly with fluoxetine for 6 weeks. Those with an adequate response (defined as a reduction of 50% or more on the Children's Depression Rating Scale-Revised [CDRS-R]) were randomly assigned to receive continued medication management alone or continued medication management plus CBT for an additional 6 months. The CBT was modified to address residual symptoms and was supplemented by well-being therapy. Primary outcome measures were time to remission (with remission defined as a CDRS-R score of 28 or less) and rate of relapse (with relapse defined as either a CDRS-R score of 40 or more with a history of 2 weeks of symptom worsening, or clinical deterioration). Of the 200 participants enrolled in acute-phase treatment, 144 were assigned to continuation treatment with medication management alone (N=69) or medication management plus CBT (N=75). During the 30-week continuation treatment period, time to remission did not differ significantly between treatment groups (hazard ratio=1.26, 95% CI=0.87, 1.82). However, the medication management plus CBT group had a significantly lower risk of relapse than the medication management only group (hazard ratio=0.31, 95% CI=0.13, 0.75). The estimated probability of relapse by week 30 was lower with medication management plus CBT than with medication management only (9% compared with 26.5%). Continuation-phase relapse-prevention CBT was effective in reducing the risk of relapse but not in accelerating time to remission in children and adolescents with major depressive disorder.

Daily rhythms in renal blood flow and urine production rate in the near-term sheep fetus

NARCIS (Netherlands)

Poortinga, FMI; Aarnoudse, JG

Daily rhythmicity of renal blood flow (RBF) and urine flow (UF) was studied in fetal sheep between 121-125 d of gestation. Fetal arterial blood pressure, heart rate, UF, and right RBF were measured continuously for 24-h periods in 10 sheep, Rhythmic variations during a 24-h period were found for all

Relapse risk assessment of transplantation for patients with chronic myeloid leukaemia

Institute of Scientific and Technical Information of China (English)

无

2003-01-01

Objective To analyse the risk factors of relapse before bone marrow transplantation (BMT) and to present the prognostic information as good as possible.Methods A total of 3142 patients, who underwent the allogeneic blood or bone marrow tran splantation between 1989 and 1997 and were documented in the European Group for Blood and Marrow transplantation (EBMT), were included. Six possible risk factors including type of donor, stage of disease, age, gender, donor@#-recipient sex co mbination and the waiting time from diagnosis to transplation of relapse were co nsidered. The time to relapse was analysed by Kaplan-Meier curves and Coxregre ssion with stratification on prognostic factors that did not satisfy the Proport ional Hazard Assumption.Results An amount of 447 patients relapsed out of all 3142 patients. The relapse rate was 14.2%. Type of donor and stage of disease showed a clear prognostic effect, but failed the proportional hazard assumption. Therefore, the data were stratified on the combination of type of donor and stage of disease. Within these strata a n additional significant effect of age could be observed. Relative risk of age ≥40 vs age <40 was 1.32 (95% confidence interval 1.09-1.59). The prognostic model is summarized graphically.Conclusions The combination of type of donor, stage of disease and age of recipient at transplantation are important prognostic factors for relapse after BMT.

Site of relapse after chemotherapy alone for stage I and II Hodgkin's disease

International Nuclear Information System (INIS)

Shahidi, Mehdi; Kamangari, Nahid; Ashley, Sue; Cunningham, David; Horwich, Alan

2006-01-01

Background: Short course chemotherapy followed by radiotherapy is a standard treatment for early Hodgkin's disease. There is yet no consensus regarding the appropriate radiotherapy portal following chemotherapy. A good guide to the adjuvant radiotherapy field is the site of relapse in patients treated with chemotherapy alone. Patients and methods: From 1980 to 1996, 61 patients with stage I and II supradiaphragmatic Hodgkin's disease were treated with chemotherapy alone at the Royal Marsden Hospital. We undertook a retrospective review and failure analysis to define the pattern of recurrence. Results: After a median follow-up of 6.5 years, 24 patients had relapsed giving a 5-year relapse rate of 40%. The 5 and 10-year actuarial survival rates were 94 and 89%, respectively with cause-sepecific survival being 94% at 5 and 10 years. Two-thirds of the relapses were nodal and supradiaphragmatic. Twenty patients (83%) relapsed in the initially involved sites of disease and this was the sole site of recurrence in 11 (45%) of patients. In retrospect, it appeared that at least 12 recurrences could have been prevented by involved field radiotherapy. Review of detailed imaging data (available in 9 out of 11 patients with recurrences in initial sites of disease) showed that the relapses were always in the initially involved nodes. Conclusion: After chemotherapy alone in early stage HD most initial recurrences are nodal. Loco-regional recurrences are in the originally involved nodes. Based on limited data it appears that involved nodal RT is equivalent to involved field radiotherapy and may halve the risk of recurrence

Quality assurance in the transport of UF{sub 6}

Energy Technology Data Exchange (ETDEWEB)

Ravenscroft, N.L. [Edlow International Company, Washington, DC (United States)

1991-12-31

Edlow International`s primary business is the international transportation of radioactive materials. Therefore, Edlow has the responsibility to ensure that shipments are performed in compliance with regulatory requirements. In this regard, Edlow maintains a Quality Assurance (QA) Program. A major part of this Program is the establishment and use of QA Procedures. This paper addresses QA procedural requirements and how they are applied to a routine international shipment of low enriched UF{sub 6}. Only the major requirements for scheduling shipments will be addressed.

Relapses from acute malnutrition and related factors in a community-based management programme in Burkina Faso.

Science.gov (United States)

Somassè, Yassinmè Elysée; Dramaix, Michèle; Bahwere, Paluku; Donnen, Philippe

2016-10-01

Community-based management of acute malnutrition (CMAM) is effective in treating acute malnutrition. However, post-discharge follow-up often lacks. We aimed at assessing the relapse rate and the associated factors in a CMAM programme in Burkina Faso. Discharged children from the community nutrition centre were requested to return at least every 3 months for follow-up. The data of recovered children (weight-for-height z-score ≥-2) who were discharged between July 2010 and June 2011 were collected in 45 villages, randomly selected out of 210 in January 2012. Sociodemographic data, economic variables, information on household food availability and the child's food consumption in the last 24 h were collected from the parents. A multivariate Cox proportional hazards regression was used to identify the factors associated to relapse. Of the 637 children, 14 (2.2%) died and 218 (34.2%) were lost to follow-up. The relapse rate [95% confidence interval] among the children who returned for follow-up was 15.4 [11.8-19.0] per 100 children-years. The associated factors to relapses in multivariate Cox regression model were mid-upper arm circumference (MUAC) at discharge below 125 mm, no oil/fat consumption during the last 24 h and incomplete vaccination. To limit relapses, CMAM programmes should avoid premature discharge before a MUAC of at least 125 mm. Nutrition education should emphasize fat/oil as inexpensive energy source for children. Promoting immunization is essential to promote child growth. Periodic monitoring of discharged children should be organized to detect earlier those who are at risk of relapse. The relapse rate should be a CMAM effectiveness indicator. © 2015 John Wiley & Sons Ltd.

Release of UF6 from a ruptured model 48Y cylinder at Sequoyah Fuels Corporation Facility: lessons-learned report

International Nuclear Information System (INIS)

1986-08-01

The uranium hexafluoride (UF 6 ) release of January 4, 1986, at the Sequoyah Fuels Corporation facility has been reviewed by a NRC Lessons-Learned Group. A Model 48Y cylinder containing UF 6 ruptured upon being heated after it was grossly overfilled. The UF 6 released upon rupture of the cylinder reacted with airborne moisture to produce hydrofluoric acid (HF) and uranyl fluoride (UO 2 F 2 ). One individual died from exposure to airborne HF and several others were injured. There were no significant immediate effects from exposure to uranyl fluoride. This supplement report contains NRC's response to the recommendations made in NUREG-1198 by the Lessons Learned Group. In developing a response to each of the recommendations, the staff considered actions that should be taken: (1) for the restart of the Sequoyah Fuels Facility; (2) to make near-term improvement; and (3) to improve the regulatory framework

Rupture of Model 48Y UF6 cylinder and release of uranium hexafluoride, Sequoyah Fuels Facility, Gore, Oklahoma, January 4, 1986. Volume 1

International Nuclear Information System (INIS)

1986-02-01

At 11:30 a.m. on January 4, 1986, a Model 48Y UF 6 cylinder filled with uranium hexafluoride (UF 6 ) ruptured while it was being heated in a steam chest at the Sequoyah Fuels Conversion Facility near Gore, Oklahoma. One worker died because he inhaled hydrogen fluoride fumes, a reaction product of UF 6 and airborne moisture. Several other workers were injured by the fumes, but none seriously. Much of the facility complex and some offsite areas to the south were contaminated with hydrogen fluoride and a second reaction product, uranyl fluoride. The interval of release was approximately 40 minutes. The cylinder, which had been overfilled, ruptured while it was being heated because of the expansion of UF 6 as it changed from the solid to the liquid phase. The maximum safe capacity for the cylinder is 27,560 pounds of product. Evidence indicates that it was filled with an amount exceeding this limit. 18 figs

Thermodynamic properties of a high pressure subcritical UF6He gas volume (irradiated by an external source)

International Nuclear Information System (INIS)

Sterritt, D.E.; Lalos, G.T.; Schneider, R.T.

1976-12-01

A computer simulation study concerning a compressed fissioning UF 6 gas is presented. The compression is to be achieved by a ballistic piston compressor. Data on UF 6 obtained with this compressor were incorporated in the simulation study. As a neutron source to create the fission events in the compressed gas, a fast burst reactor was considered. The conclusion is that it takes a neutron flux in excess of 10 15 n/cm 2 -s to produce measurable increases in pressure and temperature, while a flux in excess of 10 19 n/cm 2 -s would probably damage the compressor

Isolation of Trypanosoma brucei gambiense from cured and relapsed sleeping sickness patients and adaptation to laboratory mice.

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Patient Pati Pyana

Full Text Available BACKGROUND: Sleeping sickness due to Trypanosoma brucei (T.b. gambiense is still a major public health problem in some central African countries. Historically, relapse rates around 5% have been observed for treatment with melarsoprol, widely used to treat second stage patients. Later, relapse rates of up to 50% have been recorded in some isolated foci in Angola, Sudan, Uganda and Democratic Republic of the Congo (DRC. Previous investigations are not conclusive on whether decreased sensitivity to melarsoprol is responsible for these high relapse rates. Therefore we aimed to establish a parasite collection isolated from cured as well as from relapsed patients for downstream comparative drug sensitivity profiling. A major constraint for this type of investigation is that T.b. gambiense is particularly difficult to isolate and adapt to classical laboratory rodents. METHODOLOGY/PRINCIPAL FINDINGS: From 360 patients treated in Dipumba hospital, Mbuji-Mayi, D.R. Congo, blood and cerebrospinal fluid (CSF was collected before treatment. From patients relapsing during the 24 months follow-up, the same specimens were collected. Specimens with confirmed parasite presence were frozen in liquid nitrogen in a mixture of Triladyl, egg yolk and phosphate buffered glucose solution. Isolation was achieved by inoculation of the cryopreserved specimens in Grammomys surdaster, Mastomys natalensis and SCID mice. Thus, 85 strains were isolated from blood and CSF of 55 patients. Isolation success was highest in Grammomys surdaster. Forty strains were adapted to mice. From 12 patients, matched strains were isolated before treatment and after relapse. All strains belong to T.b. gambiense type I. CONCLUSIONS AND SIGNIFICANCE: We established a unique collection of T.b. gambiense from cured and relapsed patients, isolated in the same disease focus and within a limited period. This collection is available for genotypic and phenotypic characterisation to investigate the

The Effect of a Condylar Repositioning Plate on Condylar Position and Relapse in Two-Jaw Surgery

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Gyu Sik Jung

2017-01-01

Full Text Available BackgroundNumerous condylar repositioning methods have been reported. However, most of them are 2-dimensional or are complex procedures that require a longer operation time and a highly trained surgeon. This study aims to introduce a new technique using a condylar repositioning plate and a centric relation splint to achieve a centric relationship.MethodsWe evaluated 387 patients who had undergone surgery for skeletal jaw deformities. During the operation, a centric relation splint, intermediate splint, final centric occlusion splint, and condylar repositioning plate along with an L-type mini-plate for LeFort I osteotomy or a bicortical screw for bilateral sagittal split ramus osteotomy were utilized for rigid fixation. The evaluation included: a physical examination to detect preoperative and postoperative temporomandibular joint dysfunction, 3-dimensional computed tomography and oblique transcranial temporomandibular joint radiography to measure 3-dimensional condylar head movement, and posteroanterior and lateral cephalometric radiography to measure the preoperative and postoperative movement of the bony segment and relapse rate.ResultsA 0.3% relapse rate was observed in the coronal plane, and a 2.8% relapse rate in the sagittal plane, which is indistinguishable from the dental relapse rate in orthodontic treatment. The condylar repositioning plate could not fully prevent movement of the condylar head, but the relapse rate was minimal, implying that the movement of the condylar head was within tolerable limits.ConclusionsOur condylar repositioning method using a centric relation splint and mini-plate in orthognathic surgery was found to be simple and effective for patients suffering from skeletal jaw deformities.

Relapse prevention and smoking cessation.

Science.gov (United States)

Davis, J R; Glaros, A G

1986-01-01

A multicomponent smoking relapse prevention treatment based on Marlatt and Gordon's (1980) model of the relapse process was developed and evaluated. Behavior-analytic methods were used to develop assessment instruments, training situations, and coping responses. The prevention components were presented in the context of a basic broad-spectrum stop-smoking program, and were compared with the basic program plus discussion control, and the basic program alone. Smoking-related dependent variables generally did not differ between groups at any time from pre-treatment to 12 month follow-up. Only the subjects in the relapse prevention condition improved problem-solving and social skills needed to cope with high-risk situations. These subjects also tended to take longer to relapse and smoke fewer cigarettes at the time of relapse. Subjects above the median level of competence on measures of social skill at post-treatment remained abstinent significantly longer. Maintenance of non-smoking was found to be related to the degree of competence with which individuals deal with high-risk situations. Results are discussed in relation to models of compliance with therapeutic regimens.

Life-event stress induced by the Great East Japan Earthquake was associated with relapse in ulcerative colitis but not Crohn's disease: a retrospective cohort study

Science.gov (United States)

Shiga, Hisashi; Miyazawa, Teruko; Kinouchi, Yoshitaka; Takahashi, Seiichi; Tominaga, Gen; Takahashi, Hiroki; Takagi, Sho; Obana, Nobuya; Kikuchi, Tatsuya; Oomori, Shinya; Nomura, Eiki; Shiraki, Manabu; Sato, Yuichirou; Takahashi, Shuichiro; Umemura, Ken; Yokoyama, Hiroshi; Endo, Katsuya; Kakuta, Yoichi; Aizawa, Hiroki; Matsuura, Masaki; Kimura, Tomoya; Kuroha, Masatake; Shimosegawa, Tooru

2013-01-01

Objective Stress is thought to be one of the triggers of relapses in patients with inflammatory bowel disease (IBD). We examined the rate of relapse in IBD patients before and after the Great East Japan Earthquake. Design A retrospective cohort study. Settings 13 hospitals in Japan. Participants 546 ulcerative colitis (UC) and 357 Crohn's disease (CD) patients who received outpatient and inpatient care at 13 hospitals located in the area that were seriously damaged by the earthquake. Data on patient's clinical characteristics, disease activity and deleterious effects of the earthquake were obtained from questionnaires and hospital records. Primary outcome We evaluated the relapse rate (from inactive to active) across two consecutive months before and two consecutive months after the earthquake. In this study, we defined ‘active’ as conditions with a partial Mayo score=2 or more (UC) or a Harvey-Bradshaw index=6 or more (CD). Results Among the UC patients, disease was active in 167 patients and inactive in 379 patients before the earthquake. After the earthquake, the activity scores increased significantly (p<0.0001). A total of 86 patients relapsed (relapse rate=15.8%). The relapse rate was about twice that of the corresponding period in the previous year. Among the CD patients, 86 patients had active disease and 271 had inactive disease before the earthquake. After the earthquake, the activity indices changed little. A total of 25 patients experienced a relapse (relapse rate=7%). The relapse rate did not differ from that of the corresponding period in the previous year. Multivariate analyses revealed that UC, changes in dietary oral intake and anxiety about family finances were associated with the relapse. Conclusions Life-event stress induced by the Great East Japan Earthquake was associated with relapse in UC but not CD. PMID:23396562

Hydraulic breakage of tanks for the transport of uranium hexafluoride (UF6)

International Nuclear Information System (INIS)

Biaggio, A.L.; Lee Gonzales, H.M.; Lopez Vietri, J.R.; Novo, R.G.

1987-01-01

To begin with, the tank models that are proposed by the international norms for the transport and storage of hexafluoride of uranium (UF 6 ) are briefly described. The operations related to the transport in its different forms are also described, particularly those that can produce the hydraulic breakage of tanks during its course or in later stages, when incorrectly performed. With reference to those operations, the most important physicochemical properties of UF 6 as for safety are analyzed. A quantitative evaluation of the deviations of parameters that are controlled during the heating of tanks, comparing them with the normative nominal values, is performed. Adopting some simplifying hypothesis, a general study, applicable to all tank models proposed by norms, is carried out to determine the temperature at which the hydraulic breakage takes place when they are heated in closed-valve conditions. A curve is obtained by plotting the hydraulic breakage temperature against the filling degree. To conclude, the values obtained are compared with the results of other theoretical studies on this subject. (Author)

Evaluation of a RF-Based Approach for Tracking UF6 Cylinders at a Uranium Enrichment Plant

International Nuclear Information System (INIS)

Pickett, Chris A; Younkin, James R; Kovacic, Donald N; Laughter, Mark D; Hines, Jairus B; Boyer, Brian Martinez

2008-01-01

Approved industry-standard cylinders are used globally to handle and store uranium hexafluoride (UF 6 ) feed, product, tails, and samples at uranium enrichment plants. The International Atomic Energy Agency (IAEA) relies on time-consuming physical inspections to verify operator declarations and detect possible diversion of UF 6 . Development of a reliable, automated, and tamper-resistant system for near real-time tracking and monitoring UF 6 cylinders (as they move within an enrichment facility) would greatly improve the inspector function. This type of system can reduce the risk of false or misreported cylinder tare weights, diversion of nuclear material, concealment of excess production, utilization of undeclared cylinders, and misrepresentation of the cylinders contents. This paper will describe a proof-of-concept approach that was designed to evaluate the feasibility of using radio frequency (RF)-based technologies to track individual UF 6 cylinders throughout a portion of their life cycle, and thus demonstrate the potential for improved domestic accountability of materials, and a more effective and efficient method for application of site-level IAEA safeguards. The evaluation system incorporates RF-based identification devices (RFID) which provide a foundation for establishing a reliable, automated, and near real-time tracking system that can be set up to utilize site-specific, rules-based detection algorithms. This paper will report results from a proof-of-concept demonstration at a real enrichment facility that is specifically designed to evaluate both the feasibility of using RF to track cylinders and the durability of the RF equipment to survive the rigors of operational processing and handling. The paper also discusses methods for securely attaching RF devices and describes how the technology can effectively be layered with other safeguard systems and approaches to build a robust system for detecting cylinder diversion. Additionally, concepts for off

Emergency preparedness and response in case of a fire accident with (UF{sub 6}) packages tracking Suez Canal

Energy Technology Data Exchange (ETDEWEB)

Salama, M. [National Center for Nuclear Safety and Radiation Control (NCNSRC), Nasr City, Cairo (Egypt)

2004-07-01

Egypt has a unique problem - the Suez Canal. Radioactive cargo passing regularly through the canal carrying new and spent reactor fuel. Moreover there are also about 1000 metric tons of uranium hexaflouride (UF6) passing through the canal every year. In spite of all precautions taken in the transportation, accidents with packages containing (UF{sub 6}) and shipped through the Suez Canal, accidents may arise even though the probability is minimal. These accidents, may be accompanied by injuries or death of persons and damage to property. Due to the radiation and criticality hazards of (UF{sub 6}) and its high risk of chemical toxicity. The probability of a fire accident with a cargo carrying (UF{sub 6}) during its crossing the Suez Canal can cause serious chemical toxic and radiological hazards, particularly if the accident occurred close or near to one of the three densely populated cities (Port-Said, Ismailia, and Suez), which are located along the Suez Canal, west bank. The government of Egypt has elaborated a national radiological emergency plan inorder to face probable radiological accidents, which may be arised inside the country. Arrangements have been also elaborated for the medical care of any persons who, might be injured or contaminated, or who, have been exposed to severe radiation doses. The motivation of the present paper was undertaken to visualize a fire accident scenario occurring in industrial packages containing UF6 on board of a Cargo crossing the Suez Canal near Port-Said City. The accident scenario and emergency response actions taken during the different phases of the accident are going to be presented and discussed. The proposed emergency response actions taken to face the accident are going to be also presented. The work presented had revealed the importance of public awareness will be needed for populations located in densely populated areas along Suez Canal bank inorder to react timely and effectively to avoid the toxic and radiological

The rates and mechanisms of water exchange of actinide aqua ions: A variable temperature 17O NMR study of U(H2O)104+, UF(H2O)93+, and Th(H2O)104+

International Nuclear Information System (INIS)

Farkas, I.; Grenthe, I.; Banyai, I.

2000-01-01

The rate constants and the activation parameters for the exchange between water solvent and [U(H 2 O) 10 ] 4+ and [UF(H 2 O) 9 ] 3+ , and a lower limit for the rate constant at room temperature for [Th(H 2 O) 10 ] 4+ , were determined by 17 O NMR spectroscopy in the temperature range 255--305 K. The experiments were made at different constant hydrogen ion concentrations, which varied between 0.16 and 0.8 mol kg -1 . The Th(IV) system was investigated using Tb 3+ as a shift reagent. The following kinetic parameters at 25 C were obtained: k ex = (5.4 ± 0.6) 10 6 x -1 , ΔH double dagger = 34 ± 3 kJ mol -1 , ΔS ++ = -16 ± 10 J mol -1 K -1 for U 4+ (aq), k ex = (5.5 ± 0.7) 10 6 x -1 , ΔH d ouble dagger = 34 ± 3 kJ mol -1 , ΔS ++ = 3 ± 15 J mol -1 K -1 for UF 3+ (Iaq), and k ex > 5 10 7 s -1 for Th 4+ (aq), where the uncertainty is given at the 2σ-level. This is the first experimental information on the kinetic parameters for the exchange of water for any M 4+ ion. There is no information on the rates and mechanisms of ligand substitutions involving other mono-dentate ligands, hence the mechanistic interpretation of the data is by necessity provisional. The kinetic data and the known ground-state geometry with a coordination number of 10 ± 1 for the Th(IV) and U(IV) complexes suggest a dissociatively activated interchange mechanism. There is no noticeable effect of coordination of one fluoride or one hydroxide to U(IV) on the water exchange rate. This is unusual, for other metal ions there is a strong labilizing of coordinated water when a second ligand is bonded, e.g., in complexes of aluminum and some d-transition elements. In previous studies of the rates and mechanisms of ligand exchange in uranium (VI) systems the authors found a strong decrease in the lability of coordinated water in some fluoride containing complexes

Second hematopoietic SCT for leukemia relapsing after myeloablative T cell-depleted transplants does not prolong survival.

Science.gov (United States)

McIver, Z A; Yin, F; Hughes, T; Battiwalla, M; Ito, S; Koklanaris, E; Haggerty, J; Hensel, N F; Barrett, A John

2013-09-01

Patients with leukemia relapsing after allogeneic hematopoietic SCT have a dismal prognosis. A second SCT offers a further opportunity for cure, but has a high rate of treatment failure. To determine the utility of this option, we analyzed 59 consecutive patients relapsing after a myeloablative HLA-matched sibling T cell-depleted (TCD) SCT. Twenty-five patients (13 relapsing within 6 months and 12 relapsing between 6 and 170 months after the first SCT) received a T-replete second SCT. Thirty-eight patients relapsing early had a shorter survival than the 21 patients relapsing later (median 96 vs 298 days, P=0.0002). In patients relapsing early, the second SCT did not improve OS compared with patients receiving non-SCT treatments (median survival 109 vs 80 days, P=0.41). In patients relapsing late, despite an early trend in favor of second SCT, survival was comparable for patients receiving a second SCT compared with non retransplanted patients (median survival 363.5 vs 162 days, P=0.49). Disappointingly, our results do not demonstrate an important survival benefit for a second T-replete allogeneic SCT to treat relapse following a TCD SCT.

Relapsing polychondritis: commentary

Directory of Open Access Journals (Sweden)

R.D. Altman

2011-09-01

Full Text Available Relapsing Polychondritis (RP is a multisystem disease of unknown etiology characterized by episodic inflammation of cartilage and potentially progressive degeneration of cartilaginous tissue, such as auricular, nasal and laryngotracheobronchial cartilage. However, many other proteoglycan- rich structures may be involved, such as inner ear, eyes, blood vessels, heart and kidneys (1- 4. RP was first described by Jacksh-Wartenhorst in 1923, who named it “polychondropathia” (5. Pearson et al. (6 introduced the term “relapsing polychondritis” in 1960...

Fate of antibiotics in activated sludge followed by ultrafiltration (CAS-UF) and in a membrane bioreactor (MBR).

Science.gov (United States)

Sahar, Eyal; Messalem, Rami; Cikurel, Haim; Aharoni, Avi; Brenner, Asher; Godehardt, Manuel; Jekel, Martin; Ernst, Mathias

2011-10-15

The fates of several macrolide, sulphonamide, and trimethoprim antibiotics contained in the raw sewage of the Tel-Aviv wastewater treatment plant (WWTP) were investigated after the sewage was treated using either a full-scale conventional activated sludge (CAS) system coupled with a subsequent ultrafiltration (UF) step or a pilot membrane bioreactor (MBR) system. Antibiotics removal in the MBR system, once it achieved stable operation, was 15-42% higher than that of the CAS system. This advantage was reduced to a maximum of 20% when a UF was added to the CAS. It was hypothesized that the contribution of membrane separation (in both systems) to antibiotics removal was due either to sorption to biomass (rather than improvement in biodegradation) or to enmeshment in the membrane biofilm (since UF membrane pores are significantly larger than the contaminant molecules). Batch experiments with MBR biomass showed a markedly high potential for sorption of the tested antibiotics onto the biomass. Moreover, methanol extraction of MBR biomass released significant amounts of sorbed antibiotics. This finding implies that more attention must be devoted to the management of excess sludge. Copyright © 2011 Elsevier Ltd. All rights reserved.

A probabilistic safety analysis of UF{sub 6} handling at the Portsmouth Gaseous Diffusion Plant

Energy Technology Data Exchange (ETDEWEB)

Boyd, G.J.; Lewis, S.R.; Summitt, R.L. [Safety and Reliability Optimization Services (SAROS), Inc., Knoxville, TN (United States)

1991-12-31

A probabilistic safety study of UF{sub 6} handling activities at the Portsmouth Gaseous Diffusion Plant has recently been completed. The analysis provides a unique perspective on the safety of UF{sub 6} handling activities. The estimated release frequencies provide an understanding of current risks, and the examination of individual contributors yields a ranking of important plant features and operations. Aside from the probabilistic results, however, there is an even more important benefit derived from a systematic modeling of all operations. The integrated approach employed in the analysis allows the interrelationships among the equipment and the required operations to be explored in depth. This paper summarizes the methods used in the study and provides an overview of some of the technical insights that were obtained. Specific areas of possible improvement in operations are described.

Estimated medical cost reductions for paliperidone palmitate vs placebo in a randomized, double-blind relapse-prevention trial of patients with schizoaffective disorder.

Science.gov (United States)

Joshi, K; Lin, J; Lingohr-Smith, M; Fu, D J

2015-01-01

The objective of this economic model was to estimate the difference in medical costs among patients treated with paliperidone palmitate once-monthly injectable antipsychotic (PP1M) vs placebo, based on clinical event rates reported in the 15-month randomized, double-blind, placebo-controlled, parallel-group study of paliperidone palmitate evaluating time to relapse in subjects with schizoaffective disorder. Rates of psychotic, depressive, and/or manic relapses and serious and non-serious treatment-emergent adverse events (TEAEs) were obtained from the long-term paliperidone palmitate vs placebo relapse prevention study. The total annual medical cost for a relapse from a US payer perspective was obtained from published literature and the costs for serious and non-serious TEAEs were based on Common Procedure Terminology codes. Total annual medical cost differences for patients treated with PP1M vs placebo were then estimated. Additionally, one-way and Monte Carlo sensitivity analyses were conducted. Lower rates of relapse (-18.3%) and serious TEAEs (-3.9%) were associated with use of PP1M vs placebo as reported in the long-term paliperidone palmitate vs placebo relapse prevention study. As a result of the reduction in these clinical event rates, the total annual medical cost was reduced by $7140 per patient treated with PP1M vs placebo. One-way sensitivity analysis showed that variations in relapse rates had the greatest impact on the estimated medical cost differences (range: -$9786, -$4670). Of the 10,000 random cycles of Monte Carlo simulations, 100% showed a medical cost difference schizoaffective disorder was associated with a significantly lower rate of relapse and a reduction in medical costs compared to placebo. Further evaluation in the real-world setting is warranted.

Cost effectiveness and budget impact of natalizumab in patients with relapsing multiple sclerosis.

Science.gov (United States)

Chiao, Evelyn; Meyer, Kellie

2009-06-01

Disease-modifying therapy (DMT) is the largest single-cost item that contributes to the total per-patient cost of multiple sclerosis (MS), a disabling disorder of the central nervous system. Natalizumab is the most recent DMT to be approved for the treatment of relapsing MS and may be an attractive alternative to interferon beta and glatiramer acetate (GA). To determine from the perspective of a United States payer (1) the incremental cost effectiveness of natalizumab compared with other DMTs and (2) the budgetary impact of utilization of natalizumab for the treatment of relapsing MS. A combined cost effectiveness and budget impact model was developed. Model inputs were drug acquisition costs (wholesale acquisition cost), costs of drug administration and monitoring, costs of treating relapses, anticipated reduction in relapse rates after 2 years of therapy, and estimated market utilization of natalizumab. Outcomes included total 2-year costs of therapy per patient, costs per relapse avoided for each treatment, and overall 2-year costs to the health plan and per member per month (PMPM) costs. Drug acquisition costs are in 2008 US dollars, and all other costs were inflated to 2008 US dollars when necessary. Univariate sensitivity analyses were performed to determine the model inputs with the greatest influence on the cost per relapse avoided for natalizumab. The overall 2-year cost of therapy per patient was $72,120 for natalizumab, $56,790 for intramuscular (IM) interferon beta-1a (IFNbeta-1a), $56,773 for IFNbeta-1b, $57,180 for GA, and $58,538 for subcutaneous (SC) IFNbeta-1a. The cost per relapse avoided was lowest for natalizumab at $56,594, followed by $87,791 for IFNbeta-1b, $93,306 for IM IFNbeta-1a, $96,178 for SC IFNbeta-1a, and $103,665 for GA. The incremental cost-effectiveness ratios of natalizumab relative to IM IFNbeta-1a, IFNbeta-1b, GA, and SC IFNbeta-1a were $23,029, $24,452, $20,671, and $20,403 per additional relapse avoided, respectively. An

Cortico-amygdala coupling as a marker of early relapse risk in cocaine-addicted individuals

Directory of Open Access Journals (Sweden)

Meredith J Mchugh

2014-02-01

Full Text Available Addiction to cocaine is a chronic condition characterized by high rates of early relapse. This study builds on efforts to identify neural markers of relapse risk by studying resting state functional connectivity (rsFC in neural circuits arising from the amygdala; a brain region implicated in relapse-related processes including craving and reactivity to stress following acute and protracted withdrawal from cocaine. Whole-brain resting-state fMRI connectivity (6 min was assessed in 45 cocaine-addicted individuals and 22 healthy controls. Cocaine-addicted individuals completed scans in the final week of a residential treatment episode. To approximate preclinical models of relapse-related circuitry separate seeds were derived for the left and right basolateral (BLA and corticomedial (CMA amygdala. Participants also completed the Iowa Gambling Task, Wisconsin Card Sorting Test, Cocaine Craving Questionnaire, Obsessive Compulsive Cocaine Use scale, Temperament and Character Inventory and the NEO-PI-R. Relapse within the first 30 days post-treatment (n = 24 was associated with reduced rsFC between the left CMA and ventromedial prefrontal cortex/rostral anterior cingulate cortex (vmPFC/rACC relative to cocaine-addicted individuals who remained abstinent (non-relapse, n = 21. Non-relapse participants evidenced reduced rsFC between the bilateral BLA and visual processing regions (lingual gyrus/cuneus compared to controls and relapsed participants. Early relapse was associated with fewer years of education but unrelated to trait reactivity to stress, neurocognitive and clinical characteristics or cocaine use history. Findings suggest that rsFC within neural circuits implicated in preclinical models of relapse may provide a promising marker of relapse risk in cocaine-addicted individuals. Future efforts to replicate the current findings and alter connectivity within these circuits may yield novel interventions and improve treatment outcomes.

