WorldWideScience

Sample records for units arrhenius experiments

  1. United Kingdom's experience

    International Nuclear Information System (INIS)

    Drummond, S.M.

    1994-01-01

    This is a presentation of the United Kingdom's experience with power transmission open access. The topics of the presentation include the objectives of changing, commercial arrangements and economic drivers, long term effects, the effects of moving to a more competitive environment, and factors affecting open access such as political climate and market regulation

  2. Science Experience Unit: Conservation.

    Science.gov (United States)

    Ferguson-Florissant School District, Ferguson, MO.

    GRADES OR AGES: Intermediate grades. SUBJECT MATTER: Conservation. ORGANIZATION AND PHYSICAL APPEARANCE: The guide is divided into 24 experiments. It is mimeographed and staple-bound with a paper cover. OBJECTIVES AND ACTIVITIES: A specific skill or knowledge objective is stated at the beginning of each experiment. Detailed procedures are listed…

  3. Arrhenius Rate: constant volume burn

    Energy Technology Data Exchange (ETDEWEB)

    Menikoff, Ralph [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)

    2017-12-06

    A constant volume burn occurs for an idealized initial state in which a large volume of reactants at rest is suddenly raised to a high temperature and begins to burn. Due to the uniform spatial state, there is no fluid motion and no heat conduction. This reduces the time evolu tion to an ODE for the reaction progress variable. With an Arrhenius reaction rate, two characteristics of thermal ignition are illustrated: induction time and thermal runaway. The Frank-Kamenetskii approximation then leads to a simple expression for the adiabatic induction time. For a first order reaction, the analytic solution is derived and used to illustrate the effect of varying the activation temperature; in particular, on the induction time. In general, the ODE can be solved numerically. This is used to illustrate the effect of varying the reaction order. We note that for a first order reaction, the time evolution of the reaction progress variable has an exponential tail. In contrast, for a reaction order less than one, the reaction completes in a nite time. The reaction order also affects the induction time.

  4. Estimating Arrhenius parameters using temperature programmed molecular dynamics

    International Nuclear Information System (INIS)

    Imandi, Venkataramana; Chatterjee, Abhijit

    2016-01-01

    Kinetic rates at different temperatures and the associated Arrhenius parameters, whenever Arrhenius law is obeyed, are efficiently estimated by applying maximum likelihood analysis to waiting times collected using the temperature programmed molecular dynamics method. When transitions involving many activated pathways are available in the dataset, their rates may be calculated using the same collection of waiting times. Arrhenius behaviour is ascertained by comparing rates at the sampled temperatures with ones from the Arrhenius expression. Three prototype systems with corrugated energy landscapes, namely, solvated alanine dipeptide, diffusion at the metal-solvent interphase, and lithium diffusion in silicon, are studied to highlight various aspects of the method. The method becomes particularly appealing when the Arrhenius parameters can be used to find rates at low temperatures where transitions are rare. Systematic coarse-graining of states can further extend the time scales accessible to the method. Good estimates for the rate parameters are obtained with 500-1000 waiting times.

  5. Estimating Arrhenius parameters using temperature programmed molecular dynamics

    Energy Technology Data Exchange (ETDEWEB)

    Imandi, Venkataramana; Chatterjee, Abhijit, E-mail: abhijit@che.iitb.ac.in [Department of Chemical Engineering, Indian Institute of Technology Bombay, Mumbai 400076 (India)

    2016-07-21

    Kinetic rates at different temperatures and the associated Arrhenius parameters, whenever Arrhenius law is obeyed, are efficiently estimated by applying maximum likelihood analysis to waiting times collected using the temperature programmed molecular dynamics method. When transitions involving many activated pathways are available in the dataset, their rates may be calculated using the same collection of waiting times. Arrhenius behaviour is ascertained by comparing rates at the sampled temperatures with ones from the Arrhenius expression. Three prototype systems with corrugated energy landscapes, namely, solvated alanine dipeptide, diffusion at the metal-solvent interphase, and lithium diffusion in silicon, are studied to highlight various aspects of the method. The method becomes particularly appealing when the Arrhenius parameters can be used to find rates at low temperatures where transitions are rare. Systematic coarse-graining of states can further extend the time scales accessible to the method. Good estimates for the rate parameters are obtained with 500-1000 waiting times.

  6. Decoupling the Arrhenius equation via mechanochemistry.

    Science.gov (United States)

    Andersen, Joel M; Mack, James

    2017-08-01

    Mechanochemistry continues to reveal new possibilities in chemistry including the opportunity for "greening" reactions. Nevertheless, a clear understanding of the energetic transformations within mechanochemical systems remains elusive. We employed a uniquely modified ball mill and strategically chosen Diels-Alder reactions to evaluate the role of several ball-milling variables. This revealed three different energetic regions that we believe are defining characteristics of most, if not all, mechanochemical reactors. Relative to the locations of a given ball mill's regions, activation energy determines whether a reaction is energetically easy (Region I), challenging (Region II), or unreasonable (Region III) in a given timeframe. It is in Region II, that great sensitivity to mechanochemical conditions such as vial material and oscillation frequency emerge. Our unique modifications granted control of reaction vessel temperature, which in turn allowed control of the locations of Regions I, II, and III for our mill. Taken together, these results suggest envisioning vibratory mills (and likely other mechanochemical methodologies) as molecular-collision facilitating devices that act upon molecules occupying a thermally-derived energy distribution. This unifies ball-milling energetics with solution-reaction energetics via a common tie to the Arrhenius equation, but gives mechanochemistry the unique opportunity to influence either half of the equation. In light of this, we discuss a strategy for translating solvent-based reaction conditions to ball milling conditions. Lastly, we posit that the extra control via frequency factor grants mechanochemistry the potential for greater selectivity than conventional solution reactions.

  7. Prototype detection unit for the CHIPS experiment

    Science.gov (United States)

    Pfützner, Maciej M.

    2017-09-01

    CHIPS (CHerenkov detectors In mine PitS) is an R&D project aiming to develop novel cost-effective neutrino detectors, focused on measuring the CP-violating neutrino mixing phase (δ CP). A single detector module, containing an enclosed volume of purified water, would be submerged in an existing lake, located in a neutrino beam. A staged approach is proposed with first detectors deployed in a flooded mine pit in Northern Minnesota, 7 mrad off-axis from the existing NuMI beam. A small proof-of-principle model (CHIPS-M) has already been tested and the first stage of a fully functional 10 kt module (CHIPS-10) is planned for 2018. One of the instruments submerged on board of CHIPS-M in autumn 2015 was a prototype detection unit, constructed at Nikhef. The unit contains hardware borrowed from the KM3NeT experiment, including 16 3 inch photomultiplier tubes and readout electronics. In addition to testing the mechanical design and data acquisition, the detector was used to record a large sample of cosmic ray muon events. The collected data is valuable for characterising the cosmic muon background and validating a Monte Carlo simulation used to optimise future designs. This paper introduces the CHIPS project, describes the design of the prototype unit, and presents the results of a preliminary data analysis.

  8. Child Poverty: The United Kingdom Experience.

    Science.gov (United States)

    Mansour, Jane G; Curran, Megan A

    2016-04-01

    The United States has long struggled with high levels of child poverty. In 2014, 2 of 5 (42.9%) of all American children lived in economically insecure households and just over 1 in 5 children lived below the official absolute poverty line. These rates are high, but not intractable. Evidence from the US Census Bureau's Supplemental Poverty Measure, among other sources, shows the effect that public investments in cash and noncash transfers can have in reducing child poverty and improving child well-being. However, with significant disparities in services and supports for children across states and the projected decline of current federal spending on children, the United States is an international outlier in terms of public investments in children, particularly compared with other high-income nations. One such country, the United Kingdom (UK), faced similar child poverty challenges in recent decades. At the end of the 20th century, the British Prime Minister pledged to halve child poverty in a decade and eradicate it 'within a generation.' The Labour Government then set targets and dedicated resources in the form of income supplements, employment, child care, and education support. Child poverty levels nearly halved against an absolute measure by the end of the first decade. Subsequent changes in government and the economy slowed progress and have resulted in a very different approach. However, the UK child poverty target experience, 15 years in and spanning multiple changes in government, still offers a useful comparative example for US social policy moving forward. Copyright © 2016 Academic Pediatric Association. Published by Elsevier Inc. All rights reserved.

  9. [Training and experience in stroke units].

    Science.gov (United States)

    Arenillas, J F

    2008-01-01

    The social and sanitary benefits provided by stroke units can not be achieved without an adequate training and learning process. This dynamic process consists of the progressive acquisition of: a) a greater degree of expertise in stroke management by the stroke team; b) better coordination between the stroke team, extrahospitalary emergency medical systems, and other in-hospital professionals involved in stroke assistance, and c) more human and technological resources dedicated to improve attention to stroke patients. The higher degree of experience in a stroke unit will have an effect: a) improving (time and quality) the diagnostic process in acute stroke patients; b) increasing the proportion of patients treated with thrombolysis; c) reducing extra and intrahospitalary latencies to stroke treatment, and d) improving stroke outcome in terms of reducing mortality and increasing functional independence. Finally, comprehensive stroke centers will achieve a higher degree of organizational complexity that will permit a global assessment of the most advanced aspects in stroke management, including education and research.

  10. On modifying the Arrhenius equation to compensate for temperature ...

    African Journals Online (AJOL)

    2011-12-14

    Dec 14, 2011 ... The deriva- tion of this form of the Arrhenius Equation is based on the assumption that the operating temperature is close to or below. 20oC (Derivation Box 1). In countries with hot climates such as. South Africa, and especially those with high humidity, where the effect of evaporative cooling is reduced, the ...

  11. Role of Dielectric Constant on Ion Transport: Reformulated Arrhenius Equation

    Directory of Open Access Journals (Sweden)

    Shujahadeen B. Aziz

    2016-01-01

    Full Text Available Solid and nanocomposite polymer electrolytes based on chitosan have been prepared by solution cast technique. The XRD results reveal the occurrence of complexation between chitosan (CS and the LiTf salt. The deconvolution of the diffractogram of nanocomposite solid polymer electrolytes demonstrates the increase of amorphous domain with increasing alumina content up to 4 wt.%. Further incorporation of alumina nanoparticles (6 to 10 wt.% Al2O3 results in crystallinity increase (large crystallite size. The morphological (SEM and EDX analysis well supported the XRD results. Similar trends of DC conductivity and dielectric constant with Al2O3 concentration were explained. The TEM images were used to explain the phenomena of space charge and blocking effects. The reformulated Arrhenius equation (σ(ε′,T=σoexp(-Ea/KBε′T was proposed from the smooth exponential behavior of DC conductivity versus dielectric constant at different temperatures. The more linear behavior of DC conductivity versus 1000/(ɛ′×T reveals the crucial role of dielectric constant in Arrhenius equation. The drawbacks of Arrhenius equation can be understood from the less linear behavior of DC conductivity versus 1000/T. The relaxation processes have been interpreted in terms of Argand plots.

  12. Model Arrhenius untuk Pendugaan Laju Respirasi Brokoli Terolah Minimal

    Directory of Open Access Journals (Sweden)

    Nurul Imamah

    2016-04-01

    Full Text Available Minimally processed broccoli are perishable product because it still has some metabolism process during the storage period. One of the metabolism process is respiration. Respiration rate is varied depend on the commodity and storage temperature. The purpose of this research are: to review the respiration pattern of minimally processed broccoli during storage period, to study the effect of storage temperature to respiration rate, and to review the correlation between respiration rate and temperature based on Arrhenius model. Broccoli from farming organization “Agro Segar” was processed minimally and then measure the respiration rate. Closed system method is used to measure O2 and CO2 concentration. Minimally processed broccoli is stored at a temperature of 0oC, 5oC, 10oC and 15oC. The experimental design used was completely randomized design of the factors to analyze the rate of respiration. The result shows that broccoli is a climacteric vegetable. It is indicated by the increasing of O2 consumption and CO2 production during senescence phase. The respiration rate increase as high as the increasing of temperature storage. Models Arrhenius can describe correlation between respiration rate and temperature with R2 = 0.953-0.947. The constant value of activation energy (Eai and pre-exponential factor (Roi from Arrhenius model can be used to predict the respiration rate of minimally processed broccoli in every storage temperature

  13. Arrhenius reconsidered: astrophysical jets and the spread of spores

    Science.gov (United States)

    Sheldon, Malkah I.; Sheldon, Robert B.

    2015-09-01

    In 1871, Lord Kelvin suggested that the fossil record could be an account of bacterial arrivals on comets. In 1903, Svante Arrhenius suggested that spores could be transported on stellar winds without comets. In 1984, Sir Fred Hoyle claimed to see the infrared signature of vast clouds of dried bacteria and diatoms. In 2012, the Polonnaruwa carbonaceous chondrite revealed fossilized diatoms apparently living on a comet. However, Arrhenius' spores were thought to perish in the long transit between stars. Those calculations, however, assume that maximum velocities are limited by solar winds to ~5 km/s. Herbig-Haro objects and T-Tauri stars, however, are young stars with jets of several 100 km/s that might provide the necessary propulsion. The central engine of bipolar astrophysical jets is not presently understood, but we argue it is a kinetic plasma instability of a charged central magnetic body. We show how to make a bipolar jet in a belljar. The instability is non-linear, and thus very robust to scaling laws that map from microquasars to active galactic nuclei. We scale up to stellar sizes and recalculate the viability/transit-time for spores carried by supersonic jets, to show the viability of the Arrhenius mechanism.

  14. Sensitivity of viscosity Arrhenius parameters to polarity of liquids

    Science.gov (United States)

    Kacem, R. B. H.; Alzamel, N. O.; Ouerfelli, N.

    2017-09-01

    Several empirical and semi-empirical equations have been proposed in the literature to estimate the liquid viscosity upon temperature. In this context, this paper aims to study the effect of polarity of liquids on the modeling of the viscosity-temperature dependence, considering particularly the Arrhenius type equations. To achieve this purpose, the solvents are classified into three groups: nonpolar, borderline polar and polar solvents. Based on adequate statistical tests, we found that there is strong evidence that the polarity of solvents affects significantly the distribution of the Arrhenius-type equation parameters and consequently the modeling of the viscosity-temperature dependence. Thus, specific estimated values of parameters for each group of liquids are proposed in this paper. In addition, the comparison of the accuracy of approximation with and without classification of liquids, using the Wilcoxon signed-rank test, shows a significant discrepancy of the borderline polar solvents. For that, we suggested in this paper new specific coefficient values of the simplified Arrhenius-type equation for better estimation accuracy. This result is important given that the accuracy in the estimation of the viscosity-temperature dependence may affect considerably the design and the optimization of several industrial processes.

  15. Modeling and experiment to threshing unit of stripper combine ...

    African Journals Online (AJOL)

    Modeling and experiment to threshing unit of stripper combine. ... were conducted with the different feed rates and drum rotator speeds for the rice stripped mixtures. ... and damage as well as for threshing unit design and process optimization.

  16. International boundary experiences by the United Nations

    Science.gov (United States)

    Kagawa, A.

    2013-12-01

    Over the last few decades, the United Nations (UN) has been approached by Security Council and Member States on international boundary issues. The United Nations regards the adequate delimitation and demarcation of international boundaries as a very important element for the maintenance of peace and security in fragile post-conflict situations, establishment of friendly relationships and cross-border cooperation between States. This paper will present the main principles and framework the United Nations applies to support the process of international boundary delimitation and demarcation activities. The United Nations is involved in international boundary issues following the principle of impartiality and neutrality and its role as mediator. Since international boundary issues are multi-faceted, a range of expertise is required and the United Nations Secretariat is in a good position to provide diverse expertise within the multiple departments. Expertise in different departments ranging from legal, political, technical, administrative and logistical are mobilised in different ways to provide support to Member States depending on their specific needs. This presentation aims to highlight some of the international boundary projects that the United Nations Cartographic Section has been involved in order to provide the technical support to different boundary requirements as each international boundary issue requires specific focus and attention whether it be in preparation, delimitation, demarcation or management. Increasingly, the United Nations is leveraging geospatial technology to facilitate boundary delimitation and demarcation process between Member States. Through the presentation of the various case studies ranging from Iraq - Kuwait, Israel - Lebanon (Blue Line), Eritrea - Ethiopia, Cyprus (Green Line), Cameroon - Nigeria, Sudan - South Sudan, it will illustrate how geospatial technology is increasingly used to carry out the support. In having applied a range

  17. HDS unit revamp and operating experience

    Energy Technology Data Exchange (ETDEWEB)

    Reinhardt, J. [Veba Oel Verarbeitungs-GmbH, Gelsenkirchen (Germany); Balfanz, U. [Aral Forschung, Gelsenkirchen (Germany); Dimmig, T. [TU Bergakademie Freiberg, Freiberg (Germany)

    2002-12-01

    Ruhr Oel GmbH, a joint venture between BP and PDVSA, operates a HDS unit at its Gelsenkirchen-Scholven site. The unit produces a major blend component for diesel fuel. Driven by ambitious German environmental policy and by an agreement between the German car and oil industries on the one hand and the government on the other, more stringent low sulphur fuel specifications will be enforced in Germany much earlier than in the rest of the European Union. In view of this situation a project was developed to fulfill the new product specifications with minimum investment. In a joint effort involving the refinery, the company research facilities and the catalyst supplier (AKZO NOBEL), pilot plant tests were performed to develop the best catalyst system and the new process conditions. Based on these results, an existing HDS unit was accordingly revamped. After the revamp, the unit produced diesel fuel with 50 ppm sulphur content and furthermore test runs at 10 ppm were carried out successfully. These results are displayed in this article. (orig.)

  18. Comprehensive stroke units: a review of comparative evidence and experience.

    Science.gov (United States)

    Chan, Daniel K Y; Cordato, Dennis; O'Rourke, Fintan; Chan, Daniel L; Pollack, Michael; Middleton, Sandy; Levi, Chris

    2013-06-01

    Stroke unit care offers significant benefits in survival and dependency when compared to general medical ward. Most stroke units are either acute or rehabilitation, but comprehensive (combined acute and rehabilitation) model (comprehensive stroke unit) is less common. To examine different levels of evidence of comprehensive stroke unit compared to other organized inpatient stroke care and share local experience of comprehensive stroke units. Cochrane Library and Medline (1980 to December 2010) review of English language articles comparing stroke units to alternative forms of stroke care delivery, different types of stroke unit models, and differences in processes of care within different stroke unit models. Different levels of comparative evidence of comprehensive stroke units to other models of stroke units are collected. There are no randomized controlled trials directly comparing comprehensive stroke units to other stroke unit models (either acute or rehabilitation). Comprehensive stroke units are associated with reduced length of stay and greatest reduction in combined death and dependency in a meta-analysis study when compared to other stroke unit models. Comprehensive stroke units also have better length of stay and functional outcome when compared to acute or rehabilitation stroke unit models in a cross-sectional study, and better length of stay in a 'before-and-after' comparative study. Components of stroke unit care that improve outcome are multifactorial and most probably include early mobilization. A comprehensive stroke unit model has been successfully implemented in metropolitan and rural hospital settings. Comprehensive stroke units are associated with reductions in length of stay and combined death and dependency and improved functional outcomes compared to other stroke unit models. A comprehensive stroke unit model is worth considering as the preferred model of stroke unit care in the planning and delivery of metropolitan and rural stroke services

  19. Acute surgical unit: The consultant experience

    Directory of Open Access Journals (Sweden)

    Patrick J Stokes

    2016-07-01

    Full Text Available Background Establishment of the Acute Surgical Unit (ASU has redefined the approach to emergency surgery in Australia with quantitative data showing improvement in patient outcomes. However, as qualitative data regarding the ASU remains scarce, we sought to determine the impact of the ASU on overall surgeon job satisfaction. Aims The aim of this paper was to specifically address the impact of the ASU on consultant surgeons overall job satisfaction. Methods We designed a 34 – item questionnaire with consultant general surgeons addressing important aspects of the ASU. Themes included on – call rostering and workload, academic pursuits, surgical training, work – life balance and overall job satisfaction. Results We received responses from 88 surgeons currently working on ASU units, responding correctly and in full to the survey. Overall, our surveyed cohort reported better on – call rostering, improved surgical training and higher levels of job satisfaction and overall work – life balance with ASU implementation. Conclusion Preliminary qualitative results indicate that the ASU may improve on – call rostering, work – life balance and overall job satisfaction.

  20. United Kingdom experience in plutonium transportation

    International Nuclear Information System (INIS)

    1978-08-01

    Plutonium has already been transported within the UK over a period of 20 years and to destinations overseas since the early 60's. Experience is recounted with regard to the forms of plutonium transported, regulations, insurance, container design, mode of transport, volume of traffic, physical protection, safety analysis and costs. It is concluded that this traffic could be expanded in the future without danger to the community or the environment

  1. United Kingdom experience in plutonium transportation

    International Nuclear Information System (INIS)

    1978-11-01

    This paper describes the extensive experience of the UKAEA and British Nuclear Fuels Limited in transporting plutonium within the UK over the last 20 years and to destinations overseas since the early 1960s. The aspects covered include: the form of plutonium transported (nitrate, oxide, mixed oxide etc.); UK and international regulations (e.g. covering safety and safeguards matters); insurance; container design; mode of transport; physical protection; and a safety analysis. Costs are estimated to be largely independent of quantity

  2. United Kingdom: Procurement Related Nuclear Experience (Operating Experience)

    International Nuclear Information System (INIS)

    2016-01-01

    Procurement of nuclear facilities in the United Kingdom is subject to nuclear site licence conditions issued by the Government through the Office for Nuclear Regulation (ONR). Each nuclear facility in the United Kingdom must have a nuclear site licence and must comply with the 36 general conditions that are set out in the Licence Condition Handbook (October 2014). In addition, the ONR has published a technical assessment guide for the procurement of nuclear safety related items or services; a guide on intelligent customers and a guide on records management also apply to the procurement phase, and ONR interventions look across all three of these documents. Procurement governance arrangements need to be developed (including a policy, manual, procedures and template documents) and approved within the utility company. The ONR monitors the arrangements via interventions and deems the arrangements to be ‘adequate’. Some procurement contracts become lifetime records for nuclear safety related systems and need to be retained while the plant is in place. A formal record retention schedule needs to be created and managed by the procurement organization. The utility company may elect to set hold points during the various procurement stages and, importantly, obtain approval for the contract and its content from all technical stakeholders (with particular emphasis on the engineering, project management and design authority quality functions before contract award). For contracts with high nuclear safety significance, the ONR may enforce additional hold points before and/or after contract award. There is a general requirement that the utility puts in place adequate arrangements to ensure that suitably qualified and experienced personnel are employed to implement adequate management arrangements and to act as an intelligent customer. This includes being able to demonstrate that any contractor or supplier is suitable, capable and experienced, and has the necessary processes and

  3. Experience gained in the cryodistillation unit for krypton removal

    International Nuclear Information System (INIS)

    Geens, L.; Collard, G.; Goossens, W.R.A.; Vaesen, P.J.

    1981-08-01

    This unit with a nominal gas throughput of 8.5 g.s -1 has been used to investigate the removal of krypton from reprocessing off-gases under non-radioactive conditions. During the investigation a total operation time of more than 13.000 hours was reached with an average availability factor of 99.36%. The trapping efficiency for krypton was higher than 99.9%. The operation experience acquired indicates some critical aspects for the design of such a unit. The experimental results obtained allow to show the influence of feed pressure and temperature, reflux flow rate and noble gas concentrations on the performance of the unit. (author)

  4. Arrhenius temperature dependence of in vitro tissue plasminogen activator thrombolysis

    International Nuclear Information System (INIS)

    Shaw, George J; Dhamija, Ashima; Bavani, Nazli; Wagner, Kenneth R; Holland, Christy K

    2007-01-01

    Stroke is a devastating disease and a leading cause of death and disability. Currently, the only FDA approved therapy for acute ischemic stroke is the intravenous administration of the thrombolytic medication, recombinant tissue plasminogen activator (tPA). However, this treatment has many contraindications and can have dangerous side effects such as intra-cerebral hemorrhage. These treatment limitations have led to much interest in potential adjunctive therapies, such as therapeutic hypothermia (T ≤ 35 deg. C) and ultrasound enhanced thrombolysis. Such interest may lead to combining these therapies with tPA to treat stroke, however little is known about the effects of temperature on the thrombolytic efficacy of tPA. In this work, we measure the temperature dependence of the fractional clot mass loss Δm(T) resulting from tPA exposure in an in vitro human clot model. We find that the temperature dependence is well described by an Arrhenius temperature dependence with an effective activation energy E eff of 42.0 ± 0.9 kJ mole -1 . E eff approximates the activation energy of the plasminogen-to-plasmin reaction of 48.9 kJ mole -1 . A model to explain this temperature dependence is proposed. These results will be useful in predicting the effects of temperature in future lytic therapies

  5. Arrhenius temperature dependence of in vitro tissue plasminogen activator thrombolysis

    Energy Technology Data Exchange (ETDEWEB)

    Shaw, George J [Department of Emergency Medicine, University of Cincinnati College of Medicine, Cincinnati, OH 45267-0769 (United States); Dhamija, Ashima [Department of Emergency Medicine, University of Cincinnati College of Medicine, Cincinnati, OH 45267-0769 (United States); Bavani, Nazli [Department of Emergency Medicine, University of Cincinnati College of Medicine, Cincinnati, OH 45267-0769 (United States); Wagner, Kenneth R [Department of Neurology, University of Cincinnati College of Medicine, Cincinnati, OH 45267-0769 (United States); Holland, Christy K [Department of Biomedical Engineering, University of Cincinnati College of Medicine, Cincinnati, OH 45267-0769 (United States)

    2007-06-07

    Stroke is a devastating disease and a leading cause of death and disability. Currently, the only FDA approved therapy for acute ischemic stroke is the intravenous administration of the thrombolytic medication, recombinant tissue plasminogen activator (tPA). However, this treatment has many contraindications and can have dangerous side effects such as intra-cerebral hemorrhage. These treatment limitations have led to much interest in potential adjunctive therapies, such as therapeutic hypothermia (T {<=} 35 deg. C) and ultrasound enhanced thrombolysis. Such interest may lead to combining these therapies with tPA to treat stroke, however little is known about the effects of temperature on the thrombolytic efficacy of tPA. In this work, we measure the temperature dependence of the fractional clot mass loss {delta}m(T) resulting from tPA exposure in an in vitro human clot model. We find that the temperature dependence is well described by an Arrhenius temperature dependence with an effective activation energy E{sub eff} of 42.0 {+-} 0.9 kJ mole{sup -1}. E{sub eff} approximates the activation energy of the plasminogen-to-plasmin reaction of 48.9 kJ mole{sup -1}. A model to explain this temperature dependence is proposed. These results will be useful in predicting the effects of temperature in future lytic therapies.

  6. Non-arrhenius behavior in product life extension

    International Nuclear Information System (INIS)

    Dulka, C.P.; Scamman, J.F.

    1988-01-01

    The purpose of the work reported in this paper was to investigate contact sticking, which was determined to be caused by a materials shrinkage phenomenon. The phenomenon was noted after a brief accelerated thermal aging format, which was followed during the course of a General Electric materials analysis technique (GEMAT) product life extension program. The original qualification work did not address this phenomenon. This shrinkage phenomenon occurs in some materials and, depending upon the design of the product, could be a significant factor in a product life extension program. Further tests are planned in which this phenomenon will be investigated as a function of temperature and time duration in a GEMAT program. The extent of this phenomenon's effect on product life depends on type of material, product design, and product tolerances. Furthermore, this phenomenon may or may not exhibit an Arrhenius-type behavior, and more investigation is required in this area. In any product life extension program, the existence of this phenomenon and the degree to which it affects the product's life should be investigated. This phenomenon can be a significant factor

  7. Nuclear units operating improvement by using operating experience

    International Nuclear Information System (INIS)

    Rotaru, I.; Bilegan, I.C.

    1997-01-01

    The paper presents how the information experience can be used to improve the operation of nuclear units. This areas include the following items: conservative decision making; supervisory oversight; teamwork; control room distraction; communications; expectations and standards; operator training and fundamental knowledge, procedure quality and adherence; plant status awareness. For each of these topics, the information illustrate which are the principles, the lessons learned from operating experience and the most appropriate exemplifying documents. (authors)

  8. Modeling and experiment to threshing unit of stripper combine

    African Journals Online (AJOL)

    User

    2011-05-16

    May 16, 2011 ... L was the free grain which had reached the end of the threshing unit but still not separated. On the designed testing equipment, experiments of threshing performances were conducted with the different feed rates and drum rotator speeds for the rice stripped mixtures. Experimental results showed that the ...

  9. Temelin 1000 MW Units active testing stage - commissioning experience

    International Nuclear Information System (INIS)

    Ubra, O.; Riha, V.

    2003-01-01

    There were three basic stages of the NPP Temelin Units active testing stage- The zero and low power testing, The power ascension testing and Plant Performance Test. The main objective of the start- up process stages and the testing procedures including some operational experience are described in the paper. (author)

  10. Operational safety experience reporting in the United States

    International Nuclear Information System (INIS)

    Hartfield, R.A.

    1978-01-01

    Licensees of nuclear power plants in the United States have many reporting requirements included in their technical specifications and the code of federal regulations, title 10. The Nuclear Regulatory Commisson receives these reports and utilizes them in its regulatory program. Part of this usage includes collecting and publishing this operating experience data in various reports and storing information in various data systems. This paper will discuss the data systems and reports on operating experience published and used by the NRC. In addition, some observations on operating experience will be made. Subjects included will be the Licensee Event Report (LER) Data File, the Operating Unit Status Report (Gray Book), Radiation Exposure Reports, Effluents Reports, the Nuclear Plant Reliability Data System, Current Events, Bulletin Wrapups and Annual Summaries. Some of the uses of the reports and systems will be discussed. The Abnormal Occurence Report to the US Congress will also be described and discussed. (author)

  11. Postdeployment reintegration experiences of female soldiers from national guard and reserve units in the United States.

    Science.gov (United States)

    Kelly, Patricia J; Berkel, LaVerne A; Nilsson, Johanna E

    2014-01-01

    Women are an integral part of Reserve and National Guard units and active duty armed forces of the United States. Deployment to conflict and war zones is a difficult experience for both soldiers and their families. On return from deployment, all soldiers face the challenge of reintegration into family life and society, but those from the National Guard and Reserve units face the additional challenge of reintegration in relative isolation from other soldiers. There is limited research about the reintegration experiences of women and the functioning of the families during reintegration following deployment. The goal was to document postdeployment family reintegration experiences of women in the National Guard. Semistructured interviews were conducted with 42 female members of Midwestern National Guard units. Directed content analysis was used to identify categories of experiences related to women's family reintegration. Five categories of postdeployment experience for female soldiers and their families were identified: Life Is More Complex, Loss of Military Role, Deployment Changes You, Reestablishing Partner Connections, and Being Mom Again. The categories reflected individual and family issues, and both need to be considered when soldiers and their families seek care. Additional research is needed to fully understand the specific impact of gender on women's reintegration.

  12. Experience of Ko-Ri Unit 1 water chemistry

    International Nuclear Information System (INIS)

    Tae Il Lee

    1983-01-01

    The main focus is placed on operational experience in secondary system water chemistry (especially the steam generator) of the Ko-Ri nuclear power plant Unit 1, Republic of Korea, but primary side chemistry is also discussed. The major concern of secondary water chemistry in a PWR is that the condition of the steam generator be well maintained. Full flow deep bed condensate polishers have recently been installed and operation started in July 1982. Boric acid treatment of the steam generator was stopped and only the all volatile treatment method was used thereafter. A review of steam generator integrity, the chemistry control programme, secondary water quality, etc. is considered to be of great value regarding the operation of Unit 1 and future units now under startup testing or construction in the Republic of Korea. (author)

  13. The mothers' experiences in the pediatrics hemodialysis unit.

    Science.gov (United States)

    Mieto, Fernanda Stella Risseto; Bousso, Regina Szylit

    2014-01-01

    The need for hemodialysis exerts a deep impact on the lives of children and adolescents with end-stage kidney chronic failure and their mothers, who predominantly assume the care related to treatment. The hemodialysis requires that the mother accompanies the child during sessions at least three times a week and, since it is not a healing practice, they also experience the waiting for a kidney transplant, attributing different meanings to this experience. To understand what it means for the mothers to accompany the child in a Pediatric Hemodialysis Unit and to construct a theoretical model representing this experience. The Symbolic Interactionism was adopted as a theoretical model and the Grounded Theory as a methodological framework. Data were collected through interviews with 11 mothers. The comparative analysis of the data enabled the identification of two phenomena that compose the experience: "Seeing the child´s life being sucked by the hemodialysis machine" expresses the experiences of the mothers that generates new demands to comprehend the new health conditions of their children and "Giving new meaning to the dependence of the hemodialysis machine" that represents the strategies employed to endure the experience. The relationship of these phenomena allowed the identification of the main category: "Having the mother's life imprisoned by the hemodialysis machine", from which we propose a new theoretical model. The results of the study allow us to provide a theoretical ground for planning an assistance that meets the real needs of the mothers, identifying aspects that require intervention.

  14. An orthopaedic geriatric rehabilitation unit: the first two years experience.

    Science.gov (United States)

    Sainsbury, R; Gillespie, W J; Armour, P C; Newman, E F

    1986-08-13

    Experience of the first two years of an orthopaedic geriatric rehabilitation unit is described. There were 325 admissions comprising 271 females and 54 males. The predominant diagnosis was fracture of the proximal femur. Average length of stay in the unit was 43 days for males and 36.7 days for females. 75.9% of patients admitted from home returned there and 66.1% of patients admitted from residential care returned to similar accommodation. In the first year there was a fall of 13.5 days in the average length of stay for elderly females with proximal femoral fracture, resulting in 2175 less bed days for this diagnosis. This improvement has continued.

  15. Experience with HEPA filters at United States nuclear installations

    International Nuclear Information System (INIS)

    Bellamy, R.R.

    1977-01-01

    Part 50 of Title 10 of the United States Code of Federal Regulations requires that a number of atmosphere cleanup systems be included in the design of commercial nuclear power plants to be licensed in the United States. These filtering systems are to contain high efficiency particulate air (HEPA) filters for removal of radioactive particulate matter generated during normal and accident conditions. Recommendations for the design, testing and maintenance of the filtering systems and HEPA filter components are contained in a number of United States Nuclear Regulatory Commission documents and industry standards. This paper will discuss this published guidance available to designers of filtering systems and the plant operators of U.S. commercial nuclear power plants. The paper will also present a survey of published reports of experience with HEPA filters, failures and possible causes for the failures, and other abnormal occurrences pertaining to HEPA filters installed in U.S. nuclear power installations. A discussion will be included of U.S. practices for qualification of HEPA filters before installation, and verification of continued performance capability at scheduled intervals during operation

  16. Experience of a monographic tuberculosis unit: the first 500 cases.

    Science.gov (United States)

    González-Moreno, Juan; García-Gasalla, Mercedes; Cifuentes Luna, Carmen; Mir Villadrich, Isabel; Pareja Bezares, Antonio; Navarro Fernández, Verónica; Serrano Bujalance, Araceli; Pérez Seco, M Cruz; Payeras Cifre, Antonio

    2013-10-01

    Tuberculosis (TB) remains a highly prevalent and potentially severe disease. However, since 2002 the annual incidence has been decreasing both worldwide and in Spain, where the incidence varies widely between regions. The main objective of this study is to describe the experience of a monographic TB unit in a second level hospital. A descriptive study was carried out which included all cases of TB diagnosed in a monographic unit of a secondary hospital between 2003 and 2011. Demographic, clinical, epidemiological and microbiological data were recorded. We analyzed 500 TB cases and found an increasing annual incidence in all subgroups, including native and immigrant populations. Most cases (63.8%) were male, with a median age of 36 years (range 8 months-90 years). In total, 39.8% of patients were foreign born. Coinfection with human immunodeficiency virus was found in 11% of cases. The pulmonary form was most frequently diagnosed (63.8%). Overall mortality was 5.8% with no significant differences between groups (including foreign born and human immunodeficiency virus positive patients). Although TB incidence is globally decreasing, in our study we found an increasing number of cases in recent years in all subgroups, which can be explained by this being a monographic unit with an intensive contact tracing program. Copyright © 2012 SEPAR. Published by Elsevier Espana. All rights reserved.

  17. On the use of Arrhenius law in the domain of polymer ageing

    International Nuclear Information System (INIS)

    Audouin, L.; Colin, X.; Fayolle, B.; Verdu, J.

    2007-01-01

    Arrhenius law is generally used to represent the temperature dependence of polymer ageing kinetics. Its application to such phenomena is based on hypotheses that are recalled in a first chapter. It is then demonstrated that it is practically impossible to be checked on the basis of experimental results. The following chapters are devoted to the presentation of ageing cases where Arrhenius law is not obeyed. Trivial cases due to the presence of transitions in the temperature interval under consideration are first recalled. Then, less trivial 'non arrhenian' cases are described. The non arrhenian character can be due to the coexistence of competitive reactions with distinct activation energies or to the coexistence of kinetic regimes controlled or not by diffusion of molecular reactants such as oxygen or water, or of reactive species such as macro-radicals. It appears that the cases where ageing obeys Arrhenius law could be the exception rather than the rule. (authors)

  18. Transition from Arrhenius to non-Arrhenius temperature dependence of structural relaxation time in glass-forming liquids: continuous versus discontinuous scenario.

    Science.gov (United States)

    Popova, V A; Surovtsev, N V

    2014-09-01

    The temperature dependences of α relaxation time τ(α)(T) of three glass-forming liquids (salol, o-terphenyl, and α-picoline) were investigated by a depolarized light scattering technique. A detailed description of τ(α)(T) near T(A), the temperature of the transition from the Arrhenius law at high temperatures to a non-Arrhenius behavior of τ(α)(T) at lower temperatures, was done. It was found that this transition is quite sharp. If the transition is described as switching from the Arrhenius law to the Vogel-Fulcher-Tammann law, it occurs within the temperature range of about 15 K or less. Most of the known expressions for τ(α)(T) cannot describe this sharp transition. Our analysis revealed that this transition can be described either as a discontinuous transition in the spirit of the frustration-limited domain theory [D. Kivelson, G. Tarjus, X. Zhao, and S. A. Kivelson, Phys. Rev. E 53, 751 (1996)], implying a phase transition, or by a phenomenological expression recently suggested [B. Schmidtke, N. Petzold, R. Kahlau, M. Hofmann, and E. A. Rössler, Phys. Rev. E 86, 041507 (2012)], where the activation energy includes the term depending exponentially on temperature.

  19. Families' experiences of intensive care unit quality of care

    DEFF Research Database (Denmark)

    Jensen, Hanne Irene; Gerritsen, Rik T; Koopmans, Matty

    2015-01-01

    PURPOSE: The purpose of the study is to adapt and provide preliminary validation for questionnaires evaluating families' experiences of quality of care for critically ill patients in the intensive care unit (ICU). MATERIALS AND METHODS: This study took place in 2 European ICUs. Based on literature...... validity. RESULTS: A total of 110 family members participated. Response rate was 87%. For all questions, a median of 97% (94%-99%) was assessed as relevant, and a median of 98% (97%-100%), as understandable. Median ceiling effect was 41% (30%-47%). There was a median of 0% missing data (0%-1%). Test......-retest reliability showed a median weighted κ of 0.69 (0.53-0.83). Validation showed significant correlation between total scores and key questions. CONCLUSIONS: The questions were assessed as relevant and understandable, providing high face and content validity. Ceiling effects were comparable to similar...

  20. MAPPING A BASIC HEALTH UNIT: AN EXPERIENCE REPORT

    Directory of Open Access Journals (Sweden)

    Bárbara Carvalho Malheiros

    2015-01-01

    Full Text Available Backgound and Objectives: This study is an experience report on the construction of a map of a Basic Health Unit (BHU. The objective was to understand the relevance and/or importance of mapping a BHU and acquire more knowledge on the health-disease status of the registered population and identify the importance of cartography as a working tool. Case description: After reading some texts, evaluating information systems and on-site visits, it was possible to identify the health status of the population of the neighborhoods. The proposed objectives were considered to be achieved, considering the mapping of the assessed population’s health-disease situation with a closer-to-reality viewpoint, identifying the number of individuals, the diseases, living situation and health care. Conclusion: The mapping approach is a powerful working tool for allowing the planning of strategic interventions that enables the development of assistance activities, aiming to promote health and disease prevention. KEYWORDS: Mapping; Basic Health Unit; Health Planning.

  1. Follicular Unit Extraction Hair Transplantation with Micromotor: Eight Years Experience.

    Science.gov (United States)

    Ors, Safvet; Ozkose, Mehmet; Ors, Sevgi

    2015-08-01

    Follicular unit extraction (FUE) has been performed for over a decade. Our experience in the patients who underwent hair transplantation using only the FUE method was included in this study. A total of 1000 patients had hair transplantation using the FUE method between 2005 and 2014 in our clinic. Manual punch was used in 32 and micromotor was used in 968 patients for graft harvesting. During the time that manual punch was used for graft harvesting, 1000-2000 grafts were transplanted in one session in 6-8 h. Following micromotor use, the average graft count was increased to 2500 and the operation time remained unchanged. Graft take was difficult in 11.1 %, easy in 52.2 %, and very easy in 36.7 % of our patients. The main purpose of hair transplantation is to restore the hair loss. During the process, obtaining a natural appearance and adequate hair intensity is important. In the FUE method, grafts can be taken without changing their natural structure, there is no need for magnification, and the grafts can be transplanted directly without using any other processes. Because there is no suture in the FUE method, patients do not experience these incision site problems and scar formation. The FUE method enables us to achieve a natural appearance with less morbidity.

  2. Role of aromaticity in humic substances degradation kinetics using non-arrhenius temperature functions

    Czech Academy of Sciences Publication Activity Database

    Kislinger, J.; Novák, František; Kučerík, J.

    2008-01-01

    Roč. 102, č. 15 (2008), s1086-s1088 ISSN 0009-2770 Institutional research plan: CEZ:AV0Z60660521 Keywords : aromaticity * humic substances degradation kinetics * non-arrhenius temperature Subject RIV: EH - Ecology, Behaviour Impact factor: 0.593, year: 2008

  3. Effect of temperature on microbial growth rate - thermodynamic analysis, the arrhenius and eyring-polanyi connection

    Science.gov (United States)

    The objective of this work is to develop a new thermodynamic mathematical model for evaluating the effect of temperature on the rate of microbial growth. The new mathematical model is derived by combining the Arrhenius equation and the Eyring-Polanyi transition theory. The new model, suitable for ...

  4. ARRHENIUS MODEL FOR HIGH-TEMPERATURE GLASS VISCOSITY WITH A CONSTANT PRE-EXPONENTIAL FACTOR

    International Nuclear Information System (INIS)

    Hrma, Pavel R.

    2008-01-01

    A simplified form of the Arrhenius equation, ln η = A + B(x)/T, where η is the viscosity, T the temperature, x the composition vector, and A and B the Arrhenius coefficients, was fitted to glass-viscosity data for the processing temperature range (the range at which the viscosity is within 1 to 103 Pa.s) while setting A = constant and treating B(x) as a linear function of mass fractions of major components. Fitting the Arrhenius equation to over 550 viscosity data of commercial glasses and approximately 1000 viscosity data of glasses for nuclear-waste glasses resulted in the A values of -11.35 and -11.48, respectively. The R2 value ranged from 0.92 to 0.99 for commercial glasses and was 0.98 for waste glasses. The Arrhenius models estimate viscosities for melts of commercial glasses containing 42 to 84 mass% SiO2 within the temperature range of 1100 to 1550 C and viscosity range of 5 to 400 Pa.s and for waste glasses containing 32 to 60 mass% SiO2 within the temperature range of 850 to 1450 C and viscosity range of 0.4 to 250 Pa.s

  5. Elastic models for the non-Arrhenius viscosity of glass-forming liquids

    DEFF Research Database (Denmark)

    Dyre, Jeppe; Christensen, Tage Emil; Olsen, Niels Boye

    2006-01-01

    This paper first reviews the shoving model for the non-Arrhenius viscosity of viscous liquids. According to this model the main contribution to the activation energy of a flow event is the energy needed for molecules to shove aside the surrounding, an energy which is proportional...

  6. A high arctic experience of uniting research and monitoring

    Science.gov (United States)

    Schmidt, Niels Martin; Christensen, Torben R.; Roslin, Tomas

    2017-07-01

    Monitoring is science keeping our thumb on the pulse of the environment to detect any changes of concern for societies. Basic science is the question-driven search for fundamental processes and mechanisms. Given the firm root of monitoring in human interests and needs, basic sciences have often been regarded as scientifically "purer"—particularly within university-based research communities. We argue that the dichotomy between "research" and "monitoring" is an artificial one, and that this artificial split clouds the definition of scientific goals and leads to suboptimal use of resources. We claim that the synergy between the two scientific approaches is well distilled by science conducted under extreme logistic constraints, when scientists are forced to take full advantage of both the data and the infrastructure available. In evidence of this view, we present our experiences from two decades of uniting research and monitoring at the remote research facility Zackenberg in High Arctic Greenland. For this site, we show how the combination of insights from monitoring with the mechanistic understanding obtained from basic research has yielded the most complete understanding of the system—to the benefit of all, and as an example to follow. We therefore urge scientists from across the continuum from monitoring to research to come together, to disregard old division lines, and to work together to expose a comprehensive picture of ecosystem change and its consequences.

  7. Early experience with titanium elastic nails in a trauma unit.

    LENUS (Irish Health Repository)

    Shah, M H

    2012-02-03

    The Titanium Elastic Nail (TEN) offers a number of potential advantages over traditional ways of treating long bone fractures particularly in the paediatric population. These advantages include earlier mobilisation and shorter hospital stay and less risk of loss of fracture position. These advantages are most apparent and significant when treating femoral fractures in children where the length of hospital stay is reduced from several weeks to a typical period of 5 to 8 days. We have reviewed our early experience of using these implants over the past 2 years. Patients were assessed clinically and radiologically. 13 patients were treated using the TEN during this period. There were 2 femoral fractures, 4 humeral fractures, 1 tibial and 6 forearm fractures treated using the Titanium Elastic Nail. All fractures united during the study period. However 1 humeral fracture required a secondary bone grafting and plating for delayed union and 1 fracture lost position during follow-up. Insertion point pain was a problem in 4 patients but this resolved after nail removal in all. There was 1 superficial wound infection which resolved with antibiotics and 1 superficial wound infection of an open fracture wound which resolved following nail removal and antibiotics. There were no cases of deep infection. There were no limb length discrepancy or rotational or angular malalignment problems. Biomechanical principles and technical aspects of this type of fixation are discussed.

  8. The experiences of family caregiving in a chronic care unit.

    Science.gov (United States)

    Cho, Myung Ok

    2005-12-01

    The main purpose of this critical ethnography was to examines the process and discourses through which family caregivers experience while caring for their sick family member in a hospital. This was achieved by conducting in-depth interviews with 12 family caregivers, and by observing their caring activities and daily lives in natural settings. The study field was a unit for neurologic patients. Data was analyzed using taxonomy, discourse analysis, and proxemics. All research work was iteratively processed from March 2003 to December 2004. Constant comparative analysis of the data yielded the process of becoming a successful family caregiver: encountering the differences and chaos as novice; constructing their world of skilled caregivers; and becoming a hospital family as experienced caregivers. During the process of becoming an experienced hospital family, the discourse of family centered idea guided their caring behaviors and daily lives. The paternalistic family caregivers struggled, cooperated, and harmonized with the patriarchal world of professional health care system. During this process of becoming hospital family, professional nurses must act as cultural brokers between the lay family caring system and the professional caring system.

  9. Use of safety experience feedback to design new nuclear units

    International Nuclear Information System (INIS)

    Lange, D.; Crochon, J.P.

    1985-06-01

    For the designer, and about safety, the experience feedback can take place in 3 fields: the operating experience feedback (incidents analysis), the ''study'' experience feedback (improvement of justification and evolution of safety considerations), and the fabrication experience feedback. Some examples are presented for each field [fr

  10. Recent Experiences in the Respiratory Unit of the Johannesburg ...

    African Journals Online (AJOL)

    Fifty-six patients,of whom 47 had intermittent positive pressure respiration, required treatment in an intensive care unit. Twenty-two patients died in the intensive care unit-a mortality rate of 39%. Also discussed and briefly illustrated are problems of intermittent positive pressure respiration, tracheostomy and endotracheal ...

  11. Shelf Life Prediction for Canned Gudeg using Accelerated Shelf Life Testing (ASLT) Based on Arrhenius Method

    Science.gov (United States)

    Nurhayati, R.; Rahayu NH, E.; Susanto, A.; Khasanah, Y.

    2017-04-01

    Gudeg is traditional food from Yogyakarta. It is consist of jackfruit, chicken, egg and coconut milk. Gudeg generally have a short shelf life. Canning or commercial sterilization is one way to extend the shelf life of gudeg. This aims of this research is to predict the shelf life of Andrawinaloka canned gudeg with Accelerated Shelf Life Test methods, Arrhenius model. Canned gudeg stored at three different temperature, there are 37, 50 and 60°C for two months. Measuring the number of Thio Barbituric Acid (TBA), as a critical aspect, were tested every 7 days. Arrhenius model approach is done with the equation order 0 and order 1. The analysis showed that the equation of order 0 can be used as an approach to estimating the shelf life of canned gudeg. The storage of Andrawinaloka canned gudeg at 30°C is predicted untill 21 months and 24 months for 25°C.

  12. United States experience in the transportation of radioactive materials

    International Nuclear Information System (INIS)

    Platt, A.M.; Rhoads, R.E.; Hall, R.J.; Williams, L.D.; Brobst, W.A.; Shappert, L.B.; Jefferson, R.M.

    1977-01-01

    The transport of radioactive material forms a vital link in the nuclear fuel cycle in the United States. Actual U.S. experience and practice with such systems for the packaging and transport of uranium ore concentrates, uranium hexafluoride, fresh fuel, irradiated fuel, non-high-level waste, and plutonium with low heat generation rates are described. Specific shipping systems in current use for these services are illustrated. A comparison will be made of shipping requirements for nuclear parks versus dispersed facilities. Shipping systems for other fuel cycle materials (e.g., high-level waste and cladding hulls) have not been developed because there has been no need to transport these materials commercially. However, conceptual designs for packaging and transport of such materials have been developed. Selected systems are reviewed and summarized. Transport safety in the U.S. is regulated by the U.S. Department of Transportation and the Nuclear Regulatory Commission. Key regulations defining packaging requirements, allowable radiation dose rates, and handling procedures are reviewed. Although the radioactive material shipping industry has an outstanding safety record, opposition to nuclear fuel cycle shipments has surfaced in several areas. The U.S. congressional ban on the shipment of plutonium by air, the actions of New York City to prohibit certain shipments within the city limits, and the requirement of U.S. railroads to ship spent fuel casks only in dedicated trains are reviewed. In an attempt to provide information on the safety margins inherent in the design of radioactive materials packages, ERDA has undertaken a series of accident studies and full scale crash tests that stress the packages beyond the levels expected in severe accidents. In addition, the level of total risk associated with radioactive materials shipments is being evaluated. Current ERDA crash test and transportation risk assessment studies are reviewed. Concern about the possibility of

  13. Floppy disc units for data collection from neutron beam experiments

    International Nuclear Information System (INIS)

    Hall, J.W.

    1976-02-01

    The replacement of paper tape output facilities on neutron beam equipment on DIDO and PLUTO reactors by floppy discs will improve reliability and provide a more manageable data storage medium. The cost of floppy disc drives is about the same as a tape punch and printer and less than other devices such as a magnetic tape. Suitable floppy disc controllers are not at present available and a unit was designed as a directly pluggable replacement for paper tape punches. This design was taken as the basis in the development of a prototype unit for use in neutron beam equipment. The circuit operation for this prototype unit is described. (author)

  14. An efficient continuous flow helium cooling unit for Moessbauer experiments

    International Nuclear Information System (INIS)

    Herbert, I.R.; Campbell, S.J.

    1976-01-01

    A Moessbauer continuous flow cooling unit for use with liquid helium over the temperature range 4.2 to 300K is described. The cooling unit can be used for either absorber or source studies in the horizontal plane and it is positioned directly on top of a helium storage vessel. The helium transfer line forms an integral part of the cooling unit and feeds directly into the storage vessel so that helium losses are kept to the minimum. The helium consumption is 0.12 l h -1 at 4.2 K decreasing to 0.055 l h -1 at 40 K. The unit is top loading and the exchange gas cooled samples can be changed easily and quickly. (author)

  15. Shelf life prediction of canned fried-rice using accelerated shelf life testing (ASLT) arrhenius method

    Science.gov (United States)

    Kurniadi, M.; Bintang, R.; Kusumaningrum, A.; Nursiwi, A.; Nurhikmat, A.; Susanto, A.; Angwar, M.; Triwiyono; Frediansyah, A.

    2017-12-01

    Research on shelf-life prediction of canned fried rice using Accelerated Shelf-life Test (ASLT) of Arrhenius model has been conducted. The aim of this research to predict shelf life of canned-fried rice products. Lethality value of 121°C for 15 and 20 minutes and Total Plate count methods are used to determine time and temperatures of sterilization process.Various storage temperatures of ASLT Arrhenius method were 35, 45 and 55°C during 35days. Rancidity is one of the derivation quality of canned fried rice. In this research, sample of canned fried rice is tested using rancidity value (TBA). TBA value was used as parameter which be measured once a week periodically. The use of can for fried rice without any chemical preservative is one of the advantage of the product, additionaly the use of physicalproperties such as temperature and pressure during its process can extend the shelf life and reduce the microbial contamination. The same research has never done before for fried rice as ready to eat meal. The result showed that the optimum conditions of sterilization process were 121°C,15 minutes with total plate count number of 9,3 × 101 CFU/ml. Lethality value of canned fried rice at 121°C,15 minutes was 3.63 minutes. The calculated Shelf-life of canned fried rice using Accelerated Shelf-life Test (ASLT) of Arrhenius method was 10.3 months.

  16. One- and two-stage Arrhenius models for pharmaceutical shelf life prediction.

    Science.gov (United States)

    Fan, Zhewen; Zhang, Lanju

    2015-01-01

    One of the most challenging aspects of the pharmaceutical development is the demonstration and estimation of chemical stability. It is imperative that pharmaceutical products be stable for two or more years. Long-term stability studies are required to support such shelf life claim at registration. However, during drug development to facilitate formulation and dosage form selection, an accelerated stability study with stressed storage condition is preferred to quickly obtain a good prediction of shelf life under ambient storage conditions. Such a prediction typically uses Arrhenius equation that describes relationship between degradation rate and temperature (and humidity). Existing methods usually rely on the assumption of normality of the errors. In addition, shelf life projection is usually based on confidence band of a regression line. However, the coverage probability of a method is often overlooked or under-reported. In this paper, we introduce two nonparametric bootstrap procedures for shelf life estimation based on accelerated stability testing, and compare them with a one-stage nonlinear Arrhenius prediction model. Our simulation results demonstrate that one-stage nonlinear Arrhenius method has significant lower coverage than nominal levels. Our bootstrap method gave better coverage and led to a shelf life prediction closer to that based on long-term stability data.

  17. Arrhenius activation energy of damage to catalase during spray-drying.

    Science.gov (United States)

    Schaefer, Joachim; Lee, Geoffrey

    2015-07-15

    The inactivation of catalase during spray-drying over a range of outlet gas temperatures could be closely represented by the Arrhenius equation. From this an activation energy for damage to the catalase could be calculated. The close fit to Arrhenius suggests that the thermally-induced part of inactivation of the catalase during the complex drying and particle-formation processes takes place at constant temperature. These processes are rapid compared with the residence time of the powder in the collecting vessel of the cyclone where dried catalase is exposed to a constant temperature equal to approximately the drying gas outlet temperature. A lower activation energy after spray drying with the ultrasonic nozzle was found than with the 2-fluid nozzle under otherwise identical spray drying conditions. It is feasible that the ultrasonic nozzle when mounted in the lid of the spray dryer heats up toward the drying gas inlet temperature much more that the air-cooled 2-fluid nozzle. Calculation of the Arrhenius activation energy also showed how the stabilizing efficacy of trehalose and mannitol on the catalase varies in strength across the range of drying gas inlet and outlet temperatures examined. Copyright © 2015 Elsevier B.V. All rights reserved.

  18. Probing static disorder in Arrhenius kinetics by single-molecule force spectroscopy.

    Science.gov (United States)

    Kuo, Tzu-Ling; Garcia-Manyes, Sergi; Li, Jingyuan; Barel, Itay; Lu, Hui; Berne, Bruce J; Urbakh, Michael; Klafter, Joseph; Fernández, Julio M

    2010-06-22

    The widely used Arrhenius equation describes the kinetics of simple two-state reactions, with the implicit assumption of a single transition state with a well-defined activation energy barrier DeltaE, as the rate-limiting step. However, it has become increasingly clear that the saddle point of the free-energy surface in most reactions is populated by ensembles of conformations, leading to nonexponential kinetics. Here we present a theory that generalizes the Arrhenius equation to include static disorder of conformational degrees of freedom as a function of an external perturbation to fully account for a diverse set of transition states. The effect of a perturbation on static disorder is best examined at the single-molecule level. Here we use force-clamp spectroscopy to study the nonexponential kinetics of single ubiquitin proteins unfolding under force. We find that the measured variance in DeltaE shows both force-dependent and independent components, where the force-dependent component scales with F(2), in excellent agreement with our theory. Our study illustrates a novel adaptation of the classical Arrhenius equation that accounts for the microscopic origins of nonexponential kinetics, which are essential in understanding the rapidly growing body of single-molecule data.

  19. De Svante Arrhenius ao peagâmetro digital: 100 anos de medida de acidez From Svante Arrhenius to the digital ph meter: a century of acidity measurement

    Directory of Open Access Journals (Sweden)

    Michelle da Silva Gama

    2007-02-01

    Full Text Available This work describes the establishment of the concept of pH and the evolution of its measurement. The origin of the pH definition can be found in the development of the chemistry of aqueous solutions during the XIXth century. The electrolytic dissociation theory by Svante Arrhenius played a central role. After the proposal of the pH scale by Sörensen, many years were necessary for the acceptance of this new parameter among chemists in general. Its importance was first recognized in biochemistry and related areas. Twenty years after, its importance had been recognized in many industrial and laboratorial practices. The previous methods were based on colorimetric and electrometric methods, but both suffered from many problems. Acceptance of pH in Chemistry was only possible after the development of experimental trustable measurements. The invention of the pH meter was the primordial step.

  20. Chemistry experiences from a containment fire at Ringhals unit 2

    International Nuclear Information System (INIS)

    Arvidsson, Bengt; Svanberg, Pernilla; Bengtsson, Bernt

    2012-09-01

    At the refuelling outage in Ringhals unit 2, during an ongoing Containment Air Test (CAT), a fire event occurred at the refuelling deck/entrance floor. Due to the ongoing CAT with high pressure, all attempts to enter the containment to extinguish the fire were impossible. The fire started as a short circuit (spark) in a vacuum cleaner that was left in the containment by mistake and then set fire to nearby material. Approximate, 5 kg of rubber material and 30 kg of plastic material were estimated to have been burned out. The complete inside of the containment from the level of fire (+115) up to the ceiling/dome (+156) was colored black by soot. Soot or smoke was also spread throughout the whole containment building and the cavity/reactor vessel was contaminated by a minor part of soot due to some unsuccessful covering of the area during CAT. All fuel assemblies were stored in the fuel pool building and not affected by the fire. During the pressure reduction of containment, high air humidity with moisture precipitation occurred and caused a rapid general corrosion on steel surfaces due to high levels of chloride in the soot together with some pitting on stainless steel piping. Immediate action was to install portable dryers to lower the humidity, followed by the start of an extensive cleaning program with objectives to prevent plant degradation/recontamination of soot and bring the unit back in operation. More than 1300 people including >150 cleaners has been appointed to this project. All piping, insulation, cables, >4.500 components, 6.340 m 2 of concrete wall surface and 5.100 m 2 of concrete floor surface have been cleaned during 7 months to an estimated cost of 20 million Euro. Chemistry staff has been deeply involved in sampling and chemical analysis of contaminated surfaces/objects as well as establishing criteria's for cleaning equipment, procedures and specifications. Approximately 12000 measurements have been performed using portable salt meters in

  1. BN-600 power unit 15-year operating experience

    International Nuclear Information System (INIS)

    Saraev, O.M.; Oshkanov, N.N.; Vylomov, V.V.

    1996-01-01

    Comprehensive experience has been gained with the operating fast reactor BN-600 with a power out of 600 MWe. This paper includes important performance results and gives also an overview of the experience gained from BN-600 NPP commercial operation during 15 years. (author). 2 figs, 1 tab

  2. Higher Education Relations: Iranian and the United States Experience.

    Science.gov (United States)

    Fereshteh, M. Hussein

    This review examined the views of 35 higher education professionals in order to explore the history of higher education relations between Iran and the United States particularly before and after the revolution in Iran. The study used interviews with participants, correspondence, and published material from journals, monographs, and newspapers. All…

  3. Recent Experiences in the Respiratory Unit of the Johannesburg ...

    African Journals Online (AJOL)

    A. W. W. VAN AS, M.B., B.CH. (RAND) ... females, were referred to the Respiratory Unit in 5 months. (It must be ... of a lymphoma. ... patient who had had a renal transplant; she recovered fully. ... tube to slip down the right main-stem bronchus and obstruct the left ... the rate of spontaneous depolarization of automatic cells is.

  4. Nuclear information and education experience in the United Kingdom

    International Nuclear Information System (INIS)

    Ginniff, M.E.

    1993-01-01

    The presentation discusses the importance of public information and education in the field of energy and particularly in the field of nuclear energy development. The attempt is made to explain some issues connected with the nuclear fuel cycle. Appendix contains comments on the United Kingdom educational materials in this area

  5. The Lombardia Stroke Unit Registry: a year experience

    Directory of Open Access Journals (Sweden)

    Giuseppe Micieli

    2010-12-01

    Full Text Available Stroke is the third cause of death and the first long-term disability cause in industrialised countries. It is therefore an important problem, not only from a clinical point of view, but also because of the high costs involved in its management. The results of clinical trials, reviews and meta-analysis highlight the importance of the Stroke Unit in the correct and adequate management of the patient with stroke. This article describes the Lombardia Stroke Unit and the related Stroke Registry. In 2010 this Registry includes 27 Centres and recruits patients with acute stroke or transient ischaemic attacks (TIAs. The Registry aims at measuring performance parameters, identifying guidelines, non-compliance causes, and analysing care processes.

  6. Peritonitis: 10 years' experience in a single surgical unit.

    Science.gov (United States)

    Agarwal, Nitin; Saha, Sudipta; Srivastava, Anurag; Chumber, Sunil; Dhar, Anita; Garg, Sanket

    2007-01-01

    Peritonitis secondary to gut perforation is still one of the commonest surgical emergencies in India and is associated with high morbidity and mortality. The present study examines the aetiology and outcome of peritonitis cases operated on in our surgical unit, and compares our findings with those of previous studies performed between 1981 and 1991. A retrospective study of 260 peritonitis patients operated on in a single surgical unit from 1995 to 2006 was done and data involving clinical presentation, operative findings and post-operative course were studied and analysed. Causes of peritonitis were small bowel perforation (96 ileal, 17 jejunal), peptic perforation (45 duodenal, 16 gastric), appendicular perforation (36), primary peritonitis (8), and others (42). The incidence of major complications was 25% (burst-11%, leak-5%, intraabdominal abscess-5%, multi-organ failure-6.5%). The overall mortality was 10%. High mortality was observed in jejunal, gall bladder and liver abscess perforation cases (> 20%). Histopathological evaluation (143 specimens) revealed tuberculosis in 42 (mostly small bowel), malignancy in 8, and inflammation in the rest. Comparisons with a similar study carried out in the same unit and published in 1995 revealed similar demographic features and mortality, but a change in the most common cause (peptic ulcer perforation to small bowel perforation), and an increased performance of enterostomy compared with primary repair in small bowel perforation and a decrease in the leak rate (13% to 4%). Small bowel perforation is the commonest form of perforation and the mortality rate associated with peritonitis remains unchanged.

  7. Acceleration units for the Induction Linac Systems Experiment (ILSE)

    International Nuclear Information System (INIS)

    Faltens, A.; Brady, V.; Brodzik, D.; Hansen, L.; Laslett, L.J.; Mukherjee, S.; Bubp, D.; Ravenscroft, D.; Reginato, L.

    1989-03-01

    The design of a high current heavy ion induction linac driver for inertial confinement fusion is optimized by adjusting the acceleration units along the length of the accelerator to match the beam current, energy, and pulse duration at any location. At the low energy end of the machine the optimum is a large number of electrostatically focused parallel beamlets, whereas at higher energies the optimum is a smaller number of magnetically focused beams. ILSE parallels this strategy by using 16 electrostatically focused beamlets at the low end followed by 4 magnetically focused beams after beam combining. 3 refs., 2 figs

  8. The application experience of ethanol amine at KORI unit 4

    International Nuclear Information System (INIS)

    Lee, Sang-hak; Park, Jong-il; Lee, Jae-won; Kim, Guem-Soo

    2004-01-01

    The secondary system water chemistry in the KORI PWR units has been well controlled by reducing the corrosion in the tubes of the steam generators; the pH agent has been changing from ammonia to ethanol amine (ETA) (1.8 to 2.0 ppm). For example, the iron concentration in the system was reduced by 40 to 70% compared with ammonia treatment. The paper presents the detailed information, such as ETA injection concentration and the variation of pH, concentration of organic acid products, and irons in the system, and a significant change on sludge after ETA application. (S. Ohno)

  9. Simple ADC unit for cosmic ray air shower experiments

    Energy Technology Data Exchange (ETDEWEB)

    Goswami, G C; Ghosh, B; Ghoshdastidar, M R; Sengupta, S K; Chaudhuri, N [North Bengal Univ., Darjeeling (India). Dept. of Physics

    1982-02-01

    The design of a new low cost analog-to-digital converter system is described. It is based upon the method of linearising the charging process of a storage condenser and is controlled by logic gates. Its tested characteristics have been found to be reliable for application in cosmic ray air shower experiments.

  10. Nursing diagnosis in intensive care unit: the Turkey experience.

    Science.gov (United States)

    Korhan, Esra Akn; Yönt, Gülendam Hakverdioğlu; Erdemir, Firdevs; Müller-Staub, Maria

    2014-01-01

    The purpose of this study was to determine intensive care unit nurses diagnostic abilities and diagnoses that they provide. A vignette study was performed. The vignette contained a patient's history, treatment, and signs/symptoms of 18 nursing diagnoses based on NANDA-I as the criterion standard. Turkish intensive care unit nurses (N = 45) stated nursing diagnoses described by patient data in the vignette. The resulting nursing diagnoses were grouped into Gordon's Functional Health Patterns, and descriptive analyses were performed. One-way analysis of variance was used to detect possible differences in diagnostic abilities based on nurses' education levels. Nurses identified 14 nursing diagnoses. Four of the predetermined psychosocial nursing diagnoses were not identified. The highest percentage of diagnoses was risk for impaired skin integrity (62.2%) and impaired oral mucous membrane (60.0%). The lowest number of diagnoses was impaired verbal communication (2.2%). A statistically significant difference was found between the educational level of nurses and their abilities to determine nursing diagnoses (P < .05). The findings are important for nursing education. They demonstrate the need to focus on patients as complete human beings, covering not only biological aspects but also cultural and social values, as well as emotional and spiritual care needs.

  11. Magnetization Reversal of Nanoscale Islands: How Size and Shape Affect the Arrhenius Prefactor

    Science.gov (United States)

    Krause, S.; Herzog, G.; Stapelfeldt, T.; Berbil-Bautista, L.; Bode, M.; Vedmedenko, E. Y.; Wiesendanger, R.

    2009-09-01

    The thermal switching behavior of individual in-plane magnetized Fe/W(110) nanoislands is investigated by a combined study of variable-temperature spin-polarized scanning tunneling microscopy and Monte Carlo simulations. Even for islands consisting of less than 100 atoms the magnetization reversal takes place via nucleation and propagation. The Arrhenius prefactor is found to strongly depend on the individual island size and shape, and based on the experimental results a simple model is developed to describe the magnetization reversal in terms of metastable states. Complementary Monte Carlo simulations confirm the model and provide new insight into the microscopic processes involved in magnetization reversal of smallest nanomagnets.

  12. Second Law Analysis for a Variable Viscosity Reactive Couette Flow under Arrhenius Kinetics

    Directory of Open Access Journals (Sweden)

    N. S. Kobo

    2010-01-01

    Full Text Available This study investigates the inherent irreversibility associated with the Couette flow of a reacting variable viscosity combustible material under Arrhenius kinetics. The nonlinear equations of momentum and energy governing the flow system are solved both analytically using a perturbation method and numerically using the standard Newton Raphson shooting method along with a fourth-order Runge Kutta integration algorithm to obtain the velocity and temperature distributions which essentially expedite to obtain expressions for volumetric entropy generation numbers, irreversibility distribution ratio, and the Bejan number in the flow field.

  13. Elastic models for the non-Arrhenius relaxation time of glass-forming liquids

    DEFF Research Database (Denmark)

    Dyre, Jeppe

    We first review the phenomenology of viscous liquids and the standard models used for explaining the non-Arrhenius average relaxation time. Then the focus is turned to the so-called elastic models, arguing that these models are all equivalent in the Einstein approximation (where the short-time...... elastic properties are all determined by just one effective, temperature-dependent force constant). We finally discuss the connection between the elastic models and two well-established research fields of condensed-matter physics: point defects in crystals and solid-state diffusion....

  14. Elastic models for the Non-Arrhenius Relaxation Time of Glass-Forming Liquids

    DEFF Research Database (Denmark)

    Dyre, J. C.

    2006-01-01

    We first review the phenomenology of viscous liquids and the standard models used for explaining the non-Arrhenius average relaxation time. Then the focus is turned to the so-called elastic models, arguing that these models are all equivalent in the Einstein approximation (where the short-time...... elastic properties are all determined by just one effective, temperature-dependent force constant). We finally discuss the connection between the elastic models and two well-established research fields of condensed-matter physics: point defects in crystals and solid-state diffusion....

