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Sample records for unit evaluation section

  1. Self-Expanded Clustering Algorithm Based on Density Units with Evaluation Feedback Section

    Institute of Scientific and Technical Information of China (English)

    YU Yongqian; ZHAO Xiangguo; CHEN Hengyue; WANG Bin; YU Ge; WANG Guoren

    2006-01-01

    This paper presents an effective clustering mode and a novel clustering result evaluating mode. Clustering mode has two limited integral parameters. Evaluating mode evaluates clustering results and gives each a mark. The higher mark the clustering result gains, the higher quality it has. By organizing two modes in different ways, we can build two clustering algorithms: SECDU(Self-Expanded Clustering Algorithm based on Density Units) and SECDUF(Self-Expanded Clustering Algorithm Based on Density Units with Evaluation Feedback Section). SECDU enumerates all value pairs of two parameters of clustering mode to process data set repeatedly and evaluates every clustering result by evaluating mode. Then SECDU output the clustering result that has the highest evaluating mark among all the ones. By applying "hill-climbing algorithm", SECDUF improves clustering efficiency greatly. Data sets that have different distribution features can be well adapted to both algorithms. SECDU and SECDUF can output high-quality clustering results. SECDUF tunes parameters of clustering mode automatically and no man's action involves through the whole process. In addition, SECDUF has a high clustering performance.

  2. Evaluation of blood reservation and use for caesarean sections in a tertiary maternity unit in south western Nigeria

    Directory of Open Access Journals (Sweden)

    Oshodi Yussuf A

    2010-09-01

    Full Text Available Abstract Background Haemorrhage from obstetric causes is the most common cause of maternal mortality in the developing world. Prevention of mortality from haemorrhage will necessarily involve prompt blood transfusions among other life saving measures. There are however limited stocks of fresh or stored blood in many health care facilities in Sub Saharan Africa. Caesarean section has been identified as a common indication for blood transfusion in obstetrics practice and its performance is often delayed by non availability of blood in our centre. An evaluation of blood reservation and use at caesarean sections in a tertiary maternity unit in Lagos, south western Nigeria should therefore assist in formulating the most rational blood transfusion policies. Methods Case records of 327 patients who had elective and emergency caesarian sections at the Lagos State University Teaching Hospital between 1st October and 31st December 2007 were reviewed. Data pertaining to age, parity, booking status, type and indication for Caesarean section, pre- and post-operative packed cell volume, blood loss at surgery, units of blood reserved in the blood bank, unit(s of blood transfused and duration of hospital stay was extracted and the data analysed. Results There were 1056 deliveries out of which 327 (31% were by Caesarean section. During the study period, a total of 654 units of blood were reserved in the blood bank and subsequently made available in theatre. Out of this number, only 89 (13.6% were transfused to 41 patients. Amongst those transfused, twenty-six (54% were booked and 31 (75.6% had primary caesarian section. About 81% of those transfused had emergency caesarean section. The most common indication for surgery among those transfused were placenta praevia (9 patients with 21 units of blood and cephalo-pelvic disproportion (8 patients with 13 units. Conclusion Even though a large number of units of blood was reserved and made available in the theatre at

  3. Bed Utilisation in an Irish Regional Paediatric Unit A Cross-Sectional Study Using the Paediatric Appropriateness Evaluation Protocol (PAEP)

    LENUS (Irish Health Repository)

    Ó hAiseadha, Coilín

    2016-05-01

    Increasing demand for limited healthcare resources raises questions about appropriate use of inpatient beds. In the first paediatric bed utilisation study at a regional university centre in Ireland, we conducted a cross-sectional study to audit the utilisation of inpatient beds at the Regional Paediatric Unit (RPU) in University Hospital Limerick (UHL), Limerick, Ireland and also examined hospital activity data, to make recommendations for optimal use of inpatient resources.

  4. Preliminary Evaluation of the Section 1603 Treasury Grant Program for Renewable Power Projects in the United States

    Energy Technology Data Exchange (ETDEWEB)

    Bolinger, Mark; Wiser, Ryan; Darghouth, Naim

    2010-05-05

    This article evaluates the first year of the Section 1603 Treasury cash grant program, which enables renewable power projects in the U.S. to elect cash grants in lieu of the federal tax credits that are otherwise available. To date, the program has been heavily subscribed, particularly by wind power projects, which had received 86% of the nearly $2.6 billion in grants that had been disbursed as of March 1, 2010. As of that date, 6.2 GW of the 10 GW of new wind capacity installed in the U.S. in 2009 had applied for grants in lieu of production tax credits. Roughly 2.4 GW of this wind capacity may not have otherwise been built in 2009 absent the grant program; this 2.4 GW may have supported approximately 51,600 short-term full-time-equivalent (FTE) gross job-years in the U.S. during the construction phase of these wind projects, and 3,860 longterm FTE gross jobs during the operational phase. The program’s popularity stems from the significant economic value that it provides to renewable power projects, relative to the otherwise available tax credits. Although grants reward investment rather than efficient performance, this evaluation finds no evidence at this time of either widespread “gold-plating” or performance problems.

  5. Bed Utilisation in an Irish Regional Paediatric Unit – A Cross-Sectional Study Using the Paediatric Appropriateness Evaluation Protocol (PAEP

    Directory of Open Access Journals (Sweden)

    Coilín ÓhAiseadha

    2016-11-01

    Full Text Available Background Increasing demand for limited healthcare resources raises questions about appropriate use of inpatient beds. In the first paediatric bed utilisation study at a regional university centre in Ireland, we conducted a cross-sectional study to audit the utilisation of inpatient beds at the Regional Paediatric Unit (RPU in University Hospital Limerick (UHL, Limerick, Ireland and also examined hospital activity data, to make recommendations for optimal use of inpatient resources. Methods We used a questionnaire based on the paediatric appropriateness evaluation protocol (PAEP, modified and validated for use in the United Kingdom, to prospectively gather data regarding reasons for admission and for ongoing care after 2 days, from case records for all inpatients during 11 days in February (winter and 7 days in May–June (summer. We conducted bivariate and multivariate analysis to explore associations between failure to meet PAEP criteria and patient attributes including age, gender, admission outside of office hours, arrival by ambulance, and private health insurance. Inpatient bed occupancy and day ward activity were also scrutinised. Results Mean bed occupancy was 84.1%. In all, 12/355 (3.4%, 95% CI: 1.5%–5.3% of children failed to meet PAEP admission criteria, and 27/189 (14.3%, 95% CI: 9.3%–19.3% who were still inpatients after 2 days failed to meet criteria for ongoing care. 35/355 (9.9%, 95% CI: 6.8%–13.0% of admissions fulfilled only the PAEP criterion for intravenous medications or fluid replacement. A logistic regression model constructed by forward selection identified a significant association between failure to meet PAEP criteria for ongoing care 2 days after admission and admission during office hours (08.00–17.59 (P = .020, and a marginally significant association between this outcome and arrival by ambulance (P = .054. Conclusion At a mean bed occupancy of 84.1%, an Irish RPU can achieve 96.6% appropriate admissions

  6. Bed Utilisation in an Irish Regional Paediatric Unit – A Cross-Sectional Study Using the Paediatric Appropriateness Evaluation Protocol (PAEP)

    Science.gov (United States)

    ÓhAiseadha, Coilín; Mannix, Mai; Saunders, Jean; Philip, Roy K.

    2016-01-01

    Background: Increasing demand for limited healthcare resources raises questions about appropriate use of inpatient beds. In the first paediatric bed utilisation study at a regional university centre in Ireland, we conducted a cross-sectional study to audit the utilisation of inpatient beds at the Regional Paediatric Unit (RPU) in University Hospital Limerick (UHL), Limerick, Ireland and also examined hospital activity data, to make recommendations for optimal use of inpatient resources. Methods: We used a questionnaire based on the paediatric appropriateness evaluation protocol (PAEP), modified and validated for use in the United Kingdom, to prospectively gather data regarding reasons for admission and for ongoing care after 2 days, from case records for all inpatients during 11 days in February (winter) and 7 days in May–June (summer). We conducted bivariate and multivariate analysis to explore associations between failure to meet PAEP criteria and patient attributes including age, gender, admission outside of office hours, arrival by ambulance, and private health insurance. Inpatient bed occupancy and day ward activity were also scrutinised. Results: Mean bed occupancy was 84.1%. In all, 12/355 (3.4%, 95% CI: 1.5%–5.3%) of children failed to meet PAEP admission criteria, and 27/189 (14.3%, 95% CI: 9.3%–19.3%) who were still inpatients after 2 days failed to meet criteria for ongoing care. 35/355 (9.9%, 95% CI: 6.8%–13.0%) of admissions fulfilled only the PAEP criterion for intravenous medications or fluid replacement. A logistic regression model constructed by forward selection identified a significant association between failure to meet PAEP criteria for ongoing care 2 days after admission and admission during office hours (08.00–17.59) (P = .020), and a marginally significant association between this outcome and arrival by ambulance (P = .054). Conclusion: At a mean bed occupancy of 84.1%, an Irish RPU can achieve 96.6% appropriate admissions

  7. Recommended evaluation procedure for photonuclear cross section

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Young-Ouk; Chang, Jonghwa; Fukahori, Tokio [Japan Atomic Energy Research Inst., Tokai, Ibaraki (Japan). Tokai Research Establishment

    1998-03-01

    In order to generate photonuclear cross section library for the necessary applications, data evaluation is combined with theoretical evaluation, since photonuclear cross sections measured cannot provide all necessary data. This report recommends a procedure consisting of four steps: (1) analysis of experimental data, (2) data evaluation, (3) theoretical evaluation and, if necessary, (4) modification of results. In the stage of analysis, data obtained by different measurements are reprocessed through the analysis of their discrepancies to a representative data set. In the data evaluation, photonuclear absorption cross sections are evaluated via giant dipole resonance and quasi-deutron mechanism. With photoabsorption cross sections from the data evaluation, theoretical evaluation is applied to determine various decay channel cross sections and emission spectra using equilibrium and preequilibrium mechanism. After this, the calculated results are compared with measured data, and in some cases the results are modified to better describe measurements. (author)

  8. Covariance Evaluation Methodology for Neutron Cross Sections

    Energy Technology Data Exchange (ETDEWEB)

    Herman,M.; Arcilla, R.; Mattoon, C.M.; Mughabghab, S.F.; Oblozinsky, P.; Pigni, M.; Pritychenko, b.; Songzoni, A.A.

    2008-09-01

    We present the NNDC-BNL methodology for estimating neutron cross section covariances in thermal, resolved resonance, unresolved resonance and fast neutron regions. The three key elements of the methodology are Atlas of Neutron Resonances, nuclear reaction code EMPIRE, and the Bayesian code implementing Kalman filter concept. The covariance data processing, visualization and distribution capabilities are integral components of the NNDC methodology. We illustrate its application on examples including relatively detailed evaluation of covariances for two individual nuclei and massive production of simple covariance estimates for 307 materials. Certain peculiarities regarding evaluation of covariances for resolved resonances and the consistency between resonance parameter uncertainties and thermal cross section uncertainties are also discussed.

  9. Production of short straight sections hits 100 units

    CERN Multimedia

    2005-01-01

    The 100th short straight section for the Large Hadron Collider was assembled at CERN at the beginning of April. These units combine superconducting quadrupoles and other multipole corrector magnets, housed in their cryostats, which are used to guide, focus and fine-tune the beam in the LHC. Building 904, where the 474 short straight sections are being assembled, is often called "Lego Land" by the workers, with a touch of humor and pride because of the wide variety of these sets of magnets and cryostats .

  10. 3 CFR - Designation of Officers of the United States Section, International Boundary and Water Commission...

    Science.gov (United States)

    2010-01-01

    ..., International Boundary and Water Commission, United States and Mexico To Act as the Commissioner of the United... Designation of Officers of the United States Section, International Boundary and Water Commission, United... of the United States Section, International Boundary and Water Commission, United......

  11. Organizational evaluation of an interprofessional study unit

    DEFF Research Database (Denmark)

    Jensen, Didde Cramer; Nørgaard, Birgitte; Draborg, Eva;

    2012-01-01

    This article presents results from an organizational evaluation of an interprofessional clinical study unit (ICS) in Denmark. The aim of this study was to test whether the ICS was based on a durable organizational concept and to identify the prerequisites for the unit to be successful....... The evaluation framework was "theory-based evaluation". A program theory was developed based on the concepts and expectations of the steering committee which initiated and designed the ICS. The program theory was tested for conflicts of interest among the stakeholders related to the ICS regarding prerequisites...

  12. Development and evaluation of a clinical note section header terminology.

    Science.gov (United States)

    Denny, Joshua C; Miller, Randolph A; Johnson, Kevin B; Spickard, Anderson

    2008-11-06

    Clinical documentation is often expressed in natural language text, yet providers often use common organizations that segment these notes in sections, such as history of present illness or physical examination. We developed a hierarchical section header terminology, supporting mappings to LOINC and other vocabularies; it contained 1109 concepts and 4332 synonyms. Physicians evaluated it compared to LOINC and the Evaluation and Management billing schema using a randomly selected corpus of history and physical notes. Evaluated documents contained a median of 54 sections and 27 major sections. There were 16,196 total sections in the evaluation note corpus. The terminology contained 99.9% of the clinical sections; LOINC matched 77% of section header concepts and 20% of section header strings in those documents. The section terminology may enable better clinical note understanding and interoperability. Future development and integration into natural language processing systems is needed.

  13. 75 FR 18238 - United States Section; Final Environmental Impact Statement, Flood Control Improvements and...

    Science.gov (United States)

    2010-04-09

    ..., Flood Control Improvements and Partial Levee Relocation, United States Section, International Boundary and Water Commission (USIBWC) Presidio Flood Control Project (FCP), Presidio, TX AGENCY: United States... potential consequences of each action alternative in reference to flood control improvements. Following...

  14. A new technique for dosimetry reaction cross-section evaluation

    Energy Technology Data Exchange (ETDEWEB)

    Badikov, S.A. [JSC Energy and Industry Analytica, 127287, Moscow (Russian Federation)

    2011-07-01

    Document available in abstract form only, full text of document follows: An objective of this paper is a unification of the procedure for dosimetry reaction cross-section evaluation. A set of requirements for the unified evaluation procedure is presented. A new code (ORTHO) was developed in order to meet these requirements. A statistical model, an algorithm, and the basic formulae employed in the code are described. The code was used for Ti48(n,p) reaction cross-section evaluation. The results of the evaluation are compared to International Reactor Dosimetry File (IRDF)-2002 data. The evaluated cross-sections and their correlations from this work are in good agreement with the IRDF-2002 evaluated data, whereas the uncertainties of the evaluated cross-sections are inconsistent. (authors)

  15. A Technique for Section Thickness Evaluation for Microphotometry and Image Analysis of Sectioned Nuclei

    Directory of Open Access Journals (Sweden)

    R. L. Cabrini

    1998-01-01

    Full Text Available The exact knowledge of the section thickness is a requisite for making the necessary corrections on DNA measurements in tissue sections. Several methods have been proposed to evaluate section thickness, each of them with advantages and disadvantages depending on the type of specimen and equipment available. We herein report another method based on preparation of standard material whose optical density varies as a function of its thickness and is sectioned and measured alongside the tissue specimen. The standards consist of celloidin cylinders stained with the PAS reaction and embedded in paraffin. For prior characterization of the cylinders, sections of different thickness were obtained and mounted. The optical density of each section was measured by direct microphotometry or image analysis. The actual thickness of each section was evaluated following re-embedding of piled groups of sections in a paraffin block and transversal sectioning. The thickness was then measured with a micrometric eye-piece. Optical density and actual thickness of each section were plotted on a normogram curve. Once a given tissue is sectioned alongside with the reference cylinder, the actual thickness is determined by its optical density on the normogram curve.

  16. Evaluating the DSM-5 Section III Personality Disorder Impairment Criteria.

    Science.gov (United States)

    Anderson, Jaime L; Sellbom, Martin

    2016-09-12

    The majority of research on the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5) Section III alternative model for personality disorders (PDs) has addressed the dimensional traits proposed in Criterion B, while limited research has evaluated Section III functional impairment criteria. The current study evaluated Section III impairment specific to the 6 personality disorder diagnoses included in the Section III model in a sample of 347 undergraduates. We evaluated the factor structure of disorder-specific impairment; their associations with other measures of impairment, Section III traits, and Section II PD symptoms; as well as the incremental utility of impairment above and beyond traits in predicting Section II PD symptoms. Factor analyses indicated limited support for the 2 domain and 4 subfacet levels of impairment, but showed some support for disorder-specific impairment. Furthermore, disorder-specific impairment was associated with other measures of functional impairment, Section II PD symptoms, and Section III traits with a generally good degree of convergence. However, these findings showed a lack of discriminant validity, suggesting a lack of utility in measuring disorder-specific impairment, as opposed to more broadly evaluating an individual's level of functional impairment. Finally, impairment only added incremental utility to traits in predicting Section II Avoidant PD. By and large, these findings suggested mixed support for disorder-specific impairment as presented in Criterion A and raised additional questions regarding the utility of impairment when paired with dimensional personality traits. (PsycINFO Database Record (c) 2016 APA, all rights reserved).

  17. Human Resource Evaluation in Hotel Units

    Directory of Open Access Journals (Sweden)

    George Aspridis

    2012-03-01

    Full Text Available This paper aims at presenting and analysing the performance appraisalsystems and the human potential development in hotelunits. It aims at integrating and updating many aspects of performanceappraisal while concentrating on the hotel units systemto prove the importance of human resource evaluation in hotelunits and the procedure that is to be followed by the enterprisefor further development of hotel employees. HR evaluation analysisis presented through relevant theoretical background on theevaluation method and the presentation of the practical problematicalissues in order to create an image for a whole evaluationsystem of HR in Greek hotel enterprises.

  18. Improved simulation design factors for unconventional crude vacuum units : cracked gas make and stripping section performance

    Energy Technology Data Exchange (ETDEWEB)

    Remesat, D. [Koch-Glitsch Canada LP, Calgary, AB (Canada)

    2008-10-15

    Operating data for unconventional heavy oil vacuum crude units were reviewed in order to optimize the design of vacuum columns. Operational data from heavy crude vacuum units operating with stripping and velocity were used to investigate the application of a proven vacuum distillation tower simulation topology designed for use with heavy oil and bitumen upgrader feeds. Design factors included a characterization of the crude oils or bitumens processed in the facility; the selection of thermodynamic models; and the non-equilibrium simulation topology. Amounts of generated cracked gas were calculated, and entrainment and stripping section performance was evaluated. Heater designs for ensuring the even distribution of heat flux were discussed. Data sets from vacuum units processing crude oils demonstrated that the amount of offgas flow increased as the transfer line temperature increased. The resulting instability caused increased coke generation and light hydrocarbon formation. Results also indicated that overhead vacuum ejector design and size as well as heat transfer capabilities of quench and pumparound zones must be considered when designing vacuum column units. Steam stripping lowered hydrocarbon partial pressure to allow materials to boil at lower temperatures. It was concluded that setting appropriate entrainment values will ensure the accuracy of sensitivity analyses for transfer line designs, inlet feed devices, and wash bed configurations. 9 refs., figs.

  19. Ni elemental neutron induced reaction cross-section evaluation

    Energy Technology Data Exchange (ETDEWEB)

    Divadeenam, M.

    1979-03-01

    A completely new evaluation of the nickel neutron induced reaction cross sections was undertaken as a part of the ENDF/B-V effort. (n,xy) reactions and capture reaction time from threshold to 20 MeV were considered for /sup 58/ /sup 60/ /sup 61/ /sup 62/ /sup 64/Ni isotopes to construct the corresponding reaction cross section for natural nickel. Both experimental and theoretical calculated results were used in evaluating different partial cross sections. Precompound effects were included in calculating (n,xy) reaction cross sections. Experimentally measured total section data extending from 0.7 MeV to 20 MeV were used to generate smooth cross section. Below 0.7 to MeV elastic and capture cross sections are represented by resonance parameters. Inelastic angular distributions to the discrete isotopic levels and elemental elastic angular distributions are included in the evaluated data file. Gamma production cross sections and energy distribution due to capture and the (n,xy) reactions were evaluated from experimental data. Finally, error files are constructed for all partial cross sections.

  20. Evaluation of nuclear reaction cross section of some isotopes of ...

    African Journals Online (AJOL)

    Evaluation of nuclear reaction cross section of some isotopes of plutonium at energy range ... Nigerian Journal of Chemical Research ... Their choice is as a result of their importance in the modern day nuclear reactor and the energy range 10 ...

  1. The Magnitude and Time Course of Muscle Cross-section Decrease in Intensive Care Unit Patients.

    Science.gov (United States)

    Ten Haaf, Dianne; Hemmen, Bea; van de Meent, Henk; BovendʼEerdt, Thamar J H

    2017-09-01

    Bedriddenness and immobilization of patients at an intensive care unit may result in muscle atrophy and devaluation in quality of life. The exact effect of immobilization on intensive care unit patients is not known. The aim of this study was to investigate the magnitude and time course of muscle cross-section decrease in acute critically ill patients admitted to the intensive care unit. An observational pilot study was performed in intensive care unit patients. Data of bilateral ultrasound muscle cross-section measurements of the knee extensors and the elbow flexors were collected. Thirty-four intensive care unit patients were included in this study; data are presented from 14 patients who were measured at least three times. Repeated measures analysis of variance shows a significant decrease in muscle cross-section over time (F1,13 = 80.40, P ≤ 0.001).The decrease in muscle cross-section of the arms was significantly higher (F1,13 = 5.38, P = 0.037) than the decrease of the legs. Four weeks after intensive care unit admission, the muscle cross-section decrease had not reached an asymptote yet. The muscle cross-section decrease in bedridden intensive care unit patients is significant for a time of 2 to 4 weeks. The decrease in muscle cross-section of the arms is greater than the decrease of the legs.

  2. Basic Competence of Intensive Care Unit Nurses: Cross-Sectional Survey Study

    Directory of Open Access Journals (Sweden)

    Riitta-Liisa Lakanmaa

    2015-01-01

    Full Text Available Critical care patients benefit from the attention of nursing personnel with a high competence level. The aim of the study was to describe and evaluate the self-assessed basic competence of intensive care unit nurses and related factors. A cross-sectional survey design was used. A basic competence scale (Intensive and Critical Care Nursing Competence Scale version 1, Likert scale 1–5, 1 = poor and 5 = excellent was employed among Finnish intensive care unit nurses (n=431. Intensive care unit nurses’ self-assessed basic competence was good (mean 4.19, SD 0.40. The attitude and value base of basic competence was excellent whereas experience base was the poorest compared to the knowledge base and skill base of intensive and critical care nursing. The strongest factor explaining nurses’ basic competence was their experience of autonomy in nursing care (F value 60.85, β 0.11, SE 0.01, and P≤0.0001. Clinical competence was self-rated as good. Nurses gave their highest competence self-ratings for ICU patient care according to the principles of nursing care. The ICU nurses also self-rated their professional competence as good. Collaboration was self-rated as the best competence. In basic and continuing education and professional self-development discussions it is meaningful to consider and find solutions for how to improve nurses’ experienced autonomy in nursing.

  3. 75 FR 23563 - Delegation of Certain Functions Under Section 104(g) of the United States-India Peaceful Atomic...

    Science.gov (United States)

    2010-05-04

    ...;#0; ] Memorandum of April 27, 2010 Delegation of Certain Functions Under Section 104(g) of the United... of the United States, including section 301 of title 3, United States Code, I hereby delegate to you the functions and authority conferred upon the President by section 104(g) of the United...

  4. 75 FR 27155 - Delegation of Authority Relating To Certain Functions Under Section 201 (B) of the United States...

    Science.gov (United States)

    2010-05-14

    ... Certain Functions Under Section 201 (B) of the United States- india Nuclear Cooperation Approval And... section 301 of title 3, United States Code, I hereby delegate to you the certification and reporting functions conferred upon the President by section 201 (b) of the United States-India Nuclear...

  5. 75 FR 13427 - Delegation of Certain Functions Under Section 204(c) of the United States-India Nuclear...

    Science.gov (United States)

    2010-03-22

    ... Functions Under Section 204(c) of the United States-India Nuclear Cooperation Approval and Nonproliferation... President by the Constitution and the laws of the United States of America, including section 301 of title 3, United States Code, I hereby delegate to you the functions conferred upon the President by section...

  6. 78 FR 37921 - Delegation of Reporting Functions Specified in Section 491 of Title 10, United State Code

    Science.gov (United States)

    2013-06-24

    ... Specified in Section 491 of Title 10, United States Code Notice of June 20, 2013--Continuation of the... Reporting Functions Specified in Section 491 of Title 10, United State Code Memorandum for the Secretary of... of America, including section 301 of title 3 of the United States Code, I hereby delegate to you...

  7. 78 FR 37923 - Delegation of Reporting Functions Specified in Section 491 of Title 10, United State Code

    Science.gov (United States)

    2013-06-24

    ... Specified in Section 491 of Title 10, United States Code Notice of June 20, 2013--Continuation of the... Reporting Functions Specified in Section 491 of Title 10, United State Code Memorandum for the Secretary of... of America, including section 301 of title 3 of the United States Code, I hereby delegate to you...

  8. Overview of recent U235 neutron cross section evaluation work

    Energy Technology Data Exchange (ETDEWEB)

    Lubitz, C. [Lockheed Martin Corp., Schenectady, NY (United States)

    1998-10-01

    This report is an overview (through 1997) of the U235 neutron cross section evaluation work at Oak Ridge National Laboratory (ORNL), AEA Technology (Harwell) and Lockheed Martin Corp.-Schenectady (LMS), which has influenced, or appeared in, ENDF/B-VI through Release 5. The discussion is restricted to the thermal and resolved resonance regions, apart from some questions about the unresolved region which still need investigation. The important role which benchmark testing has played will be touched on.

  9. The Skid Resistance Evaluation on the Longterm Monitored Road Sections

    Directory of Open Access Journals (Sweden)

    Kotek Peter

    2014-12-01

    Full Text Available The article deals with the analysis of the skid resistance results measured at the long-term monitored road sections in Slovakia in perspective of the possibility of the deterioration functions determination for the purposes of the pavement management system. There were 11 road sections evaluated, on which have been surface characteristics measured since 1998. The focus was on the evaluation of the longitudinal friction coefficient Mu measured by device Skiddometer BV11, which is the property of the Slovak Road Administration. Beside the Mu parameter, the test conditions were observed and evaluated, as well (measured speed, air and surface temperature, type of asphalts of the wearing course, traffic load, and the season (spring, autumn, respectively in which the skid resistance measurements were performed. In conclusion, there was reviewed a presumption of the possibility to determine a deterioration functions for skid resistance in point of view the quality of the data, which have been collected on the Slovak long-term monitored road sections.

  10. The Skid Resistance Evaluation on the Longterm Monitored Road Sections

    Science.gov (United States)

    Kotek, Peter; Kováč, Matúš; Decký, Martin

    2014-12-01

    The article deals with the analysis of the skid resistance results measured at the long-term monitored road sections in Slovakia in perspective of the possibility of the deterioration functions determination for the purposes of the pavement management system. There were 11 road sections evaluated, on which have been surface characteristics measured since 1998. The focus was on the evaluation of the longitudinal friction coefficient Mu measured by device Skiddometer BV11, which is the property of the Slovak Road Administration. Beside the Mu parameter, the test conditions were observed and evaluated, as well (measured speed, air and surface temperature, type of asphalts of the wearing course, traffic load, and the season (spring, autumn, respectively) in which the skid resistance measurements were performed. In conclusion, there was reviewed a presumption of the possibility to determine a deterioration functions for skid resistance in point of view the quality of the data, which have been collected on the Slovak long-term monitored road sections.

  11. CROSS SECTION EVALUATIONS FOR ENDF/B-VII.

    Energy Technology Data Exchange (ETDEWEB)

    HERMAN, M.; ROCHMAN, D.; OBLOZINSKY, P.

    2006-06-05

    This is the final report of the work performed under the LANL contract on neutron cross section evaluations for ENDF/B-VII (April 2005-May 2006). The purpose of the contract was to ensure seamless integration of the LANL neutron cross section evaluations in the new ENDF/B-VII library. The following work was performed: (1) LANL evaluated data files submitted for inclusion in ENDF/B-VII were checked and, when necessary, formal formatting errors were corrected. As a consequence, ENDF checking codes, run on all LANL files, do not report any errors that would rise concern. (2) LANL dosimetry evaluations for {sup 191}Ir and {sup 193}Ir were completed to match ENDF requirements for the general purpose library suitable for transport calculations. A set of covariances for both isotopes is included in the ENDF files. (3) Library of fission products was assembled and successfully tested with ENDF checking codes, processed with NJOY-99.125 and simple MCNP calculations. (4) KALMAN code has been integrated with the EMPIRE system to allow estimation of covariances based on the combination of measurements and model calculations. Covariances were produced for 155,157-Gd and also for 6 remaining isotopes of Gd.

  12. Magnetic resonance imaging evaluation of incision healing after cesarean sections

    Energy Technology Data Exchange (ETDEWEB)

    Dicle, O. [Department of Radiodiagnosis, Dokuz Eyluel University, Izmir (Turkey); Kuecuekler, C. [Department of Radiodiagnosis, Dokuz Eyluel University, Izmir (Turkey); Pirnar, T. [Department of Radiodiagnosis, Dokuz Eyluel University, Izmir (Turkey); Erata, Y. [Department of Gynecology and Obstetrics, Dokuz Eyluel University, Izmir (Turkey); Posaci, C. [Department of Gynecology and Obstetrics, Dokuz Eyluel University, Izmir (Turkey)

    1997-02-01

    The purpose of this study was to examine the healing period of incision scar in myometrial wall and the normal pelvis after cesarean sections by means of MRI. In this study 17 voluntary women were examined after their first delivery with cesarean section in the early postpartum period (first 5 days), and following this, three more times in 3-month intervals. The MRI examinations were performed on a 1.0-T system (Magnetom, Siemens, Erlangen, Germany), and sagittal T1-weighted (550/17 TR/TE) and T2-weighted (2000/80 TR/TE) spin-echo (SE) images of the pelvis were obtained. During follow-up examinations incision scar tissues lost their signals within the first 3 months on both SE sequences, and little alteration was observed in the subsequent tests. Zonal anatomy of the uterus reappeared completely 6 months after cesarean sections. The time for the involution of the uterus was independent of the zonal anatomy recovery, and the maximum involution was inspected within the first 3 months. In conclusion, the maturation time of myometrial scar tissue in uncomplicated cesarean sections, which can be evaluated by the signal alterations in MRI, is approximately 3 months, whereas the complete involution and the recovery of the zonal anatomy need at least 6 months. (orig.). With 6 figs.

  13. Simultaneous Evaluation of Fission Cross Sections for Cm Isotopes

    Directory of Open Access Journals (Sweden)

    Lee Y.-O.

    2010-03-01

    Full Text Available Fission Cross Sections for a complete set of Cm-isotopes, 240-250Cm, have been calculated in the incident energy range from above resonance region to 20 MeV. This work aims at providing the fission cross sections with consistent set of model parameters for Cm isotopes, as a part of a complete evaluation including covariance files for several minor actinides which play a great role in the Advanced Fuel Cycle (AFC design and applications as well as the design of new generation of nuclear reactors (GEN-IV. This was accomplished by means of computational analyses carried out with the nuclear model code EMPIRE-2.19 which is the modular system of nuclear reaction codes. A Fission model of this work took into account transmission derived in the WKB approximation within an optical model through a double-humped fission barrier.

  14. Simultaneous Evaluation of Fission Cross Sections for Cm Isotopes

    Science.gov (United States)

    Kim, H. I.; Gil, C.-S.; Lee, Y.-O.

    2010-03-01

    Fission Cross Sections for a complete set of Cm-isotopes, 240-250Cm, have been calculated in the incident energy range from above resonance region to 20 MeV. This work aims at providing the fission cross sections with consistent set of model parameters for Cm isotopes, as a part of a complete evaluation including covariance files for several minor actinides which play a great role in the Advanced Fuel Cycle (AFC) design and applications as well as the design of new generation of nuclear reactors (GEN-IV). This was accomplished by means of computational analyses carried out with the nuclear model code EMPIRE-2.19 which is the modular system of nuclear reaction codes. A Fission model of this work took into account transmission derived in the WKB approximation within an optical model through a double-humped fission barrier.

  15. CROSS-SECTIONAL IMAGING EVALUATION OF RENAL REPLACEMENT LIPOMATOSIS (RRL

    Directory of Open Access Journals (Sweden)

    Deb Kumar Boruah

    2016-06-01

    Full Text Available BACKGROUND Renal replacement lipomatosis is an uncommon benign entity where abundance of fibrofatty tissue proliferation occurs in renal sinus with further extension of proliferated fatty tissues into renal hilum, perinephric and periureteric spaces. It is usually associated with renal atrophy and marked renal parenchymal destruction. Aim of our study was cross-sectional imaging evaluation of Renal Replacement Lipomatosis (RRL. METHODS A hospital based cross-sectional retrospective study was conducted. The study group comprised of 16 patients presenting to the Departments of Radio-diagnosis, Surgery and Urology in a tertiary care hospital from May 2014 to April 2016. All patients were initially evaluated clinically and ultrasonographically followed by cross-sectional imaging modality like Computed Tomography (CT, Magnetic Resonance Imaging (MRI or both. RESULTS Out of 16 patients of renal replacement lipomatosis, 15 patients (93.8% had associated renal pelvic or ureteric calculus while 1 patient (6.2% had left para-aortic mass without associated calculus. Out of fifteen patients of calculus related RRL, 8 patients (53.3% had calculus size more than 40 mm, followed by 4 patients (26.7% who had size from 20 to 40 mm and 3 patients (20% had size less than 20 mm. The mean CT HU value of calculus was 1334±84.5 in our study. Three patients (18.8% had only renal hilar fatty excessive deposition, 1 patient (6.2% had renal hilar and perinephric space fat depositions, 3 patients (18.8% had renal hilar, perinephric and periureteric spaces depositions and 9 patients (56.2% had renal hilar and periureteric excessive fatty depositions. Delayed renal functioning was noted in 9 patients (56%, followed by non-functioning in 5 patients (31.2% and 2 patients (12.5% had normally functioning kidneys. CONCLUSION Cross-sectional imaging like CT and MRI scan helps in diagnosing RRL and proper delineation of extensions of excessive fatty tissue proliferation.

  16. Blood pressure control in hypertensive patients within Family Health Program versus at Primary Healthcare Units: analytical cross-sectional study.

    Science.gov (United States)

    Martins, Telma Lima; Atallah, Alvaro Nagib; Silva, Edina Mariko Koga da

    2012-01-01

    Hypertension is a public health problem due to its high prevalence and long-term cardiovascular complications. In Brazil in 2005, cardiovascular diseases were responsible for 28% of all deaths. Efforts are being made within primary care to achieve adequate hypertension control. The Family Health Program (FHP) has the aims of promoting quality of life and intervening in factors that put this at risk. The objective of this study was to evaluate the rate of blood pressure control among patients followed up at FHP units compared with those at primary healthcare units (PHUs). Analytical cross-sectional study in the municipality of Petrópolis, Rio de Janeiro, from January to December 2005. Five hundred patients with a diagnosis of hypertension were included: 250 were being followed up at two FHP units and 250 at two PHUs. The diagnosis of hypertension was based on the Fourth Brazilian Hypertension Consensus, and the patients needed to have been under follow-up at the units for at least 12 months. Patients' blood pressure was considered to be under control if it was less than 140/90 mmHg at the last consultation. Blood pressure was under control in 29.2% (n = 73) at FHP units and 39.23% (n = 98) at PHUs (odds ratio = 0.64; confidence interval = 0.44-0.93; P = 0.024). Blood pressure control was better among patients followed up at PHUs than among those followed up at FHP units.

  17. Evaluating pharmaceutical waste disposal in pediatric units.

    Science.gov (United States)

    Almeida, Maria Angélica Randoli de; Wilson, Ana Maria Miranda Martins; Peterlini, Maria Angélica Sorgini

    2016-01-01

    To verify the disposal of pharmaceutical waste performed in pediatric units. A descriptive and observational study conducted in a university hospital. The convenience sample consisted of pharmaceuticals discarded during the study period. Handling and disposal during preparation and administration were observed. Data collection took place at pre-established times and was performed using a pre-validated instrument. 356 drugs disposals were identified (35.1% in the clinic, 31.8% in the intensive care unit, 23.8% in the surgical unit and 9.3% in the infectious diseases unit). The most discarded pharmacological classes were: 22.7% antimicrobials, 14.8% electrolytes, 14.6% analgesics/pain killers, 9.5% diuretics and 6.7% antiulcer agents. The most used means for disposal were: sharps' disposable box with a yellow bag (30.8%), sink drain (28.9%), sharps' box with orange bag (14.3%), and infectious waste/bin with a white bag (10.1%). No disposal was identified after drug administration. A discussion of measures that can contribute to reducing (healthcare) waste volume with the intention of engaging reflective team performance and proper disposal is necessary. Verificar o descarte dos resíduos de medicamentos realizado em unidades pediátricas. Estudo descritivo e observacional, realizado em um hospital universitário. A amostra de conveniência foi constituída pelos medicamentos descartados durante o período de estudo. Observaram-se a manipulação e o descarte durante o preparo e a administração. A coleta dos dados ocorreu em horários preestabelecidos e realizada por meio de instrumento pré-validado. Identificaram-se 356 descartes de medicamentos (35,1% na clínica, 31,8% na unidade de cuidados intensivos, 23,8% na cirúrgica e 9,3% na infectologia). As classes farmacológicas mais descartadas foram: 22,7% antimicrobianos, 14,8% eletrólitos, 14,6% analgésicos, 9,5% diuréticos e 6,7% antiulcerosos. Vias mais utilizadas: caixa descartável para perfurocortante com

  18. INTELLIGENT SYSTEM TO EVALUATE THE NEIGHBORHOOD UNIT CRITERIA

    Directory of Open Access Journals (Sweden)

    Suha A. Abdulrahman

    2013-05-01

    Full Text Available The modern idea of town planning is to plan it under the hierarchic design of service centers levels begin from neighborhood unit level to residential district. It's done by using indicator numbers and areas, that the urban designer returned to them in the planning .this research aims to recognize the neighborhood units slandered by using the intelligent programs system to evaluated three plans of neighborhood unit designed by the researchers to make them in the right design . 

  19. 76 FR 22003 - Delegation of Functions and Authority Under Sections 315 and 325 of Title 32, United States Code

    Science.gov (United States)

    2011-04-20

    ... 325 of Title 32, United States Code Memorandum for the Secretary of Defense By the authority vested in... 301 of title 3, United States Code, I hereby delegate to you: (a) the functions and authority of the President contained in section 315 of title 32, United States Code, to permit a commissioned officer of...

  20. Healthcare professionals' readiness for an interprofessional orthogeriatric unit: A cross-sectional survey

    DEFF Research Database (Denmark)

    Abrahamsen, Charlotte; Nørgaard, Birgitte; Draborg, Eva

    2016-01-01

    conducted a cross-sectional survey to assess readiness for change (N=223 employees) in a hospital on the verge of implementing an interprofessional, co-managed, orthogeriatric unit. Staff members from three departments with tasks related to orthogeriatric patients were invited to answer a web...... of the orthogeriatric unit and 71.7% stated that it would “significantly promote the interdisciplinary approach” of their department. Eliciting the respondents’ readiness for change, we found that 88.5% indicated a belief that orthogeriatric care would match the hospital’s need for change, and that it would furthermore...... aspects; those voiced by the nursing staff related to work strain and the interests of their professional group whereas the physicians’ reservations concentrated on the planning of the change. The exploration of readiness for organizational change among health care professionals offers managers...

  1. United Parcel Service Evaluates Hybrid Electric Delivery Vans (Fact Sheet)

    Energy Technology Data Exchange (ETDEWEB)

    2010-02-01

    This fact sheet describes how the National Renewable Energy Laboratory's Fleet Test and Evaluation team evaluated the 12-month, in-service performance of six Class 4 hybrid electric delivery vans - fueled by regular diesel - and six comparable conventional diesel vans operated by the United Parcel Service.

  2. Evaluation of neutron cross sections for Er isotopes

    Energy Technology Data Exchange (ETDEWEB)

    Harun-ar-Rashid, A.K.M. [Univ. of Chittagong, Department of Physics, Chittagong (Bangladesh); Shibata, K. [Japan Atomic Energy Research Inst., Tokai, Ibaraki (Japan). Tokai Research Establishment; Igashira, M. [Tokyo Inst. of Technology, Research Laboratory for Nuclear Reactors, Tokyo (Japan)

    2001-03-01

    The neutron reaction cross sections of {sup 166,167,168,170}Er from 10{sup -5} eV to 20 MeV were studied. The cross sections were calculated with a variety of nuclear-reaction models by different codes. The calculations were mainly based on the statistical and optical modes. In the calculation, the Optical Model Parameters (OMP) for {sup nat}Er were determined. The calculated capture cross sections are in good agreement with the very recent measurements. The calculated total cross sections of {sup 166,168,170}Er are also in good agreement with the experimental results at 14 MeV. The direct inelastic scattering cross sections for the first excited state of the above nuclei were calculated by Distorted-Wave Born-Approximation (DWBA). The direct and semi-direct (DSD) capture cross sections were also calculated. The pre-equilibrium correction was done. The parameters for the electric-dipole pygmy resonance and the depression factor were extracted from a comparison between the calculated and very recent observed capture gamma-ray spectra. The other cross sections, such as (n,n'), (n,2n) and (n,p) reactions and, the emitted-particle (n,p,d,etc.) spectra from these reactions were also calculated. In the thermal and resonance region, the total, elastic scattering and capture cross sections were derived from the resonance parameters. (author)

  3. Evaluation of seasonal exergy efficiency of air handing unit

    Directory of Open Access Journals (Sweden)

    Kęstutis Genys

    2015-10-01

    Full Text Available The article deals with the air handling unit seasonal exergy efficiency. TRNSYS simulation tool is used to evaluate it. The object of research is air treatment device used to treat an air for the ventilation of laboratory. The mathematical model of air handling unit using TRNSYS simulation tool was developed when the technical parameters of air handling unit and energy exchange in it were analysed. The developed model according to the made observations during the warm and cold periods was tested and validation of elements was performed. The simulation of air handling unit operation after the verification of reliability and permitted tolerances was performed. The control mechanisim which allows simulating the operation of air handling unit during cold and warm periods of the year was made. The mathematical algorithm for calculation of air handling unit exergy efficiency coefficient applying the principles of exergy analysis was developed. The seasonal exergy efficiency of air handling unit equal to 3.94 percent during the simulation was obtained.

  4. EVALUATION OF NEUTRON CROSS SECTIONS FOR A COMPLETE SET OF Nd ISOTOPES.

    Energy Technology Data Exchange (ETDEWEB)

    KIM,H.; HERMAN, M.; MUGHABGHAB, S.F.; OBLOZINSKY, P.; ROCHMAN, D.; LEE. Y.-O.

    2007-10-29

    Neutron cross sections for a complete set of Nd isotopes, {sup 142,143,144,145,146,147,148,150}Nd, were evaluated in the incident energy range from 10{sup -5} eV to 20 MeV. In the low energy region, including thermal and resolved resonances, our evaluations are based on the latest data published in the Atlas of Neutron Resonances. In the unresolved resonance region we performed additional evaluation by using the averages of the resolved resonances and adjusting them to the experimental data. In the fast neutron region, we used the nuclear reaction model code EMPIRE-2.19 validated against the experimental data. The results are compared to the existing nuclear data libraries, including ENDF/B-VI.8, JENDL-3.3 and JEFF-3.1, and to the available experimental data. The new evaluations are suitable for neutron transport calculations and they were adopted by the new evaluated nuclear data file of the United States, ENDF/B-VII.0, released in December 2006.

  5. Evaluation tests for photovoltaic concentrator receiver sections and modules

    Energy Technology Data Exchange (ETDEWEB)

    Woodworth, J.R.; Whipple, M.L.

    1992-06-01

    Sandia has developed a third-generation set of specifications for performance and reliability testing of photovoltaic concentrator modules. Several new requirements have been defined. The primary purpose of the tests is to screen new concentrator designs and new production runs for susceptibility to known failure mechanisms. Ultraviolet radiation testing of materials precedes receiver section and module performance and environmental tests. The specifications include the purpose, procedure, and requirements for each test. Recommendations for future improvements are presented.

  6. An evaluation of wind turbine blade cross section analysis techniques.

    Energy Technology Data Exchange (ETDEWEB)

    Paquette, Joshua A.; Griffith, Daniel Todd; Laird, Daniel L.; Resor, Brian Ray

    2010-03-01

    The blades of a modern wind turbine are critical components central to capturing and transmitting most of the load experienced by the system. They are complex structural items composed of many layers of fiber and resin composite material and typically, one or more shear webs. Large turbine blades being developed today are beyond the point of effective trial-and-error design of the past and design for reliability is always extremely important. Section analysis tools are used to reduce the three-dimensional continuum blade structure to a simpler beam representation for use in system response calculations to support full system design and certification. One model simplification approach is to analyze the two-dimensional blade cross sections to determine the properties for the beam. Another technique is to determine beam properties using static deflections of a full three-dimensional finite element model of a blade. This paper provides insight into discrepancies observed in outputs from each approach. Simple two-dimensional geometries and three-dimensional blade models are analyzed in this investigation. Finally, a subset of computational and experimental section properties for a full turbine blade are compared.

  7. Evaluation of heat stress in dry cleaner units:A case study in Qom, Iran

    Directory of Open Access Journals (Sweden)

    Javad Malakouti

    2016-04-01

    Full Text Available Background & Aims of the Study: Nowadays, heat stress is one of the most harmful physical agents in workplaces. According to the consequences of heat stress and have no information about it in Qom dry cleaner units, Iran, this study have been designed to evaluate the heat stress among workers of dry cleaner units in Qom province of Iran, in Jul-Aug 2011. Materials & Methods: This cross-sectional study was conducted in 113 units of active dry cleaner units. WBGT (Wet Bulb Globe Temperature index was selected for heat stress evaluation. In order to measure the requisite parameters, WBGT meter made of Casella Company had been used according to ISO 7243. Data had been analyzed according to Occupational Exposure Limits (OELs with SPSS V.16, using analysis of variance, independent T and LSD tests. Results: The average of WBGT index in Qom dry cleaner units of Iran were 28.98±1.64 °C. The average of WBGT index in 66.4% of units was up to 28°C. The average of relative humidity was 42.86%, the average of wet bulb temperature and globe temperature were 25.56°C and 36.72°C, respectively. The findings showed a significant correlation between the average of WBGT index and the standard recommendation level (p<0.0001. In dry cleaner units with less than 10 m2 area, heat stress was higher than other units  significantly (p<0.05. Conclusions: Heat stress in many dry cleaner units in Qom, Iran, was more than recommended OELs. Because of wet bulb and globe temperature in units were high value, the most important measures to heat controls, are technical engineering controls such as  radiation shield, insulation on boilers and modify the cooling systems.

  8. Petroleum Refinery Hydrogen Production Unit: Exergy and Production Cost Evaluation

    Directory of Open Access Journals (Sweden)

    Silvio de Oliveira Júnior

    2008-12-01

    Full Text Available Some specific processes are required to obtain pure hydrogen and the most usual one is natural gas reforming, where natural gas reacts with superheated steam producing H2, CO, CO2 and H2O. This paper presents the exergy and production costs evaluation of a complete hydrogen production unit of a petroleum refinery. The hydrogen production unit analysed in this paper has to supply 550,000 Nm3 of hydrogen per day to purify diesel oil. Based on a synthesis plant of the hydrogen production unit, the exergy efficiency of each component and of the overall plant are calculated. The hydrogen production cost is determined by means of a thermoeconomic analysis in which the equality cost partition method is employed, including capital and operational costs, in order to determine the production cost of hydrogen and other products of the plant.

  9. Effectiveness of the United States Marine Corps Tiered Evaluation System

    Science.gov (United States)

    2015-03-01

    effectiveness. 14. SUBJECT TERl’\\IS Tiered Evaluation System, First Tenn Alignment Program, Quality, Retention 15. NUMBER OF PAGES 17. SECURITY...Crider Approved by: Jeremy A. Arkes Thesis Advisor Chad W. Seagren Co-Advisor William Gates Dean, Graduate School of Business...Lastly, first- tenn Marine re-enlistees must possess a high school diploma or altemate credential (Headquatiers, United States Marine C01ps, 2010

  10. Objective evaluation of oral presentation skills using Inertial Measurement Units.

    Science.gov (United States)

    Sessa, Salvatore; Kong, Weisheng; Zhang, Di; Cosentino, Sarah; Manawadu, Udara; Kawasaki, Motoji; Thomas, George Thuruthel; Suzuki, Tomohiro; Tsumura, Ryosuke; Takanishi, Atsuo

    2015-01-01

    Oral presentation is considered as one of the most sought after skills by companies and professional organizations and program accreditation agencies. However, both learning process and evaluation of this skill are time demanding and complex tasks that need dedication and experience. Furthermore, the role of the instructor is fundamental during the presentation assessment. The instructor needs to consider several verbal and nonverbal communications cues sent in parallel and this kind of evaluation is often subjective. Even if there are oral presentation rubrics that try to standardize the evaluation, they are not an optimal solution because they do not provide the presenter a real-time feedback. In this paper, we describe a system for behavioral monitoring during presentations. We propose an ecological measurement system based on Inertial Measurement Units to evaluate objectively the presenter's posture through objective parameters. The system can be used to provide a real-time feedback to the presenters unobtrusively.

  11. Efficiency evaluating of air conditioning system with air dehumidification section

    Directory of Open Access Journals (Sweden)

    O.V. Averyanova

    2011-01-01

    Full Text Available The upward trend of energy resources cost, reducing OF resource reserves, yearly growing requirement of heat energy led to the need of careful selection of HVAC system and economic justification of this choice. In this article on the example of indoor pool the most economically efficient variant of climatic parameters for high humidity areas has been selected. The calculation of operating, capital and reduced costs has been done. The reliability estimation and efficiency evaluating of the systems also have been done.

  12. QUALITY EVALUATION OF THE TPP POWER GENERATING UNITS WEAR RECONDITIONING

    Directory of Open Access Journals (Sweden)

    E. M. Farhadzadeh

    2016-01-01

    Full Text Available Reconditioning of the power generating unit worn equipment and devices is conducted during the scheduled repair period. Quality of wear reconditioning is evaluated by technical state and repair work implementation. Quality of the repair work execution characterizes logistical activities of the power station and the repair services and is rated by a five-grade scale. There are three technical conditions: adequate, subject to reservations, falling short of the technical standard documentation requirements. In practical work these constraints give place to essential ambiguity of the decision. Further to regulating techniques by way of informational support, the authors propose conducting the wear-reconditioning quality evaluation (repair quality accordingly the technical-and-economic indexes pattern of change. The paper recommends applying similarly the fivegrade system in evaluating the power generating unit technical state and distinguishes intolerable, dissatisfactory, fair, good and model estimates. The study demonstrates the assessment criteria dependence on the character of reliability and economical efficiency of performance variation after the repair with increase or decrease of the technical-and-economic indexes in reference to their mean, minimum and maximum values before the repair. The cases ascribed to intolerable quality of the wear reconditioning are those with one or more technical-and-economic indexes that not only failed to improve their values but deteriorated, and at that they became the worst amongst observable values. The model quality estimate of the wear reconditioning is allotted under condition that the power unit technical-and-economic index valuations after the repair not merely improved but also exceeded the best among those under observation. The developed method and algorithm for quality evaluation of the scheduled repair implementation contribute to practical realization of the independent monitoring. This monitoring

  13. 77 FR 43573 - Request for Applicants for Appointment to the United States Section of the United States-Turkey...

    Science.gov (United States)

    2012-07-25

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF COMMERCE... otherwise legally authorized to work in the United States, and be able to travel to Turkey and locations in.... In addition, the applicant may not be a registered foreign agent under the Foreign...

  14. Secular trends in caesarean section rates over 20 years in a regional obstetric unit in Hong Kong.

    Science.gov (United States)

    Chung, W H; Kong, C W; To, W Wk

    2017-08-01

    Although caesarean section rates have been increasing over the years in both public and private sectors in Hong Kong, there has been a paucity of formal surveys on local trends in such rates. This study aimed to examine the trends in caesarean section rates over a 20-year period at a public regional obstetric unit in Hong Kong using the Robson's Ten-group Classification System. All deliveries in a single obstetric unit during a 20-year period (1995-2014) were classified into 10 subgroups according to the Robson's classification. The annual caesarean section rate for each subgroup was calculated and then stratified into 5-year intervals to analyse any significant trends. The caesarean section rates in a total of 86 262 births with complete data were analysed. The overall caesarean section rate increased modestly from 15.4% to 24.6% during the study period. There was an obvious increasing trend for caesarean section in those with previous caesarean section (Robson's category 5), breech presentation at delivery (category 6 and 7), multiple pregnancy (category 8), and preterm labour (category 10). A gradual fall in caesarean section rate from 14.4% to 10.8% was seen in primiparous women with term spontaneous labour (category 1). Statistically significant differences (Psection rate may be associated with clinical management policies that allow women with relative risk factors (such as breech, previous caesarean section, or multiple pregnancy) to opt for caesarean section. This rise was counterbalanced by a decrease in primary caesarean section rate in primiparous women with spontaneous labour. The trend for caesarean section was more in line with patient expectations rather than evidence-based practice.

  15. Work with visual display units and musculoskeletal disorders: A cross-sectional study

    Directory of Open Access Journals (Sweden)

    Matteo Riccò

    2016-12-01

    Full Text Available Background: Epidemiological studies have shown that employees working with visual display units (VDU are more likely to complain about musculoskeletal disorders (MSDs. The aim of this study has been to evaluate associations among MSDs and individuals and work-related factors. Material and Methods: A total of 1032 VDU workers were assessed about their personal (i.e., age, working history, smoking history, physical activity and work-related factors (i.e., predominant job tasks performed, work posture. Work environment was evaluated regarding fulfillment of the standard ISO 9241-5:1998. The investigation required a direct observation of participants (in order to accurately assess the prevalence of MSDs and workstations. Adjusted odds ratios (ORa were calculated by means of the logistic regression model. Results: Prevalence of MSDs was relatively high (53%. In general, MSDs were significantly associated with female sex (OR = 2.832, 95% confidence interval (CI: 2.178–3.683, age ≥ 50 years old (OR = 2.231, 95% CI: 1.236–4.026, longer exposure to VDU, both as working history (10–14 years: OR = 1.934, 95% CI: 1.301–2.875; ≥ 15 years: OR = 2.223, 95% CI: 1.510–3.271 and working time (30–39 h/week: OR = 1.537, 95% CI: 1.087–2.273. Inappropriate workstation design was confirmed by the multivariate analysis as a risk factor for MSDs (ORa = 2.375, 95% CI: 1.124–5.018. Conclusions: Musculoskeletal disorders were significantly associated with individual factors as well as characteristics of work environment. An appropriate design of workstations may significantly reduce their prevalence amongst VDU workers. Med Pr 2016;67(6:707–719

  16. Work with visual display units and musculoskeletal disorders: A cross-sectional study.

    Science.gov (United States)

    Riccò, Matteo; Cattani, Silvia; Gualerzi, Giovanni; Signorelli, Carlo

    2016-12-22

    Epidemiological studies have shown that employees working with visual display units (VDU) are more likely to complain about musculoskeletal disorders (MSDs). The aim of this study has been to evaluate associations among MSDs and individuals and work-related factors. A total of 1032 VDU workers were assessed about their personal (i.e., age, working history, smoking history, physical activity) and work-related factors (i.e., predominant job tasks performed, work posture). Work environment was evaluated regarding fulfillment of the standard ISO 9241-5:1998. The investigation required a direct observation of participants (in order to accurately assess the prevalence of MSDs) and workstations. Adjusted odds ratios (ORa) were calculated by means of the logistic regression model. Prevalence of MSDs was relatively high (53%). In general, MSDs were significantly associated with female sex (OR = 2.832, 95% confidence interval (CI): 2.178-3.683), age ≥ 50 years old (OR = 2.231, 95% CI: 1.236-4.026), longer exposure to VDU, both as working history (10-14 years: OR = 1.934, 95% CI: 1.301-2.875; ≥ 15 years: OR = 2.223, 95% CI: 1.510-3.271) and working time (30-39 h/week: OR = 1.537, 95% CI: 1.087-2.273). Inappropriate workstation design was confirmed by the multivariate analysis as a risk factor for MSDs (ORa = 2.375, 95% CI: 1.124-5.018). Musculoskeletal disorders were significantly associated with individual factors as well as characteristics of work environment. An appropriate design of workstations may significantly reduce their prevalence amongst VDU workers. Med Pr 2016;67(6):707-719.

  17. Comprehensive life extension evaluated for three-unit station

    Energy Technology Data Exchange (ETDEWEB)

    Morris, C.; Field, J.R.; Wittig, S.

    1988-01-01

    This is an account of a project carried out at the Independence City Power and Light's Blue Valley Station, Missouri, USA. The purpose of this project was to assess the condition of each of the three generating units, to investigate the feasibility and cost of a life extension and turbine capacity improvement program, and to make recommendation for life extension measures. The effort was prompted by deteriorating performance and availability of the units. Also considered were plant modifications to meet anticipated stricter environmental regulations such as acid rain legislation. This project has demonstrated the benefits of a comprehensive program that evaluates the entire plant condition rather than simply reacting to problems as they occur. 2 figs., 5 tabs.

  18. The Analysis, Evaluation and Adaptation of Unit 6 When was it invented?%The Analysis,Evaluation and Adaptation of Unit 6 When was it invented?

    Institute of Scientific and Technical Information of China (English)

    张蕊

    2016-01-01

    Materials play a significant role in English teachingand learning. This thesis evaluates Unit 6 When was it invented?by internal evaluation and external evaluation and puts forward some specific adaptation.

  19. Indiana Studies: Hoosier History, Government, and People. Unit III: From Sectional Division to Political Unity.

    Science.gov (United States)

    Barger, Harry D.; And Others

    Unit 3 of a six-unit series on Indiana state history designed to be taught in Indiana secondary schools tells the story of Indiana from 1829 to 1908. Chapter 1 discusses national issues in an Indiana context. The effects of social movements such as Abolition, the underground railroad, and the Fugitive Slave Law on Indiana politics are examined.…

  20. Evaluation of the value of frozen tissue section used as "gold standard" for immunohistochemistry.

    Science.gov (United States)

    Shi, Shan-Rong; Liu, Cheng; Pootrakul, Llana; Tang, Laurie; Young, Andrew; Chen, Ryan; Cote, Richard J; Taylor, Clive R

    2008-03-01

    To examine the use of acetone- or ethanol-fixed frozen tissue sections as the "gold standard" for immunohistochemical analysis, we evaluated frozen sections with various conditions of fixation and antigen retrieval (AR). Fresh human tissues were frozen in OCT. An adjacent tissue block was fixed in 10% neutral buffered formalin (NBF) and paraffin embedded (FFPE). Frozen sections were fixed by 6 protocols: acetone, ethanol, NBF (2 durations), and NBF + calcium chloride (2 durations). AR was used for all NBF-fixed sections. More than half of the antibodies (16/26 [62%]) showed immunohistochemical results indistinguishable between acetone- and NBF-fixed sections; 8 (31%) showed better immunohistochemical signals following NBF and AR; 2 gave better immunohistochemical results for acetone-fixed sections. Most cytoplasmic proteins (10/13) showed comparable immunohistochemical signals between acetone- and NBF-fixed sections. For nuclear proteins, NBF-fixed sections gave better immunohistochemical signals than did acetone-fixed sections. In most cases, NBF yielded stronger signals with less background and better morphology. The data do not support the use of acetone-fixed frozen tissue sections as the gold standard for immunohistochemical analysis. In evaluating new antibodies, a combination of acetone- and NBF-fixed frozen sections should be used, although in practice, FFPE tissue sections may serve as the standard for most antigens for immunohistochemical analysis.

  1. Infertility Evaluation and Treatment among Women in the United States

    Science.gov (United States)

    Kessler, Lawrence M.; Craig, Benjamin M.; Plosker, Shayne M.; Reed, Damon R.; Quinn, Gwendolyn P.

    2013-01-01

    Objective To examine the characteristics of women seeking infertility evaluation and treatment. Design Cross-sectional survey based on in-person interviews, followed by two-step hurdle analysis. Participants 4,558 married or cohabitating women ages 25–44 Setting U.S. household population of women based on the 2006–2010 National Survey of Family Growth Intervention None Main Outcome Measure(s) Likelihood of seeking preliminary infertility evaluation. Likelihood of seeking infertility treatment once evaluated. Treatment type provided. Results 623 women (13.7%) reported seeking infertility evaluation, of which 328 reported undergoing subsequent infertility treatment. Age at marriage, marital status, education, health insurance status, race/ethnicity, and religion were associated with the likelihood of seeking infertility evaluation. For example, the predicted probability that a non-White woman who married at 25 will seek evaluation was 12%. This probability increased to 34% for White women with a graduate degree who married at age 30. Among women who are evaluated, income, employment status, and ethnicity correlated strongly with the likelihood of seeking infertility treatment. Infertility drug therapy was the most frequent treatment used. Reproductive surgery and in vitro fertilization (IVF) were used the least. Conclusions The use of infertility services is not random and understanding the socio-demographic factors correlated with use may assist new couples with family planning. Roughly 50% of the women evaluated for infertility progressed to treatment, and only a small proportion were treated with more advanced assisted reproductive technologies (ARTs) such as IVF therapy. Future research aimed at improving access to effective healthcare treatments within the boundaries of affordability is warranted. PMID:23849845

  2. Improving emergency department flow through Rapid Medical Evaluation unit.

    Science.gov (United States)

    Chartier, Lucas; Josephson, Timothy; Bates, Kathy; Kuipers, Meredith

    2015-01-01

    The Toronto Western Hospital is an academic hospital in Toronto, Canada, with an annual Emergency Department (ED) volume of 64,000 patients. Despite increases in patient volumes of almost six percent per annum over the last decade, there have been no commensurate increases in resources, infrastructure, and staffing. This has led to substantial increase in patient wait times, most specifically for those patients with lower acuity presentations. Despite requiring only minimal care, these patients contribute disproportionately to ED congestion, which can adversely impact resource utilization and quality of care for all patients. We undertook a retrospective evaluation of a quality improvement initiative aimed at improving wait times experienced by patients with lower acuity presentations. A rapid improvement event was organized by frontline workers to rapidly overhaul processes of care, leading to the creation of the Rapid Medical Evaluation (RME) unit - a new pathway of care for patients with lower acuity presentations. The RME unit was designed by re-purposing existing resources and re-assigning one physician and one nurse towards the specific care of these patients. We evaluated the performance of the RME unit through measurement of physician initial assessment (PIA) times and total length of stay (LOS) times for multiple groups of patients assigned to various ED care pathways, during three periods lasting three months each. Weekly measurements of mean and 90th percentile of PIA and LOS times showed special cause variation in all targeted patient groups. Of note, the patients seen in the RME unit saw their median PIA and LOS times decrease from 98min to 70min and from 165min to 130min, respectively, from baseline. Despite ever-growing numbers of patient visits, wait times for all patients with lower acuity presentations remained low, and wait times of patients with higher acuity presentations assigned to other ED care pathways were not adversely affected. By

  3. Evaluation of phase separator number in hydrodesulfurization (HDS) unit

    Science.gov (United States)

    Jayanti, A. D.; Indarto, A.

    2016-11-01

    The removal process of acid gases such as H2S in natural gas processing industry is required in order to meet sales gas specification. Hydrodesulfurization (HDS)is one of the processes in the refinery that is dedicated to reduce sulphur.InHDS unit, phase separator plays important role to remove H2S from hydrocarbons, operated at a certain pressure and temperature. Optimization of the number of separator performed on the system is then evaluated to understand the performance and economics. From the evaluation, it shows that all systems were able to meet the specifications of H2S in the desired product. However, one separator system resulted the highest capital and operational costs. The process of H2S removal with two separator systems showed the best performance in terms of both energy efficiency with the lowest capital and operating cost. The two separator system is then recommended as a reference in the HDS unit to process the removal of H2S from natural gas.

  4. Evaluation and Verification of a Biological Shield in a SHARS Unit

    Energy Technology Data Exchange (ETDEWEB)

    Dhlomo, S.V.; Swart, H.S. [Compliance Management Department, Nuclear Liabilities Management, South African Nuclear Energy Corporation, P.O. Box 582, Pretoria 0001 (South Africa)

    2008-07-01

    The International Atomic Energy Agency (IAEA) Waste Technology Section with additional support from the U.S. National Nuclear Security Agency (NNSA) through the IAEA Nuclear Security Fund has funded the design, fabrication, evaluation, and testing of a portable hot cell intended to address the problem of disused SHARS in obsolete irradiation devices such as teletherapy heads and dry irradiators. This unit, designed and manufactured by the South African Nuclear Energy Corporation (Necsa), can be assembled, disassembled and packed inside two ISO containers and transported to the desired destination with relative ease. The unit was also licensed by the South African Regulator, the Department of Health (DoH), Directorate Radiation Control. This facility is used for the recovery and conditioning of orphaned/ abandoned or spent high activity radioactive sources from teletherapy units, gamma irradiators, and brachytherapy units. The hot cell was designed for a 3,7 E+13 Bq (1000 Ci) activity although it was demonstrated that it can handle activities of more than 7,4 E+13 Bq (2000 Ci) with ease. The biological shield of the SHARS facility consists of river sand sandwiched between metal plates, and a viewing window filled with a 50% zinc bromide solution. The shielding effectiveness of the river sand is evaluated experimentally by determining its density. The experimentally measured dose rates are compared to the dose rates estimated by computational codes. (authors)

  5. Intra-Service Section 7 Evaluation Consultation/Conference/Concurrence : Walnut Creek NWR Interim Hunting Plan

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This Section 7 Evaluation for the Neal Smith NWR Interim Hunting Plan states that the hunting program is not likely to adversely affect listed species on the Refuge....

  6. [Evaluation of the welcoming strategies in the Intensive Care Unit].

    Science.gov (United States)

    Maestri, Eleine; do Nascimento, Eliane Regina Pereira; Bertoncello, Kátia Cilene Godinho; de Jesus Martins, Josiane

    2012-02-01

    This qualitative study was performed at the adult Intensive Care Unit (ICU) of a public hospital in Southern Brazil with the objective to evaluate the implemented welcoming strategies. Participants included 13 patients and 23 relatives. Data collection was performed from July to October 2008, utilizing semi-structured interviews. All interviews were recorded. Data analysis was performed using the Collective Subject Discourse. The collected information yielded two discourses: the family recognized the welcoming strategies and the patients found the ICU team to be considerate. By including the family as a client of nursing care, relatives felt safe and confident. Results show that by committing to the responsibility of making changes in heath care practices, nurses experience a novel outlook towards ICU care, focused on human beings and associating the welcoming to the health care model that promotes the objectivity of care.

  7. Coping behavior and risk and resilience stress factors in French regional emergency medicine unit workers: a cross-sectional survey

    OpenAIRE

    AI, Lala; LM, Sturzu; JP, Picard; F, Druot; F, Grama; G, Bobirnac

    2016-01-01

    The Emergency Department (ED) has the highest workload in a hospital, offering care to patients in their most acute state of illness, as well as comforting their families and tending to stressful situations of the physical and psychological areal. Method. A cross-sectional survey of 366 Emergency Unit staff members including medical doctors, medical residents, medical nurses and ward aids, was undergone. Study participants came from four periphery hospitals in the Moselle Department of Easter...

  8. Urban sprawl, obesity, and cancer mortality in the United States: cross-sectional analysis and methodological challenges

    OpenAIRE

    Berrigan, David; Tatalovich, Zaria; Pickle, Linda W; Ewing, Reid; Ballard-Barbash, Rachel

    2014-01-01

    Background Urban sprawl has the potential to influence cancer mortality via direct and indirect effects on obesity, access to health services, physical activity, transportation choices and other correlates of sprawl and urbanization. Methods This paper presents a cross-sectional analysis of associations between urban sprawl and cancer mortality in urban and suburban counties of the United States. This ecological analysis was designed to examine whether urban sprawl is associated with total an...

  9. Surgical Procedures of the Elbow: A Nationwide Cross-Sectional Observational Study in the United States

    Directory of Open Access Journals (Sweden)

    Ahmet Kinaci

    2015-01-01

    Full Text Available Background:  Elbow surgery is shared by several subspecialties. We were curious about the most common elbow surgeries and their corresponding diagnoses in the United States.   Methods:  We used the National Hospital Discharge Survey (NHDS and the National Survey of Ambulatory Surgery (NSAS data gathered in 2006-databases that together provide an estimate of all inpatient and ambulatory surgical care in the US.  Results:  An estimated 150,000 elbow surgeries were performed in the US in 2006, 75% in an outpatient setting. The most frequent diagnosis treated operative was enthesopathy (e.g. lateral epicondylitis and it was treated with several different procedures. More than three quarters of all elbow surgeries treated enthesopathy, cubital tunnel syndrome, or fracture (radial head in particular. Arthroscopy and arthroplasty accounted for less than 10% of all elbow surgeries.  Conclusions:  Elbow surgery in the United States primarily addresses enthesopathies such as tennis elbow, cubital tunnel syndrome, and trauma. It is notable that some of the most common elbow surgeries (those that address enthesopathy and radial head fracture are some of the most variably utilized and debated.

  10. Family satisfaction with patient care in critical care units in Pakistan: a descriptive cross-sectional study.

    Science.gov (United States)

    Ahtisham, Younas; Subia, Parveen; Gideon, Victor

    2016-11-23

    To assess family satisfaction with care provided to patients in critical care units in Islamabad. A descriptive cross-sectional study was conducted in 11 medical and surgical critical care units at two private hospitals in Islamabad, Pakistan. The purposive sample consisted of 323 immediate family members and other relatives and friends (referred to as family members in this article) of 323 patients admitted to the critical care units for at least 24 hours. The revised Critical Care Family Satisfaction Survey was used for data collection. Descriptive statistics were used for data analysis. A total of 149/323 (46%) family members were 'very satisfied' with the honesty (openness) of staff in explaining the patient's condition, and 137/323 (42%) family members were 'very satisfied' with the nurses' availability to speak to them. A total of 143/323 (44%) family members were 'satisfied' with the honesty (openness) of staff in explaining the patient's condition, and 131/323 (41%) were 'satisfied' with the nurses' availability to speak to them. A few family members (21/323, 6%) were 'very dissatisfied' with the flexibility of the visiting hours and a few (20/323, 6%) were 'very dissatisfied' with the noise level in the critical care units. Some family members (38/323, 12%) were 'not satisfied' with the flexibility of the visiting hours, and some (18/323, 6%) were 'not satisfied' with the noise level in the critical care units. The majority of family members (244/323, 75%) were 'satisfied' or 'very satisfied' that their relatives' needs were being met in the critical care units. However, qualitative data indicate that most family members wanted greater involvement in decision making. These findings should be considered by staff working in critical care settings to ensure high-quality patient care.

  11. Cesarean Sections

    Science.gov (United States)

    ... Old Feeding Your 1- to 2-Year-Old Cesarean Sections (C-Sections) KidsHealth > For Parents > Cesarean Sections (C-Sections) A A A What's in this ... babies in the United States are delivered via cesarean section (C-section). Even if you're envisioning a ...

  12. Bayesian Evaluation Including Covariance Matrices of Neutron-induced Reaction Cross Sections of {sup 181}Ta

    Energy Technology Data Exchange (ETDEWEB)

    Leeb, H., E-mail: leeb@kph.tuwien.ac.at; Schnabel, G.; Srdinko, Th.; Wildpaner, V.

    2015-01-15

    A new evaluation of neutron-induced reactions on {sup 181}Ta using a consistent procedure based on Bayesian statistics is presented. Starting point of the evaluation is the description of nuclear reactions via nuclear models implemented in TALYS 1.4. A retrieval of experimental data was performed and covariance matrices of the experiments were generated from an extensive study of the corresponding literature. All reaction channels required for a transport file up to 200 MeV have been considered and the covariance matrices of cross section uncertainties for the most important channels are determined. The evaluation has been performed in one step including all available experimental data. A comparison of the evaluated cross sections and spectra with experimental data and available evaluations is performed. In general the evaluated cross section reflect our best knowledge and give a fair description of the observables. However, there are few deviations from expectation which clearly indicate the impact of the prior and the need to account for model defects. Using the results of the evaluation a complete ENDF-file similarly to those of the TENDL library is generated.

  13. Evaluation of potential severe accidents during low power and shutdown operations at Grand Gulf, Unit 1. Volume 2, Part 1C: Analysis of core damage frequency from internal events for plant operational State 5 during a refueling outage, Main report (Sections 11--14)

    Energy Technology Data Exchange (ETDEWEB)

    Whitehead, D. [Sandia National Labs., Albuquerque, NM (United States); Darby, J. [Science and Engineering Associates, Inc., Albuquerque, NM (United States); Yakle, J. [Science Applications International Corp., Albuquerque, NM (United States)] [and others

    1994-06-01

    This document contains the accident sequence analysis of internally initiated events for Grand Gulf, Unit 1 as it operates in the Low Power and Shutdown Plant Operational State 5 during a refueling outage. The report documents the methodology used during the analysis, describes the results from the application of the methodology, and compares the results with the results from two full power analyses performed on Grand Gulf.