LX-17 and ufTATB Data for Corner-Turning, Failure and Detonation

Energy Technology Data Exchange (ETDEWEB)

Souers, P C; Lauderbach, L; Garza, R; Vitello, P; Hare, D E

2010-02-03

Data is presented for the size (diameter) effect for ambient and cold confined LX-17, unconfined ambient LX-17, and confined ambient ultrafine TATB. Ambient, cold and hot double cylinder corner-turning data for LX-17, PBX 9502 and ufTATB is presented. Transverse air gap crossing in ambient LX-17 is studied with time delays given for detonations that cross.

Alcohol consumption and symptoms as predictors for relapse of DSM-5 alcohol use disorder.

Science.gov (United States)

Tuithof, Marlous; ten Have, Margreet; van den Brink, Wim; Vollebergh, Wilma; de Graaf, Ron

2014-07-01

Alcohol consumption levels and alcohol use disorder (AUD) symptoms may serve as easily quantifiable markers for AUD relapse after remission and might help prevention workers identify at-risk individuals. We investigated the predictive value of alcohol consumption and AUD symptoms on relapse. Data are from the Netherlands Mental Health Survey and Incidence Study-2 (NEMESIS-2). We selected 506 people in ≥12-month DSM-5 AUD remission at baseline and assessed their status at 3-year follow-up. AUD symptoms and drinking patterns were assessed using the Composite International Diagnostic Interview 3.0. Time since remission was assessed retrospectively at baseline and ranged from 1 to 48 years. Predictors for relapse were examined using Cox regression analysis. Cumulative AUD relapse rate was 5.6% at 5 years, 9.1% at 10 years and 12.0% at 20 years. Relapse was predicted by both medium (15-28/22-42 drinks weekly for women/men) and high (≥29/43) past alcohol intake, 6+ lifetime AUD symptoms, 'impaired control over use', and at-risk (≥8/15) current intake. The risk of relapse was especially high when medium or high past intake or 6+ lifetime symptoms coincided with current at-risk drinking. Only a minority of people in DSM-5 AUD remission relapsed, but the risk of relapse increased substantially with the presence of at least one of the risk factors. Moreover, at-risk current drinking coupled with other risk factors substantially increased the likelihood of relapse. Therefore, current drinking may provide an adequate reference point for relapse prevention. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

Hypnosis for Smoking Relapse Prevention: A Randomized Trial.

Science.gov (United States)

Carmody, Timothy P; Duncan, Carol L; Solkowitz, Sharon N; Huggins, Joy; Simon, Joel A

2017-10-01

The purpose of this study was to determine whether hypnosis would be more effective than standard behavioral counseling in helping smokers to remain abstinent. A total of 140 current smokers were enrolled in a randomized controlled smoking cessation trial at an urban Veterans Affairs medical center. Participants (n = 102) who were able to quit for at least 3 days received either a hypnosis or behavioral relapse prevention intervention. Both relapse prevention interventions consisted of two 60 min face-to-face sessions and four 20 min follow-up phone calls (two phone calls per week). At 26 weeks, the validate\\d point-prevalence quit rate was 35% for the hypnosis group and 42% for the behavioral counseling group (relative risk = 0.85; 95% confidence interval: 0.52-1.40). At 52 weeks, the validated quit rate was 29% for the hypnosis group and 28% for the behavioral group (relative risk  = 1.03; 95% confidence interval: 0.56-1.91). It was concluded that hypnosis warrants further investigation as an intervention for facilitating maintenance of quitting.

Transcranial magnetic stimulation is effective in the treatment of relapse of depression.

Science.gov (United States)

Dannon, P N; Schreiber, S; Dolberg, O T; Shemer, L; Grunhaus, L

2000-01-01

The aim of this preliminary report is to demonstrate the efficacy of rapid transcranial magnetic stimulation (rTMS) in the treatment of relapsed major depressive disorder (MDD) patients. Four patients with major depressive disorder who were successfully treated with rTMS received a second course of rTMS treatment. Patients were evaluated with the Hamilton Depression Rating Scale - 21 items, the Brief Psychiatric Rating Scale, the Global Depression Scale and the Global Assessment Scale in both trials. The statistical analysis was performed with paired t-tests and chi squares. Clinical ratings demonstrated a significant improvement at the end of both trials. No significant differences were found between the ratings at the end of the treatment courses. rTMS was successfully used in the treatment of relapsed MDD patients who had previously responsed to rTMS. ( Int J Psych Clin Pract 2000; 4: 223 - 226).

Study on UF6 condensing receiving system improvement

International Nuclear Information System (INIS)

Zhang Zhenxing; Li Yingfeng; Li Zhenfeng; He Ping; Wang Yanping; Tian Yushan

2012-01-01

In order to improve receiving capacity of UF 6 condensing system, the pressure release mode is changed through modifying gas phase inlet of the first-grade condenser, thus pressure release time is reduced from 13.1 h to 8.1 h. Be- cause of improvement of utility condensers of the two product lines, both the flexibility of feeding nitrogen and the emergency capacity of condensers are improved greatly. And modification of fluid transferring and sampling system make the remains in system transfer flexibly. The practise shows that metal direct recovery rises to the extent, and capacity of the first-grade condensing receiving system improves 8.4%, which strongly guarantees fluorination production safely, continuously and stably run. (authors)

Extramedullary Relapse Following Total Marrow and Lymphoid Irradiation in Patients Undergoing Allogeneic Hematopoietic Cell Transplantation

Energy Technology Data Exchange (ETDEWEB)

Kim, Ji Hyun [Department of Radiation Oncology, City of Hope National Medical Center, Duarte, California (United States); Stein, Anthony [Department of Hematology/Hematopoietic Cell Transplantation, City of Hope National Medical Center, Duarte, California (United States); Tsai, Nicole [Department of Biostatistics, City of Hope National Medical Center, Duarte, California (United States); Schultheiss, Timothy E. [Department of Radiation Oncology, City of Hope National Medical Center, Duarte, California (United States); Palmer, Joycelynne [Department of Biostatistics, City of Hope National Medical Center, Duarte, California (United States); Liu, An [Department of Radiation Oncology, City of Hope National Medical Center, Duarte, California (United States); Rosenthal, Joseph [Department of Hematology/Hematopoietic Cell Transplantation, City of Hope National Medical Center, Duarte, California (United States); Department of Pediatrics, City of Hope National Medical Center, Duarte, California (United States); Forman, Stephen J. [Department of Hematology/Hematopoietic Cell Transplantation, City of Hope National Medical Center, Duarte, California (United States); Wong, Jeffrey Y.C., E-mail: jwong@coh.org [Department of Radiation Oncology, City of Hope National Medical Center, Duarte, California (United States)

2014-05-01

Purpose: Approximately 5% to 20% of patients who undergo total body irradiation (TBI) in preparation for hematopoietic cell transplantation (HCT) can develop extramedullary (EM) relapse. Whereas total marrow and lymphoid irradiation (TMLI) provides a more conformally targeted radiation therapy for patients, organ sparing has the potential to place the patient at a higher risk for EM relapse than TBI. This study evaluated EM relapse in patients treated with TMLI at our institution. Methods and Materials: Patients eligible for analysis had been enrolled in 1 of 3 prospective TMLI trials between 2006 and 2012. The TMLI targeted bones, major lymph node chains, liver, spleen, testes, and brain, using image-guided tomotherapy with total dose ranging from 12 to 15 Gy. Results: A total of 101 patients with a median age of 47 years were studied. The median follow-up was 12.8 months. Incidence of EM relapse and bone marrow (BM) relapse were 12.9% and 25.7%, respectively. Of the 13 patients who had EM relapse, 4 also had BM relapse, and 7 had EM disease prior to HCT. There were a total of 19 EM relapse sites as the site of initial recurrence: 11 soft tissue, 6 lymph node, 2 skin. Nine of these sites were within the target region and received ≥12 Gy. Ten initial EM relapse sites were outside of the target region: 5 sites received 10.1 to 11.4 Gy while 5 sites received <10 Gy. Pretransplantation EM was the only significant predictor of subsequent EM relapse. The cumulative incidence of EM relapse was 4% at 1 year and 11.4% at 2 years. Conclusions: EM relapse incidence was as frequent in regions receiving ≥10 Gy as those receiving <10 Gy. EM relapse rates following TMLI that included HCT regimens were comparable to published results with regimens including TBI and suggest that TMLI is not associated with an increased EM relapse risk.

Extramedullary Relapse Following Total Marrow and Lymphoid Irradiation in Patients Undergoing Allogeneic Hematopoietic Cell Transplantation

International Nuclear Information System (INIS)

Kim, Ji Hyun; Stein, Anthony; Tsai, Nicole; Schultheiss, Timothy E.; Palmer, Joycelynne; Liu, An; Rosenthal, Joseph; Forman, Stephen J.; Wong, Jeffrey Y.C.

2014-01-01

Purpose: Approximately 5% to 20% of patients who undergo total body irradiation (TBI) in preparation for hematopoietic cell transplantation (HCT) can develop extramedullary (EM) relapse. Whereas total marrow and lymphoid irradiation (TMLI) provides a more conformally targeted radiation therapy for patients, organ sparing has the potential to place the patient at a higher risk for EM relapse than TBI. This study evaluated EM relapse in patients treated with TMLI at our institution. Methods and Materials: Patients eligible for analysis had been enrolled in 1 of 3 prospective TMLI trials between 2006 and 2012. The TMLI targeted bones, major lymph node chains, liver, spleen, testes, and brain, using image-guided tomotherapy with total dose ranging from 12 to 15 Gy. Results: A total of 101 patients with a median age of 47 years were studied. The median follow-up was 12.8 months. Incidence of EM relapse and bone marrow (BM) relapse were 12.9% and 25.7%, respectively. Of the 13 patients who had EM relapse, 4 also had BM relapse, and 7 had EM disease prior to HCT. There were a total of 19 EM relapse sites as the site of initial recurrence: 11 soft tissue, 6 lymph node, 2 skin. Nine of these sites were within the target region and received ≥12 Gy. Ten initial EM relapse sites were outside of the target region: 5 sites received 10.1 to 11.4 Gy while 5 sites received <10 Gy. Pretransplantation EM was the only significant predictor of subsequent EM relapse. The cumulative incidence of EM relapse was 4% at 1 year and 11.4% at 2 years. Conclusions: EM relapse incidence was as frequent in regions receiving ≥10 Gy as those receiving <10 Gy. EM relapse rates following TMLI that included HCT regimens were comparable to published results with regimens including TBI and suggest that TMLI is not associated with an increased EM relapse risk

Ipsilateral Breast Tumor Relapse: Local Recurrence Versus New Primary Tumor and the Effect of Whole-Breast Radiotherapy on the Rate of New Primaries

International Nuclear Information System (INIS)

Gujral, Dorothy M.; Sumo, Georges; Owen, John R.; Ashton, Anita; Bliss, Judith M.; Haviland, Joanne; Yarnold, John R.

2011-01-01

Purpose: The justification for partial breast radiotherapy after breast conservation surgery assumes that ipsilateral breast tumor relapses (IBTR) outside the index quadrant are mostly new primary (NP) tumors that develop despite radiotherapy. We tested the hypothesis that whole-breast radiotherapy (WBRT) is ineffective in preventing NP by comparing development rates in irradiated and contralateral breasts after tumor excision and WBRT. Methods and Materials: We retrospectively reviewed 1,410 women with breast cancer who were entered into a prospective randomized trial of radiotherapy fractionation and monitored annually for ipsilateral breast tumor relapses (IBTR) and contralateral breast cancer (CLBC). Cases of IBTR were classified into local recurrence (LR) or NP tumors based on location and histology and were subdivided as definite or likely depending on clinical data. Rates of ipsilateral NP and CLBC were compared over a 15-year period of follow-up. Results: At a median follow-up of 10.1 years, there were 150 documented cases of IBTR: 118 (79%) cases were definite or likely LR; 27 (18%) cases were definite or likely NP; and 5 (3%) cases could not be classified. There were 71 cases of CLBC. The crude proportion of definite-plus-likely NP was 1.9% (27/1,410) patients compared with 5% (71/1,410) CLBC patients. Cumulative incidence rates at 5, 10, and 15 years were 0.8%, 2.0%, and 3.5%, respectively, for definite-plus-likely NP and 2.4%, 5.8%, and 7.9%, respectively for CLBC, suggesting a difference in the rates of NP and CLBC. Conclusions: This analysis suggests that WBRT reduces the rate of ipsilateral NP tumors. The late presentation of NP has implications for the reporting of trials that are testing partial breast radiotherapy.

Characterization of the solid, airborne materials created when UF6 reacts with moist air flowing in single-pass mode

International Nuclear Information System (INIS)

Pickrell, P.W.

1985-10-01

A series of experiments has been performed in which UF 6 was released into flowing air in order to characterize the solid particulate material produced under non-static conditions. In two of the experiments, the aerosol was allowed to stagnate in a static chamber after release and examined further but in the other experiments characterization was done only on material collected a few seconds after release. Transmission electron microscopy and mass measurement by cascaded impactor were used to characterize the aerosol particles which were usually single spheroids with little agglomeration in evidence. The goal of the work is to determine the chemistry and physics of the UF 6 -atmospheric moisture reaction under a variety of conditions so that information about resulting species and product morphologies is available for containment and removal (knockdown) studies as well as for dispersion plume modeling and toxicology studies. This report completes the milestone for reporting the information obtained from releases of UF 6 into flowing rather than static air. 26 figs., 3 tabs

Targeting BTK with ibrutinib in relapsed chronic lymphocytic leukemia.

Science.gov (United States)

Byrd, John C; Furman, Richard R; Coutre, Steven E; Flinn, Ian W; Burger, Jan A; Blum, Kristie A; Grant, Barbara; Sharman, Jeff P; Coleman, Morton; Wierda, William G; Jones, Jeffrey A; Zhao, Weiqiang; Heerema, Nyla A; Johnson, Amy J; Sukbuntherng, Juthamas; Chang, Betty Y; Clow, Fong; Hedrick, Eric; Buggy, Joseph J; James, Danelle F; O'Brien, Susan

2013-07-04

The treatment of relapsed chronic lymphocytic leukemia (CLL) has resulted in few durable remissions. Bruton's tyrosine kinase (BTK), an essential component of B-cell-receptor signaling, mediates interactions with the tumor microenvironment and promotes the survival and proliferation of CLL cells. We conducted a phase 1b-2 multicenter study to assess the safety, efficacy, pharmacokinetics, and pharmacodynamics of ibrutinib (PCI-32765), a first-in-class, oral covalent inhibitor of BTK designed for treatment of B-cell cancers, in patients with relapsed or refractory CLL or small lymphocytic lymphoma. A total of 85 patients, the majority of whom were considered to have high-risk disease, received ibrutinib orally once daily; 51 received 420 mg, and 34 received 840 mg. Toxic effects were predominantly grade 1 or 2 and included transient diarrhea, fatigue, and upper respiratory tract infection; thus, patients could receive extended treatment with minimal hematologic toxic effects. The overall response rate was the same in the group that received 420 mg and the group that received 840 mg (71%), and an additional 20% and 15% of patients in the respective groups had a partial response with lymphocytosis. The response was independent of clinical and genomic risk factors present before treatment, including advanced-stage disease, the number of previous therapies, and the 17p13.1 deletion. At 26 months, the estimated progression-free survival rate was 75% and the rate of overall survival was 83%. Ibrutinib was associated with a high frequency of durable remissions in patients with relapsed or refractory CLL and small lymphocytic lymphoma, including patients with high-risk genetic lesions. (Funded by Pharmacyclics and others; ClinicalTrials.gov number, NCT01105247.).

Topotecan in the treatment of relapsed small cell lung cancer

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Elisabeth Quoix

2008-12-01

Full Text Available Elisabeth QuoixService de Pneumologie, Hôpitaux Universitaires, Strasbourg, FranceAbstract: Small cell lung cancer (SCLC represents about 15% to 20% of all lung cancers. Chemotherapy is the cornerstone of the treatment, cisplatin–etoposide combination being the most used combination as first-line therapy. Despite high initial chemosensitivity, most SCLC patients will experience relapse sooner or later. Unfortunately, second-line chemotherapy does not result in a high response rate like first-line therapy, most patients having developed wide chemoresistance. This chemoresistance is far more important in refractory patients, ie, those who never responded to first-line therapy or who relapsed within 3 months after the end of chemotherapy, than in sensitive patients, ie, those who relapse more than 3 months after the end of chemotherapy. Topotecan, a topoisomerase I inhibitor, is the most studied drug in this second-line setting and has proved its efficacy as a single agent and in combination. A phase III trial comparing oral topotecan to best supportive care (BSC in relapsed SCLC demonstrated a significant survival benefit as well as a better quality of life. Although the usual schedule is 1.5 mg/m2, days 1–5 intravenously, it is not convenient for patients with relapsed SCLC, especially those who are refractory because of their short survival expectation. Oral topotecan is of similar efficacy and much more convenient with limited stay in a treatment unit and has a comparable toxicity profile for these patients with short expected survival. Combination of topotecan with platinum salts or taxanes does not seem to improve further the outcome of the patients and thus single-agent therapy with topotecan is the standard treatment for relapsed SCLC.Keywords: topotecan, small cell lung cancer, chemoresistance

Risk factors associated with gastroesophageal reflux disease relapse in primary care patients successfully treated with a proton pump inhibitor.

Science.gov (United States)

López-Colombo, A; Pacio-Quiterio, M S; Jesús-Mejenes, L Y; Rodríguez-Aguilar, J E G; López-Guevara, M; Montiel-Jarquín, A J; López-Alvarenga, J C; Morales-Hernández, E R; Ortiz-Juárez, V R; Ávila-Jiménez, L

There are no studies on the factors associated with gastroesophageal reflux disease (GERD) relapse in primary care patients. To identify the risk factors associated with GERD relapse in primary care patients that responded adequately to short-term treatment with a proton pump inhibitor. A cohort study was conducted that included GERD incident cases. The patients received treatment with omeprazole for 4 weeks. The ReQuest questionnaire and a risk factor questionnaire were applied. The therapeutic success rate and relapse rate were determined at 4 and 12 weeks after treatment suspension. A logistic regression analysis of the possible risk factors for GERD relapse was carried out. Of the 83 patient total, 74 (89.16%) responded to treatment. Symptoms recurred in 36 patients (48.64%) at 4 weeks and in 13 patients (17.57%) at 12 weeks, with an overall relapse rate of 66.21%. The OR multivariate analysis (95% CI) showed the increases in the possibility of GERD relapse for the following factors at 12 weeks after treatment suspension: basic educational level or lower, 24.95 (1.92-323.79); overweight, 1.76 (0.22-13.64); obesity, 0.25 (0.01-3.46); smoking, 0.51 (0.06-3.88); and the consumption of 4-12 cups of coffee per month, 1.00 (0.12-7.84); citrus fruits, 14.76 (1.90-114.57); NSAIDs, 27.77 (1.12-686.11); chocolate, 0.86 (0.18-4.06); ASA 1.63 (0.12-21.63); carbonated beverages, 4.24 (0.32-55.05); spicy food 7-16 times/month, 1.39 (0.17-11.17); and spicy food ≥ 20 times/month, 4.06 (0.47-34.59). The relapse rate after short-term treatment with omeprazole was high. The consumption of citrus fruits and NSAIDs increased the possibility of GERD relapse. Copyright © 2016 Asociación Mexicana de Gastroenterología. Publicado por Masson Doyma México S.A. All rights reserved.

Qualification for Safeguards Purposes of UF6 Sampling using Alumina – Results of the Evaluation Campaign of ABACC-Cristallini Method

OpenAIRE

ESTAEBAN ADOLFO; GAUTIER EDUARDO; MACHADO DA SILVA LUIS; FERNANDEZ MORENO SONIA; RENHA JR GERALDO; DIAS FABIO; PEREIRA DE OLIVEIRA JUNIOR OLIVIO; AMMARAGGI DAVID; MASON PETER; SORIANO MICHAEL; CROATTO PAUL; ZULEGER EVELYN; GIAQUINTO JOSEPH; HEXEL COLE; VERCOUTER THOMAS

2017-01-01

The procedure currently used to sample material from process lines in uranium enrichment plants consists of collecting the uranium hexafluoride (UF6) in gaseous phase by desublimation inside a metal sampling cylinder cooled with liquid nitrogen or in certain facilities in a fluorothene P-10 tube type. The ABACC-Cristallini method (A-C method) has been proposed to collect the UF6 (gas) by adsorption in alumina (Al2O3) in the form of uranyl fluoride (UO2F2) (solid). This method uses a fluor...

A Role of Sp1 Binding Motifs in Basal and Large T-Antigen-Induced Promoter Activities of Human Polyomavirus HPyV9 and Its Variant UF-1

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Ugo Moens

2017-11-01

Full Text Available Human polyomavirus 9 (HPyV9 was originally detected in the serum of a renal transplant patient. Seroepidemiological studies showed that ~20–50% of the human population have antibodies against this virus. HPyV9 has not yet been associated with any disease and little is known about the route of infection, transmission, host cell tropism, and genomic variability in circulating strains. Recently, the HPyV9 variant UF-1 with an eight base-pair deletion, a thirteen base-pair insertion and with point mutations, creating three putative Sp1 binding sites in the late promoter was isolated from an AIDS patient. Transient transfection studies with a luciferase reporter plasmid driven by HPyV9 or UF1 promoter demonstrated that UF1 early and late promoters were stronger than HPyV9 promoters in most cell lines, and that the UF1 late promoter was more potently activated by HPyV9 large T-antigen (LTAg. Mutation of two Sp1 motifs strongly reduced trans-activation of the late UF1 promoter by HPyV9 LTAg in HeLa cells. In conclusion, the mutations in the UF1 late promoter seem to strengthen its activity and its response to stimulation by HPyV9 LTAg in certain cells. It remains to be investigated whether these promoter changes have an influence on virus replication and affect the possible pathogenic properties of the virus.

Development of on-line uranium enrichment monitor of gaseous UF6 for uranium enrichment plant

International Nuclear Information System (INIS)

Lu Xuesheng; Liu Guorong; Jin Huimin; Zhao Yonggang; Li Jinghuai; Hao Xueyuan; Ying Bin; Yu Zhaofei

2013-01-01

An on-line enrichment monitor was developed to measure the enrichment of UF 6 , flowing through the processing pipes in uranium enrichment plant. A Nal (Tl) detector was used to measure the count rates of the 185.7 keV γ-ray emitted from 235 U, and the total quantity of uranium was determined from thermodynamic characteristics of gaseous uranium hexafluoride. The results show that the maximum relative standard deviation is less than 1% when the measurement time is 120 s or more and the pressure is more than 2 kPa in the measurement chamber. Uranium enrichment of gaseous uranium hexafluoride in the output end of cascade can be monitored continuously by using the device. It should be effective for nuclear materials accountability verifications and materials balance verification at uranium enrichment plant. (authors)

Experimental determination of the thickness of aluminum cascade pipes in the presence of UF{sub 6} gas during enrichment measurements

Energy Technology Data Exchange (ETDEWEB)

Lombardi, M.L., E-mail: lombardi@lanl.gov [Los Alamos National Laboratory, P.O. Box 1663, Los Alamos NM 87545 (United States); Favalli, A.; Goda, J.M.; Ianakiev, K.D.; MacArthur, D.W.; Moss, C.E. [Los Alamos National Laboratory, P.O. Box 1663, Los Alamos NM 87545 (United States)

2012-04-21

We present a method of determining the wall thickness of a pipe in a Gas Centrifuge Enrichment Plant (GCEP) when an empty pipe measurement is not feasible. Our method uses an X-ray tube for transmission measurements and a lanthanum bromide (LaBr{sub 3}) scintillation detector on the opposite side of the pipe. Two filters, molybdenum (K-edge 20.0 keV) and palladium (K-edge 24.35 keV) are used to transform the bremsstrahlung spectra produced by the X-ray tube into more useful, sharply peaked, spectra. The maximum energies of the peaks are determined by the K-edges of the filters. The attenuation properties of the uranium hexafluoride (UF{sub 6}) gas allow us to determine wall thickness by looking at the ratio of selected regions of interest (ROIs) of the Mo and Pd transmitted spectra. While the attenuation factor at these two transmission energies in the UF{sub 6} gas is nearly equal, attenuation in the aluminum pipe wall at these two energies differs by a factor of about 60. This difference allows measurement of attenuation in the pipe independent of attenuation in the UF{sub 6} gas. Feasibility studies were performed using analytical calculations, and filter thicknesses were optimized. In order to experimentally validate our attenuation measurement method, a UF{sub 6} source with variable enrichment and pipe thickness was built. We describe the experimental procedure used to verify our previous calculations and present recent results.

The efficacy of natalizumab in patients with relapsing multiple sclerosis: subgroup analyses of AFFIRM and SENTINEL.

LENUS (Irish Health Repository)

Hutchinson, Michael

2012-02-01

The AFFIRM and SENTINEL studies showed that natalizumab was effective both as monotherapy and in combination with interferon beta (IFNbeta)-1a in patients with relapsing multiple sclerosis (MS). Further analyses of AFFIRM and SENTINEL data were conducted to determine the efficacy of natalizumab in prespecified patient subgroups according to baseline characteristics: relapse history 1 year before randomization (1, 2, > or = 3), Expanded Disability Status Scale score (< or = 3.5, > 3.5), number of T2 lesions (< 9, > or = 9), presence of gadolinium-enhancing (Gd+) lesions (0, > or = 1), age (< 40, > or = 40) and gender (male, female). A post hoc analysis was conducted to determine the efficacy of natalizumab in patients with highly active disease (i. e., > or = 2 relapses in the year before study entry and > or = 1 Gd+ lesion at study entry). In both AFFIRM and SENTINEL studies natalizumab reduced the annualized relapse rates across all subgroups (except the small subgroups with < 9 baseline T2 lesions) over 2 years. In AFFIRM, natalizumab significantly reduced the risk of sustained disability progression in most subgroups. In SENTINEL, natalizumab significantly reduced the risk of sustained disability progression in the following subgroups: > or = 9 T2 lesions at baseline, > or = 1 Gd+ lesions at baseline, female patients and patients < 40 years of age. Natalizumab reduced the risk of disability progression by 64 % and relapse rate by 81 % in treatment- naive patients with highly active disease and by 58 % and 76 %, respectively, in patients with highly active disease despite IFNbeta-1a treatment. These results indicate that natalizumab is effective in reducing disability progression and relapses in patients with relapsing MS, particularly in patients with highly active disease.

Relapses in Multiple Sclerosis: Definition, Pathophysiology, Features, Imitators, and Treatment

Directory of Open Access Journals (Sweden)

Serhan Sevim

2016-09-01

Full Text Available Relapse in multiple sclerosis (MS is defined as a neurologic deficit associated with an acute inflammatory demyelinating event that lasts at least 24 hours in the absence of fever and infection. Myelinoclasis and axonal transection occur in relapses. Diagnosis, prognosis, treatment, and many other features of the disease are directly related to the relapses. MS starts as the relapsing-remitting (RRMS form in 85% of patients. A large number of relapses in the first years, polysymptomatic relapses, and pyramidal system, brain stem, and spinal cord involvement are signs of a poor outcome. The average frequency of relapses is approximately one per year during the first years of RRMS. The frequency of relapses increases during systemic infections, psychological stress, and in the postpartum first 3 months. Seventy-five percent of relapses are monosymptomatic. Pseudo-relapses and paroxysmal symptoms are distinguished from relapses by their sudden onset, sudden termination, and shorter duration. Contrast enhancement is valuable in imaging, but undetectable in most relapses. The regression in the first few weeks of relapses is explained by reduction of the edema, and by remyelination in the following months. Relapses and their features are also among the main determinants of treatment. High-dose methylprednisolone and early treatment with adrenocorticotropic hormone reduce post-relapse disability and shorten the duration of relapses. Plasmapheresis is a good option for patients who do not respond to steroid treatment. Identification of relapses by patients and physicians, distinguishing them from imitators, proper evaluation, treatment when necessary, and monitoring the results are of great importance for patients with MS. The educational levels of patients and physicians regarding these parameters should be increased. Well-designed studies that evaluate the long-term effect of relapse treatment on disability are needed.

Azathioprine versus Beta Interferons for Relapsing-Remitting Multiple Sclerosis: A Multicentre Randomized Non-Inferiority Trial

Science.gov (United States)

Massacesi, Luca; Tramacere, Irene; Amoroso, Salvatore; Battaglia, Mario A.; Benedetti, Maria Donata; Filippini, Graziella; La Mantia, Loredana; Repice, Anna; Solari, Alessandra; Tedeschi, Gioacchino; Milanese, Clara

2014-01-01

For almost three decades in many countries azathioprine has been used to treat relapsing-remitting multiple sclerosis. However its efficacy was usually considered marginal and following approval of β interferons for this indication it was no longer recommended as first line treatment, even if presently no conclusive direct β interferon-azathioprine comparison exists. To compare azathioprine efficacy versus the currently available β interferons in relapsing-remitting multiple sclerosis, a multicenter, randomized, controlled, single-blinded, non-inferiority trial was conducted in 30 Italian multiple sclerosis centers. Eligible patients (relapsing-remitting course; ≥2 relapses in the last 2 years) were randomly assigned to azathioprine or β interferons. The primary outcome was annualized relapse rate ratio (RR) over 2 years. Key secondary outcome was number of new brain MRI lesions. Patients (n = 150) were randomized in 2 groups (77 azathioprine, 73 β interferons). At 2 years, clinical evaluation was completed in 127 patients (62 azathioprine, 65 β interferons). Annualized relapse rate was 0.26 (95% Confidence Interval, CI, 0.19–0.37) in the azathioprine and 0.39 (95% CI 0.30–0.51) in the interferon group. Non-inferiority analysis showed that azathioprine was at least as effective as β interferons (relapse RRAZA/IFN 0.67, one-sided 95% CI 0.96; p<0.01). MRI outcomes were analyzed in 97 patients (50 azathioprine and 47 β interferons). Annualized new T2 lesion rate was 0.76 (95% CI 0.61–0.95) in the azathioprine and 0.69 (95% CI 0.54–0.88) in the interferon group. Treatment discontinuations due to adverse events were higher (20.3% vs. 7.8%, p = 0.03) in the azathioprine than in the interferon group, and concentrated within the first months of treatment, whereas in the interferon group discontinuations occurred mainly during the second year. The results of this study indicate that efficacy of azathioprine is not inferior to that of �

Treatment effectiveness of alemtuzumab compared with natalizumab, fingolimod, and interferon beta in relapsing-remitting multiple sclerosis: a cohort study.

Science.gov (United States)

Kalincik, Tomas; Brown, J William L; Robertson, Neil; Willis, Mark; Scolding, Neil; Rice, Claire M; Wilkins, Alastair; Pearson, Owen; Ziemssen, Tjalf; Hutchinson, Michael; McGuigan, Christopher; Jokubaitis, Vilija; Spelman, Tim; Horakova, Dana; Havrdova, Eva; Trojano, Maria; Izquierdo, Guillermo; Lugaresi, Alessandra; Prat, Alexandre; Girard, Marc; Duquette, Pierre; Grammond, Pierre; Alroughani, Raed; Pucci, Eugenio; Sola, Patrizia; Hupperts, Raymond; Lechner-Scott, Jeannette; Terzi, Murat; Van Pesch, Vincent; Rozsa, Csilla; Grand'Maison, François; Boz, Cavit; Granella, Franco; Slee, Mark; Spitaleri, Daniele; Olascoaga, Javier; Bergamaschi, Roberto; Verheul, Freek; Vucic, Steve; McCombe, Pamela; Hodgkinson, Suzanne; Sanchez-Menoyo, Jose Luis; Ampapa, Radek; Simo, Magdolna; Csepany, Tunde; Ramo, Cristina; Cristiano, Edgardo; Barnett, Michael; Butzkueven, Helmut; Coles, Alasdair

2017-04-01

Alemtuzumab, an anti-CD52 antibody, is proven to be more efficacious than interferon beta-1a in the treatment of relapsing-remitting multiple sclerosis, but its efficacy relative to more potent immunotherapies is unknown. We compared the effectiveness of alemtuzumab with natalizumab, fingolimod, and interferon beta in patients with relapsing-remitting multiple sclerosis treated for up to 5 years. In this international cohort study, we used data from propensity-matched patients with relapsing-remitting multiple sclerosis from the MSBase and six other cohorts. Longitudinal clinical data were obtained from 71 MSBase centres in 21 countries and from six non-MSBase centres in the UK and Germany between Nov 1, 2015, and June 30, 2016. Key inclusion criteria were a diagnosis of definite relapsing-remitting multiple sclerosis, exposure to one of the study therapies (alemtuzumab, interferon beta, fingolimod, or natalizumab), age 65 years or younger, Expanded Disability Status Scale (EDSS) score 6·5 or lower, and no more than 10 years since the first multiple sclerosis symptom. The primary endpoint was annualised relapse rate. The secondary endpoints were cumulative hazards of relapses, disability accumulation, and disability improvement events. We compared relapse rates with negative binomial models, and estimated cumulative hazards with conditional proportional hazards models. Patients were treated between Aug 1, 1994, and June 30, 2016. The cohorts consisted of 189 patients given alemtuzumab, 2155 patients given interferon beta, 828 patients given fingolimod, and 1160 patients given natalizumab. Alemtuzumab was associated with a lower annualised relapse rate than interferon beta (0·19 [95% CI 0·14-0·23] vs 0·53 [0·46-0·61], pmultiple sclerosis. Alemtuzumab seems superior to fingolimod and interferon beta in mitigating relapse activity. Natalizumab seems superior to alemtuzumab in enabling recovery from disability. Both natalizumab and alemtuzumab seem highly

Impact of Acid Cleaning on the Performance of PVDF UF Membranes in Seawater Reverse Osmosis Pretreatment

KAUST Repository

Alsogair, Safiya

2016-01-01

required to maintain the characteristics of the membrane. This research was made with the purpose of investigating the effects of acid cleaning during chemically enhanced backwashing (CEB) on the performance of ultrafiltration (UF) membranes in seawater

P-T-x phase diagrams of MeF-UF4(Me=Li-Cs) systems

International Nuclear Information System (INIS)

Korenev, Yu.M.; Rykov, A.N.; Varkov, M.V.; Novoselova, A.V.