  15. Unitized Stiffened Composite Textile Panels: Manufacturing, Characterization, Experiments, and Analysis

    Science.gov (United States)

    Kosztowny, Cyrus Joseph Robert

    Use of carbon fiber textiles in complex manufacturing methods creates new implementations of structural components by increasing performance, lowering manufacturing costs, and making composites overall more attractive across industry. Advantages of textile composites include high area output, ease of handling during the manufacturing process, lower production costs per material used resulting from automation, and provide post-manufacturing assembly mainstreaming because significantly more complex geometries such as stiffened shell structures can be manufactured with fewer pieces. One significant challenge with using stiffened composite structures is stiffener separation under compression. Axial compression loading conditions have frequently observed catastrophic structural failure due to stiffeners separating from the shell skin. Characterizing stiffener separation behavior is often costly computationally and experimentally. The objectives of this research are to demonstrate unitized stiffened textile composite panels can be manufactured to produce quality test specimens, that existing characterization techniques applied to state-of-the-art high-performance composites provide valuable information in modeling such structures, that the unitized structure concept successfully removes stiffener separation as a primary structural failure mode, and that modeling textile material failure modes are sufficient to accurately capture postbuckling and final failure responses of the stiffened structures. The stiffened panels in this study have taken the integrally stiffened concept to an extent such that the stiffeners and skin are manufactured at the same time, as one single piece, and from the same composite textile layers. Stiffener separation is shown to be removed as a primary structural failure mode for unitized stiffened composite textile panels loaded under axial compression well into the postbuckling regime. Instead of stiffener separation, a material damaging and

  16. Experience with the United Kingdom examinations in neurosurgery.

    Science.gov (United States)

    Pickard, J D

    1997-01-01

    The UK Intercollegiate Specialty Board examination in Surgical Neurology was established in 1991 based on the experience of the original Royal College of Surgeons of Edinburgh Assessment in Surgical Neurology, an exit examination that was originally opposed both by surgery in general and by the younger neurosurgical community. Criteria for eligibility encompass both UK, EC and non-EC overseas graduates. Candidates must have completed satisfactorily their 4th year of a 6 year training programme, have personal experience with the more straightforward benign tumours, aneurysms and posterior fossa explorations, and be able to safely manage a conventional neurosurgical practice. The examination consists of a multiple choice question paper, clinical examination and three Vivas. A curriculum is under construction. Examinations are held twice per annum, and rotate between the four colleges. There are strict guidelines for the examiners. The pass rate is about 70%. All aspects of the examination continue to evolve and are carefully audited.

  17. The experience of the thermosetting polymer embedding unit Seth 200

    International Nuclear Information System (INIS)

    Gauthey, M.J.C.

    1989-01-01

    Nuclear facilities generate large quantities of low-and medium-level radioactive waste. Such wastes are produced by the various fuel cycle systems, the functioning of power reactors, research centers, hospitals, dismantled nuclear facilities. They must be encapsulated, possibly after chemical treatment, before final storage. Low- and medium-level wastes generally consists of technological waste, a major part of which are Ion Exchange Resins (IERs), requiring a specific encapsulation technique because of their nature. This paper reports on the development of a suitable encapsulation process for this waste. This process is based on the use of a thermosetting resin associated with an epoxy matrix. Several fixed and mobile units using this process have been operating for several years

  18. Review of the uranium miner experience in the United States

    International Nuclear Information System (INIS)

    Hilberg, A.W.

    1973-01-01

    Mining of uranium ores on a very small scale began in the United States in 1898. In 1948 mining of uranium ores increased significantly as a result of the increasing demands of the atomic energy program, particularly, the weapons program. It was well-known that radioactivity was associated with uranium ore and potential health hazards had been identified as early as 1921. It was then suggested that the large number of lung cancers found in the Schneeberg miners could possibly be caused by ionizing radiation. Radiation exposure to the lungs of uranium ore miners comes about because of varying concentrations of radon decay products in the mine atmosphere. Measurements of the amount of radioactivity in mine atmospheres began in the United States in 1950 and between 1951 and through 1968, approximately 43,000 measurements were made in about 2,500 uranium mines. Periodic medical surveys were made starting in 1950, but it was not until 1954, that a concerted effort was made to examine all miners. At this time an epidemiological study was begun by the U.S. Public Health Service to determine the effects of uranium mining with particular emphasis on the problem of lung cancer induction. The study of the miners, the results of which have been published, revealed a distinct and somewhat dramatic increase in lung cancer. This increase has been ascribed to the radiation exposure to radon-daughters. Because of the presence of a number of other potential occupational carcinogens in the dust of underground mines, there has been some question as to whether radon and radon-daughters constitute the principal cause of increased lung cancer risk among these miners

  19. Breakdown of the Arrhenius Law in Describing Vacancy Formation Energies: The Importance of Local Anharmonicity Revealed by Ab initio Thermodynamics

    Directory of Open Access Journals (Sweden)

    A. Glensk

    2014-02-01

    Full Text Available We study the temperature dependence of the Gibbs energy of vacancy formation in Al and Cu from T=0  K up to the melting temperature, fully taking into account anharmonic contributions. Our results show that the formation entropy of vacancies is not constant as often assumed but increases almost linearly with temperature. The resulting highly nonlinear temperature dependence in the Gibbs formation energy naturally explains the differences between positron annihilation spectroscopy and differential dilatometry data and shows that nonlinear thermal corrections are crucial to extrapolate high-temperature experimental data to T=0  K. Employing these corrections—rather than the linear Arrhenius extrapolation that is commonly assumed in analyzing experimental data—revised formation enthalpies are obtained that differ up to 20% from the previously accepted ones. Using the revised experimental formation enthalpies, we show that a large part of the discrepancies between DFT-GGA and unrevised experimental vacancy formation energies disappears. The substantial shift between previously accepted and the newly revised T=0  K formation enthalpies also has severe consequences in benchmarking ab initio methods against experiments, e.g., in deriving corrections that go beyond commonly used LDA and GGA exchange-correlation functionals such as the AM05 functional.

  20. A Summary of First Year Activities of the United Arab Emirates Unified Aerosol Experiment: UAE(2)

    National Research Council Canada - National Science Library

    Reid, Jeffrey S; Piketh, Stuart J; Kahn, Ralph; Bruintjes, Roelof T; Holben, Brent N

    2005-01-01

    In August and September of 2004, scientists from two dozen international research organizations converged in the Arabian Gulf region to participate in the United Arab Emirates Unified Aerosol Experiment (UAE...

  1. Transition from neonatal intensive care unit to special care nurseries: Experiences of parents and nurses

    NARCIS (Netherlands)

    Dr. A.L. van Staa; O.K. Helder; J.C.M. Verweij

    2011-01-01

    To explore parents' and nurses' experiences with the transition of infants from the neonatal intensive care unit to a special care nursery. Qualitative explorative study in two phases. Level IIID neonatal intensive care unit in a university hospital and special care nurseries (level II) in five

  2. An operating nuclear utility's experience with the ALARA design of a new nuclear unit

    International Nuclear Information System (INIS)

    Rodgers, R.C.

    1985-01-01

    This talk presents a review of how operating experience at Northeast Utilities has been factored into the design of a new nuclear unit and the development and management of the radiation protection program. Their operational experience has indicated that there are two facets to keeping radiation exposures ALARA. The first is the proper ALARA design of the unit. The other facet is the design of a comprehensive radiation protection program. The author discusses these facets in some detail

  3. [Demographic influence on economic stability: the United States experience].

    Science.gov (United States)

    Easterlin, R A; Wachter, M; Wachter, S M

    1978-01-01

    Up to the 1930s the international migration rate into the U.S. was very high, while birth and mortality rates had little variation; migration was, therefore, the principal responsible for population growth rate. Migration cycles were induced by economic conditions, and had, in their turn, important effects on economic feedback. The growing of urban areas, i.e., accelerated demand for new homes and urban services in general, prolonged the economic expansion. After World War 2 a new period opened in the relation between demographic and economic cycles. At the end of the 1950s the U.S. experienced a considerable growth in the number of people between 15-29, due to corresponding birth rate increase, which initiated around 1940. This marked difference in the relative number of young adults, or manpower, resulted in an economic situation relatively unfavorable. For the future a decrease in the relative number of young adults is expected, reflecting the decrease in birth rate experienced around 1960. If the U.S. should experience a new "baby boom" in the next few decades, radical changes in the demographic composition of manpower will have to be expected.

  4. Systematic review of qualitative studies exploring parental experiences in the Neonatal Intensive Care Unit.

    Science.gov (United States)

    Al Maghaireh, Dua'a Fayiz; Abdullah, Khatijah Lim; Chan, Chong Mei; Piaw, Chua Yan; Al Kawafha, Mariam Mofleh

    2016-10-01

    To determine the feasibility and utility of a thematic analysis approach to synthesising qualitative evidence about parental experiences in the neonatal intensive care unit. Admission of infants to the neonatal intensive care unit is usually an unexpected event for parents who can cause them to experience psychosocial difficulties. A qualitative systematic review is the best method for exploring these parents' experiences regarding this type of admission. Systematic review. Qualitative studies in peer-reviewed journals aimed at understanding parental experiences regarding infant neonatal intensive care unit admission were identified in six electronic databases. Three reviewers selected relevant articles and assessed the quality of the methodological studies using the Critical Appraisal Skills Programme. A thematic analysis approach was used to identify the most common themes in the studies describing parental experiences in the neonatal intensive care unit. A total of eighty articles were identified; nine studies were included in this review. Four studies used semistructured interviews, three used interviews, one used self-reporting and one used both focus group and interview methodologies. Common themes across parents' experiences were the stress of hospitalisation, alteration in parenting roles and the impact of infant hospitalisation on psychological health. Having an infant hospitalised in the neonatal intensive care unit is a stressful experience for parents. This experience is the result of exposure to different stressors related to the infant's condition, an alteration in parenting roles or the neonatal intensive care unit environment and staffing. These parents suffered negative psychological effects, experienced an interrupted development of a healthy parent-infant attachment and/or felt parental role alteration. The study's findings are crucial for neonatal intensive care unit nurses to develop intervention strategies and programmes that help parents to

  5. Experience of our new monitor for betatron therapy unit

    International Nuclear Information System (INIS)

    Kanno, Takenori; Sato, Hisao; Abe, Shunsuke; Suyama, Sachio.

    1975-01-01

    The amount of high energy electron beams is instable owing to lots of factors. As a matter of course, we should be careful in controling the amount of beams and it is also necessary to improve the beam monitoring apparatuses to make them stable. We have improved a usual monitor and had experiments with it. Here is the report. (1) An ordinary monitor is influenced by humidity, air atmosphere induced noise from an apparatus and so on. We made a new monitor with due regard to these factors. When the count is set to 100 with a usual monitor, the standard dose meter (ionex) indicate is 280 R in 16 MeV and the lowest one is 198 R. Between standard dose meter (ionex) and usual monitor is 82 R. With the trial monitor, the highest integrated dose is 103 R and the lowest one is 89 R. The difference is only 14 R and we are satisfied with the result. We gain this value after 16 months' trial. (2) The chamber is made air tight and has a double structure with a collection electrode sandwiched between high tension charging electrodes. In this way, we can eliminate the influences of humidity and induced noise from an apparatus itself and we can putup ion collection efficiency without widening the distance between the electrodes. As for the indicator circuit, we can get an input signal with a big s/n ratio and so we need not use high impedance resistors in the input circuitry. There is little affect from humidity and induced noise, and the circuit is stable. The indicator circuit has a complete electronic system, therefore counting speed is greatly improved and we can measure a large amount of beams in a short time. The trial monitor has four measuring ranges and so measuring is easily done. Our monitor has a circuit tester, too, and we can test the measuring circuit on occasion. (auth.)

  6. Penentuan Umur Simpan Lengkuas dengan Model Arrhenius Berdasarkan Kadar Air dan Kadar Sari Larut dalam Air

    Directory of Open Access Journals (Sweden)

    Rita Khathir

    2014-04-01

    Full Text Available Abstrak. Lengkuas (Alpinia galanga adalah salah satu tanaman penting bagi masyarakat Indonesia. Tanaman ini dapat digunakan untuk bumbu masakan dan obat herbal. Tujuan kajian ini adalah untuk menduga umur simpan lengkuas segar dengan menggunakan model Arrhenius. Lengkuas segar yang baru dipanen dibersihkan dan dipotong-potong dengan ukuran 2cm, kemudian disimpan pada suhu 5, 10 dan 28°C. Evaluasi dilakukan oleh 25 orang panelis dengan menggunakan skala hedonic dari sangat suka sampai sangat tidak suka terhadap warna, kesegaran, aroma dan tekstur. Parameter yang diamati adalah kadar air dan kadar sari larut dalam air. Parameter tersebut diamati dalam interval 3 hari selama 21 hari atau sampai sampel dinyatakan tidak disukai oleh panelis pada salah satu kriteria hedoniknya. Hasil penelitian menunjukkan bahwa pad asuhu 28°C, lengkuas dapat disimpan selama 3 hari, sedangkan pada suhu 10 dan 5°C, lengkuas dapat disimpan selama 12 dan 21 hari. Energi aktivasi (EA dan tingkat perubahan mutu (Q10 karena kadar sari larut dalam air lebih besar dari energi aktivasi (EA dan tingkat perubahan mutu (Q10 karena kadar air lengkuas. Namun demikian, kedua parameter tersebut tidak tepat digunakan untuk menduga umur simpan lengkuas.   Shelf-Life Prediction of Galanga by Using Arrhenius Model Based on Its Moisture and Water Soluble Extract Content Abstract. Galanga (Alpinia galanga is one of important plants for Indonesian people. It can be used as spices and also as herbal medicine. The aim of this study is to predict the shelf-life of fresh galanga by using Arrhenius model. Fresh harvested galanga, which was cleaned and chopped at width about 2 cm, was stored at temperatures 5, 10, and 28°C. The evaluation was done by 25 respondents by using hedonic scale from the range of like very much until dislike very much. This hedonic evaluation was assessed, based on colour, freshness, aroma, and texture. Parameters observed were moisture and water soluble extract

  7. A Look into International Graduate Students' Experience in the United States: A Grounded Theory Model

    Science.gov (United States)

    Fujisaki, Shuko

    2013-01-01

    The number of international students in the United States has been increasing each year, but little is known about their experience. There are recent studies on international students, however, only a few research has focused on international students studying at graduate level. To best study international graduate students' experience, a…

  8. School Climate and the Experience of LGBT Students: A Comparison of the United States and Israel

    Science.gov (United States)

    Pizmony-Levy, Oren; Kosciw, Joseph G.

    2016-01-01

    This article examines the school experience of lesbian, gay, bisexual, and transgender (LGBT) students in the United States and Israel. Through comparison of the sociocultural and edu-cational contexts, the authors assess whether school experience of LGBT students differs or operates similarly across countries. The authors use data from the…

  9. Renewables-Friendly Grid Development Strategies. Experience in the United States, Potential Lessons for China

    Energy Technology Data Exchange (ETDEWEB)

    Hurlbut, David [National Renewable Energy Lab. (NREL), Golden, CO (United States); Zhou, Ella [National Renewable Energy Lab. (NREL), Golden, CO (United States); Porter, Kevin [Exeter Associates, Columbia, MD (United States); Arent, Douglas J. [Joint Inst. for Strategic Energy Analysis, Golden, CO (United States)

    2015-10-01

    This report aims to help China's reform effort by providing a concise summary of experience in the United States with "renewables-friendly"" grid management, focusing on experiences that might be applicable to China. It focuses on utility-scale renewables and sets aside issues related to distributed generation.

  10. Estudo do envelhecimento dos ligantes asfálticos a partir do Modelo de Arrhenius

    Directory of Open Access Journals (Sweden)

    Joao Paulo Souza Silva

    2016-11-01

    Full Text Available The phenomenon of "aging" is responsible for modifying characteristics of the asphalt binder and asphalt mixture, resulting in a decrease in the layer lifecycle. Therefore, in order to minimize the harmful effects of this phenomenon and ensure the correct life cycle of the pavement, this work brings in short-term aging simulation, analyzing three distinct characteristics, according to Arrhenius model. From the data obtained, it was possible to produce curves for quality control, considered important tools to control the time and temperature during production cycles, spreading and compacting the asphalt mixture. Thus, from the analysis of the exposure of the CAP 50/70 at various temperatures, it was possible to determine which would be the maximum exposure time to ensure that their physical and rheological properties remain in accordance with the minimum standards established by technical standards current.

  11. Arrhenius-kinetics evidence for quantum tunneling in microbial “social” decision rates

    Science.gov (United States)

    2010-01-01

    Social-like bacteria, fungi and protozoa communicate chemical and behavioral signals to coordinate their specializations into an ordered group of individuals capable of fitter ecological performance. Examples of microbial “social” behaviors include sporulation and dispersion, kin recognition and nonclonal or paired reproduction. Paired reproduction by ciliates is believed to involve intra- and intermate selection through pheromone-stimulated “courting” rituals. Such social maneuvering minimizes survival-reproduction tradeoffs while sorting superior mates from inferior ones, lowering the vertical spread of deleterious genes in geographically constricted populations and possibly promoting advantageous genetic innovations. In a previous article, I reported findings that the heterotrich Spirostomum ambiguum can out-complete mating rivals in simulated social trials by learning behavioral heuristics which it then employs to store and select sets of altruistic and deceptive signaling strategies. Frequencies of strategy use typically follow Maxwell-Boltzmann (MB), Fermi-Dirac (FD) or Bose-Einstein (BE) statistical distributions. For ciliates most adept at social decision making, a brief classical MB computational phase drives signaling behavior into a later quantum BE computational phase that condenses or favors the selection of a single fittest strategy. Appearance of the network analogue of BE condensation coincides with Hebbian-like trial-and-error learning and is consistent with the idea that cells behave as heat engines, where loss of energy associated with specific cellular machinery critical for mating decisions effectively reduces the temperature of intracellular enzymes cohering into weak Fröhlich superposition. I extend these findings by showing the rates at which ciliates switch serial behavioral strategies agree with principles of chemical reactions exhibiting linear and nonlinear Arrhenius kinetics during respective classical and quantum computations

  12. Against the odds: experiences of nurse leaders in Clinical Development Units (Nursing) in Australia.

    Science.gov (United States)

    Atsalos, Christine; O'Brien, Louise; Jackson, Debra

    2007-06-01

    This paper is a report of a longitudinal study to develop an understanding of the phenomena of Clinical Development Unit (Nursing) leadership by exploring the experiences of the nurse leaders of nine Australian units as they attempted to develop their existing wards or units into recognized centres of nursing excellence. The concept of Clinical Development Unit (Nursing) in Australia originated in the British Nursing Development Unit movement, which has been widely credited with introducing innovative approaches to developing nurses and nursing. A network of nine Clinical Development Units (Nursing) was set up in a suburban area health service in Australia. The aim was to develop existing wards or units into centres of excellence by disseminating a new vision for Australian nurses that was based on the pioneering work of the British Nursing Development Unit movement. Principles of Heideggerian hermeneutic phenomenology provided a framework for the study. Nine Clinical Development Unit (Nursing) leaders participated in qualitative interviews from 1998 to 2002. These interviews were transcribed into text and thematically analysed. Despite attempts to implement a variety of measures to nurture these Clinical Development Units (Nursing) until they had become well established, the new Clinical Development Unit (Nursing) leaders were unable to maintain the Clinical Development Unit (Nursing) vision with which they had been entrusted. This paper discusses their reactions to the problems they faced and the new understandings they developed of their Clinical Development Unit (Nursing) role over time. The findings illuminate the difficulties involved in maintaining the commitment of all levels of staff and management when attempting to introduce new nursing projects.

  13. Dynamic contrast enhanced CT measurement of blood flow during interstitial laser photocoagulation: comparison with an Arrhenius damage model

    International Nuclear Information System (INIS)

    Purdie, T.J.; Lee, T.J.; Iizuka, M.; Sherar, M.D.

    2000-01-01

    One effect of heating during interstitial laser photocoagulation (ILP) is to directly destroy the tumour vasculature resulting in a loss of viable blood supply. Therefore, blood flow measured during and after treatment can be a useful indicator of tissue thermal damage. In this study, the effect of ILP treatment on rabbit thigh tumours was investigated by measuring blood flow changes using dynamic contrast enhanced computed tomography (CT). The CT measured changes in blood flow of treated tumour tissue were fitted to an Arrhenius model assuming first order rate kinetics. Our results show that changes in blood flow of tumour tissue distant from surrounding normal tissue are well described by an Arrhenius model. By contrast, the temperature profile of tumour tissue adjacent to normal tissue must be modified to account for heat dissipation by the latter. Finally, the Arrhenius parameters derived in the study are similar to those derived by heating tumour tissue to a lower temperature (<47 deg. C) than the current study. In conclusion, CT can be used to monitor blood flow changes during ILP and these measurements are related to the thermal damage predicted by the Arrhenius model. (author)

  14. Mechanism of Prototropy. V. Arrhenius parameters of the tautomerization of Benzylidene Benzylamine and its α-α-alkyl derivatives

    International Nuclear Information System (INIS)

    Perez Ossorio, R.; Gomez Herrera, F.; Utrilla, R. M.; Hidalgo, A.; Gamboa, J. M.

    1961-01-01

    The reactions were conducted in ethyl alcohol-dioxan, in the presence of EtONa, as catalyst. Rates were followed by a radioactive tracer method when R=H and by spectroscopic method when R= alkyl as described in previous papers. The results suggest that polar effects alone cannot account for the relative Arrhenius parameters obtained. (Author) 3 refs

  15. Prototype radiographic system for emergency and intensive care units: Initial experience

    International Nuclear Information System (INIS)

    Mirvis, S.

    1986-01-01

    A prototype radiographic system has been developed for use in bedside examinations in multibed trauma or intensive care units and emergency rooms. The system features a single-phase, high-frequency 30-kW ceiling-mounted generator with an x-ray tube extending from a long counterbalanced arm. All movements are servo-assisted for ease of operation. Based on initial experience, the unit allows easier access to the patient around resuscitation and monitoring equipment, occupies less floor space, and yields better quality images than do standard mobile radiographic units

  16. Midwives' experiences of facilitating normal birth in an obstetric-led unit: a feminist perspective.

    LENUS (Irish Health Repository)

    Keating, Annette

    2012-01-31

    OBJECTIVE: to explore midwives\\' experiences of facilitating normal birth in an obstetric-led unit. DESIGN: a feminist approach using semi-structured interviews focusing on midwives\\' perceptions of normal birth and their ability to facilitate this birth option in an obstetric-led unit. SETTING: Ireland. PARTICIPATION: a purposeful sample of 10 midwives with 6-30 years of midwifery experience. All participants had worked for a minimum of 6 years in a labour ward setting, and had been in their current setting for the previous 2 years. FINDINGS: the midwives\\' narratives related to the following four concepts of patriarchy: \\'hierarchical thinking\\

  17. Parent experiences of communication with healthcare professionals in neonatal intensive care units

    DEFF Research Database (Denmark)

    Weis, Janne; Lundqvist, Pia

    2016-01-01

    REVIEW QUESTION/OBJECTIVE: The objectives of this review are to explore parents' experiences of communication with healthcare professionals and to identify the meaningfulness of communication to parents in the neonatal intensive care unit (NICU).More specifically, the objectives are to identify....

  18. Lived experience of the intensive care unit for patients who experienced delirium.

    Science.gov (United States)

    Whitehorne, Karen; Gaudine, Alice; Meadus, Robert; Solberg, Shirley

    2015-11-01

    Delirium is a common occurrence for patients in the intensive care unit and can have a profound and lasting impact on them. Few studies describe the experience of intensive care patients who have had delirium. To understand the lived experience of intensive care for critically ill patients who experienced delirium. The study participants consisted of 7 men and 3 women, 46 to 70 years old, who had delirium according to the Confusion Assessment Method for the Intensive Care Unit. The van Manen method of hermeneutic phenomenology was used, and data collection entailed audio recorded semistructured interviews. Four themes were detected: "I can't remember," "Wanting to make a connection," "Trying to get it straight," and "Fear and safety concerns." Nurses working in intensive care units need to assess patients for delirium, assess the mental status of patients who have delirium, and help patients and patients' families learn about and deal with the psychological effects of the intensive care unit experience. ©2015 American Association of Critical-Care Nurses.

  19. Home to die from the intensive care unit: A qualitative descriptive study of the family's experience.

    Science.gov (United States)

    Hutchinson, Amy L; Van Wissen, Kim A

    2017-12-01

    Many people would choose to die at home, and this can be an option for intensive care patients. However, there is limited exploration of the impact on the family. To gain insight into family members' experiences when an adult intensive care unit patient is taken home to die. Methodology is qualitative description, utilising purposeful sampling, unstructured interviews and thematic analysis. Four participants, from two different families were interviewed. The setting was a tertiary level Intensive Care Unit in New Zealand. The experience was described as a kaleidoscope of events with two main themes: 'value' family member's found in the patient going home, and their experience of the 'process'. 'Value' subthemes: going home being the patient's own decision, home as an end-of-life environment, and the patient's positive response to being at home. 'Process' subthemes: care and support received, stress of a family member being in intensive care, feeling that everything happened quickly, and concerns and uncertainties. Going home to die from the intensive care unit can be a positive but challenging experience for the family. Full collaboration between the patient, family and staff is essential, to ensure the family are appropriately supported. Copyright © 2017 Elsevier Ltd. All rights reserved.

  20. A New Equation Relating the Viscosity Arrhenius Temperature and the Activation Energy for Some Newtonian Classical Solvents

    Directory of Open Access Journals (Sweden)

    Aymen Messaâdi

    2015-01-01

    Full Text Available In transport phenomena, precise knowledge or estimation of fluids properties is necessary, for mass flow and heat transfer computations. Viscosity is one of the important properties which are affected by pressure and temperature. In the present work, based on statistical techniques for nonlinear regression analysis and correlation tests, we propose a novel equation modeling the relationship between the two parameters of viscosity Arrhenius-type equation, such as the energy (Ea and the preexponential factor (As. Then, we introduce a third parameter, the Arrhenius temperature (TA, to enrich the model and the discussion. Empirical validations using 75 data sets of viscosity of pure solvents studied at different temperature ranges are provided from previous works in the literature and give excellent statistical correlations, thus allowing us to rewrite the Arrhenius equation using a single parameter instead of two. In addition, the suggested model is very beneficial for engineering data since it would permit estimating the missing parameter value, if a well-established estimate of the other parameter is readily available.

  1. Experiences of Racial Microaggression Among Migrant Nurses in the United Kingdom

    Directory of Open Access Journals (Sweden)

    Emee Vida Estacio

    2014-05-01

    Full Text Available In this article, we explore the experiences of racial microaggression among migrant nurses in the United Kingdom. Eleven migrant nurses kept a reflective diary for 6 weeks to record and reflect on their experiences of living and working in the United Kingdom. The diary entries were then thematically analyzed. The results suggest that migrant nurses experienced racial microaggression from patients and colleagues through racial preferences and bullying. Institutional racism also hindered their opportunities for further training and promotion. As a result, some experienced feelings of anger, frustration, and even paranoia. Despite the negative consequences of racial microaggression on their emotional well-being, incidents were downplayed as trivial because of their vague and subtle nature. To encourage better multicultural interactions in the workplace, supportive organizational infrastructures need to be in place to enhance diversity awareness and to improve mechanisms for reporting and dealing with cases of racial microaggression.

  2. Experiences of Nigerian Internationally Educated Nurses Transitioning to United States Health Care Settings.

    Science.gov (United States)

    Iheduru-Anderson, Kechinyere C; Wahi, Monika M

    2018-04-01

    Successful transition to practice of internationally educated nurses (IENs) can critically affect quality of care. The aim of this study was to characterize the facilitators and barriers to transition of Nigerian IENs (NIENs) to the United States health care setting. Using a descriptive phenomenology approach, 6 NIENs were interviewed about their transitional experiences in the United States. Thematic methods were used for data analysis. The three major themes identified from the participants' stories were "fear/anger and disappointment" (FAD), "road/journey to success/overcoming challenges" (RJO), and "moving forward" (MF). The FAD theme predominated, including experiences of racism, bullying, and inequality. The RJO theme included resilience, and the MF theme encompassed personal growth. NIENs face personal and organizational barriers to adaptation, especially fear, anger and disappointment. Future research should seek to develop a model for optimal adaptation that focuses on improving both personal and organizational facilitators and decreasing barriers.

  3. Integration in a nuclear physics experiment of a visualization unit managed by a microprocessor

    International Nuclear Information System (INIS)

    Lefebvre, M.

    1976-01-01

    A microprocessor (Intel 8080) is introduced in the equipment controlling the (e,e'p) experiment that will take place at the linear accelerator operating in the premises of CEA (Orme des Merisiers, Gif-sur-Yvette, France). The purpose of the microprocessor is to handle the visualization tasks that are necessary to have a continuous control of the experiment. By doing so more time and more memory will be left for data processing by the calculator unit. In a forward version of the system, the controlling of the level of helium in the target might also be in charge of the microprocessor. This work is divided into 7 main parts: 1) a presentation of the linear accelerator and its experimental facilities, 2) the Intel 8080 micro-processor and its programming, 3) the implementation of the micro-processor in the electronic system, 4) the management of the memory, 5) data acquisition, 6) the keyboard, and 7) the visualization unit [fr

  4. [Formative evaluation: experience of the Catalonian family and community medicine teaching units].

    Science.gov (United States)

    Ezquerra Lezcano, Matilde; Bundo Vidiella, Magda; Descarrega Queralt, Ramón; Martín Zurro, Amando; Fores García, Dolores; Fornells Vallès, Josep Maria

    2010-04-01

    The purpose of this article is to report on the experience in formative evaluation that was carried out in the Catalonian family and community medicine teaching units during the years 2001-2007. This formative evaluation project included the use of several evaluation tools such as, self-listening, video-recording, structured observation of clinical practice, cases by computer and simulated patients. Different resident intakes have participated in the development of the project, as well as their teaching unit tutors and coordinators. This accumulated experience has allowed it to progress into the field of formative evaluation, and to adapt and integrate the activities that were being carried out in a resident portfolio, which in our opinion is the best tool for the formative evaluation of the family medicine resident. Copyright 2009 Elsevier España, S.L. All rights reserved.

  5. Demonstrating the unit hydrograph and flow routing processes involving active student participation - a university lecture experiment

    Science.gov (United States)

    Schulz, Karsten; Burgholzer, Reinhard; Klotz, Daniel; Wesemann, Johannes; Herrnegger, Mathew

    2018-05-01

    The unit hydrograph (UH) has been one of the most widely employed hydrological modelling techniques to predict rainfall-runoff behaviour of hydrological catchments, and is still used to this day. Its concept is based on the idea that a unit of effective precipitation per time unit (e.g. mm h-1) will always lead to a specific catchment response in runoff. Given its relevance, the UH is an important topic that is addressed in most (engineering) hydrology courses at all academic levels. While the principles of the UH seem to be simple and easy to understand, teaching experiences in the past suggest strong difficulties in students' perception of the UH theory and application. In order to facilitate a deeper understanding of the theory and application of the UH for students, we developed a simple and cheap lecture theatre experiment which involved active student participation. The seating of the students in the lecture theatre represented the hydrological catchment in its size and form. A set of plastic balls, prepared with a piece of magnetic strip to be tacked to any white/black board, each represented a unit amount of effective precipitation. The balls are evenly distributed over the lecture theatre and routed by some given rules down the catchment to the catchment outlet, where the resulting hydrograph is monitored and illustrated at the black/white board. The experiment allowed an illustration of the underlying principles of the UH, including stationarity, linearity, and superposition of the generated runoff and subsequent routing. In addition, some variations of the experimental setup extended the UH concept to demonstrate the impact of elevation, different runoff regimes, and non-uniform precipitation events on the resulting hydrograph. In summary, our own experience in the classroom, a first set of student exams, as well as student feedback and formal evaluation suggest that the integration of such an experiment deepened the learning experience by active

  6. Contextualizing immigrants' lived experience: story of Taiwanese immigrants in the United States.

    Science.gov (United States)

    Tsai, Jenny Hsin-Chun

    2003-01-01

    Immigration involves extensive changes in living environments. Nonetheless, the predominant approach in the health science literature has been to utilize individual characteristics (including ethnic background) to explain and predict immigrants' lived experiences and health outcomes. Contexts, particularly the larger societal contexts by which immigrants are constituted, are generally ignored. Data from a critical ethnography regarding immigrants' experiences with language, occupation, and economic survival in the United States are utilized to illustrate that immigrants' lives are inseparable from the larger societal contexts, such as immigration policy, Western imperialism, and structural discrimination. The implications for practice, education, and research are discussed.

  7. Modernization of electrical systems in NPP Kozloduy unit 5 and 6. Feedback of experience

    International Nuclear Information System (INIS)

    Stinshoff, H.

    2005-01-01

    In the frame of the modernization program for the nuclear power plant Kozloduy unit 5 and 6 Framatome ANP has implemented measures to increase the safety and availability of the electrical systems. The hardware installation is scheduled in the refueling outages of the years 2003 to 2005. In this paper the following items are presented: 1) an overview of the modernization measures; 2) some important technical features of the new equipment and diagnostic measures; 3) feedback of experience

  8. Midwives' experiences of labour care in midwifery units. A qualitative interview study in a Norwegian setting.

    Science.gov (United States)

    Skogheim, Gry; Hanssen, Tove A

    2015-12-01

    In some economically developed countries, women's choice of birth care and birth place is encouraged. The aim of this study was to explore and describe the experiences of midwives who started working in alongside/free-standing midwifery units (AMU/FMU) and their experiences with labour care in this setting. A qualitative explorative design using a phenomenographic approach was used. Semi-structured interviews were conducted with ten strategically sampled midwives working in midwifery units. The analysis revealed the following five categories of experiences noted by the midwives: mixed emotions and de-learning obstetric unit habits, revitalising midwifery philosophy, alertness and preparedness, presence and patience, and coping with time. Starting to work in an AMU/FMU can be a distressing period for a midwife. First, it may require de-learning the medical approach to birth, and, second, it may entail a revitalisation (and re-learning) of birth care that promotes physiological birth. Midwifery, particularly in FMUs, requires an especially careful assessment of the labouring process, the ability to be foresighted, and capability in emergencies. The autonomy of midwives may be constrained also in AMUs/FMUs. However, working in these settings is also viewed as experiencing "the art of midwifery" and enables revitalisation of the midwifery philosophy. Copyright © 2015 Elsevier B.V. All rights reserved.

  9. Parent' s experiences and perceives at premature newborn in the neonatal intensive care unit

    Directory of Open Access Journals (Sweden)

    Klaudia Urbančič

    2002-05-01

    Full Text Available Text treats parent's experiences and perceives and the significant of their newborn premature infants in the neonatal intensive care unit in the Ljubljana maternity hospital. Aim of health promotion, the significance of health education in health education counselling are presented. The purpose of this study was to introduction parent' s experiences and make an implementation in nursing practice. The advantage is represent by performing health education counselling for parents in intensive care unit permanently. Perceives of parents during living their newborn infant in neonatal intensive care unit are present on five concepts: perceive parents themselves, perceive their infant, perceive the staff and the intensive care setting and perceive their home setting. Results are showing statistic important differences between mothers and fathers at the time of deliver and at the time charging infant home. A questionare was used for collecting data. Process of development instrument is represent. Descriptive statistics and T-test was used for quantitative data analysed. Using method of internal consistent Chronbach alpha tested reliability of scales and mean differences in time are graf protrayed by 95% confident intervals. Results show statistical significant differences on all five concepts of parent's experiences. Methodological findings and reseaarch limitations are also present. Authoress positive evaluates the effect of health education counselling program and find out its positive effect on parent's critical thinking and contributes to quality assurance nursing.

  10. The road to patient experience of care measurement: lessons from the United States.

    Science.gov (United States)

    Zimlichman, Eyal; Rozenblum, Ronen; Millenson, Michael L

    2013-09-17

    Patient-centered care has become an increasing priority in the United States and plays a prominent role in recent healthcare reforms. One way the country has managed to advance patient-centered care is through establishment of a family of national patient experience surveys (the Consumer Assessment of Healthcare Providers and Systems Plans (CAHPS). CAHPS is publicly reported for several types of providers and was recently tied to hospital reimbursement. This is part of a trend over the last two decades that has shifted provider-patient relationships from a traditional paternal approach to customer service and then to clinical partnership. The health care system in Israel, however, is still struggling to overcome barriers to change in this area. While community based biannual patient experience surveys are conducted by the Myers-JDC-Brookdale Institute, there is no comprehensive national approach to measuring the patient experience across a broad range of settings. Only recently did the Israeli Ministry of Health take its first steps to include patient experience as a dimension of health care quality.In its current position, Israel should learn from the U.S. experience with policies promoting patient-centered care, and specifically the impact on clinical services of measuring the patient experience. Looking at what has happened in the United States, we suggest three main lessons. First, there is a need for a set of national patient experience surveys that would be publicly reported and eventually tied to provider reimbursement. Secondly, the national survey tools should be customized to the unique characteristics of Israeli society and draw from recent research on patient-centeredness to include new and important domains such as patient activation and shared decision-making. Finally, newer technological approaches should be explored with the aim of increasing response rates and the timeliness and usefulness of the surveys.

  11. Regulatory application of seismic experience data for nuclear power plants in the United States

    Energy Technology Data Exchange (ETDEWEB)

    Chen, Pei-Ying [Nuclear Regulatory Commission, Washington, DC (United States)

    1997-03-01

    On the basis of its review and evaluation (Reference 3) of the SQUG GIP (Reference 2) and on the basis of the differences between current seismic qualification requirements and the criteria and procedures provided in the GIP, the NRC staff does not consider the USI A-46 methodology given in the GIP to be a `seismic qualification` procedure. Rather, the staff considers the GIP methodology to be a seismic adequacy verification procedure, which was developed on the basis of generic equipment earthquake experience data, supplemented by generic equipment test data. The implementation of the GIP approach for USI A-46 plants provides safety enhancement, in certain aspects, beyond the original licensing bases. Therefore, the GIP methodology is an acceptable evaluation method, for USI A-46 plants only, to verify the seismic adequacy of the safe-shutdown equipment installed in the NPPs in the United States. With the new development in the experience-based approach for seismic qualification of equipment currently underway in the U.S. nuclear industry, there is a potential for future regulatory application of an experience-based approach as a seismic qualification method for certain selected equipment installed in NPPs in the United States. However, industry`s use of the experience-based approach will be dependent on the submittal and staff approval of this approach. (J.P.N.)

  12. Crawford, Elisabeth: "Arrhenius: From Ionic Theory to the Greenhouse Effect" (Canton 1996); and Diana Barkan: "Walther Nernst and the Transition to Modern Physical Science" (Cambridge 1999) (book review)

    OpenAIRE

    Peter J. Ramberg

    2000-01-01

    book review of Crawford, Elisabeth: "Arrhenius: From Ionic Theory to the Greenhouse Effect" (Canton 1996); and Diana Barkan: "Walther Nernst and the Transition to Modern Physical Science" (Cambridge 1999)

  13. A data processing unit (DPU) for a satellite-borne charge composition experiment

    International Nuclear Information System (INIS)

    Koga, R.; Blake, J.B.; Chenette, D.L.; Fennell, J.F.; Imamoto, S.S.; Katz, N.; King, C.G.

    1985-01-01

    A data processing unit (DPU) for use with a charge composition experiment to be flown aboard the VIKING auroral research satellite is described. The function of this experiment is to measure the mass, charge state, energy, and pitch-angle distribution of ions in the earth's high-altitude magnetosphere in the energy range from 50 keV/q to 300 keV/q. In order to be compatible with the spacecraft telemetry limitations, raw sensor data are processed in the DPU using on-board composition analysis and the scalar compression. The design of this DPU is such that it can be readily adapted to a variety of space composition experiments. Special attention was given to the effect of the radiation environment on orbit since a microprocessor and a relatively large number of random access memories (RAMs) comprise a considerable portion of the DPU

  14. Experiences of Turkish undergraduate nursing students in the intensive care unit.

    Science.gov (United States)

    Tastan, Sevinc; Iyigun, Emine; Ayhan, Hatice; Hatipoglu, Sevgi

    2015-01-01

    Clinical practicum provides many opportunities for nursing students to learn more about their subject and develop essential nursing skills. In contrast, nursing students often have difficulties during their clinical practicum. This study aims to describe the clinical experiences of undergraduate nursing students in the intensive care unit. A descriptive qualitative approach was used in this study. The study was performed at a military medical academy between 1 March and 30 April 2008. The study was conducted with 15 fourth-year baccalaureate nursing students. Data were obtained through open-ended and in-depth audio-taped interviews, which lasted approximately 35-45 min. Themes emerged from the participants' descriptions of their experiences in the intensive care unit: anxiety, fear of doing harm, emotional connection and empathy, improving self-confidence, perceived responsibility for patients, prioritizing care of patients, preserving dignity, coping with confronting situations, and communication in the intensive care unit. The views and expectations of nursing students regarding intensive care practice are important for the organization of the nursing education environment. The nursing curriculum must be revised and developed according to the needs of students.

  15. Operating experience gained during the copper oxide plugging incident in Koeberg unit 1 generator stator

    Energy Technology Data Exchange (ETDEWEB)

    Mellor, S.P.; Matthee, F.W. [ESKOM, Koeberg Nuclear Power Station (South Africa)

    2002-07-01

    In June 1999 Koeberg's unit 1 started to experience adverse operating conditions which were later ascribed to blockages in the hollow conductors of the generator stator. These blockages were attributed to copper oxide plugs which developed progressively during the following year and culminated in reduced power operation. Many attempts were made to address the plugging by implementing various off-line and on-line cleaning processes. Subsequent to a successful on-line cleaning operation, the unit was returned to full power and the chemistry regime for the stator cooling water system was changed to allow for operation at an elevated pH. This paper discusses Koeberg's experience with copper oxide blockages, describes the initial indications of the problem and the impact on the operating parameters. The remainder of the paper focuses on the actions taken to address the deteriorating situation and the different cleaning methods implemented to remove the copper oxide deposits. The paper concludes with the current status of the unit 1 generator stator and the lessons learned during the resolution of this problem. (authors)

  16. Operating experience gained during the copper oxide plugging incident in Koeberg unit 1 generator stator

    International Nuclear Information System (INIS)

    Mellor, S.P.; Matthee, F.W.

    2002-01-01

    In June 1999 Koeberg's unit 1 started to experience adverse operating conditions which were later ascribed to blockages in the hollow conductors of the generator stator. These blockages were attributed to copper oxide plugs which developed progressively during the following year and culminated in reduced power operation. Many attempts were made to address the plugging by implementing various off-line and on-line cleaning processes. Subsequent to a successful on-line cleaning operation, the unit was returned to full power and the chemistry regime for the stator cooling water system was changed to allow for operation at an elevated pH. This paper discusses Koeberg's experience with copper oxide blockages, describes the initial indications of the problem and the impact on the operating parameters. The remainder of the paper focuses on the actions taken to address the deteriorating situation and the different cleaning methods implemented to remove the copper oxide deposits. The paper concludes with the current status of the unit 1 generator stator and the lessons learned during the resolution of this problem. (authors)

  17. Experience of family members as a result of children's hospitalization at the Intensive Care Unit

    Directory of Open Access Journals (Sweden)

    Maria Virginia Martins Faria Faddul Alves

    2013-07-01

    Full Text Available Objective. To describe the experience of family members as a result of children's hospitalization at the Intensive Care Unit (ICU. Methodology. Descriptive and cross-sectional study. A structured interview was held with 20 relatives of patients hospitalized at two clinics of the Botucatu Medical School at Universidade Estadual Paulista 'Júlio de Mesquita Filho'. Information was collected between July and September 2010. Results. The main characteristics of the participating relatives were: 80% mothers of the children; 70% low education level and 70% married. Sixty percent of the children were hospitalized at the ICU for the first time. Eighty percent of the interviewees believe that the children's behavior changes inside the unit and 85% consider that visiting hours are sufficient. The predominant negative feelings are fear (50% and insecurity (20%, while the predominant positive feelings are hope (50% and the expectation of discharge (25%. The professional who most supported the relatives was the nurse (35%. Conclusion. The family members' experience as a result of the children's hospitalization at the ICU involves positive and negative aspects, which also affect the child's behavior at the unit.

  18. UnitedHealthcare experience illustrates how payers can enable patient engagement.

    Science.gov (United States)

    Sandy, Lewis G; Tuckson, Reed V; Stevens, Simon L

    2013-08-01

    Patient engagement is crucial to better outcomes and a high-performing health system, but efforts to support it often focus narrowly on the role of physicians and other care providers. Such efforts miss payers' unique capabilities to help patients achieve better health. Using the experience of UnitedHealthcare, a large national payer, this article demonstrates how health plans can analyze and present information to both patients and providers to help close gaps in care; share detailed quality and cost information to inform patients' choice of providers; and offer treatment decision support and value-based benefit designs to help guide choices of diagnostic tests and therapies. As an employer, UnitedHealth Group has used these strategies along with an "earn-back" program that provides positive financial incentives through reduced premiums to employees who adopt healthful habits. UnitedHealth's experience provides lessons for other payers and for Medicare and Medicaid, which have had minimal involvement with demand-side strategies and could benefit from efforts to promote activated beneficiaries.

  19. Maternal experiences with premature children in a neonatal intensive care unit

    Directory of Open Access Journals (Sweden)

    Raphael Colares de Sá

    2012-06-01

    Full Text Available Objective: Understand the maternal experience with premature children in neonatal intensive care unit. Methods: This is a qualitative and descriptive study. A questionnaire was used with semi-structured interview type, analyzed by the technique of content analysis and discussed, using the theoretical framework. The sample consisted of 11 mothers who accompanied their babies every day in the Neonatal Intensive Care Unit. Results: After discourse analysis emerged the following categories: experiencing maternal feelings in relation to the baby at risk; the meaning of the neonatal unit for mothers of premature infants, maternal perceptions about prematurity and experiencing the formation of the maternal-filial bond. Conclusions:The mother of premature experiences difficult times in the face of risk and instability of the baby, causing ambivalent feelings in relation to prematurity. Nevertheless, it was found thatfeelings of happiness, love and desire to see your baby being discharged form hospital and live with his family, were significant in relation to feelings of sadness and fear of losing her child.

  20. Birth Care Providers’ Experiences and Practices in a Brazilian Alongside Midwifery Unit

    Directory of Open Access Journals (Sweden)

    Michelly Christiny M. Nunes

    2016-09-01

    Full Text Available The implementation of a new birthing facility in a country such as Brazil requires an extensive in-depth analysis of the challenges faced. The aim of this study was to explore beliefs, values, experiences, and practices related to the provision of birthing and neonatal care with the implementation of a new birth care facility structure called alongside midwifery units in Brazil. The study utilizes an ethnographic method to evaluate members of a Brazilian public hospital’s midwifery unit. The ethnographic study focuses on the cultural theme of “between the proposed and the possible”: the following birthing care guidelines require overcoming numerous obstacles, and four other cultural subthemes toward revealing the analyzed birth care team’s perspectives. The study found that prior training and preparation of all members of the care team, as well as the provision of adequate institutional infrastructure are essential for the implementation of a new and innovative birthing care center.

  1. Steam generator tube integrity requirements and operating experience in the United States

    International Nuclear Information System (INIS)

    Karwoski, K.J.

    2009-01-01

    Steam generator tube integrity is important to the safe operation of pressurized-water reactors. For ensuring tube integrity, the U.S. Nuclear Regulatory Commission uses a regulatory framework that is largely performance based. This performance-based framework is supplemented with some prescriptive requirements. The framework recognizes that there are three combinations of tube materials and heat treatments currently used in the United States and that the operating experience depends, in part, on the type of material used. This paper summarizes the regulatory framework for ensuring steam generator tube integrity, it highlights the current status of steam generators, and it highlights some of the steam generator issues and challenges that exist in the United States. (author)

  2. Determinação do prazo de validade do medicamento carbocisteína xarope através do método de Arrhenius Determination of carbocysteine syrup shelf life by Arrhenius method

    Directory of Open Access Journals (Sweden)

    Josélia Larger Manfio

    2007-12-01

    Full Text Available A carbocisteína é um agente mucolítico utilizado como adjuvante no tratamento de infecções do trato respiratório. A qualidade, segurança e eficácia do medicamento durante o seu prazo de validade são responsabilidades da indústria farmacêutica. A validade pode ser determinada através de estudos de estabilidade acelerados, nos quais fatores extrínsecos provocam a degradação do produto. De acordo com Arrhenius, existe uma relação entre temperatura e cinética química. Desta forma, amostras do produto foram expostas a condições drásticas: 40, 50, 60 e 70 ºC. O método de doseamento do xarope de carbocisteína foi validado podendo ser aplicado nas avaliações de rotina do controle de qualidade e no estudo de estabilidade deste produto. O prazo de validade proposto para o xarope de carbocisteína, calculado através da equação de Arrhenius, para a temperatura de 25 ºC foi de 240,9 dias. No entanto, foi observada diferença entre o prazo proposto e a validade usualmente praticada para este produto. Este estudo, ainda, demonstrou a presença de picos endógenos, que precisam ser melhor estudados a fim de se confirmar a presença de produtos de degradação.Carbocysteine is a mucolytic agent in adjunctive therapy of respiratory tract infections. The pharmaceutical industry is responsible for quality, safety and efficiency of the product during its shelf life. Shelf life can be determinated through an accelerated stability study where the degradation of the drug is managed with the extrinsic factors. According to Arrhenius, there is a relationship between temperature and chemical kinetic, so, the samples were exposed to drastic conditions at 40, 50, 60 and 70 ºC. The syrup assay method has been validated and it may be applied to analysis of carbocysteine syrup in routine quality control and stability studies. Through Arrhenius equation the proposed shelf life of carbocysteine syrup was 240.9 days when the dosage form is stored

  3. Family members' lived experience in the intensive care unit: a phemenological study.

    LENUS (Irish Health Repository)

    McKiernan, Margaret

    2012-01-31

    AIM: To describe the lived experience of family members of patients in the intensive care unit. BACKGROUND: Admission of a critically ill relative to an intensive care unit causes anxiety and stress to family members. Nursing care is initially focused on maintaining the physiological stability of the patient and less on the needs and concerns of family members. Understanding how families make sense of this experience may help nurses focus on the delivery of family centred care. METHODOLOGY: A phenomenological method was used to describe the lived experiences of family members of patients in an intensive care unit. In-depth interviews were conducted with six family members and analysed using qualitative thematic analysis. RESULTS: Four main themes emerged from the data: the need to know, making sense of it all, being there with them and caring and support. Family members needed honest information about the patient\\'s progress and outcome to make the situation more bearable for them. Making sense of the situation was a continuous process which involved tracking and evaluating care given. Being with their relative sustained their family bond and was a way to demonstrate love and support. Caring reassurance provided by the nurses enabled a sense of security. Support was needed by family members to assist them in coping. CONCLUSION: The research provided an insight into how family members viewed the impact of the admission and how they subsequently found ways of dealing with the situation. RELEVANCE TO CLINICAL PRACTICE: Using a holistic approach to nursing assessment and care delivery in intensive care necessitates that nurses interact with and care for family members of patients. Development of a philosophy of family centred care is necessary, with formal assessment of families to take place soon after admission and an appropriate plan of care drawn up at this time.

  4. Early experience with human papillomavirus vaccine introduction in the United States, Canada and Australia.

    Science.gov (United States)

    Shefer, Abigail; Markowitz, Lauri; Deeks, Shelley; Tam, Theresa; Irwin, Kathleen; Garland, Suzanne M; Schuchat, Anne

    2008-08-19

    Successful incorporation of a new vaccine into a nation's vaccination program requires addressing a number of issues, including: 1) establishing national recommendations; 2) assuring education of and acceptance by the public and medical community; 3) establishing and maintaining an appropriate infrastructure for vaccine delivery; 4) financing the vaccine and the program, in addition to political will. This article reviews the early experience with implementation of human papillomavirus (HPV) vaccination programs. It focuses on the United States of America and Canada and provides a brief report on Australia, where introduction is underway.

  5. Planning for the next generation of proton-decay experiments in the United States

    International Nuclear Information System (INIS)

    Ayres, D.S.

    1982-01-01

    There are now three well-developed proposals for new proton decay detectors to be built in the United States. These are the 1000 to 5000-ton Soudan 2 tracking calorimeter, the 1400-ton Homestake II liquid scintillator Tracking Spectrometer, and the 2500-ton University of Pennsylvania liquid-scintillator - proportional-drift-cell calorimeter. These proposals were reviewed by the Department of Energy Technical Assessment Panel on Proton Decay in February 1982. I shall describe the Soudan and Pennsylvania proposals, present the latest results from the 31-ton Soudan 1 experiment, and discuss the recommendations of the DOE Panel. Following these recommendations, a one-week workshop, to be held at Argonne in June, will focus on the optimization of techniques for future experiments

  6. Nurses’ Experiences of Managing and Management in a Critical Care Unit

    Directory of Open Access Journals (Sweden)

    K. Robyn Ogle

    2014-05-01

    Full Text Available In this article, we describe the major findings of an ethnographic study undertaken to investigate nurses’ experiences of managing nurses and being managed by nurses in an Australian critical care unit. Our purpose was to valorize and make space for nurses to speak of their experiences and investigate the cultural practices and knowledges that comprised nursing management discourses. Subjugated practices, knowledges, and discourses were identified, revealing how nurses were inscribed by, or resisted, the discourses, including their multiple mobile subject positions. Informed by critical, feminist, and postmodern perspectives, nine mobile subject positions were identified. Direct participant observation, participant interviews, and reflective field notes were analyzed for dominant and subjugated discourses. The major finding described is the subject position of “junior novice.” Nurses informed by dominant patriarchal and organizational discourses participated in constructing and reinscribing their own submissive identity reflected in interprofessional relations that lacked individual valuing and undermined their self-esteem.

  7. Nurses’ Experiences of Managing and Management in a Critical Care Unit

    Science.gov (United States)

    Ogle, K. Robyn; Glass, Nel

    2014-01-01

    In this article, we describe the major findings of an ethnographic study undertaken to investigate nurses’ experiences of managing nurses and being managed by nurses in an Australian critical care unit. Our purpose was to valorize and make space for nurses to speak of their experiences and investigate the cultural practices and knowledges that comprised nursing management discourses. Subjugated practices, knowledges, and discourses were identified, revealing how nurses were inscribed by, or resisted, the discourses, including their multiple mobile subject positions. Informed by critical, feminist, and postmodern perspectives, nine mobile subject positions were identified. Direct participant observation, participant interviews, and reflective field notes were analyzed for dominant and subjugated discourses. The major finding described is the subject position of “junior novice.” Nurses informed by dominant patriarchal and organizational discourses participated in constructing and reinscribing their own submissive identity reflected in interprofessional relations that lacked individual valuing and undermined their self-esteem. PMID:28462287

  8. Commercial operation and outage experience of ABWR at Kashiwazaki-Kariwa units Nos. 6 and 7

    International Nuclear Information System (INIS)

    Anahara, N.; Yamada, M.; Kataoka, H.

    2000-01-01

    drums and that of unit No. 3. Overhaul and inspection of new designs components, such as reactor internal pumps (RIPs), advanced type control rod drive mechanism (FMCRD) and large-capacity and high-efficiency turbine system, were conducted as planned, verifying their integrity after the commercial operation period. Operability during annual outage through ABWR-type main control room panels, which have a very new man-machine interface with touch-screen CRTs and flat displays, was also confirmed. In this paper, the commercial operation and annual outage experience of Kashiwazaki-Kariwa Nuclear Power Station units Nos. 6 and 7 are reported. (author)

  9. Kinetics study of hydrochlorothiazide lactose liquid state interaction using conventional isothermal arrhenius method under basic and neutral conditions

    Directory of Open Access Journals (Sweden)

    Faranak Ghaderi

    Full Text Available ABSTRACT The Maillard reaction of hydrochlorothiazide (HCTZ and lactose has been previously demonstrated in pharmaceutical formulations. In this study, the activation energy of - hydrohlorothiazide and lactose interaction in the liquid state was ascertained under basic and neutral conditions. Conventional isothermal High Performance Liquid Chromatography (HPLC technique was employed to ascertain the kinetic parameters using Arrhenius method. Results: The activation energy obtained was 82.43 and 100.28 kJ/mol under basic and neutral conditions, respectively. Consequently, it can be inferred that Maillard reaction is significantly affected by pH, which can be used as a control factor whenever the reaction potentially occurs.

  10. Supporting Solar Power in Renewables Portfolio Standards: Experience from the United States

    Energy Technology Data Exchange (ETDEWEB)

    Wiser, Ryan; Barbose, Galen; Holt, Edward

    2010-10-01

    Among the available options for encouraging the increased deployment of renewable electricity, renewables portfolio standards (RPS) have become increasingly popular. The RPS is a relatively new policy mechanism, however, and experience with its use is only beginning to emerge. One key concern that has been voiced is whether RPS policies will offer adequate support to a wide range of renewable energy technologies and applications or whether, alternatively, RPS programs will favor a small number of the currently least-cost forms of renewable energy. This report documents the design of and early experience with state-level RPS programs in the United States that have been specifically tailored to encourage a wider diversity of renewable energy technologies, and solar energy in particular. As shown here, state-level RPS programs specifically designed to support solar have already proven to be an important, albeit somewhat modest, driver for solar energy deployment, and those impacts are projected to continue to build in the coming years. State experience in supporting solar energy with RPS programs is mixed, however, and full compliance with existing requirements has not been achieved. The comparative experiences described herein highlight the opportunities and challenges of applying an RPS to specifically support solar energy, as well as the importance of policy design details to ensuring that program goals are achieved.

  11. Physical and mechanical restraint in psychiatric units: Perceptions and experiences of nursing staff.

    Science.gov (United States)

    Vedana, Kelly Graziani Giacchero; da Silva, Danielle Maria; Ventura, Carla Aparecida Arena; Giacon, Bianca Cristina Ciccone; Zanetti, Ana Carolina Guidorizzi; Miasso, Adriana Inocenti; Borges, Tatiana Longo

    2018-06-01

    Physical restraint in psychiatric units is a common practice but extremely controversial and poorly evaluated by methodologically appropriate investigations. The cultural issues and professionals' perceptions and attitudes are substantial contributors to the frequency of restraint that tend to be elevated. Aim In this qualitative study, we aimed to understand the experiences and perceptions of nursing staff regarding physical restraint in psychiatric units. Through theoretical sampling, 29 nurses from two Brazilian psychiatric units participated in the study. Data were collected from 2014 to 2016 from individual interviews and analyzed through thematic analysis, employing theoretical presuppositions of symbolic interactionism. Physical restraint was considered unpleasant, challenging, risky, and associated with dilemmas and conflicts. The nursing staff was often exposed to the risks and injuries related to restraint. Professionals sought strategies to reduce restraint-related damages, but still considered it necessary due to the lack of effective options to control aggressive behavior. This study provides additional perspectives about physical restraint and reveals the need for safer, humanized and appropriate methods for the care of aggressive patients that consider the real needs and rights of these patients. Copyright © 2017 Elsevier Inc. All rights reserved.

  12. Cell phone recycling experiences in the United States and potential recycling options in Brazil.

    Science.gov (United States)

    Silveira, Geraldo T R; Chang, Shoou-Yuh

    2010-11-01

    This paper presents an overview of cell phone recycling programs currently available in the United States. At the same time, it also provides analyses of the current recycling situation and possible recycling alternatives for Brazil. Although there are several recycling options in the United States, collection rates are still only 10% of all potential devices because customers are not aware of these possibilities. The whole system is financially based on reselling refurbished cell phones and recycled materials to developing countries which represent an effective and strong market. Several recyclers offer funds to collection partners who are either charities or who work with charities while obtaining the materials that they need in order to run their operations. A mobile phone recycling system for Brazil considering the United States experience and the Extended Producer Responsibility (EPR) principle is suggested. A deposit/refund/advance-recycling fee is proposed which might be implemented as a voluntary industrial initiative managed by PRO Brazil, a producer responsibility organization. One widespread public-private agreement will integrate all mobile phone stakeholders, and environmental education actions and promotional events will promote citizen's participation. Copyright © 2010 Elsevier Ltd. All rights reserved.

  13. Korean immigrant women's lived experience of childbirth in the United States.

    Science.gov (United States)

    Seo, Jin Young; Kim, Wooksoo; Dickerson, Suzanne S

    2014-01-01

    To understand Korean immigrant women's common experiences and practices of utilizing health care services in the United States during childbirth. A qualitative interpretive phenomenological research design. Recruitment was conducted through advertisement on the MissyUSA.com website, which is the largest online community for married Korean women who live in North America. A purposive sample of 15 Korean immigrant women who experienced childbirth in the United States within the past 5 years was recruited. Data were collected using semistructured telephone interviews and were analyzed using the Heideggerian hermeneutical methodology. During childbirth in the United States, participants faced multifaceted barriers in unfamiliar sociocultural contexts yet maintained their own cultural heritages. They navigated the unfamiliar health care system and developed their own strategies to overcome barriers to health care access. Korean immigrant women actively sought health information on the Internet and through social networking during childbirth. Korean immigrant women selectively accepted new cultural beliefs with some modifications from their own cultural contexts and developed their own distinct birth cultures. Understanding a particular culture and respecting women's traditions, beliefs, and practices about their childbirth could help nurses to provide culturally sensitive care. © 2014 AWHONN, the Association of Women's Health, Obstetric and Neonatal Nurses.

  14. Differential Family Experience of Palliative Sedation Therapy in Specialized Palliative or Critical Care Units.

    Science.gov (United States)

    Shen, Hui-Shan; Chen, Szu-Yin; Cheung, Denise Shuk Ting; Wang, Shu-Yi; Lee, Jung Jae; Lin, Chia-Chin

    2018-02-21

    No study has examined the varying family experience of palliative sedation therapy (PST) for terminally ill patients in different settings. To examine and compare family concerns about PST use and its effect on the grief suffered by terminally ill patients' families in palliative care units (PCUs) or intensive care units (ICUs). A total of 154 family members of such patients were recruited in Taiwan, of whom 143 completed the study, with 81 from the PCU and 62 from the ICU. Data were collected on their concerns regarding PST during recruitment. Grief levels were assessed at three days and one month after the patient's death with the Texas Revised Inventory of Grief. Families' major concern about sedated patients in the PCU was that "there might be other ways to relieve symptoms" (90.2%), whereas families of ICU sedated patients gave the highest ratings to "feeling they still had something more to do" (93.55%), and "the patient's sleeping condition was not dignified" (93.55%). Family members recruited from the ICU tended to experience more grief than those from the PCU (P = 0.005 at Day 3 and Palliative Medicine. Published by Elsevier Inc. All rights reserved.

  15. When East meets West: intensive care unit experiences among first-generation Chinese American parents.

    Science.gov (United States)

    Lee, Shih-Yu; Weiss, Sandra J

    2009-01-01

    To explore the experiences of first-generation Chinese American parents while their infants are cared for in intensive care units (ICUs). Because the study focus was on understanding the experiences of parents, a phenomenological approach was used, with open-ended questions that encouraged participants to describe events they perceived to be important. The data analysis procedure suggested by van Manen was used for the qualitative data analysis. A convenience sample of 25 first-generation Chinese American families, with infants hospitalized in the intensive care units of three teaching hospitals in the San Francisco area. Seven themes were identified: perceived incompetence, self-blame, blame from others, filial piety, lack of support in the US, communication issues, and cultural differences. Both fathers and mothers experienced stress related to all identified themes. Findings suggest the need for more resources to educate and support families as well as culturally competent care within pediatric ICUs. Further study is critical to understand how the Chinese American's personal and family characteristics may influence stress perceptions when coping with their children's hospitalization. This study can help healthcare providers to understand Chinese American parents' perceptions while their infants are hospitalized in the ICU, which can enhance cultural competence care services.

  16. [Nurses' perception, experience and knowledge of palliative care in intensive care units].

    Science.gov (United States)

    Piedrafita-Susín, A B; Yoldi-Arzoz, E; Sánchez-Fernández, M; Zuazua-Ros, E; Vázquez-Calatayud, M

    2015-01-01

    Adequate provision of palliative care by nursing in intensive care units is essential to facilitate a "good death" to critically ill patients. To determine the perceptions, experiences and knowledge of intensive care nurses in caring for terminal patients. A literature review was conducted on the bases of Pubmed, Cinahl and PsicINFO data using as search terms: cuidados paliativos, UCI, percepciones, experiencias, conocimientos y enfermería and their alternatives in English (palliative care, ICU, perceptions, experiences, knowledge and nursing), and combined with AND and OR Boolean. Also, 3 journals in intensive care were reviewed. Twenty seven articles for review were selected, most of them qualitative studies (n=16). After analysis of the literature it has been identified that even though nurses perceive the need to respect the dignity of the patient, to provide care aimed to comfort and to encourage the inclusion of the family in patient care, there is a lack of knowledge of the end of life care in intensive care units' nurses. This review reveals that to achieve quality care at the end of life, is necessary to encourage the training of nurses in palliative care and foster their emotional support, to conduct an effective multidisciplinary work and the inclusion of nurses in decision making. Copyright © 2014 Elsevier España, S.L.U. y SEEIUC. All rights reserved.

  17. Large-scale, long-term silvicultural experiments in the United States: historical overview and contemporary examples.

    Science.gov (United States)

    R. S. Seymour; J. Guldin; D. Marshall; B. Palik

    2006-01-01

    This paper provides a synopsis of large-scale, long-term silviculture experiments in the United States. Large-scale in a silvicultural context means that experimental treatment units encompass entire stands (5 to 30 ha); long-term means that results are intended to be monitored over many cutting cycles or an entire rotation, typically for many decades. Such studies...

  18. An assemblage of science and home. The gendered lifestyle of Svante Arrhenius and early twentieth-century physical chemistry.

    Science.gov (United States)

    Bergwik, Staffan

    2014-06-01

    This essay explores the gendered lifestyle of early twentieth-century physics and chemistry and shows how that way of life was produced through linking science and home. In 1905, the Swedish physical chemist Svante Arrhenius married Maja Johansson and established a scientific household at the Nobel Institute for Physical Chemistry in Stockholm. He created a productive context for research in which ideas about marriage and family were pivotal. He also socialized in similar scientific sites abroad. This essay displays how scholars in the international community circulated the gendered lifestyle through frequent travel and by reproducing gendered behavior. Everywhere, husbands and wives were expected to perform distinct duties. Shared performances created loyalties across national divides. The essay thus situates the physical sciences at the turn of the twentieth century in a bourgeois gender ideology. Moreover, it argues that the gendered lifestyle was not external to knowledge making but, rather, foundational to laboratory life. A legitimate and culturally intelligible lifestyle produced the trust and support needed for collaboration. In addition, it enabled access to prestigious facilities for Svante Arrhenius, ultimately securing his position in international physical chemistry.

  19. The Lived Experience of Jordanian Parents in a Neonatal Intensive Care Unit: A Phenomenological Study.

    Science.gov (United States)

    Abuidhail, Jamila; Al-Motlaq, Mohammad; Mrayan, Lina; Salameh, Taghreed

    2017-04-01

    Many international studies in the field of neonatal nursing have identified parental stress, coping difficulties, support issues, and various other experiences that are related to the birth of a preterm infant. However, no studies have assessed the interrelated issues of parental stress, social support, satisfaction, and nursing support in neonatal intensive care units (NICUs) in Jordan. This study describes the lived experiences, needs in relation to care, and support systems of parents whose neonates were admitted to the NICU. A qualitative design using a phenomenological approach was used to explore the experiences of Jordanian parents who gave birth to neonates in the NICU setting. Participants were recruited from the NICUs of government, teaching, and private hospitals. Data were collected using semistructured interviews that were conducted with parents in a suitable place. Ten participants were interviewed: eight mothers and two fathers. After interviews were transcribed, the methodology suggested by van Manen (1990) was used to analyze the data. The shock, worry, and anxiety experienced by parents; the influences of NICU admission on the experiences of parents and families; the information and assistance required and received by parents from healthcare professionals; and the emotions and satisfaction of parents were the main themes that emerged from the study to reflect the lived experience of parents of neonates in the NICU. The parents in this study were satisfied with the healthcare process in the NICUs, even when this care did not fulfill their expectations or needs for their infants. Nurses in the NICUs must develop interventions and strategies that minimize the stress experienced by parents and that support the emotional capacity of parents to deal with this stressful situation.

  20. Perceived discrimination and psychotic experiences across multiple ethnic groups in the United States.

    Science.gov (United States)

    Oh, Hans; Yang, Lawrence H; Anglin, Deidre M; DeVylder, Jordan E

    2014-08-01

    The objective of this study was to examine the relationship between perceived discrimination and psychotic experiences (PE) using validated measures of discrimination and a racially/ethnically diverse population-level sample. Data were drawn from two population-level surveys (The National Latino and Asian American Survey and The National Survey of American Life), which were analyzed together using survey weights and stratification variables. The analytic sample (N=8990) consisted of Latino, Asian, African-American, and Afro-Caribbean adults living in the United States. Separate unadjusted and adjusted multivariable logistic regression models were used, first to examine the crude bivariate relationship between perceived discrimination and PE, and second to examine the relationship adjusting for demographic variables. Adjusted logistic regression models were also used to examine the relationships between perceived discrimination and specific sub-types of PE (auditory and visual hallucinatory experiences, and delusional ideation). When compared to individuals who did not report any discrimination, those who reported the highest levels of discrimination were significantly more likely to report both 12-month PE (Adjusted OR=4.590, pPerceived discrimination is associated with the increased probability of reporting psychotic experiences in a linear Fashion in the US general population. Copyright © 2014 Elsevier B.V. All rights reserved.

  1. Experiences of internationally educated nurses holding management positions in the United States: Descriptive phenomenological study.

    Science.gov (United States)

    Allen, Lilian A

    2018-02-12

    The purpose of this study was to explore the experiences of internationally educated nurses in management positions in United States health care organisations to understand the obstacles and support these individuals' experience when pursuing and working in managerial roles. Although internationally educated nurses are an integral part of the US health care industry, few work in managerial roles. Little is known about the experiences of internationally educated nurses who do obtain management positions. In this qualitative, phenomenological study, seven internationally educated nurses who were managers in Chicago, Illinois, responded to open-ended interview questions. Supervisors contributed to the participants' acceptance of management positions. The participants experienced challenges such as cultural differences, language, and communication. Despite these challenges, the participants had positive working relationships with staff and supervisors. Further, the participants had opportunities for education and professional growth. Internationally educated nurses benefit from participating in organisational committees. They face challenges related to work responsibilities, cultural differences and communication but can succeed in management roles through developing strategies to overcome the challenges and through receiving support from staff, colleagues and supervisors. More internationally educated nurses may obtain managerial positions if supervisors provide encouragement and support. © 2018 John Wiley & Sons Ltd.

  2. Quality assurance in a radiation oncology unit: the chart round experience

    International Nuclear Information System (INIS)

    Fogarty, G.B.; Peters, L.J.; Hornby, C.; Ferguson, H.M.

    2001-01-01

    Quality assurance ensures that planned treatments eventuate. Programmes must include feedback loops to promptly correct any shortfall in predetermined standards. In March 1999, a weekly Chart Round was introduced to verify that certain items relevant to quality care were being completed for patients of the Head and Neck Radiotherapy Unit at the Peter MacCallum Cancer Institute. The experience was reviewed after 1 year and it was found that the initiation of Chart Rounds has assisted in raising the level of item completion from 80% to 99% in similar groups of patients treated before and after the initiation of the Chart Round. Initiation of the Chart Round has also provided a useful forum for in-house peer-review, education and effective real-time communication between medical and allied health personnel, all of which has further added to the quality of patient care. Copyright (2001) Blackwell Science Pty Ltd

  3. Experience in verification regimes. United States On-Site Inspection Agency

    International Nuclear Information System (INIS)

    Reppert, J.

