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Sample records for volume iv impact

  1. Tank Waste Remediation System, Hanford Site, Richland, Washington. Final Environmental Impact Statement. Volume IV

    International Nuclear Information System (INIS)

    1996-08-01

    This document, Volume 4, describes the current safety concerns associated with the tank waste and analyzes the potential accidents and associated potential health effects that could occur under the alternatives included in this Tank Waste Remediation System (TWRS) Final Environmental Impact Statement (EIS) for the Hanford Site, Richland, Washington

  2. Gulf of Mexico sales 157 and 161: Central and Western Planning areas. Final environmental impact statement: Volume 2, Sections IV.D through IX

    International Nuclear Information System (INIS)

    1995-01-01

    This volume of the environmental impact statement for sales in the Gulf of Mexico presents information dealing with impacts on the costal regions due to planned operations of the petroleum industry. Topics discussed include: impacts on sensitive coastal environments; coastal barrier beaches and associated dunes; wetlands; offshore resources; water quality; air quality; impacts to aquatic environments; impacts on marine birds; impacts on archaeological resources; impacts on socioeconomic conditions; topography; and analysis of a large oil spill

  3. Draft Environmental Impact Statement. MX Deployment Area Selection and Land Withdrawal/Acquisition DEIS. Volume IV. Part II. Environmental Consequences to the Study Regions and Operating Base Vicinities.

    Science.gov (United States)

    1980-12-01

    Subtitle) 5. TYPE OF REPORT & PERIOD COVERED Draft Environmental Impact Statement-MX Draft-December 80 Deployment Alea Selection-Environmental...recreation, a weekend at the lake, the opportunity to be alone with yourself and your family, the clean air to see the next mountain and the freedom to...traffic volumes and projected traffic volumes during the peak construction year. In mountain passes, where capacity is severely reduced by steep grades

  4. Gulf of Mexico Sales 157 and 161: Central and western planning areas final environmental impact statement, Volume I: Sections I through IV.C

    International Nuclear Information System (INIS)

    1995-11-01

    This Final Environmental Impact Statement (EIS) covers the proposed 1996 Gulf of Mexico OCS oil and gas lease sales [Central Gulf of Mexico Sale 157 (March 1996) and Western Gulf of Mexico Sale 161 (August 1996)]. This document includes the purpose and background of the proposed actions, the alternatives, the descriptions of the affected environment, and the potential environmental impacts of the proposed actions and alternatives. Proposed mitigating measures and their potential effects are analyzed, in addition to potential cumulative impacts resulting from proposed activities

  5. Gulf of Mexico sales 147 and 150: Central and western planning areas. Draft environmental impact statement. Volume 1. Sections I through IV.C. Draft report

    International Nuclear Information System (INIS)

    1993-04-01

    The Draft Environmental Impact Statement (EIS) covers the proposed 1994 Gulf of Mexico OCS oil and gas lease sales (Central Gulf of Mexico Sale 147 (March 1994) and Western Gulf of Mexico Sale 150 (August 1994)). The document includes the purpose and background of the proposed actions, the alternatives, the description of the affected environment, and the potential environmental impacts of the proposed actions and alternatives. Proposed mitigating measures and their effects are analyzed, in addition to potential cumulative impacts resulting from proposed activities

  6. Gulf of Mexico sales 147 and 150: Central and western planning areas. Draft environmental impact statement. Volume 2. Sections IV.D through IX. Draft report

    International Nuclear Information System (INIS)

    1993-04-01

    Contents: environmental impacts of the proposed actions and alternatives; proposed central gulf sale 147; proposed western gulf sale 150; analysis of a large oil spill; consultation and coordination; bibliography and special references; glossary; appendices

  7. Final waste management programmatic environmental impact statement for managing treatment, storage, and disposal of radioactive and hazardous waste. Volume IV of V

    International Nuclear Information System (INIS)

    1997-01-01

    The Final Waste Management Programmatic Environmental Impact Statement (WM PEIS) examines the potential environmental and cost impacts of strategic management alternatives for managing five types of radioactive and hazardous wastes that have resulted and will continue to result from nuclear defense and research activities at a variety of sites around the United States. The five waste types are low-level mixed waste, low-level waste, transuranic waste, high-level waste, and hazardous waste. The WM PEIS provides information on the impacts of various siting alternatives which the Department of Energy (DOE) will use to decide at which sites to locate additional treatment, storage, and disposal capacity for each waste type.Transportation is an integral component of the alternatives being considered for each type of radioactive waste in the U.S. Department of Energy (DOE) Waste Management Programmatic Environmental Impact Statement (WM PEIS). The types of radioactive waste considered in Part I are high-level waste (HLW), low-level waste (LLW), transuranic waste (TRUW), and low-level mixed waste (LLMW). For some alternatives, radioactive waste would be shipped among the DOE sites at various stages of the treatment, storage, and disposal (TSD) process. The magnitude of the transportation-related activities varies with each alternative, ranging from minimal transportation for decentralized approaches to significant transportation for some centralized approaches. The human health risks associated with transporting various waste materials were assessed to ensure a complete appraisal of the impacts of each PEIS alternative being considered

  8. Gulf of Mexico sales 142 and 143: Central and western planning areas. Draft environmental impact statement. Volume 2. Sections IV.D through IX

    International Nuclear Information System (INIS)

    1992-04-01

    The EIS is a description of the environmental aspects and impacts of oil and gas activities resulting from these lease sales or the states bordering the Gulf of Mexico. The report provides a description of the areas, the affected environment, and the environmental consequences; it discusses the proposed actions, issues and areas of concern, and the major differences of holding these lease sales

  9. Gulf of Mexico Sales 142 and 143: Central and western planning areas. Draft environmental impact statement. Volume 1. Sections I through IV.C

    International Nuclear Information System (INIS)

    1992-04-01

    The EIS is a description of the environmental aspects and impacts of oil and gas activities resulting from these lease sales or the states bordering the Gulf of Mexico. The report provides a description of the areas, the affected environment, and the environmental consequences; it discusses the proposed actions, issues and areas of concern, and the major differences of holding these lease sales

  10. World Energy Data System (WENDS). Volume IV. Country data, SG-YO

    Energy Technology Data Exchange (ETDEWEB)

    None

    1979-06-01

    The World Energy Data System contains organized data on those countries and international organizations that may have critical impact on the world energy scene. Included in this volume, Vol. IV, are Senegal, South Africa, Soviet Union, Spain, Sweden, Switzerland, Taiwan, Tanzania, Thailand, Turkey, United Kingdom, United States, Upper Volta, Venezuela, and Yugoslavia. The following topics are covered for most of the countries: economic, demographic, and educational profiles; energy policy; indigenous energy resources and uses; forecasts, demand, exports, imports of energy supplies; environmental considerations of energy supplies; power production facilities; energy industries; commercial applications of energy; research and development activities of energy; and international activities.

  11. Planning manual for energy resource development on Indian lands. Volume IV. The environment

    Energy Technology Data Exchange (ETDEWEB)

    1978-03-01

    Many Indian tribes own rich deposits of very valuable energy resources. Existing and proposed uses of these tribal resources range from limited development of small oil and gas fields to large-scale extraction and conversion of coal, uranium, and oil shale. The adverse environmental impacts of such projects may create a conflict between a tribe's environmental policies and its economic, employment, and other long-term goals. The purpose of this volume is to provide tribal decision makers with reference documents on the mechanisms that are available to resolve such conflicts. This report focuses on the role of existing environmental laws in enabling tribes to achieve the needed balance among its objectives. Over a dozen major Federal statutes have been enacted to achieve this purpose. One law, the National Environmental Policy Act (NEPA), provides procedures to ensure that environmental factors are included in the Federal decision-making process. Numerous other laws, such as the Clean Air Act, have been enacted to prevent or control any negative environmental impacts of actual projects. This volume documents the key provisions of the laws and regulations, and discusses their effectiveness in meeting total needs. Also, tribal options to strengthen these mechanisms are highlighted. Sections II and III report on the role of NEPA in tribal development decisions. Section IV reviews those laws and regulations that control project operations.

  12. Liquid Metal Fast Breeder Reactor program. Volume IV. Environmental statement

    International Nuclear Information System (INIS)

    1974-12-01

    A broad overview is presented of the many implications of LMFBR program implementation, up to and encompassing a fully developed LMFBR power plant economy, including the secondary impacts, the unavoidable adverse environmental impacts, cumulative environmental impacts, and cost-benefit analyses, and alternative energy strategies. Under the heading of secondary impacts, the national implications of the availability of electricity from LMFBRs, and the specific economic impacts of the LMFBR program are examined. The currently feasible alternatives and potential future alternatives for mitigating adverse environmental impacts of the LMFBR fuel cycle are described. The problems of safeguarding special nuclear material from potential diversion to unauthorized purposes are analyzed. The cumulative environmental effects of LMFBR operation to the Year 2020, the decommissioning of LMFBRs and fuel cycle facilities upon the completion of their useful life, the irreversible and irretrievable commitments of resources that will accompany implementation of an LMFBR economy, and an analysis of the costs and benefits of implementing the LMFBR Program are included. (U.S.)

  13. Journal of Sustainable Development of Energy, Water and Environment Systems – Volume IV

    Directory of Open Access Journals (Sweden)

    Neven Duić

    2016-12-01

    In total 32 manuscripts were published in Volume IV, all of them reviewed by at least two reviewers. The Journal of Sustainable Development of Energy, Water and Environment Systems would like to thank reviewers for their contribution to the quality of the published manuscripts.

  14. Solid Waste Operations Complex W-113: Project cost estimate. Preliminary design report. Volume IV

    International Nuclear Information System (INIS)

    1995-01-01

    This document contains Volume IV of the Preliminary Design Report for the Solid Waste Operations Complex W-113 which is the Project Cost Estimate and construction schedule. The estimate was developed based upon Title 1 material take-offs, budgetary equipment quotes and Raytheon historical in-house data. The W-113 project cost estimate and project construction schedule were integrated together to provide a resource loaded project network

  15. Metastatic volume: an old oncologic concept and a new prognostic factor for stage IV melanoma patients.

    Science.gov (United States)

    Panasiti, V; Curzio, M; Roberti, V; Lieto, P; Devirgiliis, V; Gobbi, S; Naspi, A; Coppola, R; Lopez, T; di Meo, N; Gatti, A; Trevisan, G; Londei, P; Calvieri, S

    2013-01-01

    The last melanoma staging system of the 2009 American Joint Committee on Cancer takes into account, for stage IV disease, the serum levels of lactate dehydrogenase (LDH) and the site of distant metastases. Our aim was to compare the significance of metastatic volume, as evaluated at the time of stage IV melanoma diagnosis, with other clinical predictors of prognosis. We conducted a retrospective multicentric study. To establish which variables were statistically correlated both with death and survival time, contingency tables were evaluated. The overall survival curves were compared using the Kaplan-Meier method. Metastatic volume and number of affected organs were statistically related to death. In detail, patients with a metastatic volume >15 cm(3) had a worse prognosis than those with a volume lower than this value (survival probability at 60 months: 6.8 vs. 40.9%, respectively). The Kaplan-Meier method confirmed that survival time was significantly related to the site(s) of metastases, to elevated LDH serum levels and to melanoma stage according to the latest system. Our results suggest that metastatic volume may be considered as a useful prognostic factor for survival among melanoma patients.

  16. Peripheral i.v. analysis (PIVA) of venous waveforms for volume assessment in patients undergoing haemodialysis.

    Science.gov (United States)

    Hocking, K M; Alvis, B D; Baudenbacher, F; Boyer, R; Brophy, C M; Beer, I; Eagle, S

    2017-12-01

    The assessment of intravascular volume status remains a challenge for clinicians. Peripheral i.v. analysis (PIVA) is a method for analysing the peripheral venous waveform that has been used to monitor volume status. We present a proof-of-concept study for evaluating the efficacy of PIVA in detecting changes in fluid volume. We enrolled 37 hospitalized patients undergoing haemodialysis (HD) as a controlled model for intravascular volume loss. Respiratory rate (F0) and pulse rate (F1) frequencies were measured. PIVA signal was obtained by fast Fourier analysis of the venous waveform followed by weighing the magnitude of the amplitude of the pulse rate frequency. PIVA was compared with peripheral venous pressure and standard monitoring of vital signs. Regression analysis showed a linear correlation between volume loss and change in the PIVA signal (R2=0.77). Receiver operator curves demonstrated that the PIVA signal showed an area under the curve of 0.89 for detection of 20 ml kg-1 change in volume. There was no correlation between volume loss and peripheral venous pressure, blood pressure or pulse rate. PIVA-derived pulse rate and respiratory rate were consistent with similar numbers derived from the bio-impedance and electrical signals from the electrocardiogram. PIVA is a minimally invasive, novel modality for detecting changes in fluid volume status, respiratory rate and pulse rate in spontaneously breathing patients with peripheral i.v. cannulas. © The Author 2017. Published by Oxford University Press on behalf of the British Journal of Anaesthesia. All rights reserved. For Permissions, please email: journals.permissions@oup.com

  17. Impact of exchange-correlation effects on the IV characteristics of a molecular junction

    DEFF Research Database (Denmark)

    Thygesen, Kristian Sommer

    2008-01-01

    The role of exchange-correlation effects in nonequilibrium quantum transport through molecular junctions is assessed by analyzing the IV curve of a generic two-level model using self-consistent many-body perturbation theory (second Born and GW approximations) on the Keldysh contour. It is demonst...... of dynamic correlations introduces quasiparticle (QP) scattering which in turn broadens the molecular resonances. The broadening increases strongly with bias and can have a large impact on the calculated IV characteristic....

  18. Differential Impact of Anastomotic Leak in Patients With Stage IV Colonic or Rectal Cancer

    DEFF Research Database (Denmark)

    Nordholm-Carstensen, Andreas; Rolff, Hans Christian; Krarup, Peter-Martin

    2017-01-01

    BACKGROUND: Anastomotic leak has a negative impact on the prognosis of patients who undergo colorectal cancer resection. However, data on anastomotic leak are limited for stage IV colorectal cancers. OBJECTIVE: The purpose of this study was to investigate the impact of anastomotic leak on survival....... PATIENTS: Patients who were diagnosed with stage IV colorectal cancer between 2009 and 2013 and underwent elective resection of their primary tumors were included. MAIN OUTCOME MEASURES: The primary outcome was all-cause mortality depending on the occurrence of anastomotic leak. Secondary outcomes were...... the administration of and time to adjuvant chemotherapy, metastasectomy rate, and risk factors for leak. RESULTS: Of the 774 patients with stage IV colorectal cancer who were included, 71 (9.2%) developed anastomotic leaks. Anastomotic leak had a significant impact on the long-term survival of patients with colon...

  19. Nuclear proliferation and civilian nuclear power: report of the Nonproliferation Alternative Systems Assessment Program. Volume IV. Commercial potential

    International Nuclear Information System (INIS)

    1979-12-01

    Volume IV provides time and cost estimates for positioning new nuclear power systems for commercial deployment. The assessment also estimates the rates at which the new systems might penetrate the domestic market, assuming the continuing viability of the massive light-water reactor network that now exists worldwide. This assessment does not recommend specific, detailed program plans and budgets for individual systems; however, it is clear from this analysis that any of the systems investigated could be deployed if dictated by national interest

  20. Prognostic impact of tumor MET expression among patients with stage IV gastric cancer

    DEFF Research Database (Denmark)

    Erichsen, Rune; Kelsh, Michael A; Oliner, Kelly S

    2016-01-01

    PURPOSE: We aimed to investigate the prevalence and prognostic impact of tumor mesenchymal epithelial transition factor (MET) expression in stage IV gastric cancers in a real-world clinical setting because existing evidence is sparse. METHODS: The study included archived cancer specimens from 103...... stage IV gastric cancer patients (2003-2010). We analyzed MET-protein expression by immunohistochemistry (MET-positive if ≥25% of tumor cells showed MET expression). We calculated overall survival using the Kaplan-Meier method and hazard ratios comparing mortality among MET-positive and MET.......6 months), corresponding to an adjusted hazard ratio of 2.2 (95% confidence interval, 1.3-3.7). CONCLUSIONS: Tumor MET expression is prevalent and has substantial prognostic impact in stage IV gastric cancer patients....

  1. Generation IV Nuclear Energy Systems Ten-Year Program Plan Fiscal Year 2005, Volume 1

    International Nuclear Information System (INIS)

    None

    2005-01-01

    As reflected in the U.S. ''National Energy Policy'', nuclear energy has a strong role to play in satisfying our nation's future energy security and environmental quality needs. The desirable environmental, economic, and sustainability attributes of nuclear energy give it a cornerstone position, not only in the U.S. energy portfolio, but also in the world's future energy portfolio. Accordingly, on September 20, 2002, U.S. Energy Secretary Spencer Abraham announced that, ''The United States and nine other countries have agreed to develop six Generation IV nuclear energy concepts''. The Secretary also noted that the systems are expected to ''represent significant advances in economics, safety, reliability, proliferation resistance, and waste minimization''. The six systems and their broad, worldwide research and development (R and D) needs are described in ''A Technology Roadmap for Generation IV Nuclear Energy Systems'' (hereafter referred to as the Generation IV Roadmap). The first 10 years of required U.S. R and D contributions to achieve the goals described in the Generation IV Roadmap are outlined in this Program Plan

  2. Oceanic Area System Improvement Study (OASIS). Volume IV. Caribbean Region Air Traffic Services System Description.

    Science.gov (United States)

    1981-09-01

    OASIS) U Final Report This report i.s one of a set of companion documents which includes the following volumes: Volume I Executive Summary and...Northern Coastal Region of 4 the Directorate of Engineering and Systems (Direccion de Ingenieria y Sistemas ), which is responsible for maintenance of the

  3. Proceedings of the Malaysian Science and Technology Congress 2000: Symposium B,Volume IV

    International Nuclear Information System (INIS)

    2001-01-01

    This proceedings is a collection of lectures presented at this symposium. This volume covers the following areas - biodiversity, cleaner production, green science, environment, renewable resources, social sciences, waste management and basic sciences

  4. High Statistics Analysis using Anisotropic Clover Lattices: (IV) The Volume Dependence of the Light Hadron Masses

    Energy Technology Data Exchange (ETDEWEB)

    Beane, S R; Detmold, W; Lin, H W; Luu, T C; Orginos, K; Parreno, A; Savage, M J; Torok, A; Walker-Loud, A

    2011-07-01

    The volume dependence of the octet baryon masses and relations among them are explored with Lattice QCD. Calculations are performed with nf = 2 + 1 clover fermion discretization in four lattice volumes, with spatial extent L ? 2.0, 2.5, 3.0 and 4.0 fm, with an anisotropic lattice spacing of b_s ? 0.123 fm in the spatial direction, and b_t = b_s/3.5 in the time direction, and at a pion mass of m_\\pi ? 390 MeV. The typical precision of the ground-state baryon mass determination is volume dependence of the masses, the Gell-Mann Okubo mass-relation, and of other mass combinations. A comparison with the predictions of heavy baryon chiral perturbation theory is performed in both the SU(2)L ? SU(2)R and SU(3)L ? SU(3)R expansions. Predictions of the three-flavor expansion for the hadron masses are found to describe the observed volume dependences reasonably well. Further, the ?N? axial coupling constant is extracted from the volume dependence of the nucleon mass in the two-flavor expansion, with only small modifications in the three-flavor expansion from the inclusion of kaons and eta's. At a given value of m?L, the finite-volume contributions to the nucleon mass are predicted to be significantly smaller at m_\\pi ? 140 MeV than at m_\\pi ? 390 MeV due to a coefficient that scales as ? m_\\pi^3. This is relevant for the design of future ensembles of lattice gauge-field configurations. Finally, the volume dependence of the pion and kaon masses are analyzed with two-flavor and three-flavor chiral perturbation theory.

  5. Inventory of Federal energy-related environment and safety research for FY 1977. Volume IV. Indices

    Energy Technology Data Exchange (ETDEWEB)

    1978-07-01

    This volume contains indexes useful for accessing projects contained in the FY 1977 Federal Inventory. The indexing has been greatly broadened this year to provide hard copy users with greater flexibility in locating projects. The Inventory projects are printed sequentially by log number. An inventory log number is a unique number assigned to each project from a block of numbers set aside for each agency. The association of agencies with blocks of log numbers is found in the table of contents of the Index (Volume III).

  6. Mi Carrera. Volume IV: Effective Career Planning with Hispanic High School Students.

    Science.gov (United States)

    Douglas, Denise, Ed.

    This curriculum guide, the fourth of a four-volume set that is intended to improve career and vocational guidance services to Spanish-speaking students in grades 9 through 12, is actually a collection of three different resources. The first section, "Group Activities: Intercambios," by Maria Garcia, is a model culturally based group counseling…

  7. Kilowatt isotope power system, Phase II Plan. Volume IV. Teledyne FSCD vs GDS

    Energy Technology Data Exchange (ETDEWEB)

    1978-03-15

    This Volume contains Teledyne's input to the Kilowatt Isotope Power System Phase II Plan. Included is a description of the Flight System Heat Generation System, Flight System Radiator, Thermal Insulation Stability, GDS Heat Generation System and GDS Radiator.

  8. Fusion Engineering Device. Volume IV. Physics basis and physics R and D requirements

    International Nuclear Information System (INIS)

    1981-10-01

    This volume covers the following issues: (1) confinement scaling, (2) cross section shaping, limits on B and q, (3) ion cyclotron heating, (4) neutral beam heating, (5) mechanical pump limiter, (6) poloidal divertor, and (7) non-divertor active impurity control

  9. Beach Profile Analysis System (BPAS). Volume IV. BPAS User’s Guide: Analysis Module SURVY2.

    Science.gov (United States)

    1982-06-01

    feet NSL), the shoreline position can be extrapolated using the two sawardmost points. Before computing volume changes, comon bonds are established...computer. Such features include the 10- character, 60-bit word size, the FORTRAN- callable sort routine (interfacing with the NOS or NOS/BE operating

  10. NJOY nuclear data processing system. Volume IV. The ERRORR and COVR modules

    International Nuclear Information System (INIS)

    Muir, D.W.; MacFarlane, R.E.

    1985-12-01

    The NJOY nuclear data processing system is a comprehensive computer code package for producing cross sections and related nuclear parameters from ENDF/B evaluated nuclear data. This volume provides detailed descriptions of the NJOY modules ERRORR and COVR, which are concerned with the covariances (uncertainties and correlations) of multigroup cross sections and fission neutron yield (anti nu) values. 17 refs

  11. Technical Reports (Part II). End of Project Report, 1968-1971, Volume IV.

    Science.gov (United States)

    Western Nevada Regional Education Center, Lovelock.

    The pamphlets included in this volume are technical reports prepared as outgrowths of the Student Information System of the Western Nevada Regional Education Center funded by a Title III grant under the Elementary and Secondary Education Act of 1965. These reports demonstrate the use of the stored data; methods of interpreting the printouts from…

  12. Mexico City air quality research initiative. Volume IV. Characterization and measurement

    Energy Technology Data Exchange (ETDEWEB)

    Mauzy, A. [ed.

    1994-04-01

    This volume describes the methods and the data gathered in an attempt to measure and characterize the meteorological factors and the concentration of different pollutants in the Mexico City Metropolitan Area. The main objective of this document was to provide input for the simulation models and to obtain information that could be used to test and improve the models` performance. Four field campaigns were conducted, as well as routine monitoring, in order to obtain a database of atmospheric dynamics and air pollution characteristics. Sections include Airborne measurements, Remote sensing measurements, and Traditional (in situ) measurements.

  13. Ocean Optics Protocols for Satellite Ocean Color Sensor Validation, Revision 4, Volume IV: Inherent Optical Properties: Instruments, Characterizations, Field Measurements and Data Analysis Protocols

    Science.gov (United States)

    Mueller, J. L.; Fargion, G. S.; McClain, C. R. (Editor); Pegau, S.; Zanefeld, J. R. V.; Mitchell, B. G.; Kahru, M.; Wieland, J.; Stramska, M.

    2003-01-01

    This document stipulates protocols for measuring bio-optical and radiometric data for the Sensor Intercomparision and Merger for Biological and Interdisciplinary Oceanic Studies (SIMBIOS) Project activities and algorithm development. The document is organized into 6 separate volumes as Ocean Optics Protocols for Satellite Ocean Color Sensor Validation, Revision 4. Volume I: Introduction, Background, and Conventions; Volume II: Instrument Specifications, Characterization and Calibration; Volume III: Radiometric Measurements and Data Analysis Methods; Volume IV: Inherent Optical Properties: Instruments, Characterization, Field Measurements and Data Analysis Protocols; Volume V: Biogeochemical and Bio-Optical Measurements and Data Analysis Methods; Volume VI: Special Topics in Ocean Optics Protocols and Appendices. The earlier version of Ocean Optics Protocols for Satellite Ocean Color Sensor Validation, Revision 3 is entirely superseded by the six volumes of Revision 4 listed above.

  14. Guide for the evaluation of physical protection equipment. Book 2: Volumes IV--VIII

    International Nuclear Information System (INIS)

    Haberman, W.

    1977-06-01

    A guide for evaluating the performance of commercially available physical protection equipment has been prepared for use by U.S. NRC. Separate evaluation procedures are provided for each generic type of equipment contained in the companion document, Catalog of Physical Protection Equipment (NUREG-0274). Among the equipment parameters evaluated are sensitivity, area/volume of coverage, false/nuisance alarm rate, resistance to countermeasures, environmental requirements, installation parameters and maintenance. Four evaluation techniques are employed (inspections, analyses, demonstrations and tests); standard test equipment (both commercially available as well as developmental) to be used in the evaluation is listed. The following categories of equipment are covered: surveillance and alarm assessment components, contraband detection components, automated response components, general purpose display components, and general purpose communication components

  15. Final Environmental Impact Report/Environmental Impact Statement. Cullinan Ranch Specific Plan. Chapter 11. Appendix IV.

    Science.gov (United States)

    1984-05-01

    growth toward lands already annexed and away from agricultural * lands until needed demands a sound basis upon which to render judgment. For the City...for Bureau of Land Management. Johnson, Patti 3. 1978 Patwin. In Handbook of North American Indians, Volume 8, California. Robert F. Heizer , ed

  16. Characterization of Vertical Impact Device Acceleration Pulses Using Parametric Assessment: Phase IV Dual Impact Pulses

    Science.gov (United States)

    2017-01-04

    support contractor , Infoscitex, conducted a series of tests to identify the performance capabilities of the Vertical Impact Device (VID) and the Warrior...Impact Response: Test Series 1 Data Summary for Carriage Test Cell VID Carriage Programmer Drop Ht . (in) Mean Velocity Change (m/s) Mean...Table 6. VID Impact Response: Test Series 1 Data Summary for Seat Pan Test Cell VID Carriage Programmer Drop Ht . (in) Mean Velocity

  17. Soil Properties Database of Spanish Soils Volume IV.- Valencia and Murcia

    International Nuclear Information System (INIS)

    Trueba, C.; Millan, R.; Schmid, T.; Roquero, C; Magister, M.

    1998-01-01

    The soil vulnerability determines the sensitivity of the soil after an accidental radioactive contamination due to Cs-137 and Sr-90. The Departamento de Impacto Ambiental de la Energia of CIEMAT is carrying out an assessment of the radiological vulnerability of the different Spanish soils found on the Iberian Peninsula. This requires the knowledge of the soil properties for the various types of existing soils. In order to achieve this aim, a bibliographical compilation of soil profiles has been made to characterize the different soil types and create a database of their properties. Depending on the year of publication and the type of documentary source, the information compiled from the available bibliography is very heterogeneous. Therefore, an important effort has been made to normalize and process the information prior to its incorporation to the database. This volume presents the criteria applied to normalize and process the data as well as the soil properties of the various soil types belonging to the Comunidades Autonomas de Valencia and Murcia. (Author) 63 refs

  18. How the Change in IBS Criteria From Rome III to Rome IV Impacts on Clinical Characteristics and Key Pathophysiological Factors.