1988-01-01

Vapor composition and general pressure at three-phase equilibria in the MeF-UF 4 (Me=Li-Cs) systems are calculated using the values of independent component activities obtained earlier together with the data on fusibility diagrams. P-T and T-x projections of phase diagrams of these systems are constructed

Regional homogeneity changes between heroin relapse and non-relapse patients under methadone maintenance treatment: a resting-state fMRI study

OpenAIRE

Chang, Haifeng; Li, Wei; Li, Qiang; Chen, Jiajie; Zhu, Jia; Ye, Jianjun; Liu, Jierong; Li, Zhe; Li, Yongbin; Shi, Ming; Wang, Yarong; Wang, Wei

2016-01-01

Background Methadone maintenance treatment (MMT) is recognized as one of the most effective treatments for heroin addiction but its effect is dimmed by the high incidence of heroin relapse. However, underlying neurobiology mechanism of heroin relapse under MMT is still largely unknown. Here, we took advantage of a resting-state fMRI technique by analysis of regional homogeneity (ReHo), and tried to explore the difference of brain function between heroin relapsers and non-relapsers in MMT. Met...

Relapse Prevention in Major Depressive Disorder: Mindfulness-Based Cognitive Therapy Versus an Active Control Condition

Science.gov (United States)

Shallcross, Amanda J.; Gross, James J.; Visvanathan, Pallavi D.; Kumar, Niketa; Palfrey, Amy; Ford, Brett Q.; Dimidjian, Sona; Shirk, Stephen; Holm-Denoma, Jill; Goode, Kari M.; Cox, Erica; Chaplin, William; Mauss, Iris B.

2015-01-01

Objective We evaluated the comparative effectiveness of Mindfulness-based cognitive therapy (MBCT) versus an active control condition (ACC) for depression relapse prevention, depressive symptom reduction, and improvement in life satisfaction. Method Ninety-two participants in remission from Major Depressive Disorder with residual depressive symptoms were randomized to either an 8-week MBCT or a validated ACC that is structurally equivalent to MBCT and controls for non-specific effects (e.g., interaction with a facilitator, perceived social support, treatment outcome expectations). Both interventions were delivered according to their published manuals. Results Intention-to-treat analyses indicated no differences between MBCT and ACC in depression relapse rates or time to relapse over a 60-week follow-up. Both groups experienced significant and equal reductions in depressive symptoms and improvements in life satisfaction. A significant quadratic interaction (group x time) indicated that the pattern of depressive symptom reduction differed between groups. The ACC experienced immediate symptom reduction post-intervention and then a gradual increase over the 60-week follow-up. The MBCT group experienced a gradual linear symptom reduction. The pattern for life satisfaction was identical but only marginally significant. Conclusions MBCT did not differ from an ACC on rates of depression relapse, symptom reduction, or life satisfaction, suggesting that MBCT is no more effective for preventing depression relapse and reducing depressive symptoms than the active components of the ACC. Differences in trajectory of depressive symptom improvement suggest that the intervention-specific skills acquired may be associated with differential rates of therapeutic benefit. This study demonstrates the importance of comparing psychotherapeutic interventions to active control conditions. PMID:26371618

The neuropharmacology of relapse to food seeking: methodology, main findings, and comparison with relapse to drug seeking.

Science.gov (United States)

Nair, Sunila G; Adams-Deutsch, Tristan; Epstein, David H; Shaham, Yavin

2009-09-01

Relapse to old, unhealthy eating habits is a major problem in human dietary treatments. The mechanisms underlying this relapse are unknown. Surprisingly, until recently this clinical problem has not been systematically studied in animal models. Here, we review results from recent studies in which a reinstatement model (commonly used to study relapse to abused drugs) was employed to characterize the effect of pharmacological agents on relapse to food seeking induced by either food priming (non-contingent exposure to small amounts of food), cues previously associated with food, or injections of the pharmacological stressor yohimbine. We also address methodological issues related to the use of the reinstatement model to study relapse to food seeking, similarities and differences in mechanisms underlying reinstatement of food seeking versus drug seeking, and the degree to which the reinstatement procedure provides a suitable model for studying relapse in humans. We conclude by discussing implications for medication development and future research. We offer three tentative conclusions: (1)The neuronal mechanisms of food-priming- and cue-induced reinstatement are likely different from those of reinstatement induced by the pharmacological stressor yohimbine. (2)The neuronal mechanisms of reinstatement of food seeking are possibly different from those of ongoing food-reinforced operant responding. (3)The neuronal mechanisms underlying reinstatement of food seeking overlap to some degree with those of reinstatement of drug seeking.

Standard test method for determination of bromine and chlorine in UF6 and uranyl nitrate by X-Ray fluorescence (XRF) spectroscopy

CERN Document Server

American Society for Testing and Materials. Philadelphia

2001-01-01

1.1 This method covers the determination of bromine (Br) and chlorine (Cl) in uranium hexafluoride (UF6) and uranyl nitrate solution. The method as written covers the determination of bromine in UF6 over the concentration range of 0.2 to 8 μg/g, uranium basis. The chlorine in UF6 can be determined over the range of 4 to 160 μg/g, uranium basis. Higher concentrations may be covered by appropriate dilutions. The detection limit for Br is 0.2 μg/g uranium basis and for Cl is 4 μg/g uranium basis. 1.2 This standard may involve hazardous materials, operations and equipment. This standard does not purport to address all of the safety concerns, if any, associated with its use. It is the responsibility of the user of this standard to establish appropriate safety and health practices and determine the applicability of regulatory limitations prior to use.

Potential risk factors associated with risk for drop-out and relapse during and following withdrawal of opioid prescription medication.

Science.gov (United States)

Heiwe, Susanne; Lönnquist, Ingeborg; Källmén, Håkan

2011-10-01

Withdrawal of opioid medication in patients with chronic pain has a drop-out and relapse problem. To evaluate if depressive symptoms, anxiety and pain intensity are potential risk factors for drop-out or relapse during the withdrawal process. Further, to assess internal consistency of scales for assessment of these potential risk factors. Twenty-nine patients were included. After 2 years 28 of these were followed-up. Those with depressive symptoms at baseline had a significant risk for drop-out from the withdrawal program (odds ratio 1.37) and relapse into use of opioids at follow-up (odds ratio 1.44). Drop-outs rated depressive symptoms significantly higher before detoxification. Those who relapsed rated significantly higher for pain intensity, depressive symptoms and abstinence prior to withdrawal. All scales had high reliability. To avoid drop-out and relapse clinical practice need to screen for depressive symptoms, pain intensity, and abstinence. This article presents significant reliability of scales useful within dependency centers. They can be used to identify these risk factors for drop-out and relapse, respectively, when initiating the withdrawal process. Taking these risk factors into consideration could improve the outcome of the withdrawal process by preventing drop-out and relapse. Copyright © 2011 European Federation of International Association for the Study of Pain Chapters. Published by Elsevier Ltd. All rights reserved.

Clinical significance of determination of serum TRAb levels in patients with relapsing graves' disease

International Nuclear Information System (INIS)

Guo Chunlei; Zhou Jiaqiang; Li Wenpeng

2004-01-01

Objective: To explore the clinical significance of changes of serum TRAb levels in patients with relapsing Graves' disease. Methods: Serum TRAb (with RRA) and several other thyroid-related hormones (TT 4 , TT 3 , TSH, FT 3 , with CLIA) were determined in the following subjects: 1. 25 cases of relapsing Graves' disease after previous successful treatment; 2. 18 cases of recently diagnosed Graves' disease; 3. 31 cases of successfully treated Graves' disease; 4. 15 cases of simple goiter; 5. 10 cases of nodular goiter; 6. 18 cases of hypothyroidism due to Hashimoto disease. Results: Positive rate of TRAb was 76.00% in patients with relapsing Graves' disease and 77.78% in recently diagnosed Graves' disease cases, both being significantly higher than that in all the other sets of patients studied (P<0.01). Conclusion: Determination of serum TRAb levels was helpful for the diagnosis of relapse in Graves' disease

Relapsing Polychondritis Following Alopecia Areata

Directory of Open Access Journals (Sweden)

John C. Starr

2010-01-01

Full Text Available A case of alopecia areata followed by relapsing polychondritis is presented. Similar cases from the literature are reviewed and speculation about the relationship of these diseases is offered. Although the occurrence of these diseases together could be coincidental, an association seems immunologically plausible. Thus, relapsing polychondritis might be an unusual systemic manifestation of alopecia areata.

Practical experience of backwashing with SWRO permeate for UF fouling control

KAUST Repository

Li, Sheng; Heijman, Sebastiaan G J; Verberk, J. Q J C; Amy, Gary L.; Van Dijk, Johannis C.

2013-01-01

Effectiveness of seawater reverse osmosis (SWRO) permeate backwash on fouling control of seawater ultrafiltration was investigated at a pilot scale. A standard membrane module was used in this pilot to represent full-scale desalination plants. Results of the pilot show a good reproducibility. When the UF permeate was used for backwash, the frequency of chemically enhanced backwash (CEB) was around once per day. However, results of the pilot show that SWRO permeate backwashing could significantly reduce the CEB frequency. © 2013 Desalination Publications.

Probability and predictors of cannabis use disorders relapse: results of the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC).

Science.gov (United States)

Flórez-Salamanca, Ludwing; Secades-Villa, Roberto; Budney, Alan J; García-Rodríguez, Olaya; Wang, Shuai; Blanco, Carlos

2013-09-01

This study aims to estimate the odds and predictors of Cannabis Use Disorders (CUD) relapse among individuals in remission. Analyses were done on the subsample of individuals with lifetime history of a CUD (abuse or dependence) who were in full remission at baseline (Wave 1) of the National Epidemiological Survey of Alcohol and Related Conditions (NESARC) (n=2350). Univariate logistic regression models and hierarchical logistic regression model were implemented to estimate odds of relapse and identify predictors of relapse at 3 years follow up (Wave 2). The relapse rate of CUD was 6.63% over an average of 3.6 year follow-up period. In the multivariable model, the odds of relapse were inversely related to time in remission, whereas having a history of conduct disorder or a major depressive disorder after Wave 1 increased the risk of relapse. Our findings suggest that maintenance of remission is the most common outcome for individuals in remission from a CUD. Treatment approaches may improve rates of sustained remission of individuals with CUD and conduct disorder or major depressive disorder. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

Release of UF6 from a ruptured Model 48Y cylinder at Sequoyah Fuels Corporation Facility: lessons-learned report

International Nuclear Information System (INIS)

1986-06-01

The uranium hexafluoride (UF 6 ) release of January 4, 1986, at the Sequoyah Fuels Corporation facility has been reviewed by a NRC Lessons-Learned Group. A Model 48Y cylinder containing UF 6 ruptured upon being heated after it was grossly overfilled. The Uf 6 released upon rupture of the cylinder reacted with airborne moisture to produce hydrofluoric acid (HF) and uranyl fluoride (UO 2 F 2 ). One individual died from exposure to airborne HF and several others were injured. There were no significant immediate effects from exposure to uranyl fluoride. This report of the Lessons-Learned Group presents discussions and recommendations on the process, operation and design of the facility, as well as on the responses of the licensee, NRC, and other local, state and federal agencies to the incident. It also provides recommendations in the areas of NRC licensing and inspection of fuel facility and certain other NMSS licensees. The implementation of some recommendations will depend on decisions to be made regarding the scope of NRC responsibilities with respect to those aspects of the design and operation of such facilities that are not directly related to radiological safety

Second allogeneic hematopoietic SCT for relapsed ALL in children.

Science.gov (United States)

Kato, M; Horikoshi, Y; Okamoto, Y; Takahashi, Y; Hasegawa, D; Koh, K; Takita, J; Inoue, M; Kigasawa, H; Ogawa, A; Sasahara, Y; Kawa, K; Yabe, H; Sakamaki, H; Suzuki, R; Kato, K

2012-10-01

A second SCT is generally accepted as the only potentially curative approach for ALL patients that relapse after SCT, but the role of second SCT for pediatric ALL is not fully understood. We performed a retrospective analysis of 171 pediatric patients who received a second allo-SCT for relapsed ALL after allo-SCT. OS at 2 years was 29.4 ± 3.7%, the cumulative incidence of relapse was 44.1 ± 4.0% and non-relapse mortality was 18.8 ± 3.5%. Relapse occurred faster after the second SCT than after the first SCT (117 days vs 164 days, P=0.04). Younger age (9 years or less), late relapse (180 days or more after first SCT), CR at the second SCT, and myeloablative conditioning were found to be related to longer survival. Neither acute GVHD nor the type of donor influenced the outcome of second SCT. Multivariate analysis showed that younger age and late relapse were associated with better outcomes. Our analysis suggests that second SCT for relapsed pediatric ALL is an appropriate treatment option for patients that have achieved CR, which is associated with late relapse after the first SCT.

In search of the optimal platform for Post-Allogeneic SCT immunotherapy in relapsed multiple myeloma: a systematic review.

Science.gov (United States)

Oostvogels, R; Uniken Venema, S M; de Witte, M; Raymakers, R; Kuball, J; Kröger, N; Minnema, M C

2017-09-01

Allogeneic stem cell transplantation (allo-SCT) has the potential to induce sustained remissions in patients with multiple myeloma (MM). Currently, allo-SCT is primarily performed in high-risk MM patients, most often in the setting of early relapse after first-line therapy with autologous SCT. However, the implementation of allo-SCT for MM is jeopardized by high treatment-related mortality (TRM) rates as well as high relapse rates. In this systematic review, we aimed to identify a safe allo-SCT strategy that has optimal 1-year results regarding mortality, relapse and severe GvHD, creating opportunities for post-transplantation strategies to maintain remissions in the high-risk group of relapsed MM patients. Eleven studies were included. Median PFS ranged from 5.2 to 36.8 months and OS was 13.0 to 63.0 months. The relapse related mortality at 1 year varied between 0 and 50% and TRM between 8 and 40%. Lowest GvHD incidences were reported for conditioning regimens with T-cell depletion using ATG or graft CD34+ selection. Similar strategies could lay the foundation for a post-transplant immune platform, this should be further evaluated in prospective clinical trials.

A nuclear criticality safety assessment of the loss of moderation control in 2 1/2 and 10-ton cylinders containing enriched UF6

International Nuclear Information System (INIS)

Newvahner, R.L.; Pryor, W.A.

1991-01-01

Moderation control for maintaining nuclear criticality safety in 2-1/2-ton, 10-ton, and 14-ton cylinders containing enriched uranium hexafluoride (UF 6 ) has been used safely within the nuclear industry for over thirty years, and is dependent on cylinder integrity and containment. This assessment evaluates the loss of moderation control by the breaching of containment and entry of water into the cylinders. The first objective of this study was to estimate the required amounts of water entering these large UF 6 cylinders to react with, and to moderate the uranium compounds sufficiently to cause criticality. Hypothetical accident situations were modeled as a uranyl fluoride (UO 2 F 2 ) slab above a UF 6 hemicylinder, and a UO 2 sphere centered within a UF 6 hemicylinder. These situations were investigated by computational analyses utilizing the KENO V.a Monte Carlo Computer Code. The results were used to estimate both the masses of water required for criticality, and the limiting masses of water that could be considered safe. The second objective of the assessment was to calculate the time available for emergency control actions before a criticality would occur, i.e., a ''safetime,'' for various sources of water and different size openings in a breached cylinder. In the situations considered, except the case for a fire hose, the safetime appears adequate for emergency control actions. The assessment shows that current practices for handling moderation controlled cylinders of low enriched UF 6 , along with the continuation of established personnel training programs, ensure nuclear criticality safety for routine and emergency operations. 2 refs., 5 figs., 1 tab

Low-dose-rate brachytherapy for the treatment of localised prostate cancer in men with a high risk of disease relapse.

Science.gov (United States)

Laing, Robert; Uribe, Jennifer; Uribe-Lewis, Santiago; Money-Kyrle, Julian; Perna, Carla; Chintzoglou, Stylianos; Khaksar, Sara; Langley, Stephen E M

2018-04-01

To report clinical outcomes of 125 I low-dose-rate prostate brachytherapy (LDR-PB) as monotherapy or combined with androgen-deprivation therapy (ADT) and/or external beam radiotherapy (EBRT) in high-risk localised prostate cancer. Analysis of clinical outcomes from a prospective cohort of patients treated with LDR-PB alone or combined treatment in a single institution. Men with a high risk of disease relapse were identified by the National Institute for Health and Care Excellence (NICE) criteria or by the National Comprehensive Cancer Network (NCCN) criteria. Relapse-free survival (RFS), overall survival (OS), prostate cancer-specific survival (PCSS), and metastases-free survival (MFS), were analysed together with patient-reported symptom scores and physician-reported adverse events. The NICE and NCCN criteria identified 267 and 202 high-risk patients, respectively. NICE-defined patients had significantly lower pre-treatment PSA levels, Gleason scores LDR-PB monotherapy. At 9 years after implantation RFS was 89% and 87% in the NICE and NCCN groups, respectively (log-rank P = 0.637), and OS 93% and 94%, respectively (log-rank P = 0.481). All of the survival estimates were similar between LDR-PB monotherapy and combined therapies. Cox proportional hazards regression confirmed RFS was similar between the treatment types. Treatment-related toxicity was also similar between the treatment methods. LDR-PB is effective at controlling localised prostate cancer in patients with a high risk of disease relapse. As the present study was not randomised, it is not possible to define those patients who need the addition of ADT and/or EBRT. However, the NICE criteria appear suitable to define treatment options where patients could benefit from LDR-PB as monotherapy or combined treatment. This choice should be discussed with the patient taking into account comorbidities and presence of multiple high-risk factors. © 2018 The Authors BJU International © 2018 BJU International

Multiple-clone activation of hypnozoites is the leading cause of relapse in Plasmodium vivax infection.

Directory of Open Access Journals (Sweden)

Flávia Carolina F de Araujo

Full Text Available BACKGROUND: Plasmodium vivax infection is characterized by a dormant hepatic stage, the hypnozoite that is activated at varying periods of time after clearance of the primary acute blood-stage, resulting in relapse. Differentiation between treatment failure and new infections requires characterization of initial infections, relapses, and clone multiplicity in vivax malaria infections. METHODOLOGY/PRINCIPAL FINDINGS: Parasite DNA obtained from primary/relapse paired blood samples of 30 patients with P. vivax infection in Brazil was analyzed using 10 molecular markers (8 microsatellites and MSP-1 blocks 2 and 10. Cloning of PCR products and genotyping was used to identify low-frequency clones of parasites. We demonstrated a high frequency of multiple-clone infections in both primary and relapse infections. Few alleles were identified per locus, but the combination of these alleles produced many haplotypes. Consequently, the majority of parasites involved in relapse showed haplotypes that were distinct from those of primary infections. Plasmodium vivax relapse was characterized by temporal variations in the predominant parasite clones. CONCLUSIONS/SIGNIFICANCE: The high rate of low frequency alleles observed in both primary and relapse infections, along with temporal variation in the predominant alleles, might be the source of reported heterologous hypnozoite activation. Our findings complicate the concept of heterologous activation, suggesting the involvement of undetermined mechanisms based on host or environmental factors in the simultaneous activation of multiple clones of hypnozoites.

Estimation of time to rupture in a fire using 6FIRE, a lumped parameter UF6 cylinder transient heat transfer/stress analysis model

International Nuclear Information System (INIS)

Williams, W.R.; Anderson, J.C.

1995-01-01

The transportation of UF 6 is subject to regulations requiring the evaluation of packaging under a sequence of hypothetical accident conditions including exposure to a 30-min 800 degree C (1475 degree F) fire [10 CFR 71.73(c)(3)]. An issue of continuing interest is whether bare cylinders can withstand such a fire without rupturing. To address this issue, a lumped parameter heat transfer/stress analysis model (6FIRE) has been developed to simulate heating to the point of rupture of a cylinder containing UF 6 when it is exposed to a fire. The model is described, then estimates of time to rupture are presented for various cylinder types, fire temperatures, and fill conditions. An assessment of the quantity of UF 6 released from containment after rupture is also presented. Further documentation of the model is referenced

HGSYSTEM/UF6 model enhancements for plume rise and dispersion around buildings, lift-off of buoyant plumes, and robustness of numerical solver

International Nuclear Information System (INIS)

Hanna, S.R.; Chang, J.C.

1997-01-01

The HGSYSTEM/UF 6 model was developed for use in preparing Safety Analysis Reports (SARs) by estimating the consequences of possible accidental releases of UF 6 to the atmosphere at the gaseous diffusion plants (GDPs) located in Portsmouth, Ohio, and Paducah, Kentucky. Although the latter report carries a 1996 date, the work that is described was completed in late 1994. When that report was written, the primary release scenarios of interest were thought to be gas pipeline and liquid tank ruptures over open terrain away from the influence of buildings. However, upon further analysis of possible release scenarios, the developers of the SARs decided it was necessary to also consider accidental releases within buildings. Consequently, during the fall and winter of 1995-96, modules were added to HGSYSTEM/UF 6 to account for flow and dispersion around buildings. The original HGSYSTEM/UF 6 model also contained a preliminary method for accounting for the possible lift-off of ground-based buoyant plumes. An improved model and a new set of wind tunnel data for buoyant plumes trapped in building recirculation cavities have become available that appear to be useful for revising the lift-off algorithm and modifying it for use in recirculation cavities. This improved lift-off model has been incorporated in the updated modules for dispersion around buildings

A multicentre phase-II feasibility study evaluating gemcitabine /vinorelbine / prednisolone combination chemotherapy in relapsed / refractory hodgkin's lymphoma

International Nuclear Information System (INIS)

Naqi, N.; Ahmad, S.; Shah, I.; Khattak, J.

2013-01-01

Objective: To determine the efficacy and toxicity of Gemcitabine, Vinorelbine and Prednisolone (GVP) salvage chemotherapy in relapsed / refractory Hodgkin's Lymphoma (HL). Study Design: A phase-II non-randomized single arm study. Place and Duration of Study: This study was conducted at Combined Military Hospital and Medical College Lahore, Mayo Hospital, King Edward Medical University, Lahore, Allied Hospital, Punjab Medical College, Faisalabad and Combined Military Hospital, Rawalpindi, from January 2007 to December 2007. Methodology: Fifty adult patients with relapsed/refractory HL, adequate marrow reserve, hepatorenal and pulmonary functions, with radiological measurable disease and Karnofsky performance status of 0 - 2 non-candidates for stem cell transplantation, were enrolled. Four 28 days cycles of GVP (Gemcitabine 1000 mg/m2, Vinorelbine 30 mg/m2 on day 1 and 8 intravenously with oral Prednisolone 100 mg/day on day 1 - 5) were given. Response evaluation done according to Cotswolds meeting recommendations and toxicity was evaluated with NCI-CTC (National Cancer Institute - Common Terminology Criteria for adverse events v 3.0). Results: Forty patients completing 4 cycles of GVP, 14 refractory/early relapse and 26 late relapsed (one year postprimary treatment with ABVD) were available for evaluation. The overall response (CRu+PR) rate was 77.5% with better response 85% in late relapsed patients. Haematological toxicity was most common and seen in 70% of cases. Conclusion: GVP is well-tolerated regimen with high response rate and needs to be tested in late relapsed HL. (author)

Incidence and risk factors for central nervous system relapse in children and adolescents with acute lymphoblastic leukemia

Science.gov (United States)

Cancela, Camila Silva Peres; Murao, Mitiko; Viana, Marcos Borato; de Oliveira, Benigna Maria

2012-01-01

Background Despite all the advances in the treatment of childhood acute lymphoblastic leukemia, central nervous system relapse remains an important obstacle to curing these patients. This study analyzed the incidence of central nervous system relapse and the risk factors for its occurrence in children and adolescents with acute lymphoblastic leukemia. Methods This study has a retrospective cohort design. The studied population comprised 199 children and adolescents with a diagnosis of acute lymphoblastic leukemia followed up at Hospital das Clinicas, Universidade Federal de Minas Gerais (HC-UFMG) between March 2001 and August 2009 and submitted to the Grupo Brasileiro de Tratamento de Leucemia da Infância - acute lymphoblastic leukemia (GBTLI-LLA-99) treatment protocol. Results The estimated probabilities of overall survival and event free survival at 5 years were 69.5% (± 3.6%) and 58.8% (± 4.0%), respectively. The cumulative incidence of central nervous system (isolated or combined) relapse was 11.0% at 8 years. The estimated rate of isolated central nervous system relapse at 8 years was 6.8%. In patients with a blood leukocyte count at diagnosis ≥ 50 x 109/L, the estimated rate of isolated or combined central nervous system relapse was higher than in the group with a count 50 x 109/L at diagnosis seems to be a significant prognostic factor for a higher incidence of central nervous system relapse in childhood acute lymphoblastic leukemia. PMID:23323068

UF6 reconversion experience by means of Sumitomo ADU process at JCO

International Nuclear Information System (INIS)

Ogawa, H.; Yamazaki, N.

1994-01-01

Since 1973, Japan Nuclear Fuel Conversion Co., Ltd. (JCO), a leading company in Japan on nuclear fuel manufacturing, has been involved in UF 6 reconversion to ceramic grade uranium dioxide (UO 2 ) for LWR fuel by means of the original ADU process developed by Sumitomo Metal Mining Co., Ltd.. This paper deals with the details of the Sumitomo ADU process as well as the performance results of it, especially from the standpoint of product quality

Efficacy of etanercept in preventing relapse of uveitis controlled by methotrexate.

Science.gov (United States)

Foster, C Stephen; Tufail, Fehma; Waheed, Nadia Khalida; Chu, David; Miserocchi, Elisabetta; Baltatzis, Stefanos; Vredeveld, Cindy M

2003-04-01

To evaluate the efficacy of etanercept vs placebo in preventing relapses of uveitis in patients taking methotrexate with control of uveitis and whose methotrexate dosage was being tapered. Patients with chronic or recurrent noninfectious uveitis with inflammation controlled by low-dose methotrexate were randomized to either the drug or placebo group in a double-masked manner, given a methotrexate taper schedule, and followed for 24 weeks. The main outcome measures were control of inflammation, visual acuity, and adverse reactions. Data were analyzed both as an attempt-to-treat analysis and an analysis only of those patients who completed the study. A total of 20 patients were randomized to the drug and placebo groups. Relapse of uveitis occurred in 3 of 10 patients in the treatment group and 5 of 10 patients in the control group. Two patients in the treatment group withdrew prematurely from the study due to adverse effects. There was no significant difference between the treatment and placebo groups with regard to the rate of relapse and the final visual acuity. No patient suffered from any irreversible, long-term morbidity or mortality. Etanercept has no significant efficacy over placebo in preventing relapses of uveitis in patients being tapered from methotrexate.

Influence of UF4 physico-chemical properties on the assessment of the chronic exposure to this compound

International Nuclear Information System (INIS)

Ansoborlo, E.; Chalabreysse, J.

1990-01-01

A method was developed in order to assess uranium exposure hazards at work stations based on the industrial experience acquired by Comurhex Malvesi at Narbonne. Applied to uranium tetrafluoride (UF 4 ) the method involves 4 steps: 1. characterization of the industrial compound, including its physico-chemical properties (density, surface area, X-ray spectrum and uranium enrichment); 2. assessment of work station concentrations and particle size distribution (AMAD); 3. In vitro biological solubility with different synthetic fluids such as Gamble solutions with different gases or compounds added (oxygen or superoxide ions O 2 - ) in order to determine the solubility class D, W or Y; 4. workers' monitoring by routine measurements of urinary excretion completed, if necessary, by fecal excretion and γ-spectrometry. Results and present data on UF 4 are presented. 3 tabs., 4 figs [fr

Multiple Sclerosis Relapses: Epidemiology, Outcomes and Management. A Systematic Review.

Science.gov (United States)

Kalincik, Tomas

2015-01-01

Relapses (episodic exacerbations of neurological signs or symptoms) are a defining feature of relapsing-remitting multiple sclerosis (MS), the most prevalent MS phenotype. While their diagnostic value relates predominantly to the definition of clinically definite MS, their prognostic value is determined by their relatively high associated risk of incomplete remission resulting in residual disability. The mechanisms governing a relapse incidence are unknown, but numerous modifiers of relapse risk have been described, including demographic and clinical characteristics, many of which represent opportunities for improved disease management. Also relapse phenotypes have been associated with patient and disease characteristics and an individual predisposition to certain phenotypic presentations may imply individual neuroanatomical disease patterns. While immunomodulatory therapies and corticosteroids represent the mainstay of relapse prevention and acute management, respectively, their effect has only been partial and further search for more efficient relapse therapies is warranted. Other areas of research include pathophysiology and determinants of relapse incidence, recurrence and phenotypes, including the characteristics of the relapsing and non-relapsing multiple sclerosis variants and their responsiveness to therapies. © 2015 S. Karger AG, Basel.

Developments of solid materials for UF₆ sampling

Energy Technology Data Exchange (ETDEWEB)

Smith, Nicholas [Argonne National Lab. (ANL), Argonne, IL (United States). Nuclear Engineering Division; Hebden, Andrew [Argonne National Lab. (ANL), Argonne, IL (United States). Nuclear Engineering Division; Savina, Joseph [Argonne National Lab. (ANL), Argonne, IL (United States). Nuclear Engineering Division

2017-11-15

This project demonstrated that a device using majority Commercial Off the Shelf (COTS) components could be used to collect uranium hexafluoride samples safely from gaseous or solid sources. The device was based on the successful Cristallini method developed by ABACC over the past 10 years. The system was designed to capture and store the UF₆ as an inert fluoride salt to ease transportation regulations. In addition, the method was considerably faster than traditional cryogenic methods, collected enough material to perform analyses without undue waste, and could be used either inside a facility or in the storage yard.

A classification framework for drug relapse prediction | Salleh ...

African Journals Online (AJOL)

mining algorithms, Artificial Intelligence Neural Network (ANN) is one of the best algorithms to predict relapse among drug addicts. This may help the rehabilitation center to predict relapse individually and the prediction result is hoped to prevent drug addicts from relapse. Keywords: classification; artificial neural network; ...

Relapsed childhood acute lymphoblastic leukemia in the Nordic countries

DEFF Research Database (Denmark)

Oskarsson, Trausti; Söderhäll, Stefan; Arvidson, Johan

2016-01-01

Relapse is the main reason for treatment failure in childhood acute lymphoblastic leukemia. Despite improvements in the up-front therapy, survival after relapse is still relatively poor, especially for high-risk relapses. The aims of this study were to assess outcomes following acute lymphoblastic...... leukemia relapse after common initial Nordic Society of Paediatric Haematology and Oncology protocol treatment; to validate currently used risk stratifications, and identify additional prognostic factors for overall survival. Altogether, 516 of 2735 patients (18.9%) relapsed between 1992 and 2011 and were...

Extending prednisolone treatment does not reduce relapses in childhood nephrotic syndrome

NARCIS (Netherlands)

Teeninga, N.; Kist-van Holthe, J.E.; Rijswijk, N. van; Mos, N.I. de; Hop, W.C.J.; Wetzels, J.F.M.; Heijden, A.J. van der; Nauta, J.