    1998-01-01

    Experiences are described of the United States On-site Inspection Agency in verification regimes all over the world where it has been applied in the last 30 years. The challenge for the future is to extend the benefits of the applied tools to all states in all regions to enhance stability and to create conditions for peace at lower levels of armaments than currently exist. The USA need to engage states currently caught in cycles of violence and arms escalation. They must examine technologies which together with on-site aspects of verification or transparency regimes can provide a comprehensive picture at affordable costs. They foresee a growth in combined training with new states entering for the first time into regime that include arms control and transparency measure

  4. Specific problems and practical experience of regulatory inspection during commissioning in the United Kingdom

    International Nuclear Information System (INIS)

    Lewis, G.

    1977-01-01

    The commissioning of nine Magnox and two Advanced Gas-cooled Reactor Nuclear Power Plants in the United Kingdom during the last sixteen years under the regulatory control of the Nuclear Installations Inspectorate of the Health and Safety Executive has been based on a Stage Approval Philosophy starting with proof-testing of the primary gas circuit and concluding with tests on the reactor at full power. The practical experience gained during this period has enabled the Nuclear Installations Inspectorate to rationalise the procedures and test requirements without comporomising safety standards. The Operating Rules and Maintenance Schedules are approved for commissioning and during this period are reviewed for their adequacy for future power operation of the plant. The organisation, documentation, test procedures and the commissioning programme used for the Advanced Gas-cooled Reactors are briefly explained. (author)

  5. Summary of the fourth conference on United States utility experience in reactor noise analysis

    International Nuclear Information System (INIS)

    Fry, D.N.

    1987-01-01

    The fourth informal conference on United States utility experience in reactor noise analysis and loose-part monitoring was held at the Northeast Utilities Service Company offices in Hartford, Connecticut, May 12-14, 1987. Host and general chairman for the meeting was J.V. Persio of Northeast Utilities. This conference provided a forum where utilities could share information on reactor noise analysis on an informal basis. There were about 60 attendees at the meeting representing 10 utilities, 3 reactor vendors, 8 consulting organizations, and 4 universities and research laboratories. Twenty-three papers were presented at the conference, dealing with various aspects of loose-part monitoring, neutron noise analysis, and standards activities

  6. Experience in the installation of a microprocessor system for controlling converter units of the Vyborg substation

    International Nuclear Information System (INIS)

    Gusakovskii, K. B.; Zmaznov, E. Yu.; Katantsev, S. V.; Mazurenko, A. K.; Mestergazi, V. A.; Prochan, G. G.; Funtikova, S. F.

    2006-01-01

    The experience in the installation of modern digital systems for controlling converter units at the Vyborg converter substation on the basis of advanced microprocessor devices is considered. It is shown that debugging of a control and protection system on mathematical and physical models does not guarantee optimum control of actual converter devices. Examples of advancing the control and protection system are described, the necessity for which has become obvious in tests of actual equipment. Comparison of oscillograms of processes before optimization of the control system and after its optimization and adjustment shows that the digital control system makes it possible to improve substantially the algorithms of control and protection in the short term and without changing the hardware component

  7. [A unit for the care of acute headache attacks. A new experience in our milieu].

    Science.gov (United States)

    Zukerman, E; Lima, J G; Hannuch, S N; Nothen, M R; Carvalho, D de S

    1989-01-01

    This paper presents the aims of the first unit for treatment of headache crisis in a Brazilian Medical School. The differences between this unit and a neurological emergency unit and the therapeutic schedules are discussed.

  8. Supporting solar power in renewables portfolio standards: Experience from the United States

    International Nuclear Information System (INIS)

    Wiser, Ryan; Barbose, Galen; Holt, Edward

    2011-01-01

    Renewables portfolio standards (RPS) have become an increasingly popular option for encouraging the deployment of renewable electricity. It is a relatively new policy mechanism, however, and experience with its use is only beginning to emerge. One key concern is whether RPS policies offer adequate support to a wide range of renewable energy technologies and applications or whether, alternatively, they will favor a small number of the currently least-cost forms of renewable energy. This article documents the design of and early experience with state-level RPS programs in the United States that have been specifically tailored to encourage a wider diversity of renewable energy technologies, and solar energy in particular. As shown here, state-level RPS programs specifically designed to support solar have already proven to be an important driver for solar energy deployment, and those impacts are projected to build in the coming years. State experience in supporting solar energy with RPS programs is mixed, however, and full compliance with existing requirements has not been achieved. The comparative experiences described herein highlight the opportunities and challenges of applying an RPS to specifically support solar energy, as well as the importance of policy design details to ensuring that program goals are achieved. - Research highlights: → Many states have adopted RPS policies with solar or DG set-asides. → Solar and DG set-asides have become a significant driver for solar growth. → Compliance with solar/DG set-aside targets has been mixed. → The estimated retail rate impacts have thus far been relatively modest. → Various emerging issues will affect the future impact of RPS policies on solar growth.

  9. Do Indonesian Children's Experiences with Large Currency Units Facilitate Magnitude Estimation of Long Temporal Periods?

    Science.gov (United States)

    Cheek, Kim A.

    2017-08-01

    Ideas about temporal (and spatial) scale impact students' understanding across science disciplines. Learners have difficulty comprehending the long time periods associated with natural processes because they have no referent for the magnitudes involved. When people have a good "feel" for quantity, they estimate cardinal number magnitude linearly. Magnitude estimation errors can be explained by confusion about the structure of the decimal number system, particularly in terms of how powers of ten are related to one another. Indonesian children regularly use large currency units. This study investigated if they estimate long time periods accurately and if they estimate those time periods the same way they estimate analogous currency units. Thirty-nine children from a private International Baccalaureate school estimated temporal magnitudes up to 10,000,000,000 years in a two-part study. Artifacts children created were compared to theoretical model predictions previously used in number magnitude estimation studies as reported by Landy et al. (Cognitive Science 37:775-799, 2013). Over one third estimated the magnitude of time periods up to 10,000,000,000 years linearly, exceeding what would be expected based upon prior research with children this age who lack daily experience with large quantities. About half treated successive powers of ten as a count sequence instead of multiplicatively related when estimating magnitudes of time periods. Children generally estimated the magnitudes of long time periods and familiar, analogous currency units the same way. Implications for ways to improve the teaching and learning of this crosscutting concept/overarching idea are discussed.

  10. Our experience in using the whole body computed tomography unit (GE CT/T)

    International Nuclear Information System (INIS)

    Murakawa, Yasuhiro; Morimoto, Mitsuo; Ishigaki, Naoya; Zaitsu, Hiroaki; Kawabata, Kohji

    1983-01-01

    Since our hospital installed the CT unit of the head and neck (SCT-100N) in April, 1979, we reported our experience in using this equipment in 1980 and 1982. After that, since the whole body CT unit (GE CT/T) was installed in our hospital in April, 1982, the total number of CT examination have reached approximately three thousand five handred till this August. Consequently, this CT image seemed to be superior in image quality to that obtained by other CT equipment. The most important characteristic of this equipment is that the retrospective and prospective reviews of the target image and the coronal and sagittal recontruction from contiguous transverse axial scans are possible. We show in this report two experimental CT photograms obtained by the reviews of the target image in using of microchart phantom and CT photograms of uterus myoma, metastatic thyroid and liver cancers and further, of contiguous transverse axial scans of cerebral embolism and the coronal recontruction. The important problems for the future of this equipment are those of absorbed X-ray dose of the patients and the scan time. (author)

  11. Ward nurses' experiences of the discharge process between intensive care unit and general ward.

    Science.gov (United States)

    Kauppi, Wivica; Proos, Matilda; Olausson, Sepideh

    2018-05-01

    Intensive care unit (ICU) discharges are challenging practices that carry risks for patients. Despite the existing body of knowledge, there are still difficulties in clinical practice concerning unplanned ICU discharges, specifically where there is no step-down unit. The aim of this study was to explore general ward nurses' experiences of caring for patients being discharged from an ICU. Data were collected from focus groups and in-depth interviews with a total of 16 nurses from three different hospitals in Sweden. An inductive qualitative design was chosen. The analysis revealed three themes that reflect the challenges in nursing former ICU patients: a vulnerable patient, nurses' powerlessness and organizational structure. The nurses described the challenge of nursing a fragile patient based on several aspects. They expressed feeling unrealistic demands when caring for a fragile former ICU patient. The demands were related to their own profession and knowledge regarding how to care for this group of patients. The organizational structure had an impact on how the nurses' caring practice could be realized. This evoked ethical concerns that the nurses had to cope with as the organization's care guidelines did not always favour the patients. The structure of the organization and its leadership appear to have a significant impact on the nurses' ability to offer patients the care they need. This study sheds light on the need for extended outreach services and intermediate care in order to meet the needs of patients after the intensive care period. © 2018 British Association of Critical Care Nurses.

  12. First practical and clinical experiences using the IBU (integrated brachytherapy unit): it works

    International Nuclear Information System (INIS)

    Loevey, GL.; Haker, H.; Koch, K

    1996-01-01

    A large number of modern HDR-AL treatments requires a three dimensional applicator reconstruction and dose optimization. Conventional Xray-film digitalization is time consuming, operation tables and the Xray units limit the possible radiography directions and therefore the optimal catheter reconstruction. The IBU concept and equipments offer new possibilities in applicator reconstruction and 3D isodoses display. Materials and methods: Since January 1994 1095 HDR applications have been performed on Nucletron's 1993 installed IBU. All treatments have been individually planned, in 151 (13, 78%) cases 3D applicator reconstruction were necessary. Total treatment time elapsed, reconstruction time, time interval from the start of the planning phase to the start of the irradiation were measured. Results: Total treatment time was reduced in comparison to treatments with conventional catheter reconstruction because: 1.) no time needed for Xray film processing, 2.) faster identification of catheters due to digital image processing, 3.) faster evaluation of isodoses due to 3D isodoses display. Examples of filmless reconstruction and planning in different gynaecologic and H and N localizations will be demonstrated. Conclusion: the first practical experiences show a good match to the theoretical advantages of the integrated brachytherapy unit: the system reduces total treatment time and thus patient distress

  13. Acting with dedication and expertise: Relatives' experience of nurses' provision of care in a palliative unit.

    Science.gov (United States)

    Grøthe, Å; Biong, Stian; Grov, E K

    2015-12-01

    Admission of a cancer patient to a palliative unit when near the final stage of their disease trajectory undoubtedly impacts their relatives. The aim of our study was to illuminate and interpret relatives' lived experiences of health personnel's provision of care in a palliative ward. A phenomenological/hermeneutic approach was employed that was inspired by the philosophical tradition of Heidegger and Ricoeur and further developed by Lindseth and Nordberg. The perspectives of the narrator and the text were interpreted by highlighting relatives' views on a situation in which they have to face existential challenges. The analysis was undertaken in three steps: naïve reading, structural analysis, and comprehensive understanding, including the authors' professional experiences and theoretical background. Six subthemes appeared: the dying person, the bubble, the sight, the cover, the provision for children's needs, and the availability of immediate help. These components were further constructed into three themes: the meaning of relating, the meaning of action, and the meaning of resources. Our comprehensive understanding of the results suggests that the most important theme is "acting with dedication and expertise." The following aspects are crucial for relatives of cancer patients hospitalized in a palliative ward: time and existence, family dynamics, and care adjusted to the situation. Our study results led to reflections on the impact of how nurses behave when providing care to patients during the palliative phase, and how they interact with relatives in this situation. We found that cancer patients in a palliative unit most appreciate nurses who act with dedication and expertise.

  14. Development of an X-ray delay unit for correlation spectroscopy and pump-probe experiments

    Energy Technology Data Exchange (ETDEWEB)

    Roseker, Wojciech

    2008-07-15

    Probing condensed matter on time scales ranging from femtoseconds to nanoseconds will be one of the key topics for future X-ray Free Electron Laser (XFEL) sources. The accessible time windows are, however, compromised by the intrinsic time structure of the sources. One way to overcome this limitation is the usage of a time delay unit. A prototype device capable of splitting an X-ray pulse into two adjustable fractions, delaying one of them with the aim to perform X-ray Photon Correlation Spectroscopy and pump-probe type studies was designed and manufactured. The device utilizes eight perfect crystals in vertical 90 scattering geometry. Its performance has been verified with 8.39 keV and 12.4 keV Xrays at various synchrotron sources. The measured throughput of the device with a Si(333) monochromator at 8.39 keV under ambient conditions is 0.6%. The stability was verified at 12.4 keV and operation without realignment and feedback was possible for more than 30 minutes. Time delays up to 2.95 ns have been achieved. The highest resolution achieved in an experiment was 15.4 ps, a value entirely determined by the diagnostics system. The influence of the delay unit optics on the coherence properties of the beam was investigated by means of Fraunhofer diffraction and static speckle analysis. The obtained high fringe visibility and contrast values larger than 23% indicate the feasibility of performing coherence based experiments with the delay line. (orig.)

  15. Interventions during labor and birth in the United States: a qualitative analysis of women's experiences.

    Science.gov (United States)

    Bibeau, Alana M

    2014-12-01

    To explore and describe hospital-birthing women's understandings of and experiences with interventions during labor and birth. Qualitative data was collected as part of a larger ethnographic study of childbirth in the United States. The grounded theory method was employed to analyze interviews with 59 women from three states who had recently given birth in hospitals with physicians or certified nurse-midwives in attendance. Four themes emerged from the data. The themes safety/risk and provider match, described women's expectations regarding intervention and their interactions with providers. A third theme addressed how women experienced interventions and their perceptions of control over decision-making. A final theme characterized women's satisfaction with maternity care. Women who received interventions expressed varying levels of comfort or apprehension associated with both expectations of maternity care and provider match. Women whose expectations matched those of the provider reported more positive experiences. Regardless of provider match, women expressed ambivalence about the use of interventions and confusion over their appropriate place. Women's ability to make sense of interventions was related to how well they navigated a complicated and bureaucratic maternity system. Increasing attention needs to be paid to the impact of these factors on women's perceptions of care during pregnancy and childbirth. Copyright © 2014 Elsevier B.V. All rights reserved.

  16. Design and Testing of a Breadboard Electrical Power Control Unit for the Fluid Combustion Facility Experiment

    Science.gov (United States)

    Kimnach, Greg L.; Lebron, Ramon C.

    1999-01-01

    The Fluid Combustion Facility (FCF) Project and the Power Technology Division at the NASA Glenn Research Center (GRC) at Lewis Field in Cleveland, OH along with the Sundstrand Corporation in Rockford, IL are jointly developing an Electrical Power Converter Unit (EPCU) for the Fluid Combustion Facility to be flown on the International Space Station (ISS). The FCF facility experiment contains three racks: A core rack, a combustion rack, and a fluids rack. The EPCU will be used as the power interface to the ISS 120V(sub dc) power distribution system by each FCF experiment rack which requires 28V(sub dc). The EPCU is a modular design which contains three 120V(sub dc)-to-28V(sub dc) full-bridge, power converters rated at 1 kW(sub e) each bus transferring input relays and solid-state, current-limiting input switches, 48 current-limiting, solid-state, output switches; and control and telemetry hardware. The EPCU has all controls required to autonomously share load demand between the power feeds and--if absolutely necessary--shed loads. The EPCU, which maximizes the usage of allocated ISS power and minimizes loss of power to loads, can be paralleled with other EPCUs. This paper overviews the electrical design and operating characteristics of the EPCU and presents test data from the breadboard design.

  17. Estimation of shelf life of wikau maombo brownies cake using Accelerated Shelf Life Testing (ASLT) method with Arrhenius model

    Science.gov (United States)

    Wahyuni, S.; Holilah; Asranudin; Noviyanti

    2018-02-01

    The shelf life of brownies cake made from wikau maombo flour was predicted by ASLT method through the Arrhenius model. The aim of this study was to estimate the shelf life of brownies cake made from wikau maombo flour. The storage temperature of brownies cake was carried out at 20°C, 30°C and 45°C. The results showed that TBA (Thio Barbaturic Acid) number of brownies cake decreased as the storage temperature increase. Brownies stored at 20°C and 30°C were overgrown with mold on the storage time of six days. Brownies product (WT0 and WT1) had shelf life at 40°C approximately six and fourteen days, respectively. Brownies made from wikau maombo and wheat flour (WT1) was the best product with had the longest of shelf life about fourteen days.

  18. [Inpatient Dialectical Behavioral Therapy for Adolescents (DBT-A) - 10 years of experience on the psychiatric inpatient unit "wellenreiter"].

    Science.gov (United States)

    von Auer, Anne Kristin; Kleindienst, Nikolaus; Ludewig, Sonia; Soyka, Oliver; Bohus, Martin; Ludäscher, Petra

    2015-09-01

    In April 2004 the inpatient unit "Wellenreiter" at the Vorwerker Clinic for Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy in Lubeck (Germany) opened its doors. Despite reservations by the therapeutic community, we implemented a specialized treatment for female adolescents with symptoms of borderline personality disorder - the I;>ialectical Behavior Therapy for Adolescents (DBT-A). In this article we present the concept, our experiences, and data from the past 10 years of clinical work in this specialized unit.

  19. Diet and caries experience among preschool children in Ajman, United Arab Emirates.

    Science.gov (United States)

    Hashim, Raghad; Williams, Sheila M; Murray Thomson, Williams

    2009-12-01

    The study investigated the association between food and drink consumption and the caries experience among young children in Ajman, United Arab Emirates. A one-stage cluster sample was used to select children who were 5 or 6 yr of age. Clinical examinations for caries were conducted. Parents completed questionnaires seeking information on dietary habits. Principal components analysis was used to derive a summary score for the dietary variables (designated 'snack consumption level') and thus overcome the multicollinearity problems associated with using multiple dietary variables. Dental examination and questionnaire data were obtained for 1,036 children (79.9% participation rate). The overall mean number of decayed, missing or filled teeth (dmft) was 4.5. Snacking three or more times per day was associated with a dmft score that was almost one-third higher than the dmft score for children who snacked only once daily. One-third of children had a low overall snack consumption level (41% moderate and 25% high). There was a consistent dmft gradient across those categories. The severity of Early Childhood Caries (ECC) in young Ajman children is high, with dietary habits being important determinants. Cariogenic snack consumption can be represented using a summary exposure variable that appears to be valid. Young children in Ajman would benefit from health-promotion strategies directed towards appropriate dietary practices.

  20. Westinghouse experience in Kozloduy NPP units 5 and 6 I and C modernization

    International Nuclear Information System (INIS)

    Sechensky, B.

    2005-01-01

    The paper presents the background, current implementation approach and experience on the largest ever modernization program on operating units WWER 1000 (PWR) at Kozloduy Nuclear Power Plant in Bulgaria. The Modernization Program itself includes more than 212 measures. Westinghouse is modernizing the major I and C systems at WWER 1000. The major topics of the modernization program and specific approach described in this paper are as follows: 1) Design Approach and Feature; 2) Installation Approach; 3) Test Strategy; 4) Licensing Strategy, applicable codes and standards. At the end author summarized that: 1) Specific design solutions were required and developed in order to address the specific plant features. At each stage, representatives of the Client are being involved in the process of designing and testing of the equipment and systems; 2) Phase-by-phase installation efforts were developed and extensive installation design documentation was prepared to fit in the limited outage window and to successfully complete the installation activities; 3) Well-prepared, multi-phase testing strategy was developed and is being implemented to assure the proper and adequate operation of the equipment at the factory and at the real plant

  1. Immigration and psychotic experiences in the United States: Another example of the epidemiological paradox?

    Science.gov (United States)

    Oh, Hans; Abe, Jennifer; Negi, Nalini; DeVylder, Jordan

    2015-10-30

    In Europe, it is widely established that immigration increases risk for psychotic disorder. However, research has yet to confirm this association in the United States, where immigrants paradoxically report better health status than their native-born counterparts. Further, few studies have examined this topic with respect to sub-threshold psychotic experiences, which are more common than psychotic disorders in the general population. This study analyzes the (1) National Comorbidity Survey-Replication, (2) the National Latino and Asian American Survey, and (3) the National Survey of American Life, in order to determine whether generation status had any impact on risk for lifetime and 12-month PE, and whether these associations vary across racial/ethnic groups, adjusting for demographic variables and socioeconomic status. We found an absence of an immigration effect on PE across various ethnic groups and across various geographic areas, and found that immigration is actually protective among Latinos, supporting the idea that the epidemiological paradox extends to the psychosis phenotype. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  2. First Operational Experience with the LHC Beam Dump Trigger Synchronisation Unit

    CERN Document Server

    Antoine, A; Magnin, N; Juteau, P; Voumard, N

    2011-01-01

    Two LHC Beam Dumping Systems (LBDS) remove the counter-rotating beams safely from the collider during setting up of the accelerator, at the end of a physics run and in case of emergencies. Dump requests can come from 3 different sources: the machine protection system in emergency cases, the machine timing system for scheduled dumps or the LBDS itself in case of internal failures. These dump requests are synchronized with the 3 μs beam abort gap in a fail-safe redundant Trigger Synchronization Unit (TSU) based on a Digital Phase Locked Loop (DPLL), locked onto the LHC beam revolution frequency with a maximum phase error of 40 ns. The synchronized trigger pulses coming out of the TSU are then distributed to the high voltage generators of the beam dump kickers through a redundant fault-tolerant trigger distribution system. This paper describes the operational experience gained with the TSU since its commissioning with beam in 2009, and highlights the improvements, which have been implemented f...

  3. Acute extradural haematomas in children: A single neurosurgery unit's 12-year experience.

    Science.gov (United States)

    Enicker, B; Louw, H; Madiba, T

    2016-11-01

    Acute extradural haematomas (AEDHs) occur infrequently in children. This study was undertaken to review our experience with management and outcomes of this condition in children treated in the Neurosurgery Unit at Inkosi Albert Luthuli Central Hospital. A retrospective review of medical records of all children (age less than or equal to (≤) 12 years) with a diagnosis of AEDH admitted from January 2003 to December 2014 was performed. Records were analyzed for demographics, mechanisms of injury, clinical presentation, neuroradiology findings, management and outcomes at discharge. A total of 150 children with AEDHs were admitted during this period. The mean age was 6.6 ± 3.8 years with a peak incidence in the 7-9 year age group. There were 84 (56%) males, (M: F= 1.3:1). Sixty AEDHs resulted from road traffic crashes (40%). On admission 104 (69.3%) children were Glasgow coma scale (GCS) 13-15, 26 (17.3%) GCS 9-12 and 20 (13.4%) GCS 3-8. Haemoglobin was less than (children and the mean hospital stay was 6.9 ± 6.1 days. Four children (2.7%) died during in-hospital stay period. One hundred and forty one (94%) children had a favourable Glasgow outcome scale (GOS) at discharge. AEDHs in children carry a good prognosis, but can be potentially fatal. A vigilant approach is required when assessing these children, as early diagnosis and treatment yields gratifying results.

  4. A synthesis of the literature on Asian nurses' work experiences in the United States.

    Science.gov (United States)

    Lin, Li-Chen

    2009-01-01

    Nursing shortages in the United States have underscored the need for foreign nurse recruitment. The major population of foreign nurse recruits has long been Asian. When employing foreign nurses, fair employment practices and quality of care must be ensured; however, few empirical studies were found on this topic. Thus, the purpose of this article is to synthesize the extant literature about Asian nurses' work experiences in and adaptation to the U.S. health care system. The author searched four major bibliographic databases, as well as the ProQuest Dissertation and Thesis Database and analyzed eight empirical studies based on four predetermined inclusion criteria. The major themes identified in the selected scholarly works were: (a) overcoming language barriers, (b) dealing with discrimination, (c) adopting U.S. nursing practices, (d) adjusting to U.S. social customs, (e) becoming accustomed to U.S. culture, and (f) reconciling work ethics. Additional research studies, using both quantitative and qualitative approaches, are necessary to gain in-depth knowledge related to this phenomenon.

  5. PENDUGAAN UMUR SIMPAN JAGUNG MANIS BERDASARKAN KANDUNGAN TOTAL PADATAN TERLARUT DENGAN MODEL ARRHENIUS (Shelf Life Estimation of Sweet Corn Based on Its Total Soluble Solid by Using Arrhenius Model

    Directory of Open Access Journals (Sweden)

    Rita Khatir

    2015-09-01

    Full Text Available Sweet corn has short shelf life at room temperature storage in the tropical countries (28-33°C. The quality deterioration of sweet corn can be determined by the decrease of its sugar content. The study aimed to estimate the shelf life of sweet corn based on the reduction of its total soluble solid (TSS by using Arrhenius model. The samples were prepared from fresh harvested corn stored for 10 days at 3 different temperatures of 5, 15 and 28 °C. Total soluble solid (TSS were analyzed every day by using abbe refractrometer. Organoleptic analysis was used by using hedonic scales from 1 to 7. The analysis was conducted until respondents had graded the samples at score 5 (dislike slightly, 6 (dislike and approaches can be used to calculate the shelf life of sweet corn. The acceleration factor for the TSS degradation at null approach, it was estimated that if the sweet corn were stored at temperature of 30, 25, 20, 15, 10 and 5°C, the shelf temperatures, the shelf life of sweet corn would be 3.7, 4.5, 5.6, 6.8, 8.4, and 10.3 days. In conclusion, the shelf life predictions of sweet corn were valid well with the experimental results. Keywords: Sweet corn, shelf life, total soluble solid   ABSTRAK Umur simpan jagung manis relatif singkat apalagi kalau disimpan pada suhu ruang di negara-negara tropis (28-32°C. Kerusakan jagung manis dapat diindikasikan dengan penurunan kandungan gulanya. Penelitian ini bertujuan untuk menduga umur simpan jagung manis berdasarkan reaksi penurunan kandungan total padatan terlarutnya (TPT dengan pendekatan model Arrhenius. Jagung manis segar yang baru siap panen segera disimpan selama 10 hari pada 3 kombinasi suhu yaitu 5, 15 dan 28°C. Setiap hari dilakukan analisis kandungan TPT dengan . Uji organoleptik dilakukan dengan skala hedonik 1-7. Proses pengamatan dihentikan apabila responden telah memberikan nilai 5 (agak tidak suka, 6 (tidak suka dan 7 (sangat tidak suka. Pendekatan model Arrhenius dilakukan dengan dua

  6. Modelling Li-ion cell thermal runaway triggered by an internal short circuit device using an efficiency factor and Arrhenius formulations

    DEFF Research Database (Denmark)

    Coman, Paul Tiberiu; Darcy, Eric; Veje, Christian

    2017-01-01

    This paper presents a novel model for analyzing the thermal runaway in Li-ion battery cells with an internal short circuit device implanted in the cell. The model is constructed using Arrhenius formulations for representing the self-heating chemical reactions and the State of Charge. The model...

  7. Pendugaan Umur Simpan Fruit Leather Nangka (Arrtocarpus Heterophyllus) Dengan Penambahan Gum Arab Menggunakan Metode Accelerated Shelf Life Test (Aslt) Model Arrhenius

    OpenAIRE

    Rahmanto, Sandy Agus; Parnanto, Nur Her Riyadi; Nursiwi, Asri

    2014-01-01

    Penelitian ini bertujuan untuk mengetahui umur simpan fruit leather nangka dengan Accelerated Shelf Life Testing (ASLT) metodeberdasarkan model Arrhenius. Menentukan umur simpan dengan menggunakan Accelerated Shelf Life Test (ASLT) dilakukandengan mempercepat proses degradasi atau reaksi dalam percobaan, yaitu meningkatkan suhu penyimpanan pada beberapa suhu diatas suhu kamar, sehingga mempercepat umur simpan analisis waktu. Metode ASLT yang digunakan dalam menentukan masakadaluwarsanya fruit...

  8. 'Renewables-Friendly' Grid Development Strategies: Experience in the United States, Potential Lessons for China (Chinese Translation)

    Energy Technology Data Exchange (ETDEWEB)

    Hurlbut, David [National Renewable Energy Lab. (NREL), Golden, CO (United States); Zhou, Ella [National Renewable Energy Lab. (NREL), Golden, CO (United States); Porter, Kevin [Exeter Associates, Columbia, MD (United States); Arent, Douglas J. [Joint Institute for Strategic Energy Analysis, Golden, CO (United States)

    2015-10-03

    This is a Chinese translation of NREL/TP-6A20-64940. This report aims to help China's reform effort by providing a concise summary of experience in the United States with 'renewables-friendly' grid management, focusing on experiences that might be applicable to China. It focuses on utility-scale renewables and sets aside issues related to distributed generation.

  9. Children’s experiences of acute hospitalisation to a paediatric emergency and assessment unit – A qualitative study

    DEFF Research Database (Denmark)

    Jensen, Claus Sixtus; Jackson, Karen; Kolbæk, Raymond

    2012-01-01

    Short-stay treatment has become a popular form of care as a strategy to cope with increased demands on health care. There is little research that considers children’s experiences of acute hospitalisation to a short-stay care facility such as a Paediatric Emergency and Assessment Unit (PEAU...... provided some limited insight into the child’s experiences of acute hospitalisation, which should inform nursing care....

  10. Acute intensive care unit management of mustard gas victims: the Turkish experience.

    Science.gov (United States)

    Kilic, Ertugrul; Ortatatli, Mesut; Sezigen, Sermet; Eyison, Rusen Koray; Kenar, Levent

    2018-05-07

    Sulphur mustard (SM) is an highly toxic and vesicant chemical weapon that was used in various military conflicts several times in the history. The severity of ocular, dermal, and pulmonary symptoms that may appear following a characteristic asymptomatic period are depending on the SM concentration and exposure duration. The aim of this study is to present the clinical features and share the intensive care unit (ICU) experiences for the medical management of mustard gas victims. Thirteen Free Syrian Army soldiers near Al-Bab region of North Syria were reportedly exposed to oily blackish smoke with garlic smell due to the explosion of a trapped bomb without causing any blast or thermal effect on 26th November 2016. None of them wore any chemical protective suits or gas masks during explosion. Since they observed skin lesions including bullous formation next day, they were admitted to the Turkish Field Hospital at the Turkish - Syrian border and then evacuated to the State Hospital of Gaziantep Province, Turkey for further management. Eight victims who were very close to point of explosion suffered burning eyes, sore throat, dry cough and dyspnoea after the chemical attack. On admission to hospital, all cases had conjunctivitis, hoarseness and bullae on various body areas. Blepharospasm and opacity were found in 8 patients and 5 of them had corneal erosions and periorbital oedema. Temporary loss of vision in 4 cases lasted for 24 h. Multiple fluid-filled blisters were observed especially on the scalp, neck, arms and hands, where direct skin exposure to the agent occurred. A definitive clinical care and infection prophylaxis measures along with the burn treatment and bronchodilators for respiratory effects were applied in ICU. Two patients received granulocyte-colony-stimulating factor due to the SM-mediated bone marrow suppression on the 16th day of exposure and one of them died because of necrotic bronchial pseudomembrane obstruction resulting in cardiopulmonary

  11. Critical experiments on single-unit spherical plutonium geometries reflected and moderated by oil

    International Nuclear Information System (INIS)

    Rothe, R.E.

    1997-05-01

    Experimental critical configurations are reported for several dozen spherical and hemispherical single-unit assemblies of plutonium metal. Most were solid but many were hollow-centered, thick, shell-like geometries. All were constructed of nested plutonium (mostly 2139 Pu) metal hemispherical shells. Three kinds of critical configurations are reported. Two required interpolation and/or extrapolation of data to obtain the critical mass because reflector conditions were essentially infinite. The first finds the plutonium essentially fully reflected by a hydrogen-rich oil; the second is essentially unreflected. The third kind reports the critical oil reflector height above a large plutonium metal assembly of accurately known mass (no interpolation required) when that mass was too great to permit full oil reflection. Some configurations had thicknesses of mild steel just outside the plutonium metal, separating it from the oil. These experiments were performed at the Rocky Flats Critical Mass Laboratory in the late 1960s. They have not been published in a form suitable for benchmark-quality comparisons against state-of-the-art computational techniques until this paper. The age of the data and other factors lead to some difficulty in reconstructing aspects of the program and may, in turn, decrease confidence in certain details. Whenever this is true, the point is acknowledged. The plutonium metal was alpha-phase 239 Pu containing 5.9 wt-% 240 Pu. All assemblies were formed by nesting 1.667-mm-thick (nominal) bare plutonium metal hemispherical shells, also called hemishells, until the desired configuration was achieved. Very small tolerance gaps machined into radial dimensions reduced the effective density a small amount in all cases. Steel components were also nested hemispherical shells; but these were nominally 3.333-mm thick. Oil was used as the reflector because of its chemical compatibility with plutonium metal

  12. Parents' experience of a follow-up meeting after a child's death in the Paediatric Intensive Care Unit

    DEFF Research Database (Denmark)

    Brink, Helle L; Thomsen, Anja K; Laerkner, Eva

    2017-01-01

    OBJECTIVE: 'To identify parents' experience of a follow up meeting and to explore whether the conversation was adequate to meet the needs of parents for a follow-up after their child's death in the Paediatric Intensive Care Unit (PICU). DESIGN AND SETTING: Qualitative method utilising semi...

  13. Cardiotocography interpretation skills and the association with size of maternity unit, years of obstetric work experience and healthcare professional background

    DEFF Research Database (Denmark)

    Thellesen, Line; Sorensen, Jette Led; Hedegaard, Morten

    2017-01-01

    less than 15 years of obstetric work experience. This might indicate a challenge in maintaining CTG 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. This article is protected by copyright. All rights reserved....

  14. Latino Immigrant Students' School Experiences in the United States: The Importance of Family- School-Community Collaborations

    Science.gov (United States)

    Sibley, Erin; Brabeck, Kalina

    2017-01-01

    This paper reviews the literature on the educational experiences of Latino immigrant students in the United States, from early childhood through postsecondary educational attainment. Utilizing a developmental-contextual perspective, we explain the various environmental, political, structural, and psychological challenges these students face, while…

  15. Post-Secondary Educational Experiences in the Acculturation of Resettled Refugees in the United States

    Science.gov (United States)

    Ross, Tara W.

    2013-01-01

    A global refugee crisis necessitates an understanding of policymaking governing the resettlement of refugees in the United States. Resettling more refugees than all other countries combined, the United States emphasizes rapid employment over post-secondary education for adult resettled refugees in order to compel their self-sufficiency. However,…

  16. Middle Level Preservice Teachers Experience a Natural History Arts-Integrated Interdisciplinary Thematic Unit

    Science.gov (United States)

    Weber, Carolyn A.; Rule, Audrey C.

    2017-01-01

    Curricular demands and best practices for middle school require interdisciplinary units. Arts integration can provide motivation and a new pathway to learning. This unit focused on inquiry into the natural history of artifacts and rocks recovered from the exposed subsoil of an area near Cedar Falls, Iowa that had been bulldozed as part of…

  17. Thermal degradation kinetics of anthocyanins from blood orange, blackberry, and roselle using the arrhenius, eyring, and ball models.

    Science.gov (United States)

    Cisse, Mady; Vaillant, Fabrice; Acosta, Oscar; Dhuique-Mayer, Claudie; Dornier, Manuel

    2009-07-22

    Anthocyanin stability was assessed over temperatures ranging from 30 to 90 degrees C for seven products: blood orange juice [Citrus sinensis (L.) Osbeck]; two tropical highland blackberry juices (Rubus adenotrichus Schlech.), one with high content and the other with low content of suspended insoluble solids (SIS); and four roselle extracts (Hibiscus sabdariffa L.). The blackberry juice showed the highest content of anthocyanins with 1.2 g/L (two times less in the roselle extracts and 12 times less in the blood orange juice). The rate constant for anthocyanin degradation and isothermal kinetic parameters were calculated according to three models: Arrhenius, Eyring, and Ball. Anthocyanins in blood orange juice presented the highest rate constant for degradation, followed by the blackberry juices and roselle extracts. Values of activation energies were 66 and 37 kJ/mol, respectively, for blood orange and blackberry and 47-61 kJ/mol for roselle extracts. For the blackberry juices, a high SIS content provided only slight protection for the anthocyanins. The increasing content of dissolved oxygen, from 0.5 to 8.5 g/L, did not significantly increase the rate constant. For both isothermal and nonisothermal treatments, all three models accurately predicted anthocyanin losses from different food matrices.

  18. Nurses' Perceptions of Pediatric Intensive Care Unit Environment and Work Experience After Transition to Single-Patient Rooms.

    Science.gov (United States)

    Kudchadkar, Sapna R; Beers, M Claire; Ascenzi, Judith A; Jastaniah, Ebaa; Punjabi, Naresh M

    2016-09-01

    The architectural design of the pediatric intensive care unit may play a major role in optimizing the environment to promote patients' sleep while improving stress levels and the work experience of critical care nurses. To examine changes in nurses' perceptions of the environment of a pediatric critical care unit for promotion of patients' sleep and the nurses' work experience after a transition from multipatient rooms to single-patient rooms. A cross-sectional survey of nurses was conducted before and after the move to a new hospital building in which all rooms in the pediatric critical care unit were single-patient rooms. Nurses reported that compared with multipatient rooms, single-patient private rooms were more conducive to patients sleeping well at night and promoted a more normal sleep-wake cycle (P noise in single-patient rooms (33%) than in multipatient rooms (79%; P pediatric intensive care unit environment for promoting patients' sleep and the nurses' own work experience. ©2016 American Association of Critical-Care Nurses.

  19. Similar alteration of motor unit recruitment strategies during the anticipation and experience of pain.

    Science.gov (United States)

    Tucker, Kylie; Larsson, Anna-Karin; Oknelid, Stina; Hodges, Paul

    2012-03-01

    A motor unit consists of a motoneurone and the multiple muscle fibres that it innervates, and forms the final neural pathway that influences movement. Discharge of motor units is altered (decreased discharge rate and/or cessation of firing; and increased discharge rate and/or recruitment of new units) during matched-force contractions with pain. This is thought to be mediated by nociceptive (pain) input on motoneurones, as demonstrated in animal studies. It is also possible that motoneurone excitability is altered by pain related descending inputs, that these changes persist after noxious stimuli cease, and that direct nociceptive input is not necessary to induce pain related changes in movement. We aimed to determine whether anticipation of pain (descending pain related inputs without nociceptor discharge) alters motor unit discharge, and to observe motor unit discharge recovery after pain has ceased. Motor unit discharge was recorded with fine-wire electrodes in the quadriceps of 9 volunteers. Subjects matched isometric knee-extension force during anticipation of pain (anticipation: electrical shocks randomly applied over the infrapatellar fat-pad); pain (hypertonic saline injected into the fat-pad); and 3 intervening control conditions. Discharge rate of motor units decreased during pain (Precruitment of 1 population of units and new recruitment of another population were observed during both anticipation and pain; some changes in motor unit recruitment persisted after pain ceased. This challenges the fundamental theory that pain-related changes in muscle activity result from direct nociceptor discharge, and provides a mechanism that may underlie long-term changes in movement/chronicity in some musculoskeletal conditions. Copyright © 2011 International Association for the Study of Pain. Published by Elsevier B.V. All rights reserved.

  20. [Learning from the experiences of an arbitration unit for medical liability questions].

    Science.gov (United States)

    Scheppokat, K D

    2005-03-01

    While other countries', e.g. the United States', experience with alternative dispute resolution (ADR) in medical malpractice has been disappointing, German physicians have instituted extrajudicial claims resolution as an alternative to civil litigation: Established by the Arztekammern (corporate bodies of professional self-governance) in the mid-1970s, the Schlichtungsstellen (SchlSt--claims resolution panels) offer patients and doctors, on a voluntary basis, proceedings directed toward achieving a settlement. The number of cases submitted to these panels has been constantly growing since. In 90% of cases decided upon by the panel, civil litigation was avoided. Doctors can, as exemplified by the operation of the SchlSt, tackle difficult and complex problems and solve them--without being funded or directed by outside agencies. What can be learnt from being, as a physician member, associated with a SchlSt for several years? (1) Physicians--as Eddy has pointed out--must make decisions about complex problems under difficult conditions on the basis of inadequate information. Expert testimony suffers from similar uncertainties. Decisions on individual cases cannot be improved by external and necessarily generalized ruling (disease management programs, other directives). (2) Errors and adverse events in medical care have to be accepted as principally unavoidable. Most claims heard by the panel have to do with operations and--in the non-surgical specialties--with invasive procedures. Medical tasks of high complexity, as many operative and invasive procedures indeed are, seem to have an inherent accident-proneness. Therefore decisions as to operations and invasive procedures should be weighed with utmost care. More is not always better (3) 25% of the patients filing claims with the SchlSt complain of deficient doctor-patient-communication. Failure of doctors and staff to communicate adequately with the patients and with their professional contacts plays an important role as

  1. Heat Transfer Reactor Experiment (HTRE)-3 Container Storage Unit Resource Conservation Recovery Act closure plan

    International Nuclear Information System (INIS)

    Spry, M.J.

    1992-11-01

    This document describes the closure of the HTRE-3 Container Storage Unit under the requirements of the Resource Conservation and Recovery Act. The unit's location, size, history, and current status are described. The document also summarizes the decontamination and decommissioning efforts performed in 1983 and provides an estimate of,waste residues remaining in the HTRE-3 assembly. A risk evaluation was performed that demonstrates that the residue does not pose a hazard to public health or the environment. Based on the risk evaluation, it is proposed that the HTRE-3 Container Storage Unit be closed in its present condition, without further decontamination or removal activities

  2. Operating experience with unit for sulfuric acid alkylation of isobutane by butylenes

    Energy Technology Data Exchange (ETDEWEB)

    Tagavov, I.T.; Sumanov, V.T.; Khadzhiev, S.N.

    1988-09-01

    The operation of units for the sulfuric acid alkylation of isobutanes by butylenes have been performed. The reaction was carried out in a KSG-3 horizontal sulfuric acid contractor. A butane-butylene fraction from catalytic cracking and an isobutane fraction from the central gas fractionating unit were used as a feedstock. The studies have shown that the unit will give a high-quality product under various conditions of operation. The specific consumption of sulfuric acid in processing different types of feed remains within acceptable limits.

  3. Experience in lifetime extension of the first generation WWER-440 power units

    International Nuclear Information System (INIS)

    Medvedev, P.

    2002-01-01

    In connection with the expiration of the lifetime for the first generation WWER-440 reactors in Russian Federation (Novo Voronezh and Kola NPP), the legal procedures and Life Time Extension (LTE) Program are discussed. The LTE Program includes: development of regulation basis; economic efficiency studies; power unit modernization; power unit comprehensive examination and justification od equipment resource; in-dept safety assessment; operational license acquisition. As a result from the LTE Program the safety level of the unit 3 of the Novo Voronezh NPP is significantly increases, the operational period has been justified and a 5-year license has been issued

  4. Operation experience of the advanced fuel assemblies at Unit 1 of Volgodonsk NPP within four fuel cycles

    International Nuclear Information System (INIS)

    Vasilchenko, I.; Kobelev, S.; Kushmanov, S.

    2006-01-01

    The first commissioning of Volgodonsk NPP Unit 1 with standard reactor WWER-1000 (project V-320) was in 2001. The reactor core, starting from the first fuel charge, was arranged completely with Advanced Fuel Assemblies (AFAs). In this way, it is possible to obtain the experience in startup and operation of the core, completely arranged with AFAs, and also to get a possibility of performing the comprehensive check for justification of newly commissioned units and justification of design solutions accepted in the design of reactor core for Taiwan NPP, Bushehr NPP and Kudankulam NPP. The first fuel charge of the Volgodonsk NPP Unit 1 is a reference and unified for Tiawan NPP (V-428), Bushehr NPP (V-446), Kudankulam NPP(V-412) with small differences caused by design features of RP V-320. The first core charge of Unit 1 of Volgodonsk NPP was arranged of 163 AFAs, comprising 61 CPS ARs and 42 BAR bundles. The subsequent fuel charges were arranged of AFAs with gadolinium oxide integrated into fuel instead of BAR. By 2005 the results of operation of the core at Unit 1 of Volgodonsk NPP during four fuel cycles showed that AFA is sufficiently reliable and serviceable. The activity of the primary coolant of the Volgodonsk NPP is at stable low level. During the whole time of the core operation of the Volgodonsk NPP Unit 1 no leaky AFAs were revealed. The modifications of the internals, made during pre-operational work, are reasonable and effective to provide for fuel mechanical stability in the course of operation. The modifications, made in AFA structure during operation of the Volgodonsk NPP Unit 1, are aimed at improving the service and operational reliability of its components. Correctness of the solutions taken is confirmed by AFAs operation experience both at the Volgodonsk NPP, and at other operating Russian NPPs

  5. Contributions at the Tripoli Monte Carlo code qualifying on critical experiences and at neutronic interaction study of fissile units

    International Nuclear Information System (INIS)

    Nouri, A.

    1994-01-01

    Criticality studies in nuclear fuel cycle are based on Monte Carlo method. These codes use multigroup cross sections which can verify by experimental configurations or by use of reference codes such Tripoli 2. In this Tripoli 2 code nuclear data are errors attached and asked for experimental studies with critical experiences. This is one of the aim of this thesis. To calculate the keff of interacted fissile units we have used the multigroup Monte Carlo code Moret with convergence problems. A new estimator of reactions rates permit to better approximate the neutrons exchange between units and a new importance function has been tested. 2 annexes

  6. Budget Surpluses: Experiences of Other Nations and Implications for the United States

    National Research Council Canada - National Science Library

    1999-01-01

    ... should be used. While balancing the budget has been the clear and generally accepted fiscal goal for many years in the United States, there is not yet agreement on the appropriate fiscal policy during a period of budget surpluses...

  7. PyMUS: Python-Based Simulation Software for Virtual Experiments on Motor Unit System

    Directory of Open Access Journals (Sweden)

    Hojeong Kim

    2018-04-01

    Full Text Available We constructed a physiologically plausible computationally efficient model of a motor unit and developed simulation software that allows for integrative investigations of the input–output processing in the motor unit system. The model motor unit was first built by coupling the motoneuron model and muscle unit model to a simplified axon model. To build the motoneuron model, we used a recently reported two-compartment modeling approach that accurately captures the key cell-type-related electrical properties under both passive conditions (somatic input resistance, membrane time constant, and signal attenuation properties between the soma and the dendrites and active conditions (rheobase current and afterhyperpolarization duration at the soma and plateau behavior at the dendrites. To construct the muscle unit, we used a recently developed muscle modeling approach that reflects the experimentally identified dependencies of muscle activation dynamics on isometric, isokinetic and dynamic variation in muscle length over a full range of stimulation frequencies. Then, we designed the simulation software based on the object-oriented programing paradigm and developed the software using open-source Python language to be fully operational using graphical user interfaces. Using the developed software, separate simulations could be performed for a single motoneuron, muscle unit and motor unit under a wide range of experimental input protocols, and a hierarchical analysis could be performed from a single channel to the entire system behavior. Our model motor unit and simulation software may represent efficient tools not only for researchers studying the neural control of force production from a cellular perspective but also for instructors and students in motor physiology classroom settings.

  8. PyMUS: Python-Based Simulation Software for Virtual Experiments on Motor Unit System.

    Science.gov (United States)

    Kim, Hojeong; Kim, Minjung

    2018-01-01

    We constructed a physiologically plausible computationally efficient model of a motor unit and developed simulation software that allows for integrative investigations of the input-output processing in the motor unit system. The model motor unit was first built by coupling the motoneuron model and muscle unit model to a simplified axon model. To build the motoneuron model, we used a recently reported two-compartment modeling approach that accurately captures the key cell-type-related electrical properties under both passive conditions (somatic input resistance, membrane time constant, and signal attenuation properties between the soma and the dendrites) and active conditions (rheobase current and afterhyperpolarization duration at the soma and plateau behavior at the dendrites). To construct the muscle unit, we used a recently developed muscle modeling approach that reflects the experimentally identified dependencies of muscle activation dynamics on isometric, isokinetic and dynamic variation in muscle length over a full range of stimulation frequencies. Then, we designed the simulation software based on the object-oriented programing paradigm and developed the software using open-source Python language to be fully operational using graphical user interfaces. Using the developed software, separate simulations could be performed for a single motoneuron, muscle unit and motor unit under a wide range of experimental input protocols, and a hierarchical analysis could be performed from a single channel to the entire system behavior. Our model motor unit and simulation software may represent efficient tools not only for researchers studying the neural control of force production from a cellular perspective but also for instructors and students in motor physiology classroom settings.

  9. Cold War Agency: The United States and the Failure of the DIEM Experiment

    Science.gov (United States)

    2017-03-01

    the United States by complying with Western norms of democratic leadership , only later developing into an autocratic tyrant; or was Diem’s...2000s to establish democratic regimes in Afghanistan and Iraq reflect an American foreign policy tradition that began at the end of World War II. The...would eventually serve in Vietnam in a failed effort to prevent the Democratic Republic of Vietnam from uniting the country under a communist regime

  10. Determination of Physical Properties of Carbon Materials by Results of Ablative Experiments Con-ducted in the Jets of Gas Dynamic Units

    Directory of Open Access Journals (Sweden)

    V. V. Gorsky

    2015-01-01

    Full Text Available The process of hypersonic vehicles’ movement in the dense layers of the atmosphere is accompanied by the considerable combustion of heat shield, which effects on the aerodynamic, mass-inertial and centering characteristics of the product.For correct calculation of model's movement parameters it is necessary:* Using the theoretical and computation methods for determining ablative characteristics of heat-protective materials;* Taking into account all the basic physical and chemical processes, involved in their ablation, using the above mentioned methods;* Testing these techniques in the wide range of experimental data. This physic-mathematical model of carbon materials (CM aerothermochemical destruction is based on using the following:* Arrhenius equations to calculate carbon kinetic oxidation;* Langmuir-Knudsen formula to calculate the velocity of non-equilibrium carbon’s sublimation;* Carbon erosion law represented as a unique dependence of this process velocity on the gas pressure on the wall.Mathematical description of all major processes included in this formulation of the problem, contains a number of "free" parameters that can be determined only on the basis of comparison of theoretical and experimental data according to total ablation characteristics of these materials.This comparison was performed in the article applicable to the tests conditions of modern CM in the stream of electric arc plant and in combustion products of liquid-propellant rocket engines.As the result, the data of kinetic of carbon oxidation by atomic oxygen at sublimation mode of material ablation were obtained for the first time. Carbon erosion law under high pressure was established for the first time.The new approach to processing of ablation experiments is enunciated. Using this approach allows to turn this experiments for CM from comparative tests into the tests to determine ablation properties of thermal protection. Moreover, it enables us also to use the

  11. Late Intensive Care Unit Admission in Liver Transplant Recipients: 10-Year Experience.

    Science.gov (United States)

    Atar, Funda; Gedik, Ender; Kaplan, Şerife; Zeyneloğlu, Pınar; Pirat, Arash; Haberal, Mehmet

    2015-11-01

    We evaluated late intensive care unit admission in liver transplant recipients to identify incidences and causes of acute respiratory failure in the postoperative period and to compare these results with results in patients who did not have acute respiratory failure. We retrospectively screened the data of 173 consecutive adult liver transplant recipients from January 2005 through March 2015 to identify patients with late admission (> 30 d posttransplant) to an intensive care unit. Patients were divided into 2 groups: patients with and without acute respiratory failure. Acute respiratory failure was defined as severe dyspnea, respiratory distress, decreased oxygen saturation, hypoxemia or hypercapnia on room air, or need for noninvasive or invasive mechanical ventilation. Demographic, laboratory, clinical, and respiratory data were collected. Model for End-Stage Liver Disease, Acute Physiology and Chronic Health Evaluation II, and Sequential Organ Failure Assessment scores; lengths of intensive care unit and hospital stays; and hospital mortality were assessed. Among 173 patients, 37 (21.4%) were admitted to an intensive care unit, including 22 (59.5%) with acute respiratory failure. The leading cause of acute respiratory failure was pneumonia (n = 19, 86.4%). Patients with acute respiratory failure had significantly lower levels of albumin before intensive care unit admission (P = .003). In patients with acute respiratory failure, severe sepsis and septic shock were more frequently observed and tracheotomy was more frequently performed (P = .041). Acute respiratory failure developed in 59.5% of liver transplant recipients with late intensive care unit admission. The leading cause was pneumonia, with this group of patients having higher requirements for invasive mechanical ventilation and tracheotomy, longer stays in an intensive care unit, and higher mortality.

  12. Turnover of professional nurses at Mokopane Hospital in the Limpopo Province, South Africa: Experiences of nursing unit managers.

    Science.gov (United States)

    Mmamma, Mogale L; Mothiba, Tebogo M; Nancy, Malema R

    2015-12-17

    Staff turnover of professional nurses remains a concern for public and private hospitals management because it has an impact on the morale of nurses and it may also lead to poor patient care. The objectives of this study were to explore and describe the experiences of nursing unit managers with regard to the turnover of professional nurses who were under their supervision. A qualitative, explorative, descriptive research design was used to determine the experiences of nursing unit managers related to the turnover of professional nurses. Data collection was done by using semi-structured one-to-one interviews with professional nurses .Two groups of participants were interviewed: Those working day duty (n = 9) and those working night duty (n = 3) who were at work on the anticipated days for data collection. The findings revealed that every unit was experiencing a shortage of professional nurses, which caused other nurses to work overtime with an inevitable increase in workload. That led to tiredness, conflict amongst professional nurses, job dissatisfaction, and absenteeism which compromised nursing care. This resulted in patient dissatisfaction and sometimes led to deaths that could have been prevented. It is recommended that staff turnover should be addressed by the hospital top management implementing several strategies. For example, top management could ensure that staff members work in a healthy environment with resources that they need during the provision of care, address the effects of the staff turnover, support the staff members and refrain from putting pressure on nursing unit managers whilst they are attending to problems.

  13. Free Trade Agreements With The United States: 8 Lessons For Prospective Parties From Australia’s Experience

    OpenAIRE

    Tully Stephen R.

    2016-01-01

    This article identifies 8 key lessons for those States contemplating a free trade agreement with the United States (U.S.) arising from Australia’s experience. The standards of intellectual property protection under the Australia-U.S. Free Trade Agreement and their impact on pharmaceutical prices in Australia are a particular focus. Prospective parties must first conduct a national interest self-assessment which reviews the desired strength of intellectual property protection under national la...

  14. The supply and demand of wine-on-tap in the United States: An examination of perceptions and experiences

    OpenAIRE

    Nuebling, Michaela Andrea

    2015-01-01

    The purpose of the present study was to investigate the perceptions and early experiences associated with a recent trend in the United States' foodservice and wine industry: wine-on-tap. Three study populations were investigated: wine consumers, restaurant and winery professionals. Contrary to expectations driven by literature and the diffusion of other wine product innovations, American wine consumers showed interest in trying wine-on-tap, stating that the main reason for non-adoption was li...

  15. Optimum temperature of a northern population of Arctic charr (Salvelinus alpinus) using heart rate Arrhenius breakpoint analysis

    DEFF Research Database (Denmark)

    Hansen, Aslak Kappel; Byriel, David Bille; R. Jensen, Mads

    2017-01-01

    ± 0.4). The Q10 breakpoint occurred at an average of 7.1 °C ± 0.3. There was no significant difference between the breakpoint temperature found using Q10 and Arrhenius [two-sample t test, df = 16; p > 0.1]. The highest fHmax was found at 12.8 °C ± 1.0 reaching an average of 61.8 BPM ± 3.1. Arrhythmia...

  16. Experiences of Diagnosing Autism Spectrum Disorder: A Survey of Professionals in the United Kingdom

    Science.gov (United States)

    Rogers, Claire L.; Goddard, Lorna; Hill, Elisabeth L.; Henry, Lucy A.; Crane, Laura

    2016-01-01

    To date, research exploring experiences of diagnosing autism spectrum disorder has largely focused on parental perspectives. In order to obtain a more complete account of the autism spectrum disorder diagnostic process, it is essential that the views and experiences of professionals are heard. In this study, 116 multidisciplinary professionals…

  17. Constitutive relationships of hot stamping boron steel B1500HS based on the modified Arrhenius and Johnson–Cook model

    International Nuclear Information System (INIS)

    Li, Huiping; He, Lianfang; Zhao, Guoqun; Zhang, Lei

    2013-01-01

    Constitutive relationship of boron steel is one of the most necessary mathematical models in the numerical simulation of hot stamping; it describes the relationship of the flow stress with strain, strain rate and temperature. In order to attain the constitutive relationship of boron steel B1500HS, four types of samples with microstructure of austenite, ferrite+pearlite, bainite or martensite are prepared by the Gleeble 1500D thermo-mechanical simulator. Isothermal uniaxial tension testings for these specimens are performed at 20–900 °C at the strain rates of 0.01 s –1 , 0.1 s –1 , 1.0 s –1 and 10 s –1 by Gleeble 1500D, and the true stress–strain curves at the relative conditions are gained. The experimental results show that, the flow stress of samples with relative microstructure rises with the decrease of the deformation temperature, and with the increase of the strain rate. The modified Arrhenius model is used to describe the hot deformation of samples with austenite microstructure, and the modified Johnson–Cook model is used to describe the deformation process of samples with ferrite+pearlite, bainite or martensite microstructure. The constitutive equations depending on the strain, strain rate and temperature are attained by the regression analysis for the experimental data of flow stress, strain, strain rate, temperature, etc. The comparison of the computational data and the experimental results shows that, the computational data using the constitutive relationships are well consistent with the experimental data

  18. United State Collaboration working in the ATLAS hall experiment (B180).

    CERN Multimedia

    Maximilien Brice

    2006-01-01

    It's a small world; at least you might think so after a visit to Building 180. Inside, about 30 engineers and physicists weld, measure and hammer away. They hail from Pakistan, Israel, Japan, China, Russia and the United States and they work toward one common goal: the completion of the ATLAS muon chamber endcaps.

  19. United State Collaboration working in the Atlas hall experiment (B180).

    CERN Multimedia

    Maximilien Brice

    2006-01-01

    It's a small world; at least you might think so after a visit to Building 180. Inside, about 30 engineers and physicists weld, measure and hammer away. They hail from Pakistan, Israel, Japan, China, Russia and the United States and they work toward one common goal: the completion of the ATLAS muon chamber endcaps

  20. The Evolution of Computer Based Learning Software Design: Computer Assisted Teaching Unit Experience.

    Science.gov (United States)

    Blandford, A. E.; Smith, P. R.

    1986-01-01

    Describes the style of design of computer simulations developed by Computer Assisted Teaching Unit at Queen Mary College with reference to user interface, input and initialization, input data vetting, effective display screen use, graphical results presentation, and need for hard copy. Procedures and problems relating to academic involvement are…

  1. Nett Warrior C3Conflict Experiment: Measuring the Effect of Battlefield Awareness in Small Units

    Science.gov (United States)

    2011-01-01

    C3Conflict is a distributed, computer-based, multiplayer , small unit war game designed to elicit measures of leader performance focusing on command...has raised the specter of even more violence . While the level of violence has plunged from the carnage of 2006 and 2007, suicide bombers continue

  2. Introducing Blended Learning: An Experience of Uncertainty for Students in the United Arab Emirates

    Science.gov (United States)

    Kemp, Linzi J.

    2013-01-01

    The cultural dimension of Uncertainty Avoidance is analysed in this study of an introduction to blended learning for international students. Content analysis was conducted on the survey narratives collected from three cohorts of management undergraduates in the United Arab Emirates. Interpretation of certainty with blended learning was found in:…

  3. Safe intravenous administration in pediatrics: A 5-year Pediatric Intensive Care Unit experience with smart pumps.

    Science.gov (United States)

    Manrique-Rodríguez, S; Sánchez-Galindo, A C; Fernández-Llamazares, C M; Calvo-Calvo, M M; Carrillo-Álvarez, Á; Sanjurjo-Sáez, M

    2016-10-01

    To estimate the impact of smart pump implementation in a pediatric intensive care unit in terms of number and type of administration errors intercepted. Observational, prospective study carried out from January 2010 to March 2015 with syringe and great volumen infusion pumps available in the hospital. A tertiary level hospital pediatric intensive care unit. Infusions delivered with infusion pumps in all pediatric intensive care unit patients. Design of a drug library with safety limits for all intravenous drugs prescribed. Users' compliance with drug library as well as number and type of errors prevented were analyzed. Two hundred and eighty-three errors were intercepted during 62 months of study. A high risk drug was involved in 58% of prevented errors, such as adrenergic agonists and antagonists, sedatives, analgesics, neuromuscular blockers, opioids, potassium and insulin. Users' average compliance with the safety software was 84%. Smart pumps implementation has proven effective in intercepting high risk drugs programming errors. These results might be exportable to other critical care units, involving pediatric or adult patients. Interdisciplinary colaboration is key to succeed in this process. Copyright © 2016 Elsevier España, S.L.U. y SEMICYUC. All rights reserved.

  4. Sulphurfree diesel - modifications and experiences on a HDS-unit; Modifikationen und Betriebserfahrungen an einer Mitteldestillatentschwefelung

    Energy Technology Data Exchange (ETDEWEB)

    Reinhardt, J. [Veba Oel-Verarbeitungs-GmbH, Gelsenkirchen (Germany); Balfanz, U. [Aral Forschung FDT, Gelsenkirchen (Germany); Dimmig, T. [TU Bergakademie Freiberg (Germany)

    2002-10-01

    Ruhr Oel GmbH, a joint venture between BP and PDVSA, is operating a HDS-unit at their facilities at Gelsenkirchen-Scholven. The product of this unit is a major blend component for Diesel fuel. Driven by ambitious German environmental policy and by an agreement between the German car and oil industry on the one side and the government on the other side, more stringent low sulphur fuels will be introduced in Germany much earlier than in the rest of the European Union. In view of this background a project was developed to realise the new product specifications with minimum investment. In cooperation between the refinery, company research facilities and the catalyst supplier (AKZO NOBEL), pilot plant test were performed to find out the best catalyst system and the new process conditions. Based on this, an existing HDS-unit was revamped. After the revamp, the unit produce Diesel fuel with 50 ppm sulphur content, test runs for 10 ppm were carried out successfully. These results were demonstrated in this article. (orig.)

  5. Lived Experiences of Diversity Visa Lottery Immigrants in the United States

    Science.gov (United States)

    Hailu, Tekleab Elos; Mendoza, Bernadette M.; Lahman, Maria K. E.; Richard, Veronica M.

    2012-01-01

    Every year approximately 50,000 people immigrate to the United States through the avenue referred to as the Diversity Visa (DV) Lottery. In this article, the authors present a literature review of immigration to the U.S. through the DV Lottery, reflect on their own immigration histories, and utilize phenomenology to investigate and describe…

  6. Experience and Satisfaction With a Multidisciplinary Care Unit for Patients With Psoriasis and Psoriatic Arthritis.

    Science.gov (United States)

    Urruticoechea-Arana, Ana; Serra Torres, Marta; Hergueta Diaz, Mercedes; González Guerrero, María Eugenia; Fariñas Padron, Leslie; Navarro Martín, Sara; Vargas Osorio, Kelly; Palacios Abufón, Andrés; García de Yébenes, María Jesús; Loza, Estíbaliz

    2017-08-24

    To describe patient's characteristics, the activity and patient's satisfaction with a multidisciplinary care unit in patients with psoriasis and psoriatic arthritis (PsA). A retrospective medical records review of patients with psoriasis or PsA attended in a multidisciplinary care unit was performed. Included patients were contacted to fulfill a satisfaction questionnaire. A specific electronic database was set up. Data regarding to patients and their baseline characteristics and the activity of the unit were collected. Descriptive analysis were performed. A total of 112 patients with 154 visits were included in almost 3 years, 54% women, with a mean age of 51 years, 43.7% presented hyperlipidemia and 30.4% arterial hypertension. Half of patients were referred due to diagnostic doubts and the other half for therapeutic problems. After the evaluation of the patients, 66 patients (58.9%) met diagnostic criteria for PsA, and 13 (11.6%) of an inflammatory disease other than PsA, and 95% came back to their usual physician. The most ordered test were laboratory tests (75.6% of patients), followed by X-rays in 57 patients (51.3%). In general the number of patients with different treatments increased, and 55.4% and 42% of patients changed their topic and systemic treatments respectively. The level of satisfaction was very high and all of patients considered that their disease was better controlled in this multidisciplinary care unit. This multidisciplinary care unit has improved the care and satisfaction of patients with psoriasis or PsA, and increased collaboration between rheumatology and dermatology departments. Copyright © 2017 Elsevier España, S.L.U. and Sociedad Española de Reumatología y Colegio Mexicano de Reumatología. All rights reserved.

  7. A comparative study of Japan and United States nuclear enterprise: Industry structure and construction experience

    International Nuclear Information System (INIS)

    Hinman, G.W.; Lowinger, T.C.

    1987-01-01

    Both Japan and the United States have undertaken major programs to utilize nuclear power for central station electricity generation. Over the past 20 years, the Japanese have developed their own construction and government regulatory institutions and now have an essentially independent domestic nuclear power program. Nuclear construction and government oversight of nuclear power have developed somewhat differently in Japan and the United States, reflecting to some extent the two countries' different business and social cultures. In the United States the vendor and utility industries are much more fragmented than those in Japan, and construction projects are carried out on a more competitive basis. The Japanese industry operates through a few well-established consortia while the U.S. industry does not. Relations among the national government, the vendors, and the electric utilities tend to be cooperative in Japan while they are more adversarial in the Untied States. This paper discusses these topics in a framework of a comparative study of the countries' nuclear industries. Whether because of the factors mentioned above or for other reasons the success of nuclear power in Japan and the United States has differed dramatically in recent years. This paper compares the performance of the nuclear enterprise in these two countries in terms of the physical attributes of the plants themselves, the labor required to build them, and the construction times required. It also discusses the relationship between initial estimates of costs and schedules and actual results achieved. On all counts, recent Japanese performance has been better than in the United States

  8. Experience of the United States in Hosting and Supporting IAEA Peer Review Missions

    International Nuclear Information System (INIS)

    Mamish, N.

    2016-01-01

    The International Atomic Energy Agency (IAEA) provides a number of peer review services to its Member States. The United States has strongly supported these peer reviews since their inception. In 2010, the United States hosted an Integrated Regulatory Review Service (IRRS) mission, with a follow-up mission completed in 2014. The missions provided valuable recommendations and suggestions, identified a number of best practices, and acknowledged the prompt and effective actions taken by the NRC following the Fukushima Daiichi accident. Through hosting an International Physical Protection Advisory Service (IPPAS) mission in 2013, the United States benefited both from the insights provided by the team, as well as the U.S. Government’s gap analyses and preparatory efforts in advance of the mission. The United States strongly supports the IAEA’s Operational Safety Review Team (OSART) program, inviting a peer review mission to a U.S. nuclear power plant every 3 years. Although OSART is an operational, not regulatory, peer review, the NRC provides funding for the mission and gives inspection credit to operators that host them. The United States also contributes significant technical expertise to IAEA peer review missions hosted by other Member States. With the IRRS and IPPAS reaching their 10th and 20th anniversaries respectively, these programs have improved as they have matured. However, it remains critical for Member States to continue to support these programs, and provide feedback to the IAEA Secretariat on their effectiveness and areas where IAEA might enhance them. Doing so will ensure peer reviews remain an effective tool for strengthening nuclear safety and security worldwide. (author)

  9. Mechanism of Prototropy. V. Arrhenius parameters of the tautomerization of Benzylidene Benzylamine and its {alpha}-{alpha}-alkyl derivatives; Mecanismo de la prototropia V. Parametros de Arrhenius de la toutomerizacion de benciliden-bencilamina y sus {alpha}- y {alpha}-alquilderivados

    Energy Technology Data Exchange (ETDEWEB)

    Perez Ossorio, R; Gomez Herrera, F; Utrilla, R M; Hidalgo, A; Gamboa, J M

    1961-07-01

    The reactions were conducted in ethyl alcohol-dioxan, in the presence of EtONa, as catalyst. Rates were followed by a radioactive tracer method when R=H and by spectroscopic method when R= alkyl as described in previous papers. The results suggest that polar effects alone cannot account for the relative Arrhenius parameters obtained. (Author) 3 refs.

  10. Three-dimensional ultrasound. Early personal experience with a dedicated unit and literature review

    International Nuclear Information System (INIS)

    Cesarani, F.; Isolato, G.; Capello, S.; Bianchi, S.D.

    1999-01-01

    The authors report our preliminary clinical experience with three-dimensional ultrasound (3D US) in abdominal and small parts imaging, comparing the yield of 3D versus 2D US and the through a literature review [it

  11. The effects of unit pricing system upon household solid waste management: The Korean experience

    Energy Technology Data Exchange (ETDEWEB)

    Hong, S.

    1999-09-01

    Initial effects of adoption of a unit pricing system paired with aggressive recycling programs appear to be substantial. This paper explores the impact of price incentives under the unit pricing system on household solid waste generation and recycling in Korea. The author employs a simultaneous equation model considering the feedback effects between total waste generation and recycling. Estimation results using 3017 Korean household survey data indicate that a rise in waste collection fee induces households to recycle more wastes. However, this effect is partially offset by decreases in source-reduction efforts due to the feedback effects, resulting in relatively lower price elasticity of demand for solid waste collection services. This implies that household demand for solid waste collection services will not decrease much with additional increases in the collection fee, unless further recycling incentives such as more frequent recyclable pickup services are accompanied.

  12. The United States Experience with the Exotic Cerambycid Anoplophora glabripennis: Detection, Quarantine, and Control

    Science.gov (United States)

    Robert A. Haack; Therese M. Poland; Rui-Tong Gao

    2000-01-01

    It is estimated that there are at least 4500 exotic (non-indigenous) organisms currently established in the United States(US) (US Congress 1993) and possibly as many as 50,000 (Pimentel et al. 2000). Of the many exotic organisms now in the US, more than 400 are insects that feed on trees and shrubs.(Haack and Byler 1993, Mattson et al. 1994, Niemela and Mattson 1996)....

  13. Monitoring the World Health Organization Global Target 2025 for Exclusive Breastfeeding: Experience From the United States.

    Science.gov (United States)

    Gupta, Priya M; Perrine, Cria G; Chen, Jian; Elam-Evans, Laurie D; Flores-Ayala, Rafael

    2017-08-01

    Exclusive breastfeeding under 6 months, calculated from a single 24-hour recall among mothers of children 0 to 5 months of age, is a World Health Organization (WHO) indicator used to monitor progress on the 2025 global breastfeeding target. Many upper-middle-income and high-income countries, including the United States, do not have estimates for this indicator. Research aim: To describe the prevalence of exclusive breastfeeding under 6 months in the United States. We used a single 24-hour dietary recall from the National Health and Nutrition Examination Survey 2009-2012 to calculate the prevalence of exclusive breastfeeding under 6 months. We discuss our results in the context of routine breastfeeding surveillance, which is reported from a national survey with different methodology. Among children younger than 6 months, 24.4%, 95% confidence interval [17.6, 31.1], were exclusively breastfed the previous day. To our knowledge, this is the first estimate of the WHO indicator of exclusive breastfeeding under 6 months for the United States. This study supports the global surveillance and data strategy for reporting to the WHO on the 2025 target for exclusive breastfeeding.

  14. Depleted ion exchange resins encapsulation with mobile unit: equipment and experience

    International Nuclear Information System (INIS)

    Cohen, S.; Faisantieu, D.