  14. Respiratory Distress in Neonatal Intensive Care Unit: A Retrospective Evaluation

    Directory of Open Access Journals (Sweden)

    Ali Annagur

    2012-04-01

    Full Text Available Purpose: To determine the demographic characteristics of the newborns with respiratory difficulties, frequency of neonatal disease, analyze of the prognostic factors and effectiveness of treatment who were hospitalized in neonatal intensive care unit (NICU. Methods: In this study, file records of the newborns who were hospitalized in NICU of Meram Medical School were analyzed retrospectively. Results: Of the 771 newborns, 225 who admitted due to respiratory distress in 2008 and of the 692 newborns, 282 who admitted due to respiratory distress in 2009. Mean birth weight was 1954±972 gr in 2008, and 2140±1009 gr in 2009. Mean pregnancy weeks were 32,4±5,0 in 2008 and 33,4±4,9 in 2009. Diagnosis of patients were sepsis (77,8%, respiratory distress syndrome (RDS (40,4%, pneumothorax (20,9%, patent ductus arteriosus (PDA (12,4%, meconium aspiration syndrome (MAS (6,2%, intraventricular hemorrhage (IVH (5,3%, pneumonia (3,6%, retinopathy of prematurely (ROP (3,1%, bronchopulmonary dysplasia (BPD (2,7% and transient tachypne of newborn (TTN (2,2% in 2008. In 2009, percentage of the diagnosis was 69,5% sepsis, 33,3% RDS, 17,0% PDA, 16,0% pneumothorax, 10,3% pneumonia, 8,2% IVH, 6% TTN, 5,3% BPD, 3,2% MAS and 3,2% ROP. 33.7% of the patients were died in 2009 and 43,6% of them in 2008. Conclusion: The newborns with respiratory distress who admitted to the hospital must be evaluated according to the pregnancy week, way of birth and accompanying problems during first examination and convenient transportation of the ones who need to be cared in advanced center where an intensive care support can be applied to decrease mortality and morbidity of newborns distress. [Cukurova Med J 2012; 37(2.000: 90-97

  15. Evaluation of a compact portable DEXA unit for wrist densitometry

    Energy Technology Data Exchange (ETDEWEB)

    Mares, T.; Bonovas, G.; Larcos, G. [Westmead Hospital, Sydney, NSW (Australia). Department of Nuclear Medicine

    1998-06-01

    Full text: Recently, a number of manufacturers have introduced compact, portable DEXA units in order to facilitate osteoporosis screening in remote communities and on an in-office basis. The purposes of this study were to evaluate the accuracy and reproducibility of the Norland-Stratec (pDEXA) compared to measurements obtained using a conventional densitometer (Norland XR-36). We recruited 61 adults (3 men, 58 women) with mean age 54 years (range: 19-76) referred for clinical assessment of BMD. Most patients had medications (n=39; 64%) or disorders (n=48;79%) known to interfere with bone mineral metabolism. Subjects underwent bone densitometry of the lumbar spine, (AP; L2-4) femoral neck and distal radius/ulna of the nondominant forearm using the Norland XR-36, with the wrist subsequently re-scanned on pDEXA. Four subjects also underwent 5 scans each on the pDEXA. Mean BMD for the distal radius/ulna was 0.30g/cm2 (range: 0.17 - 0.539/cm2; XR-36) vs 0.319/cm2 (range: 0.18-0.56 g/cm2; pDEXA), r = 0.98 (SEE = 0.07). Mean BMC for the distal radius/ulna was 1.229 (range: 0.67-2.59; XR-36) vs 1.289 (range:0.74-2.69; pDEXA), r = 0.97 (SEE= 0.08). The CV for pDEXA was 0.8% (BMD) and 2.5% (BMC). Thus, we conclude that pDEXA has excellent in-vivo reproducibility, with good correlation of BMD and BMC with standard densitometers

  16. Raman spectroscopic evaluation of efficacy of current paraffin wax section dewaxing agents.

    Science.gov (United States)

    Faoláin, Eoghan O; Hunter, Mary B; Byrne, Joe M; Kelehan, Peter; Lambkin, Helen A; Byrne, Hugh J; Lyng, Fiona M

    2005-01-01

    During a spectroscopic study to identify biochemical changes in cervical tissue with the onset of carcinogenesis, residual paraffin wax contributions were observed on almost all dewaxed formalin-fixed paraffin-processed (FFPP) tissue sections examined. Subsequently, the present study was formulated to evaluate the efficacy of current dewaxing agents using Raman spectroscopy. Three cervical FFPP sections were subjected to each of the protocols. Sections were dewaxed using four common dewaxing protocols, namely, xylene, Histoclear, heat-mediated antigen retrieval (HMAR) using xylene and citrate buffer, and Trilogy (combined deparaffinization and unmasking of antigens). The potential for hexane as a dewaxing agent was also evaluated. Sections were dewaxed in multiple dewaxing cycles using xylene, Histoclear, and hexane. Residual paraffin wax contributions remained at 1062 cm(-1), 1296 cm(-1), and 1441 cm(-1). HMAR using xylene and citrate buffer, and HMAR using Trilogy, showed a similar efficacy, resulting in incomplete removal of wax. Hexane was shown to be the most effective dewaxing agent, resulting in almost complete removal of wax. Immunohistochemistry was carried out on dewaxed slides, and those dewaxed with hexane displayed a stronger positivity (approximately 28%). Implications for histopathology and immunohistochemistry are considered, as well as problems that residual wax poses for spectroscopic evaluation of dewaxed FFPP sections with a view to disease diagnosis.

  17. Charged-particle cross section database for medical radioisotope production: chapter 3. theoretical evaluations

    Energy Technology Data Exchange (ETDEWEB)

    Mustafa, M

    1999-06-24

    Creation of a Reference Charged Particle Cross Section Database for Medical Radioisotope Production requires the evaluation of both experimental and modeled cross sections for beam monitor reactions and for radionuclide (positron and gamma emitters) production reactions. It was recognized at the first meeting of this CRP in Vienna in 1995 that modeling will play an important role in predicting cross sections where measurements are either not available or have large discrepancies. Because of the volume of work involving about forty-five reactions in the CRP, it was decided to use modeling as a guide rather than for full evaluation. (Although in some cases the CRP used the modeled cross sections as the recommended values). Thus the modeling was done using global input parameters. In this chapter we describe the modeling by four different groups: Livermore, Obninsk, Beijing and Islamabad. First we give a general overview of nuclear reaction models that may be used in modeling cross sections below 100 MeV. This will be followed by a short description of the codes and calculations actually used by the four groups. (We note that the codes have similar basic reaction physics, but they differ in details and in actual applications.) In the final section we give a discussion of the modeling with its successes and failures in reproducing experimental data using global input parameters.

  18. Frozen Section Evaluation of Margin Status in Primary Squamous Cell Carcinomas of the Head and Neck: A Correlation Study of Frozen Section and Final Diagnoses.

    Science.gov (United States)

    Layfield, Eleanor M; Schmidt, Robert L; Esebua, Magda; Layfield, Lester J

    2017-08-23

    Frozen section is routinely used for intraoperative margin evaluation in carcinomas of the head and neck. We studied a series of frozen sections performed for margin status of head and neck tumors to determine diagnostic accuracy. All frozen sections for margin control of squamous carcinomas of the head and neck were studied from a 66 month period. Frozen and permanent section diagnoses were classified as negative or malignant. Correlation of diagnoses was performed to determine accuracy. One thousand seven hundred and ninety-six pairs of frozen section and corresponding permanent section diagnoses were obtained. Discordances were found in 55 (3.1%) pairs. In 35 pairs (1.9%), frozen section was reported as benign, but permanent sections disclosed carcinoma. In 21 cases, the discrepancy was due to sampling and in the remaining cases it was an interpretive error. In 20 cases (1.1%), frozen section was malignant, but the permanent section was interpreted as negative. Frozen section is an accurate method for evaluation of operative margins for head and neck carcinomas with concordance between frozen and permanent results of 97%. Most errors are false negative results with the majority of these being due to sampling issues.

  19. Cross-Sectional Evaluation of English Language Teachers' Technological Pedagogical Content Knowledge

    Science.gov (United States)

    Yuksel, Ismail; Yasin, Elif

    2014-01-01

    The current study aims to identify the language teachers' technological pedagogical content knowledge and to examine their competency levels in terms of gender, length of service, and workplace. This cross-sectional evaluation study was conducted with 124 language teachers in Eskisehir, Turkey. Participants were administered Technological…

  20. Evaluation of chromium neutron and gamma production cross sections for ENDF/IV

    Energy Technology Data Exchange (ETDEWEB)

    Prince, A.

    1976-08-01

    A re-evaluation has been made of neutron and gamma production cross sections for reactions of neutrons with /sup 50/,/sup 52/,/sup 53/,/sup 54/Cr and natural Cr. In addition, energy level schemes and Q values are presented. 97 references. (SDF)

  1. Cross-Sectional Evaluation of English Language Teachers' Technological Pedagogical Content Knowledge

    Science.gov (United States)

    Yuksel, Ismail; Yasin, Elif

    2014-01-01

    The current study aims to identify the language teachers' technological pedagogical content knowledge and to examine their competency levels in terms of gender, length of service, and workplace. This cross-sectional evaluation study was conducted with 124 language teachers in Eskisehir, Turkey. Participants were administered Technological…

  2. MEASUREMENT OF ENDOTRACHEAL TUBE CUFF PRESSURE IN MECHANICALLYVENTILATED PATIENTS ON ARRIVAL TO INTENSIVE CARE UNIT - A CROSS-SECTIONAL STUDY

    Directory of Open Access Journals (Sweden)

    Arun Kumar Ajjappa

    2017-04-01

    Full Text Available BACKGROUND The monitoring of Endotracheal Tube (ETT cuff pressure in intubated patients on arrival to intensive care unit is very essential. The cuff pressure must be within an optimal range of 20-30cm H2O ensuring ventilation with no complications related to cuff overinflation and underinflation. This can be measured with a cuff pressure manometer. The aim of the study is to measure the endotracheal tube cuff pressure in patients on arrival to intensive care unit and to identify prevalence of endotracheal cuff underinflation and overinflation. MATERIALS AND METHODS A cross-sectional study was done on mechanically-ventilated patients who were intubated in casualty (emergency department on arrival to intensive care unit in S.S. Institute of Medical Sciences and Research Centre, Davangere. About 50 critically-ill patients intubated with a high volume, low pressure endotracheal tube were included in the study. An analogue manometer was used to measure the endotracheal tube cuff pressure. It was compared with the recommended level. The settings of mechanical ventilation, endotracheal tube size and peak airway pressure were recorded. RESULTS It was found that the mean cuff pressure was 64.10 cm of H2O with a standard deviation of 32.049. Of the measured cuff pressures, only 2% had pressures within an optimal range (20-30cm of H2O. 88% had cuff pressures more than 30cm of H2O. The mean peak airway pressure found to be 20.50cm of H2O with a Standard Deviation (SD of 5.064. CONCLUSION This study is done to emphasise the importance of cuff pressure measurement in all mechanically-ventilated patients as cuff pressure is found to be high in most of the patients admitted to intensive care unit. Complications of overinflation and underinflation can only be prevented if the acceptable cuff pressures are achieved.

  3. Coccidioides, cryptococcus, or blastomyces? A diagnostic dilemma encountered during frozen section evaluation.

    Science.gov (United States)

    McClain, Colt M; Van Horn, Gerald T; Chappell, James D; Stratton, Charles W

    2012-01-01

    Intraoperative consultation via frozen section is an important part of modern day surgical pathology. Recognizing fungi in tissues on frozen and permanent sections is not always a simple task, and correctly identifying the agent can be a significant challenge, even for experienced microscopists. We present a case of a 17-year-old boy with chronic osteomyelitis involving the right proximal ulna. During an irrigation and debridement operation, a frozen section was sent to surgical pathology for evaluation. A limited patient history coupled with sparse organisms present in the frozen section led to the diagnosis of fungal osteomyelitis, favor Coccidioides . Follow-up permanent sections with special staining and successful fungal culture clarified the causal agent to be Blastomyces dermatitidis . The role of frozen sections is not to perfectly speciate the fungal pathogen but to describe the morphology and infectious process and provide a differential diagnosis of the candidate fungi. The importance of intraoperative culture in infectious cases cannot be understated, and it is the responsibility of pathologists to inform surgeons that tissue is needed for culture. A brief overview of Blastomyces , including histopathologic features and key microscopic differences from Coccidioides and Cryptococcus , is discussed.

  4. Evaluating trial of scar in patients with a history of caesarean section

    Directory of Open Access Journals (Sweden)

    Aliya Islam

    2011-01-01

    Full Text Available Aims: To analyze the outcome of trial of scar in patients with previous caesarean section and to assess the fetal and maternal complications after trial of scar. Patients and Methods : The study was conducted at Military Hospital, Rawalpindi, Pakistan, with 375 pregnant patients who had a previous delivery by caesarean and who had regular antenatal checkup. Data were recorded on special pro-forms designed for the purpose. Results : The results from the 375 patients who had one previous lower segment caesarean section due to non-recurrent causes were analyzed and compared with national and international studies. Indications of previous caesarean section (non-recurrent causes included malpresentations, fetal distress/cord prolapse, failure to progress, severe pregnancy-induced hypertension/eclampsia and twins with abnormal lie of the first twin. 0 218 patients reported spontaneous labor. Among these patients, 176 delivered vaginally and 42 patients had repeat caesarean sections. There were a total of 157 patients who experienced induction of labor. 97 patients were induced by cervical ripening with mechanical method, followed by artificial rupture of membranes and augmentation (if required with syntocinon infusion. 60 patients were induced with prostaglandin E 2 vaginal tablet. Conclusion : This study concludes that females with a prior caesarean are at increased risk for subsequent caesareans, regardless of mode of delivery. Eliminating vaginal-birth-after-caesarean will not eliminate the risk. Therefore, vaginal birth after caesarean should be encouraged in selected cases from obstetric units to reduce the risks of repeated caesarean sections. Failed vaginal-birth-after-caesarean can result in increased morbidity than that with elective caesarean section.

  5. Frozen section evaluation of margins in radical prostatectomy specimens: a contemporary study and literature review.

    Science.gov (United States)

    Nunez, Amberly L; Giannico, Giovanna A; Mukhtar, Faisal; Dailey, Virginia; El-Galley, Rizk; Hameed, Omar

    2016-10-01

    The utility of routine frozen section (FS) analysis for margin evaluation during radical prostatectomy (RP) remains controversial. A retrospective search was conducted to identify RPs evaluated by FS over a 5-year period. The potential of FS to discriminate between benign and malignant tissue and to predict final margins was evaluated. During the study period, 71 (12.3%) of 575 cases underwent FS evaluation of margins, generating 192 individual FSs. There were 8 FSs diagnosed as atypical/indeterminate because of significant freezing, crushing, and/or thermal artifacts; 11 as positive for carcinoma; and 173 as benign. Two FSs classified as benign were diagnosed as positive for carcinoma on subsequent permanent section. Frozen sections' sensitivity, specificity, positive predictive value, negative predictive value, and accuracy for diagnosis of prostatic adenocarcinoma were 85%, 100%, 100%, 99%, and 99%, respectively. Overall RP final margin predictive accuracy was 81%. Positive FS was significantly associated with perineural invasion on biopsy and extraprostatic extension and higher stage disease on RP, but not with the overall final margin status. The high FS accuracy supports its use to guide the extent of surgery. However, FS cannot be used to predict the overall final margin status. Recognition of the histological artifacts inherent to the FS procedure is important to ensure appropriate utilization.

  6. Combat Modeling Evaluation at the United States Military Academy.

    Science.gov (United States)

    1985-06-01

    ULOC)).PRCNT(ILOC) 0238 DO 110 ISUPSI,12 0239 SUPPLY(IFILE(ILOC), ISUP ).IFORCE(ILOC, ISUP ) 0240 110 CONTINUE 0241 DO 120 IWE~ul,? 0242 NUNDERVEAPONS...IWEP) 0226 70 CONTINUE 0227 DO S0 ISUP01,12 0228 IFORCE(ILOC, ISUP )mSUPPLY(LOC.ISUP) 0229 80 CONTINUE 0230 90 CONTINUE 0231 DO 290 IRONw1,IREPT 0232...EACH TYPE BY UNIT IN FILE INPUT.DAT NITCL ARRAY OF UNIT COLORS IN FILE INPUT.DAT ISUP SUPPLY CATEGORY • e IFORCE ARRAY TO STORE SUPPLIES ON HAND IN

  7. Sampling pig farms at the abattoir in a cross-sectional study − Evaluation of a sampling method

    DEFF Research Database (Denmark)

    Birkegård, Anna Camilla; Hisham Beshara Halasa, Tariq; Toft, Nils

    2017-01-01

    , it is difficult to sample a large number of farms from an exact predefined list, due to the logistics and workflow of an abattoir. Therefore, it is necessary to have a systematic sampling procedure and to evaluate the obtained sample with respect to the study objective. We propose a method for 1) planning, 2......A cross-sectional study design is relatively inexpensive, fast and easy to conduct when compared to other study designs. Careful planning is essential to obtaining a representative sample of the population, and the recommended approach is to use simple random sampling from an exhaustive list...... of units in the target population. This approach is rarely feasible in practice, and other sampling procedures must often be adopted. For example, when slaughter pigs are the target population, sampling the pigs on the slaughter line may be an alternative to on-site sampling at a list of farms. However...

  8. Comparative evaluation of photon cross section libraries for materials of interest in PET Monte Carlo simulations

    CERN Document Server

    Zaidi, H

    1999-01-01

    the many applications of Monte Carlo modelling in nuclear medicine imaging make it desirable to increase the accuracy and computational speed of Monte Carlo codes. The accuracy of Monte Carlo simulations strongly depends on the accuracy in the probability functions and thus on the cross section libraries used for photon transport calculations. A comparison between different photon cross section libraries and parametrizations implemented in Monte Carlo simulation packages developed for positron emission tomography and the most recent Evaluated Photon Data Library (EPDL97) developed by the Lawrence Livermore National Laboratory was performed for several human tissues and common detector materials for energies from 1 keV to 1 MeV. Different photon cross section libraries and parametrizations show quite large variations as compared to the EPDL97 coefficients. This latter library is more accurate and was carefully designed in the form of look-up tables providing efficient data storage, access, and management. Toge...

  9. Sampling pig farms at the abattoir in a cross-sectional study - Evaluation of a sampling method.

    Science.gov (United States)

    Birkegård, Anna Camilla; Halasa, Tariq; Toft, Nils

    2017-09-15

    A cross-sectional study design is relatively inexpensive, fast and easy to conduct when compared to other study designs. Careful planning is essential to obtaining a representative sample of the population, and the recommended approach is to use simple random sampling from an exhaustive list of units in the target population. This approach is rarely feasible in practice, and other sampling procedures must often be adopted. For example, when slaughter pigs are the target population, sampling the pigs on the slaughter line may be an alternative to on-site sampling at a list of farms. However, it is difficult to sample a large number of farms from an exact predefined list, due to the logistics and workflow of an abattoir. Therefore, it is necessary to have a systematic sampling procedure and to evaluate the obtained sample with respect to the study objective. We propose a method for 1) planning, 2) conducting, and 3) evaluating the representativeness and reproducibility of a cross-sectional study when simple random sampling is not possible. We used an example of a cross-sectional study with the aim of quantifying the association of antimicrobial resistance and antimicrobial consumption in Danish slaughter pigs. It was not possible to visit farms within the designated timeframe. Therefore, it was decided to use convenience sampling at the abattoir. Our approach was carried out in three steps: 1) planning: using data from meat inspection to plan at which abattoirs and how many farms to sample; 2) conducting: sampling was carried out at five abattoirs; 3) evaluation: representativeness was evaluated by comparing sampled and non-sampled farms, and the reproducibility of the study was assessed through simulated sampling based on meat inspection data from the period where the actual data collection was carried out. In the cross-sectional study samples were taken from 681 Danish pig farms, during five weeks from February to March 2015. The evaluation showed that the sampling

  10. A sectional-splinting technique for impressing multiple implant units by eliminating the use of an open tray

    Directory of Open Access Journals (Sweden)

    Suryakant C. Deogade

    2014-01-01

    Full Text Available Since the inception of root form implant dentistry by P-I Branemark in the early 1980′s, so many technical advances have been put forward by several authors. However, the open tray impression technique is still performed for impressing multiple implant fixtures as it was first described in the original Branemark procedure manual. The most critical aspect for a successful implant-supported restoration is the passive and an accurate fit of superstructures to avoid preload and loading stresses. Splinting impression technique in multiple implants has gained popularity. Auto-polymerizing acrylic resin is among the most routinely practiced splinting material for multiple implant units. However, unfortunately, it exhibits shrinkage, which makes an impression quite inaccurate. This case report presents the solution to minimize the shrinkage of resin by utilizing sectional-splinting technique as advocated in the previous implant literature.

  11. Reliability of the Balance Evaluation Systems Test (BESTest) and BESTest sections for adults with hemiparesis.

    Science.gov (United States)

    Rodrigues, Letícia C; Marques, Aline P; Barros, Paula B; Michaelsen, Stella M

    2014-01-01

    The Balance Evaluation Systems Test (BESTest) was recently created to allow the development of treatments according to the specific balance system affected in each patient. The Brazilian version of the BESTest has not been specifically tested after stroke. To evaluate the intra- and inter-rater reliability and concurrent and convergent validity of the total score of the BESTest and BESTest sections for adults with hemiparesis after stroke. The study included 16 subjects (61.1 ± 7.5 years) with chronic hemiparesis (54.5 ± 43.5 months after stroke). The BESTest was administered by two raters in the same week and one of the raters repeated the test after a one-week interval. Intraclass correlation coefficient (ICC) was calculated to assess intra- and interrater reliability. Concurrent validity with the Berg Balance Scale (BBS) and convergent validity with the Activities-specific Balance Confidence scale (ABC-Brazil) were assessed using Pearson's correlation coefficient. Both the BESTest total score (ICC=0.98) and the BESTest sections (ICC between 0.85 and 0.96) have excellent intrarater reliability. Interrater reliability for the total score was excellent (ICC=0.93) and, for the sections, it ranged between 0.71 and 0.94. The correlation coefficient between the BESTest and the BBS and ABC-Brazil were 0.78 and 0.59, respectively. The Brazilian version of the BESTest demonstrated adequate reliability when measured by sections and could identify what balance system was affected in patients after stroke. Concurrent validity was excellent with the BBS total score and good to excellent with the sections. The total scores but not the sections present adequate convergent validity with the ABC-Brazil. However, other psychometric properties should be further investigated.

  12. Reliability of the Balance Evaluation Systems Test (BESTest and BESTest sections for adults with hemiparesis

    Directory of Open Access Journals (Sweden)

    Letícia C. Rodrigues

    2014-07-01

    Full Text Available BACKGROUND: The Balance Evaluation Systems Test (BESTest was recently created to allow the development of treatments according to the specific balance system affected in each patient. The Brazilian version of the BESTest has not been specifically tested after stroke. OBJECTIVE: To evaluate the intra- and inter-rater reliability and concurrent and convergent validity of the total score of the BESTest and BESTest sections for adults with hemiparesis after stroke. METHOD: The study included 16 subjects (61.1±7.5 years with chronic hemiparesis (54.5±43.5 months after stroke. The BESTest was administered by two raters in the same week and one of the raters repeated the test after a one-week interval. Intraclass correlation coefficient (ICC was calculated to assess intra- and interrater reliability. Concurrent validity with the Berg Balance Scale (BBS and convergent validity with the Activities-specific Balance Confidence scale (ABC-Brazil were assessed using Pearson's correlation coefficient. RESULTS: Both the BESTest total score (ICC=0.98 and the BESTest sections (ICC between 0.85 and 0.96 have excellent intrarater reliability. Interrater reliability for the total score was excellent (ICC=0.93 and, for the sections, it ranged between 0.71 and 0.94. The correlation coefficient between the BESTest and the BBS and ABC-Brazil were 0.78 and 0.59, respectively. CONCLUSIONS: The Brazilian version of the BESTest demonstrated adequate reliability when measured by sections and could identify what balance system was affected in patients after stroke. Concurrent validity was excellent with the BBS total score and good to excellent with the sections. The total scores but not the sections present adequate convergent validity with the ABC-Brazil. However, other psychometric properties should be further investigated.

  13. Emergy Evaluation of Educational Attainment in the United States

    Science.gov (United States)

    The emergy of educational attainment in the United States was quantified over the period for which the necessary data were available, i.e., 1948 to 2006. We propose that the portion of the knowledge in educational attainment delivered by the active workforce be considered as part...

  14. Occupational Therapy Evaluation for Stroke Adults in the United States

    Institute of Scientific and Technical Information of China (English)

    YANG Shan-li

    2010-01-01

    @@ Of the 700,000 people in the United States who experience a new or recurrent stroke each year, more than 500,000 survive(American Stroke Association, 2007)[1]. Occupational therapy practitioners are critical rehabilitation professionals for stroke survivors.

  15. Student Perceptions of Inclusion in Unit/Course Evaluations

    Science.gov (United States)

    Santhanam, Elizabeth; Hicks, Owen

    2004-01-01

    Good teaching should be inclusive of all students. There are very strong arguments for making courses/units/modules as inclusive as possible, based on issues of equity and access. Inclusive teaching has been a catch cry in recent times and most universities have policies related to this issue. However, research into the effectiveness of measures…

  16. Evaluation of four tax reforms in the United States

    DEFF Research Database (Denmark)

    Eissa, Nada; Kleven, Henrik Jacobsen; Kreiner, Claus Thustrup

    2008-01-01

    framework. We apply the framework to examine the welfare effects on single mothers in the United States following four tax acts passed in 1986, 1990, 1993, and 2001. We propose a simulation method combining features of fully structural microsimulation studies and simple deadweight loss calculations. Our...

  17. Evaluation of natural chromium neutron cross sections for ENDF/B-V

    Energy Technology Data Exchange (ETDEWEB)

    Prince, A.; Burrows, T.W.

    1979-02-01

    This report describes the evaluation of natural chromium for ENDF/B-V. Neutron cross sections and photon production are presented for the energy range 10/sup -5/ eV to 20 MeV. An extreme effort was made to incorporate all available new experimental data since the previous ENDF/B-IV evaluation. Particular consideration was also given to consistency between calculation and experimental data and are described in detail. Covariance files are given and are based on model code uncertainties along with empirical data.

  18. An Evaluation of United States Government Immigration Education Materials [and] Investigation of United States Immigration Education Correspondence Courses.

    Science.gov (United States)

    Nielson, Lynn E.

    An analysis of eight current government publications on citizenship for immigrants to the United States and results of a survey investigating immigration education correspondence courses are provided. In the first part, subjective evaluations of eight textbooks, based on seven designated criteria (copyright, readability, subject matter,…

  19. A unified Monte Carlo approach to fast neutron cross section data evaluation.

    Energy Technology Data Exchange (ETDEWEB)

    Smith, D.; Nuclear Engineering Division

    2008-03-03

    A unified Monte Carlo (UMC) approach to fast neutron cross section data evaluation that incorporates both model-calculated and experimental information is described. The method is based on applications of Bayes Theorem and the Principle of Maximum Entropy as well as on fundamental definitions from probability theory. This report describes the formalism, discusses various practical considerations, and examines a few numerical examples in some detail.

  20. Evaluation of anxiety, depression and suicidal intent in undergraduate dental students: A cross-sectional study

    OpenAIRE

    Manish Bathla; Manpreet Singh; Paramanand Kulhara; Shalu Chandna; Jitender Aneja

    2015-01-01

    Background: There is an increasing amount of stress in undergraduate dental students leading to anxiety, depression, and suicidal attempts/suicide. Aims: This study aims to evaluate anxiety, depression and suicidal intent in undergraduate dental students and to find out the various areas of stress. Materials and Methods: A cross-sectional study was conducted using a semi-structured questionnaire (to assess academic and nonacademic areas of stress) and three scales-Hamilton scale for anxiety (...

  1. Income distribution and mortality: cross sectional ecological study of the Robin Hood index in the United States.

    Science.gov (United States)

    Kennedy, B P; Kawachi, I; Prothrow-Stith, D

    1996-04-20

    To determine the effect of income inequality as measured by the Robin Hood index and the Gini coefficient on all cause and cause specific mortality in the United States. Cross sectional ecological study. Households in the United States. Disease specific mortality, income, household size, poverty, and smoking rates for each state. The Robin Hood index was positively correlated with total mortality adjusted for age (r = 0.54; P < 0.05). This association remained after adjustment for poverty (P < 0.007), where each percentage increase in the index was associated with' an increase in the total mortality of 21.68 deaths per 100,000. Effects of the index were also found for infant mortality (P = 0.013); coronary heart disease (P = 0.004); malignant neoplasms (P = 0.023); and homicide (P < 0.001). Strong associations were also found between the index and causes of death amenable to medical intervention. The Gini coefficient showed very little correlation with any of the causes of death. Variations between states in the inequality of income were associated with increased mortality from several causes. The size of the gap between the wealthy and less well off--as distinct from the absolute standard of living enjoyed by the poor--seems to matter in its own right. The findings suggest that policies that deal with the growing inequities in income distribution may have an important impact on the health of the population.

  2. Protein extraction from formalin-fixed, paraffin-embedded tissue sections: quality evaluation by mass spectrometry.

    Science.gov (United States)

    Shi, Shan-Rong; Liu, Cheng; Balgley, Brian M; Lee, Cheng; Taylor, Clive R

    2006-06-01

    A satisfactory protocol of protein extraction has been established based on the heat-induced antigen retrieval (AR) technique widely applied in immunohistochemistry for archival formalin-fixed, paraffin-embedded (FFPE) tissue sections. Based on AR, an initial serial experiment to identify an optimal protocol of heat-induced protein extraction was carried out using FFPE mouse tissues. The optimal protocol for extraction of proteins was then performed on an archival FFPE tissue of human renal carcinoma. FFPE sections were boiled in a retrieval solution of Tris-HCl containing 2% SDS, followed by incubation. Fresh tissue taken from the same case of renal carcinoma was processed for extraction of proteins by a conventional method using radioimmunoprecipitation assay solution, to compare the efficiency of protein extraction from FFPE tissue sections with extraction from fresh tissue. As a control, further sections of the same FFPE sample were processed by the same procedure without heating treatment. Evaluation of the quality of protein extracted from FFPE tissue was done using gel electrophoresis and mass spectrometry, showing most identified proteins extracted from FFPE tissue sections were overlapped with those extracted from fresh tissue.

  3. A new state evaluation method of oil pump unit based on AHP and FCE

    Science.gov (United States)

    Lin, Yang; Liang, Wei; Qiu, Zeyang; Zhang, Meng; Lu, Wenqing

    2017-05-01

    In order to make an accurate state evaluation of oil pump unit, a comprehensive evaluation index should be established. A multi-parameters state evaluation method of oil pump unit is proposed in this paper. The oil pump unit is analyzed by Failure Mode and Effect Analysis (FMEA), so evaluation index can be obtained based on FMEA conclusions. The weights of different parameters in evaluation index are discussed using Analytic Hierarchy Process (AHP) with expert experience. According to the evaluation index and the weight of each parameter, the state evaluation is carried out by Fuzzy Comprehensive Evaluation (FCE) and the state is divided into five levels depending on status value, which is inspired by human body health. In order to verify the effectiveness and feasibility of the proposed method, a state evaluation of oil pump used in a pump station is taken as an example.

  4. Criticality experiments and benchmarks for cross section evaluation: the neptunium case

    Directory of Open Access Journals (Sweden)

    Duran I.

    2013-03-01

    Full Text Available The 237Np neutron-induced fission cross section has been recently measured in a large energy range (from eV to GeV at the n_TOF facility at CERN. When compared to previous measurement the n_TOF fission cross section appears to be higher by 5-7% beyond the fission threshold. To check the relevance of n_TOF data, we apply a criticality experiment performed at Los Alamos with a 6 kg sphere of 237Np, surrounded by enriched uranium 235U so as to approach criticality with fast neutrons. The multiplication factor ke f f of the calculation is in better agreement with the experiment (the deviation of 750 pcm is reduced to 250 pcm when we replace the ENDF/B-VII.0 evaluation of the 237Np fission cross section by the n_TOF data. We also explore the hypothesis of deficiencies of the inelastic cross section in 235U which has been invoked by some authors to explain the deviation of 750 pcm. With compare to inelastic large distortion calculation, it is incompatible with existing measurements. Also we show that the v of 237Np can hardly be incriminated because of the high accuracy of the existing data. Fission rate ratios or averaged fission cross sections measured in several fast neutron fields seem to give contradictory results on the validation of the 237Np cross section but at least one of the benchmark experiments, where the active deposits have been well calibrated for the number of atoms, favors the n_TOF data set. These outcomes support the hypothesis of a higher fission cross section of 237Np.

  5. Criticality experiments and benchmarks for cross section evaluation: the neptunium case

    Science.gov (United States)

    Leong, L. S.; Tassan-Got, L.; Audouin, L.; Paradela, C.; Wilson, J. N.; Tarrio, D.; Berthier, B.; Duran, I.; Le Naour, C.; Stéphan, C.

    2013-03-01

    The 237Np neutron-induced fission cross section has been recently measured in a large energy range (from eV to GeV) at the n_TOF facility at CERN. When compared to previous measurement the n_TOF fission cross section appears to be higher by 5-7% beyond the fission threshold. To check the relevance of n_TOF data, we apply a criticality experiment performed at Los Alamos with a 6 kg sphere of 237Np, surrounded by enriched uranium 235U so as to approach criticality with fast neutrons. The multiplication factor ke f f of the calculation is in better agreement with the experiment (the deviation of 750 pcm is reduced to 250 pcm) when we replace the ENDF/B-VII.0 evaluation of the 237Np fission cross section by the n_TOF data. We also explore the hypothesis of deficiencies of the inelastic cross section in 235U which has been invoked by some authors to explain the deviation of 750 pcm. With compare to inelastic large distortion calculation, it is incompatible with existing measurements. Also we show that the v of 237Np can hardly be incriminated because of the high accuracy of the existing data. Fission rate ratios or averaged fission cross sections measured in several fast neutron fields seem to give contradictory results on the validation of the 237Np cross section but at least one of the benchmark experiments, where the active deposits have been well calibrated for the number of atoms, favors the n_TOF data set. These outcomes support the hypothesis of a higher fission cross section of 237Np.

  6. Evaluation of 3 dental unit waterline contamination testing methods

    OpenAIRE

    Porteous, Nuala; Sun, Yuyu; Schoolfield, John

    2015-01-01

    Previous studies have found inconsistent results from testing methods used to measure heterotrophic plate count (HPC) bacteria in dental unit waterline (DUWL) samples. This study used 63 samples to compare the results obtained from an in-office chairside method and 2 currently used commercial laboratory HPC methods (Standard Methods 9215C and 9215E). The results suggest that the Standard Method 9215E is not suitable for application to DUWL quality monitoring, due to the detection of limited n...

  7. Teaching Materials Evaluation and Adaptation of a Unit

    Institute of Scientific and Technical Information of China (English)

    沈化

    2014-01-01

    Teaching materials are quite important for teachers and students. Students only pay attention to interesting materials which can be counted good. Teachers should adapt the materials if they want to make the learning really take place and make their teaching more effective. The teaching materials in Unit 7 Weather in 21st Century Practical College English Viewing, Listen-ing&Speaking I can be counted good. But it is not good enough and needs adapting to make it better.

  8. NEUTRON CROSS SECTION EVALUATIONS OF FISSION PRODUCTS BELOW THE FAST ENERGY REGION

    Energy Technology Data Exchange (ETDEWEB)

    OH,S.Y.; CHANG,J.; MUGHABGHAB,S.

    2000-05-11

    Neutron cross section evaluations of the fission-product isotopes, {sup 95}Mo, {sup 99}Tc, {sup 101}Ru, {sup 103}Rh, {sup 105}Pd, {sup 109}Ag, {sup 131}Xe, {sup 133}Cs, {sup 141}Pr, {sup 141}Nd, {sup 147}Sm, {sup 149}Sm, {sup 150}Sm, {sup 151}Sm, {sup 152}Sm, {sup 153}Eu, {sup 155}Gd, and {sup 157}Gd were carried out below the fast neutron energy region within the framework of the BNL-KAERI international collaboration. In the thermal energy region, the energy dependence of the various cross-sections was calculated by applying the multi-level Breit-Wigner formalism. In particular, the strong energy dependence of the coherent scattering lengths of {sup 155}Gd and {sup 157}Gd were determined and were compared with recent calculations of Lynn and Seeger. In the resonance region, the recommended resonance parameters, reported in the BNL compilation, were updated by considering resonance parameter information published in the literature since 1981. The s-wave and, if available, p-wave reduced neutron widths were analyzed in terms of the Porter-Thomas distribution to determine the average level spacings and the neutron strength functions. Average radiative widths were also calculated from measured values of resolved energy resonances. The average resonance parameters determined in this study were compared with those in the BNL and other compilations, as well as the ENDF/B-VI, JEF-2.2, and JENDL-3.2 data libraries. The unresolved capture cross sections of these isotopes, computed with the determined average resonance parameters, were compared with measurements, as well as the ENDF/B-VI evaluations. To achieve agreement with the measurements, in a few cases minor adjustments in the average resonance parameters were made. Because of astrophysical interest, the Maxwellian capture cross sections of these nuclides at a neutron temperature of 30 keV were computed and were compared with other compilations and evaluations.

  9. Organizational Analysis of the United States Army Evaluation Center

    Science.gov (United States)

    2014-12-01

    Separation Incentive Program (VSIP) as it appears as if all individuals on the same PD have the same exact skill mix .. The commodities that AEC evaluates...There is a varying mix of civilian and military personnel in all types of positions at AEC. Both types of personnel bring different but important...Report  OMAR  20  Safety Confirmation  SC  132  Safety Confirmation Recommendation  SCR   21  System Evaluation Plan  SEP  4  System Evaluation Plan

  10. Effect of a culture-based screening algorithm on tuberculosis incidence in immigrants and refugees bound for the United States: a population-based cross-sectional study.

    Science.gov (United States)

    Liu, Yecai; Posey, Drew L; Cetron, Martin S; Painter, John A

    2015-03-17

    Before 2007, immigrants and refugees bound for the United States were screened for tuberculosis (TB) by a smear-based algorithm that could not diagnose smear-negative/culture-positive TB. In 2007, the Centers for Disease Control and Prevention implemented a culture-based algorithm. To evaluate the effect of the culture-based algorithm on preventing the importation of TB to the United States by immigrants and refugees from foreign countries. Population-based, cross-sectional study. Panel physician sites for overseas medical examination. Immigrants and refugees with TB. Comparison of the increase of smear-negative/culture-positive TB cases diagnosed overseas among immigrants and refugees by the culture-based algorithm with the decline of reported cases among foreign-born persons within 1 year after arrival in the United States from 2007 to 2012. Of the 3 212 421 arrivals of immigrants and refugees from 2007 to 2012, a total of 1 650 961 (51.4%) were screened by the smear-based algorithm and 1 561 460 (48.6%) were screened by the culture-based algorithm. Among the 4032 TB cases diagnosed by the culture-based algorithm, 2195 (54.4%) were smear-negative/culture-positive. Before implementation (2002 to 2006), the annual number of reported cases among foreign-born persons within 1 year after arrival was relatively constant (range, 1424 to 1626 cases; mean, 1504 cases) but decreased from 1511 to 940 cases during implementation (2007 to 2012). During the same period, the annual number of smear-negative/culture-positive TB cases diagnosed overseas among immigrants and refugees bound for the United States by the culture-based algorithm increased from 4 to 629. This analysis did not control for the decline in new arrivals of nonimmigrant visitors to the United States and the decrease of incidence of TB in their countries of origin. Implementation of the culture-based algorithm may have substantially reduced the incidence of TB among newly arrived, foreign-born persons in

  11. The role of integral experiments and nuclear cross section evaluations in space nuclear reactor design

    Science.gov (United States)

    Moses, David L.; McKnight, Richard D.

    The importance of the nuclear and neutronic properties of candidate space reactor materials to the design process has been acknowledged as has been the use of benchmark reactor physics experiments to verify and qualify analytical tools used in design, safety, and performance evaluation. Since June 1966, the Cross Section Evaluation Working Group (CSEWG) has acted as an interagency forum for the assessment and evaluation of nuclear reaction data used in the nuclear design process. CSEWG data testing has involved the specification and calculation of benchmark experiments which are used widely for commercial reactor design and safety analysis. These benchmark experiments preceded the issuance of the industry standards for acceptance, but the benchmarks exceed the minimum acceptance criteria for such data. Thus, a starting place has been provided in assuring the accuracy and uncertainty of nuclear data important to space reactor applications.

  12. Evaluation of structural deformations of a mechanical connecting unit oxidizer supplies by thermo-mechanical simulation

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Sang Woo [Dept. of Mechanical Engineering, Institute of Machine Convergence Technology, Hankyong National University, Anseong (Korea, Republic of)

    2016-10-15

    A Mechanical connecting unit (MCU) used in ground facilities for a Liquid propellant rocket (LPR) acts as a bridge between the onboard system and the ground oxidizer filling system. It should be resistant to structural deformations in order to guarantee successful supply of a cryogenic oxidizer and high pressure gases without reduction of sealing capability. The MCU consists of many components and linkages and operates under harsh conditions induced by a cryogenic oxidizer, high pressure gases and other mechanical forces. Thus, the evaluation of structural deformation of the MCU considering complex conditions is expensive and time consuming. The present study efficiently evaluates the structural deformations of the key components of the MCU by Thermo-mechanical simulation (TMS) based on the superposition principle. Deformations due to the mechanical loadings including weights, pressures, and spring forces are firstly evaluated by using a non-linear flexible body simulation module (FFlex) of Multi-body dynamics (MBD) software, RecurDyn. Then, thermal deformations for the deformed geometries obtained by RecurDyn were subsequently calculated. It was conducted by using a Finite element (FE) analysis software, ANSYS. The total deformations for the onboard plate and multi-channel plate in the connecting section due to the mechanical and thermal loadings were successfully evaluated. Moreover, the outer gaps at six points between two plates were calculated and verified by comparison to the measured data. Their values and tendencies showed a good agreement. The author concluded that the TMS using MBD software considering flexible bodies and an FE simulator can efficiently evaluate structural deformations of the MCU operating under the complex load and boundary conditions.

  13. Preliminary Evaluation of the Impact of the Section 1603 Treasury Grant Program on Renewable Energy Deployment in 2009

    Energy Technology Data Exchange (ETDEWEB)

    Bolinger, Mark; Wiser, Ryan; Darghouth, Naim

    2010-03-31

    Federal support for renewable energy deployment in the United States has traditionally been delivered primarily through tax benefits, including the production tax credit ('PTC') in Section 45 of the U.S. tax code, investment tax credits ('ITC') in Sections 25D and 48, and accelerated tax depreciation in Section 168. Many renewable power project developers are unable to use the majority of these tax benefits directly or immediately, however, and have therefore often relied on third-party 'tax equity' investors for the necessary investment capital in order to monetize the available tax benefits. As has been well-publicized, most of these tax equity investors were hit hard by the global financial crisis that unfolded in the last months of 2008 and, as a result, most either withdrew from the renewable power market at that time or reduced their available investment capital. This left a significant financing gap beginning in late 2008, and placed at some risk the continued near-term growth of renewable energy supply in the U.S. In recognition of these developments, the U.S. Congress passed two stimulus bills - The Energy Improvement and Extension Act ('the Extension Act') in October 2008 and The American Recovery and Reinvestment Act ('the Recovery Act') in February 2009 - parts of which were intended to address the growing shortage of finance for renewable power projects. Most notably, Section 1603 of the Recovery Act enables qualifying commercial renewable energy projects to choose between the Section 45 PTC, the Section 48 ITC, or a cash grant of equal value to the Section 48 ITC (i.e., 30% of the project's eligible basis in most cases). By giving developers the option to receive a 30% cash grant (administered by the U.S. Department of the Treasury) in lieu of either the ITC or the PTC, Congress hoped to 'temporarily fill the gap created by the diminished investor demand for tax credits,' and thereby

  14. Anomalous scattering factors of some rare earth elements evaluated using photon interaction cross-sections

    Indian Academy of Sciences (India)

    S B Appaji Gowda; M L Mallikarjuna; R Gowda; T K Umesh

    2003-09-01

    The real and imaginary parts, '() and ''() of the dispersion corrections to the forward Rayleigh scattering amplitude (also called anomalous scattering factors) for the elements La, Ce, Pr, Nd, Sm, Gd, Dy, Ho and Er, have been determined by a numerical evaluation of the dispersion integral that relates them through the optical theorem to the photoeffect cross-sections. The photoeffect cross-sections are derived from the total attenuation cross-section data set experimentally determined using high resolution high purity germanium detector in a narrow beam good geometry set-up for these elements in the photon energy range 5 to 1332 keV and reported earlier by the authors. Below 5 keV, Scofield’s photoeffect cross-sections compiled in XCOM program have been interpolated and used. Simple formulae for '' in terms of atomic number and energy have also been obtained. The data cover the energy region from 6 to 85 keV and atomic number from 57–68. The results obtained are found to agree fairly well with the other available data.

  15. Evaluation of in-office dental unit waterline testing.

    Science.gov (United States)

    Momeni, Stephanie S; Tomline, Nancy; Ruby, John D; Dasanayake, Ananda P

    2012-01-01

    In-office dental unit waterline (DUWL) testing systems are commercially available for monitoring DUWL bacteria. The current study compared Aquasafe, Petrifilm, and Heterotrophic Plate Count Sampler (HPCS) with R2A plating methodology, considered the gold standard for enumerating heterotrophic bacteria in potable water. Samples were collected from 20 dental units. Heterotrophic bacterial counts of ≤500 CFUs/mL were used as the cut-off for assessing in-office testing compared to R2A laboratory plating. Validity was assessed using sensitivity and specificity, along with positive and negative predictive values. Results were also compared using concordance and kappa statistics. All in-office tests demonstrated 100% specificity and positive predictive values, while sensitivity and negative predictive values were low (Petrifilm, 57%/50%; HPCS, 50%/46%; Aquasafe, 21%/35%). Concordance and kappa values for agreement with R2A plating were as follows: Petrifilm 70% (κ = 0.44), HPCS 65% (κ = 0.38), and Aquasafe 45% (κ = 0.14). In-office DUWL testing with Aquasafe, Petrifilm, and HPCS agreed poorly with R2A plating methodology and is not valid or reliable as a means of accurately monitoring bacterial density in DUWL. These in-office test systems should not be used for assessing compliance with the ADA and CDC standard for acceptable heterotrophic bacterial counts in DUWLs (≤500 CFUs/mL).

  16. EVALUATION OF ENHANCED VOC REMOVAL WITH SOIL FRACTURING IN THE SRS UPLAND UNIT

    Energy Technology Data Exchange (ETDEWEB)

    Riha, B

    2005-10-31

    The Environmental Restoration Technology Section (ERTS) of the Savannah River National Laboratory (SRNL) conducted pilot scale testing to evaluate the effectiveness of using hydraulic fracturing as a means to improve soil vapor extraction (SVE) system performance. Laboratory and field research has shown that significant amounts of solvents can be entrapped in low permeability zones by capillary forces and removal by SVE can be severely limited due to low flow rates, mass transfer resistance of the hydrophobic compounds by trapped interparticle water, and diffusion resistance. Introducing sand-filled fractures into these tight zones improves the performance of SVE by (1) increasing the overall permeability of the formation and thereby increasing SVE flow rates, (2) shortening diffusion pathways, and (3) increasing air permeability by improving pore water removal. The synergistic effect of the fracture well completion methods, fracture and flow geometry, and pore water removal appears to increase the rate of solvent mass removal over that of increasing flow rate alone. A field test was conducted where a conventional well in the SRS Upland Unit was tested before and after hydraulic fracturing. ERTS teamed with Clemson University through the South Carolina University and Education Foundation (SCUREF) program utilizing their expertise in fracturing and fracture modeling. The goals of the fracturing pilot testing were to evaluate the following: (1) The effect of hydraulic fractures on the performance of a conventional well. This was the most reliable way to remove the effects of spatial variations in permeability and contaminant distribution on relative well performance. It also provided data on the option of improving the performance of existing wells using hydraulic fractures. (2) The relative performance of a conventional SVE well and isolated hydraulic fractures. This was the most reliable indicator of the performance of hydraulic fractures that could be created in a

  17. Evaluation of 3 dental unit waterline contamination testing methods.

    Science.gov (United States)

    Porteous, Nuala; Sun, Yuyu; Schoolfield, John

    2015-01-01

    Previous studies have found inconsistent results from testing methods used to measure heterotrophic plate count (HPC) bacteria in dental unit waterline (DUWL) samples. This study used 63 samples to compare the results obtained from an in-office chairside method and 2 currently used commercial laboratory HPC methods (Standard Methods 9215C and 9215E). The results suggest that the Standard Method 9215E is not suitable for application to DUWL quality monitoring, due to the detection of limited numbers of heterotrophic organisms at the required 35°C incubation temperature. The results also confirm that while the in-office chairside method is useful for DUWL quality monitoring, the Standard Method 9215C provided the most accurate results.

  18. Second law evaluation of a lightweight cooling unit

    Directory of Open Access Journals (Sweden)

    Guilherme B. Ribeiro

    2016-03-01

    Full Text Available The analysis based on the second law of thermodynamics of a lightweight vapor compression refrigeration system is presented. A small-scale linear compressor was applied in a DC-powered portable cooler for vehicles and for the medical field, using finned-tube heat exchangers and R600-a (Isobutane as the working fluid. The cooler was tested in an environmental chamber (with controlled temperature and humidity under three different ambient temperatures (21, 25 and 32 °C in order to measure key parameters of the system, such as cooling capacity, power consumption and internal air temperature. For the comparison of thermodynamic irreversibilities, a conventional vapor compression refrigerating system was also tested under the same ambient conditions. Results indicated that the system with the proposed lightweight system kept the lowest internal air temperature with higher coefficients of performance, showing how a lightweight cooling unit can enlarge the use of refrigerating systems due to its attributes.

  19. "Informed" Consent: An Audit of Informed Consent of Cesarean Section Evaluating Patient Education and Awareness.

    Science.gov (United States)

    Kirane, Akhilesh G; Gaikwad, Nandkishor B; Bhingare, Prashant E; Mule, Vidya D

    2015-12-01

    Better diagnosis and early referral due to increased health care coverage have increased the cesarean deliveries at tertiary-care hospitals of India. Improvements in the health care system raise many concerns and need of cross-checking system in place to counter the problems pertaining to patient education and participation of patient. While most of the cesarean sections are done in good faith for the patient, it does not escape the purview of consumer awareness and protection. This cross-sectional study was undertaken at a tertiary level government institution to understand the level of awareness of 220 patients regarding the various aspects of cesarean delivery which are essential for women to know before giving an informed consent. 71 % of the women had knowledge about the indication and need to do cesarean delivery. Of these, only one-third (25 % of total women) were properly explained about procedure and complications. Other demographic and social characteristics were also evaluated. While the health care schemes have had their improved results, the onus lies upon the caregivers to improve and maintain the quality of health care in these tertiary-care government hospitals in proportion to the increase in patient load. The results of this study highlight the need for proper counseling of patients regarding complications of cesarean section. The fact that only 25 % of total cases were explained proper procedure and complication as opposed to 71 % of patients having proper knowledge about the indication of cesarean section points out the lack of information in seemingly "informed" consent. To bring about awareness about the risks and complications of cesarean section, there is a need that patients be counseled during the antenatal visits, specifically when patients visit near term for antenatal check up.

  20. Criteria for Evaluating United States Marine Corps Installation Strategic Management

    Science.gov (United States)

    2001-12-01

    business success for the organization. The scoring weights emphasize those items identified in Marine Corps strategic documents as being of...should use this or a similar process to evaluate themselves. This system helps installations focus on keys to business success . If the Marine

  1. Evaluation of cross-sections for particle induced gamma-ray emission (PIGE) spectroscopy

    Science.gov (United States)

    Gurbich, A. F.

    2014-07-01

    The extension of the cross-section evaluation procedure to PIGE data was investigated and the first results are reported. Two different cases were studied: the gamma emission accompanying inelastic scattering of protons, and the (p,γ)-reaction. The corresponding theoretical calculations were performed in the framework of R-matrix and DWBA for the (p,p‧γ) reaction on 23Na, and using statistical model for the proton radiative capture by 52Cr. The possibility of achieving a close fit to the experimental data is demonstrated.

  2. Evaluation of cross-sections for particle induced gamma-ray emission (PIGE) spectroscopy

    Energy Technology Data Exchange (ETDEWEB)

    Gurbich, A.F., E-mail: gurbich@ippe.ru

    2014-07-15

    The extension of the cross-section evaluation procedure to PIGE data was investigated and the first results are reported. Two different cases were studied: the gamma emission accompanying inelastic scattering of protons, and the (p,γ)-reaction. The corresponding theoretical calculations were performed in the framework of R-matrix and DWBA for the (p,p′γ) reaction on {sup 23}Na, and using statistical model for the proton radiative capture by {sup 52}Cr. The possibility of achieving a close fit to the experimental data is demonstrated.

  3. Nutritional content of supermarket ready meals and recipes by television chefs in the United Kingdom: cross sectional study.

    Science.gov (United States)

    Howard, Simon; Adams, Jean; White, Martin

    2012-12-14

    To compare the energy and macronutrient content of main meals created by television chefs with ready meals sold by supermarkets, and to compare both with nutritional guidelines published by the World Health Organization and UK Food Standards Agency. Cross sectional study. Three supermarkets with the largest share of the grocery market in the United Kingdom, 2010. 100 main meal recipes from five bestselling cookery books by UK television chefs and 100 own brand ready meals from the three leading UK supermarkets. Number of meals for which the nutritional content complied with WHO recommendations, and the proportion of nutrients classified as red, amber, or green using the UK FSA's "traffic light" system for labelling food. No recipe or ready meal fully complied with the WHO recommendations. The ready meals were more likely to comply with the recommended proportions of energy derived from carbohydrate (18% v 6%, P=0.01) and sugars (83% v 81%, P=0.05) and fibre density (56% v 14% Psupermarkets complied with WHO recommendations. Recipes were less healthy than ready meals, containing significantly more energy, protein, fat, and saturated fat, and less fibre per portion than the ready meals.

  4. Coping behavior and risk and resilience stress factors in French regional emergency medicine unit workers: a cross-sectional survey

    Science.gov (United States)

    Lala, AI; Sturzu, LM; Picard, JP; Druot, F; Grama, F; Bobirnac, G

    2016-01-01

    The Emergency Department (ED) has the highest workload in a hospital, offering care to patients in their most acute state of illness, as well as comforting their families and tending to stressful situations of the physical and psychological areal. Method. A cross-sectional survey of 366 Emergency Unit staff members including medical doctors, medical residents, medical nurses and ward aids, was undergone. Study participants came from four periphery hospitals in the Moselle Department of Eastern France with similar workforce and daily patient loads statistics. The instruments used were the Perceived Stress Scale PSS-10 and the Brief COPE questionnaire. Conclusions. Perceived work overload and overall stress is strongly related to work hours and tend to have a stronger influence on doctors than on the nursing staff. Substance use is a common coping method for medical interns, consistent with prior research. The regular assessment of the ED staff perception of stress and stress related factors is essential to support organizational decisions in order to promote a better work environment and better patient care. PMID:27928439

  5. Coping behavior and risk and resilience stress factors in French regional emergency medicine unit workers: a cross-sectional survey.

    Science.gov (United States)

    Lala, A I; Sturzu, L M; Picard, J P; Druot, F; Grama, F; Bobirnac, G

    2016-01-01

    The Emergency Department (ED) has the highest workload in a hospital, offering care to patients in their most acute state of illness, as well as comforting their families and tending to stressful situations of the physical and psychological areal. Method. A cross-sectional survey of 366 Emergency Unit staff members including medical doctors, medical residents, medical nurses and ward aids, was undergone. Study participants came from four periphery hospitals in the Moselle Department of Eastern France with similar workforce and daily patient loads statistics. The instruments used were the Perceived Stress Scale PSS-10 and the Brief COPE questionnaire. Conclusions. Perceived work overload and overall stress is strongly related to work hours and tend to have a stronger influence on doctors than on the nursing staff. Substance use is a common coping method for medical interns, consistent with prior research. The regular assessment of the ED staff perception of stress and stress related factors is essential to support organizational decisions in order to promote a better work environment and better patient care.

  6. Thermal Environment Evaluation in Commercial Kitchens of United States

    DEFF Research Database (Denmark)

    Simone, Angela; Olesen, Bjarne W.

    The indoor climate in commercial kitchens is often unsatisfactory and the working conditions can have a significant effect on employees’ comfort and productivity. The differences between type (fast food, dining, etc.) and climatic zone can have an influence on the environment conditions and on th......The indoor climate in commercial kitchens is often unsatisfactory and the working conditions can have a significant effect on employees’ comfort and productivity. The differences between type (fast food, dining, etc.) and climatic zone can have an influence on the environment conditions...... and on the employees´ perception of kitchens thermal conditions. Moreover, size and arrangement of the kitchen zones, appliances, etc., complicate further an evaluation of the indoor thermal environment in kitchens. The on field physical measurements together with the occupants´ feedback is the effective way...... of defining the values of thermal comfort parameters in kitchens. It can also help to evaluate if the standardized methods are applicable for such non-uniform environment, like commercial kitchens. By using an established method and procedure for evaluating the indoor thermal comfort in commercial kitchens...

  7. A three-axis flight simulator. [for testing and evaluating inertial measuring units, and flight platforms

    Science.gov (United States)

    Mason, M. G.

    1975-01-01

    A simulator is described, which was designed for testing and evaluating inertial measuring units, and flight platforms. Mechanical and electrical specifications for the outer, middle, and inner axis are presented. Test results are included.

  8. Physical Unclonable Function with Multiplexing Units and its Evaluation

    Science.gov (United States)

    Yoshikawa, Masaya; Asai, Toshiya; Shiozaki, Mitsuru; Fujino, Takeshi

    Recently, semiconductor counterfeiting has become an increasingly serious problem. Therefore, techniques to prevent the counterfeit by using random characteristic patterns that are difficult to control artificially have attracted attention. The physical unclonable function (PUF) is one of the techniques. It is a method to derive ID information peculiar to a device by detecting random physical features that cannot be controlled during the device's manufacture. Because information such as the ID information is difficult to replicate, PUF is used as a technique to prevent counterfeiting. Several studies have been reported on PUF. Arbiter PUF, which utilizes the difference in signal propagation delay between selectors, is the typical method of composing PUF using delay characteristics. This paper proposed a new PUF which is based on the arbiter PUF. The proposed PUF introduces new multiplexing selector units. It attempts to generate an effective response using the orders of three signal arrivals. Experiments using FPGAs verify the validity of the proposed PUF. Although Uniqueness is deteriorated, Correctness, Steadiness, Randomness and Resistance against the machine learning attacks are improved in comparison with conventional one.

  9. Evaluating flood potential with GRACE in the United States

    Science.gov (United States)

    Molodtsova, Tatiana; Molodtsov, Sergey; Kirilenko, Andrei; Zhang, Xiaodong; VanLooy, Jeffrey

    2016-04-01

    Reager and Famiglietti (2009) proposed an index, Reager's Flood Potential Index (RFPI), for early large-scale flood risk monitoring using the Terrestrial Water Storage Anomaly (TWSA) product derived from the Gravity Recovery and Climate Experiment (GRACE). We evaluated the efficacy of the RFPI for flood risk assessment over the continental USA using multi-year flood observation data from 2003 to 2012 by the US Geological Survey and Dartmouth Flood Observatory. In general, we found a good agreement between the RFPI flood risks and the observed floods on regional and even local scales. RFPI demonstrated skill in predicting the large-area, long-duration floods, especially during the summer season.

  10. Therapeutic education unit for heart failure: setting-up and difficulties. Initial evaluation of the I-CARE programme.

    Science.gov (United States)

    Juillière, Yves; Jourdain, Patrick; Roncalli, Jérome; Boireau, Amélie; Guibert, Hélène; Lambert, Hélène; Spinazze, Laure; Jondeau, Guillaume; Sonnier, Pierre; Rouanne, Céline; Bidet, Angélique; Sandrin-Berthon, Brigitte; Trochu, Jean-Nöel

    2009-01-01

    Education programmes are required in chronic diseases. The insuffisance cardiaque : éducation thérapeutique (I-CARE) programme was developed in France to promote the setting-up of therapeutic education units for chronic heart failure. To evaluate the setting-up of such units, assessing the influence of training on the creation and organization of the unit, the problems encountered and the contribution of the dedicated educational tools. We submitted a questionnaire to the first 136 trained centres. The questionnaire was divided into two sections: one section dealing with educational practices and the other with the advantages and disadvantages of the tools provided. The participation rate reached 69.1%. Seventy-four centres (78.7%) declared themselves to be active in therapeutic education. Unit educational activities determined an educational diagnosis (89.2% of the centres) and provided education by means of collective workshops (73.0%) or one-to-one teaching sessions (75.7%). A complete education programme for a patient consisted of a median of four sessions (25th-75th percentile, 2-5 sessions) and lasted for a median of 6 h (25th-75th percentile, 4-10 h). The education team was multidisciplinary and usually included a nurse (93.2%), a dietician (78.4%), a cardiologist (71.6%) and a physiotherapist (40.5%). Heart failure educational tools were used only in part in most centres (89.2%). All advantages and disadvantages were recorded. This first evaluation of the setting-up of therapeutic education units in the I-CARE programme has yielded promising results, despite expected difficulties. The effects of therapeutic education on the behaviour of heart failure patients remain to be determined.

  11. Comparisons of Neutron Cross Sections and Isotopic Composition Calculations for Fission-Product Evaluations

    Science.gov (United States)

    Kim, Do Heon; Gil, Choong-Sup; Chang, Jonghwa; Lee, Yong-Deok

    2005-05-01

    The neutron absorption cross sections for 18 fission products evaluated within the framework of the KAERI (Korea Atomic Energy Research Institute)-BNL (Brookhaven National Laboratory) international collaboration have been compared with ENDF/B-VI.7. Also, the influence of the new evaluations on the isotopic composition calculations of the fission products has been estimated through the OECD/NEA burnup credit criticality benchmarks (Phase 1B) and the LWR/Pu recycling benchmarks. These calculations were performed by WIMSD-5B with the 69-group libraries prepared from three evaluated nuclear data libraries: ENDF/B-VI.7, ENDF/B-VI.8 including the new evaluations in the resonance region covering the thermal region, and the expected ENDF/B-VII including those in the upper resonance region up to 20 MeV. For Xe-131, the composition calculated with ENDF/B-VI.8 shows a maximum difference of 5.02% compared to ENDF/B-VI.7. However, the isotopic compositions of all the fission products calculated with the expected ENDF/B-VII show no differences when compared to ENDF/B-VI.7 for the thermal reactor benchmark cases.

  12. Evaluation of pentavalent rotavirus vaccination in neonatal intensive care units.

    Science.gov (United States)

    Thrall, Samuel; Doll, Margaret K; Nhan, Charles; Gonzales, Milagros; Perreault, Thérèse; Lamer, Philippe; Quach, Caroline

    2015-09-22

    Preterm infants are at highest risk for severe rotavirus gastroenteritis. While rotavirus vaccination is recommended for age-eligible, clinically stable preterm infants, controversy exists regarding vaccination of these infants during hospitalization. The objectives of this study were to examine tolerance of pentavalent rotavirus vaccination (RV5) among hospitalized infants and nosocomial rotavirus transmission in the neonatal intensive care units (NICU) at two urban hospitals. A retrospective, medical chart review of patients receiving RV5 vaccine was conducted to examine clinical histories of vaccine recipients. Average risk differences of gastrointestinal complications were estimated between the three days prior and up to four weeks following RV5 vaccination. A generalized linear regression model was used to examine the association between days since RV5 administration and daily feeding totals, using fixed effects to account for individual-level clustering. Rates of nosocomial rotavirus from active surveillance were compared between pre- and post-NICU-based vaccination periods. From July 1, 2011 to March 30, 2013, RV5 vaccination was initiated for 102 NICU patients. No changes in the average risk of gastrointestinal complications or daily feeding among participants overall were detected following RV5 administration. Rates of nosocomial rotavirus were similar during the periods before and after NICU-based vaccination. On average, RV5 appeared to be well tolerated among vaccine recipients, with no increase in nosocomial rotavirus transmission observed following NICU-based rotavirus vaccination. While the benefits of a RV5 NICU-based vaccination program for otherwise eligible preterm infants seem to outweigh the possible risk of vaccine virus transmission, further studies are needed. Copyright © 2015 Elsevier Ltd. All rights reserved.

  13. An evaluation of teamwork within a specialist palliative care unit.

    Science.gov (United States)

    Donaghy, Kevin; Devlin, Breige

    2002-11-01

    This small-scale 10-month study evaluated teamworking within a specialist palliative care team. The study aims were to: collect, analyse and summarize information on how team members perceive teamworking; compare team members' perceptions after a teambuilding workshop; and to evaluate the longer term effect of this training on the team. A group of practitioners from a local Marie Curie Cancer Care Centre was selected and included members from all available disciplines. A piloted questionnaire was used to obtain qualitative and quantitative input. The team as a whole scored themselves above average on almost all counts. Following the teambuilding workshop significant improvement was seen in areas such as role appreciation and communication but not all improvements were long lasting. A perception of understaffing was noted as being one of the largest negative influences on teamwork whereas the setting and maintaining of agreed team objectives and having sufficient education opportunity were positive influences. Although teambuilding sessions appear to have the potential to produce the desired benefits, they should not be initiated at a time when staff already feel anxiety over their workload.

  14. Urban sprawl, obesity, and cancer mortality in the United States: cross-sectional analysis and methodological challenges.

    Science.gov (United States)

    Berrigan, David; Tatalovich, Zaria; Pickle, Linda W; Ewing, Reid; Ballard-Barbash, Rachel

    2014-01-06

    Urban sprawl has the potential to influence cancer mortality via direct and indirect effects on obesity, access to health services, physical activity, transportation choices and other correlates of sprawl and urbanization. This paper presents a cross-sectional analysis of associations between urban sprawl and cancer mortality in urban and suburban counties of the United States. This ecological analysis was designed to examine whether urban sprawl is associated with total and obesity-related cancer mortality and to what extent these associations differed in different regions of the US. A major focus of our analyses was to adequately account for spatial heterogeneity in mortality. Therefore, we fit a series of regression models, stratified by gender, successively testing for the presence of spatial heterogeneity. Our resulting models included county level variables related to race, smoking, obesity, access to health services, insurance status, socioeconomic position, and broad geographic region as well as a measure of urban sprawl and several interactions. Our most complex models also included random effects to account for any county-level spatial autocorrelation that remained unexplained by these variables. Total cancer mortality rates were higher in less sprawling areas and contrary to our initial hypothesis; this was also true of obesity related cancers in six of seven U.S. regions (census divisions) where there were statistically significant associations between the sprawl index and mortality. We also found significant interactions (p obesity related cancer mortality in both sexes. Thus, the association between urban sprawl and cancer mortality differs in different regions of the US. Despite higher levels of obesity in more sprawling counties in the US, mortality from obesity related cancer was not greater in such counties. Identification of disparities in cancer mortality within and between geographic regions is an ongoing public health challenge and an

  15. Evaluating Access to Eye Care in the Contiguous United States by Calculated Driving Time in the United States Medicare Population.

    Science.gov (United States)

    Lee, Cecilia S; Morris, Aneesha; Van Gelder, Russell N; Lee, Aaron Y

    2016-12-01

    To quantify the proximity to eye care in the contiguous United States by calculating driving routes and driving time using a census-based approach. Cross-sectional study based on United States (US) census data, Medicare payment data, and OpenStreetMap. 2010 US census survey respondents older than 65 years. For each state in the United States, the addresses of all practicing ophthalmologists and optometrists were obtained from the 2012 Medicare Provider Utilization and Payment Data from the Centers for Medicare and Medicaid Services (CMS). The US census data from 2010 then were used to calculate the geolocation of the US population at the block group level and the number of people older than 65 years in each location. Geometries and driving speed limits of every road, street, and highway in the United States from the OpenStreetMap project were used to calculate the exact driving distance and driving time to the nearest eye care provider. Driving time and driving distance to the nearest optometrist and ophthalmologist per state. Driving times for 3.79×10(7) persons were calculated using a total of 3.88×10(7) available roads for the 25 508 optometrists and 17 071 ophthalmologists registered with the CMS. Nationally, the median driving times to the nearest optometrist and ophthalmologist were 2.91 and 4.52 minutes, respectively. Ninety percent of the population lives within a 13.66- and 25.21-minute drive, respectively, to the nearest optometrist and ophthalmologist. While there are regional variations, overall more than 90% of the US Medicare beneficiary population lives within a 30-minute drive of an ophthalmologist and within 15 minutes of an optometrist. Copyright © 2016 American Academy of Ophthalmology. Published by Elsevier Inc. All rights reserved.

  16. Issues for an Evaluation of Freire-Inspired Programs in the United States and Puerto Rico.

    Science.gov (United States)

    Facundo, Blanca

    Paulo Freire is a Brazilian educator whose theories link educational processes with revolutionary political aims. This report describes attempts by predominantly Latino proponents of his theories to develop "liberating education" (educacion liberadora) in the United States and in Puerto Rico. Section 1 describes the national, political,…

  17. Evaluating the performance of university course units using data envelopment analysis

    Directory of Open Access Journals (Sweden)

    Sami El-Mahgary

    2014-12-01

    Full Text Available The technique of data envelopment analysis (DEA for measuring the relative efficiency has been widely used in the higher education sector. However, measuring the performance of a set of course units or modules that are part of a university curriculum has received little attention. In this article, DEA was used in a visual way to measure the performance of 12 course units that are part of a Photogrammetry curriculum taught at Aalto University. The results pinpointed the weakest performing units, i.e. units where the provided teaching efforts might not be adequately reflected in the students’ marks in the unit. Based on the results, a single unit was considered to offer poor performance with respect to its teaching resources and was selected as a candidate for revision of its contents. Financial resources were not used as such; instead, the performance of students in previous pre-requisite units was used as the inputs. For clarity, a single output covering the overall student performance in the examined unit was used. The technique should be widely applicable assuming the grade point averages of the students who took the course unit are available along with the marks obtained in the evaluated units and their pre-requisites.

  18. Application of Analytical Hierarchy Process Approach for Service Quality Evaluation in Radiology Departments: A Cross-Sectional Study.

    Science.gov (United States)

    Alimohammadzadeh, Khalil; Bahadori, Mohammadkarim; Hassani, Fariba

    2016-01-01

    Radiology department as a service provider organization requires realization of quality concept concerning service provisioning knowledge, satisfaction and all issues relating to the customer as well as quality assurance and improvement issues. At present, radiology departments in hospitals are regarded as income generating units and they should continuously seek performance improvement so that they can survive in the changing and competitive environment of the health care sector. The aim of this study was to propose a method for ranking of radiology departments in selected hospitals of Tehran city using analytical hierarchical process (AHP) and quality evaluation of their service in 2015. This study was an applied and cross-sectional study, carried out in radiology departments of 6 Tehran educational hospitals in 2015. The hospitals were selected using non-probability and purposeful method. Data gathering was performed using customized joint commission international (JCI) standards. Expert Choice 10.0 software was used for data analysis. AHP method was used for prioritization. "Management and empowerment of human resources'' (weight = 0.465) and "requirements and facilities" (weight = 0.139) were of highest and lowest significance respectively in the overall ranking of the hospitals. MS (weight = 0.316), MD (weight = 0.259), AT (weight = 0.14), TS (weight = 0.108), MO (weight = 0.095), and LH (0.082) achieved the first to sixth rankings respectively. The use of AHP method can be promising for fostering the evaluation method and subsequently promotion of the efficiency and effectiveness of the radiology departments. The present model can fill in the gap in the accreditation system of the country's hospitals in respect with ranking and comparing them considering the significance and value of each individual criteria and standard. Accordingly, it can predict an integration of qualitative and quantitative criteria involved and thereby take a decisive step towards

  19. Evaluation of risk factor and complication of umbilical cord prolapsed in cesarean section

    Directory of Open Access Journals (Sweden)

    Zahra Rezaee

    2015-03-01

    Full Text Available Objectives: Considering the rarity of umbilical cord prolapse (UCP and lack of accurate data about the risk factors and health outcomes, we aimed to evaluate cases of cesarean section (CS due to UCP in order to reduce treatment costs and provide information about the mortality and morbidity associated with this condition.Patients & Methods: Of 35,259 cases of CS performed in four hospitals during 2004-2012, 103 cases of UCP were selected as the case group; on the other hand, 318 cases without UCP were classified as the control group. Information was extracted from patients' records and analyzed by SPSS version 18. Results: Prevalence of UCP was estimated at 0.2%. In the case group, the active phase of labor was reported 1.4 times (81% vs 57%-P

  20. University-Based Evaluation Training Programs in the United States 1980-2008: An Empirical Examination

    Science.gov (United States)

    LaVelle, John M.; Donaldson, Stewart I.