2013-01-01

Prolonged prednisolone treatment for the initial episode of childhood nephrotic syndrome may reduce relapse rate, but whether this results from the increased duration of treatment or a higher cumulative dose remains unclear. We conducted a randomized, double-blind, placebo-controlled trial in 69

A comparative study between inhibitory effect of L. lactis and nisin on important pathogenic bacteria in Iranian UF Feta cheese

Directory of Open Access Journals (Sweden)

Saeed Mirdamadi

2015-02-01

Full Text Available   Introduction : In the present study, the inhibitory effect of nisin-producing Lactococcus lactis during co-culture and pure standard nisin were assessed against selected foodborne pathogenes in growth medium and Iranian UF Feta cheese. In comparison L lactis, not only proves flavor but also plays a better role in microbial quality of Iranian UF Feta cheese as a model of fermented dairy products.   Materials and method s: L. lactis subsp. lactis as nisin producer strain, Listeria monocytogenes, Escherichia coli and Staphylococcus aureus as pathogenic strains were inoculated in Ultra-Filtered Feta cheese. Growth curve of bacterial strains were studied by colony count method in growth medium and UF Feta cheese separately and during co-culture with L. lactis. Nisin production was determined by agar diffusion assay method against susceptible test strain and confirmed by RP-HPLC analysis method.   Results : Counts of L. monocytogenes decreased in cheese sample containing L. lactis and standard nisin, to 103 CFU/g after 7 days and it reached to undetectable level within 2 weeks. S. aureus counts remained at its initial number, 105 CFU/g, after 7 days then decreased to 104 CFU/g on day 14 and it was not detectable on day 28. E. coli numbers increased in both treatments after 7 days and then decreased to 104 CFU/g after 28 days. Despite the increasing number of E. coli in growth medium containing nisin, due to the synergistic effect of nisin and other metabolites produced by Lactococcus lactis and starter cultures, the number of E. coli decreased with slow rate . Discussion and conclusion : The results showed, L. monocytogenes was inhibited by L. lactis before entering the logarithmic phase during co-culture. S. aureus was also inhibited during co-culture, but it showed less sensitivity in comparison with L. monocytogenes. However, the number of E. coli remained steady in co-culture with L. lactis. Also, we found that, in all cheese samples, E

Reirradiation and lomustine in patients with relapsed high-grade gliomas

International Nuclear Information System (INIS)

Arcicasa, Mauro; Roncadin, Mario; Bidoli, Ettore; Dedkov, Anatolyi; Gigante, Marco; Trovo, Mauro G.

1999-01-01

Purpose: The aim of this study was to evaluate the toxicity, response, and survival of patients with relapsed high-grade gliomas after radiation therapy (RT) combined with lomustine (CCNU). Methods and Materials: Thirty-one patients with relapsed gliomas at least 6 months after completion of RT were reirradiated. Twenty-four patients had a pathological diagnosis of high-grade gliomas, whereas 7 had a radiological diagnosis of relapsed malignant gliomas. The study focused on patients with high-grade relapsed gliomas. A total dose of 34.5 Gy was delivered in 23 fractions over 4.5 weeks. Oral administration of CCNU (130 mg/m 2 ) was begun at the same time as RT, and was repeated every 6 weeks until disease progression, or up to 12 courses. Results: Twelve of 24 patients had surgery before RT plus CCNU treatment. Median interval between RT courses was 14 months (range 6-73). All patients received a complete course of RT, and 22 of 24 patients received at least one course of CCNU. Objective responses were seen in 14 evaluable patients: 3 with partial response, 5 with stable disease, and 6 with progressive disease. Duration of partial response was 20, 9, and 8 months. Median time to progression and overall survival from the onset of retreatment were 8.4 months (range 1-22) and 13.7 months (range 1-63+), respectively. One case of G4 thrombocytopenia was observed. Five patients had G1 or G2 leucopenia and 3 patients had G3 leucopenia. Moderate nausea and vomiting were reported in 4 patients. One patient, after one course of CCNU, refused further chemotherapy. No significant difference in survival from relapse was found between patients who underwent surgery before RT plus CCNU and those who received only RT plus CCNU (p = 0.74). Conclusion: Overall, the acute toxicity was moderate, and patient compliance was good. Reirradiation of high-grade glioma was associated with modest subjective and objective response rates. It is remarkable that median overall survival from relapse

Thermodynamic assessment of the LiF–NaF–BeF{sub 2}–ThF{sub 4}–UF{sub 4} system

Energy Technology Data Exchange (ETDEWEB)

Capelli, E.; Beneš, O., E-mail: ondrej.benes@ec.europa.eu; Konings, R.J.M.

2014-06-01

The present study describes the full thermodynamic assessment of the LiF–NaF–BeF{sub 2}–ThF{sub 4}–UF{sub 4} system which is one of the key systems considered for a molten salt reactor fuel. The work is an extension of the previously assessed LiF–NaF–ThF{sub 4}–UF{sub 4} system with addition of BeF{sub 2} which is characterized by very low neutron capture cross section and a relatively low melting point. To extend the database the binary BeF{sub 2}–ThF{sub 4} and BeF{sub 2}–UF{sub 4} systems were optimized and the novel data were used for the thermodynamic assessment of BeF{sub 2} containing ternary systems for which experimental data exist in the literature. The obtained database is used to optimize the molten salt reactor fuel composition and to assess its properties with the emphasis on the melting behaviour.

Melarsoprol sensitivity profile of Trypanosoma brucei gambiense isolates from cured and relapsed sleeping sickness patients from the Democratic Republic of the Congo.

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Patient Pyana Pati

2014-10-01

Full Text Available Sleeping sickness caused by Trypanosoma brucei (T.b. gambiense constitutes a serious health problem in sub-Sahara Africa. In some foci, alarmingly high relapse rates were observed in patients treated with melarsoprol, which used to be the first line treatment for patients in the neurological disease stage. Particularly problematic was the situation in Mbuji-Mayi, East Kasai Province in the Democratic Republic of the Congo with a 57% relapse rate compared to a 5% relapse rate in Masi-Manimba, Bandundu Province. The present study aimed at investigating the mechanisms underlying the high relapse rate in Mbuji-Mayi using an extended collection of recently isolated T.b. gambiense strains from Mbuji-Mayi and from Masi-Manimba.Forty five T.b. gambiense strains were used. Forty one were isolated from patients that were cured or relapsed after melarsoprol treatment in Mbuji-Mayi. In vivo drug sensitivity tests provide evidence of reduced melarsoprol sensitivity in these strains. This reduced melarsoprol sensitivity was not attributable to mutations in TbAT1. However, in all these strains, irrespective of the patient treatment outcome, the two aquaglyceroporin (AQP 2 and 3 genes are replaced by chimeric AQP2/3 genes that may be associated with resistance to pentamidine and melarsoprol. The 4 T.b. gambiense strains isolated in Masi-Manimba contain both wild-type AQP2 and a different chimeric AQP2/3. These findings suggest that the reduced in vivo melarsoprol sensitivity of the Mbuji-Mayi strains and the high relapse rates in that sleeping sickness focus are caused by mutations in the AQP2/AQP3 locus and not by mutations in TbAT1.We conclude that mutations in the TbAQP2/3 locus of the local T.b. gambiense strains may explain the high melarsoprol relapse rates in the Mbuji-Mayi focus but other factors must also be involved in the treatment outcome of individual patients.

Clinical efficacy of BG-12 (dimethyl fumarate) in patients with relapsing-remitting multiple sclerosis: subgroup analyses of the CONFIRM study.

LENUS (Irish Health Repository)

Hutchinson, Michael

2013-09-01

In the phase 3, randomized, placebo-controlled and active reference (glatiramer acetate) comparator CONFIRM study in patients with relapsing-remitting multiple sclerosis, oral BG-12 (dimethyl fumarate) reduced the annualized relapse rate (ARR; primary endpoint), as well as the proportion of patients relapsed, magnetic resonance imaging lesion activity, and confirmed disability progression, compared with placebo. We investigated the clinical efficacy of BG-12 240 mg twice daily (BID) and three times daily (TID) in patient subgroups stratified according to baseline demographic and disease characteristics including gender, age, relapse history, McDonald criteria, treatment history, Expanded Disability Status Scale score, T2 lesion volume, and gadolinium-enhancing lesions. BG-12 treatment demonstrated generally consistent benefits on relapse-related outcomes across patient subgroups, reflecting the positive findings in the overall CONFIRM study population. Treatment with BG-12 BID and TID reduced the ARR and the proportion of patients relapsed at 2 years compared with placebo in all subgroups analyzed. Reductions in ARR with BG-12 BID versus placebo ranged from 34% [rate ratio 0.664 (95% confidence interval 0.422-1.043)] to 53% [0.466 (0.313-0.694)] and from 13% [0.870 (0.551-1.373)] to 67% [0.334 (0.226-0.493)] with BG-12 TID versus placebo. Treatment with glatiramer acetate reduced the ARR and the proportion of patients relapsed at 2 years compared with placebo in most patient subgroups. The results of these analyses indicate that treatment with BG-12 is effective on relapses across a broad range of patients with relapsing-remitting multiple sclerosis with varied demographic and disease characteristics.

Application of a Kalman filter to UF6 gaseous diffusion plant freezer/sublimer systems

International Nuclear Information System (INIS)

Ruppel, F.R.

1992-03-01

A signal is required to control the flow of UF 6 in gaseous diffusion plant freezer/sublimer systems. The original strategy envisioned for deriving a flow signal was to take the derivative of the freezer/sublimer weigh cell signal. However, the derivative of the digitized weight signal is noisy, preventing good control. In addition, a bias is introduced into the weight derivative signal because a refrigerant is circulated through a shell-and-tube heat exchanger inside the freezer/sublimer. The weight of the refrigerant is included in the weight measured by the weigh cell. If the circulation rate of the refrigerent is not steady state, a bias exists. Measurements of upstream pressure, vessel pressure, and output to the system control valve are available to the control system. Thus, if the flow through the control valve is characterized properly by the measurements, a Kalman filter can be used in conjunction with these auxiliary inputs and the weigh cell input to overcome the noise and bias problem and provide an improve estimate of flow rate. A discussion of the development and the current status of a Kalman filter used for this application is given. 5 refs

Investigating the Effect of Emotional Intelligence on the Addiction Relapse after Quitting

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Zeinab Raisjouyan

2014-03-01

Full Text Available Background: Addiction is multi-dimensional medical problem and psychologic defects have a major role on its establishment. This study was designed to determine the effect of emotional quotient (EQ on the rate of addiction relapse after quitting. Methods: This was a prospective cross-sectional study on 22 to 51 year old subjects who were being treated at chemical dependency rehabilitation centers in Mashhad, Iran, during December 2012 to May 2013. For assessment of EQ, the Persian version of Bar-On EQ questionnaire was employed at first visit of each patient. During the rehabilitation therapy, the subjects were visited monthly. The data of patients were collected during the first 6 months post-quitting. Results: One-hundred sixty subjects were studied which 87% of them were men. Mean (SD score of patients' EQ was 11.9 (2.8. The mean number of addiction relapses was 2.1 (2.8. Data analysis showed that there was a significant inverse correlation between EQ score and the number of relapses (r = -0.82, P = 0.05. In addition, it was found that the EQ score had a direct significant relationship with age (r = 0.33, P = 0.05. No significant correlation between type of abused substance and the number of relapses was found. Conclusion: EQ has a positive impact on preventing addiction relapse. Increasing EQ through educational programs can be used as a preventive measure for treating addict persons.   How to cite this article: Raisjouyan Z, Talebi M, Ghasimi Shahgaldi F, Abdollahian E. Investigating the Effect of Emotional Intelligence on the Addiction Relapse after Quitting. Asia Pac J Med Toxicol 2014;3:27-30.

The state-of-the-practice in low enriched UF6 isotopic measurements in the European Community: results of REIMEP UF6

International Nuclear Information System (INIS)

Bolle, W. de; Damen, R.; Bievre, P. de; Nagel, W.; Meyer, H.; Lycke, W.; Wolters, W.H.

1991-01-01

After the interruption of the SALE programme, CBNM has established a Regular European Interlaboratory Measurement Evaluation Programme (REIMEP) with the support of the ESARDA Working Group for techniques and standards for destructive analysis (WGDA), the ESARDA Working Group for techniques and standards for non-destructive analysis (WGNDA) and the IAEA. On the basis of a questionnaire with answers from 41 laboratories, 36 laboratories have announced their interest for such a programme. In this paper we report on the 1986/87 round of the programme establishing the measurement capability or State Of the Practice in UF 6 isotopic measurements by methods left at the discretion of the participants (thermal ionization mass spectrometry, electron impact mass spectrometry and gamma-ray spectrometry). Pictures of the State Of the Practice are presented as graphs displaying participants results

A nuclear criticality safety assessment of the loss of moderation control in 2 1/2 and 10-ton cylinders containing enriched UF{sub 6}

Energy Technology Data Exchange (ETDEWEB)

Newvahner, R.L. [Martin Marietta Energy Systems, Inc., Piketon, OH (United States); Pryor, W.A. [PAI Corp., Oak Ridge, TN (United States)

1991-12-31

Moderation control for maintaining nuclear criticality safety in 2 {1/2}-ton, 10-ton, and 14-ton cylinders containing enriched uranium hexafluoride (UF{sub 6}) has been used safely within the nuclear industry for over thirty years, and is dependent on cylinder integrity and containment. This assessment evaluates the loss of moderation control by the breaching of containment and entry of water into the cylinders. The first objective of this study was to estimate the required amounts of water entering these large UF{sub 6} cylinders to react with, and to moderate the uranium compounds sufficiently to cause criticality. Hypothetical accident situations were modeled as a uranyl fluoride (UO{sub 2}F{sub 2}) slab above a UF{sub 6} hemicylinder, and a UO{sub 2}F{sub 2} sphere centered within a UF{sub 6} hemicylinder. These situations were investigated by computational analyses utilizing the KENO V.a Monte Carlo Computer Code. The results were used to estimate both the masses of water required for criticality, and the limiting masses of water that could be considered safe. The second objective of the assessment was to calculate the time available for emergency control actions before a criticality would occur, i.e., a {open_quotes}safetime{close_quotes}, for various sources of water and different size openings in a breached cylinder. In the situations considered, except the case for a fire hose, the safetime appears adequate for emergency control actions. The assessment shows that current practices for handling moderation controlled cylinders of low enriched UF{sub 6}, along with the continuation of established personnel training programs, ensure nuclear criticality safety for routine and emergency operations.

Prolonged Survival of Acute Lymphoblastic Leukemia with Intrathecal Treatments for Isolated Central Nervous System Relapse

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Elan Gorshein

2018-01-01

Full Text Available Acute lymphoblastic leukemia is commonly cured when diagnosed in the pediatric population. It portends a poorer prognosis if present in adult patients. Although adults frequently achieve complete remission, relapse rates are substantial, particularly among the elderly and high-risk populations. In the absence of prophylactic intrathecal chemotherapy, more than half of patients may develop CNS involvement or relapse, which is associated with significant risk for systemic illness. This report describes a patient with acute lymphoblastic leukemia with repeated isolated CNS relapses. This case should remind clinicians that isolated CNS disease in the absence of systemic recurrence could successfully respond to intrathecal therapy and offer patients a favorable quality of life.

Prognosis of type 1 autoimmune pancreatitis after corticosteroid therapy-induced remission in terms of relapse and diabetes mellitus.

Directory of Open Access Journals (Sweden)

Masaki Miyazawa

Full Text Available Relapse and diabetes mellitus (DM are major problems for the prognosis of autoimmune pancreatitis (AIP. We examined the prognosis of type 1 AIP after corticosteroid therapy (CST-induced remission in terms of relapse and DM.The study enrolled 82 patients diagnosed with type 1 AIP who achieved remission with CST. We retrospectively evaluated the relapse rate in terms of the administration period of CST, clinical factors associated with relapse, and the temporal change in glucose tolerance.During follow-up, 32 patients (39.0% experienced relapse. There was no significant clinical factor that could predict relapse before beginning CST. AIP patients who ceased CST within 2 or 3 years experienced significantly earlier relapse than those who had the continuance of CST (p = 0.050 or p = 0.020. Of the 37 DM patients, 15 patients (40.5% had pre-existing DM, 17 (45.9% showed new-onset DM, and 5 (13.5% developed CST-induced DM. Patients with new-onset DM were significantly more likely to show improvement (p = 0.008 than those with pre-existing DM.It was difficult to predict relapse of AIP based on clinical parameters before beginning CST. Relapse was likely to occur within 3 years after the beginning of CST and maintenance of CST for at least 3 years reduced the risk of relapse. The early initiation of CST for AIP with impaired glucose tolerance is desirable because pre-existing DM is refractory to CST.

UF6 fissile mass flow simulation at Oak Ridge National Laboratory

International Nuclear Information System (INIS)

Mihalczo, J.T.; March-Leuba, J.; Valentine, T.E.; Mattingly, J.K.; Uckan, T.; McEvers, J.A.

1997-01-01

Basis for measuring fissile mass flow in slurries, liquid, and gaseous streams is activation of a fissile stream by neutrons and then detection of delayed radiation from resulting fission products. This paper describes recent simulation measurements with the first prototype of the system for fissile mass flow measurements with HEU UF 6 gas for use in blenddown facilities. Theory was only 15% higher than actual measured; thus calibration factor would be 0.85. This simulation of HEU gas flow confirms well the understanding of the physical phenomena associated with this measurement system

Predictors of Time to Relapse/Recurrence after Electroconvulsive Therapy in Patients with Major Depressive Disorder: A Population-Based Cohort Study

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Axel Nordenskjöld

2011-01-01

Full Text Available Objective. The aim of the study is to define predictors of relapse/recurrence after electroconvulsive therapy, ECT, for patients with major depressive disorder. Methods. A study of all patients (n=486 treated by means of ECT for major depressive disorder was performed. The data were derived from a regional quality register in Sweden. Psychiatric hospitalisation or suicide was used as a marker for relapse/recurrence. Results. The relapse/recurrence rate within one year after ECT was 34%. Factors associated with increased risk of relapse/recurrence included comorbid substance dependence and treatment with benzodiazepines or antipsychotics during the follow-up period. Conclusions. Within the first years after ECT, relapses/recurrences leading to hospitalisation or suicide are common. Treatment with lithium might be beneficial, while benzodiazepines, antipsychotics, or continuation ECT does not seem to significantly reduce the risk of relapse/recurrence.

Prognostic value of comorbidity for auto-SCT eligibility and outcome in relapsed or refractory aggressive non-Hodgkin's lymphoma.

Science.gov (United States)

Plattel, W J; Kluin-Nelemans, H C; de Bock, G H; van Imhoff, G W

2011-06-01

Salvage reinduction therapy followed by high-dose chemotherapy (HDCT) and auto-SCT is the treatment of choice for fit patients with refractory or relapsed aggressive non-Hodgkin's lymphoma (NHL). We assessed the prognostic value of comorbidity at the time of relapse to predict receipt of auto-SCT and outcome. We analyzed 156 consecutive NHL patients, referred to our center between 1999 and 2007 for salvage reinduction therapy, followed by HDCT and auto-SCT. Comorbidity according to the hematopoietic SCT comorbidity index was scored at relapse and directly before HDCT and auto-SCT. Primary end points were actual receipt of auto-SCT and survival. At relapse, comorbidity scores of 0, 1-2 and ≥3 were found among 64 (41%), 62 (40%) and 30 (19%) patients, respectively. Ultimately, 95 patients received auto-SCT. Higher comorbidity scores at relapse were associated with significantly less chance of receiving auto-SCT and with inferior OS, independently from secondary age-adjusted International Prognostic Index (sAAIPI) scores. For transplanted patients, OS rates at 5 years were 62, 30 and 17% for relapse comorbidity scores of 0, 1-2 and ≥3, respectively. In patients with relapsed NHL, comorbidity at relapse is associated with receipt of auto-SCT and subsequent survival independently from the sAAIPI.

A realidade da pesquisa no DEN/UFS

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Delvair de Brito Alves

1998-12-01

Full Text Available Esta pesquisa trata do processo de pesquisar no Departamento de Enfermagem e Nutrição da Universidade Federal de Sergipe - DEN/UFS. Ela foi desenvolvida a partir de entrevistas semi estruturadas realizadas com as docentes. Dos materiais obtidos, apresentamos concepções das docentes sobre grupos, linhas e projetos de pesquisa; a produção científica docente e discente; dificuldades e possibilidades relativas à atividade de pesquisar; estratégias que esse Departamento vem utilizando para o desenvolvimento da pesquisa, para a capacitação docente e formação de pesquisadores, além da inserção de estudantes (de graduação e de pós graduação no "mundo científico". Ela conclui pela necessidade de aprofundamento dessa atividade e pela divulgação e aplicação dos seus resultados na prática de enfermagem.

CISG DEL II og Værneting i UfR 1998.1092 ØLK

DEFF Research Database (Denmark)

Lookofsky, Joseph

1998-01-01

I UfR 1998.1092 ØLK anvender en dansk domstol reglerne om købsaftalers indgåelse i CISG-konventionens del II. Det sker for at afgøre, om der er værneting i Danmark efter EF-domskonventionens artikel 5, nr. 1, når sagsøgte bestrider, at der er indgået en købsaftale. Sagen sætter fokus på behovet...

Relapse May Serve as a Mediator Variable in Longitudinal Outcomes in Multiple Sclerosis.

Science.gov (United States)

Stone, Lael Anne; Cutter, Gary Raymond; Fisher, Elizabeth; Richert, Nancy; McCartin, Jennifer; Ohayon, Joan; Bash, Craig; McFarland, Henry

2016-05-01

Contrast-enhancing lesions (CEL) on magnetic resonance imaging (MRI) are believed to represent inflammatory disease activity in multiple sclerosis (MS), but their relationship to subsequent long-term disability and progression is unclear, particularly at longer time periods such as 8-10 years. Between 1989 and 1994, 111 MS patients were seen at the National Institutes of Health for clinical evaluations and 3 monthly contrast-enhanced MRI scans. Of these, 94 patients were re-evaluated a mean of 8 years later (range 6.1-10.5 years) with a single MRI scan and clinical evaluation. CEL number and volume were determined at baseline and follow-up. The number of relapses was ascertained over the follow-up period and annualized relapse rates were calculated. Other MRI parameters, such as T2 hyperintensity volume, T1 volume, and brain parenchymal fraction, were also calculated. While there was no direct correlation between CEL number or volume at baseline and disability status at follow-up, CEL measures at baseline did correlate with number of relapses observed in the subsequent years, and the number of relapses in turn correlated with subsequent disability as well as transition to progressive MS. While number and volume of CEL at baseline do not directly correlate with disability in the longer term in MS, our data suggest that 1 route to disability involves relapses as a mediator variable in the causal sequence of MS progression from CEL to disability. Further studies using relapse as a mediator variable in a larger data set may be warranted. Copyright © 2015 by the American Society of Neuroimaging.

Socio-economic correlates of relapsed patients admitted in a Nigerian mental health institution.

Science.gov (United States)

Gbiri, Caleb A; Badru, Fatai A; Ladapo, Harry T O; Gbiri, Adefolakemi A

2011-03-01

Relapse in psychiatric disorders is highly distressing, costly and engenders burn-out syndrome among mental-health workers. To study the socio-economic factors associated with relapse in individual admitted with psychiatric disorders and the pattern of socio-economic impact of relapse in those groups. A cross-sectional survey of all relapsed patients without cognitive deficit admitted into the federal Neuro-Psychiatric Hospital, Lagos, Nigeria between June and October 2007 was conducted using a self-validated Structured Interview Schedule (Relapse Socio-economic Impact Interview Schedule) and Key Informant Interview Guide. Secondary data were elicited from the patient folders, case notes, ward admission registers and nominal rolls. Data were summarised using mean, standard deviation, frequency and percentiles. Pearson's moment correlation coefficient was used to test the association among variables. The Mann-Whitney U-test was used to compare the pre-morbid and the post-morbid states. This study involved 102 respondents. Their mean age was 36.5 ± 9.8 years, mainly of male gender (72.5%) suffering from schizophrenic disorder (37.8%). Relapse and re-admission ranged between 2 and 12. Unemployment rate, marital separation and divorce increased more than 5-fold from pre-morbid to morbid states. Few (4.9%) could still settle their hospital/drug bills on their own, while most (95.1%) depended on family, philanthropist and government/waivers to pay for their bills. Their social relationships were negatively influenced with most of them expressing social isolation and low quality of life. There were significant relationships (Peconomic status, employment status and marital status of the respondents between the pre-morbid and post-morbid periods. The illness significantly affected the emotional status of the participants. Relapse and readmission in psychiatric patients have a negative impact on socio-economic well-being of patients, family and the society. Efforts should

The budget impact of introducing delayed-release dimethyl fumarate for treatment of relapse-remitting multiple sclerosis in Canada.

Science.gov (United States)

Dorman, Emily; Kansal, Anuraag R; Sarda, Sujata

2015-01-01

Multiple sclerosis (MS) causes significant disability globally and is especially prevalent in Canada. Delayed-release dimethyl fumarate (DMF; also known as gastro-resistant DMF) is an orally administered disease-modifying treatment (DMT) for patients with relapsing-remitting MS (RRMS) that is currently on the market in the US, Australia, Canada, and Europe. A budget impact model (BIM) was developed to assess the financial consequences of introducing DMF for treatment of RRMS in Canada. A BIM calculated the financial consequences of introducing DMF in Canada over 3 years based on RRMS prevalence, treatment market share, and clinical effects. RRMS prevalence in Canada was derived from published literature and natural relapse rates, and disease state distribution from clinical trial data. It was conservatively assumed that 100% of RRMS patients were treated with a DMT. DMF was assumed to absorb market share proportionally from the following current treatments: interferon beta-1a-IM, interferon beta-1a-SC, interferon beta-1b, and glatiramer acetate. Treatment efficacy, in terms of relapse rate reductions and treatment discontinuation rates, was determined from mixed treatment comparison. Treatment costs (including costs of acquisition, monitoring, and administration) and cost of relapse were considered. Deterministic one-way sensitivity analyses were conducted to assess the most sensitive input parameters. Over 3 years, the introduction of DMF resulted in an average annual increase of CAD417 per treated patient per year, with reductions in costs associated with relapses (CAD192/patient/year) partially offsetting increased drug acquisition costs (CAD602/patient/year). On a population level, the average annual cost increase was CAD24,654,237, a CAD 0.68 increase per population covered by the Canadian healthcare system. The main drivers of budget impact were drop-out rates, proportion of RRMS patients treated, and market share assumptions. The acquisition costs of DMF for

Removal of uranium and thorium from aqueous solution by ultrafiltration (UF) and PAMAM dendrimer assisted ultrafiltration (DAUF)

International Nuclear Information System (INIS)

Ilaiyaraja, P.; Ashish Kumar Singha Deb; Ponraju, D.

2015-01-01

Studies on removal of U(VI) and Th(IV) from aqueous solution have been carried out by ultrafiltration (UF) and dendrimer assisted ultrafiltration (DAUF) using regenerated cellulose acetate membrane and PAMAM [poly(amido)amine] dendrimer chelating agent. In UF, the U(VI) and Th(IV) are removed from aqueous solution by adsorption/mass deposition on the membrane at pH > 4. In DAUF, the water soluble PAMAM dendrimer chelating agent effectively concentrates these metal ions in retentate thereby preventing the mass deposition on membrane. At acidic pH (≤3), the binding of metal ions with PAMAM dendrimer is very weak and hence PAMAM can be regenerated and reused. Electronic supplementary material. The online version of this article (doi:10.1007/s10967-014-3462-x) contains supplementary material, which is available to authorized users. (author)

Spectroscopic properties of K{sub 5}Li{sub 2}UF{sub 10}

Energy Technology Data Exchange (ETDEWEB)

Karbowiak, M. [Faculty of Chemistry, University of WrocIaw, ul. F. Joliot-Curie 14, 50-383 WrocIaw (Poland)]. E-mail: karb@wchuwr.chem.uni.wroc.pl; Gajek, Z. [W. Trzebiatowski Institute of Low Temperature and Structure Research, Polish Academy of Sciences, P.O. Box 1410, 50-950 WrocIaw (Poland); Drozdzynski, J. [Faculty of Chemistry, University of WrocIaw, ul. F. Joliot-Curie 14, 50-383 WrocIaw (Poland)

2005-04-04

A new uranium (III) fluoro-complex of the formula K{sub 5}Li{sub 2}UF{sub 10} has been synthesised and characterised by X-ray powder diffraction and electronic absorption spectra measurements. The compound crystallises in the orthorhombic system, space group Pnma, with a = 20.723, b = 7.809, c = 6.932 A, V = 1121.89 A{sup 3}, Z = 4 and is isostructural with its K{sub 5}Li{sub 2}NdF{sub 10} and K{sub 5}Li{sub 2}LaF{sub 10} analogous. The absorption spectrum of a polycrystalline sample of K{sub 5}Li{sub 2}UF{sub 10} was recorded at 4.2 K in the 3500-45,000 cm{sup -1} range and is discussed. The observed crystal-field levels were assigned and fitted to parameters of the simplified angular overlap model (AOM) and next to those of a semi-empirical Hamiltonian, which was representing the combined atomic and one-electron crystal-field interactions. The starting values of the AOM parameters were obtained from ab initio calculations. The analysis of the spectra enabled the assignment of 71 crystal-field levels of U{sup 3+} with a relatively small r.m.s. deviation of 37 cm{sup -1}. The total splitting of 714 cm{sup -1} was calculated for the {sup 4}I{sub 9/2} ground multiplet.

Psychotic relapse and associated factors among patients attending health services in Southwest Ethiopia: a cross-sectional study.

Science.gov (United States)

Fikreyesus, Mahlet; Soboka, Matiwos; Feyissa, Garumma Tolu

2016-10-20

Psychotic relapse leads to repeated hospitalization and negatively affects the clinical prognosis of the patients. Information on prevalence of relapse among patients with psychotic disorders in Ethiopian setting is scarce. This study aimed to assess the prevalence of relapse among patients with psychotic disorders attending services in Jimma University Specialized Hospital (JUSH). Data were collected using interviewer administered questionnaire. We used medication adherence rating scale (MARS) to assess compliance to medication and abnormal involuntary movement scale (AIMS) to detect medication side effects. Logistic regression analysis was used to identify independent predictors of psychotic relapse. All variables with P-value value higher when compared to those who have never experienced medication side effects (aOR = 1.83, 95 % CI = 1.01, 3.31). The high prevalence of relapse among patients with psychotic disorder needs special attention. Clinicians need to pay attention to medication side effects the patient faces. Intervening noncompliance to medication and appropriately managing medication side effects may help in preventing psychotic relapse that may result because of non-compliance. The provision of counseling, psycho education, psycho social support may help patients in improving compliance to medication and reducing psychotic relapse. Developing and strengthening community based rehabilitation services should be emphasized as part of mental healthcare services.

Incidence and risk factors for relapses in HIV-associated non-Hodgkin lymphoma as observed in the German HIV-related lymphoma cohort study.

Science.gov (United States)

Schommers, Philipp; Gillor, Daniel; Hentrich, Marcus; Wyen, Christoph; Wolf, Timo; Oette, Mark; Zoufaly, Alexander; Wasmuth, Jan-Christian; Bogner, Johannes R; Müller, Markus; Esser, Stefan; Schleicher, Alisa; Jensen, Björn; Stoehr, Albrecht; Behrens, Georg; Schultze, Alexander; Siehl, Jan; Thoden, Jan; Taylor, Ninon; Hoffmann, Christian

2018-05-01

Outcome of HIV-infected patients with AIDS-related lymphomas has improved during recent years. However, data on incidence, risk factors, and outcome of relapses in AIDS-related lymphomas after achieving complete remission are still limited. This prospective observational multicenter study includes HIV-infected patients with biopsy- or cytology-proven malignant lymphomas since 2005. Data on HIV infection and lymphoma characteristics, treatment and outcome were recorded. For this analysis, AIDS-related lymphomas patients in complete remission were analyzed in terms of their relapse- free survival and potential risk factors for relapses. In total, 254 of 399 (63.7%) patients with AIDS-related lymphomas reached a complete remission with their first-line chemotherapy. After a median follow up of 4.6 years, 5-year overall survival of the 254 patients was 87.8% (Standard Error 3.1%). Twenty-nine patients relapsed (11.4%). Several factors were independently associated with a higher relapse rate, including an unclassifiable histology, a stage III or IV according to the Ann Arbor Staging System, no concomitant combined antiretroviral therapy during chemotherapy and R-CHOP-based compared to more intensive chemotherapy regimens in Burkitt lymphomas. In conclusion, complete remission and relapse rates observed in our study are similar to those reported in HIV-negative non-Hodgkin lymphomas. These data provide further evidence for the use of concomitant combined antiretroviral therapy during chemotherapy and a benefit from more intensive chemotherapy regimens in Burkitt lymphomas. Modifications to the chemotherapy regimen appear to have only a limited impact on relapse rate. Copyright © 2018 Ferrata Storti Foundation.

NIDA-Drug Addiction Treatment Outcome Study (DATOS) Relapse as a Function of Spirituality/Religiosity.