    1986-01-01

    Since 1981, STMI has been operating mobile units in EDF's PWR nuclear power plants, for spent resins encapsulation with polymer thermosetting matrices. Three mobile units are now in operation: COMET 1 and COMET 2, supplied by STMI, using polymerized styrene with proper additives as encapsulating material, and PRECED 1, on PEC-Engineering design, based on a DOW Chemical solidification process. On march 1986, more than 30 operations have been performed on EDF's PWR plants. More than 5000 liners containing encapsulated depleted ion exchange resins have been produced, while processing about 500 m 3 (i.e. 17.000 ft 3 ) of resins. During this period, those mobile units have shown their reliability and their efficiency. The produced processed waste, which have been accepted by ANDRA at the La Manche Storage Site (SSM) must meet the Fundamental Safety Rules (RFS) edicted by the Central Bureau for Nuclear Facilities Safety (SCSIN) of the French Department of Industry. The operations are carried out with excellent safety and radioprotection safety conditions, and following a very detailed Q.A. program [fr

  15. Integrating E-Learning and Classroom Learning for Engineering Quality Control unit - Curtin University Experience

    Directory of Open Access Journals (Sweden)

    Ali M. Darabi Golshani

    2011-08-01

    Full Text Available Engineering employers expect engineering graduates to possess a wide range of skills that goes beyond their technical knowledge. It is vital that graduates have skills which demonstrate that they are responsible for their own development and careers. Some of these skills include; communication abilities, organizational skills, self-promotion, the ability to work as part of a team, be an effective problem solver, be a critical thinker, have good negotiation skills, have the ability to be a leader and being able to network effectively. Department of Civil Engineering at Curtin University of Technology in Perth, Australia offers a Master of Engineering Management degree for Engineers from various disciplines. One of the units taught in this Master degree program is Engineering Quality Control. It was decided to incorporate these non-technical skills in this unit by using an e-learning platform (Blackboard together with an adaptation of the Seven Principles of Good Practice and Dr Meredith Belbin’s team role theory to divide participants into groups. At the end of the unit, most of the participants were showing improvements in their non-technical skills.

  16. Cultural affordances and emotional experience: socially engaging and disengaging emotions in Japan and the United States.

    Science.gov (United States)

    Kitayama, Shinobu; Mesquita, Batja; Karasawa, Mayumi

    2006-11-01

    The authors hypothesized that whereas Japanese culture encourages socially engaging emotions (e.g., friendly feelings and guilt), North American culture fosters socially disengaging emotions (e.g., pride and anger). In two cross-cultural studies, the authors measured engaging and disengaging emotions repeatedly over different social situations and found support for this hypothesis. As predicted, Japanese showed a pervasive tendency to reportedly experience engaging emotions more strongly than they experienced disengaging emotions, but Americans showed a reversed tendency. Moreover, as also predicted, Japanese subjective well-being (i.e., the experience of general positive feelings) was more closely associated with the experience of engaging positive emotions than with that of disengaging emotions. Americans tended to show the reversed pattern. The established cultural differences in the patterns of emotion suggest the consistent and systematic cultural shaping of emotion over time.

  17. Stroke care: Experiences and clinical research in stroke units in Chennai

    Directory of Open Access Journals (Sweden)

    Gobindram Arjundas

    2006-01-01

    Full Text Available Background: S troke is the second commonest cause of death in India with crude overall prevalence rate of 220 per 100,000. With an increasing aging population at risk, the stroke burden in India can be expected to reach epidemic proportions. Materials and Methods: The first protocol-based prospective studies, funded by private agencies was conducted in Madras Institute of Neurology in 1984-86. The results led to establishment of the first stroke unit in Tamil Nadu state, in the institute. The first all-India hospital-based studies in acute stroke was completed as INDIAN COOPERATIVE ACUTE STROKE STUDIES (ICASS I and ICASS II with WHO STEP ONE by members of the Indian Stroke Association between 2000-2005. This has generated very useful data for our country. Results: Mortality in 1984-86 was 40%. Stroke unit in the institute dropped it to 12%. About 10 years later, ICASS studies showed a further fall of mortality to 8%, which is the current international figure in the west. Morbidity pattern showed about half return to their original activities. But about one third are left totally disabled needing prolonged care, for which fiscal, social and rehab provisions have to be done on a national basis. Conclusions: The progress and success of care of Stroke in the last three decades, from treatment in medical and neurology wards to specialized stroke units is presented. The main risk factors are hypertension, diabetes and ischemic heart disease across the country. Hypertension alone or with the other two diseases was present in 72% of cases. Prevention and treatment of these factors will reduce the stroke burden, mortality and morbidity of strokes. The Stroke-team concept can be extended to the smallest hospitals in our country.

  18. Unheard Voices: Korean Immigrant Mothers' Experiences with the United States Special Education System

    Science.gov (United States)

    Kim, Jeanie

    2013-01-01

    The purpose of this study was to examine the experiences of Korean immigrant mothers of children with special needs in the New York metropolitan area in the special education process (e.g., referral, evaluation, meetings, services), and to better understand how these mothers perceive special education, disability, and their relationships with…

  19. Learning to Become Graduate Students: Japanese Women's Experience in the Research Unit in Engineering

    Science.gov (United States)

    Hosaka, Masako

    2010-01-01

    Based on the analysis of 16 interviews with women first-year master's students at two national engineering schools in Japan, this article examines the socialisation role of compulsory undergraduate research experience in Japanese women's decisions to pursue graduate education and choices of the programme. The findings suggest that research…

  20. Exploring the experiences of EU qualified doctors working in the United Kingdom: a qualitative study.

    Science.gov (United States)

    Legido-Quigley, Helena; Saliba, Vanessa; McKee, Martin

    2015-04-01

    This qualitative study of 23 doctors from other EU member states working in the UK highlights that, contrary to media reports, doctors from other member states working in the UK were well prepared and their main motivation to migrate was to learn new skills and experience a new health care system. Interviewees highlighted some aspects of their employment that work well and others that need improving. Some interviewees reported initially having language problems, but most noted that this was resolved after a few months. These doctors overwhelmingly reported having very positive experiences with patients, enjoying a NHS structure that was less hierarchical structure than in their home systems, and appreciating the emphasis on evidence-based medicine. Interviewees mostly complained about the lack of cleanliness of hospitals and gave some examples of risk to patient safety. Interviewees did not experience discrimination other than some instances of patronising and snobbish behaviour. However, a few believed that their nationality was a block to achieving senior positions. Overall, interviewees reported having enjoyable experiences with patients and appreciating what the NHS had to offer. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

  1. Nursing students’ experiences of professional patient care encounters in a hospital unit

    DEFF Research Database (Denmark)

    Kaldal, Maiken Holm; Kristiansen, Jette; Uhrenfeldt, Lisbeth

    2015-01-01

    experiences of professional patient care encounters where students engage with patients and provide nursing care within the basic principles of nursing care relating to the patients’ physiological and psychological needs. Studies that reflect nursing students’ comprehension of or attitudes towards nursing...

  2. Patients' experience of thirst while being conscious and mechanically ventilated in the intensive care unit

    DEFF Research Database (Denmark)

    Kjeldsen, Caroline L; Hansen, Mette S; Jensen, Kamilla

    2017-01-01

    associate feelings of desperation, anxiety and powerlessness with the experience of thirst. These feelings have a negative impact on their psychological well-being. A strategy in the ICU that includes no sedation for critically ill patients in need of MV introduces new demands on the nurses who must care...

  3. Experiences of Autism Diagnosis: A Survey of over 1000 Parents in the United Kingdom

    Science.gov (United States)

    Crane, Laura; Chester, James W; Goddard, Lorna; Henry, Lucy A; Hill, Elisabeth

    2016-01-01

    A sample of 1047 parents completed an online survey about their experiences and opinions regarding the process of attaining a diagnosis of autism spectrum disorder for their children. The results revealed that parents usually waited a year from when they first had concerns about their child's development before they sought professional help. On…

  4. Parents' experiences with neonatal home care following initial care in the neonatal intensive care unit: a phenomenological hermeneutical interview study.

    Science.gov (United States)

    Dellenmark-Blom, Michaela; Wigert, Helena

    2014-03-01

    A descriptive study of parents' experiences with neonatal home care following initial care in the neonatal intensive care unit. As survival rates improve among premature and critically ill infants with an increased risk of morbidity, parents' responsibilities for neonatal care grow in scope and degree under the banner of family-centred care. Concurrent with medical advances, new questions arise about the role of parents and the experience of being provided neonatal care at home. An interview study with a phenomenological hermeneutic approach. Parents from a Swedish neonatal (n = 22) home care setting were extensively interviewed within one year of discharge. Data were collected during 2011-2012. The main theme of the findings is that parents experience neonatal home care as an inner emotional journey, from having a child to being a parent. This finding derives from three themes: the parents' experience of leaving the hospital milieu in favour of establishing independent parenthood, maturing as a parent and processing experiences during the period of neonatal intensive care. This study suggests that neonatal home care is experienced as a care structure adjusted to incorporate parents' needs following discharge from a neonatal intensive care unit. Neonatal home care appears to bridge the gap between hospital and home, supporting the family's adaptation to life in the home setting. Parents become empowered to be primary caregivers, having nurse consultants serving the needs of the whole family. Neonatal home care may therefore be understood as the implementation of family-centred care during the transition from NICU to home. © 2013 John Wiley & Sons Ltd.

  5. Cernavoda NPP Unit 1: Operating experience program and plant specific performance indicators (level 2)

    International Nuclear Information System (INIS)

    Teodor, Vasile; Popa, Viorel

    1998-01-01

    The basis for the Operating Experience Program was set in place since early stages of the commissioning phase (1993), when a system based on the Canadian approach was implemented for reporting, reviewing, assessing and establishing of the necessary corrective action for unplanned events. This system provided excellent opportunity to train staff in unplanned event assessment methodology, and prepare the station for the formal reporting process following criticality in accordance with the licensing requirements. The formal process, set in place after criticality is described in Station Instruction Procedure SI-01365-P13 'Unplanned Event Report' and was developed under the supervision of Safety and Compliance Department. In parallel, a program for information exchange and trending of performance indicators was developed by Technical Services Department. The WANO recommendations following August 1997 Peer Review provided the opportunity for a better understanding and reconsideration of the Operating Experience Program. As a result, all the activities related to this topic were assigned to a new structure, within Safety and Compliance Department. As such an Operating Experience Group was created and a new program is now being developed in an integrated and centralized manner. The content of the paper is the following: - Overview; - Operating Experience Program; - Event Analysis (Unplanned Events Assessment System - UEIR Process- and Systematic Analysis of Operational Events - ACR Process); - Information Exchange Program; - Monitoring of Operating Experience - Plant Specific Performance Indicators; - Purpose; - Level 2 Performance Indicators. Four appendices are added containing: - A. Station performance indicators/targets (Level 2); - B. SPI (Station Performance Indicators - Level 2) - Graphics; - C. UEIR, LRS (Safety and Licensing Review Sheet), UEFR (Unplanned Event Follow-up Report), ACR and OPEX forms. (authors)

  6. Learning from 25 years of experience with the United States clean air act

    Energy Technology Data Exchange (ETDEWEB)

    Schulze, R.H. [Trinity Consultants Incorporated, Dallas, TX (United States)

    1995-12-31

    Twenty-five years ago, the United States embarked on a quest to attain clean air. President Nixon, in signing the Clean Air Act of 1970, defined clean air as the objective for the `70s. Although enormous progress has been made, much remains to be done. Newly constructed industry is quite clean, but many older facilities continue to operate with antiquated controls. Significant advances have been made in cleaning up the emissions from new automobiles, but two factors have impaired progress. First, cars last longer than they did in 1970, so the average age of the fleet has increased. Second, travel has increased as people have moved to the suburbs. Thus, the emission decreases from clean cars have not been as great as expected. This presentation will address some of the lessons learned from the efforts in the United States to implement clean air programs. In a large number of countries, excessively elaborate studies have been substituted for action programs. Since much is now known about air quality, fairly brief studies can define programs that should be undertaken. What may take longer is developing public support and enthusiasm for improved air quality. In most cases, it is desirable to reduce spending on studies and increase spending on devising and implementing plans, as well as effectively communicating the necessary changes to the public. Balanced spending on studies- and action programs is essential to a sound air quality control program. (author)

  7. Improving patient care by making small sustainable changes: a cardiac telemetry unit's experience.

    Science.gov (United States)

    Braaten, Jane S; Bellhouse, Dorothy E

    2007-01-01

    With the introduction of each new drug, technology, and regulation, the processes of care become more complicated, creating an elaborate set of procedures connecting various hospital units and departments. Using methods of Adaptive Design and the Toyota Production System, a nursing unit redesigned work systems to achieve sustainable improvements in productivity, staff and patient satisfaction, and quality outcomes. The first hurdle of redesign was identifying problems, to which staff had become so accustomed with various work arounds that they had trouble seeing the process bottlenecks. Once the staff identified problems, they assumed they could solve the problem because they assumed they knew the causes. Utilizing root cause analysis, asking, "why, why, why," was essential to unearthing the true cause of a problem. Similarly, identifying solutions that were simple and low cost was an essential step in problem solving. Adopting new procedures and sustaining the commitment to identify and signal problems was a last and critical step toward realizing improvement, requiring a manager to function as "teacher/coach" rather than "fixer/firefighter".

  8. Learning from 25 years of experience with the United States clean air act

    Energy Technology Data Exchange (ETDEWEB)

    Schulze, R H [Trinity Consultants Incorporated, Dallas, TX (United States)

    1996-12-31

    Twenty-five years ago, the United States embarked on a quest to attain clean air. President Nixon, in signing the Clean Air Act of 1970, defined clean air as the objective for the `70s. Although enormous progress has been made, much remains to be done. Newly constructed industry is quite clean, but many older facilities continue to operate with antiquated controls. Significant advances have been made in cleaning up the emissions from new automobiles, but two factors have impaired progress. First, cars last longer than they did in 1970, so the average age of the fleet has increased. Second, travel has increased as people have moved to the suburbs. Thus, the emission decreases from clean cars have not been as great as expected. This presentation will address some of the lessons learned from the efforts in the United States to implement clean air programs. In a large number of countries, excessively elaborate studies have been substituted for action programs. Since much is now known about air quality, fairly brief studies can define programs that should be undertaken. What may take longer is developing public support and enthusiasm for improved air quality. In most cases, it is desirable to reduce spending on studies and increase spending on devising and implementing plans, as well as effectively communicating the necessary changes to the public. Balanced spending on studies- and action programs is essential to a sound air quality control program. (author)

  9. Preliminary UK experience of dexmedetomidine, a novel agent for postoperative sedation in the intensive care unit.

    Science.gov (United States)

    Venn, R M; Bradshaw, C J; Spencer, R; Brealey, D; Caudwell, E; Naughton, C; Vedio, A; Singer, M; Feneck, R; Treacher, D; Willatts, S M; Grounds, R M

    1999-12-01

    Dexmedetomidine, a highly selective and potent alpha2-adrenergic agonist, has a potentially useful role as a sedative agent in patients requiring intensive care. As part of a larger European multicentre trial, a total of 119 postoperative cardiac and general surgical patients requiring ventilation and sedation in an intensive care unit were enrolled in four centres in the United Kingdom. One hundred and five patients were randomly allocated to receive either dexmedetomidine or placebo with rescue sedation and analgesia provided by midazolam and morphine, respectively. Compared with the control group, intubated patients receiving dexmedetomidine required 80% less midazolam [mean 4.9 (5.8) microg.kg-1.h-1 vs. 23.7 (27.5) microg.kg-1.h-1, p < 0.0001], and 50% less morphine [11.2 (13.4) microg.kg-1.h-1 vs. 21.5 (19.4) microg.kg-1.h-1,p = 0.0006]. Cardiovascular effects and adverse events could be predicted from the known properties of alpha-2 agonists. In conclusion, dexmedetomidine is a useful agent for the provision of postoperative analgesia and sedation.

  10. Turnover of professional nurses at Mokopane Hospital in the Limpopo Province, South Africa: Experiences of nursing unit managers

    Directory of Open Access Journals (Sweden)

    Mogale L. Mmamma

    2015-12-01

    Full Text Available Background: Staff turnover of professional nurses remains a concern for public and private hospitals management because it has an impact on the morale of nurses and it may also lead to poor patient care. Objectives: The objectives of this study were to explore and describe the experiences of nursing unit managers with regard to the turnover of professional nurses who were under their supervision. Method: A qualitative, explorative, descriptive research design was used to determine the experiences of nursing unit managers related to the turnover of professional nurses. Data collection was done by using semi-structured one-to-one interviews with professional nurses .Two groups of participants were interviewed: Those working day duty (n = 9 and those working night duty (n = 3 who were at work on the anticipated days for data collection. Results: The findings revealed that every unit was experiencing a shortage of professional nurses, which caused other nurses to work overtime with an inevitable increase in workload. That led to tiredness, conflict amongst professional nurses, job dissatisfaction, and absenteeism which compromised nursing care. This resulted in patient dissatisfaction and sometimes led to deaths that could have been prevented. Conclusion: It is recommended that staff turnover should be addressed by the hospital top management implementing several strategies. For example, top management could ensure that staff members work in a healthy environment with resources that they need during the provision of care, address the effects of the staff turnover, support the staff members and refrain from putting pressure on nursing unit managers whilst they are attending to problems.

  11. Women's experiences of nurse case management on a gynaecological oncology unit in a Swiss tertiary hospital. A thematic analysis.

    Science.gov (United States)

    Grob, Silvia; Bläuer, Cornelia; Frei, Irena Anna

    2017-12-01

    Women with gynaecological cancer face various physical, social and emotional challenges concerning their health. Existing research shows that case management can improve patient satisfaction and reduce readmission rates. Although nurse case management was introduced on a gynaecological oncology unit in a Swiss university hospital in 2013, little is known about the experiences of female patients on a unit that uses this model of care. The aims were to explore women's experiences and to gain deeper understanding about hospital-based nurse case management on a gynaecological oncology unit and to qualitatively evaluate the concept of nurse case management. Sound research knowledge suggests that experiences are best explored with a qualitative research design. Ten participant interviews were conducted and inductively analysed between September 2014 and May 2015 as described by the thematic analysis method. Ethical approval was obtained, and the women signed a consent form. The first theme was named continuous relationship, with the nurse case manager as contact person and trusted partner. Study participants explained that friendliness and being present were essential qualities of nurse case management. Secondly, an essential support for women dealing with the situation of gynaecological cancer was described in the theme sharing information. The organisation of rehabilitation and other services by the nurse case management defined the third theme coordinating care. Trust was seen as the basis of the continuous relationship, marked by friendliness and presence of the nurse case manager. The helpful approach of persons practicing nurse case management made dealing with the situation of illness easier for women with gynaecological cancer. Coordination of information between the nurse case management and other healthcare services could be improved. Further evaluation is suggested to explore effects of the concept on family members. © 2017 Nordic College of Caring Science.

  12. The experiences of parents with infants in Neonatal Intensive Care Unit

    OpenAIRE

    Heidari, Haydeh; Hasanpour, Marzieh; Fooladi, Marjan

    2013-01-01

    Background: In recent years significant medical science advances have been made in the field midwifery and infant care. The premature, low birth weight and ill infants are admitted to the technologically advanced NICU for care and they often require long-term stay. This study addresses parental experiences with the infant care in NICU, explores their concerns regarding nursing supports for parents and offers nurses? perspectives on performing duties. Materials and Methods: A qualitative induc...

  13. Wind and Solar Energy Curtailment: Experience and Practices in the United States

    Energy Technology Data Exchange (ETDEWEB)

    Bird, Lori [National Renewable Energy Lab. (NREL), Golden, CO (United States); Cochran, Jaquelin [National Renewable Energy Lab. (NREL), Golden, CO (United States); Wang, Xi [National Renewable Energy Lab. (NREL), Golden, CO (United States)

    2014-03-01

    This report examines U.S. curtailment practices, with a particular emphasis on utilities in the Western states. The information presented here is based on a series of interviews conducted with utilities, system operators, wind energy developers, and non-governmental organizations. The report provides case studies of curtailment experience and examines the reasons for curtailment, curtailment procedures, compensation, and practices that can minimize curtailment.

  14. Report of the first United States conference on utility experience with neutron noise analysis

    International Nuclear Information System (INIS)

    Fry, D.N.; Horne, G.P.; Mayo, C.W.

    1984-01-01

    An informal meeting was held in Washington, D.C. on April 3 and 4, 1984, to discuss the current state of the art and experiences with neutron noise analysis in US pressurized water reactors (PWRs). The meeting was attended by 33 persons representing 11 utilities and 3 PWR reactor vendors as well as consultants, universities, and research laboratories. Presentations at the meeting covered several applications of neutron noise for diagnosing such things as vibrations induced by baffle jetting, detection of mechanical degradation of thermal shield supports, and electrical degradation of nuclear instrumentation channels. Twenty-one responses were obtained from a questionnaire circulated to all participants requesting their viewpoints and experiences regarding neutron noise analysis. The meeting participants concluded that a working group on neutron noise analysis should be formed to (1) establish a baseline library of neutron noise data, (2) provide a forum for communicating experiences with neutron noise surveillance, and (3) develop good practices and quality assurance procedures for neutron noise measurement and interpretation

  15. Competition in the electricity supply industry. Experiences from Europe and the United States

    International Nuclear Information System (INIS)

    Olsen, O.J.

    1995-01-01

    Introducing competition in the electricity industry is a major social experiment. Historically, the industry has been heavily regulated, however, this is no longer the case. Production and sales are being opened for competition and separated from the network services, transmission and distribution. This book includes papers from a Nordic Conference held in September 1994 in Copenhagen. The conference was planned as a part of the Energy Research Programme under the Nordic Council of Ministers and the object was to discuss the Nordic experience of competition in the electricity industry in comparison with other Western countries. The U.K. was the first European country to introduce competition in its electricity industry. Norway came next and two other Nordic countries - Sweden and Finland - have decided to follow suit. The U.S. started earlier than the European countries opening for limited competition in power production. However, the background of the reforms and its approach in the U.S. is different from Europe and far less radical. The experience of two Central European countries - Germany and The Netherlands - is also included in this book. Both countries have many institutional similarities to the Nordic countries, but they are - together with Denmark - more hesitant about introducing competition in their electricity industries. (au)

  16. Computer programs for unit-cell determination in electron diffraction experiments

    International Nuclear Information System (INIS)

    Li, X.Z.

    2005-01-01

    A set of computer programs for unit-cell determination from an electron diffraction tilt series and pattern indexing has been developed on the basis of several well-established algorithms. In this approach, a reduced direct primitive cell is first determined from experimental data, in the means time, the measurement errors of the tilt angles are checked and minimized. The derived primitive cell is then checked for possible higher lattice symmetry and transformed into a proper conventional cell. Finally a least-squares refinement procedure is adopted to generate optimum lattice parameters on the basis of the lengths of basic reflections in each diffraction pattern and the indices of these reflections. Examples are given to show the usage of the programs

  17. Intersectionality at Work: South Asian Muslim Women's Experiences of Employment and Leadership in the United Kingdom.

    Science.gov (United States)

    Tariq, Memoona; Syed, Jawad

    2017-01-01

    Drawing on qualitative interviews with 20 South Asian heritage, Muslim, female leaders, managers, and supervisors in the United Kingdom, we examine the multi-layered issues and challenges they face in pursuit of employment and leadership positions. The paper offers an intersectional perspective taking into account interconnected and overlapping factors (gender, ethnicity, religion, and family status) that affect not only the issues and challenges these women face in the labour market but also the individual agency and strategies they use to overcome any obstacles in the way of their employment and career. The results show that although Muslim women continue to face a myriad of challenges in the workplace, they are also able to tackle some of these issues through their individual strategies and networks, such as personal networks and further education. The study highlights the need for policymakers and employers to consider intersectionality to enable ethnic minority women's inclusion and leadership within and outside the workplace.

  18. [From empowerment to customer satisfaction: experience of a medical oncology unit].

    Science.gov (United States)

    Cifaldi, L; Gareri, R; Cristina, G; Felicetti, V; Gremigni, U

    2009-01-01

    The purpose of the study was the objective assessment of the outpatients satisfaction of the Medical Oncology Unit in Colleferro (USL Roma G), Italy. A retrospective survey conducted on 584 patients using a closed questionnaire focusing on nine items assess the degree of satisfaction expressed by patients relating to the different aspects of the service. The main aspects object of analysis were the accommodation, the relationship with the staff, the comfort of the structure and the health assistance received. The survey showed a high percentage of overall satisfaction for each of the nine parameters evaluated. There were no significant differences appreciated on a personal variables. The evaluation of customer satisfaction is a useful tool to measure patients approval and to meet their needs.

  19. Reliability research based experience with systems and events at the Kozloduy NPP units 1-4

    Energy Technology Data Exchange (ETDEWEB)

    Khristova, R; Kaltchev, B; Dimitrov, B [Energoproekt, Sofia (Bulgaria); Nedyalkova, D; Sonev, A [Kombinat Atomna Energetika, Kozloduj (Bulgaria)

    1996-12-31

    An overview of equipment reliability based on operational data of selected safety systems at the Kozloduy NPP is presented. Conclusions are drawn on reliability of the service water system, feed water system, emergency power supply - category 2, emergency high pressure ejection system and spray system. For the units 1-4 all recorded accident protocols in the period 1974-1993 have been processed and the main initiators identified. A list with 39 most frequent initiators of accidents/incidents is compiled. The human-caused errors account for 27% of all events. The reliability characteristics and frequencies have been calculated for all initiating events. It is concluded that there have not been any accidents with consequences for fuel integrity or radioactive release. 14 refs.

  20. Digital scrapbooking as a standard of care in neonatal intensive care units: initial experience.

    Science.gov (United States)

    Subhani, Muhammad T; Kanwal, Ifrah

    2012-01-01

    In this article, we describe a digital photo scrapbooking project as a standard of care for the parents of infants admitted in a neonatal intensive care unit (NICU). Photographs were taken from birth until discharge or expiry at special moments during the infant's hospitalization and used to create a digital scrapbook with daily notes by the parents. The scrapbook and original photos were provided on a CD at discharge or at expiry. Parents and their families unanimously appreciated the photos and the opportunity to record their thoughts, and considered the CDs as a lifetime treasure. Digital photo journaling could be implemented as a standard of care at other institutions with a commitment from the nursing and ancillary staff of the NICU and labor and delivery department, with possible support from volunteers.

  1. Natality Decline and Miscarriages Associated With the 1918 Influenza Pandemic: The Scandinavian and United States Experiences

    DEFF Research Database (Denmark)

    Bloom-Feshbach, Kimberly; Simonsen, Lone; Viboud, Cecile

    2011-01-01

    Background. Although pregnancy is a recognized risk factor for severe influenza infection, the effect of influenza on miscarriages and births remains unclear. We examined the relationship between influenza and birth rates during the 1918 pandemic in the United States, Denmark, Sweden, and Norway...... of peak pandemic exposure and depressions in birth rates, and identified pregnancy stages at risk of influenza-related miscarriage. Results. Birth rates declined in all study populations in spring 1919 by a mean of 2.2 births per 1000 persons, representing a 5%–15% drop below baseline levels (P ...). The 1919 natality depression reached its trough 6.1–6.8 months after the autumn pandemic peak, suggesting that missing births were attributable to excess first trimester miscarriages in ∼1 in 10 women who were pregnant during the peak of the pandemic. Pandemic-related mortality was insufficient to explain...

  2. Radiation Tolerance Qualification Tests of the Final Source Interface Unit for the ALICE Experiment

    CERN Document Server

    Dénes, E; Futó, E; Kerék, A; Kiss, T; Molnár, J; Novák, D; Soós, C; Tölyhi, T; Van de Vyvre, P

    2007-01-01

    The ALICE Detector Data Link (DDL) is a high-speed optical link designed to interface the readout electronics of ALICE sub-detectors to the DAQ computers. The Source Interface Unit (SIU) of the DDL will operate in radiation environment. Previous tests showed that a configuration loss of SRAM-based FPGA devices may happen and the frequency of undetected data errors in the FPGA user memory area is also not acceptable. Therefore, we redesigned the SIU card using another FPGA based on flash technology. In order to detect bit errors in the user memory we added parity check logic to the design. The new SIU has been extensively tested using neutron and proton irradiation to verify its radiation tolerance. In this paper we summarize the design changes, introduce the final design, and the results of the radiation tolerance measurements on the final card.

  3. Reliability research based experience with systems and events at the Kozloduy NPP units 1-4

    International Nuclear Information System (INIS)

    Khristova, R.; Kaltchev, B.; Dimitrov, B.; Nedyalkova, D.; Sonev, A.

    1995-01-01

    An overview of equipment reliability based on operational data of selected safety systems at the Kozloduy NPP is presented. Conclusions are drawn on reliability of the service water system, feed water system, emergency power supply - category 2, emergency high pressure ejection system and spray system. For the units 1-4 all recorded accident protocols in the period 1974-1993 have been processed and the main initiators identified. A list with 39 most frequent initiators of accidents/incidents is compiled. The human-caused errors account for 27% of all events. The reliability characteristics and frequencies have been calculated for all initiating events. It is concluded that there have not been any accidents with consequences for fuel integrity or radioactive release. 14 refs

  4. [Clinical use of virally inactived plasma. The experience of Blood Transfusion Unit in Mantova, Italy].

    Science.gov (United States)

    Lepri, Debora; Capuzzo, Enrico; Mattioli, Anna Vittoria; Dall'Oglio, Daniela; Sgarioto, Vincenzo; Terenziani, Isabella; Caramaschi, Giacomo; Manzato, Franco; Franchini, Massimo

    2013-03-01

    Fresh Frozen Plasma (FFP) is a blood component whose clinical use is widespread worldwide. Transfusion safety of this product is ensured by legally obligatory tests. Although these tests are carried out on each plasma donation, safety levels can be further improved by using some technical procedures, such as, among others, methylene blue (MB) and solvent-detergent (SD) viral inactivation methods. The DMTE (Blood Transfusion Unit) in Mantova has used the pharmaceutical-like SD virally inactivated plasma since 2007 (Plasmasafe, Kedrion) as replacement of the PFC by each single donor. Guidelines for the usage of both products are the same. With the main aim of assessing the therapeutic effectiveness and safety of Plasmasafe, we decided to clinically monitor transfusions performed with this product on patients of the Intensive Care Unit at the city hospital in Mantova. In addition, we controlled some coagulation parameters (PT, aPTT, ATIII, Fibrinogen, PC, PS, FV, FVII, FVIII) before and 24 hours after the Plasmasafe infusion. From a clinical point of view, the use of Plasmasafe always led to a significant reduction, or complete stop, of the bleeding. No transfusion-related adverse events were recorded. As regards, the most relevant laboratory results, a marked increase in the above mentioned hemostatic parameters was detected. Furthermore, patients transfused with this product received a mean volume significantly lower than an historical cohort of patients treated with FFP (503 mL with Plasmasafe versus 1549 mL with FFP, Pcost-effective treatment, able to rapidly correct hemostatic abnormalities, for critical patients.

  5. Cross-cultural medical education in the United States: key principles and experiences.

    Science.gov (United States)

    Betancourt, Joseph R; Cervantes, Marina C

    2009-09-01

    The field of cross-cultural care focuses on the ability to communicate effectively and provide quality health care to patients from diverse sociocultural backgrounds. In recent years, medical schools in the United States have increasingly recognized the growing importance of incorporating cross-cultural curricula into medical education. Cross-cultural medical education in the United States has emerged for four reasons: (1) the need for providers to have the skills to care for a diverse patient population; (2) the link between effective communication and health outcomes; (3) the presence of racial/ethnic disparities that are, in part, due to poor communication across cultures; and (4) medical school accreditation requirements. There are three major approaches to cross-cultural education: (1) the cultural sensitivity/awareness approach that focuses on attitudes; (2) the multicultural/categorical approach that focuses on knowledge; and (3) the cross-cultural approach that focuses on skills. The patient-based approach to cross-cultural care combines these three concepts into a framework that can be used to care for any patient, anytime, anywhere. Ultimately, if cross-cultural medical education is to evolve, students must believe it is important and understand that the categorical approach can lead to stereotyping; it should be taught using patient cases and highlighting clinical applications; it should be embedded in a longitudinal, developmentally appropriate fashion; and it should be integrated into the larger curriculum whenever possible. At the Harvard Medical School, we have tried to apply all of these lessons to our work, and we have started to develop a strategic integration process where we try to raise awareness, impart knowledge, and teach cross-cultural skills over the 4 years of schooling.

  6. Historical Origins of the Tuskegee Experiment: The Dilemma of Public Health in the United States

    Directory of Open Access Journals (Sweden)

    Jinbin PARK

    2017-12-01

    Full Text Available The Tuskegee Study of Untreated Syphilis in the Negro Male was an observational study on African-American males in Tuskegee, Alabama between 1932 and 1972. The U. S. Public Health Service ran this study on more than 300 people without notifying the participants about their disease nor treating them even after the introduction of penicillin. The study included recording the progress of disease and performing an autopsy on the deaths. This paper explores historical backgrounds enabled this infamous study, and discusses three driving forces behind the Tuskegee Study. First, it is important to understand that the Public Health Service was established in the U. S. Surgeon General’s office and was operated as a military organization. Amidst the development of an imperial agenda of the U.S. in the late 19th and early 20th centuries, the PHS was responsible for protecting hygiene and the superiority of “the American race” against infectious foreign elements from the borders. The U.S. Army’s experience of medical experiments in colonies and abroad was imported back to the country and formed a crucial part of the attitude and philosophy on public health. Secondly, the growing influence of eugenics and racial pathology at the time reinforced discriminative views on minorities. Progressivism was realized in the form of domestic reform and imperial pursuit at the same time. Major medical journals argued that blacks were inclined to have certain defects, especially sexually transmitted diseases like syphilis, because of their prodigal behavior and lack of hygiene. This kind of racial ideas were shared by the PHS officials who were in charge of the Tuskegee Study. Lastly, the PHS officials believed in continuing the experiment regardless of various social changes. They considered that black participants were not only poor but also ignorant of and even unwilling to undergo the treatment. When the exposure of the experiment led to the Senate

  7. Gas-phase rate coefficients for the OH + n-, i-, s-, and t-butanol reactions measured between 220 and 380 K: non-Arrhenius behavior and site-specific reactivity.

    Science.gov (United States)

    McGillen, Max R; Baasandorj, Munkhbayar; Burkholder, James B

    2013-06-06

    Butanol (C4H9OH) is a potential biofuel alternative in fossil fuel gasoline and diesel formulations. The usage of butanol would necessarily lead to direct emissions into the atmosphere; thus, an understanding of its atmospheric processing and environmental impact is desired. Reaction with the OH radical is expected to be the predominant atmospheric removal process for the four aliphatic isomers of butanol. In this work, rate coefficients, k, for the gas-phase reaction of the n-, i-, s-, and t-butanol isomers with the OH radical were measured under pseudo-first-order conditions in OH using pulsed laser photolysis to produce OH radicals and laser induced fluorescence to monitor its temporal profile. Rate coefficients were measured over the temperature range 221-381 K at total pressures between 50 and 200 Torr (He). The reactions exhibited non-Arrhenius behavior over this temperature range and no dependence on total pressure with k(296 K) values of (9.68 ± 0.75), (9.72 ± 0.72), (8.88 ± 0.69), and (1.04 ± 0.08) (in units of 10(-12) cm(3) molecule(-1) s(-1)) for n-, i-, s-, and t-butanol, respectively. The quoted uncertainties are at the 2σ level and include estimated systematic errors. The observed non-Arrhenius behavior is interpreted here to result from a competition between the available H-atom abstraction reactive sites, which have different activation energies and pre-exponential factors. The present results are compared with results from previous kinetic studies, structure-activity relationships (SARs), and theoretical calculations and the discrepancies are discussed. Results from this work were combined with available high temperature (1200-1800 K) rate coefficient data and room temperature reaction end-product yields, where available, to derive a self-consistent site-specific set of reaction rate coefficients of the form AT(n) exp(-E/RT) for use in atmospheric and combustion chemistry modeling.

  8. Normative cultural values and the experiences of Mexican-American mothers in the neonatal intensive care unit.

    Science.gov (United States)

    Cleveland, Lisa M; Horner, Sharon D

    2012-04-01

    To explore the experiences of Mexican-American mothers who have had infants in the neonatal intensive care unit (NICU). A convenience sample of 15 English-speaking, Mexican-American women was interviewed. The study used an exploratory qualitative approach. Data collection was conducted through audiotaped, transcribed, semistructured, individual interviews and field notes. The 5 normative cultural values for Latino families-(1) simpatia, (2) personalismo, (3) respeto, (4) familismo, and (5) fatalismo-were used as a sensitizing framework to guide data interpretation. The women's discussions of their NICU experiences clearly reflect the 5 normative Latino cultural values. Positive and negative exemplars of these values are provided as evidence. These findings can be used to inform nursing care provided for Mexican-American mothers and their infants by assisting nurses to customize care to meet the cultural needs of this population.

  9. Experience and development of on-line BWR surveillance system at Onagawa nuclear power station unit-1

    International Nuclear Information System (INIS)

    Kishi, A.; Chiba, K.; Kato, K.; Ebata, S.; Ando, Y.; Sakamoto, H.

    1986-01-01

    ONAGAWA nuclear power station Unit-1 (Tohoku Electric Power Co.) is a BWR-4 nuclear power station of 524 MW electric power which started commercial operation in June 1984. To attain high reliability and applicability for ONAGAWA-1, Tohoku Electric Power Co. and Toshiba started a Research and Development project on plant surveillance and diagnosis from April 1982. Main purposes of this project are to: (1) Develop an on-line surveillance system and acquire its operating experience at a commercial BWR, (2) Assist in plant operation and maintenance by data acquisition and analysis, (3) Develop a new technique for plant surveillance and diagnosis. An outline of the project, operating experience gained from the on-line surveillance system and an introduction to new diagnosis techniques are reported in this paper. (author)

  10. Upper Gastrointestinal Bleeding in Children: A Tertiary United Kingdom Children’s Hospital Experience

    Directory of Open Access Journals (Sweden)

    Omar Nasher

    2017-11-01

    Full Text Available The aim of this study was to review the aetiology, presentation and management of these patients with upper gastrointestinal bleeding (UGIB at a tertiary children’s unit in the United Kingdom. This was a retrospective single-institution study on children (<16 years who presented with acute UGIB over a period of 5 years using known International Classification of Diseases (ICD codes. A total of 32 children (17 males, 15 females were identified with a total median age at presentation of 5.5 years. The majority (24/32 of patients presented as an emergency. A total of 19/32 presented with isolated haematemesis, 8/32 with isolated melaena and 5/32 with a combination of melaena and haematemesis. On admission, the mean haemoglobin of patients who presented with isolated haematemesis was 11 g/dL, those with isolated melaena 9.3 g/dL and those with a combination 7.8 g/dL. Blood transfusion was required in 3/19 with haematemesis and 3/5 with haematemesis and melaena. A total of 19/32 underwent upper gastrointestinal endoscopy. Endoscopic findings were oesophageal varices (5/19 of which 4 required banding; bleeding gastric ulcer (1/19 requiring clips, haemospray and adrenaline; gastric vascular malformation (1/19 treated with Argon plasma coagulation therapy; duodenal ulcer (3/19 which required surgery in two cases; oesophagitis (5/19; and gastritis +/− duodenitis (3/19. A total of 13/32 patients did not undergo endoscopy and the presumed aetiology was a Mallory–Weiss tear (4/13; ingestion of foreign body (2/13; gastritis (3/13; viral illness (1/13; unknown (2/13. While UGIB is uncommon in children, the morbidity associated with it is very significant. Melaena, dropping haemoglobin, and requirement for a blood transfusion appear to be significant markers of an underlying cause of UGIB that requires therapeutic intervention. A multi-disciplinary team comprising gastroenterologists and surgeons is essential.

  11. Multi-processor developments in the United States for future high energy physics experiments and accelerators

    International Nuclear Information System (INIS)

    Gaines, I.

    1988-03-01

    The use of multi-processors for analysis and high-level triggering in High Energy Physics experiments, pioneered by the early emulator systems, has reached maturity, in particular with the multiple microprocessor systems in use at Fermilab. It is widely acknowledged that such systems will fulfill the major portion of the computing needs of future large experiments. Recent developments at Fermilab's Advanced Computer Program will make such systems even more powerful, cost-effective, and easier to use than they are at present. The next generation of microprocessors, already available, will provide CPU power of about one VAX 780 equivalent/$300, while supporting most VMS FORTRAN extensions and large (>8MB) amounts of memory. Low cost high density mass storage devices (based on video tape cartridge technology) will allow parallel I/O to remove potential I/O bottlenecks in systems of over 1000 VAX equipment processors. New interconnection schemes and system software will allow more flexible topologies and extremely high data bandwidth, especially for on-line systems. This talk will summarize the work at the Advanced Computer Program and the rest of the US in this field. 3 refs., 4 figs

  12. Differential reporting of discriminatory experiences in Brazil and the United States

    Directory of Open Access Journals (Sweden)

    Sarah Burgard

    Full Text Available Abstract: There has been little cross-national comparison of perceived discrimination, and few studies have considered how intersectional identities shape perception of discriminatory treatment in different societies. Using data from the ELSA-Brasil, a study of Brazilian civil servants, and the Americans’ Changing Lives Study, a nationally-representative sample of U.S. adults, we compare reports of lifetime discrimination among race-by-gender groups in each society. We also consider whether educational attainment explains any group differences, or if differences across groups vary by level of education. Results reveal higher lifetime discrimination experiences among Black respondents in both countries, especially Black men, than among Whites, and lower reports among White women than White men. Brown men and women also reported higher levels than White men in Brazil. For all race-by-gender groups in both countries, except Brazilian White men, reports of discrimination were higher among the more educated, though adjusting for educational differences across groups did not explain group differences. In Brazil, we found the greatest racial disparities among the college educated, while U.S. Black men were more likely to report discrimination than White men at all levels of education. Results reveal broad similarities across countries, despite important differences in their histories, and an intersectional approach contributed to identification of these similarities and some differences in discrimination experiences. These findings have implications for social and public health surveillance and intervention to address the harmful consequences of discrimination.

  13. Deserving citizenship? Exploring migrants' experiences of the 'citizenship test' process in the United Kingdom.

    Science.gov (United States)

    Monforte, Pierre; Bassel, Leah; Khan, Kamran

    2018-02-21

    Since the early 2000s several European countries have introduced language and citizenship tests as new requirements for access to long-term residence or naturalization. The content of citizenship tests has been often presented as exclusionary in nature, in particular as it is based on the idea that access to citizenship has to be 'deserved'. In this paper, we aim to explore the citizenship tests 'from below', through the focus on the experience of migrants who prepare and take the 'Life in the UK' test, and with particular reference to how they relate to the idea of 'deservingness'. Through a set of in-depth interviews with migrants in two different cities (Leicester and London), we show that many of them use narratives in which they distinguish between the 'deserving citizens' and the 'undeserving Others' when they reflect upon their experience of becoming citizens. In so doing, they negotiate new hierarchies of inclusion into and exclusion from citizenship, which reflect broader neo-liberal and ethos-based conceptions of citizenship. © London School of Economics and Political Science 2018.

  14. Westinghouse power distribution monitoring experience at Duke Power's McGuire Unit 1

    International Nuclear Information System (INIS)

    Grobmyer, L.R.; Cash, M.T.; Kitlan, M.S.; Impink, A.J. Jr.

    1987-01-01

    In the evolution of the Westinghouse methodology of assuring safe core power distributions, emphasis was placed on analysis and not on continuous detailed core monitoring. Power distribution monitoring is currently achieved by periodic surveillances using the movable in-core detector system (MIDS) and by continuous observations of the two-section excore power range detectors. Control of the power distribution is regulated by limits on the indications from these systems, by limits on control rod insertion, and by operational constraints on the position indication systems. As more plants come on line and as more utilities take over the fuel design function for themselves, the desire for better core monitoring becomes evident. Also, the need and desire by the utilities to have more control over their operating margin has motivated the industry to offer and/or upgrade core monitoring systems. Westinghouse and Duke Power are participants in a joint development program to finalize the development of the core on-line surveillance monitoring and operations system (COSMOS). This final stage of development consists of prototype field trials at the McGuire Nuclear Plant. The purpose of the prototype program is to determine how well the design objectives are met and how to improve the system based on the operating experience at McGuire. Another purpose of this prototype program is to generate the necessary experience and information to develop a topical report for the US Nuclear Regulatory Commission to obtain a licensing basis for technical specification relaxation

  15. Operational experience of decommissioning techniques for research reactors in the United Kingdom

    International Nuclear Information System (INIS)

    England, M.R.; McCool, T.M.

    2002-01-01

    In previous co-ordinated research projects (CRP) conducted by the IAEA no distinction was made between decommissioning activities carried out at nuclear power plants, research reactors or nuclear fuel cycle facilities. As experience was gained and technology advanced it became clear that decommissioning of research reactors had certain specific characteristics which needed a dedicated approach. It was within this context that a CRP on Decommissioning Techniques for Research Reactors was launched and conducted by the IAEA from 1997 to 2001. This paper considers the experience gained from the decommissioning of two research reactors during the course of the CRP namely: (a) the ICI Triga Mk I reactor at Billingham UK which was largely complete by the end of the research project and (b) the Argonaut 100 reactor at the Scottish Universities Research and Reactor centre at East Kilbride in Scotland which is currently is the early stages of dismantling/site operations. It is the intention of this paper with reference to the two case studies outlined above to compare the actual implementation of these works against the original proposals and identify areas that were found to be problematical and/or identify any lessons learnt. (author)

  16. The Experiences of Specialist Nurses Working Within the Uro-oncology Multidisciplinary Team in the United Kingdom.

    Science.gov (United States)

    Punshon, Geoffrey; Endacott, Ruth; Aslett, Phillippa; Brocksom, Jane; Fleure, Louisa; Howdle, Felicity; Masterton, Morven; O'Connor, Anita; Swift, Adrian; Trevatt, Paul; Leary, Alison

    United Kingdom prostate cancer nursing care is provided by a variety of urology and uro-oncology nurses. The experience of working in multidisciplinary teams (MDT) was investigated in a national study. The study consisted of a national survey with descriptive statistics and thematic analysis. A secondary analysis of a data subset from a UK whole population survey was undertaken (n = 285) of the specialist nursing workforce and the services they provide. Data were collected on the experience of working in the MDT. Forty-five percent of the respondents felt that they worked in a functional MDT, 12% felt that they worked in a dysfunctional MDT, and 3.5% found the MDT meeting intimidating. Furthermore, 34% of the nurses felt that they could constructively challenge all members of the MDT in meetings. Themes emerging from open-ended questions were lack of interest in nonmedical concerns by other team members, ability to constructively challenge decisions or views within the meeting, and little opportunity for patients' wishes to be expressed. Despite expertise and experience, nurses had a variable, often negative, experience of the MDT. It is necessary to ensure that all participants can contribute and are heard and valued. More emphasis should be given to patients' nonmedical needs.

  17. Patients' experiences and satisfaction about care provided by male nurses in medical surgical units in Islamabad, Pakistan: A pilot study.

    Science.gov (United States)

    Younas, Ahtisham; Sundus, Amara

    2018-01-01

    Nursing is predominantly a female profession and caring has been considered an attribute of female nurses, which could imply a noncaring image of male nurses. To determine patients' experiences and satisfaction from care provided by male nurses in a private hospital in Islamabad, Pakistan. This cross-sectional study included a purposive sample of 50 patients admitted to medical surgical units for at least 2 days and who had at least three professional interactions with a male nurse. The Newcastle Satisfaction with Nursing Scale was used for data collection. Descriptive statistics were used for data analysis. The total score for experience and satisfaction was 81 and 51, respectively. A statistically significant difference existed between experience and satisfaction scores of male and female participants, indicating that males were more pleased and satisfied with their experience of receiving care from male nurses compared to the female participants. The male nurses were concerned for their patients, they were knowledgeable about the patients' condition and care, and provided them with clear explanations of the medical and nursing procedures. However, they seem to lack interpersonal relationship with patients and did not take initiative in understanding their patients. © 2017 Wiley Periodicals, Inc.

  18. Experience in start-up of the South-Ukrainian-2 power unit with the WWER-1000 reactor

    International Nuclear Information System (INIS)

    Belov, Yu.V.; Kazakov, V.A.; Kirilov, V.V.; Kryakvin, L.V.

    1987-01-01

    The volume, sequence and dates of works fulfilled during hot testing, physical and power start-ups and while bringing output of the South-Ukranian-2 power unit with the WWER-1000 reactor to the design figure are described. The works were fulfilled according to the standard schedules from October in 1984 till April in 1985. Combination of the stages and intensification of works before the physical start-up have allowed to shorten the dates by 90 days as compared to the schedule. The physical and power start-ups, including bringing reactor output to the design figure, were performed during 140 days, that permits to shorten the dates by 20 days more. The results of physical experiments carried out at the South-Ukranian-2 power unit, are in good agreement with the data obtained at the first power units of the given and Kalinin NPPs. Besides, during physical and power start-ups additional measures ensuring nuclear safety are developed

  19. The Attachment Imperative: Parental Experiences of Relation-making in a Danish Neonatal Intensive Care Unit.

    Science.gov (United States)

    Navne, Laura E; Svendsen, Mette N; Gammeltoft, Tine M

    2018-03-01

    In this article, we explore how parents establish relations with extremely premature infants whose lives and futures are uncertain. Drawing on ethnographic fieldwork in a Danish Neonatal Intensive Care Unit (NICU), we engage recent discussions of the limits of conventional anthropological thinking on social relations and point to the productive aspects of practices of distance and detachment. We show that while the NICU upholds an imperative of attachment independently of the infant's chances of survival, for parents, attachment is contingent on certain hesitations in relation to their infant. We argue that there are nuances in practices of relationmaking in need of more attention (i.e., the nexus of attachment and detachment). Refraining from touching, holding, and feeding their infants during critical periods, the parents enact detachment as integral to their practices of attachment. Such "cuts" in parent-infant relations become steps on the way to securing the infant's survival and making kin(ship). We conclude that although infants may be articulated as "maybe-lives" by staff, in the NICU as well as in Danish society, the ideal of attachment appears to leave little room for "maybe-parents." © 2017 by the American Anthropological Association.

  20. Haematological parameters in different african populations: an experience from united nations level 3 hospital

    International Nuclear Information System (INIS)

    Iftikhar, R.; Khan, N.U.; Iqbal, Z.; Anwar, M.I.

    2017-01-01

    To evaluate hematological parameters in African population to estimate normal reference intervals for these tests. Study Design: Cross sectional observational study. Place and Duration of Study: Department of Pathology, United Nations level 3 hospital, Nyala, Darfur from 1st Mar to 30th Dec 2014. Material and Methods: There were 396 healthy African male and female volunteers selected between 18-65 years of age, belonging to different countries. Fresh whole blood was used to measure haemoglobin (Hb) concentration, haematocrit (Hct), total red blood cell (TRBC) count, mean corpuscular volume (MCV), mean corpuscular haemoglobin (MCH), mean corpuscular haemoglobin concentration (MCHC), platelet count, total leucocyte count (TLC) and differential white blood cells count. Data were analysed using SPSS version 19. Results: Mean Hb of study group was 13.81 +- 1.99 g/dl. Mean TLC was 5.50 +- 1.96 x 103/ul. Mean lymphocyte count was 2.58 +- 0.95. Mean platelet count was 234 +- 92 x103 /ul. Mean values for Hb Concentration, TRBC, Hct Ratio, MCV, MCH and MCHC were all higher for African Males than Females; this difference was statistically significant (p<0.05). Conclusion: This multi-national African population based study confirms the variations in haematological parameters previously described in single nation African studies. The commonly observed variations in normal adults are low RBC indices, relative neutropenia and lymphocytosis. (author)

  1. Family members' experiences with intensive care unit diaries when the patient does not survive.

    Science.gov (United States)

    Johansson, Maria; Wåhlin, Ingrid; Magnusson, Lennart; Runeson, Ingrid; Hanson, Elizabeth

    2018-03-01

    The aim of the study was to explore how family members experienced the use of a diary when a relative does not survive the stay in the intensive care unit (ICU). A qualitative method with a hermeneutic approach was used. Nine participants who read/wrote eight diaries in total were interviewed. The collected data were analysed using a hermeneutic technique inspired by Geanellos. The analysis revealed an overall theme 'the diary was experienced as a bridge connecting the past with the future', which was a metaphor referring to the temporal aspect where there was the period with the diary up until the patient's death and then the postbereavement period. The diary contributed to both a rational and emotional understanding of the death of the patient and disclosed glimmers of light that still existed before the illness deteriorated. Further, the diary bridged the space between family members themselves and between family and nursing staff. It helped to maintain a feeling of togetherness and engagement in the care of the patient which family members found comforting. Family members of nonsurvivors had a need to have the ICU time explained and expressed. The diary might work as a form of 'survival kit' to gain coherence and understanding; to meet their needs during the hospital stay; and, finally, to act as a bereavement support by processing the death of the patient. © 2017 Nordic College of Caring Science.

  2. [Evolution and follow-up of hunger strikers: experience from an interregional hospital secured unit].

    Science.gov (United States)

    Dubois, F; Sudre, E; Porte, A; Bédry, R; Gromb, S

    2011-11-01

    A hunger strike is a voluntary fast, performed to protest publicly against an issue deemed unfair. In the case of French prisoners, hospitalization in an interregional hospital secured units (UHSI) may be necessary. A retrospective epidemiological study based on one UHSI medical records was performed on the period of May, 2006 to December, 2008, and focused on symptoms, outcomes and ethical problems encountered. Seven men and one woman with a mean age of 32.6 years were hospitalized in an UHSI, with nine episodes of hunger strike of a median duration of 57 days. Clinical symptoms began after two weeks of voluntary deprivation in the form of dizziness, weakness, muscle pain and headache. Laboratory tests showed hypoglycemia (hunger strikes. All hunger strikes were respected by medical staff, and treatment was based upon surveillance of symptoms, vitamin B and sweetened drinks administration and explanations of the clinical hazards on a daily basis. The special problem encountered in the medical management of these strikers was to convince them to accept treatments in order to avoid a coercive life-saving treatment as requested by French law. Copyright © 2011 Société nationale française de médecine interne (SNFMI). Published by Elsevier SAS. All rights reserved.

  3. [Community vegetable gardens as a health promotion activity: an experience in Primary Healthcare Units].

    Science.gov (United States)

    Costa, Christiane Gasparini Araújo; Garcia, Mariana Tarricone; Ribeiro, Silvana Maria; Salandini, Marcia Fernanda de Sousa; Bógus, Cláudia Maria

    2015-10-01

    Urban and peri-urban agriculture (UPA) is being practiced in different settings, contributing to the improvement of health in communities and healthier environments. In order to identify the meanings and implications of the practice of UPA in Primary Healthcare Units (PHU) as an activity of health promotion (HP), and to what extent its therapeutic dimension characterizes it as an activity aligned with complementary and integrative practices (CIP), a qualitative cross-sectional study was performed in Embu das Artes, State of São Paulo. From the analysis, the following main themes arose: health concept, health outcomes, the return to traditional practices and habits and the reorientation of health services. It was possible to identify the close link between the cultivation of vegetable gardens and HP guidelines and fields of action, such as creating healthier environments, boosting community actions, developing personal skills, stimulating autonomy and empowerment and demands for the reorientation of services. The garden activities, set up in PHU areas, proved to be an implementation strategy of CIP. The conclusion reached is that vegetable gardening activities in community gardens are seen to be health promotion practices that integrate key elements of CIP.

  4. Firewater Storage, Treatment, Recycling and Management: New Perspectives Based on Experiences from the United Kingdom

    Directory of Open Access Journals (Sweden)

    Miklas Scholz

    2014-02-01

    Full Text Available Smart firewater management and recycling helps reduce water use and protect the environment from pollution. However, contamination of recycled water may pose a health risk to fire fighters. This review assesses international literature to identify best practices, and to recommend new technologies and methods on firewater management and recycling. The literature assessment indicates that this is a new research area where insufficient findings have been published in Web of Science-referenced journals. Therefore, informally published materials (a.k.a. grey literature were also assessed. Findings indicate the need for practical decision support tools to estimate consumption rates, predict “bottlenecks” and bund capacity, assess water quality and determine pump requirements. This article recommends that cost-efficient and rapid on-site treatment methods, such as compact and mobile filtration units for firewater recycling should be researched in the future. The filters should be based on compartments with different media. The empty pore space should decrease from inflow to outflow. A light plastic media should be positioned near the inflow to retain large particles, such as a grid. Activated carbon media could be placed near the outlet to remove fine suspended solids and dissolved contaminants. This should address concerns by fire fighters dealing with contaminated water, spray and foam.

  5. Fusarium spp infections in a pediatric burn unit: nine years of experience.

    Science.gov (United States)

    Rosanova, María Teresa; Brizuela, Martín; Villasboas, Mabel; Guarracino, Fabian; Alvarez, Veronica; Santos, Patricia; Finquelievich, Jorge

    2016-01-01

    Fusarium spp are ubiquitous fungi recognized as opportunistic agents of human infections, and can produce severe infections in burn patients. The literature on Fusarium spp infections in pediatric burn patients is scarce. To describe the clinical and epidemiological features as well as outcome of Fusarium spp infections in pediatric burn patients. Retrospective, descriptive study of Fusarium spp infections in a specialized intensive care burn unit. In 15 patients Fusarium spp infections were diagnosed. Median age was 48 months. Direct fire injury was observed in ten patients. The median affected burn surface area was 45%. Twelve patients had a full thickness burn. Fourteen patients had a Garces Index ≥3. Fungal infection developed at a median of 11 days after burn injury. Fungi were isolated from burn wound in 14 patients and from the bone in one patient. Amphotericin B was the drug of choice for treatment followed by voriconazole. Median time of treatment completion was 23 days. One patient (7%) died of fungal infection-related causes. In our series Fusarium spp was an uncommon pathogen in severely burnt patients. The burn wound was the most common site of infection and mortality was low. Copyright © 2016 Elsevier Editora Ltda. All rights reserved.

  6. Introducing blended learning: An experience of uncertainty for students in the United Arab Emirates

    Directory of Open Access Journals (Sweden)

    Linzi J. Kemp

    2013-05-01

    Full Text Available The cultural dimension of Uncertainty Avoidance is analysed in this study of an introduction to blended learning for international students. Content analysis was conducted on the survey narratives collected from three cohorts of management undergraduates in the United Arab Emirates. Interpretation of certainty with blended learning was found in: student skills with technology; student acknowledgement of course organisation; and student appreciation of online feedback. Uncertainty with the introduction of blended learning was found: when membership was assigned for group work, higher quality research methods were introduced; where course structure lacked detail, increased time was required for new and different online activities. These international students, from countries with a high score on Uncertainty Avoidance, exhibited that dimension when introduced to blended learning. The implications of these findings are discussed, and strategies suggested for introducing blended learning to international students. The limitations of the study are considered, and a direction for future research is suggested. This is the first study on undergraduates in the Middle East for the effects of a cultural dimension when introducing blended learning. The findings increase the body of knowledge that relates to learning technology in the international business classroom.

  7. Investment in epilepsy monitoring units improves epilepsy care—experience in a regional neuroscience centre

    LENUS (Irish Health Repository)

    McGinty, RN

    2017-08-01

    An evaluation of the clinical yield of inpatient long-term video-EEG (vEEG) in a new epilepsy monitoring unit (EMU) was undertaken, with findings compared to the centre’s prior method of bedside vEEG recording in a standard neurology ward, as reported in 2004. A retrospective analysis of neurophysiology reports for all adults who underwent elective vEEG monitoring in the EMU at Cork University Hospital between January 2015 and July 2016 was conducted. Of 115 vEEG studies in the EMU, 100 (87.0%) were deemed diagnostically conclusive, 14 (12.2%) failed to catch any clinical events and showed normal EEG throughout, and one (0.9%) captured spells of unclear clinical significance—the corresponding figures reported in 2004 for bedside vEEGs were 21.3%, 77% and 1.6%, respectively. The EMU offers a more effective method of recording inpatient vEEG, which aids decision-making and improves clinical outcomes. Some evidence-based measures which could further enhance diagnostic yield are discussed.

  8. More than half the families of mobile intensive care unit patients experience inadequate communication with physicians.

    Science.gov (United States)

    Debaty, Guillaume; Ageron, François-Xavier; Minguet, Laetitia; Courtiol, Guillaume; Escallier, Christophe; Henniche, Adeline; Maignan, Maxime; Briot, Raphaël; Carpentier, Françoise; Savary, Dominique; Labarere, José; Danel, Vincent

    2015-07-01

    This study aimed to assess comprehension by family members of the patient's severity in the prehospital setting. We conducted a cross-sectional study in four mobile intensive care units (ICUs, medicalized ambulances) in France from June to October 2012. Nurses collected data on patients, patient's relatives, and mobile ICU physicians. For each patient, one relative and one physician independently rated the patient's severity using a simplified version of the Clinical Classification of Out-of-Hospital Emergency Patients scale (CCMS). Relatives were also asked to assess their interview with the physician. The primary outcome was agreement between the relative's and physician's ratings of the patient's severity. Data were available for 184 patients, their relatives, and mobile ICU physicians. Full and partial agreement between relatives and physicians regarding the patient's severity was found for 79 (43%) and 121 (66%) cases, respectively [weighted kappa = 0.32 (95% confidence interval, CI, 0.23-0.42)]. Relatives overestimated the patient's severity assessed by the physician [6 (5-8) vs. 4 (3-7), p communicated by mobile ICU physicians.

  9. Neonatal pain and preventive strategies: an experience in a tertiary care unit

    International Nuclear Information System (INIS)

    Mahmud, S.

    2017-01-01

    Little is known about neonatal pain in Pakistan. So, to know about neonatal pain, its scoring and the effectiveness of oral dextrose in neonatal pain management we carried this study in neonatal intensive care unit (NICU) of military hospital (MH) Rawalpindi. Methods: This randomized control trial was carried out in NICU of MH, Rawalpindi from to Jan 2013 to Dec 2013. Total of 252 babies were enrolled in the study. We assessed neonatal pain by using Modified Behavioural Pain Scale (MBPS). Babies were given 10% dextrose and sterile water two minutes before a painful procedure and pain assessment was done after the procedure. The different painful procedures included, heel prick, nasogastric (NG) tube insertion, cannulation, catheterization and venepuncture for blood sampling. Results: A total of 252 babies were enrolled in the study. Of these 139(55%) were male and 113(45%) were female babies. Painful procedures included heel lancing 120(48%), I/V cannulations 60(24%), venepuncture 40 (16%), NG insertion 26 (10%) and Foley catheterization 6 (2%). Mean MBPS score with 10% dextrose and sterile water were 4.31 and 6.26 respectively and the difference between two was significant statically. Conclusion: Oral dextrose is a cheap and easily available solution and can be used in neonatal pain management during various painful procedures. (author)

  10. Positive experiences in physical education through teacher intervention in the teaching unit futsal.

    Directory of Open Access Journals (Sweden)

    Ángel Abós Catalán

    2015-09-01

    Full Text Available The interpersonal style used by the teacher of Physical Education (PE in their classes can trigger consequences for students inside and outside the classroom. Grounded in self-determination theory and achievement goal theory, the aim of the study was to analyze the relationship between motivational climate and support of the basic psychological needs (BPN generated by the PE teacher in the teaching unit (TU of futsal, with consequences of enjoyment and boredom, as well as the predisposition toward EF experienced by students. The sample was composed of 70 students (32 men and 38 women year 4th of compulsory Secondary Education, aged 15 to 17 years (M age = 15.31, SD = 0.49. The variables measured at the end of the TU were: motivational climate (EPCM, support of the BPN (CANPB and affective consequences (SSI the content of futsal and the predisposition towards PE (PEPS. The results of correlation analysis showed that the task climate and support of the BPN in the TU futsal, correlated positively and significantly with enjoyment and some predisposing factors toward PE, while doing it in reverse with boredom. Therefore, given the relationship between what happens in the classroom and outside it, seems necessary that teachers of PE generates a task climate and support of the BPN in each of curricular content, to students adopt life-styles more active and healthy. 

  11. Early versus late tracheostomy in pediatric intensive care unit: does it matter? A 6-year experience.

    Science.gov (United States)

    Pizza, Alessandro; Picconi, Enzo; Piastra, Marco; Genovese, Orazio; Biasucci, Daniele G; Conti, Giorgio

    2017-08-01

    The aim of this study is to examine the clinical data of children who underwent tracheostomy during their stay in Pediatric Intensive Care Unit (PICU), in order to describe the relationship between the timing of tracheostomy, the length of PICU stay and the occurrence of ventilator-associated pneumonia (VAP). This is a retrospective cohort study that collects all patients undergoing tracheostomy during their PICU stay over a six-year period. Data collection included PICU length of stay, days of intubation, days of mechanical ventilation, primary indication for tracheostomy, information about VAP and decannulations. The early tracheostomy group was defined as patients who had ten or fewer days of continuous ventilation, whereas the late tracheostomy group had more than ten days of continuous ventilation. A significant decrease in the rate of VAP incidence was noticed in the early tracheostomy group vs. late group (P=0.004, OR=0.39, 95% CI: 0.18-0.85). No differences were observed about decannulation, need of long-term ventilation and death rate. Significant decreases of days of mechanical ventilation and PICU stay were found in subgroup of patients who underwent early tracheostomy and were decannulated within 18 months. No standard timing for tracheostomy placement has been established in the pediatric population. Early tracheostomy can shorten the days of ventilation and hospitalization in PICU and reduce the incidence of VAP, but further studies are needed to identify patient categories in which it can be of benefit.

  12. [Medullary carcinoma experience in breast oncology unit of Hospital Juarez Mexico].

    Science.gov (United States)

    Jiménez-Villanueva, Xicoténcatl; Hernández-Rubio, Angela; García-Rodríguez, Francisco Mario; García, Rebeca Gil; Moreno-Eutimio, Mario; Herrera-Torre, Analy

    2014-01-01

    Medullary breast cancer is a rare type, considered of good prognosis. To know the epidemiological and clinical characteristics of the population attended in the Hospital Juarez de Mexico, to know if they are alike to described worldwide and if the treatments proposed internationally are applicable for this hospitable center. We performed a retrospective analysis. Reviewing the records with histopathologic diagnosis of medullary breast cancer from February 1993 to February 2011. Finding 41 patients in the oncology unit of the institution. We report an incidence of 3.04%, originating in 11 Mexican States, with a low to middle socioeconomic level in 39.02%. The average age at the time of diagnosis was 50 years. No family history was reported but some patients had medical history for type 2 diabetes, hypertension and previous breast cancer. 63.41% were menopausal. The average clinical size of the tumor was 58 mm. The 63% of the cases were located in the left breast. The 53.1% were clinical stages I and II, 46.3% were clinical stages III and in 9.6% of the cases primary tumor could not be assessed. Only 47% of the patients had positive axillary lynph nodes at diagnosis. The inmunohistochemestry was only reported in 14 of the 41 patients, according to the molecular classification of breast cancer: 8 were triple negative, 2 luminal A, 1 luminal B and 3 Her2neu. The Mexican population presents epidemiological and clinical characteristics similar to those patients described in other studies worldwide.

  13. Central venous catheter placement by an interventional radiology unit: an australian experience

    International Nuclear Information System (INIS)

    Lee, M. K. S.; Mossop, P. J.; Vrazas, J. I.

    2007-01-01

    The aim of this retrospective study was to analyse the outcomes of central venous catheter (CVC) placement carried out by an interventional radiology unit. A review of our hospital records identified 331 consecutive patients who underwent insertion of a tunnelled or non-tunnelled CVC between January 2000 and December 2004. Key outcome measures included the technical success rate of CVC insertion and the percentage of immediate ( 30 days) complications. A total of 462 CVCs were placed under radiological guidance, with an overall success rate of 98.9%. Immediate complications included one pneumothorax, which was diagnosed 7 days after subclavian CVC insertion, and eight episodes of significant haematoma or bleeding within 24 h of CVC insertion. No cases were complicated by arterial puncture or air embolus. Catheter-related sepsis occurred in 2% of non-tunnelled CVC and 8.9% of tunnelled CVC. The overall incidence of catheter-related sepsis was 0.17 per 100 catheter days. As the demand for chemotherapy and haemodialysis grows with our ageing population, interventional radiology suites are well placed to provide a safe and reliable service for the placement of central venous access devices

  14. Family participation during intensive care unit rounds: attitudes and experiences of parents and healthcare providers in a tertiary pediatric intensive care unit.

    Science.gov (United States)

    Stickney, Carolyn A; Ziniel, Sonja I; Brett, Molly S; Truog, Robert D

    2014-02-01

    To compare the experiences and attitudes of healthcare providers and parents regarding parental participation in morning rounds, in particular to evaluate for differences in perception of parental comprehension of rounds content and parental comfort with attendance, and to identify subgroups of parents who are more likely to report comfort with attending rounds. Cross-sectional survey of 100 parents and 131 healthcare providers in a tertiary care pediatric medical/surgical intensive care unit. Descriptive statistics were used to analyze survey responses; univariate and multivariate analyses were performed to compare parent and healthcare provider responses. Of parents, 92% reported a desire to attend rounds, and 54% of healthcare providers reported a preference for parental presence. There were significant discrepancies in perception of understanding between the 2 groups, with healthcare providers much less likely to perceive that parents understood both the format (30% vs 73%, P parents. Analysis of parent surveys did not reveal characteristics correlated with increased comfort or desire to attend rounds. A majority of parents wish to participate in morning rounds, whereas healthcare provider opinions are mixed. Important discrepancies exist between parent and healthcare provider perceptions of parental comfort and comprehension on rounds, which may be important in facilitating parental presence. Copyright © 2014 Mosby, Inc. All rights reserved.

  15. Organisation and experience of the regulatory review in the United Kingdom

    International Nuclear Information System (INIS)

    Gausden, R.; Woods, P.B.

    1979-01-01

    Regulatory requirements and stages of the review in the UK are outlined. The organisation, management and working procedures of the Inspectorate are described and the effort and timescale which have been found necessary for a satisfactory safety review is discussed. A number of problem areas in the review situation have been identified from experience and these are discussed and possible solutions proposed. They include the importance of early review of generic aspects of systems which are being considered for licensing, the place of safety principles and of detailed engineering assessment in the review process, the independence of the regulatory group's activities in its study of major technical issues and the use which should be made of outside expertise. (auth.)

  16. Finding a path through the health unit: practical experience of Ugandan patients.

    Science.gov (United States)

    Mogensen, Hanne O

    2005-01-01

    Finding one's way through a health facility is not necessarily an easy task for Ugandan patients. Our understanding of how people succeed in doing so, and of the obstacles they encounter on their way, is incomplete if we focus only on the cognitive level of the clinical encounter. Much research in public health and medical anthropology implicitly works with the notion that agency is located in the mind and that cognitive understanding is a precondition for practice. Based on material from eastern Uganda, this article explores the practical experience of Ugandan patients and their relatives and reflects upon the ways in which this notion of agency has often caused us to confuse the spectator's point of view with the actor's point of view. Thus, as Pierre Bourdieu has argued, we are made to look for answers to "questions that practice never asks because it has no need to ask them."

  17. [A unit for emergency psychiatry and crisis intervention--concepts, structure and initial experiences].