    2010-01-01

    Evaluation practice has grown in leaps and bounds in recent years. In contrast, the most recent survey data suggest that there has been a sharp decline in the number and strength of preservice evaluation training programs in the United States. In an effort to further understand this curious trend, an alternative methodology was used to examine the…

  1. An Analysis of Grades, Class Level and Faculty Evaluation Scores in the United Arab Emirates

    Science.gov (United States)

    Waller, Lee

    2016-01-01

    This study examined the results of a student evaluation of faculty against the grades awarded and the level of the course for a higher education institution in the United Arab Emirates. The purpose of the study was to determine if the grades awarded in the course and/or level of the course impacted the evaluation scores awarded to the faculty…

  2. Evaluation of antihypotensive techniques for cesarean section under spinal anesthesia: Rapid crystalloid hydration versus intravenous ephedrine

    Science.gov (United States)

    Kulkarni, Kalpana Rajendra; Naik, Amruta Girish; Deshpande, Sunetra Girish

    2016-01-01

    Background: Spinal anesthesia is a preferred technique over general anesthesia for cesarean delivery. It avoids maternal airway related complications, aspiration and neonatal depression. However hypotension following spinal anesthesia can lead to decrease in uterine blood flow and neonatal hypoxia. Aims: We aimed to evaluate the efficacy of 15 mL.kg- 1of crystalloid preloading versus prophylactic intravenous bolus of 10 mg ephedrine as an antihypotensive measure for cesarean section. Methods: A prospective randomized double blind study was conducted in hundred ASA grade I/II parturient undergoing cesarean section, allocated to group P (n=50) who received preloading with ringer lactate 15 mL.kg- 1 over 20 minutes before spinal anesthesia and group E (n=50) received intravenous bolus of 10mg ephedrine within one minute of spinal anesthesia with 10mg of hyperbaric bupivacaine 0.5% at L2-3/L3-4 level. They were monitored for incidences of hypotension, need of rescue doses of ephedrine, Apgar score and adverse events. Appropriate statistical tests were applied and P Apgar score were better in group E than in group P delivered babies. Conclusion: Prophylactic intravenous bolus of 10mg ephedrine with spinal injection is more effective in maintaining maternal hemodynamic stability and better neonatal outcome as compared to crystalloid preloading during cesarean delivery. PMID:27746565

  3. Pressurized thermal shock evaluation of the Calvert Cliffs Unit 1 Nuclear Power Plant

    Energy Technology Data Exchange (ETDEWEB)

    Abbott, L [ed.

    1985-09-01

    An evaluation of the risk to the Calvert Cliffs Unit 1 nuclear power plant due to pressurized thermal shock (PTS) has been completed by Oak Ridge National Laboratory (ORNL) with the assistance of several other organizations. This evaluation was part of a Nuclear Regulatory Commission program designed to study the PTS risk to three nuclear plants, the other two plants being Oconee Unit 1 and H.B. Robinson Unit 2. The specific objectives of the program were to (1) provide a best estimate of the frequency of a through-the-wall crack in the pressure vessel at each of the three plants, together with the uncertainty in the estimated frequency and its sensitivity to the variables used in the evaluation; (2) determine the dominant overcooling sequences contributing to the estimated frequency and the associated failures in the plant systems or in operator actions; and (3) evaluate the effectiveness of potential corrective measures.

  4. Evaluation of the pneumatic tube system for transportation of packed red cell units

    Directory of Open Access Journals (Sweden)

    Supriya Dhar

    2015-01-01

    Full Text Available Background: Pneumatic tube system (PTS is commonly used in hospital settings to transport blood samples to diagnostic laboratories. At our blood center, we receive blood requisitions via the PTS, but units are carried to the ward by human courier. Recently we considered using the PTS for transporting blood units. Since, there are reports of hemolysis in blood samples sent through the PTS, we evaluated this system for transporting red cell units. Aims: The aim was to assess the effect of PTS transport on the quality of packed red cell units. Materials and Methods: A total of 50 red blood cells units (RBC, (25 non-irradiated and 25 irradiated were subjected to transportation through the PTS. The control arm in the study was age-matched RBC units not subjected to PTS transport. Each RBC unit was evaluated for hemoglobin (Hb, lactate dehydrogenase, potassium and plasma hemoglobin (Hb. The paired t-test was used to compare these parameters, and the P value was calculated. Results and Conclusion: The percentage of hemolysis after transportation through PTS was below the recommended guidelines. Delivery of the blood unit to the wrong station, bags lying unattended at the destination were few of the problems that had to be addressed. To conclude, though the PTS is a safe means of transporting blood products with reduction in the turn-around-time, it must be validated before use.

  5. A Cross-Sectional Study of Tobacco Advertising, Promotion, and Sponsorship in Airports across Europe and the United States.

    Science.gov (United States)

    Soong, Andrea; Navas-Acien, Ana; Pang, Yuanjie; Lopez, Maria Jose; Garcia-Esquinas, Esther; Stillman, Frances A

    2016-09-28

    Tobacco advertising, promotion, and sponsorship (TAPS) bans are effective and are increasingly being implemented in a number of venues and countries, yet the state of TAPS in airports and their effect on airport smoking behavior is unknown. The objective of this study was to evaluate the presence of TAPS in airports across Europe and the US, and to begin to examine the relationship between TAPS and smoking behaviors in airports. We used a cross-sectional study design to observe 21 airports in Europe (11) and the US (10). Data collectors observed points of sale for tobacco products, types of products sold, advertisements and promotions, and branding or logos that appeared in the airport. Tobacco products were sold in 95% of all airports, with significantly more sales in Europe than the US. Advertisements appeared mostly in post-security areas; however, airports with advertisements in pre-security areas had significantly more smokers observed outdoors than airports without advertisements in pre-security areas. Tobacco branding appeared in designated smoking rooms as well as on non-tobacco products in duty free shops. TAPS are widespread in airports in Europe and the US and might be associated with outdoor smoking, though further research is needed to better understand any relationship between the two. This study adds to a growing body of research on tobacco control in air transit and related issues. As smoke-free policies advance, they should include comprehensive TAPS bans that extend to airport facilities.

  6. A Cross-Sectional Study of Tobacco Advertising, Promotion, and Sponsorship in Airports across Europe and the United States

    Directory of Open Access Journals (Sweden)

    Andrea Soong

    2016-09-01

    Full Text Available Tobacco advertising, promotion, and sponsorship (TAPS bans are effective and are increasingly being implemented in a number of venues and countries, yet the state of TAPS in airports and their effect on airport smoking behavior is unknown. The objective of this study was to evaluate the presence of TAPS in airports across Europe and the US, and to begin to examine the relationship between TAPS and smoking behaviors in airports. We used a cross-sectional study design to observe 21 airports in Europe (11 and the US (10. Data collectors observed points of sale for tobacco products, types of products sold, advertisements and promotions, and branding or logos that appeared in the airport. Tobacco products were sold in 95% of all airports, with significantly more sales in Europe than the US. Advertisements appeared mostly in post-security areas; however, airports with advertisements in pre-security areas had significantly more smokers observed outdoors than airports without advertisements in pre-security areas. Tobacco branding appeared in designated smoking rooms as well as on non-tobacco products in duty free shops. TAPS are widespread in airports in Europe and the US and might be associated with outdoor smoking, though further research is needed to better understand any relationship between the two. This study adds to a growing body of research on tobacco control in air transit and related issues. As smoke-free policies advance, they should include comprehensive TAPS bans that extend to airport facilities.

  7. A Cross-Sectional Study of Tobacco Advertising, Promotion, and Sponsorship in Airports across Europe and the United States

    Science.gov (United States)

    Soong, Andrea; Navas-Acien, Ana; Pang, Yuanjie; Lopez, Maria Jose; Garcia-Esquinas, Esther; Stillman, Frances A.

    2016-01-01

    Tobacco advertising, promotion, and sponsorship (TAPS) bans are effective and are increasingly being implemented in a number of venues and countries, yet the state of TAPS in airports and their effect on airport smoking behavior is unknown. The objective of this study was to evaluate the presence of TAPS in airports across Europe and the US, and to begin to examine the relationship between TAPS and smoking behaviors in airports. We used a cross-sectional study design to observe 21 airports in Europe (11) and the US (10). Data collectors observed points of sale for tobacco products, types of products sold, advertisements and promotions, and branding or logos that appeared in the airport. Tobacco products were sold in 95% of all airports, with significantly more sales in Europe than the US. Advertisements appeared mostly in post-security areas; however, airports with advertisements in pre-security areas had significantly more smokers observed outdoors than airports without advertisements in pre-security areas. Tobacco branding appeared in designated smoking rooms as well as on non-tobacco products in duty free shops. TAPS are widespread in airports in Europe and the US and might be associated with outdoor smoking, though further research is needed to better understand any relationship between the two. This study adds to a growing body of research on tobacco control in air transit and related issues. As smoke-free policies advance, they should include comprehensive TAPS bans that extend to airport facilities. PMID:27690072

  8. Intra-Service Section 7 Biological Evaluation Form : [2010 Proposed Hunting Plan for Sherburne National Wildlife Refuge

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This Section 7 Evaluation states that the Sherburne NWR Hunting Plan will have no effect on listed/proposed/candidate species or the critical habitat of these species.

  9. Patoka River National Wildlife Refuge & Management Area Hunting and Fishing Plan : Intra-Service Section 7 Evaluation Form

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This Section 7 Evaluation states that the Patoka River NWR Hunting and Fishing Plan is not likely to adversely affect listed species or critical habitats on the...

  10. Prevalence of comorbidities in rheumatoid arthritis and evaluation of their monitoring: results of an international, cross-sectional study (COMORA)

    NARCIS (Netherlands)

    Dougados, Maxime; Soubrier, Martin; Antunez, Anna; Balint, Peter; Balsa, Alejandro; Buch, Maya H.; Casado, Gustavo; Detert, Jacqueline; El-zorkany, Bassel; Emery, Paul; Hajjaj-Hassouni, Najia; Harigai, Masayoshi; Luo, Shue-Fen; Kurucz, Reka; Maciel, Gabriel; Mola, Emilio Martin; Montecucco, Carlo Maurizio; McInnes, Iain; Radner, Helga; Smolen, Josef S.; Song, Yeong-Wook; Vonkeman, Harald Erwin; Winthrop, Kevin; Kay, Jonathan

    2014-01-01

    Background Patients with rheumatoid arthritis (RA) are at increased risk of developing comorbid conditions. Objectives To evaluate the prevalence of comorbidities and compare their management in RA patients from different countries worldwide. Methods Study design: international, cross-sectional.

  11. Evaluation of a completely automated tissue-sectioning machine for paraffin blocks.

    Science.gov (United States)

    Onozato, Maristela L; Hammond, Stephen; Merren, Mark; Yagi, Yukako

    2013-02-01

    Tissue-sectioning automation can be a resourceful tool in processing anatomical pathology specimens. The advantages of an automated system compared with traditional manual sectioning are the invariable thickness, uniform orientation and fewer tissue-sectioning artefacts. This short report presents the design of an automated tissue-sectioning device and compares the sectioned specimens with normal manual tissue sectioning performed by an experienced histology technician. The automated system was easy to use, safe and the sectioned material showed acceptable quality with well-preserved morphology and tissue antigenicity. It is expected that the turnaround time will be improved in the near future.

  12. New Standard Evaluated Neutron Cross Section Libraries for the GEANT4 Code and First Verification

    CERN Document Server

    Mendoza, Emilio; Koi, Tatsumi; Guerrero, Carlos

    2014-01-01

    The Monte Carlo simulation of the interaction of neutrons with matter relies on evaluated nuclear data libraries and models. The evaluated libraries are compilations of measured physical parameters (such as cross sections) combined with predictions of nuclear model calculations which have been adjusted to reproduce the experimental data. The results obtained from the simulations depend largely on the accuracy of the underlying nuclear data used, and thus it is important to have access to the nuclear data libraries available, either of general use or compiled for specific applications, and to perform exhaustive validations which cover the wide scope of application of the simulation code. In this paper we describe the work performed in order to extend the capabilities of the GEANT4 toolkit for the simulation of the interaction of neutrons with matter at neutron energies up to 20 MeV and a first verification of the results obtained. Such a work is of relevance for applications as diverse as the simulation of a n...

  13. Obscure gastrointestinal bleeding: evaluation with 64-section multiphase CT enterography--initial experience.

    Science.gov (United States)

    Huprich, James E; Fletcher, Joel G; Alexander, Jeffrey A; Fidler, Jeff L; Burton, Sharon S; McCullough, Cynthia H

    2008-02-01

    This retrospective HIPAA-compliant study was approved by the institutional review board and institutional conflict of interest committee. Patients gave informed consent for use of medical records. The purpose of the study was to retrospectively evaluate the findings depicted at computed tomographic (CT) enterography performed with a 64-section CT system and by using neutral enteric contrast material and a three-phase acquisition in patients with obscure gastrointestinal bleeding (OGIB). Twenty-two outpatients (11 men, 11 women; age range, 37-83 years) with OGIB underwent CT enterography. Findings were compared with capsule and traditional endoscopic, surgical, and angiographic findings. CT enterographic findings were positive for a bleeding source in 10 (45%) of 22 patients. Eight of 10 positive findings at CT enterography were also positive at capsule endoscopy or subsequent clinical diagnosis. CT enterography helped correctly identify three lesions undetected at capsule endoscopy. Study results suggest that multiphase, multiplanar CT enterography may have a role in the evaluation of OGIB.

  14. Nutritional content of supermarket ready meals and recipes by television chefs in the United Kingdom: cross sectional study

    Science.gov (United States)

    Adams, Jean; White, Martin

    2012-01-01

    Objectives To compare the energy and macronutrient content of main meals created by television chefs with ready meals sold by supermarkets, and to compare both with nutritional guidelines published by the World Health Organization and UK Food Standards Agency. Design Cross sectional study. Setting Three supermarkets with the largest share of the grocery market in the United Kingdom, 2010. Samples 100 main meal recipes from five bestselling cookery books by UK television chefs and 100 own brand ready meals from the three leading UK supermarkets. Main outcome measures Number of meals for which the nutritional content complied with WHO recommendations, and the proportion of nutrients classified as red, amber, or green using the UK FSA’s “traffic light” system for labelling food. Results No recipe or ready meal fully complied with the WHO recommendations. The ready meals were more likely to comply with the recommended proportions of energy derived from carbohydrate (18% v 6%, P=0.01) and sugars (83% v 81%, P=0.05) and fibre density (56% v 14% P<0.01). The recipes were more likely to comply with the recommended sodium density (36% v 4%, P<0.01), although salt used for seasoning was not assessed. The distributions of traffic light colours under the FSA’s food labelling recommendations differed: the modal traffic light was red for the recipes (47%) and green for ready meals (42%). Overall, the recipes contained significantly more energy (2530 kJ v 2067 kJ), protein (37.5 g v 27.9 g), fat (27.1 g v 17.2 g), and saturated fat (9.2 g v 6.8 g; P<0.01 for all) and significantly less fibre (3.3 g v 6.5 g, P<0.01) per portion than the ready meals. Conclusions Neither recipes created by television chefs nor ready meals sold by three of the leading UK supermarkets complied with WHO recommendations. Recipes were less healthy than ready meals, containing significantly more energy, protein, fat, and saturated fat, and less fibre per portion than the ready meals. PMID:23247976

  15. Assessing nursing quality in paediatric intensive care units: a cross-sectional study in China.

    Science.gov (United States)

    Zhang, Yuxia; Liu, Linxia; Hu, Jing; Zhang, Yanhong; Lu, Guoping; Li, Guangyu; Zuo, Zelan; Lu, Hua; Zou, Huan; Wang, Zaihua; Huang, Quelan

    2016-05-23

    Nursing-sensitive indicators are considered effective tools for improving the quality of care in hospitals. However, these have not been used in paediatric intensive care units (PICUs) in China. To develop nursing-sensitive indicators for PICUs and to assess the quality of nursing in PICUs in China based on the nursing-sensitive indicators. Multi-centre, cross-sectional study. Structure, process and outcome indicators were developed and measured from 1 January to 31 March 2014 in seven PICUs in China. The structure indicators showed that one nurse cared for an average of 2·8 patients in a PICU, and 44% of nurses had a bachelor's degree. The process indicators revealed that hand-washing compliance varied across PICUs, whereas pain management and physical restraint have not been adequately addressed in China. The outcome indicators revealed that the incidence rates of ventilator-associated pneumonia and central-line-associated blood stream infections were 2·96 and 0·7, respectively, per 1000 device days. Patients were intubated for a total of 4392 mechanical ventilator days, and 32 patients (7·29‰) had an unplanned extubation. Nurses were moderately satisfied in their jobs (3·1 ± 0·3), and parents reported that nurses provide high quality of care. This study developed and used nursing-sensitive indicators to assess the quality of nursing in PICUs in China, which provided a reference for national and international comparisons of nursing quality in PICUs. Nursing staffing levels and education should be improved. Pain management and physical restraints should be regulated in China's PICUs. Nurse managers need to explore staff attitudes towards implementation of family-centred care. The development of a national database of nursing quality indicators can contribute to quality and safety improvement. This study developed a set of nursing-sensitive indicators, and these indicators were used to assess and improve the quality of nursing in PICUs. © 2016 British

  16. Urban sprawl, obesity, and cancer mortality in the United States: cross-sectional analysis and methodological challenges

    Science.gov (United States)

    2014-01-01

    Background Urban sprawl has the potential to influence cancer mortality via direct and indirect effects on obesity, access to health services, physical activity, transportation choices and other correlates of sprawl and urbanization. Methods This paper presents a cross-sectional analysis of associations between urban sprawl and cancer mortality in urban and suburban counties of the United States. This ecological analysis was designed to examine whether urban sprawl is associated with total and obesity-related cancer mortality and to what extent these associations differed in different regions of the US. A major focus of our analyses was to adequately account for spatial heterogeneity in mortality. Therefore, we fit a series of regression models, stratified by gender, successively testing for the presence of spatial heterogeneity. Our resulting models included county level variables related to race, smoking, obesity, access to health services, insurance status, socioeconomic position, and broad geographic region as well as a measure of urban sprawl and several interactions. Our most complex models also included random effects to account for any county-level spatial autocorrelation that remained unexplained by these variables. Results Total cancer mortality rates were higher in less sprawling areas and contrary to our initial hypothesis; this was also true of obesity related cancers in six of seven U.S. regions (census divisions) where there were statistically significant associations between the sprawl index and mortality. We also found significant interactions (p obesity related cancer mortality in both sexes. Thus, the association between urban sprawl and cancer mortality differs in different regions of the US. Conclusions Despite higher levels of obesity in more sprawling counties in the US, mortality from obesity related cancer was not greater in such counties. Identification of disparities in cancer mortality within and between geographic regions is an

  17. Mass fatality preparedness among medical examiners/coroners in the United States: a cross-sectional study.

    Science.gov (United States)

    Gershon, Robyn R M; Orr, Mark G; Zhi, Qi; Merrill, Jacqueline A; Chen, Daniel Y; Riley, Halley E M; Sherman, Martin F

    2014-12-15

    In the United States (US), Medical Examiners and Coroners (ME/Cs) have the legal authority for the management of mass fatality incidents (MFI). Yet, preparedness and operational capabilities in this sector remain largely unknown. The purpose of this study was twofold; first, to identify appropriate measures of preparedness, and second, to assess preparedness levels and factors significantly associated with preparedness. Three separate checklists were developed to measure different aspects of preparedness: MFI Plan Elements, Operational Capabilities, and Pre-existing Resource Networks. Using a cross-sectional study design, data on these and other variables of interest were collected in 2014 from a national convenience sample of ME/C using an internet-based, anonymous survey. Preparedness levels were determined and compared across Federal Regions and in relation to the number of Presidential Disaster Declarations, also by Federal Region. Bivariate logistic and multivariable models estimated the associations between organizational characteristics and relative preparedness. A large proportion (42%) of respondents reported that less than 25 additional fatalities over a 48-hour period would exceed their response capacities. The preparedness constructs measured three related, yet distinct, aspects of preparedness, with scores highly variable and generally suboptimal. Median scores for the three preparedness measures also varied across Federal Regions and as compared to the number of Presidential Declared Disasters, also by Federal Region. Capacity was especially limited for activating missing persons call centers, launching public communications, especially via social media, and identifying temporary interment sites. The provision of staff training was the only factor studied that was significantly (positively) associated (p < .05) with all three preparedness measures. Although ME/Cs ranked local partners, such as Offices of Emergency Management, first responders, and

  18. Shifting tides in the emigration patterns of Canadian physicians to the United States: a cross-sectional secondary data analysis.

    Science.gov (United States)

    Freeman, Thomas R; Petterson, Stephen; Finnegan, Sean; Bazemore, Andrew

    2016-12-01

    The relative ease of movement of physicians across the Canada/US border has led to what is sometimes referred to as a 'brain drain' and previous analysis estimated that the equivalent of two graduating classes from Canadian medical schools were leaving to practice in the US each year. Both countries fill gaps in physician supply with international medical graduates (IMGs) so the movement of Canadian trained physicians to the US has international ramifications. Medical school enrolments have been increased on both sides of the border, yet there continues to be concerns about adequacy of physician human resources. This analysis was undertaken to re-examine the issue of Canadian physician migration to the US. We conducted a cross-sectional analysis of the 2015 American Medical Association (AMA) Masterfile to identify and locate any graduates of Canadian schools of medicine (CMGs) working in the United States in direct patient care. We reviewed annual reports of the Canadian Resident Matching Service (CaRMS); the Canadian Post-MD Education Registry (CAPER); and the Canadian Collaborative Centre for Physician Resources (C3PR). Beginning in the early 1990s the number of CMGs locating in the U.S. reached an all-time high and then abruptly dropped off in 1995. CMGs are going to the US for post-graduate training in smaller numbers and, are less likely to remain than at any time since the 1970's. This four decade retrospective found considerable variation in the migration pattern of CMGs to the US. CMGs' decision to emigrate to the U.S. may be influenced by both 'push' and 'pull' factors. The relative strength of these factors changed and by 2004, more CMGs were returning from abroad than were leaving and the current outflow is negligible. This study supports the need for medical human resource planning to assume a long-term view taking into account national and international trends to avoid the rapid changes that were observed. These results are of importance to medical

  19. Prevalence of Diabetes among Migrant Women and Duration of Residence in the United Arab Emirates: A Cross Sectional Study

    Science.gov (United States)

    Shah, Syed M.; Ali, Raghib; Loney, Tom; Aziz, Faisal; ElBarazi, Iffat; Al Dhaheri, Salma; Farooqi, M. Hamed

    2017-01-01

    Background The prevalence rate of type 2 diabetes mellitus (T2DM) is one of the highest in United Arab Emirates (UAE), however data for the expatriate population is limited. This study aimed to identify the prevalence of T2DM amongst migrant women and test the hypothesis that acculturation (measured by years of residency) is associated with an increased risk of T2DM. Methods This was a cross-sectional study and we recruited a representative sample (n = 599, 75% participation rate) of migrant women aged 18 years and over in Al Ain, UAE. The American Diabetes Association criteria were used to diagnose T2DM. An adapted WHO STEPS questionnaire was used to collect socio-demographic, lifestyle and clinical data. Logistic regression analysis was performed to identify correlates of T2DM including length of UAE residence. Results The mean age of participants was 34.1 (± 9.5) years. Of the study participants, based on HbA1C levels, 18.6% (95% CI: 13.9–24.4) had prediabetes and 10.7% (95% CI: 7.2–15.6) had T2DM. Prevalence of prediabetes was 8.5% for Filipinos, 16.7% for Arabs and 30.3% for South Asians. Similarly the prevalence of T2DM was 1.7% for Filipinos, 12.2% for Arabs and 16.7% for South Asians. Significant correlates of overall T2DM (measured and known diabetes) included length of UAE residence for more than 10 years (Adjusted Odds Ratio [AOR] 2.74, 95% CI: 1.21–6.20), age ≥40 years (AOR = 3.48, 95% CI: 1.53–7.87) and South Asian nationality (AOR 2.10, 95% CI: 0.94–4.70). Conclusion Diabetes is a significant public health problem among migrant women in the UAE, particularly for South Asians. Longer length of residence in the UAE is associated with a higher prevalence of diabetes. PMID:28099445

  20. Carbon steel flanges and welds evaluation on HF-alkylation unit

    Energy Technology Data Exchange (ETDEWEB)

    Peiiuela, L.; Chirinos, J. [PDVSA Manufacture y Mercadeo, Judibana (Venezuela). Centro de Refinacion Paraguana

    1999-11-01

    In 1995, there were two failures in the 20,000 BPD HF Alky unit at the Amuay Refinery causing a shutdown of the unit. The failures occurred in one flange and one weld in the depropanizer charge carbon steel pipe, containing propane, isobutane and anhydrous hydrofluoric acid at 190 F (88 C) and 321psig (22.5 Kg/cm{sup 2}). Examination showed severe uniform corrosion at the inside surface of the flange while the adjacent elbow showed minimal corrosion loss. The other failure showed preferential attack in the weld without corrosion loss in the pipe components. A complete evaluation of the Alky plant was necessary to identify other lines in similar conditions that could cause future emergency shutdown of the unit. An extensive on stream inspection program was performed on critical lines of the unit. This paper summarizes the results and conclusions of this evaluation.

  1. Evaluation of pityriasis versicolor in prisoners: A cross-sectional study

    Directory of Open Access Journals (Sweden)

    Salahi-Moghaddam Abdoreza

    2009-01-01

    Full Text Available Background: Pityriasis versicolor (PV is a mild but recurrent superficial fungal infection of stratum corneum. Many predisposing factors such as late teen and young adulthood age, tropical and subtropical climate (and to a lesser extent temperate climate, immunosuppression, malnutrition, use of oral contraceptives, hyperhidrosis, poor hygiene and a few other factors have been proposed for this condition. Aim: Regarding these probable and possible risk factors, we felt that jail is a unique population which can be affected by this infection and therefore we decided to evaluate some aspects of this infection in this population. Methods: In this cross-sectional study in male prisoners of Bandarabbas city, 230 prisoners were randomly selected. One hundred and five (45.67% of them were diagnosed to be infected. They were also evaluated regarding age, duration of being imprisoned, skin color, site of lesion and its pigmentation change and any concomitant clinical manifestation such as pruritis, burning or cebure. Chi-square test or Fisher′s exact test was used for data analysis. Results: Mean age of infected population was 31.62 ± 8.67 years while peak incidence of PV was in 28-32 years age group. The most common color change was hypopigmentation. No case of PV hyperpigmentation was seen. We could not also observe any association between skin color and duration of being imprisoned with the frequency of infection. Conclusion: There seems to be no difference between pattern of infection in the general population and prisoners′ population in the aspects evaluated.

  2. Performance Evaluation of a Modular Detector Unit for X-Ray Computed Tomography

    Directory of Open Access Journals (Sweden)

    Guangshu Hu

    2013-04-01

    Full Text Available A research prototype CT scanner is currently under development in our lab. One of the key components in this project is the CT detector. This paper describes the design and performance evaluation of the modular CT detector unit for our proposed scanner. It consists of a Photodiode Array Assembly which captures irradiating X-ray photons and converts the energy into electrical current, and a mini Data Acquisition System which performs current integration and converts the analog signal into digital samples. The detector unit can be easily tiled together to form a CT detector. Experiments were conducted to characterize the detector performance both at the single unit level and system level. The noise level, linearity and uniformity of the proposed detector unit were reported and initial imaging studies were also presented which demonstrated the potential application of the proposed detector unit in actual CT scanners.

  3. Evaluation of panoramic digital images using Panoptiq for frozen section diagnosis

    Directory of Open Access Journals (Sweden)

    Dinesh Pradhan

    2016-01-01

    Full Text Available Introduction: Whole slide imaging (WSI permits intraoperative consultations (frozen sections to be performed remotely. However, WSI files are large and can be problematic if there are tissue artifacts (e.g., tissue folds or when slides are scanned without multiplanes (Z-stacks to permit focusing. The Panoptiq dynamic imaging system allows users to create their own digital files that combine low power panoramic digital images with regions of interest that can be imaged using high power Z-stacks. The aim of this study was to determine the utility of the Panoptiq dynamic imaging system for frozen section telepathology. Materials and Methods: Twenty archival randomly selected genitourinary surgical pathology frozen sectional cases were evaluated using conventional light microscopy (glass slides, panoramic images, and whole slide images. To create panoramic images glass slides were digitized using a Prosilica GT camera (model GT1920C, Allied Vision Technologies attached to an Olympus B × 45 microscope and Dell Precision Tower 810 computer (Dell. Panoptiq 3 version 3.1.2 software was used for image acquisition and Panoptiq View version 3.1.2 to view images (ViewsIQ, Richmond, BC, Canada. Image acquisition using Panoptiq software involved a pathology resident, who manually created digital maps (×4 objective and then selected representative regions of interest to generate Z-stacks at higher magnification (×40 objective. Whole slide images were generated using an Aperio XT Scanscope (Leica and viewed using ImageScope Software (Aperio ePathology, Leica. Three pathologists were asked to render diagnoses and rate image quality (1-10 and their diagnostic confidence (1-10 for each modality. Results: The diagnostic concordance with glass slides was 98.3% for panoramic images and 100% for WSI. Panoptiq images were comparable to the glass slide viewing experience in terms of image quality and diagnostic confidence. Complaints regarding WSI included poor focus

  4. Identifying and assessing strategies for evaluating the impact of mobile eye health units on health outcomes.

    Science.gov (United States)

    Fu, Shiwan; Turner, Angus; Tan, Irene; Muir, Josephine

    2017-08-14

    To identify and assess strategies for evaluating the impact of mobile eye health units on health outcomes. Systematic literature review. Worldwide. Peer-reviewed journal articles that included the use of a mobile eye health unit. Journal articles were included if outcome measures reflected an assessment of the impact of a mobile eye health unit on health outcomes. Six studies were identified with mobile services offering diabetic retinopathy screening (three studies), optometric services (two studies) and orthoptic services (one study). This review identified and assessed strategies in existing literature used to evaluate the impact of mobile eye health units on health outcomes. Studies included in this review used patient outcomes (i.e. disease detection, vision impairment, treatment compliance) and/or service delivery outcomes (i.e. cost per attendance, hospital transport use, inappropriate referrals, time from diabetic retinopathy photography to treatment) to evaluate the impact of mobile eye health units. Limitations include difficulty proving causation of specific outcome measures and the overall shortage of impact evaluation studies. Variation in geographical location, service population and nature of eye care providers limits broad application. © 2017 National Rural Health Alliance Inc.

  5. Evaluation of the COPD Assessment Test and GOLD patient types: a cross-sectional analysis

    Directory of Open Access Journals (Sweden)

    Lopez-Campos JL

    2015-05-01

    Full Text Available Jose Luis Lopez-Campos,1,2,* Alberto Fernandez-Villar,3,* Carmen Calero-Acuña,1 Cristina Represas-Represas,3 Cecilia Lopez-Ramírez,1 Virginia Leiro Fernández,3 Juan Jose Soler-Cataluña,2,4 Ricard Casamor5 On behalf of the On-Sint study group 1Unidad Médico-Quirúrgica de Enfermedades Respiratorias, Instituto de Biomedicina de Sevilla (IBiS, Hospital Universitario Virgen del Rocio/Universidad de Sevilla, Sevilla, Spain; 2CIBER de Enfermedades Respiratorias (CIBERES, Instituto de Salud Carlos III, Madrid, Spain; 3Servicio de Neumología, Instituto de Investigación Biomédica de Vigo (IBIV, Complexo Hospitalario de Vigo, Vigo, Spain; 4Servicio de Neumología Hospital Arnau de Vilanova, Valencia, Spain; 5Departamento Médico de Novartis Farmacéutica, Barcelona, Spain *These authors contributed equally to this work Background: The COPD Assessment Test (CAT has been recently developed to quantify COPD impact in routine practice. However, no relationship with other measures in the Global Initiative for Obstructive Lung Disease (GOLD strategy has been evaluated. The present study aimed to evaluate the relationship of the CAT with other GOLD multidimensional axes, patient types, and the number of comorbidities.Methods: This was a cross-sectional analysis of the Clinical presentation, diagnosis, and course of chronic obstructive pulmonary disease (On-Sint study. The CAT score was administered to all participants at the inclusion visit. A GOLD 2011 strategy consisting of modified Medical Research Council scale (MRC scores was devised to study the relationship between the CAT, and GOLD 2011 axes and patient types. The relationship with comorbidities was assessed using the Charlson comorbidity index, grouped as zero, one to two, and three or more.Results: The CAT questionnaire was completed by 1,212 patients with COPD. The CAT maintained a relationship with all the three axes, with a ceiling effect for dyspnea and no distinction between mild and

  6. Evaluation of diagnostic utility of step sections in dermatopathology: A prospective study of 200 consecutive punch biopsies

    Directory of Open Access Journals (Sweden)

    Prashant Jerath

    2016-01-01

    Full Text Available Background: Obtaining deeper sections or step sections is a common practice for small skin biopsies. Much of the available literature highlights the importance of step sections in neoplastic diseases of skin. However, the routine dermatopathology practice in developing countries shows a predominant burden of nonneoplastic diseases, and the utility of step sections in this context has not been much reported. Objective: The study was aimed to evaluate the utility of prospective step sections in routine dermatopathology practice. Materials and Methods: The present study comprising 200 consecutive skin biopsies was carried out in a prospective manner. Three slides were prepared in each case: Slide 0 was prepared from the ribbon of tissue obtained from untrimmed block, step sections 1 and 2 were obtained at 50 μm and 100 μm depth, respectively. The diagnosis was rendered on slide 0 and subsequently reviewed after examining step section 1 and 2. Results: Of the 200 cases, additional findings on step sections were found in 18 cases (9% which led to change in diagnosis in 10 (5% cases. Step section 1 led to correct diagnosis in 6 cases (3%. Step section 2 led to correct diagnosis in 10 cases (5%; however, this was statistically not significant (P ≥ 0.065 when comparing to step section 1. Additional findings which led to diagnosis was most commonly found in the cases of borderline tuberculoid leprosy (5 out of 10 cases followed by bullous disorders. Conclusion: We therefore believe that step sections improve the diagnostic accuracy in skin biopsies and they are, especially useful in suspected cases of Hansen's disease. There is no statistical advantage of step section 2 versus step section 1; although, step section 2 had shown to include all the additional findings which led to a change in diagnosis.

  7. Quality of drug prescribing in elderly people in nursing homes and special care units for dementia: a cross-sectional computerized pharmacy register analysis.

    Science.gov (United States)

    Olsson, Jonny; Bergman, Asa; Carlsten, Anders; Oké, Thimothy; Bernsten, Cecilia; Schmidt, Ingrid K; Fastbom, Johan

    2010-01-01

    Drug prescribing to the elderly is extensive and often inappropriate. Furthermore, the number of drugs used is the most important risk factor for adverse drug reactions. Despite this, drug prescribing in the elderly in Sweden is high and increasing. In 2003 the Swedish National Board of Health and Welfare launched a set of indicators to evaluate the quality of drug therapy in the elderly. Use of this tool in combination with the Swedish computerized national register covering all persons receiving multi-dose drug dispensing (drugs dispensed in one dose unit bag for each dose occasion) would enable detection of inappropriate drug prescribing and could help reduce the risk of drug-related problems among the elderly. To assess the extent and quality of drug prescribing in younger and older elderly residents receiving multi-dose drug dispensing in ordinary nursing homes (NHs) and special care units for dementia (NHDs), and to evaluate the relationship between the quality of prescribing and the number of prescribers per resident, in a Swedish county. The computerized national pharmacy drug register provided the database and a cross-sectional design was used. Selected drug-specific quality indicators proposed by the Swedish National Board of Health and Welfare in 2003 were used to assess the quality of drug prescribing. This study included 3705 residents. Their mean age was 85 years and 72% were women. The mean number of prescribed drugs was 10.3 per resident. The proportion of residents with prescriptions for psychotropic drugs was 80% in NHs and 85% in NHDs. The prevalence of each drug-specific quality indicator was as follows: long-acting benzodiazepines 16.4% (NHs) versus 11.7% (NHDs), anticholinergic drugs 20.7% versus 18.5%, drug duplication 14.6% versus 13.6%, three or more psychotropic drugs 25.6% versus 35.3%, class C interactions (drug combinations that may require dose adjustment) 41.9% versus 38.7% and class D interactions (drug combinations that should be

  8. Evaluation of immune system function in neonatal pigs born vaginally or by Cesarean section

    Science.gov (United States)

    Eight full term crossbred sows were selected for study of the interaction of the immune system, hypothalamus-pituitary-adrenal axis, and growth in pigs born by Cesarean section (C-section) or vaginal-birth (n=4 each for vaginal-birth and C-section). Gestation length and birth weight did not differ b...

  9. Cross-sectional evaluation of a longitudinal consultation skills course at a new UK medical school

    Directory of Open Access Journals (Sweden)

    Kemmy Julie

    2011-08-01

    Full Text Available Abstract Background Good communication is a crucial element of good clinical care, and it is important to provide appropriate consultation skills teaching in undergraduate medical training to ensure that doctors have the necessary skills to communicate effectively with patients and other key stakeholders. This article aims to provide research evidence of the acceptability of a longitudinal consultation skills strand in an undergraduate medical course, as assessed by a cross-sectional evaluation of students' perceptions of their teaching and learning experiences. Methods A structured questionnaire was used to collect student views. The questionnaire comprised two parts: 16 closed questions to evaluate content and process of teaching and 5 open-ended questions. Questionnaires were completed at the end of each consultation skills session across all year groups during the 2006-7 academic year (5 sessions in Year 1, 3 in Year 2, 3 in Year 3, 10 in Year 4 and 10 in Year 5. 2519 questionnaires were returned in total. Results Students rated Tutor Facilitation most favourably, followed by Teaching, then Practice & Feedback, with suitability of the Rooms being most poorly rated. All years listed the following as important aspects they had learnt during the session: • how to structure the consultation • importance of patient-centredness • aspects of professionalism (including recognising own limits, being prepared, generally acting professionally. All years also noted that the sessions had increased their confidence, particularly through practice. Conclusions Our results suggest that a longitudinal and integrated approach to teaching consultation skills using a well structured model such as Calgary-Cambridge, facilitates and consolidates learning of desired process skills, increases student confidence, encourages integration of process and content, and reinforces appreciation of patient-centredness and professionalism.

  10. Evaluation of timings and outcomes in category-one caesarean sections: A retrospective cohort study

    Directory of Open Access Journals (Sweden)

    Clare Newton Dunn

    2016-01-01

    Full Text Available Background and Aims: A decision-to-delivery interval (DDI of 30 min for category-one caesarean section (CS deliveries is the standard of practice recommended by clinical guidelines. Our institution established a protocol for category-one (′crash′ CS to expedite deliveries. The aim of this study is to evaluate DDI, factors that affect DDI and the mode of anaesthesia for category-one CS. Methods: This retrospective cohort study evaluated 390 women who underwent category-one CS in a tertiary obstetric centre. We analysed the factors associated with DDI, mode of anaesthesia and perinatal outcomes. Summary statistics were performed for the outcomes. The association factors were considered significant at P < 0.05. Results: The mean (standard deviation DDI was 9.4 (3.2 min with all deliveries achieved within 30 min. The longest factor in the DDI was time taken to transfer patients. A shorter DDI was not significantly associated with improved perinatal outcomes. The majority (88.9% of women had general anaesthesia (GA for category-one CS. Of those who had an epidural catheter already in situ (34.4%, 25.6% had successful epidural extension. GA was associated with shorter DDI, but worse perinatal outcomes than regional anaesthesia (RA. Conclusions: Our ′crash′ CS protocol achieved 100% of deliveries within 30 min. The majority (88.9% of the patients had GA for category-one CS. GA was found to be associated with shorter anaesthesia and operation times, but poorer perinatal outcomes compared to RA.

  11. Cross sectional study of MR fistulography in the evaluation of perianal fistulae and its surgical correlation

    Directory of Open Access Journals (Sweden)

    Sameeha Khan

    2015-10-01

    Full Text Available Aims and objectives: To evaluate the diagnostic accuracy of Magnetic Resonance Fistulography in the assessment of the perianal fistulae. Background: The success of the surgical approach for perianal fistulae treatmentis closely associated with the preoperative assessment. MR imaging plays a key role in describing the fistulae in relation to the anatomy of the perianal region. This has been categorised according to the involvement of the fistulous tract in relation to the sphincters and its extension of the disease into five imaging based grades. This helps in selecting the appropriate surgery in order to reduce the load of recurrences. Materials and methods: Over a period of 6 months, a cross sectional study was conducted among 18 patients who were admitted with the features of perianal fistulae at Al-Ameen Medical College Hospital , Vijayapura. The average age of patients was 44.5 years, ranging from 33 to 72 years, with the number of females 22.2% (n = 4 and males 77.8% (n = 14. The pre-operative MR imaging assessment was studied and correlated with intra operative surgical findings. Results: The accuracy of MR Fistulography was consistent with 17 out of 18 surgical findings, except for one case, which was falsely over diagnosed. Conclusion: To conclude, MR Fistulography is an essential investigation of choice in the evaluation of perianal fistulae. It helps in accurate identification of the type of perianal fistula in relation to the anal sphincters and adjacent anatomical structures. Hence this investigation should be recommended routinely in preoperative work up for precise surgical management of perianal fistulae.

  12. Evaluation of timings and outcomes in category-one caesarean sections: A retrospective cohort study

    Science.gov (United States)

    Dunn, Clare Newton; Zhang, Qianpian; Sia, Josh Tjunrong; Assam, Pryseley Nkouibert; Tagore, Shephali; Sng, Ban Leong

    2016-01-01

    Background and Aims: A decision-to-delivery interval (DDI) of 30 min for category-one caesarean section (CS) deliveries is the standard of practice recommended by clinical guidelines. Our institution established a protocol for category-one (‘crash’) CS to expedite deliveries. The aim of this study is to evaluate DDI, factors that affect DDI and the mode of anaesthesia for category-one CS. Methods: This retrospective cohort study evaluated 390 women who underwent category-one CS in a tertiary obstetric centre. We analysed the factors associated with DDI, mode of anaesthesia and perinatal outcomes. Summary statistics were performed for the outcomes. The association factors were considered significant at P < 0.05. Results: The mean (standard deviation) DDI was 9.4 (3.2) min with all deliveries achieved within 30 min. The longest factor in the DDI was time taken to transfer patients. A shorter DDI was not significantly associated with improved perinatal outcomes. The majority (88.9%) of women had general anaesthesia (GA) for category-one CS. Of those who had an epidural catheter already in situ (34.4%), 25.6% had successful epidural extension. GA was associated with shorter DDI, but worse perinatal outcomes than regional anaesthesia (RA). Conclusions: Our ‘crash’ CS protocol achieved 100% of deliveries within 30 min. The majority (88.9%) of the patients had GA for category-one CS. GA was found to be associated with shorter anaesthesia and operation times, but poorer perinatal outcomes compared to RA. PMID:27601736

  13. Performance of a limiting-antigen avidity enzyme immunoassay for cross-sectional estimation of HIV incidence in the United States.

    Directory of Open Access Journals (Sweden)

    Jacob Konikoff

    Full Text Available A limiting antigen avidity enzyme immunoassay (HIV-1 LAg-Avidity assay was recently developed for cross-sectional HIV incidence estimation. We evaluated the performance of the LAg-Avidity assay alone and in multi-assay algorithms (MAAs that included other biomarkers.Performance of testing algorithms was evaluated using 2,282 samples from individuals in the United States collected 1 month to >8 years after HIV seroconversion. The capacity of selected testing algorithms to accurately estimate incidence was evaluated in three longitudinal cohorts. When used in a single-assay format, the LAg-Avidity assay classified some individuals infected >5 years as assay positive and failed to provide reliable incidence estimates in cohorts that included individuals with long-term infections. We evaluated >500,000 testing algorithms, that included the LAg-Avidity assay alone and MAAs with other biomarkers (BED capture immunoassay [BED-CEIA], BioRad-Avidity assay, HIV viral load, CD4 cell count, varying the assays and assay cutoffs. We identified an optimized 2-assay MAA that included the LAg-Avidity and BioRad-Avidity assays, and an optimized 4-assay MAA that included those assays, as well as HIV viral load and CD4 cell count. The two optimized MAAs classified all 845 samples from individuals infected >5 years as MAA negative and estimated incidence within a year of sample collection. These two MAAs produced incidence estimates that were consistent with those from longitudinal follow-up of cohorts. A comparison of the laboratory assay costs of the MAAs was also performed, and we found that the costs associated with the optimal two assay MAA were substantially less than with the four assay MAA.The LAg-Avidity assay did not perform well in a single-assay format, regardless of the assay cutoff. MAAs that include the LAg-Avidity and BioRad-Avidity assays, with or without viral load and CD4 cell count, provide accurate incidence estimates.

  14. Evaluation of the analgesic effect of subcutaneous methadone after cesarean section

    Directory of Open Access Journals (Sweden)

    Mitra Jabalameli

    2014-01-01

    Full Text Available Background: Inadequate pain control has a significant role in maternal and neonatal health in early post-partum period which interferes with breastfeeding and has a negative influence on child normal growth. The aim of this study is evaluation of subcutaneous methadone effectiveness on post-operative pain control. Materials and Methods: Double blind randomized prospective clinical trial involving 60 term pregnancy patients through 2008 to 2009 Undergo cesarean. Inclusion criteria: Prime gravid candidate of elective cesarean and spinal anesthesia class 1 or 2. Known case of drug allergy and methadone interaction, addiction, uncontrolled medical disease excluded. Case group injected 10 mg of subcutaneous methadone in the site of incision before final suture. Morphine was a pain reliever in follow up examination. Data include mean of pain, nausea and vomiting, MAP, etc., collected and analyzed by independent-T test and Man Whitney test. Results: Although mean usage of morphine between groups was not significant statistically but the mean pain severity (P value < 0.05 and mean satisfactory (P value = 0.02 was statistically significant between groups. Other parameters were not statistically significant. Conclusion: We suggest subcutaneous methadone as a safe pain reliever in post cesarean section patients.

  15. Hospital and unit characteristics associated with nursing turnover include skill mix but not staffing level: an observational cross-sectional study.

    Science.gov (United States)

    Staggs, Vincent S; Dunton, Nancy

    2012-09-01

    Nursing turnover is expensive and may have adverse effects on patient care. Little is known about turnover's association with most hospital and nursing unit characteristics, including nurse staffing level and registered nurse skill mix. To explore associations between nursing unit turnover rates and several hospital- and unit-level variables, including staffing level and skill mix. Observational cross-sectional study of longitudinal data. 1884 nursing units in 306 U.S. acute care hospitals. During a 2-year period units reported monthly data on staffing and turnover. Total nursing staff turnover and registered nurse turnover rates were modeled as dependent variables in hierarchical Poisson regression models. The following hospital characteristics were considered as predictors: Magnet(®) status, ownership (government or non-government), teaching status, locale (metropolitan, micropolitan, or rural), and size (average daily census). The U.S. state in which the hospital was located was included as a covariate. Unit-level variables included total nursing hours per patient day, size of nursing staff, registered nurse skill mix, population age group (neonatal, pediatric, or adult), and service line (critical care, step-down, medical, surgical, medical/surgical, psychiatric, or rehabilitation). Government ownership, Magnet designation, and higher skill mix were associated with lower total turnover and registered nurse turnover. Neonatal units had lower total and registered nurse turnover than pediatric units, which had lower total and registered nurse turnover than adult units. Unit service line was associated only with total turnover. Psychiatric, critical care, and rehabilitation units had the lowest mean turnover rates, but most differences between service lines were not significant. The other explanatory variables considered were not significant. Several hospital and unit characteristic variables have significant associations with nursing turnover; these associations

  16. Evaluation of light curing units used for polymerization of orthodontic bonding agents.

    Science.gov (United States)

    Oyama, Nanako; Komori, Akira; Nakahara, Rizako

    2004-12-01

    This study evaluated the light intensity of various light curing units, the effect of distance of the light guide, and the validity of a tapered light guide. Light curing units tested included (1) four blue light-emitting diode curing units, Lux-O-Max, LEDemetronl, Ortholux LED, and The Cure; (2) two tungsten-quartz halogen curing units, Optilux 501 and Co-bee; and (3) one plasma arc curing unit, Apollo95E. The Optilux 501 was also evaluated for combinations of normal mode and boost mode and Standard tip and Turbo tip light guide. The spectral output of each unit was measured from 300 to 600 nm with a spectroradiometer. The light intensities at distances of zero, five, 10, 15, and 20 mm were determined with the radiometer. The peak value of Ortholux LED and The Cure surpassed that of Apollo95E. The light intensity significantly decreased with distance. Although The Cure showed a higher light intensity than the LEDemetron1 at zero-mm distance, the light intensity of the LEDemetron1 was higher than that of The Cure at five to 20 mm, resulting in no significant difference. The boost mode increased light intensity at any distance. Although the Turbo tip enhanced light intensity at zero-mm distance, reduction of light intensity by Turbo tip was demonstrated at five- to 20-mm distance.

  17. Evaluation of thin section CT scanning in the prone position of metastatic axillary lymphnodes for breast cancer

    Energy Technology Data Exchange (ETDEWEB)

    Hata, Yasuhiro; Ogawa, Yasuhiro; Nishioka, Akihito; Inomata, Taisuke; Yoshida, Shoji; Toki, Taiichi [Kochi Medical School, Nangoku (Japan)

    1996-12-01

    A retrospective study was performed to determine whether thin section CT scanning in the prone position of the breast and the axilla yield useful information regarding the status of axillary lymph nodes in patients with breast cancer. Thirty-six patients with breast carcinomas were scanned preoperatively from the supraclavicular regions to the breast in the prone position with 5 mm sections. Axillary lymph nodes measuring {>=}5 mm on the short axis were considered abnormal. Correlation with axillary dissection was obtained in all patients, giving a positive predictive value for axillary metastases of 83.3%, with 88.2% sensitivity, 84.2% specificity, and 88.8% negative predictive value. We concluded that thin section CT scan in the prone position was an accurate predictor of axillary lymph node involvement. We made a phantom with lymph node swelling to evaluate whether CT scanning with 5 mm sections was necessary for detecting 5 mm swollen lymph nodes. We scanned the phantom with 5 mm and 10 mm sections. Twelve radiologists counted the swollen lymph nodes on 5 mm section images and 10 mm section images of the phantom. The average number of miscounts was 1.1 (miscount rate 6.8%) on 5 mm section and 2.8 (15%) on 10 mm sections. We conclued that 5 mm section CT scanning is superior for detecting 5 mm lymph nodes. (author)

  18. Evaluation of Radiation Dose Received by Premature Neonates Admitted to Neonatal Intensive Care Unit

    Science.gov (United States)

    Aramesh, Mohmmadreza; Zanganeh, Kobra Aria; Dehdashtian, Masoud; Malekian, Arash; Fatahiasl, Jafar

    2017-01-01

    Background This study aimed to evaluate the radiation dose received by premature neonates using diagnostic radiographies. Methods This cross-sectional study was conducted on 116 premature neonates with gestational age from 25 to 37 weeks; with the diagnosis of neonatal respiratory distress syndrome (NRDS) and tachypnea, they were admitted to a neonatal intensive care unit (NICU) at Ahvaz Imam Khomeini Hospital in 2015. For assessing the dose received, the model GR-200 thermoluminescent dosimeter (TLD) was used. For each premature neonate under radiation, three TLDs separately (one for each) were placed on surfaces of Ch1, T1, and G1 (chest, thyroid, and gonad of first newborn, respectively). Moreover, for the adjacent neonate at a distance of 60 - 100 cm, two TLDs were laid in the surfaces of T2 and G2 (thyroid and gonad of second newborn, respectively). The dose received by TLDs for any baby and the adjacent neonate under the entrance surface dose (ESD) was estimated. Results The mean of neonates’ weight under study was 1,950.78 ± 484.9 g. During the hospitalization period, minimum one and maximum three radiographies were done for any premature neonate. The doses received in the premature neonates to Ch1, T1 and G1 were 0.08 ± 0.01, 0.06 ± 0.01, and 0.05 ± 0.01 mSv, respectively and for adjacent infants for T2 and G2 were 0.003 ± 0.001 and 0.002 ± 0.0009 mSv, respectively. Conclusions In the study, radiation dose received by organs at risk of premature neonates was lower than the international criteria and standards, therefore, also due to the lack of radiation damage threshold, to limit collimator, and the use of the proper filtration, kilovoltage and time during radiography of premature neonates are recommended. PMID:28090228

  19. Development of a Whole Slide Imaging System on Smartphones and Evaluation With Frozen Section Samples.

    Science.gov (United States)

    Yu, Hong; Gao, Feng; Jiang, Liren; Ma, Shuoxin

    2017-09-15

    The aim was to develop scalable Whole Slide Imaging (sWSI), a WSI system based on mainstream smartphones coupled with regular optical microscopes. This ultra-low-cost solution should offer diagnostic-ready imaging quality on par with standalone scanners, supporting both oil and dry objective lenses of different magnifications, and reasonably high throughput. These performance metrics should be evaluated by expert pathologists and match those of high-end scanners. The aim was to develop scalable Whole Slide Imaging (sWSI), a whole slide imaging system based on smartphones coupled with optical microscopes. This ultra-low-cost solution should offer diagnostic-ready imaging quality on par with standalone scanners, supporting both oil and dry object lens of different magnification. All performance metrics should be evaluated by expert pathologists and match those of high-end scanners. In the sWSI design, the digitization process is split asynchronously between light-weight clients on smartphones and powerful cloud servers. The client apps automatically capture FoVs at up to 12-megapixel resolution and process them in real-time to track the operation of users, then give instant feedback of guidance. The servers first restitch each pair of FoVs, then automatically correct the unknown nonlinear distortion introduced by the lens of the smartphone on the fly, based on pair-wise stitching, before finally combining all FoVs into one gigapixel VS for each scan. These VSs can be viewed using Internet browsers anywhere. In the evaluation experiment, 100 frozen section slides from patients randomly selected among in-patients of the participating hospital were scanned by both a high-end Leica scanner and sWSI. All VSs were examined by senior pathologists whose diagnoses were compared against those made using optical microscopy as ground truth to evaluate the image quality. The sWSI system is developed for both Android and iPhone smartphones and is currently being offered to the

  20. Using rapid assessment to evaluate noise on an in-patient unit.

    Science.gov (United States)

    Deitrick, Lynn M; Kennedy, Paulette; Cyriax, Carol; Davies-Hathen, Nancy

    2009-01-01

    Rapid assessment was used to evaluate a noise problem on a busy, high-traffic, high-acuity medical/surgical telemetry unit over a 4-week period. Six sources of environmental noise were identified including conversational noise, noise from doors, noise from housekeeping activities, noise from the pneumatic message tube station, hallway noise, and miscellaneous noise. Our study also demonstrates the value of rapid-assessment methodology for the evaluation of clinical problems such as noise.

  1. New yttrium evaluated cross sections and impact on 88-Y(n,2n)87-Y radchem

    Energy Technology Data Exchange (ETDEWEB)

    White, M; Kawano, T; Fotiadis, N; Devlin, M; Nelson, R; Garrett, P; Chadwick, M B; Becker, J A

    2004-03-04

    We evaluate new n+{sup 89}Y radchem cross sections using recent LANSCE/GEANIE measurements and GNASH nuclear model calculations, together with previous measurements at Livermore by Dietrich et al. A quantification of margins and uncertainties (QMU) analysis leads to evaluated cross sections for the (n,2n) population of the {sup 88}Y ground state and m1, m2 isomers, together with uncertainties. Our new results agree with historic radchem database cross sections within a few percent below 15 MeV (with larger differences above 15 MeV) and they therefore provide a validation of the historic Arthur work that is used in LANL simulation codes. Since the (n,2n) cross sections to the {sup 88}Y g.s. and m1, m2 isomers impact the average {sup 88}Y(n,2n){sup 87}Y cross section at leading-order, we determine the new 14.1 MeV average {sup 88}Y(n,2n){sup 87}Y cross section (crucially important for radchem). Our new 14 MeV average {sup 88}Y(n,2n){sup 87}Y cross section is 1107 mb ({+-} 4%) which agrees with the value obtained from the historic Arthur cross section data to 0.7%.

  2. New yttrium evaluated cross sections and impact on 88-Y(n,2n)87-Y radchem

    Energy Technology Data Exchange (ETDEWEB)

    White, M; Kawano, T; Fotiadis, N; Devlin, M; Nelson, R; Garrett, P; Chadwick, M B; Becker, J A

    2004-03-04

    We evaluate new n+{sup 89}Y radchem cross sections using recent LANSCE/GEANIE measurements and GNASH nuclear model calculations, together with previous measurements at Livermore by Dietrich et al. A quantification of margins and uncertainties (QMU) analysis leads to evaluated cross sections for the (n,2n) population of the {sup 88}Y ground state and m1, m2 isomers, together with uncertainties. Our new results agree with historic radchem database cross sections within a few percent below 15 MeV (with larger differences above 15 MeV) and they therefore provide a validation of the historic Arthur work that is used in LANL simulation codes. Since the (n,2n) cross sections to the {sup 88}Y g.s. and m1, m2 isomers impact the average {sup 88}Y(n,2n){sup 87}Y cross section at leading-order, we determine the new 14.1 MeV average {sup 88}Y(n,2n){sup 87}Y cross section (crucially important for radchem). Our new 14 MeV average {sup 88}Y(n,2n){sup 87}Y cross section is 1107 mb ({+-} 4%) which agrees with the value obtained from the historic Arthur cross section data to 0.7%.

  3. Evaluation of the european heart failure self-care behaviour scale in a united kingdom population

    NARCIS (Netherlands)

    Shuldham, Caroline; Theaker, Chris; Jaarsma, Tiny; Cowie, Martin R.

    2007-01-01

    Title. Evaluation of the European Heart Failure Self-care Behaviour Scale in a United Kingdom population Aim. This paper is a report of a study to test the internal consistency, reliability and validity of the 12-item European Heart Failure Self-care Behaviour Scale in an English-speaking sample in

  4. Emergy Evaluation of Formal Education in the United States: 1870 to 2011

    Science.gov (United States)

    We evaluated the education system of the United States from 1870 to 2011 using emergy methods. The system was partitioned into three subsystems (elementary, secondary and college education) and the emergy inputs required to support each subsystem were determined for every year ov...

  5. Similar Demands, Different Responses: Teacher Evaluation in the United Kingdom and Singapore

    Science.gov (United States)

    Weinstein, Tracey L.; Struthers, Kathryn S.

    2012-01-01

    Using a conceptual framework grounded in globalization and the knowledge economy, this paper addresses teacher evaluation policy reform in the United Kingdom*** and Singapore. Specifically, the authors discuss similar demands faced by both countries: maintaining economic competitiveness in a globalized society, preparing citizens to participate in…

  6. Evaluation of the european heart failure self-care behaviour scale in a united kingdom population

    NARCIS (Netherlands)

    Shuldham, Caroline; Theaker, Chris; Jaarsma, Tiny; Cowie, Martin R.

    2007-01-01

    Title. Evaluation of the European Heart Failure Self-care Behaviour Scale in a United Kingdom population Aim. This paper is a report of a study to test the internal consistency, reliability and validity of the 12-item European Heart Failure Self-care Behaviour Scale in an English-speaking sample in

  7. Structural Evaluation of the Second Oldest Glued-Laminated Structure in the United States

    Science.gov (United States)

    Douglas R. Rammer; Jorge de Melo Moura

    2013-01-01

    The second glued-laminated structure built in the United States was constructed at the USDA Forest Products Laboratory (FPL) in 1934 to demonstrate the performance of wooden arch buildings. After decades of use the structure was decommissioned in 2010. Shortly after construction, researchers structurally evaluated the glued-laminated arch structure for uniform loading...

  8. The Development and Evaluation of the Multi-Unit Elementary School. Maxi II Practicum Report.

    Science.gov (United States)

    Durham, Joe D.

    The purpose of this practicum was to show the development and evaluation of a multi-unit elementary school (MUS-E) using Individually Guided Education. As an organizational structure capable of permitting planned change. MUS-E provides for the growth of its students on an individual basis, provides in-service for its teachers, involves the public…

  9. Ammonia concentration and bacterial evaluation of feline whole blood and packed red blood cell units stored for transfusion

    OpenAIRE

    Eva Spada; Daniela Proverbio; Piera Anna Martino; Luciana Baggiani; Roberta Perego; Nora Roggero

    2014-01-01

    Ammonia concentrations increase in human, canine and equine WB and PRBC units during storage. The aim of this study was to determine the effect of storage on ammonia concentration in feline WB and PRBC units stored in a veterinary blood bank and to evaluate possible correlations with bacterial contamination. Ammonia concentration was evaluated in 15 WB units and 2 PRBC units on day 1 and at the end of storage after 35 and 42 days, respectively. In an additional 5 WB units and 4 PRBC units amm...

  10. Cardiotocography interpretation skills and the association with size of maternity unit, years of obstetric work experience and healthcare professional background: a national cross-sectional study.

    Science.gov (United States)

    Thellesen, Line; Sorensen, Jette L; Hedegaard, Morten; Rosthoej, Susanne; Colov, Nina P; Andersen, Kristine S; Bergholt, Thomas

    2017-09-01

    We aimed to examine whether cardiotocography (CTG) knowledge, interpretation skills and decision-making measured by a written assessment were associated with size of maternity unit, years of obstetric work experience and healthcare professional background. A national cross-sectional study in the setting of a CTG teaching intervention involving all 24 maternity units in Denmark. Participants were midwives (n = 1260) and specialists (n = 269) and residents (n = 142) in obstetrics and gynecology who attended a 1-day CTG course and answered a 30-item multiple-choice question test. Associations between mean test score and work conditions were analyzed using multivariable robust regression, in which the three variables were mutually adjusted. Participants from units with > 3000 deliveries/year scored higher on the test than participants from units with 4000 deliveries/year: mean difference 0.5, p = 0.006). Participants with 15 years of experience (15-20 years of experience: mean difference - 0.6, p = 0.007; > 20 years experience: mean difference - 0.9, p skills and decision-making measured by a written assessment were positively associated with working in large maternity units and having skills in small units and among experienced staff but could also reflect different levels of motivation, test familiarity and learning culture. Whether the findings are transferable to the clinical setting was not examined. © 2017 Nordic Federation of Societies of Obstetrics and Gynecology.

  11. 75 FR 65700 - 60-Day Notice of Proposed Information Collection: R/PPR Evaluation and Measurement Unit...

    Science.gov (United States)

    2010-10-26

    ... Notice of Proposed Information Collection: R/PPR Evaluation and Measurement Unit, Evaluation Survey... of Information Collection: R/PPR Evaluation and Measurement Unit Survey Question Bank. OMB Control... Office of Management and Budget (OMB) approval for the information collection described below....

  12. New Approach for Evaluating Incomplete and Complete Fusion Cross Sections with Continuum-Discretized Coupled-Channels Method

    CERN Document Server

    Hashimoto, S; Chiba, S; Yahiro, M

    2009-01-01

    We propose a new method for evaluating incomplete and complete fusion cross sections separately using the Continuum-Discretized Coupled-Channels method. This method is applied to analysis of the deuteron induced reaction on a 7Li target up to 50 MeV of the deuteron incident energy. Effects of deuteron breakup on this reaction are explicitly taken into account. Results of the method are compared with those of the Glauber model, and the difference between the two is discussed. It is found that the energy dependence of the incomplete fusion cross sections obtained by the present calculation is almost the same as that obtained by the Glauber model, while for the complete fusion cross section, the two models give markedly different energy dependence. We show also that a prescription for evaluating incomplete fusion cross sections proposed in a previous study gives much smaller result than an experimental value.

  13. Application of Analytical Hierarchy Process Approach for Service Quality Evaluation in Radiology Departments: A Cross-Sectional Study

    Directory of Open Access Journals (Sweden)

    Alimohammadzadeh

    2015-12-01

    Full Text Available Background Radiology department as a service provider organization requires realization of quality concept concerning service provisioning knowledge, satisfaction and all issues relating to the customer as well as quality assurance and improvement issues. At present, radiology departments in hospitals are regarded as income generating units and they should continuously seek performance improvement so that they can survive in the changing and competitive environment of the health care sector. Objectives The aim of this study was to propose a method for ranking of radiology departments in selected hospitals of Tehran city using analytical hierarchical process (AHP and quality evaluation of their service in 2015. Materials and Methods This study was an applied and cross-sectional study, carried out in radiology departments of 6 Tehran educational hospitals in 2015. The hospitals were selected using non-probability and purposeful method. Data gathering was performed using customized joint commission international (JCI standards. Expert Choice 10.0 software was used for data analysis. AHP method was used for prioritization. Results “Management and empowerment of human resources’’ (weight = 0.465 and “requirements and facilities” (weight = 0.139 were of highest and lowest significance respectively in the overall ranking of the hospitals. MS (weight = 0.316, MD (weight = 0.259, AT (weight = 0.14, TS (weight = 0.108, MO (weight = 0.095, and LH (0.082 achieved the first to sixth rankings respectively. Conclusion The use of AHP method can be promising for fostering the evaluation method and subsequently promotion of the efficiency and effectiveness of the radiology departments. The present model can fill in the gap in the accreditation system of the country’s hospitals in respect with ranking and comparing them considering the significance and value of each individual criteria and standard. Accordingly, it can predict an integration of

  14. THE USE OF THE EXPERIMENT PLANNING METHOD TO EVALUATE THE ACCURACY OF FLEXIBLE UNITS IDENTIFICATION

    Directory of Open Access Journals (Sweden)

    O. Y. Yehorov

    2015-10-01

    Full Text Available Purpose. The identification of rolling stock on the railroads is an integral part of many automation systems as trains in general and cars separately. Various information management systems at sorting yards require the operational information about the object while performing the manufacturing operations. The improvement of the determination accuracy of different parameters characterizing the rolling stock, leads to the immediate quality progress in the traffic volumes management. The aim of the paper is to develop a method to estimate the errors of determination the interaxle distance of the flexible units in the control section using the point path-control transducer for future identification of cars and locomotives. Methodology. To achieve this goal the simulation method and experiment planning were used. The simulation model allowing determining the time intervals between the collisions of wheelset of movable units in point path-control transducer on the control section with variable characteristics of identification devices was developed. The values of the time intervals obtained with using the simulation mode were applied in the method of experiment planning to the final target. Findings. The calculated analytical values of the errors of the interaxle distances do not have the significant differences from values obtained using the simulation model. It makes possible to use the received functional dependence to estimate the possible errors in the identification of rolling stock. The results of this work can be used to identify separate flexible units, and trains in general. Originality. The functional dependence of the error of the interaxle distance error from the fixing point of the wheel path-control transducer, the distance between the sensors and the measured distance was derived using a previously conducted research of the factors influencing the error in determining the interaxle distance of the movable units, and developed

  15. Evaluation of the Adequacy of General Anesthesia in Cesarean Section by Bispectral Index

    Directory of Open Access Journals (Sweden)

    Sayed Mohammad Reza Hadavi

    2013-09-01

    Full Text Available Background: Awareness and recall, though not common, are the major hazards of general anesthesia, especially in Cesarean section (C/S because of the absence of benzodiazepine and opioids for a significant time during anesthesia. In this study, the Bispectral Index (BIS, end-tidal isoflurane, and hemodynamic parameters were examined to evaluate the depth of the routine general anesthetic technique in C/S. Methods: This study was carried out on 60 parturient patients undergoing elective C/S. A standardized anesthetic technique was applied: induction with Thiopental (4-5 mg/kg and Succinylcholine (1.5-2 mg/kg as well as maintenance with O2, N2O, and isoflurane. Electrocardiogram, heart rate, blood pressure, Spo2, end-tidal isoflurane concentration, BIS, and any clinical signs of inadequate depth of anesthesia such as movement, sweating, lacrimation, coughing, and jerking were continuously monitored and recorded at 16 fixed time points during anesthesia. Results: A median BIS of less than 70 (range: 42-68 was obtained on all occasions during surgery; however, at each milestone, at least 20% of the patients had BIS values above 60. Hemodynamic parameters increased significantly in some patients, especially during laryngoscopy and intubation. No patient experienced recall or awareness. Conclusion: The currently used general anesthetic technique in our center appears inadequate in some milestones to reliably produce BIS values less than 60, which are associated with lower risk of awareness. Therefore, with respect to such desirable outcomes as good Apgar and clinical status in neonates, we would recommend the application of this method (if confirmed by further studies through larger dosages of anesthetic agents.

  16. Evaluation of anxiety, depression and suicidal intent in undergraduate dental students: A cross-sectional study

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    Manish Bathla

    2015-01-01

    Full Text Available Background: There is an increasing amount of stress in undergraduate dental students leading to anxiety, depression, and suicidal attempts/suicide. Aims: This study aims to evaluate anxiety, depression and suicidal intent in undergraduate dental students and to find out the various areas of stress. Materials and Methods: A cross-sectional study was conducted using a semi-structured questionnaire (to assess academic and nonacademic areas of stress and three scales-Hamilton scale for anxiety (HAM-A; Hamilton depression rating scale (HDRS and Beck′s Suicide Intent Scale (BSI. Descriptive statistics; Pearson′s Chi-square test; Multiple ANOVA; Kruskal-Wallis test and Mann-Whitney test were used to analyze the data at the significant level of P ≤ 0.05. Results: In a total of 258 dental undergraduate students, academic areas of stress that were found to be statistically significant were long teaching hours (P = 0.002; high workload (P ≤ 0.001; frequency of tests (P ≤ 0.001 and competition/fear of failure (P = 0.009. Lack of interest in the profession was a statistically significant nonacademic area for stress (P ≤ 0.001. The students of first and final year reported higher anxiety (HAM-A 13.93 ± 6.908 and 16.44 ± 7.637 respectively and depression (HDRS 14.29 ± 6.302 and 14.22 ± 5.422; whereas suicidal intent was reported almost the same throughout the study sample (BSI 5.65 ± 5.465. Conclusion: An increasing level of anxiety, depression and suicidal intent due to various stressors in undergraduate dental students indicate a need to modify current education system and timely help to have psychological healthy dental professionals in future.

  17. Evaluating Scientific Research Knowledge and Attitude among Medical Representative in Jordan: A Cross-sectional Survey.

    Science.gov (United States)

    Mukattash, Tareq; Alattar, Meys; Farha, Rana Abu; Alsous, Mervat; Jarab, Anan; El-Hajii, Feras; Mukattash, Ibrahim L

    2017-08-28

    Pharmaceutical companies provide a broad range of different mandatory trainings to their medical representatives to keep the business running, however research related training has often been neglected by these companies. Thus, this study was developed to assess the amount of scientific research knowledge and interest among pharmacy medical representatives in Jordan. A cross sectional study was conducted in Jordan in 2016. During the study period, a questionnaire was administered to 250 medical representatives working in pharmaceutical companies to evaluate their scientific research knowledge and attitudes. The majority of medical representatives had positive attitudes towards clinical trials and research communication and believe that it will increase the value of their work, but a considerable number of medical representatives did not detail clinical trials on every visit and found difficulty in answering clinical trials and research related questions asked by health care professionals. Most of the medical representatives did not have a complete understanding of some basic research terminologies. Medical representatives working in multinational companies seemed to have a significantly better understanding of research and terminologies compared to local companies (P-value= 0.000). Also Medical representatives with higher educational degrees seemed to have significantly better understanding of basic research terminologies (P-value= 0.023). The majority of medical representatives had positive attitudes towards clinical trials and research communication and found that it will increase the value of their work, but still there is a gap in their frequency of detailing. Thus, local pharmaceutical companies need to invest more in research and clinical trials knowledge kind of training. Also, universities need to include research related courses and subject in their bachelors' program curriculum in order to make pharmacists equipped in terms of research knowledge

  18. Evaluation of risk factor and complication of umbilical cord prolapsed in cesarean section

    Directory of Open Access Journals (Sweden)

    Zahra Rezaee

    2015-03-01

    Full Text Available Objectives: Considering the rarity of umbilical cord prolapse (UCP and lack of accurate data about the risk factors and health outcomes, we aimed to evaluate cases of cesarean section (CS due to UCP in order to reduce treatment costs and provide information about the mortality and morbidity associated with this condition. Patients & Methods: Of 35,259 cases of CS performed in four hospitals during 2004-2012, 103 cases of UCP were selected as the case group; on the other hand, 318 cases without UCP were classified as the control group. Information was extracted from patients' records and analyzed by SPSS version 18. Results: Prevalence of UCP was estimated at 0.2%. In the case group, the active phase of labor was reported 1.4 times (81% vs 57%-P<0.00, engagement 8 times (14% vs 2% -P<0.001, transverse presentation 8 times (6% vs 2%-P<0.002, grand multiparity 3.9 times (4% vs 0-P<0.001, oligohydramnios 4.7 times (5% vs. 0-P<0.0001, and polyhydramnios 5.9 times (6% vs 0 - P<0.001. UCP was more prevalent in post-term deliveries (P<0.043. One-minute Apgar score < 7 was 3 times more prevalent in neonates of the case group (P<0.00. Prepartum vaginal bleeding was 4 times more common in the case group, compared to the control group; also, decreased fetal movement and heart rate drop were more prevalent in the case group. Mortality rate was 5.2% in the case group and 1.7% in the control group. Overall, the control group had a better general health at discharge, compared to the case group. Conclusion: A statistically significant correlation was detected between UCP and gestational age, active phase of labor, fetal presentation, engagement, parity, and amniotic fluid volume.

  19. Completion Report for Model Evaluation Well ER-11-2: Corrective Action Unit 98: Frenchman Flat

    Energy Technology Data Exchange (ETDEWEB)

    NSTec Underground Test Area and Boreholes Programs and Operations

    2013-01-22

    Model Evaluation Well ER-11-2 was drilled for the U.S. Department of Energy, National Nuclear Security Administration Nevada Site Office in support of Nevada Environmental Management Operations at the Nevada National Security Site (formerly known as the Nevada Test Site). The well was drilled in August 2012 as part of a model evaluation program in the Frenchman Flat area of Nye County, Nevada. The primary purpose of the well was to provide detailed geologic, hydrogeologic, chemical, and radionuclide data that can be used to test and build confidence in the applicability of the Frenchman Flat Corrective Action Unit flow and transport models for their intended purpose. In particular, this well was designed to provide data to evaluate the uncertainty in model forecasts of contaminant migration from the upgradient underground nuclear test PIN STRIPE, conducted in borehole U-11b in 1966. Well ER-11-2 will provide information that can be used to refine the Phase II Frenchman Flat hydrostratigraphic framework model if necessary, as well as to support future groundwater flow and transport modeling. The main 31.1-centimeter (cm) hole was drilled to a total depth of 399.6 meters (m). A completion casing string was not set in Well ER-11-2. However, a piezometer string was installed in the 31.1-cm open hole. The piezometer is composed of 7.3-cm stainless-steel tubing hung on 6.0-cm carbon-steel tubing via a crossover sub. The piezometer string was landed at 394.5 m, for monitoring the lower tuff confining unit. Data collected during and shortly after hole construction include composite drill cuttings samples collected every 3.0 m, various geophysical logs, water quality (including tritium and other test-related radionuclides) measurements, and water level measurements. The well penetrated 42.7 m of Quaternary and Tertiary alluvium and 356.9 m of Tertiary volcanic rock. The water-level measured in the piezometer string on September 25, 2012, was 353.8 m below ground surface. No

  20. Cross-sectional evaluation of awareness of prevention of dental caries among general pediatricians in ghaziabad district, India.