Science.gov (United States)

Schoenthaler, Stephen J; Blum, Kenneth; Braverman, Eric R; Giordano, John; Thompson, Ben; Oscar-Berman, Marlene; Badgaiyan, Rajendra D; Madigan, Margaret A; Dushaj, Kristina; Li, Mona; Demotrovics, Zsolt; Waite, Roger L; Gold, Mark S

The connection between religion/spirituality and deviance, like substance abuse, was first made by Durkheim who defined socially expected behaviors as norms. He explained that deviance is due in large part to their absence (called anomie), and concluded that spirituality lowers deviance by preserving norms and social bonds. Impairments in brain reward circuitry, as observed in Reward Deficiency Syndrome (RDS), may also result in deviance and as such we wondered if stronger belief in spirituality practice and religious belief could lower relapse from drugs of abuse. The NIDA Drug Addiction Treatment Outcome Study data set was used to examine post hoc relapse rates among 2,947 clients who were interviewed at 12 months after intake broken down by five spirituality measures. Our main findings strongly indicate, that those with low spirituality have higher relapse rates and those with high spirituality have higher remission rates with crack use being the sole exception. We found significant differences in terms of cocaine, heroin, alcohol, and marijuana relapse as a function of strength of religious beliefs (x 2 = 15.18, p = 0.028; logistic regression = 10.65, p = 0.006); frequency of attending religious services (x 2 = 40.78, p Durkheim's social bond theory. Stronger spiritual/religious beliefs and practices are directly associated with remission from abused drugs except crack. Much like the value of having a sponsor, for clients who abuse drugs, regular spiritual practice, particularly weekly attendance at the religious services of their choice is associated with significantly higher remission. These results demonstrate the clinically significant role of spirituality and the social bonds it creates in drug treatment programs.

Adjuvant radiotherapy after salvage lymph node dissection because of nodal relapse of prostate cancer versus salvage lymph node dissection only

International Nuclear Information System (INIS)

Rischke, Hans Christian; Schultze-Seemann, Wolfgang; Kroenig, Malte; Schlager, Daniel; Jilg, Cordula Annette; Wieser, Gesche; Drendel, Vanessa; Stegmaier, Petra; Henne, Karl; Volegova-Neher, Natalia; Grosu, Anca-Ligia; Krauss, Tobias; Kirste, Simon

2015-01-01

Nodal pelvic/retroperitoneal recurrent prostate cancer (PCa) after primary therapy can be treated with salvage lymph node dissection (salvage-LND) in order to delay disease progression and offer cure for a subset of patients. Whether adjuvant radiotherapy (ART) in affected regions improves the outcome by elimination of residual tumour burden remains unclear. A total of 93 patients with exclusively nodal PCa relapse underwent choline-positron-emission tomography-computed-tomography-directed pelvic/retroperitoneal salvage-LND; 46 patients had surgery only and 47 patients received ART in regions with proven lymph node metastases. In case of subsequent prostate specific antigen (PSA) progression, different imaging modalities were performed to confirm next relapse within or outside the treated region (TR). Mean follow-up was 3.2 years. Lymphatic tumour burden was balanced between the two groups. Additional ART resulted in delayed relapse within TR (5-year relapse-free rate 70.7 %) versus surgery only (5-year relapse-free rate 26.3 %, p < 0.0001). In both treatment arms, time to next relapse outside the TR was almost equal (median 27 months versus 29.6 months, p = 0.359). With respect to the detection of the first new lesion, regardless if present within or outside the TR, 5 years after the treatment 34.3 % of patients in the group with additional ART were free of relapse, versus 15.4 % in the surgery only group (p = 0.0122). ART had no influence on the extent of PSA reduction at latest follow-up compared to treatment with surgery only. ART after salvage-LND provides stable local control in TR and results in overall significant improved next-relapse-free survival, compared to patients who received surgery only in case of nodal PCa-relapse. (orig.) [de

Cognitive reactivity to sad mood provocation and the prediction of depressive relapse.

Science.gov (United States)

Segal, Zindel V; Kennedy, Sidney; Gemar, Michael; Hood, Karyn; Pedersen, Rebecca; Buis, Tom

2006-07-01

Episode remission in unipolar major depression, while distinguished by minimal symptom burden, can also be a period of marked sensitivity to emotional stress as well as an increased risk of relapse. To examine whether mood-linked changes in dysfunctional thinking predict relapse in recovered patients who were depressed. In phase 1 of this study, patients with major depressive disorder were randomly assigned to receive either antidepressant medication or cognitive behavior therapy. In phase 2, patients who achieved clinical remission underwent sad mood provocation and were then observed with regular clinical assessments for 18 months. Outpatient psychiatric clinics at the Centre for Addiction and Mental Health, Toronto, Ontario. A total of 301 outpatients with major depressive disorder, aged 18 to 65 years, participated in phase 1 of this study and 99 outpatients with major depressive disorder in remission, aged 18 to 65 years, participated in phase 2. Occurrence of a relapse meeting DSM-IV criteria for a major depressive episode as assessed by the longitudinal interval follow-up evaluation and a Hamilton Depression Rating Scale score of 16 or greater. Patients who recovered through antidepressant medication showed greater cognitive reactivity following the mood provocation than those who received cognitive behavior therapy. Regardless of type of prior treatment, the magnitude of mood-linked cognitive reactivity was a significant predictor of relapse over the subsequent 18 months. Patients whose mood-linked endorsement of dysfunctional attitudes increased by a minimum of 8 points had a significantly shorter time to relapse than those whose scores were not as elevated. The vulnerability of remitted depressed patients for illness relapse may be related to the (re)activation of depressive thinking styles triggered by temporary dysphoric states. This is the first study to link such differences to prognosis following successful treatment for depression. Further

Tight ceramic UF membrane as RO pre-treatment: The role of electrostatic interactions on phosphate rejection

NARCIS (Netherlands)

Shang, R.; Verliefde, A.R.D.; Hu, J.; Zeng, Z; Lu, L.; Lu, L.; Kemperman, Antonius J.B.; Deng, H.; Nijmeijer, Dorothea C.; Heijman, S.G.J.; Rietveld, L.C.

2014-01-01

Phosphate limitation has been reported as an effective approach to inhibit biofouling in reverse osmosis (RO) systems for water purification. The rejection of dissolved phosphate by negatively charged TiO2 tight ultrafiltration (UF) membranes (1 kDa and 3 kDa) was observed. These membranes can

Releases of UF6 to the atmosphere after a potential fire in a cylinder storage yard

International Nuclear Information System (INIS)

Lombardi, D.A.; Williams, W.R.; Anderson, J.C.

1997-01-01

Uranium hexafluoride (UF 6 ), a toxic material, is stored in just over 6200 cylinders at the K-25 site in Oak Ridge, Tennessee. The safety analysis report (SAR) for cylinder yard storage operations at the plant required the development of accident scenarios for the potential release of UF 6 to the atmosphere. In accordance with DOE standards and guidance, the general approach taken in this SAR was to examine the functions and contents of the cylinder storage yards to determine whether safety-significant hazards were present for workers in the immediate vicinity, workers on-site, the general public off-site, or the environment. and to evaluate the significance of any hazards that were found. A detailed accident analysis was performed to determine a set of limiting accidents that have potential for off-site consequences. One of the limiting accidents identified in the SAR was the rupture of a cylinder engulfed in a fire

Saccharomyces boulardii does not prevent relapse of Crohn's disease.

Science.gov (United States)

Bourreille, Arnaud; Cadiot, Guillaume; Le Dreau, Gérard; Laharie, David; Beaugerie, Laurent; Dupas, Jean-Louis; Marteau, Philippe; Rampal, Patrick; Moyse, Dominique; Saleh, Ashraf; Le Guern, Marie-Emmanuelle; Galmiche, Jean-Paul

2013-08-01

Saccharomyces boulardii is a probiotic yeast that has been shown to have beneficial effects on the intestinal epithelial barrier and digestive immune system. There is preliminary evidence that S boulardii could be used to treat patients with Crohn's disease (CD). We performed a randomized, placebo-controlled trial to evaluate the effects of S boulardii in patients with CD who underwent remission during therapy with steroids or aminosalicylates. We performed a prospective study of 165 patients who achieved remission after treatment with steroids or salicylates; they were randomly assigned to groups given S boulardii (1 g/day) or placebo for 52 weeks. The primary end point was the percentage of patients in remission at week 52. Time to relapse, Crohn's disease activity index scores, and changes in parameters of inflammation were secondary end points. CD relapsed in 80 patients, 38 in the S boulardii group (47.5%) and 42 in the placebo group (53.2%, a nonsignificant difference). The median time to relapse did not differ significantly between patients given S boulardii (40.7 weeks) vs placebo (39.0 weeks). There were no significant differences between groups in mean Crohn's disease activity index scores or erythrocyte sedimentation rates or in median levels of C-reactive protein. In a post hoc analysis, nonsmokers given S boulardii were less likely to experience a relapse of CD than nonsmokers given placebo, but this finding requires confirmation. Although the probiotic yeast S boulardii is safe and well tolerated, it does not appear to have any beneficial effects for patients with CD in remission after steroid or salicylate therapies. Copyright © 2013 AGA Institute. Published by Elsevier Inc. All rights reserved.

Analysis of enriched HF-UF6 systems. Influence by impurity and density upon the value of the multiplication

International Nuclear Information System (INIS)

Acosta, N.B.; Canavese, S.I.; Lopez, M.L.

1990-01-01

The purpose of this paper is analyzing the influence of impurity in hydrogen fluoride and in density variation (UF 6 -HF) upon the value of the effective multiplication factor (Kef) in enriched uranium hexafluoride and hydrogen fluoride systems. The identification of the values of such multiplication factors were performed by means of the Monte-Carlo (MONK V.II) code, which is specific for criticality problems. Diverse systems were considered by keeping the same geometry and varying the density value and the impurity percentages, while the assumptions made for each model were described on a case-by-case basis. Also, systems with and without water infinite reflector were evaluated. Finally, an analysis is made of the influence of each parameter upon the effective multiplication factor, in the postulated enriched UF 6 -HF systems. (Author) [es

Preventing Relapse to Cigarette Smoking by Behavioral Skill Training.

Science.gov (United States)

Hall, Sharon M.; And Others

1984-01-01

Crossed two relapse prevention conditions (skills training-vs-discussion control) with two levels of aversive smoking in volunteer subjects (N=123). Results indicated that relapse-prevention skill training did prevent relapse among cigarette smokers. Lighter smokers were more favorably influenced. (LLL)

Metaplastic carcinoma. Breast. Relapse. Chemotherapy and Radiotherapy

International Nuclear Information System (INIS)

Marquez, A.; Terrasa, J.; Garcia, J.M.; Rifa, J.

1996-01-01

Metaplastic carcinoma of the breast is a rare tumor. The appearance of unexpected mesenchymal elements within the epithelial tumors is the squamous metaplasia. These tumors have a different clinical behaviour that classical breast carcinoma. We present a case of metaplastic mammary carcinoma with multiple relapses treated with a combination of chemotherapy and radiotherapy. The use of chemotherapy after local treatment has enhanced the relapse-free survival. The combined treatment modality seems to produce some benefit in the management of the local relapses of this neoplasms

Impact of Acid Cleaning on the Performance of PVDF UF Membranes in Seawater Reverse Osmosis Pretreatment

KAUST Repository

Alsogair, Safiya

2016-05-05

Low-pressure membrane systems such as Microfiltration (MF) and Ultrafiltration (UF) have been presented as viable option to pre-treatment systems in potable water applications. UF membranes are sporadically backwashed with ultra-filtered water to remove deposited matter from the membrane and restore it. Several factors that may cause permeability and selectivity decrease are involved and numerous procedures are applicable to achieve this objective. Membrane cleaning is the most important step required to maintain the characteristics of the membrane. This research was made with the purpose of investigating the effects of acid cleaning during chemically enhanced backwashing (CEB) on the performance of ultrafiltration (UF) membranes in seawater reverse osmosis (SWRO) pretreatment. To accomplish this, the questions made were: Does the acid addition (before or after the alkali CEB) influence the overall CEB cleaning effectiveness on Dow UF membrane? Does the CEB order of alkali (NaOCl) and acid (H2SO4) affect the overall CEB cleaning effectiveness? If yes, which order is better/worse? What is the optimal acid CEB frequency that will ensure the most reliable performance of the UF?. To answer this queries, a series of sequences were carried out with different types of chemical treatments: Only NaOCl, daily NaOCl plus weekly acid, daily NaOCl plus daily acid, and weekly acid plus daily NaOCl. To investigate the consequence of acid by studying the effect of operational data like the trans-pressure membrane, resistance or permeability and support that by the analytical experiments (organic, inorganic and microbial characterization). Microorganisms were removed almost completely at hydraulic cleaning and showed no difference with addition of acid. As a conclusion of the operational data the organic and inorganic chatacterization resulted in the elimination of the first sequence due to the acummulation of fouling over time, which produces that the cleaning increases downtime

Hematologic Response to Vorinostat Treatment in Relapsed Myeloid Leukemia of Down Syndrome.

Science.gov (United States)

Scheer, Carina; Kratz, Christian; Witt, Olaf; Creutzig, Ursula; Reinhardt, Dirk; Klusmann, Jan-Henning

2016-09-01

Children with Down syndrome are at high risk to develop myeloid leukemia (ML-DS). Despite their excellent prognosis, children with ML-DS particularly suffer from severe therapy-related toxicities and for relapsed ML-DS the cure rates are very poor. Here we report the clinical course of one child with ML-DS treated with the histone deacetylase (HDAC) inhibitor vorinostat (suberoylanilide hydroxamic acid) after second relapse. The child had previously received conventional chemotherapy and stem cell transplantation, yet showed a remarkable clinical and hematologic response. Thus, HDAC inhibitor may represent an effective class of drugs for the treatment of ML-DS. © 2016 Wiley Periodicals, Inc.

Validation of Cristallini Sampling Method for UF6 by High Precision Double-Spike Measurements Collaboration between JRC-G.2, Team METRO and SGAS/IAEA

OpenAIRE

RICHTER Stephan; HIESS Joe; JAKOBSSON Ulf

2016-01-01

The so-called "Cristallini Method" for sampling of UF6 by adsorption and hydrolysis in alumina pellets inside a fluorothene P-10 tube has been developed by the Brazilian-Argentine Agency for Accounting and Control of Nuclear Materials (ABACC) several years ago [1]. This method has several advantages compared to the currently used sampling method, for which UF6 is distilled into a stainless steel tube for transportation, with hydrolysis and isotopic analysis being performed after shipping to t...

Fouling Removal of UF Membrane with Coated TiO2 Nanoparticles under UV Irradiation for Effluent Recovery during TFT-LCD Manufacturing

Directory of Open Access Journals (Sweden)

S. H. You

2013-01-01

Full Text Available An ultrafiltration (UF membrane process was employed to treat the secondary effluent discharged from a manufacturing of thin film transistor-liquid crystal display (TFT-LCD in this study. A bench-scale system was performed to evaluate the fouling removal of a UF membrane with coated titanium dioxide (TiO2 nanoparticles under UV irradiation. The operating pressure and feed temperature were controlled at 300 KN/m2 and 25°C, respectively. It was found that the optimum operating conditions were attained with TiO2 concentrations of 10 wt% for both 5 KD and 10 KD MWCO. Continuous UV irradiation of 5 KD MWCO improved the permeate flux rate from 45.0% to 59.5% after 4 hours of operation. SEM-EDS analysis also showed that the photocatalytic effect had reduced the average thickness of cake fouling on the membrane from 6.40 μm to 2.70 μm for 5 KD MWCO and from 6.70 μm to 3.1 μm for 10 KD MWCO. In addition, the membrane contact angle was reduced from 54° to 44°. The photocatalytic properties of TiO2 apparently increased the hydrophilicity of the membrane surface, thereby reducing membrane fouling.

Biodegradation behavior of natural organic matter (NOM) in a biological aerated filter (BAF) as a pretreatment for ultrafiltration (UF) of river water

KAUST Repository

Huang, Guocheng

2011-04-15

In this study, biodegradation of natural organic matter (NOM) in a biological aerated filter (BAF) as pretreatment of UF treating river water was investigated. Photometric measurement, three-dimensional excitation-emission matrix (EEM) fluorescence spectroscopy and liquid chromatography with online organic carbon detector (LC-OCD) were used to investigate the fate of NOM fractions in the BAF+UF process. Results showed that the BAF process could effectively remove particles and parts of dissolved organic matter, which led to a lower NOM loading in the UF system, but different NOM fractions showed different biodegradation potentials. Further biodegradation batch experiments confirmed this observation and identified that polysaccharides and proteins (quantified using photometric methods) contained a large proportion of readily biodegradable matter while humic substances were mainly composed of inert organic substances. According to EEM measurements, it is evident that protein-like substances were more readily eliminated by microorganisms than humic-like substances. LC-OCD data also supported the phenomena that the polysaccharides and large-size proteins were more degradable than humic substances. © 2011 Springer-Verlag.

Influence of hydraulic retention time on UASB post-treatment with UF membranes.

Science.gov (United States)

Salazar-Peláez, M L; Morgan-Sagastume, J M; Noyola, A

2011-01-01

A pilot UASB reactor coupled with an external ultrafiltration (UF) membrane was operated under three different hydraulic retention times (HRT) for domestic wastewater treatment. The aim was to assess the HRT influence on system performance and fouling. The highest concentrations of COD, total solids, extracellular polymeric substances (EPS) and soluble microbial products (SMP) in UASB effluent and permeate were found when the UASB reactor was operated under the lowest HRT studied (4 hours); although the fulfillment of Mexican Standard for wastewater reclamation was not compromised. This fact could be attributed to the higher shear stress forces inside the UASB reactor when it was operated at low HRT, which promoted the release of biopolymeric substances in its effluent. Besides, the fouling propensity in the UASB effluent was worsened with HRT reduction, by increasing the fouling rate and the specific cake resistance. Based on these results, it is recommended to avoid operating the UASB reactor at low HRTs (less than 4 hours) in order to control SMP and EPS fouling potential. The results presented also suggest that HRT reduction has a detrimental effect on performance and fouling.

Dosimetry Modeling for Focal Low-Dose-Rate Prostate Brachytherapy

Energy Technology Data Exchange (ETDEWEB)

Al-Qaisieh, Bashar [Leeds Cancer Centre, Leeds Teaching Hospitals NHS Trust, Leeds (United Kingdom); Mason, Josh, E-mail: joshua.mason@nhs.net [Leeds Cancer Centre, Leeds Teaching Hospitals NHS Trust, Leeds (United Kingdom); Bownes, Peter; Henry, Ann [Leeds Cancer Centre, Leeds Teaching Hospitals NHS Trust, Leeds (United Kingdom); Dickinson, Louise [Division of Surgery and Interventional Science, University College London, London (United Kingdom); Department of Radiology, Northwick Park Hospital, London North West NHS Trust, London (United Kingdom); Ahmed, Hashim U. [Division of Surgery and Interventional Science, University College London, London (United Kingdom); University College London Hospital, London (United Kingdom); Emberton, Mark [University College London Hospital, London (United Kingdom); Langley, Stephen [St Luke' s Cancer Centre, Guildford (United Kingdom)

2015-07-15

Purpose: Focal brachytherapy targeted to an individual lesion(s) within the prostate may reduce side effects experienced with whole-gland brachytherapy. The outcomes of a consensus meeting on focal prostate brachytherapy were used to investigate optimal dosimetry of focal low-dose-rate (LDR) prostate brachytherapy targeted using multiparametric magnetic resonance imaging (mp-MRI) and transperineal template prostate mapping (TPM) biopsy, including the effects of random and systematic seed displacements and interseed attenuation (ISA). Methods and Materials: Nine patients were selected according to clinical characteristics and concordance of TPM and mp-MRI. Retrospectively, 3 treatment plans were analyzed for each case: whole-gland (WG), hemi-gland (hemi), and ultra-focal (UF) plans, with 145-Gy prescription dose and identical dose constraints for each plan. Plan robustness to seed displacement and ISA were assessed using Monte Carlo simulations. Results: WG plans used a mean 28 needles and 81 seeds, hemi plans used 17 needles and 56 seeds, and UF plans used 12 needles and 25 seeds. Mean D90 (minimum dose received by 90% of the target) and V100 (percentage of the target that receives 100% dose) values were 181.3 Gy and 99.8% for the prostate in WG plans, 195.7 Gy and 97.8% for the hemi-prostate in hemi plans, and 218.3 Gy and 99.8% for the focal target in UF plans. Mean urethra D10 was 205.9 Gy, 191.4 Gy, and 92.4 Gy in WG, hemi, and UF plans, respectively. Mean rectum D2 cm{sup 3} was 107.5 Gy, 77.0 Gy, and 42.7 Gy in WG, hemi, and UF plans, respectively. Focal plans were more sensitive to seed displacement errors: random shifts with a standard deviation of 4 mm reduced mean target D90 by 14.0%, 20.5%, and 32.0% for WG, hemi, and UF plans, respectively. ISA has a similar impact on dose-volume histogram parameters for all plan types. Conclusions: Treatment planning for focal LDR brachytherapy is feasible. Dose constraints are easily met with a notable

Prefrontal gamma-aminobutyric acid type A receptor insertion controls cue-induced relapse to nicotine seeking.

Science.gov (United States)

Lubbers, Bart R; van Mourik, Yvar; Schetters, Dustin; Smit, August B; De Vries, Taco J; Spijker, Sabine

2014-11-01

Current smoking cessation therapies offer limited success, as relapse rates remain high. Nicotine, which is the major component of tobacco smoke, is thought to be primarily responsible for the addictive properties of tobacco. However, little is known about the molecular mechanisms underlying nicotine relapse, hampering development of more effective therapies. The objective of this study was to elucidate the role of medial prefrontal cortex (mPFC) glutamatergic and gamma-aminobutyric acid (GABA)ergic receptors in controlling relapse to nicotine seeking. Using an intravenous self-administration model, we studied glutamate and gamma-aminobutyric acid receptor regulation in the synaptic membrane fraction of the rat mPFC following extinction and cue-induced relapse to nicotine seeking. Subsequently, we locally intervened at the level of GABAergic signaling by using a mimetic peptide of the GABA receptor associated protein-interacting domain of GABA type A (GABAA) receptor subunit γ2 (TAT-GABAγ2) and muscimol, a GABAA receptor agonist. Alpha-amino-3-hydroxy-5-methyl-4-isoxazole propionic acid and N-methyl-D-aspartate receptors were not regulated after the 30-min relapse test. However, GABAA receptor subunits α1 and γ2 were upregulated, and interference with GABAA receptor insertion in the cell membrane using the TAT-GABAγ2 peptide in the dorsal mPFC, but not the ventral mPFC, significantly increased responding during relapse. Increasing GABAA transmission with muscimol in the dorsal and ventral mPFC attenuated relapse. These data indicate that cue-induced relapse entails a GABAergic plasticity mechanism that limits nicotine seeking by restoring inhibitory control in the dorsal mPFC. GABAA receptor-mediated neurotransmission in the dorsal mPFC constitutes a possible future therapeutic target for maintaining smoking abstinence. Copyright © 2014 Society of Biological Psychiatry. Published by Elsevier Inc. All rights reserved.

Burden of a multiple sclerosis relapse: the patient's perspective.

Science.gov (United States)

Oleen-Burkey, Merrikay; Castelli-Haley, Jane; Lage, Maureen J; Johnson, Kenneth P

2012-01-01

Relapses are a common feature of relapsing-remitting multiple sclerosis (RRMS) and increasing severity has been shown to be associated with higher healthcare costs, and to result in transient increases in disability. Increasing disability likely impacts work and leisure productivity, and lowers quality of life. The objective of this study was to characterize from the patient's perspective the impact of a multiple sclerosis (MS) relapse in terms of the economic cost, work and leisure productivity, functional ability, and health-related quality of life (HR-QOL), for a sample of patients with RRMS in the US treated with immunomodulatory agents. A cross-sectional, web-based, self-report survey was conducted among members of MSWatch.com, a patient support website now known as Copaxone.com. Qualified respondents in the US had been diagnosed with RRMS and were using an immunomodulatory agent. The survey captured costs of RRMS with questions about healthcare resource utilization, use of community services, and purchased alterations and assistive items related to MS. The Work and Leisure Impairment instrument and the EQ-5D were used to measure productivity losses and HR-QOL (health utility), respectively. The Goodin MS neurological impairment questionnaire was used to measure functional disability; questions were added about relapses in the past year. Of 711 qualified respondents, 67% reported having at least one relapse during the last year, with a mean of 2.2 ± 2.3 relapses/year. Respondents who experienced at least one relapse had significantly higher mean annual direct and indirect costs compared with those who did not experience a relapse ($US38 458 vs $US28 669; p = 0.0004) [year 2009 values]. Direct health-related costs accounted for the majority of the increased cost ($US5201; 53%) and were mainly due to increases in hospitalizations, medications, and ambulatory care. Indirect costs, including informal care and productivity loss, accounted for the

Intestinal Microbiota and Relapse After Hematopoietic-Cell Transplantation.

Science.gov (United States)

Peled, Jonathan U; Devlin, Sean M; Staffas, Anna; Lumish, Melissa; Khanin, Raya; Littmann, Eric R; Ling, Lilan; Kosuri, Satyajit; Maloy, Molly; Slingerland, John B; Ahr, Katya F; Porosnicu Rodriguez, Kori A; Shono, Yusuke; Slingerland, Ann E; Docampo, Melissa D; Sung, Anthony D; Weber, Daniela; Alousi, Amin M; Gyurkocza, Boglarka; Ponce, Doris M; Barker, Juliet N; Perales, Miguel-Angel; Giralt, Sergio A; Taur, Ying; Pamer, Eric G; Jenq, Robert R; van den Brink, Marcel R M

2017-05-20

Purpose The major causes of mortality after allogeneic hematopoietic-cell transplantation (allo-HCT) are relapse, graft-versus-host disease (GVHD), and infection. We have reported previously that alterations in the intestinal flora are associated with GVHD, bacteremia, and reduced overall survival after allo-HCT. Because intestinal bacteria are potent modulators of systemic immune responses, including antitumor effects, we hypothesized that components of the intestinal flora could be associated with relapse after allo-HCT. Methods The intestinal microbiota of 541 patients admitted for allo-HCT was profiled by means of 16S ribosomal sequencing of prospectively collected stool samples. We examined the relationship between abundance of microbiota species or groups of related species and relapse/progression of disease during 2 years of follow-up time after allo-HCT by using cause-specific proportional hazards in a retrospective discovery-validation cohort study. Results Higher abundance of a bacterial group composed mostly of Eubacterium limosum in the validation set was associated with a decreased risk of relapse/progression of disease (hazard ratio [HR], 0.82 per 10-fold increase in abundance; 95% CI, 0.71 to 0.95; P = .009). When the patients were categorized according to presence or absence of this bacterial group, presence also was associated with less relapse/progression of disease (HR, 0.52; 95% CI, 0.31 to 0.87; P = .01). The 2-year cumulative incidences of relapse/progression among patients with and without this group of bacteria were 19.8% and 33.8%, respectively. These associations remained significant in multivariable models and were strongest among recipients of T-cell-replete allografts. Conclusion We found associations between the abundance of a group of bacteria in the intestinal flora and relapse/progression of disease after allo-HCT. These might serve as potential biomarkers or therapeutic targets to prevent relapse and improve survival after allo-HCT.

Method of absorbing UF6 from gaseous mixtures in alkamine absorbents

International Nuclear Information System (INIS)

Lafferty, R.H.; Smiley, S.H.; Radimer, K.J.

1976-01-01

A method is described for recovering UF 6 from gaseous mixtures by absorption in a liquid. The liquid absorbent must have a relatively low viscosity and at least one component of the absorbent is an alkamine having less than 3 carbon atoms bonded to the amino nitrogen, less than 2 of the carbon atoms other than those bonded to the amino nitrogen are free of the hydroxy radical and precipitate the absorbed uranium from the absorbent. At least one component of the absorbent is chosen from the group consisting of ethanolamine, diethanolamine, and 3-methyl-3-amino-propane-diol-1,2

Finite element modelling of fire situations in UF6 transport containers

International Nuclear Information System (INIS)

Basombrio, F.G.

1996-01-01

In this report we describe some runs made with the code FASES2. They concern different situations associated to fires originated by accidents in the transport of containers filled with UF6. Such situations have been inspired in cases taken from the current literature, and related to numerical modelling or experiments. We aim to consign the most relevant aspects of such runs, with the future purpose of comparing them with the predictions made with simpler lumped models. In such a way, it will be possible to calibrate the simple models with the results coming from detailed models. (author). 6 refs., 12 figs

The Effectiveness of Cognitive-Behavioral Stress Management on Relapse Prevention in Substance Dependent Men

Directory of Open Access Journals (Sweden)

Negar Karimian

2012-02-01

Full Text Available Introduction: The purpose of this study is to investigate the effectiveness of cognitive-behavioral stress management on relapse prevention in men who are substance dependent. Method: In a experimental study, 30 individuals who settled in Esfahan therapeutic community center were accidently divided in to an experimental (15 subjects and a control (15 subjects group. The experimental group underwent ten 90 minutes sessions of cognitive-behavioral stress management and the control group didn't receive any particular treatment. All participants underwent urine tests at the beginning of the study, completion of treatment and three months following the completion of treatment. Data were analyzed using descriptive statistics and X2 test. Findings: results showed significant difference in relapse rates of two groups in the following stage. Conclusion: Cognitive-behavioral stress management is effective in relapse prevention in men who are substance dependent.

PREDICTION OF RELAPSE FROM HYPERTHYROIDISM FOLLOWING ANTITHYROID MEDICATION WITHDRAWAL USING TECHNETIUM THYROID UPTAKE SCANNING.

Science.gov (United States)

Nakhjavani, Manouchehr; Abdollahi, Soraya; Farzanefar, Saeed; Abousaidi, Mohammadtagi; Esteghamati, Alireza; Naseri, Maryam; Eftekhari, Mohamad; Abbasi, Mehrshad

2017-04-02

Technetium thyroid uptake (TTU) is not inhibited by antithyroid drugs (ATD) and reflects the degree of thyroid stimulation. We intended to predict the relapse rate from hyperthyroidism based on TTU measurement. Out of 44 initially enrolled subjects, 38 patients aged 41.6 ± 14.6 with Graves disease (duration: 84 ± 78 months) completed the study. TTU was performed with 40-second imaging of the neck and mediastinum 20 minutes after injection of 1 mCi technetium-99m pertechnetate. TTU was measured as the percentage of the count of activity accumulated in the thyroidal region minus the mediastinal background uptake to the count of 1 mCi technetium-99m under the same acquisition conditions. Then methimazole was stopped and patients were followed. The optimal TTU cutoff value for Graves relapse prediction was calculated using Youden's J statistic. Hyperthyroidism relapsed in 11 (28.9%) patients 122 ± 96 (range: 15-290) days post-ATD withdrawal. The subjects in remission were followed for 209 ± 81 days (range: 88-390). TTU was significantly higher in patients with forthcoming relapse (12.0 ± 8.0 vs. 3.9 ± 2.0, P = .007). The difference was significant after adjustment for age, sex, history of previous relapse, disease duration, and thyroid-stimulating hormone (TSH) levels before withdrawal. The area under the receiver operative characteristic (ROC) curve was 0.87. The optimal TTU cutoff value for classification of subjects with relapse and remission was 8.7 with sensitivity, specificity, and positive and negative predictive value of 73%, 100%, 100%, and 90%, respectively (odds ratio [OR] = 10.0; 95% confidence interval [CI]: 3.4-29.3). TTU evaluation in hyperthyroid patients receiving antithyroid medication is an accurate and practical method for predicting relapse after ATD withdrawal. ATD = antithyroid drugs RIU = radio-iodine uptake TSH = thyroid-stimulating hormone TSI = thyroid-stimulating immunoglobulin TTU = technetium thyroid uptake.

Finite element modelling of fire situations in UF6 transport containers; Modelado por elementos finitos de situaciones de incendio en contenedores para el transporte de UF6

Energy Technology Data Exchange (ETDEWEB)

Basombrio, F G

1997-12-31

In this report we describe some runs made with the code FASES2. They concern different situations associated to fires originated by accidents in the transport of containers filled with UF6. Such situations have been inspired in cases taken from the current literature, and related to numerical modelling or experiments. We aim to consign the most relevant aspects of such runs, with the future purpose of comparing them with the predictions made with simpler lumped models. In such a way, it will be possible to calibrate the simple models with the results coming from detailed models. (author). 6 refs., 12 figs.

Computer-optimized γ-NDA geometries for uranium enrichment verification of gaseous UF6

International Nuclear Information System (INIS)

Wichers, V.A.; Aaldijk, J.K.; Betue, P.A.C. de; Harry, R.J.S.

1993-05-01

An improved collimator pair of novel design tailored for deposit independent enrichment verification of gaseous UF 6 at low pressures in cascade-to-header pipes of small diameters in centrifuge enrichment plants is presented. The designs are adapted for use in a dual-geometry arrangement for simultaneous measurements with both detection geometries. The average measurement time with the dual-geometry arrangement is approximately half an hour for deposit-to-gas activity ratios as high as 20. (orig.)

Relapse and craving in alcohol-dependent individuals

NARCIS (Netherlands)

van de Mheen, H,; Snelleman, M.; Schoenmakers, T.M.

2018-01-01

Background: Negative affective states and alcohol-related stimuli increase risk of relapse in alcohol dependence. In research and in clinical practice, craving is often used as another important indicator of relapse, but this lacks a firm empirical foundation. Objectives: The goal of the present

The role of family expressed emotion and perceived social support in predicting addiction relapse.