    Science.gov (United States)

    Aziz, Imran; Törnblom, Hans; Palsson, Olafur S; Whitehead, William E; Simrén, Magnus

    2018-06-08

    The diagnostic criteria for irritable bowel syndrome (IBS) have recently been updated from Rome III to Rome IV. Whereas in Rome III a diagnosis of IBS entailed chronic abdominal pain or discomfort at least 3 days per month, in Rome IV the term discomfort has been removed and the frequency of abdominal pain increased to at least 1 day per week. We examined how this change in IBS criteria impacts on clinical characteristics and pathophysiological factors. A total of 542 Swedish subjects with Rome III IBS completed a baseline questionnaire enquiring for the number of abdominal pain days in the last 10 days; this was subsequently used as a surrogate marker to identify Rome IV IBS, in that (a) those with 0 or 1 day of pain were classed as Rome IV-negative, and (b) those with ≥2 days of pain were classed as Rome IV-positive. Comparisons were made between Rome IV-positive and -negative IBS groups for demographics, IBS subtype, gastrointestinal and psychological symptoms, somatisation, fatigue, disease-specific quality of life, rectal sensitivity, and oro-anal transit time. Overall, 85% of Rome III IBS patients fulfilled the Rome IV criteria for IBS, but 15% did not. Rome IV-positive subjects were significantly more likely to be female, have poorer quality of life, greater pain severity, bloating, somatisation, fatigue, and rectal sensitivity than Rome IV-negative subjects. There were no differences in severity of anxiety or depression, IBS subtypes, bowel habit dissatisfaction, or oro-anal transit time. Finally, increasing number of pain days correlated positively with symptoms and visceral hypersensitivity. Most Rome III-positive IBS patients seeking healthcare fulfil the Rome IV IBS criteria. They constitute a more severe group than those who lose their IBS diagnosis.

  19. OLI/ESP Modeling Of The Semi-Integrated Pilot Plant For Estimate Of Campaigns I-IV Simulant Volumes

    International Nuclear Information System (INIS)

    CARL, BARNES

    2004-01-01

    Four SIPP campaigns have been planned to investigate the effect of recycle streams on the RPP-WTP pretreatment process such as the filter flux rate and other areas of interest. This document describes OLI/ESP modeling work done in support of the planning and operation of the SIPP. An existing OLI/ESP steady-state model was expanded to represent the pretreatment system through to the TLP evaporator for the LAW train and the washed sludge for the HLW train. The model was used to investigate alternative operating scenarios, determine the optimum volumetric waste feed ratio of AP-101 to AY-102, and, for each campaign, estimate the simulant and input recycle volumes corresponding to the target glass production rates of 6MT/day HLW glass and 80MT/day LAW glass and scaled to the target of 140L of Campaign I washed sludge. It was designed to quickly achieve steady state and simulation results indicate this was accomplished by Campaign IV. The alternative operating scenarios modeled differed only in the point at which the AP-101 and AY-102 waste feed streams were introduced to the process. The results showed no difference in the production rate between the scenarios. Therefore, for these specific waste feeds the process should be operated to maximize the energy efficiency and minimize scaling in the evaporator by feeding the AY-102 waste feed to the ultra-filtration feed prep tank, bypassing the waste feed evaporator

  20. Steam Digest: Volume IV

    Energy Technology Data Exchange (ETDEWEB)

    2004-07-01

    This edition of the Steam Digest is a compendium of 2003 articles on the technical and financial benefits of steam efficiency, presented by the stakeholders of the U.S. Department of Energy's BestPractices Steam effort.

  1. Steam Digest Volume IV

    Energy Technology Data Exchange (ETDEWEB)

    None

    2004-07-01

    This edition of the Steam Digest is a compendium of 2003 articles on the technical and financial benefits of steam efficiency, presented by the stakeholders of the U.S. Department of Energy's BestPractices Steam effort.

  2. Impact of Business Education in Enhancing Sales Volumes of Retail ...

    African Journals Online (AJOL)

    This study investigated the impact of business education in enhancing sales volume of retail business in Ohaozara local Government Area of Ebonyi State. Ninety (90) respondents formed the population of study. The instrument of data collection was a well structured and pretested questionnaire. Two research questions ...

  3. The impacts of the rise of Paragraph IV challenges on startup alliance formation and firm value in the pharmaceutical industry.

    Science.gov (United States)

    Filson, Darren; Oweis, Ahmed

    2010-07-01

    Court decisions in 1998 encouraged generic producers to pursue Paragraph IV patent challenges. A follow-up decision in 2000 marked the first successful challenge involving a blockbuster and brought further attention to this pathway for generic entry. We consider the impacts of these decisions on R&D-based startups, and we focus on the propensity to form alliances as a primary channel of impact. We find substantial negative impacts on alliance formation and firm value, and only the first event's impacts are restricted to small molecules. The results suggest that policy analyses in settings with R&D-based startups should consider impacts on alliance formation.

  4. DSM-IV disorders in children with borderline to moderate intellectual disability. I: Prevalence and impact. [IF 3.6

    NARCIS (Netherlands)

    Dekker, M.C.; Koot, H.M.

    2003-01-01

    Objective: To assess the prevalence, comorbidity, and impact of DSM-IV disorders in 7- to 20-year-olds with intellectual disability. Method: A total of 474 children (response 86.8%) were randomly selected from a sample of students from Dutch schools for the intellectually disabled. Parents completed

  5. Impact of family history and depression on amygdala volume.

    LENUS (Irish Health Repository)

    Saleh, Karim

    2012-07-30

    Family history of depression significantly impacts life-long depression risk. Family history could impact the stress and emotion regulation system that involves the amygdala. This study\\'s purpose was to investigate family history\\'s effect on amygdala volumes, and differences in first degree relatives with and without major depressive disorder (MDD). Participants, aged 18-65, were healthy volunteers (N=52) with (n=26) and without (n=26) first degree family history, and patients with MDD (N=48) with (n=27) and without (n=21)first-degree family history recruited for structural magnetic resonance imaging (MRI). Participants underwent clinical assessment followed by manual amygdala tracing. Patients with MDD without family history showed significantly larger right amygdala without a family history of MDD. These effects had larger right amygdala than healthy controls without MDD family history. These effects were pronounced in females. Family history and gender impacted amygdala volumes in all participants, providing a rationale for the inconsistent results in MDD amygdala studies. Higher familial risk in depression seems to be associated with smaller amygdala volumes, whereas depression alone is associated with larger amygdala volumes. Ultimately, these findings highlight consideration of family history and gender in research and treatment strategies.

  6. FINESSE: study of the issues, experiments and facilities for fusion nuclear technology research and development. Interim report. Volume IV

    International Nuclear Information System (INIS)

    Abdou, M.

    1984-10-01

    This volume contains the following chapters (1) neutronics tests, (2) fluence considerations, (3) instrumentation and test matrix, (4) non-neutron test stands, (5) accelerator-based point neutron sources, (6) utilization of fission reactors, (7) tandem mirror test facilities, (8) tokamak fusion test facilities, (9) reliability development testing impacts on fusion reactor availability, and (10) fusion development scenarios. In addition, the following appendices are included: (1) evaluation of experience from fast breeder reactors, (2) observations of experts from the fission field, (3) evaluation of experience from the aerospace industry, (4) characterization of fusion nuclear systems operating environment, (5) modelling of MFTF-α+T high gamma mode performance, and (6) small-scale, multiple effects testing at US/DOE breeder reactor in-pile facilities

  7. Differential Impact of Anastomotic Leak in Patients With Stage IV Colonic or Rectal Cancer: A Nationwide Cohort Study.

    Science.gov (United States)

    Nordholm-Carstensen, Andreas; Rolff, Hans Christian; Krarup, Peter-Martin

    2017-05-01

    Anastomotic leak has a negative impact on the prognosis of patients who undergo colorectal cancer resection. However, data on anastomotic leak are limited for stage IV colorectal cancers. The purpose of this study was to investigate the impact of anastomotic leak on survival and the decision to administer chemotherapy and/or metastasectomy after elective surgery for stage IV colorectal cancer. This was a nationwide, retrospective cohort study. Data were obtained from the Danish Colorectal Cancer Group, the Danish Pathology Registry, and the National Patient Registry. Patients who were diagnosed with stage IV colorectal cancer between 2009 and 2013 and underwent elective resection of their primary tumors were included. The primary outcome was all-cause mortality depending on the occurrence of anastomotic leak. Secondary outcomes were the administration of and time to adjuvant chemotherapy, metastasectomy rate, and risk factors for leak. Of the 774 patients with stage IV colorectal cancer who were included, 71 (9.2%) developed anastomotic leaks. Anastomotic leak had a significant impact on the long-term survival of patients with colon cancer (p = 0.04) but not on those with rectal cancer (p = 0.91). Anastomotic leak was followed by the decreased administration of adjuvant chemotherapy in patients with colon cancer (p = 0.007) but not in patients with rectal cancer (p = 0.47). Finally, anastomotic leak had a detrimental impact on metastasectomy rates after colon cancer but not on resection rates of rectal cancer. Retrospective data on the selection criteria for primary tumor resection and metastatic tumor load were unavailable. The impact of anastomotic leak on patients differed between stage IV colon and rectal cancers. Survival and eligibility to receive chemotherapy and metastasectomy differed between patients with colon and rectal cancers. When planning for primary tumor resection, these factors should be considered.

  8. Impact of different environmental conditions on the aggregation of biogenic U(IV) nanoparticles synthesized by Desulfovibrio alaskensis G20

    Energy Technology Data Exchange (ETDEWEB)

    Şengör, S. Sevinç; Singh, Gursharan; Dohnalkova, Alice; Spycher, Nicolas; Ginn, Timothy R.; Peyton, Brent M.; Sani, Rajesh K.

    2016-09-13

    This study investigates the impact of specific environmental conditions on the formation of colloidal U(IV) nanoparticles by the sulfate reducing bacteria (SRB, Desulfovibrio alaskensis G20). The reduction of soluble U(VI) to less soluble U(IV) was quantitatively investigated under growth and non-growth conditions in bicarbonate or 1,4-piperazinediethanesulfonic acid (PIPES) buffered environments. The results showed that under non-growth conditions, the majority of the reduced U nanoparticles aggregated and precipitated out of solution. High resolution transmission electron microscopy revealed that only a very small fraction of cells had reduced U precipitates in the periplasmic spaces in the presence of PIPES buffer, whereas in the presence of bicarbonate buffer, reduced U was also observed in the cytoplasm with greater aggregation of biogenic U(IV) particles at higher initial U(VI) concentrations. The same experiments were repeated under growth conditions using two different electron donors (lactate and pyruvate) and three electron acceptors (sulfate, fumarate, and thiosulfate). In contrast to the results of the non-growth experiments, even after 0.2 m filtration, the majority of biogenic U(IV) remained in the aqueous phase resulting in potentially mobile biogenic U(IV) nanoparticles. Size fractionation results showed that U(IV) aggregates were between 18 and 200 nm in diameter, and thus could be very mobile. The findings of this study are helpful to assess the size and potential mobility of reduced U nanoparticles under different environmental conditions, and would provide insights on their potential impact affecting U(VI) bioremediation efforts at subsurface contaminated sites.

  9. Possible impact of the standardized Category IV regimen on multidrug-resistant tuberculosis patients in Mumbai.

    Science.gov (United States)

    Udwadia, Zarir F; Mullerpattan, Jai Bharat; Shah, Kushal D; Rodrigues, Camilla S

    2016-01-01

    Treatment of multidrug-resistant tuberculosis (MDR-TB) in the Programmatic Management of Drug-resistant TB program involves a standard regimen with a 6-month intensive phase and an 18-month continuation phase. However, the local drug resistance patterns in high MDR regions such as Mumbai may not be adequately reflected in the design of the regimen for that particular area. The study was carried out at a private Tertiary Level Hospital in Mumbai in a mycobacteriology laboratory equipped to perform the second-line drug susceptibility testing (DST). We attempted to analyze the impact of prescribing the standardized Category IV regimen to all patients receiving a DST at our mycobacteriology laboratory. All samples confirmed to be MDR-TB and tested for the second-line drugs at Hinduja Hospital's Mycobacteriology Laboratory in the year 2012 were analyzed. A total of 1539 samples were analyzed. Of these, 464 (30.14%) were MDR-TB, 867 (56.33%) were MDR with fluoroquinolone resistance, and 198 (12.8%) were extensively drug-resistant TB. The average number of susceptible drugs per sample was 3.07 ± 1.29 (assuming 100% cycloserine susceptibility). Taking 4 effective drugs to be the cut or an effective regimen, the number of patients receiving 4 or more effective drugs from the standardized directly observed treatment, short-course plus regimen would be 516 (33.5%) while 66.5% of cases would receive 3 or less effective drugs. Our study shows that a high proportion of patients will have resistance to a number of the first- and second-line drugs. Local epidemiology must be factored in to avoid amplification of resistance.

  10. Soil Properties Database of Spanish Soils Volume IV.- Valencia and Murcia; Base de Datos de Propiedades Edafologicas de los Suelos Espanoles Volumen IV.- Valencia y Murcia

    Energy Technology Data Exchange (ETDEWEB)

    Trueba, C; Millan, R; Schmid, T; Roquero, C; Magister, M

    1998-12-01

    The soil vulnerability determines the sensitivity of the soil after an accidental radioactive contamination due to Cs-137 and Sr-90. The Departamento de Impacto Ambiental de la Energia of CIEMAT is carrying out an assessment of the radiological vulnerability of the different Spanish soils found on the Iberian Peninsula. This requires the knowledge of the soil properties for the various types of existing soils. In order to achieve this aim, a bibliographical compilation of soil profiles has been made to characterize the different soil types and create a database of their properties. Depending on the year of publication and the type of documentary source, the information compiled from the available bibliography very heterogeneous. Therefore, an important effort has been made to normalize and process the information prior to its incorporation to the database. This volume presents the criteria applied to normalize and process the data as well as the soil properties of the various soil types belonging to the Comunidades Autonomas de Valencia and Murcia. (Author) 63 refs.

  11. Asteroids IV

    Science.gov (United States)

    Michel, Patrick; DeMeo, Francesca E.; Bottke, William F.

    . Asteroids, like planets, are driven by a great variety of both dynamical and physical mechanisms. In fact, images sent back by space missions show a collection of small worlds whose characteristics seem designed to overthrow our preconceived notions. Given their wide range of sizes and surface compositions, it is clear that many formed in very different places and at different times within the solar nebula. These characteristics make them an exciting challenge for researchers who crave complex problems. The return of samples from these bodies may ultimately be needed to provide us with solutions. In the book Asteroids IV, the editors and authors have taken major strides in the long journey toward a much deeper understanding of our fascinating planetary ancestors. This book reviews major advances in 43 chapters that have been written and reviewed by a team of more than 200 international authorities in asteroids. It is aimed to be as comprehensive as possible while also remaining accessible to students and researchers who are interested in learning about these small but nonetheless important worlds. We hope this volume will serve as a leading reference on the topic of asteroids for the decade to come. We are deeply indebted to the many authors and referees for their tremendous efforts in helping us create Asteroids IV. We also thank the members of the Asteroids IV scientific organizing committee for helping us shape the structure and content of the book. The conference associated with the book, "Asteroids Comets Meteors 2014" held June 30-July 4, 2014, in Helsinki, Finland, did an outstanding job of demonstrating how much progress we have made in the field over the last decade. We are extremely grateful to our host Karri Muinonnen and his team. The editors are also grateful to the Asteroids IV production staff, namely Renée Dotson and her colleagues at the Lunar and Planetary Institute, for their efforts, their invaluable assistance, and their enthusiasm; they made life as

  12. Economic impacts of Alberta's oil sands, volume 1

    International Nuclear Information System (INIS)

    Timilsina, G.R.; LeBlanc, N.; Walden, T.

    2005-01-01

    In 2004, the international media recognized Alberta's oil sands as part of the global oil reserves, thereby establishing Canada as second to Saudi Arabia as potential oil producing nations. The economic impacts of Alberta's oil sands industry on economies were assessed at regional, provincial and international levels for the 2000 to 2020 period. A customized input-output model was used to assess economic impacts, which were measured in terms of changes in gross domestic product; employment and labour income; and, government revenues. Cumulative impacts on employment by sector and by jurisdiction were also presented. An investment of $100 billion is expected through 2020, resulting in production of crude bitumen and synthetic crude oil outputs valued at about $531 billion. The impact of the oil sands industry on local employment was also evaluated. It was shown that activities in the oil sands industry will lead to significant economic impact in Alberta, Ontario, Quebec and the rest of Canada. Alberta's local economy would be the main beneficiary of oil sands activities with nearly 3.6 million person years employment created in Alberta during the 2000 to 2020. Another 3 million person years employment would be created in other Canadian provinces and outside Canada during the same time period. A sensitivity analysis on the responsiveness to oil prices and the removal of various constraints incorporated in the main analysis was also presented. The federal government will be the largest recipient of revenues generated to to oil sands activities. The results of the study were compared with that of the National Task Force on Oil Sands Strategies. This first volume revealed the results of the study while the second volume includes the data and detailed results. 48 refs., 57 tabs., 28 figs

  13. Electron impact excitation of Fe-peak elements: forbidden transitions in the 3d5 manifold of Fe IV

    International Nuclear Information System (INIS)

    McLaughlin, B M; Hibbert, A; Scott, M P; Noble, C J; Burke, V M; Burke, P G

    2005-01-01

    Electron-impact excitation collision strengths of the Fe-peak element Fe IV are calculated in the close-coupling approximation using the R-matrix suite of codes PRMAT designed for parallel processors. One hundred and eight LS-coupled states arising from the 3d 5 , 3d 4 4s and 3d 4 4p configurations of Fe IV, are retained in the present calculations. Detailed multi-configuration interaction target wavefunctions are used with the aid of 3p 2 → 3d 2 electron promotions and a 4dbar correlation orbital in the present calculations. Effective collision strengths for optically forbidden transitions, which are extremely important in the analysis of lines in the Fe IV spectra, are obtained by averaging the electron collision strengths for a wide range of incident electron energies, over a Maxwellian distribution of velocities. Results are presented for electron temperatures (T e in Kelvin) in the range 3.3 ≤ Log T e ≤ 6.0 applicable to many laboratory and astrophysical plasmas for transitions within the 3d 5 manifold. The present results compared to previous investigations provide improved results for important lines in the Fe IV spectrum

  14. Environmental and Cultural Impact. Proposed Tennessee Colony Reservoir, Trinity River, Texas. Volume IV. Appendix F.

    Science.gov (United States)

    1972-01-01

    Some other species in this area are hackberry (Celtis laevigata), water oak (Quercus nigra), pecan ( Carya illinoensis ), and American elm (Ulmus...Some upland hickory species ( Carya ) will also be encountered. These areas should be maintained as such in order to prevent erosion of the future

  15. Niger Republic Mineral Planning : Part IV - first volume : Main mineral substances specific study and their geological context

    International Nuclear Information System (INIS)

    Franconi, Antoine; Joo', Julien; Zibo, Idde

    1981-01-01

    This volume contains the detailed study of mineral substances industrially exploited to date : uranium, coal, non metallic building materials and public activities, and non conventionally exploited substances, that are : tin, columbite-tantalite, tungsten, gold, phosphates and evaporates [fr

  16. Niger Republic Mineral Planning : Part IV - first volume : Main mineral substances specific study and their geological context; Plan Mineral de la Republique du Niger : Tome IV - 1er volume : Etude specifique des principales substances minerals et leur contexte geologique

    Energy Technology Data Exchange (ETDEWEB)

    Franconi, Antoine; Joo' , Julien; Zibo, Idde

    1981-07-01

    This volume contains the detailed study of mineral substances industrially exploited to date : uranium, coal, non metallic building materials and public activities, and non conventionally exploited substances, that are : tin, columbite-tantalite, tungsten, gold, phosphates and evaporates. [French] Ce volume contient l'etude detaillee des substances minerals exploitees industriellement a ce jour : l'uranium, le charbon, les materiaux non metalliques de construction et de travaux publics et les substances exploitees artisanalement qui sont : l'etain, la Colombo-tantalite, le tungstene, l'or, les phosphates et les evaporates.

  17. ASAMPSA2 best-practices guidelines for L2 PSA development and applications. Volume 3 - Extension to Gen IV reactors

    International Nuclear Information System (INIS)

    Bassi, C.; Bonneville, H.; Brinkman, H.; Burgazzi, L.; Polidoro, F.; Vincon, L.; Jouve, S.

    2010-01-01

    The main objective assigned to the Work Package 4 (WP4) of the 'ASAMPSA2' project (EC 7. FPRD) consist in the verification of the potential compliance of L2PSA guidelines based on PWR/BWR reactors (which are specific tasks of WP2 and WP3) with Generation IV representative concepts. Therefore, in order to exhibit potential discrepancies between LWRs and new reactor types, the following work was based on the up-to-date designs of: - The European Fast Reactor (EFR) which will be considered as prototypical of a pool-type Sodium-cooled Fast Reactor (SFR); - The ELSY design for the Lead-cooled Fast Reactor (LFR) technology; - The ANTARES project which could be representative of a Very-High Temperature Reactor (VHTR); - The CEA 2400 MWth Gas-cooled Fast Reactor (GFR). (authors)

  18. Intenational conference on high-energy physics. Volume 2. Sessions IV to VIII. [Geneva, June 27-July 4, 1979

    Energy Technology Data Exchange (ETDEWEB)

    1980-02-01

    Volume 2 of the conference proceedings contains sessions on hadron physics, charged-lepton physics, the p-p-bar collider at CERN, future European accelerator possibilities, parallel discussion sessions (on high-energy) hadron-induced reactions, deep inelastic phenomena, hadron spectroscopy, weak ineractions and gauge theories, and quark confinement), and a closing session on gauge appreciation of developments in particle physics. A list of participants is also included. Three of the papers in this volume have already been cited in ERA, and can be found as reference to the entry CONF-790642-- in the Report Number Index. The remaining 36 will be processed as they are received on the Atomindex tape. (RWR)

  19. Prognostic Impact of 21-Gene Recurrence Score in Patients With Stage IV Breast Cancer: TBCRC 013.

    Science.gov (United States)

    King, Tari A; Lyman, Jaclyn P; Gonen, Mithat; Voci, Amy; De Brot, Marina; Boafo, Camilla; Sing, Amy Pratt; Hwang, E Shelley; Alvarado, Michael D; Liu, Minetta C; Boughey, Judy C; McGuire, Kandace P; Van Poznak, Catherine H; Jacobs, Lisa K; Meszoely, Ingrid M; Krontiras, Helen; Babiera, Gildy V; Norton, Larry; Morrow, Monica; Hudis, Clifford A

    2016-07-10

    The objective of this study was to determine whether the 21-gene Recurrence Score (RS) provides clinically meaningful information in patients with de novo stage IV breast cancer enrolled in the Translational Breast Cancer Research Consortium (TBCRC) 013. TBCRC 013 was a multicenter prospective registry that evaluated the role of surgery of the primary tumor in patients with de novo stage IV breast cancer. From July 2009 to April 2012, 127 patients from 14 sites were enrolled; 109 (86%) patients had pretreatment primary tumor samples suitable for 21-gene RS analysis. Clinical variables, time to first progression (TTP), and 2-year overall survival (OS) were correlated with the 21-gene RS by using log-rank, Kaplan-Meier, and Cox regression. Median patient age was 52 years (21 to 79 years); the majority had hormone receptor-positive/human epidermal growth factor receptor 2 (HER2)-negative (72 [66%]) or hormone receptor-positive/HER2-positive (20 [18%]) breast cancer. At a median follow-up of 29 months, median TTP was 20 months (95% CI, 16 to 26 months), and median survival was 49 months (95% CI, 40 months to not reached). An RS was generated for 101 (93%) primary tumor samples: 22 (23%) low risk (< 18), 29 (28%) intermediate risk (18 to 30); and 50 (49%) high risk (≥ 31). For all patients, RS was associated with TTP (P = .01) and 2-year OS (P = .04). In multivariable Cox regression models among 69 patients with estrogen receptor (ER)-positive/HER2-negative cancer, RS was independently prognostic for TTP (hazard ratio, 1.40; 95% CI, 1.05 to 1.86; P = .02) and 2-year OS (hazard ratio, 1.83; 95% CI, 1.14 to 2.95; P = .013). The 21-gene RS is independently prognostic for both TTP and 2-year OS in ER-positive/HER2-negative de novo stage IV breast cancer. Prospective validation is needed to determine the potential role for this assay in the clinical management of this patient subset. © 2016 by American Society of Clinical Oncology.

  20. Impact of altering DSM-IV criteria for anorexia and bulimia nervosa on the base rates of eating disorder diagnoses.

    Science.gov (United States)

    Thaw, J M; Williamson, D A; Martin, C K

    2001-09-01

    The diagnostic criteria used to define eating disorders have been the focus of debate for many years. The primary aim of this study was to evaluate the impact of altering DSM-IV diagnostic criteria upon the base rates of anorexia nervosa (AN), bulimia nervosa (BN) and eating disorder not otherwise specified (EDNOS). Five controversial criteria were systematically modified and the impact of these changes on base rates of full-syndrome and partial-syndrome eating disorders was assessed in 193 patients referred to two specialty eating disorder clinics. Modification of a single criterion resulted in relatively small changes in base rates of AN and BN, whereas modification of the two severity criteria led to more substantial changes. These findings have significant implications for future modifications of the DSM classification.

  1. Surplus plutonium disposition draft environmental impact statement. Volume 2

    International Nuclear Information System (INIS)

    1998-07-01

    On May 22, 1997, DOE published a Notice of Intent (NOI) in the Federal Register (62 Federal Register 28009) announcing its decision to prepare an environmental impact statement (EIS) that would tier from the analysis and decisions reached in connection with the Storage and Disposition of Weapons-Usable Fissile Materials Final Programmatic EIS (Storage and Disposition PEIS). DOE's disposition strategy allows for both the immobilization of surplus plutonium and its use as mixed oxide (MOX) fuel in existing domestic, commercial reactors. The disposition of surplus plutonium would also involve disposal of the immobilized plutonium and MOX fuel (as spent nuclear fuel) in a geologic repository. The Surplus Plutonium Disposition Environmental Impact Statement analyzes alternatives that would use the immobilization approach (for some of the surplus plutonium) and the MOX fuel approach (for some of the surplus plutonium); alternatives that would immobilize all of the surplus plutonium; and the No Action Alternative. The alternatives include three disposition facilities that would be designed so that they could collectively accomplish disposition of up to 50 metric tons (55 tons) of surplus plutonium over their operating lives: (1) the pit disassembly and conversion facility would disassemble pits (a weapons component) and convert the recovered plutonium, as well as plutonium metal from other sources, into plutonium dioxide suitable for disposition; (2) the immobilization facility would include a collocated capability for converting nonpit plutonium materials into plutonium dioxide suitable for immobilization and would be located at either Hanford or SRS. DOE has identified SRS as the preferred site for an immobilization facility; (3) the MOX fuel fabrication facility would fabricate plutonium dioxide into MOX fuel. Volume 2 contains the appendices to the report and describe the following: Federal Register notices; contractor nondisclosure statement; adjunct melter

  2. Prognostic impact of metastatic pattern in stage IV breast cancer at initial diagnosis.

    Science.gov (United States)

    Leone, Bernardo Amadeo; Vallejo, Carlos Teodoro; Romero, Alberto Omar; Machiavelli, Mario Raúl; Pérez, Juan Eduardo; Leone, Julieta; Leone, José Pablo

    2017-02-01

    To analyze the prognostic influence of metastatic pattern (MP) compared with other biologic and clinical factors in stage IV breast cancer at initial diagnosis (BCID) and evaluate factors associated with specific sites of metastases (SSM). We evaluated women with stage IV BCID with known metastatic sites, reported to the Surveillance, Epidemiology and End Results program from 2010 to 2013. MP was categorized as bone-only, visceral, bone and visceral (BV), and other. Univariate and multivariate analyses determined the effects of each variable on overall survival (OS). Logistic regression examined factors associated with SSM. We included 9143 patients. Bone represented 37.5% of patients, visceral 21.9%, BV 28.8%, and other 11.9%. Median OS by MP was as follows: bone 38 months, visceral 21 months, BV 19 months, and other 33 months (P < 0.0001). Univariate analysis showed that higher number of metastatic sites had worse prognosis. In multivariate analysis, older age (hazard ratio 1.9), black race (hazard ratio 1.17), grade 3/4 tumors (hazard ratio 1.6), triple-negative (hazard ratio 2.24), BV MP (hazard ratio 2.07), and unmarried patients (hazard ratio 1.25) had significantly shorter OS. As compared with HR+/HER2- tumors, triple-negative and HR-/HER2+ had higher odds of brain, liver, lung, and other metastases. HR+/HER2+ had higher odds of liver metastases. All three subtypes had lower odds of bone metastases. There were substantial differences in OS according to MP. Tumor subtypes have a clear influence among other factors on SSM. We identified several prognostic factors that could guide therapy selection in treatment naïve patients.