    Science.gov (United States)

    Feuerlein, W; Bronisch, T; Fürmaier, A

    1983-03-01

    The article reports on a ward with 12 beds which has been set up for emergency cases in psychiatry or for immediate intervention in case of a crisis experienced by a patient. In the theoretical part of this article, it is explained that crisis situations are present in most of the psychiatric emergency patients. The article then goes briefly into the fundamentals of therapeutic strategy in such patients: A therapy which helps to uncover hidden conflicts, the pros and cons of therapy focussed on conflict and on supportive measures; as well as a therapy which supports and promotes the ego. This is followed by a comparison of the ward with corresponding facilities in Germany and abroad and a description of their structure, their patients and their function within a psychiatric care system. The concluding part of the article is devoted to a description of the authors' initial experiences and impressions gained during their work with the ward patients, quoting several examples.

  18. Experiences with mobile units for liquid raw management in slovak and czech nuclear power plants

    International Nuclear Information System (INIS)

    Rapant, T.; Tatransky, P.; Vasko, M.; Hlavacka, R.

    2015-01-01

    Text describes the experience from multiple projects of retrieval, pre-treatment and final treatment of liquid radioactive waste in Slovak and Czech NPPs during last 20 years. The purpose of these projects was to retrieve RAW (sludge, used resins, crystalline sediments, other types of liquid RAW) from operational tanks or technological systems, its pre-treatment and its solidification into 200 l or 60 l drums. Slovak and Czech NPPs are WWER 440 type (except Bohunice A1 NPP) where operational liquid RAW should be stored in large capacity tanks during the whole operational period. Volume of tanks placed in auxiliary buildings is from 460 to 550 m 3 , usually they are situated in rooms with limited access and minimal handling space. The liquid RAW management process is described. (authors)

  19. [Care of mothers of newborns in intensive care units: experiences, feelings and expectations of the mothers].

    Science.gov (United States)

    Belli, M A

    1995-08-01

    The purpose of the study was to examine the experiences, feelings and expectation of mothers of high risk newborns. The population was a group of 20 mothers of high risk newborns of three hospitals in the City of São Paulo. Interview with the mothers was the method of data collection containing opened and structured questions. It was verified that most of the mothers had none or only a little interaction with the newborn after delivery; the eye contact was the most referred during the staying of the newborn in the Intensive Care Unity; all of them demonstrated interest in participating in the care of the newborn and expressed the need of information concerning to the health status of the newborn, the Intensive Care Unity environment and the hospital team. Several were the feelings expressed and the motives that indicated the needs of the mothers.

  20. The experiences of internationally educated nurses in the southeastern United States of America.

    Science.gov (United States)

    Wheeler, R M; Foster, J W; Hepburn, K W

    2013-09-01

    US healthcare facilities have addressed nursing shortages in part by recruiting internationally educated nurses (IENs), and studies suggest IENs may make up a significant percentage of the nursing workforce in urban hospitals. Despite the economic recession of 2008-2012, international nurse migration is expected to continue. Little is known about IENs in the southeastern USA, and no studies have compared their perspectives to those of their US counterparts. The purpose of this study was to gain a deeper understanding about the experiences of IENs compared to those of US registered nurses (RNs) practising in two urban hospitals in southeastern USA. This study involved two rounds of semi-structured interviews of 82 IENs and US RNs. Interviews focused on themes relating to education, barriers to practice, intent to stay in nursing and IENs' migration experiences. Most IENs interviewed migrated to the USA after 1990 to join their family and do not plan to return to their home countries to practise. Most IENs initially received their Associate Degree in Nursing; many have obtained their Bachelor of Science in Nursing degree. IENs and newly licensed US RNs faced similar barriers when they began practising in the USA, but IENs faced additional challenges adjusting to the attitudes of US patients, the perceived lack of respect for nurses and delivering total patient care. IENs would benefit from orientation regarding the cultural differences in the USA. In other ways, their challenges are similar to those of US RNs; policies regarding education, recruitment and retention could target both groups together. © 2013 The Authors. International Nursing Review © 2013 International Council of Nurses.

  1. Free Trade Agreements With The United States: 8 Lessons For Prospective Parties From Australia’s Experience

    Directory of Open Access Journals (Sweden)

    Tully Stephen R.

    2016-12-01

    Full Text Available This article identifies 8 key lessons for those States contemplating a free trade agreement with the United States (U.S. arising from Australia’s experience. The standards of intellectual property protection under the Australia-U.S. Free Trade Agreement and their impact on pharmaceutical prices in Australia are a particular focus. Prospective parties must first conduct a national interest self-assessment which reviews the desired strength of intellectual property protection under national law and their preference for using flexibilities available to them under the existing international intellectual property rights framework. The United States negotiates free trade agreements in light of previous ones, negotiating outcomes obtained in other fora and the decisions of international trade tribunals. Negotiations typically occur behind closed doors, which is a process having adverse implications for transparent decision-making, public consultation periods and contributions from interested non-governmental actors. A concluded agreement will build on prior treaties and influence the course of future international arrangements. But the impact of a United States free trade agreement is not always clear, including because of a lack of reliable data, and the extent of national legal change is a contested issue given existing reform agendas and external influences. The United States seek to redesign national health care systems in its own image and had little success in Australia’s case. National legal systems need not be harmonised: although there can be some convergence in intellectual property rights regimes, significant differences may also remain. Negotiators must reconcile competing cultures, philosophies and perspectives between States for a free trade agreement to be worthwhile.

  2. Twenty-five years of transient counting experience in French PWR units

    Energy Technology Data Exchange (ETDEWEB)

    Barthelet, B. [Electricite de France (EDF DPN), 93 - Saint-Denis (France); Savoldelli, D.; Fritz, R. [Electricite de France (EDF DPN), 93 - Noisy le Grand (France)

    2001-07-01

    For nearly twenty five years, EDF has been checking that the actual operating transients are neither more severe nor more numerous than the design basis transients. This activity of transient cycle counting and bookkeeping has enabled EDF to own a database of more than 800 reactor.years for the PWR units. The current method of transient cycle counting is presented. In the paper, we will point out the main results of transient cycle counting and lessons learned. In general, the frequencies of transients are lower than the design frequencies. In few cases, they are higher, such as the transient frequencies of the RCS lines connected to auxiliary systems often due to operating procedures or particular periodic testing. Few periodic tests were not taken into account in the design basis transient file ; they have been detected thanks to the transient cycle counting. In the last 1980's, we achieved the first updating of the design basis transient file for the PWR 900 MWe series. In the early 1990's, we updated the design basis transient file of the PWR 1300 MWe series. In fact, since design and start-up, the operating conditions have been modified (fuel cycle with stretch-out, modification of the hot leg and cold leg temperatures for the PWR 1300 MWe,...). This was the cause of many unclassified transients. In the new design basis transient file, we have created new transients and increased the frequencies of some of them. This has enabled to consider the updated design basis transient file more representative of actual operating transients. For some years, we have increasingly associated the operators with the transient cycle counting concern. We noticed progress (decreased frequencies of most transients). (authors)

  3. The 1951-98 experience of the Paris Institut Curie Radiopathology Unit: a preliminary report

    International Nuclear Information System (INIS)

    Cosset, J.M.; Perdereau, B.; Dubray, B.; Helfre, S.; Brixy, F.; Gongora, R.; Fourquet, A.

    1999-01-01

    From 1 January 1951 to 30 June 1998, 696 patients presented spontaneously or were referred to the French Institut Curie Radiopathology Unit following a more or less severe accidental irradiation. Of these, 568 patients came from France, while 128 were sent by various foreign countries. The very great majority of irradiation accidents occurred in the workplace, particularly in industry. Interestingly, 'non-nuclear' industry was responsible for three times more events than the nuclear industry. While incidental irradiation of the public by lost radioactive sources was exceedingly rare in France, it seemed to be more frequent in our cohort of foreign patients. Radiation phobia accounted for about 10% of cases in the French cohort, but the number of cases did not seem to increase with time. Overall, the accrual of patients over time appears to be stable, with 10 to 25 new cases consulting each year. Fortunately, a majority of cases corresponded to low-level irradiation (and even no irradiation at all). In the French cohort, only 21.6% of patients, showing deterministic effects, required some form of treatment, with 4.9% considered as 'severe' cases. Not unexpectedly, more patients required treatment in the foreign cohort (35.2%), with 24.2% of severe cases, including four deaths. The main features of this database are consistent with the data previously reported by the IAEA, UNSCEAR and REAC/TS. Although the number of severe cases is small, it should still be considered to be too high, especially as most of these accidents could have been easily avoided if a few basic radioprotection rules had been fully respected. (abstract)

  4. Radiation litigation and the nuclear industry--the experience in the United Kingdom.

    Science.gov (United States)

    Leigh, W J; Wakeford, R

    2001-12-01

    In the United Kingdom, the Nuclear Installations Act 1965 places a "strict" statutory duty on the operators of nuclear facilities to ensure that any exposure to radiation resulting from operations does not cause injury or damage. A claimant does not have to prove fault to receive compensation under the Act, only causation. The 1965 Act has been fundamental in shaping litigation involving the nuclear industry in the UK. Civil law cases brought under the Act will be heard before a single judge (with no jury or technical assessor) who must present his or her decision in a reasoned judgment. This process leads to a considerable volume of expert evidence being presented to the court and extensive cross-examination of witnesses. The expense and uncertain outcome of cases involving claims by nuclear workers that occupational exposure to radiation had caused the development of cancer has led to employers and trade unions setting up the voluntary Compensation Scheme for Radiation-linked Diseases as an alternative to litigation. This Scheme has worked well and is held up as a model of alternative dispute resolution. However, a few cases concerning personal injury or damage to property have come before the courts when the defendant nuclear operator considered that the claims were technically unjustified and where settlement was not a policy option. As anticipated, these cases were lengthy, complex, and expensive. The radiation doses assessed to have been received by the individuals who were the subject of claims, whether workers or members of the public, have been crucial to the outcome. The technical expertise of health physicists and allied specialists has been vital in establishing defensible estimates of dose, and this contribution can be expected to remain of high importance in radiation litigation in the UK.

  5. Summary of failed reactor coolant pump rotating assembly experience at Crystal River Unit 3

    International Nuclear Information System (INIS)

    Hayner, G.O.; Clary, M.D.

    1992-01-01

    Four reactor coolant pump (RCP) rotating assemblies (shafts) have failed or have severely cracked during operation at the Crystal River Unit 3 (CR-3) Nuclear Power Plant. The two failed shafts removed from RCP-1A have been extensively examined. All of the RCP shafts (except the D shaft) were fabricated from UNS S66286 superalloy (Alloy A-286). The D shaft was fabricated from UNS S20910 (Alloy XM-19/Nitronic 50). Torsional strain gauge analysis was performed on the RCP-1A shaft during the 1990 refueling outage. This type of analysis has not been performed previously on an operating RCP. Several results were found including: (1) the primary components of alternating torsional stress during normal RCP operation are impeller vane pass and a sub-2X torsional resonance with maximum components of ∼±0.8 ksi; (2) a typical vane pass cycle is initiated by an abrupt unloading of the shaft followed by a reload past equilibrium and a damped return to equilibrium; (3) a higher (compared to normal four pump operation) alternating torsional stress range resulted from solo operation of RCP-1A at low temperature and pressure (normal startup conditions); (4) the 2/0 combination produced the highest mean torsional stresses and the lowest alternating stresses and (5) a startup of a secured RCP with three operating pumps results in significantly higher alternating stress than a cold startup. The root cause RCP failure mechanism appears to involve RCP startup sequence at CR-3, peculiarities that necessitate this sequence and complex shaft stresses just above or under the journal bearing. The 1986 impeller bolt failure is not considered to be a root cause effect. It was also determined that fatigue cracking has always been responsible for both shaft initiation and propagation mechanisms and cracking can occur independent of shaft material

  6. Hydroxyisohexyl 3-cyclohexene carboxaldehyde (Lyral®) as allergen: experience from a contact dermatitis unit.

    Science.gov (United States)

    Carvalho, Rodrigo; Maio, Paula; Amaro, Cristina; Santos, Raquel; Cardoso, Jorge

    2011-09-01

    Hydroxyisohexyl 3-cyclohexene carboxaldehyde (HICC)-Lyral® is a widely used synthetic fragrance found in personal care and household products. It is an aldehyde, lipophilic enough to penetrate the skin and is a frequent cause of contact sensitization. Describe the frequency of contact allergy to HICC in a Contact Dermatitis Unit, after its inclusion in baseline patch test series. A retrospective study including all patients submitted to patch test, from January 2007 to December 2009. Over a 3-year period, 629 consecutive patients were patch tested. The frequency of positive reactions to HICC was 2.7% (17/629). Of the positive patients, 35% (6/17) gave a history of atopy, 58.8% (10/17) had eczema on the face and neck, 23.5% (4/17) on the hands, 23.5% (4/17) in the axillae, 17.6% (3/17) on the trunk and 6% (3/17) had generalized eczema. All patients were patch positive for more than one allergen: all (17/17) positive to fragrance Mix 2 (FM2); 47% of the patients (8/17) positive to fragrance Mix 1 (FM1); and 23.5% of the patients (4/17) positive to Balsam of Peru. In 94% (16/17) of cases, the reaction was judged to be of current relevance. The frequency of positive reactions to HICC of 2.7% found in our population is according to what is described in several European reports, where HICC is still widely used as a fragrance ingredient. In contrast, in North America, the prevalence is lower. All the patients were positive also to FM2. The association found between reactions to FM1 and HICC is also commonly reported and could represent a concomitant sensitization following increased exposure to fragrance allergens. These data confirm the importance of HICC introduction in the baseline patch test series.

  7. The 1951-98 experience of the Paris Institut Curie Radiopathology Unit: a preliminary report

    Energy Technology Data Exchange (ETDEWEB)

    Cosset, J.M.; Perdereau, B.; Dubray, B.; Helfre, S.; Brixy, F.; Gongora, R.; Fourquet, A. [Institut Curie, 26 rue d' Ulm, 75005 Paris (France)

    1999-12-01

    From 1 January 1951 to 30 June 1998, 696 patients presented spontaneously or were referred to the French Institut Curie Radiopathology Unit following a more or less severe accidental irradiation. Of these, 568 patients came from France, while 128 were sent by various foreign countries. The very great majority of irradiation accidents occurred in the workplace, particularly in industry. Interestingly, 'non-nuclear' industry was responsible for three times more events than the nuclear industry. While incidental irradiation of the public by lost radioactive sources was exceedingly rare in France, it seemed to be more frequent in our cohort of foreign patients. Radiation phobia accounted for about 10% of cases in the French cohort, but the number of cases did not seem to increase with time. Overall, the accrual of patients over time appears to be stable, with 10 to 25 new cases consulting each year. Fortunately, a majority of cases corresponded to low-level irradiation (and even no irradiation at all). In the French cohort, only 21.6% of patients, showing deterministic effects, required some form of treatment, with 4.9% considered as 'severe' cases. Not unexpectedly, more patients required treatment in the foreign cohort (35.2%), with 24.2% of severe cases, including four deaths. The main features of this database are consistent with the data previously reported by the IAEA, UNSCEAR and REAC/TS. Although the number of severe cases is small, it should still be considered to be too high, especially as most of these accidents could have been easily avoided if a few basic radioprotection rules had been fully respected. (abstract)

  8. The Syrian civil war: The experience of the Surgical Intensive Care Units.

    Science.gov (United States)

    Ozdogan, Hatice Kaya; Karateke, Faruk; Ozdogan, Mehmet; Cetinalp, Sibel; Ozyazici, Sefa; Gezercan, Yurdal; Okten, Ali Ihsan; Celik, Muge; Satar, Salim

    2016-01-01

    Since the civilian war in Syria began, thousands of seriously injured trauma patients from Syria were brought to Turkey for emergency operations and/or postoperative intensive care. The aim of this study was to present the demographics and clinical features of the wounded patients in Syrian civil war admitted to the surgical intensive care units in a tertiary care centre. The records of 80 trauma patients admitted to the Anaesthesia, General Surgery and Neurosurgery ICUs between June 1, 2012 and July 15, 2014 were included in the study. The data were reviewed regarding the demographics, time of presentation, place of reference, Acute Physiology and Chronic Health Evaluation II (APACHE II) score and Injury Severity Score (ISS), surgical procedures, complications, length of stay and mortality. A total of 80 wounded patients (70 males and 10 females) with a mean age of 28.7 years were admitted to surgical ICUs. The most frequent cause of injury was gunshot injury. The mean time interval between the occurrence of injury and time of admission was 2.87 days. Mean ISS score on admission was 21, and mean APACHE II score was 15.7. APACHE II scores of non-survivors were significantly increased compared with those of survivors (P=0.001). No significant differences was found in the age, ISS, time interval before admission, length of stay in ICU, rate of surgery before or after admission. The most important factor affecting mortality in this particular trauma-ICU patient population from Syrian civil war was the physiological condition of patients on admission. Rapid transport and effective initial and on-road resuscitation are critical in decreasing the mortality rate in civil wars and military conflicts.

  9. Ethical challenges in the neonatal intensive care units: perceptions of physicians and nurses; an Iranian experience.

    Science.gov (United States)

    Kadivar, Maliheh; Mosayebi, Ziba; Asghari, Fariba; Zarrini, Pari

    2015-01-01

    The challenging nature of neonatal medicine today is intensified by modern advances in intensive care and treatment of sicker neonates. These developments have caused numerous ethical issues and conflicts in ethical decision-making. The present study surveyed the challenges and dilemmas from the viewpoint of the neonatal intensive care personnel in the teaching hospitals of Tehran University of Medical Sciences (TUMS) in the capital of Iran. In this comparative cross-sectional study conducted between March 2013 and February 2014, the physicians' and nurses' perceptions of the ethical issues in neonatal intensive care units were compared. The physicians and nurses of the study hospitals were requested to complete a 36-item questionnaire after initial accommodations. The study samples consisted of 284 physicians (36%) and nurses (64%). Content validity and internal consistency calculations were used to examine the psychometric properties of the questionnaire. Data were analyzed by Pearson's correlation, t-test, ANOVA, and linear regression using SPSS v. 22. Respecting patients' rights and interactions with parents were perceived as the most challenging aspects of neonatal care. There were significant differences between sexes in the domains of the perceived challenges. According to the linear regression model, the perceived score would be reduced 0.33 per each year on the job. The results of our study showed that the most challenging issues were related to patients' rights, interactions with parents, communication and cooperation, and end of life considerations respectively. It can be concluded, therefore, that more attention should be paid to these issues in educational programs and ethics committees of hospitals.

  10. Twenty-five years of transient counting experience in French PWR units

    International Nuclear Information System (INIS)

    Barthelet, B.; Savoldelli, D.; Fritz, R.

    2001-01-01

    For nearly twenty five years, EDF has been checking that the actual operating transients are neither more severe nor more numerous than the design basis transients. This activity of transient cycle counting and bookkeeping has enabled EDF to own a database of more than 800 reactor.years for the PWR units. The current method of transient cycle counting is presented. In the paper, we will point out the main results of transient cycle counting and lessons learned. In general, the frequencies of transients are lower than the design frequencies. In few cases, they are higher, such as the transient frequencies of the RCS lines connected to auxiliary systems often due to operating procedures or particular periodic testing. Few periodic tests were not taken into account in the design basis transient file ; they have been detected thanks to the transient cycle counting. In the last 1980's, we achieved the first updating of the design basis transient file for the PWR 900 MWe series. In the early 1990's, we updated the design basis transient file of the PWR 1300 MWe series. In fact, since design and start-up, the operating conditions have been modified (fuel cycle with stretch-out, modification of the hot leg and cold leg temperatures for the PWR 1300 MWe,...). This was the cause of many unclassified transients. In the new design basis transient file, we have created new transients and increased the frequencies of some of them. This has enabled to consider the updated design basis transient file more representative of actual operating transients. For some years, we have increasingly associated the operators with the transient cycle counting concern. We noticed progress (decreased frequencies of most transients). (authors)

  11. Look at Me!! I'm a Tree!: A Literacy-Based Integrated Thematic Unit on Forestry and Conservation Designed for Field Experiences in Early Childhood Education.

    Science.gov (United States)

    Mayo, Karen E.

    This paper describes a literacy-based thematic unit on forestry and conservation designed for field experiences in early childhood education. This unit responds to national and state initiatives and serves as a model for enacting reform of science instruction by equipping preservice teachers with the necessary strategies to foster science process…

  12. Tinnitus services in the United Kingdom: a survey of patient experiences.

    Science.gov (United States)

    McFerran, Don; Hoare, Derek J; Carr, Simon; Ray, Jaydip; Stockdale, David

    2018-02-13

    Tinnitus service provision in the United Kingdom has been investigated from the healthcare provider's perspective demonstrating considerable regional variation particularly regarding availability of psychological treatments. An audiological-based tinnitus service, however, was reportedly available for all tinnitus patients in the UK. The aim of the current study was to define and evaluate nationwide tinnitus healthcare services from the patients' viewpoint. Secondary analyses were performed on data from a 33-item questionnaire provided by the British Tinnitus Association. The questionnaire had been distributed via email and social media. Responses from 937 participants who had or had previously experienced tinnitus were analysed. All but one person had at some time consulted their GP. About one in five received medication in primary care. The majority were referred to secondary care, generally an ENT surgeon or audiovestibular physician; some were referred directly to audiological services. In secondary care the majority underwent audiometric testing and over half underwent MRI scanning. Drugs were prescribed less frequently in secondary care. About one third of patients were referred onwards from diagnostic services in secondary care to receive therapeutic interventions for tinnitus. Therapy was generally delivered by an audiologist or hearing therapist. Just under two fifths of people discharged from secondary care returned to their GP, with most returning within one year. Over a third of this group were re-referred to secondary care. Few patients saw a psychologist (2.6%) though some psychological treatments were delivered by appropriately trained audiologists. Negative counselling from healthcare professionals in both primary and secondary care settings was reported. Although the UK has developed a national service for patients with tinnitus many people find it difficult to access, being blocked at the primary care level or after secondary care diagnostic

  13. Experience with using second life for medical education in a family and community medicine education unit

    Directory of Open Access Journals (Sweden)

    Melús-Palazón Elena

    2012-05-01

    Full Text Available Abstract Background The application of new technologies to the education of health professionals is both a challenge and a necessity. Virtual worlds are increasingly being explored as a support for education. Aim: The aim of this work is to study the suitability of Second Life (SL as an educational tool for primary healthcare professionals. Methods Design: Qualitative study of accredited clinical sessions in SL included in a continuing professional development (CPD programme for primary healthcare professionals. Location: Zaragoza I Zone Family and Community Medicine Education Unit (EU and 9 health centres operated by the Aragonese Health Service, Aragon, Spain. Method: The EU held two training workshops in SL for 16 healthcare professionals from 9 health centres by means of two workshops, and requested them to facilitate clinical sessions in SL. Attendance was open to all personnel from the EU and the 9 health centres. After a trail period of clinical sessions held at 5 health centres between May and November 2010, the CPD-accredited clinical sessions were held at 9 health centres between February and April 2011. Participants: 76 healthcare professionals attended the CPD-accredited clinical sessions in SL. Main measurements: Questionnaire on completion of the clinical sessions. Results Response rate: 42-100%. Questionnaire completed by each health centre on completion of the CPD-accredited clinical sessions: Access to SL: 2 centres were unable to gain access. Sound problems: 0% (0/9. Image problems: 0% (0/9. Voice/text chat: used in 100% (10/9; 0 incidents. Questionnaire completed by participants in the CPD-accredited clinical sessions: Preference for SL as a tool: 100% (76/76. Strengths of this method: 74% (56/76 considered it eliminated the need to travel; 68% (52/76 believed it made more effective use of educational resources; and 47% (36/76 considered it improved accessibility. Weaknesses: 91% (69/76 experienced technical problems, while; 9

  14. Experience with using second life for medical education in a family and community medicine education unit.

    Science.gov (United States)

    Melús-Palazón, Elena; Bartolomé-Moreno, Cruz; Palacín-Arbués, Juan Carlos; Lafuente-Lafuente, Antonio; García, Inmaculada García; Guillen, Sara; Esteban, Ana B; Clemente, Silvia; Marco, Angeles M; Gargallo, Pilar M; López, Carlos; Magallón-Botaya, Rosa

    2012-05-15

    The application of new technologies to the education of health professionals is both a challenge and a necessity. Virtual worlds are increasingly being explored as a support for education. The aim of this work is to study the suitability of Second Life (SL) as an educational tool for primary healthcare professionals. Qualitative study of accredited clinical sessions in SL included in a continuing professional development (CPD) programme for primary healthcare professionals. Zaragoza I Zone Family and Community Medicine Education Unit (EU) and 9 health centres operated by the Aragonese Health Service, Aragon, Spain. The EU held two training workshops in SL for 16 healthcare professionals from 9 health centres by means of two workshops, and requested them to facilitate clinical sessions in SL. Attendance was open to all personnel from the EU and the 9 health centres. After a trail period of clinical sessions held at 5 health centres between May and November 2010, the CPD-accredited clinical sessions were held at 9 health centres between February and April 2011. 76 healthcare professionals attended the CPD-accredited clinical sessions in SL. Questionnaire on completion of the clinical sessions. Response rate: 42-100%. Questionnaire completed by each health centre on completion of the CPD-accredited clinical sessions: Access to SL: 2 centres were unable to gain access. Sound problems: 0% (0/9). Image problems: 0% (0/9). Voice/text chat: used in 100% (10/9); 0 incidents. Questionnaire completed by participants in the CPD-accredited clinical sessions: Preference for SL as a tool: 100% (76/76). Strengths of this method: 74% (56/76) considered it eliminated the need to travel; 68% (52/76) believed it made more effective use of educational resources; and 47% (36/76) considered it improved accessibility. Weaknesses: 91% (69/76) experienced technical problems, while; 9% (7/76) thought it was impersonal and with little interaction. 65.79% (50/76) believed it was better than

  15. Operational accidents and radiation exposure experience within the United States Atomic Energy Commission, 1943--1975

    International Nuclear Information System (INIS)

    1975-01-01

    The occupational injury and fatality experience during 32 years of the development of the atomic energy industry under the direction of the Atomic Energy Commission (AEC) and its predecessor, the Manhattan Engineering District, is reviewed. Data are included on the cause of all accidents, including fires and transportation accidents, and the cost of AEC property damage. Fatalities of AEC and contractor personnel from all causes during the 32-year period totaled 321, of which 184 occurred in construction; 121 in AEC operations such as production, research, and services; and 16 in Government functions. There were 19,225 lost-time injuries attributable to all accidental causes, or a 32-year frequency rate of 2.75 based on the number of injuries per million man-hours. There were six deaths attributable to nuclear causes, thee of which were due to blast and flying missiles and three caused by whole-body radiation exposure. Forty-one workers were involved in lost-time radiation accidents, of whom 26 showed clinical manifestations attributable to radiation, resulting in permanent partial-disability of three workers and the loss of a digit by four workers, while the others did not develop evidence of radiation injury

  16. Control and management unit for a computation platform at the PANDA experiment

    Energy Technology Data Exchange (ETDEWEB)

    Galuska, Martin; Gessler, Thomas; Kuehn, Wolfgang; Lang, Johannes; Lange, Jens Soeren; Liang, Yutie; Liu, Ming; Spruck, Bjoern; Wang, Qiang [II. Physikalisches Institut, Justus-Liebig-Universitaet Giessen (Germany)

    2010-07-01

    The FAIR facility will provide high intensity antiproton and heavy ion beams for the PANDA and HADES experiments, leading to very high reaction rates. PANDA is expected to run at 10-20 MHz with a raw data output rate of up to 200 GB/s. A sophisticated data acquisition system is needed in order to select physically relevant events online. For this purpose a network of interconnected compute nodes can be used. Each compute node can be programmed to run various algorithms, such as online particle track recognition for high level triggering. An ATCA communication shelf provides power, cooling and high-speed interconnections to up to 14 nodes. A single shelf manager supervises and regulates the power distribution and temperature inside the shelf. The shelf manager relies on a local control chip on each node to relay sensor read-outs, provide hardware adresses and power requirements etc. An IPM controller based on an Atmel microcontroller was designed for this purpose, and a prototype was produced. The neccessary software is being developed to allow local communication with the components of the compute node and remote communication with the shelf manager conform to the ATCA specification.

  17. Lived experiences of parents of premature babies in the intensive care unit in a private hospital in Johannesburg, South Africa

    Directory of Open Access Journals (Sweden)

    Erika Steyn

    2017-02-01

    Full Text Available Background: Many of the 15 million premature babies born worldwide every year survive because of advanced medical interventions. Their parents have intense experiences when their babies are in the intensive care unit (ICU, and these have an impact on their thoughts, feelings and relationships, including their relationships with their premature babies. Objectives: The aim of the study was to explore and describe the lived experiences of parents of premature babies in an ICU. Method: Research design was qualitative, exploratory, descriptive and contextual. A purposive sample of parents with premature babies in an ICU in a private hospital in Johannesburg Gauteng in South Africa was used. Eight parents, four mothers and four fathers, married and either Afrikaans or English-speaking, were included in the study. Data were collected by conducting in-depth phenomenological interviews with them and making use of field notes. Trustworthiness was ensured by implementing the strategies of credibility, transferability, dependability and confirmability. Ethical principles such as autonomy, beneficence, nonmaleficence and justice were adhered to throughout the research process. Results: Thematic analyses were utilised to analyse the data. Two themes in the experiences of parents with premature babies in ICU became apparent. Parents experienced thoughts, emotions and hope while their premature babies were in the ICU as well as challenges in their relationships and these challenges influenced their experiences. Recommendations: Mindfulness of intensive care nurses should be facilitated so that intensive care nurses can promote the mental health of parents with premature babies in the ICU. Conclusion: Parents with premature babies in the ICU have thoughts and emotional experiences which include hope and they affect parents’ relationships.

  18. Lived experiences of parents of premature babies in the intensive care unit in a private hospital in Johannesburg, South Africa.

    Science.gov (United States)

    Steyn, Erika; Poggenpoel, Marie; Myburgh, Chris

    2017-02-28

    Many of the 15 million premature babies born worldwide every year survive because of advanced medical interventions. Their parents have intense experiences when their babies are in the intensive care unit (ICU), and these have an impact on their thoughts, feelings and relationships, including their relationships with their premature babies. The aim of the study was to explore and describe the lived experiences of parents of premature babies in an ICU. Research design was qualitative, exploratory, descriptive and contextual. A purposive sample of parents with premature babies in an ICU in a private hospital in Johannesburg Gauteng in South Africa was used. Eight parents, four mothers and four fathers, married and either Afrikaans or English-speaking, were included in the study. Data were collected by conducting in-depth phenomenological interviews with them and making use of field notes. Trustworthiness was ensured by implementing the strategies of credibility, transferability, dependability and confirmability. Ethical principles such as autonomy, beneficence, nonmaleficence and justice were adhered to throughout the research process. Thematic analyses were utilised to analyse the data. Two themes in the experiences of parents with premature babies in ICU became apparent. Parents experienced thoughts, emotions and hope while their premature babies were in the ICU as well as challenges in their relationships and these challenges influenced their experiences. Mindfulness of intensive care nurses should be facilitated so that intensive care nurses can promote the mental health of parents with premature babies in the ICU. Parents with premature babies in the ICU have thoughts and emotional experiences which include hope and they affect parents' relationships.

  19. [Towards a safety culture in the neonatal unit: Six years experience].

    Science.gov (United States)

    Esqué Ruiz, M T; Moretones Suñol, M G; Rodríguez Miguélez, J M; Parés Tercero, S; Cortés Albuixech, R; Varón Ramírez, E M; Figueras Aloy, J

    2015-10-01

    A safety culture is the collective effort of an institution to direct its resources toward the goal of safety. An analysis is performed on the six years of experience of the Committee on the Safety of Neonatal Patient. A mailbox was created for the declaration of adverse events, and measures for their correction were devised, such as case studies, continuous education, prevention of nosocomial infections, as well as information on the work done and its assessment. A total of 1287 reports of adverse events were received during the six years, of which 600 (50.8%) occurred in the neonatal ICU, with 15 (1.2%) contributing to death, and 1282 (99.6%) considered preventable. Simple corrective measures (notification, security alerts, etc.) were applied in 559 (43.4%), intermediate measures (protocols, monthly newsletter, etc.) in 692 (53.8%), and more complex measures (causal analysis, scripts, continuous education seminars, prospective studies, etc.) in 66 (5.1%). As regards nosocomial infections, the prevention strategies implemented (hand washing, insertion and maintenance of catheters) directly affected their improvement. Two surveys were conducted to determine the level of satisfaction with the Committee on the Safety of Neonatal Patient. A rating 7.5/10 was obtained in the local survey, while using the Spanish version of the Hospital Survey on Patient Safety Culture the rate was 7.26/10. A path to a culture of safety has been successfully started and carried out. Reporting the adverse events is the key to obtaining information on their nature, etiology and evolution, and to undertake possible prevention strategies. Copyright © 2014 Asociación Española de Pediatría. Published by Elsevier España, S.L.U. All rights reserved.

  20. Experience with Stabilization of SGHWR Sludge in a Commercial Plant in the United Kingdom

    International Nuclear Information System (INIS)

    Hagan, M.; Cornell, R.M.; Riley, B.; Ware, B.

    2009-01-01

    buffer store to hold the completed drums. After completion, drums are moved in a shielded overpack to the Treated Radwaste Store located on a different part of the Winfrith site. More than 300 m 3 of active sludge, held in four adjacent concrete tanks, has now been stabilised into 978 drums that have been placed into the dedicated store. The process of recovery and homogenization of the residual sludge in the bottom of each tank to the required specification will be described together with the means of recovery and disposal options for a quantity of unexpected materials found at the bottom of each unit. The means of dealing with the final quantities of sludge and water from the last two concrete tanks by recovering it into a tall steel filtration vessel located within one concrete tank will also be described. The final aspects of the paper will briefly describe the approach to be adopted for the final decontamination and demolition of both the EAST facility and WETP plant. The WETP plant is now in the latter stages of commercial operation leading to a second programme of stabilisation of a quantity of thorium metal for UKAEA ahead of its final decommissioning and demolition. (authors)

  1. A quantum mechanical alternative to the Arrhenius equation in the interpretation of proton spin-lattice relaxation data for the methyl groups in solids.

    Science.gov (United States)

    Bernatowicz, Piotr; Shkurenko, Aleksander; Osior, Agnieszka; Kamieński, Bohdan; Szymański, Sławomir

    2015-11-21

    The theory of nuclear spin-lattice relaxation in methyl groups in solids has been a recurring problem in nuclear magnetic resonance (NMR) spectroscopy. The current view is that, except for extreme cases of low torsional barriers where special quantum effects are at stake, the relaxation behaviour of the nuclear spins in methyl groups is controlled by thermally activated classical jumps of the methyl group between its three orientations. The temperature effects on the relaxation rates can be modelled by Arrhenius behaviour of the correlation time of the jump process. The entire variety of relaxation effects in protonated methyl groups have recently been given a consistent quantum mechanical explanation not invoking the jump model regardless of the temperature range. It exploits the damped quantum rotation (DQR) theory originally developed to describe NMR line shape effects for hindered methyl groups. In the DQR model, the incoherent dynamics of the methyl group include two quantum rate (i.e., coherence-damping) processes. For proton relaxation only one of these processes is relevant. In this paper, temperature-dependent proton spin-lattice relaxation data for the methyl groups in polycrystalline methyltriphenyl silane and methyltriphenyl germanium, both deuterated in aromatic positions, are reported and interpreted in terms of the DQR model. A comparison with the conventional approach exploiting the phenomenological Arrhenius equation is made. The present observations provide further indications that incoherent motions of molecular moieties in the condensed phase can retain quantum character over much broader temperature range than is commonly thought.

  2. Quantum mechanical alternative to Arrhenius equation in the interpretation of proton spin-lattice relaxation data for the methyl groups in solids

    KAUST Repository

    Bernatowicz, Piotr

    2015-10-01

    Theory of nuclear spin-lattice relaxation in methyl groups in solids has been a recurring problem in nuclear magnetic resonance (NMR) spectroscopy. The current view is that, except for extreme cases of low torsional barriers where special quantum effects are at stake, the relaxation behaviour of the nuclear spins in methyl groups is controlled by thermally activated classical jumps of the methyl group between its three orientations. The temperature effects on the relaxation rates can be modelled by Arrhenius behaviour of the correlation time of the jump process. The entire variety of relaxation effects in protonated methyl groups has recently been given a consistently quantum mechanical explanation not invoking the jump model regardless of the temperature range. It exploits the damped quantum rotation (DQR) theory originally developed to describe NMR line shape effects for hindered methyl groups. In the DQR model, the incoherent dynamics of the methyl group include two quantum rate, i.e., coherence-damping processes. For proton relaxation only one of these processes is relevant. In this paper, temperature-dependent proton spin-lattice relaxation data for the methyl groups in polycrystalline methyltriphenyl silane and methyltriphenyl germanium, both deuterated in aromatic positions, are reported and interpreted in terms of the DQR model. A comparison with the conventional approach exploiting the phenomenological Arrhenius equation is made. The present observations provide further indications that incoherent motions of molecular moieties in condensed phase can retain quantum character over much broad temperature range than is commonly thought.

  3. Patient with giant upper limb melanoma presenting to a UK plastic surgery unit: differentials and experience of management.

    Science.gov (United States)

    Honeyman, Calum Sinclair; Wilson, Paul

    2016-02-02

    A 57-year-old woman was referred to our regional sarcoma unit following a 2-year history of a progressively enlarging mass on her right forearm. At 14 × 7 × 12 cm, this mass turned out to be one of the largest upper limb cutaneous malignant melanomas ever described, and, to the best of our knowledge, the first documented in the UK. Remarkably, despite having a T4 malignant tumour with a Breslow thickness of 70 mm, this patient is still alive over 4 years later with no locoregional or distant metastatic spread. We present our experience in the management of this giant malignant melanoma of the upper limb and consider important differentials. 2016 BMJ Publishing Group Ltd.

  4. [Pilot-experience in home care: bedridden aged patients of a basic health unit, Porto Alegre, Brazil].

    Science.gov (United States)

    Marques, Giselda Quintana; Freitas, Ivani Bueno de Almeida

    2009-12-01

    The objectives of this study were to describe the development of a pilot-project in home care to bedridden aged patients at a Basic Health Unit, and identify demographic, social and health aspects of these patients, as well as relevant aspects reported by the health team that implemented the home care. The study had descriptive and evaluative characteristics. The patients' enrollment forms and health records and the project's records were analyzed. The pilot-experience permitted to develop the team's skills, in addition to being enriching and of great responsibility for the professionals and caregivers involved. The results indicated the need for continuous home care and adjustments in its organization with the purpose of increasing the areas for health care and improving the population's quality of life.

  5. Traumatic brain injury rehabilitation, the programs applied in French UEROS units, and the specificity of the Limoges experience.

    Science.gov (United States)

    Hamonet-Torny, J; Fayol, P; Faure, P; Carrière, H; Dumond, J-J

    2013-04-01

    First created in 1996, the French evaluation, retraining, social and vocational orientation units (UEROS) now play a fundamental role in the social and vocational rehabilitation of patients with brain injury. As of today, there exist 30 UEROS centers in France. While their care and treatment objectives are shared, their means of assessment and retraining differ according to the experience of each one. The objective of this article is to describe the specific programs and the different tools put to work in the UEROS of Limoges. The UEROS of Limoges would appear to offer a form of holistic rehabilitation management characterized by the importance of psycho-education and its type of approach towards vocational reintegration. Copyright © 2013 Elsevier Masson SAS. All rights reserved.

  6. Review of operational experience with the gas-cooled Magnox reactors of the United Kingdom Central Electricity Generating Board

    International Nuclear Information System (INIS)

    Cave, L.; Clarke, A.W.

    1984-01-01

    The paper provides a review, which is mainly of a statistical nature, of 260 reactor years of operating experience which the (United Kingdom) Central Electricity Generating Board (CEGB) has obtained with its gas-cooled, graphite moderated Magnox reactors. The main emphasis in the review is on safety rather than on availability. Data are provided on the overall incidence and frequencies of faults and it is shown that the plant items which are predominantly responsible for recorded faults are the gas circulators and the turbo-alternators. Analysis of the reactor trip experience shows that the incidence of events which necessitate an automatic shutdown of the reactor has been about one per reactor year and that of other events leading to a reactor trip has not been much higher (1.4 per reactor year). As would be expected from the length of the operating experience, some relatively rare events have occurred (expected frequency 10 -2 per reactor year, or less) but on each occasion the reactor shutdown system and decay heat removal systems functioned satisfactorily. No overheating of, or damage to, the fuel occurred as a result of these rare events or of other, more frequent, faults. Analysis of the trend of failure rates has shown an improvement with time in nearly all safety-related items and external inspection of the primary coolant circuits has shown no significant deterioration with time. However, some derating of the reactors has been necessary to reduce the effects of oxidation of mild steel in CO 2 , in order to obtain optimum service lives. In spite of major differences between the systems, a comparison of the failure rates of analogous systems and plant items in PWRs and the Magnox reactors show a considerable similarity. Overall, the review of CEGB's operational experience with its Magnos reactors has shown that the frequencies of faults in systems and plant items has been satisfyingly low. (author)

  7. AN EXPERIENCE OF HANDLING MICROBIAL CONTAMINATION OF PRODUCT WATER AT A HAEMODIALYSIS UNIT IN NORTH KARNATAKA OF INDIA

    Directory of Open Access Journals (Sweden)

    Archana Aravindrao Dambal

    2017-09-01

    Full Text Available BACKGROUND Dialysis units need regular prophylactic disinfection of the dialysis water production and distribution circuit without which there can be chronic inflammation among patients using the facility. The aim of the study is to present here our experience in containing an episode of microbial contamination of dialysis water. MATERIALS AND METHODS Our haemodialysis unit had a single pass reverse osmosis plant with facility for pretreatment of raw water and a distribution loop of medical grade PVC (polyvinyl chloride feeding haemodialysis machines, bicarbonate preparation and dialyser reprocessing areas. After installation, the Reverse Osmosis (RO membranes and distribution loop were disinfected every fortnight using formalin. Cultures of product water were sent from various sites in the product water loop every month. RESULTS From January to April 2011, 15 water samples out of 52 water samples grew Pseudomonas aeruginosa with a colony count over 200 Colony-Forming Units (CFU. The average monthly number of haemodialysis was reduced from 84.75 to 65. Two patients had intradialytic pyrexia and two others had mild lower respiratory infection. So, the reverse osmosis plant and product water distribution system were repeatedly disinfected using 2% formalin and 1% bleach ensuring contact time and thorough rinsing to address persistent cultures. When these measures could not eradicate microbial growth, the system was sanitised with Gramicid (48% w/w H2O2 + 500 ppm Ag and all traces of the disinfectant were rinsed away before resuming haemodialysis. CONCLUSION The microbial contamination of dialysis water was eradicated by Gramicid and not by bleach or formalin without any adverse effects after thorough rinsing.

  8. Taiwanese parents' experience of making a "do not resuscitate" decision for their child in pediatric intensive care unit.

    Science.gov (United States)

    Liu, Shu-Mei; Lin, Hung-Ru; Lu, Frank L; Lee, Tzu-Ying

    2014-03-01

    The purpose of this project was to explore the parental experience of making a "do not resuscitate" (DNR) decision for their child who is or was cared for in a pediatric intensive care unit in Taiwan. A descriptive qualitative study was conducted following parental signing of a standard hospital DNR form on behalf of their critically ill child. Sixteen Taiwanese parents of 11 children aged 1 month to 18 years were interviewed. Interviews were recorded, transcribed, analyzed and sorted into themes by the sole interviewer plus other researchers. Three major themes were identified: (a) "convincing points to sign", (b) "feelings immediately after signing", and (c) "post-signing relief or regret". Feelings following signing the DNR form were mixed and included "frustration", "guilt", and "conflicting hope". Parents adjusted their attitudes to thoughts such as "I have done my best," and "the child's life is beyond my control." Some parents whose child had died before the time of the interview expressed among other things "regret not having enough time to be with and talk to my child". Open family visiting hours plus staff sensitivity and communication skills training are needed. To help parents with this difficult signing process, nurses and other professionals in the pediatric intensive care unit need education on initiating the conversation, guiding the parents in expressing their fears, and providing continuing support to parents and children throughout the child's end of life process. Copyright © 2013. Published by Elsevier B.V.

  9. United States experience in environmental cost-benefit analysis for nuclear power plants with implications for developing countries

    International Nuclear Information System (INIS)

    Spangler, M.B.

    1980-08-01

    Environmental cost-benefit analysis in the United States involves a comparison of diverse societal impacts of the proposed developments and its alternatives. Regarding nuclear power plant licensing actions, such analyses include the need for base-load electrical generating capacity versus the no-action alternative; alternative sources of energy; alternative sites for the proposed nuclear plants; and alternative technologies for mitigating environmental impacts. Many U.S. experiences and environmental assessment practices and comparative resource requirements presented in this report will not provide a wholly reliable reflection of the precise situation of each country. Nevertheless, the procedural and substantive issues encountered by the United States in nuclear power plant licensing may exhibit a number of important, if rough, parallelisms for other countries. Procedural issues dealt with include: the scoping of alternatives and impact issues; the problem of balancing incommensurable impacts; and treating uncertainty in measuring or forecasting certain kinds of environmental impacts. Although substantive environmental impact issues will vary appreciably among nations, it is to be expected that many of the substantive impact issues such as impacts on biota, community-related effects, and aesthetic impacts will also have some measure of universal interest to other countries

  10. Kidney Paired Donation and the "Valuable Consideration" Problem: The Experiences of Australia, Canada, and the United States.

    Science.gov (United States)

    Toews, Maeghan; Giancaspro, Mark; Richards, Bernadette; Ferrari, Paolo

    2017-09-01

    As organ donation rates remain unable to meet the needs of individuals waiting for transplants, it is necessary to identify reasons for this shortage and develop solutions to address it. The introduction of kidney paired donation (KPD) programs represents one such innovation that has become a valuable tool in donation systems around the world. Although KPD has been successful in increasing kidney donation and transplantation, there are lingering questions about its legality. Donation through KPD is done in exchange for-and with the expectation of-a reciprocal kidney donation and transplantation. It is this reciprocity that has caused concern about whether KPD complies with existing law. Organ donation systems around the world are almost universally structured to legally prohibit the commercial exchange of organs. Australia, Canada, and the United States have accomplished this goal by prohibiting the exchange of an organ for "valuable consideration," which is a legal term that has not historically been limited to monetary exchange. Whether or not KPD programs violate this legislative prohibition will depend on the specific legislative provision being considered, and the legal system and case law of the particular jurisdiction in question. This article compares the experiences of Australia, Canada, and the United States in determining the legality of KPD and highlights the need for legal clarity and flexibility as donation and transplantation systems continue to evolve.

  11. Experiences of patients with cancer and their nurses on the conditions of spiritual care and spiritual interventions in oncology units.

    Science.gov (United States)

    Rassouli, Maryam; Zamanzadeh, Vahid; Ghahramanian, Akram; Abbaszadeh, Abbas; Alavi-Majd, Hamid; Nikanfar, Alireza

    2015-01-01

    Although nurses acknowledge that spiritual care is part of their role, in reality, it is performed to a lesser extent. The purpose of the present study was to explore nurses' and patients' experiences about the conditions of spiritual care and spiritual interventions in the oncology units of Tabriz. This study was conducted with a qualitative conventional content analysis approach in the oncology units of hospitals in Tabriz. Data were collected through purposive sampling by conducting unstructured interviews with 10 patients and 7 nurses and analyzed simultaneously. Robustness of data analysis was evaluated by the participants and external control. Three categories emerged from the study: (1) "perceived barriers for providing spiritual care" including "lack of preparation for spiritual care," "time and space constraints," "unprofessional view," and "lack of support"; (2) "communication: A way for Strengthening spirituality despite the limitations" including "manifestation of spirituality in the appearances and communicative behaviors of nurses" and "communication: Transmission of spiritual energy"; and (3) "religion-related spiritual experiences" including "life events as divine will and divine exam," "death as reincarnation," "trust in God," "prayer/recourse to Holy Imams," and "acceptance of divine providence." Although nurses had little skills in assessing and responding to the patients' spiritual needs and did not have the organizational and clergymen's support in dealing with the spiritual distress of patients, they were the source of energy, joy, hope, and power for patients by showing empathy and compassion. The patients and nurses were using religious beliefs mentioned in Islam to strengthen the patients' spiritual dimension. According to the results, integration of spiritual care in the curriculum of nursing is recommended. Patients and nurses can benefit from organizational and clergymen's support to cope with spiritual distress. Researchers should

  12. Experience in connecting the power generating units of thermal power plants to automatic secondary frequency regulation within the united power system of Russia

    International Nuclear Information System (INIS)

    Zhukov, A. V.; Komarov, A. N.; Safronov, A. N.; Barsukov, I. V.

    2009-01-01

    The principles of central control of the power generating units of thermal power plants by automatic secondary frequency and active power overcurrent regulation systems, and the algorithms for interactions between automatic power control systems for the power production units in thermal power plants and centralized systems for automatic frequency and power regulation, are discussed. The order of switching the power generating units of thermal power plants over to control by a centralized system for automatic frequency and power regulation and by the Central Coordinating System for automatic frequency and power regulation is presented. The results of full-scale system tests of the control of power generating units of the Kirishskaya, Stavropol, and Perm GRES (State Regional Electric Power Plants) by the Central Coordinating System for automatic frequency and power regulation at the United Power System of Russia on September 23-25, 2008, are reported.

  13. Using drawings to understand the child's experience of child-centred care on admission to a paediatric high dependency unit.

    Science.gov (United States)

    Foster, Mandie; Whitehead, Lisa

    2018-01-01

    Family- and child-centred care are philosophies of care used within paediatrics where the family and/or the child are central to healthcare delivery. This study explored the lived experience of hospitalized school-aged children admitted to a paediatric high dependency unit in New Zealand to gain insight into child-centred care from a child's perspective. An interpretive thematic approach was used where the child was asked to draw a picture of 'a person in the hospital' that was further explored through interviews. The interviews were recorded and transcribed verbatim with an inductive thematic analysis completed, drawing on the child-centred care framework. Twenty-six school-aged children participated. The pictures included drawings of family, staff, children and themselves. The themes generated from the interviews were relationships with themselves, family and staff and psychosocial, emotional and physical support. Children described themselves as co-creators of their own healthcare experience, consistent with child-centred care, while drawing on the principles of family-centred care. Further exploration of the concepts of 'participation versus protection' and 'child as becoming versus child as being' will contribute to translation and integration of child-centred care and family-centred care principles into practice, theory, research and policy.

  14. Faculty and Students’ Perceptions of Student Experiences in a Medical School Undergoing Curricular Transition in the United Arab Emirates

    Directory of Open Access Journals (Sweden)

    Syed I Shehnaz

    2012-02-01

    Full Text Available Objectives: In 2008, the Gulf Medical College in the United Arab Emirates underwent a curricular change from a discipline-based to an organ-system-based integrated curriculum. In this context, this study aimed to compare the faculty and students’ perceptions of the student experiences with the new curriculum. Methods: Data were collected from faculty and second-year students in the integrated curriculum using the Dundee Ready Education Environment Measure (DREEM. Data collected were transferred to Predictive Analytics Software, Version 18. Global and domain scores were assessed with the Wilcoxon Rank-Sum Test. Percentage agreement, disagreement and uncertainty were assessed by the z-test for proportion. Results: There were no significant differences between the total DREEM scores of faculty (139/200 and students (135/200. The faculty perceived that the students were experiencing significantly more positive learning as indicated by the domain score of “Students' Perceptions of Learning”. Proportions of agreement between faculty and students showed that more faculty members than students perceived the need for increased feedback to students and a greater emphasis on long term learning. Conclusion: The study showed that the faculty and students had similar perceptions about the student experiences in the integrated curriculum. Areas necessitating remedial measures were the need for faculty to learn constructive feedback techniques and an emphasis on long term learning in the new curriculum.

  15. Radiation exposure reduction technologies for a Japanese Advanced BWR (Dose Rate Reduction Experience in Shika Unit 2)

    International Nuclear Information System (INIS)

    Saito, Takeshi; Ichikawa, Koji; Ishimaru, Hiroshi; Aizawa, Motohiro; Sato, Yoshiteru; Morita, Shoichi

    2012-09-01

    Operating experiences of the advanced boiling water reactor (ABWR) have been accumulated in Japan since the first ABWRs Kashiwazaki-Kariwa NPS unit 6 and 7 came into service. Shika NPS unit 2 (Shika-2) of Hokuriku Electric Power Co. is the fourth ABWR plant in Japan. Since ABWRs have no piping of the reactor recirculation system (RRS), which is the largest source of radiation in conventional BWRs, carbon steel piping of the reactor water cleanup system (RWCU) and residual heat removal system (RHR) are the largest source in ABWRs. Therefore we have focused on reduction methods of radioactive material on carbon steel surface in order to reduce the quantity of occupational exposure in Shika-2. In Shika-2 the following methods have been adopted. Before fuel loading, alkaline pre-filming process was applied to the RWCU piping during plant startup testing. After start of operation, the feed water iron concentration control (or nickel/iron ratio control) method was applied. Furthermore, during shutdown operation the RHR system was operated when the reactor water temperature was dropped to 120 degree C with the use of condenser heat sink cooling operation. These dose rate reduction methods worked well in Shika-2 as expected. The quantity of occupational exposure at the 3 rd outage in Shika-2 was approximately 0.35 person-Sv. On the basis of the results obtained thus far, the occupational dose expected at the outage after deposition amount of radioactivity reaching the equilibrium state has been estimated to be around 0.5 person-Sv. This value is considered to be in low level compared with the worldwide statistics. (authors)

  16. Experiences Using Pre-Exposure Prophylaxis for Safer Conception Among HIV Serodiscordant Heterosexual Couples in the United States.

    Science.gov (United States)

    Bazzi, Angela R; Leech, Ashley A; Biancarelli, Dea L; Sullivan, Meg; Drainoni, Mari-Lynn

    2017-08-01

    Antiretroviral pre-exposure prophylaxis (PrEP) is a promising HIV prevention strategy for HIV serodiscordant couples (HIV-infected male, uninfected female) seeking safer conception. However, most research on PrEP for safer conception has focused on couples in sub-Saharan Africa; little is known about the perspectives or experiences of heterosexual couples in the United States. We conducted qualitative interviews with six couples (six women and five of their male partners) receiving PrEP for conception services at an urban safety net hospital in the US Northeast. In-depth interview guides explored couple relationships and contextual factors and attitudes, perceptions, and decision-making processes surrounding PrEP for safer conception. Thematic analyses focused on identifying the following emergent themes. We found that couple relationships were situated within broader social and cultural contexts of immigration, family, and community that shaped their experiences with HIV and serodiscordant relationship status. Despite strong partner support within relationships, HIV stigma and disapproval of serodiscordant relationships contributed to couples' feelings of social isolation and subsequent aspirations to have "normal" families. By enabling "natural" conception through condomless sex, PrEP for safer conception provided a sense of enhanced relationship intimacy. Couples called for increasing public awareness of PrEP through positive messaging as a way to combat HIV stigma. Findings suggest that relationship dynamics and broader social contexts appear to shape HIV serodiscordant couples' fertility desires and motivations to use PrEP. However, increased public awareness of PrEP for safer conception may be needed to combat HIV stigma at the community level.

  17. Perspectives for utilization of the experience from the electrical equipment modernization of Kozloduy NPP units 5 and 6 in case of construction of new NPP

    International Nuclear Information System (INIS)

    Bogdanov, D.

    2005-01-01

    In 2005 a governmental decision for continue the project for construction of Belene NPP was adopted. In case of start of this significant project in short terms, a good option will be to utilize the already achieved experience by the modernization program of units 5 and 6 of Kozloduy NPP. The process of construction of new NPP is associated with significant amount of engineering, civil construction works, equipment order and delivery, installation works, testing and commissioning activities. It is vital necessity to have optimal technology, strict organization for project implementation and excellent documentation. From technical point of view the experience from the modernization of units 5 and 6 of Kozloduy NPP will be very important in case of utilization of similar types of WWER 1000 units. According to the 'Feasibility study for construction of Belene NPP', the most favorable option is to accomplish the already partially constructed Unit 1 on the basis of upgraded WWER B-320 design - WWER 1000 B-392, in order to fulfill IEC 331-3A, IEC 332-3A, and of US NRC Regulatory Guide 1.70 and to construct the second unit on the basis of ASE WWER/1000 B-466. However, for any type of unit selected, the achieved experience will be an important basis. This article is focused mostly on the modernization aspects of some electrical systems of Kozloduy NPP

  18. Reflections on attitudes, experiences, and vulnerability of intimate partner violence among Southeast Asian college women living in United States.

    Science.gov (United States)

    Thongpriwan, Vipavee; Buseh, Aaron; Arunothong, Wachiraporn

    2015-12-01

    To provide culturally sensitive intimate partner violence (IPV) prevention programs for ethnic groups, a basic foundational understanding of Southeast Asian (SEA) women living in the United States is vital. The purpose of this study was to describe SEA college women's perceptions of IPV and how the women recognize their vulnerability to such violent situations. Qualitative methods using focus group discussions were employed to elicit participants' perceptions. Participants included 18 SEA college women, ages 18-34 (Mean=22; SD=7.22). Transcriptions were analyzed using a content analysis approach. Five themes emerged: recognition of IPV; perception of individual vulnerability to IPV; experience and responses to IPV; help seeking and support system; and strategies used for prevention of IPV. Findings yielded an understanding of intertwined issues of cultural norms associated with IPV, social and economic disparities, and challenges for IPV prevention in SEA communities. Culturally sensitive prevention programs will be more effective by reforming cultural values, while at the same time promoting non-violent relationships and increasing access to services. Published by Elsevier B.V.

  19. Experience with respect to dose limitation in nuclear fuel service operations in the United Kingdom supporting civil nuclear power programmes

    International Nuclear Information System (INIS)

    Kennedy, J.W.

    1983-01-01

    Within the United Kingdom, the nuclear power generation programme is supported by nuclear fuel services including uranium enrichment, fuel fabrication and reprocessing, operated by British Nuclear Fuels Limited (BNFL). These have entailed the processing of large quantities of uranium and of plutonium and fission products arising in the course of irradiation of fuel in nuclear power stations and have necessitated substantial programmes for the radiological protection of the public and of the workers employed in the industry. This paper presents and reviews the statistics of doses recorded in the various sectors of nuclear fuel services operations against the background of the standards to which the industry is required to operate. A description is given of the development of BNFL policy in keeping with the objective of being recognized as among those industries regarded as safe and the resource implications of measures to reduce doses received by workers are reviewed in the light of experience. Finally, the paper reviews the epidemiological data which have been, and continue to be, collected for workers who have been employed in these nuclear fuel services. (author)

  20. Experiences and needs of families regarding prognostic communication in an intensive care unit: supporting families at the end of life.

    Science.gov (United States)

    Gutierrez, Karen M

    2012-01-01

    This article reports the results of a study designed to explore the experiences and needs of family members for prognostic communication at end of life in an intensive care unit (ICU). Subjects in this qualitative study included 20 family members of patients at high risk for death in 1 adult medical/surgical ICU. All subjects were interviewed once utilizing a semistructured interview format, with approximately half interviewed multiple times during the ICU stay. Families described 5 themes of information-related "work": (1) hearing and recalling, (2) accessing, (3) interpreting, (4) retaining, and (5) utilizing information for decision making. Barriers, including accessing physicians and cognitive issues from high levels of stress, made this work difficult. Families described a need for prognostic information, especially if the prognosis was poor. Because hearing this news was difficult, they needed it communicated with respect, sensitivity, and compassion. Suggestions for clinical practice to support families in their information-related work are presented. Overall, the importance of providers approaching communication from a holistic perspective, extending beyond simply passing on information, is emphasized. Viewing communication as a therapeutic modality, and communicating with compassion, sensitivity, and a genuine sense of caring, can help provide both the information and the emotional support and comfort families desperately need.

  1. Lost in the present but confident of the past: experiences of being in a psycho-geriatric unit as narrated by persons with dementia.

    Science.gov (United States)

    Edvardsson, David; Nordvall, Karin

    2008-02-01

    To illuminate meanings of being in a psycho-geriatric unit. Background. There are known risks associated with moving persons with dementia from home to an institution, but little is known about how they experience being in psycho-geriatric units. Using open-ended research interviews, six persons with mild to severe dementia were asked to narrate about their experiences in the hospital. The interviews were interpreted using a phenomenological hermeneutical method of analysis. The comprehensive understanding of being in a psycho-geriatric unit points towards an understanding of being lost in the present but confident of the past. The analysis showed that the participants appeared lost as they could not narrate where they were and why, but that they became confident when narrating about their previous life. The analysis also showed that being in the hospital meant sharing living space with strangers, invasions of private space and establishing new acquaintances. Being in the unit could also mean boredom and devaluation for participants. The interviews were interpreted in the light of narrative theory of identity: persons with dementia narrating about previous life experiences as to make claims of how to be interpreted by others; as persons instead of merely as 'demented' patients. Experiences of care narrated by persons with dementia present meaningful and useful information that can provide feedback to inform care practice. Experiences of care from persons with dementia provide meaningful information about care and the doing and being of staff. Creating time for conversations with these persons may facilitate well-being.

  2. Time-of-flight data acquisition unit (DAU) for neutron scattering experiments. Specification of the requirements and design concept. Version 3.1

    International Nuclear Information System (INIS)

    Herdam, G.; Klessmann, H.; Wawer, W.; Adebayo, J.; David, G.; Szatmari, F.

    1989-12-01

    This specification describes the requirements for the Data Acquisition Unit (DAU) and defines the design concept for the functional units involved. The Data Acquisition Unit will be used in the following neutron scattering experiments: Time-of-Flight Spectrometer NEAT, Time-of-Flight Spectrometer SPAN. In addition, the data of the SPAN spectrometer in Spin Echo experiments will be accumulated. The Data Acquisition Unit can be characterised by the following requirements: Time-of-flight measurement with high time resolution (125 ns), sorting the time-of-flight in up to 4096 time channels (channel width ≥ 1 μs), selection of different time channel widths for peak and background, on-line time-of-flight correction for neutron flight paths of different lengths, sorting the detector position information in up to 4096 position channels, accumulation of two-dimensional spectra in a 32 Mbyte RAM memory (4 K time channels*4 K position channels*16 bits). Because of the stringent timing requirements the functional units of the DAU are hardware controlled via tables. The DAU is part of a process control system which has access to the functional units via the VMEbus in order to initialise, to load tables and control information, and to read status information and spectra. (orig.) With 18 figs

  3. Reflections on two years after establishing an orthogeriatric unit: a focus group study of healthcare professionals' expectations and experiences.

    Science.gov (United States)

    Abrahamsen, C; Nørgaard, B; Draborg, E; Nielsen, D

    2017-08-25

    For decades hospitals have been "vertically" organized, with the risk that specialization leads to fragmented and one-sided views of patient care and treatment that may cause poor communication and coordination of care and treatment. Two years after the introduction of an orthogeriatric unit for elderly patients admitted with fragility fractures, we studied the involved healthcare professionals' perspectives and experiences with working in an interprofessional organization. We performed four focus groups interviews with 19 healthcare workers representing different professions. The interviews were analysed using systematic text condensation (STC). Three themes were identified: 1) A patient-centred approach, 2) An opportunity for professional growth and 3) The benefits of interprofessional collaboration. The interviewees emphasized in particular the systematic and frequent face-to-face communication enabled by the interprofessional team meetings as essential to their feeling of enhanced collegial solidarity. All groups expressed their respect for other groups' competences and their vital contributions to good orthogeriatric care. However, collaboration was challenged by the groups' divergent views of the patients and of the relevance of the information given in the weekly meetings. Heavy workloads were also mentioned. The opportunity for professional growth was also felt to be imperilled by some professionals. All participants indicated their view that the orthogeriatric organization had improved the quality of care and treatment. Furthermore, good communication, mutual respect for other professional competences and shared goals were found to have enhanced interprofessional collaboration and improved the sense of having a shared mission. However, differences in approaches and expectations continued to challenge the orthogeriatric model after 2 years. Neither did all professionals find orthogeriatric care professionally challenging.

  4. Using 20-million-year-old amber to test the super-Arrhenius behaviour of glass-forming systems

    Science.gov (United States)

    Zhao, Jing; Simon, Sindee L.; McKenna, Gregory B.

    2013-04-01

    Fossil amber offers the opportunity to investigate the dynamics of glass-forming materials far below the nominal glass transition temperature. This is important in the context of classical theory, as well as some new theories that challenge the idea of an ‘ideal’ glass transition. Here we report results from calorimetric and stress relaxation experiments using a 20-million-year-old Dominican amber. By performing the stress relaxation experiments in a step-wise fashion, we measured the relaxation time at each temperature and, above the fictive temperature of this 20-million-year-old glass, this is an upper bound to the equilibrium relaxation time. The results deviate dramatically from the expectation of classical theory and are consistent with some modern ideas, in which the diverging timescale signature of complex fluids disappears below the glass transition temperature.

  5. Developing an Inclusive Learning Environment for Students with Visual Impairment in Higher Education: Progressive Mutual Accommodation and Learner Experiences in the United Kingdom

    Science.gov (United States)

    Hewett, Rachel; Douglas, Graeme; McLinden, Michael; Keil, Sue

    2017-01-01

    Drawing on the findings of a unique longitudinal qualitative study, this article investigates the experiences of 32 young people with visual impairment (VI) in higher education (HE) in the United Kingdom (UK) to explore how well they were able to participate on their courses. We propose and apply a Bioecological Model of Inclusive HE to interpret…

  6. BOOK REVIEW - The Experience of Face Veil Wearers in Europe and the Law (Cambridge University Press United Kingdom 2014. ISBN 978-1-107-05830-9.

    Directory of Open Access Journals (Sweden)

    Jacques L Matthee

    2017-03-01

    Full Text Available This contribution published by Cambridge University Press provides a short overview of the book by Eva Brems "The Experience of Face Veil Wearers in Europe and the Law" published by Cambridge University Press, United Kingdom, in 2014. See ISBN 978-1-107-05830-9.

  7. Language Anxiety: A Case Study of the Perceptions and Experiences of Students of English as a Foreign Language in a Higher Education Institution in the United Arab Emirates

    Science.gov (United States)

    Lababidi, Rola Ahmed

    2016-01-01

    This case study explores and investigates the perceptions and experiences of foreign language anxiety (FLA) among students of English as a Foreign Language in a Higher Education Institution in the United Arab Emirates. The first phase explored the scope and severity of language anxiety among all Foundation level male students at a college in the…

  8. Comparison of USDA Forest Service and stakeholder motivations and experiences in collaborative federal forest governance in the Western United States

    Science.gov (United States)

    Emily Jane Davis; Eric M. White; Lee K. Cerveny; David Seesholtz; Meagan L. Nuss; Donald R. Ulrich

    2017-01-01

    In the United States, over 191 million acres of land is managed by the United States Department of Agriculture Forest Service, a federal government agency. In several western U.S. states, organized collaborative groups have become a de facto governance approach to providing sustained input on management decisions on much public land. This is most extensive in Oregon,...

  9. A survey on the knowledge and attitudes of anaesthesia providers in the United States of America, United Kingdom and Singapore on visual experiences during cataract surgery.

    Science.gov (United States)

    Tan, C S H; Kumar, C M; Fanning, G L; Lai, Y C; Au Eong, K G

    2006-04-01

    To assess the knowledge, beliefs and attitudes of anaesthesia providers on the patients' possible intraoperative visual experiences during cataract surgery under local anaesthesia. Anaesthesia providers from the Ophthalmic Anaesthesia Society (USA); British Ophthalmic Anaesthesia Society (UK); Alexandra Hospital, National University Hospital, Tan Tock Seng Hospital, Singapore General Hospital and Changi General Hospital (Singapore) were surveyed using a structured questionnaire. A total of 146 anaesthesiologists (81.6%), 10 ophthalmologists (5.6%) and 23 nurse anaesthetists (12.8%) responded to the survey. Most respondents believed that patients would experience light perception and many also felt that patients might encounter other visual sensations such as movements, flashes, colours, surgical instruments, hands/fingers and the surgeon during the surgery. A significantly higher proportion of anaesthesia providers with previous experience of monitoring patients under topical anaesthesia believed that patients might experience the various visual sensations compared to those who have not previously monitored. For both topical and regional anaesthesia, anaesthesia providers who routinely counsel their patients are (1) more likely to believe that preoperative counselling helps or (2) were previously told by patients that they could see intraoperatively and/or that they were frightened by their visual sensations. These findings were statistically significant. The majority of anaesthesia providers in the USA, UK and Singapore are aware that patients may experience a variety of visual sensations during cataract surgery under regional or topical anaesthesia. Those who have previously managed patients undergoing cataract surgery under topical anaesthesia are more likely to believe this compared to those who have not.

  10. Parents' experiences of transition when their infants are discharged from the Neonatal Intensive Care Unit: a systematic review protocol.