    Science.gov (United States)

    Kumar, P; Kumar, P; Dixit, A; Gupta, V; Singh, Hp; Sargaiyan, V

    2014-09-01

    Oral diseases are largely preventable and it is hoped that with the early exposure to oral health-care activities, the prevalence of oral diseases will be reduced in children and they would be more receptive to dental services. The present study evaluated the awareness of prevention of dental caries among pediatricians in Ghaziabad district, India. A cross-sectional survey was undertaken among the pediatricians in Ghaziabad district, India. Total subjects including in the survey were 88 pediatricians, through systemic random sampling. Both the gender was including Male-37.8% (35/88) and Female-62.2% (53/88). Pre-tested, structured and self administered questionnaire was used in the survey and data analysis was done by using 'SPSS' software version 16.0 (IBM, United States). Our study indicated that most of the pediatricians in Ghaziabad district had moderate knowledge 39.7% (35/88), followed by good knowledge 36.5% (32/88) and poor knowledge 23.8% (21/88) about dental caries. Practice guidelines and opinions of pediatricians in the survey were moderate 64.7% (57/88) in about more than half, followed by poor 23.8% (21/88) and followed by good 11.5% (10/88). The attitude for prevention of dental caries was positive in almost everybody 81.8% (72/88). The present survey concluded that pediatricians in Ghaziabad district, India had a good attitude and practices, but had moderate knowledge and lacked proper awareness about dental caries.

  1. A network model of communication in an interprofessional team of healthcare professionals: A cross-sectional study of a burn unit.

    Science.gov (United States)

    Shoham, David A; Harris, Jenine K; Mundt, Marlon; McGaghie, William

    2016-09-01

    Healthcare teams consist of individuals communicating with one another during patient care delivery. Coordination of multiple specialties is critical for patients with complex health conditions, and requires interprofessional and intraprofessional communication. We examined a communication network of 71 health professionals in four professional roles: physician, nurse, health management, and support personnel (dietitian, pharmacist, or social worker), or other health professionals (including physical, respiratory, and occupational therapists, and medical students) working in a burn unit. Data for this cross-sectional study were collected by surveying members of a healthcare team. Ties were defined by asking team members whom they discussed patient care matters with on the shift. We built an exponential random graph model to determine: (1) does professional role influence the likelihood of a tie; (2) are ties more likely between team members from different professions compared to between team members from the same profession; and (3) which professions are more likely to form interprofessional ties. Health management and support personnel ties were 94% interprofessional while ties among nurses were 60% interprofessional. Nurses and other health professionals were significantly less likely than physicians to form ties. Nurses were 1.64 times more likely to communicate with nurses than non-nurses (OR = 1.64, 95% CI: 1.01-2.66); there was no significant role homophily for physicians, other health professionals, or health management and support personnel. Understanding communication networks in healthcare teams is an early step in understanding how teams work together to provide care; future work should evaluate the types and quality of interactions between members of interprofessional healthcare teams.

  2. Assessment and management of pain in newborns hospitalized in a Neonatal Intensive Care Unit: a cross-sectional study.

    Science.gov (United States)

    Sposito, Natália Pinheiro Braga; Rossato, Lisabelle Mariano; Bueno, Mariana; Kimura, Amélia Fumiko; Costa, Taine; Guedes, Danila Maria Batista

    2017-09-12

    to determine the frequency of pain, to verify the measures adopted for pain relief during the first seven days of hospitalization in the Neonatal Intensive Care Unit and to identify the type and frequency of invasive procedures to which newborns are submitted. cross-sectional retrospective study. Out of the 188 hospitalizations occurred during the 12-month period, 171 were included in the study. The data were collected from the charts and the presence of pain was analyzed based on the Neonatal Infant Pain Scale and on nursing notes suggestions of pain. For statistical analysis, the Statistical Package for the Social Sciences was used, and the significance level was set at 5%. there was at least one record of pain in 50.3% of the hospitalizations, according to the pain scale adopted or nursing note. The newborns underwent a mean of 6.6 invasive procedures per day. Only 32.5% of the pain records resulted in the adoption of pharmacological or non-pharmacological intervention for pain relief. newborns are frequently exposed to pain and the low frequency of pharmacological or non-pharmacological interventions reinforces the undertreatment of this condition. determinar a frequência de dor e verificar as medidas realizadas para seu alívio durante os sete primeiros dias de internação na Unidade de Terapia Intensiva Neonatal, bem como identificar o tipo e frequência de procedimentos invasivos aos quais os recém-nascidos foram submetidos. estudo retrospectivo transversal. Das 188 internações ocorridas no período estipulado de 12 meses, 171 foram incluídas na pesquisa. Os dados foram coletados a partir dos prontuários e a presença de dor foi analisada tanto com base na escala de dor Neonatal Infant Pain Scale quanto mediante anotação de enfermagem sugestiva de dor. Para análise estatística, utilizou-se o programa Statistical Package for the Social Sciences, adotando-se nível de significância de 5%. em 50,3% das internações houve ao menos um registro de dor

  3. Evaluation of immune system function in neonatal pigs born vaginally or by Cesarean section.

    Science.gov (United States)

    Daniel, J A; Carroll, J A; Keisler, D H; Kojima, C J

    2008-07-01

    Full term crossbred sows were selected to study the interaction of the immune system, hypothalamus-pituitary-adrenal axis, and growth in pigs born by Cesarean section (c-section; n=4 sows) or vaginal birth (n=4 sows). Gestation length and birth weight did not differ between vaginal birth and c-section pigs (P=0.34 and 0.62, respectively). Blood and tissue samples were collected from 44 pigs at birth. Forty-five pigs were weaned at 13 d. On d 14, pigs received an i.p. injection of lipopolysaccaride (LPS; 150 microg/kg) or saline at min 0, and blood samples were collected at -20, -10, 0, 5, 10, 20, 40, 60, 90, and 120 min. Vaginal birth pigs had 21% greater average daily gain than c-section pigs on d 14 (Ppigs at birth (P0.22). Basal serum concentrations of TNF-alpha tended to be greater in c-section vs vaginal birth pigs at 14 d (P=0.0967); however, basal serum concentrations of IFN-gamma tended to be lower in c-section pigs vs vaginal birth pigs at 14 d (P=0.0787). Expression of interleukin (IL)-6, IL-6 receptor, IL-1beta, and TNF-alpha mRNA did not differ between vaginal birth and c-section pigs but changed in an age and tissue dependent manner. Thus, reduced growth rate of c-section pigs is associated with altered immune system function.

  4. Nursing unit teams matter: Impact of unit-level nurse practice environment, nurse work characteristics, and burnout on nurse reported job outcomes, and quality of care, and patient adverse events--a cross-sectional survey.

    Science.gov (United States)

    Van Bogaert, Peter; Timmermans, Olaf; Weeks, Susan Mace; van Heusden, Danny; Wouters, Kristien; Franck, Erik

    2014-08-01

    To investigate the impact of nurse practice environment factors, nurse work characteristics, and burnout on nurse reported job outcomes, quality of care, and patient adverse events variables at the nursing unit level. Nurse practice environment studies show growing insights and knowledge about determining factors for nurse workforce stability, quality of care, and patient safety. Until now, international studies have primarily focused on variability at the hospital level; however, insights at the nursing unit level can reveal key factors in the nurse practice environment. A cross-sectional design with a survey. In a cross-sectional survey, a sample of 1108 nurses assigned to 96 nursing units completed a structured questionnaire composed of various validated instruments measuring nurse practice environment factors, nurse work characteristics, burnout, nurse reported job outcomes, quality of care, and patient adverse events. Associations between the variables were examined using multilevel modelling techniques. Various unit-level associations (simple models) were identified between nurse practice environment factors, nurse work characteristics, burnout dimensions, and nurse reported outcome variables. Multiple multilevel models showed various independent variables such as nursing management at the unit level, social capital, emotional exhaustion, and depersonalization as important predictors of nurse reported outcome variables such job satisfaction, turnover intentions, quality of care (at the unit, the last shift, and in the hospital within the last year), patient and family complaints, patient and family verbal abuse, patient falls, nosocomial infections, and medications errors. Results suggested a stable nurse work force, with the capability to achieve superior quality and patient safety outcomes, is associated with unit-level favourable perceptions of nurse work environment factors, workload, decision latitude, and social capital, as well low levels of burnout

  5. A Heterogeneous Bayesian Regression Model for Cross-Sectional Data Involving a Single Observation per Response Unit

    Science.gov (United States)

    Fong, Duncan K. H.; Ebbes, Peter; DeSarbo, Wayne S.

    2012-01-01

    Multiple regression is frequently used across the various social sciences to analyze cross-sectional data. However, it can often times be challenging to justify the assumption of common regression coefficients across all respondents. This manuscript presents a heterogeneous Bayesian regression model that enables the estimation of…

  6. Evaluation of medical devices in thoracic radiograms in intensive care unit - time to pay attention!

    Science.gov (United States)

    Moreira, Ana Sofia Linhares; Afonso, Maria da Graça Alves; Dinis, Mónica Ribeiro dos Santos Alves; dos Santos, Maria Cristina Granja Teixeira

    2016-01-01

    Objective To identify and evaluate the correct positioning of the most commonly used medical devices as visualized in thoracic radiograms of patients in the intensive care unit of our center. Methods A literature search was conducted for the criteria used to evaluate the correct positioning of medical devices on thoracic radiograms. All the thoracic radiograms performed in the intensive care unit of our center over an 18-month period were analyzed. All admissions in which at least one thoracic radiogram was performed in the intensive care unit and in which at least one medical device was identifiable in the thoracic radiogram were included. One radiogram per admission was selected for analysis. The radiograms were evaluated by an independent observer. Results Out of the 2,312 thoracic radiograms analyzed, 568 were included in this study. Several medical devices were identified, including monitoring leads, endotracheal and tracheostomy tubes, central venous catheters, pacemakers and prosthetic cardiac valves. Of the central venous catheters that were identified, 33.6% of the subclavian and 23.8% of the jugular were malpositioned. Of the endotracheal tubes, 19.9% were malpositioned, while all the tracheostomy tubes were correctly positioned. Conclusion Malpositioning of central venous catheters and endotracheal tubes is frequently identified in radiograms of patients in an intensive care unit. This is relevant because malpositioned devices may be related to adverse events. In future studies, an association between malpositioning and adverse events should be investigated. PMID:27737432

  7. Evaluation of fast neutron fluence for Kori Unit 2 pressure vessel

    Energy Technology Data Exchange (ETDEWEB)

    Jeon, Young Kyou; Lim, Mi Joung; Kim, Byoung Chul; Kim, Kyung Sik [Korea Reactor Integrity Surveillance Technology, Daejeon (Korea, Republic of)

    2011-10-15

    Unit 2 at Kori reactor has been put into operation in 1983. During 24 cycle operation, five surveillance capsules at inner vessel and three ex-vessel dosimeter at cavity both are taken out for evaluation to neutron fluence. The evaluations following the surveillance program of Kori 2 unit which are required detect and prevent degradation of safety-related structures and components of the vessel. The fast (E > 1.0 MeV) neutron fluencies are necessary to estimate the fracture toughness of the pressure vessel materials. The determination of the pressure vessel neutron fluence is based on both calculations and measurements. The fluence prediction is made with a calculation, and the measurements are used to qualify the calculational methodology. Measurement-to-calculation comparisons are used to identify biases in the calculations and to provide reliable estimates of the fluence uncertainties As shown in Fig. 1, the Kori unit 2 reactor vessel surveillance programs includes the analysis of flux dosimeters contained in capsules located on the inner vessel wall at the Beltline region (0., 15., 30. and 40. Azimuth) and Ex vessel dosimeter capsules located on the cavity at connected bid chain. In this paper, the methodologies used to perform neutron transport calculations and dosimetry evaluations are described, the results of the plant specific transport calculations are given for the beltline region of Kori Unit 2 pressure vessel and the comparisons of calculations and measurements are discussed

  8. Evaluation of syngas production unit cost of bio-gasification facility using regression analysis techniques

    Energy Technology Data Exchange (ETDEWEB)

    Deng, Yangyang; Parajuli, Prem B.

    2011-08-10

    Evaluation of economic feasibility of a bio-gasification facility needs understanding of its unit cost under different production capacities. The objective of this study was to evaluate the unit cost of syngas production at capacities from 60 through 1800Nm 3/h using an economic model with three regression analysis techniques (simple regression, reciprocal regression, and log-log regression). The preliminary result of this study showed that reciprocal regression analysis technique had the best fit curve between per unit cost and production capacity, with sum of error squares (SES) lower than 0.001 and coefficient of determination of (R 2) 0.996. The regression analysis techniques determined the minimum unit cost of syngas production for micro-scale bio-gasification facilities of $0.052/Nm 3, under the capacity of 2,880 Nm 3/h. The results of this study suggest that to reduce cost, facilities should run at a high production capacity. In addition, the contribution of this technique could be the new categorical criterion to evaluate micro-scale bio-gasification facility from the perspective of economic analysis.

  9. Technical evaluation report on the Third 10-year Interval Inservice Inspection Program Plan: Florida Power and Light Company, Turkey Point Nuclear Power Plant, Units 3 and 4 (Docket Numbers 50-250 and 50-251)

    Energy Technology Data Exchange (ETDEWEB)

    Brown, B.W.; Feige, E.J.; Galbraith, S.G.; Porter, A.M.

    1995-02-01

    This report presents the results of the evaluation of the Turkey Point Nuclear Power Plant, Units 3 and 4, Third 10-Year Interval Inservice Inspection Program Plan, Revision 0, submitted September 9, 1993, including the requests for relief from the American Society of Mechanical Engineers (ASME) Boiler and Pressure Vessel Code, Section XI, requirements that the licensee has determined to be impractical. The Turkey Point Nuclear Power Plant, Units 3 and 4, Third 10-Year Interval Inservice Inspection Program Plan is evaluated in Section 2 of this report. The inservice inspection (ISI) program plan is evaluated for (a) compliance with the appropriate edition/addenda of Section XI, (b) acceptability of the examination sample, (c) correctness of the application of system or component examination exclusion criteria, and (d) compliance with ISI-related commitments identified during previous Nuclear Regulatory Commission (NRC) reviews. The requests for relief are evaluated in Section 3 of this report.

  10. Evaluation of fusion-evaporation cross-section calculations arXiv

    CERN Document Server

    Blank, B.; Seis, F.; Delahaye, P.

    Calculated fusion-evaporation cross sections from five different codes are compared to experimental data. The present comparison extents over a large range of nuclei and isotopic chains to investigate the evolution of experimental and calculated cross sections. All models more or less overestimate the experimental cross sections. We found reasonable agreement by using the geometrical average of the five model calculations and dividing the average by a factor of 11.2. More refined analyses are made for example for the 100Sn region.

  11. Quality of life evaluation in Japanese pregnant women with striae gravidarum: A cross-sectional study

    Directory of Open Access Journals (Sweden)

    Yamaguchi Kotomi

    2012-08-01

    Full Text Available Abstract Background Striae gravidarum is a physiological skin change that many pregnant women experience during pregnancy. The striae are often accompanied by a reddish purple color during pregnancy, and then lose pigmentation and become atrophic in the long term after pregnancy. Striae gravidarum seems to be undesirable to many pregnant women. However, the impact of striae gravidarum on pregnant women who experience it has not been clarified. The aim of this study was to evaluate the impact of striae gravidarum on the generic and dermatology-specific quality of life (QOL of pregnant women. Methods A cross-sectional study was conducted at three private clinics in a typical urban area in Japan. We recruited 447 pregnant women at 36 weeks of gestation; One hundred and ninety-nine pregnant women at 36 weeks of gestation participated in the study and 179, consisting of 94 primiparae and 85 multiparae, were analyzed. We used and assessed Davey’s score for striae gravidarum, World Health Organization Quality of Life assessment questionnaire for generic QOL, and Skindex-29 for dermatology-specific QOL. Results The prevalence of striae gravidarum was 39.1% (27.7% in primiparae, and 51.8% in multiparae. Although there were no differences in generic QOL scores between the presence and absence of striae gravidarum and with their severity, the whole group of pregnant women and the multiparae group showed significant differences in scores on emotion of Skindex-29 between the presence and absence of striae gravidarum (p = 0.012 and p = 0.011. Pregnant women with severe striae gravidarum showed significantly higher scores on emotion of Skindex-29 compared with those with absent or mild striae gravidarum (p p = 0.005. Conclusions There was no difference in generic QOL of pregnant women between the presence and absence of striae gravidarum, although the occurrence and severity of striae gravidarum influenced their dermatology-specific QOL

  12. Evaluation of cardiovascular risk factors among university students in Turkey: a cross-sectional survey

    Directory of Open Access Journals (Sweden)

    Rasim Kutlu

    2013-09-01

    Full Text Available Background — Recent data indicate increasing rates of mortality from cardiovascular (CV disease in Turkey. This study aimed to evaluate CV disease risk factors among university students in Northern Turkey. Methods — In this cross sectional descriptive study, 302 students were randomly recruited (171 females (57% and 131 males (43%, mean age of 20±2.1 years. Blood glucose, cholesterol profile (total, high density lipoprotein (HDL and low density lipoprotein (LDL cholesterols, triglyceride, glycosylated haemoglobin, resting blood pressure, and body mass index were measured using standard protocols. All participants were asked to complete a questionnaire including questions on lifestyle, genetic predisposition, smoking habit, and psychosocial factors. Results — The mean systolic and diastolic blood pressure of students were 127.1±13.5 mmHg and 78.3±12.4 mmHg. The mean values were 98.4±14.2 mg/dL for fasting blood glucose value, 5.4±0.4 for HbA1C, 80.0±10.3 beats/min for heart rate, for total cholesterol 199.1±24.6 mg/dL, 43.8±9.9 mg/dL for HDL, 114.7±24.1 mg/dL for LDL, 199.1±24.6 mg/dL for trygliceride, 24.8±3.6 kg/m2 for body mass index, 97.6±17.9 cm for waist circumference. No significant difference was observed between gender according to CV risk factors’ values statistically. It was observed that 111 (36.8% students were overweight, 32 (10.6% were obes. About 135 (44.0% of students had abnormally unacceptable WC value. Smoking habit was seen in 130 (43.0% students [73 (24.2% male and 57 (18.9% female]. Conclusion — A substantial proportion of Turkish students were overweight or obese, and had smoking habit. Our results underscore the need to implement health promotion programmes and perform large-scale epidemiological studies within the general Turkish young adult population.

  13. Evaluation of an interprofessional practice placement in a UK in-patient palliative care unit.

    Science.gov (United States)

    Dando, Nicholas; d'Avray, Lynda; Colman, Jane; Hoy, Andrew; Todd, Jennifer

    2012-03-01

    This paper reports on undergraduate students' evaluation of a new hospice-based interprofessional practice placement (IPP) that took place in the voluntary sector from 2008 to 2009. Ward-based interprofessional training has been successfully demonstrated in a range of clinical environments. However, the multidisciplinary setting within a hospice in-patient unit offered a new opportunity for interprofessional learning. The development and delivery of the IPP initiative is described, whereby multidisciplinary groups of 12 students provided hands-on care for a selected group of patients, under the supervision of trained health care professionals. The placement was positively evaluated and students reported an increased understanding of both their own role and that of other professionals in the team. The evaluation also suggests that additional learning opportunities were provided by the in-patient palliative care unit. The results of this evaluation suggest that the in-patient unit of a hospice caring for patients with life-limiting illness provides a suitable environment to demonstrate and learn about interprofessional practice.

  14. Paleoseismology of the Southern Section of the Black Mountains and Southern Death Valley Fault Zones, Death Valley, United States

    Science.gov (United States)

    Sohn, Marsha S.; Knott, Jeffrey R.; Mahan, Shannon

    2014-01-01

    The Death Valley Fault System (DVFS) is part of the southern Walker Lane–eastern California shear zone. The normal Black Mountains Fault Zone (BMFZ) and the right-lateral Southern Death Valley Fault Zone (SDVFZ) are two components of the DVFS. Estimates of late Pleistocene-Holocene slip rates and recurrence intervals for these two fault zones are uncertain owing to poor relative age control. The BMFZ southernmost section (Section 1W) steps basinward and preserves multiple scarps in the Quaternary alluvial fans. We present optically stimulated luminescence (OSL) dates ranging from 27 to 4 ka of fluvial and eolian sand lenses interbedded with alluvial-fan deposits offset by the BMFZ. By cross-cutting relations, we infer that there were three separate ground-rupturing earthquakes on BMFZ Section 1W with vertical displacement between 5.5 m and 2.75 m. The slip-rate estimate is ∼0.2 to 1.8 mm/yr, with an earthquake recurrence interval of 4,500 to 2,000 years. Slip-per-event measurements indicate Mw 7.0 to 7.2 earthquakes. The 27–4-ka OSL-dated alluvial fans also overlie the putative Cinder Hill tephra layer. Cinder Hill is offset ∼213 m by SDVFZ, which yields a tentative slip rate of 1 to 8 mm/yr for the SDVFZ.

  15. A prospective echocardiographic evaluation of pulmonary hypertension in chronic hemodialysis patients in the United States: prevalence and clinical significance

    Directory of Open Access Journals (Sweden)

    Kumudha Ramasubbu

    2010-09-01

    Full Text Available Kumudha Ramasubbu1, Anita Deswal1, Cheryl Herdejurgen2, David Aguilar1, Adaani E Frost21Section of Cardiology, Michael E DeBakey VA Medical Center and Baylor College of Medicine, Houston, Texas, USA; 2Section of Pulmonary and Critical Care Medicine, Baylor College of Medicine, Houston, Texas, USABackground: Pulmonary hypertension (PH, a disease which carries substantial morbidity and mortality, has been reported to occur in 25%–45% of dialysis patients. No prospective evaluation of the prevalence or clinical significance of PH in chronic dialysis patients in the United States (US has been undertaken.Methods: Echocardiograms were performed prospectively in chronic hemodialysis patients prior to dialysis at a single dialysis center. PH was defined as a tricuspid regurgitant jet ≥2.5 m/s and “more severe PH” as ≥3.0 m/s. Clinical outcomes recovered were all-cause hospitalizations and death at 12 months.Results: In a cohort of 90 patients, 42 patients (47% met the definition of PH. Of those, 18 patients (20% met the definition of more severe PH. At 12 months, mortality was significantly higher in patients with PH (26% compared with patients without PH (6%. All-cause hospitalizations were similar in patients with PH and without PH. Echocardiographic findings suggesting impaired left ventricular function and elevated pulmonary capillary wedge pressure were significantly associated with PH.Conclusion: This prospective cross-sectional study of a single dialysis unit suggests that PH may be present in nearly half of US dialysis patients and when present is associated with increased mortality. Echocardiographic findings demonstrate an association between elevated filling pressures, elevated pulmonary artery pressures, and higher mortality, suggesting that the PH may be secondary to diastolic dysfunction and compounded by volume overload.Keywords: renal failure, pulmonary hypertension, diastolic dysfunction

  16. Evaluation of datum unit for diagnostics of journal-bearing systems

    Energy Technology Data Exchange (ETDEWEB)

    Jeon, Byung Chul; Jung, Joon Ha; Youn, Byeng Doog [Dept. of Mechanical and Aerospace Engineering, Seoul National University, Seoul (Korea, Republic of); Kim, Yeon Whan; Bae, Yong Chae [Power Generation Laboratory, KEPCO Research Institute, Daejeon (Korea, Republic of)

    2015-08-15

    Journal bearings support rotors using fluid film between the rotor and the stator. Generally, journal bearings are used in large rotor systems such as turbines in a power plant, because even in high-speed and load conditions, journal bearing systems run in a stable condition. To enhance the reliability of journal-bearing systems, in this paper, we study health-diagnosis algorithms that are based on the supervised learning method. Specifically, this paper focused on defining the unit of features, while other previous papers have focused on defining various features of vibration signals. We evaluate the features of various lengths or units on the separable ability basis. From our results, we find that one cycle datum in the time-domain and 60 cycle datum in the frequency domain are the optimal datum units for real-time journal-bearing diagnosis systems.

  17. An impact evaluation of a newly developed pediatric cardiac intensive care unit.

    Science.gov (United States)

    Welander, Michelle Hanna; Keller, Sheila D; Northington, LaDonna

    2015-01-01

    The highly complex pediatric patients with congenital heart disease require interprofessional teamwork and collaboration to ensure high-quality outcomes with low mortality and morbidity (Congenit Heart Dis. 2013;8:3-19). The purpose of this study was to conduct an impact evaluation for a newly formed pediatric cardiac intensive care unit (PCICU) and to answer: Is there a difference between the pediatric intensive care unit and the PCICU on clinical outcome measures of pediatric cardiac postoperative patients and nursing resources? A retrospective pretest/posttest design was used with the independent variables being type of intensive care unit. The confounding variables included demographic data, clinical outcome data, registered nurse (RN) staffing data, and RN turnover data. The setting was a large, level I pediatric medical and surgical intensive care unit (ICU) located at a children's hospital within an academic medical center. The population was pediatric cardiac postoperative patients. Patients excluded were those older than 18 years or cases without a Society of Thoracic Surgeons and European Association for Cardiothoracic Surgery Congenital Heart Surgery Mortality Category score of 1 through 5. Owen's impact evaluation method and descriptive statistical measures, t test and Pearson χ test, were used for analysis. Demographic data were comparable between the pediatric intensive care unit (n = 296) and PCICU (n = 333). No statistical differences were found in several of the clinical outcome measures. Statistically significant differences were found in surgeon (P = .00) and RN nursing hours per patient day for all cardiac patients (P = .01). The PCICU time frame had a higher RN turnover rate. The majority of quality measures were not statistically different between the 2 ICUs. Even though statistical significance was not reached, the clinical impact of the PCICU's reduction in patient infections, mortality, and ICU length of stay was noted. This evaluation has

  18. R-Matrix Evaluation of {sup 16}O neutron cross sections up to 6.3 MeV

    Energy Technology Data Exchange (ETDEWEB)

    Sayer, R.O.; Leal, L.C.; Larson, N.M.; Spencer, R.R.; and Wright, R.Q.

    2000-08-01

    In this paper the authors describe an evaluation of {sup 16}O neutron cross sections in the resolved resonance region with the multilevel Reich-Moore R-matrix formalism. Resonance analyses were performed with the computer code SAMMY [LA98] which utilizes Bayes' method, a generalized least squares technique.

  19. Biodegradability evaluation of dairy effluents originated in selected sections of dairy production.

    Science.gov (United States)

    Janczukowicz, W; Zieliński, M; Debowski, M

    2008-07-01

    Main goal of the study was present the results of some respirometric measurements of activated sludge biodegrading the substrate in the wastewater originated in selected sections of the dairy processing line. The following dairy production effluents were analyzed in the research: the pumping station wastewater (combined wastewater from all the sections of the dairy factory), the apparatus room wastewater, the butter section wastewater, the milk reception point wastewater, the cheese section wastewater and the cottage cheese section wastewater. Apart from that, sweet and sour whey, which are secondary products of hard cheese and cottage cheese production, respectively, was the subject of the research. The amount of organic matter being oxidized during a 5-day measurement session was calculated on 1g of the activated sludge biomass. The research was conducted at the temperature of 20 degrees C and 35 degrees C at the applied sludge loading rate of A'=0.2 g BOD g(-1) dry mass d(-1), which ensured complete biodegradation. The results indicated a correlation between a technological process of dairy processing, an ultimate outcome of which was the wastewater analyzed, and dairy wastewater biodegradability. The results confirmed that all dairy processing effluents can be treated together, with the exception of whey, whose complex biodegradation demands may cause too much burden to any wastewater treatment technological system and thus should be managed within a separate installation.

  20. Evaluation of SPACE code for natural circulation test of Hanbit unit 2

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Seyun; Kim, Minhee [KHNP Central Research Institute, Daejeon (Korea, Republic of)

    2015-10-15

    SPACE (Safety and Performance Analysis Code for Nuclear Power Plants) has been developed by KHNP with the cooperation with KEPCO E and C and KAERI. SPACE code is expected to be applied to the safety analysis for LOCA (Loss of Coolant Accident) and Non-LOCA scenarios. SPACE code solves two-fluid, three-field governing equations and programmed with C++ computer language using object-oriented concepts. To evaluate the analysis capability for the passive cooling phenomenon in the actual nuclear power plant, a natural circulation test of Hanbit unit 2 was simulated with SPACE code. To evaluate the analysis capability for the passive cooling phenomenon in the actual nuclear power plant, a natural circulation test of Hanbit unit 2 was simulated with SPACE code. The major parameters of natural circulation in transient are well predicted in SPACE calculations when compared to the plant data. The SPACE code has sufficient capability to simulate passive cooling phenomena.

  1. Accelerated molecular dynamics force evaluation on graphics processing units for thermal conductivity calculations

    OpenAIRE

    Fan, Zheyong; Siro, Topi; Harju, Ari

    2012-01-01

    In this paper, we develop a highly efficient molecular dynamics code fully implemented on graphics processing units for thermal conductivity calculations using the Green-Kubo formula. We compare two different schemes for force evaluation, a previously used thread-scheme where a single thread is used for one particle and each thread calculates the total force for the corresponding particle, and a new block-scheme where a whole block is used for one particle and each thread in the block calcula...

  2. Emergy Evaluation of Formal Education in the United States: 1870 to 2011

    OpenAIRE

    2014-01-01

    We evaluated the education system of the United States from 1870 to 2011 using emergy methods. The system was partitioned into three subsystems (elementary, secondary and college/university education) and the emergy inputs required to support each subsystem were determined for every year over the period of analysis. We calculated the emergy required to produce an individual with a given number of years of education by summing over the years of support needed to attain that level of education....

  3. Deuteron cross section evaluation for safety and radioprotection calculations of IFMIF/EVEDA accelerator prototype

    Energy Technology Data Exchange (ETDEWEB)

    Blideanu, Valentin [Commissariat a l' energie atomique CEA/IRFU, Centre de Saclay, 91191 Gif sur Yvette cedex (France); Garcia, Mauricio [Universidad Nacional de Educacion a Distancia, UNED, Madrid (Spain); Instituto de Fusion Nuclear, UPM, Madrid (Spain); Joyer, Philippe, E-mail: philippe.joyer@cea.fr [Commissariat a l' energie atomique CEA/IRFU, Centre de Saclay, 91191 Gif sur Yvette cedex (France); Lopez, Daniel; Mayoral, Alicia; Ogando, Francisco [Universidad Nacional de Educacion a Distancia, UNED, Madrid (Spain); Instituto de Fusion Nuclear, UPM, Madrid (Spain); Ortiz, Felix [Universidad Nacional de Educacion a Distancia, UNED, Madrid (Spain); Sanz, Javier; Sauvan, Patrick [Universidad Nacional de Educacion a Distancia, UNED, Madrid (Spain); Instituto de Fusion Nuclear, UPM, Madrid (Spain)

    2011-10-01

    In the frame of IFMIF/EVEDA activities, a prototype accelerator delivering a high power deuteron beam is under construction in Japan. Interaction of these deuterons with matter will generate high levels of neutrons and induced activation, whose predicted yields depend strongly on the models used to calculate the different cross sections. A benchmark test was performed to validate these data for deuteron energies up to 20 MeV and to define a reasonable methodology for calculating the cross sections needed for EVEDA. Calculations were performed using the nuclear models included in MCNPX and PHITS, and the dedicated nuclear model code TALYS. Although the results obtained using TALYS (global parameters) or Monte Carlo codes disagree with experimental values, a solution is proposed to compute cross sections that are a good fit to experimental data. A consistent computational procedure is also suggested to improve both transport simulations/prompt dose and activation/residual dose calculations required for EVEDA.

  4. Attitudes of dermatologists in the southeastern United States regarding treatment of alopecia areata: a cross-sectional survey study

    Directory of Open Access Journals (Sweden)

    Stewart Paul W

    2009-11-01

    Full Text Available Abstract Background Little evidence exists to guide treatment of alopecia areata (AA. The current practices in treatment of children compared to adults and of progressive stages of hair loss are unknown. The objective of this study was to examine the current practices of southeastern United States dermatologists for the treatment of AA. Methods Dermatologists were sent anonymous questionnaires regarding their treatment practices by mail. Respondents' frequencies of treatment in children compared to adults and in patchy hair loss compared to widespread hair loss were compared with Wilcoxon signed-ranks tests and Friedman tests. As a secondary source, the National Alopecia Areata Registry (NAAR database was analyzed for patients' treatment histories. Results Survey results suggested that dermatologists recommend treatment less frequently for children than adults and for more advanced hair loss. NAAR data confirmed that offering no treatment for AA is relatively common. Conclusion Dermatologists' treatment of AA is inconsistent. A stronger evidence base will provide more consistent treatment options.

  5. Sonographic evaluation of supraspinatus cross-sectional area in collegiate baseball players.

    Science.gov (United States)

    Malanga, Gerard A; Chu, Samuel K; Ramirez Del Toro, Jose; Karnaugh, Ronald D; Dentico, Richard; Komaroff, Eugene

    2012-07-01

    To establish the normal thickness of the supraspinatus tendon in collegiate baseball players with the use of ultrasound and to determine whether there are any significant differences between the dominant and nondominant supraspinatus thickness. A cross-sectional observational study. An outpatient clinical setting. Twelve healthy, asymptomatic collegiate pitchers between the ages of 19 and 22 years. Sonographic evaluation of 12 asymptomatic pitchers (9 right-hand dominant and 3 left-hand dominant) between the ages of 19 and 22 years was performed in a transverse plane (short axis) and longitudinal view (long axis) of their right and left shoulders. Maximum thickness was measured in both the long- and short-axis views. On the long-axis view, measurement was taken at the point where there was maximal height observed at the footprint insertion. Mixed-model analysis of variance was used to test for differences in tendon thickness across factors. Post hoc contrasts were performed with a Tukey adjustment for the P values. The mean ± SD values, side-to-side difference, and difference between dominant and nondominant values were calculated and statistically analyzed for differences. An ultrasound examination showed a significant 3-way interaction (P = .038) for view by side of hand dominance. Post hoc contrasts revealed that supraspinatus tendon thickness for right-handed pitchers in the long-axis view on the right side showed a mean value of 8.0 ± 0.32 mm versus the long-axis view on the left side of 6.5 ± 0.34 mm (P = .006) and the short-axis view on the right of 7.4 ± 0.40 mm versus the short-axis view on the left of 6.1 ± 0.26 mm (P = .036). Supraspinatus tendon thickness for left-handed pitchers in the long-axis view on the left side showed a mean value of 7.5 ± 0.59 mm versus the long-axis view on the right side of 5.9 ± 0.56 mm (P = .137) and the short-axis view on the left of 6.5 ± 0.45 mm versus the short-axis view on the right of 6.5 ± 0.68 mm (P = .999

  6. Development of a method to evaluate shared alternate AC power source effects in multi-unit nuclear power plants

    Energy Technology Data Exchange (ETDEWEB)

    Jung, Woo Sik; Yang, Joon Eun

    2003-07-01

    In order to evaluate accurately a Station BlackOut (SBO) event frequency of a multi-unit nuclear power plant that has a shared Alternate AC (AAC) power source, an approach has been developed which accommodates the complex inter-unit behavior of the shared AAC power source under multi-unit Loss Of Offsite Power (LOOP) conditions. The approach is illustrated for two cases, 2 units and 4 units at a single site, and generalized for a multi-unit site. Furthermore, the SBO frequency of the first unit of the 2-unit site is quantified. The SBO frequency at a target unit of Probabilistic Safety Assessment (PSA) could be underestimated if the inter-unit dependency of the shared AAC power source is not properly modeled. The effect of the inter-unit behavior of the shared AAC power source on the SBO frequency is not negligible depending on the Common Cause Failure (CCF) characteristics among AC power sources. The methodology suggested in the present report is believed to be very useful in evaluating the SBO frequency and the core damage frequency resulting from the SBO event. This approach is also applicable to the probabilistic evaluation of the other shared systems in a multi-unit nuclear power plant.

  7. Empirical relationship between inlet cross-sectional area and tidal prism: A re-evaluation

    NARCIS (Netherlands)

    Stive, M.J.F.; Ji, L.; Brouwer, R.L.; Van de Kreeke, J.; Ranasinghe, R.W.M.R.J.B.

    2010-01-01

    The well-known empirical relationship between the equilibrium cross-sectional area of tidal inlet entrances (A) and the tidal prism (P), first developed by O’Brien (1931), has been extensively reviewed. Our theoretical investigations indicate that a unique A-P relationship should only be expected fo

  8. Cross-Sectional Evaluation of Distance Education Students' Learning Styles and Critical Thinking Dispositions in Turkey

    Science.gov (United States)

    Yüksel, Ismail; Türkses, Ercüment

    2015-01-01

    This study aims to examine distance education students' learning styles and critical thinking dispositions. This cross sectional survey was conducted on 114 Turkish distance education students from various departments in a state university. The data of the study were collected through Grasha-Riechmann Student Learning Style Scale (GRSLSS) and…

  9. Calculational tools for the evaluation of nuclear cross-section and spectra data

    Energy Technology Data Exchange (ETDEWEB)

    Gardner, M.A.

    1985-05-07

    A technique based on discrete energy levels rather than energy level densities is presented for nuclear reaction calculations. The validity of the technique is demonstrated via theoretical and experimental agreement for cross sections, isomer-ratios and gamma-ray strength functions. 50 refs., 7 figs. (WRF)

  10. Cross-Sectional Evaluation of Distance Education Students' Learning Styles and Critical Thinking Dispositions in Turkey

    Science.gov (United States)

    Yüksel, Ismail; Türkses, Ercüment

    2015-01-01

    This study aims to examine distance education students' learning styles and critical thinking dispositions. This cross sectional survey was conducted on 114 Turkish distance education students from various departments in a state university. The data of the study were collected through Grasha-Riechmann Student Learning Style Scale (GRSLSS) and…

  11. 教学设计——Unit4Where's my backpack?Section B(1a-4)

    Institute of Scientific and Technical Information of China (English)

    孙荣

    2011-01-01

    @@ 本单元是在前面学生掌握了陈述句、一般疑间句的基础上,第一次让学生接触特殊疑问句,用"Where"句型讨论"物品的位置"这一话题.Section A通过图片向学生展示了房间里各项物品的名称及它们的摆放位置,并通过对话、听力、找不同的游戏帮助学生掌握如何询问和描述物品的方位.

  12. A Cross-Sectional Study on Selected Correlates of High risk Sexual Behavior in Polish Migrants Resident in the United Kingdom.

    Science.gov (United States)

    Ganczak, Maria; Czubińska, Grażyna; Korzeń, Marcin; Szych, Zbigniew

    2017-04-14

    Objective: To assess the correlates of the high risk sexual behaviors of Polish migrants in the United Kingdom (UK) after 2004, and to compare such behaviors before/after immigration. Methods: In 2013, a cross-sectional study was conducted through the use of a Computer-assisted web interviewing surveying technique with the use of a self-administered questionnaire. Results: Among 408 respondents (56.9% women), with a median age of 32 years, significantly more admitted to having unprotected sexual contact with a casual partner while in the UK (p sexual behavior among Polish migrants, and to introduce interventions to promote an awareness of HIV sero-status.

  13. Evaluation of “J”-shaped Uterine Incision during Caesarean Section in Patients with Placenta Previa:A Retrospective Study

    Institute of Scientific and Technical Information of China (English)

    邹丽; 钟少平; 赵茵; 朱剑文; 陈莉娟

    2010-01-01

    This study evaluated the efficacy and safety of "J"-shaped uterine incision for caesarean section for patients diagnosed with placenta previa.A total of 55 consecutive cases of placenta previa treated in Union Hospital were retrospectively analyzed over a period of two years and 10 months.The subjects were divided into two groups with respect to the uterine incision.Twenty-four pregnant women with placenta previa who were indicated for caesarean section underwent the procedure using a new "J"-shaped uterine...

  14. Complete calculation of evaluated Maxwellian-averaged cross sections and their uncertainties for s-process nucleosynthesis

    Energy Technology Data Exchange (ETDEWEB)

    Pritychenko, B.

    2010-07-19

    Present contribution represents a significant improvement of our previous calculation of Maxwellian-averaged cross sections and astrophysical reaction rates. Addition of newly-evaluated neutron reaction libraries, such as ROSFOND and Low-Fidelity Covariance Project, and improvements in data processing techniques allowed us to extend it for entire range of sprocess nuclei, calculate Maxwellian-averaged cross section uncertainties for the first time, and provide additional insights on all currently available neutron-induced reaction data. Nuclear reaction calculations using ENDF libraries and current Java technologies will be discussed and new results will be presented.

  15. Development and validation of evaluation tools of nursing students’ clinical pharmacology unit

    Science.gov (United States)

    Navabi, Nasrin; Ghaffari, Fatemeh; Shamsalinia, Abbas; Faghani, Safieh

    2016-01-01

    Introduction The need for valid, reliable, and objective tools has always been emphasized in studies related to the clinical assessment of nursing students. The aims of this study were to develop and assess the validity and reliability of the tools used to evaluate the clinical pharmacology unit. Methods This study was a methodological one, conducted in 2016. An item pool was developed based on the literature review and personal interviews with faculty members. The tool’s validity was determined through assessment of face validity, content validity, and construct validity, using exploratory factor analysis on the data provided by 264 second- and third-semester nursing students of the Islamic Azad University of Babol University of Medical Sciences. Reliability was determined through internal and external consistency, using a Cronbach’s coefficient of the correlation between classes. Results Based on the exploratory factor analysis, all items with a special value of >1 were grouped into six factors: 1) professional behavior; 2) effective communication; 3) recognition of medical terminology; 4) nursing actions before administering medicine; 5) nursing actions while administering medicine; and 6) nursing actions after administering medicine. These factors explained 77% of the total variance of the concept of assessment of the clinical pharmacology unit. In this study, reliability was demonstrated by a Cronbach’s alpha coefficient of 0.96; the correlation coefficient between floors for the total tool was 0.91, ranging from 0.64 to 0.89 in its dimensions. Conclusion The evaluation tool of the clinical pharmacology unit has an acceptable construct validity and satisfactory reliability and validity. Therefore, it can be used to evaluate the clinical pharmacology unit in the nursing education system in Iran. PMID:28008285

  16. Diagnosis of post-traumatic sepsis according to "Sepsis guidelines": a cross-sectional survey of sepsis in a trauma intensive care unit

    Directory of Open Access Journals (Sweden)

    Hao TANG

    2016-04-01

    Full Text Available Objective  To investigate the prevalence and risk factors of post-traumatic sepsis, and to evaluate the rationality of the 1992, 2001 and 2012 international sepsis definitions in diagnosing post-traumatic sepsis in a trauma intensive care unit (ICU in China. Methods  A one-day cross-sectional survey of trauma patients who met the inclusion criteria was conducted from 8:00 a.m., June 16, 2014 to 8:00 a.m., June 17, 2014 in the trauma ICU of Daping Hospital. The survey data included demographic information, clinical characteristics, pertinent scores (APACHE Ⅱ, SOFA, GCS, ISS and injury mechanism. According to the definition of sepsis as depicted in the 1992, 2001, and 2012 "International Guideline of Sepsis", the patients were divided into A, B and C groups. The infection site, infection pathogens, and key medical treatment were recorded, the infection identified, and the 28day mortality recorded. A positive pathogen culture of respiratory and urinary tracts, blood, cerebrospinal fluid, and wound secretion was adopted as the diagnostic "gold standard" for septic infection. The diagnostic sensitivity and specificity of the three versions of the guidelines were statistically analyzed and the diagnostic feasibility of each definition was assessed. Results  A total of 30 trauma patients were enrolled, twenty-three patients met the 1992 sepsis criteria, 22 met the 2001 criteria, and 20 met the 2012 criteria. The prevalence rates were 76.7%, 73.3%, and 66.7%, respectively, and there was no significant statistical difference. Four patients died within 28 days, which was in line with the diagnostic criteria of the three versions of the sepsis criteria. The 28-day mortality in the three sepsis guidelines groups was 17.4%, 18.2%, and 25.0%, respectively, indicating no statistical difference. By adopting culture-positive pathogens as the "gold standard" of septic infection, the diagnostic sensitivity and specificity of the group A was 77.8% and 25

  17. Comparison of Standard Light Water Reactor Cross-Section Libraries using the United States Nuclear Regulatory Commission Boiling Water Reactor Benchmark Problem

    Directory of Open Access Journals (Sweden)

    Kulesza Joel A.

    2016-01-01

    Full Text Available This paper describes a comparison of contemporary and historical light water reactor shielding and pressure vessel dosimetry cross-section libraries for a boiling water reactor calculational benchmark problem. The calculational benchmark problem was developed at Brookhaven National Laboratory by the request of the U. S. Nuclear Regulatory Commission. The benchmark problem was originally evaluated by Brookhaven National Laboratory using the Oak Ridge National Laboratory discrete ordinates code DORT and the BUGLE-93 cross-section library. In this paper, the Westinghouse RAPTOR-M3G three-dimensional discrete ordinates code was used. A variety of cross-section libraries were used with RAPTOR-M3G including the BUGLE93, BUGLE-96, and BUGLE-B7 cross-section libraries developed at Oak Ridge National Laboratory and ALPAN-VII.0 developed at Westinghouse. In comparing the calculated fast reaction rates using the four aforementioned cross-section libraries in the pressure vessel capsule, for six dosimetry reaction rates, a maximum relative difference of 8% was observed. As such, it is concluded that the results calculated by RAPTOR-M3G are consistent with the benchmark and further that the different vintage BUGLE cross-section libraries investigated are largely self-consistent.

  18. Comparison of Standard Light Water Reactor Cross-Section Libraries using the United States Nuclear Regulatory Commission Boiling Water Reactor Benchmark Problem

    Science.gov (United States)

    Kulesza, Joel A.; Arzu Alpan, F.

    2016-02-01

    This paper describes a comparison of contemporary and historical light water reactor shielding and pressure vessel dosimetry cross-section libraries for a boiling water reactor calculational benchmark problem. The calculational benchmark problem was developed at Brookhaven National Laboratory by the request of the U. S. Nuclear Regulatory Commission. The benchmark problem was originally evaluated by Brookhaven National Laboratory using the Oak Ridge National Laboratory discrete ordinates code DORT and the BUGLE-93 cross-section library. In this paper, the Westinghouse RAPTOR-M3G three-dimensional discrete ordinates code was used. A variety of cross-section libraries were used with RAPTOR-M3G including the BUGLE93, BUGLE-96, and BUGLE-B7 cross-section libraries developed at Oak Ridge National Laboratory and ALPAN-VII.0 developed at Westinghouse. In comparing the calculated fast reaction rates using the four aforementioned cross-section libraries in the pressure vessel capsule, for six dosimetry reaction rates, a maximum relative difference of 8% was observed. As such, it is concluded that the results calculated by RAPTOR-M3G are consistent with the benchmark and further that the different vintage BUGLE cross-section libraries investigated are largely self-consistent.

  19. Evaluation of the nuclear cross section variance-covariance matrices issued from the nuclear optical model; Evaluation des matrices de variance-covariance des sections efficaces nucleaires issues du modele optique

    Energy Technology Data Exchange (ETDEWEB)

    Brassart, M. [Ecole Nationale Superieure Ingenieurs de Bourges, 18 - Bourges (France); Mounier, C. [CEA Saclay, Dir. de l' Energie Nucleaire DEN, Service d' Etudes des Reacteurs et de Modelisation Avancee, 91 - Gif sur Yvette (France); Dossantos-Uzarralde, P. [CEA Bruyeres le Chatel, 91 (France). Dept. de Physique Theorique et Appliquee

    2004-07-01

    Nuclear reaction models play an important role in today's nuclear data evaluations. There are, however, difficulties associated with evaluating data uncertainties, both while performing the experimental measurements as well as constructing them by nuclear models. In this general context, our interest is particularly targeted towards the study of the propagation uncertainties within nuclear models. In this report we discuss two distinct ways of calculating the nuclear cross section variance-covariance matrices and then show these can be applied to the nuclear spherical optical model. (authors)

  20. The American Medical Association's Section on Surgery: The Beginnings of the Organization, Professionalization, and Specialization of Surgery in the United States.

    Science.gov (United States)

    Rutkow, Ira

    2017-01-01

    To explore the founding of the American Medical Association's Section on Surgery in 1859 and how it represented, on a national basis, the beginnings of organized surgery and the formal start of the professionalization and specialization of surgery in the United States. The broad social process of organization, professionalization, and specialization that began for various disciplines in America in the mid-19th century was a reaction to emerging economic, political, and scientific influences including industrialization, urbanization, and technology. For surgeons or, at least, those men who performed surgical operations, the efforts toward group organization provided a means to promote their skills and restrict competition. An analysis of the published literature, and unpublished documents relating to the creation of the American Medical Association's Section on Surgery. During the 1850s and through the 1870s, a time when surgery was still not considered a separate branch of medicine, the organization of the American Medical Association's Section on Surgery provided the much needed encouragement to surgeons in their quest for professional and specialty recognition. The establishment of the American Medical Association's Section on Surgery in 1859 helped shape the nationwide future of the craft, in particular, surgery's rise as a specialty and profession.

  1. R-Matrix Evaluation of 16O Neutron Cross Sections up to 6.3 MeV

    Energy Technology Data Exchange (ETDEWEB)

    Sayer, R.O.

    2000-08-21

    In this paper we describe an evaluation of {sup 16}O neutron cross sections in the resolved resonance region with the multilevel Reich-Moore R-matrix formalism. Resonance analyses were performed with the computer code SAMMY [LA98] which utilizes Bayes method, a generalized least squares technique. Over the years the nuclear community has developed a collection of evaluated nuclear data for applications in thermal, fast reactor, and fusion systems. However, typical neutron spectra in criticality safety applications are different from the spectra relevant to thermal, fast reactor, and fusion systems. In fact, the neutron spectra important for these non-reactor systems appear to peak in the epithermal energy range. Nuclear data play a major role in the calculation of the criticality safety margins for these systems. A thorough examination of how the present collection of nuclear data evaluations behaves in criticality safety calculations is needed. Many older evaluations will probably need to be revised, and new evaluations will be needed. Oxygen is an important element in criticality safety applications where oxides are present in significant abundance. The existing ENDF/B-VI.5 evaluation is expressed in terms of point-wise cross sections derived from the analysis of G. Hale [HA91]. Unfortunately such an evaluation is not directly useful for resonance analysis of data from samples in which oxygen is combined with other elements; for that purpose, Reich-Moore resonance parameters are needed. This paper addresses the task of providing those parameters. In the following sections we discuss the data, resonance analysis procedure, and results.

  2. Operational Evaluation of VEGGIE Food Production System in the Habitat Demonstration Unit

    Science.gov (United States)

    Stutte, Gary W.; Newsham, Gerard; Morrow, Robert M.; Wheeler, Raymond M.

    2011-01-01

    The 2010 Desert Research and Technology Studies (DRATS) of the VEGGIE Food Production System in the Habitat Demonstration Unit (HDU) Pressurized Excursion Module (PEM) was the first operational evaluation of salad crop production technology in a NASA analog test. A systematic evaluation of rooting media and nutrient delivery systems were evaluated for three lettuce cultivars that have shown promise as candidates for a surface based food production system. The VEGGIE nutrient delivery system worked well, was able to be maintained by multiple operators with a minimum of training, and supported excellent lettuce growth for the duration of the test. A Hazard Analysis and Critical Control Point (HACCP) evaluation was performed using ProSan(tm) as sanitation agent prior to consumption was approved, and the crew was allowed to consume the lettuce grown using the VEGGIE light cap and gravity based nutrient delivery system at the completion of the 14-day DRAT field test. The DRAT field test validated the crew operations; Growth of all lettuce cultivars was excellent. The operational DRAT field testing in the HDU identified light quality issues related to morphology and pigment development that will need to be addressed through additional testing. Feedback from the crew, ground support personnel, and human factors leads was uniformly positive on the psychological value of having the crop production system in the excursion module. A number of areas have been identified for future work, to minimize the "footprint" of the Food Production system through creative use of unused wall and floor space in the unit.

  3. Operation Evaluation of the VEGGIE Food Production System in the Habitat Demonstration Unit

    Science.gov (United States)

    Stutte, Gary W.; Newsham, Gerard; Morrow, Robert M.; Wheeler, Raymond M.

    2011-01-01

    The 2010 Desert Research and Technology Studies (DRATS) of the VEGGIE Food Production System in the Habitat Demonstration Unit (HDU) Pressurized Excursion Module (PEM) was the first operational evaluation of salad crop production technology in a NASA analog test. A systematic evaluation of rooting media and nutrient delivery systems were evaluated for three lettuce cultivars that have shown promise as candidates for a surface based food production system. The VEGGIE nutrient delivery system worked well, was able to be maintained by multiple operators with a minimum of training, and supported excellent lettuce growth for the duration of the test. A Hazard Analysis and Critical Control Point (HACCP) evaluation was performed using ProSantm as sanitation agent prior to consumption was approved, and the crew was allowed to consume the lettuce grown using the VEGGIE light cap and gravity based nutrient delivery system at the completion of the 14-day DRAT field test. The DRAT field test validated the crew operations; Growth of all lettuce cultivars was excellent. The operational DRAT field testing in the HDU identified light quality issues related to morphology and pigment development that will need to be addressed through additional testing. Feedback from the crew, ground support personnel, and human factors leads was uniformly positive on the psychological value of having the crop production system in the excursion module. A number of areas have been identified for future work, to minimize the "footprint" of the Food Production system through creative use of unused wall and floor space in the unit.

  4. Evaluation of frequency spectrum and main oscillation modes of box type multiple cross sections spans

    Directory of Open Access Journals (Sweden)

    Sokolov Oleg Leonidovich

    2014-05-01

    Full Text Available From the viewpoint of mechanics the box span of trestle bridges is non-diaphragm prismatic shell of multiple cross section of average length. Though many problems of static analysis of such structures have been solved, the development of analytical methods of calculating non-diaphragm box type structures on the vibration is an urgent task. The presented method for analysis of free vibration of non-diaphragm spans of box trestle bridges of multiple cross sections is based on the variation theory of prismatic shells of average length by V.Z. Vlasov. In this method the discrete-continuum design scheme, in which the mass of the structure is reduced to its nodal lines, is used. Equations of free vibration are variation equations and represent the work of internal and external forces in the possible displacements. The possible displacements are determined by the static approximation. The order frequency equation, obtained by solving the equation system of free vibration, coincides with the number of the vertical walls of the box span. For a split design scheme span the frequency equation is algebraic, and its components are calculated in analytical formulas. The method is illustrated by free vibrations of non-diaphragm box spans with four cross sections. As a result, the solution frequency spectrum and modes of vibration were defined. The advantage of the presented method of calculation is that the components of the frequency equation are calculated in analytical formulas. This method helps to study free vibration non-diaphragm box spans of multiple cross sections depending on changes in the design parameters. Application of this method will reduce the time and improve the design quality, and also monitor the results of structures analysis prepared with the help of computer complex.

  5. Cross Section Evaluation by Spinor Integration II: The massive case in 4D

    CERN Document Server

    Feng, Bo

    2010-01-01

    In this paper, we continue our study of calculating the cross section by the spinor method, i.e., performing the phase space integration using the spinor method. We have focused on the case where the physical momenta are massive and in pure 4D. We established the framework of such a new method and presented several examples, including two real progresses: $Z^0\\to l^+ l^- H$ and $q\\O q\\to f {\\O}f H^0$.

  6. Patterns in Nature Forming Patterns in Minds: An Evaluation of an Introductory Physics Unit

    Science.gov (United States)

    Sheaffer, Christopher Ryan

    Educators are increasingly focused on the process over the content. In science especially, teachers want students to understand the nature of science and investigation. The emergence of scientific inquiry and engineering design teaching methods have led to the development of new teaching and evaluation methods that concentrate on steps in a process rather than facts in a topic. Research supports the notion that an explicit focus on the scientific process can lead to student science knowledge gains. In response to new research and standards many teachers have been developing teaching methods that seem to work well in their classrooms, but lack the time and resources to test them in other classroom environments. A high school Physics teacher (Bradford Hill) has developed a unit called Patterns in Nature (PIN) with objectives relating mathematical modeling to the scientific process. Designed for use in his large public school classroom, the unit was taken and used in a charter school with small classes. This study looks at specifically whether or not the PIN unit effectively teaches students how to graph the data they gather and fit an appropriate mathematical pattern, using that model to predict future measurements. Additionally, the study looks at the students' knowledge and views about the nature of science and the process of scientific investigation as it is affected by the PIN unit. Findings show that students are able to identify and apply patterns to data, but have difficulties explaining the meaning of the math. Students' show increases in their knowledge of the process of science, and the majority develop positive views about science in general. A major goal of this study is to place this unit in the cyclical process of Design-Based Research and allow for Pattern in Nature's continuous improvement, development and evaluation. Design-Based Research (DBR) is an approach that can be applied to the implementation and evaluation of classroom materials. This method

  7. Duration of temporary catheter use for hemodialysis: an observational, prospective evaluation of renal units in Brazil

    Directory of Open Access Journals (Sweden)

    Bonfante Gisele MS

    2011-11-01

    Full Text Available Abstract Background For chronic hemodialysis, the ideal permanent vascular access is the arteriovenous fistula (AVF. Temporary catheters should be reserved for acute dialysis needs. The AVF is associated with lower infection rates, better clinical results, and a higher quality of life and survival when compared to temporary catheters. In Brazil, the proportion of patients with temporary catheters for more than 3 months from the beginning of therapy is used as an evaluation of the quality of renal units. The aim of this study is to evaluate factors associated with the time between the beginning of hemodialysis with temporary catheters and the placement of the first arteriovenous fistula in Brazil. Methods This is an observational, prospective non-concurrent study using national administrative registries of all patients financed by the public health system who began renal replacement therapy (RRT between 2000 and 2004 in Brazil. Incident patients were eligible who had hemodialysis for the first time. Patients were excluded who: had hemodialysis reportedly started after the date of death (inconsistent database; were younger than 18 years old; had HIV; had no record of the first dialysis unit; and were dialyzed in units with less than twenty patients. To evaluate individual and renal unit factors associated with the event of interest, the frailty model was used (N = 55,589. Results Among the 23,824 patients (42.9% who underwent fistula placement in the period of the study, 18.2% maintained the temporary catheter for more than three months until the fistula creation. The analysis identified five statistically significant factors associated with longer time until first fistula: higher age (Hazard-risk - HR 0.99, 95% CI 0.99-1.00; having hypertension and cardiovascular diseases (HR 0.94, 95% CI 0.9-0.98 as the cause of chronic renal disease; residing in capitals cities (HR 0.92, 95% CI 0.9-0.95 and certain regions in Brazil - South (HR 0.83, 95% CI 0

  8. Duration of temporary catheter use for hemodialysis: an observational, prospective evaluation of renal units in Brazil.

    Science.gov (United States)

    Bonfante, Gisele M S; Gomes, Isabel C; Andrade, Eli Iola G; Lima, Eleonora M; Acurcio, Francisco A; Cherchiglia, Mariângela L

    2011-11-17

    For chronic hemodialysis, the ideal permanent vascular access is the arteriovenous fistula (AVF). Temporary catheters should be reserved for acute dialysis needs. The AVF is associated with lower infection rates, better clinical results, and a higher quality of life and survival when compared to temporary catheters. In Brazil, the proportion of patients with temporary catheters for more than 3 months from the beginning of therapy is used as an evaluation of the quality of renal units. The aim of this study is to evaluate factors associated with the time between the beginning of hemodialysis with temporary catheters and the placement of the first arteriovenous fistula in Brazil. This is an observational, prospective non-concurrent study using national administrative registries of all patients financed by the public health system who began renal replacement therapy (RRT) between 2000 and 2004 in Brazil. Incident patients were eligible who had hemodialysis for the first time. Patients were excluded who: had hemodialysis reportedly started after the date of death (inconsistent database); were younger than 18 years old; had HIV; had no record of the first dialysis unit; and were dialyzed in units with less than twenty patients. To evaluate individual and renal unit factors associated with the event of interest, the frailty model was used (N = 55,589). Among the 23,824 patients (42.9%) who underwent fistula placement in the period of the study, 18.2% maintained the temporary catheter for more than three months until the fistula creation. The analysis identified five statistically significant factors associated with longer time until first fistula: higher age (Hazard-risk - HR 0.99, 95% CI 0.99-1.00); having hypertension and cardiovascular diseases (HR 0.94, 95% CI 0.9-0.98) as the cause of chronic renal disease; residing in capitals cities (HR 0.92, 95% CI 0.9-0.95) and certain regions in Brazil - South (HR 0.83, 95% CI 0.8-0.87), Midwest (HR 0.88, 95% CI 0

  9. Evaluation of Leg Wrapping for the Prevention of Postspinal Hypotension in Cesarean Section under Spinal Anesthesia

    Science.gov (United States)

    Bagle, Aparna Abhijit; Vishnu, Adithya; Kumar, Anil; Malik, Amit; Garg, Vinit; Khanvilkar, Gayatri

    2017-01-01

    Background: Spinal blockade provides excellent anesthesia for patients undergoing cesarean section. However, hypotension after spinal anesthesia is a common adverse effect that is commonly experienced in patients undergoing cesarean section. The aim of our study was to analyze if a simple technique like leg wrapping with elastic crepe bandage would be effective in controlling postspinal hypotension. Materials and Methods: Sixty full-term pregnant patients who were posted for cesarean section belonging to American Society of Anesthesiologists I and II were divided into two groups. Patients in Group W had their legs wrapped with elastic crepe bandage and in the other Group N, leg wrapping was not done. All the patients were preloaded with Ringer lactate at 10 ml/kg before the spinal anesthesia. The hemodynamic parameters were monitored every 3 min until the delivery of the baby and every 5 min until the end of surgery. If hypotension occurred, then along with crystalloid loading a bolus dose of mephentermine 6 mg was given intravenously. Statistical Analysis: Statistical software “Numbers version 3.6.1 (2566)” was used for statistical calculations. Results: Frequency of hypotension in Group W (10%) was significantly less compared to Group N (60%). Vasopressor requirement was significantly less in Group W (P = 0.009), which was highly significant. Conclusion: Wrapping of lower extremities was a simple, easy, and an effective method of decreasing episodes of hypotension and vasopressor requirement after spinal anesthesia in cesarean patients and needs to be practiced routinely. PMID:28663637

  10. Ammonia concentration and bacterial evaluation of feline whole blood and packed red blood cell units stored for transfusion

    Directory of Open Access Journals (Sweden)

    Eva Spada

    2014-10-01

    Full Text Available Ammonia concentrations increase in human, canine and equine WB and PRBC units during storage. The aim of this study was to determine the effect of storage on ammonia concentration in feline WB and PRBC units stored in a veterinary blood bank and to evaluate possible correlations with bacterial contamination. Ammonia concentration was evaluated in 15 WB units and 2 PRBC units on day 1 and at the end of storage after 35 and 42 days, respectively. In an additional 5 WB units and 4 PRBC units ammonia concentrations were determined daily until the day the normal reference range was exceeded and then weekly to the end of storage. All units were evaluated for bacterial contamination. Ammonia increased markedly during storage as a linear function over time. On the 35th and 42th day of storage at 4±2°C mean±SD ammonia concentration reached 909±158 µg/dl and 1058±212 µg/dl in WB and PRBC units, respectively. Bacterial culture was negative in all units. High ammonia concentrations in stored WB and PRBC units could result in toxicity, particularly in feline recipients with liver failure, portosystemic shunts or those receiving large transfusion volumes. Clinical in vivo studies evaluating the effects on recipients should be performed.

  11. Is the Health and Wellbeing of University Students Associated with their Academic Performance? Cross Sectional Findings from the United Kingdom

    Directory of Open Access Journals (Sweden)

    Walid El Ansari

    2010-02-01

    Full Text Available This study explored the associations between health awareness, health behaviour, subjective health status, and satisfaction of students with their educational experience as independent variables and three outcomes of educational achievement as dependent variables. We undertook two simultaneous cross-sectional surveys among students from one University in the UK during 2008−2009. The first survey was a general health survey; the second survey measured students’ satisfaction with different aspects of their learning and teaching experience. Students’ registration numbers linked the responses of both questionnaires together, and subsequently linked the questionnaires to the university database to import the grades that students actually achieved in their studies. Generally, students (N = 380 exhibited average medium to high satisfaction with their educational experiences. Students’ satisfaction with their educational experiences was not associated with any of the three indicators of educational achievement (actual module mark; perceived own performance; importance of achieving good grades. The associations of educational satisfaction, health, health behaviours, heath complaints and financial parameters with the three outcomes of educational achievement did not differ between male and female students. Each of the health, health behaviours, health complaints and financial parameters were selectively associated with only some but not all three indicators of student educational achievement. We conclude that the findings support a conceptual framework suggesting reciprocal relationships between health, health behaviour and educational achievement. Comprehensive health promotion programmes may have the potential to influence relevant predictors of educational achievement in university students.

  12. Environmental risk factors associated with Helicobacter pylori seroprevalence in the United States: a cross-sectional analysis of NHANES data.

    Science.gov (United States)

    Krueger, W S; Hilborn, E D; Converse, R R; Wade, T J

    2015-09-01

    Helicobacter pylori imparts a considerable burden to public health. Infections are mainly acquired in childhood and can lead to chronic diseases, including gastric ulcers and cancer. The bacterium subsists in water, but the environment's role in transmission remains poorly understood. The nationally representative National Health and Nutrition Examination Survey (NHANES) was examined for environmental risk factors associated with H. pylori seroprevalence. Data from 1999-2000 were examined and weighted to represent the US population. Multivariable logistic regression estimated adjusted odds ratios (aOR) and 95% confidence intervals (CI) for associations with seropositivity. Self-reported general health condition was inversely associated with seropositivity. Of participants aged <20 years, seropositivity was significantly associated with having a well as the source of home tap water (aOR 1·7, 95% CI 1·1-2·6) and living in a more crowded home (aOR 2·3, 95% CI 1·5-3·7). Of adults aged ⩾20 years, seropositivity was not associated with well water or crowded living conditions, but adults in soil-related occupations had significantly higher odds of seropositivity compared to those in non-soil-related occupations (aOR 1·9, 95% CI 1·2-2·9). Exposures to both well water and occupationally related soil increased the effect size of adults' odds of seropositivity compared to non-exposed adults (aOR 2·7, 95% CI 1·3-5·6). Environmental exposures (well-water usage and occupational contact with soil) play a role in H. pylori transmission. A disproportionate burden of infection is associated with poor health and crowded living conditions, but risks vary by age and race/ethnicity. These findings could help inform interventions to reduce the burden of infections in the United States.

  13. Breastfeeding Evaluation Indicators System is a Promising Evaluation Tool for Preterm Infants in Neonatal Intensive Care Units (NICU).

    Science.gov (United States)

    Yu, Xiurong; Sun, Hongying; Lin, Xiangyun; Liu, Xiuxiang

    2016-10-26

    BACKGROUND Breast feeding can enhance preterm infants' neurodevelopmental outcome, regulate immune function development. This study aims to develop breastfeeding evaluation indicators system in neonatal intensive care units (NICU) and to provide theoretical basis for all-round evaluation of breast feeding quality for hospitalized preterm infants. MATERIAL AND METHODS This study was performed based on Avedis Donabedian's theory of medical care quality. Preterm infant breast feeding evaluation indicators system frame was initially formed by using literature review, clinical on-spot observation and expert consultation methods. By using specialists meeting method and Delphi method, evaluation indicators system for preterm infants breastfeeding was verified and established. Breastfeeding evaluation indicators system were performed in NICU of hospitals in Binzhou and Shanghai. Feasibility and usability of indicators system were examined. RESULTS Breastfeeding evaluation indicators system for preterm infants comprise 3 levels, including level 1 (3 indicators), level 2 (7 indicators), and level 3 (18 indicators). Recognition rates of importance for level 2 and 3 range from 94.4% to 100.0% and 80.6% to 100.0%, respectively. Mean of Likert rating for level 2 and 3 range from 3.31 to 3.89 and 3.03 to 3.97, which are all higher than the average value of 2.50. Kendall's coefficient and its significance test showed that consistency of experts' opinion for indicators' importance is high (Pquality in NICUs. CONCLUSIONS Indicators system is feasible and is a promising evaluation tool for continuously improving breastfeeding quality for preterm infants in NICUs.

  14. Geochemical and geostatistical evaluation, Arkansas Canyon Planning Unit, Fremont and Custer Counties, Colorado

    Science.gov (United States)

    Weiland, E.F.; Connors, R.A.; Robinson, M.L.; Lindemann, J.W.; Meyer, W.T.

    1982-01-01

    A mineral assessment of the Arkansas Canyon Planning Unit was undertaken by Barringer Resources Inc., under the terms of contract YA-553-CTO-100 with the Bureau of Land Management, Colorado State Office. The study was based on a geochemical-geostatistical survey in which 700 stream sediment samples were collected and analyzed for 25 elements. Geochemical results were interpreted by statistical processing which included factor, discriminant, multiple regression and characteristic analysis. The major deposit types evaluated were massive sulfide-base metal, sedimentary and magmatic uranium, thorium vein, magmatic segregation, and carbonatite related deposits. Results of the single element data and multivariate geostatistical analysis indicate that limited potential exists for base metal mineralization near the Horseshoe, El Plomo, and Green Mountain Mines. Thirty areas are considered to be anomalous with regard to one or more of the geochemical parameters evaluated during this study. The evaluation of carbonatite related mineralization was restricted due to the lack of geochemical data specific to this environment.

  15. Measurements and Evaluation of Nuclear Reaction Cross Sections Leading to Various Practical Applications in Science and Technology

    Energy Technology Data Exchange (ETDEWEB)

    Khandaker, Mayeen Uddin; Lee, Young Ouk; Cho, Young Sik

    2008-07-15

    This report contains the measurements and evaluation of production cross sections of some medically and technologically important radionuclides over the energy range 1-40 MeV by using a conventional stacked-foil activation technique combined with high purity germanium (HPGe) -ray spectrometry. The irradiations were done by using the external beam line of the MC-50 cyclotron at the Korea Institute of Radiological and Medical Sciences (KIRAMS). The standard cross sections for monitor reactions were taken from IAEA web site. Integral yields for the investigated radionuclides were deduced using the measured cross-sections. Reported data were compared with the available literature data, theoretical calculations by the codes TALYS and ALICE-IPPE, and a good overall agreement among them was found.

  16. Use of Videoconferencing for Lactation Consultation: An Online Cross-Sectional Survey of Mothers' Acceptance in the United States.

    Science.gov (United States)

    Habibi, Mona F; Springer, Cary M; Spence, Marsha L; Hansen-Petrik, Melissa B; Kavanagh, Katherine F

    2017-06-01

    Suboptimal breastfeeding duration and exclusivity rates are a public health concern. Therefore, there is a need for identifying effective tools for use in interventions targeting specific barriers to optimal breastfeeding outcomes. Research aim: This study aimed to assess the relationship between acceptance of remote lactation consultation using videoconferencing and (a) maternal demographic factors, (b) technology acceptance subscales, (c) maternal learning style preferences, and (d) other potentially explanatory maternal factors. This was a cross-sectional, online study. English-speaking mothers of at least 18 years of age, with an infant age 4 months or younger, and who reported initiating breastfeeding were eligible to participate. Mothers were recruited from 27 randomly selected states. One hundred one mothers completed the survey, resulting in a response rate of 71%. The main outcome was acceptance of videoconferencing use for lactation consultation. No significant differences were found in acceptance by maternal demographic factors or learning style preferences. Acceptance was significantly related to perceived ease of use ( r = .680, p < .001), perceived usefulness/extrinsic motivation ( r = .774, p < .001), intrinsic motivation ( r = .689, p < .001), desire for control of privacy ( r = -.293, p < .01), and mother's perception of the infant father's/maternal partner's acceptance of videoconferencing for lactation consultation ( r = .432, p < .001). Only perceived usefulness/extrinsic motivation and maternal age remained in the final regression model ( R(2) = .616, p < .001). Although perceived usefulness/extrinsic motivation was positively associated with acceptance, maternal age was inversely related. This sample of mothers indicated general acceptance of videoconferencing for lactation consultation, with younger mothers and those perceiving it to be more useful demonstrating greater acceptance.

  17. Development of a novel walkability index for London, United Kingdom: cross-sectional application to the Whitehall II Study.