  3. The fourth Arab Impact Cratering and Astrogeology Conference (AICAC IV), April 9-12, 2017, Algiers (Algeria)

    Science.gov (United States)

    Belhaï, D.; Chennaoui-Aoudjehane, H.; Baratoux, D.; Ferrière, L.; Lamali, A.; Sahoui, R.; Lambert, P.; Ayadi, A.

    2017-09-01

    We present a report about the fourth Arab Impact Cratering and Astrogeology Conference (AICAC IV) that took place in Algiers at the USTHB (Université des Sciences et Technologie Houari Boumedienne, Algiers, Algeria) in the presence of the presidents of the USTHB and Boumerdès Universities, the Director of CRAAG (Centre de Recherche en Astronomie, Astrophysique et Géophysique), and the General Director of the National Administration for Scientific Research (NASR/DGRSDT). This series of conferences aims to promote research interest for impact cratering in the Arab world and beyond, including for instance in African countries. In spite of persistently restraining travel measures to Algeria, the fourth edition held in Algiers was marked by continuous international participation, with participants from seven different countries. This conference focused on presentations of scientific results in the research fields related to planetology, meteorites, and impact craters. In particular, the Algerian impact structures were under the spotlights during both oral and poster sessions. During this conference, the presence of freshly graduated Ph.D. students and new Ph.D. projects related to impact cratering or meteoritic science was a positive sign for the consolidation of research groups in this domain in the Arab world and Africa. Therefore, international cooperation or external support and funding are still needed to ensure the development of this scientific discipline in this part of the world.

  4. Metabolic tumor volume measured by F 18 FDG PET/CT can further stratify the prognosis of patients with stage IV Non Small Cell Lung Cancer

    Energy Technology Data Exchange (ETDEWEB)

    Yoo, Su Woong; Kim, Ja Hae; Chong, Ar I; Kwon, Seong Young; Min, Jung Joon; Song, Ho Chun; Bom, Hee Seung [Chonnam National Univ. Hwasun Hospital, Gwangju (Korea, Republic of)

    2012-12-15

    This study aimed to further stratify prognostic factors in patients with stage IV non small cell lung cancer (NSCLC) by measuring their metabolic tumor volume (MTV) using F 18 fluorodeoxyglucose (FDG) positron emission tomography/computed tomography (PET/CT). The subjects of this retrospective study were 57 patients with stage IV NSCLC. MTV, total lesion glycolysis (TLG), and maximum standardized uptake value (SUVmax) were measured on F 18 FDG PET/CT in both the primary lung lesion as well as metastatic lesions in torso. Optimal cutoff values of PET parameters were mea measured by receiver operating characteristic (ROC) curve anal analysis. Kaplan Meier survival (PET). The univariate and multivariate cox proportional hazards models were used to select the significant prognostic factors. Univariate analysis showed that both MTV and TLG of primary lung lesion (MTV lung and TLG lung) were significant factors for prediction of PFS ( <0.001 =0.038, respectively). Patients showing lower values of MTV lung and TLG lung than the cutoff values had significantly longer mean PFS than those with higher values. hazard ratios (95% confidence interval) of MTV lung and TLG lung measured by univariate analysis were 6.4 (2.5 16.3) and 2.4 (1.0 5.5), respectively. multivariate analysis revealed that MTV lung was the only significant factor for prediction of prognosis. Hazard ratio was 13,5 (1.6 111.1, =0,016). patients with stage IV NSCLC could be further stratified into subgroups of significantly better and worse prognosis by MTV of primary lung lesion.

  5. Metabolic tumor volume measured by F 18 FDG PET/CT can further stratify the prognosis of patients with stage IV Non Small Cell Lung Cancer

    International Nuclear Information System (INIS)

    Yoo, Su Woong; Kim, Ja Hae; Chong, Ar I; Kwon, Seong Young; Min, Jung Joon; Song, Ho Chun; Bom, Hee Seung

    2012-01-01

    This study aimed to further stratify prognostic factors in patients with stage IV non small cell lung cancer (NSCLC) by measuring their metabolic tumor volume (MTV) using F 18 fluorodeoxyglucose (FDG) positron emission tomography/computed tomography (PET/CT). The subjects of this retrospective study were 57 patients with stage IV NSCLC. MTV, total lesion glycolysis (TLG), and maximum standardized uptake value (SUVmax) were measured on F 18 FDG PET/CT in both the primary lung lesion as well as metastatic lesions in torso. Optimal cutoff values of PET parameters were mea measured by receiver operating characteristic (ROC) curve anal analysis. Kaplan Meier survival (PET). The univariate and multivariate cox proportional hazards models were used to select the significant prognostic factors. Univariate analysis showed that both MTV and TLG of primary lung lesion (MTV lung and TLG lung) were significant factors for prediction of PFS ( <0.001 =0.038, respectively). Patients showing lower values of MTV lung and TLG lung than the cutoff values had significantly longer mean PFS than those with higher values. hazard ratios (95% confidence interval) of MTV lung and TLG lung measured by univariate analysis were 6.4 (2.5 16.3) and 2.4 (1.0 5.5), respectively. multivariate analysis revealed that MTV lung was the only significant factor for prediction of prognosis. Hazard ratio was 13,5 (1.6 111.1, =0,016). patients with stage IV NSCLC could be further stratified into subgroups of significantly better and worse prognosis by MTV of primary lung lesion

  6. Nuclear proliferation and civilian nuclear power. Report of the Nonproliferation Alternative Systems Assessment Program. Volume IV. Commercial potential

    Energy Technology Data Exchange (ETDEWEB)

    1980-06-01

    This volume of the Nonproliferation Alternative Systems Assessment Program (NASAP) report provides time and cost estimates for positioning new nuclear power systems for commercial deployment. The assessment also estimates the rates at which the new systems might penetrate the domestic market, assuming the continuing viability of the massive light-water reactor network that now exists worldwide. This assessment does not recommend specific, detailed program plans and budgets for individual systems; however, it is clear from this analysis that any of the systems investigated could be deployed if dictated by national interest.

  7. Nuclear proliferation and civilian nuclear power. Report of the Nonproliferation Alternative Systems Assessment Program. Volume IV. Commercial potential

    International Nuclear Information System (INIS)

    1980-06-01

    This volume of the Nonproliferation Alternative Systems Assessment Program (NASAP) report provides time and cost estimates for positioning new nuclear power systems for commercial deployment. The assessment also estimates the rates at which the new systems might penetrate the domestic market, assuming the continuing viability of the massive light-water reactor network that now exists worldwide. This assessment does not recommend specific, detailed program plans and budgets for individual systems; however, it is clear from this analysis that any of the systems investigated could be deployed if dictated by national interest

  8. West Hackberry Strategic Petroleum Reserve site brine-disposal monitoring, Year I report. Volume IV. Bibliography and supporting data for physical oceanography. Final report. [421 references

    Energy Technology Data Exchange (ETDEWEB)

    DeRouen, L.R.; Hann, R.W.; Casserly, D.M.; Giammona, C.; Lascara, V.J. (eds.)

    1983-02-01

    This project centers around the Strategic Petroleum Site (SPR) known as the West Hackberry salt dome which is located in southwestern Louisiana and which is designed to store 241 million barrels of crude oil. Oil storage caverns are formed by injecting water into salt deposits, and pumping out the resulting brine. Studies described in this report were designed as follow-on studies to three months of pre-discharge characterization work, and include data collected during the first year of brine leaching operations. The objectives were to: (1) characterize the environment in terms of physical, chemical and biological attributes; (2) determine if significant adverse changes in ecosystem productivity and stability of the biological community are occurring as a result of brine discharge; and (3) determine the magnitude of any change observed. Volume IV contains the following: bibliography; appendices for supporting data for physical oceanography, and summary of the physical oceanography along the western Louisiana coast.

  9. Projection models for health effects assessment in populations exposed to radioactive and nonradioactive pollutants. Volume IV. SPAHR user's guide

    International Nuclear Information System (INIS)

    Collins, J.J.; Lundy, R.T.

    1982-09-01

    The Simulation Package for the Analysis of Health Risk (SPAHR) is a computer software package based upon a demographic model for health risk projections. The model extends several health risk projection models by making realistic assumptions about the population at risk, and thus represents a distinct improvement over previous models. Complete documentation for use of SPAHR is contained in this five-volume publication. The demographic model in SPAHR estimates population response to environmental toxic exposures. Latency of response, changing dose level over time, competing risks from other causes of death, and population structure can be incorporated into SPAHR to project health risks. Risks are measured by morbid years, number of deaths, and loss of life expectancy. Comparisons of estimates of excess deaths demonstrate that previous health risk projection models may have underestimated excess deaths by a factor of from 2 to 10, depending on the pollutant and the exposure scenario. The software supporting the use of the demographic model is designed to be user oriented. Complex risk projections are made by responding to a series of prompts generated by the package. The flexibility and ease of use of SPAHR make it an important contribution to existing models and software packages. This volume gives the more advanced user of the SPAHR computer package the information required to create tailor-made programs for addressing specific issues not covered by the three interactive packages. It assumes that the user is familiar with the concepts and terms relating to demography and health risk assessment

  10. Survival Impact of Adjuvant Radiation Therapy in Masaoka Stage II to IV Thymomas: A Systematic Review and Meta-analysis

    International Nuclear Information System (INIS)

    Lim, Yu Jin; Kim, Eunji; Kim, Hak Jae; Wu, Hong-Gyun; Yan, Jinchun; Liu, Qin; Patel, Shilpen

    2016-01-01

    Purpose: To evaluate the survival impact of postoperative radiation therapy (PORT) in stage II to IV thymomas, using systematic review and meta-analysis. Methods and Materials: A database search was conducted with EMBASE, PubMed, Web of Science, Cochrane Library, and Ovid from inception to August 2015. Thymic carcinomas were excluded, and studies comparing overall survival (OS) with and without PORT in thymomas were included. The hazard ratios (HRs) of OS were extracted, and a random-effects model was used in the pooled analysis. Results: Seven retrospective series with a total of 1724 patients were included and analyzed. Almost all of the patients underwent macroscopically complete resection, and thymoma histology was confirmed by the World Health Organization criteria. In the overall analysis of stage II to IV thymomas, OS was not altered with the receipt of PORT (HR 0.79, 95% confidence interval [CI] 0.58-1.08). Although PORT was not associated with survival difference in Masaoka stage II disease (HR 1.45, 95% CI 0.83-2.55), improved OS was observed with the addition of PORT in the discrete pooled analysis of stage III to IV (HR 0.63, 95% CI 0.40-0.99). Significant heterogeneity and publication bias were not found in the analyses. Conclusions: From the present meta-analysis of sole primary thymomas, we suggest the potential OS benefit of PORT in locally advanced tumors with macroscopically complete resection, but not in stage II disease. Further investigations with sufficient survival data are needed to establish detailed treatment indications.

  11. Survival Impact of Adjuvant Radiation Therapy in Masaoka Stage II to IV Thymomas: A Systematic Review and Meta-analysis

    Energy Technology Data Exchange (ETDEWEB)

    Lim, Yu Jin; Kim, Eunji [Department of Radiation Oncology, Seoul National University College of Medicine, Seoul (Korea, Republic of); Kim, Hak Jae, E-mail: khjae@snu.ac.kr [Department of Radiation Oncology, Seoul National University College of Medicine, Seoul (Korea, Republic of); Wu, Hong-Gyun [Department of Radiation Oncology, Seoul National University College of Medicine, Seoul (Korea, Republic of); Cancer Research Institute, Seoul National University College of Medicine, Seoul (Korea, Republic of); Institute of Radiation Medicine, Medical Research Center, Seoul National University, Seoul (Korea, Republic of); Yan, Jinchun [Department of Radiation Oncology, Dalian Medical University, Liaoning (China); Department of Radiation Oncology, Fudan University Cancer Hospital, Shanghai (China); Liu, Qin [The Wistar Institute, Philadelphia, Pennsylvania (United States); Patel, Shilpen [Department of Radiation Oncology, University of Washington Medical Center, Seattle, Washington (United States)

    2016-04-01

    Purpose: To evaluate the survival impact of postoperative radiation therapy (PORT) in stage II to IV thymomas, using systematic review and meta-analysis. Methods and Materials: A database search was conducted with EMBASE, PubMed, Web of Science, Cochrane Library, and Ovid from inception to August 2015. Thymic carcinomas were excluded, and studies comparing overall survival (OS) with and without PORT in thymomas were included. The hazard ratios (HRs) of OS were extracted, and a random-effects model was used in the pooled analysis. Results: Seven retrospective series with a total of 1724 patients were included and analyzed. Almost all of the patients underwent macroscopically complete resection, and thymoma histology was confirmed by the World Health Organization criteria. In the overall analysis of stage II to IV thymomas, OS was not altered with the receipt of PORT (HR 0.79, 95% confidence interval [CI] 0.58-1.08). Although PORT was not associated with survival difference in Masaoka stage II disease (HR 1.45, 95% CI 0.83-2.55), improved OS was observed with the addition of PORT in the discrete pooled analysis of stage III to IV (HR 0.63, 95% CI 0.40-0.99). Significant heterogeneity and publication bias were not found in the analyses. Conclusions: From the present meta-analysis of sole primary thymomas, we suggest the potential OS benefit of PORT in locally advanced tumors with macroscopically complete resection, but not in stage II disease. Further investigations with sufficient survival data are needed to establish detailed treatment indications.

  12. Uranium milling: Draft generic environmental impact statement: Volume 2, Appendices

    International Nuclear Information System (INIS)

    1979-04-01

    This volume contains appendices supporting the discussions in Volume 1. In some cases, the appendices expound upon arguments developed in the main document; in other cases, supplementary material considered to be relevant but not presented in Volume 1 is included. A third category encompasses reprinting of pertinent documents felt to be necessary for a comprehensive presentation of the current situation, e.g., Public Law 95-604

  13. Duplicate Class IV (Lumber) Ordering Within Defense Logistics Agency and Its Impact in Each Combatant Command

    Science.gov (United States)

    2015-12-01

    opened up in a foreign country. Over time this can lead to shortages for other requesting units with impact to mission requirements (Wright, Smith...security cameras, barcoding, and manpower that can contribute towards physical accountability measures. Though actions are taken, opportunity costs...position is held by a Staff Sergeant E-6” (U. S. Army, 2014a, p. 1-8). Warehouse supervisor: “Assists the SSA NCOIC in implementing policies

  14. The impact of whole human blood on the kinetic inertness of platinum(iv) prodrugs - an HPLC-ICP-MS study.

    Science.gov (United States)

    Theiner, Sarah; Grabarics, Márkó; Galvez, Luis; Varbanov, Hristo P; Sommerfeld, Nadine S; Galanski, Markus; Keppler, Bernhard K; Koellensperger, Gunda

    2018-04-17

    The potential advantage of platinum(iv) complexes as alternatives to classical platinum(ii)-based drugs relies on their kinetic stability in the body before reaching the tumor site and on their activation by reduction inside cancer cells. In this study, an analytical workflow has been developed to investigate the reductive biotransformation and kinetic inertness of platinum(iv) prodrugs comprising different ligand coordination spheres (respectively, lipophilicity and redox behavior) in whole human blood. The distribution of platinum(iv) complexes in blood pellets and plasma was determined by inductively coupled plasma-mass spectrometry (ICP-MS) after microwave digestion. An analytical approach based on reversed-phase (RP)-ICP-MS was used to monitor the parent compound and the formation of metabolites using two different extraction procedures. The ligand coordination sphere of the platinum(iv) complexes had a significant impact on their accumulation in red blood cells and on their degree of kinetic inertness in whole human blood. The most lipophilic platinum(iv) compound featuring equatorial chlorido ligands showed a pronounced penetration into blood cells and a rapid reductive biotransformation. In contrast, the more hydrophilic platinum(iv) complexes with a carboplatin- and oxaliplatin-core exerted kinetic inertness on a pharmacologically relevant time scale with notable amounts of the compound accumulated in the plasma fraction.

  15. Prevalence of DSM-IV disorders in a population-based sample of 5- to 8-year-old children : the impact of impairment criteria

    NARCIS (Netherlands)

    Rijlaarsdam, Jolien; Stevens, Gonneke W J M; van der Ende, Jan; Hofman, Albert; Jaddoe, Vincent W V; Verhulst, Frank C.; Tiemeier, Henning

    2015-01-01

    This study determined the impact of impairment criteria on the prevalence and patterns of comorbidity of child DSM-IV disorders. The validity of these impairment criteria was tested against different measures of mental health care referral and utilization. We interviewed parents of 1,154 children

  16. Prevalence of DSM-IV disorders in a population-based sample of 5- to 8-year-old children: the impact of impairment criteria

    NARCIS (Netherlands)

    J. Rijlaarsdam (Jolien); G. Stevens (Gonneke); J. van der Ende (Jan); A. Hofman (Albert); V.W.V. Jaddoe (Vincent); F.C. Verhulst (Frank); H.W. Tiemeier (Henning)

    2015-01-01

    textabstractThis study determined the impact of impairment criteria on the prevalence and patterns of comorbidity of child DSM-IV disorders. The validity of these impairment criteria was tested against different measures of mental health care referral and utilization. We interviewed parents of 1,154

  17. Does estradiol have an impact on the dipeptidyl peptidase IV enzyme activity of the Prevotella intermedia group bacteria?

    Science.gov (United States)

    Fteita, Dareen; Könönen, Eija; Gürsoy, Mervi; Söderling, Eva; Gürsoy, Ulvi Kahraman

    2015-12-01

    Initiation and development of pregnancy-associated gingivitis is seemingly related to the microbial shift towards specific gram-negative anaerobes in subgingival biofilms. It is known that Prevotella intermedia sensu lato is able to use estradiol as an alternative source of growth instead of vitamin K. The aim of the present study was to investigate the impact of estradiol on the bacterial dipeptidyl peptidase IV (DPPIV) enzyme activity in vitro as a virulent factor of the Prevotella intermedia group bacteria, namely P. intermedia, Prevotella nigrescens, Prevotella pallens, and Prevotella aurantiaca. In all experiments, 2 strains of each Prevotella species were used. Bacteria were incubated with the concentrations of 0, 30, 90, and 120 nmol/L of estradiol and were allowed to build biofilms at an air-solid interface. DPPIV activities of biofilms were measured kinetically during 20 min using a fluorometric assay. The enzyme activity was later related to the amount of protein produced by the same biofilm, reflecting the biofilm mass. Estradiol significantly increased DPPIV activities of the 8 Prevotella strains in a strain- and dose-dependent manner. In conclusion, our in vitro experiments indicate that estradiol regulates the DPPIV enzyme activity of P. intermedia, P. nigrescens, P. pallens, and P. aurantiaca strains differently. Our results may, at least partly, explain the role of estradiol to elicit a virulent state which contributes to the pathogenesis of pregnancy-related gingivitis. Copyright © 2015 Elsevier Ltd. All rights reserved.

  18. Impacts of Outer Continental Shelf (OCS) development on recreation and tourism. Volume 5. Program logic manual

    Energy Technology Data Exchange (ETDEWEB)

    1987-04-01

    The final report for the project is presented in five volumes. This volume is the Programmer's Manual. It covers: a system overview, attractiveness component of gravity model, trip-distribution component of gravity model, economic-effects model, and the consumer-surplus model. The project sought to determine the impact of Outer Continental Shelf development on recreation and tourism.

  19. Initial Northwest Power Act Power Sales Contracts : Final Environmental Impact Statement. Volume 1, Environmental Analysis.

    Energy Technology Data Exchange (ETDEWEB)

    United States. Bonneville Power Administration.

    1992-01-01

    This is volume 1 of the final environmental impact statement of the Bonneville Power Administration Information is included on the following: Purpose of and need for action; alternatives including the proposed action; affected environment; and environmental consequences.

  20. Superconducting Super Collider: Final environmental impact statement: Volume 1

    International Nuclear Information System (INIS)

    1988-12-01

    This Environmental Impact Statement (EIS) provides as much information as possible at this stage of the project development regarding the potential environmental impacts of the proposed construction and operation of a Superconducting Super Collider (SSC) at each of the site alternatives. However, the DOE recognizes that further review under the National Environmental Policy Act (NEPA) is required prior to construction and operation of the proposed SSC project at the selected site based on more detailed design and to identify specific mitigation measures which can be incorporated into final design. Accordingly, following selection of a site for the proposed SSC, the DOE will prepare a Supplemental EIS to address in more detail the impacts of constructing and operating the proposed SSC at the selected site and alternatives for mitigating those impacts. To measure the effects of constructing the SSC at any of the seven alternative sites, the DOE determined which aspects of the human environment would be significantly affected. The EIS describes the baseline conditions at each of the seven site alternatives, the trends underway resulting in changes, the potential environmental impacts expected if the SSC were sited, possible mitigations of adverse impacts, and resulting residual adverse impacts

  1. Uranium milling, project M-25. Volume I. summary and text. Final generic environmental impact statement

    International Nuclear Information System (INIS)

    1980-09-01

    The Final Generic Environmental Impact Statement (GEIS) on Uranium Milling focuses primarily upon the matter of mill tailings disposal. It evaluates both the costs and benefits of alternative tailings disposal modes and draws conclusions about criteria which should be incorporated into regulations. Both institutional and technical controls are evaluated. Health impacts considered were both short and long term. Restatement and resolution of all public comments received on the draft (GEIS) are presented. There are three volumes: Volume I is the main text and Volumes II and III are supporting appendices

  2. A new approach to treatment of resistant gram-positive infections: potential impact of targeted IV to oral switch on length of stay

    Directory of Open Access Journals (Sweden)

    Trust Sarah

    2006-06-01

    Full Text Available Abstract Background Patients prescribed intravenous (IV glycopeptides usually remain in hospital until completion of this treatment. Some of these patients could be discharged earlier if a switch to an oral antibiotic was made. This study was designed to identify the percentage of inpatients currently prescribed IV glycopeptides who could be discharged earlier if a switch to an oral agent was used, and to estimate the number of bed days that could be saved. We also aimed to identify the patient group(s most likely to benefit, and to estimate the number of days of IV therapy that could be prevented in patients who remained in hospital. Methods Patients were included if they were prescribed an IV glycopeptide for 5 days or more. Predetermined IV to oral antibiotic switch criteria and discharge criteria were applied. A multiple logistic regression model was used to identify the characteristics of the patients most likely to be suitable for earlier discharge. Results Of 211 patients, 62 (29% could have had a reduced length of stay if they were treated with a suitable oral antibiotic. This would have saved a total of 649 inpatient days (median 5 per patient; range 1–54. A further 31 patients (15% could have switched to oral therapy as an inpatient thus avoiding IV line use. The patients most likely to be suitable for early discharge were those with skin and soft tissue infection, under the cardiology, cardiothoracic surgery, orthopaedics, general medical, plastic surgery and vascular specialities, with no high risk comorbidity and less than five other regularly prescribed drugs. Conclusion The need for glycopeptide therapy has a significant impact on length of stay. Effective targeting of oral antimicrobials could reduce the need for IV access, allow outpatient treatment and thus reduce the length of stay in patients with infections caused by antibiotic resistant gram-positive bacteria.

  3. Impact of Medicaid Expansion on Cardiac Surgery Volume and Outcomes.

    Science.gov (United States)

    Charles, Eric J; Johnston, Lily E; Herbert, Morley A; Mehaffey, J Hunter; Yount, Kenan W; Likosky, Donald S; Theurer, Patricia F; Fonner, Clifford E; Rich, Jeffrey B; Speir, Alan M; Ailawadi, Gorav; Prager, Richard L; Kron, Irving L

    2017-10-01

    Thirty-one states approved Medicaid expansion after implementation of the Affordable Care Act. The objective of this study was to evaluate the effect of Medicaid expansion on cardiac surgery volume and outcomes comparing one state that expanded to one that did not. Data from the Virginia (nonexpansion state) Cardiac Services Quality Initiative and the Michigan (expanded Medicaid, April 2014) Society of Thoracic and Cardiovascular Surgeons Quality Collaborative were analyzed to identify uninsured and Medicaid patients undergoing coronary bypass graft or valve operations, or both. Demographics, operative details, predicted risk scores, and morbidity and mortality rates, stratified by state and compared across era (preexpansion: 18 months before vs postexpansion: 18 months after), were analyzed. In Virginia, there were no differences in volume between eras, whereas in Michigan, there was a significant increase in Medicaid volume (54.4% [558 of 1,026] vs 84.1% [954 of 1,135], p Medicaid patients, there were no differences in predicted risk of morbidity or mortality or postoperative major morbidities. In Michigan Medicaid patients, a significant decrease in predicted risk of morbidity or mortality (11.9% [8.1% to 20.0%] vs 11.1% [7.7% to 17.9%], p = 0.02) and morbidities (18.3% [102 of 558] vs 13.2% [126 of 954], p = 0.008) was identified. Postexpansion was associated with a decreased risk-adjusted rate of major morbidity (odds ratio, 0.69; 95% confidence interval, 0.51 to 0.91; p = 0.01) in Michigan Medicaid patients. Medicaid expansion was associated with fewer uninsured cardiac surgery patients and improved predicted risk scores and morbidity rates. In addition to improving health care financing, Medicaid expansion may positively affect patient care and outcomes. Copyright © 2017 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

  4. Rectal compliance as a routine measurement: extreme volumes have direct clinical impact and normal volumes exclude rectum as a problem.

    Science.gov (United States)

    Felt-Bersma, R J; Sloots, C E; Poen, A C; Cuesta, M A; Meuwissen, S G

    2000-12-01

    The clinical impact of rectal compliance and sensitivity measurement is not clear. The aim of this study was to measure the rectal compliance in different patient groups compared with controls and to establish the clinical effect of rectal compliance. Anorectal function tests were performed in 974 consecutive patients (284 men). Normal values were obtained from 24 controls. Rectal compliance measurement was performed by filling a latex rectal balloon with water at a rate of 60 ml per minute. Volume and intraballoon pressure were measured. Volume and pressure at three sensitivity thresholds were recorded for analysis: first sensation, urge, and maximal toleration. At maximal toleration, the rectal compliance (volume/pressure) was calculated. Proctoscopy, anal manometry, anal mucosal sensitivity, and anal endosonography were also performed as part of our anorectal function tests. No effect of age or gender was observed in either controls or patients. Patients with fecal incontinence had a higher volume at first sensation and a higher pressure at maximal toleration (P = 0.03), the presence of a sphincter defect or low or normal anal pressures made no difference. Patients with constipation had a larger volume at first sensation and urge (P 500 ml had complaints of constipation. No correlation between rectal and anal mucosal sensitivity was found. Rectal compliance measurement with a latex balloon is easily feasible. In this series of 974 patients, some patient groups showed an abnormal rectal visceral sensitivity and compliance, but there was an overlap with controls. Rectal compliance measurement gave a good clinical impression about the contribution of the rectum to the anorectal problem. Patients with proctitis and pouchitis had the smallest rectal compliance. A maximal toleration volume 500 ml was only seen in constipated patients, and therapy should be given to prevent further damage to the pelvic floor. Values close to or within the normal range rule out the

  5. Business plan: Supplemental draft environmental impact statement. Volume 2. Appendices

    International Nuclear Information System (INIS)

    1995-02-01

    This document contains the appendices for the Bonneville Power Administration (BPA) Business Plan: Supplemental Draft Environmental Impact Statement. Included are: BPA products and services; Rate design; Methodology and assumptions for numerical analysis; Retail utility operations; Comments and responses to the draft business plan EIS

  6. Business Plan : Supplemental Draft Environmental Impact Statement, Volume 2, Appendices.

    Energy Technology Data Exchange (ETDEWEB)

    United States. Bonneville Power Administration.