    Science.gov (United States)

    Aagaard, Hanne; Uhrenfeldt, Lisbeth; Spliid, Mette; Fegran, Liv

    2015-10-01

    The objective of this review is to identify, appraise and synthesize the best available studies exploring parents' experiences of transition when their infants are discharged from the Neonatal Intensive Care Unit (NICU).The review questions are: Giving birth to a premature or sick infant is a stressful event for parents. The parents' presence and participation in the care of the infant is fundamental to reduce this stress and to provide optimal care for both the premature or sick infant and family. A full term pregnancy is estimated to last between 37 and 40 weeks. Preterm infants born before 28 week (5.1%) are defined as extremely preterm, while those who are born between 28 to 31 weeks (10.3%) are defined as very preterm. The majority of the preterm (84.1%) are born between 32 to 37 week and may have significant medical problems requiring prolonged hospitalization.The prevalence of preterm birth is increasing worldwide. More than one in ten babies are born preterm annually. This is equal to 15 million preterm infants born globally and the second largest direct cause of deaths in children below five. The highest rates of preterm birth are in Sub-Saharan Africa and South Asia (more than 60%) and the lowest rates are in Northern Africa, Western Asia, Latin America and the Caribbean. The preterm birth rates in the developing countries vary widely and follow a different pattern than in high income countries.The preterm birth rate has increased between 1990 and 2010 with an average of 0.8% annually in almost all countries. Morbidity among critically ill newborn and preterm infants vary widely from no late effects to severe complications, such as visual or hearing impairment, chronic lung disease, growth failure in infancy and specific learning impairments, dyslexia and reduced academic achievement. Full term infants may also experience significant health problems requiring neonatal intensive care. The most common reasons for a full term infant to be admitted to a NICU

  11. Thermal maturity and burial history modelling of shale is enhanced by use of Arrhenius time-temperature index and memetic optimizer

    Directory of Open Access Journals (Sweden)

    David A. Wood

    2018-03-01

    Full Text Available Thermal maturity indices and modelling based on Arrhenius-equation reaction kinetics have played an important role in oil and gas exploration and provided petroleum generation insight for many kerogen-rich source rocks. Debate continues concerning how best to integrate the Arrhenius equation and which activation energies (E and frequency factors (A values to apply. A case is made for the strong theoretical basis and practical advantages of the time-temperature index (∑TTIARR method, first published in 1998, using a single, carefully selected E-A set (E = 218 kJ/mol (52.1 kcal/mol; A = 5.45E+26/my from the well-established A-E trend for published kerogen kinetics. An updated correlation between ∑TTIARR and vitrinite reflectance (Ro is provided in which the ∑TTIARR scale spans some 18 orders of magnitude. The method is readily calculated in spreadsheets and can be further enhanced by visual basic for application code to provide optimization. Optimization is useful for identifying possible geothermal gradients and erosion intervals covering multiple burial intervals that can match calculated thermal maturities with measured Ro data. A memetic optimizer with firefly and dynamic local search memes is described that flexibly conducts exploration and exploitation of the feasible, multi-dimensional, thermal history solution space to find high-performing solutions to complex burial and thermal histories. A complex deep burial history example, with several periods of uplift and erosion and fluctuating heat flow is used to demonstrate what can be achieved with the memetic optimizer. By carefully layering in constraints to the models specific insights to episodes in their thermal history can be exposed, leading to better characterization of the timing of petroleum generation. The objective function found to be most effective for this type of optimization is the mean square error (MSE of multiple burial intervals for the difference between

  12. Nuclear Spin Lattice Relaxation and Conductivity Studies of the Non-Arrhenius Conductivity Behavior in Lithium Fast Ion Conducting Sulfide Glasses

    Energy Technology Data Exchange (ETDEWEB)

    Meyer, Benjamin Michael [Iowa State Univ., Ames, IA (United States)

    2003-01-01

    As time progresses, the world is using up more of the planet's natural resources. Without technological advances, the day will eventually arrive when these natural resources will no longer be sufficient to supply all of the energy needs. As a result, society is seeing a push for the development of alternative fuel sources such as wind power, solar power, fuel cells, and etc. These pursuits are even occurring in the state of Iowa with increasing social pressure to incorporate larger percentages of ethanol in gasoline. Consumers are increasingly demanding that energy sources be more powerful, more durable, and, ultimately, more cost efficient. Fast Ionic Conducting (FIC) glasses are a material that offers great potential for the development of new batteries and/or fuel cells to help inspire the energy density of battery power supplies. This dissertation probes the mechanisms by which ions conduct in these glasses. A variety of different experimental techniques give a better understanding of the interesting materials science taking place within these systems. This dissertation discusses Nuclear Magnetic Resonance (NMR) techniques performed on FIC glasses over the past few years. These NMR results have been complimented with other measurement techniques, primarily impedance spectroscopy, to develop models that describe the mechanisms by which ionic conduction takes place and the dependence of the ion dynamics on the local structure of the glass. The aim of these measurements was to probe the cause of a non-Arrhenius behavior of the conductivity which has been seen at high temperatures in the silver thio-borosilicate glasses. One aspect that will be addressed is if this behavior is unique to silver containing fast ion conducting glasses. more specifically, this study will determine if a non-Arrhenius correlation time, τ, can be observed in the Nuclear Spin Lattice Relaxation (NSLR) measurements. If so, then can this behavior be modeled with a new single

  13. Maternity care for trafficked women: Survivor experiences and clinicians' perspectives in the United Kingdom's National Health Service.

    Science.gov (United States)

    Bick, Debra; Howard, Louise M; Oram, Sian; Zimmerman, Cathy

    2017-01-01

    Although trafficked women and adolescents are at risk of unprotected or forced sex, there is little research on maternity care among trafficking survivors. We explored health care needs, service use and challenges among women who became pregnant while in the trafficking situation in the United Kingdom (UK) and clinicians' perspectives of maternity care for trafficked persons. Cross-sectional survey and qualitative interviews with trafficking survivors recruited from statutory and voluntary sector organisations in England and qualitative interviews with maternity clinicians and family doctors undertaken to offer further insight into experiences reported by these women. Twenty-eight (29%) of 98 women who took part in a large study of trafficking survivors reported one or more pregnancies while trafficked, whose data are reported here. Twelve (42.8%) of these women reported at least one termination of pregnancy while in the trafficking situation and 25 (89.3%) experienced some form of mental health disorder. Nineteen (67.9%) women experienced pre-trafficking physical abuse and 9 (32.%) sexual abuse. A quarter of women were trafficked for sexual exploitation, six for domestic servitude and two for manual labour. Survivors and clinicians described service challenges, including restrictions placed on women's movements by traffickers, poor knowledge on how to access maternity care, poor understanding of healthcare entitlements and concerns about confidentiality. Maternity care clinicians recognised potential indicators of trafficking, but considered training would help them identify and respond to victims. Main limitations include that findings reflect women who had exited the trafficking situation, however as some had only recently exited the trafficking situation, difficulties with recall were likely to be low. More than one in four women became pregnant while trafficked, indicating that maternity services offer an important contact point for identification and care

  14. The National School Lunch Program: Ideas, proposals, policies, and politics shaping students' experiences with school lunch in the United States, 1946 - present

    OpenAIRE

    Gosliner, Wendi Anne

    2013-01-01

    AbstractThe National School Lunch Program:Ideas, proposals, policies, and politics shaping students' experiences with school lunch in the United States, 1946 - presentBy Wendi Anne GoslinerDoctor of Public HealthUniversity of California, BerkeleyProfessor Ann Keller, ChairOn an average school day in 2012, The National School Lunch Program (NSLP) supported the provision of lunch meals to almost 2/3 of school-age youth in the United States. Recent spikes in childhood obesity rates and the emerg...

  15. Development of a unit suitable for corrosion monitoring in district heating systems. Experiences with the LOCOR-cell test method

    DEFF Research Database (Denmark)

    Andersen, Asbjørn; Hilbert, Lisbeth Rischel

    2004-01-01

    A by-pass unit suitable for placement of a number of different probes for corrosion monitoring has been designed. Also measurements of water parameters are allowed in a side stream from the unit. The project is a part of the Nordic Innovation Fund project KORMOF. The by-pass unit has been installed...... in 6 pressurised circulating heating systems and in one cooling system. 7 different corrosion monitoring methods have been used to study corrosion rates and types in dependency of water chemistry. This paper describes the design of the by-pass unit including water analysis methods. It also describes...... the purpose, background and gained results of one of the used monitoring techniques, the crevice corrosion measurements obtained by the LOCOR-Cell„§. The crevice corrosion cell was developed by FORCE Technology in a previous district heating project financed by Nordic Industrial Fund (1)(2). Results from...

  16. Comparative Study on Subjective Experience of Elder Abuse Between Older Korean Immigrants in the United States and Older Koreans in Korea.

    Science.gov (United States)

    Chang, Miya

    2018-01-01

    This study examines the prevalence of elder abuse and the relationship between sociodemographic factors and elder abuse among older Koreans in the United States and Korea. Survey data from older Koreans aged between 60 and 79 years from the two countries ( n = 480) were analyzed descriptively and in binary logistic regressions. This study found a similar prevalence of elder abuse in the two samples, with 26% of older Korean immigrants in the United States reporting abuse and 23% of older Koreans in Korea reporting abuse. However, there were significant differences in the types of emotional abuse experienced by older Koreans in both countries. Reports of some types of emotional abuse, such as 'name calling' and 'silent treatment,' were significantly higher in the United States than in Korea. These findings expand our knowledge of the experience of elder abuse among older Koreans in both countries.

  17. Assessment of the Relationship between Recurrent High-risk Pregnancy and Mothers’ Previous Experience of Having an Infant Admitted to a Neonatal Intensive Care Unit

    Directory of Open Access Journals (Sweden)

    Sedigheh Hantoosh Zadeh

    2015-01-01

    Full Text Available Background & aim:  High-risk pregnancies increase the risk of Intensive Care Unit (ICU and Neonatal Intensive Care Unit (NICU admission in mothers and their newborns. In this study, we aimed to identify the association between the recurrence of high-risk pregnancy and mothers’ previous experience of having an infant admitted to NICU. Methods:We performed a cohort, retrospective study to compare subsequent pregnancy outcomes among 232 control subjects and 200 female cases with a previous experience of having a newborn requiring NICU admission due to intrauterine growth retardation, preeclampsia, preterm birth, premature rupture of membranes, and asphyxia. The information about the prevalence of subsequent high-risk pregnancies was gathered via phone calls. Results: As the results indicated, heparin, progesterone, and aspirin were more frequently administered in the case group during subsequent pregnancies, compared to the control group (P

  18. 5-year operation experience with the 1.8 K refrigeration units of the LHC cryogenic system

    CERN Document Server

    Ferlin, G; Claudet, S; Pezzetti, M

    2015-01-01

    Since 2009, the Large Hadron Collider (LHC) is in operation at CERN. The LHC superconducting magnets distributed over eight sectors of 3.3-km long are cooled at 1.9 K in pressurized superfluid helium. The nominal operating temperature of 1.9 K is produced by eight 1.8-K refrigeration units based on centrifugal cold compressors (3 or 4 stages depending to the vendor) combined with warm volumetric screw compressors with sub-atmospheric suction. After about 5 years of continuous operation, we will present the results concerning the availability for the final user of these refrigeration units and the impact of the design choice on the recovery time after a system trip. We will also present the individual results for each rotating machinery in terms of failure origin and of Mean Time between Failure (MTBF), as well as the consolidations and upgrades applied to these refrigeration units.

  19. 5-year operation experience with the 1.8 K refrigeration units of the LHC cryogenic system

    Science.gov (United States)

    Ferlin, G.; Tavian, L.; Claudet, S.; Pezzetti, M.

    2015-12-01

    Since 2009, the Large Hadron Collider (LHC) is in operation at CERN. The LHC superconducting magnets distributed over eight sectors of 3.3-km long are cooled at 1.9 K in pressurized superfluid helium. The nominal operating temperature of 1.9 K is produced by eight 1.8-K refrigeration units based on centrifugal cold compressors (3 or 4 stages depending to the vendor) combined with warm volumetric screw compressors with sub-atmospheric suction. After about 5 years of continuous operation, we will present the results concerning the availability for the final user of these refrigeration units and the impact of the design choice on the recovery time after a system trip. We will also present the individual results for each rotating machinery in terms of failure origin and of Mean Time between Failure (MTBF), as well as the consolidations and upgrades applied to these refrigeration units.

  20. The experience in the Cernavoda Unit 1 operation - a stimulating argument for future nuclear power development in Romania

    International Nuclear Information System (INIS)

    Rotaru, I.; Bucur, I.; Galeriu, A.C.; Budan, O.

    1999-01-01

    The Romanian nuclear program has been developed based on the option for CANDU type reactors. At the beginning, this program was unrealistically conceived and its management was inappropriate. The program was reconsidered in 1990 and the management policy and organization structure were also adapted accordingly. The paper presents, in the first part, the actual organization structure, adapted for the execution of the current and future activities, related to the nuclear power program. The performance achieved by Cernavoda Unit 1 constitutes the main part of the paper. The performances described demonstrate that the Cernavoda Unit 1 is a success and the Romania's electricity needs are satisfied in a proportion of about 12% by the nuclear power. The paper also presents a general view on Cernavoda Unit 2 perspectives. The essential conclusion of the paper is that the continuation of the nuclear program appears to be a logical option, generally accepted in Romania, limited only by financial restraints. (author)

  1. Regulation of Say on Pay: Engineering Incentives for Executives and Directors – Experiences from the United States and Implications for Regulation in Switzerland

    OpenAIRE

    Müller, Lukas

    2011-01-01

    The debate about the compensation of executives and directors is a discussion about incentives and agency costs. This article analyzes basic tools to reduce agency costs and also assesses the ongoing debate about the future regulation of the compensation of executives and directors. It draws upon legislative experience from the United States. Recently proposed legislation in Switzerland attempts to empower shareholders with the draft of the Swiss Code of Obligations (CO). The main motivation ...

  2. Cross-cultural comparison of long-term care in the United States and Finland: Research done through a short-term study-abroad experience.

    Science.gov (United States)

    Kruger, Tina M; Gilland, Sarah; Frank, Jacquelyn B; Murphy, Bridget C; English, Courtney; Meade, Jana; Morrow, Kaylee; Rush, Evan

    2017-01-01

    In May 2014, a short-term study-abroad experience was conducted in Finland through a course offered at Indiana State University (ISU). Students and faculty from ISU and Eastern Illinois University participated in the experience, which was created to facilitate a cross-cultural comparison of long-term-care settings in the United States and Finland. With its outstanding system of caring for the health and social needs of its aging populace, Finland is a logical model to examine when considering ways to improve the quality of life for older adults who require care in the United States . Those participating in the course visited a series of long-term-care facilities in the region surrounding Terre Haute, Indiana, then travelled to Lappeenranta, Finland to visit parallel sites. Through limited-participation observation and semistructured interviews, similarities and differences in experiences, educations, and policies affecting long-term care workers in the United States and Finland were identified and are described here.

  3. Teaching Mass Transfer and Filtration Using Crossflow Reverse Osmosis and Nanofiltration: An Experiment for the Undergraduate Unit Operations Lab

    Science.gov (United States)

    Anastasio, Daniel; McCutcheon, Jeffrey

    2012-01-01

    A crossflow reverse osmosis (RO) system was built for a senior-level chemical engineering unit operations laboratory course. Intended to teach students mass transfer fundamentals related to membrane separations, students tested several commercial desalination membranes, measuring water flux and salt rejections at various pressures, flow rates, and…

  4. Experience with the selection method in pine stands in the southern United States, with implications for future application

    Science.gov (United States)

    James M. Guldin

    2011-01-01

    The selection method applied in shade-intolerant pine stands in the southern United States has been shown to be an effective method of uneven-aged silviculture, but it is becoming less frequently practiced for a variety of reasons. Economically, the high value of standing timber puts fully stocked uneven-aged pine stands at risk of liquidation if the timberland is sold...

  5. Quantifying the multi-scale response of avifauna to prescribed fire experiments in the southwest United States

    Science.gov (United States)

    Brett G. Dickson; Barry R. Noon; Curtis H. Flather; Stephanie Jentsch; William M. Block

    2009-01-01

    Landscape-scale disturbance events, including ecological restoration and fuel reduction activities, can modify habitat and affect relationships between species and their environment. To reduce the risk of uncharacteristic stand-replacing fires in the southwestern United States, land managers are implementing restoration and fuels treatments (e.g., mechanical thinning,...

  6. Expatriate Academic Staff in the United Arab Emirates: The Nature of Their Work Experiences in Higher Education Institutions

    Science.gov (United States)

    Austin, Ann E.; Chapman, David W.; Farah, Samar; Wilson, Elisabeth; Ridge, Natasha

    2014-01-01

    As many countries expand their higher education systems, they must attract, support, and retain qualified academic staff. This paper focuses on the United Arab Emirates (UAE) as a case study of a nation drawing on large numbers of mostly expatriate faculty working in short-term academic appointments. The paper begins by considering the national…

  7. Taiwanese Parents' Experience of Making a “Do Not Resuscitate” Decision for Their Child in Pediatric Intensive Care Unit

    Directory of Open Access Journals (Sweden)

    Shu-Mei Liu, RN, MN

    2014-03-01

    Conclusion: Open family visiting hours plus staff sensitivity and communication skills training are needed. To help parents with this difficult signing process, nurses and other professionals in the pediatric intensive care unit need education on initiating the conversation, guiding the parents in expressing their fears, and providing continuing support to parents and children throughout the child's end of life process.

  8. Collaborative Disaster Preparedness: Vietnam, the United States, and Regional Experiences (Proceedings from Da Nang, Vietnam, August 1820, 2015)

    Science.gov (United States)

    2016-05-19

    Children, and Catholic Relief Services work to build capacity for communities to respond to disasters 4. incident command system (ICS) (U.S. Forest Service...including Australia, Fiji, France , New Zealand, and the United Kingdom) offered military support to the government’s response. The civilian

  9. Non-Arrhenius conductivity in the fast ionic conductor Li0.5La0.5TiO3: Reconciling spin-lattice and electrical-conductivity relaxations

    International Nuclear Information System (INIS)

    Leon, C.; Santamaria, J.; Paris, M.A.; Sanz, J.; Ibarra, J.; Torres, L.M.

    1997-01-01

    Nuclear magnetic resonance and electrical conductivity measurements are conducted to study the dynamics of the ionic diffusion process in the crystalline ionic conductor Li 0.5 La 0.5 TiO 3 . dc conductivity shows a non-Arrhenius temperature dependence, similar to the one recently reported for some ionic conducting glasses. Spin-lattice and conductivity relaxations are analyzed in the same frequency and temperature range in terms of the non-Arrhenius dependence of the correlation time. Both relaxations are then described using a single correlation function of the form f(t)=exp(-(t/τ) β ), with β=0.4 over the whole temperature range. copyright 1997 The American Physical Society

  10. Dr Julia King CBE FREng, Chief Executive Designate, Institute of Physics (United Kingdom), visiting the NA48 experiment.

    CERN Multimedia

    Patrice Loïez

    2002-01-01

    Photo 02: Visiting the NA48 experiment, Dr Julia King, Chief Executive Designate, Institute of Physics (Britain and Ireland) (right) with A. Ceccucci and K. Peach. Photo 05: Visiting the NA48 experiment, Dr Julia King, Chief Executive Designate, Institute of Physics (Britain and Ireland) (centre) with A. Ceccucci and C. Lazzeroni. Photo 08: Visiting the NA48 experiment, Dr Julia King, Chief Executive Designate, Institute of Physics (Britain and Ireland) (second from left) with (left to right) R. Barlow, J. Wood, N. McCubbin, K. Peach, A. Ceccucci, C. Lazzeroni, M. Patel and D. Munday.

  11. A comparison of the education and work experiences of immigrant and the United States of America-trained nurses.

    Science.gov (United States)

    Mazurenko, O; Gupte, G; Shan, G

    2014-12-01

    This study examined the education and work experience of immigrant and American-trained registered nurses from 1988 to 2008. The USA increasingly relies on immigrant nurses to fill a significant nursing shortage. These nurses receive their training overseas, but can obtain licenses to practice in different countries. Although immigrant nurses have been in the USA workforce for several decades, little is known about how their education and work experience compares with USA-trained nurses. Yet much is presumed by policy makers and administrators who perpetuate the stereotype that immigrant nurses are not as qualified. We analysed the National Sample Survey of Registered Nurses datasets from 1988 to 2008 using the Cochran-Armitage trend tests. Our findings showed similar work experience and upward trends in education among both groups of nurses. However, American-trained nurses were more likely to further advance their education, whereas immigrant nurses were more likely to have more work experience and practice in a wider range of healthcare settings. Although we discovered differences between nurses trained in the USA and abroad, we theorize that these differences even out, as education and work experience each have their own distinct caregiving advantages. Immigrant nurses are not less qualified than their American-trained counterparts. However, healthcare providers should encourage them to further pursue their education and certifications. Even though immigrant nurses' education and work experience are comparable with their American counterparts, workforce development policies may be particularly beneficial for this group. © 2014 International Council of Nurses.

  12. Lifelong Learning Experience and Level of Social Exclusion or Inclusion of Asian Communities Living in Denmark and the United Kingdom

    DEFF Research Database (Denmark)

    Singla, Rashmi; Klein, Sonia; Panesar, Jasbir

    2005-01-01

    This article reflects the situation of Asian communities in Denmark and the United Kingdom which is influenced by global trends, the patterns of differing learning they participate in which are influenced by the concept of LifeLong Learning within each country, educational opportunities, socio......-economic positions of this target group and entrepreneurship activities taking place. Global trends influence disadvantaged learners level of participation in learning within Europe. The Asian communities in Denmark and the United Kingdom, despite the differences in migration period, have made the decision to live......, including Asian communities, have been negatively affected in the recent years due to the increased political restrictions and media coverage. In comparison, despite the recent immigration policies in the UK, many members of the Asian communities have embraced the opportunities LifeLong Learning has...

  13. Risks of serious complications and death from smallpox vaccination: A systematic review of the United States experience, 1963–1968

    OpenAIRE

    Aragón, Tomás J; Ulrich, Skylar; Fernyak, Susan; Rutherford, George W

    2003-01-01

    Abstract Background The United States (US) has re-instituted smallpox vaccinations to prepare for an intentional release of the smallpox virus into the civilian population. In an outbreak, people of all ages will be vaccinated. To prepare for the impact of large-scale ring and mass vaccinations, we conducted a systematic review of the complication and mortality risks of smallpox vaccination. We summarized these risks for post-vaccinial encephalitis, vaccinia necrosum (progressive vaccinia), e...

  14. Confidential donation confirmation as an alternative to confidential unit exclusion: 15 months experience of the HEMOMINAS foundation

    Directory of Open Access Journals (Sweden)

    Flávia Cristine Martineli Loureiro

    2011-01-01

    Full Text Available BACKGROUND: Confidential unit exclusion remains a controversial strategy to reduce the residual risk of transfusion-transmitted infections. OBJECTIVE: This study aimed to analyze confidential unit exclusion from its development in a large institution in light of confidential donation confirmation. METHODS: Data of individuals who donated from October 1, 2008 to December 31, 2009 were analyzed in a case-control study. The serological results and sociodemographic characteristics of donors who did not confirm their donations were compared to those who did. Variables with p-values < 0.20 in univariate analysis were included in a logistic multivariate analysis. RESULTS: In the univariate analysis there was a statically significant association between positive serological results and response to confidential donation confirmation of "No". Donation type, (firsttime or return donor - OR 1.69, CI 1.37-2.09, gender (OR 1.66, CI 1.35-2.04, education level (OR 2.82, CI 2.30-3.47 and ethnic background (OR 0.67, CI 0.55-0.82 were included in the final logistic regression model. In all logistic regression models analyzed, the serological suitability and confidential donation confirmation were not found to be statistically associated. The adoption of new measures of clinical classification such as audiovisual touch-screen computer-assisted self-administered interviews might be more effective than confidential unit exclusion in the identification of donor risk behavior. The requirement that transfusion services continue to use confidential unit exclusion needs to be debated in countries where more specific and sensitive clinical and serological screening methods are available. CONCLUSION: Our findings suggest that there are not enough benefits to justify continued use of confidential donation confirmation in the analyzed institution.

  15. Format of medical order sheet improves security of antibiotics prescription: The experience of an intensive care unit.

    Science.gov (United States)

    Wasserfallen, Jean-Blaise; Bütschi, Anne-Joëlle; Muff, Patrik; Biollaz, Jérôme; Schaller, Marie-Denise; Pannatier, André; Revelly, Jean-Pierre; Chiolero, René

    2004-03-01

    To assess whether formatting the medical order sheet has an effect on the accuracy and security of antibiotics prescription. Prospective assessment of antibiotics prescription over time, before and after the intervention, in comparison with a control ward. The medical and surgical intensive care unit (ICU) of a university hospital. All patients hospitalized in the medical or surgical ICU between February 1 and April 30, 1997, and July 1 and August 31, 2000, for whom antibiotics were prescribed. Formatting of the medical order sheet in the surgical ICU in 1998. Compliance with the American Society of Hospital Pharmacists' criteria for prescription safety was measured. The proportion of safe orders increased in both units, but the increase was 4.6 times greater in the surgical ICU (66% vs. 74% in the medical ICU and 48% vs. 74% in the surgical ICU). For unsafe orders, the proportion of ambiguous orders decreased by half in the medical ICU (9% vs. 17%) and nearly disappeared in the surgical ICU (1% vs. 30%). The only missing criterion remaining in the surgical ICU was the drug dose unit, which could not be preformatted. The aim of antibiotics prescription (either prophylactic or therapeutic) was indicated only in 51% of the order sheets. Formatting of the order sheet markedly increased security of antibiotics prescription. These findings must be confirmed in other settings and with different drug classes. Formatting the medical order sheet decreases the potential for prescribing errors before full computerized prescription is available.

  16. Nasal Bubble CPAP: One Year Experience in a Neonatal Unit of a Tertiary Health Facility in Northwestern Nigeria.

    Science.gov (United States)

    Abdulkadir, I; Hassan, L; Abdullahi, F; Purdue, S; Ogala, W N

    2015-03-01

    Nasal bubble continuous positive airway pressure (NBCPAP) respiratory support, though decades old, is beginning to gain popularity in developing countries including Nigeria. We reviewed neonates who benefitted from NBCPAP, to describe the demographics and outcome of NBCPAP respiratory support in newborns admitted to the neonatal unit of Ahmadu Bello University Teaching Hospital (ABUTH), Zaria, over a one year period. The study is a descriptive observational review of all neonates who required NBCPAP respiratory support in the neonatal unit of ABUTH Zaria. Data was extracted from a specifically designed proforma used to obtain information on each neonate throughout the period of admission. Twenty babies received NBCPAP respiratory support during the period of study. Seventeen (85%) of the neonates were successfully weaned off CPAP while three (15%) failed CPAP. Three neonates developed complications with two having CPAP belly syndrome and the third had facial swelling which resolved spontaneously after 6 hours. Overall, seven (41%) of the neonates who were successfully weaned off CPAP were discharged home. MajorityofnewbornswhorequirerespiratorysupportwillbenefitfromNBCPAP therefore, this method of respiratory support should be popularized and neonatal units in the country should be supported to efficiently offer the service.

  17. Experiences of four parents with physical therapy and early mobility of their children in a pediatric critical care unit: A case series.

    Science.gov (United States)

    Parisien, Rachel B; Gillanders, Kirstie; Hennessy, Erin K; Herterich, Lisa; Saunders, Kendra; Lati, Jamil; Dos Santos, Stephanie; Hassall, Alison; O'Brien, Kelly K

    2016-05-31

    The aim of this study was to conduct a preliminary investigation into parents' experiences of physical therapy and early mobility (EM) for their children in a pediatric critical care unit (PCCU). We conducted a series of four qualitative case studies using in-depth semi-structured face-to-face interviews. We recruited parents of children who had undergone surgery and received at least one EM physical therapy intervention while intubated. We conducted a thematic analysis of transcribed interviews to illuminate the factors that influenced EM experiences. Four parents participated in the study. We developed an overview of Parental Experiences with Physical Therapy and Early Mobility in a PCCU, which includes four themes that parents believed influenced their experiences: (1) environmental factors; (2) awareness of physical therapist and health care professional (HCP) roles; (3) communication among parents and HCPs; and (4) parental participation in their child's EM, within the overarching parental experiences in the PCCU. This study affords a preliminary understanding of parents' experiences with physical therapy and EM in a PCCU setting. Results provide an important foundation for future research on mobility in the context of pediatric critical care research and practice.

  18. Patient with giant upper limb melanoma presenting to a UK plastic surgery unit: differentials and experience of management

    OpenAIRE

    Honeyman, Calum Sinclair; Wilson, Paul

    2016-01-01

    A 57-year-old woman was referred to our regional sarcoma unit following a 2-year history of a progressively enlarging mass on her right forearm. At 14×7×12 cm, this mass turned out to be one of the largest upper limb cutaneous malignant melanomas ever described, and, to the best of our knowledge, the first documented in the UK. Remarkably, despite having a T4 malignant tumour with a Breslow thickness of 70 mm, this patient is still alive over 4 years later with no locoregional or distant meta...

  19. Experience in the United States with a secondary resource curriculum on ''Science, society and America's nuclear waste''

    International Nuclear Information System (INIS)

    King, G.P.

    1994-01-01

    The nuclear power and nuclear waste situation in the Usa, is first reviewed. In order to enhance information concerning these topics among pupils and teachers, a resource curriculum, 'Science, society, and America's Nuclear Waste', was developed by teachers for teachers; it consists of four units: nuclear waste, ionizing radiation, the nuclear waste policy act, and the waste management system. It has been well received by teachers. Within nine months after its national introduction, 350000 teacher and student curriculum documents were requested by teachers from all 50 states. Requests have been also received from 250 foreign colleges and universities

  20. My American Dream: The Interplay Between Structure and Agency in West African Immigrants' Educational Experiences in the United States

    Science.gov (United States)

    Knight, Michelle G.; Roegman, Rachel; Edstrom, Lisa

    2016-01-01

    This article presents findings of a qualitative, interpretive case study of the experiences of 1.5- and 2nd-generation West African immigrants who self-identify as pursuing the American Dream, defined by them as academic attainment and career success. Employing structuration theory, the authors examine the interplay between structures and agency…

  1. The Tactical Games Model Sport Experience: An Examination of Student Motivation and Game Performance during an Ultimate Frisbee Unit

    Science.gov (United States)

    Carpenter, Eric J.

    2010-01-01

    Students benefit from positive sport experiences in physical education. If designed well, sport provides a social avenue for physical activity and strengthens student achievement in psychomotor (e.g., motor skill), cognitive (e.g., decision-making), and affective (e.g., personal and social responsibility) learning domains. Unfortunately, not all…

  2. The experience of an United Nations Military Observer in Western Sahara / A experiência de observador militar da ONU no Saara Ocidental

    Directory of Open Access Journals (Sweden)

    Sylvio de Souza Ferreira

    2017-03-01

    Full Text Available The Western Sahara issue is the most recent, lasting and unresolved case of decolonization in African continent, in the midst of the 21st Century. It is a non- governed territory, located in the northwest portion of Saharan Africa and it has been under UN custody since 1991, when MINURSO had been established. In this regard, this article has as main motivation to communicate the experience of an UN Military Observer, emphasizing peculiar and practical aspects, as well as perceptions in the performance of this appointment. It is an internal vision of the reality of the Peace Operation, the individual and the professional of the UN. In order to do so, this article uses a qualitative approach deploying methodologies such as participant observation and the descriptive case study. It comprises an introduction, which aims to enlighten the reader to the question, a characterization of the area, a historical review of the case, a section of exposure of the methodology and the experience of one of the authors as a UN Military Observer in the Western Sahara itself. Finally, considerations are made at the conclusion. A questão do Saara Ocidental constitui o caso de descolonização mais recente, duradouro e não-resolvido do continente africano, em pleno século XXI. Trata-se de um território não-governado, localizado na porção noroeste da África Saariana e encontra-se sob custódia da ONU desde 1991, quando da implantação da MINURSO. Nesse contexto, o presente artigo tem como principal motivação comunicar a experiência no exercício da função de observador militar da ONU, sublinhando aspectos peculiares e práticos, bem como percepções no desempenho dessa função. É uma visão interna da realidade de uma Operação de Paz, do indivíduo e do profissional da Organização. Para tanto, o artigo utiliza abordagem qualitativa na metodologia empregada e aspectos da observação participante e do estudo de caso descritivo. É composto por uma

  3. The Elixir of Visiting: A Qualitative Study on the Experiences of Conscious Mechanically Ventilated Patients in Intensive Care Units Regarding Visiting Family Members

    Directory of Open Access Journals (Sweden)

    Fatemeh Hajiabadi

    2017-07-01

    Full Text Available Background: Visiting family members is one of the basic human needs; however, there is contradictory evidence about the advantages and disadvantages of the existing visiting systems.  Therefore, the investigation of patients’ preferences for the visiting strategies, and achievement of their authentic experiences can significantly contribute to decision-making about the type of acceptable and approved policies in this domain. Aim: The aim of this study was to explain the experiences of conscious patients undergoing mechanical ventilation in Intensive Care Units regarding their visits with their family members. Method: This qualitative study was conducted on 15 conscious mechanically ventilated patients admitted to the Intensive Care Unit in Iran in 2017. The data were collected using semi-structured interviews and observations. The sampling was performed through purposive sampling technique, which was continued until data saturation to select the individuals with rich experiences about the subject under investigation. The data were analyzed through the conventional type of qualitative content analysis. Results: Out of the initial 385 codes, 11 subthemes and 5 main themes were extracted during the analysis process, all of which were placed under the general concept of “the elixir of visiting”. The five main themes included visiting as a healing agent, visiting as an agent for the enhancement of perceived support, visiting as an agent for gaining hope, visiting as the patient’s urgent need, and preference for planed visiting. Implications for Practice: The results of the present study showed that visiting was like an elixir for the conscious patients undergoing mechanical ventilation in the Intensive Care Units. This practice could allay lots of their pains and lead to numerous valuable effects, such as elimination of loneliness and sadness, increased hope for survival and recovery, and enhancement of a sense of support. Therefore, nursing

  4. Lessons Learned: Insights into One Teacher’s Experience Working with Karen Refugee Students in the United States

    Directory of Open Access Journals (Sweden)

    Daniel J. Gilhooly

    2015-01-01

    Full Text Available This study is informed by funds of knowledge and culturally responsive teaching studies that aim to explore and legitimize the cultural knowledge immigrant children bring to their communities and schools. Consequently, this paper specifically addresses issues related to the educational experiences of Karen children and their parents from one American teacher/researcher who has worked with the Karen for the past four years. In aggregate, this paper addresses issues germane to Karen education including; (1 background information on Karen educational experiences prior to resettlement, including a review of their journey from Thailand to the U.S.; (2 important characteristics of Karen culture; (3 Karen names; (4 Sgaw Karen language characteristics; (5 the language divide between parents and children; (6 parental involvement in their children’s schooling; (7 American teacher perceptions of Karen students; (8 issues over grading and, finally; (9 gender issues.

  5. Survey of core medical trainees in the United Kingdom 2013 - inconsistencies in training experience and competing with service demands.

    Science.gov (United States)

    Tasker, Fiona; Newbery, Nina; Burr, Bill; Goddard, Andrew F

    2014-04-01

    There is currently considerable concern about the attractiveness of hospital medicine as a career and experiences in core medical training (CMT) are a key determinant of whether trainees continue in the medical specialties. Little is understood about the quality and impact of the current CMT programme and this survey was designed to assess this. Three key themes emerged. Firstly, the demands of providing service have led to considerable loss of training opportunities, particularly in outpatients and formal teaching sessions. Trainees spend a lot of this service time doing menial tasks and over 90% report that service takes up 80-100% of their time. Secondly, clinical and educational supervision is variable, with trainees sometimes getting little consultant feedback on their clinical performance. Finally, 44% of trainees report that CMT has not prepared them to be a medical registrar and many trainees are put off acute medical specialties by their experiences in CMT.

  6. Contribution of the microprocessors in the study and development of a pre-processing unit involved in a nuclear physics experiment

    International Nuclear Information System (INIS)

    Pichot, G.

    1980-01-01

    The pre-processing unit has its place between the electronic output of the detector and the experiment control system, its role is 3-fold: a real-time role to provide adequate data to the control system allowing feedback, a basic role of selecting and reducing the volume of data and a role of managing the programs necessary to the first 2 roles. This work can be divided in 3 parts. First the analysis of the needs and limitations of the present system, secondly the meeting of the needs with on-the-shelf equipment, and thirdly validation and future improvements [fr

  7. Emotion experience and regulation in China and the United States: How do culture and gender shape emotion responding?

    OpenAIRE

    Davis, E; Greenberger, E; Charles, S; Chen, C; Zhao, L; Dong, Q

    2012-01-01

    Culture and gender shape emotion experience and regulation, in part because the value placed on emotions and the manner of their expression is thought to vary across these groups. This study tested the hypothesis that culture and gender would interact to predict people's emotion responding (emotion intensity and regulatory strategies). Chinese (n = 220; 52% female) and American undergraduates (n = 241; 62% female) viewed photos intended to elicit negative emotions after receiving instructions...

  8. Space Station Biological Research Project (SSBRP) Cell Culture Unit (CCU) and incubator for International Space Station (ISS) cell culture experiments

    Science.gov (United States)

    Vandendriesche, Donald; Parrish, Joseph; Kirven-Brooks, Melissa; Fahlen, Thomas; Larenas, Patricia; Havens, Cindy; Nakamura, Gail; Sun, Liping; Krebs, Chris; de Luis, Javier; hide

    2004-01-01

    The CCU and Incubator are habitats under development by SSBRP for gravitational biology research on ISS. They will accommodate multiple specimen types and reside in either Habitat Holding Racks, or the Centrifuge Rotor, which provides selectable gravity levels of up to 2 g. The CCU can support multiple Cell Specimen Chambers, CSCs (18, 9 or 6 CSCs; 3, 10 or 30 mL in volume, respectively). CSCs are temperature controlled from 4-39 degrees C, with heat shock to 45 degrees C. CCU provides automated nutrient supply, magnetic stirring, pH/O2 monitoring, gas supply, specimen lighting, and video microscopy. Sixty sample containers holding up to 2 mL each, stored at 4-39 degrees C, are available for automated cell sampling, subculture, and injection of additives and fixatives. CSCs, sample containers, and fresh/spent media bags are crew-replaceable for long-term experiments. The Incubator provides a 4-45 degrees C controlled environment for life science experiments or storage of experimental reagents. Specimen containers and experiment unique equipment are experimenter-provided. The Specimen Chamber exchanges air with ISS cabin and has 18.8 liters of usable volume that can accommodate six trays and the following instrumentation: five relocatable thermometers, two 60 W power outlets, four analog ports, and one each relative humidity sensor, video port, ethernet port and digital input/output port.

  9. Emotion experience and regulation in China and the United States: how do culture and gender shape emotion responding?

    Science.gov (United States)

    Davis, Elizabeth; Greenberger, Ellen; Charles, Susan; Chen, Chuansheng; Zhao, Libo; Dong, Qi

    2012-01-01

    Culture and gender shape emotion experience and regulation, in part because the value placed on emotions and the manner of their expression is thought to vary across these groups. This study tested the hypothesis that culture and gender would interact to predict people's emotion responding (emotion intensity and regulatory strategies). Chinese (n=220; 52% female) and American undergraduates (n=241; 62% female) viewed photos intended to elicit negative emotions after receiving instructions to either "just feel" any emotions that arose (Just Feel), or to "do something" so that they would not experience any emotion while viewing the photos (Regulate). All participants then rated the intensity of their experienced emotions and described any emotion-regulation strategies that they used while viewing the photos. Consistent with predictions, culture and gender interacted with experimental condition to predict intensity: Chinese men reported relatively low levels of emotion, whereas American women reported relatively high levels of emotion. Disengagement strategies (especially distancing) were related to lower emotional intensity and were reported most often by Chinese men. Taken together, findings suggest that emotion-regulation strategies may contribute to differences in emotional experience across Western and East Asian cultures.

  10. Training, their influence on the quality of services. An experience in the unit "Coffee Express" of Fomento.

    Directory of Open Access Journals (Sweden)

    Tania Ivón Sosa Ibarra

    2012-03-01

    Full Text Available Achieving quality of service is a necessity in this highly competitive and turbulent world, one of the elements that influence it is training. This research was designed and implemented a training procedure to improve the quality of services in a cafeteria of Development, were detected with the training needs of their staff to plan and implement actions that will raise the skills of workers. Surveys were conducted to determine the state of opinion of internal and external clients implemented before and after the procedure and to evaluate the quality of service received from the selected attributes to the application of Delphi method experts. The unit has made progress recognized and improved economic indicators becoming a reference center in the municipality, which shows that is possible to provide quality services from training workers.

  11. Beliefs about power and its relation to emotional experience: a comparison of Japan, France, Germany, and the United States.

    Science.gov (United States)

    Mondillon, Laurie; Niedenthal, Paula M; Brauer, Markus; Rohmann, Anette; Dalle, Nathalie; Uchida, Yukiko

    2005-08-01

    This research examined the concept of power in Japan, France, Germany, and the United States, as well as beliefs about the emotions persons in power tend to elicit in others and about powerful people's regulation (specifically, inhibition) of certain emotions. Definitions of power were assessed by examining the importance of two main components: control over self versus other and freedom of action vis-à-vis social norms. Beliefs about both positive (pride, admiration) and negative (jealousy, contempt) emotions were measured. Analyses revealed that the concept of power differed across countries and that the definitions of power as well as country of origin significantly predicted beliefs about the emotions that are elicited in others by powerful people and also the regulation of expression of emotion by powerful people.

  12. Comparison of USDA Forest Service and Stakeholder Motivations and Experiences in Collaborative Federal Forest Governance in the Western United States.

    Science.gov (United States)

    Davis, Emily Jane; White, Eric M; Cerveny, Lee K; Seesholtz, David; Nuss, Meagan L; Ulrich, Donald R

    2017-11-01

    In the United States, over 191 million acres of land is managed by the United States Department of Agriculture Forest Service, a federal government agency. In several western U.S. states, organized collaborative groups have become a de facto governance approach to providing sustained input on management decisions on much public land. This is most extensive in Oregon, where at least 25 "forest collaboratives" currently exist. This affords excellent opportunities for studies of many common themes in collaborative governance, including trust, shared values, and perceptions of success. We undertook a statewide survey of participants in Oregon forest collaboratives to examine differences in motivations, perceptions of success, and satisfaction among Forest Service participants ("agency participants"), who made up 31% of the sample, and other respondents ("non-agency") who represent nonfederal agencies, interest groups, citizens, and non-governmental groups. We found that agency participants differed from non-agency participants. They typically had higher annual incomes, and were primarily motivated to participate to build trust. However, a majority of all respondents were similar in not indicating any other social or economic motivations as their primary reason for collaborating. A majority also reported satisfaction with their collaborative-despite not ranking collaborative performance on a number of specific potential outcomes highly. Together, this suggests that collaboration in Oregon is currently perceived as successful despite not achieving many specific outcomes. Yet there were significant differences in socioeconomic status and motivation that could affect the ability of agency and nonagency participants to develop and achieve mutually-desired goals.

  13. Comparison of USDA Forest Service and Stakeholder Motivations and Experiences in Collaborative Federal Forest Governance in the Western United States

    Science.gov (United States)

    Davis, Emily Jane; White, Eric M.; Cerveny, Lee K.; Seesholtz, David; Nuss, Meagan L.; Ulrich, Donald R.

    2017-11-01

    In the United States, over 191 million acres of land is managed by the United States Department of Agriculture Forest Service, a federal government agency. In several western U.S. states, organized collaborative groups have become a de facto governance approach to providing sustained input on management decisions on much public land. This is most extensive in Oregon, where at least 25 "forest collaboratives" currently exist. This affords excellent opportunities for studies of many common themes in collaborative governance, including trust, shared values, and perceptions of success. We undertook a statewide survey of participants in Oregon forest collaboratives to examine differences in motivations, perceptions of success, and satisfaction among Forest Service participants ("agency participants"), who made up 31% of the sample, and other respondents ("non-agency") who represent nonfederal agencies, interest groups, citizens, and non-governmental groups. We found that agency participants differed from non-agency participants. They typically had higher annual incomes, and were primarily motivated to participate to build trust. However, a majority of all respondents were similar in not indicating any other social or economic motivations as their primary reason for collaborating. A majority also reported satisfaction with their collaborative—despite not ranking collaborative performance on a number of specific potential outcomes highly. Together, this suggests that collaboration in Oregon is currently perceived as successful despite not achieving many specific outcomes. Yet there were significant differences in socioeconomic status and motivation that could affect the ability of agency and nonagency participants to develop and achieve mutually-desired goals.

  14. Project Experience of MMIS for Shin-Hanul units 1 and 2 (Component Design, Manufacturing and Testing)

    Energy Technology Data Exchange (ETDEWEB)

    Koo, Seo-ryong; Kim, Kook-hun [Doosan Heavy Industries and Construction Co. Ltd., Hwaseong (Korea, Republic of)

    2015-10-15

    Doosan is uniquely positioned in the field of nuclear power plant in the world-wide. Doosan has secured the first step to nuclear technology field through the development of the nuclear power plant (NPP) man machine interface system (MMIS), which is one of the three major core technologies of non-independence. In the nuclear power plant, MMIS takes a function as the brain and nerve system in the human body. Korean MMIS was selected for the Shin-Hanul units 1 and 2 for the first time and Doosan is charge of a component design and equipment supply. At the end of successful completion of MMIS for Shin-Hanul units 1 and 2, Doosan will be a total provider of the MMIS from development, validation, and manufacturing to delivery in Korea. Man Machine Interface System (MMIS) is equivalent to the brain and nerve system of a nuclear power plant. It monitors and controls the operating conditions to prevent accidents proactively. Doosan achieved a complete development of MMIS which is core part of nuclear technology that was relied on oversea's companies in the past by an accomplishment of RnD in cooperation with domestic utility, KHNP and research institutions. Doosan's MMIS is very user-friendly, easy to understand, transparent to audits, and guarantees maximum reliability, availability, maintainability, and safety. Doosan proved safety and reliability through test and inspection of integrated function of nuclear safety and non-safety control system. Doosan MMIS was evaluated a one of the best system through IAEA IERIC's review via safety guide from IAEA specialist's group in 2010. Doosan also achieved the improvements of quality through the KINS audits in 2014.

  15. CO2, the greenhouse effect and global warming: from the pioneering work of Arrhenius and Callendar to today's Earth System Models.

    Science.gov (United States)

    Anderson, Thomas R; Hawkins, Ed; Jones, Philip D

    2016-09-01

    Climate warming during the course of the twenty-first century is projected to be between 1.0 and 3.7°C depending on future greenhouse gas emissions, based on the ensemble-mean results of state-of-the-art Earth System Models (ESMs). Just how reliable are these projections, given the complexity of the climate system? The early history of climate research provides insight into the understanding and science needed to answer this question. We examine the mathematical quantifications of planetary energy budget developed by Svante Arrhenius (1859-1927) and Guy Stewart Callendar (1898-1964) and construct an empirical approximation of the latter, which we show to be successful at retrospectively predicting global warming over the course of the twentieth century. This approximation is then used to calculate warming in response to increasing atmospheric greenhouse gases during the twenty-first century, projecting a temperature increase at the lower bound of results generated by an ensemble of ESMs (as presented in the latest assessment by the Intergovernmental Panel on Climate Change). This result can be interpreted as follows. The climate system is conceptually complex but has at its heart the physical laws of radiative transfer. This basic, or "core" physics is relatively straightforward to compute mathematically, as exemplified by Callendar's calculations, leading to quantitatively robust projections of baseline warming. The ESMs include not only the physical core but also climate feedbacks that introduce uncertainty into the projections in terms of magnitude, but not sign: positive (amplification of warming). As such, the projections of end-of-century global warming by ESMs are fundamentally trustworthy: quantitatively robust baseline warming based on the well-understood physics of radiative transfer, with extra warming due to climate feedbacks. These projections thus provide a compelling case that global climate will continue to undergo significant warming in response

  16. Steady natural convection heat transfer experiments in a horizontal annulus for the United States Spent Fuel Shipping Cask Technology Program

    International Nuclear Information System (INIS)

    Boyd, R.D.

    1981-04-01

    This experimental study deals with the measurement of the heat transfer across a horizontal annulus which is formed by an inner hexagonal cylinder and an outer concentric circular cylinder. The geometry simulates, in two dimensions, a liquid metal fast breeder reactor radioactive fuel subassembly inside a shipping container. This geometry is also similar to a radioactive fuel pin inside a horizontal reactor subassembly. The objective of the experiments is to measure the local and mean heat transfer at the surface of the inner hexagonal cylinder

  17. Patient perceptions of environmental control units: experiences of Veterans with spinal cord injuries and disorders receiving inpatient VA healthcare.

    Science.gov (United States)

    Etingen, Bella; Martinez, Rachael N; Vallette, Marissa A; Dendinger, Ryan; Bidassie, Balmatee; Miskevics, Scott; Khan, Hira T; Cozart, Huberta T; Locatelli, Sara M; Weaver, Frances M

    2018-05-01

    To assess patients' perceptions of environmental control units (ECUs) at Veterans Affairs Spinal Cord Injury Centers. A brief questionnaire was conducted with patients in real-time while they were hospitalised ("on-the-spot questionnaire"); a survey was mailed to patients who had recently been discharged from a hospital stay ("discharge survey"). Data were analysed using descriptive statistics. Seventy on-the-spot questionnaires and 80 discharge surveys were collected. ECU features used most frequently were comparable in responses from both surveys: watching TV/movies (81%, 85%), calling the nurse (68%, 61%), turning lights on/off (63%, 52%), adjusting the bed (53%, 33%), and playing games (39%, 24%). Many on-the-spot questionnaire respondents felt the ECU met their need for independence a great deal (42%). Most respondents to both surveys were satisfied with the ECU (71%, 57%). Areas for improvement included user training, improved functionality of the device and its features, and device design. ECUs were well-accepted by persons with spinal cord injuries/disorders (SCI/D) in the inpatient setting, and increased patients' perceptions of independence. To maximise usability and satisfaction, facilities should ensure that comprehensive training on ECU use and features available is offered to all patients, and resources are available for timely troubleshooting and maintenance. Implications for rehabilitation An environmental control unit (ECU) is a form of assistive technology that allows individuals with disabilities (such as spinal cord injuries and disorders [SCI/D]) to control functional and entertainment-related aspects of their environment. ECU use can increase functioning, independence and psychosocial well-being among individuals with SCI/D, by allowing users to reclaim control over day-to-day activities that are otherwise limited by their disability. Our study results indicate that, among persons with SCI/D, ECUs are well-accepted and increase perceptions of

  18. Real-time subsystem in nuclear physics. Use of a terminal unit for automatical control of experiments

    International Nuclear Information System (INIS)

    Chatain, Dominique.

    1975-01-01

    A data processing system allowing data acquisition and the automatic control of spectrometry experiments, has been designed and installed at the Institut de Physique Nucleaire of Lyon. This system consists of a CDC 1700 computer used by the computing center as a terminal of the IN2P3 CDC 6600 computer and to which a remote station located near the experiment has been connected. Peripherals for spectrometer control and a display are connected to the remote station. This display makes it possible for users to converse with the computer and to visualize the spectra processing under a graphic or alphanumerical form. The software consists of a real time subsystem of the standard CDC system: ''Mass Storage Operating System''. This real time subsystem is meant to achieve data transfers between the computer and its remote station. A dynamic store allocation simulating a virtual memory is attached to the system. It allows the parallel running of many programs, no matter how long they are. Moreover a disk file supervisor allows experimenters to store experimental results for delayed processing [fr

  19. Creating beauty: the experience of a fashion collection prepared by adolescent patients at a pediatric oncology unit.

    Science.gov (United States)

    Veneroni, Laura; Clerici, Carlo Alfredo; Proserpio, Tullio; Magni, Chiara; Sironi, Giovanna; Chiaravalli, Stefano; Roncari, Luisa; Casanova, Michela; Gandola, Lorenza; Massimino, Maura; Ferrari, Andrea

    2015-01-01

    Adolescent patients with cancer need psychological support in order to face the traumatic event of cancer diagnosis and to preserve continuity with their normal lives. Creative projects or laboratories may help young patients express their thoughts and feelings. The Youth Project developed activities dedicated to adolescents to give them a chance to vent their creative spirit and express themselves freely. In the first project, the teenagers designed their own fashion collection in all its various stages under the artistic direction of a well-known fashion designer, creating their own brand name (B.Live), and organized a fashion show. In all, 24 patients from 15 to 20 years old took part in the project. The fashion project proved a fundamental resource in helping the young patients involved to regain a positive self-image and the feeling that they could take action, both on themselves and in their relations with others. Facilitating the experience of beauty may enable hope to withstand the anguish caused by disease. This experience integrated the usual forms of psychological support to offer patients a form of expression and support during the course of their treatment.

  20. A life uncertain – My baby’s vulnerability: Mothers’ lived experience of connection with their preterm infants in a Botswana neonatal intensive care unit

    Directory of Open Access Journals (Sweden)

    Rosinah K. Ncube

    2016-08-01

    Full Text Available Background: Preterm and low–birth weight infants are often separated from their mothers when admitted to neonatal units for stabilisation of body temperature and technological support. Objectives: The aim of the study was to explore and describe the lived experiences of mothers regarding care of their hospitalised preterm infants in a neonatal unit in a public hospital in Gaborone, Botswana. Method: This study utilised a qualitative exploratory and descriptive phenomenological study design. Mothers of hospitalised preterm infants were purposefully selected, with whom there was extensive engagement. Two in-depth interviews were conducted with each participant (P. Results: Mothers were shocked by the sudden birth of a preterm infant and found the neonatal environment intimidating. This increased their fear and anxiety and delayed development of a relationship with their infants. Support from staff, other mothers in the neonatal unit and family members enabled the mothers to overcome their fear and to develop an emotional connection with their infants. Conclusion: On-going supportive communication with the mothers by healthcare professionals promotes their confidence and competence in caring for their preterm infants, which in turn promotes mother–infant attachment.

  1. A life uncertain - My baby's vulnerability: Mothers' lived experience of connection with their preterm infants in a Botswana neonatal intensive care unit.

    Science.gov (United States)

    Ncube, Rosinah K; Barlow, Hilary; Mayers, Pat M

    2016-08-30

    Preterm and low-birth weight infants are often separated from their mothers when admitted to neonatal units for stabilisation of body temperature and technological support. The aim of the study was to explore and describe the lived experiences of mothers regarding care of their hospitalised preterm infants in a neonatal unit in a public hospital in Gaborone, Botswana. This study utilised a qualitative exploratory and descriptive phenomenological study design. Mothers of hospitalised preterm infants were purposefully selected, with whom there was extensive engagement. Two in-depth interviews were conducted with each participant (P). Mothers were shocked by the sudden birth of a preterm infant and found the neonatal environment intimidating. This increased their fear and anxiety and delayed development of a relationship with their infants. Support from staff, other mothers in the neonatal unit and family members enabled the mothers to overcome their fear and to develop an emotional connection with their infants. On-going supportive communication with the mothers by healthcare professionals promotes their confidence and competence in caring for their preterm infants, which in turn promotes mother-infant attachment.

  2. DESIGN AND EXPERIENCE WITH THE WS/HS ASSEMBLY MOVEMENT USING LABVIEW VIS, NATIONAL INSTRUMENT MOTION CONTROLLERS, AND COMPUMOTOR ELECTRONIC DRIVE UNITS AND MOTORS

    International Nuclear Information System (INIS)

    Barr, D.S.; Day, L.A.

    2001-01-01

    The Low-Energy Demonstration Accelerator (LEDA), designed and built at the Los Alamos National Laboratory, is part of the Accelerator Production of Tritium (APT) program and provides a platform for measuring high-power proton beam-halo formation. The technique used for measuring the beam halo employs nine combination Wire Scanner and Halo Scraper (WS/HS) devices. This paper will focus on the experience gained in the use of National Instrument (NI) LabVIEW VIs and motion controllers, and Compumotor electronic drive units and motors. The base configuration couples a Compumotor motor driven by a Parker-Hannifin Gemini GT Drive unit. The drive unit is controlled by a NI PXI-7344 controller card, which in turn is controlled by a PC running custom built NI LabVIEW VIs. The function of the control VI's is to interpret instructions from the main control system, the Experimental Physics and Industrial Control System (EPICS), and carry out the corresponding motion commands. The main control VI has to run all nineteen WS/HS motor axes used in the accelerator. A basic discussion of the main accelerator control system, EPICs which is hosted on a VXI platform, and its interface with the PC based LabVIEW motion control software will be included

  3. Judges in the Formation of the Nation- State: Professional Experiences, Academic Background and Geographic Circulation of Members of the Supreme Courts of Brazil and the United States

    Directory of Open Access Journals (Sweden)

    Luciano Da Ros

    2010-06-01

    Full Text Available This article compares the career profiles of judges from the highest bodies of the Judiciary in Brazil and the United States of America, examining the biographies of all the ministros of the Supreme Court of Justice (Empire and of the Supreme Federal Tribunal (Republic in Brazil, and of all the justices of the Supreme Court of the United States, appointed until 2008 in both cases. Based on the sociology of political elites perspective, the article examines data concerning academic background, geographic circulation and the different professional experiences — legal, political and linked to the administration of the State’s coercive activity (police or military — lived through by future members of the Supreme Courts of Brazil and the United States so as to identify the types of individuals recommended to join the top bodies of the Judiciary in the two countries. In this sense, different State-building processes are identified on the basis of the examination of Brazilian and US judicial elites, suggesting a more fragmented and diverse trajectory in the case of US justices, and greater homogeneity and centralization in the case of their Brazilian counterparts.

  4. Women In The United States Experience High Rates Of Coverage 'Churn' In Months Before And After Childbirth.

    Science.gov (United States)

    Daw, Jamie R; Hatfield, Laura A; Swartz, Katherine; Sommers, Benjamin D

    2017-04-01

    Insurance transitions-sometimes referred to as "churn"-before and after childbirth can adversely affect the continuity and quality of care. Yet little is known about coverage patterns and changes for women giving birth in the United States. Using nationally representative survey data for the period 2005-13, we found high rates of insurance transitions before and after delivery. Half of women who were uninsured nine months before delivery had acquired Medicaid or CHIP coverage by the month of delivery, but 55 percent of women with that coverage at delivery experienced a coverage gap in the ensuing six months. Risk factors associated with insurance loss after delivery include not speaking English at home, being unmarried, having Medicaid or CHIP coverage at delivery, living in the South, and having a family income of 100-185 percent of the poverty level. To minimize the adverse effects of coverage disruptions, states should consider policies that promote the continuity of coverage for childbearing women, particularly those with pregnancy-related Medicaid eligibility. Project HOPE—The People-to-People Health Foundation, Inc.

  5. Why Not Wait? Eight Institutions Share Their Experiences Moving United States Medical Licensing Examination Step 1 After Core Clinical Clerkships.

    Science.gov (United States)

    Daniel, Michelle; Fleming, Amy; Grochowski, Colleen O'Conner; Harnik, Vicky; Klimstra, Sibel; Morrison, Gail; Pock, Arnyce; Schwartz, Michael L; Santen, Sally

    2017-11-01

    The majority of medical students complete the United States Medical Licensing Examination Step 1 after their foundational sciences; however, there are compelling reasons to examine this practice. This article provides the perspectives of eight MD-granting medical schools that have moved Step 1 after the core clerkships, describing their rationale, logistics of the change, outcomes, and lessons learned. The primary reasons these institutions cite for moving Step 1 after clerkships are to foster more enduring and integrated basic science learning connected to clinical care and to better prepare students for the increasingly clinical focus of Step 1. Each school provides key features of the preclerkship and clinical curricula and details concerning taking Steps 1 and 2, to allow other schools contemplating change to understand the landscape. Most schools report an increase in aggregate Step 1 scores after the change. Despite early positive outcomes, there may be unintended consequences to later scheduling of Step 1, including relatively late student reevaluations of their career choice if Step 1 scores are not competitive in the specialty area of their choice. The score increases should be interpreted with caution: These schools may not be representative with regard to mean Step 1 scores and failure rates. Other aspects of curricular transformation and rising national Step 1 scores confound the data. Although the optimal timing of Step 1 has yet to be determined, this article summarizes the perspectives of eight schools that changed Step 1 timing, filling a gap in the literature on this important topic.

  6. Zero Health Worker Infection: Experiences From the China Ebola Treatment Unit During the Ebola Epidemic in Liberia.

    Science.gov (United States)

    Liu, Lei; Yin, Huahua; Liu, Ding

    2017-04-01

    In November 2014, a total of 164 health care workers were dispatched by the Chinese government as the first medical assistance team to Liberia. The tasks of this team were to establish a China Ebola treatment unit (ETU), to commence the initial admission and treatment of suspected and confirmed Ebola patients, and to provide public health and infection control training for relevant local personnel. Overall, during the 2-month stay of this first medical assistance team in Liberia, 112 Ebola-suspected patients presented to the ETU, 65 patients were admitted, including 5 confirmed cases, and 3 confirmed cases were cured. Furthermore, 1520 local people were trained, including health care workers, military health care workers, staff members employed by the ETU, and community residents. Most importantly, as the first Chinese medical assistance team deployed to Liberia fighting the Ebola virus on the frontline, not a single member of this team or the hired local staff were infected by Ebola virus. This highly successful outcome was due to the meticulous infection control initiatives developed by the team, thereby making a significant contribution to China's ETU "zero infection" of health workers in Liberia. The major infection control initiatives conducted in the China ETU that contributed to achieving "zero infection" of all health workers in the ETU are introduced in this report. (Disaster Med Public Health Preparedness. 2017;11:262-266).

  7. Predictive Factors for Delayed Extubation in the Intensive Care Unit after Coronary Artery Bypass Grafting; A Southern Iranian Experience

    Directory of Open Access Journals (Sweden)

    Shahrbanoo Shahbazi

    2012-12-01

    Full Text Available Background: Early extubation is implemented in cardiothoracic units worldwide for its advantages such as decreased mortality, morbidity, and hospitalization costs. We conducted a retrospective study to evaluate potential factors which may affect extubation time. Methods: The records of 334 eligible patients who underwent elective coronary artery bypass grafting (CABG in 2008 in Kowsar Hospital in Shiraz, southern Iran were evaluated to find the factors that can affect the extubation time. The patients were divided to early (equal or less than 6 hours and late extubation groups. The patients’ demographic data and operative variables were extracted from the records. We excluded patients with difficult intubation, severe acid base disturbance, neurological problems, and cardiovascular instability; and those who used intra-aortic balloon pump, had underwent emergency operation, or had another concomitant surgery. Results: Multiple logistic regressions comparing age, sex, number of grafts, ejection fraction, pump time, hematocrit, number of risk factors, and number of inotropic drugs, identified only age as a predictor of delayed extubation (odds ratio=1.07, CI 95%=1.04-1.10, P<0.001. Also, in both studied groups the men to women ratio was higher (P<0.05.Conclusion: Although in our study age was the only predictive factor for delayed extubation, a comprehensive study including preoperative, perioperative, and postoperative factors is recommended in our area.

  8. Characteristics features and factors influencing early death in Acute promyelocytic leukemia; Experience from United Arab Emirates (UAE).

    Science.gov (United States)

    Hassan, Inaam Bashir; Zaabi, Mariam R Al; Alam, Arif; Hashim, Mohammed Jawad; Tallman, Martin S; Kristensen, Jorgen

    2017-07-01

    Although acute promyelocytic leukemia (APL) is a curable hematologic malignancy, early death (ED) remains a significant cause of treatment failure especially in developing countries. In a retrospective data analysis of 67 adult APL patients diagnosed in United Arab Emirates we report an ED rate of 11.9% which is comparable to that reported from more developed countries. We identified the following parameters at presentation as significant predictor of increased ED: Age >40 years (P = 0.015), fever (P = 0.030), WBC count >20 × 10 9 /L (P = 0.010), the breakpoints other than bcr1 (P = 0.043) and fibrinogen level 10 × 10 9 /L and expression of HLA-DR (P = 0.018) or CD2 (P = 0.017) were significant predictors for differentiation syndrome (DS) which was found to be a predictor of ED (P = 0.002). Reducing the APL related ED rate in centers with limited resources is feasible provided early initiation of ATRA administration and early correction of coagulopathy in high-risk patients in addition to prompt treatment of DS. To our knowledge this is the first report from the Arabian Gulf describing ED in APL.

  9. Advanced scale conditioning agent (ASCA) planning, application experience, and results at Seabrook and D.C. Cook unit 2

    Energy Technology Data Exchange (ETDEWEB)

    Ramaley, D.; Forney, M. [Westinghouse Electric Company LLC, Cranberry Township, Pennsylvania (United States); Rocheleau, M. [Next Era Energy, Seabrook Nuclear Plant, Seabrook, New Hampshire (United States); Shimunek, C.; Monk, P [American Electric Power, Cook Nuclear Plant, Bridgman, Michigan (United States)

    2012-07-01

    ASCA technology has been applied more than thirty-five times worldwide since its inception in 2000. This technology has continually grown in popularity since its development as a result of the many process benefits while maintaining minimal outage impacts. Utilities have applied ASCAs for a variety of reasons including: • Partial removal of secondary side deposit inventory • Improvement in sludge removal quantity over traditional mechanical cleaning processes • Reduction of tube support plate (TSP) blockage • Improvement in steam generator thermal performance • Partial dissolution and softening of consolidated top of tubesheet (TTS) collars In addition to several international ASCA applications, two U.S. ASCA applications were performed in 2011 and 2012. In 2011, a TTS ASCA application was performed at Seabrook Station Nuclear Plant. The TTS application was the third ASCA to be executed at the plant; Seabrook performed full bundle ASCAs in 2008 and 2009. In 2012, a full bundle maintenance cleaning ASCA was implemented at D.C. Cook Unit 2. This was the first ASCA application to be executed by the utility. This paper will discuss both the Westinghouse and utility perspective on ASCA application planning, site execution, and process results for TTS and full bundle applications. (author)

  10. Applying an Ecohealth Perspective in a State of the Environment Report: Experiences of a Local Public Health Unit in Canada

    Directory of Open Access Journals (Sweden)

    Steven Lam

    2014-12-01

    Full Text Available We applied an Ecohealth perspective into a State of the Environment report for Grey Bruce Health Unit and summarized environmental and health data relevant for public health practice. We aimed for comprehensiveness in our data compilation, including: standard media categories (e.g., air, water, land; and ecological indicators (e.g., vectors, forests, wetlands. Data sources included both primary (collected by an organization and secondary (assembled by others. We organized indicators with the Driving forces-Pressure-State-Exposure-Effect-Action (DPSEEA framework created by the World Health Organization. Indicators of air, water and land quality generally appeared to point towards a healthy state. Vector-borne diseases remained low. Forests and wetlands appeared to be in good condition, however more monitoring data was needed to determine trends in their ecological indicators. Data were not available on biodiversity and fish conditions. The results of our application of the DPSEEA framework suggest that routinely collected environmental and health data can be structured into the framework, though challenges arose due to gaps in data availability, particularly for social and gender analyses. Ecohealth approaches had legitimacy with broader healthy community partners but applying such approaches was a complex undertaking.

  11. A qualitative study of the experiences and expectations of women receiving in-patient postnatal care in one English maternity unit

    Directory of Open Access Journals (Sweden)

    Bick Debra

    2010-10-01

    Full Text Available Abstract Background Studies consistently highlight in-patient postnatal care as the area of maternity care women are least satisfied with. As part of a quality improvement study to promote a continuum of care from the birthing room to discharge home from hospital, we explored women's expectations and experiences of current in-patient care. Methods For this part of the study, qualitative data from semi-structured interviews were transcribed and analysed using content analyses to identify issues and concepts. Women were recruited from two postnatal wards in one large maternity unit in the South of England, with around 6,000 births a year. Results Twenty women, who had a vaginal or caesarean birth, were interviewed on the postnatal ward. Identified themes included; the impact of the ward environment; the impact of the attitude of staff; quality and level of support for breastfeeding; unmet information needs; and women's low expectations of hospital based postnatal care. Findings informed revision to the content and planning of in-patient postnatal care, results of which will be reported elsewhere. Conclusions Women's responses highlighted several areas where changes could be implemented. Staff should be aware that how they inter-act with women could make a difference to care as a positive or negative experience. The lack of support and inconsistent advice on breastfeeding highlights that units need to consider how individual staff communicate information to women. Units need to address how and when information on practical aspects of infant care is provided if women and their partners are to feel confident on the woman's transfer home from hospital.

  12. Implementing health promotion in schools: protocol for a realist systematic review of research and experience in the United Kingdom (UK

    Directory of Open Access Journals (Sweden)

    Pearson Mark

    2012-10-01

    Full Text Available Abstract Background School-based interventions and campaigns are used to promote health and address a wide variety of public health problems. Schools are considered to be key sites for the implementation of health promotion programmes for their potential to reach the whole population in particular age-groups and instil healthy patterns of behavior early in life. However, evidence for the effectiveness of school-based health promotion interventions is highly variable. Systematic reviews of the evidence of school-based interventions tend to be highly problem- or intervention- specific, thereby missing potential generic insights into implementation and effectiveness of such programmes across problems. Methods/design A realist systematic review will be undertaken to explain how, why and in what circumstances schools can provide feasible settings for effective health promotion programmes in the United Kingdom (UK. The review will be conducted in two phases. Phase 1 will identify programme theories about implementation (ideas about what enables or inhibits effective health promotion to be delivered in a school setting. Phase 2 will test the programme theories so that they can be challenged, endorsed and/or refined. A Review Advisory Group of education and health professionals will be convened to help identify and choose potential programme theories, provide a ‘reality check’ on the clarity and explanatory strength of the mechanisms to be tested, and help shape the presentation of findings to be usable by practitioners and decision-makers. Review findings will be disseminated through liaison with decision-makers, and voluntary and professional groups in the fields of education and health.

  13. Risks of serious complications and death from smallpox vaccination: A systematic review of the United States experience, 1963–1968

    Directory of Open Access Journals (Sweden)

    Aragón Tomás J

    2003-08-01

    Full Text Available Abstract Background The United States (US has re-instituted smallpox vaccinations to prepare for an intentional release of the smallpox virus into the civilian population. In an outbreak, people of all ages will be vaccinated. To prepare for the impact of large-scale ring and mass vaccinations, we conducted a systematic review of the complication and mortality risks of smallpox vaccination. We summarized these risks for post-vaccinial encephalitis, vaccinia necrosum (progressive vaccinia, eczema vaccinatum, generalized vaccinia, and accidental infection (inadvertant autoinoculation. Methods Using a MEDLINE search strategy, we identified 348 articles, of which seven studies met our inclusion criteria (the number of primary vaccinations and re-vaccinations were reported, sufficient data were provided to calculate complication or case-fatality risks, and comparable case definitions were used. For each complication, we estimated of the complication, death, and case-fatality risks. Results The life-threatening complications of post-vaccinial encephalitis and vaccinia necrosum were at least 3 and 1 per million primary vaccinations, respectively. Twenty-nine percent of vaccinees with post-vaccinial encephalitis died and 15% with vaccinia necrosum died. There were no deaths among vaccinees that developed eczema vaccinatum; however, 2.3% of non-vaccinated contacts with eczema vaccinatum died. Among re-vaccinees, the risk of post-vaccinial encephalitis was reduced 26-fold, the risk of generalized vaccinia was reduced 29-fold, and the risk of eczema vaccinatum was reduced 12-fold. However, the risk reductions of accidental infection and vaccinia necrosum were modest (3.8 and 1.5 fold respectively.

  14. Experiences with integrated concepts for the control of Haemonchus contortus in sheep and goats in the United States.

    Science.gov (United States)

    Terrill, Thomas H; Miller, James E; Burke, Joan M; Mosjidis, Jorge A; Kaplan, Ray M

    2012-05-04

    The generally warm, moist environmental conditions in the southern United States (U.S.) are ideal for survival and growth of the egg and larval stages of Haemonchus contortus and other gastrointestinal nematodes (GIN) of sheep and goats. Consequently, infection with GIN is the greatest threat to economic small ruminant production in this region. With anthelmintic resistance now reaching epidemic proportions in small ruminants in the U.S., non-chemical control alternatives are critically needed. The Southern Consortium for Small Ruminant Parasite Control (SCSRPC) was formed in response to this crisis and over the last decade has successfully validated the use of several novel control technologies, including FAMACHA(©) for the implementation of targeted selective treatments (TST), copper oxide wire particles (COWP), nematode-trapping fungi, and grazing or feeding hay of the high-tannin perennial legume sericea lespedeza [Lespedeza cuneata (Dum.-Cours. G. Don)]. Producer attitudes toward GIN control in the U.S. have been shifting away from exclusive dependence upon anthelmintics toward more sustainable, integrated systems of parasite control. Some novel control technologies have been readily adopted by producers in combination with appropriate diagnostic tools, such as FAMACHA(©). Others techniques are still being developed, and will be available for producer use as they are validated. Although new drugs will likely be available to U.S. goat and sheep producers in the future, these will also be subject to development of anthelmintic resistance. Therefore, the adoption and implementation of sustainable GIN control principles will remain important. With emerging markets for grass-fed or organic livestock, there will continue to be a critical need for research and outreach on development and on-farm application of integrated GIN control systems for small ruminants in the U.S. for the foreseeable future. Copyright © 2011 Elsevier B.V. All rights reserved.