Science.gov (United States)

Atadokht, Akbar; Hajloo, Nader; Karimi, Masoud; Narimani, Mohammad

2015-03-01

Emotional conditions governing the family and patients' perceived social support play important roles in the treatment or relapse process of the chronic disease. The current study aimed to investigate the role of family expressed emotion and perceived social support in prediction of addiction relapse. The descriptive-correlation method was used in the current study. The study population consisted of the individuals referred to the addiction treatment centers in Ardabil from October 2013 to January 2014. The subjects (n = 80) were randomly selected using cluster sampling method. To collect data, expressed emotion test by Cole and Kazaryan, and Multidimensional Scale of Perceived Social Support (MSPSS) were used, and the obtained data was analyzed using the Pearson's correlation coefficient and multiple regression analyses. Results showed a positive relationship between family expressed emotions and the frequency of relapse (r = 0.26, P = 0.011) and a significant negative relationship between perceived social support and the frequency of relapse (r = -0.34, P = 0.001). Multiple regression analysis also showed that perceived social support from family and the family expressed emotions significantly explained 12% of the total variance of relapse frequency. These results have implications for addicted people, their families and professionals working in addiction centers to use the emotional potential of families especially their expressed emotions and the perceived social support of addicts to increase the success rate of addiction treatment.

Relapse of nephrotic syndrome during post-rituximab peripheral blood B-lymphocyte depletion.

Science.gov (United States)

Sato, Mai; Kamei, Koichi; Ogura, Masao; Ishikura, Kenji; Ito, Shuichi

2018-02-01

Rituximab is effective against complicated childhood steroid-dependent nephrotic syndrome (SDNS). Peripheral blood B-lymphocyte (B-cell) depletion is strongly correlated with persistent remission, relapse rarely occurring during B-cell depletion; however, we have encountered several such patients. We retrospectively analyzed the characteristics and clinical course of 82 patients with SDNS treated with rituximab from January 2007 to December 2012 in our institution. Six of 82 patients (7.3%) had relapses during B-cell depletion after receiving rituximab (relapsed group). The remaining 76 patients did not have relapses during B-cell depletion (non-relapsed group). The median time to initial relapse during B-cell depletion was 85 days after receiving rituximab, which is significantly shorter than in the non-relapsed group (410 days, p = 0.0003). The median annual numbers of relapses after receiving rituximab were 2.5 and 0.9 in the relapsed and non-relapsed groups, respectively (p depletion did not differ between the two groups. Relapse during B-cell depletion after receiving rituximab suggests that various pathophysiological mechanisms play a part in childhood nephrotic syndrome.

Smoking relapse situations among a community-recruited sample of Spanish daily smokers.

Science.gov (United States)

Piñeiro, Bárbara; López-Durán, Ana; Martínez-Vispo, Carmela; Fernández Del Río, Elena; Martínez, Úrsula; Rodríguez-Cano, Rubén; Míguez, M Carmen; Becoña, Elisardo

2017-12-01

Relapse is a common factor within the behavior change process. However, there is scarce and limited knowledge of smoking relapse situations in population-based samples. The aim of this study was to identify smoking relapse situations among a sample of Spanish relapsers from the general population. A sample of 775 relapsers was recruited among the general population using a snowball method. Participants completed a survey including sociodemographic, smoking-related and psychopathology variables. Smoking relapse situations were identified through specific questions assessing different aspects related to the last relapse episode. The majority of smoking relapse situations were attributed to positive affect (36.6%) and negative affect (34.3%), followed by lack of control (10.1%), smoking habit (6.7%), craving or nicotine withdrawal (6.3%), and social pressure (5.9%). Being unemployed and having a mental disorder in the past increased the likelihood of relapse in situations of negative affect. Being single and having quit smoking to save money were associated with an increased likelihood of relapse in situations of positive affect. Affect plays a significant role in smoking relapse among a community sample of unassisted Spanish smokers. Relapse may be much more of an affective and situational process than a habit, physiological or social pressure. Findings from this study may help develop tailored community smoking relapse prevention strategies or programs. Copyright © 2017 Elsevier Ltd. All rights reserved.

Salvage radiotherapy for prostate-specific antigen relapse after radical prostatectomy for prostate cancer. A single-center experience

International Nuclear Information System (INIS)

Yoshida, Takahiro; Nakayama, Masashi; Suzuki, Osamu

2011-01-01

The aim of this study was to investigate the efficacy and prognostic factors of salvage radiotherapy for prostate-specific antigen relapse after radical prostatectomy for prostate cancer at a single center in Japan. A retrospective review of the medical records of 51 patients who underwent salvage radiotherapy for prostate-specific antigen relapse after radical prostatectomy was carried out. Salvage radiotherapy was undergone for the single indication of at least two consecutive prostate-specific antigen elevations >0.1 ng/ml. Salvage radiotherapy was delivered to the prostatic bed at a total dose of 60 or 64 Gy. Late toxicity was scored according to the Common Terminology Criteria for Adverse Events 3.0. A total dose of 60 and 64 Gy were administered to 26 and 25 patients, respectively. The median prostate-specific antigen level at the initiation of radiotherapy was 0.29 ng/ml (range, 0.11-1.10 ng/ml). With a median follow-up of 57.3 months (range, 9.9-134.0 months), the prostate-specific antigen relapse-free rate at 5 years was 50.7%. Multivariate analysis using Cox's proportional hazards regression model revealed that the Gleason score at radical prostatectomy ≥8 significantly predicted prostate-specific antigen relapse after salvage radiotherapy (hazard ratio 4.531; 95% confidence interval 1.413-14.535; P=0.011). The prostate-specific antigen relapse-free rate at 5 years in the Gleason score at radical prostatectomy ≤7 and at radical prostatectomy ≥8 was 62.7 and 15.4%, respectively. Salvage radiotherapy was effective for prostate-specific antigen relapse after radical prostatectomy with tolerable toxicities in Japanese patients. A high Gleason score seemed to be a poor prognostic factor. (author)

Long-term results of pneumatic dilatation for relapsing symptoms of achalasia after Heller myotomy.

Science.gov (United States)

Legros, Ludivine; Ropert, Alain; Brochard, Charlène; Bouguen, Guillaume; Pagenault, Maël; Siproudhis, Laurent; Bretagne, Jean-François

2014-09-01

The aim of this study was to assess the efficacy and safety of pneumatic dilatation (PD) to treat symptom recurrence after Heller myotomy (HM). Consecutive patients receiving PD for relapsing symptoms following prior HM were included in this retrospective single-center study. Eckardt score ≤3 and/or ∆ Eckardt (difference between Eckardt score before and after dilatation) ≥3 defined the success of initial dilatation. Patients who maintained response longer than 2 months after initial dilatation were defined as short-term responders. Relapsers were offered further on-demand dilatation. Remission was defined as an Eckardt score ≤3 at the study endpoint. Kaplan-Meier survival curves were used to determine relapse rates. Eighteen patients (11 women, seven men) were included from January 2004 to January 2013. Ten patients had type I achalasia, and seven had type III, according to the Chicago classification. Thirty-nine PDs were performed (1.5 [1-2.25] per patient). All patients had short-term responses. The remission rate at the endpoint, after a median follow-up of 33 months, was 78%, but 44% were treated with on-demand PD during the follow-up interval. The proportions of patients without relapse and subsequent PD were 72% at 12 months, 65% at 24 and 36 months, and 49% at 48 months. No factors predictive of long-term response, particularly the type of achalasia, could be identified in this series. There were no perforations. In treating symptom recurrence following HM, PD was safe and effective over the long term when combined with subsequent PD. © 2014 John Wiley & Sons Ltd.

High-dose therapy and autologous bone marrow transplantation for Hodgkin's disease patients with relapses potentially treatable by radical radiation therapy

International Nuclear Information System (INIS)

Pezner, Richard D.; Nademanee, Auayporn; Forman, Stephen J.

1995-01-01

Purpose: A retrospective review evaluated the results of autologous bone marrow transplantation (A-BMT) for patients with relapsed Hodgkin's disease (HD) who were potentially treatable by radical radiation therapy (RRT). Methods and Materials: Evaluated patient cases met the following criteria: initial treatment with chemotherapy (with or without involved field radiation therapy 20 Gy to spinal cord); HD at time of salvage therapy limited to lymph nodes, Waldeyer's ring, liver, spleen, direct extension sites, and/or one lung. Results: There were 23 A-BMT patients treated between 1986 and 1991 who fulfilled the criteria. Three (13%) patients died from treatment-related complications and eight (35%) developed nonfatal Grade 3-4 complications. The 3-year actuarial disease-free survival rate was 61%. The 3-year disease-free survival rate was 55% for the nine patients with at least one prior disease-free interval (DFI) > 12 months, 67% for nine patients with DFI 0.10). These results are comparable to retrospective studies of RRT results in selected relapsed HD patients. Conclusions: Long-term disease-free survival is frequently possible with either A-BMT or RRT appropriately selected relapsed HD patients. In considering treatment options, important prognostic factors include initial stage of disease, number of prior relapses, DFI, and extent of relapsed disease

Efficacy of argon plasma coagulation for locoregional relapse after chemoradiotherapy for esophageal cancer

International Nuclear Information System (INIS)

Kikuchi, Yoshinori; Domon, Kaoru; Otsuka, Takafumi

2011-01-01

Salvage therapy for residual or relapsed esophageal cancer after chemoradiotherapy (CRT) has not yet been established. We retrospectively evaluated relapse-free survival (RFS) after local recurrence following CRT and local control rate in patients who underwent argon plasma coagulation (APC). We reviewed the records of 14 patients who underwent APC after CRT for esophageal cancer at our department between 2001 and 2010 and analyzed overall survival (OS), 5-year survival rate, local control rate after APC and RFS-defined as the period between the end of CRT and the time when an iodine-negative area was found. Median OS and median RFS (mRFS) were 33 months and 6 months, respectively. The 5-year survival rate was 16.2%, and the local control rate after APC was 71.4% (10/14). RFS was significantly longer in the T1 group than in the T2/T3 group (p=0.03); the local control rate after APC did not significantly differ between groups. The high-dose (HD) radiation group had a significantly longer RFS and a tendency toward a higher local control rate after APC than did the standard-dose (SD) radiation group. APC was safe and resulted in a high rate of local control, regardless of T factor. HD radiation was associated with longer RFS and greater efficacy of APC treatment for local recurrence. (author)

Cost minimisation analysis of fingolimod vs natalizumab as a second line of treatment for relapsing-remitting multiple sclerosis.

Science.gov (United States)

Crespo, C; Izquierdo, G; García-Ruiz, A; Granell, M; Brosa, M

2014-05-01

At present, there is a lack of economic assessments of second-line treatments for relapsing-recurring multiple sclerosis. The aim of this study was to compare the efficiency between fingolimod and natalizumab in Spain. A cost minimisation analysis model was developed for a 2-year horizon. The same relapse rate was applied to both treatment arms and the cost of resources was calculated using Spain's stipulated rates for 2012 in euros. The analysis was conducted from the perspective of Spain's national health system and an annual discount rate of 3% was applied to future costs. A sensitivity analysis was performed to validate the robustness of the model. Indirect comparison of fingolimod with natalizumab revealed no significant differences (hazard ratio between 0.82 and 1.07). The total direct cost, considering a 2-year analytical horizon, a 7.5% discount stipulated by Royal Decree, and a mean annual relapse rate of 0.22, was € 40914.72 for fingolimod and € 45890.53 for natalizumab. Of the total direct costs that were analysed, the maximum cost savings derived from prescribing fingolimod prescription was € 4363.63, corresponding to lower administration and treatment maintenance costs. Based on the sensitivity analysis performed, fingolimod use was associated with average savings of 11% (range 3.1%-18.7%). Fingolimod is more efficient than natalizumab as a second-line treatment option for relapsing-remitting multiple sclerosis and it generates savings for the Spanish national health system. Copyright © 2012 Sociedad Española de Neurología. Published by Elsevier Espana. All rights reserved.

Extinction of relapsed fear does not require the basolateral amygdala.

Science.gov (United States)

Lingawi, Nura W; Westbrook, R Frederick; Laurent, Vincent

2017-03-01

It is well established that extinguished fears are restored with the passage of time or a change in physical context. These fear restoration phenomena are believed to mimic the conditions under which relapse occurs in patients that have been treated for anxiety disorders by means of cue-exposure therapy. Here, we used a rodent model to extinguish relapsed fear and assess whether this new extinction prevents further relapse. We found that activity in the basolateral amygdala (BLA) is required to initially extinguish conditioned fear, but this activity was not necessary to subsequently extinguish relapsed fear. That is, extinction of spontaneously recovered or renewed fear was spared by BLA inactivation. Yet, this BLA-independent learning of extinction did not protect against further relapse: extinction of relapsed fear conducted without BLA activity was still likely to return after the passage of time or a shift in physical context. These findings have important clinical implications. They indicate that pharmacological agents with anxiolytic properties may disrupt initial cue-exposure therapy but may be useful when therapy is again needed due to relapse. However, they also suggest that these agents will not protect against further relapse, implying the need for developing drugs that target other brain regions involved in fear inhibition. Copyright © 2017 Elsevier Inc. All rights reserved.

Relapse and disease specific survival in 1143 Danish women diagnosed with borderline ovarian tumours (BOT).

Science.gov (United States)

Karlsen, Nikoline Marie Schou; Karlsen, Mona Aarenstrup; Høgdall, Estrid; Nedergaard, Lotte; Christensen, Ib Jarle; Høgdall, Claus

2016-07-01

The aim of the study was to evaluate the rate of relapse as well as disease-free, overall, and disease-specific survival in women with borderline ovarian tumour (BOT). Furthermore, the study aims to identify the clinical parameters correlated to relapse. National clinical data of women diagnosed with BOT from January 2005 to January 2013 constituted the basis for our study population. The prognostic influence of clinical variables was evaluated using univariate and multivariate analyses. A total of 1143 women were eligible for analysis, with 87.9% in FIGO stage I and 12.1% in FIGO stages II-IV. Relapse of BOT was detected in 3.7%, hereof 40.5% with malignant transformation. The five-year disease-free survival was 97.6% in FIGO stage I and 87.3% in FIGO stages II-IV. Younger age, laparoscopic surgical approach, fertility sparing surgery, FIGO stages II-IV, bilateral tumour presence, serous histology, implants and microinvasion of the tumour were significantly associated with relapse in univariate analyses. The overall five-year survival rate was 92.2% in FIGO stage I and 89.0% in FIGO stages II-IV. Out of 77 deaths in total, only seven women died from BOT. A general favourable prognosis in women with BOT was confirmed in our study. Our findings indicate that systematic, long-term follow-up does not seem necessary in women treated for FIGO stage IA BOT with no residual disease or microinvasion. Copyright © 2016 Elsevier Inc. All rights reserved.

Second and third responses to the same induction regimen in relapsing patients with multiple myeloma.

Science.gov (United States)

Paccagnella, A; Chiarion-Sileni, V; Soesan, M; Baggio, G; Bolzonella, S; De Besi, P; Casara, D; Frizzarin, M; Salvagno, L; Favaretto, A

1991-09-01

From September 1975 to December 1986, 115 consecutive previously untreated patients with multiple myeloma (MM) were treated with combination chemotherapy consisting of BCNU, cyclophosphamide, melphalan, vincristine, and prednisone (M-2). No patients were excluded or lost during follow-up. Forty-three percent of the patients were Stage I plus II, and 57% were Stage III. Thirty-eight patients (33%) had blood urea nitrogen greater than or equal to 40 mg/dl (substage B). Reaching an objective response treatment was stopped, generally after 1 year, and restarted at relapse. After induction therapy, 94 patients (82%) responded and had a median duration of response (MDR) of 22 months. After first relapse, 26 of 38 patients (69%) responded again to the same regimen and had an MDR of 11 months. This response rate and MDR are significantly lower than the ones achieved in induction chemotherapy. After second relapse, 7 of 16 patients (44%) again responded with an MDR of 3.5 months. The median survival time (MST) was 50.5 months for all patients. The most relevant side effect was leukopenia. No case of secondary leukemia was noticed. The authors conclude that patients with MM can be treated safely without maintenance therapy after reaching remission because a high response rate can be obtained in first and even second relapse. The planned treatment pause at remission does not adversely affect the survival time. Secondary leukemia is infrequent after this policy. Quality of life improves during the treatment pause.

Efficacy of Group Cognitive-behavioral Therapy in Maintenance Treatment and Relapse Prevention for Bipolar Adolescents.

Science.gov (United States)

Arman, Soroor; Golmohammadi, Farnaz; Maracy, Mohammadreza; Molaeinezhad, Mitra

2018-01-01

Despite conducting wide-ranging of pharmacotherapy for bipolar adolescents, many of them are showing a deficit in functioning with high relapse rate. The aim of the current study was to develop a manual and investigate the efficacy of group cognitive-behavioral therapy (G-CBT) for female bipolar adolescents. During the first qualitative phase of a mixed-methods study, a manual of G-CBT was developed. Then, 32 female bipolar adolescents aged 12-19 years old, receiving usual maintenance medications (UMM), were selected. Participants were randomized to the control (UMM) and intervention group (5, 2 h weekly sessions based on G-CBT manual with UMM). The parents in intervention group participated in three parallel sessions. All participants filled the following questionnaires before 1, 3, and 6 months after the initiation of the study: Young Mania Rating Scale, Children Depression Inventory and Global Assessment of Functioning. The results were analyzed using SPSS 21 software. The concurrent qualitative phase was analyzed through thematic analysis. The results showed no significant differences in all questionnaires' scores through intervention and follow-up sessions ( P > 0.05). However, using cutoff point of CDI, G-CBT was effective for intervention group (relapse rate: 25% vs. 44.4%). Two themes were extracted from the second qualitative phase: emotion recognition and emotion regulation, especially in anger control. The results showed that the addition of G-CBT to UMM leads to decrease in the depressive scores but has no effect on manic symptoms and relapse rate.

Outcome following late marrow relapse in childhood acute lymphoblastic leukemia

International Nuclear Information System (INIS)

Chessells, J.; Leiper, A.; Rogers, D.

1984-01-01

Thirty-four children with acute lymphoblastic leukemia, who developed bone marrow relapse after treatment was electively stopped, received reinduction, consolidation, continuing therapy, and intrathecal (IT) methotrexate (MTX). Sixteen children who relapsed within six months of stopping treatment had a median second-remission duration of 26 weeks; all next relapses occurred in the bone marrow. In 18 children who relapsed later, the median duration of second remission was in excess of two years, but after a minimum of four years follow-up, 16 patients have so far relapsed again (six in the CNS). CNS relapse occurred as a next event in four of 17 children who received five IT MTX injections only and in two of 14 children who received additional regular IT MTX. Although children with late marrow relapses may achieve long second remissions, their long-term out-look is poor, and regular IT MTX does not afford adequate CNS prophylaxis. It remains to be seen whether more intensive chemotherapy, including high-dose chemoradiotherapy and bone marrow transplantation, will improve the prognosis in this group of patients

Role of contaminants in the fluorination of β-UO3 to UF4 by freon-12

International Nuclear Information System (INIS)

Girgis, B.S.; Rofail, N.H.

1992-01-01

Ammonium uranate was precipitated from uranyl nitrate or sulphate by NH 3 gas or urea, and decomposed to β-UO 3 by calcination at 623 or 773 K. Oxides contaminated by high contents of nitrates (non-washed uranate) displayed higher conversion to UF 4 in comparison to the respective pre-washed uranate. Products of thermal treatment at 623 K were also more reactive towards fluorination, which was ascribed to the highly-disordered, loosely bound, high surface area products. The presence of residual nitrate, and probably ammonium, ions help in the partial reduction to lower oxides and in preventing recrystallization of the reaction solids. Ammonium uranate precipitated from uranyl sulphate and decomposed at 623 K is more easily fluorinated than the product decomposed at 773 K; it is also better product for fluorination than the uranate precipitated from uranyl nitrate. The complete conversion to UF 4 i attained after 45 min with the uranate precipitated from uranyl sulphate and treated at 623 K, but it needs 120 min with the product formed from uranyl nitrate and decomposed at the same temperature. (orig.)

UF/sub 6/ test loop for evaluation and implementation of international enrichment plant safeguards

International Nuclear Information System (INIS)

Cooley, J.N.; Fields, L.W.; Swindle, D.W. Jr.

1987-01-01

A functional test loop capable of simulating UF/sub 6/ flows, pressures, and pipe deposits characteristic of gas centrifuge enrichment plant piping has been designed and fabricated by the Enrichment Safeguards Program of Martin Marietta Energy Systems, Inc., for use by the International Atomic Energy Agency (IAEA) at its Safeguards Analytical Laboratory in Seibersdorf, Austria. The purpose of the test loop is twofold: (1) to enable the IAEA to evaluate and to calibrate enrichment safeguards measurement instrumentation to be used in limited frequency-unannounced access (LFUA) inspection strategy measurements at gas centrifuge enrichment plants and (2) to train IAEA inspectors in the use of such instrumentation. The test loop incorporates actual sections of cascade header pipes from the centrifuge enrichment plants subject to IAEA inspections. The test loop is described, applications for its use by the IAEA are detailed, and results from an initial demonstration session using the test loop are summarized. By giving the IAEA the in-house capability to evaluate LFUA inspection strategy approaches, to develop inspection procedures, to calibrate instrumentation, and to train inspectors, the UF/sub 6/ cascade header pipe test loop will contribute to the IAEA's success in implementing LFUA strategy inspections at gas centrifuge enrichment facilities subject to international safeguards inspections

Natalizumab for the treatment of relapsing multiple sclerosis

Directory of Open Access Journals (Sweden)

Richard A Rudick

2008-06-01

Full Text Available Richard A Rudick1, Michael A Panzara21Cleveland Clinic Foundation, Cleveland, OH, USA; 2Biogen Idec, Inc., Cambridge, MA, USAAbstract: Natalizumab is an α4-integrin antagonist approved as monotherapy for patients with relapsing multiple sclerosis (MS, based on demonstrated efficacy in the pivotal AFFIRM study (N = 942. Natalizumab monotherapy reduced risk of disability progression by 42%–54% and annualized relapse rate by 68% during a period of 2 years. Natalizumab was also associated with significant reductions in number of T2-hyperintense, gadolinium-enhancing, and T1-hypointense lesions and in volume of T2-hyperintense lesions (all p < 0.001 on magnetic resonance imaging. Furthermore, natalizumab-treated patients in AFFIRM experienced significant improvements from baseline in the physical and mental components of the Short Form-36 (p ≤ 0.01 and a 35% reduction in risk of clinically significant vision loss (p = 0.008 vs placebo. Natalizumab was well tolerated in phase 3 studies. Common adverse events were generally mild and included headache, fatigue, urinary tract infections, and arthralgia. Serious adverse events were similar between treatment groups. The incidence of serious hypersensitivity reactions associated with natalizumab was <1%. Progressive multifocal leukoencephalopathy was a rare complication of treatment, observed in 2 patients with MS who received natalizumab plus interferon β-1a. The robust clinical benefits of natalizumab, including benefits on patient-reported quality of life, make it an important addition to disease-modifying therapies available to patients with relapsing MS.Keywords: multiple sclerosis, natalizumab, α4-integrin antagonist

Tuberculosis relapse in Vietnam is significantly associated with Mycobacterium tuberculosis Beijing genotype infections

NARCIS (Netherlands)

Huyen, Mai N. T.; Buu, Tran N.; Tiemersma, Edine; Lan, Nguyen T. N.; Dung, Nguyen H.; Kremer, Kristin; Soolingen, Dick V.; Cobelens, Frank G. J.

2013-01-01

In Vietnam, the Mycobacterium tuberculosis Beijing genotype is associated with multi-drug resistance and is emerging. A possible explanation for this genotype's success is an increased rate of relapse. In a prospective cohort study, isolates from patients with smear-positive tuberculosis were

Electrochemical separation of uranium in the molten system LiF-NaF-KF-UF4

Science.gov (United States)

Korenko, M.; Straka, M.; Szatmáry, L.; Ambrová, M.; Uhlíř, J.

2013-09-01

This article is focused on the electrochemical investigation (cyclic voltammetry and related studies) of possible reduction of U4+ ions to metal uranium in the molten system LiF-NaF-KF(eut.)-UF4 that can provide basis for the electrochemical extraction of uranium from molten salts. Two-step reduction mechanism for U4+ ions involving one electron exchange in soluble/soluble U4+/U3+ system and three electrons exchange in the second step were found on the nickel working electrode. Both steps were found to be reversible and diffusion controlled. Based on cyclic voltammetry, the diffusion coefficients of uranium ions at 530 °C were found to be D(U4+) = 1.64 × 10-5 cm2 s-1 and D(U3+) 1.76 × 10-5 cm2 s-1. Usage of the nickel spiral electrode for electrorefining of uranium showed fairly good feasibility of its extraction. However some oxidant present during the process of electrorefining caused that the solid deposits contained different uranium species such as UF3, UO2 and K3UO2F5.

Preventing relapse after incentivized choice treatment: A laboratory model.

Science.gov (United States)

Bouton, Mark E; Thrailkill, Eric A; Bergeria, Cecilia L; Davis, Danielle R

2017-08-01

Two experiments with rats examined relapse of an operant behavior that occurred after the behavior was suppressed by reinforcing (incentivizing) an alternative behavior. In the first phase, a target response (R1) was reinforced. In a treatment phase, R1 was still reinforced, but a new response (R2) was introduced and associated with a larger reinforcer. As in human contingency management treatments, incentivizing R2 this way was effective at suppressing R1. However, when R2's reinforcement was discontinued, there was a robust and immediate relapse to R1. Experiment 1 found that the strength of R1 during relapse testing was not different from that seen in a no treatment control. Experiment 2 found that relapse could nevertheless be reduced by presenting reinforcers not contingent on responding during the test. Either the reinforcer for R1 or the reinforcer for R2 (which were qualitatively different types of food pellets) were effective. The experiments introduce a laboratory method for studying relapse and how to prevent it after contingency management treatments, and suggest at least one treatment that discourages relapse. The incentivized choice paradigm differs from other models of relapse of operant behavior (e.g., resurgence, renewal, reinstatement) in that it does not focus on the return of behaviors that are inhibited by extinction. Copyright © 2017 Elsevier B.V. All rights reserved.

Gemcitabine and docetaxel in relapsed and unresectable high-grade osteosarcoma and spindle cell sarcoma of bone

OpenAIRE

Palmerini, E.; Jones, R. L.; Marchesi, E.; Paioli, A.; Cesari, M.; Longhi, A.; Meazza, C.; Coccoli, L.; Fagioli, F.; Asaftei, S.; Grignani, G.; Tamburini, A.; Pollack, S. M.; Picci, P.; Ferrari, S.

2016-01-01

Background Few new compounds are available for relapsed osteosarcoma. We retrospectively evaluated the activity of gemcitabine (G) plus docetaxel (D) in patients with relapsed high-grade osteosarcoma and high-grade spindle cell sarcoma of bone (HGS). Methods Patients receiving G 900?mg/m2 d 1, 8; D 75?mg/m2 d 8, every 21?days were eligible. Primary end-point: progression-free survival (PFS) at 4?months; secondary end-point: overall survival (OS) and response rate. Results Fifty-one patients w...

Monitoring the mass of UF6 gas and uranium deposits in aluminium pipes using X-ray fluorescence and X-ray transmission gauges

International Nuclear Information System (INIS)

Packer, T.W.; Smith, S.M.

1984-12-01

In order to determine the enrichment of UF 6 gas in centrifuge plant pipework it is necessary to measure the mass of the gas (pressure) and the mass per unit area of any uranium deposited on the pipe. This paper shows that it is possible to determine the pressure of the UF 6 gas in pipes 120 mm in diameter using an energy-dispersive X-ray fluorescence spectrometer. Results are also given of transmission measurements made using a low power X-ray generator operated at two different applied voltages. A method of using the two measurements to determine the mass per unit area of deposited uranium is described. (author)

Relapsing-Remitting MS (RRMS)

Medline Plus

Full Text Available ... Treating MS Comprehensive Care Find an MS Care Provider Medications Managing Relapses Rehabilitation Complementary & Alternative Medicines For Clinicians Resources & Support Library & Education Programs Find Support Advanced Care ...

Emergency preparedness and response in case of a fire accident with UF6 packages traversing the Suez Canal

International Nuclear Information System (INIS)

Salama, M.

2004-01-01

Egypt has a unique problem, the Suez Canal. Radioactive cargo passes regularly through the canal carrying new and spent reactor fuel. There are also about 1000 metric tonnes of uranium hexafluoride (UF 6 ) passing through the canal every year. In spite of all the precautions taken in the transport, accidents with packages containing UF 6 shipped through the Suez Canal may arise, even though the probability is minimal. Such accidents may be accompanied by injuries to or death of persons and damage to property including radiation and criticality hazards and high chemical toxicity, particularly if the accident occurred close to one of the three densely populated cities (Port Said, Ismailia and Suez), which are located along the west bank of the Suez Canal. The government of Egypt has established a national radiological emergency plan in order to deal with any radiological accidents which may arise inside the country. This paper considers the effect of a fire accident to industrial packages containing UF 6 on board a cargo ship passing along the Suez Canal near Port Said City. The accident scenario and emergency response actions taken during the different phases of the accident are presented and discussed. The paper highlights the importance of public awareness for populations located in densely populated areas along the bank of the Suez Canal, in order to react in a timely and effective way to avoid the toxic and radiological hazards resulting from such a type of accident. The possibility of upgrading the capabilities of civil defence and fire-fighting personnel is also discussed (author)

Plasma Riboflavin Level is Associated with Risk, Relapse, and Survival of Esophageal Squamous Cell Carcinoma.

Science.gov (United States)

Li, Shan-Shan; Xu, Yi-Wei; Wu, Jian-Yi; Tan, Hua-Zhen; Wu, Zhi-Yong; Xue, Yu-Jie; Zhang, Jian-Jun; Li, En-Min; Xu, Li-Yan

2017-01-01

Riboflavin is an essential micronutrient for normal cellular activity, and deficiency may result in disease, such as cancer. We performed a case-control study to explore the association of riboflavin levels with risk and prognosis of esophageal squamous cell carcinoma (ESCC). Plasma riboflavin levels, as measured by enzyme-linked immunosorbent assay (ELISA), in ESCC patients were significantly lower than in those of healthy controls (7.04 ± 6.34 ng/ml vs. 9.32 ± 12.40 ng/ml; P riboflavin level and risk of ESCC (odds ratio (OR) = 0.97, 95% confidence interval (CI) = 0.95-0.99, P =  0.02). The 5-year relapse-free and overall survival rates were significantly lower when riboflavin levels were ≤0.8 ng/ml than >0.8 ng/ml (relapse-free survival rate: 29.4% vs. 54.8%; overall survival rate: 28.6% vs. 55.6%). Plasma riboflavin level was an independent protective factor for both relapse-free (hazard ratio (HR) = 0.325, 95% CI = 0.161-0.657, P = 0.002) and overall survival of ESCC patients (HR = 0.382, 95% CI = 0.190-0.768, P = 0.007). In conclusion, plasma riboflavin levels are significantly related to risk and prognosis of ESCC patients, suggesting that moderate supplementation of riboflavin will decrease risk and prevent recurrence of ESCC and also improve prognosis of ESCC patients.

Incidence of extramedullary relapse after haploidentical SCT for advanced AML/myelodysplastic syndrome.

Science.gov (United States)

Yoshihara, S; Ikegame, K; Kaida, K; Taniguchi, K; Kato, R; Inoue, T; Fujioka, T; Tamaki, H; Okada, M; Soma, T; Ogawa, H

2012-05-01

Extramedullary (EM) relapse of leukemia after allo-SCT in patients with AML/myelodysplastic syndrome has been increasingly reported. The reduced effectiveness of the GVL effect in EM sites, as compared with BM, has been suggested to underlie this problem. We retrospectively analyzed the pattern of relapse after haploidentical SCT (haplo-SCT), performed as the first or second SCT. Among 38 patients who received haplo-SCT as their first SCT, the cumulative incidences of BM and EM relapse at 3 years were 40.5 and 10.9%, respectively. Among 19 patients who received haplo-SCT as their second SCT, the cumulative incidences of BM and EM relapse were 30.9 and 31.9%, respectively. Moreover, most of the patients who underwent repeat haplo-SCT for the treatment of EM relapse had further EM relapse at other sites. Post-relapse survival did not differ significantly with different patterns of relapse. The frequent occurrence of EM relapse after haplo-SCT, particularly when performed as a second SCT, suggests that the potent GVL effect elicited by an HLA disparity also occurs preferentially in BM. Our findings emphasize the need for a treatment strategy for EM relapse that recognizes the reduced susceptibility of EM relapse to the GVL effect.