    1995-02-01

    This document contains the appendices for the Bonneville Power Administration (BPA) Business Plan: Supplemental Draft Environmental Impact Statement. Included are: BPA products and services; Rate design; Methodology and assumptions for numerical analysis; Retail utility operations; Comments and responses to the draft business plan EIS.

  7. Impact of tumour volume on prediction of progression-free survival in sinonasal cancer

    International Nuclear Information System (INIS)

    Hennersdorf, Florian; Mauz, Paul-Stefan; Adam, Patrick; Welz, Stefan; Sievert, Anne; Ernemann, Ulrike; Bisdas, Sotirios

    2015-01-01

    The present study aimed to analyse potential prognostic factors, with emphasis on tumour volume, in determining progression free survival (PFS) for malignancies of the nasal cavity and the paranasal sinuses. Retrospective analysis of 106 patients with primary sinonasal malignancies treated and followed-up between March 2006 and October 2012. Possible predictive parameters for PFS were entered into univariate and multivariate Cox regression analysis. Kaplan-Meier curve analysis included age, sex, baseline tumour volume (based on MR imaging), histology type, TNM stage and prognostic groups according to the American Joint Committee on Cancer (AJCC) classification. Receiver operating characteristic (ROC) curve analysis concerning the predictive value of tumour volume for recurrence was also conducted. The main histological subgroup consisted of epithelial tumours (77%). The majority of the patients (68%) showed advanced tumour burden (AJCC stage III–IV). Lymph node involvement was present in 18 cases. The mean tumour volume was 26.6 ± 21.2 cm 3 . The median PFS for all patients was 24.9 months (range: 2.5–84.5 months). The ROC curve analysis for the tumour volume showed 58.1% sensitivity and 75.4% specificity for predicting recurrence. Tumour volume, AJCC staging, T- and N- stage were significant predictors in the univariate analysis. Positive lymph node status and tumour volume remained significant and independent predictors in the multivariate analysis. Radiological tumour volume proofed to be a statistically reliable predictor of PFS. In the multivariate analysis, T-, N- and overall AJCC staging did not show significant prognostic value

  8. The choice of strategic core - impact of financial volume

    Energy Technology Data Exchange (ETDEWEB)

    Emhjellen, M. [Petoro AS, Stavanger (Norway); Hausken, K. [University of Stavanger (Norway). Faculty of Social Sciences; Osmundsen, P. [University of Stavanger (Norway). Department of Industrial Economics, Section of Petroleum

    2006-07-01

    Recent trends among major oil companies and independents have been consolidation through mergers and acquisitions and focus on key strategic core areas. The expressed goals have been to achieve synergy, reduce costs, and concentrate on areas with maximum expected value creation. This paper provides a model that endogenously determines the optimal numbers of projects to implement in an optimal number of areas. The decision of whether to invest in a project cannot be seen in isolation but must be linked with portfolio optimisation and the strategic core of the firm. Accounting for excess opportunity costs and monitoring costs, we demonstrate how financial volume, i.e., materiality, is decisive for companies' investment allocation decision and how implementing marginally profitable projects in low-tax areas may be part of an optimal solution. (author)

  9. Resource Programs : Draft Environmental Impact Statement, Volume 2, Appendices.

    Energy Technology Data Exchange (ETDEWEB)

    United States. Bonneville Power Administration.

    1992-03-01

    Every two years, Bonneville Power Administration (BPA) prepares a Resource Program which identifies the resource actions BPA will take to meet its obligation to serve the forecasted power requirements of its customers. The Resource Program`s Environmental Impact Statement (RPEIS) is a programmatic environmental document which will support decisions made in several future Resource Programs. Environmental documents tiered to the EIS may be prepared on a site-specific basis. The RPEIS includes a description of the environmental effects and mitigation for the various resource types available in order to evaluate the trade-offs among them. It also assesses the environmental impacts of adding thirteen alternative combinations of resources to the existing power system. This report contains the appendices to the RPEIS.

  10. F-35A Training Basing Environmental Impact Statement. Volume 1

    Science.gov (United States)

    2012-06-01

    experience natural soundscapes in national park units, and could similarly diminish the qualities of natural quiet that are intrinsic to recreational...Tables HO 3.10–9 and HO 3.10–10. Increased noise could diminish opportunities for visitors to experience natural soundscapes in national park units...characterized by a natural quite soundscape but has few visitors. The greatest impact could occur for recreation on the Otero Mesa of McGregor Range and the

  11. Draft Hanford Remedial Action Environmental Impact Statement and Comprehensive Land Use Plan. Volume 3 of 4

    International Nuclear Information System (INIS)

    1996-08-01

    This volume of the Environmental Impact Statement contains ten appendices. These appendices contain the following: the ecological risk assessment methodology and calculations; the strategy for remediation of contaminated ground water; a description of the reference barrier and potential quarry sites that could be used to supply materials for barriers; the methodology for estimating socio-economic impacts; the methodology for evaluation of air quality impacts; an assessment of costs and physical impacts; the calculation of estimated industrial health and safety occupational losses; a floodplains and wetlands impact assessment; information about Hanford waste sites, and US EPA guidance on using land-use decisions in remediation

  12. Final report from VFL technologies for the pilot-scale thermal treatment of Lower East Fork Poplar Creek floodplain soils: LEFPC appendices, volume 1, appendix I-IV

    International Nuclear Information System (INIS)

    1994-09-01

    This document contains Appendix I-IV for the pilot-scale thermal treatment of lower East Fork Poplar Creek floodplain soils. Included are calibration records; quality assurance; soils characterization; pilot scale trial runs

  13. Lava flooding of ancient planetary crusts: geometry, thickness, and volumes of flooded lunar impact basins

    International Nuclear Information System (INIS)

    Head, J.W.

    1982-01-01

    Estimates of lava volumes on planetary surfaces provide important data on the lava flooding history and thermal evolution of a planet. Lack of information concerning the configuration of the topography prior to volcanic flooding requires the use of a variety of techniques to estimate lava thicknesses and volumes. A technique is described and developed which provides volume estimates by artificially flooding unflooded lunar topography characteristic of certain geological environments, and tracking the area covered, lava thicknesses, and lava volumes. Comparisons of map patterns of incompletely buried topography in these artificially flooded areas are then made to lava-flooded topography on the Moon in order to estimate the actual lava volumes. This technique is applied to two areas related to lunar impact basins; the relatively unflooded Orientale basin, and the Archimedes-Apennine Bench region of the Imbrium basin. (Auth.)

  14. High-volume ovarian cancer care: survival impact and disparities in access for advanced-stage disease.

    Science.gov (United States)

    Bristow, Robert E; Chang, Jenny; Ziogas, Argyrios; Randall, Leslie M; Anton-Culver, Hoda

    2014-02-01

    To characterize the impact of hospital and physician ovarian cancer case volume on survival for advanced-stage disease and investigate socio-demographic variables associated with access to high-volume providers. Consecutive patients with stage IIIC/IV epithelial ovarian cancer (1/1/96-12/31/06) were identified from the California Cancer Registry. Disease-specific survival analysis was performed using Cox-proportional hazards model. Multivariate logistic regression analyses were used to evaluate for differences in access to high-volume hospitals (HVH) (≥20 cases/year), high-volume physicians (HVP) (≥10 cases/year), and cross-tabulations of high- or low-volume hospital (LVH) and physician (LVP) according to socio-demographic variables. A total of 11,865 patients were identified. The median ovarian cancer-specific survival for all patients was 28.2 months, and on multivariate analysis the HVH/HVP provider combination (HR = 1.00) was associated with superior ovarian cancer-specific survival compared to LVH/LVP (HR = 1.31, 95%CI = 1.16-1.49). Overall, 2119 patients (17.9%) were cared for at HVHs, and 1791 patients (15.1%) were treated by HVPs. Only 4.3% of patients received care from HVH/HVP, while 53.1% of patients were treated by LVH/LVP. Both race and socio-demographic characteristics were independently associated with an increased likelihood of being cared for by the LVH/LVP combination and included: Hispanic race (OR = 1.72, 95%CI = 1.22-2.42), Asian/Pacific Islander race (OR = 1.57, 95%CI = 1.07-2.32), Medicaid insurance (OR = 2.51, 95%CI = 1.46-4.30), and low socioeconomic status (OR = 2.84, 95%CI = 1.90-4.23). Among patients with advanced-stage ovarian cancer, the provider combination of HVH/HVP is an independent predictor of improved disease-specific survival. Access to high-volume ovarian cancer providers is limited, and barriers are more pronounced for patients with low socioeconomic status, Medicaid insurance, and racial minorities. Copyright © 2013

  15. Deviations in expected price impact for small transaction volumes under fee restructuring

    Science.gov (United States)

    Harvey, M.; Hendricks, D.; Gebbie, T.; Wilcox, D.

    2017-04-01

    We report on the occurrence of an anomaly in the price impacts of small transaction volumes following a change in the fee structure of an electronic market. We first review evidence for the existence of a master curve for price impact on the Johannesburg Stock Exchange (JSE). On attempting to re-estimate a master curve after fee reductions, it is found that the price impact corresponding to smaller volume trades is greater than expected relative to prior estimates for a range of listed stocks. We show that a master curve for price impact can be found following rescaling by an appropriate liquidity proxy, providing a means for practitioners to approximate price impact curves without onerous processing of tick data.

  16. Internet Economics IV

    Science.gov (United States)

    2004-08-01

    edts.): Internet Economics IV Technical Report No. 2004-04, August 2004 Information Systems Laboratory IIS, Departement of Computer Science University of...level agreements (SLA), Information technology (IT), Internet address, Internet service provider 16. PRICE CODE 17. SECURITY CLASSIFICATION 18... technology and its economic impacts in the Internet world today. The second talk addresses the area of AAA protocol, summarizing authentication

  17. Impacts of Outer Continental Shelf (OCS) development on recreation and tourism. Volume 3. Detailed methodology

    Energy Technology Data Exchange (ETDEWEB)

    1987-04-01

    The final report for the project is presented in five volumes. This volume, Detailed Methodology Review, presents a discussion of the methods considered and used to estimate the impacts of Outer Continental Shelf (OCS) oil and gas development on coastal recreation in California. The purpose is to provide the Minerals Management Service with data and methods to improve their ability to analyze the socio-economic impacts of OCS development. Chapter II provides a review of previous attempts to evaluate the effects of OCS development and of oil spills on coastal recreation. The review also discusses the strengths and weaknesses of different approaches and presents the rationale for the methodology selection made. Chapter III presents a detailed discussion of the methods actually used in the study. The volume contains the bibliography for the entire study.

  18. Coal use in the People's Republic of China. Volume 1: Environmental impacts

    International Nuclear Information System (INIS)

    Bhatti, N.; Tompkins, M.M.; Simbeck, D.R.

    1994-11-01

    The People's Republic of China (hereafter referred to as China) is the largest producer and consumer of coal in the world. Coal makes up 76% and 74% of China's primary energy consumption and production, respectively. This heavy dependence on coal has come at a high price for China, accounting for a large share of its environmental problems. This report examines the dominance of coal in China's energy balance, its impact on the environment, and the need for technical and financial assistance, specifically for two distinct aspects: the effect of coal use on the environment and the importance of coal to China's economy. The results of the analysis are presented in two volumes. Volume 1 focuses on full fuel cycle coal emissions and the environmental effects of coal consumption. Volume 2 provides a detailed analysis by sector of China's economy and examines the economic impact of constraints on coal use. 51 refs., 19 figs., 15 tabs

  19. Asset price and trade volume relation in artificial market impacted by value investors

    Science.gov (United States)

    Tangmongkollert, K.; Suwanna, S.

    2016-05-01

    The relationship between return and trade volume has been of great interests in a financial market. The appearance of asymmetry in the price-volume relation in the bull and bear market is still unsettled. We present a model of the value investor traders (VIs) in the double auction system, in which agents make trading decision based on the pseudo fundamental price modelled by sawtooth oscillations. We investigate the system by two different time series for the asset fundamental price: one corresponds to the fundamental price in a growing phase; and the other corresponds to that in a declining phase. The simulation results show that the trade volume is proportional to the difference between the market price and the fundamental price, and that there is asymmetry between the buying and selling phases. Furthermore, the selling phase has more significant impact of price on the trade volume than the buying phase.

  20. PRT Impact Study Pre-PRT Phase : Volume 1. Travel Analysis.

    Science.gov (United States)

    1976-03-01

    Part of a three-volume work, this report describes the analysis performed on travel data collected for the Pre-PRT Impact Study. The data analyzed consist of travel behavior, travel patterns, model utilization and travel costs of various modes of tra...

  1. Impact of Formulas, Language and Instruction on Student Performance on Cost-Volume-Profit Problems

    Science.gov (United States)

    Johnson, Benny G.; Sargent, Carol Springer

    2014-01-01

    This study investigated how three factors impacted performance on cost-volume-profit homework problems: language, formula use, and instruction. Students enrolled in Introduction to Financial Accounting (the first principles of accounting course) and Managerial Accounting (the second principles of accounting course) from eight different US colleges…

  2. IVS Organization

    Science.gov (United States)

    2004-01-01

    International VLBI Service (IVS) is an international collaboration of organizations which operate or support Very Long Baseline Interferometry (VLBI) components. The goals are: To provide a service to support geodetic, geophysical and astrometric research and operational activities. To promote research and development activities in all aspects of the geodetic and astrometric VLBI technique. To interact with the community of users of VLBI products and to integrate VLBI into a global Earth observing system.

  3. 2004 Power marketing program final EIS - final environmental impact statement. Volume 2 - appendices

    International Nuclear Information System (INIS)

    1997-02-01

    This volume contains appendices to the Final Environmental Impact Statement (FEIS) for the Power Marketing Program proposal of the Western Area Power Administration. The FEIS identified peaking power scheduling as the environmentally preferred alternative, and presented the analysis of alternatives and environmental impacts. Sixteen appendices to the FEIS are included in this document. The appendices are: Statutory and Legal Framework; Sierra Nevada Region Customer Groups and Economic Regions; Renewable Technology Cost Information Matrix; Hydrological Assumptions; Recreation Resources; Archaeological and Historical Resources; Incremental Power Resources; Air Quality Regulatory Structure; Energy Generation; Stage Contents Relationships for Regulating Reservoirs; Power Costs; Socioeconomic Impacts; Projected Air Resource Impacts; Land use, Water Quality, and Solid Waste Impact Factors; Draft Environmental Impact Statement Comments and Responses, and Contractor Disclosure Statements. 21 figs., 24 tabs

  4. A Study of Job Demands and Curriculum Development in Agricultural Training Related to the Muskegon County Wastewater Management System. Final Report. Volume IV. Career Awareness Information.

    Science.gov (United States)

    Fisher, Harold S.; And Others

    This is the final volume of a four-volume report of a research project designed to (1) identify job needs for agricultural occupations which will result from the Muskegon County Wastewater Management System and perform a task analysis on each occupation, (2) develop instructional modules and determine their place in either high school or 2-year…

  5. New Internet search volume-based weighting method for integrating various environmental impacts

    Energy Technology Data Exchange (ETDEWEB)

    Ji, Changyoon, E-mail: changyoon@yonsei.ac.kr; Hong, Taehoon, E-mail: hong7@yonsei.ac.kr

    2016-01-15

    Weighting is one of the steps in life cycle impact assessment that integrates various characterized environmental impacts as a single index. Weighting factors should be based on the society's preferences. However, most previous studies consider only the opinion of some people. Thus, this research proposes a new weighting method that determines the weighting factors of environmental impact categories by considering public opinion on environmental impacts using the Internet search volumes for relevant terms. To validate the new weighting method, the weighting factors for six environmental impacts calculated by the new weighting method were compared with the existing weighting factors. The resulting Pearson's correlation coefficient between the new and existing weighting factors was from 0.8743 to 0.9889. It turned out that the new weighting method presents reasonable weighting factors. It also requires less time and lower cost compared to existing methods and likewise meets the main requirements of weighting methods such as simplicity, transparency, and reproducibility. The new weighting method is expected to be a good alternative for determining the weighting factor. - Highlight: • A new weighting method using Internet search volume is proposed in this research. • The new weighting method reflects the public opinion using Internet search volume. • The correlation coefficient between new and existing weighting factors is over 0.87. • The new weighting method can present the reasonable weighting factors. • The proposed method can be a good alternative for determining the weighting factors.

  6. New Internet search volume-based weighting method for integrating various environmental impacts

    International Nuclear Information System (INIS)

    Ji, Changyoon; Hong, Taehoon

    2016-01-01

    Weighting is one of the steps in life cycle impact assessment that integrates various characterized environmental impacts as a single index. Weighting factors should be based on the society's preferences. However, most previous studies consider only the opinion of some people. Thus, this research proposes a new weighting method that determines the weighting factors of environmental impact categories by considering public opinion on environmental impacts using the Internet search volumes for relevant terms. To validate the new weighting method, the weighting factors for six environmental impacts calculated by the new weighting method were compared with the existing weighting factors. The resulting Pearson's correlation coefficient between the new and existing weighting factors was from 0.8743 to 0.9889. It turned out that the new weighting method presents reasonable weighting factors. It also requires less time and lower cost compared to existing methods and likewise meets the main requirements of weighting methods such as simplicity, transparency, and reproducibility. The new weighting method is expected to be a good alternative for determining the weighting factor. - Highlight: • A new weighting method using Internet search volume is proposed in this research. • The new weighting method reflects the public opinion using Internet search volume. • The correlation coefficient between new and existing weighting factors is over 0.87. • The new weighting method can present the reasonable weighting factors. • The proposed method can be a good alternative for determining the weighting factors.

  7. Impact of robotic technique and surgical volume on the cost of radical prostatectomy.

    Science.gov (United States)

    Hyams, Elias S; Mullins, Jeffrey K; Pierorazio, Phillip M; Partin, Alan W; Allaf, Mohamad E; Matlaga, Brian R

    2013-03-01

    Our present understanding of the effect of robotic surgery and surgical volume on the cost of radical prostatectomy (RP) is limited. Given the increasing pressures placed on healthcare resource utilization, such determinations of healthcare value are becoming increasingly important. Therefore, we performed a study to define the effect of robotic technology and surgical volume on the cost of RP. The state of Maryland mandates that all acute-care hospitals report encounter-level and hospital discharge data to the Health Service Cost Review Commission (HSCRC). The HSCRC was queried for men undergoing RP between 2008 and 2011 (the period during which robot-assisted laparoscopic radical prostatectomy [RALRP] was coded separately). High-volume hospitals were defined as >60 cases per year, and high-volume surgeons were defined as >40 cases per year. Multivariate regression analysis was performed to evaluate whether robotic technique and high surgical volume impacted the cost of RP. There were 1499 patients who underwent RALRP and 2565 who underwent radical retropubic prostatectomy (RRP) during the study period. The total cost for RALRP was higher than for RRP ($14,000 vs 10,100; Probotic surgery has come to dominate the healthcare marketplace, strategies to increase the role of high-volume providers may be needed to improve the cost-effectiveness of prostate cancer surgical therapy.

  8. Application of volume of fluid method for simulation of a droplet impacting a fiber

    Directory of Open Access Journals (Sweden)

    M. Khalili

    2016-06-01

    Full Text Available In the present work, impact of a Newtonian drop on horizontal thin fibers with circular cross section is simulated in 2D views. The numerical simulations of the phenomena are carried out using volume of fluid (VOF method for tracking the free surface motion. Impacting of a Newtonian droplet on a circular thin fiber (350μm radius investigated numerically. The main focus of this simulation is to acquire threshold radius and velocity of a drop which is entirely captured by the fiber. The model agrees well with the experiments and demonstrates the threshold radius decreased generally with the increase of impact velocity. In other words, for velocity larger than threshold velocity of capture perhaps only a small portion of fluid is stuck on the solid and the rest of the drop is ejected for impact velocity smaller than critical velocity the drop is totally captured. This threshold velocity has been determined when the impact is centered.

  9. Superconducting Super Collider: Final environmental impact statement: Volume 2, Comment/response document: Summary and index

    International Nuclear Information System (INIS)

    1988-12-01

    This volume is divided into five parts as follows: Summary and Index; Letters submitted by commenters in response to the Draft Environmental Impact Statement (DEIS) from date of issue through October 17, 1988; Transcripts of testimony at the public hearings conducted by the DOE in the vicinity of each site alternative; Letters postmarked after October 17, 1988; and Comment responses to both the letters and the testimony. This summary and index is published as a guide to the reader in reviewing this document. The summary is of the approximately 7000 comments received by the DOE from a total of about 5700 commenters. It was prepared as a general reference and guide to the readers of this volume. The Index follows the summary. The first index is an alphabetical listing of commenters (of both letters and transcripts) and indicates the number each commenter was assigned. The commenter numbers guide the reader to DOE comment responses in Volume 2B which are in numerical order

  10. Impact of the time window on plasma volume measurement with indocyanine green

    International Nuclear Information System (INIS)

    Jacob, M; Chappell, D; Conzen, P; Finsterer, U; Rehm, M; Krafft, A; Becker, B F

    2008-01-01

    Recent reports have questioned the accuracy of the indocyanine green dilution technique for measuring plasma volume. Our objective was to evaluate the impact of different time windows for monoexponential extrapolation. We retrospectively analysed 31 indocyanine green decay curves to investigate the problem in principle (group 1) and prospectively performed another 21 plasma volume measurements to estimate its practical impact (group 2). To monoexponentially extrapolate back to the specific extinction at the time of dye injection, two different time windows were applied to each decay curve, comparing the plasma volumes resulting from sampling within a short (≤5 min) versus a longer (>5 min) period of time. Extrapolating back from the longer period led to a higher apparent plasma volume relative to the shorter period in both groups, the difference being 348 ± 171 ml (group 1) and 384 ± 131 ml (group 2; mean ± SD; p < 0.05 each). This result was due to a reliable monoexponentiality of decay only up to the 5th min after dye injection. Thus, to estimate the initial distribution space of indocyanine green via monoexponential extrapolation, the first linear kinetic of indocyanine green decay should be taken

  11. Tank Waste Remediation System, Hanford Site, Richland, Washington. Final Environmental Impact Statement. Volume VI

    International Nuclear Information System (INIS)

    1996-08-01

    The U.S. Department Of Energy and the Washington State Department of Ecology added Appendix L (Volume 6), Response to Public Comments, to the Tank Waste Remediation System (TWRS) Final Environmental Impact Statement (EIS) for the Hanford Site, Richland, Washington, to fully address and respond to public comments on the Draft EIS. In addition, DOE considered public comments, along with other factors such as programmatic need, short- and long-term impacts, technical feasibility, and cost, in arriving at DOE's preferred alternative. During the public comment period for the Draft EIS, more than 350 individuals, agencies, Tribal Nations, and organizations provided comments. This volume represents a broad spectrum of private citizens; businesses; local, State, and Federal officials; Tribal Nations; and public interest groups

  12. Impact of Different CT Slice Thickness on Clinical Target Volume for 3D Conformal Radiation Therapy

    International Nuclear Information System (INIS)

    Prabhakar, Ramachandran; Ganesh, Tharmar; Rath, Goura K.; Julka, Pramod K.; Sridhar, Pappiah S.; Joshi, Rakesh C.; Thulkar, Sanjay

    2009-01-01

    The purpose of this study was to present the variation of clinical target volume (CTV) with different computed tomography (CT) slice thicknesses and the impact of CT slice thickness on 3-dimensional (3D) conformal radiotherapy treatment planning. Fifty patients with brain tumors were selected and CT scans with 2.5-, 5-, and 10-mm slice thicknesses were performed with non-ionic contrast enhancement. The patients were selected with tumor volume ranging from 2.54 cc to 222 cc. Three-dimensional treatment planning was performed for all three CT datasets. The target coverage and the isocenter shift between the treatment plans for different slice thickness were correlated with the tumor volume. An important observation from our study revealed that for volume 25 cc, the target underdosage was less than 6.7% for 5-mm slice thickness and 8% for 10-mm slice thickness. For 3D conformal radiotherapy treatment planning (3DCRT), a CT slice thickness of 2.5 mm is optimum for tumor volume 25 cc

  13. Ultrathin magnetic structures IV applications of nanomagnetism

    CERN Document Server

    Heinrich, Bretislav

    2004-01-01

    The ability to understand and control the unique properties of interfaces has created an entirely new field of magnetism which already has a profound impact in technology and is providing the basis for a revolution in electronics. The last decade has seen dramatic progress in the development of magnetic devices for information technology but also in the basic understanding of the physics of magnetic nanostructures. Volume III describes thin film magnetic properties and methods for characterising thin film structure topics that underpin the present 'spintronics' revolution in which devices are based on combined magnetic materials and semiconductors. The present volume (IV) deals with the fundamentals of spintronics: magnetoelectronic materials, spin injection and detection, micromagnetics and the development of magnetic random access memory based on GMR and tunnel junction devices. Together these books provide readers with a comprehensive account of an exciting and rapidly developing field. The treatment is de...

  14. Impact of surgical volume on functional results and cardiospecific survival rates in patients with clinically localized renal cancer

    Directory of Open Access Journals (Sweden)

    M. I. Volkova

    2014-11-01

    Full Text Available Objective: to analyze the impact of surgical volume on functional results and cardiospecific survival rates in patients with clinically localized renal carcinoma.Subjects and methods. Four hundred and fifty-three patients with pT1–3aN0M0 renal cell carcinoma and normally functioning secondkidney who had undergone radical nephrectomy (n = 226 (49.9 % or kidney resection (n = 227 (50.1 % were selected for the investigation. The patient groups who had undergone different-volume operations were matched for gender, age, body mass index (BMI, side of involvement, tumor sizes, and baseline glomerular filtration rate (GFR (p > for all. The median baseline Charlson index and the rate of ASA classes III–IV operative risk were significantly higher in candidates for radical nephrectomy (p < 0.05 for all, the rate of diseases affecting kidney function, pT1a category, and G1 anaplasia were higher in the kidney resection group (p < 0.0001. The median follow-up was 50 (12–224 months.Results. Within 28 days postsurgery, the rate of acute renal dysfunction (ARD was 36.2 %. The independent risk factors of ARD were kidney resection (risk ratio (RR = 0.210; 95 % confidence interval (CI 0.115–0.288; р < 0.0001 and ischemia time (RR = 0.012; 95 % CI 0.004–0.021; p = 0.004. The degree of ARD after kidney resection was significantly lower than that following radical nephrectomy (p < 0.0001. In the late postoperative period, the incidence of chronic kidney disease (CKD Stage ≥ III was 38.4 %. Its independent risk factors were low baseline GFR (RR = 0.003; 95 % CI 0.002–0.005; p < 0.0001, radical nephrectomy (RR = 0.195; 95 % CI 0.093–0.298; p < 0.0001, and ARD (RR = 0.281; 95 % CI 0.187–0.376; p = 0.0001. Ten-year specific and cardiospecific survival rates in all the patients were 98.5 and 94.9 %, respectively, and unrelated to surgical volume. The independent predictors of poor cardiospecific survival were BMI, Charlson index, and ASA risk

  15. Impact of surgical volume on functional results and cardiospecific survival rates in patients with clinically localized renal cancer

    Directory of Open Access Journals (Sweden)

    M. I. Volkova

    2014-01-01

    Full Text Available Objective: to analyze the impact of surgical volume on functional results and cardiospecific survival rates in patients with clinically localized renal carcinoma.Subjects and methods. Four hundred and fifty-three patients with pT1–3aN0M0 renal cell carcinoma and normally functioning secondkidney who had undergone radical nephrectomy (n = 226 (49.9 % or kidney resection (n = 227 (50.1 % were selected for the investigation. The patient groups who had undergone different-volume operations were matched for gender, age, body mass index (BMI, side of involvement, tumor sizes, and baseline glomerular filtration rate (GFR (p > for all. The median baseline Charlson index and the rate of ASA classes III–IV operative risk were significantly higher in candidates for radical nephrectomy (p < 0.05 for all, the rate of diseases affecting kidney function, pT1a category, and G1 anaplasia were higher in the kidney resection group (p < 0.0001. The median follow-up was 50 (12–224 months.Results. Within 28 days postsurgery, the rate of acute renal dysfunction (ARD was 36.2 %. The independent risk factors of ARD were kidney resection (risk ratio (RR = 0.210; 95 % confidence interval (CI 0.115–0.288; р < 0.0001 and ischemia time (RR = 0.012; 95 % CI 0.004–0.021; p = 0.004. The degree of ARD after kidney resection was significantly lower than that following radical nephrectomy (p < 0.0001. In the late postoperative period, the incidence of chronic kidney disease (CKD Stage ≥ III was 38.4 %. Its independent risk factors were low baseline GFR (RR = 0.003; 95 % CI 0.002–0.005; p < 0.0001, radical nephrectomy (RR = 0.195; 95 % CI 0.093–0.298; p < 0.0001, and ARD (RR = 0.281; 95 % CI 0.187–0.376; p = 0.0001. Ten-year specific and cardiospecific survival rates in all the patients were 98.5 and 94.9 %, respectively, and unrelated to surgical volume. The independent predictors of poor cardiospecific survival were BMI, Charlson index, and ASA risk

  16. SOLVENT-BASED TO WATERBASED ADHESIVE-COATED SUBSTRATE RETROFIT - VOLUME IV: FILM AND LABEL MANUFACTURING CASE STUDY: FLEXCON COMPANY, INC.