  15. [Manual handling of loads in the hotel trade: the experience of the ASL (Local Health Unit) Milan].

    Science.gov (United States)

    Fontani, S; Mercuri, Irene; Salicco, R; Veratti, Silvia; Sorrentino, L

    2010-01-01

    There are over 400 hotels in Milan with a guest capacity of about 62,000 and employing more than 10,000 workers. In 2008/09 the Occupational Health and Safety Service of A.S.L. Milano (Local Health Unit) carried out research into the hotel trade to ascertain the development of this commercial sector, also in view of EXPO 2015. The aim of the project was to improve hygiene and safety conditions and carry out preventive measures. A specific purpose was to study manual handling of loads and repetitive movements risk. The study covered 30 hotels and 7 temporary staff cooperatives. We acquired the Risk Evaluation Document, the Health Surveillance Programme and Registers of Labour Accidents to analyze manual handling of loads and repetitive movements. In the investigations and assessments on hotels we used currently available scientific tools--NIOSH Lifting Index, Push and Pulling Analysis, OC.R.A. Check-List--to study risks related to handling loads and upper limb mechanical overload, which revealed a specific occupational risk that requires a fresh approach to prevention and safety in the entire sector. Chambermaid: LI (Range): 0.57-2.75; Push and Pulling Actions: Fi 0.66-Fm 1.5 and Fi 0.76-Fm 1.33 respectively; OC.R.A. Check-List: 21. Porter: LI (Range): 0.77-3.75. Maintenance staff LI (Range): 0.57-2.75. The study highlighted the presence of risk due to manual handling of loads and repetitive movements in porters, maintenance personnel and particularly in chambermaids that up to now have been poorly assessed by safety experts. Analysis of the information contained in the registers of labour accidents suggests that a significant number of accidents can be related to muscular-skeletal disorders that affect especially cleaning, portering and kitchen staff

  16. Experience of nasal continuous positive airway pressure (cpap) by infant flow driver in a neonatal unit of a developing country

    International Nuclear Information System (INIS)

    Iqbal, A.; Waqar, T.; Safdar, C.A.; Iqbal, T.

    2014-01-01

    Objective: To study the safety and efficacy of nasal continuous positive airways pressure by infant flow drivers in neonates admitted with respiratory problems. Study Design: Quasi-experimental study. Place and Duration of Study: This study was conducted at CMH Lahore from April 2012 to March 2013. Subjects and Methods: All infants who were treated with nasal continuous positive airway pressure (nCPAP) for various indications at neonatal intensive care unit (NICU) of CMH Lahore were evaluated for gestational, age, weight, gender, indications and duration on nCPAP, pre-defined outcomes, complications and length of hospital stay. Efficacy was defined as the ability to manage an infant on nCPAP alone thus avoiding the need for mechanical ventilation. Results: During the study period, 343 neonates were admitted in NICU, forty five neonates were placed on nCPAP. Mean gestational age was 33.85+ 3 weeks. Mean weight was 2043 + 770 grams. Main indications for applying nCPAP were respiratory distress syndrome (48.9%) and neonatal pneumonia (17.8%). Most common complication was abdominal distension (6.7%). Out of 45 infants placed on nCPAP, 32 (71.1%) were managed on nCPAP alone while 13 (28.9%) needed mechanical ventilation after nCPAP failure. Conclusion: Nasal CPAP by an infant flow driver is a useful method to manage respiratory distress in neonates. It reduces the need for mechanical ventilation and can be used as first line respiratory support before mechanical ventilation. (author)

  17. Multidisciplinary interventions and continuous quality improvement to reduce unplanned extubation in adult intensive care units: A 15-year experience.

    Science.gov (United States)

    Chao, Chien-Ming; Lai, Chih-Cheng; Chan, Khee-Siang; Cheng, Kuo-Chen; Ho, Chung-Han; Chen, Chin-Ming; Chou, Willy

    2017-07-01

    We conduct a retrospective study of patients with unplanned extubation (UE) in adult intensive care units (ICU) at a medical center. In 2001, a multidisciplinary team of intensivists, senior residents, nurses, and respiratory therapists was established at Chi Mei Medical Center. The improvement interventions, implemented between 2001 and 2015, were organized around 8 key areas: standardizing procedures, improving communication skills, revising sedation and weaning protocols, changing strategies for restraints, establishing a task force for identifying and managing high-risk patients, using new quality-improvement models as breakthrough series and team resource management, using the strategy of accountability without assigning blame, and changing a new method to secure endotracheal tube. We measured the outcome as the annual event and the rate of UE. During this 15-year period, there were 1404 episodes of UE, with 44,015 episodes of mechanical ventilation (MV) (319,158 ventilator-days). The overall rate of UE was 3.19/100 ventilated patients (4.40/1000 ventilator-days). In 2001, there were 188 episodes of UE and the rate of UE was 6.82/100 ventilated patients or 9.0/1000 ventilator-days. After this continue quality improvement project had been implemented, the annual number of episodes of UE declined to 27, and the rate fell to 0.95/100 ventilated patients or 1.36/1000 ventilator-days in 2015. Overall, the trend analysis showed the change was significant with P continuously and effectively reduced using multidisciplinary and sequential quality improvement interventions.

  18. [Medication reconciliation: an innovative experience in an internal medicine unit to decrease errors due to inacurrate medication histories].

    Science.gov (United States)

    Pérennes, Maud; Carde, Axel; Nicolas, Xavier; Dolz, Manuel; Bihannic, René; Grimont, Pauline; Chapot, Thierry; Granier, Hervé

    2012-03-01

    An inaccurate medication history may prevent the discovery of a pre-admission iatrogenic event or lead to interrupted drug therapy during hospitalization. Medication reconciliation is a process that ensures the transfer of medication information at admission to the hospital. The aims of this prospective study were to evaluate the interest in clinical practice of this concept and the resources needed for its implementation. We chose to include patients aged 65 years or over admitted in the internal medicine unit between June and October 2010. We obtained an accurate list of each patient's home medications. This list was then compared with medication orders. All medication variances were classified as intended or unintended. An internist and a pharmacist classified the clinical importance of each unintended variance. Sixty-one patients (mean age: 78 ± 7.4 years) were included in our study. We identified 38 unintended discrepancies. The average number of unintended discrepancies was 0.62 per patient. Twenty-five patients (41%) had one or more unintended discrepancies at admission. The contact with the community pharmacist permitted us to identify 21 (55%) unintended discrepancies. The most common errors were the omission of a regularly used medication (76%) and an incorrect dosage (16%). Our intervention resulted in order changes by the physician for 30 (79%) unintended discrepancies. Fifty percent of the unintended variances were judged by the internist and 76% by the pharmacist to be clinically significant. The admission to the hospital is a critical transition point for the continuity of care in medication management. Medication reconciliation can identify and resolve errors due to inaccurate medication histories. Copyright © 2011 Elsevier Masson SAS. All rights reserved.

  19. Challenges in setting up a potable water supply system in a United Nations peacekeeping mission: the South Sudan experience.

    Science.gov (United States)

    Hazra, Aniruddha

    2013-01-01

    A United Nations peacekeeping contingent was deployed in the conflict affected areas of South Sudan with inadequate environmental sanitation, lack of clean drinking water and a heightened risk of water-borne diseases. In the immediate post-deployment phase, the contingent-owned water purification system was pressed into service. However, laboratory analyses of processed water revealed its unsuitability for human consumption. A systematic, sanitary survey was conducted to identify the shortcomings in the water supply system's ability to provide potable water. Under field conditions, the 'H2S method' was used to detect faecal contamination of drinking water. The raw water from the only available source, the White Nile River, was highly turbid and contaminated by intestinal and other pathogens due to an unprotected watershed. Water sterilizing powder was not readily available in the local area to replenish the existing stocks that had deteriorated during the long transit period from the troop contributing country. The water pipelines that had been laid along the ground, under water-logged conditions, were prone to microbial recontamination due to leakages in the network. The critical evaluation of the water supply system and necessary modifications in the purification process, based upon locally available options, yielded safe drinking water. Provision of safe drinking water in the mission area requires an in-depth analysis of prevailing conditions and appropriate planning in the pre-deployment phase. The chemicals for water purification should be procured through UN sources via a 'letter of assist' request from the troop contributor. Copyright © 2012 Elsevier GmbH. All rights reserved.

  20. Dr Kathryn Beers, Assistant Director Physical Sciences and Engineering, Office of Science and Technology Policy Executive Office of the President United States of America visit the CMS experiment at point 5.

    CERN Multimedia

    Maximilien Brice

    2007-01-01

    Dr Kathryn Beers, Assistant Director Physical Sciences and Engineering, Office of Science and Technology Policy Executive Office of the President United States of America visit the CMS experiment at point 5.

  1. Professor Tony F. Chan Assistant Director for Mathematics and Physical Sciences National Science Foundation United States of America on 23rd May 2007. Here visiting ATLAS experiment with P. Jenni and M. Tuts.

    CERN Multimedia

    Maximilien Brice

    2007-01-01

    Professor Tony F. Chan Assistant Director for Mathematics and Physical Sciences National Science Foundation United States of America on 23rd May 2007. Here visiting ATLAS experiment with P. Jenni and M. Tuts.

  2. H.E. Mr Ichiro Fujisaki Ambassador Extraordinary and Plenipotentiary Permanent Representative of Japan to the Office of the United Nations and the other international organisations in Geneva visit the LHCb Experiment at point 8.

    CERN Multimedia

    Maximilien Brice

    2007-01-01

    H.E. Mr Ichiro Fujisaki Ambassador Extraordinary and Plenipotentiary Permanent Representative of Japan to the Office of the United Nations and the other international organisations in Geneva visit the LHCb Experiment at point 8.

  3. Lived Experience of Caregivers of Family-Centered Care in the Neonatal Intensive Care Unit: “Evocation of Being at Home”

    Science.gov (United States)

    Hadian Shirazi, Zahra; Sharif, Farkhondeh; Rakhshan, Mahnaz; Pishva, Narjes; Jahanpour, Faezeh

    2016-01-01

    Background In recent decades, family-centered care (FCC) has come to be known, accepted, and reported as the best care strategy for admitted children and their families. However, in spite of the increasing application of this approach, the experiences of the caregivers have not yet been studied. Objectives The present study aimed at the description and interpretation of the FCC experience in two neonatal intensive care units (NICU) at Shiraz University of Medical Sciences. Methods This study was conducted through the hermeneutic phenomenological approach. Semi-structured interviews were conducted with 17 professional and familial caregivers, and their interactions were observed in three work shifts. The interviews were audiotaped and transcribed verbatim. After observations, field notes were also written. Finally, the data were analyzed through van Manen’s methodology. Results One of the essential themes that emerged in this study was the “evocation of being at home” among familial and even professional caregivers. This theme had three subthemes: i.e., “meta-family interaction,” “comprehensive support,” and “reconstruction of a normal family.” Accordingly, FCC eliminated borders between professional and non-professional caregivers and built close relationships among them in the NICU. It also provided for the needs of neonates, their families, and even professional caregivers through perceived and received support. Conclusions Parents of the neonates admitted to the NICU experience hard moments. They not only play the role of primary caregivers, but they also receive the care. Focusing on the different meanings of this care from the caregivers’ points of view and having managers provide certain requirements can guarantee the establishment of comprehensive care for clients and proper support for the staff in this unit. PMID:28203324

  4. Transferable skills of incoming medical students and their development over the first academic year: The United Arab Emirates experience.

    Science.gov (United States)

    McLean, Michelle; Shaban, Sami; Murdoch-Eaton, Deborah

    2011-01-01

    Increasingly, it is being recognised in higher and medical education that learners should be adequately prepared for the unpredictable nature of professional practice. Several generic or transferable skills or capabilities (e.g., communication, information handling) that will enable graduates to function in an ever-changing professional world have been identified. Using a validated inventory comprising six categories of transferable skills, three cohorts of incoming male and female medical students at a Gulf university documented their level of practice and confidence for 31 skills. The exercise was repeated a year later. New medical students identified computer and organisational skills and the ability to manage their learning as strengths, but scores for technical and numeracy, information handling and presentation and communication skills suggested that learners generally required guidance. A year later, despite considerable self-reported information handling and communication skills development, learners generally did not consider themselves self-sufficient. A significant gender difference emerged, with incoming males reporting less experience and confidence in many skills. This gap was reduced but did not disappear over the first academic year. An audit such as this may be useful for identifying individual skills levels as well as providing insight into shortcomings in the academic programme in terms of opportunities for transferable skills development.

  5. 22q11 deletion syndrome: Parents' and children's experiences of educational and healthcare provision in the United Kingdom.

    Science.gov (United States)

    Cohen, Wendy; McCartney, Elspeth; Crampin, Lisa

    2017-06-01

    22q11 deletion syndrome (22q11DS) is a genetic syndrome, prevalence around 1:4000-1:6000 live births, with a complex array of associated features, impacting on healthcare and educational support. This study reports the perceptions of families and individuals with 22q11DS in relation to these needs. Individuals and families of those with 22q11DS were approached though two national charities - the Max Appeal and 22Crew. An initial observational survey design was used to gather views via questions probing access to healthcare and educational experiences. Thirty-four responses were received and the data subjected to descriptive analysis. Over half of the respondents were diagnosed before the age of 1. Ninety-one percent reported ongoing difficulties with learning at school, compounded by school attendance being compromised as a result of medical interventions. Individuals reported engaging heavily with educational support and a high number of health professions (mean 9.5; mode 10). Age of diagnosis of 22q11DS ranged from birth to nine years. Families had ongoing concerns about aspects of education and healthcare services, and lack of knowledge and awareness of the difficulties faced by individuals with 22q11DS was raised. Healthcare and education providers should be aware of the range of services individuals required on a regular basis so as to provide a more holistic approach to care.

  6. Effect of warning statements in e-cigarette advertisements: an experiment with young adults in the United States.

    Science.gov (United States)

    Sanders-Jackson, Ashley; Schleicher, Nina C; Fortmann, Stephen P; Henriksen, Lisa

    2015-12-01

    This on-line experiment examined whether the addition of ingredient- or industry-themed warning statements in television advertisements for e-cigarettes would affect young adults' craving for and risk perceptions of e-cigarettes and combustible cigarettes, as well as intent to purchase e-cigarettes. Advertisements for two leading e-cigarette brands were edited to contain a warning statement about product ingredients or about the tobacco industry. Participants were assigned randomly to one of eight treatments or one of two brand-specific control conditions without any warning statement. Young adults (n=900, aged 18-34 years) in a web panel were recruited from three groups: recent e-cigarette users, current smokers who used combustible cigarettes exclusively and non-users of either product. Craving and risk perceptions (addictiveness, harmful to health in general, harmful to others) were measured separately for e-cigarettes and combustible cigarettes. The Juster scale measured intention to purchase e-cigarettes. Exposure to both types of warnings was associated with lower craving for e-cigarettes among e-cigarette users and smokers who experienced any craving (Paddictive than the control conditions (Pe-cigarette television advertising similarly reduces craving and purchase intent for e-cigarettes, but has inconsistent effects on perceived risks. © 2015 Society for the Study of Addiction.

  7. Experience of the posterior lip augmentation device in a regional hip arthroplasty unit as a treatment for recurrent dislocation.

    Science.gov (United States)

    Hoggett, L; Cross, C; Helm, T

    2017-12-01

    Dislocation after total hip arthroplasty (THA) remains a significant complication of the procedure and is the third leading cause for revision THA. One technique for treatment of this complication is the use of the posterior lip augmentation device (PLAD). We describe our experience using the PLAD including complication rates. A retrospective review of 55 PLADs (54 patients) was carried out following identification from electronic theatre records. Basic patient demographics, operative records and radiographs were collected and reviewed and data was analysed using Microsoft Excel. Failure of the PLAD was defined as further operative intervention after PLAD insertion and included: dislocation, implant breakage, infection and revision of the THA for loosening of either component. 55 PLADs were implanted in 54 patients with an average age of 77 years. There was a significant preponderance of females and a variety of surgical approaches had been used for the original hip replacement, including trochanteric osteotomy, posterior and antero-lateral. 9 (16%) patients had recurrent dislocations,1 (2%) failed secondary to screw breakage, 3 (5%) had and infection requiring intervention and 2 (4%) underwent further revision for aseptic loosening of the femoral component. The overall failure rate was 25% with 14 patients requiring intervention post PLAD. Our results are inferior to other published results and indicate that the PLAD should be used with caution for recurrent dislocations of the Charnley hip replacement.

  8. The patient experience of services for thyroid eye disease in the United Kingdom: results of a nationwide survey.

    Science.gov (United States)

    Estcourt, Stephanie; Hickey, Janis; Perros, Petros; Dayan, Colin; Vaidya, Bijay

    2009-09-01

    A recent consensus statement from the European Group on Graves' Orbitopathy recommends referring all patients with thyroid eye disease (TED), except the mildest cases, to a specialist multidisciplinary clinic. To study the patients' experiences of accessing services for the treatment of TED in the UK. A postal questionnaire survey of 395 members of two patients support organisations for TED in the UK, the TED Charitable Trust and the British Thyroid Foundation. The response rate was 67%. The majority of responders were females (91%) and aged above 45 (74%). There were delays in the diagnosis and referral. In 26% of responders, the time lapsed from the first symptoms to the diagnosis of TED for over 12 months. There was a wide variation in the type of clinic and healthcare professionals involved in the treatment of TED. Only 25% of the responders attended a specialist TED clinic. Out of these, 33% waited over 6 months from the first consultation with a doctor to being seen at a specialist TED clinic. Only 56% of responders were satisfied with the treatment they received for TED. More responders who had attended a specialist TED clinic were satisfied with the treatment than those who had not attended a specialist clinic (67 vs 52%, P<0.05). Only a minority of patients with TED are treated at a specialist TED clinic in the UK. Those patients who are treated at a specialist TED clinic are more likely to be satisfied with the treatment.

  9. IMPLEMENTATION OF RISK CLASSIFICATION IN A EMERGENCY UNIT OF A PUBLIC HOSPITAL IN RIO DE JANEIRO - AN EXPERIENCE REPORT

    Directory of Open Access Journals (Sweden)

    Eugenio Fuentes Pérez Júnior

    2012-01-01

    Full Text Available Objetivo:. identificar critérios de gravidade dos clientes, previamente estabelecidos pelo corpo clínico do hospital e institucionalizados pela Direção na forma de Protocolo clínico, de uma forma objetiva e sistematizada; indicar a prioridade clínica com que o paciente deve ser atendido e o respectivo tempo alvo recomendado até o atendimento médico. Método:. Pesquisa quantitativa do tipo Relato de experiência com descrição do processo de implementação do projeto Triagem de Manchester em uma unidade hospitalar pública. Resultados: A avaliação da implementação, após 50.996 classificações, revelaram mudanças no perfil de atendimento e na rotina do serviço. Conclusão:. A implementação do projeto de Classificação de Risco na emergência contribuiu para proporcionar um gestão do serviço de emergência de forma mais humana. A priorização da assistência pelo método sistematizado pré definido tem assegurado aos clientes uma assistência segura e justa evitando a ocorrência de agravamentos ou óbitos nas filas de espera das emergências. Descritores: Enfermagem; Triagem; Acolhimento.

  10. What am I going to say here? The experiences of doctors and nurses communicating with patients in a cancer unit

    Directory of Open Access Journals (Sweden)

    Margaret eMcLean

    2011-11-01

    Full Text Available This paper describes a study investigating the provider-patient communication perceptions, experiences, needs and strategies of doctors and nurses working together in a UK cancer setting. This was a qualitative study using individual interviews and focus group discussions. Interpretative Phenomenological analysis (IPA was used to underpin data collection and analysis. Twenty-six staff participated in the project (18 nurses and 8 doctors. Both professional groups identified an inherent emotional strain in their daily interactions with patients. The strategies they adopted to reduce this strain fell into two main categories: 1 Handling or managing the patient to keep negative emotion at bay; and 2 Managing self to keep negative emotion at bay. These strategies allowed staff to maintain a sense of control in an emotionally-stressful environment. Most believed that their communication skills were sufficient. In conclusion, communicating with and caring for cancer patients causes considerable psycho-social burden for doctors and nurses. Managing this burden influences their communication with patients. Without recognition of the need for staff to protect their own emotional well-being, communication skills training programmes, emphasised in current UK cancer care guidelines, may have little impact on practice.

  11. General Practitioner (GP) trainees' experience of a '1-h protected supervision model' given during psychiatry placements in the United Kingdom.

    Science.gov (United States)

    Thomas, Gareth; McNeill, Helen

    2018-01-05

    Background A '1-hour protected supervision model' is well established for Psychiatry trainees. This model is also extended to GP trainees who are on placement in psychiatry. To explore the experiences of the '1-hour protected supervision model' for GP trainees in psychiatry placements in the UK. Methods Using a mixed methods approach, an anonymous online questionnaire was sent to GP trainees in the North West of England who had completed a placement in Psychiatry between February and August 2015. Results Discussing clinical cases whilst using the e-portfolio was the most useful learning event in this model. Patient care can potentially improve if a positive relationship develops between trainee/supervisor, which is impacted by the knowledge of this model at the start of the placement. Trainees found that clinical pressures were impacting on the occurrence of supervision. Conclusion The model works best when both GP trainees and their supervisors understand the model. The most frequently used and educationally beneficial aspect for GP trainees in psychiatry is the exploration of clinical cases using the learning portfolio as an educational tool. For effective delivery of this model of supervision, organisations must reflect on the balance between service delivery and allowing the supervisor and trainee adequate time for it to occur.

  12. Contribution of student involvement in production/service unit and experience of industry practices to entrepreneurial attitude and the impact entrepeneurship readiness of vocational high school students of great Malang

    Science.gov (United States)

    Mukminna, Halimahtus; Isnandar, Muladi

    2017-09-01

    Purpose of this research was to determine the contribution of student involvement in production/ service unit (X1), experience of industry practices (X2), and entrepreneurial attitude (Y) towards readiness entrepreneurship (Z) of vocational student regional Malang. The design of the study using a quantitative approach. The samples used as many as 130 respondents. Instruments used for collecting data in the form of questionnaires. Data analysis included descriptive and test of hypothesis. The result showed: that the description of data on the level of student involvement in production/ service unit, experience of industry practices, entrepreneurial attitude and entrepreneurship readiness in the high category. The contribution student involvement in production/ service unit of entrepreneurial attitude of 10.6%. The contribution experience of industry practices of entrepreneurial attitude of 17.4%. The contribution student involvement in production/ service unit and experience of industry practices simultaneously to entrepreneurial attitude of 44.1%. The contribution student involvement in production/ service unit of readiness entrepreneurship of 4%. The contribution experience of industry practices of readiness entrepreneurship of 5%. The contribution entrepreneurial attitude of readiness entrepreneurship of 16%. Finally, the contribution student involvement in production/ service unit, experience of industry practices, and entrepreneurial attitude simultaneously to readiness entrepreneurship of 50.3%.

  13. SQUID picovoltometry of single crystal Bi2Sr2CaCu2O(8+delta) - Observation of the crossover from high-temperature Arrhenius to low-temperature vortex-glass behavior

    Science.gov (United States)

    Safar, H.; Gammel, P. L.; Bishop, D. J.; Mitzi, D. B.; Kapitulnik, A.

    1992-04-01

    A SQUID voltmeter has been used to measure current-voltage curves in untwinned crystals of Bi2Sr2CaCu2O(8+delta) as a function of temperature and magnetic field. The data show a clear crossover from high-temperature Arrhenius behavior to a critical region associated with the low-temperature three-dimensional vortex-glass phase transition. The critical exponents v(z - 1) = 7 +/- 1 in this system are in accord with theoretical models and previous measurements in YBa2Cu3O7. The width of the critical region collapses below 2 T, reflecting the changing role of dimensionality with field.

  14. Implementing the CASPiE course-based research experience at the United States Military Academy: Affective responses and effects on critical thinking

    Science.gov (United States)

    Chase, Anthony Michael

    The Center for Authentic Science Practices in Education (CASPiE) pioneered a course-based research experience approach to teaching chemistry laboratory courses. The method had previously been studied in a variety of institutional settings. Recently, the United States Military Academy at West Point decided to develop CASPiE-style modules for the introductory honors chemistry course. This research setting presents clean experimental-control comparisons and a group of faculty who were completely new to the method. Equipping students with authentic research experiences early in their education is important regardless of the institution. However, cadets at a military academy must make decisions relatively early (the outset of their second year) as to what their career trajectory will be as eventual officers. In the new CASPiE-based experience, cadets are given the opportunity to select from one of three different modules (analytical chemistry, toxicology, and chemical engineering) in which to participate during the course. These three modules represent subsections of an overall Army waste-to-energy research project. Cadets generate unique hypotheses, real data, and research posters towards the advancement of the project. Posters are then presented in a session. that includes an audience of project stakeholders, course instructors, and other academy faculty and staff. Here, I will present my research methods, evaluative procedures, and findings in the affective domain, critical thinking, and laboratory content comprehension.

  15. International adaptation: psychosocial and parenting experiences of caregivers who travel to the United States to obtain acute medical care for their seriously ill child.

    Science.gov (United States)

    Margolis, Rachel; Ludi, Erica; Pao, Maryland; Wiener, Lori

    2013-01-01

    Despite the increasing trend of travel for medical purposes, little is known about the experience of parents and other caregivers who come to the United States specifically to obtain medical treatment for their seriously ill child. In this exploratory, descriptive qualitative study, we used a semi-structured narrative guide to conduct in-depth interviews with 22 Spanish- or English-speaking caregivers about the challenges encountered and adaptation required when entering a new medical and cultural environment. Caregivers identified the language barrier and transnational parenting as challenges while reporting hospital staff and their own families as major sources of support. Using the results of the study as a guide, clinical and program implications are provided and recommendations for social work practice discussed.

  16. Experience with dispersant application: long-path recirculation cleanup trial at Byron Unit 1 during spring 2011 and online addition update

    International Nuclear Information System (INIS)

    Fruzzetti, K.; Marks, C.; Kreider, M.; Morey, D.; Duncanson, I.; Bates, J.; Sawochka, S.

    2012-01-01

    The first nuclear application of PAA dispersant to improve corrosion product removal during LPR (Long-path recirculation) cleanup occurred at Byron Unit 1 in spring 2011. The main conclusions and lessons learned are as follows: -) there were no significant problems with application of PAA during LPR with an initial PAA concentration of about 650 ppb; -) a reasonable estimate of the additional iron mass removed due to the presence of PAA is 5-9 kg. The qualification work, application details and an assessment of the results are the first focus of this paper. The second part of this paper summarizes the online experience to date at the Exelon and STP (South Texas Project) plants on the effects of dispersant on -) blowdown iron removal efficiency, -) steam generator heat transfer efficiency and -) ion exchange resin performance

  17. An evaluation of the Manufacturer And User Facility Device Experience database that inspired the United States Food and Drug Administration's Reclassification of transvaginal mesh

    Directory of Open Access Journals (Sweden)

    Jason M. Sandberg

    2018-03-01

    Full Text Available Purpose: To assess the utility of the Manufacturer And User Facility Device Experience (MAUDE database in objectively capturing adverse events for transvaginal mesh in the United States. Materials and Methods: We reviewed 1,103 individual medical device reports submitted to the MAUDE database that inspired the United States (US Food and Drug Administration's 2008 Public Health Notification. Entries were compiled into a categorical database that reported manufacturer, brand, reporter type, report source, and type of adverse event. Results: There were numerous examples of missing, duplicated, and non-standardized entries. Analysis revealed 64 reports with duplicated information, and six reports representing multiple patients. Forty-seven percent of medical device reports did not identify a reporter source. At least 28% of reported devices are no longer on the US market. There was wide variability in the quality and completeness of submitted reports and true adverse event rates could not be accurately calculated because the number of total cases was unknown. Conclusions: The MAUDE database was limited in its ability to collect, quantify, and standardize real-life adverse events related to transvaginal mesh. While it functions to collect information related to isolated adverse events, systematic limitations of the MAUDE database, that no doubt extend to other medical devices, necessitate the development of new reporting systems. Alternatives are under development, which may allow regulators to more accurately scrutinize the safety profiles of specific medical devices.

  18. An evaluation of the Manufacturer And User Facility Device Experience database that inspired the United States Food and Drug Administration's Reclassification of transvaginal mesh.

    Science.gov (United States)

    Sandberg, Jason M; Gray, Ian; Pearlman, Amy; Terlecki, Ryan P

    2018-03-01

    To assess the utility of the Manufacturer And User Facility Device Experience (MAUDE) database in objectively capturing adverse events for transvaginal mesh in the United States. We reviewed 1,103 individual medical device reports submitted to the MAUDE database that inspired the United States (US) Food and Drug Administration's 2008 Public Health Notification. Entries were compiled into a categorical database that reported manufacturer, brand, reporter type, report source, and type of adverse event. There were numerous examples of missing, duplicated, and non-standardized entries. Analysis revealed 64 reports with duplicated information, and six reports representing multiple patients. Forty-seven percent of medical device reports did not identify a reporter source. At least 28% of reported devices are no longer on the US market. There was wide variability in the quality and completeness of submitted reports and true adverse event rates could not be accurately calculated because the number of total cases was unknown. The MAUDE database was limited in its ability to collect, quantify, and standardize real-life adverse events related to transvaginal mesh. While it functions to collect information related to isolated adverse events, systematic limitations of the MAUDE database, that no doubt extend to other medical devices, necessitate the development of new reporting systems. Alternatives are under development, which may allow regulators to more accurately scrutinize the safety profiles of specific medical devices.

  19. Experience with dispersant application: long-path recirculation cleanup trial at Byron unit 1 during spring 2011 and online addition update

    International Nuclear Information System (INIS)

    Fruzzetti, Keith; Marks, Chuck; Kreider, Marc; Morey, David; Duncanson, Iain; Bates, Joe; Sawochka, Stephen

    2012-09-01

    The use of dispersants in pressurized water reactors (PWRs) has been extensively qualified by EPRI over the past 14 years. Building on the demonstrated success for reducing the rate of corrosion product accumulation within recirculating steam generators (SGs), dispersant injection has more recently been qualified for application during the post-outage startup long-path recirculation cleanup period and for application during SG wet lay-up. These latter two applications are also of value for plants with once through SGs. Dispersant application during the long-path recirculation (LPR) cleanup process can reduce the amount of corrosion products available for transport to the SGs by more effectively flushing the condensate and feedwater systems prior to initiating flow to the SGs. The first application occurred at Byron 1 in Spring 2011 under EPRI sponsorship. Extensive qualification and preparation led to a successful outcome. Dispersant was added in two batches while the unit was transitioning from short-path to full LPR cleanup. The target maximum concentration was 800 ppb, while the largest measured dispersant concentration during the application was approximately 650 ppb. There were no difficulties in decreasing the dispersant concentration below the target threshold value prior to reaching Mode 1 entry at the conclusion of the cleaning application. The application was very successful, resulting in the following conclusions: - Approximately 10-20 lb (5-9 kg) of additional iron mass was removed during the LPR cleanup as a result of dispersant addition. - It appears that the added cleanup resulting from dispersant addition during the outage caused a significant decrease in the amount of iron transported to the SGs during the early part of the subsequent cycle. Specifically, on the order of 10-15 lb (5-7 kg) less iron was transported than would otherwise have been expected based on prior plant experience. The qualification work, application details, and an assessment

  20. Education on Risk Management with Gender Equity: Experiences in United Nations Development Programme (UNDP) courses using on-site education and synchronous technologies for distance education

    Science.gov (United States)

    Cepeda, J.; Marroquín, W.; Villar, Y.

    2009-04-01

    The experiences in two Risk Management courses organised by the Universidad Centroamericana "José Simeón Cañas" (UCA) and the "América Latina Genera" project of the BCPR-UNDP (Bureau for Crisis Prevention and Recovery of the United Nations Development Programme) are presented focusing on the design of teaching material and the selection and use of information-communication technologies (ICT) during the learning process. The organisation of these courses has posed three main challenges: the integration of a gender-equity approach in a subject that has traditionally lacked of it, the preparation of specialised teaching material for an audience with varied backgrounds and experience, and a widespread distribution of students and lecturers in different countries and with significant differences in ICT resources. These courses have combined tutorials, video-conferences, forums, chats, a media centre with video and podcast, and other resources to allow a close follow-up of the students' progress and strengthen the learning process. A specialised database of information within the "América Latina Genera" project has also been used intensively. Even though the building of capacity has been important, the emphasis of the courses has been on the practical application of projects in the students' work environment and in other real situations. The first course took place between June and December 2008 and consisted of a combination of on-site and distance education. The 15 students that registered the course included officials of local and central government institutions, private consultants, university staff and members of non-governmental organisations. Lecturers from the United States Geological Survey and the International Centre for Geohazards broadcasted videoconferences from the United States and Norway, respectively. The second course started in November 2008 and is scheduled to finish in February 2009. This course has been fully developed using distance education

  1. A Comparative Investigation on the Capability of Modified Zerilli-Armstrong and Arrhenius-Type Constitutive Models to Describe Flow Behavior of BFe10-1-2 Cupronickel Alloy at Elevated Temperature

    Science.gov (United States)

    Cai, Jun; Lei, Ying; Wang, Kuaishe; Zhang, Xiaolu; Miao, Chengpeng; Li, Wenbing

    2016-05-01

    True stress and true strain data obtained from isothermal compression tests on a Gleeble-3800 thermo-mechanical simulator, in a wide range of temperatures (1073-1323 K) and strain rates (0.001-10 s-1), has been used to evaluate the material constants of two constitutive models: the modified Zerilli-Armstrong and the strain compensation Arrhenius-type models. Furthermore, a comparative study was conducted on the capabilities of the two models in order to represent the elevated temperature flow behavior of BFe10-1-2 cupronickel alloy. The suitability levels of these two models were evaluated by comparing the accuracy of their predictions of deformation behavior, correlation coefficient ( R), average absolute relative error ( AARE), relative errors of prediction, and the number of material constants. The results show that the predicted values of these two models agree well with the experimental values of BFe10-1-2 cupronickel alloy except at the temperature of 1123 K and the strain rate of 1 s-1. Meanwhile, the strain compensated Arrhenius-type model can track the deformation behavior of BFe10-1-2 cupronickel alloy more accurately throughout the entire temperature and strain rate range, while fewer material constants are involved in the modified Zerilli-Armstrong model.

  2. A Comparative Study on Johnson Cook, Modified Zerilli-Armstrong and Arrhenius-Type Constitutive Models to Predict High-Temperature Flow Behavior of Ti-6Al-4V Alloy in α + β Phase

    Science.gov (United States)

    Cai, Jun; Wang, Kuaishe; Han, Yingying

    2016-03-01

    True stress and true strain values obtained from isothermal compression tests over a wide temperature range from 1,073 to 1,323 K and a strain rate range from 0.001 to 1 s-1 were employed to establish the constitutive equations based on Johnson Cook, modified Zerilli-Armstrong (ZA) and strain-compensated Arrhenius-type models, respectively, to predict the high-temperature flow behavior of Ti-6Al-4V alloy in α + β phase. Furthermore, a comparative study has been made on the capability of the three models to represent the elevated temperature flow behavior of Ti-6Al-4V alloy. Suitability of the three models was evaluated by comparing both the correlation coefficient R and the average absolute relative error (AARE). The results showed that the Johnson Cook model is inadequate to provide good description of flow behavior of Ti-6Al-4V alloy in α + β phase domain, while the predicted values of modified ZA model and the strain-compensated Arrhenius-type model could agree well with the experimental values except under some deformation conditions. Meanwhile, the modified ZA model could track the deformation behavior more accurately than other model throughout the entire temperature and strain rate range.

  3. Governance, Accountability, and Organizational Development: Eldercare Unit Managers' and Local Politicians' Experiences of and Responses to State Supervision of Swedish Eldercare.

    Science.gov (United States)

    Andersson, Katarina; Hanberger, Anders; Nygren, Lennart

    2018-02-22

    This article explores how local politicians and care unit managers in Swedish eldercare experience and respond to state supervision (SSV). Twelve politicians and twelve managers in 15 previously inspected municipalities were interviewed about their experiences of and reactions to SSV in relation to their views of care quality and routines in eldercare practice. The findings indicate that local managers and political chairs perceived SSV in eldercare positively at a superficial level but were critical of and disappointed with specific aspects of it. In terms of (a) governance, chairs and managers said SSV strengthened implementation of national policies via local actors, but they were critical of SSV's narrow focus on control and flaws in eldercare practice. With regard to (b) accountability, SSV was seen as limited to accountability for finances and systemic performance, and regarding (c) organizational development, SSV was seen as limited to improving routines and compliance with legislation, while local definitions of quality are broader than that. In general, local actors regarded SSV as improving administrative aspects and routines in practice but ignoring the relational content of eldercare quality.

  4. Set-up of a pre-test mock-up experiment in preparation for the HCPB Breeder Unit mock-up experimental campaign

    Energy Technology Data Exchange (ETDEWEB)

    Hernández, F., E-mail: francisco.hernandez@kit.edu [Karlsruhe Institute of Technology (KIT), Institute for Neutron Physics and Reactor Technology (INR) (Germany); Kolb, M. [Karlsruhe Institute of Technology (KIT), Institute for Applied Materials (IAM-WPT) (Germany); Ilić, M.; Kunze, A. [Karlsruhe Institute of Technology (KIT), Institute for Neutron Physics and Reactor Technology (INR) (Germany); Németh, J. [KFKI Research Institute for Particle and Nuclear Physics (Hungary); Weth, A. von der [Karlsruhe Institute of Technology (KIT), Institute for Neutron Physics and Reactor Technology (INR) (Germany)

    2013-10-15

    Highlights: ► As preparation for the HCPB-TBM Breeder Unit out-of-pile testing campaign, a pre-test experiment (PREMUX) has been prepared and described. ► A new heater system based on a wire heater matrix has been developed for imitating the neutronic volumetric heating and it is compared with the conventional plate heaters. ► The test section is described and preliminary thermal results with the available models are presented and are to be benchmarked with PREMUX. ► The PREMUX integration in the air cooling loop L-STAR/LL in the Karlsruhe Institute for Technology is shown and future steps are discussed. -- Abstract: The complexity of the experimental set-up for testing a full-scaled Breeder Unit (BU) mock-up for the European Helium Cooled Pebble Bed Test Blanket Module (HCPB-TBM) has motivated to build a pre-test mock-up experiment (PREMUX) consisting of a slice of the BU in the Li{sub 4}SiO{sub 4} region. This pre-test aims at verifying the feasibility of the methods to be used for the subsequent testing of the full-scaled BU mock-up. Key parameters needed for the modeling of the breeder material is also to be determined by the Hot Wire Method (HWM). The modeling tools for the thermo-mechanics of the pebble beds and for the mock-up structure are to be calibrated and validated as well. This paper presents the setting-up of PREMUX in the L-STAR/LL facility at the Karlsruhe Institute of Technology. A key requirement of the experiments is to mimic the neutronic volumetric heating. A new heater concept is discussed and compared to several conventional heater configurations with respect to the estimated temperature distribution in the pebble beds. The design and integration of the thermocouple system in the heater matrix and pebble beds is also described, as well as other key aspects of the mock-up (dimensions, layout, cooling system, purge gas line, boundary conditions and integration in the test facility). The adequacy of these methods for the full-scaled BU

  5. Modernization of Unit 2 at Oskarshamn NPP- Main Objectives, Experience from Design, Separation of Operational and Nuclear Safety Equipment - Lessons Learned

    International Nuclear Information System (INIS)

    Kanaan, Salah K.

    2015-01-01

    This paper aims to give a picture of Oskarshamn Nuclear Power Plant (OKG) experience from design for one of the biggest modernization project in the world and focuses on what was learned that is specific to robustness of electrical power systems, especially through Fukushima Station Blackout (SBO). The planning for unit 2 at OKG was initiated in 1967 and the plant was completed on time and was synchronized to the grid October 2, 1974 and is of type BWR. Unit 2 was originally on 580 MW. In 1982 a thermal power up-rate was performed, from 1700 MWh to 1800 MWh (106% reactor output). A decision was made to perform a modernization and a new power up-rate to 850 MW and there were several reasons for this decision; New safety regulations from Swedish Radiation Safety Authority (SSM), Ageing of important components and the initial focus was on safety and availability - Project Plant Life Extension (Plex) was established and became the largest nuclear power modernization in the world. The modernization will lead to: - New safety concept with 4 divisions instead for existing 2 with 2 new buildings South Electrical Building (SEB) and North Electrical Building (NEB); - Completely new software - based equipments for monitoring, control and I and C; - New Low Pressure Turbine, new generator and main transformer; - New MCR and simulator; - Compliance with modern reactor safety requirements; - Redundancy, Separation, Diversification, Earthquake; - Reinforcement of existing safety functions; - New Electricity - I and C (electric power incl. reinforced emergency power and control systems); - New buildings for Electricity - I and C; - Reinforcement of existing process systems as well as installation of new ones. Based on studies and good experiences on how to separate the operational and the safety equipment, the project led to a completely new safety concept. The safety concept is based on fully understanding the safety system that shall encompass all of the elements required to

  6. A Low Viscosity Lunar Magma Ocean Forms a Stratified Anorthitic Flotation Crust With Mafic Poor and Rich Units: Lunar Magma Ocean Viscosity

    Energy Technology Data Exchange (ETDEWEB)

    Dygert, Nick [Department of Geological Sciences, Jackson School of Geosciences, University of Texas at Austin, Austin TX USA; Planetary Geosciences Institute, Department of Earth and Planetary Sciences, University of Tennessee, Knoxville, Knoxville TN USA; Lin, Jung-Fu [Department of Geological Sciences, Jackson School of Geosciences, University of Texas at Austin, Austin TX USA; Marshall, Edward W. [Department of Geological Sciences, Jackson School of Geosciences, University of Texas at Austin, Austin TX USA; Kono, Yoshio [HPCAT, Geophysical Laboratory, Carnegie Institution of Washington, Argonne IL USA; Gardner, James E. [Department of Geological Sciences, Jackson School of Geosciences, University of Texas at Austin, Austin TX USA

    2017-11-21

    Much of the lunar crust is monomineralic, comprising >98% plagioclase. The prevailing model argues the crust accumulated as plagioclase floated to the surface of a solidifying lunar magma ocean (LMO). Whether >98% pure anorthosites can form in a flotation scenario is debated. An important determinant of the efficiency of plagioclase fractionation is the viscosity of the LMO liquid, which was unconstrained. Here we present results from new experiments conducted on a late LMO-relevant ferrobasaltic melt. The liquid has an exceptionally low viscosity of 0.22 $+0.11\\atop{-0.19}$to 1.45 $+0.46\\atop{-0.82}$ Pa s at experimental conditions (1,300–1,600°C; 0.1–4.4 GPa) and can be modeled by an Arrhenius relation. Extrapolating to LMO-relevant temperatures, our analysis suggests a low viscosity LMO would form a stratified flotation crust, with the oldest units containing a mafic component and with very pure younger units. Old, impure crust may have been buried by lower crustal diapirs of pure anorthosite in a serial magmatism scenario.

  7. Major limitations to achieving "4 per 1000" increases in soil organic carbon stock in temperate regions: Evidence from long-term experiments at Rothamsted Research, United Kingdom.

    Science.gov (United States)

    Poulton, Paul; Johnston, Johnny; Macdonald, Andy; White, Rodger; Powlson, David

    2018-01-21

    We evaluated the "4 per 1000" initiative for increasing soil organic carbon (SOC) by analysing rates of SOC increase in treatments in 16 long-term experiments in southeast United Kingdom. The initiative sets a goal for SOC stock to increase by 4‰ per year in the 0-40 cm soil depth, continued over 20 years. Our experiments, on three soil types, provided 114 treatment comparisons over 7-157 years. Treatments included organic additions (incorporated by inversion ploughing), N fertilizers, introducing pasture leys into continuous arable systems, and converting arable land to woodland. In 65% of cases, SOC increases occurred at >7‰ per year in the 0-23 cm depth, approximately equivalent to 4‰ per year in the 0-40 cm depth. In the two longest running experiments (>150 years), annual farmyard manure (FYM) applications at 35 t fresh material per hectare (equivalent to approx. 3.2 t organic C/ha/year) gave SOC increases of 18‰ and 43‰ per year in the 23 cm depth during the first 20 years. Increases exceeding 7‰ per year continued for 40-60 years. In other experiments, with FYM applied at lower rates or not every year, there were increases of 3‰-8‰ per year over several decades. Other treatments gave increases between zero and 19‰ per year over various periods. We conclude that there are severe limitations to achieving the "4 per 1000" goal in practical agriculture over large areas. The reasons include (1) farmers not having the necessary resources (e.g. insufficient manure); (2) some, though not all, practices favouring SOC already widely adopted; (3) practices uneconomic for farmers-potentially overcome by changes in regulations or subsidies; (4) practices undesirable for global food security. We suggest it is more realistic to promote practices for increasing SOC based on improving soil quality and functioning as small increases can have disproportionately large beneficial impacts, though not necessarily translating into increased crop yield

  8. Does Stigmatized Social Risk Lead to Denialism? Results from a Survey Experiment on Race, Risk Perception, and Health Policy in the United States.

    Directory of Open Access Journals (Sweden)

    Yarrow Dunham

    Full Text Available In this article, we report findings from an original survey experiment investigating the effects of different framings of disease threats on individual risk perceptions and policy priorities. We analyze responses from 1,946 white and African-American participants in a self-administered, web-based survey in the United States. We sought to investigate the effects of: 1 frames emphasizing disparities in the racial prevalence of disease and 2 frames emphasizing non-normative (blameworthy or stigmatized behavioral risk factors. We find some evidence that when treated with the first frame, African-Americans are more likely to report higher risk of infection (compared to an African-American control group and to whites receiving the same treatment; and that whites are more likely to report trust in government data (compared to a White control group and to African-Americans receiving the same treatment. Notwithstanding, we find no support for our hypotheses concerning the interactive effects of providing both frames, which was a central motivation for our study. We argue that this may be due to very large differences in risk perception at baseline (which generate limits on possible treatment effects and the fact that in the context of American race relations, it may not be possible to fully differentiate racialized and stigmatized frames.

  9. 'Dale': an interpretative phenomenological analysis of a service user's experience with a crisis resolution/home treatment team in the United Kingdom.

    Science.gov (United States)

    Nelson, L J; Miller, P K; Ashman, D

    2016-08-01

    WHAT IS KNOWN ABOUT THE SUBJECT?: This paper describes crisis resolution/home treatment (CRHT) teams, which are part of mental health services in the United Kingdom. CRHT is expected to assist individuals in building resilience and work within a recovery approach. WHAT THIS PAPER ADDS TO EXISTING KNOWLEDGE?: This paper arises from an interview with one individual, Dale, as part of a larger study exploring service users' experiences of CRHT. It adds to the body of narrative knowledge in CRHT through Dale's co-authorship of this paper, reflecting on his original interview 4 years later, with co-authors providing critical interpretation of his experience, in turn supported by cognate literature. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: Implications for practice are considered, themselves mediated through Dale's own descriptions of how CRHT interventions impacted upon him. These impacts are analysed with respect to three themes: Resilience, Recovery and Power. It is centrally contended that clinicians need to more clearly comprehend three core matters. First, what resilience 'is' for service users as well as the complex process through which these individuals move in developing resilience. Second, the distinction that service users might make between 'recovery' and 'functionality', and how this in turn can impact on individuals both in personal and socioeconomic sense. Finally, the mechanics of power within CRHT contexts and how these interpersonal dynamics can affect the relationship between service user and clinician in practice. Introduction and Aim The central purpose of this paper, part of a larger study exploring the experiences of Service Users (SUs) with CRHT, is to emphasise the importance of the SU voice itself within the domain. Following an interrogation of the historical contexts of CRHT. Method This paper uses interpretative phenomological approach around detailed thematic examination of an extended, semi-structured with a single SU: Dale. Moreover, four

  10. Experience Gained from Construction of Low-Emission Combustion Chambers for On-Land Large-Capacity Gas-Turbine Units: GT24/26

    Science.gov (United States)

    Bulysova, L. A.; Vasil'ev, V. D.; Berne, A. L.; Gutnik, M. M.

    2018-06-01

    This article is the third in a planned series of articles devoted to the experience gained around the world in constructing low-emission combustion chambers for on-land large-capacity (above 250 MW) gas-turbine units (GTUs). The aim of this study is to generalize and analyze the ways in which different designers apply the fuel flow and combustion arrangement principles and the fuel feed control methods. The considered here GT24 and GT26 (GT24/26) gas-turbine units generating electric power at the 60 and 50 Hz frequencies, respectively, are fitted with burners of identical designs. Designed by ABB, these GTUs were previously manufactured by Alstom, and now they are produced by Ansaldo Energia. The efficiency of these GTUs reaches 41% at the 354 MW power output during operation in the simple cycle and 60.5% at the 505MW power output during operation in the combined cycle. Both GTUs comply with all requirements for harmful emissions. The compression ratio is equal to 35. In this article, a system is considered for two-stage fuel combustion in two sequentially arranged low-emission combustion chambers, one of which is placed upstream of the high-pressure turbine (CC1) and the other upstream of the low-pressure turbine (CC2). The article places the main focus on the CC2, which operates with a decreased content of oxygen in the oxidizer supplied to the burner inlets. The original designs of vortex generators and nozzles placed in the flow of hot combustion products going out from the high-pressure turbine are described in detail. The article also presents an original CC2 front plate cooling system, due to which a significantly smaller amount of air fed for cooling has been reached. The article also presents the pressure damping devices incorporated in the chamber, the use of which made it possible to obtain a significantly wider range of CC loads at which its low-emission operation is ensured. The fuel feed adjustment principles and the combustion control methods

  11. International Experience in Developing Low-Emission Combustors for Land-Based, Large Gas-Turbine Units: Mitsubishi Heavy Industries' Equipment

    Science.gov (United States)

    Bulysova, L. A.; Vasil'ev, V. D.; Berne, A. L.; Gutnik, M. N.; Ageev, A. V.

    2018-05-01

    This is the second paper in a series of publications summarizing the international experience in the development of low-emission combustors (LEC) for land-based, large (above 250 MW) gas-turbine units (GTU). The purpose of this series is to generalize and analyze the approaches used by various manufacturers in designing flowpaths for fuel and air in LECs, managing fuel combustion, and controlling the fuel flow. The efficiency of advanced GTUs can be as high as 43% (with an output of 350-500 MW) while the efficiency of 600-800 MW combined-cycle units with these GTUs can attain 63.5%. These high efficiencies require a compression ratio of 20-24 and a temperature as high as 1600°C at the combustor outlet. Accordingly, the temperature in the combustion zone also rises. All the requirements for the control of harmful emissions from these GTUs are met. All the manufacturers and designers of LECs for modern GTUs encounter similar problems, such as emissions control, combustion instability, and reliable cooling of hot path parts. Methods of their elimination are different and interesting from the standpoint of science and practice. One more essential requirement is that the efficiency and environmental performance indices must be maintained irrespective of the fuel composition or heating value and also in operation at part loads below 40% of rated. This paper deals with Mitsubishi Series M701 GTUs, F, G, or J class, which have gained a good reputation in the power equipment market. A design of a burner for LECs and a control method providing stable low-emission fuel combustion are presented. The advantages and disadvantages of the use of air bypass valves installed in each liner to maintain a nearly constant air to fuel ratio within a wide range of GTU loads are described. Methods for controlling low- and high-frequency combustion instabilities are outlined. Upgrading of the cooling system for the wall of a liner and a transition piece is of great interest. Change over

  12. An overview of the Ice Nuclei Research Unit Jungfraujoch/Cloud and Aerosol Characterization Experiment 2013 (INUIT-JFJ/CLACE-2013)

    Science.gov (United States)

    Schneider, Johannes

    2014-05-01

    Ice formation in mixed phase tropospheric clouds is an essential prerequisite for the formation of precipitation at mid-latitudes. Ice formation at temperatures warmer than -35°C is only possible via heterogeneous ice nucleation, but up to now the exact pathways of heterogeneous ice formation are not sufficiently well understood. The research unit INUIT (Ice NUcleation research unIT), funded by the Deutsche Forschungsgemeinschaft (DFG FOR 1525) has been established in 2012 with the objective to investigate heterogeneous ice nucleation by combination of laboratory studies, model calculation and field experiments. The main field campaign of the INUIT project (INUIT-JFJ) was conducted at the High Alpine Research Station Jungfraujoch (Swiss Alps, 3580 m asl) during January and February 2013, in collaboration with several international partners in the framework of CLACE2013. The instrumentation included a large set of aerosol chemical and physical analysis instruments (particle counters, particle sizers, particle mass spectrometers, cloud condensation nuclei counters, ice nucleus counters etc.), that were operated inside the Sphinx laboratory and sampled in mixed phase clouds through two ice selective inlets (Ice-CVI, ISI) as well as through a total aerosol inlet that was used for out-of-cloud aerosol measurements. Besides the on-line measurements, also samples for off-line analysis (ESEM, STXM) have been taken in and out of clouds. Furthermore, several cloud microphysics instruments were operated outside the Sphinx laboratory. First results indicate that a large fraction of ice residues sampled from mixed phase clouds contain organic material, but also mineral dust. Soot and lead were not found to be enriched in ice residues. The concentration of heterogeneous ice nuclei was found to be variable (ranging between 100 per liter) and to be strongly dependent on the operating conditions of the respective IN counter. The number size distribution of ice residues appears to

  13. Experiences of health care providers managing sexual assault victims in the emergency unit Part 2: Discussion of results and literature control

    Directory of Open Access Journals (Sweden)

    Rebecca M. Skhosana

    2009-09-01

    Full Text Available The objective of this study was to explore and describe the experiences of health care providers managing sexual assault victims in the emergency unit of a community hospital in the Nkangala district in the Mpumalanga Province. A qualitative, phenomenological design was applied. Purposeful sampling was used to select participants from health care providers who were working in the emergency unit and had managed more than four sexual assault victims. Data were collected by means of individual interviews and analysed according to the Tesch method of data analysis by the researcher and the independent co-coder. Main categories, subcategories and themes were identified. Participants expressed their emotions, challenges and police attitudes and behaviours, as well as inconsistencies in guidelines and needs identification. It was recommended that members of the multidisciplinary team engage in community activities and that the community participate in matters pertaining to sexual assault. Government should develop clear guidelines that are applicable to rural and urban South Africa. Health care sciences should aim to train more forensic nurses. All relevant departments should work together to alleviate the complications caused by sexual assault incidents. Opsomming Die doel van hierdie studie was om die ervaringe van gesondheidsorgverskaffers wat slagoffers van seksuele aanranding in die ongevalle-eenheid van 'n gemeenskapshospitaal in die Nkangala-distrik in die provinsie van Mpumalanga hanteer, te ontgin en te beskryf. ’n Kwalitatiewe fenomenologiese ontwerp is toegepas. Doelbewuste steekproefneming is gebruik om deelnemers te selekteer uit die groep gesondheidsorgverskaffers wat in die ongevalle-eenheid werksaam was en meer as vier slagoffers van seksuele aanranding hanteer het. Data is by wyse van individuele onderhoude ingesamel en volgens die Tesch-metode van data-analise deur die navorser en die onafhanklike medekodeerder geanaliseer

  14. Real-world experience of women using extended-cycle vs monthly-cycle combined oral contraception in the United States: the National Health and Wellness Survey.

    Science.gov (United States)

    Nappi, Rossella E; Lete, Iñaki; Lee, Lulu K; Flores, Natalia M; Micheletti, Marie-Christine; Tang, Boxiong

    2018-01-18

    The real-world experience of women receiving extended-cycle combined oral contraception (COC) versus monthly-cycle COC has not been reported. Data were from the United States 2013 National Health and Wellness Survey. Eligible women (18-50 years old, premenopausal, without hysterectomy) currently using extended-cycle COC (3 months between periods) were compared with women using monthly-cycle COC. Treatment satisfaction (1 "extremely dissatisfied" to 7 "extremely satisfied"), adherence (8-item Morisky Medication Adherence Scale © ), menstrual cycle-related symptoms, health-related quality of life (HRQOL) and health state utilities (Medical Outcomes Short Form Survey-36v2®), depression (9-item Patient Health Questionnaire), sleep difficulties, Work Productivity and Activity Impairment-General Health, and healthcare resource use were assessed using one-way analyses of variance, chi-square tests, and generalized linear models (adjusted for covariates). Participants included 260 (6.7%) women using extended-cycle and 3616 (93.3%) using monthly-cycle COC. Women using extended-cycle COC reported significantly higher treatment satisfaction (P = 0.001) and adherence (P = 0.04) and reduced heavy menstrual bleeding (P = 0.029). A non-significant tendency toward reduced menstrual pain (39.5% versus 47.3%) and menstrual cycle-related symptoms (40.0% versus 48.7%) was found in women using extended-cycle versus monthly-cycle COC. Significantly more women using extended-cycle COC reported health-related diagnoses, indicating preferential prescription for extended-cycle COC among women reporting more health problems. Consistent with this poorer health, more women using extended-cycle COC reported fatigue, headache, and activity impairment (P values cycle COC as a valuable treatment option with high satisfaction, high adherence, and reduced heavy menstrual bleeding.

  15. "I Did Think It Was a Bit Strange Taking Outdoor Education Online": Exploration of Initial Teacher Education Students' Online Learning Experiences in a Tertiary Outdoor Education Unit

    Science.gov (United States)

    Dyment, Janet; Downing, Jillian; Hill, Allen; Smith, Heidi

    2018-01-01

    With a view to attracting more students and offering flexible learning opportunities, online teaching and learning is becoming increasingly wide-spread across the higher education sector. This research reports on the experiences of eight initial teacher education students who studied an outdoor education unit in the online space. Using a…

  16. Annual report of STACY operation in FY.1999. Experiments on two unit neutron-interacting system with slab-shaped core tanks and 10% enriched uranyl nitrate solution (1). (contract research)

    Energy Technology Data Exchange (ETDEWEB)

    Onodera, Seiji; Sono, Hiroki; Hirose, Hideyuki [Japan Atomic Energy Research Inst., Tokai, Ibaraki (Japan). Tokai Research Establishment] [and others

    2000-11-01

    A new series of experiments on two unit neutron-interacting system started in the last half of FY.1999 at STACY (Static Experiment Critical Facility) in NUCEF (Nuclear Fuel Cycle Safety Engineering Research Facility). The experiments were conducted with two slab-shaped core tanks and 10% enriched uranyl nitrate solution. The dimensions of the core tanks are 35 cm in thickness, 70 cm in width and 150 cm in height. In the experiments, critical level heights were measured varying the distance between the two core tanks under the non-reflected condition in order to evaluate reactivity effects on the neutron interaction between the two core tanks. This report summarizes the data on the operation and the fuel management for the 25 experiments conducted in the last half of FY.1999. (author)

  17. Implementing a multifaceted intervention to decrease central line-associated bloodstream infections in SEHA (Abu Dhabi Health Services Company) intensive care units: the Abu Dhabi experience.

    Science.gov (United States)

    Latif, Asad; Kelly, Bernadette; Edrees, Hanan; Kent, Paula S; Weaver, Sallie J; Jovanovic, Branislava; Attallah, Hadeel; de Grouchy, Kristin K; Al-Obaidli, Ali; Goeschel, Christine A; Berenholtz, Sean M

    2015-07-01

    OBJECTIVE To determine whether implementation of a multifaceted intervention would significantly reduce the incidence of central line-associated bloodstream infections. DESIGN Prospective cohort collaborative. SETTING AND PARTICIPANTS Intensive care units of the Abu Dhabi Health Services Company hospitals in the Emirate of Abu Dhabi. INTERVENTIONS A bundled intervention consisting of 3 components was implemented as part of the program. It consisted of a multifaceted approach that targeted clinician use of evidence-based infection prevention recommendations, tools that supported the identification of local barriers to these practices, and implementation ideas to help ensure patients received the practices. Comprehensive unit-based safety teams were created to improve safety culture and teamwork. Finally, the measurement and feedback of monthly infection rate data to safety teams, senior leaders, and staff in participating intensive care units was encouraged. The main outcome measure was the quarterly rate of central line-associated bloodstream infections. RESULTS Eighteen intensive care units from 7 hospitals in Abu Dhabi implemented the program and achieved an overall 38% reduction in their central line-associated bloodstream infection rate, adjusted at the hospital and unit level. The number of units with a quarterly central line-associated bloodstream infection rate of less than 1 infection per 1,000 catheter-days increased by almost 40% between the baseline and postintervention periods. CONCLUSION A significant reduction in the global morbidity and mortality associated with central line-associated bloodstream infections is possible across intensive care units in disparate settings using a multifaceted intervention.

  18. A study of the reverse cycle defrosting performance on a multi-circuit outdoor coil unit in an air source heat pump – Part I: Experiments

    International Nuclear Information System (INIS)

    Qu, Minglu; Xia, Liang; Deng, Shiming; Jiang, Yiqiang

    2012-01-01

    Highlights: ► We experimental study the defrosting performance on a multi-circuit outdoor coil unit in an ASHP unit. ► We find that defrosting is quicker on the airside of upper circuits than that on the lower circuits. ► We discuss the effects of downwards flowing of the melted frost along the outdoor coil surface on defrosting performance. -- Abstract: When an air source heat pump (ASHP) unit operates in heating mode, frost can be accumulated on the surface of its finned outdoor coil which normally has multiple parallel circuits on its refrigerant side for minimized refrigerant pressure loss and enhanced heat transfer efficiency. On its airside, however, there is usually no segmentation corresponding to the number of refrigerant circuit. Frosting deteriorates the operation and energy efficiency of the ASHP unit and periodic defrosting becomes necessary. Currently the most widely used standard defrosting method for ASHPs is reverse cycle defrost. This paper, the first part of a two-part series, reports on the experimental part of a study of the reverse cycle defrosting performance on a multi-circuit outdoor coil unit in an experimental 6.5 kW heating capacity residential ASHP unit. Firstly the experimental ASHP unit is described and experimental procedures detailed. Secondly, the experimental results are reported. This is followed by the discussion on the effects of downwards flowing of the melted frost along a multi-circuit outdoor coil surface on defrosting performance. Finally, the evaluation of the defrosting efficiency for the experimental ASHP unit is provided. In the second part of the series, a modeling analysis on the effects of downwards flowing of the melted frost along the multi-circuit outdoor coil surface on defrosting performance of the experimental ASHP unit will be presented.

  19. Physician experiences and preferences in the treatment of HR+/HER2− metastatic breast cancer in the United States: a physician survey

    International Nuclear Information System (INIS)

    Lin, Peggy L.; Hao, Yanni; Xie, Jipan; Li, Nanxin; Zhong, Yichen; Zhou, Zhou; Signorovitch, James E.; Wu, Eric Q.

    2015-01-01

    Sequential endocrine therapy (ET) is recommended for postmenopausal women with hormone receptor-positive (HR+)/human epidermal growth factor receptor 2-negative (HER2−) metastatic breast cancer (mBC) and without visceral symptoms. Chemotherapy (CT) can be considered after sequential ETs, but is associated with adverse side effects. We assessed physicians' preferences and self-reported prescribing patterns for ET and CT in the treatment of HR+/HER2− mBC at community practices in the United States. Community-based oncologists/hematologists from a nationwide online panel who treated postmenopausal women with HR+/HER2− mBC were invited to complete a survey, blinded to the identity of study sponsor. Treatment preferences were collected by treatment class of ET-based regimens versus CT and by agent for postmenopausal HR+/HER2− mBC patients after prior nonsteroidal aromatase inhibitor use in the adjuvant or mBC setting. Among 213 physicians who completed the survey, 78% were male, 71% were based in small/intermediate practices (2–9 oncologists/subspecialists), 55% had >10 years of experience, and 58% referred to the National Comprehensive Cancer Network Guidelines when treating mBC. Among first-line ETs, anastrozole was the most frequently used treatment (35%), followed by everolimus-based (EVE, 34%) and fulvestrant-based (FUL, 15%) therapy. After first-line ET, the most preferred second- and third-line treatments were ET monotherapy (48% and 39%), ET combination therapy (31% and 19%), and CT monotherapy (13% and 30%). Comparing EVE versus FUL, physicians preferred EVE in all lines but first line. Efficacy was the most important consideration for treatment choice. Physicians prescribed CT in early lines mainly because of visceral symptoms. This survey of treatment patterns for HR+/HER2− mBC in community practice suggested that after first-line ET, ET mono- or combination therapy was commonly used for the second- and third-line treatments and CT

  20. Transient regional climate change: analysis of the summer climate response in a high-resolution, century-scale, ensemble experiment over the continental United States

    Science.gov (United States)

    Diffenbaugh, Noah S.; Ashfaq, Moetasim; Scherer, Martin

    2013-01-01

    Integrating the potential for climate change impacts into policy and planning decisions requires quantification of the emergence of sub-regional climate changes that could occur in response to transient changes in global radiative forcing. Here we report results from a high-resolution, century-scale, ensemble simulation of climate in the United States, forced by atmospheric constituent concentrations from the Special Report on Emissions Scenarios (SRES) A1B scenario. We find that 21st century summer warming permanently emerges beyond the baseline decadal-scale variability prior to 2020 over most areas of the continental U.S. Permanent emergence beyond the baseline annual-scale variability shows much greater spatial heterogeneity, with emergence occurring prior to 2030 over areas of the southwestern U.S., but not prior to the end of the 21st century over much of the southcentral and southeastern U.S. The pattern of emergence of robust summer warming contrasts with the pattern of summer warming magnitude, which is greatest over the central U.S. and smallest over the western U.S. In addition to stronger warming, the central U.S. also exhibits stronger coupling of changes in surface air temperature, precipitation, and moisture and energy fluxes, along with changes in atmospheric circulation towards increased anticylonic anomalies in the mid-troposphere and a poleward shift in the mid-latitude jet aloft. However, as a fraction of the baseline variability, the transient warming over the central U.S. is smaller than the warming over the southwestern or northeastern U.S., delaying the emergence of the warming signal over the central U.S. Our comparisons with observations and the Coupled Model Intercomparison Project Phase 3 (CMIP3) ensemble of global climate model experiments suggest that near-term global warming is likely to cause robust sub-regional-scale warming over areas that exhibit relatively little baseline variability. In contrast, where there is greater

  1. Rhabdomyosarcoma: The Experience of the Pediatric Unit of Kasr El-Aini Center of Radiation Oncology and Nuclear Medicine (NEMROCK) (from January 1992 to January 2001)

    International Nuclear Information System (INIS)

    Abdel Aal, H.H.; Habib, E.E.; Mishrif, M.M.

    2006-01-01

    Our present study is a retrospective analysis of the treatment results of new rhabdomyosarcoma pediatric patients who had attended the pediatric unit clinic of Kasr El-Aini Center of Radiation Oncology and Nuclear Medicine (NEMROCK) from January 1992 to January 200 I). Patients and Methods: Fifty-five new cases of pediatric rhabdomyosarcoma attended the pediatric unit outpatient clinic of (NEMROCK) from the period of January 1992 until January 200 I. Patients were divided into 4 stages and classified into low-risk patients and high-risk patients according to the extent of resection. Stage I, II orbital and stage I para-testicular embryonal rhabdomyosarcomas received 32 weeks of vincristine and actinomycin-D (vincristine 1.5 mg/m 2 weekly, actinomycin-D 0.015 mg/ Kg/day day 1 to day 5). Other pathologies, sites and stages received 52 weeks of chemotherapy. Chemotherapy regimens included VAC (vincristine 1.5 mg/m 2 weekly, actinomycin-D 0.015 mg/Kg/day day 1 to day 5 and endoxan 2.2 gm/m 2 LV with mesna every 21 days), VAl (vincristine, actinomycin-D and ifosfamide 1.8 gm/m2 l.V day 1 to day 5 with mesna) or VIE (vincristine, ifosfamide and vepesid 100 mg/m 2 1. V day 1 to day 5) [11,12]. Stages I and II received conventional fractionation radiotherapy 4140 c Gy on week 13, stages Ill and IV received conventional fractionation radiation therapy 5040 c Gy also, on week 13. The radiation volume included the tumor bed with a 2 cm safety margin at least. Relapsing cases received palliative radiation therapy and chemotherapy (cisplatinum LV 100 mg/m 2 divided over 2 days and vepesid 100 mg/m2 l.V day 1 to day 3 to be recycled every 21 days). Patients were followed-up for 5 years, with a median follow-up of 36 months. Overall survival, disease free survival, treatment response, and complications of treatment were assessed and statistically analyzed. Results: Fifty-five new cases of pediatric rhabdomy-osarcoma attended the pediatric unit outpatient clinic of (NEMROCK) and

  2. A Compilation of Boiling Water Reactor Operational Experience for the United Kingdom's Office for Nuclear Regulation's Advanced Boiling Water Reactor Generic Design Assessment

    Energy Technology Data Exchange (ETDEWEB)

    Wheeler, Timothy A. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Liao, Huafei [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)

    2014-12-01

    United States nuclear power plant Licensee Event Reports (LERs), submitted to the United States Nuclear Regulatory Commission (NRC) under law as required by 10 CFR 50.72 and 50.73 were evaluated for reliance to the United Kingdom’s Health and Safety Executive – Office for Nuclear Regulation’s (ONR) general design assessment of the Advanced Boiling Water Reactor (ABWR) design. An NRC compendium of LERs, compiled by Idaho National Laboratory over the time period January 1, 2000 through March 31, 2014, were sorted by BWR safety system and sorted into two categories: those events leading to a SCRAM, and those events which constituted a safety system failure. The LERs were then evaluated as to the relevance of the operational experience to the ABWR design.

  3. [Interpersonal relationships: perception of the communication, treatment and adverse experiences encountered by users of medical units that belong to the Coordinating Commission of the National Institutes of Health and High Specialty Hospitals (CCINSHAE)].

    Science.gov (United States)

    Arroyo-Valerio, América Guadalupe Guadalupe; Cortés-Poza, David; Aguirre Hernández, Rebeca; Fuentes García, Ruth; Ramírez de la Roche, Omar Fernando; Hamui Sutton, Alicia

    2013-01-01

    User's perception with regard to the attention they received in healthcare units is increasingly being taken into account by the health service providers in order to improve the quality of their service. Describe how the users perceive the health services provided by the CCINSHAE with regard to the communication with the physicians, the attention of the staff and the adverse personal and institutional experiences and to explore their relation with user's demographic characteristics, health condition, physical limitations to carry out daily activities and service area. A questionnaire was designed to collect information about the user and his/her opinion with regard to the healthcare units, the communication with the physicians, the attention of the staff and the adverse personal and institutional experiences. The data were analyzed with STATA using sample weights. A total of 2,176 individuals were interviewed after they had received attention and represent a population of 1,457,964 users, over 6 months, of the CCINSAHE. We then calculated four binary variables that reflect the perception of the users. These four variables were significantly associated with the type of health unit where the user received attention, schooling, limitations to carry out daily activities, facilities provided to the relatives, family income, the use of alternative medicine, and the area of attention. A fundamental aspect of the service provided by the healthcare institutions is the communication between the physicians and the users. We found that the perception of the users with regard to the communication with the physician, the attention of the staff, and the adverse personal and institutional experiences was associated with the type of healthcare unit. The federal reference hospitals produced the most unfavorable perception while the regional hospitals produced the most favorable impression. This study enables the decision-making personnel to determine what needs to be modified in

  4. Particle physics experiments 1987

    International Nuclear Information System (INIS)

    Stuart, G.W.