A Chinese patient with relapsed and refractory Hodgkin lymphoma treated with brentuximab vedotin

Institute of Scientific and Technical Information of China (English)

Zhi-Gang Cao; Hong-Wei Zhou; Chao-Jin Peng; Mo Liu; Yu Du; Qing-Ming Yang

2013-01-01

At present, approximately 20% of Hodgkin lymphomas (HL) are relapsed and refractory, and therapeutic methods including chemotherapy, radiotherapy, and even stem cell transplantation are unsatisfactory. Brentuximab vedotin, composed of CD30 antibody and a chemotherapeutic agent, is a new targeted drug that eradicates tumor cel s by binding to the CD30 antigen on their surface. In clinical trials, the response rate and complete remission rate of this drug were 73% and 40%, respectively, for relapsed and refractory HL. Here we report a case of CD30-positive relapsed and refractory HL that was treated with brentuximab. Before the treatment with brentuximab, the patient underwent chemotherapy, radiotherapy, and autologous stem cell transplantation. However, the disease continued to progress, affecting multiple organs and prompting symptoms such as persistent fever. After the treatment with brentuximab, the patient′s condition improved. Body temperature returned to normal after 4 days. Lung nodules were reduced in size and number after a single course of treatment, and PET/CT showed partial remission and complete remission after 3 and 6 courses of treatment, respectively. The entire treatment process progressed smoothly, though the patient experienced some symptoms due to chemotherapy, including peripheral neuritis of the limbs, irritating dry cough, and mild increase in aminotransferase. No serious adverse effects were observed. The current general condition of the patient is good;the continuous complete remission has amounted to 6 months.

Cost-effectiveness of natalizumab vs fingolimod for the treatment of relapsing-remitting multiple sclerosis: analyses in Sweden.

Science.gov (United States)

O'Day, Ken; Meyer, Kellie; Stafkey-Mailey, Dana; Watson, Crystal

2015-04-01

To assess the cost-effectiveness of natalizumab vs fingolimod over 2 years in relapsing-remitting multiple sclerosis (RRMS) patients and patients with rapidly evolving severe disease in Sweden. A decision analytic model was developed to estimate the incremental cost per relapse avoided of natalizumab and fingolimod from the perspective of the Swedish healthcare system. Modeled 2-year costs in Swedish kronor of treating RRMS patients included drug acquisition costs, administration and monitoring costs, and costs of treating MS relapses. Effectiveness was measured in terms of MS relapses avoided using data from the AFFIRM and FREEDOMS trials for all patients with RRMS and from post-hoc sub-group analyses for patients with rapidly evolving severe disease. Probabilistic sensitivity analyses were conducted to assess uncertainty. The analysis showed that, in all patients with MS, treatment with fingolimod costs less (440,463 Kr vs 444,324 Kr), but treatment with natalizumab results in more relapses avoided (0.74 vs 0.59), resulting in an incremental cost-effectiveness ratio (ICER) of 25,448 Kr per relapse avoided. In patients with rapidly evolving severe disease, natalizumab dominated fingolimod. Results of the sensitivity analysis demonstrate the robustness of the model results. At a willingness-to-pay (WTP) threshold of 500,000 Kr per relapse avoided, natalizumab is cost-effective in >80% of simulations in both patient populations. Limitations include absence of data from direct head-to-head studies comparing natalizumab and fingolimod, use of relapse rate reduction rather than sustained disability progression as the primary model outcome, assumption of 100% adherence to MS treatment, and exclusion of adverse event costs in the model. Natalizumab remains a cost-effective treatment option for patients with MS in Sweden. In the RRMS patient population, the incremental cost per relapse avoided is well below a 500,000 Kr WTP threshold per relapse avoided. In the rapidly

Study on effectiveness of gemcitabine, dexamethasone, and cisplatin (GDP) for relapsed or refractory AIDS-related non-Hodgkin's lymphoma.

Science.gov (United States)

Zhong, Dong Ta; Shi, Chun Mei; Chen, Qiang; Huang, Jing Ze; Liang, Jian Gang

2012-11-01

Non-Hodgkin's lymphoma (NHL) remains the second most common malignant complication in patients with human immunodeficiency virus (HIV) infection. Even though NHL is commonly chemosensitive to primary treatment, failure or relapse still occurs in a large number of patients. We conducted this retrospective study to evaluate the efficacy and safety of gemcitabine, dexamethasone, and cisplatin (GDP) for relapsed or refractory AIDS-related NHL (AIDS-NHL). Forty-eight patients with relapsed or refractory AIDS-NHL were treated with intravenous combination chemotherapy with GDP. The overall objective response rate was 54.1% (95% confidence interval, CI, 40.1-68.3%), with 10 complete responses and 16 partial responses. The 2-year overall survival rate (OS) was 70.8% (95% CI 58.0-83.7%), and the 5-year OS was 41.7% (95% CI 27.7-55.6%). The 2-year progression-free survival rate (PFS) was 37.5% (95% CI 23.8-51.2%), and the 5-year PFS was 25.0% (95% CI 12.8-37.3%). The median progression-free survival was 8.8 months (95% CI 0-20.3 months), and the median overall survival was 40.6 months (95% CI 22.6-58.6 months). Patients with B cell tumors who relapsed but had no B symptoms were clinical stage I/II, had infiltration fewer than two extranodal sites, had CD4⁺ counts >200 cells/μL, and had lactate dehydrogenase (LDH) less than the upper limit of normal benefited from GDP. The level of LDH had a significant impact on the response rate to chemotherapy with GDP (P = 0.015). Myelosuppression was the main side effect; the incidence of grade 3-4 anemia was 8.3%; leukopenia, 37.5%; and thrombocytopenia, 48.3%. Univariate and multivariate analyses were performed to determine variables for OS and PFS. This study confirms that GDP is an effective and safe salvage regimen in relapsed or refractory AIDS-NHL, was associated with modest declines in CD4⁺ lymphocyte counts, and did not promote HIV-1 viral replication.

Are old-old patients with major depression more likely to relapse than young-old patients during continuation treatment with escitalopram?

Directory of Open Access Journals (Sweden)

Katona Cornelius

2011-01-01

Full Text Available Abstract Background Escitalopram has shown efficacy and tolerability in the prevention of relapse in elderly patients with major depressive disorder (MDD. This post-hoc analysis compared time to relapse for young-old patients (n = 197 to that for old-old patients (n = 108. Method Relapse prevention: after 12-weeks open-label treatment, remitters (MADRS ≤12 were randomised to double-blind treatment with escitalopram or placebo and followed over 24-weeks. Patients were outpatients with MDD from 46 European centers aged ≥75 years (old-old or 65-74 years of age (young-old, treated with escitalopram 10-20mg/day. Efficacy was assessed using the Montgomery Åsberg Depression Rating Scale (MADRS. Results After open-label escitalopram treatment, a similar proportion of young-old patients (78% and old-old patients (72% achieved remission. In the analysis of time to relapse based on the Cox model (proportional hazards regression, with treatment and age group as covariates, the hazard ratio was 4.4 for placebo versus escitalopram (χ2-test, df = 1, χ2= 22.5, p old-old versus young-old (χ2-test, df = 1, χ2 = 0.41, p = 0.520. Escitalopram was well tolerated in both age groups with adverse events reported by 53.1% of young-old patients and 58.3% of old-old patients. There was no significant difference in withdrawal rates due to AEs between age groups (χ2-test, χ2 = 1.669, df = 1, p = 0.196. Conclusions Young-old and old-old patients with MDD had comparable rates of remission after open-label escitalopram, and both age groups had much lower rates of relapse on escitalopram than on placebo.

Postpartum smoking relapse--a thematic synthesis of qualitative studies.

Science.gov (United States)

Notley, Caitlin; Blyth, Annie; Craig, Jean; Edwards, Alice; Holland, Richard

2015-11-01

Many women quit smoking during pregnancy, but relapse after the baby is born. To understand why and identify ways of preventing this, this study reviewed the qualitative literature on women's experience of postpartum smoking relapse. A systematic review of qualitative studies and process evaluations of trials. We undertook a thematic synthesis of published qualitative data. We screened 1336 papers. Twenty-two papers reporting on 16 studies were included, reporting on the views of 1031 postpartum women. Factors affecting relapse and barriers and facilitators to relapse prevention were identified around the key themes of beliefs, social influences, motivation, physiological factors and identity. Women's beliefs about smoking as a means of coping with stress and the need for social support, especially from a partner, emerged as important. Extrinsic motivation to quit during the pregnancy (for the health of the fetus) appeared to be a factor in prompting relapse after the baby was born. During the immediate postpartum period women believed that physiological changes influence cigarette cravings. The stress of caring for a newborn, sleeplessness and adjusting to a new mothering identity were also reported to be important. Among women who quit smoking during pregnancy, those who relapse postpartum talk commonly about no longer needing to protect the baby and the effects of stress. Partner support and a sense of changed identity are cited as factors preventing relapse. © 2015 Society for the Study of Addiction.

Development of a UF{sub 6} cylinder transient heat transfer/stress analysis model

Energy Technology Data Exchange (ETDEWEB)

Williams, W.R. [Martin Marietta Energy Systems, Inc., Oak Ridge, TN (United States)

1991-12-31

A heat transfer/stress analysis model is being developed to simulate the heating to a point of rupture of a cylinder containing UF{sub 6} when it is exposed to a fire. The assumptions underlying the heat transfer portion of the model, which has been the focus of work to date, will be discussed. A key aspect of this model is a lumped parameter approach to modeling heat transfer. Preliminary results and future efforts to develop an integrated thermal/stress model will be outlined.

Relapse Prevention: An Overview of Marlatts Cognitive- Behavioral Model

Directory of Open Access Journals (Sweden)

2008-11-01

Full Text Available Relapse prevention(RPis an important component of alcoholism treatment. The RP model proposed by Marlatt and Gordon suggests that both immediate determinants (e.g.,high- risk situations, coping skills, outcome expectancies, and the abstinence violation effect and covert antecedents (e.g., lifestyle factor and urges and cravings can contribute to relapse.The RP model also incorporates numerous specific and global intervention strategies that allow therapist and client to address each step of the relapse process. Specific interventions include identifying specific high-risk situations for each client and enhancing the client's skills for coping with those situations, increasing the client's self- efficacy, eliminating myths regarding alcohol's effects, managing lapses, and restructuring the client's perceptions of the relapse process. Global strategies comprise balancing the client's lifestyle and helping him or her develop positive addictions, employing stimulus control techniques and urgemanagement techniques, and developing relapse road maps. Several studies have provided theoretical and practical support for the RP model.

Predictive factors for relapse in patients on buprenorphine maintenance.

Science.gov (United States)

Ferri, Michael; Finlayson, Alistair J Reid; Wang, Li; Martin, Peter R

2014-01-01

Despite the dramatic increase in the use of buprenorphine for the treatment of opioid dependence, clinical outcomes of this treatment approach continue to need evaluation. This study examines factors associated with relapse and retention during buprenorphine treatment in a sample of opioid dependent outpatients. In a retrospective chart review of 62 patients with opioid dependence, relapse was determined by self-report, urine toxicology screens, and by checking the state controlled substance monitoring database. Data was analyzed using two-way tests of association and logistic regression. Patients with comorbid anxiety disorders, active benzodiazepine use (contrary to clinic policy), or active alcohol abuse, were significantly more likely to relapse. Patients who relapsed were also more likely to be on a higher buprenorphine maintenance dose. This study identifies relapse risk factors during buprenorphine treatment for opioid dependence. Future research is needed to determine whether modifying these factors may lead to improved treatment outcomes. © American Academy of Addiction Psychiatry.

Relapsed or refractory pediatric acute lymphoblastic leukemia: current and emerging treatments.

Science.gov (United States)

Martin, Alissa; Morgan, Elaine; Hijiya, Nobuko

2012-12-01

Relapsed acute lymphoblastic leukemia (ALL) represents a major cause of morbidity and mortality in pediatrics. With contemporary chemotherapy, >85% of patients with newly diagnosed ALL survive. Unfortunately, 20% of these patients will relapse and for these children, outcomes remain poor despite our best known chemotherapy protocols. Most of these children will achieve a second complete remission, but maintaining this remission remains difficult. Because relapsed ALL is such a significant cause of morbidity and mortality, it is the focus of much research interest. Efforts have been made and continue to focus on understanding the underlying biology that drives relapse. The role of hematopoietic stem cell transplantation in relapsed ALL remains unclear, but many clinicians still favor this for high-risk patients given the poor prognosis with current chemotherapy alone. It is important to use new drugs with little cross-resistance in the treatment of relapsed ALL. New classes of agents are currently being studied. We also discuss prognostic factors and the biology of relapsed ALL.

Thermodynamic properties of UF sub 6 measured with a ballistic piston compressor

Science.gov (United States)

Sterritt, D. E.; Lalos, G. T.; Schneider, R. T.

1973-01-01

From experiments performed with a ballistic piston compressor, certain thermodynamic properties of uranium hexafluoride were investigated. Difficulties presented by the nonideal processes encountered in ballistic compressors are discussed and a computer code BCCC (Ballistic Compressor Computer Code) is developed to analyze the experimental data. The BCCC unfolds the thermodynamic properties of uranium hexafluoride from the helium-uranium hexafluoride mixture used as the test gas in the ballistic compressor. The thermodynamic properties deduced include the specific heat at constant volume, the ratio of specific heats for UF6, and the viscous coupling constant of helium-uranium hexafluoride mixtures.

Entyvio lengthen dose-interval study: lengthening vedolizumab dose interval and the risk of clinical relapse in inflammatory bowel disease.

Science.gov (United States)

Chan, Webber; Lynch, Nicole; Bampton, Peter; Chang, Jeff; Chung, Alvin; Florin, Timothy; Hetzel, David J; Jakobovits, Simon; Moore, Gregory; Pavli, Paul; Radford-Smith, Graham; Thin, Lena; Baraty, Brandon; Haifer, Craig; Yau, Yunki; Leong, Rupert W L

2018-07-01

Vedolizumab (VDZ), an α4β7 anti-integrin antibody, is efficacious in the induction and maintenance of remission in ulcerative colitis (UC) and Crohn's disease (CD). In the GEMINI long-term safety study, enrolled patients received 4-weekly VDZ. Upon completion, patients were switched to 8-weekly VDZ in Australia. The clinical success rate of treatment de-escalation for patients in remission on VDZ has not been described previously. To determine the proportion of patients who relapsed after switching from 4 to 8-weekly VDZ, the mean time to relapse, and the recapture rate when switching back to 8-weekly dosing. This was a retrospective, observational, multicenter study of patients previously recruited into GEMINI long-term safety in Australia. Data on the demographics and biochemical findings were collected. There were 34 patients [23 men, mean age 49.1 (±13.1) years] and their mean disease duration was 17.6 (±8.5) years. The mean 4-weekly VDZ infusion duration was 286.5 (±48.8) weeks. A total of five (15%) patients relapsed on dose-interval increase (4/17 UC, 1/17 CD) at a median duration from dose interval lengthening to flare of 14 weeks (interquartile range=6-25). Eighty percent (4/5) of patients re-entered remission following dose-interval decrease back to 4-weekly. No clinical predictors of relapse could be determined because of the small cohort size. The risk of patients relapsing when switching from 4 to 8-weekly VDZ ∼15% and is similar between CD and UC. Dose-interval decrease recaptures 80% of patients who relapsed. Therapeutic drug monitoring of VDZ may be of clinical relevance.

Seeing the signs: Using the course of residual depressive symptomatology to predict patterns of relapse and recurrence of major depressive disorder.

Science.gov (United States)

Verhoeven, Floor E A; Wardenaar, Klaas J; Ruhé, Henricus G Eric; Conradi, Henk Jan; de Jonge, Peter

2018-02-01

Major depressive disorder (MDD) is characterized by high relapse/recurrence rates. Predicting individual patients' relapse/recurrence risk has proven hard, possibly due to course heterogeneity among patients. This study aimed to (1) identify homogeneous data-driven subgroups with different patterns of relapse/recurrence and (2) identify associated predictors. For a year, we collected weekly depressive symptom ratings in 213 primary care MDD patients. Latent class growth analyses (LCGA), based on symptom-severity during the 24 weeks after no longer fulfilling criteria for the initial major depressive episode (MDE), were used to identify groups with different patterns of relapse/recurrence. Associations of baseline predictors with these groups were investigated, as were the groups' associations with 3- and 11-year follow-up depression outcomes. LCGA showed that heterogeneity in relapse/recurrence after no longer fulfilling criteria for the initial MDE was best described by four classes: "quick symptom decline" (14.0%), "slow symptom decline" (23.3%), "steady residual symptoms" (38.7%), and "high residual symptoms" (24.1%). The latter two classes showed lower self-esteem at baseline, and more recurrences and higher severity at 3-year follow-up than the first two classes. Moreover, the high residual symptom class scored higher on neuroticism and lower on extraversion and self-esteem at baseline. Interestingly, the steady residual symptoms and high residual symptoms classes still showed higher severity of depressive symptoms after 11 years. Some measures were associated with specific patterns of relapse/recurrence. Moreover, the data-driven relapse/recurrence groups were predictive of long-term outcomes, suggesting that patterns of residual symptoms could be of prognostic value in clinical practice. © 2017 Wiley Periodicals, Inc.

Spiritual Well-Being and Associated Factors with Relapse in Opioid Addicts.

Science.gov (United States)

Noormohammadi, Mohammad-Reza; Nikfarjam, Masoud; Deris, Fatemeh; Parvin, Neda

2017-03-01

Opioid dependence relapse is a complex and multidimensional problem, and lack of spiritual well-being is a major concern in opioid addicts. This study was conducted to determine spiritual well-being and factors associated with relapse among opioid addicts. This cross-sectional study was conducted from April 2015 to September 2015. According to purposive sampling, 312 eligible addicted patients were enrolled in the study. The patients had at least an attempt of detoxification in the past six months and referred to an outpatient detoxification clinic in Shahrekord (Southwest, Iran). They completed Paloutzian and Ellison's Spiritual Well-being Scale. A researcher-developed questionnaire consisting of demographic characteristics and 20 questions about associated factors with relapse was administered. Data were analysed by version 16.0 (SPSS Inc.,Chicago, IL) using one-way ANOVA, Pearson's correlation test, chi-square, Friedman test, and student's t-test. The most important factors associated with opioid dependence relapse consist of relation with an addict friend, unemployment, living expenses, family conflicts, and somatic pain. In the present study, 157 patients had never experienced relapse while the mean of relapse in the rest participants was (3.25±1.53) times. Furthermore, the addicted patients with relapse had significantly lower scores of spiritual well-being and its subscales compared with non-relapse patients (pspiritual well-being, family and economical, personal, and occupational factors as crucial factors in opiate addiction relapse.

Relapse prevention and residual symptoms: a closer analysis of placebo-controlled continuation studies with escitalopram in major depressive disorder, generalized anxiety disorder, social anxiety disorder, and obsessive-compulsive disorder.

Science.gov (United States)

Bech, Per; Lönn, Sara L; Overø, Kerstin F

2010-02-01

Analyses of data from 4 relapse-prevention studies with escitalopram were conducted in order to compare patients with and without residual symptoms with regard to relapse rates and global illness during double-blind, 24-week continuation periods. Clinical Global Impressions-Severity of Illness scores and relapse status in 4 studies published from 2005 to 2007, 1 each in major depressive disorder (MDD), generalized anxiety disorder, social anxiety disorder, and obsessive-compulsive disorder (OCD), were analyzed using mixed-effects model repeated measures as a function of Montgomery-Asberg Depression Rating Scale (MADRS) scores on items 1, 3, and 7 at randomization. All studies showed a statistically significant (P 0) and without residual symptoms (MADRS score = 0) at the start of continuation treatment were defined by how patients scored on 3 core items of the MADRS: depressed mood (observed), inner or psychic tension, and lassitude. At randomization, patients with a residual symptom were globally more ill than patients without such a symptom. Patients who did not continue active treatment worsened, even if they were initially free of a residual symptom. In contrast, patients who continued receiving escitalopram remained stable or further improved, regardless of residual symptoms or diagnosis. No clear picture emerged regarding whether patients with residual symptoms had a higher relapse rate. The presence of residual symptoms is associated with significantly worse overall illness severity in all 4 diagnostic groups and with a higher (although not significantly) risk of relapse for patients with MDD or OCD. The greatest difference in all of the studies was between patients treated with escitalopram (relapse rates ~ 20%) and placebo (relapse rates of about 50%). Copyright 2010 Physicians Postgraduate Press, Inc.

Conceptual design for the field test and evaluation of the gas-phase UF6 enrichment meter

International Nuclear Information System (INIS)

Strittmatter, R.B.; Leavitt, J.N.; Slice, R.W.

1980-12-01

An in-line enrichment monitor is being developed to provide real-time enrichment data for the gas-phase UF 6 feed stream of an enrichment plant. Data from proof-of-principle measurements using a laboratory prototype system are presented. A conceptual design for an enrichment monitor to be field tested and evaluated at the Oak Ridge Gaseous Diffusion Plant is reported

Predictors of Exercise Relapse in a College Population.

Science.gov (United States)

Sullum, Julie; Clark, Matthew M.; King, Teresa K.

2000-01-01

Investigated factors that predicted exercise relapse among college students. Physically active undergraduates completed questionnaires measuring Prochaska's 10 processes for change of exercise, self-efficacy, and decisional balance. Exercise levels were assessed at baseline and 8 weeks later. At baseline, relapsers had significantly lower…

Efficacy of Group Cognitive–behavioral Therapy in Maintenance Treatment and Relapse Prevention for Bipolar Adolescents

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Soroor Arman

2018-01-01

Full Text Available Background: Despite conducting wide-ranging of pharmacotherapy for bipolar adolescents, many of them are showing a deficit in functioning with high relapse rate. The aim of the current study was to develop a manual and investigate the efficacy of group cognitive–behavioral therapy (G-CBT for female bipolar adolescents. Materials and Methods: During the first qualitative phase of a mixed-methods study, a manual of G-CBT was developed. Then, 32 female bipolar adolescents aged 12–19 years old, receiving usual maintenance medications (UMM, were selected. Participants were randomized to the control (UMM and intervention group (5, 2 h weekly sessions based on G-CBT manual with UMM. The parents in intervention group participated in three parallel sessions. All participants filled the following questionnaires before 1, 3, and 6 months after the initiation of the study: Young Mania Rating Scale, Children Depression Inventory and Global Assessment of Functioning. The results were analyzed using SPSS 21 software. The concurrent qualitative phase was analyzed through thematic analysis. Results: The results showed no significant differences in all questionnaires' scores through intervention and follow-up sessions (P > 0.05. However, using cutoff point of CDI, G-CBT was effective for intervention group (relapse rate: 25% vs. 44.4%. Two themes were extracted from the second qualitative phase: emotion recognition and emotion regulation, especially in anger control. Conclusions: The results showed that the addition of G-CBT to UMM leads to decrease in the depressive scores but has no effect on manic symptoms and relapse rate.

Optimization of the isotopic analysis of UF6 by quadrupole mass spectrometry technique

International Nuclear Information System (INIS)

Porto, Peterson

2006-01-01

In the present work a procedure for determination of the isotopic ratio 238 U/ 235 U in UF 6 samples was established using a quadrupole mass spectrometer with ionization by electron impact and ion detection by Faraday cup or electron multiplier. For this, the following items were optimized in the spectrometer: the parameters in the ion source that provided the most intense peak, with good shape, for the corresponding mass of the most abundant isotope; the resolution that reduced the non linear effects and the number of analytic cycles that reduced the uncertainty in the results. The measurement process was characterized with respect to the effects of mass discrimination, linearity and memory effect. The mass discrimination showed to be linearly dependent of the sample pressure in the batch volume, for the pressure ranges from 0.15 to 0.30 mbar and from 0.30 to 0.40 mbar. The spectrometer was shown linear in the measurement of isotopic ratios between 0.005 and 0.045. The memory factor for the ion source and for the introduction system were, respectively, 1.000 ± 0.001 and 1.003 ± 0.003; the first one can be ignored, the second one can be eliminated by washing the batch volume with the new sample. A methodology for routine analysis of UF 6 samples and the determination of the uncertainties were set up in details as well. (author)

The COMURHEX 2 project. Investing in UF6 long-term security of supply

International Nuclear Information System (INIS)

Bouzon, Pierre; Lacombe, Philippe; Durante, Pierre; Teyssier, Patrick

2008-01-01

The front-end nuclear fuel supply chain for LWRs encompasses four major industrial stages that are mining and concentration, conversion, enrichment, and eventually fuel fabrication. The different stages involve uranium in different chemical and physical forms. Enrichment of the 235-U fissile isotope requires gaseous UF6. As the standard output of mine is U3O8, referred to as ''yellow cake'', a purely chemical stage is therefore needed to fluorinate U3O8 and turn it into UFe: this is the conversion stage. U3O8 inventories management is thus performed at the conversion sites.Purification of the mining concentrates is also needed prior to actual conversion into UFe. This step is important because the front-end supply chain facilities have strict specifications concerning impurities. The conversion stage may involve intermediary products, namely UO3 and/or UF4, depending on the industrial scheme implemented. With the Comurhex 2 project, AREVA is not only shaping the future of conversion market and contributing to the security of supply of its customers, but it is also developing innovative techniques and reorganizing the conversion process steps. Providing such guaranteed and valuable conversion supply with a brand new plant is our strong commitment to a sustainable nuclear fuel cycle. And AREVA is the first that has launched such a project, looking further ahead. The three main axes of sustainable development, economical, social, and environmental, are truly taken into account in the development of the new project.

Tumor relapse present in oncologic nasal repair

International Nuclear Information System (INIS)

Galvez Chavez, Julio Cesar; Sanchez Wals, Lenia; Monzon Fernandez, Abel Nicolas; Morales Tirado, Roxana

2009-01-01

Tumor relapse is one of the more fearsome complications of the oncologic course and also to obscure the life prognosis, causing the loss of many reconstructions and of exhausting the repairing surgical possibilities. The aim of this study was to determine the relapse frequency, the repercussion on the repair and the subsequent medical course of patients operated on malign nasal tumors

Effectiveness of Mindfulness-Based Relapse Prevention in opioid Dependence Treatment &Mental Health

Directory of Open Access Journals (Sweden)

2008-11-01

Findings: therapy compliance, retention in treatment, decrease in somatic symptoms, anxiety, social dysfunction and increase in health was significantly in both combination of psychological intervention method than the Naltroxan group. Mindfulness-based on relapse prevention was more effective than CBT relapse prevention in decreasing of, social dysfunction, relapse prevention, increase of therapy compliance, and health. Results: Mindfulness based relapse prevention was superior to CBT and Naltroxan and considerably increased effectiveness of opioid relapse prevention therapy.

Power2: Relapse Management with Adolescents Who Stutter.

Science.gov (United States)

Blood, Gordon W.

1995-01-01

This article describes a cognitive-behavioral treatment package for relapse management in adolescents who stutter. The package includes game-based training techniques in problem solving, communication skills, and assertiveness; coping responses for stuttering episodes; and realistic expectations for fluency and relapse. Follow-up results with…

Temperature evaluation of UF6 and cluster detection in nozzle expansion using low-resolution infrared absorption spectroscopy

International Nuclear Information System (INIS)

Sbampato, M.E.; Antunes, L.M.D.; Miranda, S.F.; Sena, S.C.; Santos, A.M.

1998-01-01

The continuous supersonic expansion of pure gaseous UF 6 and mixtures of UF 6 with argon and nitrogen through a bidimensional nozzle was studied using low-resolution infrared spectroscopy in the ν 3 absorption band region. The experiments were carried out in order to calculate the molecular temperature of the beam and also to verify cluster formation in the expansion. The molecular beam temperature evaluation was based on the measurements of the low-resolution bandwidth, which were compared to simulated spectra results. The temperatures were also evaluated using the measured pressure at the end of the nozzle by a Pitot tube. In the conditions where no cluster formation was observed the calculated theoretical temperatures using an equilibrium expansion model are in good agreement with the data obtained through the analysis of the experimental spectra and through the Pitot tube pressure measurement. Cluster formation was observed for temperatures below about 120 K. In these conditions the infrared spectra showed shoulders in the region above 630 cm -1 and a shoulder or band between 616 and 600 cm -1 . (orig.)

Usefulness of Measuring Thyroid Stimulating Antibody at the Time of Antithyroid Drug Withdrawal for Predicting Relapse of Graves Disease

Directory of Open Access Journals (Sweden)

Hyemi Kwon

2016-06-01

Full Text Available BackgroundHyperthyroidism relapse in Graves disease after antithyroid drug (ATD withdrawal is common; however, measuring the thyrotropin receptor antibody (TRAb at ATD withdrawal in order to predict outcomes is controversial. This study compared measurement of thyroid stimulatory antibody (TSAb and thyrotropin-binding inhibitory immunoglobulin (TBII at ATD withdrawal to predict relapse.MethodsThis retrospective study enrolled patients with Graves disease who were treated with ATDs and whose serum thyroid-stimulating hormone levels were normal after receiving low-dose ATDs. ATD therapy was stopped irrespective of TRAb positivity after an additional 6 months of receiving the minimum dose of ATD therapy. Patients were followed using thyroid function tests and TSAb (TSAb group; n=35 or TBII (TBII group; n=39 every 3 to 6 months for 2 years after ATD withdrawal.ResultsTwenty-eight patients (38% relapsed for a median follow-up of 21 months, and there were no differences in baseline clinical characteristics between groups. In the TSAb group, relapse was more common in patients with positive TSAb at ATD withdrawal (67% than patients with negative TSAb (17%; P=0.007. Relapse-free survival was shorter in TSAb-positive patients. In the TBII group, there were no differences in the relapse rate and relapse-free survivals according to TBII positivity. For predicting Graves disease relapse, the sensitivity and specificity of TSAb were 63% and 83%, respectively, whereas those of TBII were 28% and 65%.ConclusionTSAb at ATD withdrawal can predict the relapse of Graves hyperthyroidism, but TBII cannot. Measuring TSAb at ATD withdrawal can assist with clinical decisions making for patients with Graves disease.

Usefulness of Measuring Thyroid Stimulating Antibody at the Time of Antithyroid Drug Withdrawal for Predicting Relapse of Graves Disease

Science.gov (United States)

Kwon, Hyemi; Jang, Eun Kyung; Kim, Mijin; Park, Suyeon; Jeon, Min Ji; Kim, Tae Yong; Ryu, Jin-Sook; Shong, Young Kee; Kim, Won Bae

2016-01-01

Background Hyperthyroidism relapse in Graves disease after antithyroid drug (ATD) withdrawal is common; however, measuring the thyrotropin receptor antibody (TRAb) at ATD withdrawal in order to predict outcomes is controversial. This study compared measurement of thyroid stimulatory antibody (TSAb) and thyrotropin-binding inhibitory immunoglobulin (TBII) at ATD withdrawal to predict relapse. Methods This retrospective study enrolled patients with Graves disease who were treated with ATDs and whose serum thyroid-stimulating hormone levels were normal after receiving low-dose ATDs. ATD therapy was stopped irrespective of TRAb positivity after an additional 6 months of receiving the minimum dose of ATD therapy. Patients were followed using thyroid function tests and TSAb (TSAb group; n=35) or TBII (TBII group; n=39) every 3 to 6 months for 2 years after ATD withdrawal. Results Twenty-eight patients (38%) relapsed for a median follow-up of 21 months, and there were no differences in baseline clinical characteristics between groups. In the TSAb group, relapse was more common in patients with positive TSAb at ATD withdrawal (67%) than patients with negative TSAb (17%; P=0.007). Relapse-free survival was shorter in TSAb-positive patients. In the TBII group, there were no differences in the relapse rate and relapse-free survivals according to TBII positivity. For predicting Graves disease relapse, the sensitivity and specificity of TSAb were 63% and 83%, respectively, whereas those of TBII were 28% and 65%. Conclusion TSAb at ATD withdrawal can predict the relapse of Graves hyperthyroidism, but TBII cannot. Measuring TSAb at ATD withdrawal can assist with clinical decisions making for patients with Graves disease. PMID:27118279

Survival after relapse in patients with endometrial cancer : results from a randomized trial

NARCIS (Netherlands)

Creutzberg, CL; van Putten, WLJ; Koper, PC; Lybeert, MLM; Jobsen, JJ; Warlam-Rodenhuis, CC; De Winter, KAJ; Lutgens, LCHW; van den Bergh, ACM; van der Steen-Banasik, E; Beerman, H; van Lent, M

Objective. The aim of this study was to determine the rates of local control and survival after relapse in patients with stage I endometrial cancer treated in the multicenter randomized PORTEC trial. Methods, The PORTEC trial included 715 patients with stage I endometrial cancer, either grade I or 2

Daclizumab for the treatment of relapsing-remitting multiple sclerosis.

Science.gov (United States)

Herwerth, Marina; Hemmer, Bernhard

2017-06-01

Multiple sclerosis (MS) is a common inflammatory disease of the central nervous system. Over the last two decades, the number of therapeutic options for the treatment of relapsing remitting MS (RRMS) has been constantly growing, providing new treatment options to patients. Areas covered: Herein, the authors review the recently approved monoclonal antibody daclizumab for the treatment of RRMS. Based on original articles, they discuss its mode of action and evaluate its efficacy and safety profile compared to other available agents. Expert opinion: The IL-2 receptor modulator daclizumab is a new highly effective agent for the treatment of RRMS with novel immunomodulatory properties. Compared to interferon-beta i.m., daclizumab is more effective in reducing relapse rates and MRI activity. However, its use is limited by the risk of autoimmune disorders and hepatotoxicity. Similar to other monoclonal antibodies for RRMS, therapy with daclizumab needs a strict preselection and monitoring of patients based on individual risk benefit assessment. Given its substantial effectiveness, daclizumab can be an attractive option for patients with highly active MS.