    Science.gov (United States)

    This volume discusses a visit to a site operated by FLEXcon Company, Inc., a pressure-sensitive adhesive coater, to collect information on the pollution prevention opportunities and barriers associated with waterbased adhesives. The purpose of the visit to FLEXcon was to gather i...

  17. Aerial radiometric and magnetic survey; Brushy Basin detail survey: Price/Salina national topographic map sheets, Utah. Volume IV. Area III: graphic data. Final report

    International Nuclear Information System (INIS)

    1981-01-01

    This volume contains all the graphic data for Area III, which includes lines 3420 to 5320 and tie lines 6080, 6100, and 6140. Due to the large map scale of the data presented (1:62,500), this area was further subdivided into eleven 7-1/2 min quadrant sheets

  18. The Mynydd y Cemmaes windfarm impact study Volume IID -ecological impact: final report

    International Nuclear Information System (INIS)

    1995-08-01

    This assessment forms part of a wider, comprehensive impact study of the Mynydd y Cemmaes windfarm in Montgomeryshire, Powys. The study took place over a two and a half year period, from 1992 to 1994, beginning just before construction of the windfarm and being completed almost two years after commissioning. This part of the study provides: an analysis of the effect of the windfarm construction and operation on the vegetation and birds of the site; a review of the accuracy of predictions made in the Environmental Statement that accompanied the planning application; a comparison of the results with the perception of ecological impact by local residents, and recommendations for future developments. (author)

  19. Waste Isolation Pilot Plant disposal phase final supplemental environmental impact statement. Volume 2: Appendices

    International Nuclear Information System (INIS)

    1997-09-01

    The purpose of the Waste Isolation Pilot Plant Disposal Final Supplemental Environmental Impact Statement (SEIS-II) is to provide information on environmental impacts regarding the Department of Energy's (DOE) proposed disposal operations at WIPP. The Proposed Action describes the treatment and disposal of the Basic inventory of TRU waste over a 35-year period. The Action Alternatives proposed the treatment of the Basic Inventory and an Additional Inventory as well as the transportation of the treated waste to WIPP for disposal over a 150- to 190-year period. The three Action Alternatives include the treatment of TRU waste at consolidation sites to meet WIPP planning-basic Waste Acceptance Criteria, the thermal treatment of TRU waste to meet Land Disposal Restrictions, and the treatment of TRU waste by a shred and grout process. SEIS-II evaluates environmental impacts resulting from the various treatment options; the transportation of TRU waste to WIPP using truck, a combination of truck and regular rail service, and a combination of truck and dedicated rail service; and the disposal of this waste in the repository. Evaluated impacts include those to the general environment and to human health. Additional issues associated with the implementation of the alternatives are discussed to provide further understanding of the decisions to be reached and to provide the opportunity for public input on improving DOE's Environmental Management Program. This volume contains the following appendices: Waste inventory; Summary of the waste management programmatic environmental impact statement and its use in determining human health impacts at treatment sites; Air quality; Life-cycle costs and economic impacts; Transportation; Human health; Facility accidents; Long-term consequence analysis for proposed action and action alternatives; Long-term consequence analysis for no action alternative 2; and Updated estimates of the DOE's transuranic waste volumes

  20. Impact of TBI on late effects in children treated by megatherapy for Stage IV neuroblastoma. A study of the French Society of Pediatric oncology

    International Nuclear Information System (INIS)

    Flandin, Isabelle; Hartmann, Olivier; Michon, Jean; Pinkerton, Ross; Coze, Carole; Stephan, Jean Louis; Fourquet, Bernard; Valteau-Couanet, Dominique; Bergeron, Christophe; Philip, Thierry; Carrie, Christian

    2006-01-01

    Purpose: To determine the contribution of total body irradiation (TBI) to late sequelae in children treated with high-dose chemotherapy and autologous bone marrow transplantation for Stage IV neuroblastoma. Patients and Methods: We compared two populations that were similar with regard to age, stage, pre-autologous bone marrow transplantation chemotherapy (CT) regimen, period of treatment, and follow-up (12 years). The TBI group (n = 32) received TBI as part of the megatherapy procedure (1982-1993), whereas the CT group (n 30) received conditioning without TBI (1985-1992). Analysis 12 years later focused on growth, weight and corpulence (body mass index) delay; hormonal deficiencies; liver, kidney, heart, ear, eye, and dental sequelae; school performance; and the incidence of secondary tumors. Results: Impact of TBI was most marked in relation to growth and weight delay, although the mean delay was not severe, probably because of treatment with growth hormones. Other consequences of TBI were thyroid insufficiency, cataracts, and a high incidence of secondary tumors. Hearing loss and dental agenesis were more prominent in the group treated with CT alone. No differences were observed in school performance. Conclusion: The most frequent side effects of TBI were cataracts, thyroid insufficiency, and growth delay, but more worrying is the risk of secondary tumors. Because of the young mean age of patients and the toxicity of TBI regimens without any survival advantage, regimens without TBI are preferable in the management of Stage IV neuroblastoma

  1. Tank Waste Remediation System, Hanford Site, Richland, Washington. Final Environmental Impact Statement. Volume II

    International Nuclear Information System (INIS)

    1996-08-01

    This document, Volume 2, provides the inventory of waste addressed in this Final Environmental Impact Statement (EIS) for the Tank Waste Remediation System, Hanford Site, Richland, Washington. The inventories consist of waste from the following four groups: (1) Tank waste; (2) Cesium (Cs) and Strontium (Sr) capsules; (3) Inactive miscellaneous underground storage tanks (MUSTs); and (4) Anticipated future tank waste additions. The major component by volume of the overall waste is the tank waste inventory (including future tank waste additions). This component accounts for more than 99 percent of the total waste volume and approximately 70 percent of the radiological activity of the four waste groups identified previously. Tank waste data are available on a tank-by-tank basis, but the accuracy of these data is suspect because they primarily are based on historical records of transfers between tanks rather than statistically based sampling and analyses programs. However, while the inventory of any specific tank may be suspect, the overall inventory for all of the tanks combined is considered more accurate. The tank waste inventory data are provided as the estimated overall chemical masses and radioactivity levels for the single-shell tanks (SSTs) and double-shell tanks (DSTs). The tank waste inventory data are broken down into tank groupings or source areas that were developed for analyzing groundwater impacts

  2. The Potential Impact of Maintaining a 3-Hour IV Thrombolysis Window: How Many More Patients can we Safely Treat?

    Science.gov (United States)

    Lyerly, Michael J; Albright, Karen C; Boehme, Amelia K; Shahripour, Reza Bavarsad; Houston, James T; Rawal, Pawan V; Kapoor, Niren; Alvi, Muhammad; Sisson, April; Alexandrov, Anne W; Alexandrov, Andrei V

    2013-09-13

    In 2008, the European Cooperative Acute Stroke Study-3 (ECASS-3) demonstrated that intravenous-tissue plasminogen activator could be safely administered for acute stroke patients presenting between 3 and 4.5 hours from symptom onset. Recently, the Food and Drug Administration rejected expansion of this time window in the United States. We sought to determine how many fewer patients would be treated by maintaining this restricted time window. We reviewed charts from patients who received intravenous thrombolysis at the University of Alabama at Birmingham between January 2009 and December 2011. Patients were divided into two groups (treated within 3 hours of onset, treated between 3 and 4.5 hours from onset). Demographics, stroke severity and protocol deviations according to the ECASS-3 trial were collected. Our safety measures were any hemorrhagic transformation, symptomatic intracerebral hemorrhage and systemic hemorrhage. Two hundred and twelve patients were identified, of whom 192 were included in our analysis. A total of 36 patients (19%) were treated between 3 and 4.5 hours. No statistical differences were seen between age (p=0.633), gender (p=0.677), race (p=0.207) or admission stroke severity (p=0.737). Protocol deviations from the ECASS-3 criteria were found in 20 patients (56%). These were primarily age > 80 and aggressive blood pressure management. Despite these deviations, we did not see significant increases in the rates of adverse events in patients treated in the extended time window. Our data are consistent with previously reported international data that IV thrombolysis can safely be used up to 4.5 hours from symptom onset. Restricting the time window to 3 hours would have resulted in almost one-fifth fewer patients treated at our center.

  3. A theoretical approach to the problem of dose-volume constraint estimation and their impact on the dose-volume histogram selection

    International Nuclear Information System (INIS)

    Schinkel, Colleen; Stavrev, Pavel; Stavreva, Nadia; Fallone, B. Gino

    2006-01-01

    This paper outlines a theoretical approach to the problem of estimating and choosing dose-volume constraints. Following this approach, a method of choosing dose-volume constraints based on biological criteria is proposed. This method is called ''reverse normal tissue complication probability (NTCP) mapping into dose-volume space'' and may be used as a general guidance to the problem of dose-volume constraint estimation. Dose-volume histograms (DVHs) are randomly simulated, and those resulting in clinically acceptable levels of complication, such as NTCP of 5±0.5%, are selected and averaged producing a mean DVH that is proven to result in the same level of NTCP. The points from the averaged DVH are proposed to serve as physical dose-volume constraints. The population-based critical volume and Lyman NTCP models with parameter sets taken from literature sources were used for the NTCP estimation. The impact of the prescribed value of the maximum dose to the organ, D max , on the averaged DVH and the dose-volume constraint points is investigated. Constraint points for 16 organs are calculated. The impact of the number of constraints to be fulfilled based on the likelihood that a DVH satisfying them will result in an acceptable NTCP is also investigated. It is theoretically proven that the radiation treatment optimization based on physical objective functions can sufficiently well restrict the dose to the organs at risk, resulting in sufficiently low NTCP values through the employment of several appropriate dose-volume constraints. At the same time, the pure physical approach to optimization is self-restrictive due to the preassignment of acceptable NTCP levels thus excluding possible better solutions to the problem

  4. Impact of deleting 5 DSM-IV personality disorders on prevalence, comorbidity, and the association between personality disorder pathology and psychosocial morbidity.

    Science.gov (United States)

    Zimmerman, Mark; Chelminski, Iwona; Young, Diane; Dalrymple, Kristy; Martinez, Jennifer

    2012-02-01

    A high rate of comorbidity among the personality disorders has been consistently identified as a problem. To address the problem of excessive comorbidity, the DSM-5 Personality and Personality Disorders Work Group recommended reducing the number of specific personality disorder diagnoses from 10 to 5 by eliminating paranoid, schizoid, histrionic, narcissistic, and dependent personality disorders. No study has examined the impact of this change. The present report from the Rhode Island Methods to Improve Diagnostic Assessment and Services (MIDAS) project examined the impact of eliminating these 5 personality disorders on the prevalence of personality disorders in a large sample of psychiatric outpatients presenting for treatment, comorbidity among the personality disorders, and association with psychosocial morbidity. From September 1997 to June 2008, 2,150 psychiatric patients presenting to the Rhode Island Hospital outpatient practice were evaluated with semistructured diagnostic interviews for DSM-IV Axis I and Axis II disorders and measures of psychosocial morbidity. More than one-quarter of the patients were diagnosed with one of the 10 DSM-IV personality disorders (28.6%, n = 614). When 5 personality disorders were excluded from consideration, then 25.8% (n = 555) were diagnosed with at least 1 of the 5 personality disorders proposed for retention in DSM-5, and the comorbidity rate dropped from 29.8% to 21.3%. Compared to patients without a personality disorder, the patients with either a retained or an excluded personality disorder had greater psychosocial morbidity. There was little difference in psychosocial morbidity between patients with a retained and an excluded personality disorder. The Personality and Personality Disorders Work Group's desired goal of reducing comorbidity would be achieved by deleting 5 personality disorders, although comorbidity would not be eliminated. The reduction of comorbidity could come with a cost of false-negative diagnoses

  5. Impact of systematic errors on DVH parameters of different OAR and target volumes in Intracavitary Brachytherapy (ICBT)

    International Nuclear Information System (INIS)

    Mourya, Ankur; Singh, Gaganpreet; Kumar, Vivek; Oinam, Arun S.

    2016-01-01

    Aim of this study is to analyze the impact of systematic errors on DVH parameters of different OAR and Target volumes in intracavitary brachytherapy (ICBT). To quantify the changes in dose-volume histogram parameters due to systematic errors in applicator reconstruction of brachytherapy planning, known errors in catheter reconstructions have to be introduced in applicator coordinate system

  6. Impacts of Outer Continental Shelf (OCS) development on recreation and tourism. Volume 4. User's manual

    Energy Technology Data Exchange (ETDEWEB)

    1987-04-01

    The final report for the project is presented in five volumes. The project sought to determine the impact of Outer Continental Shelf development on recreation and tourism in California. This volume is the User's Guide. It includes the following topics: Introduction and Summary Guide; Input Data Files; Gravity Model Programs; Economic Effects Model Programs; Consumer Surplus Model Programs; References; and Appendices.

  7. Assessing indoor air quality options: Final environmental impact statement on new energy-efficient home programs: Volume 2

    International Nuclear Information System (INIS)

    1988-03-01

    This report discusses the impact of energy conservation measures on indoor air quality in various size residential buildings. This volume includes appendices on ventilation rates, indoor pollutant levels, health effects, human risk assessment, radon, fiberglass hazards, tobacco smoke, mitigation

  8. Impact of Medical Therapy on Atheroma Volume Measured by Different Cardiovascular Imaging Modalities

    Directory of Open Access Journals (Sweden)

    Mohamad C. N. Sinno

    2010-01-01

    Full Text Available Atherosclerosis is a systemic disease that affects most vascular beds. The gold standard of atherosclerosis imaging has been invasive intravascular ultrasound (IVUS. Newer noninvasive imaging modalities like B-mode ultrasound, cardiac computed tomography (CT, positron emission tomography (PET, and magnetic resonance imaging (MRI have been used to assess these vascular territories with high accuracy and reproducibility. These imaging modalities have lately been used for the assessment of the atherosclerotic plaque and the response of its volume to several medical therapies used in the treatment of patients with cardiovascular disease. To study the impact of these medications on atheroma volume progression or regression, imaging modalities have been used on a serial basis providing a unique opportunity to monitor the effect these antiatherosclerotic strategies exert on plaque burden. As a result, studies incorporating serial IVUS imaging, quantitative coronary angiography (QCA, B-mode ultrasound, electron beam computed tomography (EBCT, and dynamic contrast-enhanced magnetic resonance imaging have all been used to evaluate the impact of therapeutic strategies that modify cholesterol and blood pressure on the progression/regression of atherosclerotic plaque. In this review, we intend to summarize the impact of different therapies aimed at halting the progression or even result in regression of atherosclerotic cardiovascular disease evaluated by different imaging modalities.

  9. The Impact of Local and Regional Disease Extent on Overall Survival in Patients With Advanced Stage IIIB/IV Non-Small Cell Lung Carcinoma

    International Nuclear Information System (INIS)

    Higginson, Daniel S.; Chen, Ronald C.; Tracton, Gregg; Morris, David E.; Halle, Jan; Rosenman, Julian G.; Stefanescu, Mihaela; Pham, Erica; Socinski, Mark A.; Marks, Lawrence B.

    2012-01-01

    Purpose: Patients with advanced stage IIIB or stage IV non-small cell lung carcinoma are typically treated with initial platinum-based chemotherapy. A variety of factors (eg, performance status, gender, age, histology, weight loss, and smoking history) are generally accepted as predictors of overall survival. Because uncontrolled pulmonary disease constitutes a major cause of death in these patients, we hypothesized that clinical and radiographic factors related to intrathoracic disease at diagnosis may be prognostically significant in addition to conventional factors. The results have implications regarding the selection of patients for whom palliative thoracic radiation therapy may be of most benefit. Methods and Materials: We conducted a pooled analysis of 189 patients enrolled at a single institution into 9 prospective phase II and III clinical trials involving first-line, platinum-based chemotherapy. Baseline clinical and radiographic characteristics before trial enrollment were analyzed as possible predictors for subsequent overall survival. To assess the relationship between anatomic location and volume of disease within the thorax and its effect on survival, the pre-enrollment computed tomography images were also analyzed by contouring central and peripheral intrapulmonary disease. Results: On univariate survival analysis, multiple pulmonary-related factors were significantly associated with worse overall survival, including pulmonary symptoms at presentation (P=.0046), total volume of intrathoracic disease (P=.0006), and evidence of obstruction of major bronchi or vessels on prechemotherapy computed tomography (P<.0001). When partitioned into central and peripheral volumes, central (P<.0001) but not peripheral (P=.74) disease was associated with worse survival. On multivariate analysis with known factors, pulmonary symptoms (hazard ratio, 1.46; P=.042), central disease volume (hazard ratio, 1.47; P=.042), and bronchial/vascular compression (hazard ratio, 1

  10. The Mynydd Y Cemmaes windfarm impact study - Volume IIB. Traffic impact: final report

    International Nuclear Information System (INIS)

    Edwards, R.; Stevenson, R.

    1995-01-01

    This study, from the Energy Technology Support Unit of the Department of Trade and Industry, looks at the effect on traffic movements of the construction and operation of the Mynydd y Cemmaes windfarm in Powys. The study was conducted before, during and after the construction of the windfarm over a two year period from 1992 to 1994. A large increase in traffic was observed on the unclassified road leading to the windfarm site during its construction phase, and these levels fell during commissioning and fell again during normal operation. Public concern about the traffic impact of the windfarm was then set against the 25% increase in local traffic during the windfarms operational phase. This data will be used to make more accurate predictions of traffic movements likely to occur in future windfarm construction projects. (UK)

  11. Initial Northwest Power Act Power Sales Contracts : Final Environmental Impact Statement. Volume 4, Comments and Responses.

    Energy Technology Data Exchange (ETDEWEB)

    United States. Bonneville Power Administration.

    1992-01-01

    This volume of the Initial Northwest Power Act Power Sales Contracts Final Environmental Impact Statement (Final EIS) contains public comments addressing the Initial Northwest Power Act Power Sales Contracts Draft EIS, August 1990 and Bonneville Power Administration`s (BPA) responses. The Introduction provides information about the process BPA follows in addressing these comments. Part I contains a listing of the Alternative Actions evaluated in the Final EIS; Part II is organized by Alternatives and includes summaries of the comments and BPA responses; Part III provides copies of the original comments letters, and, for ease of identification, are coded in the margins according to the alternative(s) addressed.

  12. Final Programmatic Environmental Impact Statement for stockpile stewardship and management: Volume 1

    International Nuclear Information System (INIS)

    1996-09-01

    The Department of Energy (DOE) has been directed by the President and Congress to maintain the safety and reliability of the reduced nuclear weapons stockpile in the absence of underground nuclear testing. In order to fulfill that responsibility, DOE has developed Stockpile Stewardship and Maintenance Program to provide a single highly integrated technical program for maintaining the continued safety and reliability of the nuclear stockpile. The Stockpile Stewardship and Management Program Programmatic Environmental Impact Statement (PEIS) describes and analyzes alternative ways to implement the proposed actions for the Stockpile Stewardship and Management Program. This document contains Volume I of the PEIS

  13. Simulators IV

    International Nuclear Information System (INIS)

    Fairchild, B.T.

    1987-01-01

    These proceedings contain papers on simulators with artificial intelligence, and the human decision making process; visuals for simulators: human factors, training, and psycho-physical impacts; the role of institutional structure on simulation projects; maintenance trainers for economic value and safety; biomedical simulators for understanding nature, for medical benefits, and the physiological effects of simulators; the mathematical models and numerical techniques that drive today's simulators; and the demography of simulators, with census papers identifying the population of real-time simulator training devices; nuclear reactors

  14. Three Mile Island nuclear reactor accident of March 1979. Environmental radiation data: Volume IV. A report to the President's Commission on the Accident at Three Mile Island

    International Nuclear Information System (INIS)

    Bretthauer, E.W.; Grossman, R.F.; Thome, D.J.; Smith, A.E.

    1981-03-01

    This report contains a listing of environmental radiation monitoring data collected in the vicinity of Three Mile Island (TMI) following the March 28, 1979 accident. These data were collected by the EPA, NRC, DOE, HHS, the Commonwealth of Pennsylvania, or the Bethlehem Steel Corporation. The original report was printed in September 1979 and the update was released in December 1979. This volume consists of the following: Table 10 Summary of US Department of Energy (DOE) sampling and analytical procedures; Table 11 Computer printout of environmental data collected by DOE; Table 12 Summary of Commonwealth of Pennsylvania sampling and analytical procedures; Table 13 Computer printout of environmental data collected by the Commonwealth of Pennsylvania; Table 14 Summary of State of New Jersey sampling and analytical procedures; Table 15 Computer printout of data collected by the State of New Jersey

  15. New Concepts in Fish Ladder Design, Volume III of IV, Assessment of Fishway Development and Design, 1982-1983 Final Report.

    Energy Technology Data Exchange (ETDEWEB)

    Powers, Patrick D.; Orsborn, John F.

    1985-08-01

    This volume covers the broad, though relatively short, historical basis for this project. The historical developments of certain design features, criteria and research activities are traced. Current design practices are summarized based on the results of an international survey and interviews with agency personnel and consultants. The fluid mechanics and hydraulics of fishway systems are discussed. Fishways (or fishpasses) can be classified in two ways: (1) on the basis of the method of water control (chutes, steps (ladders), or slots); and (2) on the basis of the degree and type of water control. This degree of control ranges from a natural waterfall to a totally artificial environment at a hatchery. Systematic procedures for analyzing fishways based on their configuration, species, and hydraulics are presented. Discussions of fish capabilities, energy expenditure, attraction flow, stress and other factors are included.

  16. Update of Part 61 Impacts Analysis Methodology. Methodology report. Volume 1

    Energy Technology Data Exchange (ETDEWEB)

    Oztunali, O.I.; Roles, G.W.

    1986-01-01

    Under contract to the US Nuclear Regulatory Commission, the Envirosphere Company has expanded and updated the impacts analysis methodology used during the development of the 10 CFR Part 61 rule to allow improved consideration of the costs and impacts of treatment and disposal of low-level waste that is close to or exceeds Class C concentrations. The modifications described in this report principally include: (1) an update of the low-level radioactive waste source term, (2) consideration of additional alternative disposal technologies, (3) expansion of the methodology used to calculate disposal costs, (4) consideration of an additional exposure pathway involving direct human contact with disposed waste due to a hypothetical drilling scenario, and (5) use of updated health physics analysis procedures (ICRP-30). Volume 1 of this report describes the calculational algorithms of the updated analysis methodology.

  17. Proposed Tenaska Washington II Generation Project : Final Environmental Impact Statement. Volume 2: Public Involvement.

    Energy Technology Data Exchange (ETDEWEB)

    United States. Bonneville Power Administration.

    1994-01-01

    In regard to the proposed Tenaska Washington II Generation Project, the goal of the Bonneville Power Administration`s (BPA) Environmental Impact Statement (EIS) public involvement process is to determine the issues to be examined and pertinent analyses to be conducted and to solicit comments on the content and quality of information presented in the Draft Environmental Impact Statement (DEIS). Comments and questions are solicited from the public and government agencies during the scoping process and during the comment period and public hearing on the DEIS, to find out what is of most concern to them. The end product of the public involvement process is the Comment Report which follows in part of this volume on Public Involvement.

  18. Update of Part 61 Impacts Analysis Methodology. Methodology report. Volume 1

    International Nuclear Information System (INIS)

    Oztunali, O.I.; Roles, G.W.

    1986-01-01

    Under contract to the US Nuclear Regulatory Commission, the Envirosphere Company has expanded and updated the impacts analysis methodology used during the development of the 10 CFR Part 61 rule to allow improved consideration of the costs and impacts of treatment and disposal of low-level waste that is close to or exceeds Class C concentrations. The modifications described in this report principally include: (1) an update of the low-level radioactive waste source term, (2) consideration of additional alternative disposal technologies, (3) expansion of the methodology used to calculate disposal costs, (4) consideration of an additional exposure pathway involving direct human contact with disposed waste due to a hypothetical drilling scenario, and (5) use of updated health physics analysis procedures (ICRP-30). Volume 1 of this report describes the calculational algorithms of the updated analysis methodology

  19. Final Programmatic Environmental Impact Statement for stockpile stewardship and management: Volume 3

    International Nuclear Information System (INIS)

    1996-09-01

    The Department of Energy (DOE) has been directed by the President and Congress to maintain the safety and reliability of the reduced nuclear weapons stockpile in the absence of underground nuclear testing. In order to fulfill that responsibility, DOE has developed a Stockpile Stewardship and Management Program to provide a single highly integrated technical program for maintaining the continued safety and reliability of the nuclear stockpile. The Stockpile Stewardship and Management Programmatic Environmental Impact Statement (PEIS) describes and analyzes alternative ways to implement the proposed actions for the Stockpile Stewardship and Management Program. This document consists of Volume III, Appendix I entitled ''National Ignition Facility Project-Specific Analysis,'' which investigates the environmental impacts resulting from constructing and operating the proposed National Ignition Facility

  20. The impact of a forced reduction in traffic volumes on urban air pollution

    International Nuclear Information System (INIS)

    Yuval; Broday, D.M.

    2008-01-01

    The Middle East military conflict of summer 2006 resulted in a few weeks in which the city of Haifa, Israel, and its environs experienced very profound variations in the commercial and personal activities. Large industrial plants continued almost normal operations but activities of small scale industry, shopping, and personal commuting were drastically reduced, leading to a dramatic decrease in the commercial and personal traffic volumes. This period of reduced activity serves as a real life experiment for assessment and demonstration of the impact that human activity, and mainly road traffic, may have on the air pollution levels in a bustling middle-sized city. The analysis is made especially sharp and reliable due to the abruptness of the beginning and the end of the reduced activity period, its length, and the stable summer meteorological conditions in the eastern Mediterranean region. The reduced traffic volumes resulted in lowered levels of NO 2 , hydrocarbons and particulate matter. The decrease in these pollutants' mean concentration was significantly larger than the reduction in the mean traffic volume. Slightly higher mean O 3 concentrations were observed during the reduced traffic period. (author)

  1. The Canada country study: Climate impacts and adaptation -- Vol. 7: National sectoral volume

    Energy Technology Data Exchange (ETDEWEB)

    Koshida, G.; Avis, W. [eds.] [Environment Canada, Downsview, ON (Canada)

    1998-10-01

    The Canada Country Study is a comprehensive source of knowledge on how climate change could impact on communities across Canada. The Study consists of a series of eight volumes and constitutes the scientific and technical results of the assessment phase of the project. This volume (Vol. 7) contains 12 sectoral papers which provide a digest of the findings of the previous six regional volumes, but viewed from the vantage points of the various sectors of national life and the economy, i.e. (1) agriculture, (2) built environment, (3) energy, (4) fisheries, (5) forestry, (6) human health, (7) insurance, (8) recreation and tourism, (9) transportation, (10) unmanaged ecosystems, (11) water resources, and (12) wetlands. Each paper is accompanied by an extensive list of references, a list of tables, a list of figures, and a list of appendices. Readers are cautioned that confidence levels are higher in the hemispheric-to-continental projections of climate change than in the regional projections. Also, it should be borne in mind that the identified changes in climate are projected to occur over the next century, and that the average rate of warming used in the models underlying these projections may be greater than any seen in the last several millenia.