    1988-01-01

    This report describes work carried out in 1987 on experiments approved by the Particle Physics Experiments Selection Panel (United Kingdom). The contents consist of unedited contributions from each experiment. (author)

  5. Control of water infiltration into near surface low-level waste disposal units. Final report on field experiments at a humid region site, Beltsville, Maryland

    International Nuclear Information System (INIS)

    Schulz, R.K.; Ridky, R.W.; O'Donnell, E.

    1997-09-01

    This study''s objective was to assess means for controlling water infiltration through waste disposal unit covers in humid regions. Experimental work was carried out in large-scale lysimeters 21.34 m x 13.72 m x 3.05 m (70 ft x 45 ft x 10 ft) at Beltsville, Maryland. Results of the assessment are applicable to disposal of low-level radioactive waste (LLW), uranium mill tailings, hazardous waste, and sanitary landfills. Three kinds of waste disposal unit covers or barriers to water infiltration were investigated: (1) resistive layer barrier, (2) conductive layer barrier, and (3) bioengineering management

  6. Bayesian optimal experimental design for the Shock-tube experiment

    International Nuclear Information System (INIS)

    Terejanu, G; Bryant, C M; Miki, K

    2013-01-01

    The sequential optimal experimental design formulated as an information-theoretic sensitivity analysis is applied to the ignition delay problem using real experimental. The optimal design is obtained by maximizing the statistical dependence between the model parameters and observables, which is quantified in this study using mutual information. This is naturally posed in the Bayesian framework. The study shows that by monitoring the information gain after each measurement update, one can design a stopping criteria for the experimental process which gives a minimal set of experiments to efficiently learn the Arrhenius parameters.

  7. The Alternative Work Schedules Experiment: Congressional Oversight Needed to Avoid Likely Failure. Report to the Congress by the Comptroller General of the United States.

    Science.gov (United States)

    General Accounting Office, Washington, DC.

    More than 250,000 federal employees nationwide are participating in a three-year voluntary experiment to find out if the federal government can successfully use flexible and compressed work schedules as alternatives to the traditional eight-hour day, forty-hour workweek. If the experiment is a success, the Congress may modify laws to allow…

  8. Experience with a mobile data storage device for transfer of studies from the critical care unit to a central nuclear medicine computer

    International Nuclear Information System (INIS)

    Cradduck, T.D.; Driedger, A.A.

    1981-01-01

    The introduction of mobile scintillation cameras has enabled the more immediate provision of nuclear medicine services in areas remote from the central nuclear medicine laboratory. Since a large number of such studies involve the use of a computer for data analysis, the concurrent problem of how to transmit those data to the computer becomes critical. A device is described using hard magnetic discs as the recording media and which can be wheeled from the patient's bedside to the central computer for playback. Some initial design problems, primarily associated with the critical timing which is necessary for the collection of gated studies, were overcome and the unit has been in service for the past two years. The major limitations are the relatively small capacity of the discs and the fact that the data are recorded in list mode. These constraints result in studies having poor statistical validity. The slow turn-around time, which results from the necessity to transport the system to the department and replay the study into the computer before analysis can begin, is also of particular concern. The use of this unit has clearly demonstrated the very important role that nuclear medicine can play in the care of the critically ill patient. The introduction of a complete acquisition and analysis unit is planned so that prompt diagnostic decisions can be made available within the intensive care unit. (author)

  9. Development, implementation and operational experience with 900 mm R1T pocket-type bearings at Oskarshamn unit 3 nuclear steam turbine generator

    International Nuclear Information System (INIS)

    Peel, P.; Roos, A.

    2015-01-01

    The Oskarshamn unit 3 nuclear steam turbine generator in Sweden is operated by OKG and, following the extensive PULS upgrade project, delivers an increased rated output of 1450 MW making it the most powerful BWR unit worldwide. Several turbine bearing incidents occurred in 2009 and 2010, which initiated a detailed root cause analysis to determine the reasons and propose appropriate mitigation measures to ensure reliable unit operation. Together with OKG, ALSTOM Power implemented a short-term solution to operate the unit over the winter period of 2010-11. Subsequently, during the annual outage in June 2011, a permanent solution involving a R1T pocket-type bearing design was installed at three shaft-line positions. Since the 1980's, R1T bearings with diameters from 250 to 670 mm have been operating in numerous full-speed (3000/3600 rpm) steam turbine generators. However, this was the first application of a R1T bearing developed at a diameter of 900 mm and for half-speed operation. This paper presents an overview of the bearing development and details the successful operational feedback gathered to date on the three installed bearings. In comparison with the three tilting pad bearing design, which has typically been used on large half-speed ALSTOM Power steam turbine generators to date, it confirms the R1T bearing design as a viable alternative. (authors)

  10. Corima: A Bilingual Experiment in the Tarahumara Region in the State of Chihuahua, Mexico. How Does It Measure against Transitional Bilingual Programs in the United States?

    Science.gov (United States)

    Nunez, Mario A.

    This report explores two bilingual educational approaches currently in use in Mexico and the United States. The study pursues a limited comparison between two modalities of bilingual instruction, as observed and reported in the consulted literature. The U.S. model featured is known as the two-way bilingual model, an additive approach to…

  11. A Year of Hands-on Science: Exciting Theme Units with More Than 100 Activities, Projects, and Experiments To Make Science Come Alive.

    Science.gov (United States)

    Kepler, Lynne; Novelli, Joan, Ed.

    This book contains 18 themed teaching units with 2 themes per chapter, organized seasonally around the traditional school year. Each theme includes natural connections and hands-on science activities that correspond to what children are already observing in their world. Each chapter begins with highlights of the month and a reproducible "Science…

  12. Emergency Contraceptive Pills: A 10-Year Follow-up Survey of Use and Experiences at College Health Centers in the Mid-Atlantic United States

    Science.gov (United States)

    Miller, Laura McKeller; Sawyer, Robin G.

    2006-01-01

    The authors conducted a 10-year follow-up study using a telephone survey to investigate the availability of emergency contraceptive pills (ECPs) at college health centers in the mid-Atlantic region of the United States. They also examined related issues, such as distribution procedure, existence of a written protocol, personnel involved,…

  13. Forecast of criticality experiments and experimental programs needed to support nuclear operations in the United States of America: 1994-1999

    International Nuclear Information System (INIS)

    Rutherford, D.

    1995-01-01

    This Forecast is generated by the Chair of the Experiment Needs Identification Workgroup (ENIWG), with input from Department of Energy and the nuclear community. One of the current concerns addressed by ENIWG was the Defense Nuclear Facilities Safety Board's Recommendation 93-2. This Recommendation delineated the need for a critical experimental capability, which includes (1) a program of general-purpose experiments, (2) improving the information base, and (3) ongoing departmental programs. The nuclear community also recognizes the importance of criticality theory, which, as a stepping stone to computational analysis and safety code development, needs to be benchmarked against well-characterized critical experiments. A summary projection of the Department's needs with respect to criticality information includes (1) hands-on training, (2) criticality and nuclear data, (3) detector systems, (4) uranium- and plutonium-based reactors, and (5) accident analysis. The Workgroup has evaluated, prioritized, and categorized each proposed experiment and program. Transportation/Applications is a new category intended to cover the areas of storage, training, emergency response, and standards. This category has the highest number of priority-1 experiments (nine). Facilities capable of performing experiments include the Los Alamos Critical Experiment Facility (LACEF) along with Area V at Sandia National Laboratory. The LACEF continues to house the most significant collection of critical assemblies in the Western Hemisphere. The staff of this facility and Area V are trained and certified, and documentation is current. ENIWG will continue to work with the nuclear community to identify and prioritize experiments because there is an overwhelming need for critical experiments to be performed for basic research and code validation

  14. Forecast of criticality experiments and experimental programs needed to support nuclear operations in the United States of America: 1994--1999

    Energy Technology Data Exchange (ETDEWEB)

    Rutherford, D.

    1994-03-01

    This Forecast is generated by the Chair of the Experiment Needs Identification Workgroup (ENIWG), with input from Department of Energy and the nuclear community. One of the current concerns addressed by ENIWG was the Defense Nuclear Facilities Safety Board`s Recommendation 93-2. This Recommendation delineated the need for a critical experimental capability, which includes (1) a program of general-purpose experiments, (2) improving the information base, and (3) ongoing departmental programs. The nuclear community also recognizes the importance of criticality theory, which, as a stepping stone to computational analysis and safety code development, needs to be benchmarked against well-characterized critical experiments. A summary project of the Department`s needs with respect to criticality information includes (1) hands-on training, (2) criticality and nuclear data, (3) detector systems, (4) uranium- and plutonium-based reactors, and (5) accident analysis. The Workgroup has evaluated, prioritized, and categorized each proposed experiment and program. Transportation/Applications is a new category intended to cover the areas of storage, training, emergency response, and standards. This category has the highest number of priority-1 experiments (nine). Facilities capable of performing experiments include the Los Alamos Critical Experiment Facility (LACEF) along with Area V at Sandia National Laboratory. The LACEF continues to house the most significant collection of critical assemblies in the Western Hemisphere. The staff of this facility and Area V are trained and certified, and documentation is current. ENIWG will continue to work with the nuclear community to identify and prioritize experiments because there is an overwhelming need for critical experiments to be performed for basic research and code validation.

  15. Forecast of criticality experiments and experimental programs needed to support nuclear operations in the United States of America: 1994--1999

    International Nuclear Information System (INIS)

    Rutherford, D.

    1994-03-01

    This Forecast is generated by the Chair of the Experiment Needs Identification Workgroup (ENIWG), with input from Department of Energy and the nuclear community. One of the current concerns addressed by ENIWG was the Defense Nuclear Facilities Safety Board's Recommendation 93-2. This Recommendation delineated the need for a critical experimental capability, which includes (1) a program of general-purpose experiments, (2) improving the information base, and (3) ongoing departmental programs. The nuclear community also recognizes the importance of criticality theory, which, as a stepping stone to computational analysis and safety code development, needs to be benchmarked against well-characterized critical experiments. A summary project of the Department's needs with respect to criticality information includes (1) hands-on training, (2) criticality and nuclear data, (3) detector systems, (4) uranium- and plutonium-based reactors, and (5) accident analysis. The Workgroup has evaluated, prioritized, and categorized each proposed experiment and program. Transportation/Applications is a new category intended to cover the areas of storage, training, emergency response, and standards. This category has the highest number of priority-1 experiments (nine). Facilities capable of performing experiments include the Los Alamos Critical Experiment Facility (LACEF) along with Area V at Sandia National Laboratory. The LACEF continues to house the most significant collection of critical assemblies in the Western Hemisphere. The staff of this facility and Area V are trained and certified, and documentation is current. ENIWG will continue to work with the nuclear community to identify and prioritize experiments because there is an overwhelming need for critical experiments to be performed for basic research and code validation

  16. Interface unit

    NARCIS (Netherlands)

    Keyson, D.V.; Freudenthal, A.; De Hoogh, M.P.A.; Dekoven, E.A.M.

    2001-01-01

    The invention relates to an interface unit comprising at least a display unit for communication with a user, which is designed for being coupled with a control unit for at least one or more parameters in a living or working environment, such as the temperature setting in a house, which control unit

  17. Evaluating the Effectiveness and the Impact of Donated Neurosurgical Equipment on Neurosurgical Units in Low- and Middle-Income Countries: The World Federation of Neurosurgical Societies Experience.

    Science.gov (United States)

    Venturini, Sara; Park, Kee B

    2018-01-01

    Surgical practice highly depends on the availability of surgical equipment; this is particularly relevant to low- and middle-income countries (LMICs), where resources are limited. A key part of the efforts to improve surgical provision globally include providing affordable equipment to LMICs; however, the effectiveness and the impact of these initiatives have not yet been assessed. We aimed to evaluate the World Federation of Neurosurgical Societies neurosurgical equipment program in this context. Recipients were identified from the World Federation of Neurosurgical Societies records; contact details were gathered. An online survey was used to collect data on equipment, including its current use, any malfunctioning issues, suitability, reliability, serviceability, and the impact it has had on the unit. Responses were received from 16 units, totaling 28 pieces of equipment. A total of 75% of the equipment is still in use; of this, 57% is fully functioning, and 43% is used despite some malfunction. We found that 25% of the equipment is broken and unusable; high-maintenance items, such as high-speed drills, feature in this category (100% broken, n = 3). Units reported an increase in number of operation performed in 74% cases, improved surgery quality in 78%, and breadth of operations in 44%. Satisfaction, equipment suitability, reliability, and serviceability scored highly, with median values of 9 for all fields on a 10-point scale. Equipment donation positively impacts neurosurgical units in LMICs by allowing expansion of neurosurgical practice, improved safety and quality, and affordability. Adequate follow-up, considerations regarding equipment durability and maintenance needs, and improved support for repairs should be prioritized to ensure maximal benefit. Copyright © 2017 Elsevier Inc. All rights reserved.

  18. Experience from replacement and check of thermocouples during reconstruction of in-reactor temperature measurements at Bohunice V-1 units 1 and 2

    International Nuclear Information System (INIS)

    Slanina, M.; Stanc, J.

    2001-01-01

    Replacement of thermocouples in the protection tube blocks was a key phase of the reconstruction of in-reactor temperature measurements at Bohunice V-1 with regard to the success, reliability and impact on safety of unit operation. The replacement consisted of reliable and safe withdrawal of 216 old thermocouples, their disposal and installation of new thermocouples into dry channels. In the material presented, this phase of reconstruction is described in details, with focus on the evaluation of replacement quality and check activities carried out at the new installed thermocouples. (Authors)

  19. Peer-to-Peer Consultations: Ancillary Services Peer Exchange with India: Experience from South Africa, Europe & the United States (Fact Sheet)

    Energy Technology Data Exchange (ETDEWEB)

    2014-05-01

    In support of national and subnational decision makers, the 21st Century Power Partnership regularly works with country partners to organize peer-to-peer consultations on critical issues. In March 2014, 21CPP collaborated with the Regulatory Assistance Project - India to host two peer-to-peer exchanges among experts from India, South Africa, Europe, and the United States to discuss the provision of ancillary services, particularly in the context of added variability and uncertainty from renewable energy. This factsheet provides a high level summary of the peer-to-peer consultation.

  20. Sex and sexual orientation disparities in adverse childhood experiences and early age at sexual debut in the United States: Results from a nationally representative sample☆

    OpenAIRE

    Brown, Monique J.; Masho, Saba W.; Perera, Robert A.; Mezuk, Briana; Cohen, Steven A.

    2015-01-01

    Adverse childhood experiences (ACEs) have been linked to early sexual debut, which has been found to be associated with multiple adverse health outcomes. Sexual minorities and men tend to have earlier sexual debut compared to heterosexual populations and women, respectively. However, studies examining the association between ACEs and early sexual debut among men and sexual minorities are lacking. The aim of this study was to examine the sex and sexual orientation disparities in the associatio...

  1. The role of the intensive care unit in real-time surveillance of emerging pandemics: the Italian GiViTI experience.

    Science.gov (United States)

    Bertolini, G; Nattino, G; Langer, M; Tavola, M; Crespi, D; Mondini, M; Rossi, C; Previtali, C; Marshall, J; Poole, D

    2016-01-01

    The prompt availability of reliable epidemiological information on emerging pandemics is crucial for public health policy-makers. Early in 2013, a possible new H1N1 epidemic notified by an intensive care unit (ICU) to GiViTI, the Italian ICU network, prompted the re-activation of the real-time monitoring system developed during the 2009-2010 pandemic. Based on data from 216 ICUs, we were able to detect and monitor an outbreak of severe H1N1 infection, and to compare the situation with previous years. The timely and correct assessment of the severity of an epidemic can be obtained by investigating ICU admissions, especially when historical comparisons can be made.

  2. Control of water infiltration into near surface LLW disposal units - Progress report on field experiments at a humid region site, Beltsville, Maryland

    Energy Technology Data Exchange (ETDEWEB)

    O' Donnell, Edward [U.S. Nuclear Regulatory Commission, Washington, DC (United States); Ridky, Robert W [University of Maryland, College Park, MD (United States); Schulz, Robert K [University of California, Berkeley, CA (United States)

    1992-07-01

    The study's objective is to assess means for controlling water infiltration through waste disposal unit covers in humid regions. Experimental work is being performed in large-scale lysimeters (75x45x10') at Beltsville, MD, and results of the assessment are applicable to disposal of low-level radioactive waste (LLW), uranium mill tailings, hazardous waste, and sanitary landfills. Three kinds of waste disposal unit covers or barriers to water infiltration are being investigated. They are: 1) resistive layer barrier, 2) conductive layer barrier, and 3) bioengineering management. The resistive layer barrier consists of compacted earthen material (e.g., clay). The conductive layer barrier consists of a conductive layer in conjunction with a capillary break. As long as unsaturated flow conditions are maintained, the conductive layer will wick water around the capillary break. Below-grade layered covers such as (1) and (2) will fail if there is appreciable subsidence of the cover. Remedial action for this kind of failure will be difficult. A surface cover, called bioengineering management, is meant to overcome this problem. The bioengineering management surface barrier is easily repairable if damaged by subsidence; therefore, it could be the system of choice under active subsidence conditions. The bioengineering management procedure also has been shown to be effective in dewatering saturated trenches and could be used for remedial action efforts. After cessation of subsidence, that procedure could be replaced by a resistive layer barrier, or perhaps even better, a resistive layer barrier/conductive layer barrier system. This latter system would then give long-term effective protection against water entry into waste and without institutional care. As mentioned in the preceding paragraph, a bioengineering management cover might well be the cover of choice during tho active subsidence phase of a waste disposal unit. Some maintenance is required during that period. Final

  3. Control of water infiltration into near surface LLW disposal units - Progress report on field experiments at a humid region site, Beltsville, Maryland

    International Nuclear Information System (INIS)

    O'Donnell, Edward; Ridky, Robert W.; Schulz, Robert K.

    1992-01-01

    The study's objective is to assess means for controlling water infiltration through waste disposal unit covers in humid regions. Experimental work is being performed in large-scale lysimeters (75x45x10') at Beltsville, MD, and results of the assessment are applicable to disposal of low-level radioactive waste (LLW), uranium mill tailings, hazardous waste, and sanitary landfills. Three kinds of waste disposal unit covers or barriers to water infiltration are being investigated. They are: 1) resistive layer barrier, 2) conductive layer barrier, and 3) bioengineering management. The resistive layer barrier consists of compacted earthen material (e.g., clay). The conductive layer barrier consists of a conductive layer in conjunction with a capillary break. As long as unsaturated flow conditions are maintained, the conductive layer will wick water around the capillary break. Below-grade layered covers such as (1) and (2) will fail if there is appreciable subsidence of the cover. Remedial action for this kind of failure will be difficult. A surface cover, called bioengineering management, is meant to overcome this problem. The bioengineering management surface barrier is easily repairable if damaged by subsidence; therefore, it could be the system of choice under active subsidence conditions. The bioengineering management procedure also has been shown to be effective in dewatering saturated trenches and could be used for remedial action efforts. After cessation of subsidence, that procedure could be replaced by a resistive layer barrier, or perhaps even better, a resistive layer barrier/conductive layer barrier system. This latter system would then give long-term effective protection against water entry into waste and without institutional care. As mentioned in the preceding paragraph, a bioengineering management cover might well be the cover of choice during tho active subsidence phase of a waste disposal unit. Some maintenance is required during that period. Final

  4. Advanced scale conditioning agent and consolidated deposit extraction planning, application experience, and results at Comanche Peak Unit 2 and industrial super critical water oxidation waste reduction

    Energy Technology Data Exchange (ETDEWEB)

    Forney, M.; Ramaley, D. [Westinghouse Electric Company, Cranberry Township, PA (United States); Bryant, W. [Luminant Energy, Comanche Peak Nuclear Power Plant, Dallas, TX (United States)

    2015-07-01

    Advance Scale Conditioning Agent (ASCA) technology has been applied more than forty times worldwide since its inception in 2000. This technology has continually grown in popularity since its development due to the combination of several process benefits and minimal outage impacts. Comanche Peak Unit 2 applied a Top of Tubesheet (TTS) ASCA in 2014 for partial dissolution and softening of consolidated TTS collars. In addition to the ASCA application, a Consolidated Deposit Extraction (CODE) step was applied to the TTS. CODE is a chemical treatment technology that effectively targets and dissolves 'binding species' such as those containing aluminum and silicon from steam generator deposits. Since magnetite dissolution technologies are not wholly effective in removing consolidated TTS 'collars' CODE technology was developed to address this need in the industry. This paper will discuss both the Westinghouse and utility perspective on TTS ASCA/CODE application planning, site execution, and process results. (author)

  5. Surry Power Station, Units 1 and 2. Annual operating report: January--December 1977, volume I--introduction, summary of operating experience; changes, tests, experiments, and safety-related maintenance; effluent releases; data tabulations

    International Nuclear Information System (INIS)

    1978-01-01

    A chronological operating sequence including shutdowns and occurrences during the year which required load reductions or resulted in non-load related incidents is given. Data are presented concerning plant and procedure changes, tests, experiments, safety related maintenance, effluent releases and personnel radiation exposures

  6. Correlation of needle core biopsy with excision histology in screen-detected B3 lesions: the Merrion Breast Screening Unit experience.

    LENUS (Irish Health Repository)

    Hayes, B D

    2012-02-01

    AIMS: Needle core biopsy (NCB) is a widely-used technique for non-operative evaluation of screen-detected breast lesions. Although most NCBs are B2 (benign) or B5 (malignant), some fall into the B3 category of "uncertain malignant potential". This study aims to categorise the lesions prompting a B3 NCB in the Merrion Breast Screening Unit, and establish the incidence of malignancy on subsequent excision biopsy. METHODS: Patients attending the Merrion Breast Screening Unit in Dublin between 2000 and 2008 who had a B3 NCB were identified. The NCB pathology reports were reviewed and the diagnosis correlated with excision histology; the latter was classified as benign, atypical or malignant. Lesion-specific positive predictive values (PPVs) for malignancy were derived. RESULTS: 141 patients with a B3 NCB were identified. The most frequent lesions on NCB were radial scar (RS; n = 57), atypical intraductal epithelial proliferation (AIDEP; n = 25) and papillary lesion (n = 24). The final diagnosis was malignant in 22 patients (16%), atypical in 40 (28%) and benign in 79 (56%). Two of the patients with a malignant diagnosis had invasive carcinoma. The lesion-specific PPVs were: lobular neoplasia 50%, AIDEP 32%, columnar cell lesion with atypia 12.5%, RS 12.3%, papillary lesion 8.3%, suspected phyllodes tumour 7.7%, and spindle cell lesion 0%. Atypia on RS NCB predicted an atypical or malignant excision diagnosis, but atypia on papillary lesion NCB did not. CONCLUSIONS: One-sixth of B3 NCBs in this series proved to be malignant on excision. The PPV for malignancy varied according to lesion type.

  7. Control of water infiltration into near surface LLW disposal units. Progress report on field experiments at a humid region site, Beltsville, Maryland: Volume 8

    International Nuclear Information System (INIS)

    Schulz, R.K.; Ridky, R.W.

    1995-04-01

    This study's objective is to assess means for controlling water infiltration through waste disposal unit covers in humid regions. Experimental work is being performed in large-scale lysimeters 21.34 m x 13.72 m x 3.05 m (75 ft x 45 ft x 10 ft) at Beltsville, Maryland. Results of the assessment are applicable to disposal of low-level radioactive waste (LLW), uranium mill tailings, hazardous waste, and sanitary landfills. Three kinds of waste disposal unit covers or barriers to water infiltration are being investigated: (1) resistive layer barrier, (2) conductive layer barrier, and (3) bioengineering management. The resistive layer barrier consists of compacted earthen material (e.g., clay). The conductive layer barrier consists of a conductive layer in conjunction with a capillary break. As long as unsaturated flow conditions are maintained, the conductive layer will wick water around the capillary break. Below-grade layered covers such as (1) and (2) will fail if there is appreciable subsidence of the cover, and remedial action for this kind of failure will be difficult. A surface cover, called bioengineering management, is meant to overcome this problem. The bioengineering management surface barrier is easily repairable if damaged by subsidence; therefore, it could be the system of choice under active subsidence conditions. The bioengineering management procedure also has been shown to be effective in dewatering saturated trenches and could be used for remedial action efforts. After cessation of subsidence, that procedure could be replaced by a resistive layer barrier or, perhaps even better, by a resistive layer barrier/conductive layer barrier system. The latter system would then give long-term effective protection against water entry into waste without institutional care

  8. Control of water infiltration into near surface LLW disposal units: Progress report on field experiments at a humid region site, Beltsville, Maryland

    International Nuclear Information System (INIS)

    Schulz, R.K.; Ridky, R.W.

    1996-08-01

    This study's objective is to assess means for controlling water infiltration through waste disposal unit covers in humid regions. Experimental work is being performed in large-scale lysimeters 21.34 m x 13.72 m x 3.05 m (70 ft x 45 ft x 10 ft) at Beltsville, Maryland. Results of the assessment are applicable to disposal of low-level radioactive waste (LLW), uranium mill tailings, hazardous waste, and sanitary landfills. Three kinds of waste disposal unit covers or barriers to water infiltration are being investigated: (1) resistive layer barrier, (2) conductive layer barrier, and (3) bioengineering management. The resistive layer barrier consists of compacted earthen material (e.g., clay). The conductive layer barrier consists of a conductive layer in conjunction with a capillary break. As long as unsaturated flow conditions are maintained, the conductive layer will wick water around the capillary break. Below-grade layered covers such as (1) and (2) will fail if there is appreciable subsidence of the cover, and remedial action for this kind of failure will be difficult. A surface cover, called bioengineering management, is meant to overcome this problem. The bioengineering management surface barrier is easily repairable if damaged by subsidence; therefore, it could be the system of choice under active subsidence conditions. The bioengineering management procedure also has been shown to be effective in dewatering saturated trenches and could be used for remedial action efforts. After cessation of subsidence, that procedure could be replaced by a resistive layer barrier or, perhaps even better, by a resistive layer barrier/conductive layer barrier system. The latter system would then give long-term effective protection against water entry into waste without institutional care

  9. Control of water infiltration into near surface LLW disposal units-progress report on field experiments at a humid region site, Beltsville, Maryland

    International Nuclear Information System (INIS)

    O'Donnell, E.; Ridky, R.W.; Schulz, R.K.

    1994-01-01

    The study's objective is to assess means for controlling water infiltration through waste disposal unit covers in humid regions. Experimental work is being performed in large-scale lysimeters (75'x45'x10') at Beltsville, MD, and results of the assessment are applicable to disposal of low-level radioactive waste (LLW), uranium mill tailings, hazardous waste, and sanitary landfills. Three kinds of waste disposal unit covers or barriers to water infiltration are being investigated. They are: (1) resistive layer barrier, (2) conductive layer barrier, and (3) bioengineering management. The conductive layer barrier consists of a conductive layer in conjunction with a capillary break. As long as unsaturated flow conditions are maintained, the conductive layer will wick water around the capillary break. Below-grade layered covers such as (1) and (2) will fail if there is appreciable subsidence of the cover. Remedial action for this kind of failure will be difficult. A surface cover, called bioengineering management, is meant to overcome this problem. The bioengineering management surface barrier is easily repairable if damaged by subsidence; therefore, it could be the system of choice under active subsidence conditions. The bioengineering management procedure also has been shown to be effective in dewatering saturated trenches and could be used for remedial action efforts. After cessation of subsidence, that procedure could be replaced by a resistive layer barrier, or perhaps even better, a resistive layer barrier/conductive layer barrier system. This latter system would then give long-term effective protection against water entry into waste and without institutional care

  10. Adoption experiences of women and men and demand for children to adopt by women 18-44 years of age in the United States, 2002.

    Science.gov (United States)

    Jones, Jo

    2008-08-01

    This report presents national estimates of the prevalence of adoption for men and women 18-44 years of age, the demand for children to adopt by women, and women's preferences for characteristics of the adopted child. Analysis is based on data from the 2002 National Survey of Family Growth. This survey interviewed a nationally representative sample of women and men 15-44 years of age in their households. Results are weighted to produce national estimates of the characteristics of men and women who have adopted children, lifetime and current demand for adoption by women, and the characteristics of children preferred by women when they are considering adoption. Adoption remains rare in the United States. Among all women aged 18-44 in 2002, only 1.1% had adopted a child and 1.6% were currently seeking to adopt. Women were more likely to be currently seeking to adopt, to have ever sought to adopt, and to have actually adopted a child if they had used infertility services or had impaired fecundity. Older women and women who were in their second or later marriage were also more likely to have adopted a child. Hispanic and non-Hispanic black women were more likely to be currently seeking to adopt compared with non-Hispanic white women. More men than women have adopted children in their lifetimes. Among adopters, 17% of women and 6% of men were never married. Adopting a child has been and remains a relatively rare event in the United States. Adoption is a mechanism by which adults legalize their parental relationship to nonbiological children as well as a means to bring children into families. Studies examining adoption should include men as well as women and persons of all marital statuses.

  11. The diverse application of laser hair removal therapy: a tertiary laser unit's experience with less common indications and a literature overview.

    Science.gov (United States)

    Koch, D; Pratsou, P; Szczecinska, W; Lanigan, S; Abdullah, A

    2015-01-01

    We describe the diversity of indications for laser hair removal (LHR) therapy and compare our experience with the literature. Patients' case notes referred to the Birmingham Regional Skin Laser Centre between 2003 and 2011 for laser hair removal, with indications other than hirsutism, were reviewed retrospectively. Thirty-one treated patients with the following indications were identified: hair-bearing skin grafts/flaps, intra-oral hair-bearing flap, Becker's naevus, localised nevoid hypertrichosis, peristomal hair-bearing skin, scrotal skin prior to vaginoplasty in male-to-female (MTF) gender reassignment, pilonidal sinus disease (PSD), pseudofolliculitis barbae (PFB) and hidradenitis suppurativa (HS). Seven patients with the following indications have been reported before: intra-oral hair-bearing graft, naevoid hypertrichosis and peristomal hair-bearing skin. A clinical review of the evidence available for each indication is provided. Our experience and that in the published literature suggest that LHR is a safe, well-tolerated and effective treatment modality for the indications we report, leading to significant symptom and functional improvement with high patient satisfaction. LHR appears effective in the treatment of chronic inflammatory conditions such as PSD, PFB and HS, particularly at an early disease stage. We aim to increase awareness of the diversity of laser hair removal indications and add evidence to the medical literature of the wide range of indications for this useful treatment modality.

  12. Experience of the air medical evacuation team of Serbian armed forces in the united nations mission in the Democratic Republic of Congo - deployment stress and psychological adaptation

    Directory of Open Access Journals (Sweden)

    Joković Danilo B.

    2016-01-01

    Full Text Available Background/Aim. Wars of the nineties in former Yugoslavia, Somalia, Rwanda imposed new tasks to the United Nations (UN forces, such as providing humanitarian aid, protection of civilians, peacekeeping, and in many instances providing armed enforcement of peace. The aim of this study was an observational analysis of Serbian participation in the UNs Mission in the Democratic Republic of Congo with the emphasis on stress and coping techniques. Methods. Serbian contribution in this mission dates back to April 2003 till the present days with a military contingent consisting of six members as a part of Air Medical Evacuation Team. The observed stressogenous factors acted before arrival to the mission area and in the mission area. In this paper we analysed ways to overcome them. Results. The productive ways of overwhelming stress used in this mission were: honesty and openness in interpersonal communications, dedication to work, maintaining discipline and order, strict following of appropriate regime of work, diet, rest and recreation; regular communication with family and organizing and participation in various social, cultural and sports manifestations. Conclusion. This analysis indicates that out of all the observed factors, the most important is appropriate selection of personnel.

  13. Resources predicting positive and negative affect during the experience of stress: a study of older Asian Indian immigrants in the United States.

    Science.gov (United States)

    Diwan, Sadhna; Jonnalagadda, Satya S; Balaswamy, Shantha

    2004-10-01

    Using the life stress model of psychological well-being, in this study we examined risks and resources predicting the occurrence of both positive and negative affect among older Asian Indian immigrants who experienced stressful life events. We collected data through a telephone survey of 226 respondents (aged 50 years and older) in the Southeastern United States. We used hierarchical, negative binomial regression analyses to examine correlates of positive and negative affect. Different coping resources influenced positive and negative affect when stressful life events were controlled for. Being female was a common risk factor for poorer positive and increased negative affect. Satisfaction with friendships and a cultural or ethnic identity that is either bicultural or more American were predictive of greater positive affect. Greater religiosity and increased mastery were resources predicting less negative affect. Cognitive and structural interventions that increase opportunities for social integration, increasing mastery, and addressing spiritual concerns are discussed as ways of coping with stress to improve the well-being of individuals in this immigrant community.

  14. Molecular Identification of Unusual Pathogenic Yeast Isolates by Large Ribosomal Subunit Gene Sequencing: 2 Years of Experience at the United Kingdom Mycology Reference Laboratory▿

    Science.gov (United States)

    Linton, Christopher J.; Borman, Andrew M.; Cheung, Grace; Holmes, Ann D.; Szekely, Adrien; Palmer, Michael D.; Bridge, Paul D.; Campbell, Colin K.; Johnson, Elizabeth M.

    2007-01-01

    Rapid identification of yeast isolates from clinical samples is particularly important given their innately variable antifungal susceptibility profiles. We present here an analysis of the utility of PCR amplification and sequence analysis of the hypervariable D1/D2 region of the 26S rRNA gene for the identification of yeast species submitted to the United Kingdom Mycology Reference Laboratory over a 2-year period. A total of 3,033 clinical isolates were received from 2004 to 2006 encompassing 50 different yeast species. While more than 90% of the isolates, corresponding to the most common Candida species, could be identified by using the AUXACOLOR2 yeast identification kit, 153 isolates (5%), comprised of 47 species, could not be identified by using this system and were subjected to molecular identification via 26S rRNA gene sequencing. These isolates included some common species that exhibited atypical biochemical and phenotypic profiles and also many rarer yeast species that are infrequently encountered in the clinical setting. All 47 species requiring molecular identification were unambiguously identified on the basis of D1/D2 sequences, and the molecular identities correlated well with the observed biochemical profiles of the various organisms. Together, our data underscore the utility of molecular techniques as a reference adjunct to conventional methods of yeast identification. Further, we show that PCR amplification and sequencing of the D1/D2 region reliably identifies more than 45 species of clinically significant yeasts and can also potentially identify new pathogenic yeast species. PMID:17251397

  15. A multicenter, observational study of lanreotide depot/autogel (LAN) in patients with acromegaly in the United States: 2-year experience from the SODA registry.

    Science.gov (United States)

    Salvatori, Roberto; Gordon, Murray B; Woodmansee, Whitney W; Ioachimescu, Adriana G; Carver, Don W; Mirakhur, Beloo; Cox, David; Molitch, Mark E

    2017-12-01

    This analysis evaluates the 2-year effectiveness and safety of lanreotide depot/autogel (LAN), as well as treatment convenience and acromegaly symptom relief, from the Somatuline ® Depot for Acromegaly (SODA) registry, a post-marketing, open-label, observational, multicenter, United States registry study. Patients with acromegaly treated with LAN were eligible for enrollment. Demographics, LAN dose, extended dosing interval (EDI) (interval of injections ≥42 days), insulin-like growth factor 1 (IGF-1), growth hormone (GH), glycated hemoglobin, adverse events (AEs), injection convenience, and symptom data were collected. As of September 29, 2014, 241 patients were enrolled in SODA. IGF-1 levels below age- and gender-adjusted upper normal limit (ULN) were achieved in 71.2% at month (M) 12 and 74.4% at M24; GH ≤2.5 µg/L in 83.3% at M12 and 80.0% at M24; GH convenient. SODA indicates 2-year biochemical control with majority of patients achieving both IGF-1 < ULN and GH ≤2.5 µg/L. LAN was generally well tolerated with no new or unexpected safety signals reported during the observation period. clinicaltrials.gov Clinical Trial Identifier: NCT00686348.

  16. Control of water infiltration into near surface LLW disposal units. Progress report on field experiments at a humid region site, Beltsville, Maryland: Volume 7

    International Nuclear Information System (INIS)

    Schulz, R.K.; Ridky, R.W.; O'Donnell, E.

    1994-12-01

    The project objective is to assess means for controlling waste infiltration through waste disposal unit covers in humid regions. Experimental work is being performed in large scale lysimeters (70 ft x 45 ft x 10 ft) at Beltsville, MD and results of the assessment are applicable to disposal of LLW, uranium mill tailings, hazardous waste, and sanitary landfills. Three concepts are under investigation: (1) resistive layer barrier, (2) conductive layer barrier, and bioengineering water management. The resistive layer barrier consists of compacted earth (clay). The conductive layer barrier is a special case of the capillary barrier and it requires a flow layer (e.g. fine sandy loam) over a capillary break. As long as unsaturated conditions are maintained water is conducted by the flow layer to below the waste. This barrier is most efficient at low flow rates and is thus best placed below a resistive layer barrier. Such a combination of the resistive layer over the conductive layer barrier promises to be highly effective provided there is no appreciable subsidence. Bioengineering water management is a surface cover that is designed to accommodate subsidence. It consists of impermeable panels which enhance run-off and limit infiltration. Vegetation is planted in narrow openings between panels to transpire water from below the panels. This system has successfully dewatered two lysimeters thus demonstrating that this procedure could be used for remedial action (drying out) existing water-logged disposal sites at low cost

  17. Control of water infiltration into near surface LLW disposal units - progress report on field experiments at a Humid Region Site, Beltsville, Maryland

    International Nuclear Information System (INIS)

    O'Donnell, E.; Ridky, R.W.; Schulz, R.K.

    1990-01-01

    Three kinds of waste disposal unit covers or barriers to water infiltration are being investigated. They are: (1) resistive layer barrier, (2) conductive layer barrier, and (3) bioengineering management. The resistive layer barrier consists of compacted earthen material (e.g. clay). The conductive layer barrier consists of a conductive layer in conjunction with a capillary break. As long as unsaturated flow conditions are maintained the conductive layer will wick water around the capillary break. Below grade layered covers such as (1) and (2) will fail if there is appreciable subsidence of the cover. Remedial action for this kind of failure will be difficult. A surface cover, called bioengineering management, is meant to overcome this problem. The bioengineering management surface barrier is easily repairable if damaged by subsidence; therefore, it could be the system of choice under active subsidence conditions. The bioengineering management procedure also has been shown to be effective in dewatering saturated trenches and could be used for remedial action efforts. After cessation of subsidence, that procedure could be replaced by a resistive layer barrier, or perhaps even better, a resistive layer barrier/conductive layer barrier system. This latter system would then give long-term effective protection against water entry to waste and without institutional care. These various concepts are being assessed in six large (70 x 45 x 10 each) lysimeters at Beltsville, Maryland. 6 refs., 21 figs

  18. The multistage nature of labour migration from Eastern and Central Europe (experience of Ukraine, Poland, United Kingdom and Germany during the 2002-2011 period

    Directory of Open Access Journals (Sweden)

    Khrystyna FOGEL

    2015-12-01

    Full Text Available This article examines the consequences of the biggest round of EU Enlargement in 2004 on the labour migration flows from the new accession countries (A8 of the Eastern and Central Europe to Western Europe. The main focus of our research is the unique multistage nature of labour migration in the region. As a case study, we take labour migration from Poland to the United Kingdom and Germany and similar processes taking place in the labour migration from Ukraine to Poland. In particular, a new type of migration structure developed reflecting new features of integration stages of new EU Member States. This allows us to apprehend how this type of labour migration, within the multistage model, includes periods of time that take into account the inertia of labour movement. This article examines not only the character of A8 migration flows but also the potential drivers of this migration such as economic, institutional, etc. All processes are examined in the 2002 - 2011 time frame.

  19. Benchmarking of urinary tract infection rates: experiences from the intensive care unit component of the German national nosocomial infections surveillance system.

    Science.gov (United States)

    Gastmeier, P; Behnke, M; Schwab, F; Geffers, C

    2011-05-01

    The aim of this study was to investigate whether surveillance of symptomatic catheter-associated urinary tract infections (CAUTI) in intensive care units (ICUs) leads to reduced CAUTI rates. Data from the German national nosocomial infection surveillance system (KISS: Krankenhaus Infektions Surveillance Systems) from three starter periods were used for the analysis (1997-2000, 2001/2002, 2003 or later). For each period data from the first and third years of participation were compared. Pooled CAUTI rates were calculated by month of participation and a linear regression model was adapted. A total of 547 ICUs provided data to the KISS ICU component from January 1997 to June 2008. According to the study protocol 1966 symptomatic CAUTI cases from 267 ICUs were included in the analysis. When comparing the symptomatic CAUTI rates in the third and first years, the overall relative risk was 0.86 (0.77-0.96). A much smaller surveillance effect for CAUTI was observed compared with similar data for ventilator-associated pneumonia and primary bloodstream infections. A lack of awareness by many intensivists for CAUTI compared with the other two infection types may be responsible. Reducing symptomatic CAUTI is also possible however and including CAUTI in the overall ICU surveillance activities does not create a significant additional workload. Copyright © 2011 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved.

  20. 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

    2017-10-01

    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.

  1. Decision unit program

    International Nuclear Information System (INIS)

    Madjar, N.; Pastor, C.; Chambon, B.; Drain, D.; Giorni, A.; Dauchy, A.

    1981-01-01

    A decision unit has been built to simplify the electronic logic set-up in multi-detectors experiments. This unit, designed with fast memories used as decision making tables, replaces conventional logic modules. Nine inputs are provided for receiving the fast detector signals (charged particles, gammas, neutrons, ...). Fifteen independent outputs allow the identification of the choosen events among the 2 9 possible events. A CAMAC interface between the unit and the computer, or a manual control auxiliary module, is used to load, in the memory, the pattern of the choosen events [fr

  2. Pixel Experiments

    DEFF Research Database (Denmark)

    Petersen, Kjell Yngve; Søndergaard, Karin; Augustesen, Christina

    2015-01-01

    Pixel Experiments The term pixel is traditionally defined as any of the minute elements that together constitute a larger context or image. A pixel has its own form and is the smallest unit seen within a larger structure. In working with the potentials of LED technology in architectural lighting...... for using LED lighting in lighting design practice. The speculative experiments that have been set-up have aimed to clarify the variables that can be used as parameters in the design of lighting applications; including, for example, the structuring and software control of light. The experiments also...... elucidate and exemplify already well-known problems in relation to the experience of vertical and horizontal lighting. Pixel Experiments exist as a synergy between speculative test setups and lighting design in practice. This book is one of four books that is published in connection with the research...

  3. Suspension of mandatory vaccination and public health preserving: Rovigo local health unit experience after appliance of Veneto regional law 7/2007.

    Science.gov (United States)

    Cattarin, M; Bellè, M; Bergamini, M; Gallo, L

    2013-09-01

    The burden of infectious diseases preventable by vaccination decreased considerably over last decades in all countries provided with effective immunization schedules. Implementation of these programs with new vaccines has started discussion on duality between mandatory and recommended vaccinations. Regional autonomy has allowed the Veneto Region, with introduction of Law 7/2007, to experience suspension of all mandatory childhood vaccinations, replaced by an active and free offer of all vaccines recognized as safe and effective. Coverage's trends and acceptance of invitation are carefully monitored to avoid loss of compliance and reduction of immunized children. The evaluation, performed on population of Rovigo ULSS18 for 2002-2008 birth cohorts (2008 is the first concerned by the change), revealed no fall for previously mandatory vaccinations, but rather a slight increase. Percentage of non-vaccinated children was negligible. The leading cause of non-vaccination to polio was inability to deliver the letter of invitation due to wrong address. An informed dissent was expressed only by a minority (0.9% in 2008 birth cohort). Compliance to immunization offer was elevated both for previously compulsory and recommended vaccinations. Experience of Rovigo ULSS 18 showed that, in a context of already high levels of coverage for recommended vaccinations with optimal organization of immunization services, coverage rates for ex-mandatory vaccines remain unchanged. Further research and reports are required to carefully assess the effect on coverage rates in next birth cohorts, but available data are encouraging. Similar legislative measures can be successfully adopted by other Regions with starting conditions comparable to Veneto Region.

  4. Networked Memory Project: A Policy Thought Experiment for the Archiving of Social Networks by the Library of Congress of the United States

    Directory of Open Access Journals (Sweden)

    Chloé S. Georas

    2014-07-01

    Full Text Available This article explores the challenges posed by an archival interest in the broad palimpsest of daily life left on social networks that are controlled by private corporations. It addresses whether social networks should be archived for the benefit of future generations and proposes a policy thought experiment to help grapple with these questions, namely, the proposal for the formation of the public interest-oriented Networked Memory Project by the Library of Congress for the archiving of social networks. My discussion of the challenges posed by this thought experiment will focus on the U.S. legal framework within which the Library of Congress operates and take Facebook. To the extent that social networks have user-generated contents that range from the highly “private” to “public” as opposed to other networked platforms that contain materials that are considered “public”, the bar for the historical archival of social networks is much higher. Almost every archival effort must contend with the legal hurdle of copyright, but the archiving of social networks must also address how to handle the potentially sensitive nature of materials that are considered “private” from the perspective of the social and legal constructions of privacy. My theoretical exercise of proposing the formation of the Networked Memory Project by the Library of Congress responds to the need to consider the benefits of a public interest-oriented archive of social networks that can counter the drawbacks of the incidental corporate archiving taking place on social networks.

  5. The POST trial: initial post-market experience of the Penumbra system: revascularization of large vessel occlusion in acute ischemic stroke in the United States and Europe.

    Science.gov (United States)

    Tarr, Robert; Hsu, Dan; Kulcsar, Zsolt; Bonvin, Christophe; Rufenacht, Daniel; Alfke, Karsten; Stingele, Robert; Jansen, Olav; Frei, Donald; Bellon, Richard; Madison, Michael; Struffert, Tobias; Dorfler, Arnd; Grunwald, Iris Q; Reith, Wolfgang; Haass, Anton

    2010-12-01

    The purpose of this study was to assess the initial post-market experience of the device and how it is compared with the Penumbra Pivotal trial used to support the 510k application. A retrospective case review of 157 consecutive patients treated with the Penumbra system at seven international centers was performed. Primary endpoints were revascularization of the target vessel (TIMI score of 2 or 3), good functional outcome as defined by a modified Rankin scale (mRS) score of ≤2 and incidence of procedural serious adverse events. Results were compared with those of the Penumbra pivotal trial. A total of 157 vessels were treated. Mean baseline values at enrollment were: age 65 years, NIHSS score 16. After use of the Penumbra system, 87% of the treated vessels were revascularized to TIMI 2 (54%) or 3 (33%) as compared with 82% reported in the Pivotal trial. Nine procedural serious adverse events were reported in 157 patients (5.7%). All-cause mortality was 20% (32/157), and 41% had a mRS of ≤2 at 90-day follow-up as compared with only 25% in the Pivotal trial. Patients who were successfully revascularized by the Penumbra system had significantly better outcomes than those who were not. Initial post-market experience of the Penumbra system revealed that the revascularization rate and safety profile of the device are comparable to those reported in the Pivotal trial. However, the proportion of patients who had good functional outcome was higher than expected.

  6. Conduction Abnormalities and Permanent Pacemaker Implantation After Transcatheter Aortic Valve Replacement Using the Repositionable LOTUS Device: The United Kingdom Experience.

    Science.gov (United States)

    Rampat, Rajiv; Khawaja, M Zeeshan; Hilling-Smith, Roland; Byrne, Jonathan; MacCarthy, Philip; Blackman, Daniel J; Krishnamurthy, Arvindra; Gunarathne, Ashan; Kovac, Jan; Banning, Adrian; Kharbanda, Raj; Firoozi, Sami; Brecker, Stephen; Redwood, Simon; Bapat, Vinayak; Mullen, Michael; Aggarwal, Suneil; Manoharan, Ganesh; Spence, Mark S; Khogali, Saib; Dooley, Maureen; Cockburn, James; de Belder, Adam; Trivedi, Uday; Hildick-Smith, David

    2017-06-26

    The authors report the incidence of pacemaker implantation up to hospital discharge and the factors influencing pacing rate following implantation of the LOTUS bioprosthesis (Boston Scientific, Natick, Massachusetts) in the United Kingdom. Transcatheter aortic valve replacement (TAVR) is associated with a significant need for permanent pacemaker implantation. Pacing rates vary according to the device used. The REPRISE II (Repositionable Percutaneous Replacement of Stenotic Aortic Valve Through Implantation of Lotus Valve System) trial reported a pacing rate of 29% at 30 days after implantation of the LOTUS device. Data were collected retrospectively on 228 patients who had the LOTUS device implanted between March 2013 and February 2015 across 10 centers in the United Kingdom. Twenty-seven patients (12%) had pacemakers implanted pre-procedure and were excluded from the analysis. Patients were aged 81.2 ± 7.7 years; 50.7% were male. The mean pre-procedural QRS duration was 101.7 ± 20.4 ms. More than one-half of the cohort (n = 111, 55%) developed new left bundle branch block (LBBB) following the procedure. Permanent pacemakers were implanted in 64 patients (32%) with a median time to insertion of 3.0 ± 3.4 days. Chief indications for pacing were atrioventricular (AV) block (n = 46, 72%), or LBBB with 1st degree AV block (n = 11, 17%). Amongst those who received a pacemaker following TAVR the pre-procedural electrocardiogram findings included: No conduction disturbance (n = 41, 64%); 1st degree AV block (n = 10, 16%); right bundle branch block (n = 6, 9%) and LBBB (n = 5, 8%). LBBB (but not permanent pacemaker) occurred more frequently in patients who had balloon aortic valvuloplasty before TAVR (odds ratio [OR]: 1.25; p = 0.03). Pre-procedural conduction abnormality (composite of 1st degree AV block, hemiblock, right bundle branch block, LBBB) was independently associated with the need for permanent pacemaker (OR: 2.54; p = 0.048). The absence of

  7. A novel and dedicated multidisciplinary service to manage breech presentation at term; 3 years of experience in a tertiary care maternity unit.

    Science.gov (United States)

    Hickland, Patrick; Gargan, Phyl; Simpson, Jacquie; McCabe, Niamh; Costa, Janitha

    2017-08-09

    In order to provide uniform and unbiased multidisciplinary counselling on the options available, including vaginal breech delivery (VBD) and external cephalic version (ECV), the latter of which could then be performed, a weekly Breech Clinic was introduced to a tertiary care maternity unit in Northern Ireland in June 2013, replacing the traditional ECV Clinic introduced in June 2012. Retrospective data collection was undertaken using clinic proformas, Northern Ireland Maternity System data and case notes of women who attended the clinics (ECV and Breech) from June 2012 to May 2015. There were 434 referrals to the clinic over the 3-year period; 356 women attended. The proportion of women attending increased from 69% to 85% since the introduction of the Breech Clinic. Two hundred and thirty-two were deemed eligible and 179 of these underwent ECV after counselling. Although the proportion of women undergoing ECV decreased from 69% to 46%, 11 women opted for and achieved VBD during the 2 years of the Breech Clinic, compared with one woman in the year of the ECV Clinic. Seventy-one of the attempted ECVs were successful, with 61 women having a normal vaginal delivery. Notably, the success rate of ECV increased from 33% to 42%. The number of caesarean sections performed solely for breech at term decreased from 199 in the 12 months before the introduction of ECV clinic, to 188 during the ECV clinic, and 154 in the final 12 months of Breech Clinic. A dedicated service to counsel women on the management of breech presentation can decrease caesarean sections for breech presentation through increased uptake and success of ECV, and encouraging suitable women to opt for VBD when ECV is unsuccessful, contraindicated or declined.

  8. Working Fluid Stability in Large-Scale Organic Rankine Cycle-Units Using Siloxanes—Long-Term Experiences and Fluid Recycling

    Directory of Open Access Journals (Sweden)

    Tobias G. Erhart

    2016-05-01

    Full Text Available The results in this work show the influence of long-term operation on the decomposition of working fluids in eight different organic rankine cycle (ORC power plants (both heat-led and electricity-led in a range of 900 kW el to 2 MW el . All case study plants are using octamethyltrisiloxane (MDM as a working fluid; the facilities are between six to 12 years old. Detailed analyses, including the fluid distribution throughout the cycle, are conducted on one system. All presented fluid samples are analyzed via head space gas chromatography mass spectrometry (HS-GC-MS. Besides the siloxane composition, the influence of contaminants, such as mineral oil-based lubricants (and their components, is examined. In most cases, the original working fluid degrades to fractions of siloxanes with a lower boiling point (low boilers and fractions with a higher boiling point (high boilers. As a consequence of the analyses, a new fluid recycling and management system was designed and tested in one case study plant (Case Study #8. Pre-post comparisons of fluid samples prove the effectiveness of the applied methods. The results show that the recovery of used working fluid offers an alternative to the purchase of fresh fluid, since operating costs can be significantly reduced. For large facilities, the prices for new fluid range from € 15 per liter (in 2006 to € 22 per liter (in 2013, which is a large reinvestment, especially in light of filling volumes of 4000 liters to 7000 liters per unit. Using the aforementioned method, a price of € 8 per liter of recovered MDM can be achieved.

  9. Oseltamivir Pharmacokinetics and Clinical Experience in Neonates and Infants during an Outbreak of H1N1 Influenza A Virus Infection in a Neonatal Intensive Care Unit

    Science.gov (United States)

    Nika, Angela; Tsagris, Vasileios; Kapetanakis, Ioannis; Maltezou, Helena C.; Kafetzis, Dimitris A.; Tsolia, Maria N.

    2012-01-01

    Detailed oseltamivir pharmacokinetics have yet to be reported in neonates and infants; this group is at high risk of serious influenza-associated complications. Extrapolation of doses from older patients is complicated by rapid organ and drug-metabolizing enzyme maturation. A pharmacokinetic study has been conducted during an influenza A(H1N1) outbreak in a neonatal intensive care unit. Each included patient provided 4 samples for oseltamivir and 4 samples for its active metabolite oseltamivir carboxylate. A population pharmacokinetic model was developed with NONMEM. Allometric weight scaling and maturation functions were added a priori to scale for size and age based on literature values. Nine neonates and infants were recruited. A physiologically parameterized pharmacokinetic model predicted typical day 1 area under the curve (AUC0-12) values of 1,966 and 2,484 μg · h/liter for neonates and infants of ≤37 weeks of postmenstrual age (PMA) and >37 weeks of PMA treated with 1 mg/kg of body weight and 2 mg/kg, respectively. The corresponding steady-state AUC0-12 values were 3,670 and 4,559 μg · h/liter. Premature neonates treated with 1 mg/kg and term babies treated with 2 mg/kg should have average oseltamivir carboxylate concentrations in a range similar to that for adults treated with 75 mg, corresponding to >200-fold above the half-maximal inhibitory concentration (IC50) value for influenza A(H1N1) from the start of therapy. PMID:22564835

  10. Use of interferon-gamma release assays in a health care worker screening program: experience from a tertiary care centre in the United States.

    Science.gov (United States)

    Joshi, Manish; Monson, Thomas P; Woods, Gail L

    2012-01-01

    Interferon-gamma release assays including the QuantiFERON-TB Gold In-Tube test (QFT-GIT [Cellestis Ltd, Australia]) may be used in place of the tuberculin skin test (TST) in surveillance programs for Mycobacterium tuberculosis infection control. However, data on performance and practicality of the QFT-GIT in such programs for health care workers (HCWs) are limited. To assess the performance, practicality and reversion rate of the QFT-GIT among HCWs at a tertiary health care institution in the United States. Retrospective chart review of HCWs at Central Arkansas Veterans Healthcare System (Arkansas, USA) who underwent QFT-GIT testing as a part of their employee screening between November 1, 2008 and October 31, 2009. QFT-GIT was used to screen 3290 HCWs. The initial QFT-GIT was interpreted as positive for 129 (3.9%) HCWs, negative for 3155 (95.9%) and indeterminate for six (0.2%). Testing with QFT-GIT was repeated in 45 HCWs who had positive results on the initial test. The QFT-GIT reverted to negative in 18 (40.0%) HCWs, all of whom had negative TST status and initial interferon-gamma values of 0.35 IU⁄mL to 2.0 IU⁄mL. The QFT-GIT test is feasible in large health care setting as an alternative to TST for M tuberculosis infection screening in HCWs but is not free from challenges. The major concerns are the high number of positive test results and high reversion rates on repeat testing, illustrating poor short-term reproducibility of positive QFT-GIT test results. These results suggest adopting a borderline zone between interferon-gamma values of 0.35 IU⁄mL to 2.0 IU⁄mL, and cautious clinical interpretation of values in this range.

  11. Generating Units

    Data.gov (United States)

    Department of Homeland Security — Generating Units are any combination of physically connected generators, reactors, boilers, combustion turbines, and other prime movers operated together to produce...

  12. Increasing use of less-invasive hemodynamic monitoring in 3 specialty surgical intensive care units: a 5-year experience at a tertiary medical center.

    Science.gov (United States)

    Kirton, Orlando C; Calabrese, Rebecca C; Staff, Ilene

    2015-01-01

    Less-invasive hemodynamic monitoring (eg, esophageal doppler monitoring [EDM] and arterial pressure contour analysis, FloTrac) is increasingly used as an alternative to pulmonary artery catheters (PACs) in critically ill intensive care unit (ICU). The decrease in use of PACs is not associated with increased mortality. Five-year retrospective review of 1894 hemodynamically monitored patients admitted to 3 surgical ICUs in a university-affiliate, tertiary care urban hospital. Data included the number of admissions, diagnosis-related group discharge case mix, length of stay, insertion of monitoring devices (PAC, EDM, and FloTrac probes), administered intravenous vasoactive agents (β-predominant agonists--dobutamine, epinephrine, and dopamine; vasopressors--norepinephrine and phenylephrine), and mortality. Data from hospital administrative databases were compiled to create patient characteristic and monitoring variables across a 5-year time period, 2005 to 2009 inclusive. Chi-square for independent proportions, 1-way analysis of variance, and Kruskal-Wallis tests were used; tests for trend were conducted. An α level of .05 was considered significant. Statistical Package for the Social Sciences v14 was used for all statistical testing. There was a significant change in the type of hemodynamic monitors inserted in 2 of the 3 surgical ICUs (in the general surgery and neurointensive care but not in the cardiac ICU) from PACs to less-invasive devices (FloTrac or EDM) during the 5-year study period (P < .001). There was no change in mortality rate over the time period (P = .492). There was an overall increase in the proportion of monitored patients who received intravenous vasoactive agents (P < .001) with a progressive shift from β-agonists to vasopressors (P < .002). Multivariate analyses indicated that age, case mix, and use of vasoactive agents were all independent predictors of inhospital mortality (P = .001) but that type of monitoring was not (P = .638). In a 5

  13. Discharge from an emergency department observation unit and a surgical assessment unit

    DEFF Research Database (Denmark)

    Schultz, Helen; Qvist, Niels; Backer Mogensen, Christian

    2014-01-01

    To investigate the experiences of patients with acute abdominal pain at discharge from an emergency department observation unit compared with discharge from a surgical assessment unit.......To investigate the experiences of patients with acute abdominal pain at discharge from an emergency department observation unit compared with discharge from a surgical assessment unit....

  14. Impact of one-to-one tutoring on fundamentals of laparoscopic surgery (FLS) passing rate in a single center experience outside the United States: a randomized controlled trial.

    Science.gov (United States)

    Gheza, Federico; Raimondi, Paolo; Solaini, Leonardo; Coccolini, Federico; Baiocchi, Gian Luca; Portolani, Nazario; Tiberio, Guido Alberto Massimo

    2018-04-11

    Outside the US, FLS certification is not required and its teaching methods are not well standardized. Even if the FLS was designed as "stand alone" training system, most of Academic Institution offer support to residents during training. We present the first systematic application of FLS in Italy. Our aim was to evaluate the role of mentoring/coaching on FLS training in terms of the passing rate and global performance in the search for resource optimization. Sixty residents in general surgery, obstetrics & gynecology, and urology were selected to be enrolled in a randomized controlled trial, practicing FLS with the goal of passing a simulated final exam. The control group practiced exclusively with video material from SAGES, whereas the interventional group was supported by a mentor. Forty-six subjects met the requirements and completed the trial. For the other 14 subjects no results are available for comparison. One subject for each group failed the exam, resulting in a passing rate of 95.7%, with no obvious differences between groups. Subgroup analysis did not reveal any difference between the groups for FLS tasks. We confirm that methods other than video instruction and deliberate FLS practice are not essential to pass the final exam. Based on these results, we suggest the introduction of the FLS system even where a trained tutor is not available. This trial is the first single institution application of the FLS in Italy and one of the few experiences outside the US. Trial Number: NCT02486575 ( https://www.clinicaltrials.gov ).

  15. Family support and cardiac rehabilitation: a comparative study of the experiences of South Asian and White-European patients and their carer's living in the United Kingdom.

    Science.gov (United States)

    Astin, Felicity; Atkin, Karl; Darr, Aliya

    2008-03-01

    Effective lifestyle modification facilitated by cardiac rehabilitation is known to reduce the occurrence of adverse coronary events and mortality. South Asians have poorer outcomes after a myocardial infarction than the general UK population, but little is known about their experiences of family support, cardiac rehabilitation and lifestyle change. To explore the nature of family support available to a sample of South Asian and White-European cardiac patients and to highlight similarities and differences between these groups with regard to cardiac rehabilitation and lifestyle modification. Using a qualitative approach, semi-structured interviews (in 1 of 6 languages) were conducted by researchers with; 45 South Asian patients and 37 carers and 20 White-European patients and 17 carers. Interviews were conducted in a home setting, up to eighteen months after discharge from hospital following myocardial infarction, coronary artery bypass surgery or unstable angina. The main themes that emerged related to the provision of advice and information, family support and burden, dietary change and exercise regimes. Several cultural and ethnic differences were identified between patients and their families alongside similarities, irrespective of ethnicity. These may represent generic characteristics of recovery after a cardiac event. Health professionals should develop a cultural repertoire to engage with diversity and difference. Not every difficulty a person encounters as they try to access appropriate service delivery can be attributed to ethnic background. By improving services generally, support for South Asian populations can be improved. The challenge is to know when ethnicity makes a difference and mediates a person's relationship with service support and when it does not.

  16. Sex and sexual orientation disparities in adverse childhood experiences and early age at sexual debut in the United States: results from a nationally representative sample.

    Science.gov (United States)

    Brown, Monique J; Masho, Saba W; Perera, Robert A; Mezuk, Briana; Cohen, Steven A

    2015-08-01

    Adverse childhood experiences (ACEs) have been linked to early sexual debut, which has been found to be associated with multiple adverse health outcomes. Sexual minorities and men tend to have earlier sexual debut compared to heterosexual populations and women, respectively. However, studies examining the association between ACEs and early sexual debut among men and sexual minorities are lacking. The aim of this study was to examine the sex and sexual orientation disparities in the association between ACEs and age at sexual debut. Data were obtained from Wave 2 of the National Epidemiologic Survey on Alcohol and Related Conditions. Logistic and linear regression models were used to obtain crude and adjusted estimates and 95% confidence intervals adjusting for age, race/ethnicity, income, education, insurance and marital status for the association between ACEs (neglect, physical/psychological abuse, sexual abuse, parental violence, and parental incarceration and psychopathology) and early sexual debut. Analyses were stratified by sex and sexual orientation. Larger effect estimates depicting the association between ACEs and sexual debut were seen for women compared to men, and among sexual minorities, particularly among men who have sex with men (MSM) and women who have sex with women (WSW), compared to heterosexuals. Sexual health education programs with a focus on delaying sexual debut among children and adolescents should also consider addressing ACEs, such as neglect, physical, psychological and sexual abuse, witnessing parental violence, and parental incarceration and psychopathology. Public health practitioners, researchers and sexual health education curriculum coordinators should consider these differences by sex and sexual orientation when designing these programs. Copyright © 2015 Elsevier Ltd. All rights reserved.

  17. Sex and sexual orientation disparities in adverse childhood experiences and early age at sexual debut in the United States: Results from a nationally representative sample☆

    Science.gov (United States)

    Brown, Monique J.; Masho, Saba W.; Perera, Robert A.; Mezuk, Briana; Cohen, Steven A.

    2015-01-01

    Adverse childhood experiences (ACEs) have been linked to early sexual debut, which has been found to be associated with multiple adverse health outcomes. Sexual minorities and men tend to have earlier sexual debut compared to heterosexual populations and women, respectively. However, studies examining the association between ACEs and early sexual debut among men and sexual minorities are lacking. The aim of this study was to examine the sex and sexual orientation disparities in the association between ACEs and age at sexual debut. Data were obtained from Wave 2 of the National Epidemiologic Survey on Alcohol and Related Conditions. Logistic and linear regression model were used to obtain crude and adjusted estimates and 95% confidence intervals adjusting for age, race/ethnicity, income, education, insurance and marital status for the association between ACEs (neglect, physical/psychological abuse, sexual abuse, parental violence, and parental incarceration and psychopathology) and early sexual debut. Analyses were stratified by sex and sexual orientation. Larger effect estimates depicting the association between ACEs and sexual debut were seen for women compared to men, and among sexual minorities, particularly among men who have sex with men (MSM) and women who have sex with women (WSW), compared to heterosexuals. Sexual health education programs with a focus on delaying sexual debut among children and adolescents should also consider addressing ACEs, such as neglect, physical, psychological and sexual abuse, witnessing parental violence, and parental incarceration and psychopathology. Public health practitioners, researchers and sexual health education curriculum coordinators should consider these differences by sex and sexual orientation when designing these programs. PMID:25804435

  18. Fire and Smoke Model Evaluation Experiment: Coordination of a study to improve smoke modeling for fire operations within the United States

    Science.gov (United States)

    French, N. H. F.; Ottmar, R. D.; Brown, T. J.; Larkin, N. K.

    2017-12-01

    The Fire and Smoke Model Evaluation Experiment (FASMEE) is an integrative research effort to identify and collect critical measurements to improve operational wildland fire and smoke prediction systems. FASMEE has two active phases and one suggested phase. Phase 1 is the analysis and planning process to assess the current state of fire-plume-smoke modeling and to determine the critical measurements required to evaluate and improve these operational fire and smoke models. As the major deliverable for Phase 1, a study plan has been completed that describes the measurement needs, field campaigns, and command, safety and air space de-confliction plans necessary to complete the FASMEE project. Phase 2 is a set of field campaigns to collect data during 2019-2022. Future Improvements would be a set of analyses and model improvements based on the data collected within Phase 2 that is dependent on identifying future funding sources. In this presentation, we will review the FASMEE Study Plan and detailed measurements and conditions expected for the four to five proposed research burns. The recommended measurements during Phase 2 span the four interrelated disciplines of FASMEE: fuels and consumption, fire behavior and energy, plume dynamics and meteorology, and smoke emissions, chemistry, and transport. Fuel type, condition, and consumption during wildland fire relates to several fire impacts including radiative heating, which provides the energy that drives fire dynamics. Local-scale meteorology is an important factor which relates to atmospheric chemistry, dispersion, and transport. Plume dynamics provide the connection between fire behavior and far-field smoke dispersion, because it determines the vertical distribution of the emissions. Guided by the data needs and science questions generated during Phase 1, three wildland fire campaigns were selected. These included the western wildfire campaign (rapid deployment aimed at western wildfires supporting NOAA, NASA, and NSF

  19. Societal Preferences for Funding Orphan Drugs in the United Kingdom: An Application of Person Trade-Off and Discrete Choice Experiment Methods.

    Science.gov (United States)

    Bourke, Siobhan M; Plumpton, Catrin O; Hughes, Dyfrig A

    2018-05-01

    It is unclear whether UK National Health Service (NHS) policies for orphan drugs, which permit funding of non-cost-effective treatments, reflect societal preferences. We conducted person trade-off (PTO) and discrete choice experiment (DCE) among 3950 adults selected to be representative of the UK general population. Experimental design was informed by surveys of patients affected by rare diseases, their caregivers, health care staff, and policymakers. Societal preferences were estimated in relation to treating a common disease, increases in waiting lists, or filling of vacant NHS posts. Results of the DCE were applied to recently licensed orphan drugs. On the basis of equal cost, the majority of respondents to the PTO (54%; 95% confidence interval [CI] 50-59) chose to allocate funds equally between patients treated for rare diseases and those treated for common diseases, with 32% (95% CI 28-36) favoring treating rare diseases over treating common diseases (14%; 95% CI 11-17), which this reduced to 23% (95% CI 20-27) when rare disease treatments were 10 times more expensive. When framed differently, more respondents prioritized not increasing waiting list size (43%; 95% CI 39-48) than to treat rare disease patients (34%; 95% CI 30-38). The DCE indicated a greater preference for treating a common disease over a rare disease. Respondents agreed with five of 12 positive appraisal recommendations for orphan drugs, even if their list price was higher, but preferred the NHS not to fund the remainder. The general public does not value rarity as a sufficient reason to justify special consideration for additional NHS funding of orphan drugs. This has implications regarding the appropriateness of operating higher thresholds of cost-effectiveness. Copyright © 2018 International Society for Pharmacoeconomics and Outcomes Research (ISPOR). Published by Elsevier Inc. All rights reserved.

  20. A national profile of the health care experiences and family impact of autism spectrum disorder among children in the United States, 2005-2006.

    Science.gov (United States)

    Kogan, Michael D; Strickland, Bonnie B; Blumberg, Stephen J; Singh, Gopal K; Perrin, James M; van Dyck, Peter C

    2008-12-01

    We sought to examine the health care experiences of children with autism spectrum disorder and the impact of autism spectrum disorder on the family and to assess whether having a medical home is associated with less family impact. We used the 2005-2006 National Survey of Children With Special Health Care Needs to compare 2088 children with special health care needs, aged 3 to 17 years, reported by their parents to have autism spectrum disorder, with children with special health care needs with "other emotional, developmental, or behavioral problems" (excluding autism spectrum disorder; n=9534) and 26751 other children with special health care needs. We used weighted logistic regression to examine unmet needs for specific health care and support services, delayed care, no usual care source or personal physician, difficulty receiving referrals, and financial, employment, or time problems because of child's care. Nationally, an estimated 535000 children have special health care needs and autism spectrum disorder, a prevalence of 86 per 10000 children aged 3 to 17 years. Among children with special health care needs, 5.6% have autism spectrum disorder. Compared with other children with special health care needs without emotional, developmental, or behavioral problems, children with special health care needs with autism spectrum disorder were more likely to have unmet needs for specific health care services, family support services, delayed or foregone care, difficulty receiving referrals, and care that is not family centered. Children with special health care needs with autism spectrum disorder were more likely to live in families that report financial problems, need additional income for the child's medical care, reduce or stop work because of the child's condition, spend >or=10 hours per week providing or coordinating care, and paid more than $1000 in the previous year for the child's care. The financial impacts of autism spectrum disorder were significantly more