    Science.gov (United States)

    Stockton, Jemima C; Duke-Williams, Oliver; Stamatakis, Emmanuel; Mindell, Jennifer S; Brunner, Eric J; Shelton, Nicola J

    2016-05-18

    Physical activity is essential for health; walking is the easiest way to incorporate activity into everyday life. Previous studies report positive associations between neighbourhood walkability and walking but most focused on cities in North America and Australasia. Urban form with respect to street connectivity, residential density and land use mix-common components of walkability indices-differs in European cities. The objective of this study was to develop a walkability index for London and test the index using walking data from the Whitehall II Study.  A neighbourhood walkability index for London was constructed, comprising factors associated with walking behaviours: residential dwelling density, street connectivity and land use mix. Three models were produced that differed in the land uses included. Neighbourhoods were operationalised at three levels of administrative geography: (i) 21,140 output areas, (ii) 633 wards and (iii) 33 local authorities. A neighbourhood walkability score was assigned to each London-dwelling Whitehall II Study participant (2003-04, N = 3020, mean ± SD age = 61.0 years ± 6.0) based on residential postcode. The effect of changing the model specification and the units of enumeration on spatial variation in walkability was examined. There was a radial decay in walkability from the centre to the periphery of London. There was high inter-model correlation in walkability scores for any given neighbourhood operationalisation (0.92-0.98), and moderate-high correlation between neighbourhood operationalisations for any given model (0.39-0.70). After adjustment for individual level factors and area deprivation, individuals in the most walkable neighbourhoods operationalised as wards were more likely to walk >6 h/week (OR = 1.4; 95 % CI: 1.1-1.9) than those in the least walkable. Walkability was associated with walking time in adults. This walkability index could help urban planners identify and design neighbourhoods in

  18. An evaluation of dental prosthetic status and prosthetic needs among eunuchs (trans genders) residing in bhopal city, madhya pradesh, India: a cross-sectional study.

    Science.gov (United States)

    Hongal, S; Torwane, Na; Chandrashekhar, Br; Saxena, V; Chavan, Kr

    2014-11-01

    Eunuchs are considered as the most vulnerable, frustrated, and insecure community. The accessibility to medical and dental facilities for the eunuchs is nearly nonexistent. Due to these reasons, they might be at a high risk of developing severe dental problems like tooth loss. The present cross-sectional study aimed to evaluate the dental prosthetic status and prosthetic needs among eunuchs residing in Bhopal city, Madhya Pradesh, India. On the basis of convenient nonprobability snowball sampling technique, all the self-identified eunuchs residing in the city of Bhopal along with a matched control consisting of cross section of the general population residing in the same locality was examined to evaluate the prosthetic status and prosthetic needs of the population. All the obtained data were entered into a personal computer on Microsoft excel sheet and analyzed using the software; Statistical Package for Social Science version 20. Data comparison was done by applying Chi-square test. A total of 639 subjects comprised of 207 eunuchs, 218 males and 214 females. Among all participants, 2.8% (18/639) were having prosthesis. The overall prosthetic status among males was 3.2% (7/218) followed by 2.9% (6/207) eunuchs and 2.3% (5/214) females. However, need for multi-unit and combination of one and more unit prosthesis for upper and lower jaws was higher in males compared to females and eunuchs, but the difference was not statistically significant. The findings of this study clearly demonstrate a high unmet need for prosthetic care among the population surveyed.

  19. Evaluation of road failure vulnerability section through integrated geophysical and geotechnical studies

    Directory of Open Access Journals (Sweden)

    K.A.N. Adiat

    2017-06-01

    Full Text Available In order to investigate the competence of the proposed road for pavement stability, geotechnical and geophysical investigations involving Land Magnetic, Very Low Frequency Electromagnetic (VLF-EM and Electrical Resistivity methods were carried out along Akure-Ipinsa road Southwestern Nigeria. The magnetic profile was qualitatively and quantitatively interpreted to produce geomagnetic section that provides information on the basement topography and structural disposition beneath the proposed road. Similarly, the VLF-EM profile was equally interpreted to provide information on the possible occurrence of linear features beneath the study area. These linear features pose a potential risk to the proposed road as they are capable of undermining the stability of the pavement structure. The geoelectric parameters obtained from the quantitative interpretation of the VES data were used to generate geoelectric section. The geoelectric section generated shows that the study area was underlain by four geoelectric layers namely the topsoil, the weathered layer, the partly weathered/fractured basement and the fresh basement. The major part of the topsoil, which constitutes the subgrade, is characterized by relatively low resistivity values (<100 Ωm suggestive of weak zones that are capable of undermining the stability of the proposed road. This therefore suggests that the layer is composed of incompetent materials that are unsuitable for engineering structures. Furthermore, fractured basement was also delineated beneath some portion of the proposed road. Since fracture is a weak zone, its presence can facilitate failure of the proposed road especially when it is occurring at shallow depth. The geotechnical results reveal that most of the investigated soil samples are clayey in nature. Integration of the results demonstrates that there is a good correlation between geophysical results and the geotechnical results. Furthermore, a vulnerability section that

  20. Evaluation of road failure vulnerability section through integrated geophysical and geotechnical studies

    Science.gov (United States)

    Adiat, K. A. N.; Akinlalu, A. A.; Adegoroye, A. A.

    2017-06-01

    In order to investigate the competence of the proposed road for pavement stability, geotechnical and geophysical investigations involving Land Magnetic, Very Low Frequency Electromagnetic (VLF-EM) and Electrical Resistivity methods were carried out along Akure-Ipinsa road Southwestern Nigeria. The magnetic profile was qualitatively and quantitatively interpreted to produce geomagnetic section that provides information on the basement topography and structural disposition beneath the proposed road. Similarly, the VLF-EM profile was equally interpreted to provide information on the possible occurrence of linear features beneath the study area. These linear features pose a potential risk to the proposed road as they are capable of undermining the stability of the pavement structure. The geoelectric parameters obtained from the quantitative interpretation of the VES data were used to generate geoelectric section. The geoelectric section generated shows that the study area was underlain by four geoelectric layers namely the topsoil, the weathered layer, the partly weathered/fractured basement and the fresh basement. The major part of the topsoil, which constitutes the subgrade, is characterized by relatively low resistivity values (<100 Ωm) suggestive of weak zones that are capable of undermining the stability of the proposed road. This therefore suggests that the layer is composed of incompetent materials that are unsuitable for engineering structures. Furthermore, fractured basement was also delineated beneath some portion of the proposed road. Since fracture is a weak zone, its presence can facilitate failure of the proposed road especially when it is occurring at shallow depth. The geotechnical results reveal that most of the investigated soil samples are clayey in nature. Integration of the results demonstrates that there is a good correlation between geophysical results and the geotechnical results. Furthermore, a vulnerability section that divided the road

  1. Evaluation of electromagnetic interference environment of the instrumentation and control systems in nuclear power units

    Energy Technology Data Exchange (ETDEWEB)

    Min, Moon-Gi; Lee, Jae-Ki; Ji, Yeong-Haw; Jo, Sung-Han [Korea Hydro & Nuclear Power Co., Ltd., 1312-70 Yuesong-daero, Yuseong-Gu, Daejeon 305-343 (Korea, Republic of); Kim, Hee-Je, E-mail: heeje@pusan.ac.kr [Pusan National University, 2, Busandaehak-ro 63beon-gil, Geumjeong-gu, Busan 609-735 (Korea, Republic of)

    2015-04-15

    Highlights: • We surveyed the electromagnetic emissions at the location of I&C systems. • We assessed the electromagnetic levels on reactor types from thirteen nuclear plants. • We evaluated the margin between plant emission limits and the highest composite levels. • We presented the formula of radiated susceptibility test levels to non-safety-related I&C systems. - Abstract: The electromagnetic interference (EMI) generated from sources in power units can interfere with digital Instrument and Control (I&C) systems. When EMI is emitted with conducted and radiated noise, it interferes with the signals of the I&C systems. Since the digital I&C systems are efficient and competitively priced, the analogue I&C systems have been upgraded and replaced with digital I&C systems, but these systems have less EMI immunity. When safety-related I&C systems are installed in the units, the verification of equipment EMI should not be done in site-specific tests but in test facilities. There are needs to do the overall site-specific EMI assessment of I&C systems depending on the reactor types from thirteen operating units. This study evaluated the margin between plant emission limits and the highest composite plant emissions of the EMI. When the non-safety-related I&C equipment or systems are placed in the units, there are no individual test levels of the radiated electrical field. If need be, the level should comply with the test levels of the radiated electrical field on the safety-related I&C systems. This paper presents the test levels of radiated electrical fields to non-safety-related I&C equipment or systems.

  2. Uncertainties in evaluated total cross-section data for 14 nuclides contained in JENDL-3.2

    Energy Technology Data Exchange (ETDEWEB)

    Nakamura, Masahiro; Shibata, Keiichi [Japan Atomic Energy Research Inst., Tokai, Ibaraki (Japan). Tokai Research Establishment

    1995-10-01

    Variances and covariances of total cross sections have been estimated for 14 nuclides contained in JENDL-3.2. Least-squares analyses using the GMA code were performed to obtain them. Information on the uncertainties of those measurements, which the JENDL-3.2 evaluation was based on, was derived from the associated references and fed into the GMA code system. The results obtained from the present analysis are illustrated. (author).

  3. A cross-sectional evaluation of computer literacy among medical students at a tertiary care teaching hospital in Mumbai (Bombay)

    OpenAIRE

    T S Panchabhai; N S Dangayach; Mehta, V S; C V Patankar; N. N. Rege

    2011-01-01

    Background: Computer usage capabilities of medical students for introduction of computer-aided learning have not been adequately assessed. Aim: Cross-sectional study to evaluate computer literacy among medical students. Settings and Design: Tertiary care teaching hospital in Mumbai, India. Materials and Methods: Participants were administered a 52-question questionnaire, designed to study their background, computer resources, computer usage, activities enhancing computer skills, and attitudes...

  4. Evaluation of the HTTR criticality and burnup calculations with continuous-energy and multigroup cross sections

    Energy Technology Data Exchange (ETDEWEB)

    Chiang, Min-Han; Wang, Jui-Yu [Institute of Nuclear Engineering and Science, National Tsing Hua University, 101, Section 2, Kung-Fu Road, Hsinchu 30013, Taiwan (China); Sheu, Rong-Jiun, E-mail: rjsheu@mx.nthu.edu.tw [Institute of Nuclear Engineering and Science, National Tsing Hua University, 101, Section 2, Kung-Fu Road, Hsinchu 30013, Taiwan (China); Department of Engineering System and Science, National Tsing Hua University, 101, Section 2, Kung-Fu Road, Hsinchu 30013, Taiwan (China); Liu, Yen-Wan Hsueh [Institute of Nuclear Engineering and Science, National Tsing Hua University, 101, Section 2, Kung-Fu Road, Hsinchu 30013, Taiwan (China); Department of Engineering System and Science, National Tsing Hua University, 101, Section 2, Kung-Fu Road, Hsinchu 30013, Taiwan (China)

    2014-05-01

    The High Temperature Engineering Test Reactor (HTTR) in Japan is a helium-cooled graphite-moderated reactor designed and operated for the future development of high-temperature gas-cooled reactors. Two detailed full-core models of HTTR have been established by using SCALE6 and MCNP5/X, respectively, to study its neutronic properties. Several benchmark problems were repeated first to validate the calculation models. Careful code-to-code comparisons were made to ensure that two calculation models are both correct and equivalent. Compared with experimental data, the two models show a consistent bias of approximately 20–30 mk overestimation in effective multiplication factor for a wide range of core states. Most of the bias could be related to the ENDF/B-VII.0 cross-section library or incomplete modeling of impurities in graphite. After that, a series of systematic analyses was performed to investigate the effects of cross sections on the HTTR criticality and burnup calculations, with special interest in the comparison between continuous-energy and multigroup results. Multigroup calculations in this study were carried out in 238-group structure and adopted the SCALE double-heterogeneity treatment for resonance self-shielding. The results show that multigroup calculations tend to underestimate the system eigenvalue by a constant amount of ∼5 mk compared to their continuous-energy counterparts. Further sensitivity studies suggest the differences between multigroup and continuous-energy results appear to be temperature independent and also insensitive to burnup effects.

  5. Combating unmeasured confounding in cross-sectional studies: evaluating instrumental-variable and Heckman selection models.

    Science.gov (United States)

    DeMaris, Alfred

    2014-09-01

    Unmeasured confounding is the principal threat to unbiased estimation of treatment "effects" (i.e., regression parameters for binary regressors) in nonexperimental research. It refers to unmeasured characteristics of individuals that lead them both to be in a particular "treatment" category and to register higher or lower values than others on a response variable. In this article, I introduce readers to 2 econometric techniques designed to control the problem, with a particular emphasis on the Heckman selection model (HSM). Both techniques can be used with only cross-sectional data. Using a Monte Carlo experiment, I compare the performance of instrumental-variable regression (IVR) and HSM to that of ordinary least squares (OLS) under conditions with treatment and unmeasured confounding both present and absent. I find HSM generally to outperform IVR with respect to mean-square-error of treatment estimates, as well as power for detecting either a treatment effect or unobserved confounding. However, both HSM and IVR require a large sample to be fully effective. The use of HSM and IVR in tandem with OLS to untangle unobserved confounding bias in cross-sectional data is further demonstrated with an empirical application. Using data from the 2006-2010 General Social Survey (National Opinion Research Center, 2014), I examine the association between being married and subjective well-being.

  6. Evaluation of Cross-section Airway Configuration of Obstructive Sleep Apnea

    Science.gov (United States)

    Ogawa, Takumi; Enciso, Reyes; Shintaku, Werner H.; Clark, Glenn T.

    2007-01-01

    Upper airway imaging techniques can be useful to identify the exact location and nature of the obstruction in obstructive sleep apnea (OSA) patients. Methods Ten OSA patients and ten non-OSA control subjects were imaged using cone-beam computed tomography (Newtom QR-DVT9000) to compare their upper airway structure. Results The OSA subjects presented higher BMI (OSA: 29.5 ± 9.05 kg/m2; Non-OSA: 23.1 ± 3.05 kg/m2 [p=0.034]), lower total volume (mm3) of the airway (OSA: 4868.4 ± 1863.9; Non-OSA: 6051.7 ± 1756.4 [p =0.054]), statistically significantly smaller anterior-posterior dimension (mm) of the minimum cross-section segment (OSA: 4.6 ± 1.2; Non-OSA: 7.8 ± 3.31 [p =0.009]), and smaller minimum cross-section area (OSA: 45.8±17.5 mm2; Non-OSA: 146.9±111.7 mm2 [p=0.011]) positioned below the occlusal plane in 70% of the cases (OSA:7 out of 10; Non-OSA: 5 out of 10 [p=0.030]). The OSA group presented a concave or elliptic shaped airway and the non-OSA group presented a concave, round or square shaped airway. (156 words) PMID:17178502

  7. Editor and Section Editor's Perspective Article: A Look at the Danielson Framework for Teacher Evaluation

    Science.gov (United States)

    Evans, Brian R.; Wills, Fran; Moretti, Megan

    2015-01-01

    In this age of teacher accountability, school districts are increasingly interested in using the best possible methods in evaluating their teachers. This interest impacts new alternative certification teachers, as well as traditional teachers. An increasingly popular assessment is the Danielson Framework, which is a set of 22 components of…

  8. Evaluation of fission cross sections and covariances for {sup 233}U, {sup 235}U, {sup 238}U, {sup 239}Pu, {sup 240}Pu, and {sup 241}Pu

    Energy Technology Data Exchange (ETDEWEB)

    Kawano, Toshihiko [Kyushu Univ., Fukuoka (Japan); Matsunobu, Hiroyuki [Data Engineering, Inc. (Japan); Murata, Toru [AITEL Corporation, Tokyo (JP)] [and others

    2000-02-01

    A simultaneous evaluation code SOK (Simultaneous evaluation on KALMAN) has been developed, which is a least-squares fitting program to absolute and relative measurements. The SOK code was employed to evaluate the fission cross sections of {sup 233}U, {sup 235}U, {sup 238}U, {sup 239}Pu, {sup 240}Pu, and {sup 241}Pu for the evaluated nuclear data library JENDL-3.3. Procedures of the simultaneous evaluation and the experimental database of the fission cross sections are described. The fission cross sections obtained were compared with evaluated values given in JENDL-3.2 and ENDF/B-VI. (author)

  9. Evaluation of Different Methods for Removing Oral Biofilm in Patients Admitted to the Intensive Care Unit

    Science.gov (United States)

    Oliveira, Maria Sonia; Borges, Alvaro Henrique; Mattos, Fernanda Zanol; Semenoff, Tereza Aparecida Della Vedove; Segundo, Alex Semenoff; Tonetto, Mateus Rodrigues; Bandeca, Matheus Coêlho; Porto, Alessandra Nogueira

    2014-01-01

    Background: The present study aimed to evaluate the different methods for removing oral biofilm in combination with 0.12% chlorhexidine, in patients admitted to the intensive care unit (ICU) of the General University Hospital. Materials and Methods: Initially, the patients were included in the study and underwent periodontal evaluation by means of the visible plaque index (VPI) and gingival bleeding index (GBI). The removal of visible biofilm, by a professional, was carried out using a toothbrush and dental floss, followed by the application of a 0.12% chlorhexidine solution. The patients were included in this randomized and controlled study into four groups (total n = 48), as follows: Chlorhexidine and gauze 12/12 h; chlorhexidine and gauze 24/24 h; chlorhexidine and brushing 12/12 h; chlorhexidine and brushing 24/24 h. The patients underwent the biofilm removal protocol for 7 days and then were subjected to a new clinical evaluation as to VPI and GBI. Data analysis was performed through stratification and arrangement of the records, in order to carry out the associations with health indicators used in the study, and the statistical tests used were Kappa and t-test for independent and paired samples. Results: A decrease in the VPI and GBI values when comparing baseline to the final evaluation for all groups was observed. Conclusion: Based on the methodology, it was possible to concluded that chlorhexidine associated with the mechanical action of the toothbrush or gauze in the times 12 h and 24 h in the ICU environment presented the same results as regards amount of visible biofilm. How to cite the article: Oliveira MS, Borges AH, Mattos FZ, Semenoff TA, Segundo AS, Tonetto MR, Bandeca MC, Porto AN. Evaluation of different methods for removing oral biofilm in patients admitted to the intensive care unit. J Int Oral Health 2014;6(3):61-4. PMID:25083034

  10. Evaluation of Various Methods for Estimating Global Solar Radiation in the Southeastern United States

    Energy Technology Data Exchange (ETDEWEB)

    Woli, Prem; Paz, Joel O.

    2012-05-01

    Global solar radiation Rg is an important input for crop models to simulate crop responses. Because the scarcity of long and continuous records of Rg is a serious limitation in many countries, Rg is estimated using models. For crop-model application, empirical Rg models that use commonly measured meteorological variables, such as temperature and precipitation, are generally preferred. Although a large number of models of this kind exist, few have been evaluated for conditions in the United States. This study evaluated the performances of 16 empirical, temperature- and/or precipitation-based Rg models for the southeastern United States. By taking into account spatial distribution and data availability, 30 locations in the region were selected and their daily weather data spanning eight years obtained. One-half of the data was used for calibrating the models, and the other half was used for evaluation. For each model, location-specific parameter values were estimated through regressions. Models were evaluated for each location using the root-mean-square error and the modeling efficiency as goodness-of-fit measures. Among the models that use temperature or precipitation as the input variable, the Mavromatis model showed the best performance. The piecewise linear regression based Wu et al. model (WP) performed best not only among the models that use both temperature and precipitation but also among the 16 models evaluated, mainly because it has separate relationships for low and high radiation levels. The modeling efficiency of WP was from ~5% to more than 100% greater than those of the other models, depending on models and locations.

  11. Evaluation of the load carrying capacity of large cross section coniferous timber in standing structures

    Directory of Open Access Journals (Sweden)

    Arriaga, F.

    2005-12-01

    Full Text Available A total of 85 large section timber pieces (Pinus sylvestris L. and Pinus pinaster Alt. found in a number of old buildings were visually analyzed and graded pursuant to Spanish standard UNE 56544 and German standard 4074. The object was to formulate a non-destructive method to reliably and effectively determine the mechanical properties of existing timber structures with large cross sections. A new system is proposed based on the chief visual grading parameters and consisting in a single grade; the percentage of rejections with this system is low. In this regard, a specific strength class is established for large cross section members in existing coniferous wood structures, namely F14/E9/D380 (MOR of 14 N/mm2, MOE of 9 kN/mm2 and characteristic density of 380 kg/m3. The use of ultrasonic velocity is proposed to define the next higher strength class - F16/E10/D380, to which timber with velocities of 4,900 m/s or over would be assigned.

    Se han clasificado visualmente 85 piezas de madera de gruesa sección (Pino silvestre y Pino pinaster procedentes de varios edificios antiguos de acuerdo con las normas UNE 56544 y DIN 4074. El objetivo es establecer una metodología no destructiva para asignar propiedades mecánicas a las piezas de estructuras existentes de madera con gruesas escuadrías con un nivel de seguridad y de rendimiento aceptables. Se propone un único grado de calidad con un porcentaje bajo de rechazos, aplicando los principales parámetros de la clasificación visual. De esta forma, se establece una clase resistente específica para las piezas de gruesa escuadría de estructuras de madera de conifera existentes definida como FI4/E9/D380 (resistencia característica a flexión igual a 14 N/mm2, módulo de elasticidad de 9 kN/mn2 y densidad característica de 380 kg/m3. Para alcanzar una clase resistente superior se propone utilizar el parámetro añadido de la

  12. Evaluating Mobile Graphics Processing Units (GPUs) for Real-Time Resource Constrained Applications

    Energy Technology Data Exchange (ETDEWEB)

    Meredith, J; Conger, J; Liu, Y; Johnson, J

    2005-11-11

    Modern graphics processing units (GPUs) can provide tremendous performance boosts for some applications beyond what a single CPU can accomplish, and their performance is growing at a rate faster than CPUs as well. Mobile GPUs available for laptops have the small form factor and low power requirements suitable for use in embedded processing. We evaluated several desktop and mobile GPUs and CPUs on traditional and non-traditional graphics tasks, as well as on the most time consuming pieces of a full hyperspectral imaging application. Accuracy remained high despite small differences in arithmetic operations like rounding. Performance improvements are summarized here relative to a desktop Pentium 4 CPU.

  13. GATEWAY Report Brief: Evaluating Tunable LED Lighting in the Swedish Medical Behavioral Health Unit

    Energy Technology Data Exchange (ETDEWEB)

    None, None

    2017-08-23

    Summary of a GATEWAY report evaluation of a tunable LED lighting system installed in the new Swedish Medical Behavioral Health Unit in Seattle that incorporates color-tunable luminaires in common areas, and uses advanced controls for dimming and color tuning, with the goal of providing a better environment for staff and patients. The report reviews the design of the tunable lighting system, summarizes two sets of measurements, and discusses the circadian, energy, and commissioning implications as well as lessons learned from the project.

  14. Social Acceptance of Wind Power in the United States: Evaluating Stakeholder Perspectives (Poster)

    Energy Technology Data Exchange (ETDEWEB)

    Tegen, S.; Lantz, E.

    2009-05-01

    As the wind industry strives to achieve 20% wind energy by 2030, maintaining high levels of social acceptance for wind energy will become increasingly important. Wind Powering America is currently researching stakeholder perspectives in the U.S. market and reviewing findings from wind energy projects around the world to better understand social acceptance barriers. Results from European studies show that acceptance varies widely depending on local community values. A preliminary survey shows similar results in the United States. Further research will be conducted to refine our understanding of key social acceptance barriers and evaluate the best ways to mitigate negative perspectives on wind power.

  15. Evaluation of strategic actions in the health of the elderly in Basic Health Units of Teresina-PI

    Directory of Open Access Journals (Sweden)

    Larissa Almondes da Luz

    2012-02-01

    Full Text Available Each year, about 650,000 elderly people are incorporated to the population, raising the necessity to reorganize, primarily, the social models in order to meet decent health care standards for the aging population. These models seek to recover, maintain and promote autonomy and independence, directing individual and collective health measures to this end. The purpose of this research was to evaluate the strategic actions in the health care of the elderly in Basic Health Units (BHU in Teresina, State of Piaui. A cross-sectional observational study was carried out through questionnaires of the ‘Modified Assessment to Improve the Quality of Family Health Strategy - Self-assessment brochures 4 and 5 - Family Health Team - Part II - HEALTH OF THE ELDERLY’ applied to the 20 BHU executive board members in Teresina, after signing the term of consent, according to resolution 196/96. It was possible to observe that 70% of the units develop collective actions, 60% develop educational activities, 100% have updated registration of elderly patients, 95% monitor vaccination to date, 50% have a complete oral examination as a routine activity, 70% are not monitored by the Dental Health Team; 70% develop examination of the body surface as a routine, 60% are involved in the training of home care workers, 65% are involved in early detection of dementia, 80% of the professionals know the National Health Policy for the Elderly (PNSPI, 80% refuse training for action development at the PNSPI, 65% do not work at the identification of disabilities. It was possible to conclude, through the evaluation of the strategic actions in health care for the elderly, that there are deficits related to the internal professional practice at the UBS system in Teresina.

  16. COMPARATIVE EVALUATION OF INTRATHECAL BUPIVACAINE-FENTANYL AND BUPIVACAINE-SUFENTANIL FOR CAESAREAN SECTION

    Directory of Open Access Journals (Sweden)

    Pooja

    2014-06-01

    Full Text Available BACKGROUND: Addition of lipophilic opioids like Fentanyl and Sufentanil to local anaesthetic for spinal anaesthesia has shown to prolong the duration of analgesia. This study was carried out to study (a Comparison of effect of Fentanyl and Sufentanil added to Bupivacaine on onset and duration of anaesthesia in Cesarean Section. (b To compare the quality and duration of analgesia between the two opioids and (c To compare the effect on neonatal outcome. METHODS: 50 parturients of ASA grade 1 and 2 undergoing Cesarean Section were randomized into two groups of 25 each. Group F received 2.5 ml 0.5% Bupivacaine heavy + inj. Fentanyl 0.25 ml (12.5 mcg and Group S received 2.5 ml 0.5% Bupivacaine heavy + inj. Sufentanil 0.1 ml (5 mcg intrathecally. Onset of sensory and motor blockade was noted in all the patients. Haemodynamic parameters were recorded every 5 minutes for first 30 minutes and then every 15 minutes till the completion of surgery. Duration of sensory and motor sensory blockade was observed post operatively. RESULT: Both the groups were stable haemodynamically. Both the groups were comparable regarding the duration of sensory and motor block, but the total duration of effective analgesia was significantly longer in Sufentanil group. Pruritus was significant side effect in Sufentanil group. Neither the mother nor the neonate had respiratory depression. CONCLUSION: Addition of Sufentanyl to intrathecal bupivacaine provides longer duration of analgesia as compared to intrathecal fentanyl-bupivacaine. However, the incidence of pruritus was greater in Sufentanyl group.

  17. Measurement and Basic Physics Committee of the US cross-section evaluation working group. Annual report 1996

    Energy Technology Data Exchange (ETDEWEB)

    Smith, D.L. [Argonne National Lab., IL (United States); McLane, V. [Brookhaven National Labs, Upton, NY (United States)

    1996-11-01

    The Cross-Section Evaluation Working Group (CSEWG) is a long-standing committee charged with the responsibility for organizing and overseeing the U.S. cross-section evaluation effort. It`s main product is the official U.S. evaluated nuclear data file, ENDF. The current version of this file is Version VI. All evaluations included in ENDF are reviewed and approved by CSEWG and issued by the U.S. Nuclear Data Center, Brookhaven National Laboratory. CSEWG is comprised of volunteers from the U.S. nuclear data community who possess expertise in evaluation methodologies and who collectively have been responsible for producing most of the evaluations included in ENDF. In 1992 CSEWG added the Measurements Committee to its list of standing committees and subcommittees. This action was based on a recognition of the importance of experimental data in the evaluation process as well as the realization that measurement activities in the U.S. were declining at an alarming rate and needed all possible encouragement to avoid the loss of this resource. The mission of the Committee is to maintain a network of experimentalists in the U.S. that would provide needed encouragement to the national nuclear data measurement effort through improved communication and facilitation of collaborative activities. In 1994, an additional charge was added to the responsibilities of this Committee, namely, to serve as an interface between the more applied interests represented in CSEWG and the basic nuclear science community. This annual report is the second such document issued by the Committee. It contains voluntary contributions from eleven laboratories in the U.S. which have been prepared by members of the Committee and submitted to the Chairman for compilation and editing. It is hoped that the information provided here on the work that is going on at the reporting laboratories will prove interesting and stimulating to the readers.

  18. MEASUREMENT AND BASIC PHYSICS COMMITTEE OF THE U.S. CROSS-SECTION EVALUATION WORKING GROUP, ANNUAL REPORT 1997

    Energy Technology Data Exchange (ETDEWEB)

    SMITH,D.L.; MCLANE,V.

    1998-10-20

    The Cross-Section Evaluation Working Group (CSEWG) is a long-standing committee charged with responsibility for organizing and overseeing the US cross-section evaluation effort. Its main product is the official US evaluated nuclear data file, ENDF. The current version of this file is Version VI. All evaluations included in ENDF, as well as periodic modifications and updates to the file, are reviewed and approved by CSEWG and issued by the US Nuclear Data Center, Brookhaven National Laboratory. CSEWG is comprised of volunteers from the US nuclear data community who possess expertise in evaluation methodologies and who collectively have been responsible for producing most of the evaluations included in ENDF. In 1992 CSEWG added the Measurements Committee to its list of standing committees and subcommittees. This action was based on a recognition of the importance of experimental data in the evaluation process as well as the realization that measurement activities in the US were declining at an alarming rate and needed considerable encouragement to avoid the loss of this resource. The mission of the Committee is to maintain contact with experimentalists in the US and to encourage them to contribute to the national nuclear data effort. Improved communication and the facilitation of collaborative activities are among the tools employed in achieving this objective. In 1994 the Committee was given an additional mission, namely, to serve as an interface between the applied interests represented in CSEWG and the basic nuclear science community. Accordingly, its name was changed to the Measurement and Basic Physics Committee. The present annual report is the third such document issued by the Committee. It contains voluntary contributions from several laboratories in the US. Their contributions were submitted to the Chairman for compilation and editing.

  19. Review of ENDF/B-VI Fission-Product Cross Sections[Evaluated Nuclear Data File

    Energy Technology Data Exchange (ETDEWEB)

    Wright, R.Q.; MacFarlane, R.E.

    2000-04-01

    In response to concerns raised in the Defense Nuclear Facilities Safety Board (DNFSB) Recommendation 93-2, the US Department of Energy (DOE) developed a comprehensive program to help assure that the DOE maintain and enhance its capability to predict the criticality of systems throughout the complex. Tasks developed to implement the response to DNFSB recommendation 93-2 included Critical Experiments, Criticality Benchmarks, Training, Analytical Methods, and Nuclear Data. The Nuclear Data Task consists of a program of differential measurements at the Oak Ridge Electron Linear Accelerator (ORELA), precise fitting of the differential data with the generalized least-squares fitting code SAMMY to represent the data with resonance parameters using the Reich-Moore formalism along with covariance (uncertainty) information, and the development of complete evaluations for selected nuclides for inclusion in the Evaluated Nuclear Data File (ENDFB).

  20. Waterpipe Tobacco Use in the United Kingdom: A Cross-Sectional Study among University Students and Stop Smoking Practitioners.

    Directory of Open Access Journals (Sweden)

    Mohammed Jawad

    Full Text Available Despite cigarette-like adverse health outcomes associated with waterpipe tobacco smoking and increase in its use among youth, it is a much underexplored research area. We aimed to measure the prevalence and patterns of waterpipe tobacco use and evaluate tobacco control policy with respect to waterpipe tobacco, in several universities across the UK. We also aimed to measure stop smoking practitioners' encounter of waterpipe tobacco smoking.We distributed an online survey to six UK universities, asking detailed questions on waterpipe tobacco. Multivariable logistic regression models, adjusted for age, gender, ethnicity, graduate status, university and socioeconomic status (SES assessed associations between waterpipe tobacco smoking (single use and dual use with cigarettes and sociodemographic variables. SES was ascertained by average weekly self-spend on non-essentials. We also descriptively analysed data from a 2012 survey of stop smoking practitioners to assess the proportion of clients that used waterpipe regularly.f 2217 student responses, 66.0% (95% CI 63.9-68.0% had tried waterpipe tobacco smoking; 14.3% (95% CI 12.8-15.8% reported past-30 day use, and 8.7% (95% CI 7.6-9.9% reported at least monthly users. Past-30 day waterpipe-only use was associated with being younger (AOR 0.95, 95% CI 0.91-0.99, male (AOR 1.44, 95% CI 1.08-1.94, higher SES (AOR 1.16, 95% CI 1.06-1.28 and belonging to non-white ethnicities (vs. white, AOR 2.24, 95% CI 1.66-3.04. Compared to less than monthly users, monthly users were significantly more likely to have urges to smoke waterpipe (28.1% vs. 3.1%, p<0.001 report difficulty in quitting (15.5% vs. 0.8%, p<0.001, report feeling guilty, and annoyed when criticised about waterpipe smoking (19.2% vs. 9.2%, p<0.001. Nearly a third (32.5% of respondents who had tried waterpipe had violated the UK smokefree law and a quarter (24.5% reporting seeing health warnings on waterpipe tobacco packaging or apparatuses. Of 1

  1. Evaluated 182,183,184,186W Neutron Cross Sections and Covariances in the Resolved Resonance Region

    Energy Technology Data Exchange (ETDEWEB)

    Pigni, Marco T [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Leal, Luiz C [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States)

    2015-01-01

    Oak Ridge National Laboratory (ORNL) has recently completed the resonance parameter evaluation of four tungsten isotopes, i.e., 182,183,184,186W, in the neutron energy range of thermal up to several keV. This nuclear data work was performed with support from the US Nuclear Criticality Safety Program (NCSP) in an effort to provide improved tungsten cross section and covariance data for criticality safety analyses. The evaluation methodology uses the Reich-Moore approximation of the R-matrix formalism of the code SAMMY to fit high-resolution measurements performed in 2010 and 2012 at the Geel linear accelerator facility (GELINA), as well as other experimental data sets on natural tungsten available in the EXFOR library. In the analyzed energy range, this work nearly doubles the resolved resonance region (RRR) present in the latest US nuclear data library ENDF/B-VII.1. In view of the interest in tungsten for distinct types of nuclear applications and the relatively homogeneous distribution of the isotopic tungsten—namely, 182W(26.5%), 183W(14.31%), 184W(30.64%), and 186W(28.43%) - the completion of these four evaluations represents a significant contribution to the improvement of the ENDF library. This paper presents an overview of the evaluated resonance parameters and related covariances for total and capture cross sections on the four tungsten isotopes.

  2. Measurement and Basic Physics Committee of the U.S. Cross-Section Evaluation Working Group annual report 1997

    Energy Technology Data Exchange (ETDEWEB)

    Smith, D.L. [ed.] [comp.] [Argonne National Lab., IL (United States); McLane, V. [ed.] [comp.] [Brookhaven National Lab., Upton, NY (United States)

    1997-10-01

    The Cross-Section Evaluation Working Group (CSEWG) is a long-standing committee charged with responsibility for organizing and overseeing the US cross-section evaluation effort. It`s main product is the official US evaluated nuclear data file, ENDF. In 1992 CSEWG added the Measurements Committee to its list of standing committees and subcommittees. This action was based on a recognition of the importance of experimental data in the evaluation process as well as the realization that measurement activities in the US were declining at an alarming rate and needed considerable encouragement to avoid the loss of this resource. The mission of the Committee is to maintain contact with experimentalists in the Us and to encourage them to contribute to the national nuclear data effort. Improved communication and the facilitation of collaborative activities are among the tools employed in achieving this objective. In 1994 the Committee was given an additional mission, namely, to serve as an interface between the applied interests represented in CSEWG and the basic nuclear science community. Accordingly, its name was changed to the Measurement and Basic Physics Committee. The present annual report is the third such document issued by the Committee. It contains voluntary contributions from several laboratories in the US. Their contributions were submitted to the Chairman for compilation and editing.

  3. Survey of care and evaluation of East African burn unit feasibility: an academic burn center exchange.

    Science.gov (United States)

    Mitchell, Katrina B; Giiti, Geofrey; Gallagher, James J

    2013-01-01

    Weill Cornell Medical College in New York, partnered with Weill Bugando Medical College and Sekou Toure Regional Referral Hospital, in Mwanza, Tanzania, to consider the development of a burn unit there. This institutional partnership provided a unique opportunity to promote sustainable academic exchange and build burn care capacity in the East African region. A Weill Cornell burn surgeon and burn fellow collaborated with the Sekou Toure department of surgery to assess its current burn care capabilities and potential for burn unit development. All aspects of interdisciplinary burn care were reviewed and institutional infrastructure evaluated. Sekou Toure is a 375-bed regional referral center and teaching hospital of Weill Bugando Medical College. In 2010-2011, it admitted 5244 pediatric patients in total; 100 of these patients were burn-injured children (2% of admissions). There was no specific data kept on percentage of body surface burned, degree of burn, length of stay, or complications. No adult, operative, or outpatient burn data were available. There are two operating theaters. Patient's families perform wound care with nursing supervision. Rehabilitation therapists consult as needed. Meals are provided three times daily by a central kitchen. Public health outreach is possible through village-based communication networks. Infrastructure to support the development of a burn care unit exists at Sekou Toure, but needs increased clinical focus, human resource capacity building, and record-keeping to track accurate patient numbers. A multidisciplinary center could improve record-keeping and outcomes, encourage referrals, and facilitate outreach through villages.

  4. Development of the wireless ultra-miniaturized inertial measurement unit WB-4: preliminary performance evaluation.

    Science.gov (United States)

    Lin, Zhuohua; Zecca, Massimiliano; Sessa, Salvatore; Bartolomeo, Luca; Ishii, Hiroyuki; Takanishi, Atsuo

    2011-01-01

    This paper presents the preliminary performance evaluation of our new wireless ultra-miniaturized inertial measurement unit (IMU) WB-4 by compared with the Vicon motion capture system. The WB-4 IMU primarily contains a mother board for motion sensing, a Bluetooth module for wireless data transmission with PC, and a Li-Polymer battery for power supply. The mother board is provided with a microcontroller and 9-axis inertial sensors (miniaturized MEMS accelerometer, gyroscope and magnetometer) to measure orientation. A quaternion-based extended Kalman filter (EKF) integrated with an R-Adaptive algorithm for automatic estimation of the measurement covariance matrix is implemented for the sensor fusion to retrieve the attitude. The experimental results showed that the wireless ultra-miniaturized WB-4 IMU could provide high accuracy performance at the angles of roll and pitch. The yaw angle which has reasonable performance needs to be further evaluated.

  5. Laboratory evaluation of fan/filter units' aerodynamic and energy performance

    Energy Technology Data Exchange (ETDEWEB)

    Xu, Tengfang; Jeng, Ming-Shan

    2004-07-27

    The paper discusses the benefits of having a consistent testing method to characterize aerodynamic and energy performance of FFUs. It presents evaluation methods of laboratory-measured performance of ten relatively new, 1220 mm x 610 mm (or 4 ft x 2 ft) fan-filter units (FFUs), and includes results of a set of relevant metrics such as energy performance indices (EPI) based upon the sample FFUs tested. This paper concludes that there are variations in FFUs' performance, and that using a consistent testing and evaluation method can generate compatible and comparable FFU performance information. The paper also suggests that benefits and opportunities exist for our method of testing FFU energy performance to be integrated in future recommended practices.

  6. Laboratory evaluation of fan/filter units' aerodynamic and energy performance

    Energy Technology Data Exchange (ETDEWEB)

    Xu, Tengfang; Jeng, Ming-Shan

    2004-07-27

    The paper discusses the benefits of having a consistent testing method to characterize aerodynamic and energy performance of FFUs. It presents evaluation methods of laboratory-measured performance of ten relatively new, 1220 mm x 610 mm (or 4 ft x 2 ft) fan-filter units (FFUs), and includes results of a set of relevant metrics such as energy performance indices (EPI) based upon the sample FFUs tested. This paper concludes that there are variations in FFUs' performance, and that using a consistent testing and evaluation method can generate compatible and comparable FFU performance information. The paper also suggests that benefits and opportunities exist for our method of testing FFU energy performance to be integrated in future recommended practices.

  7. 100-OL-1 Operable Unit Pilot Study: XRF Evaluation of Select Pre-Hanford Orchards

    Energy Technology Data Exchange (ETDEWEB)

    Bunn, Amoret L.; Fritz, Brad G.; Pulsipher, Brent A.; Gorton, Alicia M.; Bisping, Lynn E.; Brandenberger, Jill M.; Pino, Christian; Martinez, Dominique M.; Rana, Komal; Wellman, Dawn M.

    2014-11-20

    Prior to the acquisition of land by the U.S. Department of War in February 1943 and the creation of the Hanford Site, the land along the Columbia River was home to over 1000 people. Farming and orchard operations by both homesteaders and commercial organizations were prevalent. Orchard activities and the associated application of lead arsenate pesticide ceased in 1943, when residents were moved from the Hanford Site at the beginning of the Manhattan Project. Today, the residues from historical application of lead arsenate pesticide persist in some locations on the Hanford Site. In 2012, the U.S. Department of Energy, U.S. Environmental Protection Agency, and Washington State Department of Ecology established the 100-OL-1 Operable Unit (OU) through the Hanford Federal Facility Agreement and Consent Order, known as the Tri-Party Agreement. The pre-Hanford orchard lands identified as the 100-OL-1 OU are located south of the Columbia River and east of the present-day Vernita Bridge, and extend southeast to the former Hanford townsite. The discontinuous orchard lands within 100-OL-1 OU are approximately 20 km2 (5000 ac). A pilot study was conducted to support the approval of the remedial investigation/feasibility study work plan to evaluate the 100-OL-1 OU. This pilot study evaluated the use of a field portable X-ray fluorescence (XRF) analyzer for evaluating lead and arsenic concentrations on the soil surface as an indicator of lead arsenate pesticide residues in the OU. The objectives of the pilot study included evaluating a field portable XRF analyzer as the analytical method for decision making, estimating the nature and extent of lead and arsenic in surface soils in four decision units, evaluating the results for the purpose of optimizing the sampling approach implemented in the remedial investigation, and collecting information to improve the cost estimate and planning the cultural resources review for sampling activities in the remedial investigation. Based on

  8. An Evaluation of Mass Absorption Cross-Section for Optical Carbon Analysis on Teflon Filter Media.

    Science.gov (United States)

    Presler-Jur, Paige; Doraiswamy, Prakash; Hammond, Oki; Rice, Joann

    2017-04-05

    Black carbon (BC) or elemental carbon (EC) is a by-product of incomplete fuel combustion, and contributes adversely to human health, visibility, and climate impacts. Previous studies have examined non-destructive techniques for particle light attenuation measurements on Teflon(®) filters to estimate BC. The incorporation of an inline Magee Scientific OT21 Transmissometer into the MTL AH-225 robotic weighing system provides the opportunity to perform optical transmission measurements on Teflon(®) filters at the same time as the gravimetric mass measurement. In this study, we characterize the performance of the inline OT21, and apply it to determine the mass absorption cross-section (MAC) of PM2.5 BC across the U.S. We analyzed 5393 archived Teflon(®) filters from the Chemical Speciation Network (CSN) collected during 2010-2011 and determined MAC by comparing light attenuation on Teflon(®) filters to corresponding thermal EC on quartz-fiber filters. Results demonstrated the importance of the initial transmission (I0) value used in light attenuation calculations. While light transmission varied greatly within filter lots, the average I0 of filter blanks during from the sampling period provided an estimate for archived filters. For newly collected samples, it is recommended that filter-specific I0 measurements be made (i.e., same filter before sample collection). The estimated MAC ranged from 6.9 to 9.4 m(2)/g that varied by region and season across the U.S., indicating that using a default value may lead to under- or over-estimated BC concentrations. An analysis of the chemical composition of these samples indicated good correlation with EC for samples with higher EC content as a fraction of total PM2.5 mass, while the presence of light scattering species such as crustal elements impacted the correlation affecting the MAC estimate. Overall, the method is demonstrated to be a quick, cost-effective approach to estimate BC from archived and newly sampled Teflon

  9. A cross sectional evaluation of an alcohol intervention targeting young university students.

    Science.gov (United States)

    Burns, Sharyn; Jancey, Jonine; Crawford, Gemma; Hallett, Jonathan; Portsmouth, Linda; Longo, Janelle

    2016-07-20

    Hazardous drinking has been found to be higher among young university students compared to their non-university peers. Although young university students are exposed to new and exciting experiences, including greater availability and emphasis on social functions involving alcohol there are few multi strategy comprehensive interventions aimed at reducing alcohol-related harms. Random cross sectional online surveys were administered to 18-24 year old students studying at the main campus of a large metropolitan university in Perth, Western Australia. Prior to the completion of the second survey an alcohol intervention was implemented on campus. Completed surveys were received from 2465 (Baseline; T1) and 2422 (Post Year 1: T2) students. Students who consumed alcohol in the past 12 months were categorised as low risk or hazardous drinkers using the Alcohol Use Disorders Identification Test (AUDIT). Due to the cross sectional nature of the two samples two-tailed two-proportion z-test and two sample t-tests were employed to determine statistical significance between the two time periods for categorical and continuous variables respectively. At T1 and T2 89.1 % and 87.2 % of the total sample reported drinking alcohol in the past month respectively. Hazardous levels of alcohol consumption reduced slightly between T1 (39.7 %) and T2 (38 %). In both time periods hazardous drinkers reported significantly higher mean scores for experienced harm, second-hand harm and witnessed harm scores compared to low risk drinkers (p alcohol consumption and to report more positive alcohol expectations than low risk drinkers at both time periods (p students who report hazardous drinking are of concern and efforts should be made to ensure integrated and targeted strategies reach higher risk students and focus on specific issues such as driving while intoxicated and alcohol related unplanned sexual activity. However there is also a need for universal strategies targeting all students and

  10. Comparison of (n,2n) and (n,3n) reaction cross sections for fission products in JENDL-3.2 with available experimental and other evaluated cross section data

    Energy Technology Data Exchange (ETDEWEB)

    Manokhin, Vassily N. [Russian Nuclear Data Center, Institute of Physics and Power Engineering (Russian Federation); Odano, Naoteru; Hasegawa, Akira [Japan Atomic Energy Research Inst., Tokai, Ibaraki (Japan). Tokai Research Establishment

    2001-07-01

    In this report, results of comparison of (n,2n) and (n,3n) reaction cross sections for 155 nuclei (Ge-Tb) in JENDL-3.2 with available experimental data, various evaluated data, and those estimated from systematics are summarized to assess validity of cross sections for threshold reactions for fission product nuclei in JENDL-3.2. Plots for comparisons are compiled and issues in cross section data in JENDL-3.2 are also discussed. (author)

  11. Cross-sectional evaluation of cognitive functioning in children, adolescents and young adults with ADHD.

    Science.gov (United States)

    Marx, Ivo; Hübner, Thomas; Herpertz, Sabine C; Berger, Christoph; Reuter, Erik; Kircher, Tilo; Herpertz-Dahlmann, Beate; Konrad, Kerstin

    2010-03-01

    Attention-deficit/hyperactivity disorder (ADHD) often persists into adulthood, albeit with changes in clinical symptoms throughout the life span. Although effect sizes of neuropsychological deficits in ADHD are well established, developmental approaches have rarely been explored and little is yet known about age-dependent changes in cognitive dysfunction from childhood to adulthood. In this cross-sectional study, 20 male children (8-12 years), 20 adolescents (13-16 years), and 20 adults (18-40 years) with ADHD and a matched control group were investigated using six experimental paradigms tapping into different domains of cognitive dysfunction. Subjects with ADHD were more delay-aversive and showed deficits in time discrimination and time reproduction, but they were not impaired in working memory, interference control or time production. Independent of age, the most robust group differences were observed with respect to delay aversion and time reproduction, pointing to persistent dysfunction in the mesolimbic reward circuitry and in the frontal-striatal-cerebellar timing system in subjects with ADHD. Across all tasks, effect sizes were lowest for adolescents with ADHD compared to age-matched controls. Developmental dissociations were found only for simple stimuli comparison, which was particularly impaired in ADHD children. Thus, in line with current multiple-pathway approaches to ADHD, our data suggest that deficits in different cognitive domains are persistent across the lifespan, albeit less pronounced in adolescents with ADHD.

  12. Evaluation of Cardiac Function in Patients with Liver Cirrhosis: A Hospital Based Cross-Sectional Study

    Directory of Open Access Journals (Sweden)

    Kamal Naik

    2014-09-01

    Methodology: This was ahospital based cross-sectional study, carried out under the department of medicine, SMIMER, Surat. All patients were informed about the study and their verbal consent was obtained. Patients fulfilling the inclusion criteria (n=50 were taken into study and all patients were studied for the clinical profile, laboratory investigation, imaging study like chest X-ray and Ultrasonography abdomen and 2D echocardiography. All patients were hospitalized and blood pressure and heart rate were measured. Result: History of alcohol consumption was found in 36(72% of the patients. Most common symptoms were ascitis, jaundice and malena. Mean total count was 7144(+/-1568. Mean blood urea level was 38.4(+/-19.78 while mean serum creatinin was 1.0(+/-0.72. Mean albumin level was 2.9 (+/-0.81. Mean serum billirubin total, direct and indirect was 6.1(+/-8.08, 4.35(+/-5.98, 1.8(+/-2.19 respectively. Diastolic dysfunction was present in about 66% (33 out of 50 of patients. Conclusion: The patients of cirrhosis develop cirrhotic cardiomyopathy and this cirrhotic cardiomyopathy was not related to the etiology of liver cirrhosis. [Natl J Med Res 2014; 4(3.000: 208-211

  13. Patients with type 1 Gaucher disease in Spain: A cross-sectional evaluation of health status.

    Science.gov (United States)

    Giraldo, Pilar; Pérez-López, Jordi; Núñez, Ramiro; de la Puebla, Rafael Fernández; Luño, Elisa; Saura-Grau, Salvador; Bureo, Juan Carlos; Plaza, Sylvia; de la Serna, Javier

    2016-01-01

    A multicentre, cross-sectional epidemiological survey was conducted to describe the health status of patients with type 1 Gaucher disease (GD1) in Spain. Patient data were collected retrospectively from clinical records. Therapeutic goals for seven clinical parameters were chosen as primary outcome measures. 108 GD1 patients (mean age 44.8 years; 53% male) were recruited from 28 hospitals. Ninety-five patients (88%) were receiving treatment for GD1. Hemoglobin concentration was the therapeutic goal with the highest level of achievement, being met by 105 of 108 patients (97%), followed by the goals for liver volume (86/98 patients; 88%), spleen volume (67/77 patients; 87%) and platelet count (81/108 patients; 75%). The goal for bone mineral density (BMD) was met by 48 of 75 patients (64%), and the goal for quality of life was met by 65 of 103 patients (63%). Bone pain was the parameter with the lowest level of achievement (goal met by 50/94 patients; 53%). The clinical information most often missing from patient records was the BMD Z-score (missing for 31% of patients). These data suggest that most Spanish GD1 patients have good control over hematological and visceral parameters, but there is a need to improve monitoring and treatment of GD-related bone disease.

  14. Experimentally Evaluated Explosion Resistance and Performance of Destruction Unit in Multiple Detonation of Ammunition

    Directory of Open Access Journals (Sweden)

    P. A. Baskakov

    2016-01-01

    Full Text Available The paper presents results of development and experimental investigation of explosion resistance and destruction unit performance in multiple detonation of ammunition with an explosive weight up to 0.7 kg of TNT. A preliminary evaluation of the explosion resistance was carried out using a model of explosion resistance localizer, represented as a thick-walled tube. As a result of explosive tests, the nature and characteristics of tube deformation under repeated explosions have been revealed. The findings allowed us to develop the first embodiment of the destruction unit with a turning non-separable heater and a two-layer localizer, which was heated by the induction field. The explosive life tests have revealed the following drawbacks: low resource localizer, jamming rotating mechanism in contact with the splinters, and impossible replacement of damaged localizer. In the second embodiment of the destruction unit a plate-assembled easychange localizer is mounted on the heater, and it is heated by heat transfer from the core. Tests have shown that, with such a placement, the uniform heating of the localizer is not reached. This leads to incomplete destruction of ammunition. Besides, because of the low strength of the pins connecting the plates, occurrs their rapid destruction. Taking into consideration the shortcomings of the previous two designs, the third option of the destruction unit with a replaceable localizer and induction heating of a localizer has been designed. A localizer material having high mechanical strength at high temperatures and good ferromagnetic properties has been selected. The paper offers an all-metal localizer design with the thickest wall at the bottom that is the most damageable. The paper has experimentally determined a critical deformation of the localizer when destroying the ammunition with varying weight of explosive and defined the heater and bump resource. As a result, the work proposes the destruction unit design

  15. Compilation and evaluation of 14-MeV neutron-activation cross sections for nuclear technology applications. Set I

    Energy Technology Data Exchange (ETDEWEB)

    Evain, B.P.; Smith, D.L.; Lucchese, P.

    1985-04-01

    Available 14-MeV experimental neutron activation cross sections are compiled and evaluated for the following reactions of interest for nuclear-energy technology applications: /sup 27/Al(n,p)/sup 27/Mg, Si(n,X)/sup 28/Al, Ti(n,X)/sup 46/Sc, Ti(n,X)/sup 47/Sc, Ti(n,X)/sup 48/Sc, /sup 51/V(n,p)/sup 51/Ti, /sup 51/V(n,..cap alpha..)/sup 48/Sc, Cr(n,X)/sup 52/V, /sup 55/Mn(n,..cap alpha..)/sup 52/V, /sup 55/Mn(n,2n)/sup 54/Mn, Fe(n,X)/sup 54/Mn, /sup 54/Fe(n,..cap alpha..)/sup 51/Cr, /sup 59/Co(n,p)/sup 59/Fe, /sup 59/Co(n,..cap alpha..)/sup 56/Mn, /sup 59/Co(n,2n)/sup 58/Co, /sup 65/Cu(n,p)/sup 65/Ni, Zn(n,X)/sup 64/Cu, /sup 64/Zn(n,2n)/sup 63/Zn, /sup 113/In(n,n')/sup 113m/In, /sup 115/In(n,n') /sup 115m/In. The compiled values are listed and plotted for reference without adjustments. From these collected results those values for which adequate supplementary information on nuclear constants, standards and experimental errors is provided are selected for use in reaction-by-reaction evaluations. These data are adjusted as needed to account for recent revisions in the nuclear constants and cross section standards. The adjusted results are subsequently transformed to equivalent cross sections at 14.7 MeV for the evaluation process. The evaluations are performed utilizing a least-squares method which considers correlations between the experimental data. 440 refs., 41 figs., 46 tabs.

  16. Evaluation of eicosanoid concentrations in stored units of canine packed red blood cells.

    Science.gov (United States)

    Blake, Rachel R; Lee, Jung Hwa; Ross, Matt K; Archer, Todd M; Wills, Robert W; Mackin, Andrew J; Thomason, John M

    2017-01-15

    OBJECTIVE To evaluate eicosanoid concentrations in freshly prepared canine packed RBCs (PRBCs) and to assess changes in eicosanoid concentrations in PRBC units over time during storage and under transfusion conditions. DESIGN Prospective study. SAMPLE 25 plasma samples from 14 healthy Greyhounds. PROCEDURES Plasma samples were obtained during PRBC preparation (donation samples), and the PRBC units were then stored at 4°C until used for transfusion (≤ 21 days later; n = 17) or mock transfusion if expired (22 to 24 days later; 8). Immediately prior to use, 100 mL of saline (0.9% NaCl) solution was added to each unit and a pretransfusion sample was collected. A posttransfusion sample was collected after transfusion or mock transfusion. Concentrations of arachidonic acid, prostaglandin (PG) F2α, PGE2, PGD2, thromboxane B2, 6-keto-PGF1α, and leukotriene B4 were measured by liquid chromatography-mass spectrometry and analyzed statistically. RESULTS Median arachidonic acid concentration was significantly decreased in posttransfusion samples, compared with the concentration in donation samples. Median PGF2α, 6-keto-PGF1α, and leukotriene B4 concentrations were significantly increased in pretransfusion samples, compared with those in donation samples. Median PGF2α, thromboxane B2, and 6-keto-PGF1α concentrations were significantly increased in posttransfusion samples, compared with those in pretransfusion samples. Duration of PRBC storage had significant associations with pretransfusion and posttransfusion arachidonic acid and thromboxane B2 concentrations. CONCLUSIONS AND CLINICAL RELEVANCE Concentrations of several proinflammatory eicosanoids increased in PRBC units during storage, transfusion, or both. Accumulation of these products could potentially contribute to adverse transfusion reactions, and investigation of the potential association between eicosanoid concentrations in PRBCs and the incidence of transfusion reactions in dogs is warranted.

  17. Performance Evaluation of Refrigeration Units in Natural Gas Liquid Extraction Plant

    Directory of Open Access Journals (Sweden)

    Awajiogak Anthony Ujile

    2014-01-01

    Full Text Available This paper has applied thermodynamics principles to evaluate the reliability of 390 m3/hr natural gas processing plant. The thermodynamics equations were utilized in the evaluation, characterization, and numerical simulation of key process parameters in natural gas liquid extraction plant. The results obtained show the comparison of the coefficient of performance, compression ratio, isentropic work, actual work, electrical power requirements, cooling water consumption in intercoolers, compressor power output, compressor capacity, and isentropic, volumetric, and mechanical efficiency of the two-stage refrigeration unit with a flash gas economizer and these were compared with the designed specifications. The second law of thermodynamics was applied in analyzing the refrigeration unit and the result shows that exergetic losses or lost work due to irreversibility falls within operating limit that is less than 1.0%. Similarly, the performance of expansion turbine (expander parameters was monitored and the results indicate a considerable decrease in turbine efficiencies as the inlet gas pressure increases resulting in an increased power output of the turbine leading to a higher liquefaction rate.

  18. Evaluation of retention protocols among members of the American Association of Orthodontists in the United States

    Science.gov (United States)

    Pratt, Michael C.; Kluemper, George Thomas; Hartsfield, James K.; Fardo, David; Nash, David A.

    2016-01-01

    Introduction Little research has been conducted to evaluate protocols and trends in orthodontic retention. The purpose of this study was to identify the general retention protocols used by orthodontists in the United States. Additionally, our goal was to identify trends in these orthodontic retention protocols by evaluating how they have changed over the past 5 years and how they might continue to change in the next 5 years. Methods The study was conducted via a 36-question electronic survey (REDCap, Nashville, Tenn) with branching logic on certain questions. The survey was sent to all 9143 practicing members of the American Association of Orthodontists in the United States, and 1632 (18%) responded. Results and Conclusions Mean retention protocols of the surveyed population showed predominant use of Hawley or vacuum-formed retainers in the maxillary arch and fixed retention in the mandibular arch. For both arches, there is a current shift away from Hawley retainers and toward vacuum-formed retainers and fixed retention. Respondents who extract fewer teeth reported increased use of fixed retention in the maxillary (P = 0.041) and mandibular (P = 0.003) arches. Respondents who extract fewer teeth and use removable retainers were more likely to tell their patients to wear their retainers at night for the rest of their lives (P = 1.63 × 10−6). PMID:21967939

  19. Evaluation of EDR-3 vibration, shock, temperature, and humidity recording unit

    Science.gov (United States)

    Rees, Kevin G.; Mondale, C. F.

    1990-07-01

    The purpose of this evaluation was to determine if the self-contained, off-the-shelf, Environmental Data Recorder 3 (EDR-3) could be qualified to monitor shock, vibration, and temperature during rail transportation of space shuttle solid rocket components. The evaluation testing started in November 1989 and continued until June 1990. Two EDR-3 units were used to monitor both on- and off-plant shipments of shuttle components. In addition, extensive testing was performed at Thiokol's Vibration Test facility, T-53. Testing demonstrated that the EDR-3 is capable of successfully monitoring actual shipments of solid rocket hardware. Thiokol metrology has verified the accuracy of temperature monitoring. In addition, calibrated shock/vibration testing demonstrated that the EDR-3 does accurately record acceleration. It is recommended that the vendor modify the EDR-3 data recovery system to allow remote communication via a 30-foot cable. This would permit communication with the unit mounted on a case segment after a rail car cover is installed. The vendor will make this change and produce a new model, designated EDR-3-10. It is further recommended that Thiokol qualify the EDR-3-10 for transportation monitoring of redesigned solid rocket motor (RSRM) components.

  20. Total elbow arthroplasty in the United States: evaluation of cost, patient demographics, and complication rates

    Directory of Open Access Journals (Sweden)

    Hanbing Zhou

    2016-03-01

    Full Text Available Total elbow arthroplasty (TEA is utilized in the treatment of rheumatoid and post-traumatic elbow arthritis. TEA is a relatively low volume surgery in comparison to other types of arthroplasty and therefore little is known about current surgical utilization, patient demographics and complication rates in the United States. The purpose of our study is to evaluate the current practice trends and associated inpatient complications of TEA at academic centers in the United States. We queried the University Health Systems Consortium administrative database from 2007 to 2011 for patients who underwent an elective TEA. A descriptive analysis of demographics was performed which included patient age, sex, race, and insurance status. We also evaluated the following patient clinical benchmarks: hospital length of stay (LOS, hospital direct cost, inhospital mortality, complications, and 30-day readmission rates. Our cohort consisted of 3146 adult patients (36.5% male and 63.5% female with an average age of 58 years who underwent a total elbow arthroplasty (159 academic medical centers in the United States. The racial demographics included 2334 (74% Caucasian, 285 (9% black, 236 (7.5% Hispanic, 16 (0.5% Asian, and 283 (9% other patients. The mean LOS was 4.2±5 days and the mean total direct cost for the hospital was 16,300±4000 US Dollars per case. The overall inpatient complication rate was 3.1% and included mortality <1%, DVT (0.8%, re-operation (0.5%, and infection (0.4%. The 30-day readmission rate was 4.4%. TEA is a relatively uncommon surgery in comparison to other forms of arthroplasty but is associated with low in-patient and 30-day perioperative complication rate. Additionally, the 30-day readmission rate and overall hospital costs are comparable to the traditional total hip and knee arthroplasty surgeries.

  1. Evaluation of Suicide and Intoxication Cases Admitted to our Newly Opened Intensive Care Unit

    Directory of Open Access Journals (Sweden)

    Nalan Muhammedoğlu

    2014-09-01

    Full Text Available Aim: The aim of this study was to evaluate the suicide and intoxication cases between April 2011 and April 2013. Methods: We retrospectively analyzed hospital records of patients who were admitted to our intensive care unit due to suicide and intoxication. The age, sex, intoxication causes, laboratory analyses, treatment refusal rates, and the prognosis were evaluated. Results: A total of 308 patients (105 males, 203 females were admitted to the intensive care unit. The mean age of the patients was 27.45±10.26 years (males: 28.70±9.86 years, females: 26.80±10.43 years. There were only 4 patients over 65 years of age. 275 patients had drug intoxication (antidepressant drug, pain killer, antibiotic, etc. and 33 patients had other causes of intoxication. When analyzing the prognosis; a total of 234 patients were discharged after initial treatment and 57 patients were discharged due to treatment refusal. 15 patients were referred for inpatient psychiatric treatment, 1 patient to the Alcohol and Drug Addiction Treatment Center (AMATEM and 1 patient was referred to İstanbul University Medical Faculty due to acute hepatic failure. Conclusion: The patients admitted to our intensive care unit due to suicide and intoxications were mainly females (65.9% and individuals of young age (median age: 27.45 years. Female patients had used antidepressants for suicide attempts and males had used antiflu-acetaminophen combinations. No mortality was observed. (The Me­di­cal Bul­le­tin of Ha­se­ki 2014; 52:153-7

  2. Recognition and Evaluation of Clinical Section Headings in Clinical Documents Using Token-Based Formulation with Conditional Random Fields

    Directory of Open Access Journals (Sweden)

    Hong-Jie Dai

    2015-01-01

    Full Text Available Electronic health record (EHR is a digital data format that collects electronic health information about an individual patient or population. To enhance the meaningful use of EHRs, information extraction techniques have been developed to recognize clinical concepts mentioned in EHRs. Nevertheless, the clinical judgment of an EHR cannot be known solely based on the recognized concepts without considering its contextual information. In order to improve the readability and accessibility of EHRs, this work developed a section heading recognition system for clinical documents. In contrast to formulating the section heading recognition task as a sentence classification problem, this work proposed a token-based formulation with the conditional random field (CRF model. A standard section heading recognition corpus was compiled by annotators with clinical experience to evaluate the performance and compare it with sentence classification and dictionary-based approaches. The results of the experiments showed that the proposed method achieved a satisfactory F-score of 0.942, which outperformed the sentence-based approach and the best dictionary-based system by 0.087 and 0.096, respectively. One important advantage of our formulation over the sentence-based approach is that it presented an integrated solution without the need to develop additional heuristics rules for isolating the headings from the surrounding section contents.

  3. Recognition and Evaluation of Clinical Section Headings in Clinical Documents Using Token-Based Formulation with Conditional Random Fields

    Science.gov (United States)

    Dai, Hong-Jie; Syed-Abdul, Shabbir; Chen, Chih-Wei; Wu, Chieh-Chen

    2015-01-01

    Electronic health record (EHR) is a digital data format that collects electronic health information about an individual patient or population. To enhance the meaningful use of EHRs, information extraction techniques have been developed to recognize clinical concepts mentioned in EHRs. Nevertheless, the clinical judgment of an EHR cannot be known solely based on the recognized concepts without considering its contextual information. In order to improve the readability and accessibility of EHRs, this work developed a section heading recognition system for clinical documents. In contrast to formulating the section heading recognition task as a sentence classification problem, this work proposed a token-based formulation with the conditional random field (CRF) model. A standard section heading recognition corpus was compiled by annotators with clinical experience to evaluate the performance and compare it with sentence classification and dictionary-based approaches. The results of the experiments showed that the proposed method achieved a satisfactory F-score of 0.942, which outperformed the sentence-based approach and the best dictionary-based system by 0.087 and 0.096, respectively. One important advantage of our formulation over the sentence-based approach is that it presented an integrated solution without the need to develop additional heuristics rules for isolating the headings from the surrounding section contents. PMID:26380302

  4. Infliximab paediatric Crohn's disease educational plan: a European, cross-sectional, multicentre evaluation.

    Science.gov (United States)

    Arana, Alejandro; Allen, Sam; Burkowitz, Jörg; Fantoni, Valerio; Ghatnekar, Ola; Rico, María Teresa; Vanhaverbeke, Nathalie; Wentworth, Charles E; Brosa, Max; Arellano, Felix M

    2010-06-01

    The infliximab (Remicade; Schering-Plough, Kenilworth, NJ, USA) Risk Management Plan included the development, execution and tracking of an education programme directed towards prescribers of infliximab for patients with paediatric Crohn's disease (the Infliximab Paediatric Crohn's Disease Educational Plan). The programme content consisted of educational materials and communications aimed at educating prescribers on the risks associated with infliximab use. To evaluate the effectiveness of the risk minimization plan. Evaluation focused on two components: documentation of training of sponsors' personnel, and evaluation of awareness among prescribing physicians in European countries. Treating physicians, identified both independently of the sponsor (6 countries) and by the sponsor (24 countries), were surveyed using a structured questionnaire. Training of internal staff on the educational programme was performed and completed by every person designated an appropriate candidate for the programme in all European countries. The independent survey conducted in Germany, France, Italy, Spain, Sweden and the UK indicated that around 90% of the physicians were either paediatric gastroenterologists (57%) or paediatricians (33%). The great majority (96%) of the interviewed physicians were currently treating paediatric Crohn's disease, and most were currently using infliximab in their treatment of the disease. More specifically, 82% of gastroentrologists treating paediatric Crohn's disease were using infliximab; among paediatricians, the proportion was lower (42%). Ninety-six percent of paediatric gastroenterologists or gastroenterologists declared themselves aware of the benefits and risks of using infliximab for the treatment of paediatric Crohn's disease; in comparison, fewer paediatricians (82%) declared themselves aware of these benefits and risks. The majority initially gained awareness through congresses and workshops, and at the time of the survey only 25% declared that

  5. Stochastic Multicriteria Acceptability Analysis for Evaluation of Combined Heat and Power Units

    Directory of Open Access Journals (Sweden)

    Haichao Wang

    2014-12-01

    Full Text Available Combined heat and power (CHP is a promising technology that can contribute to energy efficiency and environmental protection. More CHP-based energy systems are planned for the future. This makes the evaluation and selection of CHP systems very important. In this paper, 16 CHP units representing different technologies are taken into account for multicriteria evaluation with respect to the end users’ requirements. These CHP technologies cover a wide range of power outputs and fuel types. They are evaluated from the energy, economy and environment (3E points of view, specifically including the criteria of efficiency, investment cost, electricity cost, heat cost, CO2 production and footprint. Uncertainties and imprecision are common both in criteria measurements and weights, therefore the stochastic multicriteria acceptability analysis (SMAA model is used in aiding this decision making problem. These uncertainties are treated better using a probability distribution function and Monte Carlo simulation in the model. Moreover, the idea of “feasible weight space (FWS” which represents the union of all preference information from decision makers (DMs is proposed. A complementary judgment matrix (CJM is introduced to determine the FWS. It can be found that the idea of FWS plus CJM is well compatible with SMAA and thus make the evaluation reliable.

  6. 新目标(八年级下)Unit 2 What should I do?Section B教学设计

    Institute of Scientific and Technical Information of China (English)

    王红

    2009-01-01

    一、教学分析(一)教学内容本课为一节听读课,教学内容为Go for it!(八年级下)Unit 2 What should I do?Section B 2a,2b,3a,其内容是围绕朋友这个话题展开的,要求学生通过听力和阅读了解别人在生活中关于朋友的困惑。听力中所呈现的是Erin想通过新颖的穿着体现自己独特的个性,

  7. Calculation of Maxwellian-averaged cross sections and their uncertainties using ENDF/B-VII.1 evaluated neutron library

    Science.gov (United States)

    Pritychenko, Boris

    2011-10-01

    Present contribution represents a first application of ENDF/B-VII.1 neutron library for calculation of Maxwellian-averaged cross sections and astrophysical reaction rates. Recent improvements in neutron cross section evaluations and more extensive utilization of covariance files, by the CSEWG collaboration, allowed us to perform complete calculations and provide additional insights on all currently available neutron-induced reaction data. Nuclear reaction calculations using ENDF libraries and current Java technologies will be discussed and new results will be presented. This work was sponsored by the Office of Nuclear Physics, Office of Science of the U.S. Department of Energy, under Contract No. DE-AC02-98CH10886 with Brookhaven Science Associates, LLC.

  8. Concept and methodology for evaluating core damage frequency considering failure correlation at multi units and sites and its application

    Energy Technology Data Exchange (ETDEWEB)

    Ebisawa, K.; Teragaki, T.; Nomura, S. [Former Incorporated Administrative Agency, Japan Nuclear Safety Organization (Japan); Abe, H., E-mail: Hiroshi_abe@nsr.go.jp [Former Incorporated Administrative Agency, Japan Nuclear Safety Organization (Japan); Shigemori, M.; Shimomoto, M. [Mizuho Information & Research Institute, 2-3, Kanda-Nishikicho, Chiyoda-ku, Tokyo (Japan)

    2015-07-15

    Highlights: • We develop a method to evaluate CDF considering failure correlation at multi units. • We develop a procedure to evaluate correlation coefficient between multi components. • We evaluate CDF at two different BWR units using correlation coefficients. • We confirm the validity of method and correlation coefficient through the evaluation. - Abstract: The Tohoku earthquake (Mw9.0) occurred on March 11, 2011 and caused a large tsunami. The Fukushima Daiichi Nuclear Power Plant with six units were overwhelmed by the tsunami and core damage occurred. Authors proposed the concept and method for evaluating core damage frequency (CDF) considering failure correlation at the multi units and sites. Based on the above method, one of authors developed the procedure for evaluating the failure correlation coefficient and response correlation coefficient between the multi components under the strong seismic motion. These method and failure correlation coefficients were applied to two different BWR units and their CDF was evaluated by seismic probabilistic risk assessment technology. Through this quantitative evaluation, the validity of the method and failure correlation coefficient was confirmed.

  9. Experimental and Analytical Investigation Based on 1/2 Scale Model for a Cleanroom Unit Module Consisting of Steel Section and Reinforced Concrete

    Directory of Open Access Journals (Sweden)

    Sijun Kim

    2016-01-01

    Full Text Available The rapid advances in high tech industries and the increased demand for high precision and reliability of their production environments call for larger structures and higher vertical vibration performance for high technology facilities. Therefore, there is an urgent demand for structural design and vertical vibration evaluation technologies for high tech facility structures. For estimating the microvibration performance for a cleanroom unit module in high technology facilities, this study performs the scale modeling experiment and analytical validation. First, the 1/2 scale model (width 7500 mm, depth 7500 mm, and height 7250 mm for a cleanroom unit module is manufactured based on a mass-based similitude law which does not require additional mass. The dynamic test using an impact hammer is conducted to obtain the transfer function of 1/2 scale model. The transfer function derived from the test is compared with the analytical results to calibrate the analytical model. It is found that, unlike for static analyses, the stiffness of embedded reinforcement must be considered for estimating microvibration responses. Finally, the similitude law used in this study is validated by comparing the full-scale analytical model and 1/2 scale analytical model for a cleanroom unit module.

  10. Advanced Monte Carlo procedure for the IFMIF d-Li neutron source term based on evaluated cross section data

    CERN Document Server

    Simakov, S P; Moellendorff, U V; Schmuck, I; Konobeev, A Y; Korovin, Y A; Pereslavtsev, P

    2002-01-01

    A newly developed computational procedure is presented for the generation of d-Li source neutrons in Monte Carlo transport calculations based on the use of evaluated double-differential d+ sup 6 sup , sup 7 Li cross section data. A new code M sup c DeLicious was developed as an extension to MCNP4C to enable neutronics design calculations for the d-Li based IFMIF neutron source making use of the evaluated deuteron data files. The M sup c DeLicious code was checked against available experimental data and calculation results of M sup c DeLi and MCNPX, both of which use built-in analytical models for the Li(d, xn) reaction. It is shown that M sup c DeLicious along with newly evaluated d+ sup 6 sup , sup 7 Li data is superior in predicting the characteristics of the d-Li neutron source. As this approach makes use of tabulated Li(d, xn) cross sections, the accuracy of the IFMIF d-Li neutron source term can be steadily improved with more advanced and validated data.