Factors Associated with Long-Term Risk of Relapse after Unrelated Cord Blood Transplantation in Children with Acute Lymphoblastic Leukemia in Remission.

Science.gov (United States)

Page, Kristin M; Labopin, Myriam; Ruggeri, Annalisa; Michel, Gerard; Diaz de Heredia, Cristina; O'Brien, Tracey; Picardi, Alessandra; Ayas, Mouhab; Bittencourt, Henrique; Vora, Ajay J; Troy, Jesse; Bonfim, Carmen; Volt, Fernanda; Gluckman, Eliane; Bader, Peter; Kurtzberg, Joanne; Rocha, Vanderson

2017-08-01

For pediatric patients with acute lymphoblastic leukemia (ALL), relapse is an important cause of treatment failure after unrelated cord blood transplant (UCBT). Compared with other donor sources, relapse is similar or even reduced after UCBT despite less graft-versus-host disease (GVHD). We performed a retrospective analysis to identify risk factors associated with the 5-year cumulative incidence of relapse after UCBT. In this retrospective, registry-based study, we examined the outcomes of 640 children (leukemia-free survival (LFS), and relapse were 59%, 52%, and 23%, respectively. In multivariate analysis (MVA), acute GVHD (grades II to IV) and TBI protected against relapse. In patients in CR2, rates of 5-year OS, LFS, and the cumulative incidence of relapse were 46%, 44%, and 28%, respectively. In MVA, longer duration from diagnosis to UCBT (≥30 months) and TBI were associated with decreased relapse risk. Importantly, receiving a fully HLA matched graft was a strong risk factor for increased relapse in MVA. An exploratory analysis of all 640 patients supported the important association between the presence of acute GVHD and less relapse but also demonstrated an increased risk of nonrelapse mortality. In conclusion, the impact of GVHD as a graft-versus-leukemia marker is evident in pediatric ALL after UCBT. Strategies that promote graft-versus-leukemia while harnessing GVHD should be further investigated. Copyright © 2017 The American Society for Blood and Marrow Transplantation. Published by Elsevier Inc. All rights reserved.

Relapsing-Remitting MS (RRMS)

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Full Text Available ... without symptoms of which the person is aware. What happens in RRMS? Relapsing-remitting MS is defined ... a different mechanism of action in order to control the disease activity more effectively and help prevent ...

Relapsing-Remitting MS (RRMS)

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Full Text Available ... in RRMS; however, each person's experience with RRMS will be unique. Following a relapse, the new symptoms ... and worsening, you and your MS care provider will likely want to consider a more aggressive treatment ...

Relapsing-Remitting MS (RRMS)

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Full Text Available ... Rule Out For Clinicians Treating MS Comprehensive Care Find an MS Care Provider Medications Managing Relapses Rehabilitation ... Medicines For Clinicians Resources & Support Library & Education Programs Find Support Advanced Care Needs Resources for Specific Populations ...

Relapsing-Remitting MS (RRMS)

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Full Text Available ... the periods of remission. At different points in time, RRMS can be further characterized as either active ( ... increase in disability over a specified period of time following a relapse) or not worsening . An increase ...

Relapsing-Remitting MS (RRMS)

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Full Text Available ... attacks of inflammation (relapses) in the CNS, progressive forms of MS involve much less of this type ... and memory or information processing). People with progressive forms of MS are more likely to experience gradually ...

Relapsing-Remitting MS (RRMS)

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Full Text Available ... Team Make the Most of Your Doctor Visits Advance Medical Directives d Find an MS Care Provider ... in RRMS; however, each person's experience with RRMS will be unique. Following a relapse, the new symptoms ...

Relapsing-Remitting MS (RRMS)

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Full Text Available ... as shown by the arrows, often occur as part of a relapse. However, new MRI lesions indicating ... course of your disease at different points in time helps you and your MS care provider discuss ...

Symptomatic relapse of HIV-associated cryptococcal meningitis in ...

African Journals Online (AJOL)

Objectives. Cryptococcal meningitis is the most common cause of adult meningitis in southern Africa. Much of this disease burden is thought to be due to symptomatic relapse of previously treated infection. We studied the contribution of inadequate secondary fluconazole prophylaxis to symptomatic relapses of cryptococcal ...

Pyrexia-associated Relapse in Chronic Inflammatory Demyelinating Polyradiculoneuropathy: A Case Report.

Science.gov (United States)

Ueda, Jun; Yoshimura, Hajime; Kohara, Nobuo

2018-04-27

Chronic inflammatory demyelinating polyradiculoneuropathy is a relapsing-remitting or chronic progressive demyelinating polyradiculoneuropathy. We report the case of a patient with chronic inflammatory demyelinating polyradiculoneuropathy who experienced relapses on four occasions after experiencing pyrexia and flu-like symptoms. Our patient showed characteristic features, such as relapse after pyrexia and flu-like symptoms, remission after pyretolysis without treatment, and the absence of remarkable improvement in a nerve conduction study in the remission phase. The serum level of tumor necrosis factor-α was elevated in the relapse phase and reduced in the remission phase; thus, the induction of cytokine release by viral infection might have caused the relapses.

Dynamic coating of mf/uf membranes for fouling mitigation

KAUST Repository

Tabatabai, S. Assiyeh Alizadeh

2017-01-19

A membrane system including an anti-fouling layer and a method of applying an anti-fouling layer to a membrane surface are provided. In an embodiment, the surface is a microfiltration (MF) or an ultrafiltration (UF) membrane surface. The anti-fouling layer can include a stimuli responsive layer and a dynamic protective layer applied over the stimuli responsive layer that can be a coating on a surface of the membrane. The stimuli responsive polymer layer can act as an adhesive prior to coating with the dynamic protective layer to aid in adhering the dynamic protective layer to the membrane surface. The dynamic protective layer can be formed by suitable nanoparticles that can prevent adhesion of foulants directly to the membrane surface. The stimuli responsive layer can be responsive to physio- chemical stimuli to cause a release of the stimuli responsive layer and the dynamic protective layer including foulants from the membrane.

Novel therapeutic options for relapsed hairy cell leukemia.

Science.gov (United States)

Jain, Preetesh; Polliack, Aaron; Ravandi, Farhad

2015-01-01

The majority of patients with hairy cell leukemia (HCL) achieve a response to therapy with cladribine or pentostatin with or without rituximab. However, late relapses can occur. Treatment of relapsed HCL can be difficult due to a poor tolerance to chemotherapy, increased risk of infections and decreased responsiveness to chemotherapy. The identification of BRAFV600E mutations and the role of aberrant MEK kinase and Bruton's tyrosine kinase (BTK) pathways in the pathogenesis of HCL have helped to develop novel targeted therapies for these patients. Currently, the most promising therapeutic strategies for relapsed or refractory HCL include recombinant immunoconjugates targeting CD22 (e.g. moxetumomab pasudotox), BRAF inhibitors such as vemurafenib and B cell receptor signaling kinase inhibitors such as ibrutinib. Furthermore, the VH4-34 molecular variant of classic HCL has been identified to be less responsive to chemotherapy. Herein, we review the results of the ongoing clinical trials and potential future therapies for relapsed/refractory HCL.

Portable load-cell based system for weighing UF6 cylinders

International Nuclear Information System (INIS)

Fainberg, A.; Gordon, D.; Dermendjiev, E.; Terrey, D.; Mitchell, R.

1982-01-01

A load-cell-based portable weighing system which is capable of verifying the weights of 2.2 tonne 30-inch UF 6 cylinders has been developed by the US National Bureau of Standards (NBS). This system weighs about 13 kg and has an attainable accuracy of about 1 kg. After an initial calibration at NBS, the system is ready for use in the field. Approximately 5 to 10 minutes are needed for assembly, and, if an overhead crane has access to all cylinders to be weighed, from 10 to 15 weighings may be performed in one hour. During the past year the system has been tested at several facilities around the world with satisfactory results and with favorable comments from the facility operators. Results of several tests are presented in this paper

Om direktørers fuldmagt på baggrund af UfR 2012.2533 H

DEFF Research Database (Denmark)

Andersen, Lennart Lynge; Schaumburg-Muller, Peer

2012-01-01

Den bemyndigelse, en adm. direktør - og den øvrige direktion - har til (bl.a.) at fastsætte løn- og ansættelsesvilkår for selskabets medarbejdere har hverken i den arbejdsretlige, selskabsretlige eller den aftaleretlige teori og praksis påkaldt sig megen opmærksomhed gennem årene. Højesterets dom...... af 2. maj 2012 (UfR 2012.2533 H) omhandler netop dette forhold, og afgørelsen må af flere grunde anses for principiel....

MRI diagnosis of bone marrow relapse in children with ALL

International Nuclear Information System (INIS)

Kan, J.H.; Hernanz-Schulman, Marta; Frangoul, Haydar A.; Connolly, Susan A.

2008-01-01

Diffuse marrow replacement in acute leukemia is well known, but there are few reports describing the MRI features of pediatric leukemic relapse. Our purpose was to describe the MRI appearance of pediatric leukemic relapse. A total of 53 consecutive children with a history of ALL were referred for musculoskeletal MRI from 1 January 1998 to 28 February 2007 at one center, and from 1 January 2000 to 2 May 2007 at a second center. From this group, 14 children seen at initial diagnosis of leukemia and 2 children who underwent MRI after therapy for relapse were excluded. The remaining 37 children, 8 with relapse and 29 in remission, were studied. Images of patients with relapse and in remission were reviewed for type and configuration of marrow infiltration; coexisting marrow alterations including osteonecrosis or stress reaction were also reviewed. All eight children with relapse demonstrated nodular lesions with well-defined margins. Coexisting osteonecrosis was present in three children (38%) and pathologic fracture in one. Among the 29 children in remission, 9 showed stress reaction/fracture, 14 showed osteonecrosis and 9 showed ill-defined nodules, and in 5 the marrow was completely normal. Well-defined nodules in all patients with leukemic relapse suggest that this appearance is characteristic and distinct from the published findings of diffuse marrow replacement in acute leukemia. (orig.)

MRI diagnosis of bone marrow relapse in children with ALL

Energy Technology Data Exchange (ETDEWEB)

Kan, J.H.; Hernanz-Schulman, Marta [Vanderbilt University, Department of Radiology and Radiological Sciences, Vanderbilt Children' s Hospital, Nashville, TN (United States); Frangoul, Haydar A. [Vanderbilt University, Department of Pediatric Hematology-Oncology, Vanderbilt Children' s Hospital, Nashville, TN (United States); Connolly, Susan A. [Harvard Medical School, Department of Radiology, Boston Children' s Hospital, Boston, MA (United States)

2008-01-15

Diffuse marrow replacement in acute leukemia is well known, but there are few reports describing the MRI features of pediatric leukemic relapse. Our purpose was to describe the MRI appearance of pediatric leukemic relapse. A total of 53 consecutive children with a history of ALL were referred for musculoskeletal MRI from 1 January 1998 to 28 February 2007 at one center, and from 1 January 2000 to 2 May 2007 at a second center. From this group, 14 children seen at initial diagnosis of leukemia and 2 children who underwent MRI after therapy for relapse were excluded. The remaining 37 children, 8 with relapse and 29 in remission, were studied. Images of patients with relapse and in remission were reviewed for type and configuration of marrow infiltration; coexisting marrow alterations including osteonecrosis or stress reaction were also reviewed. All eight children with relapse demonstrated nodular lesions with well-defined margins. Coexisting osteonecrosis was present in three children (38%) and pathologic fracture in one. Among the 29 children in remission, 9 showed stress reaction/fracture, 14 showed osteonecrosis and 9 showed ill-defined nodules, and in 5 the marrow was completely normal. Well-defined nodules in all patients with leukemic relapse suggest that this appearance is characteristic and distinct from the published findings of diffuse marrow replacement in acute leukemia. (orig.)

Factors associated with relapse in schizophrenia | Kazadi | South ...

African Journals Online (AJOL)

Aim. Early identification and prevention of relapse in patients with schizophrenia has significant therapeutic and socioeconomic implications. The aim of this study was to determine the factors, if any, that may be associated with relapse in a group of patients in Johannesburg. Method. Patients were recruited from mental ...

Relapsing-Remitting MS (RRMS)

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Full Text Available ... course – is characterized by clearly defined attacks of new or increasing neurologic symptoms. These attacks – also called ... either active (with relapses and/or evidence of new MRI activity) or not active , as well as ...

Relapsing-Remitting MS (RRMS)

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Full Text Available ... defined attacks of new or increasing neurologic symptoms. These attacks – also called relapses or exacerbations – are followed ... as well as the nerve fibers themselves. During these inflammatory attacks, activated immune cells cause small, localized ...

Time to relapse and remission of bipolar disorder: findings from a 1-year prospective study in Thailand

Directory of Open Access Journals (Sweden)

Leelahanaj T

2013-08-01

median time to remission was 67.5 days (72.5 days for depressive episodes versus 58.0 days for manic episodes, log rank P = 0.014. Conclusions: The 1-year relapse rate in Thai patients with BD was 21.7% or 0.31 episodes per person-year. About one-fifth of recovered patients had mood relapses within 371 days. On average, a mood episode would remit in 67.5 days. Keywords: bipolar disorder, course, outcome, relapse, remission, Thai

Recurrent tuberculosis in an urban area in China: relapse or exogenous reinfection?

Science.gov (United States)

Shen, Xin; Yang, Chongguang; Wu, Jie; Lin, Senlin; Gao, Xu; Wu, Zheyuan; Tian, Jiyun; Gan, Mingyu; Luo, Tao; Wang, Lili; Yu, Chenlei; Mei, Jian; Pan, Qichao; DeRiemer, Kathryn; Yuan, ZhengAn; Gao, Qian

2017-01-01

Recurrent tuberculosis is an important indicator of the effectiveness of tuberculosis control and can occur by relapse or exogenous reinfection. We conducted a retrospective cohort study on all bacteriologically confirmed tuberculosis cases that were successfully treated between 2000 and 2012 in Shanghai, an urban area with a high number but a low prevalence rate of tuberculosis cases and a low prevalence of HIV infection. Genotyping the Mycobacterium tuberculosis from clinical isolates was used to distinguish between relapse and reinfection. In total, 5.3% (710/13,417) of successfully treated cases had a recurrence, a rate of 7.55 (95% CI 7.01–8.13) episodes per 1000 person-years, more than 18 times the rate of tuberculosis in the general population. Patients who were male, age 30–59, retreatment cases, had cavitation, diabetes, drug-resistant or multidrug-resistant tuberculosis in their initial episode of tuberculosis, were at high risk for a recurrence. Among 141 recurrent cases that had paired isolates, 59 (41.8%) had different genotypes, indicating reinfection with a different strain. Patients who completed treatment were still at high risk of another episode of tuberculosis and exogenous reinfection contributed a significant proportion of the recurrent tuberculosis cases. Targeted control strategies are needed to prevent new tuberculosis infections in this setting. PMID:28237039

Automation of the Process to Obtain U F{sub 4} Powders; Ingenieria Basica para la Automatizacion del Proceso de Obtencion de Polvos de UF{sub 4}

Energy Technology Data Exchange (ETDEWEB)

Fenocchio, A D [Instituto Balseiro, Universidad Nacional de Cuyo, Centro Atomico Bariloche, Universidad de Buenos Aires (Argentina)

2001-07-01

Here is exposed the preliminary analysis of the control system to be implemented in the Production Plant of UF{sub 4} Powders.The work has been done in the electronic laboratory.This implies, the setting of devices (PLC, Temperature Controllers, etc.) and the setting of the communications using the proper protocol.Also is shown a study about the logic for the first part of the conversion process of UF{sub 6}: the evaporation.This study is used to define the methodology to follow in a future PLC program.

Comparing Effectiveness of Mindfulness-Based Relapse Prevention with Treatment as Usual on Impulsivity and Relapse for Methadone-Treated Patients: A Randomized Clinical Trial.

Science.gov (United States)

Yaghubi, Mehdi; Zargar, Fatemeh; Akbari, Hossein

2017-07-01

Impulsivity is one of the causes of relapse that can affect treatment outcomes. Studies have shown that addiction treatments can reduce impulsivity in drug-dependent individuals. Studies also have suggested that mindfulness is associated with impulsivity. However, no study has investigated the effectiveness of the mindfulness-based intervention on impulsivity in opioid-dependent individuals. This study aimed to compare the effectiveness of mindfulness-based relapse prevention (MBRP) with treatment as usual (TAU) in terms of impulsivity and relapse for methadone-treated patients. The present randomized controlled clinical trial was performed in Kashan, Iran, in 2015. The study population was opioid-dependent patients referred to Maintenance Treatment Centers. Seventy patients were selected by random sampling and were assigned in two groups (MBRP and TAU) randomly. The participants of two groups filled out Barratt impulsivity scale (BIS-11) as a pre-test and 8 weeks later as post-test and 2 months later as a follow-up. Both groups received methadone-therapy. The MBRP group received 8 sessions of group therapy, while the control group did not receive any group psychotherapy session. Finally, data from 60 patients were analyzed statistically. The MBRP group had decreased impulsivity significantly (P relapse frequency (P relapse probability. These findings suggest that MBRP is useful for opioid-dependent individuals with high-level impulsivity, and relapse prevention.

Evaluation of post-surgical relapse after mandibular setback surgery with minimal orthodontic preparation.

Science.gov (United States)

Lee, Nam-Ki; Kim, Young-Kyun; Yun, Pil-Young; Kim, Jong-Wan

2013-01-01

The aim of this study was to evaluate of the patterns of post-surgical relapse after mandibular setback surgery with minimal orthodontic preparation (MS-MO). The subjects consisted of 15 patients with minimal pre-surgical orthodontic preparation (1.37 ± 1.69 months). Lateral cephalograms were taken in pre-surgical (T0), post-surgical 1 month (T1) and immediately after debonding (T2) stages. To evaluate the surgical changes (T1-T0) and the relapse (T2-T1), the linear and angular measurements were analyzed using paired t-test. Pearson's correlation coefficients of the horizontal and vertical relapses of Pog and Me to other measurements were calculated. Pog or Me in T1 were displaced rotationally on Ar-Pog or Ar-Me lines in T2 to evaluate the remaining surgical relapse except the rotational relapse from total relapse. The mandible relapsed anteriorly 3.53 mm (Pog) and 4.00 mm (Me) and superiorly 2.72 mm (Pog) and 2.44 mm (Me). FH to Ar-Pog and FH to Ar-Me decreased by about 2°. Pure surgical relapses at Pog and Me, except rotational relapses, were about 0.5 mm anteriorly and inferiorly 0.8 mm. The vertical relapse might induce mandibular rotation with the horizontal relapse. For an accurate prediction after MS-MO, the rotational relapse might be considered. Crown Copyright © 2012. Published by Elsevier Ltd. All rights reserved.

Relapse prevention in anorexia nervosa: Experiences of patients and parents.

Science.gov (United States)

Berends, Tamara; van de Lagemaat, Marleen; van Meijel, Berno; Coenen, Jasmijn; Hoek, Hans W; van Elburg, Annemarie A

2018-03-24

One of the main aims of treatment after successful recovery from anorexia nervosa (AN) is to prevent a relapse. The Guideline Relapse Prevention (GRP) Anorexia Nervosa offers a structured approach to relapse prevention. This study explores how patients and their parents experience working with the guideline. It also describes the factors that support or hinder successful application of the guideline. A descriptive qualitative research design was chosen involving in-depth interviews with seventeen patients with anorexia nervosa and six sets of parents. Patients and family members were generally satisfied with the support provided by the GRP. It contributed significantly to a better understanding of the personal process of relapse. Patients and families valued being able to keep in touch with their professional during the aftercare programme. The GRP supports the patient's use of self-management strategies for relapse prevention. © 2018 Australian College of Mental Health Nurses Inc.

Survival analysis of patients with clinical stages I or II Hodgkin's disease who have relapsed after initial treatment with radiotherapy alone

DEFF Research Database (Denmark)

Horwich, A.; Specht, L.; Ashley, S.

1997-01-01

relapse included initial stage, age, sex, histology, number of involved areas, mediastinal involvement, E-lesions, B-symptoms, erythrocyte sedimentation rate, alkaline phosphatase, serum albumin and haemoglobin. As well as presentation variables, we analysed the disease-free interval after initial......To aid treatment choice in early stage of Hodgkin's disease, we analysed patients registered in the IDHD Database with clinical stages I or II Hodgkin's disease who were not staged with laparotomy and whose initial treatment was with radiotherapy alone. The factors analysed for outcome after first...... radiotherapy and the extent of disease at relapse. A total of 1364 patients with clinical stage I or II Hodgkin's disease were treated with initial radiotherapy, of whom 473 relapsed. The probability of survival 10 years after relapse was 63%. For cause-specific survival (CSS), both multivariate and univariate...

Gemcitabine, dexamethasone, and cisplatin (GDP) as salvage chemotherapy for patients with relapsed or refractory peripheral T cell lymphoma-not otherwise specified.

Science.gov (United States)

Qi, Fei; Dong, Mei; He, Xiaohui; Li, Yexiong; Wang, Weihu; Liu, Peng; Yang, Jianliang; Gui, Lin; Zhang, Changgong; Yang, Sheng; Zhou, Shengyu; Shi, Yuankai

2017-02-01

Standard therapeutic options for patients with relapsed or refractory peripheral T cell lymphoma-not otherwise specified (PTCL-NOS) remain unclear. There are few large cohort studies specifically focused on gemcitabine-based chemotherapy for PTCL-NOS. We retrospectively reviewed patients with relapsed or refractory PTCL-NOS who received salvage GDP (gemcitabine, dexamethasone, and cisplatin) chemotherapy at the Cancer Hospital, Chinese Academy of Medical Sciences (CAMS) and Peking Union Medical College (PUMC), Beijing, China, from May 2008 to August 2014. Twenty-five patients were enrolled and analyzed. The median number of cycles of GDP chemotherapy per patient was four (range, 2-8 cycles). Overall response rate was 64.0% (16/25) with five achieved complete remission or complete remission unconfirmed. After a median follow-up of 9 months, median overall survival (OS) and progression-free survival after relapse or progression (second-PFS) were 9.3 and 5.4 months. One-year PFS rate and 1-year OS rate were 27.4% and 43.9%, respectively. Median second-PFS was significantly longer in patients sensitive to GDP than the ones resistant to the treatment (10.3 vs. 2.8 months, p GDP including neutropenia (8/25), thrombocytopenia (5/25), and anemia (4/25). Taken together, our study suggests that GDP is an effective and optional salvage regimen for relapsed or refractory PTCL-NOS.

Computational fluid dynamics tracking of UF6 reaction products release into a gaseous diffusion plant cell housing

International Nuclear Information System (INIS)

Wendel, M.W.; Chen, N.C.J.; Kim, S.H.; Taleyarkhan, R.P.; Keith, K.D.; Schmidt, R.W.

1996-01-01

A three-dimensional (3-D) computational fluid dynamics (CFD) model has been developed using CFDS-FLOW3D Version 3.3 to model the transport of aerosol products formed during a release of uranium hexafluoride (UF 6 ) into a gaseous diffusion plant (GDP) process building. As part of a facility-wide safety evaluation, a one-dimensional (1-D) analysis of aerosol/vapor transport following such an hypothesized severe accident is being performed. The objective of this study is to supplement the 1-D analysis with more detailed 3-D results. Specifically, the goal is to quantify the distribution of aerosol passing out of the process building during the hypothetical accident. This work demonstrates a useful role for CFD in large 3-D problems, where some experimental data are available for calibrating key parameters and the desired results are global (total time-integrated aerosol flow rates across a few boundary surfaces) as opposed to local velocities, temperatures, or heat transfer coefficients

Temporal changes in incidence and pattern of central nervous system relapses in children with acute lymphoblastic leukaemia treated on four consecutive Medical Research Council Trials, 1985–2001

Science.gov (United States)

Krishnan, Shekhar; Wade, Rachel; Moorman, Anthony V; Mitchell, Chris; Kinsey, Sally E; Eden, TOB; Parker, Catriona; Vora, Ajay; Richards, Sue; Saha, Vaskar

2009-01-01

Despite the success of contemporary treatment protocols in childhood acute lymphoblastic leukaemia (ALL), relapse within the central nervous system (CNS) remains a challenge. To better understand this phenomenon, we have analysed the changes in incidence and pattern of CNS relapses in 5564 children enrolled on four successive MRC-ALL trials between 1985 and 2001. Changes in the incidence and pattern of CNS relapses were examined and the relationship with patient characteristics assessed. Factors affecting post-relapse outcome were determined. Overall, relapses declined by 49%. Decreases occurred primarily in non-CNS and combined relapses with a progressive shift towards later (≥30 months from diagnosis) relapses (p<0·0001). Although isolated CNS relapses declined, the proportional incidence and timing of relapse remained unchanged. Age and presenting white cell count were risk factors for CNS relapse. On multivariate analysis, the time to relapse and the trial period influenced post-relapse outcomes. Relapse trends differed within biological subtypes. In ETV6-RUNX1 ALL, relapse patterns mirrored overall trends while in High Hyperdiploidy ALL, these appear to have plateaued over the latter two trial periods. Intensive systemic and intrathecal chemotherapy have decreased the overall CNS relapse rates and changed the patterns of recurrence. The heterogeneity of therapeutic response in the biological subtypes suggests room for further optimisation using currently available chemotherapy. PMID:20016529

Relapsing-Remitting MS (RRMS)

Medline Plus

Full Text Available ... Treating MS d Comprehensive Care Developing a Healthcare Team Make the Most of Your Doctor Visits Advance Medical Directives d Find an MS Care Provider Partners in MS Care d Managing Relapses Plasmapheresis d Rehabilitation Functional Electrical Stimulation (FES) ...

Antidepressant monotherapy vs sequential pharmacotherapy and mindfulness-based cognitive therapy, or placebo, for relapse prophylaxis in recurrent depression.

Science.gov (United States)

Segal, Zindel V; Bieling, Peter; Young, Trevor; MacQueen, Glenda; Cooke, Robert; Martin, Lawrence; Bloch, Richard; Levitan, Robert D

2010-12-01

Mindfulness-based cognitive therapy (MBCT) is a group-based psychosocial intervention designed to enhance self-management of prodromal symptoms associated with depressive relapse. To compare rates of relapse in depressed patients in remission receiving MBCT against maintenance antidepressant pharmacotherapy, the current standard of care. Patients who met remission criteria after 8 months of algorithm-informed antidepressant treatment were randomized to receive maintenance antidepressant medication, MBCT, or placebo and were followed up for 18 months. Outpatient clinics at the Centre for Addiction and Mental Health, Toronto, Ontario, Canada, and St Joseph's Healthcare, Hamilton, Ontario. One hundred sixty patients aged 18 to 65 years meeting DSM-IV criteria for major depressive disorder with a minimum of 2 past episodes. Of these, 84 achieved remission (52.5%) and were assigned to 1 of the 3 study conditions. Patients in remission discontinued their antidepressants and attended 8 weekly group sessions of MBCT, continued taking their therapeutic dose of antidepressant medication, or discontinued active medication and were switched to placebo. Relapse was defined as a return, for at least 2 weeks, of symptoms sufficient to meet the criteria for major depression on module A of the Structured Clinical Interview for DSM-IV. Intention-to-treat analyses showed a significant interaction between the quality of acute-phase remission and subsequent prevention of relapse in randomized patients (P = .03). Among unstable remitters (1 or more Hamilton Rating Scale for Depression score >7 during remission), patients in both MBCT and maintenance treatment showed a 73% decrease in hazard compared with placebo (P = .03), whereas for stable remitters (all Hamilton Rating Scale for Depression scores ≤7 during remission) there were no group differences in survival. For depressed patients achieving stable or unstable clinical remission, MBCT offers protection against relapse

Relapse and disease specific survival in 1143 Danish women diagnosed with borderline ovarian tumours (BOT)

DEFF Research Database (Denmark)

Schou Karlsen, Nikoline Marie; Karlsen, Mona Aarenstrup; Høgdall, Estrid

2016-01-01

.1% in FIGO stages II-IV. Relapse of BOT was detected in 3.7%, hereof 40.5% with malignant transformation. The five-year disease-free survival was 97.6% in FIGO stage I and 87.3% in FIGO stages II-IV. Younger age, laparoscopic surgical approach, fertility sparing surgery, FIGO stages II-IV, bilateral tumour...... presence, serous histology, implants and microinvasion of the tumour were significantly associated with relapse in univariate analyses. The overall five-year survival rate was 92.2% in FIGO stage I and 89.0% in FIGO stages II-IV. Out of 77 deaths in total, only seven women died from BOT. CONCLUSIONS...

Evaluation of the treatability of a winery distillery (vinasse) wastewater by UASB, anoxic-aerobic UF-MBR and chemical precipitation/adsorption.

Science.gov (United States)

Petta, Luigi; De Gisi, Sabino; Casella, Patrizia; Farina, Roberto; Notarnicola, Michele

2017-10-01

A multi-stage pilot-scale treatment cycle consisting of an Upflow Anaerobic Sludge Blanket reactor (UASB) followed by an anoxic-aerobic Ultra Filtration Membrane Bio Reactor (UF-MBR) and a post treatment based on chemical precipitation with lime or adsorption on Granular Activated Carbons (GAC), was applied in order to evaluate the treatment feasibility of a real winery distillery wastewater at laboratory and bench scale. The wastewater was classified as high strength with acidic pH (3.8), and concentrations of 44,600, 254, 604 and 660 mg/l for COD tot , total nitrogen, total phosphorous and phenols, respectively. The UASB reactor was operated at Organic Loading Rates (OLR) in the range 3.0-11.5 kgCOD tot /m 3 /d achieving treatment efficiency up to 97%, with an observed methane production of 340 L of CH 4 /kgCOD. The MBR system was operated with an organic load in the range 0.070-0.185 kgCOD/kgVSS/d, achieving a removal up to 48%, 67% and 65% of the influent COD, total nitrogen and phenols, respectively. The combination of UASB and UF-MBR treatment units was not effective in phosphate and colour removal assigning to further chemical precipitation and adsorption processes, respectively, their complete removal in order to comply with legal standards for wastewater discharge. Subsequently, the optimization of the investigated treatment chain was assessed by applying a chemical precipitation step upstream and downstream the UASB reactor, and a related treatment unit cost assessment is presented in view of a further technological scale-up. Copyright © 2017 Elsevier Ltd. All rights reserved.

Intra and interpersonal determinants for relapse in drug addicts

Directory of Open Access Journals (Sweden)

Aline Cristina Zerwes Ferreira

2016-03-01

Full Text Available A descriptive qualitative research conducted with 20 drug addicts during treatment at a Center of Psychosocial Attention for Alcohol and other Drugs, aimed to identify intra and interpersonal determinants of relapse perceived by the drug addict. The data were collected through semi-structured interviews, submitted to Content Analysis, and organized into categories following predictive determinants for relapse. The relapse occurred by intrapersonal determinants, as self-efficacy expressed by self-confidence in interrupting the drug consumption; the result expectation by anticipation of pleasurable drug effects; the motivation by the absence of volition to interrupt the consumption; coping with the difficulty to confront daily problems; negative and positive emotional states; and craving. Interpersonal determinants expressed by social support were related to the influence of thirds. The identification of these determinants during treatment to favor relapse prevention and effective rehabilitation.

Level 4 Milestone (M4): M41UF033201 - Review of Radiolysis of Brines on the Surface of a Waste Package

Energy Technology Data Exchange (ETDEWEB)

Sutton, Mark [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States)

2011-08-12

This milestone report (M41UF033201) documents a literature review of relevant publications for gamma radiolysis occurring within a droplet of water on the outside of a waste package in a repository environment within the “

Increased multiple sclerosis relapses related to lower prevalence of pain

Directory of Open Access Journals (Sweden)

José Vinícius Martins da Silva

2015-07-01

Full Text Available Objective The study aims to investigate the presence of pain amongst multiple sclerosis (MS patients. Method One hundred MS patients responded to questionnaires evaluating neuropathic and nociceptive pain, depression and anxiety. Statistical analysis was performed using the Mann–Whitney U, Chi-Square and two-tailed Fisher’s exact tests and multivariate logistic regression. Results Women had a statistically higher prevalence of pain (p = 0.037, and chances of having pain after the age of 50 reduced. Women with pain had a statistically significant lower number of relapses (p = 0.003, restricting analysis to those patients with more than one relapse. After the second relapse, each relapse reduced the chance of having pain by 46%. Presence of pain was independent of Expanded Disability Status Scale (EDSS anxiety, and depression. Conclusion Our findings suggest a strong inverse association between relapses and pain indicating a possible protective role of focal inflammation in the control of pain.