  2. FORMALIZING PRODUCT COST DISTORTION: The Impact of Volume-Related Allocation Bases on Cost Information

    Directory of Open Access Journals (Sweden)

    Johnny Jermias

    2003-09-01

    Full Text Available The purpose o f this study is to formally analyze product cost distortions resulting from the process of allocating costs to products based on Activity-Based Costing (ABC and the conventional product costing systems. The model developed in this paper rigorously shows the impact of treating costs that are not volume related as if they are. The model demonstrates that the source of product cost distortion is the difference between the proportion of driver used by each product in ABC and the proportion of the base used by the same product in the conventional costing systems. The difference arises because the conventional costing systems ignore the existence of batch-related and product-related costs. The model predicts a positive association between volume and size diversity with product cost distortions. When interaction between volume and size diversity exists, the distortion is either mitigated or exacerbated. The magnitude of the distortion is jointly determined by the size of the differences and the size of the total indirect costs.

  3. Soil Characterization at the Linde FUSRAP Site and the Impact on Soil Volume Estimates

    International Nuclear Information System (INIS)

    Boyle, J.; Kenna, T.; Pilon, R.

    2002-01-01

    The former Linde site in Tonawanda, New York is currently undergoing active remediation of Manhattan Engineering District's radiological contamination. This remediation is authorized under the Formerly Utilized Sites Remedial Action Program (FUSRAP). The focus of this paper will be to describe the impact of soil characterization efforts as they relate to soil volume estimates and project cost estimates. An additional objective is to stimulate discussion about other characterization and modeling technologies, and to provide a ''Lessons Learned'' scenario to assist in future volume estimating at other FUSRAP sites. Initial soil characterization efforts at the Linde FUSRAP site in areas known to be contaminated or suspected to be contaminated were presented in the Remedial Investigation Report for the Tonawanda Site, dated February 1993. Results of those initial characterization efforts were the basis for soil volume estimates that were used to estimate and negotiate the current remediation contract. During the course of remediation, previously unidentified areas of contamination were discovered, and additional characterization was initiated. Additional test pit and geoprobe samples were obtained at over 500 locations, bringing the total to over 800 sample locations at the 135-acre site. New data continues to be collected on a routine basis during ongoing remedial actions

  4. The ratio of right ventricular volume to left ventricular volume reflects the impact of pulmonary regurgitation independently of the method of pulmonary regurgitation quantification

    International Nuclear Information System (INIS)

    Śpiewak, Mateusz; Małek, Łukasz A.; Petryka, Joanna; Mazurkiewicz, Łukasz; Miłosz, Barbara; Biernacka, Elżbieta K.; Kowalski, Mirosław; Hoffman, Piotr; Demkow, Marcin; Miśko, Jolanta; Rużyłło, Witold

    2012-01-01

    Background: Previous studies have advocated quantifying pulmonary regurgitation (PR) by using PR volume (PRV) instead of commonly used PR fraction (PRF). However, physicians are not familiar with the use of PRV in clinical practice. The ratio of right ventricle (RV) volume to left ventricle volume (RV/LV) may better reflect the impact of PR on the heart than RV end-diastolic volume (RVEDV) alone. We aimed to compare the impact of PRV and PRF on RV size expressed as either the RV/LV ratio or RVEDV (mL/m 2 ). Methods: Consecutive patients with repaired tetralogy of Fallot were included (n = 53). PRV, PRF and ventricular volumes were measured with the use of cardiac magnetic resonance. Results: RVEDV was more closely correlated with PRV when compared with PRF (r = 0.686, p 2.0 [area under the curve (AUC) PRV = 0.770 vs AUC PRF = 0.777, p = 0.86]. Conversely, with the use of the RVEDV-based criterion (>170 mL/m 2 ), PRV proved to be superior over PRF (AUC PRV = 0.770 vs AUC PRF = 0.656, p = 0.0028]. Conclusions: PRV and PRF have similar significance as measures of PR when the RV/LV ratio is used instead of RVEDV. The RV/LV ratio is a universal marker of RV dilatation independent of the method of PR quantification applied (PRF vs PRV)

  5. Big River Reservoir Project - Pawcatuck River and Narragansett bay Drainage Basins - Water and related Land Resources Study Volume IV. Attachment I.

    Science.gov (United States)

    1981-07-01

    knowledge , as a result of our field studies, none of these sites will be impacted by any of the alternative plans. There are numerous sites in the watershed...NENYIAC REPORT A report by the New England-New York Inter--Agency Committee (NENYIAC) was completed in Mar:h 1955. It contained an inventory of resources...could be ived b.- hikers,. horceback riders, and -:oss -_ountry skiers . The height nf land in this location could offer scenic views of the west of

  6. Potential impacts of OCS oil and gas activities on fisheries. Volume 2. Annotated bibliography for OCS oil and gas impact studies. Final report

    International Nuclear Information System (INIS)

    Tear, L.M.

    1989-10-01

    The volume is the second of two volumes to the final report, Potential Impacts of OCS Oil and Gas Activities on Fisheries. The volume presents an annotated bibliography of published and grey literature related to OCS oil and gas activity impacts of finfish and shellfish in marine and estuaring waters. The studies presented in the bibliography include those related to the following pollutants or impact-causing activities: Rig/reef effects, Drilling discharges (muds or cuttings), Oil (petroleum hydrocarbons), Trace metals, Produced water, Habitat alteration, Debris, Rig placement (avoidance), Pipelines, and Socioeconomic effects. The studies are listed alphabetically by the primary author's last name. An index is provided to help the reader identify studies related to a specific impact

  7. The impact of environmental conditions on human performance: A critical review of the literature. Volume 2

    International Nuclear Information System (INIS)

    Echeverria, D.; Barnes, V.; Bittner, A.

    1994-09-01

    The Battelle Human Affairs Research Centers (HARC) conducted a comprehensive review of the technical literature regarding the impact of environmental conditions on human performance applicable to nuclear power plant workers. The environmental conditions considered were vibration, noise, heat, cold, and light. Research staff identified potential human performance deficits along a continuum of increasing occupational exposure, ranging from deficits that occur at low exposures to deficits that occur at high exposures. Specific deficits were included in the review if scientists demonstrated the exposure caused an effect, using sound methodology. The levels associated with each deficit were then compared to the protection afforded by existing occupational exposure standards. Volume 2 presents several conclusions regarding the applicability of the research literature to environmental conditions in nuclear power plants. The findings presented suggest that occupational standards for vibration, noise, and heat, which were developed to protect health, are inadequate for preventing deficits in cognitive or motor performance in tasks likely to be performed in nuclear power plants. Also, there is little information in the literature on simultaneous conditions; for example, the effects of simultaneous exposure to heat and noise on cognition require more research. As many exposures in nuclear power plants will be simultaneous, this limitation should be kept in mind when using Volume 1

  8. Construction and operation of the Spallation Neutron Source: Draft environmental impact statement. Volume 2

    International Nuclear Information System (INIS)

    1998-12-01

    DOE proposes to construct and operate a state-of-the-art, short-pulsed spallation neutron source comprised of an ion source, a linear accelerator, a proton accumulator ring, and an experiment building containing a liquid mercury target and a suite of neutron scattering instrumentation. The proposed Spallation Neutron Source would be designed to operate at a proton beam power of 1 megawatt. The design would accommodate future upgrades to a peak operating power of 4 megawatts. These upgrades may include construction of a second proton accumulation ring and a second target. Volume 1 of this document analyzes the potential environmental impacts from the proposed action and the alternatives. The analysis assumes a facility operating at a power of 1 MW and 4 MW over the life of the facility. The two primary alternatives analyzed in this EIS are: the proposed action (to proceed with building the Spallation Neutron Source) and the No-Action Alternative. This volume contains the following appendices: (A) SNS accident source terms for EIS input; (B) Reports on the selection of alternative sites for the SNS; (C) Letters of consultation on protected species and cultural resources; (D) Ecological resource survey reports and summaries; (E) Descriptions of ORNL research projects in the Walker Branch Watershed; (F) Atmospheric dispersion and dose calculations for normal and accident conditions; (G) Projected air quality modeling effects at NOAA's Walker Branch Monitoring Tower

  9. High volume hydraulic fracturing operations: potential impacts on surface water and human health.

    Science.gov (United States)

    Mrdjen, Igor; Lee, Jiyoung

    2016-08-01

    High volume, hydraulic fracturing (HVHF) processes, used to extract natural gas and oil from underground shale deposits, pose many potential hazards to the environment and human health. HVHF can negatively affect the environment by contaminating soil, water, and air matrices with potential pollutants. Due to the relatively novel nature of the process, hazards to surface waters and human health are not well known. The purpose of this article is to link the impacts of HVHF operations on surface water integrity, with human health consequences. Surface water contamination risks include: increased structural failure rates of unconventional wells, issues with wastewater treatment, and accidental discharge of contaminated fluids. Human health risks associated with exposure to surface water contaminated with HVHF chemicals include increased cancer risk and turbidity of water, leading to increased pathogen survival time. Future research should focus on modeling contamination spread throughout the environment, and minimizing occupational exposure to harmful chemicals.

  10. Eating disorder not otherwise specified in an inpatient unit: the impact of altering the DSM-IV criteria for anorexia and bulimia nervosa.

    Science.gov (United States)

    Dalle Grave, Riccardo; Calugi, Simona

    2007-09-01

    To evaluate (1) the Eating Disorder Not Otherwise Specified (EDNOS) prevalence in an eating disorder inpatient unit; (2) the impact of altering the diagnostic criteria for anorexia nervosa and bulimia nervosa on the prevalence of EDNOS. One hundred and eighty six eating disorder patients consecutively hospitalised were included in the study. The prevalence of anorexia nervosa, bulimia nervosa and EDNOS was evaluated with the Eating Disorder Examination (EDE). The EDNOS prevalence was recalculated after the alteration of three diagnostic criteria for anorexia nervosa and one for bulimia nervosa. Seventy eight patients (41.9%) met the diagnostic criteria for anorexia nervosa, 33 (17.8%) for bulimia nervosa and 75 (40.3%) for EDNOS. The alteration of the DSM-IV diagnostic criteria reduced the prevalence of EDNOS to 28 cases (15%). EDNOS is a very frequent diagnostic category in an inpatient setting. Altering the diagnostic criteria for anorexia nervosa and bulimia nervosa reduced significantly the prevalence of EDNOS. 2007 John Wiley & Sons, Ltd and Eating Disorders Association

  11. Dosimetric impact of the variation of the prostate volume and shape between pretreatment planning and treatment procedure

    International Nuclear Information System (INIS)

    Beaulieu, Luc; Aubin, Sylviane; Taschereau, Richard; Pouliot, Jean; Vigneault, Eric

    2002-01-01

    Purpose: The goal of this study is to evaluate the dosimetric impact on a pretreatment planning of prostatic volume and shape variations occurring between the moment of the volume study (preplanning) and just before a transperineal permanent seed implant procedure. Such variations could be an obvious source of misplacement of the seeds relative to the prostate gland and organs at risk. Other sources of dosimetric uncertainties, such as misplacement due to the procedure itself or edema, are eliminated by looking at these variations before the implant procedure. Methods and Materials: For 35 clinical cases, prostate contours were taken at preplanning time as well as in the operating room (OR) minutes before the procedure. Comparison of shape and volume between the two sets was made. The impact on V100 was evaluated by placing the seeds in their planned positions in the new volume (clinical situation) and also by performing a new plan with the second set of contours to simulate an intraoperative approach. Results: The volume taken in the OR remained unchanged compared to the pretreatment planning volume in only 37% of the cases. While on average the dose coverage loss from pretreatment planning due to a combination of variations of volume and shape was small at 5.7%, a V100 degradation of up to 20.9% was observed in extreme cases. Even in cases in which no changes in volume were observed, changes in shape occurred and strongly affected implant dosimetry. Conclusions: Variations of volume and shape between pretreatment planning and the implant procedure can have a strong impact on the dosimetry if the planning and the implant procedure are not performed on the same day. This is an argument in favor of performing implant dosimetry in the OR

  12. Niger Republic mineral planning : Part four Second volume : Main mineral substances specific study and their geological context; Plan mineral de la Republique du Niger : Tome IV : 2e Volume : Etude specifique des principales substances minerales et leur contexte geologique

    Energy Technology Data Exchange (ETDEWEB)

    Franconi, Antoine; Joo' , Julien; Zibo, Idde

    1981-07-01

    This volume describes Niger Republic mineral substances capable of rising economic interest. After relating minerals occurrence , indices and deposits types, conclusions and recommendations have been made for mineral prospecting. Mineral substances described are : Copper, lead and zinc, molybdena, iron, manganese, titanium, vanadium, nickel and chrome ( cobalt and platinoid ), lithium, lignite, diamond and diverse substances rare earth, beryllium, silver, bismuth arsenic and antimony, barytine, alunite, talc and asbestos ( graphite and diatomite) [French] Ce volume decrit les substances susceptibles de presenter un interet economique au Niger. Apres avoir relate leurs occurrences , indices et types de gisement auxquels elles appartiennent des conclusions et recommendations ont ete faites pour la prospection. Les substances ainsi decrites sont : le cuivre, le plomb et le zinc, le molybdene, le fer, le manganese, le titane et le vanadium, le nickel et le chrome (Cobalt et platinoides), le lithium, le lignite, le diamant et les substances diverses ( terres rares, beryllium), argent, bismuth, arsenic et antimoine, barytine, alunite, talc et amiante (graphite et diatomite)

  13. Impact of removed tumor volume and location on patient outcome in glioblastoma.

    Science.gov (United States)

    Awad, Al-Wala; Karsy, Michael; Sanai, Nader; Spetzler, Robert; Zhang, Yue; Xu, Yizhe; Mahan, Mark A

    2017-10-01

    Glioblastoma is an aggressive primary brain tumor with devastatingly poor prognosis. Multiple studies have shown the benefit of wider extent of resection (EOR) on patient overall survival (OS) and worsened survival with larger preoperative tumor volumes. However, the concomitant impact of postoperative tumor volume and eloquent location on OS has yet to be fully evaluated. We performed a retrospective chart review of adult patients treated for glioblastoma from January 2006 through December 2011. Adherence to standardized postoperative chemoradiation protocols was used as an inclusion criterion. Detailed volumetric and location analysis was performed on immediate preoperative and immediate postoperative magnetic resonance imaging. Cox proportional hazard modeling approach was employed to explore the modifying effects of EOR and eloquent location after adjusting for various confounders and associated characteristics, such as preoperative tumor volume and demographics. Of the 471 screened patients, 141 were excluded because they did not meet all inclusion criteria. The mean (±SD) age of the remaining 330 patients (60.6% male) was 58.9 ± 12.9 years; the mean preoperative and postoperative Karnofsky performance scores (KPSs) were 76.2 ± 10.3 and 80.0 ± 16.6, respectively. Preoperative tumor volume averaged 33.2 ± 29.0 ml, postoperative residual was 4.0 ± 8.1 ml, and average EOR was 88.6 ± 17.6%. The observed average follow-up was 17.6 ± 15.7 months, and mean OS was 16.7 ± 14.4 months. Survival analysis showed significantly shorter survival for patients with lesions in periventricular (16.8 ± 1.7 vs. 21.5 ± 1.4 mo, p = 0.03), deep nuclei/basal ganglia (11.6 ± 1.7 vs. 20.6 ± 1.2, p = 0.002), and multifocal (12.0 ± 1.4 vs. 21.3 ± 1.3 months, p = 0.0001) locations, but no significant influence on survival was seen for eloquent cortex sites (p = 0.14, range 0.07-0.9 for all individual

  14. Waste Isolation Pilot Plant disposal phase final supplemental environmental impact statement. Volume 3: Comment response document

    International Nuclear Information System (INIS)

    1997-09-01

    The purpose of the Waste Isolation Pilot Plant Disposal Final Supplemental Environmental Impact Statement (SEIS-II) is to provide information on environmental impacts regarding the Department of Energy''s (DOE) proposed disposal operations at WIPP. The Proposed Action describes the treatment and disposal of the Basic inventory of TRU waste over a 35-year period. The Action Alternatives proposed the treatment of the Basic Inventory and an Additional Inventory as well as the transportation of the treated waste to WIPP for disposal over a 150- to 190-year period. The three Action Alternatives include the treatment of TRU waste at consolidation sites to meet WIPP planning-basic Waste Acceptance Criteria, the thermal treatment of TRU waste to meet Land Disposal Restrictions, and the treatment of TRU waste by a shred and grout process. SEIS-II evaluates environmental impacts resulting from the various treatment options; the transportation of TRU waste to WIPP using truck, a combination of truck and regular rail service, and a combination of truck and dedicated rail service; and the disposal of this waste in the repository. Evaluated impacts include those to the general environment and to human health. Additional issues associated with the implementation of the alternatives are discussed to provide further understanding of the decisions to be reached and to provide the opportunity for public input on improving DOE''s Environmental Management Program. This volume provides responses to public comments on the Draft SEIS-II. Comments are related to: Alternatives; TRU waste; DOE credibility; Editorial; Endorsement/opposition; Environmental justice; Facility accidents; Generator site operations; Health and safety; Legal and policy issues; NEPA process; WIPP facilities; WIPP waste isolation performance; Purpose and need; WIPP operations; Site characterization; Site selection; Socioeconomics; and Transportation

  15. Data for the screening assessment. Volume 2: Appendices, Columbia River Comprehensive Impact Assessment

    International Nuclear Information System (INIS)

    Miley, T.B.; O'Neil, T.K.; Gilbert, R.O.; Klevgard, L.A.; Walters, T.B.

    1996-06-01

    The Columbia River is a critical resource for residents of the Pacific Northwest. This resource drew the Manhattan Project's planners to the site now called Hanford to produce nuclear weapon materials. Production of those materials has left behind a legacy of chemical and radioactive contamination and materials that have, are, and will continue to pose a threat to the Columbia river for the foreseeable future. To evaluate the impact to the river from this Hanford-derived contamination, the US Department of Energy, US Environmental Protection Agency, and State of Washington Department of Ecology (the Tri-Party agencies) initiated a study referred to as the Columbia River Comprehensive Impact Assessment (CRCIA). To address concerns about the scope and direction of CRCIA as well as enhance regulator, stakeholder, tribal, and public involvement, the CRCIA Management Team was formed in August 1995. A major CRCIA Team decision was to organize CRCIA into phases, with additional phases to be identified as warranted after completion of the initial phase. The initial phase is comprised of two parts: (1) a screening assessment to evaluate the current impact to the river resulting from Hanford-derived contamination and (2) identification of requirements considered necessary by the CRCIA Management Team for a comprehensive assessment of impact to the river. The purpose of the screening assessment is to support cleanup decisions. The scope of the screening assessment is to evaluate the current risk to humans and the environment resulting from Hanford-derived contaminants. The screening assessment has the primary components of: identifying contaminants to be assessed; identifying a variety of exposure scenarios to evaluate human contaminant exposure; identifying a variety of other species to evaluate ecological contaminant exposure; and assessing risks posed by exposure of humans and other species to the contaminants. This volume compiles the data from this study

  16. Impacts of Traffic Noise and Traffic Volume on Birds of Roadside Habitats

    Directory of Open Access Journals (Sweden)

    Kirsten M. Parris

    2009-06-01

    Full Text Available Roadside habitats are important for a range of taxa including plants, insects, mammals, and birds, particularly in developed countries in which large expanses of native vegetation have been cleared for agriculture or urban development. Although roadside vegetation may provide suitable habitat for many species, resident animals can be exposed to high levels of traffic noise, visual disturbance from passing vehicles, and the risk of collision with cars and trucks. Traffic noise can reduce the distance over which acoustic signals such as song can be detected, an effect known as acoustic interference or masking. Studies from the northern hemisphere show that the singing behavior of birds changes in the presence of traffic noise. We investigated the impact of traffic noise and traffic volume on two species of birds, the Grey Shrike-thrush (Colluricincla harmonica and the Grey Fantail (Rhipidura fuliginosa, at 58 roadside sites on the Mornington Peninsula, southeastern Australia. The lower singing Grey Shrike-thrush sang at a higher frequency in the presence of traffic noise, with a predicted increase in dominant frequency of 5.8 Hz/dB of traffic noise, and a total effect size of 209 Hz. In contrast, the higher singing Grey Fantail did not appear to change its song in traffic noise. The probability of detecting each species on a visit to a site declined substantially with increasing traffic noise and traffic volume, with several lines of evidence supporting a larger effect of traffic noise. Traffic noise could hamper detection of song by conspecifics, making it more difficult for birds to establish and maintain territories, attract mates and maintain pair bonds, and possibly leading to reduced breeding success in noisy roadside habitats. Closing key roads during the breeding season is a potential, but untested, management strategy to protect threatened bird species from traffic noise and collision with vehicles at the time of year when they are most

  17. The impact of environmental conditions on human performance: A handbood of environmental exposures. Volume 1

    International Nuclear Information System (INIS)

    Echeverria, D.; Barnes, V.; Bittner, A.

    1994-09-01

    A comprehensive review of the technical literature was conducted regarding the impact of environmental conditions on hyman performance applicable to nuclear power plant workers. The environmental conditions considered were vibration, noise, heat, cold, and light. Research staff identified potential human performance deficits (e.g., decreased dexterity, impaired vision, hearing loss, memory deficiency) along a continuum of increasing occupational exposure, ranging from exposures that result in no deficit to exposures that resulted in significant performance problems. Specific deficits were included in the report if there was sound scientific evidence that environmental exposure resulted in those performance deficits. The levels associated with each deficit were then compared to the protection afforded by existing occupational exposure standards. Volume 1 is a handbook for use by NRC inspectors to help them determine the impact of specific environmental conditions on licensee personnel performance. it discusses the units used to measure each condition, discusses the effects of the condition on task performance, presents an example of the assessment of each condition in a nuclear power plant, and discusses potential methods for reducing the effects of

  18. The Impact of Heart Irradiation on Dose-Volume Effects in the Rat Lung

    International Nuclear Information System (INIS)

    Luijk, Peter van; Faber, Hette; Meertens, Harm; Schippers, Jacobus M.; Langendijk, Johannes A.; Brandenburg, Sytze; Kampinga, Harm H.; Coppes, Robert P. Ph.D.

    2007-01-01

    Purpose: To test the hypothesis that heart irradiation increases the risk of a symptomatic radiation-induced loss of lung function (SRILF) and that this can be well-described as a modulation of the functional reserve of the lung. Methods and Materials: Rats were irradiated with 150-MeV protons. Dose-response curves were obtained for a significant increase in breathing frequency after irradiation of 100%, 75%, 50%, or 25% of the total lung volume, either including or excluding the heart from the irradiation field. A significant increase in the mean respiratory rate after 6-12 weeks compared with 0-4 weeks was defined as SRILF, based on biweekly measurements of the respiratory rate. The critical volume (CV) model was used to describe the risk of SRILF. Fits were done using a maximum likelihood method. Consistency between model and data was tested using a previously developed goodness-of-fit test. Results: The CV model could be fitted consistently to the data for lung irradiation only. However, this fitted model failed to predict the data that also included heart irradiation. Even refitting the model to all data resulted in a significant difference between model and data. These results imply that, although the CV model describes the risk of SRILF when the heart is spared, the model needs to be modified to account for the impact of dose to the heart on the risk of SRILF. Finally, a modified CV model is described that is consistent to all data. Conclusions: The detrimental effect of dose to the heart on the incidence of SRILF can be described by a dose dependent decrease in functional reserve of the lung

  19. Stent thrombosis: insights on outcomes, predictors and impact of dual antiplatelet therapy interruption from the SPIRIT II, SPIRIT III, SPIRIT IV and COMPARE trials.

    Science.gov (United States)

    Kedhi, Elvin; Stone, Gregg W; Kereiakes, Dean J; Serruys, Patrick W; Parise, Helen; Fahy, Martin; Simonton, Charles A; Sudhir, Krishnankutty; Sood, Poornima; Smits, Pieter C

    2012-09-01

    Recent studies have suggested that EES may reduce ST compared to PES, but no individual trial has been adequately powered for this endpoint. The incidence of stent thrombosis, as well as the impact of dual antiplatelet therapy (DAPT) discontinuation during the first two years following everolimus-eluting stent (EES) and paclitaxel-eluting stent (PES) deployment were therefore analysed from a pooled, patient-level database derived from four randomised clinical trials. Data from the SPIRIT II, SPIRIT III, SPIRIT IV and COMPARE trials (n=6,789 patients) were analysed. Two-year ST rates were determined using time-to-event methods and compared with the log-rank test. ST rates were also determined after DAPT discontinuation. EES compared to PES significantly reduced the two-year rates of ST (0.7% versus 2.3%, p=0.0001), including the interval rates of ST up to 30 days (0.2% versus 1.0%, p<0.0001), between 31 days and one year (0.2% versus 0.6%, p=0.02), and after one year (0.3% versus 0.8%, p=0.001). EES also reduced the two-year composite rate of cardiac death or MI (4.0% versus 6.6%, p=0.0001). Increased rates of ST after DAPT discontinuation beyond six months were observed in the PES cohort, but not in the EES cohort. In this large pooled analysis from four randomised trials, treatment with EES compared to PES significantly reduced the rates of ST through two years of follow-up, with a concomitant reduction in cardiac death or MI. DAPT discontinuation beyond six months may be safe with EES.

  20. ARPA-E Impacts: A Sampling of Project Outcomes, Volume II

    Energy Technology Data Exchange (ETDEWEB)

    Rohlfing, Eric [Dept. of Energy (DOE), Washington DC (United States). Advanced Research Projects Agency-Energy (ARPA-E)

    2017-02-27

    The Advanced Research Projects Agency-Energy (ARPA-E) is demonstrating that a collaborative model has the power to deliver real value. The Agency’s first compilation booklet of impact sheets, published in 2016, began to tell the story of how ARPA-E has already made an impact in just seven years—funding a diverse and sophisticated research portfolio on advanced energy technologies that enable the United States to tackle our most pressing energy challenges. One year later our research investments continue to pay off, with a number of current and alumni project teams successfully commercializing their technologies and advancing the state of the art in transformative areas of energy science and engineering. There is no single measure that can fully illustrate ARPA-E’s success to date, but several statistics viewed collectively begin to reveal the Agency’s impact. Since 2009, ARPA-E has provided more than $1.5 billion in funding for 36 focused programs and three open funding solicitations, totaling over 580 projects. Of those, 263 are now alumni projects. Many teams have successfully leveraged ARPA-E’s investment: 56 have formed new companies, 68 have partnered with other government agencies to continue their technology development, and 74 teams have together raised more than $1.8 billion in reported funding from the private sector to bring their technologies to market. However, even when viewed together, those measures do not capture ARPA-E’s full impact. To best understand the Agency’s success, the specific scientific and engineering challenges that ARPA-E project teams have overcome must be understood. This booklet provides concrete examples of those successes, ranging from innovations that will bear fruit in the future to ones that are beginning to penetrate the market as products today. Importantly, half of the projects highlighted in this volume stem from OPEN solicitations, which the agency has run in 2009, 2012, and 2015. ARPA-E’s OPEN programs

  1. Interobserver variations of target volume delineation and its impact on irradiated volume in accelerated partial breast irradiation with intraoperative interstitial breast implant

    Directory of Open Access Journals (Sweden)

    Ritu Raj Upreti

    2017-02-01

    Full Text Available Purpose: To investigate the interobserver variations in delineation of lumpectomy cavity (LC and clinical target volume (CTV, and its impact on irradiated volume in accelerated partial breast irradiation using intraoperative multicatheter brachytherapy. Material and methods : Delineation of LC and CTV was done by five radiation oncologists on planning computed tomography (CT scans of 20 patients with intraoperative interstitial breast implant. Cavity visualization index (CVI, four-point index ranging from (0 = poor to (3 = excellent was created and assigned by observers for each patient. In total, 200 contours for all observers and 100 treatment plans were evaluated. Spatial concordance (conformity index, CI common , and CIgen, average shift in the center of mass (COM, and ratio of maximum and minimum volumes (V max /V min of LC and CTV were quantified among all observers and statistically analyzed. Variation in active dwell positions (0.5 cm step for each catheter, total reference air kerma (TRAK, volume enclosed by prescription isodose (V100% among observers and its spatial concordance were analyzed. Results : The mean ± SD CI common of LC and CTV was 0.54 ± 0.09, and 0.58 ± 0.08, respectively. Conformity index tends to increase, shift in COM and V max /V min decrease significantly (p < 0.05, as CVI increased. Out of total 309 catheters, 29.8% catheters had no change, 29.8% and 17.5% catheters had variations of 1 and 2 dwell positions (0.5 cm and 1 cm, respectively. 9.3% catheters shown variations ≥ 10 dwell positions (5 cm. The mean ± SD CI common of V100% was 0.75 ± 0.11. The mean observed V max /V min of prescription isodose and TRAK was 1.18 (range, 1.03 to 1.56 and 1.11 (range, 1.03 to 1.35, respectively. Conclusions : Interobserver variability in delineation of target volume was found to be significantly related to CVI. Smaller variability was observed with excellent visualization of LC. Interobserver variations showed dosimetric

  2. The Impact of Hospital Closures and Hospital and Population Characteristics on Increasing Emergency Department Volume: A Geographic Analysis.