  11. Evaluation of Nutritional Status in a Teaching Hospital Neonatal Intensive Care Unit

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    Mohammadreza Rafati

    2015-02-01

    Full Text Available Background: Extrauterine growth restriction remains a common and serious problem in newborns especially who are small, immature, and critically ill. Very low birth weight infants (VLBW had 97% and 40% growth failure at 36 weeks and 18-22 months post-conceptual age respectively. The postnatal development of premature infants is critically dependent on an adequate nutritional intake that mimics a similar gestational stage. Deficient protein or amino acid administration over an extended period may cause significant growth delay or morbidity in VLBW infants. The purpose of this study was to evaluate current nutritional status in the neonatal intensive care unit in a teaching hospital. Methods: During this prospective observational study, the nutritional status of 100 consecutive critically ill neonates were evaluated by anthropometric and biochemical parameters in a tertiary neonatal intensive care unit. Their demographic characteristics (weight, height and head circumference, energy source (dextrose and lipid and protein were recorded in the first, 5th, 10th, 15th and 20th days of admission and blood samples were obtained to measure serum albumin and prealbumin. The amount of calorie and protein were calculated for all of preterm and term neonates and compared to standard means separately. Results: The calorie and amino acids did not meet in the majority of the preterm and term neonates and mean daily parenteral calorie intake was 30% or lower than daily requirements based on neonates’ weight. Mortality rate was significantly higher in neonates with lower serum albumin and severity of malnutrition but not with serum prealbumin concentration. Conclusion: Infants were studied did not receive their whole of daily calorie and protein requirements and it is recommended early and enough administration of calorie source (dextrose, lipids and amino acids. Prealbumin was a more benefit biochemical parameter than albumin to evaluate short term nutrition

  12. Evaluation of Nutritional Status in a Teaching Hospital Neonatal Intensive Care Unit

    Directory of Open Access Journals (Sweden)

    Mohammadreza Rafati

    2015-02-01

    Full Text Available Background:Extrauterine growth restriction remains a common and serious problem in newborns especially who are small, immature, and critically ill. Very low birth weight infants (VLBW had 97% and 40% growth failure at 36 weeks and 18-22 months post-conceptual age respectively. The postnatal development of premature infants is critically dependent on an adequate nutritional intake that mimics a similar gestational stage. Deficient protein or amino acid administration over an extended period may cause significant growth delay or morbidity in VLBW infants. The purpose of this study was to evaluate current nutritional status in the neonatal intensive care unit in a teaching hospital.Methods:During this prospective observational study, the nutritional status of 100 consecutive critically ill neonates were evaluated by anthropometric and biochemical parameters in a tertiary neonatal intensive care unit. Their demographic characteristics (weight, height and head circumference, energy source (dextrose and lipid and protein were recorded in the first, 5th, 10th, 15th and 20th days of admission and blood samples were obtained to measure serum albumin and prealbumin. The amount of calorie and protein were calculated for all of preterm and term neonates and compared to standard means separately. Results: The calorie and amino acids did not meet in the majority of the preterm and term neonates and mean daily parenteral calorie intake was 30% or lower than daily requirements based on neonates’ weight. Mortality rate was significantly higher in neonates with lower serum albumin and severity of malnutrition but not with serum prealbumin concentration. Conclusion: Infants were studied did not receive their whole of daily calorie and protein requirements and it is recommended early and enough administration of calorie source (dextrose, lipids and amino acids. Prealbumin was a more benefit biochemical parameter than albumin to evaluate short term nutrition

  13. Prospective cross-sectional evaluation of the small membrane filtration method for diagnosis of pulmonary tuberculosis.

    Science.gov (United States)

    Jones-López, Edward; Manabe, Yukari C; Palaci, Moises; Kayiza, Carol; Armstrong, Derek; Nakiyingi, Lydia; Ssengooba, Willy; Gaeddert, Mary; Kubiak, Rachel; Almeida Júnior, Pedro; Alland, David; Dietze, Reynaldo; Joloba, Moses; Ellner, Jerrold J; Dorman, Susan E

    2014-07-01

    Smear microscopy has suboptimal sensitivity, and there is a need to improve its performance since it is commonly used to diagnose tuberculosis (TB). We prospectively evaluated the diagnostic accuracy of the small membrane filtration (SMF) method, an approach that uses a vacuum manifold and is designed to concentrate bacilli onto a filter that can be examined microscopically. We enrolled hospitalized adults suspected to have pulmonary TB in Kampala, Uganda. We obtained a clinical history and three spontaneously expectorated sputum specimens for smear microscopy (direct, concentrated, and SMF), MGIT (mycobacterial growth indicator tube) 960 and Lowenstein-Jensen (LJ) cultures, and Xpert MTB/RIF testing. We performed per-specimen (primary) and per-patient analyses. From October 2012 to June 2013, we enrolled 212 patients (579 sputum specimens). The participants were mostly female (63.2%), and 81.6% were HIV infected; their median CD4 cell count was 47 cells/μl. Overall, 19.0%, 20.4%, 27.1%, 25.2%, and 25.9% of specimens tested positive by direct smear, concentrated smear, MGIT culture, LJ culture, and Xpert test, respectively. In the per-specimen analysis, the sensitivity of the SMF method (48.5%; 95% confidence interval [CI], 37.4 to 59.6) was lower than those of direct smear (60.9%; 51.4 to 70.5 [P = 0.0001]) and concentrated smear (63.3%; 53.6 to 73.1 [P filtration failure rate.

  14. Evaluating the late career nurse initiative: a cross-sectional survey of senior nurses in Ontario.

    Science.gov (United States)

    Doran, Diane; Jeffs, Lianne; Rizk, Paul; Laporte, Daniel R; Chilcote, Autumn Marie; Bai, Yu Qing

    2015-10-01

    This study evaluated the impact of the late career nurse initiative on nurse perceptions of their work environment, workplace burnout, job satisfaction, organisational commitment and intention to remain. The Ontario Ministry of Health and Long-Term Care introduced the late career nurse initiative with the goal of improving the retention of front-line nurses aged 55 and over by implementing a 0.20 full-time equivalent reduction of physically or psychologically demanding duties, enabling nurses to engage in special projects for the improvement of their organisations and patient care. A sample of 902 nurses aged 55 and over from acute and long-term care facilities were surveyed using valid and reliable questionnaires. Nurses who had participated in the initiative did not differ significantly from those who had not in terms of workplace burnout, job satisfaction, length of service or intention to remain within their current organisation. The late career nurse initiative participants reported significantly higher perceptions of managers' ability, leadership and support and their level of participation in hospital affairs. The late career nurse initiative was associated with perceived differences in nurses' work environment but not outcomes. Leaders need to pay attention to how late career nurses are selected and matched to organisational projects. © 2014 The Authors. Journal of Nursing Management Published by John Wiley & Sons Ltd.

  15. Clinical management of the induction of labor in intrauterine fetal death: evaluation of incidence of cesarean section and related conditions

    Directory of Open Access Journals (Sweden)

    Maria Isabel do Nascimento

    2014-03-01

    Full Text Available OBJECTIVE: To assess the incidence and conditions associated with cesarean section in a cohort of pregnant women with intrauterine fetal death (IUFD, and clinical management to anticipate the childbirth. METHODS: It was a retrospective cohort study with 163 mothers with IUFD, at the second half of pregnancy, who were managed to anticipate childbirth using pharmacological preparations and/or a mechanical method (Foley catheter in a teaching hospital in Rio de Janeiro State, Brazil. Cox regression was used to evaluate the effect of the clinical methods on the kind of delivery. RESULTS: The Subgroups A (misoprostol or Oxytocin, B (misoprostol and Oxytocin, and C (Foley catheter alone or combined with misoprostol and/or Oxytocin were formed according to the applied methods. Nine out of 163 cases ended with cesarean section. The incidence of cesarean section was 3.5 per 1,000 people-hours, meaning that a pregnant woman with IUFD had a 15.6% risk of cesarean section during the first 48 hours of clinical management to anticipate childbirth. The conditions significantly associated with the mode of delivery were placental abruption (HR: 44.97, having two or more previous cesarean deliveries (HR: 10.03, and mechanical method with Foley catheter (HR: 5.01. CONCLUSION: Cesarean section was an essential conduct in this cohort and followed previous cesarean delivery and placental abruption. The effect of the mechanical method on the abdominal route suggests that the Foley catheter method was used in the most difficult cases and that the surgery was performed to ensure maternal health.

  16. R-Matrix Evaluation of Cl Neutron Cross Sections up to 1.2 MeV

    Energy Technology Data Exchange (ETDEWEB)

    Sayer, R.O.

    2003-03-27

    We have performed an evaluation of {sup 35}Cl, {sup 37}Cl, and {sup nat}Cl neutron cross sections in the resolved resonance region with the multilevel Reich-Moore R-matrix formalism. Resonance analyses were carried out with the computer code SAMMY, which utilizes Bayes' method, a generalized least squares technique. A recent modification of SAMMY enabled us to calculate charged particle penetrabilities for the proton exit channel. Our resonance parameter representation describes the data much better than does ENDF/B-VI, and it should lead to improved criticality safety calculations for systems where Cl is present.

  17. A cross-sectional, clinical study to evaluate mobility of teeth during pregnancy using periotest

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    Poonam Sujeet Mishra

    2017-01-01

    Full Text Available Background and Objective: Over a century, an increased prevalence of gingival diseases associated with increasing plasma sex steroid hormone levels has been reported. These situations present unique challenges to the oral health-care professional. It is believed that hormonal fluctuations such as those associated with pregnancy, menstruation, and use of hormonal contraceptives lead to an increase in tooth mobility. However, this effect of female sex hormones on periodontal ligament and tooth-supporting alveolar bone has rarely been investigated. Hence, this study was conducted to understand the effect of hormonal changes during pregnancy on tooth mobility. Materials and Methods: Mobility of index teeth 16, 13, 21, 23, 24, 36, 33, 41, 43, and 44 was measured with periotest for fifty pregnant females at first trimester (12th week, second trimester (24th week, and third trimester (35th week. Simplified oral hygiene index, plaque index, Gingival index (GI, and probing depth were also evaluated during the three trimesters of pregnancy for each subject participating in the study. Statistical Analysis: The results of the study were subjected to statistical analysis. Data analysis was done by applying Z-test for comparing difference between two sample means. Results: A small but statistically significant influence on the periotest value was seen during the three trimesters of pregnancy. GI scores significantly increased throughout pregnancy despite no significant change in plaque levels. Conclusion: Pregnancy had a significant influence on tooth mobility. Highest value of tooth mobility was seen in the last month of pregnancy. The maximum severity of gingivitis was also seen during the third trimester of pregnancy.

  18. Assessment and Evaluation of Anatomic Variations of Retromolar Pad: A Cross Sectional Study

    Science.gov (United States)

    Deep, Anchal; Siwach, Amit; Singh, Manas; Bhargava, Akshay; Siwach, Reenu

    2016-01-01

    Introduction The retromolar pad also called piriformis papilla is a mucosal elevation located in the retromolar area covering the retromolar triangle. After molar loss, the bony alveolar process and surrounding soft periodontal tissue remodel, mainly resorb and blend with retromolar pad. It is a key intraoral landmark in prosthodontics. Aim The aim of this in-vitro study was to analyze the various anatomical shapes and sizes of retromolar pad in 150 completely edentulous patients between 55 to 70 years of age group. Materials and Methods The study was conducted on 150 completely edentulous patients. The shapes of retromolar pad on the left and right side were seen and divided into pear, triangular and round shape. The comparison of the mean longitudinal diameter and transverse diameter on the right and left sides was done. The data was evaluated statistically. The chi-square test was used for the comparison between the proportions with the help of standard deviation, t-test was used for comparison between the left and the right side and ANOVA test was used for comparison between the various shapes of the retromolar pads. Results The result showed that there was statistically significant difference among different shapes of retromolar pad and there was significant difference in mean transverse and longitudinal diameter on right and left side, the mean value of the longitudinal diameter on left and right side was 8.81 and 8.69 whereas the mean value of the transverse diameter on left and right side was 6.79 and 6.82 respectively and p-value obtained for both was 0.550 and 0.814 respectively. Conclusion The study conclude that there are three different shapes of retromolar pad among which pear and triangular shaped retomolar pad provides more stability in lower denture because of increase surface area. PMID:27437350

  19. Body image in women with HIV: a cross-sectional evaluation

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    Becerra Karen

    2006-07-01

    Full Text Available Abstract Background HIV lipodystrophy syndrome is a recognized complication of potent antiretroviral therapy and is characterized by often dramatic changes in various body fat stores, both central and peripheral. Given prior findings of heightened body image dysphoria among HIV-infected men with lipodystrophy as compared to HIV-infected men without lipodystrophy, we sought to determine body image among HIV-infected and HIV-negative women and to determine the relationship of HIV and lipodystrophy with body image. Our a priori hypothesis was that women with HIV and lipodystrophy would have significantly poorer body image as compared to women without HIV and to women with HIV without lipodystrophy. Results 116 women responded to two previously validated self-report instruments (Body Image Quality of Life Index (BIQLI and the Situational Inventory of Body-Image Dysphoria – Short Form (SIBID-S on body image. 62 (53% subjects HIV-infected women were recruited at the university-based HIV clinic. 54 (47% subjects HIV-negative female controls were recruited from another study evaluating bone density in otherwise healthy controls. 96% identified their sexual orientation as women having sex with men. Among the HIV-infected group, 36 reported the presence of lipodystrophic characteristics and 26 reported no lipodystrophic changes. Agreement regarding the presence of lipodystrophy between physician and subject was 0.67 as measured by the kappa coefficient of agreement. Compared to HIV-negative women, HIV-positive women demonstrated poor body image as measured by BIQLI (p = 0.0009. Compared with HIV-infected women who denied lipodystrophy, HIV-infected women with self-reported lipodystrophy demonstrated poor body image as measured by BIQLI (p = 0.02 and SIBID-S scales (p = 0.001. Conclusion We demonstrate that HIV and lipodystrophy status among women is associated with poor body image. Universal efforts should be made in the HIV medical community to

  20. Initial evaluation of children admitted on the Paediatric Intensive Care Unit

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    Esperanza Arce Delgado

    2007-09-01

    Full Text Available The initial evaluation of the child, when admitted on the Paediatric Intensive Unit, is a essential tool and key piece as a starting point on the development of a specific Care Plan for each child. Therefore, it is necessary the existence of a protocol, according to a rigorous methodology, so that cares will have quality and thus, it will be avoided that each nursing professional will act in a different way, according to his intuition, beliefs or improvisation capacity.The initial evaluation of the child will allow us not only to coordinate the interventions, but also to give continuity to the cares.The initial evaluation of the child document is a nursing register that is part of the clinical register of the paediatric patient. Nursing registers turn to be the best approximation of what nowadays is our job’s practice, and they are, therefore, necessary for us to be judged by a professional perspective and to make it possible to classify the services we carry out to the society.

  1. Evaluation of nosocomial infection risk using APACHE II scores in the neurological intensive care unit.

    Science.gov (United States)

    Li, Hai-Ying; Li, Shu-Juan; Yang, Nan; Hu, Wen-Li

    2014-08-01

    To evaluate the feasibility and accuracy of using the Acute Physiology, Age and Chronic Health Evaluation II (APACHE II) scoring system for predicting the risk of nosocomial infection in the neurological intensive care unit (NICU), 216 patients transferred to NICU within 24hours of admission were retrospectively evaluated. Based on admission APACHE II scores, they were classified into three groups, with higher APACHE II scores representing higher infectious risk. The device utilization ratios and device-associated infection ratios of NICU patients were analyzed and compared with published reports on patient outcome. Statistical analysis of nosocomial infection ratios showed obvious differences between the high-risk, middle-risk and low-risk groups (pAPACHE II model in predicting the risk of nosocomial infection was 0.81, which proved to be reliable and consistent with the expectation. In addition, we found statistical differences in the duration of hospital stay (patient-days) and device utilization (device-days) between different risk groups (pAPACHE II scoring system was validated in predicting the risk of nosocomial infection, duration of patient-days and device-days, and providing accurate assessment of patients' condition, so that appropriate prevention strategies can be implemented based on admission APACHE II scores.

  2. Evaluation of temperature rise with different curing methods and units in two composite resins

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    Tabatabaei M

    2006-01-01

    Full Text Available Background and Aim: The majority of commercial curing units in dentistry are of halogen lamp type. The new polymerizing units such as blue LED are introduced in recent years. One of the important side effects of light curing is the temperature rise in composite resin polymerization which can affect the vitality of tooth pulp. The purpose of this study was to evaluate the temperature rise in two different composite resins during polymerization with halogen lamps and blue LED. Materials and Methods: This experimental study investigated the temperature rise in two different composites (Hybrid, Tetric Ceram/Nanofilled, Filteke Supreme of A2 shade polymerized with two halogen lamps (Coltolux 50, 350 mW/cm2 and Optilux 501 in standard, 820 mW/cm2 and Ramp, 100-1030 mW/cm2 operating modes and one blue LED with the intensity of 620 mW/cm2. Five samples for each group were prepared and temperature rise was monitored using a k-type thermocouple. Data were analyzed by one-way ANOVA, two-way ANOVA and Tukey HSD tests with P<0.05 as the limit of significance. Results: Light curing units and composite resins had statistically significant influence on the temperature rise (p<0.05. Significantly, lower temperature rise occurred in case of illumination with Coltolux 50.There was no significant difference between Optilux 501 in standard curing mode and LED. Tetric Ceram showed higher temperature rise. Conclusion: According to the results of this study the high power halogen lamp and LED could produce significant heat which may be harmful to the dental pulp.

  3. Promoting sustainable research partnerships: a mixed-method evaluation of a United Kingdom-Africa capacity strengthening award scheme.

    Science.gov (United States)

    Dean, Laura; Njelesani, Janet; Smith, Helen; Bates, Imelda

    2015-12-23

    Research partnerships between high-income countries (HICs) and low- or middle-income countries (LMICs) are a leading model in research capacity strengthening activities. Although numerous frameworks and guiding principles for effective research partnerships exist, few include the perspective of the LMIC partner. This paper draws out lessons for establishing and maintaining successful research collaborations, based on partnership dynamics, from the perspectives of both HIC and LMIC stakeholders through the evaluation of a research capacity strengthening partnership award scheme. A mixed-method retrospective evaluation approach was used. Initially, a cross-sectional survey was administered to all award holders, which focused on partnership outputs and continuation. Fifty individuals were purposively selected to participate in interviews or focus group discussions from 12 different institutions in HICs and LMICs; the sample included the research investigators, research assistants, laboratory scientists and post-doctoral students. The evaluation collected data on critical elements of research partnership dynamics such as research outputs, nature of the partnership, future plans and research capacity. Quantitative data were analysed descriptively and qualitative data were analysed using an iterative framework approach. The majority of United Kingdom and African award holders stated they would like to pursue future collaborations together. Key aspects within partnerships that appeared to influence this were; the perceived benefits of the partnership at the individual and institutional level such as publication of papers or collaborative grants; ability to influence 'research culture' and instigate critical thinking among mid-career researchers; previous working relationships, for example supervisor-student relationships; and equity within partnerships linked to partnership formation and experience of United Kingdom partners within LMICs. Factors which may hinder

  4. [Evaluation of outpatient treatment units according to the Crime Victims' Regulation Act].

    Science.gov (United States)

    Bollmann, Kirsten; Schürmann, Ivonne; Nolting, Björn; Dieffenbach, Ina; Fischer, Gottfried; Zurek, Gisela; Bering, Robert; Heuft, Gereon

    2012-01-01

    Over the past years, 35 trauma outpatient units have been established in accordance with the Crime Victims' Compensation Act in the federal state of North Rhine-Westphalia (Germany) for both children and adolescents as well as for adults. They are operated by the social welfare authorities and, since 2008, by the regional authorities of Westphalia-Lippe and Rhineland. They enable victims to receive qualified psychotraumatological help within the first few days after suffering violence. Since trauma units have now been set up across most parts of this federal state, the time has come to assess the effectiveness of their acute care provision to victims of violence. In 2007, on the order of the Ministry of Labour, Health and Social Affairs of the federal state of North Rhine-Westphalia, trauma outpatient units were subjected to scientific evaluation. In 17 trauma outpatient units, a data assessment protocol was officially implemented that included repeat measurements (immediately before the initial contact, after completion of intervention, at follow-up six months after intervention) of traumatized subjects aged 14 and older. Socio-demographic data were gathered, and the scores of the Impact of Event Scale - Revised (IES-R), the Symptom Checkliste-27 (SCL-27), the simplified Beck Depressions Inventory (BDI-V), the Global Assessment of Functioning Scale (GAF) as well as the Cologne Risk Index (CRI) (expert rating) were collected. Nearly three-fourths (65.9 %) of the traumatic experiences of the 211 patients investigated can be characterized as type-1 traumatisation. 31.8 % of patients were victims of crimes involving violations of the right to sexual self-determination (94.0 % of sexual offences being committed against girls and women). Crimes against physical integrity, which according to crime statistics are the most frequent of crimes against individuals (88.8 %, 34.8 % females), were suffered by 36.0 % of all patients of the trauma outpatient units (63.2 % being

  5. Evaluation of wear rate of dental composites polymerized by halogen or LED light curing units

    Directory of Open Access Journals (Sweden)

    Alaghehmand H.

    2006-08-01

    Full Text Available Background and Aim: Sufficient polymerization is a critical factor to obtain optimum physical properties and clinical efficacy of resin restorations. The aim of this study was to evaluate wear rates of composite resins polymerized by two different systems Light Emitting Diodes (LED to and Halogen lamps. Materials and Methods: In this laboratory study, 20 specimens of A3 Tetric Ceram composite were placed in brass molds of 2*10*10 mm dimensions and cured for 40 seconds with 1 mm distance from surface. 10 specimens were cured with LED and the other 10 were cured with Halogen unit. A device with the ability to apply force was developed in order to test the wear of composites. After storage in distilled water for 10 days, the specimens were placed in the wear testing machine. A chrome cobalt stylus with 1.12 mm diameter was applied against the specimens surfaces with a load of 2 kg. The weight of each samples before and after 5000, 10000, 20000, 40000, 80000 and 120000 cycles was measured using an electronic balance with precision of 10-4 grams. Data were analyzed using t test and paired t test. P0.05. Conclusion: Based on the results of this study, LED and halogen light curing units resulted in a similar wear rate in composite resin restorations.

  6. Evaluation of obstetric admissions to intensive care unit of a tertiary referral center in coastal India

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    Poornima B Ramachandra Bhat

    2013-01-01

    Full Text Available Background and Aim: To evaluate the occurrence, indications, course, interventions, and outcome of obstetric patients admitted to the intensive care unit (ICU. Design: Retrospective study. Setting: ICU of a Medical College Hospital. Materials and Methods: The data collected were age, parity, obstetric status, primary diagnosis, interventions, and outcome of obstetric patients admitted to the ICU from Jan 2005 to June 2011. Results: Total deliveries were 16,804 in 6.5 years. Obstetric admissions to the ICU were (n = 65 which constitutes 0.39% of deliveries. Majority of the admissions were in the postpartum period (n = 46, 70.8%. The two common indications for admission were obstetric hemorrhage (n = 18, 27.7% and pregnancy related hypertension with its complications (n = 17, 26.2%. The most common intervention was artificial ventilation (n = 41, 63%. The mortality among obstetric admissions in the ICU was (33.8% (22/65. The patients appropriate for High Dependency Unit (HDU care was (32.3% (21/65. The statistical analysis was done by fractional percentage and Chi-square test. Conclusions: Hemorrhage and pregnancy-related hypertension with its complications are the two common indications for ICU admissions. The need for a HDU should be considered.

  7. Full-scale performance testing and evaluation of unitized curtain walls

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    E. Ilter

    2015-06-01

    Full Text Available Unitized curtain wall systems have been widely seen on high-rise buildings’ facades by bringing benefits with regard to ease of construction, lightness, etc. However, some design and application problems related to structural and infiltration performance of a facade system might arise during its life cycle, which is difficult for the building to compensate. This paper presents a comparative analysis of the structural and infiltration performance of the two identically detailed and produced unitized curtain wall system mock-ups. In order to understand long-term environmental effects on the curtain wall system, a fatigue process was applied on one system in addition to the standard test procedures, while the standard test procedure was applied on the other reference specimen. The tests on the two identical specimens were conducted in accordance with TS EN 13830 and AAMA 501.4 Standards. As a result of air infiltration and wind load resistance tests, air infiltration and frontal deflection values on the facade surface were obtained. Hence, experimental performance of the systems was compared and the effect of the fatigue procedure on the facade performance was evaluated.  

  8. Evaluation and art therapy treatment of the burnout syndrome in oncology units.

    Science.gov (United States)

    Italia, Simona; Favara-Scacco, Cinzia; Di Cataldo, Andrea; Russo, Giovanna

    2008-07-01

    We undertook a pilot study to evaluate and potentially reduce the level of burnout in the operators of two oncology centers. The study included 65 doctors and nurses of an adult (Group A) and a pediatric oncology unit (Group B). We used the Maslach Burnout Inventory to estimate the level of burnout obtained in three dimensions: emotional exhaustion, distancing (cognitive and emotional) and reduced personal achievement. Data showed a medium-high level of burnout in Group A and a medium-low level in Group B. In the second part of the study, Group B underwent a program of art therapy interventions with the aim of reducing the level of burnout. Comparing the responses from Group B participants before and after the intervention indicated a statistically significant decreased level of burnout. In conclusion, burnout syndrome exists among oncology unit personnel and can be effectively treated with art therapies. Attention devoted to this aspect is required in order to improve the workers' well-being, thus enhancing attention and dedication to patients.

  9. Emergy Evaluation of Dwelling Operation in Five Housing Units of Montreal Island, Canada

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    Ricardo Enrique Vega-Azamar

    2017-04-01

    Full Text Available Sustainability of cities and the environmental implications of high resource utilization by the domestic sector are growing concerns related to urban regions. Well-informed urban planning decision-making is an essential tool to help in the task and, for that, an important point to consider is the influence of parameters like residential density and housing typology on the intensity of resource utilization. Emergy synthesis, a life-cycle energy analysis methodological approach that considers the interaction of natural and human-made flows, was used to evaluate the environmental support for dwelling operational stage in five typical present-day housing units on the island of Montreal. As expected, resource utilization, measured as total emergy used, was positively correlated to housing unit size both with respect to number of occupants and dwelling size. Results suggest that variables affecting notably the intensity of resource utilization are per household income and per dweller habitable space and, while a higher income increased per capita emergy in all cases, increasing space availability per resident did not result in a decrease of empower density after 50 m2/person. Future work should consider lower and higher densities and analyses at the scale of blocks, neighborhoods and urban planning zones.

  10. Theoretical evaluation of the efficiency of gas single-stage reciprocating compressor medium pressure units

    Science.gov (United States)

    Busarov, S. S.; Vasil'ev, V. K.; Busarov, I. S.; Titov, D. S.; Panin, Ju. N.

    2017-08-01

    Developed earlier and tested in such working fluid as air, the technology of calculating the operating processes of slow-speed long-stroke reciprocating stages let the authors to obtain successful results concerning compression of gases to medium pressures in one stage. In this connection, the question of the efficiency of the application of slow-speed long-stroke stages in various fields of technology and the national economy, where the working fluid is other gas or gas mixture, is topical. The article presents the results of the efficiency evaluation of single-stage compressor units on the basis of such stages for cases when ammonia, hydrogen, helium or propane-butane mixture is used as the working fluid.

  11. Fitness for service evaluation of a horizontal gas separator in a compressing unit

    Energy Technology Data Exchange (ETDEWEB)

    Seijas, A.; Ledezma, M. [INTEVEP S.A., Los Teques (Venezuela)

    1996-12-01

    An automatic ultrasonic inspection of a horizontal separator revealed cracking in various structural welds of the shell wall. The pressure vessel has been working in a gas compressing unit for several years. A review of the operation history (including fluids, pressure and temperature) indicated the cracking was probably associated with hydrogen induced cracking (HIC). To assure mechanical integrity a Fitness for Service Assessment was conducted based on fracture mechanics procedures. Using the fitness-for-service document and the computer software of the Materials Properties Council (MPC), limiting flaw size curves were obtained. The cracks were evaluated to determine their effect in the structural integrity of the pressure vessel, and to define the inspection program for the future.

  12. Evaluation of the sectional aerosol microphysics module SALSA implementation in ECHAM5-HAM aerosol-climate model

    Directory of Open Access Journals (Sweden)

    T. Bergman

    2011-12-01

    Full Text Available We present the implementation and evaluation of a sectional aerosol microphysics model SALSA within the aerosol-climate model ECHAM5-HAM. This aerosol microphysics module has been designed to be flexible and computationally efficient so that it can be implemented in regional or global scale models. The computational efficiency has been achieved by keeping the number of variables needed to describe the size and composition distribution to the minimum. The aerosol size distribution is described using 20 size sections with 10 size sections in size space which cover diameters ranging from 3 nm to 10 μm divided to three subranges each having distinct optimised process and compound selection.

    The ability of the module to describe the global aerosol properties was evaluated by comparison against (1 measured continental and marine size distributions, (2 observed variability of continental modal number concentrations, (3 measured sulphate, organic carbon, black carbon and sea salt mass concentrations, (4 observations of AOD and other aerosol optical properties from satellites and AERONET network, (5 global aerosol budgets and concentrations from previous model studies, and (6 model results using M7 which is the default aerosol microphysics module in ECHAM5-HAM.

    The evaluation shows that the global aerosol properties can be reproduced reasonably well using the coarse resolution of 10 size sections in size space. The simulated global aerosol budgets are within the range of previous studies. Surface concentrations of sea salt, sulphate and carbonaceous species have an annual mean within a factor of five of the observations, while the simulated sea salt concentrations reproduce the observations less accurately and show high variability. Regionally, AOD is in relatively good agreement with the observations (within a factor of two. At mid-latitudes the observed AOD is captured well, while at high-latitudes as well as in some polluted and

  13. Scaling Out and Evaluation of OBSecAn, an Automated Section Annotator for Semi-Structured Clinical Documents, on a Large VA Clinical Corpus.

    Science.gov (United States)

    Tran, Le-Thuy T; Divita, Guy; Redd, Andrew; Carter, Marjorie E; Samore, Matthew; Gundlapalli, Adi V

    2015-01-01

    "Identifying and labeling" (annotating) sections improves the effectiveness of extracting information stored in the free text of clinical documents. OBSecAn, an automated ontology-based section annotator, was developed to identify and label sections of semi-structured clinical documents from the Department of Veterans Affairs (VA). In the first step, the algorithm reads and parses the document to obtain and store information regarding sections into a structure that supports the hierarchy of sections. The second stage detects and makes correction to errors in the parsed structure. The third stage produces the section annotation output using the final parsed tree. In this study, we present the OBSecAn method and its scale to a million document corpus and evaluate its performance in identifying family history sections. We identify high yield sections for this use case from note titles such as primary care and demonstrate a median rate of 99% in correctly identifying a family history section.

  14. Benchmarking the evaluated proton differential cross sections suitable for the EBS analysis of natSi and 16O

    Science.gov (United States)

    Kokkoris, M.; Dede, S.; Kantre, K.; Lagoyannis, A.; Ntemou, E.; Paneta, V.; Preketes-Sigalas, K.; Provatas, G.; Vlastou, R.; Bogdanović-Radović, I.; Siketić, Z.; Obajdin, N.

    2017-08-01

    The evaluated proton differential cross sections suitable for the Elastic Backscattering Spectroscopy (EBS) analysis of natSi and 16O, as obtained from SigmaCalc 2.0, have been benchmarked over a wide energy and angular range at two different accelerator laboratories, namely at N.C.S.R. 'Demokritos', Athens, Greece and at Ruđer Bošković Institute (RBI), Zagreb, Croatia, using a variety of high-purity thick targets of known stoichiometry. The results are presented in graphical and tabular forms, while the observed discrepancies, as well as, the limits in accuracy of the benchmarking procedure, along with target related effects, are thoroughly discussed and analysed. In the case of oxygen the agreement between simulated and experimental spectra was generally good, while for silicon serious discrepancies were observed above Ep,lab = 2.5 MeV, suggesting that a further tuning of the appropriate nuclear model parameters in the evaluated differential cross-section datasets is required.

  15. Evaluated gas production cross-section data for natural titanium irradiated with protons at energies up to 3 GeV

    Energy Technology Data Exchange (ETDEWEB)

    Akca, S. [Cukurova Univ., Adana (Turkey). Dept. of Physics; Konobeyev, A.Yu.; Fischer, U. [Karlsruhe Institute of Technology (KIT), Karlsruhe (Germany). Inst. for Neutron Physics and Reactor Technology

    2014-12-15

    Evaluated proton, deuteron, triton, {sup 3}He and {sup 4}He production cross-section data were prepared for natural titanium irradiated with protons at the energy up to 3 GeV. The evaluated data were obtained from the analysis of results of nuclear model calculations, available measured, and systematic data. The calculations of gas production cross-sections were carried out using the intranuclear cascade model (INC), the pre-equilibrium exciton model, geometry dependence hybrid (GDH) model, Weisskopf-Ewing (WE) model, and the Hauser-Feshbach model. CASCADE, TALYS, ALICE/ASH, and ALICE/HMS codes were used for calculations. Available experimental and systematic data, model calculations were used to evaluate gas production cross-section. The evaluation was carried out using statistical methods implemented in the BEKED code package developed at KIT/INR. The evaluated cross-sections were compared with the data from evaluated data libraries.

  16. Interpretation of Results of Studies Evaluating an Intervention Highlighted in Google Health News: A Cross-Sectional Study of News.

    Directory of Open Access Journals (Sweden)

    Romana Haneef

    Full Text Available Mass media through the Internet is a powerful means of disseminating medical research. We aimed to determine whether and how the interpretation of research results is misrepresented by the use of "spin" in the health section of Google News. Spin was defined as specific way of reporting, from whatever motive (intentional or unintentional, to emphasize that the beneficial effect of the intervention is greater than that shown by the results.We conducted a cross-sectional study of news highlighted in the health section of US, UK and Canada editions of Google News between July 2013 and January 2014. We searched for news items for 3 days a week (i.e., Monday, Wednesday, and Friday during 6 months and selected a sample of 130 news items reporting a scientific article evaluating the effect of an intervention on human health.In total, 78% of the news did not provide a full reference or electronic link to the scientific article. We found at least one spin in 114 (88% news items and 18 different types of spin in news. These spin were mainly related to misleading reporting (59% such as not reporting adverse events that were reported in the scientific article (25%, misleading interpretation (69% such as claiming a causal effect despite non-randomized study design (49% and overgeneralization/misleading extrapolation (41% of the results such as extrapolating a beneficial effect from an animal study to humans (21%. We also identified some new types of spin such as highlighting a single patient experience for the success of a new treatment instead of focusing on the group results.Interpretation of research results was frequently misrepresented in the health section of Google News. However, we do not know whether these spin were from the scientific articles themselves or added in the news.

  17. A cross-sectional study of emergency care utilization and associated costs of violent-related (assault) injuries in the United States.

    Science.gov (United States)

    Monuteaux, Michael C; Fleegler, Eric W; Lee, Lois K

    2017-08-01

    Violent-related (assault) injuries are a leading cause of death and disability in the United States. Many violent injury victims seek treatment in the emergency department (ED). Our objectives were to (1) estimate rates of violent-related injuries evaluated in United States EDs, (2) estimate linear trends in ED visits for violent-related injuries from 2000 to 2010, and (3) to determine the associated health care and work-loss costs. We examined adults 18 years and older from a nationally representative survey (the National Hospital Ambulatory Medical Care Survey) of ED visits, from 2000 to 2010. Violent injury was defined using International Classification of Diseases-9th Rev.-Clinical Modification, diagnosis and mechanism of injury codes. We calculated rates of ED visits for violent injuries. Medical and work-loss costs accrued by these injuries were calculated for 2005, inflation-adjusted to 2011 dollars using the WISQARS Cost of Injury Reports. An annual average of 1.4 million adults were treated for violent injuries in EDs from 2000 to 2010, comprising 1.6% (95% confidence interval, 1.5%-1.6%) of all US adult ED visits. Young adults (18-25 years), men, nonwhites, uninsured or publically insured patients, and those residing in high poverty urban areas were at increased risk for ED visits for violent injury. The 1-year, inflation-adjusted medical and work-loss cost of violent-inflicted injuries in adults in the United States was US $49.5 billion. Violent injuries account for over one million ED visits annually among adults, with no change in rates over the past decade. Young black men are at especially increased risk for ED visits for violent injuries. Overall, violent-related injuries resulted in substantial financial and societal costs. Epidemiological study, level III.

  18. Safety evaluation report related to the operation of Watts Bar Nuclear Plant, Units 1 and 2 (Docket Nos. 50-390 and 50-391). Supplement No. 18

    Energy Technology Data Exchange (ETDEWEB)

    Tam, P.S.

    1995-10-01

    In June 1982, the Nuclear Regulatory Commission staff (NRC staff or staff) issued a Safety Evaluation Report, NUREG-0847, regarding the application by the Tennessee Valley Authority (TVA or the applicant) for licenses to operate the Watts Bar Nuclear Plant, Units 1 and 2. Each of the following sections and appendices of this supplement is numbered the same as the section or appendix of the SER that is being updated, and the discussions are supplementary to, and not in lieu of, the discussion in the SER, unless otherwise noted. Accordingly, Appendix A continues the chronology of the safety review. Appendix E lists principal contributors to this supplement. Appendix FF is added in this supplement. The other appendices are not changed by this supplement.

  19. Workplace availability, risk group and perceived barriers predictive of 2016-17 influenza vaccine uptake in the United States: A cross-sectional study.

    Science.gov (United States)

    Luz, Paula M; Johnson, Riley E; Brown, Heidi E

    2017-10-13

    Seasonal influenza, though mostly self-limited in the healthy adult, may lead to severe disease and/or complications in subpopulations. Annual influenza vaccination is available in many countries with coverage goals rarely being met. We conducted a cross-sectional study of influenza vaccine uptake and explored socio-demographic, economic, and psychological factors that explained vaccine uptake. The survey was administered via Amazon Mechanical Turk (MTurk) to United States residents in January 2017, using the Qualtrics platform. Using principal axis factor analysis, we reduced the 25 items theory-based psychological determinants into the primary constructs they measure if/when internal consistency was sufficient (Cronbach's alpha >0.60). Logistic regression models were used to quantify the association of socio-demographic, economic, and psychological factors with reported vaccine behavior in the 2016-17 flu season. 1007 participants completed the survey, sex distribution was even, 67% had 25-44years of age, and 61% annual household income of $30-99 thousand United States dollars. About 25% had the flu shot offered at their workplace and 20% reported belonging to a group for whom the flu shot is recommended. Vaccine uptake was 31.5%. Eight predictors remained in the final adjusted model (R(2)=0.489), having the vaccine offered at the workplace, belonging to a group for whom the vaccine is recommended, and higher perceived barriers were the strongest predictors of vaccine uptake, increasing (and decreasing in the case of barriers) the odds by >3-fold. Additionally, higher household income, higher perceived susceptibility and higher perceived benefits also independently predicted vaccine uptake. We found evidence that perceived barriers significantly impaired vaccine uptake to the same extent that having the vaccine offered at the workplace or belonging to a group for whom the vaccine is recommended facilitated uptake. Ideally, a better understanding of drivers of

  20. Publishing Time-Frame Evaluation for Doctoral Students in United Kingdom

    Directory of Open Access Journals (Sweden)

    Andrada Elena URDA-CÎMPEAN

    2014-09-01

    Full Text Available The first objective of the study was to compute the time to completion and publication of original scientific publications for medical doctoral students in the UK. A second objective was to evaluate if PhD theses format (monograph or publication-based can influence the time to completion and publication of original scientific publications. We assessed a small sample of free full text medical doctoral theses from universities in the United Kingdom (mostly from the University of Manchester, which have produced at least 2 original scientific publications by the end of the doctoral studies. The time elapsed between 2 consecutive publications from the same thesis was considered an approximation of the time to completion and publication of the second publication. In the case of prospective theses, the median time to completion and publication of original scientific publications from medical doctoral theses was 10.17 months. We found that there was a statistically significant difference between the time (to completion and publication medians of the publications from traditional theses format and of the publications from publication-based theses format. Time to completion and publication of original scientific publications for medical doctoral students needs to be further evaluated on a larger scale, based on more theses from several medical faculties in the UK.

  1. Evaluation of antibiotic prescriptions for urinary tract infections in a geriatric rehabilitation unit.

    Science.gov (United States)

    Afekouh, Hind; Baune, Patricia; De Falvelly, Diane; Guermah, Fatima; Ghitri, Saïda; Haber, Nicole

    2017-03-01

    Prescription of antibiotic in elderly patients must follow guidelines. to study the quality of antibiotic prescriptions for urinary tract infections (UTI) in the geriatric rehabilitation unit. Over a four-month period, all the antibiotics treatments prescribed for UTI in the rehabilitation ward were analyzed prospectively by medical experts and confronted with the recommendations of the local antibiotic guidelines. The methodology was based on Gyssens' algorithm. Treatments were considered appropriate if indication, choice of the molecule, duration and dose were approved by the experts, unnecessary if the indication was incorrect, and inappropriate in all other cases. The re-assessment of the prescription between 48 and 72 h was also evaluated. We reviewed 39 prescriptions. About half of all prescriptions (51.3%) was found to be unnecessary due to misdiagnosis, 16 prescriptions (41%) were considered inappropriate (2 for inadequate duration and 14 for inappropriate spectrum of activity, mainly with ceftriaxone prescriptions (9 cases)). Ten prescriptions (25.6%) were re-assessed between 48 and 72 hours after treatment initiation. According to this study, an improvement program was implemented. A diagnostic algorithm for UTI in elderly was drafted and will be integrated into the local guidelines. A supporting document for the re-assessment of the prescriptions 48-72h after treatment initiation was created. We decided to perform an evaluation of antibiotic prescriptions by the subcutaneous route.

  2. Evaluation of dipstick analysis among elderly residents to detect bacteriuria: a cross-sectional study in 32 nursing homes

    Directory of Open Access Journals (Sweden)

    Sundvall Pär-Daniel

    2009-07-01

    Full Text Available Abstract Background Few studies have evaluated dipstick urinalysis for elderly and practically none present confidence intervals. Furthermore, most previous studies combine all bacteria species in a "positive culture". Thus, their evaluation may be inappropriate due to Yule-Simpson's paradox. The aim of this study was to evaluate diagnostic accuracy of dipstick urinalysis for the elderly in nursing homes. Methods In this cross-sectional study voided urine specimens were collected from 651 elderly individuals in nursing homes. Dipstick urinalysis for nitrite, leukocyte esterase and urine culture were performed. Sensitivity, specificity, positive and negative predictive values with 95% confidence intervals were calculated. Visual readings were compared to readings with a urine chemistry analyzer. Results 207/651 (32% of urine cultures showed growth of a potentially pathogenic bacterium. Combining the two dipsticks improved test characteristics slightly compared to using only one of the dipsticks. When both dipsticks are negative, presence of potentially pathogenic bacteria can be ruled out with a negative predictive value of 88 (84–92%. Visual and analyzer readings had acceptable agreement. Conclusion When investigating for bacteriuria in elderly people at nursing homes we suggest nitrite and leukocyte esterase dipstick be combined. There are no clinically relevant differences between visual and analyzer dipstick readings. When dipstick urinalysis for nitrite and leukocyte esterase are both negative it is unlikely that the urine culture will show growth of potentially pathogenic bacteria and in a patient with an uncomplicated illness further testing is unnecessary.

  3. A cross-sectional evaluation of meditation experience on electroencephalography data by artificial neural network and support vector machine classifiers.

    Science.gov (United States)

    Lee, Yu-Hao; Hsieh, Ya-Ju; Shiah, Yung-Jong; Lin, Yu-Huei; Chen, Chiao-Yun; Tyan, Yu-Chang; GengQiu, JiaCheng; Hsu, Chung-Yao; Chen, Sharon Chia-Ju

    2017-04-01

    To quantitate the meditation experience is a subjective and complex issue because it is confounded by many factors such as emotional state, method of meditation, and personal physical condition. In this study, we propose a strategy with a cross-sectional analysis to evaluate the meditation experience with 2 artificial intelligence techniques: artificial neural network and support vector machine. Within this analysis system, 3 features of the electroencephalography alpha spectrum and variant normalizing scaling are manipulated as the evaluating variables for the detection of accuracy. Thereafter, by modulating the sliding window (the period of the analyzed data) and shifting interval of the window (the time interval to shift the analyzed data), the effect of immediate analysis for the 2 methods is compared. This analysis system is performed on 3 meditation groups, categorizing their meditation experiences in 10-year intervals from novice to junior and to senior. After an exhausted calculation and cross-validation across all variables, the high accuracy rate >98% is achievable under the criterion of 0.5-minute sliding window and 2 seconds shifting interval for both methods. In a word, the minimum analyzable data length is 0.5 minute and the minimum recognizable temporal resolution is 2 seconds in the decision of meditative classification. Our proposed classifier of the meditation experience promotes a rapid evaluation system to distinguish meditation experience and a beneficial utilization of artificial techniques for the big-data analysis.

  4. Three-month evaluation of vital tooth bleaching using light units-a randomized clinical study.

    Science.gov (United States)

    Polydorou, O; Wirsching, M; Wokewitz, M; Hahn, P

    2013-01-01

    The aim of this study was to evaluate the color stability of vital bleaching using a halogen unit, laser, or only chemical activation up to three months after treatment. A total of 60 patients were divided into three groups, and their teeth were bleached with 38% hydrogen peroxide using three methods: acceleration of the bleaching process with halogen (eight minutes), laser (30 seconds), or chemical activation only. All teeth were bleached a maximum of four times (4 × 15 minutes) until a change of six shade tabs took place. The color was evaluated both visually and with a spectrophotometer before bleaching, immediately after bleaching, and one and three months after bleaching. Directly after bleaching, the use of halogen showed better results than laser (p≤0.05). One and three months after bleaching, no significant difference was found between the tested methods relative to the shade change, independent of the method of shade evaluation (p>0.05). As far as the color stability is concerned, bleaching with halogen resulted in stable color throughout the three months (p>0.05), whereas the other two methods resulted in whiter teeth after one and three months compared with the color directly after bleaching (p≤0.05). Bleaching with laser needed more time than halogen for the desired shade change (p≤0.05). Although directly after treatment bleaching with halogen resulted in better results, one and three months after bleaching the kind of acceleration used in the bleaching process did not have any effect on the esthetic results.

  5. Economic evaluation of birth care in low-risk women. A comparison between a midwife-led birth unit and a standard obstetric unit within the same hospital in Norway. A randomised controlled trial.

    Science.gov (United States)

    Bernitz, Stine; Aas, Eline; Øian, Pål

    2012-10-01

    to investigate the cost-effectiveness in birth care for low-risk women, in an alongside midwife-led unit (MU) compared to a standard obstetric unit (SCU) within the same hospital. economic evaluation based on the findings of a randomised trial, randomising participants either into the MU or SCU. The hospital's activity-based costing system CPP was used to estimate costs, as no data on complete resource use exists. the Department of Obstetrics and Gynaecology, Østfold Hospital Trust, Norway. the study population consists of 1,110 consenting healthy women, assessed to be at low-risk at spontaneous onset of labour. effect measures; avoided caesarean sections, instrumental vaginal deliveries, complications requiring treatment in the operating room, epidural analgesia and oxytocin augmentation. Costs (€) were calculated by costs per day multiplied with length of stay, added costs for procedures performed outside the units. The results are expressed in incremental cost-effectiveness ratios (ICER) with SCU as comparator. total costs per stay were significantly lower for women at the MU (€1,672) compared to the SCU (€1,950, pcosts and reduction in clinical procedures) for all effect measures. Based on the sensitivity analysis, allocating low-risk women to MU significantly reduced costs, but was not a dominant strategy for all outcomes. the MU is more cost-effective than the SCU for low-risk women without prelabour preference for level of birth care provided equal capacity at the units. it is cost-effective to organise birth care for low-risk women in a separate midwife-led unit. Copyright © 2012 Elsevier Ltd. All rights reserved.

  6. Evaluation of the sectional aerosol microphysics module SALSA implementation in ECHAM5-HAM aerosol-climate model

    Directory of Open Access Journals (Sweden)

    T. Bergman

    2012-06-01

    Full Text Available We present the implementation and evaluation of a sectional aerosol microphysics module SALSA within the aerosol-climate model ECHAM5-HAM. This aerosol microphysics module has been designed to be flexible and computationally efficient so that it can be implemented in regional or global scale models. The computational efficiency has been achieved by minimising the number of variables needed to describe the size and composition distribution. The aerosol size distribution is described using 10 size classes with parallel sections which can have different chemical compositions. Thus in total, the module tracks 20 size sections which cover diameters ranging from 3 nm to 10 μm and are divided into three subranges, each with an optimised selection of processes and compounds.

    The implementation of SALSA into ECHAM5-HAM includes the main aerosol processes in the atmosphere: emissions, removal, radiative effects, liquid and gas phase sulphate chemistry, and the aerosol microphysics. The aerosol compounds treated in the module are sulphate, organic carbon, sea salt, black carbon, and mineral dust. In its default configuration, ECHAM5-HAM treats aerosol size distribution using the modal method. In this implementation, the aerosol processes were converted to be used in a sectional model framework.

    The ability of the module to describe the global aerosol properties was evaluated by comparing against (1 measured continental and marine size distributions, (2 observed variability of continental number concentrations, (3 measured sulphate, organic carbon, black carbon and sea-salt mass concentrations, (4 observations of aerosol optical depth (AOD and other aerosol optical properties from satellites and AERONET network, (5 global aerosol budgets and concentrations from previous model studies, and (6 model results using M7, which is the default aerosol microphysics module in ECHAM5-HAM.

    The evaluation shows that the global aerosol

  7. Emergy Evaluation of Formal Education in the United States: 1870 to 2011

    Directory of Open Access Journals (Sweden)

    Daniel E. Campbell

    2014-07-01

    Full Text Available We evaluated the education system of the United States from 1870 to 2011 using emergy methods. The system was partitioned into three subsystems (elementary, secondary and college/university education and the emergy inputs required to support each subsystem were determined for every year over the period of analysis. We calculated the emergy required to produce an individual with a given number of years of education by summing over the years of support needed to attain that level of education. In 1983, the emergy per individual ranged from 8.63E+16 semj/ind. for a pre-school student to 165.9E+16 semj/ind. for a Ph.D. with 2 years of postdoctoral experience. The emergy of teaching and learning per hour spent in this process was calculated as the sum of the emergy delivered by the education and experience of the teachers and the emergy brought to the process of learning by the students. The emergy of teaching and learning was about an order of magnitude larger than the annual emergy supporting the U.S. education system (i.e., the emergy inflows provided by the environment, energy and materials, teachers, entering students, goods and services. The implication is that teaching and learning is a higher order social process related to the development and maintenance of the national information cycle. Also, the results imply that there is a 10-fold return on the emergy invested in operating the education system of the United States.

  8. A comparison of magnetic resonance imaging with electrodiagnostic findings in the evaluation of clinical radiculopathy: a cross-sectional study.

    Science.gov (United States)

    Reza Soltani, Zahra; Sajadi, Simin; Tavana, Behrooz

    2014-04-01

    The aim of this study was to evaluate the agreement of magnetic resonance imaging and electrodiagnostic studies by comparing their findings in patients with clinically suspected radiculopathy. The agreements between these two procedures and clinical findings were also examined. In a 2-year cross-sectional study, a total of 114 patients with clinically suspected cervical or lumbosacral radiculopathy were included. The total agreements between clinical with MRI and EDX findings were 72 and 52%, respectively while their agreements were similar in group definite (89 vs. 82%). The agreement between EDX and MRI was 59.6 in total and 49% with respect to clinical findings. This study further supports that these two methods are complementary in general. It is reasonable to add EDX when there is discrepancy between MRI and clinical findings or when MRI neurologic findings are not visible.

  9. Evaluation of a modified "Triple-P" procedure in women with morbidly adherent placenta after previous caesarean section.

    Science.gov (United States)

    Wei, Yanxing; Cao, Yanwen; Yu, Yanhong; Wang, Zhijian

    2017-07-21

    To describe a modified "Triple-P" procedure and evaluate its outcome in women with morbidly adherent placenta (MAP) after previous caesarean section (CS). A retrospective cohort study of 96 women with MAP after CS was recruited with 45 women receiving the modified "Triple-P" procedure as study group and the other 51 cases receiving the conventional managements as the control. The maternal outcomes were compared. The modified "Triple-P" procedure was described in step by step. Women in study group demonstrated reduction of blood loss, transfusion blood volume and operation time, as well as less hospital days and lower hospitalization cost (P P > 0.05). Our modified "Triple-P" procedure for MAP after previous CS maintained the advantages of Chandraharan's "Triple-P" procedure in preservation of uterus for further fertility, less intraoperative blood loss, shorter hospital stays, and lower hospitalization cost but also advanced in feasibility and convenience during introducing into routine clinical practice.

  10. Staff working in hospital units with greater social capital experience less work-home conflict: Secondary analysis of a cross-sectional study.

    Science.gov (United States)

    Nitzsche, Anika; Kuntz, Ludwig; Miedaner, Felix

    2017-07-31

    When the interplay between work and private life does not function correctly (work-home conflict), this constitutes a well-known risk factor for poorer health, increased absenteeism and lower work performance. Information about influencing factors of work-home conflict is therefore indispensable in order to avoid it. In this study, we analyse whether a good working atmosphere that fosters mutual trust, support and a 'sense of unity' (organizational social capital) can reduce an employee's conflict between work and private life. This study investigates the link between organizational social capital and work-home conflict in health professionals. This issue was investigated using a cross-sectional study conducted in 2013. Data from questionnaires completed by physicians and nurses (n=1733) were linked with structural data from 66 neonatal intensive care units in Germany. Using multi-level analyses, we investigated associations between organizational social capital at the ward level and work-home conflict at the level of individual employees, taking into account additional structural and individual characteristics. Employees on wards with greater social capital reported significantly less work-home conflict. Our results support the hypothesis that organizational social capital is an important collective resource. As such, more attention should be given to establishing a good working atmosphere that fosters mutual trust, support and a 'sense of unity', and this should be encouraged in a targeted fashion. Copyright © 2017 Elsevier Ltd. All rights reserved.

  11. Neonatal viability evaluation by Apgar score in puppies delivered by cesarean section in two brachycephalic breeds (English and French bulldog).

    Science.gov (United States)

    Batista, M; Moreno, C; Vilar, J; Golding, M; Brito, C; Santana, M; Alamo, D

    2014-05-01

    This study tried to define neonatal viability after cesarean section in brachycephalic breeds and the efficacy of an adapted Apgar test to assess newborn survival. Data from 44 cesarean sections and 302 puppies were included. Before surgery (59-61 days after ovulation), an ultrasound evaluation defined the fetal biparietal diameter (BPD). Immediately after the uterine delivery, the pups were evaluated to detect birth defects and then, a modified Apgar score (range: 0-10) was used to define neonatal health at 5min (Apgar 1) and 60min (Apgar 2) after neonatal delivery; puppies were classified into three categories: critical neonates (score: 0-3), moderate viability neonates (score: 4-6) and normal viability neonates (score: 7-10). Mean (±SEM) value of BPD was 30.8±0.1mm and 28.9±0.1mm in English and French Bull-Dog fetus, respectively. The incidence of spontaneous neonatal mortality (4.98%, 14/281) and birth defects (6.95%) were not influenced by the sex; however, congenital anomalies and neonatal mortality were higher (pApgar 1, the percentage of critical neonates, moderate viability neonates and normal viability neonates were 20.5%, 46.3% and 33.1% respectively; sixty minutes after birth, the critical neonates only represented 10.3% of the total puppies. Almost all neonates (238/239) showing moderate or normal viability at Apgar 1, survived for the first 24h after birth. The results of the study showed a direct relationship (pApgar score and neonatal viability. Therefore, the routine performance of the Apgar score would appear to be essential in the assessment of the status of brachycephalic breed puppies.

  12. Development and Evaluation of Across-Unit Diagnostic Feedback Mechanism for Online Learning

    Science.gov (United States)

    Lin, Jian-Wei; Lai, Yuan-Cheng; Szu, Yu-Chin; Lai, Ching-Neng; Chuang, Yuh-Shy; Chen, Yen-Hung

    2014-01-01

    Solving well-structured problems often requires using considerable related concepts which are usually scattered and introduced throughout different learning units of a subject. In addition, poor learning of related concepts of preceding units may block the learning of subsequent units, and eventually leads to the inability to solve well-structured…

  13. Becoming Overweight Without Gaining a Pound: Weight Evaluations and the Social Integration of Mexicans in the United States.

    Science.gov (United States)

    Altman, Claire E; Van Hook, Jennifer; Gonzalez, Jonathan

    2017-01-01

    Mexican women gain weight with increasing duration in the United States. In the United States, body dissatisfaction tends to be associated with depression, disordered eating, and incongruent weight evaluations, particularly among white women and women of higher socioeconomic status. However, it remains unclear how overweight and obesity is interpreted by Mexican women. Using comparable data of women ages 20-64 from both Mexico (the 2006 Encuesta Nacional de Salud y Nutricion; N=17,012) and the United States (the 1999-2009 National Health and Nutrition Examination Surveys; N=8,487), we compare weight status evaluations among Mexican nationals, Mexican immigrants, U.S.-born Mexicans, U.S.-born non-Hispanic Whites, and U.S.-born non-Hispanic blacks. Logistic regression analyses, which control for demographic and social-economic variables and measured body mass index and adjust for the likelihood of migration for Mexican nationals, indicate that the tendency to self-evaluate as overweight among Mexicans converges with levels among non-Hispanic whites and diverges from blacks over time in the United States. Overall, the results suggest a U.S. integration process in which Mexican-American women's less critical self-evaluations originate in Mexico but fade with time in the United States as they gradually adopt U.S. white norms for thinner body sizes. These results are discussed in light of social comparison and negative health assimilation.

  14. Evaluation of New Schemes Efficacy for Blatta Orientalis and Blattella Germanica Control in Food Units with HACCP Implementation

    Directory of Open Access Journals (Sweden)

    VINELA REFUGJATI

    2015-12-01

    Full Text Available Blatta orientalis and Blattella germanica are the most common pests in the food industry. The aim of this study is the evaluation of new treatment schemes effectiveness as well as the monetary cost, humans and environment toxicity against Blatta orientalis and Blattella germanica. The study was carried out in 28 food units infested with Blattella germanica and Blatta orientalis in Tirana. The duration of the study was 24 months. The treatment efficacy of 2.15% imidacloprid (in gel form is tested for 12 months, in thirteen units meanwhile one unit served as a control unit. The monetary cost of insecticide mentioned was calculated using the quantity and treatment duration of insecticide applied. For this reason, we calculated the quantity of gel baits used in seven food units as well as the quantity of insecticide in spray form used in seven others food units for a period of 12 months. Technical and safety data sheets were used to assess human and environment safety. Insect elimination was achieved by the end of the ninth week. This study found that in the units which used imidacloprid the short term cost was 21 Euro / unit, while in other units which used the classic method the cost was 8.3 Euro / unit. Our study identified that at the units which used imidacloprid the annual cost was 68 Euro while in the other category the cost was 78 Euro.Technical and safety data sheets detected that insecticides in gel form are safer for human and environment. As in analog studies conducted by foreign researchers, we found that the use of insecticides in gel form is the right choice for Blatta orientalis and Blattella germanica control.

  15. Microbial evaluation of dental units waterlines at the department of operative dentistry, Tehran university of medical sciences in the year 2006

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    Memarian M.

    2008-10-01

    Full Text Available "nBackground and Aim: According to infection possibility in high risk patients, assessment of microbial contamination in water sources utilized at medico-dental units has become a recent concern. The purpose of this study was to evaluate the microbial contamination in dental units waterlines at the department of operative dentistry, Tehran university of medical sciences in the year 2006. "nMaterials and Methods: In this cross-sectional study, six dental units in the department of operative dentistry were selected to assess microbial contamination in water sources. Samples were taken on Saturdays (the first working day in a week and in the midweek, 64 and 16 hours respectively after turning the units off. Moreover, for investigating the effect of flushing, sampling was done at 30, 60, 90 and 120 seconds after flushing and were taken from three parts of each unit including air/water syringe, turbine handpiece and also cup filler water. Samples were transported in closed sterile containers to microbiology laboratory of the school pharmacy. Data were analyzed by Kruskal-Wallis and Dunn tests with p<0.05 as the level of significance. "nResults: E.coli was isolated from contaminated samples. Contamination decreased by flushing. In midweek after 90 seconds flushing, water contamination disappeared. On Saturdays 2 minutes flushing decreased contamination to lower that 200 cfu/ml (the rate recommended by ADA. Samples taken from turbine handpieces showed significantly higher contamination rate compared to air/water syringe and cup filler water (p<0.001. "nConclusion: According to the results of this study, dental units waterlines showed bacterial contamination which was eliminated after 120 seconds of flushing.

  16. Dynamic evaluation of two decades of WRF-CMAQ ozone simulations over the contiguous United States

    Science.gov (United States)

    Astitha, Marina; Luo, Huiying; Rao, S. Trivikrama; Hogrefe, Christian; Mathur, Rohit; Kumar, Naresh

    2017-09-01

    Dynamic evaluation of the fully coupled Weather Research and Forecasting (WRF)- Community Multi-scale Air Quality (CMAQ) model ozone simulations over the contiguous United States (CONUS) using two decades of simulations covering the period from 1990 to 2010 is conducted to assess how well the changes in observed ozone air quality are simulated by the model. The changes induced by variations in meteorology and/or emissions are also evaluated during the same timeframe using spectral decomposition of observed and modeled ozone time series with the aim of identifying the underlying forcing mechanisms that control ozone exceedances and making informed recommendations for the optimal use of regional-scale air quality models. The evaluation is focused on the warm season's (i.e., May-September) daily maximum 8-hr (DM8HR) ozone concentrations, the 4th highest (4th) and average of top 10 DM8HR ozone values (top10), as well as the spectrally-decomposed components of the DM8HR ozone time series using the Kolmogorov-Zurbenko (KZ) filter. Results of the dynamic evaluation are presented for six regions in the U.S., consistent with the National Oceanic and Atmospheric Administration (NOAA) climatic regions. During the earlier 11-yr period (1990-2000), the simulated and observed regional average trends are not statistically significant. During the more recent 2000-2010 period, all observed trends are statistically significant and WRF-CMAQ captures the observed downward trend in the Southwest and Midwest but under-predicts the downward trends in observations for the other regions. Observational analysis reveals that it is the magnitude of the long-term forcing that dictates the maximum ozone exceedance potential; there is a strong linear relationship between the long-term forcing and the 4th highest or the average of the top10 ozone concentrations in both observations and model output. This finding indicates that improving the model's ability to reproduce the long-term component

  17. Evaluating ergonomic risk factors in non-regulated stone carving units of Jaipur.

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    Mukhopadhyay, Prabir; Srivastava, Saurabh

    2010-01-01

    Stone carving at Jaipur in Rajasthan state of India, is a traditional craft employing a large number of local youths. As an unorganized sector problems are many ranging from lack of benefits to occupational ergonomic issues of Work Related Musculoskeletal Disorders(WMSDs) and injury to body parts. Twenty five male workers were selected in each of the three sections of a stone carving unit. The focus was to identify different ergonomic risk factors associated in this profession from the field. Still photography and video photography was used to record different activities. Different types of non invasive tools like Rapid Entire Body Assessment (REBA), Rapid Upper Limb Assessment (RULA), Occupational Repetitive Action Index (OCRA) were used. Psychophysical measures were investigated by Body part discomfort map, rated perceived exertion scale and visual analogue scale. Objective measurements (heart arte and skin temperature) were recorded with stop watch and digital thermometer. The working heart rate after 30 minutes of work was 112.4 beats per minute categorizing the work as moderately heavy. Postural analysis by REBA indicated high score (13/13). Similarly postural analysis by RULA showed high score (7/7). These indicate vulnerability of many of the postures to musculoskeletal disorders and injury. The study indicates that majority of the activities are in the high risk category and demands immediate ergonomic intervention in the form of tool, workstation and process design. This could be done by involving different Non Government Organizations (NGOs), political parties, and the Human Rights Department both at the center and at the state level.

  18. An Evaluation and Ranking of Children’s Hospital Websites in the United States

    Science.gov (United States)

    Walker, Daniel M; Ford, Eric W

    2016-01-01

    Background Children’s hospitals are faced with the rising need for technological innovation. Their prospective health care consumers, who increasingly depend on the Web and social media for communication and consumer engagement, drive this need. As patients and family members navigate the Web presence of hospitals, it is important for these specialized organizations to present themselves and their services efficiently. Objective The purpose of this study was to evaluate the website content of children’s hospitals in order to identify opportunities to improve website design and create benchmarks to judge improvement. Methods All websites associated with a children’s hospital were identified using a census list of all children’s hospitals in the United States. In March of 2014, each website and its social media were evaluated using a Web crawler that provided a 5-dimensional assessment that included website accessibility, marketing, content, technology, and usability. The 5-dimensional assessment was scored on a scale ranging from 0 to 10 with positive findings rated higher on the scale. Websites were ranked by individual dimensions as well as according to their average ranking across all dimensions. Results Mean scores of 153 websites ranged from 5.05 to 8.23 across all 5 dimensions. Results revealed that no website scored a perfect 10 on any dimension and that room exists for meaningful improvement. Conclusions Study findings allow for the establishment of baseline benchmarks for tracking future website and social media improvements and display the need for enhanced Web-based consumer engagement for children’s hospitals. PMID:27549074

  19. Evaluating and monitoring analgesia and sedation in the intensive care unit.

    Science.gov (United States)

    Sessler, Curtis N; Grap, Mary Jo; Ramsay, Michael Ae

    2008-01-01

    Management of analgesia and sedation in the intensive care unit requires evaluation and monitoring of key parameters in order to detect and quantify pain and agitation, and to quantify sedation. The routine use of subjective scales for pain, agitation, and sedation promotes more effective management, including patient-focused titration of medications to specific end-points. The need for frequent measurement reflects the dynamic nature of pain, agitation, and sedation, which change constantly in critically ill patients. Further, close monitoring promotes repeated evaluation of response to therapy, thus helping to avoid over-sedation and to eliminate pain and agitation. Pain assessment tools include self-report (often using a numeric pain scale) for communicative patients and pain scales that incorporate observed behaviors and physiologic measures for noncommunicative patients. Some of these tools have undergone validity testing but more work is needed. Sedation-agitation scales can be used to identify and quantify agitation, and to grade the depth of sedation. Some scales incorporate a step-wise assessment of response to increasingly noxious stimuli and a brief assessment of cognition to define levels of consciousness; these tools can often be quickly performed and easily recalled. Many of the sedation-agitation scales have been extensively tested for inter-rater reliability and validated against a variety of parameters. Objective measurement of indicators of consciousness and brain function, such as with processed electroencephalography signals, holds considerable promise, but has not achieved widespread implementation. Further clarification of the roles of these tools, particularly within the context of patient safety, is needed, as is further technology development to eliminate artifacts and investigation to demonstrate added value.

  20. Technical-Economic Evaluation of a Cogeneration Unit Considering Carbon Emission Savings

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    Ana Christina Ferreira

    2014-06-01

    Full Text Available The support of combined heat and power production systems has gained policy attention, because these are often considered to be less polluting and more efficient than conventional energy conversion systems. As a consequence, the potential market for these energy systems that contribute to reduce greenhouse gas emissions and to enhance energy security on a national level, is shifting from large-scale existing units to small and micro-size emerging technologies. This paper presents a numerical model based on a cost-benefit analysis used to design an optimal cogeneration system for a small-scale building application, considering the Portuguese context and the comparison with the harmonized efficiency reference values for the separate production of electricity and useful heat. The model includes the identification of the objective function terms (i.e., the elements involved in the financial analysis across the system lifetime and the economic evaluation of costs and benefits of the combined heat and power production system. The economic viability of cogeneration systems significantly depends on system technology, client energy requirements and support schemes implemented in the respective countries. A strategic approach is necessary to adequately embed the new technology as a feasible solution in terms of investment and operational costs. Only by matching the energy supply to the needs and expectations of the energy users, it will be possible to improve the market competitiveness of these alternative power production plants. The optimal solution disclosed a positive annual worth, which is higher if the carbon emission savings are monetized. In addition, the optimal system represents a more efficient way to produce useful heat and electricity (i.e. a positive primary energy saving and to reduce gas emissions. A cost-benefit analysis can be applied for the techno-economic evaluation of a CHP system by assessing the monetary socio-environmental costs

  1. A Population-based Evaluation of Cervical Screening in the United States: 2008–2011

    Science.gov (United States)

    Cuzick, Jack; Myers, Orrin; Hunt, William C.; Robertson, Michael; Joste, Nancy E.; Castle, Philip E.; Benard, Vicki B.; Wheeler, Cosette M.

    2014-01-01

    Background Cervical screening consumes substantial resources, but little is known about utilization in the United States or compliance with guideline recommendations. Methods To describe population screening coverage, utilization and outcomes and examine time trends from 2008 to 2011, cervical cytology reports from women residing in New Mexico (981,063 tests from 511,381 women) were evaluated. Results From 2008–2011 cervical screening utilization decreased at all ages, but especially in younger women, with a two-thirds reduction at ages 15–20 years. 94% of women aged 25–29 years were screened within 48 months but coverage decreased at older ages, to 69% at 45–49 years and 55% at 60–64 years. Intervals between screening tests were significantly longer in 2011 compared to 2008 (hazard ratio = 1.23, 95% CI = 1.22–1.24) although the commonest rescreening interval was 13 months. In 2011, 91.9% of screening tests for women aged 21–65 years were negative, 6.6% showed minor abnormalities, and 1.0% high grade abnormalities.. High grade abnormality rates were relatively constant over time, but minor abnormalities and atypical cells cannot rule out high-grade (ASC-H) were increasing. Conclusion This population-based evaluation of cervical screening shows high coverage under the age of 40 years but lower levels in older women. Screening under age 21 years is becoming less common and screening intervals are lengthening, reflecting updates in national screening guidelines. Impact Assessment of cervical screening intervals and population outcomes is essential for accurately estimating the impact and effectiveness of changing recommendations and vaccination against human papillomavirus infections. PMID:24302677

  2. EQ-5D-5L in the General German Population: Comparison and Evaluation of Three Yearly Cross-Section Surveys.

    Science.gov (United States)

    Huber, Manuel B; Reitmeir, Peter; Vogelmann, Martin; Leidl, Reiner

    2016-03-21

    Health-related quality of life (HRQoL) is a key measure for evaluating health status in populations. Using the recent EQ-5D-5L for measurement, this study analyzed quality of life results and their stability over consecutive population surveys. Three cross-section surveys for representative samples of the general German population from 2012, 2013, and 2014 were evaluated using the EQ-5D-5L descriptive system and valuation by the Visual Analog Scale (VAS). Aggregated sample size reached 6074. The dimension with the highest prevalence of problems was pain/discomfort (31.7%). Compared with 2012 (59.3%), the percentage of participants in the best health state increased slightly in 2013 (63.4%) and 2014 (62%). Over the 3-year period, diabetes and heart disease had the strongest negative influence on mean VAS result. The number of reported chronic diseases cumulatively reduced mean VAS. Extreme problems in one or more dimensions were stated by only 0.1%-0.2% of patients. Of the potential 247 health states with a problem score ≥ 20, only six were observed in the aggregated sample. HRQoL results were fairly stable over the 3 years, but the share of the population with no problems was not. Results from the aggregated sample may serve as updated reference values for the general German population.

  3. EQ-5D-5L in the General German Population: Comparison and Evaluation of Three Yearly Cross-Section Surveys

    Directory of Open Access Journals (Sweden)

    Manuel B. Huber

    2016-03-01

    Full Text Available Health-related quality of life (HRQoL is a key measure for evaluating health status in populations. Using the recent EQ-5D-5L for measurement, this study analyzed quality of life results and their stability over consecutive population surveys. Three cross-section surveys for representative samples of the general German population from 2012, 2013, and 2014 were evaluated using the EQ-5D-5L descriptive system and valuation by the Visual Analog Scale (VAS. Aggregated sample size reached 6074. The dimension with the highest prevalence of problems was pain/discomfort (31.7%. Compared with 2012 (59.3%, the percentage of participants in the best health state increased slightly in 2013 (63.4% and 2014 (62%. Over the 3-year period, diabetes and heart disease had the strongest negative influence on mean VAS result. The number of reported chronic diseases cumulatively reduced mean VAS. Extreme problems in one or more dimensions were stated by only 0.1%–0.2% of patients. Of the potential 247 health states with a problem score ≥20, only six were observed in the aggregated sample. HRQoL results were fairly stable over the 3 years, but the share of the population with no problems was not. Results from the aggregated sample may serve as updated reference values for the general German population.

  4. Evaluation of Fat Suppression of Diffusion-weighted Imaging Using Section Select Gradient Reversal Technique on 3 T Breast MRI.

    Science.gov (United States)

    Takemori, Daichi; Kimura, Daisuke; Yamada, Eiji; Higashida, Mitsuji

    2016-07-01

    This study evaluates fat suppression of diffusion-weighted imaging (DWI) using section select gradient reversal (SSGR) technique in clinical images on 3 T breast MRI. A total of 20 patients with breast cancer were examined at a Philips Ingenia 3 T MRI. We acquired DWI with SPAIR, SSGR-SPAIR, STIR, and SSGR-STIR. We evaluated contrast between the fat region and lesion, the coefficient of variance (CV) of the fat region and the apparent diffusion coefficient (ADC) of normal breast tissue and lesion. The contrast between the fat region and lesion was improved with SSGR technique. The CV of the fattest region did not have any significant difference in SPAIR technique (p>0.05), but it was significantly decreased in the STIR technique using SSGR technique (p<0.05). Positive correlation was observed in ADC value between SPAIR and other fat suppression techniques (SSGR-SPAIR, STIR, SSGR-STIR). DWI using SSGR technique was suggested to be effective on 3 T breast MRI.

  5. Strengthening the nursing and midwifery unit manager role: an interim programme evaluation.

    Science.gov (United States)

    Clarke, Elizabeth; Diers, Donna; Kunisch, Judith; Duffield, Christine; Thoms, Debra; Hawes, Sue; Stasa, Helen; Fry, Margaret

    2012-01-01

    An interim evaluation was conducted on the professional development components of the New South Wales (NSW) Health 'take the lead' ('ttl') programme, an initiative aimed at enhancing nursing/midwifery unit managers' (N/MUM) skills. Previous research has highlighted the importance of strong nurse leaders, and shown that training programmes may assist in improving leadership skills. The NSW Nursing and Midwifery Office (NaMO) developed the 'ttl' programme for N/MUMs with the intention of improving hospital quality by strengthening nurse leadership. The programme had three strands, with the professional development modules a key component. Semi-structured interviews were conducted with 17 participants who had completed components of the 'ttl' programme. The interviews explored participants' perceptions of the programme, and suggestions for improvement. Qualitative analysis was conducted on the transcribed interviews. The N/MUMs reported feeling increasingly empowered, knowledgeable and supported as a result of attending the 'ttl' workshops. The results suggest that the studied components of the 'ttl' programme may be effective in assisting nurse leaders gain new leadership skills and institute positive changes in the nursing work environment. Leadership programmes such as 'ttl' may provide an effective tool for improving N/MUM performance and role confidence. © 2011 Blackwell Publishing Ltd.

  6. Evaluation of the knowledge regarding prevention of cervical cancer among women from a Health Unit

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    Ernandes Gonçalves Dias

    2015-07-01

    Full Text Available Background and objectives: Cervical cancer is a disease with high degree of morbidity and mortality, but has early detection by performing screening test which allows healing. This study aimed to evaluate the knowledge regarding prevention of Cervical Cancer among women in a Basic Health Unit in Minas Gerais. Methods: This is a study descriptive with approach qualitative with 44 women. Was used as the data collection instrument of a semistructured script consisting of subjective questions. Data were collected between March April 2014. Results: The women had age of 40-57 years old, 33 (75% were married, 43(97,73% had children, 20 (45,45% had incomplete primary education, 36 (81,82% were responsible for all financial income of the family and lived with up to the minimum wage. As for the Pap smear, considered important, however showed little clarity as to the meaning of prevention. Performed the test as means of prevention and early diagnosis of Cervical Cancer. Among women who did not perform the preventive the cause was discouragement. Conclusion: We conclude that although the Pap smear be offered for free, there is still women who do not have adequate knowledge about the same and not makes periodically, fitting to health services intensify health education programs to seeking to raise awareness about the importance of regular practice of the Pap smear. Keywords: Cervix Uteri. Uterine Cervical Neoplasms. Health centers.

  7. An evaluation of clinical pharmacist service on a neurology care unit.

    Science.gov (United States)

    Yi, Zhan-Miao; Sun, Shu-Sen; Li, Xiao-Xiao; Lu, Ming; Zhai, Suo-Di

    2016-02-01

    Medications used to treat neurological diseases may result in adverse effects. Research is needed to demonstrate pharmacist value and their roles in patient care. To categorize the types and severities of the prescribing errors intercepted and to describe clinical activities conducted by neurology ward pharmacists. Pharmacists prospectively reviewed medication orders over an 18-month period with inventions documented and categorized. A total of 341 prescribing errors in 1183 patients were intercepted. The most common error types were dosing frequency (35.8 %) and medication selection (21.5 %). The top five most detected error medications were those indicated for hyperhomocysteinemia (22.0 %), stress ulcer prophylaxis (12.3 %), poor circulation (10.9 %), hyperglycemia (6.5 %), and infections (5.9 %). Although 67.5 % of the detected errors having the potential causing no harm, 26.4 % of the errors may require intervention, and 6.2 % may increase the length of stay. The number of errors decreased from 19 to 10 per month during the study period. Clinical pharmacists also actively engaged in medication use evaluation, clinical decision support system optimization, and education to patients and providers. Presence of clinical pharmacists at the neurology unit may help in early detection of prescribing errors with increased patient safety.

  8. An Evaluation of Emergency Preparedness of Local Government Unit on National Calamities

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    ROME B. MORALISTA

    2014-02-01

    Full Text Available This descriptive survey method was used to evaluate the Emergency Preparedness practices of Local Government Unit Municipality of Calinog on the National Calamities specifically the Typhoon Haiyan hit the town last November 8, 2013. The findings revealed that in preparing for the storm, the respondents preferred to contact a local geologist or country planning department; in making sure the family knows the name, address, and phone number of the contact person, they prefer to post emergency phone numbers at every phone; during flood watch and warning, the respondents preferred to gather the emergency supplies you previously stocked in your home and stay tuned to local radio or television station for updates; when it comes to an emergency supplies at home, the respondents have several cleaned containers of water, large enough for a 3-5 day supply of water; in preparing to evacuate, they prefer to fill their vehicle’s gas tank and make sure the emergency kit for their car is ready. Finally, when ordered to evacuate, the respondents preferred to take only essential items.

  9. Evaluation of Waste Anesthetic Gas in the Postanesthesia Care Unit within the Patient Breathing Zone

    Science.gov (United States)

    Hiller, Kenneth N.; Altamirano, Alfonso V.; Cai, Chunyan; Tran, Stephanie F.; Williams, George W.

    2015-01-01

    Potential health hazards from waste anesthetic gases (WAGs) have been a concern since the introduction of inhalational anesthetics into clinical practice. The potential to exceed recommended exposure levels (RELs) in the postanesthesia care unit (PACU) exists. The aim of this pilot study was to assess sevoflurane WAG levels while accounting for factors that affect inhalational anesthetic elimination. In this pilot study, 20 adult day surgery patients were enrolled with anesthesia maintained with sevoflurane. Following extubation, exhaled WAG from the patient breathing zone was measured 8 inches from the patient's mouth in the PACU. Maximum sevoflurane WAG levels in the patient breathing zone exceeded National Institute for Occupational Safety and Health (NIOSH) RELs for every 5-minute time interval measured during PACU Phase I. Observed WAGs in our study were explained by inhalational anesthetic pharmacokinetics. Further analysis suggests that the rate of washout of sevoflurane was dependent on the duration of anesthetic exposure. This study demonstrated that clinically relevant inhalational anesthetic concentrations result in sevoflurane WAG levels that exceed current RELs. Evaluating peak and cumulative sevoflurane WAG levels in the breathing zone of PACU Phase I and Phase II providers is warranted to quantify the extent and duration of exposure. PMID:26693222

  10. Enhancing quality and safety competency development at the unit level: an initial evaluation of student learning and clinical teaching on dedicated education units.

    Science.gov (United States)

    Mulready-Shick, Joann; Kafel, Kathleen W; Banister, Gaurdia; Mylott, Laura

    2009-12-01

    The need to attend to quality and safety competency development, increase capacity in nursing education programs, address the faculty and nursing shortages, and find new ways to keep step with an ever-changing health care environment has brought forth numerous creative curricular responses and collaborative efforts. To tackle these multiple needs and challenges simultaneously, a new academic-service partnership was created to collaboratively develop an innovative clinical education delivery model. The designed dedicated education unit model not only promoted student learning about quality and safety competencies via unit-based projects but also supported quality improvements in nursing care delivery. Following the initial semester of the model's implementation, a pilot study was conducted. The findings generated the evidence required to take this innovation to the next level. Moreover, the education-practice partnership, which was created to implement the clinical education delivery model, was strengthened as a result of this preliminary evaluation.

  11. A cross-sectional analysis of patterns of obesity in a cohort of working nurses and midwives in Australia, New Zealand, and the United Kingdom.

    Science.gov (United States)

    Bogossian, Fiona E; Hepworth, Julie; Leong, Gary M; Flaws, Dylan F; Gibbons, Kristen S; Benefer, Christine A; Turner, Catherine T

    2012-06-01

    The aim of this study was to examine the prevalence of overweight and obesity and the association with demographic, reproductive work variables in a representative cohort of working nurses and midwives. A cross sectional study of self reported survey data. Australia, New Zealand and the United Kingdom. Measurement outcomes included BMI categories, demographic (age, gender, marital status, ethnicity), reproductive (parity, number of births, mother's age at first birth, birth type and menopausal status) and workforce (registration council, employment type and principal specialty) variables. 4996 respondents to the Nurses and Midwives e-Cohort study who were currently registered and working in nursing or midwifery in Australia (n=3144), New Zealand (n=778) or the United Kingdom (n=1074). Amongst the sample 61.87% were outside the healthy weight range and across all three jurisdictions the prevalence of obesity in nurses and midwives exceeded rates in the source populations by 1.73% up to 3.74%. Being overweight or obese was significantly associated with increasing age (35-44 yrs aOR 1.71, 95% CI 1.41-2.08; 45-55 yrs aOR 1.90, 95%CI 1.56-2.31; 55-64 aOR 2.22, 95% CI 1.71-2.88), and male gender (aOR 1.46, 95% CI 1.15-1.87). Primiparous nurses and midwives were more likely to be overweight or obese (aOR 1.37, 95% CI 1.06-1.76) as were those who had reached menopause (aOR 1.37, 95% CI 1.11-1.69). Nurses and midwives in part-time or casual employment had significantly reduced risk of being overweight or obese, (aOR 0.81, 95% CI 0.70-0.94 and aOR 0.75, 95% CI 0.59-0.96 respectively), whilst working in aged carried increased risk (aOR 1.37, 95% CI 1.04-1.80). Nurses and midwives in this study have higher prevalence of obesity and overweight than the general population and those who are older, male, or female primiparous and menopausal have significantly higher risk of overweight or obesity as do those working fulltime, or in aged care. The consequences of overweight and

  12. CSEWG SYMPOSIUM, A CSWEG RETROSPECTIVE. 35TH ANNIVERSARY CROSS SECTION EVALUATION WORKING GROUP, NOV. 5, 2001, BROOKHAVEN NATIONAL LABORATORY.

    Energy Technology Data Exchange (ETDEWEB)

    DUNFORD, C.; HOLDEN, N.; PEARLSTEIN, S.

    2001-11-05

    This publication has been prepared to record some of the history of the Cross Section Evaluation Working Group (CSEWG). CSEWG is responsible for creating the evaluated nuclear data file (ENDF/B) which is widely used by scientists and engineers who are involved in the development and maintenance of applied nuclear technologies. This organization has become the model for the development of nuclear data libraries throughout the world. The data format (ENDF) has been adopted as the international standard. On November 5, 2001, a symposium was held at Brookhaven National Laboratory to celebrate the 50 th meeting of the CSEWG organization and the 35 th anniversary of its first meeting in November 1966. The papers presented in this volume were prepared by present and former CSEWG members for presentation at the November 2001 symposium. All but two of the presentations are included. I have included an appendix to list all of the CSEWG members and their affiliations, which has been compiled from the minutes of each of the CSEWG meetings. Minutes exist for all meetings except the 4 th meeting held in January 1968. The list includes 348 individuals from 71 organizations. The dates for each of the 50 CSEWG meetings are listed. The committee structure and chairmen of all committees and subcommittees are also included in the appendix. This volume is dedicated to three individuals whose foresight and talents made CSEWG possible and successful. They are Henry Honeck who lead the effort to develop the ENDF format and the CSEWG system, Ira Zartman, the Atomic Energy Commission program manager who provided the programmatic direction and support, and Sol Pearlstein who led the development of the CESWG organization and the ENDF/B evaluated nuclear data library.

  13. A Simplified Model of a Reinforced Square Hollow Section (SHS) T-Joint for Stress Evaluation in Bus Superstructures

    Science.gov (United States)

    Vichiensamuth, T.; Pimsarn, M.; Takahashi, K.; Tantanawat, T.

    2013-06-01

    This study aims to create a simplified model of a reinforced square hollow section (SHS) T-joint found in bus superstructures. The approach is to use a combination of one- and two-dimensional finite element models to represent a reference three-dimensional finite element (solid) model of the joint and determine stress concentration factors (SCFs) as functions of the geometrical variables of the joint. This approach requires the stiffness of the simplified model to be equivalent to the stiffness of the reference solid model. Trial models, therefore, must be proposed and their stiffnesses must be evaluated against the stiffness of the reference solid model. The best trial model is then selected based on the stiffness error function defined to represent the deviation of the simplified model's stiffness from the reference model's stiffness. After a trial model with minimum stiffness error is selected, its SCFs, relating the maximum stress in the simplified model to the maximum stress in the reference solid model, are determined. Since the maximum stress is assumed to be at the weld toe where structural discontinuity exists, the maximum stresses on both simplified model and reference solid model are evaluated based on a hot spot stress (HSS) method. In this study, three trial models, namely Model A, Model B, and Model C, were investigated. Model B, consisting of beam and shell elements with particular constraints on the joint-reinforcement geometry, was found to provide the minimum stiffness errors of 8.09%, 6.87%, and 6.44% for three different joint dimensions. The SCFs were then determined as a function of the thickness-to-width ratio of the joint under static in-plane bending load. The resulting simplified model allows the stress evaluation on the bus superstructures to be done more quickly compared to a solid model while maintaining the accuracy of the solutions. Consequently, the designs of bus superstructures can be explored more thoroughly, leading to a better

  14. Muscle Torque Relative to Cross-Sectional Area and the Functional Muscle-Bone Unit in Children and Adolescents with Chronic Disease

    Science.gov (United States)

    Lee, Dale Y.; Wetzsteon, Rachel J.; Zemel, Babette S.; Shults, Justine; Organ, Jason M.; Foster, Bethany J.; Herskovitz, Rita M.; Foerster, Debbie L.; Leonard, Mary B.

    2015-01-01

    Measures of muscle mass or size are often used as surrogates of forces acting on bone. However, chronic diseases may be associated with abnormal muscle force relative to muscle size. The muscle-bone unit was examined in 64 children and adolescents with new-onset Crohn’s disease (CD), 54 with chronic kidney disease (CKD), 51 treated with glucocorticoids for nephrotic syndrome (NS), and 264 healthy controls. Muscle torque was assessed by isometric ankle dynamometry. Calf muscle cross-sectional area (CSA) and tibia cortical section modulus (Zp) were assessed by quantitative CT. Log-linear regression was used to determine the relations among muscle CSA, muscle torque, and Zp, adjusted for tibia length, age, Tanner stage, sex, and race. Muscle CSA and muscle torque-relative-to-muscle CSA were significantly lower than controls in advanced CKD (CSA −8.7%, p = 0.01; torque −22.9%, p < 0.001) and moderate-to-severe CD (CSA −14.1%, p < 0.001; torque −7.6%, p = 0.05), but not in NS. Zp was 11.5% lower in advanced CKD (p = 0.005) compared to controls, and this deficit was attenuated to 6.7% (p = 0.05) with adjustment for muscle CSA. With additional adjustment for muscle torque and body weight, Zp was 5.9% lower and the difference with controls was no longer significant (p = 0.09). In participants with moderate-to-severe CD, Zp was 6.8% greater than predicted (p = 0.01) given muscle CSA and torque deficits (R2=0.92), likely due to acute muscle loss in newly diagnosed patients. Zp did not differ in NS, compared with controls. In conclusion, muscle torque relative to muscle CSA was significantly lower in CKD and CD, compared with controls, and was independently associated with Zp. Future studies are needed to determine if abnormal muscle strength contributes to progressive bone deficits in chronic disease, independent of muscle area. PMID:25264231

  15. Evaluations of tropospheric aerosol properties simulated by the community earth system model with a sectional aerosol microphysics scheme

    Science.gov (United States)

    Toon, Owen B.; Bardeen, Charles G.; Mills, Michael J.; Fan, Tianyi; English, Jason M.; Neely, Ryan R.

    2015-01-01

    Abstract A sectional aerosol model (CARMA) has been developed and coupled with the Community Earth System Model (CESM1). Aerosol microphysics, radiative properties, and interactions with clouds are simulated in the size‐resolving model. The model described here uses 20 particle size bins for each aerosol component including freshly nucleated sulfate particles, as well as mixed particles containing sulfate, primary organics, black carbon, dust, and sea salt. The model also includes five types of bulk secondary organic aerosols with four volatility bins. The overall cost of CESM1‐CARMA is approximately ∼2.6 times as much computer time as the standard three‐mode aerosol model in CESM1 (CESM1‐MAM3) and twice as much computer time as the seven‐mode aerosol model in CESM1 (CESM1‐MAM7) using similar gas phase chemistry codes. Aerosol spatial‐temporal distributions are simulated and compared with a large set of observations from satellites, ground‐based measurements, and airborne field campaigns. Simulated annual average aerosol optical depths are lower than MODIS/MISR satellite observations and AERONET observations by ∼32%. This difference is within the uncertainty of the satellite observations. CESM1/CARMA reproduces sulfate aerosol mass within 8%, organic aerosol mass within 20%, and black carbon aerosol mass within 50% compared with a multiyear average of the IMPROVE/EPA data over United States, but differences vary considerably at individual locations. Other data sets show similar levels of comparison with model simulations. The model suggests that in addition to sulfate, organic aerosols also significantly contribute to aerosol mass in the tropical UTLS, which is consistent with limited data. PMID:27668039

  16. The Near Mallett Unit Foveal Suppression Test: a cross-sectional study to establish test norms and relationship with other optometric tests.

    Science.gov (United States)

    Tang, Sosena T W; Evans, Bruce J W

    2007-01-01

    When the binocular system comes under prolonged stress in decompensated heterophoria, a small suppression area can develop at the fovea. This foveal suppression (FS) may be an adaptation to eliminate symptoms. The near Mallett unit (NMU) is a hand-held instrument that contains a binocular status test for detecting and quantifying FS. We measured FS in a cross-sectional study of 131 patients to investigate the normal range of responses. A ratio scoring method was devised which considers the number of letters read with dichoptic viewing when binocularly fused (b) and under monocular (m) conditions, using the formula 100 x (m - b)/m. The 95th percentile value of the FS ratios was calculated as the limit of the normal range and this gave a value for the right eye (RE; 33%), left eye (LE; 43%) and total (38%). This result shows that statistically significant FS occurs when a patient can read approximately one line further in the test monocularly, compared to under fused dichoptic conditions. A statistically significant correlation was found between absolute values of horizontal aligning prism (associated heterophoria on the NMU) and FS ratio. Some limitations of the FS test and unexpected results became apparent during our research and an abnormal result on the test does not always indicate a binocular vision anomaly. Nonetheless, we feel that the test can provide useful information when the results are taken in the context of other clinical tests. Our results are used to develop recommendations and clinical guidelines for using the FS test, and to make suggestions for improvements in future designs of the test.

  17. A cross-sectional descriptive study of prevalence and nature of psychiatric referrals from intensive care units in a multispecialty hospital

    Directory of Open Access Journals (Sweden)

    Govind S Bhogale

    2011-01-01

    Full Text Available Context: The prevalence of psychiatric comorbidity in general hospital range from 20% to 60%. Presence of psychiatric morbidity compounds the disability and suffering in medical patients. There is a limited literature on the prevalence of psychiatric morbidity in patients admitted in the intensive care units (ICUs. Aims: The aim of the study was to estimate the prevalence and nature of comorbid psychiatric illness in the cases referred from ICUs. Settings and Design: Cross-sectional observational study. Materials and Methods: This study included all the consecutive patients referred from different ICUs to psychiatry department for consultation during the four-year period from January 1, 2000 to December 31, 2003, assessment was done by psychiatrist and diagnosis was made using ICD-10. Statistical Analysis: Descriptive statistics. Results: There were 309 (1.97% referrals from ICUs to psychiatry department during the period of study. Among the referred patients, diagnosis of organic mental disorders was the commonest psychiatric diagnosis present in 104 (33.65% patients followed by suicidal attempt in 101 (32.69%; anxiety disorders in 40 (12.94%; depressive disorders in 21 (6.8%; Psychotic illness in 10 (3.24%; other psychiatric illnesses in 28 (9.06%; and nil psychiatric illness in 5 (1.62% patients. Conclusion: Prevalence of psychiatric referrals from ICUs was low. This could be due to stigma and lack of awareness among physicians. There is increased need for recognition and treatment of comorbid psychiatric illness by the treating physicians which may help to decrease morbidity and overall cost of the treatment.

  18. Analysis of midwifery students' written reflections to evaluate progression in learning during clinical practice at birthing units.

    OpenAIRE

    Persson, Eva-Kristina; Kvist, LInda; Ekelin, Maria

    2015-01-01

    Written daily reflections during clinical practice on birthing units have been used during several years in midwifery education at Lund University, Sweden. However, the usefulness of these reflections for evaluation of progression in learning and professional development of students has to date not been evaluated. In order to analyse written reflections, two taxonomies developed by Bloom and Pettersen have been applied to the texts. Progression in the professional development of midwifery stu...

  19. Evaluation of Initial Telomere Length and Changes after Transplantation in Adult Double-Unit Cord Blood Transplant Recipients.

    Science.gov (United States)

    Ashbridge, Beth; Zehir, Ahmet; Lubin, Marissa; Barker, Juliet N; Moore, Malcolm A S

    2015-07-01

    Cord blood (CB) leukocytes have inherent telomere length (TL) variation, and CB hematopoietic stem cells (HSC) can maintain high telomerase levels preventing telomere attrition in vitro. We evaluated TL changes in 13 adult double-unit CB transplant (CBT) recipients. In the 26 units, we observed a marked variation in CB TL at thaw (median, 9.99 kilobases [kb]; range, 6.85 to 13.5). All 13 patients engrafted. Of 11 engrafting with 1 unit, there was no correlation between unit dominance and TL (mean dominant unit TL, 8.84 kb ± 1.76; mean nonengrafting unit TL, 10.3 kb ± 1.81; P = .77). Serial measurements of TL up to 1 year after CBT demonstrated an overall mean 3.04 kb ± .16 TL decrease with only 1 patient exhibiting telomere maintenance. In summary, initial TL does not predict CB unit dominance. Moreover, our analysis suggests neonatal hematopoiesis makes a transition to an HSC characterized by changes in average TL and potentially low telomerase asymmetric cell division in adult CBT recipients. Further investigation of alterations in telomere length and its clinical implications after transplantation of this observation are indicated.

  20. Planning for people? An evaluation of objectives for managing visitors at wildlife refuges in the United States

    Science.gov (United States)

    Jeffrey J. Brooks; Robert Massengale

    2011-01-01

    This study evaluates the quality of planning objectives for visitor services as written in Comprehensive Conservation Plans for the National Wildlife Refuge System of the United States. Planners in the U.S. Fish and Wildlife Service are predominantly writing public use objectives that address wildlife recreation and education. Results indicate that planners are writing...

  1. Effects of an SWH Approach and Self-Evaluation on Sixth Grade Students' Learning and Retention of an Electricity Unit

    Science.gov (United States)

    Memis, Esra Kabatas; Seven, Sabriye

    2015-01-01

    The purpose of this study is to explore the effects of guided, inquiry-based laboratory activities using the Science Writing Heuristic (SWH) approach and self-evaluation on students' science achievement. The study involved three sixth grade classes studying an electricity unit taught by the same primary school teacher. Before the study began, one…

  2. Overview of School and Unit Variables and Their Structural Relations in Phase I of the IGE Evaluation.

    Science.gov (United States)

    Price, Gary G.; And Others

    This document provides an overview of the school variables and unit variables used in Phase 1 of the Individually Guided Education (IGE) evaluation. Included in the discussion of each variable are a verbal definition of the variable, a description of the distribution of the variable in the 156 schools that participated in the Phase 1 study, and…

  3. Effects of an SWH Approach and Self-Evaluation on Sixth Grade Students' Learning and Retention of an Electricity Unit

    Science.gov (United States)

    Memis, Esra Kabatas; Seven, Sabriye

    2015-01-01

    The purpose of this study is to explore the effects of guided, inquiry-based laboratory activities using the Science Writing Heuristic (SWH) approach and self-evaluation on students' science achievement. The study involved three sixth grade classes studying an electricity unit taught by the same primary school teacher. Before the study began, one…

  4. Addressing Adolescent Depression in Schools: Evaluation of an In-Service Training for School Staff in the United States

    Science.gov (United States)

    Valdez, Carmen R.; Budge, Stephanie L.

    2012-01-01

    This study evaluated an adolescent depression in-service training for school staff in the United States. A total of 252 school staff (e.g., teachers, principals, counselors) completed assessments prior to and following the in-service and a subsample of these staff participated in focus groups following the in-service and three months later.…

  5. Evaluating quality of care using modular nursing on a multispecialty unit.

    Science.gov (United States)

    Bechtel, G A; Printz, V

    1994-03-01

    The purpose of this study was to examine performance outcome measures of nurses who work on a general medical unit and those who work on specialized or modular units. A sample of 82 nurses were reassigned to patients in either specialty modules or a general medical unit. Findings suggest that large nursing units staffed according to modular groups based on common diagnosis may improve nursing care quality. Modular nurses assigned to patients on a general medical unit made more medication errors, charted nursing interventions less frequently, and were less likely to provide prompt PRN medication administration. Of concern is the care provided to chronically ill; elderly clients not admitted to a predetermined specialty module received the poorest nursing care. We support development of specialty nursing modules to replace large, general medical units, it does not measure the impact of retention, cost, or other key variables on nurse staffing. We suggest that large medical units be divided into specialty modules and that staff rotation to general medical units be minimized.

  6. Evaluating Water Quality Response and Controlling Variables for Burned Watersheds in the Western United States

    Science.gov (United States)

    Rust, A.; Saxe, S.; Hogue, T. S.; McCray, J. E.

    2016-12-01

    Increasing wildfire size and frequency in the Western United States creates short-term and long-term impacts on water quality. Surface water in forested watersheds provides water for municipal water supplies and aquatic ecosystems. After fire, increased runoff and erosion lead to elevated loading of nutrients, sediment, and metals. Studies on individual fires have observed mobilization of contaminants, nutrients, metals and sediments into receiving waters. Other studies focused on individual fires over a short period, 1-3 years after fire. The objective of this study is to utilize an extensive historical water quality database, assembled by the authors, to identify trends in post-fire water quality response for the ten years following a significant fire. Specifically, we investigate the variability of post-fire water quality response and determine the key drivers impacting the immediate contaminant flux, recovery over the longer-term and ultimate resiliency of impacted watersheds and municipal water supplies. Results show that the most common post-fire response was increased nutrient loading. Thirty-two western watersheds experienced significant increases in NO3-, NO2-, NH3, and total nitrogen loading for the first five years after fire and remained elevated ten years after fire. Dissolved and total phosphorous significantly increased in 32 western watersheds for the first five years after fire. The majority of these water bodies returned to normal loading after 10 years. Dissolved ions such as calcium, magnesium, and chloride were also exported from over 32 watersheds for the first five years after fire. Using multiple linear regression analysis, we also identify the key physical watershed characteristics that drive post-fire water quality response and recovery. Burn severity, burn area and aridity index all influence the degree of water quality response. Our work provides managers with critical information to evaluate water supply impacts, including short

  7. Evaluation of Ozone Application in Dental Unit Water Lines Con¬taminated with Pathogenic Acanthamoeba

    Directory of Open Access Journals (Sweden)

    Wafaa HIKAL

    2015-10-01

    Full Text Available Background: In this study morphological and molecular characterization of Acan­thamoeba strains, isolated from dental unit waterlines (DUWLs were surveyed and the levels of disinfection achievable in vitro by the application of ozone disinfect­ant to DUWLs were evaluate.Methods: Water samples were collected from air-water syringes, cup fillers and tap water before and at the end of the working day. They were cultured on non-nutrient agar (NNA plates. Species identification was carried out with a PCR assay based on sequence analysis of the 18S rRNA gene. The cellular response to ozone was tested on Acanthamoeba cyst with different doses at different contact time in vitro twice.Results: Prevalence rates for Acanthamoeba contamination were 100, 100 and 72% for air-water syringes, cup fillers and tap water, respectively. The morphological analysis revealed the presence of A. castellanii, A. griffin, A. hatchitti and A. lenticulata. Phylogenetic analysis of the sequences showed the four strains to be closely related to a sequence type (T3, T4, T5 and T11. Acanthamoeba cells were stained with try­pan blue, which revealed killed of Acanthamoeba instantaneously after 10 minutes in ozonized water. There was no growth of Acanthamoeba occurred after ozone treat­ment in water bottles for 5 minutes with a flow rate of 500 mg/hour.Conclusion: Ozone can play an important role in controlling the problem of contami­nation of DUWLs as a potent disinfectant.

  8. [Epidemiological characteristics of patients evaluated with fibromyalgia in the Assessment of Disability Unit of Madrid].

    Science.gov (United States)

    Regal Ramos, R J

    To determine the epidemiological characteristics of patients with fibromyalgia requiring assessment of incapacity for work. A descriptive study was conducted on the patients evaluated in the Medical Unit of the National Institute of Social Security in Madrid in the period from 2005 to 2014 with the diagnosis of fibromyalgia. A study was made on the variables: age, sex, marital status, comorbidity (hypothyroidism, neck pain, psychiatric disorders, and carpal tunnel syndrome), professional occupation, level of education, and type of affiliation to the National Institute of Social Security. The total number of patients studied was 5,501. The median age was 53 years. Compared to the general working population in our area there were 47% more women, 12% less married people, 25% less workers with higher education, and 23% more unskilled occupations. As regards the working population in our area, there is a markedly increased prevalence of neck pain (prevalence ratio: 2.0), hypothyroidism (prevalence ratio 2.4), and carpal tunnel syndrome (prevalence ratio: 3.0). More than half (58%) of the sample presented with psychiatric disorders. It can be concluded that the profile of the patient with fibromyalgia assessed in the UMEVI is a woman, aged 46-60 years, mostly with a relatively unskilled job, and with primary level education. More than half of the cases had associated psychiatric disorders, and often associated with neck pain diagnoses, carpal tunnel syndrome, and hypothyroidism. Copyright © 2016 Sociedad Española de Médicos de Atención Primaria (SEMERGEN). Publicado por Elsevier España, S.L.U. All rights reserved.

  9. Evaluation of the predictive indices for candidemia in an adult intensive care unit

    Directory of Open Access Journals (Sweden)

    Gilberto Gambero Gaspar

    2015-02-01

    Full Text Available INTRODUCTION: To evaluate predictive indices for candidemia in an adult intensive care unit (ICU and to propose a new index. METHODS: A prospective cohort study was conducted between January 2011 and December 2012. This study was performed in an ICU in a tertiary care hospital at a public university and included 114 patients staying in the adult ICU for at least 48 hours. The association of patient variables with candidemia was analyzed. RESULTS: There were 18 (15.8% proven cases of candidemia and 96 (84.2% cases without candidemia. Univariate analysis revealed the following risk factors: parenteral nutrition, severe sepsis, surgical procedure, dialysis, pancreatitis, acute renal failure, and an APACHE II score higher than 20. For the Candida score index, the odds ratio was 8.50 (95% CI, 2.57 to 28.09; the sensitivity, specificity, positive predictive value, and negative predictive value were 0.78, 0.71, 0.33, and 0.94, respectively. With respect to the clinical predictor index, the odds ratio was 9.45 (95%CI, 2.06 to 43.39; the sensitivity, specificity, positive predictive value, and negative predictive value were 0.89, 0.54, 0.27, and 0.96, respectively. The proposed candidemia index cutoff was 8.5; the sensitivity, specificity, positive predictive value, and negative predictive value were 0.77, 0.70, 0.33, and 0.94, respectively. CONCLUSIONS: The Candida score and clinical predictor index excluded candidemia satisfactorily. The effectiveness of the candidemia index was comparable to that of the Candida score.

  10. Elevated Blood Pressure and Obesity in Childhood: A Cross-Sectional Evaluation of 4,609 Schoolchildren

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    Caroline Filla Rosaneli

    2014-09-01

    Full Text Available Background: The incidence of obesity in children is increasing worldwide, primarily in urbanized, high-income countries, and hypertension development is a detrimental effect of this phenomenon. Objective: In this cross-sectional study, we evaluated the prevalence of excess weight and its association with high blood pressure (BP in schoolchildren. Methods: Here 4,609 male and female children, aged 6 to 11 years, from 24 public and private schools in Maringa, Brazil, were evaluated. Nutritional status was assessed by body mass index (BMI according to cutoff points adjusted for sex and age. Blood pressure (BP levels above 90th percentile for gender, age and height percentile were considered elevated. Results: The prevalence of excess weight among the schoolchildren was 24.5%; 16.9% were overweight, and 7.6% were obese. Sex and socioeconomic characteristics were not associated with elevated BP. In all age groups, systolic and diastolic BP correlated with BMI and waist and hip measurements, but not with waist-hip ratio. The prevalence of elevated BP was 11.2% in eutrophic children, 20.6% in overweight children [odds ratio (OR, 1.99; 95% confidence interval (CI, 1.61-2.45], and 39.7% in obese children (OR, 5.4; 95% CI, 4.23-6.89. Conclusion: Obese and overweight children had a higher prevalence of elevated BP than normal-weight children. Our data confirm that the growing worldwide epidemic of excess weight and elevated BP in schoolchildren may also be ongoing in Brazil.

  11. Evaluation of preparedness for medical emergencies among dental practitioners in Khammam town: A cross-sectional study

    Directory of Open Access Journals (Sweden)

    L Surya Chandra Varma

    2015-01-01

    Full Text Available Introduction: Medical emergencies can occur frequently in the dental setting. Effective management of an emergency situation in the dental office is ultimately the dentist responsibility. The assessment of preparedness of dental practitioners would help to bring about required changes in the teaching aspects of dental institutions, which would ultimately help dental graduates to improve knowledge regarding management of medical emergencies. This would also make dental offices available with required emergency drugs. Aim: To evaluate the preparedness for medical emergencies among the dental practitioners in Khammam town. Materials and Methods: A cross-sectional questionnaire-based study with a sample of 301 was conducted among dental clinicians at Khammam to evaluate their knowledge regarding medical emergencies. The questionnaire consisted of nineteen questions. First nine questions are objective questions, requiring a simple yes or no reply. Next ten questions are multiple choice questions regarding Emergency Medical Services and basic life support. Chi-square test was used to analyze the data. A P < 0.05 is considered significant. Results: The results of this study showed that almost all the participants (94.02% enquired about medical and drug history, but only 67.11% of them obtained a complete health history proforma of the patient. About 83.06% record vital signs, 74.09% of members report about attending workshops on emergency training and management, and 50.5% of members were either not sure or not in a position to handle the emergency condition. Conclusion: The results of this study reflect an alarming situation of the capability of dentists to deal with medical emergencies at dental offices and make available all the emergency drugs at their offices.

  12. History and evaluation of national-scale geochemical data sets for the United States

    Science.gov (United States)

    Smith, David B.; Smith, Steven M.; Horton, John D.

    2013-01-01

    Six national-scale, or near national-scale, geochemical data sets for soils or stream sediments exist for the United States. The earliest of these, here termed the ‘Shacklette’ data set, was generated by a U.S. Geological Survey (USGS) project conducted from 1961 to 1975. This project used soil collected from a depth of about 20 cm as the sampling medium at 1323 sites throughout the conterminous U.S. The National Uranium Resource Evaluation Hydrogeochemical and Stream Sediment Reconnaissance (NURE-HSSR) Program of the U.S. Department of Energy was conducted from 1975 to 1984 and collected either stream sediments, lake sediments, or soils at more than 378,000 sites in both the conterminous U.S. and Alaska. The sampled area represented about 65% of the nation. The Natural Resources Conservation Service (NRCS), from 1978 to 1982, collected samples from multiple soil horizons at sites within the major crop-growing regions of the conterminous U.S. This data set contains analyses of more than 3000 samples. The National Geochemical Survey, a USGS project conducted from 1997 to 2009, used a subset of the NURE-HSSR archival samples as its starting point and then collected primarily stream sediments, with occasional soils, in the parts of the U.S. not covered by the NURE-HSSR Program. This data set contains chemical analyses for more than 70,000 samples. The USGS, in collaboration with the Mexican Geological Survey and the Geological Survey of Canada, initiated soil sampling for the North American Soil Geochemical Landscapes Project in 2007. Sampling of three horizons or depths at more than 4800 sites in the U.S. was completed in 2010, and chemical analyses are currently ongoing. The NRCS initiated a project in the 1990s to analyze the various soil horizons from selected pedons throughout the U.S. This data set currently contains data from more than 1400 sites. This paper (1) discusses each data set in terms of its purpose, sample collection protocols, and analytical

  13. History and evaluation of national-scale geochemical data sets for the United States

    Directory of Open Access Journals (Sweden)

    David B. Smith

    2013-03-01

    Full Text Available Six national-scale, or near national-scale, geochemical data sets for soils or stream sediments exist for the United States. The earliest of these, here termed the ‘Shacklette’ data set, was generated by a U.S. Geological Survey (USGS project conducted from 1961 to 1975. This project used soil collected from a depth of about 20 cm as the sampling medium at 1323 sites throughout the conterminous U.S. The National Uranium Resource Evaluation Hydrogeochemical and Stream Sediment Reconnaissance (NURE-HSSR Program of the U.S. Department of Energy was conducted from 1975 to 1984 and collected either stream sediments, lake sediments, or soils at more than 378,000 sites in both the conterminous U.S. and Alaska. The sampled area represented about 65% of the nation. The Natural Resources Conservation Service (NRCS, from 1978 to 1982, collected samples from multiple soil horizons at sites within the major crop-growing regions of the conterminous U.S. This data set contains analyses of more than 3000 samples. The National Geochemical Survey, a USGS project conducted from 1997 to 2009, used a subset of the NURE-HSSR archival samples as its starting point and then collected primarily stream sediments, with occasional soils, in the parts of the U.S. not covered by the NURE-HSSR Program. This data set contains chemical analyses for more than 70,000 samples. The USGS, in collaboration with the Mexican Geological Survey and the Geological Survey of Canada, initiated soil sampling for the North American Soil Geochemical Landscapes Project in 2007. Sampling of three horizons or depths at more than 4800 sites in the U.S. was completed in 2010, and chemical analyses are currently ongoing. The NRCS initiated a project in the 1990s to analyze the various soil horizons from selected pedons throughout the U.S. This data set currently contains data from more than 1400 sites. This paper (1 discusses each data set in terms of its purpose, sample collection protocols

  14. Evaluation of sexual attitude and sexual function in menopausal age; a population based cross-sectional study

    Directory of Open Access Journals (Sweden)

    Somayeh Hashemi

    2013-01-01

    Full Text Available Background: Menopause and its physical, hormonal and psychosocial changes could affect women’s sexual function. There are controversial results regarding relationship between sexual attitudes and function. Objective: We aimed to evaluate sexual attitudes and sexual function among Iranian menopausal age women. Materials and Methods: This population based cross-sectional study was carried out on 225 menopausal women, aged 45-65 years. Based on a self-made questionnaire data were collected about women’s socio-demographic characteristics, attitudes regarding sexuality and sexual function. Data were analyzed using SPSS and sexual function was compared between three groups of women who had positive, medium and negative attitudes regarding sexuality. Results: The mean age of women was 53.11±4.56 years. Seventy percent of them had at least one sexual problem. Feeling of dyspareunia was significantly different between three categories of attitudes regarding sexuality (p=0.03. Comparing data obtained on their attitudes, sexual desire, orgasm and dyspareunia demonstrated significant differences (p=0.03, 0.04, and 0.04 respectively. Conclusion: Attitude regarding sexual function has a great impact on sexual activity of postmenopausal women that need to be considered in their health care programming.

  15. Dental Fear Survey: A Cross-Sectional Study Evaluating the Psychometric Properties of the Brazilian Portuguese Version

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    Maurício Antônio Oliveira

    2014-01-01

    Full Text Available Objective. The aim of this study was to evaluate the psychometric properties of the Brazilian version of the Dental Fear Survey (DFS, previously translated to the Brazilian Portuguese language and validated. Methods. A cross-sectional study with 1,256 undergraduates from the city of Belo Horizonte, Brazil, was carried out. The DFS and a questionnaire about previous dental experiences were self-administered. Data analysis involved descriptive statistics, principal components analysis (PCA, confirmatory factor analysis (CFA, internal consistency and test-retest reliability, and construct, discriminant, and convergent validity. Results. PCA identified a three-factor structure. CFA confirmed the multidimensionality of the Brazilian version of the DFS. A modified model of the Brazilian version of the DFS fits better than the hypothesized model. The Cronbach’s alpha coefficient for the total DFS scale was 0.95. Conclusion. The DFS demonstrated acceptable construct validity, convergent validity, and discriminant validity. These results supported the reliability and validity of the DFS among Brazilian undergraduates.

  16. Evaluation of satisfaction with work-life balance among U.S. Gynecologic Oncology fellows: A cross-sectional study.

    Science.gov (United States)

    Szender, J Brian; Grzankowski, Kassondra S; Eng, Kevin H; Odunsi, Kunle; Frederick, Peter J

    2016-04-01

    To characterize the state of satisfaction with work-life balance (WLB) among gynecologic oncology fellows in training, risk factors for dissatisfaction, and the impact of dissatisfaction on career plans. A cross-sectional evaluation of gynecologic oncology fellows was performed using a web-based survey. Demographic data, fellowship characteristics, and career plans were surveyed. The primary outcomes were satisfaction with WLB and career choices. p working fewer than 80 h per week (PR = 4.35, 95% CI: 1.34-14.10), and fatigue (PR = 0.31, 95% CI: 0.12-0.75). Career and WLB satisfaction were not associated with gender, marital status, and whether or not the fellow is a parent. Those satisfied with WLB planned to work an average of 3.5 years longer than those who were not (p studies are needed to determine the workforce impact of this lack of perceived balance.

  17. Incomplete pulmonary fissures evaluated by volumetric thin-section CT: Semi-quantitative evaluation for small fissure gaps identification, description of prevalence and severity of fissural defects

    Energy Technology Data Exchange (ETDEWEB)

    Koenigkam-Santos, Marcel, E-mail: marcelk46@yahoo.com.br [Department of Diagnostic and Interventional Radiology, University of Heidelberg, Im Neuenheimer Feld 110, 69120 Heidelberg (Germany); Radiology Department, German Cancer Research Center (Deutsches Krebsforschungszentrum – DKFZ), Im Neuenheimer Feld 280, 69120 Heidelberg (Germany); Department of Radiology, University Hospital of the School of Medicine of Ribeirao Preto – University of Sao Paulo, Av. Bandeirantes 3900, Campus Universitario Monte Alegre, 14048900 Ribeirao Preto, SP (Brazil); Paula, Wagner Diniz de, E-mail: wdpaula@unb.br [Department of Diagnostic and Interventional Radiology, University of Heidelberg, Im Neuenheimer Feld 110, 69120 Heidelberg (Germany); Department of Radiology, University Hospital of the University of Brasilia, Brasilia, DF (Brazil); Owsijewitsch, Michael, E-mail: michael.owsijewitsch@med.uniheidelberg.de [Department of Diagnostic and Interventional Radiology, University of Heidelberg, Im Neuenheimer Feld 110, 69120 Heidelberg (Germany); Radiology Department, German Cancer Research Center (Deutsches Krebsforschungszentrum – DKFZ), Im Neuenheimer Feld 280, 69120 Heidelberg (Germany); Wielpütz, Mark Oliver, E-mail: mark.wielpuetz@med.uni-heidelberg.de [Department of Diagnostic and Interventional Radiology, University of Heidelberg, Im Neuenheimer Feld 110, 69120 Heidelberg (Germany); Radiology Department, German Cancer Research Center (Deutsches Krebsforschungszentrum – DKFZ), Im Neuenheimer Feld 280, 69120 Heidelberg (Germany); Gompelmann, Daniela, E-mail: daniela.gompelmann@thoraxklinik-heidelberg.de [Pneumology and Respiratory Medicine, Chest Clinic (Thoraxklinik) at University of Heidelberg, Amalienstr. 5, 69126 Heidelberg (Germany); Schlemmer, Heinz-Peter, E-mail: h.schlemmer@dkfz-heidelberg.de [Radiology Department, German Cancer Research Center (Deutsches Krebsforschungszentrum – DKFZ), Im Neuenheimer Feld 280, 69120 Heidelberg (Germany); and others

    2013-12-01

    Objective: To assess the interobserver agreement for a semi-quantitative evaluation of the interlobar fissures integrity in volumetric thin-section CT images, looking for more detailed information regarding fissural defects; and describe prevalence and severity of fissural defects between the different functional groups of subjects. Materials and methods: Volumetric scans of 247 individuals exposed to tobacco with different functional status (normal to severe COPD), were retrospectively and independently evaluated by 2 chest radiologists, with a consensual reading additionally with a third reader in disagreement cases. Right oblique (RO), right horizontal (RH) and left oblique fissures (LO) integrity was estimated using a 5% scale. GOLD classification was available for all subjects. Results: Interobserver agreement (weighted Kappa-index) for fissural categorization was 0.76, 0.70 and 0.75, for RO, RH and LO, respectively. Final evaluation found 81%, 89% and 50% of RO, RH and LO to be incomplete, with respective mean integrity of 80%, 58% and 80%. Small fissure gaps (<10%) were present in 30% of patients. Prevalence and severity of fissural defects were not different between the GOLD categories. Conclusions: A substantial agreement between readers was found in the analysis of interlobar fissures integrity. The semi-quantitative method allowed a detailed description of the fissural defects, information that can be important, for example, in endoscopic lung volume reduction therapies for emphysema. Small fissure gaps, overlooked in previous studies, were found in almost a third of the patients. A higher than previously described prevalence of fissural defects was described, but without significant differences among the distinct functional groups.

  18. Evaluation on radioactive waste disposal amount of Kori Unit 1 reactor vessel considering cutting and packaging methods

    Energy Technology Data Exchange (ETDEWEB)

    Choi, Yu Jong; Lee, Seong Cheol; Kim, Chang Lak [KEPCO International Nuclear Graduate School, Ulsan (Korea, Republic of)

    2016-06-15

    Decommissioning of nuclear power plants has become a big issue in South Korea as some of the nuclear power plants in operation including Kori unit 1 and Wolsung unit 1 are getting old. Recently, Wolsung unit 1 received permission to continue operation while Kori unit 1 will shut down permanently in June 2017. With the consideration of segmentation method and disposal containers, this paper evaluated final disposal amount of radioactive waste generated from decommissioning of the reactor pressure vessel in Kori unit 1 which will be decommissioned as the first in South Korea. The evaluation results indicated that the final disposal amount from the top and bottom heads of the reactor pressure vessel with hemisphere shape decreased as they were cut in smaller more effectively than the cylindrical part of the reactor pressure vessel. It was also investigated that 200 L and 320 L radioactive waste disposal containers used in Kyung-Ju disposal facility had low payload efficiency because of loading weight limitation.

  19. EVALUATION OF PSYCHIATRIC DISABILITY AMONG PATIENTS WITH SCHIZOPHRENIA IN RELATION TO MARITAL STATUS: A CROSS-SECTIONAL STUDY

    Directory of Open Access Journals (Sweden)

    Rasamsetti Vijaya Kranthi

    2016-07-01

    Full Text Available BACKGROUND The marital adjustment is a process in which an individual or a couple modifies, adopts or changes their behaviour pattern and interaction to gain the maximum satisfaction in their relationship. Schizophrenia is a chronic mental illness associated with major disability in several spears of a person’s functioning. Most of the previous studies shows that schizophrenia associated with adverse outcome on marriage. This study conducted to evaluate how disability due to schizophrenia related to marriage in these patients. AIM The study was undertaken to evaluate and correlate psychiatric disability in relation to marital status in patients with schizophrenia. MATERIAL AND METHODS It is a cross-sectional study in a tertiary care psychiatric hospital in 162 patients who was diagnosed of schizophrenia as per ICD - 10 criteria and on regular treatment for the past one year. Sample consists of three groups married, unmarried (never married and single (widow, divorcee and single. IDEAS rating applied on all the subjects to evaluate disability and the result was analysed by t-test and ANOVA using SPSS 13.0 version. RESULTS Out of 162 patients with schizophrenia 81 married, 31 single and 50 unmarried. The mean disability score was (7.78 showing high disability in schizophrenia patients. Married patients group had more cases with mild disability scores and single and unmarried patients group had more cases with moderate-to-severe disability scores (Chi-square = 13.851 and p-value = 0.008. Mean disability score (9.12 was high in unmarried group. The marital status was significantly associated with disability (F-value = 3.622 and pvalue = 0.029. Males reported high disability than females, but gender was not showing significant association with disability. Both male and female married patients had less disability. CONCLUSIONS Schizophrenia patients were showing higher disability and majority (50% eligible for welfare benefits. Unmarried and single

  20. An evaluation of current methods of diagnosing colorectal cancer in the United Kingdom

    Energy Technology Data Exchange (ETDEWEB)

    Bond, Janet [Band 6 Radiographer, X-ray West, Derriford Hospital, Derriford Road, Plymouth PL6 8DH (United Kingdom)], E-mail: janbon25@hotmail.com; Tuckey, Mandy [Radiotherapy, Room 2K06, Glenside Campus, University of the West of England, Faculty of Health and Social Care, Blackberry Hill, Stapleton, Bristol BS16 1DD (United Kingdom)], E-mail: mandy.tuckey@uwe.ac.uk

    2009-05-15

    Colorectal cancer (CRC) is a highly conversed topic, particularly since implementation of screening for CRC is imminent within the U.K. Aims: The aim of this research project was to examine the diagnostic tools currently used within the UK to detect CRC and their impact on the aetiology and epidemiology of CRC. Methodology: The complexity of the research topic lent itself towards a literature review. A systematic approach of researching was therefore adopted to analyse and critically evaluate the reliability and validity of articles. Electronic databases including AMED, Cancerlit, CINHAL, the Cochrane Library, EMBASE, MEDLINE and EBM-Reviews were utilised to provide a wide spectrum of recent and relevant articles. Other research strategies involved looking for books relating to the topics, which were kept to within 6 years of publication to maintain accuracy of information. Selected websites, such as NICE, the Department of Health, NHS websites and Cancer Research U.K. were useful at explaining current and future screening plans and trials within Britain and allowed the study of reliable U.K. statistics. The research articles were then outlined and placed into sections of similar topic areas, which enabled the author to compare, contrast and evaluate the hypotheses. By organising the research in this way, a thorough review of the existing research for CRC was resultant. Results: A range of diagnostic tools is currently in use for detecting CRC within the UK. Screening for asymptomatic individuals aged 55-60 years+, (the age range where CRC incidence is higher), would provide the most effective reduction in CRC incidence and mortality rates. Conclusions: The use of a multi-phasic screening programme consisting of faecal occult blood tests (FOBt) and a whole bowel examination is considered to be the most effective diagnostic tools. However, preventative schemes, such as better education of the risks and symptoms of CRC, supported by the NHS Cancer Plan (2000), have

  1. Completion Report for Model Evaluation Well ER-5-5: Corrective Action Unit 98: Frenchman Flat

    Energy Technology Data Exchange (ETDEWEB)

    NSTec Underground Test Area and Boreholes Programs and Operations

    2013-01-18

    Model Evaluation Well ER-5-5 was drilled for the U.S. Department of Energy, National Nuclear Security Administration Nevada Site Office in support of Nevada Environmental Management Operations at the Nevada National Security Site (formerly known as the Nevada Test Site). The well was drilled in July and August 2012 as part of a model evaluation well program in the Frenchman Flat area of Nye County, Nevada. The primary purpose of the well was to provide detailed geologic, hydrogeologic, chemical, and radiological data that can be used to test and build confidence in the applicability of the Frenchman Flat Corrective Action Unit flow and transport models for their intended purpose. In particular, this well was designed to obtain data to evaluate the uncertainty in model forecasts of contaminant migration from the upgradient underground nuclear test MILK SHAKE, conducted in Emplacement Hole U-5k in 1968, which were considered to be uncertain due to the unknown extent of a basalt lava-flow aquifer present in this area. Well ER-5-5 is expected to provide information to refine the Phase II Frenchman Flat hydrostratigraphic framework model, if necessary, as well as to support future groundwater flow and transport modeling. The 31.1-centimeter (cm) diameter hole was drilled to a total depth of 331.3 meters (m). The completion string, set at the depth of 317.2 m, consists of 16.8-cm stainless-steel casing hanging from 19.4-cm carbon-steel casing. The 16.8-cm stainless-steel casing has one slotted interval open to the basalt lava-flow aquifer and limited intervals of the overlying and underlying alluvial aquifer. A piezometer string was also installed in the annulus between the completion string and the borehole wall. The piezometer is composed of 7.3-cm stainless-steel tubing suspended from 6.0-cm carbon-steel tubing. The piezometer string was landed at 319.2 m, to monitor the basalt lava-flow aquifer. Data collected during and shortly after hole construction include

  2. HIV prevalence in severely malnourished children admitted to nutrition rehabilitation units in Malawi: Geographical & seasonal variations a cross-sectional study

    Directory of Open Access Journals (Sweden)

    Maleta Kenneth

    2008-05-01

    Full Text Available Abstract Background Severe malnutrition in childhood associated with HIV infection presents a serious humanitarian and public health challenge in Southern Africa. The aim of this study was to collect country wide data on HIV infection patterns in severely malnourished children to guide the development of integrated care in a resource limited setting. Methods A cross sectional survey was conducted in 12 representative rural and urban Nutrition Rehabilitation Units (NRUs, from each of Malawi's 3 regions. All children and their caretakers admitted to each NRU over a two week period were offered HIV counselling and testing. Testing was carried out using two different rapid antibody tests, with PCR testing for discordant results. Children under 15 months were excluded, to avoid difficulties with interpretation of false positive rapid test results. The survey was conducted once in the dry/post-harvest season, and repeated in the rainy/hungry season. Results 570 children were eligible for study inclusion. Acceptability and uptake of HIV testing was high: 523(91.7% of carers consented for their children to take part; 368(70.6% themselves accepted testing. Overall HIV prevalence amongst children tested was 21.6%(95% confidence intervals, 18.2–25.5%. There was wide variation between individual NRUs: 2.0–50.0%. Geographical prevalence variations were significant between the three regions (p HIV prevalence was significantly higher in urban areas, 32.9%(95%CI 26.8–39.4% than in rural 13.2%(95%CI 9.5–17.6%(p NRU HIV prevalence rates were lower in the rainy/hungry season 18.4%(95%CI 14.7–22.7% than in the dry/post-harvest season 30.9%(95%CI 23.2–39.4% (p Conclusion There is a high prevalence of HIV infection in severely malnourished Malawian children attending NRUs with children in urban areas most likely to be infected. Testing for HIV is accepted by their carers in both urban and rural areas. NRUs could act as entry points to HIV treatment and

  3. Branding Asklepios and the Traditional and Variant Serpent Symbol Display Among Health Professional Schools in the United States, Puerto Rico, and Canada: A Cross-Sectional Survey.

    Science.gov (United States)

    Hamann, Claus; Martelon, MaryKate

    2016-05-25

    History supports the staff and single serpent, the asklepian, as the symbol of healing and medicine, yet its confusion with the caduceus (a winged staff with two snakes wrapped around it) persists. No population-based information on serpent symbol use exists. To determine the prevalence of asklepian and caduceus display among Internet images of medical and health professional schools' emblems, and to compare asklepian and caduceus display between medical and health professional schools, examining the effects of school longevity and geographic location on symbol display. This cross-sectional survey examined Internet websites and Google Images associated with medical and other health professional schools in the United States, Puerto Rico, and Canada from 2013 to 2015. The primary outcome was display of a traditional or variant asklepian or caduceus among current and past emblems in Google Images. Odds ratios (ORs) and 95% confidence intervals for the comparison of medical versus other health professional schools were calculated by logistic regression. Differences among schools' longevity were assessed with Student's t-tests and linear regression. Among images of current and past emblems of 482 schools-159 medical schools and 323 health professional schools-107 (22.2%) emblems displayed only the traditional, and 205 (42.5%) any, asklepian. Adjusting for geographic region and longevity, medical schools were 59% less likely than health professional schools to display the traditional asklepian (OR 0.41, 95% CI 0.24-0.71, P=.001), and were 7.7 times more likely than health professional schools to display the traditional caduceus. Medical schools were 8% less likely than health professional schools to display any asklepian (OR 0.92, 95% CI 0.62-1.38, P=.70), and were 3.3 times more likely than health professional schools to display any caduceus. Schools' preference of the asklepian over the caduceus confirmed historical origins. Less asklepian and more caduceus display by

  4. Diagnostic work-up for detection of paroxysmal atrial fibrillation after acute ischemic stroke: cross-sectional survey on German stroke units.

    Science.gov (United States)

    Rizos, Timolaos; Quilitzsch, Anika; Busse, Otto; Haeusler, Karl Georg; Endres, Matthias; Heuschmann, Peter; Veltkamp, Roland

    2015-06-01

    Multiple methods to detect paroxysmal atrial fibrillation (pAF) in patients with acute stroke are available. However, it is unknown which approaches are currently used in clinical routine and guidelines remain vague to the extent of cardiac monitoring. We characterize diagnostic efforts for pAF detection on German stroke units (SU). A standardized anonymous questionnaire was sent to all clinical leads of certified SUs in Germany. The questionnaire focused on basic characteristics of SUs, procedures to detect AF, and estimates on AF detection. One hundred seventy-nine SU leads participated (response rate 71.6%). All patients undergo continuous bedside ECG monitoring. A percentage of 77.6 SUs initiate additional 24-hour Holter ECG in >50% of patients without known AF. Patients with transient ischemic attack are monitored significantly shorter than patients with ischemic stroke. Independent of SU type or size, 67.6% of leads assumed to fail detecting pAF in 5% to 20% of patients. In cryptogenic stroke, additional ECG monitoring is recommended by 90.2% but only 13.8% of SUs perform routine ECG follow-up visits. The use of implanted event recorders is low (1-10 patients/y by 60.7% of SUs; 28.1%: no use). A percentage of 83.9 do not use external event recorders. Our survey demonstrates substantial heterogeneity among German SUs on diagnostic work-up for pAF. Future prospective multicenter studies should systematically evaluate the impact of different methods to uncover pAF. © 2015 American Heart Association, Inc.

  5. Percutaneous dilatational tracheostomy without fiber optic bronchoscopy-Evaluation of 80 intensive care units cases

    NARCIS (Netherlands)

    J.A. Calvache (Jose Andrés); R.A. Molina García (Rodrigo); A.L. Trochez (Adolfo); J. Benitez (Javier); L.A. Flga (Lucía Arroyo)

    2013-01-01

    textabstractBackground: The development of percutaneous dilatational tracheostomy techniques (PDT) has facilitated the procedure in Intensive Care Units (ICU). Objective: To describe the early intra and post-operative complications in ICU patients requiring percutaneous dilatational tracheostomy usi

  6. Percutaneous dilatational tracheostomy without fiber optic bronchoscopy-Evaluation of 80 intensive care units cases

    NARCIS (Netherlands)

    J.A. Calvache (Jose Andrés); R.A. Molina García (Rodrigo); A.L. Trochez (Adolfo); J. Benitez (Javier); L.A. Flga (Lucía Arroyo)

    2013-01-01

    textabstractBackground: The development of percutaneous dilatational tracheostomy techniques (PDT) has facilitated the procedure in Intensive Care Units (ICU). Objective: To describe the early intra and post-operative complications in ICU patients requiring percutaneous dilatational tracheostomy usi

  7. Unit Manning System: Human Dimensions Field Evaluation of the COHORT company Replacement Model

    Science.gov (United States)

    1994-04-18

    tha: their superiors make such an attempt. Whether we speak of "unit cohesion" (Henderson, 1985; Johns, 1984), "unit morale" (Gal, 1986), "combat...differences. Generally speaking , mean differences on the five point scales must now be in the .4 to .5 range instead of the .2 to .3 range in order to...Marlowe, et al., 1985). Training in basic skiils , along with the maintenance of barracks standards and physical readiness, were all areas where COHORT

  8. Evaluation of the predictors for duration of mechanical ventilation in respiratory intensive care unit

    Directory of Open Access Journals (Sweden)

    Hira H

    2006-01-01

    Full Text Available Background: Mechanical ventilation (MV is a life saving modality. Till no method is evolved to predict the duration of this treatment. This study is undertaken to evaluate the clinical and laboratory parameters at initiation and 48 hour of the patient being treated by mechanical ventilation; and correlate these parameters with the duration of MV required. Methods: It was prospective observational study conducted in the respiratory intensive care unit (RICU of a tertiary referral and teaching hospital. Thirty consecutive patients suffering from various medical diseases requiring MV were the participants. Clinical, laboratory, ventilatory parameters and six severity scores viz.; GCS, APACHE-II, SAPS, OSF, ALI/ARDS and Sepsis/Septic shock criteria of each patient, both at initiation and at 48 hour of MV were recorded. Correlation between various severity scores at initiation and at 48 hour of initiation with duration of mechanical ventilation was computed. Results: Based on the duration of mechanical ventilation required, the patients were divided in two groups. Those requiring mechanical ventilation < 7 days and> 7 days were designated Group I and Group II respectively. Three out of 6 severity scores (GCS, APACHE-II, SAPS recorded at 48 hour of MV showed statistically significant difference between the both groups with p value of 0.010, 0.009 and 0.006 respectively. Further stepwise logistic regression analysis showed that SAPS score at 48 hour of initiation was the best predictor of duration of MV. It was found that a cut off value of 15 for SAPS score at 48 hour might predict the duration of MV i.e. < 7days or> 7 days. Based on linear regression analysis a simple equation was formulated by putting the SAPS value at 48 hour, the value of Y was computed. If MV required was less than 7 days, the value of Y was more than - 0.172 and if need of mechanical ventilation was more than 7 days, Y was less than -0.1720. Conclusions: For patients requiring

  9. An evaluation of factors affecting adherence to antiepileptic drugs in patients with epilepsy: a cross-sectional study

    Science.gov (United States)

    Gurumurthy, Ranjana; Chanda, Kulkarni; Sarma, GRK

    2017-01-01

    INTRODUCTION Adherence to antiepileptic drug (AED) therapy is important for controlling seizures in patients with epilepsy (PWE). It is vital to identify the factors influencing adherence to AED therapy using validated tools. This study aimed to evaluate the pattern and extent of AED adherence among PWE and to identify the factors that influence adherence. METHODS This was a cross-sectional study involving PWE who had a confirmed diagnosis. Treatment adherence was assessed using the four-item Morisky Medication Adherence Scale. Univariate analysis with chi-square test was used to observe the association between different variables and AED adherence. Binary logistic regression analysis was used to identify the predictors of adherence. RESULTS 451 PWE (mean age 27.3 ± 8.1 years) were enrolled in the study; 251 (55.7%) were male and 198 (43.9%) were from the lower socioeconomic class. 326 (72.3%) patients had high adherence to AED therapy, while 125 (27.7%) had low adherence. AED adherence was significantly associated with socioeconomic status (p = 0.043) and type of epilepsy (p = 0.033). However, no significant difference was observed between adherence and age, gender, marital status, epilepsy duration, number and type of AEDs, and occurrence of adverse drug reactions. Patients with focal epilepsy and those from the middle/lower-middle socioeconomic classes were less likely to be nonadherent. The primary reason for nonadherence was forgetfulness. CONCLUSION This study found that a majority of PWE have optimal rates of AED adherence and that forgetfulness is the primary reason for nonadherence among PWE. PMID:26805666

  10. Pressure changes in spinal canal and evaluation of spinal cord injuries in spinal section subjected to impact

    Institute of Scientific and Technical Information of China (English)

    2001-01-01

    Objective: To observe pressure changes in the spinal canal of the vertebrarium subjected to impact. From the point of view of impact, pressure changes and spinal cord injuries, the relationship between the type of spinal fracture and the severity of spinal cord injuries were analyzed and some experimental data were provided for early evaluation of severity of spinal cord injuries.   Methods: An experimental model of spinal burst fracture was made with Type BIM-I bio-impact machine and techniques of high velocity vertical loading in static pattern and stress shielding were adopted. Vertebral sections T10-L4 taken from fresh cadavers were impacted and pressure changes in the spinal canal were observed. The types and severity of spinal fracture were studied with gross and radiography examination.   Results: Great positive pressure wave (wave A) in the spinal canal of the 4 vertebral specimens with burst fracture was recorded. The peak value of pressure was correlated with the severity of posterior column injuries. Generally, the peak value of pressure was low in the samples with posterior column injuries, but high in the samples without injuries. The predominant features of fractures were burst fractures of vertebral body and severe destruction of the skeletal and fiber structure of the spinal canal. Positive and negative pressure waves (wave B) were recorded in 2 vertebral samples in which no significant abnormal changes were found by radiography examination, however, a little liquid effusion in the vertebral body was found by gross examination.   Conclusions: The type of pressure wave in the spinal canal is related to the deformation or the destruction of the spinal canal structure. The peak value of the pressure is non-linearly related to the obstruction in the spinal canal, but related to posterior column injuries.

  11. [The link between aggressive behavior and depression in adolescence. A cross-sectional study conducted in the psychiatric emergency unit at the Sainte-Anne hospital].

    Science.gov (United States)

    Benarous, X; Guedj, M J; Braitman, A; Gallois, E; Lana, P

    2014-12-01

    The link between depression and aggressive behavior in adults has been found in many studies. In adolescents, this relationship is still controversial. Several studies point out that irritability is a key symptom in adolescent depressed. Few studies have analyzed precisely the kind of aggressive behavior. This study sets out to assess the relationship between aggressive behavior and depressive affects in adolescents. We also pay attention in this population to hopelessness feelings, anxiety, global functioning and the type of aggressive behavior. This is a descriptive and observational cross-sectional study. Data was collected from 49 successive adolescents admitted for a 24-hour evaluation in the emergency department of the Sainte-Anne psychiatric hospital. The inclusion period was from February to April 2012, with age limits between 15 and 18. For each patient, the clinician completed with the parents or other caregivers the Modified Overt Aggressive Scale (MOAS) searching for existence of aggressive behavior in the week prior to the consultation. The population was divided into two groups: P- group when the MOAS score was Adolescent Depression Rating Scale for clinicians (ADRSc) were also completed. Each patient completed the self-report Buss-Perry Aggression Questionnaire (QA), the Beck Hopelessness scale and the Adolescent Depression Rating Scale for patients (ADRSp). Forty-nine adolescents with a median age of 16 years and 4 months participated. The first reason for consultation was depressive symptoms, followed by disruptive behavior. The analysis was conducted on 39 questionnaires. The demographic profile of the two groups was similar. We did not find any significant difference between the groups P+ and P- on ADRSc scores and secondary criteria. However, we found higher scores in the QA in the more depressed patient, especially a higher hostility score in this sample. In the subgroup analysis: as expected self-aggressive behavior was associated with a

  12. Uptake of a new meningitis vaccination programme amongst first-year undergraduate students in the United Kingdom: A cross-sectional study.

    Science.gov (United States)

    Blagden, Sarah; Seddon, Daniel; Hungerford, Daniel; Stanistreet, Debbi

    2017-01-01

    In 2015 meningococcal group W was declared endemic in the UK, with the meningococcal ACWY vaccination (MenACWY) subsequently introduced amongst adolescents and first-year university students. This study aimed to determine MenACWY uptake amongst students and to evaluate how this was influenced by demographics and via the Health Belief Model (HBM). This was a cross-sectional study conducted at a British university amongst first-year undergraduate students aged 18-25 years. Data collection was via an electronic questionnaire encompassing demographics, the HBM and vaccination status. Univariable analysis of the associations between demographics, health beliefs and vaccination was performed, followed by multiple logistic regression. 401 participants were included in analysis. Vaccine uptake was 68.1%. Variables independently associated with vaccination upon multiple regression were age, gap-year, perceived effectiveness of the vaccine and knowledge about risk of meningitis. Compared to 18 year-olds, the odds of vaccination were reduced for 19 year-olds (aOR = 0.087, 95% CI = 0.010-0.729), 20 year-olds (aOR = 0.019, 95% CI = 0.002-0.161) and 21-25 year-olds (aOR = 0.003, 95% CI = year (aOR = 2.939, 95% CI = 1.329-6.501), higher perceived vaccine effectiveness (aOR = 3.555, 95% CI = 1.787-7.073) and knowledge about meningitis risk (aOR = 2.481, 95% CI = 1.165-5.287) were independently associated with increased uptake. MenACWY uptake amongst students in this study and in other sources is above the national coverage for all adolescents (35.3%), indicating that this vaccination programme may be increasing health inequalities. Older students are less likely to become vaccinated due to differing vaccination policy in this age-group. In future, strategies that focus on specific student cohorts and that highlight vaccine effectiveness and the risk of meningitis should be considered. National evaluation of this vaccination programme is recommended to clarify its impact on health

  13. Cardiac arrhythmias in stroke unit patients. Evaluation of the cardiac monitoring data.

    Science.gov (United States)

    Fernández-Menéndez, S; García-Santiago, R; Vega-Primo, A; González Nafría, N; Lara-Lezama, L B; Redondo-Robles, L; Montes-Montes, M; Riveira-Rodríguez, M C; Tejada-García, J

    2016-06-01

    Cardiac arrhythmias are frequent in acute stroke. Stroke units are widely equipped with cardiac monitoring systems. Pre-existing heart diseases and heart-brain interactions may be implicated in causing cardiac arrhythmias in acute stroke. This article analyses cardiac arrhythmias detected in patients hospitalised in a stroke unit. Prospective observational study of consecutive patients admitted to a stroke unit with cardiac monitoring. We collected clinical data from patients and the characteristics of their cardiac arrhythmias over a 1-year period (2013). Time of arrhythmia onset, associated predisposing factors, and the therapeutic decisions made after detection of arrhythmia were examined. All patients underwent continuous cardiac monitoring during no less than 48hours. Of a total of 332 patients admitted, significant cardiac arrhythmias occurred in 98 patients (29.5%) during their stay in the stroke unit. Tachyarrhythmia (ventricular tachyarrhythmias, supraventricular tachyarrhythmias, complex ventricular ectopy) was present in 90 patients (27.1%); bradyarrhythmia was present in 13 patients (3.91%). Arrhythmias were independently associated with larger size of brain lesion and older age. In 10% of the patient total, therapeutic actions were taken after detection of significant cardiac arrhythmias. Most events occurred within the first 48hours after stroke unit admission. Systematic cardiac monitoring in patients with acute stroke is useful for detecting clinically relevant cardiac arrhythmias. Incidence of arrhythmia is higher in the first 48hours after stroke unit admission. Age and lesion size were predicted appearance of arrhythmias. Detection of cardiac arrhythmias in a stroke unit has important implications for treatment. Copyright © 2014 Sociedad Española de Neurología. Published by Elsevier España, S.L.U. All rights reserved.

  14. Influence of Curing Units and Indirect Restorative Materials on the Hardness of Two Dual-curing Resin Cements Evaluated by the Nanoindentation Test.

    Science.gov (United States)

    Kuguimiya, Rosiane Noqueira; Rode, Kátia Martins; Carneiro, Paula Mendes Acatauassú; Aranha, Ana Cecilia Corrêa; Turbino, Miriam Lacalle

    2015-06-01

    To evaluate the hardness of a dual-curing self-adhesive resin cement (RelyX U200) and a conventional dual-curing resin cement (RelyX ARC) cured with different light curing units of different wavelengths (Elipar Freelight 2 LED [430 to 480 nm, conventional], Bluephase LED [380 to 515 nm, polywave], AccuCure 3000 Laser [488 nm]) by means of the nanoindentation test. Bovine incisors were cleaned and then sectioned at the cementoenamel junction to remove the crown. After embedding in acrylic, dentin surfaces of the specimens were exposed and ground flat to standardize the surfaces. To simulate clinically placing indirect restorations, ceramic (IPS e.maxPress/Ivoclar Vivadent) or indirect composite resin (SR Adoro/Ivoclar Vivadent) slabs were cemented on dentin surfaces. The specimens were sectioned longitudinally at low speed under constant irrigation and then polished. In the positive control group, the cement was light cured without the interposition of indirect restorative material; in the negative control group, after the indirect restorative material was cemented, no light curing was performed, allowing only chemical polymerization of the cement. All specimens were stored in distilled water at 37°C for 7 days. Nanoindentadion hardness of the cement layer was measured under a 100-mN load. Data were statistically analyzed using ANOVA and Tukey's test (p < 0.05). Although the self-adhesive cement is technically simple, conventional cement showed the best polymerization performance. The polywave LED technology did not differ significantly from other light-curing units. The hardness of the resin cements evaluated was negatively influenced by the interposition of an indirect restorative material; only the LEDs were able to maintain the same degree of cement polymerization when an indirect restorative material was used. The photoactivation step is required during the cementation of indirect restorations to ensure adequate polymerization of dual-curing resin cements.