    Science.gov (United States)

    Lee, David C; Carr, Brendan G; Smith, Tony E; Tran, Van C; Polsky, Daniel; Branas, Charles C

    2015-12-01

    Emergency visits are rising nationally, whereas the number of emergency departments is shrinking. However, volume has not increased uniformly at all emergency departments. It is unclear what factors account for this variability in emergency volume growth rates. The objective of this study was to test the association of hospital and population characteristics and the effect of hospital closures with increases in emergency department volume. The study team analyzed emergency department volume at New York State hospitals from 2004 to 2010 using data from cost reports and administrative databases. Multivariate regression was used to evaluate characteristics associated with emergency volume growth. Spatial analytics and distances between hospitals were used in calculating the predicted impact of hospital closures on emergency department use. Among the 192 New York hospitals open from 2004 to 2010, the mean annual increase in emergency department visits was 2.7%, but the range was wide (-5.5% to 11.3%). Emergency volume increased nearly twice as fast at tertiary referral centers (4.8%) and nonurban hospitals (3.7% versus urban at 2.1%) after adjusting for other characteristics. The effect of hospital closures also strongly predicted variation in growth. Emergency volume is increasing faster at specific hospitals: tertiary referral centers, nonurban hospitals, and those near hospital closures. This study provides an understanding of how emergency volume varies among hospitals and predicts the effect of hospital closures in a statewide region. Understanding the impact of these factors on emergency department use is essential to ensure that these populations have access to critical emergency services.

  3. IV treatment at home

    Science.gov (United States)

    ... Other IV treatments you may receive after you leave the hospital include: Treatment for hormone deficiencies Medicines for severe nausea that cancer chemotherapy or pregnancy may cause Patient-controlled analgesia (PCA) for pain (this is IV ...

  4. Surplus plutonium disposition draft environmental impact statement. Volume 1, Part A

    International Nuclear Information System (INIS)

    1998-07-01

    On May 22, 1997, DOE published a Notice of Intent (NOI) in the Federal Register (62 Federal Register 28009) announcing its decision to prepare an environmental impact statement (EIS) that would tier from the analysis and decisions reached in connection with the Storage and Disposition of Weapons-Usable Fissile Materials Final Programmatic EIS (Storage and Disposition PEIS). DOE's disposition strategy allows for both the immobilization of surplus plutonium and its use as mixed oxide (MOX) fuel in existing domestic, commercial reactors. The disposition of surplus plutonium would also involve disposal of the immobilized plutonium and MOX fuel (as spent nuclear fuel) in a geologic repository. The Surplus Plutonium Disposition Environmental Impact Statement analyzes alternatives that would use the immobilization approach (for some of the surplus plutonium) and the MOX fuel approach (for some of the surplus plutonium); alternatives that would immobilize all of the surplus plutonium; and the No Action Alternative. The alternatives include three disposition facilities that would be designed so that they could collectively accomplish disposition of up to 50 metric tons (55 tons) of surplus plutonium over their operating lives: (1) the pit disassembly and conversion facility would disassemble pits (a weapons component) and convert the recovered plutonium, as well as plutonium metal from other sources, into plutonium dioxide suitable for disposition; (2) the immobilization facility would include a collocated capability for converting nonpit plutonium materials into plutonium dioxide suitable for immobilization and would be located at either Hanford or SRS. DOE has identified SRS as the preferred site for an immobilization facility; (3) the MOX fuel fabrication facility would fabricate plutonium dioxide into MOX fuel. This volume includes background information; purpose of and need for the proposed action; alternatives for disposition of surplus weapons useable plutonium; and

  5. Impact of clinical trials on neurosurgical practice: an assessment of case volume.

    Science.gov (United States)

    Simon, Scott D; Koyama, Tatsuki; Zacharia, Brad E; Schirmer, Clemens M; Cheng, Joseph S

    2015-04-01

    To evaluate the effect of important trials on the practice of neurosurgery. We hypothesized that evidence from trials addressing the management of intracranial aneurysms (International Subarachnoid Aneurysm Trial [ISAT]) and nontraumatic intracerebral hemorrhages (Surgical Trial in Intracerebral Hemorrhage [STICH]) and vertebral augmentation for osteoporotic vertebral body fractures had a significant impact on the frequency of the corresponding neurosurgical procedures. A Medicare administrative database was queried for corresponding Common Procedural Terminology codes and units billed per calendar year. The effects of ISAT and STICH were evaluated using a generalized linear model. The effect of the vertebral augmentation study was evaluated using a t test. After publication of ISAT in 2002, the rate of increase in proportion of cerebral aneurysms that were treated with embolization (Common Procedural Terminology code 61624) per year increased from 3.9% to 5.5% (P = 0.01). After publication of STICH in 2005, the number of craniotomies performed for intracerebral hematoma decreased from 2341 in 2002 to 1646 in 2011 (P = 0.03). After 2 publications in 2009, performance of vertebral augmentation decreased from a high of 99,961 in 2009 per year to 77,108 in 2013 (P = 0.002). Randomized clinical trials remain the gold standard in the medical community to demonstrate efficacy, but their true impact relies on rapid and extensive assimilation into everyday medical practice. However, the described methodology establishes a temporal relationship only and does not prove causation. Nonetheless, trends in procedural volume suggest that the results of these select randomized clinical trials had a significant effect on neurosurgical practice affecting Medicare patients within an interval of a few years. Copyright © 2015 Elsevier Inc. All rights reserved.

  6. Surplus plutonium disposition draft environmental impact statement. Volume 1, Part B

    International Nuclear Information System (INIS)

    1998-07-01

    On May 22, 1997, DOE published a Notice of Intent (NOI) in the Federal Register (62 Federal Register 28009) announcing its decision to prepare an environmental impact statement (EIS) that would tier from the analysis and decisions reached in connection with the Storage and Disposition of Weapons-Usable Fissile Materials Final Programmatic EIS (Storage and Disposition PEIS). DOE's disposition strategy allows for both the immobilization of surplus plutonium and its use as mixed oxide (MOX) fuel in existing domestic, commercial reactors. The disposition of surplus plutonium would also involve disposal of the immobilized plutonium and MOX fuel (as spent nuclear fuel) in a geologic repository. The Surplus Plutonium Disposition Environmental Impact Statement analyzes alternatives that would use the immobilization approach (for some of the surplus plutonium) and the MOX fuel approach (for some of the surplus plutonium); alternatives that would immobilize all of the surplus plutonium; and the No Action Alternative. The alternatives include three disposition facilities that would be designed so that they could collectively accomplish disposition of up to 50 metric tons (55 tons) of surplus plutonium over their operating lives: (1) the pit disassembly and conversion facility would disassemble pits (a weapons component) and convert the recovered plutonium, as well as plutonium metal from other sources, into plutonium dioxide suitable for disposition; (2) the immobilization facility would include a collocated capability for converting nonpit plutonium materials into plutonium dioxide suitable for immobilization and would be located at either Hanford or SRS. DOE has identified SRS as the preferred site for an immobilization facility; (3) the MOX fuel fabrication facility would fabricate plutonium dioxide into MOX fuel. This volume has chapters on environmental consequences; environmental regulations, permits, and consultations; a glossary; list of preparers; distribution list

  7. [Estimation of volume of pleural fluid and its impact on spirometrical parameters].

    Science.gov (United States)

    Karwat, Krzysztof; Przybyłowski, Tadeusz; Bielicki, Piotr; Hildebrand, Katarzyna; Nowacka-Mazurek, Magdalena; Nasiłowski, Jacek; Rubinsztajn, Renata; Chazan, Ryszarda

    2014-03-01

    In the course of various diseases, there is an accumulation of fluid in the pleural cavities. Pleural fluid accumulation causes thoracic volume expansion and reduction of volume lungs, leading to formation of restrictive disorders. The aim of the study was to estimate the volume of pleural fluid by ultrasonography and to search for the relationship between pleural fluid volume and spirometrical parameters. The study involved 46 patients (26 men, 20 women) aged 65.7 +/- 14 years with pleural effusions who underwent thoracentesis. Thoracentesis was preceded by ultrasonography of the pleura, spirometry test and plethysmography. The volume of the pleural fluid was calculated with the Goecke' and Schwerk' (GS) or Padykuła (P) equations. The obtained values were compared with the actual evacuated volume. The median volume of the removed pleural fluid was 950 ml. Both underestimated the evacuated volume (the median volume 539 ml for GS and 648 ml for P, respectively). Pleural fluid removal resulted in a statistically significant improvement in VC (increase 0.20 +/- 0.35 ; p Pleural fluid removal causes a significant improvement in lung function parameters. The analyzed equations for fluid volume calculation do not correlate with the actual volume.

  8. Impact of Case Volume on Outcomes of Ureteroscopy for Ureteral Stones

    DEFF Research Database (Denmark)

    Kandasami, Sangam V; Mamoulakis, Charalampos; El-Nahas, Ahmed R

    2014-01-01

    of case volume on the outcomes of URS for ureteral stones. DESIGN, SETTING, AND PARTICIPANTS: The URS Global Study collected prospective data on consecutive patients with urinary stones treated with URS at 114 centres worldwide for 1 yr. Centres were identified as low or high volume based on the median...... overall annual case volume. OUTCOME MEASUREMENTS AND STATISTICAL ANALYSIS: Pre- and intraoperative characteristics, and postoperative outcomes in patients at low- and high-volume centres were compared. The relationships between case volume and stone-free rate (SFR), stone burden, complications...... SFR was 91.9% and 86.3% at high- and low-volume centres, respectively (pstone-free outcome increased with increasing case volume (p

  9. Dual axis radiographic hydrodynamic test facility. Final environmental impact statement, Volume 2: Public comments and responses

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1995-08-01

    On May 12, 1995, the U.S. Department of Energy (DOE) issued the draft Dual Axis Radiographic Hydrodynamic Test Facility Environmental Impact Statement (DARHT EIS) for review by the State of New Mexico, Indian Tribes, local governments, other Federal agencies, and the general public. DOE invited comments on the accuracy and adequacy of the draft EIS and any other matters pertaining to their environmental reviews. The formal comment period ran for 45 days, to June 26, 1995, although DOE indicated that late comments would be considered to the extent possible. As part of the public comment process, DOE held two public hearings in Los Alamos and Santa Fe, New Mexico, on May 31 and June 1, 1995. In addition, DOE made the draft classified supplement to the DARHT EIS available for review by appropriately cleared individuals with a need to know the classified information. Reviewers of the classified material included the State of New Mexico, the U.S. Environmental Protection Agency, the Department of Defense, and certain Indian Tribes. Volume 2 of the final DARHT EIS contains three chapters. Chapter 1 includes a collective summary of the comments received and DOE`s response. Chapter 2 contains the full text of the public comments on the draft DARHT EIS received by DOE. Chapter 3 contains DOE`s responses to the public comments and an indication as to how the comments were considered in the final EIS.

  10. Tank Waste Remediation System, Hanford Site, Richland, Washington. Final Environmental Impact Statement. Volume I

    International Nuclear Information System (INIS)

    1996-08-01

    This document, Volume 1 of the Final Environmental Impact Statement, analyzes the potential environmental consequences related to the Hanford Site Tank Waste Remediation System (TWRS) alternatives for management and disposal of radioactive, hazardous, and mixed waste, and the management and disposal of approximately 1,930 cesium and strontium capsules located at the Hanford Site. This waste is currently or projected to be stored in 177 underground storage tanks and approximately 60 miscellaneous underground storage tanks. This document analyzes the following alternatives for remediating the tank waste: No Action, Long-Term Management, In Situ Fill and Cap, In Situ Vitrification, Ex Situ Intermediate Separations, Ex Situ No Separations, Ex Situ Extensive Separations, Ex Situ/In Situ Combination 1, and Ex Situ/In Situ Combination 2. This document also addresses a Phased Implementation alternative (the DOE and Ecology preferred alternative for remediation of tank waste). Alternatives analyzed for the cesium and strontium capsules include: No Action, Onsite Disposal, Overpack and Ship, and Vitrify with Tank Waste. The DOE and Ecology preferred alternative for the cesium and strontium capsules is the No Action alternative

  11. Impact of initial tumor volume on radiotherapy outcome in patients with T2 glottic cancer

    International Nuclear Information System (INIS)

    Rutkowski, T.

    2014-01-01

    The aim of this study was to quantify the impact of initial tumor volume (TV) on radiotherapy (RT) outcome in patients with T2 glottic cancer. Initial TV was calculated for 115 consecutive patients with T2 glottic cancer who had been treated with definitive RT alone at a single institution. The results showed strong correlations of TV with 3-year local tumor control (LTC) and disease-free survival (DFS). For TV ≤ 0.7 cm 3 , 3-year LTC was 83 %; for TV 0.7-3.6 cm 3 this was 70 % and for TV 3.6-17 cm 3 44 %. Analysis of total dose vs. initial TV showed that larger T2 glottic tumors with a TV of around 5 cm 3 (2-2.5 cm in diameter with 10 10 cancer cells) need an extra 6.5 Gy to achieve similar 3-year LTC rates as for small tumors with a TV of 0.5 cm 3 (∝1 cm in diameter with 10 9 cancer cells). Although classification of tumors according to TV cannot replace TNM staging in daily practice, it could represent a valuable numerical supplement for planning the optimal dose fractionation scheme for individual patients. (orig.)

  12. Final environmental impact statement. Management of commercially generated radioactive waste. Volume 2. Appendices

    Energy Technology Data Exchange (ETDEWEB)

    1980-10-01

    This EIS analyzes the significant environmental impacts that could occur if various technologies for management and disposal of high-level and transuranic wastes from commercial nuclear power reactors were to be developed and implemented. This EIS will serve as the environmental input for the decision on which technology, or technologies, will be emphasized in further research and development activities in the commercial waste management program. The action proposed in this EIS is to (1) adopt a national strategy to develop mined geologic repositories for disposal of commercially generated high-level and transuranic radioactive waste (while continuing to examine subseabed and very deep hole disposal as potential backup technologies) and (2) conduct a R and D program to develop such facilities and the necessary technology to ensure the safe long-term containment and isolation of these wastes. The Department has considered in this statement: development of conventionally mined deep geologic repositories for disposal of spent fuel from nuclear power reactors and/or radioactive fuel reprocessing wastes; balanced development of several alternative disposal methods; and no waste disposal action. This volume contains appendices of supplementary data on waste management systems, geologic disposal, radiological standards, radiation dose calculation models, related health effects, baseline ecology, socio-economic conditions, hazard indices, comparison of defense and commercial wastes, design considerations, and wastes from thorium-based fuel cycle alternatives. (DMC)

  13. Final environmental impact statement. Management of commercially generated radioactive waste. Volume 2. Appendices

    International Nuclear Information System (INIS)

    1980-10-01

    This EIS analyzes the significant environmental impacts that could occur if various technologies for management and disposal of high-level and transuranic wastes from commercial nuclear power reactors were to be developed and implemented. This EIS will serve as the environmental input for the decision on which technology, or technologies, will be emphasized in further research and development activities in the commercial waste management program. The action proposed in this EIS is to (1) adopt a national strategy to develop mined geologic repositories for disposal of commercially generated high-level and transuranic radioactive waste (while continuing to examine subseabed and very deep hole disposal as potential backup technologies) and (2) conduct a R and D program to develop such facilities and the necessary technology to ensure the safe long-term containment and isolation of these wastes. The Department has considered in this statement: development of conventionally mined deep geologic repositories for disposal of spent fuel from nuclear power reactors and/or radioactive fuel reprocessing wastes; balanced development of several alternative disposal methods; and no waste disposal action. This volume contains appendices of supplementary data on waste management systems, geologic disposal, radiological standards, radiation dose calculation models, related health effects, baseline ecology, socio-economic conditions, hazard indices, comparison of defense and commercial wastes, design considerations, and wastes from thorium-based fuel cycle alternatives

  14. The Materials Science and its impact in the Archaeology- Volume 2

    International Nuclear Information System (INIS)

    Mendoza A, D.; Arenas A, J.A.; Rodriguez L, V.

    2005-01-01

    This book seeks to gather the different investigations carried out in the context of the materials science guided to the archaeometry, presented in the 'International Congress of Materials 2004', looking for with it to facilitate the knowledge transfer related with the application of the modern nuclear analytical techniques for the materials characterization as, X-ray diffraction, Scanning Electron Microscopy, Absorption spectroscopy, PIXE analysis, X-ray fluorescence analysis among other techniques to understand with a bigger depth the characteristics and properties of the materials used in diverse activities in the different stages of the humanity, there have been characterized materials as ceramics, metals, polymers, biomaterials, composite materials, pigments, nano structured materials. Since the articles here presented are of quality and its approach each topic with an original vision, this volume 2 of the book 'The Science of Materials and their Impact in the Archaeology' it will woke up the interest of a wide number of investigators, and that the different presented topics allow to visualize that this methods and techniques here approached its represent powerful tools, to enlarge our knowledge on the different cultures that preceded us. (Author)

  15. Gulf of Mexico Sales 139 and 141: Central and western planning areas. Final environmental impact statement. Volume 2: Sections 4.D. through 9. Final report

    International Nuclear Information System (INIS)

    1991-10-01

    The report is Volume II of two volumes. The EIS is a description of the environmental aspects and impacts of oil and gas activities resulting from these lease sales or the States bordering the Gulf of Mexico. The volume continues with Environmental Consequences; Consultation and Coordination; Bibliography and Special References; Preparers; Glossary; and the Appendices

  16. Changes in Treatment Volume of Hormonally Treated and Untreated Cancerous Prostate and its Impact on Rectal Dose

    International Nuclear Information System (INIS)

    Lilleby, Wolfgang; Dale, Einar; Olsen, Dag R.; Gude, Unn; Fossaa, Sophie D.

    2003-01-01

    Late chronic side effects of the rectum constitute one of the principal limiting factors for curative radiation therapy in patients with prostate cancer. The purpose of the study was to determine the impact of immediate androgen deprivation (IAD) prior to conformal radiotherapy on rectal volume exposed to high doses, as compared with a deferred treatment strategy (DAD). Twenty-five patients (13 in the IAD group and 12 in the DAD group) with bulky tumours of the prostate, T3pN1-2M0 from the prospective EORTC trial 30846 were analysed. Three-dimensional conformal radiation treatment plans (3D CRT) using a 4-field box technique were generated based on the digitized computed tomographic or magnetic resonance findings acquired during the first 9 months after inclusion in the EORTC trial. Dose-volume histograms (DVHs) were calculated for the prostate and rectum. In the DAD group, there was no obvious alteration in the mean size of the prostate or other evaluated structures. In the IAD patients, a statistically significant reduction of approximately 40% of the gross tumour volume (GTV) was reached after a 6 months' course of hormonal treatment (p<0.001). High-dose rectal volume was correlated with the volume changes of the GTV (p<0.001). Mean rectal volume receiving 95% or more of the target dose was significantly reduced by 20%. Our study confirms the effect of downsizing of locally advanced prostate tumours following AD treatment and demonstrates the interdependence of the high-dose rectal volume with the volume changes of the GTV. However, the mean beneficial sparing of rectal volume was outweighed in some patients by considerable inter-patient variations

  17. Application for approval of the Cold Lake Expansion Project: volume 2: environmental impact assessment: Part 1: biophysical and resource use assessment. Part 2: impact model descriptions

    International Nuclear Information System (INIS)

    Green, J.; Eccles, R.; Hegmann, G.; Morrison, L.; Salter, R.; van Egmond, T.; Vonk, P.; Ash, G.; Crowther, R.; Dance, T.; Edwards, W.; Veldman, W.

    1997-02-01

    An environmental assessment of the Cold Lake Expansion Project has been conducted to identify major issues of concern by public and government agencies, to determine means to eliminate or reduce those impacts, and to recommend any further efforts required to obtain missing information or monitor impacts. Volume 2 of the environmental impact assessment is divided into two parts. Part 1 (biophysical and resource use assessment) constitutes the primary environmental impact assessment document for the Cold Lake expansion project. It includes technical support documentation in regard to: (1) an assessment of noise impacts, (2) an assessment of greenhouse gas emissions, (3) a conceptual conservation and reclamation plan, (4) a historical resource impact assessment, and (5) a description of effects of oil spills on fish. Part 2 (impact model description) serves a reference document for part 1. It describes the approach taken in developing and assessing the impact models, discusses proposed methods for mitigation and management of residual impacts, and the recommended monitoring requirements for each of the major resource disciplines. The impact models describe the specific pathways through which impacts will occur as a result of interactions between project-related activities and important environmental components. 476 refs., 58 tabs., 23 figs

  18. Importancia de la reconstrucción volumétrica y del pliegue glúteo en los parapléjicos con úlceras isquiáticas Enis Sarmiento IV Importance of volume and gluteal fold reconstruction in paraplegic patients with ischial ulcers type Enis Sarmiento IV

    Directory of Open Access Journals (Sweden)

    E. Revelo Jirón

    2011-06-01

    Full Text Available Los parapléjicos rehabilitados son propensos a sufrir úlceras isquiáticas como complicación más frecuente. Cuando estas úlceras tienen compromiso óseo, su tratamiento solo puede ser quirúrgico. Bajo estas condiciones los colgajos miocutáneos locales son parte de la solución. En el artículo presentamos una serie personal de 10 pacientes parapléjicos rehabilitados con úlceras isquiáticas reconstruidas utilizando un colgajo miocutáneo en isla de la porción inferior del glúteo mayor transferido a través de un túnel subcutáneo. Ninguno de los pacientes de nuestro grupo de estudio sufrió recidiva y todos han tenido una buena evolución a largo plazo. La aportación principal del presente trabajo es hacer hincapié en respetar en estos casos 3 principios utilizados en Cirugía Estética: las incisiones quirúrgicas deben efectuarse en los pliegues naturales para evitar secuelas estético-funcionales; debemos dejar mínimas cicatrices y obtener una restauración volumétrica corporal. En ese sentido pensamos que el diseño de los colgajos debe respetar rigurosamente la orientación del pliegue glúteo y aportar un buen almohadillado para reconstruir el capital volumétrico de la zona glútea; además es primordial dejar pocas cicatrices para no aumentar los riesgos locales debido a la falta de trofismo de la piel. De esta manera, creemos que se evitan las recidivas y las complicaciones.Paraplegic patients, during their rehabilitation period, usually develop ischial ulcers as the most common complication. When there is bone involvement only the surgical approach can be successful. Myocutaneous flaps are part of this approach. We present a sample of 10 paraplegic patients under rehabilitation suffering ischial ulcers that were handled with myocutaneous island flaps obtained from the lower bundles of gluteus maximus and transferred though a subcutaneous tunnel. All these patients have had a long term good evolution with no recurrences

  19. Deep Downhole Seismic Testing at the Waste Treatment Plant Site, Hanford, WA. Volume IV S-Wave Measurements in Borehole C4993 Seismic Records, Wave-Arrival Identifications and Interpreted S-Wave Velocity Profile.