  15. Analysis of Caesarean-Section rates according to Robson's ten group classification system and evaluating the indications within the groups

    Directory of Open Access Journals (Sweden)

    Amita Ray

    2017-01-01

    Full Text Available Background: With Caesarean sections on the rise WHO proposes that health care facilities use the Robson's 10 group classification system to audit their C-sections rates. This classification would help understand the internal structure of the CS rates at individual health facilities identify key population groups, indications in each group and formulate strategies to reduce these rates. Methods: This was a cross sectional study for a period of 24 months at a tertiary care hospital in a tribal area of Kerala South India. Women who delivered during this period were included and classified into 10 Robson's classes and percentages were calculated for the overall rate, the representation of groups, contribution of groups and Caesarean percentage in each group. Results: Highest contribution was by Group 5 and Group 2. Together these two groups contributed to 38% of the total Caesareans. Followed by Group 8 and 10. All four added contributed to 63% of the section rate The least contribution was by Group 3. Groups 6, 7 and 9 by themselves did not contribute much but within their groups had a 100% C-Section rate. Conclusions: The contribution of the various Robson's Group to the absolute C-Section rates needs to be looked into. Reducing primary section rates, adequate counselling and encouraging for VBAC, changing the norms for dystocia and non-reassuring fetal status, training and encouraging obstetricians to perform versions when not contraindicated could reduce the contribution of Robson's groups towards the absolute C-Section rates.

  16. Evaluation of autonomous recording units for detecting 3 species of secretive marsh birds

    Science.gov (United States)

    Sidie-Slettehahl, Anna M.; Jensen, Kent C.; Johnson, Rex R.; Arnold, Todd W.; Austin, Jane; Stafford, Joshua D.

    2015-01-01

    Population status and habitat use of yellow rails (Coturnicops noveboracensis), Nelson's sparrows (Ammodramus nelsoni), and Le Conte's sparrows (A. leconteii) are poorly known, so standardized surveys of these species are needed to inform conservation planning and management. A protocol for monitoring secretive marsh birds exists; however, these species regularly call at night and may be missed during early morning surveys. We tested the effectiveness of autonomous recording units (hereafter, recording units) to survey these species by analyzing recorded vocalizations using bioacoustics software. We deployed 22 recording units at 54 sites in northern Minnesota and eastern North Dakota, USA, and conducted traditional broadcast surveys during May–June, 2010 and 2011. We compared detection probabilities between recording units and standard monitoring protocols using robust-design occupancy models. On average, recording units detected 0.59 (SE = 0.11) fewer Le Conte's sparrows, 0.76 (SE = 0.15) fewer Nelson's sparrows, and 1.01 (SE = 0.14) fewer yellow rails per survey than were detected using the standard protocol. Detection probabilities using the standard protocol averaged 0.95 (yellow rail; 95% CI = 0.86–0.98), 0.93 (Le Conte's sparrow; 95% CI = 0.78–0.98), and 0.89 (Nelson's sparrow; 95% CI = 0.56–0.98), but averaged 0.71 (yellow rail; 95% CI = 0.56–0.83), 0.61 (Le Conte's sparrow; 95% CI = 0.42–0.78), and 0.51 (Nelson's sparrow; 95% CI = 0.19–0.82) using recording units. Reduced detection by recording units was likely due to the ability of human listeners to identify birds calling at greater distances. Recording units may be effective for surveying nocturnal secretive marsh birds if investigators correct for differential detectability. Reduced detectability may be outweighed by the increased spatial and temporal coverage feasible with recording units.

  17. 26 CFR 301.7701(b)-3 - Days of presence in the United States that are excluded for purposes of section 7701(b).

    Science.gov (United States)

    2010-04-01

    ... compete in a charitable sports event described in section 274(l)(1)(B). For purposes of computing the days... sports event described in section 274(l)(1)(B) shall be excluded. Thus, days on which the individual is... on that date as a result of the injuries suffered in the accident. B recovered from the injuries...

  18. Importance of unit cells in accurate evaluation of the characteristics of graphene

    Energy Technology Data Exchange (ETDEWEB)

    Sabzyan, Hassan; Sadeghpour, Narges [Isfahan Univ. (Iran, Islamic Republic of). Dept. of Chemistry

    2016-08-01

    Effects of the size of the unit cell on energy, atomic charges, and phonon frequencies of graphene at the Γ point of the Brillouin zone are studied in the absence and presence of an electric field using density functional theory (DFT) methods (LDA and DFT-PBE functionals with Goedecker-Teter-Hutter (GTH) and Troullier-Martins (TM) norm-conserving pseudopotentials). Two types of unit cells containing n{sub c}=4-28 carbon atoms are considered. Results show that stability of graphene increases with increasing size of the unit cell. Energy, atomic charges, and phonon frequencies all converge above n{sub c}=24 for all functional-pseudopotentials used. Except for the LDA-GTH calculations, application of an electric field of 0.4 and 0.9 V/nm strengths does not change the trends with the size of the unit cell but instead slightly decreases the binding energy of graphene. Results of this study show that the choice of unit cell size and type is critical for calculation of reliable characteristics of graphene.

  19. Design and Evaluation of a Fully Implantable Control Unit for Blood Pumps

    Directory of Open Access Journals (Sweden)

    Kristin Unthan

    2015-01-01

    Full Text Available As the number of donor hearts is limited while more and more patients suffer from end stage biventricular heart failure, Total Artificial Hearts become a promising alternative to conventional treatment. While pneumatic devices sufficiently supply the patients with blood flow, the patient’s quality of life is limited by the percutaneous pressure lines and the size of the external control unit. This paper describes the development of the control unit of the ReinHeart, a fully implantable Total Artificial Heart. General requirements for any implantable control unit are defined from a technical and medical point of view: necessity of a Transcutaneous Energy Transmission, autonomous operation, safety, geometry, and efficiency. Based on the requirements, a prototype is designed; it incorporates a LiFePo4 battery pack with charger, a rectifier for transcutaneous energy transmission, the motor’s driver electronics, and a microcontroller which monitors and controls all functions. In validation tests, the control unit demonstrated a stable operation on TET and battery supply and a safe switching from one supply to the other. The overall mean efficiency is 14% on TET and 22% on battery supply. The control unit is suitable for chronic animal trials of the ReinHeart.

  20. Neutron cross section evaluations of europium isotopes in 1 keV - 30 MeV energy range. Format - validation - comparison; Evaluation de sections efficaces pour des neutrons incidents sur des isotopes d'europium aux energies 1 keV - 30 MeV. Format - validation - comparaison

    Energy Technology Data Exchange (ETDEWEB)

    Dossantos-Uzarralde, P.; Le Luel, C.; Bauge, E. [CEA Bruyeres le Chatel, 91 (France). Dept. de Physique Theorique et Appliquee

    2004-07-01

    This paper presents neutron cross section evaluations of Europium isotopes. The cross sections are evaluated in 1 keV - 30 MeV energy range for the isotopes {sup 146}Eu, {sup 147}Eu, {sup 148}Eu, {sup 149}Eu, {sup 150}Eu, {sup 151}Eu, {sup 152}Eu, {sup 153}Eu, {sup 154}Eu in their ground state. This evaluation includes cross section productions of the long life isomeric states. Special attention is put on the options used for the description of the files written in ENDF-6 format. The final issue is a proposal of a new breed of ENDF-6 formatted neutron activation file. (authors)

  1. Cardiometry: pioneering experience in assessment of the heart performance and evaluation of fatal arrhythmia risks in intensive care unit patients

    Directory of Open Access Journals (Sweden)

    Vladimir V. Chepenko

    2014-05-01

    Full Text Available In the paper presented is an application study of the heart performance phase mechanism with the use of the Cardiocode analyzer based on principles of cardiometry for evaluating iatrogenic complications caused by antiarrhythmic therapy and monitoring the quality of treatment of hemodynamic disorders in inhospital intensive care units. The aim of the study is a thorough estimation of the diagnostic and functional quality of the performance of the Cardiocode device and developing a new methodology of its application under the conditions of the intensive care units, when predicting fatal arrhythmia progression. 50 patients with true cardiogenic shock of different degrees of severity have been examined with Cardiocode. As a result, it is established that the application of the heart cycle phase analysis in diagnostics, hemodynamics evaluation and management with the medication and infusion therapy supported by the Cardiocode device allows reducing the mortality rate by 32 ± 3.4%.

  2. Evaluation of SPACE code for simulation of inadvertent opening of spray valve in Shin Kori unit 1

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Seyun; Youn, Bumsoo [KHNP Central Research Institute, Daejeon (Korea, Republic of)

    2013-05-15

    SPACE code is expected to be applied to the safety analysis for LOCA (Loss of Coolant Accident) and Non-LOCA scenarios. SPACE code solves two-fluid, three-field governing equations and programmed with C++ computer language using object-oriented concepts. To evaluate the analysis capability for the transient phenomena in the actual nuclear power plant, an inadvertent opening of spray valve in startup test phase of Shin Kori unit 1 was simulated with SPACE code. To evaluate the analysis capability for the transient phenomena in the actual nuclear power plant, an inadvertent opening of spray valve in startup test phase of Shin Kori unit 1 was simulated with SPACE code.

  3. Evaluation of Bacterial Contamination of Water Supply in Dental Unit Water Lines at Zahedan Dental School 2008

    Directory of Open Access Journals (Sweden)

    Mollashahi Leila

    2010-03-01

    Full Text Available Background: Assessment of microbial contamination in dental unit waterlines has been focused on because of high risk of dangerous infections in immunocompromised patients. The purpose of this study was to evaluate the bacterial contamination of water supply in dental unit water lines at Zahedan Dental School.Materials and Methods: In this descriptive analytical study we investigated 400 water samples collected from four parts of each unit including air/water syringe, turbine handpiece (before & after flushing, cup filler and 1 water sample collected from city water reservoir in Zahedan faculty of dentistry during 2008. Water samples were taken on Saturdays (the first working day in a week and Wednesdays (the last working day in a week, before and after treatment on the same unit. Samples were transported in closed sterile containers to microbiology laboratory. All samples were incubated on blood agar and McCankey plates for 72 hours at 37°C. Bacterial contamination were then evaluted. Data were analyzed by ANOVA and t-test.Results: Total mean bacterial count was 6914 cfu/ml. Mean bacterial contamination on Saturdays (8859 cfu/ml were higher than Wednesdays (4969 cfu/ml. Mean bacterial contamination before treatment was (5155 cfu/ml less than the end of treatment (8673 cfu/ml on the same unit. Mean bacterial contaminations of prosthetics clinic (13439cfu/ml was higher than other clinics. The mean of periodentology clinic bacterial contaminations (3012 cfu/ml was the least.Conclusion: The result of this study demonstrated that microbiological level of dental unit water lines is high. The dentists must be aware of the high level of microorganisms in the dental unit's water and thus minimize the risk of infection in both staff and patients.

  4. Profile of patients and physiotherapy patterns in intensive care units in public hospitals in Zimbabwe: a descriptive cross-sectional study

    OpenAIRE

    2015-01-01

    Background Physiotherapy is integral to patient management in the Intensive Care Unit. The precise role that physiotherapists play in the critical care differs significantly worldwide. The aim of the study was to describe the profile of patients and the current patterns of physiotherapy services delivered for patients admitted in the five public hospital intensive care units in Zimbabwe. Methods A prospective record review was performed and records of all consecutive patients admitted into th...

  5. Planning for a smooth transition: evaluation of a succession planning program for prospective nurse unit managers.

    Science.gov (United States)

    Manning, Vicki; Jones, Alan; Jones, Pamela; Fernandez, Ritin S

    2015-01-01

    The current and projected nurse workforce shortage has created significant pressure on health care organizations to examine their approach to managing talent. This includes the need for strategic development of new formal leaders. This article reports on a succession planning program for prospective nursing unit managers. Eight prospective management candidates participated in a Future Nursing Unit Managers program. The effectiveness of the program was measured through a comparison of pre- and postprogram surveys relating to participants' perception of personal managerial and leadership skills. Significant differences in scores from baseline to 6-month follow-up surveys were observed in the participants' confidence in undertaking the nursing unit manager role and in their management skills. Investment in structured programs to prepare nurses for leadership roles is strongly recommended as a management workforce strategy.

  6. Evaluating the Frequency of Errors in Preparation and Administration of Intravenous Medications in the Intensive Care Unit of Shahid-Sadoughi Hospital in Yazd

    Directory of Open Access Journals (Sweden)

    SeyedMojtaba Sohrevardi

    2015-10-01

    Full Text Available Background: In most Iranian hospitals, the nurses in the wards prepare intravenous (IV drugs and unfortunately pharmacists are not involved in this process. The severity of the patients in Intensive Care Unit (ICU heightens the risk of errors. More over the frequency of using IV drugs in this unit is high, so we decided to determine the frequency and types of errors, which occur in the preparation and administration of commonly, used IV medications in an ICU.Method: A prospective cross sectional study was performed from November 2013 to August 2014, in the intensive care unit in Shahid-Sadoughi hospital in Yazd. Medication errors occurred in the process of preparation and administration of IV drugs, were recorded by a pharmacy student and were evaluated by direct observation, according to the method established by Barker and McConnell.Results: A total number of 843 intravenous doses were evaluated. The most common type of error (34.26% was the injection of IV doses faster than the recommended rate followed by preparation (15.69%, administration (9.23% and compatibility with doctor’s order (6.24%. Amikacin was the most common drug involved in errors (41.67%. Most of errors were occurred at afternoon (8 p.m, 28.36%.Conclusion: According to our study the rate of errors in preparation and administration of IV drugs was high in this ICU. Employing more nurses, using developed medical instruments and clinical pharmacists can help to decrease these errors and improve the quality of patient care.

  7. Evaluating the effects of woody biomass production for bioenergy on water quality and hydrology in the southeastern United States

    Science.gov (United States)

    Natalie Griffiths; C. Rhett Jackson; Menberu Bitew; Enhao Du; Kellie Vache' Jeffrey J. McDonnell; Julian Klaus; Benjamin M. Rau

    2016-01-01

    Forestry is a dominant industry in the southeastern United States, and there is interest in sustainably growing woody feedstocks for bioenergy in this region. Our project is evaluating the environmental sustainability (water quality, quantity) of growing and managing short-rotation (10-12 yrs) loblolly pine for bioenergy using watershed-scale experimental and modeling ...

  8. GATEWAY Demonstrations: Tuning Hospital Lighting: Evaluating Tunable LED Lighting at the Swedish Hospital Behavioral Health Unit in Seattle

    Energy Technology Data Exchange (ETDEWEB)

    Wilkerson, Andrea [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Davis, Robert G. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Clark, Edward [ZGF Architects LLP, Seattle, WA (United States)

    2017-08-23

    The GATEWAY program evaluated a tunable LED lighting system installed in the new Swedish Medical Behavioral Health Unit in Seattle that incorporates color-tunable luminaires in common areas, and uses advanced controls for dimming and color tuning, with the goal of providing a better environment for staff and patients. The report reviews the design of the tunable lighting system, summarizes two sets of measurements, and discusses the circadian, energy, and commissioning implications as well as lessons learned from the project.

  9. A quantative evaluation of the reformulated 1996 path-goal theory of work unit leadership via structural equation modelling

    OpenAIRE

    Howieson, William B

    2008-01-01

    In 1996, Professor Robert J House published a reformulated Path-Goal Theory of Work Unit Leadership, based on his earlier 1971 and 1974 theories. Path-goal leadership attempts to explain the impact that leader behaviour has on subordinate motivation, satisfaction and performance. The aim of this context-specific study is to evaluate this reformulated ‘1996 Theory’ via Structural Equation Modelling with engineers from the Royal Air Force as the primary data source. This th...

  10. The utility of clinical care pathways in determining perinatal outcomes for women with one previous caesarean section; a retrospective service evaluation

    Directory of Open Access Journals (Sweden)

    Karuga Robinson N

    2010-10-01

    Full Text Available Abstract Background The rising rates of primary caesarean section have resulted in a larger obstetric population with scarred uteri. Subsequent pregnancies in these women are risk-prone and may complicate. Besides ensuring standardised management, care pathways could be used to evaluate for perinatal outcomes in these high risk pregnancies. We aim to demonstrate the use of a care pathway for vaginal birth after caesarean section as a service evaluation tool to determine perinatal outcomes. Methods A retrospective service evaluation by review of delivery case notes and records was undertaken at the Aga Khan University Hospital, Nairobi, Kenya between January 2008 and December 2009 Women with ≥2 previous caesarean sections, previous classical caesarean section, multiple gestation, breech presentation, severe pre-eclampsia, transverse lie, placenta praevia, conditions requiring induction of labour and incomplete records were excluded. Outcome measures included the proportion of eligible women who opted for test of scar (ToS, success rate of vaginal birth after caesarean section (VBAC; proportion on women opting for elective repeat caesarean section (ERCS and their perinatal outcomes. Results A total of 215 women with one previous caesarean section were followed up using a standard care pathway. The median parity (minimum-maximum was 1.01234. The other demographic characteristics were comparable. Only 44.6% of eligible mothers opted to have a ToS. The success rate for VBAC was 49.4% with the commonest (31.8% reason for failure being protracted active phase of labour. Maternal morbidity was comparable for the failed and successful VBAC group. The incidence of hemorrhage was 2.3% and 4.4% for the successful and failed VBAC groups respectively. The proportion of babies with acidotic arterial PH ( Conclusions Besides ensuring standardised management, care pathways could be objective audit and service evaluation tools for determining perinatal outcomes.

  11. Mobile Units Supplementing Education (M.U.S.E.). Evaluation, ESEA Title III, Fiscal Year 1970.

    Science.gov (United States)

    Dodge County Schools, Fremont, NE.

    A project in Dodge County, Nebraska, from July 1, 1969, to June 30, 1970, used Mobile Units Supplementing Education (MUSE) under an Elementary and Secondary Education Act Title III grant. The primary objective of the pilot project and the operational grant was to demonstrate and explore the possibilities of bringing special and supplemental units…

  12. Evaluating Infection Prevention Strategies in Out-Patient Dialysis Units Using Agent-Based Modeling.

    Directory of Open Access Journals (Sweden)

    Joanna R Wares

    Full Text Available Patients receiving chronic hemodialysis (CHD are among the most vulnerable to infections caused by multidrug-resistant organisms (MDRO, which are associated with high rates of morbidity and mortality. Current guidelines to reduce transmission of MDRO in the out-patient dialysis unit are targeted at patients considered to be high-risk for transmitting these organisms: those with infected skin wounds not contained by a dressing, or those with fecal incontinence or uncontrolled diarrhea. Here, we hypothesize that targeting patients receiving antimicrobial treatment would more effectively reduce transmission and acquisition of MDRO. We also hypothesize that environmental contamination plays a role in the dissemination of MDRO in the dialysis unit. To address our hypotheses, we built an agent-based model to simulate different treatment strategies in a dialysis unit. Our results suggest that reducing antimicrobial treatment, either by reducing the number of patients receiving treatment or by reducing the duration of the treatment, markedly reduces overall colonization rates and also the levels of environmental contamination in the dialysis unit. Our results also suggest that improving the environmental decontamination efficacy between patient dialysis treatments is an effective method for reducing colonization and contamination rates. These findings have important implications for the development and implementation of future infection prevention strategies.

  13. Evaluation of vitamin D level in patients from neurosurgical intensive care unit

    Institute of Scientific and Technical Information of China (English)

    Ho Jun Yi; Je Hoon Jeong; Eun-Sun Jin; Il Young Shin; Hyung Sik Hwang; Seung-Myung Moon

    2013-01-01

    Vitamin D plays an important role in maintaining normal bone metabolism. Recent studies have suggested that vitamin D influences many other physiological processes, including muscle function, cardiovascular homeostasis, nerve function, and immune response. Furthermore, accumulated evidence suggests that vitamin D also mediates the immune system response to infection. Critical neurosurgical patients have higher infection and mortality rates. To correlate vitamin D deficiency to the immunological status of neurosurgical intensive care unit patients, we detected serum vitamin D level in 15 patients with clinically suspected infection and 10 patients with confirmed infection. Serum level of 25-hydroxyvitamin D, the primary circulating form of vitamin D, was significantly decreased in patients with suspected or confirmed infection after a 2-week neurosurgical intensive care unit hospitalization, while serum level of 1,25-dihydroxyvitamin D, the active form of vitamin D, was significantly decreased in patients after a 4-week neurosurgical intensive care unit hospitalization. These findings suggest that vitamin D deficiency is linked to the immunological status of neurosurgical intensive care unit patients and vitamin D supplementation can improve patient's immunological status.

  14. Antiroll Tank Evaluation for the United States Coast Guard 300-Foot Icebreaker (WAGB).

    Science.gov (United States)

    1981-06-01

    THE UNITED STATES Final COAST GUARD 300-FOOT ICEBREAKER (WAGB) 6 PERFORMING ORG. REPORT NUMBER 7, AUTHOR(e) 4. CONTRACT OR GRANT NUMBER(s) Harry D...quite good stabilizing characteris- tics. CONCLUSION The installation of the antiroll tank on the WAGB would help assure a mucl more tolerable roll

  15. Ileus development in the trauma/surgical intensive care unit: a process improvement evaluation.

    Science.gov (United States)

    Phipps, Marcy; Bush, Jeffrey A; Buhrow, Dianne; Tittle, Mary B; Singh, Deepak; Harcombe, Julianne; Riddle, Evanthia

    2011-01-01

    Ileus development has been associated with a wide range of complications among hospitalized patients, ranging from increased patient pain and discomfort to malnutrition, aspiration, delayed rehabilitation, and sepsis. This article examines factors that appeared to correlate with an increase in ileus development among patients in a trauma/surgical intensive care unit, with the goal of preventing the condition through nursing practice changes.

  16. A collaborative Canadian-United Kingdom evaluation of an immunohistochemistry protocol to diagnose bovine spongiform encephalopathy

    Science.gov (United States)

    Bovine spongiform encephalopathy is a transmissible spongiform encephalopathy of domestic cattle. The disorder was reported in the United Kingdom in the late 1980s and was associated with recycling of ruminant byproducts in cattle feed. In 1996, the bovine disease was reported to be the cause of a...

  17. A cross-sectional evaluation of computer literacy among medical students at a tertiary care teaching hospital in Mumbai (Bombay

    Directory of Open Access Journals (Sweden)

    T S Panchabhai

    2011-01-01

    Full Text Available Background: Computer usage capabilities of medical students for introduction of computer-aided learning have not been adequately assessed. Aim: Cross-sectional study to evaluate computer literacy among medical students. Settings and Design: Tertiary care teaching hospital in Mumbai, India. Materials and Methods: Participants were administered a 52-question questionnaire, designed to study their background, computer resources, computer usage, activities enhancing computer skills, and attitudes toward computer-aided learning (CAL. The data was classified on the basis of sex, native place, and year of medical school, and the computer resources were compared. The computer usage and attitudes toward computer-based learning were assessed on a five-point Likert scale, to calculate Computer usage score (CUS - maximum 55, minimum 11 and Attitude score (AS - maximum 60, minimum 12. The quartile distribution among the groups with respect to the CUS and AS was compared by chi-squared tests. The correlation between CUS and AS was then tested. Results: Eight hundred and seventy-five students agreed to participate in the study and 832 completed the questionnaire. One hundred and twenty eight questionnaires were excluded and 704 were analyzed. Outstation students had significantly lesser computer resources as compared to local students (P<0.0001. The mean CUS for local students (27.0±9.2, Mean±SD was significantly higher than outstation students (23.2±9.05. No such difference was observed for the AS. The means of CUS and AS did not differ between males and females. The CUS and AS had positive, but weak correlations for all subgroups. Conclusion: The weak correlation between AS and CUS for all students could be explained by the lack of computer resources or inadequate training to use computers for learning. Providing additional resources would benefit the subset of outstation students with lesser computer resources. This weak correlation between the attitudes

  18. Evaluation of the association between acne and smoking: systematic review and meta-analysis of cross-sectional studies

    Directory of Open Access Journals (Sweden)

    Alice Mannocci

    2010-09-01

    Full Text Available

    Background: Acne vulgaris is one of the most common skin diseases with a multifactorial pathogenesis. Examination of the literature regarding the contribution of smoking to acne shows contradictory results. The aim of this study was to undertake a systematic review of the literature and meta-analysis about the association between acne and smoking.

    Methods: A systematic review and meta-analysis, when possible were performed. The literature review was based on Pubmed, Scopus and Google Scholar searches using the keywords “(smoking OR tobacco OR nicotine OR cigarettes AND acne”. Only cross-sectional studies were included. Meta-analyses were performed using the RevMan software version 5 for Windows. Four different meta-analyses were carried out: one evaluating the association between smoking habit and acne, one including data stratified by gender, one for studies with a quality score > 6, and one relating to acne classification.

    Results: Six studies were selected. The first meta-analysis, including all studies, showed a non significant role of smoke in the development of acne: OR 1.05 (95% CI: 0.66–1.67 with random effect estimate. The second meta-analyses, including data stratified by gender, showed a OR=0.99 (95% CI: 0.57–1.73 for males and a OR of 1.45 (95% CI: 0.08–24.64 for females, using random effect for the heterogeneity in both cases. The third meta-analysis, included studies with a quality score >6 resulted in an estimated OR= 0.69 (95% CI: 0.55–0.85: in this case it was possible to use the fixed effect estimate. The last meta-analysis, concerning the severity grading, showed a non-significant result: OR=1.09 (95% CI: 0.61–1.95 using the random effect approach.

    Conclusions: The first two meta-analyses found no signification association between smoking and

  19. Microbiological Evaluation of Household Drinking Water Treatment in Rural China Shows Benefits of Electric Kettles: A Cross-Sectional Study.

    Directory of Open Access Journals (Sweden)

    Alasdair Cohen

    Full Text Available In rural China ~607 million people drink boiled water, yet little is known about prevailing household water treatment (HWT methods or their effectiveness. Boiling, the most common HWT method globally, is microbiologically effective, but household air pollution (HAP from burning solid fuels causes cardiovascular and respiratory disease, and black carbon emissions exacerbate climate change. Boiled water is also easily re-contaminated. Our study was designed to identify the HWT methods used in rural China and to evaluate their effectiveness.We used a geographically stratified cross-sectional design in rural Guangxi Province to collect survey data from 450 households in the summer of 2013. Household drinking water samples were collected and assayed for Thermotolerant Coliforms (TTC, and physicochemical analyses were conducted for village drinking water sources. In the winter of 2013-2104, we surveyed 120 additional households and used remote sensors to corroborate self-reported boiling data.Our HWT prevalence estimates were: 27.1% boiling with electric kettles, 20.3% boiling with pots, 34.4% purchasing bottled water, and 18.2% drinking untreated water (for these analyses we treated bottled water as a HWT method. Households using electric kettles had the lowest concentrations of TTC (73% lower than households drinking untreated water. Multilevel mixed-effects regression analyses showed that electric kettles were associated with the largest Log10TTC reduction (-0.60, p<0.001, followed by bottled water (-0.45, p<0.001 and pots (-0.44, p<0.01. Compared to households drinking untreated water, electric kettle users also had the lowest risk of having TTC detected in their drinking water (risk ratio, RR = 0.49, 0.34-0.70, p<0.001, followed by bottled water users (RR = 0.70, 0.53-0.93, p<0.05 and households boiling with pots (RR = 0.74, 0.54-1.02, p = 0.06.As far as we are aware, this is the first HWT-focused study in China, and the first to quantify the

  20. Is the work ability index useful to evaluate absence days in ankylosing spondylitis patients? A cross-sectional study

    Science.gov (United States)

    Meyer, Katharina; Niedermann, Karin; Tschopp, Alois; Klipstein, Andreas

    2013-01-01

    Background The work incapacity of ankylosing spondylitis (AS) ranges between 3% and 50% in Europe. In many countries, work incapacity is difficult to quantify. The work ability index (WAI) is applied to measure the work ability in workers, but it is not well investigated in patients. Aims To investigate the work incapacity in terms of absence days in patients with AS and to evaluate whether the WAI reflects the absence from work. Hypothesis Absence days can be estimated based on the WAI and other variables. Design Cross-sectional design. Setting In a secondary care centre in Switzerland, the WAI and a questionnaire about work absence were administered in AS patients prior to cardiovascular training. The number of absence days was collected retrospectively. The absence days were estimated using a two-part regression model. Participants 92 AS patients (58 men (63%)). Inclusion criteria: AS diagnosis, ability to cycle, age between 18 and 65 years. Exclusion criteria: severe heart disease. Primary and secondary outcome measures Absence days. Results Of the 92 patients, 14 received a disability pension and 78 were in the working process. The median absence days per year of the 78 patients due to AS alone and including other reasons was 0 days (IQR 0–12.3) and 2.5 days (IQR 0–19), respectively. The WAI score (regression coefficient=−4.66 (p<0.001, CI −6.1 to −3.2), ‘getting a disability pension’ (regression coefficient=−106.8 (p<0.001, 95% CI −141.6 to −72.0) and other not significant variables explained 70% of the variance in absence days (p<0.001), and therefore may estimate the number of absence days. Conclusions Absences in our sample of AS patients were equal to pan-European countries. In groups of AS patients, the WAI and other variables are valid to estimate absence days with the help of a two-part regression model. PMID:23524041

  1. [Isolation of Aspergillus section Nigri strains in yerba mate in Posadas (Misiones, Argentina) and evaluation of their ochratoxigenic potential].

    Science.gov (United States)

    Castrillo, María L; Horianski, Marta A; Jerke, Gladis

    2013-01-01

    The objectives of the present work were to investigate the isolation frequency of genus Aspergillus in canchada yerba mate (YMCH) and elaborated yerba mate (YME) (Ilex paraguariensis) and the proportion of section Nigri isolates, as well as to determine ochratoxin A production by Aspergillus species section Nigri. Three hundred twenty eight Aspergillus strains from 20 samples of YMCH and 1306 Aspergillus strains from 36 samples of YME were isolated; of the total, 279 from the first group of strains and 1215 from the latter group, belonged to section Nigri. For the detection of ochratoxin A production, the strains were cultivated on Czapeck yeast extract agar and the toxin was detected by thin layer chromatography under UV light. Uniserate species predominance was observed in the 1494 strains of Aspergillus section Nigri obtained (Aspergillus japonicus var. japonicus and Aspergillus japonicus var. aculeatus), whereas none of the strains analysed showed ochratoxin A production in vitro at the detection level of the methodology employed.

  2. Neonatal clinical evaluation, blood gas and radiographic assessment after normal birth, vaginal dystocia or caesarean section in dogs.

    Science.gov (United States)

    Silva, L C G; Lúcio, C F; Veiga, G A L; Rodrigues, J A; Vannucchi, C I

    2009-07-01

    This study aimed to standardize signs and diagnostic criteria of respiratory function in newborn puppies delivered normally or after dystocia and caesarean operation. A total of 48 neonates were allocated into groups: eutocia (n = 20), dystocia (n = 8), caesarean (c)-section (n = 20). Neonatal health was assessed using the Apgar score and body temperature was determined at 0, 5 and 60 min after delivery. Venous blood gases (pO(2) and SO(2)) was measured immediately and 60 min after delivery, and a thoracic radiograph was made between 0 and 5 min of life. The c-section group had significantly lower Apgar scores at birth and 5 min. Hypothermia was present at 5 min in the eutocia and c-section groups, and at 60 min in all groups. The eutocia group had an irregular respiratory pattern in 78% of puppies at birth, 27.7% at 5 min and 21% at 60 min compared with 87.5%, 62.5% and 12.5% of the pups in the dystocia group where there was irregular respiratory rhythm, moderate to intense respiratory sounds with agonic episodes. The c-section group had respiratory alterations in 70%, 45% and 16% of puppies at 0, 5 and 60 min, respectively. Radiographic abnormalities were present in 17% of the pups in the eutocia group, 25% of the pups in the dystocia group and 30% of the pups in the c-section group, respectively. The c-section group had significantly lower SO(2) values at 60 min than at birth. All puppies had hypoxaemia, but a significant decrease was observed in the c-section group. Newborn puppies had tissue hypoxia and irregular respiratory pattern at birth. Caesarean-section puppies had lower vitality; however, all developed satisfactory Apgar scores at 5 min of life, regardless of the obstetric condition.

  3. Critical Evaluation of Chemical Reaction Rates and Collision Cross Sections of Importance in the Earth's Upper Atmosphere and the Atmospheres of Other Planets, Moons, and Comets

    Science.gov (United States)

    Huestis, David L.

    2006-01-01

    We propose to establish a long-term program of critical evaluation by domain experts of the rates and cross sections for atomic and molecular processes that are needed for understanding and modeling the atmospheres in the solar system. We envision data products resembling those of the JPL/NASA Panel for Data Evaluation and the similar efforts of the international combustion modeling community funded by US DoE and its European counterpart.

  4. Guidelines for the Psychosocial Evaluation of Living Unrelated Kidney Donors in the United States

    National Research Council Canada - National Science Library

    Dew, M. A; Jacobs, C. L; Jowsey, S. G; Hanto, R; Miller, C; Delmonico, F.L

    2007-01-01

    ..., in Washington, DC, to develop guidelines for the psychosocial evaluation of prospective living kidney donors who have neither a biologic nor longstanding emotional relationship with the transplant candidate...

  5. Flattening filter free beams from TrueBeam and Versa HD units: Evaluation of the parameters for quality assurance.

    Science.gov (United States)

    Fogliata, Antonella; Fleckenstein, Jens; Schneider, Frank; Pachoud, Marc; Ghandour, Sarah; Krauss, Harald; Reggiori, Giacomo; Stravato, Antonella; Lohr, Frank; Scorsetti, Marta; Cozzi, Luca

    2016-01-01

    Flattening filter free (FFF) beams generated by medical linear accelerators are today clinically used for stereotactical and non-stereotactical radiotherapy treatments. Such beams differ from the standard flattened beams (FF) in the high dose rate and the profile shape peaked on the beam central axis. Definition of new parameters as unflatness and slope for FFF beams has been proposed based on a renormalization factor for FFF profiles. The present study aims to assess the dosimetric differences between FFF beams generated by linear accelerators from different vendors, and to provide renormalization and parameter data of the two kinds of units. Dosimetric data from two Varian TrueBeam and two Elekta Versa HD linear accelerators, all with 6 and 10 MV nominal accelerating potentials, FF and FFF modes have been collected. Renormalization factors and related fit parameters according to Fogliata et al. ["Definition of parameters for quality assurance of flattening filter free (FFF) photon beams in radiation therapy," Med. Phys. 39, 6455-6464 (2012)] have been evaluated for FFF beams of both units and energies. Unflatness and slope parameters from profile curves were evaluated. Dosimetric differences in terms of beam penetration and near-the-surface dose were also assessed. FFF profile parameters have been updated; renormalization factors and unflatness from the Varian units are consistent with the published data. Elekta FFF beam qualities, different from the Varian generated beams, tend to express similar behaviour as the FF beam of the corresponding nominal energy. TPR20,10 for 6 and 10 MV FF and FFF TrueBeam beams are 0.665, 0.629 (6 MV) and 0.738, 0.703 (10 MV). The same figures for Versa HD units are 0.684, 0.678 (6 MV) and 0.734, 0.721 (10 MV). Renormalization factor and unflatness parameters evaluated from Varian and Elekta FFF beams are provided, in particular renormalization factors table and fit parameters.

  6. United States Federal Health Care Websites: A Multimethod Evaluation of Website Accessibility for Individuals with Disabilities

    Science.gov (United States)

    Brobst, John L.

    2012-01-01

    The problem addressed by this study is the observed low levels of compliance with federal policy on website accessibility. The study examines the two key federal policies that promote website accessibility, using a side-by-side policy analysis technique. The analysis examines the Americans with Disabilities Act of 1990 and Section 508 of the…

  7. Calculation and evaluation of cross-sections and kerma factors for neutrons up to 100 MeV on {sup 16}O and {sup 14}N

    Energy Technology Data Exchange (ETDEWEB)

    Chadwick, M.B. [California Univ., Livermor, CA (United States). Lawrence Livermore National Lab.; Young, P.G.

    1997-03-01

    We present evaluations of the interaction of neutrons with energies between 20 and 100 MeV with oxygen and nitrogen nuclei, which follows on from our previous work on carbon. Our aim is to accurately represent integrated cross sections, inclusive emission spectra, and kerma factors, in a data library which can be used in radiation transport calculations. We apply the FKK-GNASH nuclear model code, which includes Hauser-Feshbach, preequilibrium, and direct reaction mechanisms, and use experimental measurements to optimize the calculations. We determine total, elastic, and nonelastic cross sections, angle-energy correlated emission spectra for light ejectiles with A {<=} 4 and gamma-rays, and average energy depositions. Our results for charged-particle emission spectra agree well with the measurements of Subramanian et al. We compare kerma factors derived from our evaluated cross sections with experimental data, providing an integral benchmarking of our work. (author). 52 refs.

  8. Two-Loop N_F =1 QED Bhabha Scattering: Soft Emission and Numerical Evaluation of the Differential Cross-section

    CERN Document Server

    Bonciani, R; Mastrolia, Pierpaolo; Remiddi, E; Van der Bij, J J

    2004-01-01

    Recently, we evaluated the virtual cross-section for Bhabha scattering in pure QED, up to corrections of order alpha^4 (N_F =1). This calculation is valid for arbitrary values of the squared center of mass energy s and momentum transfer t; the electron and positron mass m was considered a finite, non vanishing quantity. In the present work, we supplement the previous calculation by considering the contribution of the soft photon emission diagrams to the differential cross-section, up to and including terms of order alpha^4 (N_F=1). Adding the contribution of the real corrections to the renormalized virtual ones, we obtain an UV and IR finite differential cross-section; we evaluate this quantity numerically for a significant set of values of the squared center of mass energy s.

  9. Evaluation of n + /sup 242/Pu reactions from 10 keV to 20 MeV. [Total cross sections, neutron emission energy dependence

    Energy Technology Data Exchange (ETDEWEB)

    Madland, D.G.; Young, P.G.

    1978-10-01

    An evaluation of the n + /sup 242/Pu cross sections is presented for the neutron energy range of 10 keV to 20 MeV. The total fission and radiative capture cross sections are based upon experimental measurements on /sup 242/Pu. The remaining cross sections, together with the elastic and inelastic angular distributions to low-lying states, were calculated using various reaction models. An expression is presented for the energy dependence of the average number of neutrons produced per fission. The results were placed in ENDF/B-V format and combined with a recent evaluation of data below 10 keV by the Hanford Engineering Development Laboratory, so that a complete data set covering the energy range of 10/sup -5/ eV to 20 MeV is available. 41 references. (JFP)

  10. Evaluation of cross sections and calculation of kerma factors for neutrons up to 80 MeV on {sup 12}C

    Energy Technology Data Exchange (ETDEWEB)

    Harada, M.; Watanabe, Y. [Kyushu Univ., Fukuoka (Japan); Chiba, S.; Fukahori, T.

    1997-03-01

    We have evaluated the cross sections for neutrons with incident energies from 20 to 80 MeV on {sup 12}C for the JENDL high-energy file. The total cross sections were determined by a generalized least-squares method with available experimental data. The cross sections of elastic and inelastic scattering to the first 2{sup +} were evaluated with the theoretical calculations. The optical potentials necessary for these calculations were derived using a microscopic approach by Jeukenne-Lejeune-Mahaux. For the evaluation of double differential emission cross sections (DDXs), we have developed a code system SCINFUL/DDX in which total 35 reactions including the 3-body simultaneous breakup process (n+{sup 12}C {yields} n+{alpha}+{sup 8}Be) can be taken into consideration in terms of a Monte Carlo method, and have calculated the DDXs of all light-emissions (A{<=}4) and heavier reaction products. The results for protons, deuterons, and alphas showed overall good agreement with experimental data. The code is also applicable for calculations of total and partial kerma factors. Total kerma factors calculated for energies from 20 to 80 MeV were compared with the measurements and the other latest evaluations from the viewpoints of medical application and nuclear heating estimation. (author)

  11. Experimental Evaluation of a Total Heat Recovery Unit with Polymer Membrane Foils

    DEFF Research Database (Denmark)

    Fang, Lei; Yuan, Shu; Nie, Jinzhe

    2014-01-01

    . The test was also conducted in isothermal conditions to observe the moisture transfer performance of the polymer membrane heat exchanger. The results of the experiment shows that total heat recovery equipment tested can recover up to 60 % of the total heat from the ventilation air. Around 87......A laboratory experimental study was conducted to investigate the energy performance of a total heat recovery unit using a polymer membranes heat exchanger. The study was conducted in twin climate chambers. One of the chambers simulated outdoor climate conditions and the other simulated the climate...... on the measured temperature and humidity values, the temperature, humidity, and enthalpy efficiencies of the total heat recovery unit were calculated. The experiment was conducted in different combinations of outdoor climate conditions simulating warm and humid outdoor climates and air-conditioned indoor climate...

  12. Evaluating the energy consumed for water use in the United States

    Science.gov (United States)

    Sanders, Kelly T.; Webber, Michael E.

    2012-09-01

    This letter consists of a first-order analysis of the primary energy embedded in water in the United States. Using a combination of top-down sectoral assessments of energy use together with a bottom-up allocation of energy-for-water on a component-wise and service-specific level, our analysis concludes that energy use in the residential, commercial, industrial and power sectors for direct water and steam services was approximately 12.3 ± 0.3 quadrillion BTUs or 12.6% of the 2010 annual primary energy consumption in the United States. Additional energy was used to generate steam for indirect process heating, space heating and electricity generation.

  13. Qualification of Daiichi Units 1, 2, and 3 Data for Severe Accident Evaluations - Process and Illustrative Examples from Prior TMI-2 Evaluations

    Energy Technology Data Exchange (ETDEWEB)

    Rempe, Joy Lynn [Idaho National Lab. (INL), Idaho Falls, ID (United States); Knudson, Darrell Lee [Idaho National Lab. (INL), Idaho Falls, ID (United States)

    2014-09-01

    The accidents at the Three Mile Island Unit 2 (TMI-2) Pressurized Water Reactor (PWR) and the Daiichi Units 1, 2, and 3 Boiling Water Reactors (BWRs) provide unique opportunities to evaluate instrumentation exposed to severe accident conditions. Conditions associated with the release of coolant and the hydrogen burn that occurred during the TMI-2 accident exposed instrumentation to harsh conditions, including direct radiation, radioactive contamination, and high humidity with elevated temperatures and pressures. As part of a program initiated in 2012 by the Department of Energy Office of Nuclear Energy (DOE-NE), a review was completed to gain insights from prior TMI-2 sensor survivability and data qualification efforts. This initial review focused on the set of sensors deemed most important by post-TMI-2 instrumentation evaluation programs. Instrumentation evaluation programs focused on data required by TMI-2 operators to assess the condition of the reactor and containment and the effect of mitigating actions taken by these operators. In addition, prior efforts focused on sensors providing data required for subsequent forensic evaluations and accident simulations. To encourage the potential for similar activities to be completed for qualifying data from Daiichi Units 1, 2, and 3, this report provides additional details related to the formal process used to develop a qualified TMI-2 data base and presents data qualification details for three parameters: primary system pressure; containment building temperature; and containment pressure. As described within this report, sensor evaluations and data qualification required implementation of various processes, including comparisons with data from other sensors, analytical calculations, laboratory testing, and comparisons with sensors subjected to similar conditions in large-scale integral tests and with sensors that were similar in design to instruments easily removed from the TMI-2 plant for evaluations. As documented

  14. Evaluating the quality of patient leaflets about renal replacement therapy across UK renal units.

    Science.gov (United States)

    Winterbottom, Anna; Conner, Mark; Mooney, Andrew; Bekker, Hilary L

    2007-08-01

    Enhancing patient participation is a priority for renal services. Good quality information is fundamental to facilitate patient involvement, but in other health contexts it has been found to be sub-optimal. This research aims to audit the provision of patient information by renal units and charities and to assess the quality of written information about dialysis treatment options. All UK renal units were sent a questionnaire about the patient information they provided. Renal units and charities that provided dialysis leaflets were asked to forward copies. Leaflet quality and content were assessed by a coding frame informed by information and decision aid checklists. Out of 105, 67 completed questionnaires were returned. Services provide patients with large amounts of information in several media (leaflets, meetings with nurses and patients, videos); computers were not used frequently. Out of 47, 32 units forwarded leaflets about dialysis, and 31 different leaflets. Most leaflets were difficult to understand and rarely included risk information or treatment limitations. No leaflets included techniques to assist patient involvement or decision-making; their primary goal was to inform. These data suggest an unsystematic pattern of information provision across the UK. Vast resources have been spent on providing information to patients that is difficult to comprehend and incomplete. Research needs to identify which resources are effective in meeting patient needs and at what point in their illness. A centralized system to guide renal services in the design and development of information resources may help meet the differing goals of education, choice facilitation and preparation for self-management.

  15. Dementia care worker stress associations with unit type, resident, and work environment characteristics: a cross-sectional secondary data analysis of the Swiss Nursing Homes Human Resources Project (SHURP).

    Science.gov (United States)

    Vogel, Barbara; De Geest, Sabina; Fierz, Katharina; Beckmann, Sonja; Zúñiga, Franziska

    2017-03-01

    Although caring for residents with dementia in nursing homes is associated with various stressors for care workers, the role of the unit type, and particularly the proportion of residents with dementia, remains unclear. This study aimed to explore associations between unit type and care worker stress, taking into account additional potential stressors. This cross-sectional study was a secondary data analysis in the Swiss Nursing Homes Human Resources Project, which included data from 3,922 care workers from 156 Swiss nursing homes. Care workers' stress was measured with a shortened version of the Health Professions Stress Inventory. Generalized estimating equation models were used to assess care worker stress and its relationships with three unit types (special care units and others with high or low proportions of residents with dementia), work environment factors, and aggressive resident behavior. After including all potential stressors in the models, no significant differences between the three unit types regarding care worker stress were found. However, increased care worker stress levels were significantly related to lower ratings of staffing and resources adequacy, the experience of verbal aggression, and the observation of verbal or physical aggression among residents. Although the unit type plays only a minor role regarding care worker stress, this study confirms that work environment and aggressive behavior of residents are important factors associated with work-related stress. To prevent increases of care worker stress, interventions to improve the work environment and strengthen care workers' ability to cope with aggressive behavior are suggested.

  16. Evaluation of effect of three different dental unit waterline antimicrobials on the shear bond strength to dentin - An ex vivo study

    Directory of Open Access Journals (Sweden)

    B V Sreenivasa Murthy

    2012-01-01

    Full Text Available Background: In restorative treatment dental unit water is used while irrigating the cavity and also in the use of composite restorations to flush away the etchant to place bonding agent. These antimicrobials may influence the bond strength of the dentine bonding agent to the dentine. Aim and Objective: To evaluate the effect of three different dental units waterline antimicrobials on the shear bond strength of dentin. Materials and Methods: Sixty freshly extracted human teeth were taken and the occlusal surfaces were sectioned to obtain a flat dentin surface. Then the teeth were randomized into 4 groups depending on the antimicrobial used: Group 1(Distilled water, Group 2 (Alpron, Group 3 (CitriSil, and Group 4 (Chlorhexidine. The dentine surface was prepared for bonding and composite resin was placed in two increments of 2 mm each. The specimens were stored in distilled water, thermo cycled after 7 days shear test was performed by using the universal testing machine. Result: No significant difference between Group 1 and Group 2 with regard to shear bond strength. There was a significant difference in the SBS of Group 1 and Group 3 and Group 4. The SBS of group 2 was higher than Group 3 and Group 4 and the difference was statistically significant. Conclusion: Citrisil and Chlorhexidine groups showed affected bond strength whereas Alpron did not vary with bond strength.

  17. Evaluation of noise in a neonatal unit at a university hospital

    Directory of Open Access Journals (Sweden)

    Ariadne Pinheiro Nazario

    2015-05-01

    Full Text Available Objective: To identify and measure the main sources of noise, to determine the levels of ambient noise and to know the perception of employees about noise in a Neonatal Unit. Material and method: A quantitative study developed in a Neonatal Unit School Hospital, Paraná, Brazil, conducted in three steps: identification of the main sources of noise and subsequent measure; interview with the multidisciplinary team about the perception of noise in the unit; and dimensioning noise ambient for two non-consecutive weeks. Results: The main sources of noise were: monitor and equipment alarms, open water faucets, trash can lids, among others. The mean of the two weeks period was: Leq 44.4 dB, Lmax 104.5 dB, Lmin 40 dB and Lpeak 144.8 dB. Employees acknowledged that intense noise is prejudicial to them and to babies. Conclusion: It was found that the mean value of the noise is within the recommended, but with very high levels of Lpeak and Lmax.

  18. Salmonella and raw shell eggs: results of a cross-sectional study of contamination rates and egg safety practices in the United Kingdom catering sector in 2003.

    Science.gov (United States)

    Elson, R; Little, C L; Mitchell, R T

    2005-02-01

    This study was prompted by epidemiological investigations of the unusual number of Salmonella Enteritidis outbreaks associated with the use of eggs in catering premises in England and Wales during 2002. The aims of the study, performed between April and May 2003, were to establish the rate of Salmonella contamination in raw shell eggs from catering premises, investigate any correlation between the origin and type of eggs and the presence of particular serotypes or phage types (PTs) of Salmonella, and examine the use of raw shell eggs in catering premises in the United Kingdom. A total of 34,116 eggs (5,686 pooled samples of six eggs) were collected from 2,104 catering premises, most of which were eggs produced in the United Kingdom (88%). Salmonella was isolated from 17 pools (0.3%) of eggs. Of these, 15 were Salmonella Enteritidis, which were further characterized to PTs as follows: PT6 (0.1%), PT4 (0.07%), PT12 (0.04%), PT1 (0.04%), and PT14b (0.02%). Salmonella Livingstone and Salmonella Typhimurium definitive type 7 resistant to ampicillin, streptomycin, sulfonamides, and tetracycline were also isolated. The Salmonella contamination rate of eggs produced in the United Kingdom appears to have decreased significantly since 1995 and 1996. This trend is reflected in the decrease of Salmonella Enteritidis and, in particular, Salmonella Enteritidis PT4. The impact of the United Kingdom Food Standards Agency's advice on the use of eggs, issued in January 2003, is discussed.

  19. Harm Reduction Unit of the City of Santo André, São Paulo State, Brazil: An Evaluation

    Directory of Open Access Journals (Sweden)

    Silvia Moreira da Silva

    2010-12-01

    Full Text Available The Harm Reduction Unit (HRU in Santo André (São Paulo State was created to improve the health of people who either live or work on the streets: drug users, commercial sex workers (male and female, men who have sex with men, sexually exploited adolescents, transsexuals, transvestites, lesbians, and women working in brothels. This project was undertaken to evaluate the HRU from the perspective of its users. A semi-structured interview was administered to nineteen users from different segments of the populations served by the unit. The major weaknesses of the HRU were felt to be its inconsistent presence in some areas and the absence of psychologists to provide follow-up care. The unit was seen as promoting better health, increased use of condoms, reduction in drug usage, increased access and use of health care services, and less sharing of equipment used in drug consumption. Users see the HRU as a sympathetic presence whose ongoing work provides them with a sense of security and protection. The impact of the HRU went beyond harm reduction; users reported transformative changes such as increased awareness of their social rights and knowledge about how those rights can be demanded. Users had been given new tools to face their problems and seek access to education, work, and housing. Key words: harm reduction, illegal drugs, health service evaluation, social problems

  20. GEANT4 simulation and evaluation of a time-of-flight spectrometer for nuclear cross section measurements in particle therapy

    Energy Technology Data Exchange (ETDEWEB)

    Gruenwald, Oxana

    2011-06-08

    In 2007 a new project has been launched in a cooperation between the RWTH Aachen Physics Department, the University Hospital Aachen and the Philips Research Laboratories. The project aim is to validate and improve GEANT4 nuclear interaction models for use in proton and ion therapy. The method chosen here is the measurement of nuclear reaction cross sections which will not only provide a comparison to the simulation but will also allow to improve some of the parameters in the nuclear models. In the first phase of the project 200 MeV protons are used as a projectile in combination with a thin graphite target. For use in particle therapy the excitation functions of the most frequently produced isotopes need to be measured with an accuracy of 10% or less. For this purpose a dedicated detector system has been designed and implemented in GEANT4. The detection of target fragments produced by protons in graphite is achieved via time-of-flight spectrometry. In the setup presented here the primary beam first hits the Start detector and initiates the time-of-flight measurement before it passes through the apertures of two Veto detectors and impinges on the target. Successively, the secondary particles emanating from the target travel a short distance of 70/80 cm through vacuum (0.1 mbar) before they hit one of the 20 Stop detectors which end the time-of-flight measurement and record the energy deposited by the particle. The dissertation at hand describes the underlying detector concept and presents a detailed GEANT4 simulation of the setup which allows to evaluate the detector performance with respect to target fragment identification at a projectile energy of 200 MeV. At first, correlations of time-of-flight and energy deposition are built from simulated data and are subsequently used to reconstruct mass spectra of the detected fragments. Such influences on the detection performance as the target thickness, the residual pressure within the detector chamber, the Veto system

  1. Evaluation of dynamic fracture toughness for Yong Gwang unit 5 reactor pressure vessel materials (Baseline Tests)

    Energy Technology Data Exchange (ETDEWEB)

    Chi Se Hwan; Kim, Joo Hag; Hong, Jun Hwa; Kwon, Sun Chil; Lee, Bong Sang [Korea Atomic Energy Research Institute, Taejon (Korea)

    1999-10-01

    The dynamic fracture toughness (K{sub d}) of intermediate shell and its weld in SA 508 CI. 3 Yong Gwang 5 reactor pressure vessel was determined and evaluated. Precracked thirty six Charpy specimens were tested by using an instrumented impact tester. The purpose of present work is to evaluate and confirm the un-irradiated dynamic fracture toughness and to provide pre-irradiation baseline data for future evaluation on dynamic fracture toughness change during operation. 18 refs., 5 figs., 5 tabs. (Author)

  2. EVALUATION OF THE TRADE RELATIONSHIP BETWEEN VIETNAM AND CHINA; VIETNAM AND UNITED STATES: A COMPARISON USING GRAVITY MODEL

    Directory of Open Access Journals (Sweden)

    Lien Thi Dinh

    2017-06-01

    Full Text Available This study aims to evaluate the determinants of trade relationship between two largest trading partners of Vietnam, United States and China. Using gravity model for time series data from 1986 to 2015, the study found that economic growth rate plays a crucial role in stimulating the trade flow. Both trade relationships fit with the practical approach of Heckscher-Ohlin theory, stating that trade flow increases between countries with different income levels. The most important finding of this study lines on the results regarding the impact of trade agreements. While United States-Vietnam bilateral agreement creates trade, the trade agreement between ASEAN and China produced trade diversion. As China expands its markets among ASEAN countries, Vietnam should diversify its export markets to improve its export flow.

  3. Energy Consumption Evaluation of United States Navy Leed Certified Building For Fiscal Year 2009

    Science.gov (United States)

    2010-01-01

    inclusion in this study was the ability to provide at least one full year of measured post - occupancy energy usage data for the entire LEED project...the Federal Energy Management Program. 4. Fowler, K. M. and Rauch, E. M. (2008). “A Post - Occupancy Evaluation of 12 GSA Buildings”. PNNL-17393...the Cascadia Region: A Post Occupancy Evaluation Report”. January 30, 2006. Cascadia Region Green Building Council. http://cascadiagbc.org

  4. Patient safety, satisfaction, and quality of hospital care: cross sectional surveys of nurses and patients in 12 countries in Europe and the United States.

    NARCIS (Netherlands)

    Aiken, L.H.; Sermeus, W.; Heede, K. Van den; Sloane, D.M.; Busse, R.; McKee, M.; Bruyneel, L.; Rafferty, A.M.; Griffiths, P.; Moreno-Casbas, M.T.; Tishelman, C.; Scott, A.; Brzostek, T.; Kinnunen, J.; Schwendimann, R.; Heinen, M.M.; Zikos, D.; Sjetne, I.S.; Smith, H.L.; Kutney-Lee, A.

    2012-01-01

    OBJECTIVE: To determine whether hospitals with a good organisation of care (such as improved nurse staffing and work environments) can affect patient care and nurse workforce stability in European countries. DESIGN: Cross sectional surveys of patients and nurses. SETTING: Nurses were surveyed in

  5. Patient safety, satisfaction, and quality of hospital care: cross sectional surveys of nurses and patients in 12 countries in Europe and the United States.

    NARCIS (Netherlands)

    Aiken, L.H.; Sermeus, W.; Heede, K. Van den; Sloane, D.M.; Busse, R.; McKee, M.; Bruyneel, L.; Rafferty, A.M.; Griffiths, P.; Moreno-Casbas, M.T.; Tishelman, C.; Scott, A.; Brzostek, T.; Kinnunen, J.; Schwendimann, R.; Heinen, M.M.; Zikos, D.; Sjetne, I.S.; Smith, H.L.; Kutney-Lee, A.

    2012-01-01

    OBJECTIVE: To determine whether hospitals with a good organisation of care (such as improved nurse staffing and work environments) can affect patient care and nurse workforce stability in European countries. DESIGN: Cross sectional surveys of patients and nurses. SETTING: Nurses were surveyed in gen

  6. Technical evaluation of RETS-required reports for Fort Calhoun Station Unit 1

    Energy Technology Data Exchange (ETDEWEB)

    Magleby, E.H.; Young, T.E.

    1985-06-24

    A review of the reports required by federal regulations and the plant-specific Radiological Effluent Technical Specifications (RETS) for operations conducted during 1983 was performed. The periodic reports reviewed for Fort Calhoun Station Unit 1 were two Semiannual Reports for Technical Specification 5.9.4. The principal review guidelines were the plant's specific RETS, NUREG-0133, ''Preparation of Radiological Effluent Technical Specifications for Nuclear Power Plants'', and NRC Guidance on the Review of the Process Control Programs. The Licensee's submitted reports were found to be reasonably complete and consistent with the review guidelines. 4 refs.

  7. Risk assessment analysis of the future technical unit dedicated to the evaluation and treatment of motor disabilities.

    Science.gov (United States)

    Grelier, S; Thetio, M; Quentin, V; Achache, V; Sanchez, N; Leroux, V; Durand, E; Pequignot, R

    2011-03-01

    The National Hospital of Saint Maurice (HNSM) for Physical Medicine and Rehabilitation aims at strengthening its position as a pivot rehabilitation and physical therapy center. The opening in 2011 of a new unit for the evaluation and treatment of motor disabilities meets this objective. This project includes several parts: clinical, financial, architectural, organizational, applied clinical research as well as dealing with medical equipments and information system. This study focuses on the risk assessment of this future technical unit. This study was conducted by a group of professionals working for the hospital. It started with the design of a functional model to better comprehend the system to be analyzed. Risk assessment consists in confronting this functional model to a list of dangers in order to determine the vulnerable areas of the system. Then the team designed some scenarios to identify the causes, securities barriers and consequences in order to rank the risks. The analysis targeted various dangers, e.g. political, strategic, financial, economical, marketing, clinical and operational. The team identified more than 70 risky scenarios. For 75% of them the criticality level was deemed initially tolerable and under control or unacceptable. The implementation of an action plan for reducing the level of risks before opening this technical unit brought the system down to an acceptable level at 66%. A year prior to opening this technical unit for the evaluation and treatment of motor disabilities, conducting this preliminary risk assessment, with its exhaustive and rigorous methodology, enabled the concerned professionals to work together around an action plan for reducing the risks. 2011 Elsevier Masson SAS. All rights reserved.

  8. Patient safety culture in a Dutch pediatric surgical intensive care unit: an evaluation using the Safety Attitudes Questionnaire.

    Science.gov (United States)

    Poley, Marten J; van der Starre, Cynthia; van den Bos, Ada; van Dijk, Monique; Tibboel, Dick

    2011-11-01

    Nowadays, the belief is widespread that a safety culture is crucial to achieving patient safety, yet there has been virtually no analysis of the safety culture in pediatric hospital settings so far. Our aim was to measure the safety climate in our unit, compare it with benchmarking data, and identify potential deficiencies. Prospective longitudinal survey study at two points in time. Pediatric surgical intensive care unit at a Dutch university hospital. All unit personnel. To measure the safety climate, the Safety Attitudes Questionnaire was administered to physicians, nurses, nursing assistants, pharmacists, technicians, and ward clerks in both May 2006 and May 2007. This questionnaire assesses caregiver attitudes through use of the six following scales: teamwork climate, job satisfaction, perceptions of management, safety climate, working conditions, and stress recognition. Earlier research showed that the Safety Attitudes Questionnaire has good psychometric properties and produced benchmarking data that can be used to evaluate strengths and weaknesses in a given clinical unit against peers. The response rates for the Safety Attitudes Questionnaire were 85% (May 2006) and 74% (May 2007). There were mixed findings regarding the difference between physicians and nurses: on three scales (i.e., teamwork climate, safety climate, and stress recognition), physicians scored better than nurses at both points in time. On another two scales (i.e., perceptions of management and working conditions), nurses consistently had higher mean scale scores. Probably due to the small number of physicians, only some of these differences between physicians and nurses reached the level of statistical significance. Compared to benchmarking data, scores on perceptions of management were higher than expected (p culture in our unit was good when compared to benchmark data, there is still room for improvement. This requires us to continue working on interventions intended to improve the safety

  9. New JEFF-3.2 Sodium Neutron Induced Cross-sections Evaluation for Neutron Fast Reactors Applications: from 0 to 20 MeV

    Science.gov (United States)

    Archier, P.; Noguère, G.; De Saint Jean, C.; Plompen, A. J. M.; Rouki, C.

    2014-04-01

    In the framework of the ASTRID project, a new 23Na evaluation, containing re-evaluated nuclear data and associated covariances, has been prepared to be submitted for the future JEFF-3.2 library. This work has been motivated mainly because the current JEFF-3.1.1 sodium evaluation showed large differences with microscopic measurements and does not have covariances data. Recent experimental data from IRMM and high resolution measurements from Larson have been simultaneously analyzed with the data assimilation code CONRAD and a good agreement with the evaluated cross-sections has been achieved. Experimental systematic uncertainties have been propagated to the nuclear reaction model parameters in order to produce a coherent set of covariance data. Several figures are provided in this paper to illustrate the new features of this evaluation.

  10. Quantitative evaluation of flexibility in undergraduate engineering curricula in the United Arab Emirates

    Directory of Open Access Journals (Sweden)

    Naif A. Darwish

    2016-03-01

    Full Text Available In academia, smooth progression of students significantly depends on the way curricula are developed and organized. Curricula or study plans with high degree of interconnectivity between courses, multiple prerequisites, and hierarchically structured courses tend to complicate the smooth progress of the enrolled students. In this work, a rigorous quantitative relaxation indicator, developed and published elsewhere by the first author, has been applied to quantify the degree of stiffness and rigidity in undergraduate engineering curricula at the American University of Sharjah (AUS, the University of Sharjah (UOS, United Arab Emirates University (UAEU, and the Petroleum Institute (PI, which are the leading universities in the United Arab Emirates. Results indicate high rigidity (low relaxation indices due to high degree of interconnectivity between courses, specifically in the second year of the study plans. The chemical engineering curriculum at PI exhibited the least flexibility due to very strong pre-and-co-requisite ties while the civil & environmental curriculum at UAEU showed the highest flexibility. The curricula considered require immediate attention and reorganization in order to facilitate smooth sequential progress of the students from one semester to another. A list of courses that require relaxation of strong pre-and corequisites ties has been presented for each curriculum.

  11. Establishing an accurate diagnosis of a parotid lump: evaluation of the current biopsy methods - fine needle aspiration cytology, ultrasound-guided core biopsy, and intraoperative frozen section.

    Science.gov (United States)

    Howlett, D C; Skelton, E; Moody, A B

    2015-09-01

    The optimum technique for histological confirmation of the nature of a parotid mass remains controversial. Fine needle aspiration cytology (FNAC), which has traditionally been used, is associated with high non-diagnostic and false negative rates, and ultrasound (US)-guided core biopsy and frozen section have been explored as alternatives. US-guided core biopsy is more invasive than FNAC, but is safe, well-tolerated, and associated with improved diagnostic performance. Although frozen section offers better specificity than FNAC, it has a number of important drawbacks and cannot be considered as a primary diagnostic tool. US-guided core biopsy should be considered as the initial diagnostic technique of choice, and in units where the accuracy of FNAC is good it can be used when FNAC is equivocal or non-diagnostic. Copyright © 2015 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.

  12. Bone density: comparative evaluation of Hounsfield units in multislice and cone-beam computed tomography

    Directory of Open Access Journals (Sweden)

    Isabela Maria de Carvalho Crusoé Silva

    2012-12-01

    Full Text Available The aim of this study was to evaluate the validity of the bone density value of potential implant sites in HU obtained by a specific cone-beam computed tomography (CBCT device. In this study, the HU values obtained using a MSCT scanner were used as the gold standard. Twenty mandibles (40 potential implant sites were scanned using an MSCT scanner (Somatom Sensation 40 and a CBCT scanner (i-CAT. The MSCT images were evaluated using the Syngo CT Workplace software and the CBCT images, using the XoranCat software. The images were evaluated twice by three oral radiologists, at 60 day intervals. The trabecular bone density of the same area was evaluated on both images. Intraclass coefficients (ICC were calculated to examine the agreement between the examiners and between the two periods of evaluation. The bone density and area of the ROI were compared by the Student t test and Bland-Altman analysis. ICCs were excellent. The mean HU value obtained using CBCT (418.06 was higher than that obtained using MSCT (313.13, with a statistically significant difference (p < 0.0001. In addition, Bland-Altman analysis showed that the HU measures were not equivalent. In conclusion, the bone density in HU with CBCT images obtained using the device studied proved unreliable, since it was higher than that obtained using MSCT.

  13. Construction, evaluation and demonstration of mobile catalytic combustion units for destruction of methane and different odor pollutants

    Energy Technology Data Exchange (ETDEWEB)

    Jannasch, Anna-Karin [Catator AB, Lund (Sweden)

    2012-02-15

    This project reports on the construction, the evaluation and the demonstration of novel, mobile small-scale (< 100 Nm{sup 3}/h) combustion units for reduction of methane and/or different odour pollutants (e.g. hydrogen sulfide, ammonia, VOC) existing in small concentrations in process air streams. The evaluated units include a regenerative (MeshRegenOx/MRO) and a recuperative, catalytic unit (Deodoron), respectively, which both are based on Catator's proprietary wire mesh catalyst technology. The evaluation and the demonstration work have involved laboratory tests with synthetic gases and a number of field tests at plants for biogas production, water and waste treatment. The results show that: 1. In comparison to conventional thermal emission abatement systems, the wire mesh catalyst technology opens up for the construction of very compact (V=0.6 Nm, W=500 kg for 1000 Nm{sup 3}/h) and thermo-economical systems (> 95 %), which technology can easily be scaled up and integrated into existing industrial and/or process streams. 2. Catator's MRO-prototype enables for autothermal oxidation of methane, with a conversion degree of 97-98 %, from an inlet concentration of 0.2 vol% at an operation temperature of 660-700 deg, i.e. 200-300 deg less than when conventional homogenous flame combustion is applied. 3. The performance of the MRO-unit was seen to be somewhat unstable, with an oscillating conversion degree during the operation cycle. This should however be able to overcome by further optimizing the integrated catalyst package and the heat exchanger. Significant improvements in efficiency and stability are also to be expected by the scale-up due to a decreasing heat loss with an increasing capacity 4. Close to 100 % removal of different odorants, with a thermal efficiency of around 80 %, can be obtained by the use of Catator's unit Deodoron at an operation temperature of 300-400 deg. The results were verified by odor tests performed up- and downstream the

  14. Construction, evaluation and demonstration of mobile catalytic combustion units for destruction of methane and different odor pollutants

    Energy Technology Data Exchange (ETDEWEB)

    Jannasch, Anna-Karin [Catator AB, Lund (Sweden)

    2012-02-15

    This project reports on the construction, the evaluation and the demonstration of novel, mobile small-scale (< 100 Nm{sup 3}/h) combustion units for reduction of methane and/or different odour pollutants (e.g. hydrogen sulfide, ammonia, VOC) existing in small concentrations in process air streams. The evaluated units include a regenerative (MeshRegenOx/MRO) and a recuperative, catalytic unit (Deodoron), respectively, which both are based on Catator's proprietary wire mesh catalyst technology. The evaluation and the demonstration work have involved laboratory tests with synthetic gases and a number of field tests at plants for biogas production, water and waste treatment. The results show that: 1. In comparison to conventional thermal emission abatement systems, the wire mesh catalyst technology opens up for the construction of very compact (V=0.6 Nm, W=500 kg for 1000 Nm{sup 3}/h) and thermo-economical systems (> 95 %), which technology can easily be scaled up and integrated into existing industrial and/or process streams. 2. Catator's MRO-prototype enables for autothermal oxidation of methane, with a conversion degree of 97-98 %, from an inlet concentration of 0.2 vol% at an operation temperature of 660-700 deg, i.e. 200-300 deg less than when conventional homogenous flame combustion is applied. 3. The performance of the MRO-unit was seen to be somewhat unstable, with an oscillating conversion degree during the operation cycle. This should however be able to overcome by further optimizing the integrated catalyst package and the heat exchanger. Significant improvements in efficiency and stability are also to be expected by the scale-up due to a decreasing heat loss with an increasing capacity 4. Close to 100 % removal of different odorants, with a thermal efficiency of around 80 %, can be obtained by the use of Catator's unit Deodoron at an operation temperature of 300-400 deg. The results were verified by odor tests performed up- and downstream the

  15. Debate: Nationalism or Sectionalism?

    Science.gov (United States)

    McDonald, Forrest; Genovese, Eugene D.

    1987-01-01

    McDonald contends that in the 1820s economic and technological changes were creating sectional differences in the United States while the political arena declined in influence. Genovese argues, however, that from the earliest days of the republic different ways of life in the north and south led to a sectional division changing the political…

  16. Development of a Systemwide Predator Control Program, Section II : Northern Squawfish Management Program Evaluation, 1995 annual report.

    Energy Technology Data Exchange (ETDEWEB)

    Young, Franklin R. (Columbia Basin Fish and Wildlife Authority, Portland, OR)

    1997-04-01

    Report on progress on evaluation of the Columbia River Northern Squawfish Management Program in 1995. The objectives in 1995 were to (1) evaluate exploitation rate and size composition of northern squawfish captured in various fisheries, and estimate reductions in predation on juvenile salmonids since implementation of the Northern Squawfish Management Program; and (2) evaluate changes through 1995 in relative abundance, consumption, size and age structure, growth, and fecundity of northern squawfish in lower Columbia and Snake River reservoirs and in the Columbia River downstream from Bonneville Dam.

  17. Evaluation of long-term post-accident core cooling of Three Mile Island Unit 2

    Energy Technology Data Exchange (ETDEWEB)

    None

    1979-04-15

    On the basis of current understanding of the accident scenario and available data, the staff reports here on its evaluation of the condition of the core and the core flow resistance as it might affect ability to cool the core by natural circulation. The natural circulation cooling capability of TMI-2 for the estimated core flow resistance and a variety of other conditions is evaluated and a comparison of the Base Case and off-nominal plant configurations is presented. The potential for and effects of natural convection core cooling are addressed, and the staff recommendations for reactor performance acceptance criteria upon initiation of natural convection are presented.

  18. Errors analysis in the evaluation of particle concentration by PDA on a turbulent two-phase jet: application for cross section and transit time methods

    Energy Technology Data Exchange (ETDEWEB)

    Calvo, Esteban; Garcia, Juan A.; Garcia, Ignacio; Aisa, Luis A. [University of Zaragoza, Area de Mecanica de Fluidos, Centro Politecnico Superior, Zaragoza (Spain)

    2009-09-15

    Phase-Doppler anemometry (PDA) is a powerful tool for two-phase flow measurements and testing. Particle concentration and mass flux can also be evaluated using the raw particle data supplied by this technique. The calculation starts from each particle velocity, diameter, transit time data, and the total measurement time. There are two main evaluation strategies. The first one uses the probe volume effective cross section, and it is usually simplified assuming that particles follow quasi one-directional trajectories. In the text, it will be called the cross section method. The second one includes a set of methods which will be denoted as ''Generalized Integral Methods'' (GIM). Concentration algorithms such as the transit time method (TTM) and the integral volume method (IVM) are particular cases of the GIM. In any case, a previous calibration of the measurement volume geometry is necessary to apply the referred concentration evaluation methods. In this study, concentrations and mass fluxes both evaluated by the cross-section method and the TTM are compared. Experimental data are obtained from a particle-laden jet generated by a convergent nozzle. Errors due to trajectory dispersion, burst splitting, and multi-particle signals are discussed. (orig.)

  19. Evaluation of Hylife-II and Sombrero using 175- and 566- group neutron transport and activation cross sections

    Energy Technology Data Exchange (ETDEWEB)

    Cullen, D; Latkowski, J; Sanz, J

    1999-06-18

    Recent modifications to the TART Monte Carlo neutron and photon transport code enable calculation of 566-group neutron spectra. This expanded group structure represents a significant improvement over the 50- and 175-group structures that have been previously available. To support use of this new capability, neutron activation cross section libraries have been created in the 175- and 566-group structures starting from the FENDL/A-2.0 pointwise data. Neutron spectra have been calculated for the first walls of the HYLIFE-II and SOMBRERO inertial fusion energy power plant designs and have been used in subsequent neutron activation calculations. The results obtained using the two different group structures are compared to each other as well as to those obtained using a 175-group version of the EAF3.1 activation cross section library.

  20. Evaluation of HYLIFE-II and Sombrero using 175- and 566-group neutron transport and activation cross sections

    CERN Document Server

    Latkowski, J F; Sanz, J

    2000-01-01

    Recent modifications to the TART Monte Carlo neutron and photon transport code allow enable calculation of 566-group neutron spectra. This expanded group structure represents a significant improvement over the 50- and 175-group structures that have been previously available. To support use of this new capability, neutron activation cross-section libraries have been created in the 175- and 566-group structures starting from the FENDL/A-2.0 pointwise data. Neutron spectra have been calculated for the first walls of the HYLIFE-II and Sombrero inertial fusion energy power plant designs and have been used in subsequent neutron activation calculations. The results obtained using the two different group structures are compared with each other as well as to those obtained using a 175-group version of the EAF3.1 activation cross-section library.