    Energy Technology Data Exchange (ETDEWEB)

    Stokoe, Kenneth H.; Li, Song Cheng; Cox, Brady R.; Menq, Farn-Yuh

    2007-06-06

    In this volume (IV), all S-wave measurements are presented that were performed in Borehole C4993 at the Waste Treatment Plant (WTP) with T-Rex as the seismic source and the Lawrence Berkeley National Laboratory (LBNL) 3-D wireline geophone as the at-depth borehole receiver. S-wave measurements were performed over the depth range of 370 to 1300 ft, typically in 10-ft intervals. However, in some interbeds, 5-ft depth intervals were used, while below about 1200 ft, depth intervals of 20 ft were used. Shear (S) waves were generated by moving the base plate of T-Rex for a given number of cycles at a fixed frequency as discussed in Section 2. This process was repeated so that signal averaging in the time domain was performed using 3 to about 15 averages, with 5 averages typically used. In addition, a second average shear wave record was recorded by reversing the polarity of the motion of the T-Rex base plate. In this sense, all the signals recorded in the field were averaged signals. In all cases, the base plate was moving perpendicular to a radial line between the base plate and the borehole which is in and out of the plane of the figure shown in Figure 1.1. The definition of “in-line”, “cross-line”, “forward”, and “reversed” directions in items 2 and 3 of Section 2 was based on the moving direction of the base plate. In addition to the LBNL 3-D geophone, called the lower receiver herein, a 3-D geophone from Redpath Geophysics was fixed at a depth of 22 ft in Borehole C4993, and a 3-D geophone from the University of Texas (UT) was embedded near the borehole at about 1.5 ft below the ground surface. The Redpath geophone and the UT geophone were properly aligned so that one of the horizontal components in each geophone was aligned with the direction of horizontal shaking of the T-Rex base plate. This volume is organized into 12 sections as follows. Section 1: Introduction, Section 2: Explanation of Terminology, Section 3: Vs Profile at Borehole C4993

  20. The ratio of right ventricular volume to left ventricular volume reflects the impact of pulmonary regurgitation independently of the method of pulmonary regurgitation quantification

    Energy Technology Data Exchange (ETDEWEB)

    Śpiewak, Mateusz, E-mail: mspiewak@ikard.pl [Department of Coronary Artery Disease and Structural Heart Diseases, Institute of Cardiology, Warsaw (Poland); Cardiac Magnetic Resonance Unit, Institute of Cardiology, Warsaw (Poland); Małek, Łukasz A., E-mail: lmalek@ikard.pl [Cardiac Magnetic Resonance Unit, Institute of Cardiology, Warsaw (Poland); Department of Interventional Cardiology and Angiology, Institute of Cardiology, Warsaw (Poland); Petryka, Joanna, E-mail: joannapetryka@hotmail.com [Department of Coronary Artery Disease and Structural Heart Diseases, Institute of Cardiology, Warsaw (Poland); Cardiac Magnetic Resonance Unit, Institute of Cardiology, Warsaw (Poland); Mazurkiewicz, Łukasz, E-mail: lmazurkiewicz@ikard.pl [Cardiac Magnetic Resonance Unit, Institute of Cardiology, Warsaw (Poland); Department of Cardiomyopathy, Institute of Cardiology, Warsaw (Poland); Miłosz, Barbara, E-mail: barbara-milosz@o2.pl [Cardiac Magnetic Resonance Unit, Institute of Cardiology, Warsaw (Poland); Department of Radiology, Institute of Cardiology, Warsaw (Poland); Biernacka, Elżbieta K., E-mail: kbiernacka@ikard.pl [Department of Congenital Heart Diseases, Institute of Cardiology, Warsaw (Poland); Kowalski, Mirosław, E-mail: mkowalski@ikard.pl [Department of Congenital Heart Diseases, Institute of Cardiology, Warsaw (Poland); Hoffman, Piotr, E-mail: phoffman@ikard.pl [Department of Congenital Heart Diseases, Institute of Cardiology, Warsaw (Poland); Demkow, Marcin, E-mail: mdemkow@ikard.pl [Department of Coronary Artery Disease and Structural Heart Diseases, Institute of Cardiology, Warsaw (Poland); Miśko, Jolanta, E-mail: jmisko@wp.pl [Cardiac Magnetic Resonance Unit, Institute of Cardiology, Warsaw (Poland); Department of Radiology, Institute of Cardiology, Warsaw (Poland); Rużyłło, Witold, E-mail: wruzyllo@ikard.pl [Institute of Cardiology, Warsaw (Poland)

    2012-10-15

    Background: Previous studies have advocated quantifying pulmonary regurgitation (PR) by using PR volume (PRV) instead of commonly used PR fraction (PRF). However, physicians are not familiar with the use of PRV in clinical practice. The ratio of right ventricle (RV) volume to left ventricle volume (RV/LV) may better reflect the impact of PR on the heart than RV end-diastolic volume (RVEDV) alone. We aimed to compare the impact of PRV and PRF on RV size expressed as either the RV/LV ratio or RVEDV (mL/m{sup 2}). Methods: Consecutive patients with repaired tetralogy of Fallot were included (n = 53). PRV, PRF and ventricular volumes were measured with the use of cardiac magnetic resonance. Results: RVEDV was more closely correlated with PRV when compared with PRF (r = 0.686, p < 0.0001, and r = 0.430, p = 0.0014, respectively). On the other hand, both PRV and PRF showed a good correlation with the RV/LV ratio (r = 0.691, p < 0.0001, and r = 0.685, p < 0.0001, respectively). Receiver operating characteristic analysis showed that both measures of PR had similar ability to predict severe RV dilatation when the RV/LV ratio-based criterion was used, namely the RV/LV ratio > 2.0 [area under the curve (AUC){sub PRV} = 0.770 vs AUC{sub PRF} = 0.777, p = 0.86]. Conversely, with the use of the RVEDV-based criterion (>170 mL/m{sup 2}), PRV proved to be superior over PRF (AUC{sub PRV} = 0.770 vs AUC{sub PRF} = 0.656, p = 0.0028]. Conclusions: PRV and PRF have similar significance as measures of PR when the RV/LV ratio is used instead of RVEDV. The RV/LV ratio is a universal marker of RV dilatation independent of the method of PR quantification applied (PRF vs PRV)

  1. Simulation-based partial volume correction for dopaminergic PET imaging. Impact of segmentation accuracy

    Energy Technology Data Exchange (ETDEWEB)

    Rong, Ye; Winz, Oliver H. [University Hospital Aachen (Germany). Dept. of Nuclear Medicine; Vernaleken, Ingo [University Hospital Aachen (Germany). Dept. of Psychiatry, Psychotherapy and Psychosomatics; Goedicke, Andreas [University Hospital Aachen (Germany). Dept. of Nuclear Medicine; High Tech Campus, Philips Research Lab., Eindhoven (Netherlands); Mottaghy, Felix M. [University Hospital Aachen (Germany). Dept. of Nuclear Medicine; Maastricht University Medical Center (Netherlands). Dept. of Nuclear Medicine; Rota Kops, Elena [Forschungszentrum Juelich (Germany). Inst. of Neuroscience and Medicine-4

    2015-07-01

    Partial volume correction (PVC) is an essential step for quantitative positron emission tomography (PET). In the present study, PVELab, a freely available software, is evaluated for PVC in {sup 18}F-FDOPA brain-PET, with a special focus on the accuracy degradation introduced by various MR-based segmentation approaches. Methods Four PVC algorithms (M-PVC; MG-PVC; mMG-PVC; and R-PVC) were analyzed on simulated {sup 18}F-FDOPA brain-PET images. MR image segmentation was carried out using FSL (FMRIB Software Library) and SPM (Statistical Parametric Mapping) packages, including additional adaptation for subcortical regions (SPM{sub L}). Different PVC and segmentation combinations were compared with respect to deviations in regional activity values and time-activity curves (TACs) of the occipital cortex (OCC), caudate nucleus (CN), and putamen (PUT). Additionally, the PVC impact on the determination of the influx constant (K{sub i}) was assessed. Results Main differences between tissue-maps returned by three segmentation algorithms were found in the subcortical region, especially at PUT. Average misclassification errors in combination with volume reduction was found to be lowest for SPM{sub L} (PUT < 30%) and highest for FSL (PUT > 70%). Accurate recovery of activity data at OCC is achieved by M-PVC (apparent recovery coefficient varies between 0.99 and 1.10). The other three evaluated PVC algorithms have demonstrated to be more suitable for subcortical regions with MG-PVC and mMG-PVC being less prone to the largest tissue misclassification error simulated in this study. Except for M-PVC, quantification accuracy of K{sub i} for CN and PUT was clearly improved by PVC. Conclusions The regional activity value of PUT was appreciably overcorrected by most of the PVC approaches employing FSL or SPM segmentation, revealing the importance of accurate MR image segmentation for the presented PVC framework. The selection of a PVC approach should be adapted to the anatomical

  2. Features and prognostic impact of distant metastases in 45 dogs with de novo stage IV cutaneous mast cell tumours: A prospective study.

    Science.gov (United States)

    Pizzoni, S; Sabattini, S; Stefanello, D; Dentini, A; Ferrari, R; Dacasto, M; Giantin, M; Laganga, P; Amati, M; Tortorella, G; Marconato, L

    2018-03-01

    Distant metastases in dogs with cutaneous mast cell tumors (cMCT) are rare and incurable. The aims of this prospective study were to clarify the clinico-pathological features of stage IV cMCTs and to identify possible prognostic factors for progression-free interval (PFI) and survival time (ST). Dogs were eligible for recruitment if they had a previously untreated, histologically confirmed cMCT and if they underwent complete staging demonstrating stage IV disease. Dogs were uniformly followed-up, whereas treatment was not standardized and included no therapy, surgery, radiation therapy, chemotherapy, tyrosine-kinase inhibitors or a combination of these. 45 dogs with stage IV cMCT were enrolled. All dogs had distant metastatic disease, and 41 (91.1%) dogs had also metastasis in the regional lymph node. Histopathological grade and mutational status greatly varied among dogs. Median ST was 110 days. Notably, PFI and ST were independent of well-known prognostic factors, including anatomic site, histological grade, and mutational status. Conversely, tumor diameter >3 cm, more than 2 metastatic sites, bone marrow infiltration, and lack of tumor control at the primary site were confirmed to be negative prognostic factors by multivariate analysis. Currently, there is no satisfactory treatment for stage IV cMCT. Asymptomatic dogs with tumor diameter <3 cm and a low tumor burden, without bone marrow infiltration may be candidates for multimodal treatment. Stage IV dogs without lymph node metastasis may enjoy a surprisingly prolonged survival. The achievement of local tumor control seems to predict a better outcome in dogs with stage IV cMCT. © 2017 John Wiley & Sons Ltd.

  3. Final waste management programmatic environmental impact statement for managing treatment, storage, and disposl of radioactive and hazardous waste. Volume II

    International Nuclear Information System (INIS)

    1997-01-01

    The Final Waste Management Programmatic Environmental Impact Statement (WM PEIS) examines the potential environmental and cost impacts of strategic management alternatives for managing five types of radioactive and hazardous wastes that have resulted and will continue to result from nuclear defense and research activities at a variety of sites around the United States. The five waste types are low-level mixed waste, low-level waste, transuranic waste, high-level waste, and hazardous waste. The WM PEIS provides information on the impacts of various siting alternatives which the Department of Energy (DOE) will use to decide at which sites to locate additional treatment, storage, and disposal capacity for each waste type.Volume II is an integral part of the Office of Environmental Management''s (EM''s) Waste Management Programmatic Environmental Impact Statement (WM PEIS), which portrays the impacts of EM''s waste management activities at each of the 17 major DOE sites evaluated in the WM PEIS

  4. Impact of consensus contours from multiple PET segmentation methods on the accuracy of functional volume delineation

    Energy Technology Data Exchange (ETDEWEB)

    Schaefer, A. [Saarland University Medical Centre, Department of Nuclear Medicine, Homburg (Germany); Vermandel, M. [U1189 - ONCO-THAI - Image Assisted Laser Therapy for Oncology, University of Lille, Inserm, CHU Lille, Lille (France); CHU Lille, Nuclear Medicine Department, Lille (France); Baillet, C. [CHU Lille, Nuclear Medicine Department, Lille (France); Dewalle-Vignion, A.S. [U1189 - ONCO-THAI - Image Assisted Laser Therapy for Oncology, University of Lille, Inserm, CHU Lille, Lille (France); Modzelewski, R.; Vera, P.; Gardin, I. [Centre Henri-Becquerel and LITIS EA4108, Rouen (France); Massoptier, L.; Parcq, C.; Gibon, D. [AQUILAB, Research and Innovation Department, Loos Les Lille (France); Fechter, T.; Nestle, U. [University Medical Center Freiburg, Department for Radiation Oncology, Freiburg (Germany); German Cancer Consortium (DKTK) Freiburg and German Cancer Research Center (DKFZ), Heidelberg (Germany); Nemer, U. [University Medical Center Freiburg, Department of Nuclear Medicine, Freiburg (Germany)

    2016-05-15

    The aim of this study was to evaluate the impact of consensus algorithms on segmentation results when applied to clinical PET images. In particular, whether the use of the majority vote or STAPLE algorithm could improve the accuracy and reproducibility of the segmentation provided by the combination of three semiautomatic segmentation algorithms was investigated. Three published segmentation methods (contrast-oriented, possibility theory and adaptive thresholding) and two consensus algorithms (majority vote and STAPLE) were implemented in a single software platform (Artiview registered). Four clinical datasets including different locations (thorax, breast, abdomen) or pathologies (primary NSCLC tumours, metastasis, lymphoma) were used to evaluate accuracy and reproducibility of the consensus approach in comparison with pathology as the ground truth or CT as a ground truth surrogate. Variability in the performance of the individual segmentation algorithms for lesions of different tumour entities reflected the variability in PET images in terms of resolution, contrast and noise. Independent of location and pathology of the lesion, however, the consensus method resulted in improved accuracy in volume segmentation compared with the worst-performing individual method in the majority of cases and was close to the best-performing method in many cases. In addition, the implementation revealed high reproducibility in the segmentation results with small changes in the respective starting conditions. There were no significant differences in the results with the STAPLE algorithm and the majority vote algorithm. This study showed that combining different PET segmentation methods by the use of a consensus algorithm offers robustness against the variable performance of individual segmentation methods and this approach would therefore be useful in radiation oncology. It might also be relevant for other scenarios such as the merging of expert recommendations in clinical routine and

  5. Anatomically guided voxel-based partial volume effect correction in brain PET : Impact of MRI segmentation

    NARCIS (Netherlands)

    Gutierrez, Daniel; Montandon, Marie-Louise; Assal, Frederic; Allaoua, Mohamed; Ratib, Osman; Loevblad, Karl-Olof; Zaidi, Habib

    2012-01-01

    Partial volume effect is still considered one of the main limitations in brain PET imaging given the limited spatial resolution of current generation PET scanners. The accuracy of anatomically guided partial volume effect correction (PVC) algorithms in brain PET is largely dependent on the

  6. Impact of elliptical shaped red oak logs on lumber grade and volume recovery

    Science.gov (United States)

    Patrick M. Rappold; Brian H. Bond; Janice K. Wiedenbeck; Roncs Ese-Etame

    2007-01-01

    This research examined the grade and volume of lumber recovered from red oak logs with elliptical shaped cross sections. The volume and grade of lumber recovered from red oak logs with low (e ≤ 0.3) and high (e ≥ 0.4) degrees of ellipticity was measured at four hardwood sawmills. There was no significant difference (...

  7. Draft Waste Management Programmatic Environmental Impact Statement for managing treatment, storage, and disposal of radioactive and hazardous waste. Volume 3, Appendix A: Public response to revised NOI, Appendix B: Environmental restoration, Appendix C, Environmental impact analysis methods, Appendix D, Risk

    International Nuclear Information System (INIS)

    1995-08-01

    Volume three contains appendices for the following: Public comments do DOE's proposed revisions to the scope of the waste management programmatic environmental impact statement; Environmental restoration sensitivity analysis; Environmental impacts analysis methods; and Waste management facility human health risk estimates

  8. Influence of the Metal Volume Fraction on the maximum deflection and impact load of GLARE plates subjected to low velocity impact

    Science.gov (United States)

    Bikakis, GSE; Savaidis, A.; Zalimidis, P.; Tsitos, S.

    2016-11-01

    Fiber-metal laminates are hybrid composite materials, consisting of alternating metal layers bonded to fiber-reinforced prepreg layers. GLARE (GLAss REinforced) belongs to this new family of materials. GLARE is the most successful fiber-metal laminate up to now and is currently being used for the construction of primary aerospace structures, such as the fuselage of the Airbus A380 air plane. Impact properties are very important in aerospace structures, since impact damage is caused by various sources, such as maintenance damage from dropped tools, collision between service cars or cargo and the structure, bird strikes and hail. The principal objective of this article is to evaluate the influence of the Metal Volume Fraction (MVF) on the low velocity impact response of GLARE fiber-metal laminates. Previously published differential equations of motion are employed for this purpose. The low velocity impact behavior of various circular GLARE plates is predicted and characteristic values of impact variables, which represent the impact phenomenon, are evaluated versus the corresponding MVF of the examined GLARE material grades. The considered GLARE plates are subjected to low velocity impact under identical impact conditions. A strong effect of the MVF on the maximum impact load and a significant effect on the maximum plate deflection of GLARE plates has been found.

  9. Impact of an electronic health record operating room management system in ophthalmology on documentation time, surgical volume, and staffing.

    Science.gov (United States)

    Sanders, David S; Read-Brown, Sarah; Tu, Daniel C; Lambert, William E; Choi, Dongseok; Almario, Bella M; Yackel, Thomas R; Brown, Anna S; Chiang, Michael F

    2014-05-01

    Although electronic health record (EHR) systems have potential benefits, such as improved safety and quality of care, most ophthalmology practices in the United States have not adopted these systems. Concerns persist regarding potential negative impacts on clinical workflow. In particular, the impact of EHR operating room (OR) management systems on clinical efficiency in the ophthalmic surgery setting is unknown. To determine the impact of an EHR OR management system on intraoperative nursing documentation time, surgical volume, and staffing requirements. For documentation time and circulating nurses per procedure, a prospective cohort design was used between January 10, 2012, and January 10, 2013. For surgical volume and overall staffing requirements, a case series design was used between January 29, 2011, and January 28, 2013. This study involved ophthalmic OR nurses (n = 13) and surgeons (n = 25) at an academic medical center. Electronic health record OR management system implementation. (1) Documentation time (percentage of operating time documenting [POTD], absolute documentation time in minutes), (2) surgical volume (procedures/time), and (3) staffing requirements (full-time equivalents, circulating nurses/procedure). Outcomes were measured during a baseline period when paper documentation was used and during the early (first 3 months) and late (4-12 months) periods after EHR implementation. There was a worsening in total POTD in the early EHR period (83%) vs paper baseline (41%) (P system implementation was associated with worsening of intraoperative nursing documentation time especially in shorter procedures. However, it is possible to implement an EHR OR management system without serious negative impacts on surgical volume and staffing requirements.

  10. Exposure and materiality of the secondary room and its impact on the impulse response of coupled-volume concert halls

    Science.gov (United States)

    Ermann, Michael; Johnson, Marty

    2005-06-01

    How does sound decay when one room is partially exposed to another (acoustically coupled)? More specifically, this research aims to quantify how operational and design decisions impact sound fields in the design of concert halls with acoustical coupling. By adding a second room to a concert hall, and designing doors to control the sonic transparency between the two rooms, designers can create a new, coupled acoustic. Concert halls use coupling to achieve a variable, longer, and distinct reverberant quality for their musicians and listeners. For this study a coupled-volume shoebox concert hall is conceived with a fixed geometric volume, form, and primary-room sound absorption. Aperture size and secondary-room sound absorption levels are established as variables. Statistical analysis of sound decay in this simulated hall suggests a highly sensitive relationship between the double-sloped condition and (1) architectural composition, as defined by the aperture size exposing the chamber and (2) materiality, as defined by the sound absorptance in the coupled volume. The theoretical, mathematical predictions are compared with coupled-volume concert hall field measurements and guidelines are suggested for future designs of coupled-volume concert halls.

  11. Dosimetric impact of prostate volume change between CT-based HDR brachytherapy fractions

    International Nuclear Information System (INIS)

    Kim, Yongbok; Hsu, I-C.; Lessard, Etienne; Vujic, Jasmina; Pouliot, Jean

    2004-01-01

    Purpose: The objective is to evaluate the prostate volume change and its dosimetric consequences after the insertion of catheters for high-dose-rate brachytherapy. Methods and Materials: For 13 consecutive patients, a spiral CT scan was acquired before each of the 2 fractions, separated on average by 20 hours. The coordinates of the catheters were obtained on 3 axial CT slices corresponding to apex, mid portion, and base portion of the prostate. A mathematical expansion model was used to evaluate the change of prostate volumes between the 2 fractions. It is based on the difference in the cube of the average distance between the centroid and catheter positions. The variation of implant dose-volume histograms between fractions was computed for plans produced by either inverse planning based on simulated annealing or geometric optimization. Results: The average magnitude of either increase or reduction in prostate volume was 7.8% (range, 2-17%). This volume change corresponds to an average prostate radius change of only 2.5% (range, 0.7-5.4%). For 5 patients, the prostate volume increased on average by 9% (range, 2-17%), whereas a reduction was observed for 8 patients by an average of 7% (range, 2-13%). More variation was observed at the prostate base than at mid or apex gland. The comparison of implant dose-volume histograms showed a small reduction of V100 receiving the prescription dose, with an average of 3.5% (range, 0.5-12%) and 2.2% (range, 1-6%) for inverse planning based on our simulated annealing and geometric optimization plans, respectively. Conclusion: Small volume change was observed between treatment fractions. This translates into small changes in dose delivered to the prostate volume

  12. Prognostic Factors for Hormone Sensitive Metastatic Prostate Cancer: Impact of Disease Volume

    Science.gov (United States)

    Alhanafy, Alshimaa Mahmoud; Zanaty, Fouad; Ibrahem, Reda; Omar, Suzan

    2018-04-27

    Background and Aim: The optimal management of metastatic hormone-sensitive prostate cancer has been controversial in recent years with introduction of upfront chemohormonal treatment based on results of several Western studies. This changing landscape has renewed interest in the concept “disease volume”, the focus of the present study is the Egyptian patients. Methods: Patients with hormone sensitive metastatic prostate cancer presenting at Menoufia University Hospital, Egypt, during the period from June 2013 to May 2016, were enrolled. All received hormonal treatment. Radiologic images were evaluated and patients were stratified according to their disease volume into high or low, other clinical and pathological data that could affect survival also being collected and analyzed. Results: A total of 128 patients were included, with a median age of 70 years (53.9% ≥70). About 46% had co-morbidities, 62% having high volume disease. During the median follow up period of 28 months about half of the patients progressed and one third received chemotherapy. On univariate analysis, disease volume, performance status (PS), prostate specific antigen level (PSA) and presence of pain at presentation were identified as factors influencing overall survival. Multivariate analysis revealed the independent predictor factors for survival to be PS, PSA and disease volume. The median overall survival with 27 months was high volume versus 49 with low volume disease (hazard ratio 2.1; 95% CI 1.2 - 4.4; P=0.02). Median progression free survival was 19 months in the high volume, as compared with 48 months in the low volume disease patients (hazard ratio, 2.44; 95% CI, 1.42 – 7.4; P=0.009). Conclusions: Disease volume is a reliable predictor of survival which should be incorporated with other important factors as; patient performance status and comorbidities in treatment decision-making. Creative Commons Attribution License

  13. Sierra Pacific Power Company Alturas Transmission Line Project, Final Environmental Impact Report/Environmental Impact Statement. Volume 3: Appendices

    International Nuclear Information System (INIS)

    1995-11-01

    Sierra Pacific Power Company has proposed the construction and operation of a 345,000 volt overhead electric power transmission line from Alturas, California to Reno, Nevada. This Environmental Impact Report/Environmental Impact Statement will assess the potential environmental impacts of the proposed project and alternatives. This report contains Appendices A--I which contain the following: glossary/abbreviations; scoping report; structure coordinate summary; air quality; biological resources; geology; noise; visual contrast rating forms; and cultural resources

  14. Sandia Pulse Reactor-IV Project

    International Nuclear Information System (INIS)

    Reuscher, J.A.

    1983-01-01

    Sandia National Laboratories has developed, designed and operated fast burst reactors for over 20 years. These reactors have been used for a variety of radiation effects programs. During this period, programs have required larger irradiation volumes primarily to expose complex electronic systems to postulated threat environments. As experiment volumes increased, a new reactor was built so that these components could be tested. The Sandia Pulse Reactor-IV is a logical evolution of the two decades of fast burst reactor development at Sandia

  15. Impact of intra-arterial administration of boron compounds on dose-volume histograms in boron neutron capture therapy for recurrent head-and-neck tumors

    International Nuclear Information System (INIS)

    Suzuki, Minoru; Sakurai, Yoshinori; Nagata, Kenji; Kinashi, Yuko; Masunaga, Shinichiro; Ono, Koji; Maruhashi, Akira; Kato, Ituro; Fuwa, Nobukazu; Hiratsuka, Junichi; Imahori, Yoshio

    2006-01-01

    Purpose: To analyze the dose-volume histogram (DVH) of head-and-neck tumors treated with boron neutron capture therapy (BNCT) and to determine the advantage of the intra-arterial (IA) route over the intravenous (IV) route as a drug delivery system for BNCT. Methods and Materials: Fifteen BNCTs for 12 patients with recurrent head-and-neck tumors were included in the present study. Eight irradiations were done after IV administration of boronophenylalanine and seven after IA administration. The maximal, mean, and minimal doses given to the gross tumor volume were assessed using a BNCT planning system. Results: The results are reported as median values with the interquartile range. In the IA group, the maximal, mean, and minimal dose given to the gross tumor volume was 68.7 Gy-Eq (range, 38.8-79.9), 45.0 Gy-Eq (range, 25.1-51.0), and 13.8 Gy-Eq (range, 4.8-25.3), respectively. In the IV group, the maximal, mean, and minimal dose given to the gross tumor volume was 24.2 Gy-Eq (range, 21.5-29.9), 16.4 Gy-Eq (range, 14.5-20.2), and 7.8 Gy-Eq (range, 6.8-9.5), respectively. Within 1-3 months after BNCT, the responses were assessed. Of the 6 patients in the IV group, 2 had a partial response, 3 no change, and 1 had progressive disease. Of 4 patients in the IA group, 1 achieved a complete response and 3 a partial response. Conclusion: Intra-arterial administration of boronophenylalanine is a promising drug delivery system for head-and-neck BNCT

  16. Impact of the volume of gaseous phase in closed reactors on ANC results and modelling

    Science.gov (United States)

    Drapeau, Clémentine; Delolme, Cécile; Lassabatere, Laurent; Blanc, Denise

    2016-04-01

    The understanding of the geochemical behavior of polluted solid materials is often challenging and requires huge expenses of time and money. Nevertheless, given the increasing amounts of polluted solid materials and related risks for the environment, it is more and more crucial to understand the leaching of majors and trace metals elements from these matrices. In the designs of methods to quantify pollutant solubilization, the combination of experimental procedures with modeling approaches has recently gained attention. Among usual methods, some rely on the association of ANC and geochemical modeling. ANC experiments - Acid Neutralization Capacity - consists in adding known quantities of acid or base to a mixture of water and contaminated solid materials at a given liquid / solid ratio in closed reactors. Reactors are agitated for 48h and then pH, conductivity, redox potential, carbon, majors and heavy metal solubilized are quantified. However, in most cases, the amounts of matrix and water do not reach the total volume of reactors, leaving some space for air (gaseous phase). Despite this fact, no clear indication is given in standard procedures about the effect of this gaseous phase. Even worse, the gaseous phase is never accounted for when exploiting or modeling ANC data. The gaseous phase may exchange CO2 with the solution, which may, in turn, impact both pH and element release. This study lies within the most general framework for the use of geochemical modeling for the prediction of ANC results for the case of pure phases to real phase assemblages. In this study, we focus on the effect of the gaseous phase on ANC experiments on different mineral phases through geochemical modeling. To do so, we use PHREEQC code to model the evolution of pH and element release (including majors and heavy metals) when several matrices are put in contact with acid or base. We model the following scenarios for the gaseous phase: no gas, contact with the atmosphere (open system

  17. Generation IV national program

    International Nuclear Information System (INIS)

    Preville, M.; Sadhankar, R.; Brady, D.

    2007-01-01

    This paper outlines the Generation IV National Program. This program involves evolutionary and innovative design with significantly higher efficiencies (∼50% compared to present ∼30%) - sustainable, economical, safe, reliable and proliferation resistant - for future energy security. The Generation IV Forum (GIF) effectively leverages the resources of the participants to meet these goals. Ten countries signed the GIF Charter in 2001

  18. De Minimis waste impacts analysis methodology. IMPACTS - BRC user's guide and methodology for radioactive wastes below regulatory concern. Draft report for comment. Volume 2

    International Nuclear Information System (INIS)

    Forstom, J.M.; Goode, D.J.

    1986-07-01

    This report describes the methodology and computer program used by NRC to evaluate radiological impacts associated with petitions to have specific slightly contaminated radioactive waste streams designated as ''below regulatory concern.'' These wastes could be treated and disposed of at facilities which are not licensed for low-level radioactive waste management. The IMPACTS-BRC computer program is implemented on IBM-PC microcomputers using the FORTRAN programming language. Radiological impacts (doses) are estimated for several pathways including direct gamma radiation exposure, worker inhalation and exposure, offsite atmospheric and water releases, and intruder exposures. Annual impacts are calculated for the maximum individual, critical groups, and general population. The treatment and disposal options include onsite incineration, incineration at municipal and hazardous waste facilities, and disposal at sanitary landfills and hazardous waste landfills. Modifications to the program (from Volume 1) are primarily for microcomputer compatibility and to provide information needed to evaluate the petitions. Default environmental and facility parameters are developed representing conservative assumptions about site selection and operational procedures. In particular, the parameters of the groundwater pathway model are modified to represent more conservative assumptions than the original model (Volume 1)

  19. The impact of rotating night shifts on the breast milk collection volume among employed breastfeeding mothers.

    Science.gov (United States)

    Huang, Chien-Cheng; Chung, Min-Hsien; Lin, Hung-Jung; Lin, Shio-Jean; Guo, How-Ran; Wang, Hsien-Yi; Su, Shih-Bin; Hsu, Chien-Chin

    2015-01-01

    The health benefits of breastfeeding are widely recognized. The World Health Organization recommends exclusive breastfeeding for six months after birth and for two years or longer together with nutritionally adequate complementary foods. To respond to the needs of industry, employed breastfeeding mothers must adapt to the rotating night shift (RNS). However, the RNS is associated with a higher risk of health problems in career women. We investigated the relationship between the RNS and breast milk volume. Mothers who used a breastfeeding room while working at a technology company in Taiwan voluntarily participated in this study from March 1 through April 30, 2013. We compared two groups: breastfeeding mothers on (RNS(+)) and not on a RNS (RNS(-)) to determine independent predictors for breast milk volume. We analyzed data from 109 participants: RNS(+) group n=56; RNS(-) group n=53. There was no significant difference in daily milk collection volume between the groups. Daily milk collection frequency and exclusive breastfeeding were independent predictors for a daily breast milk collection volume >350 ml. The RNS may not affect the breast milk volume. This result may help the government and employers make policies more appropriate for supporting employed breastfeeding mothers.

  20. Impact of pore-pressure cycling on bentonite in constant volume experiments

    International Nuclear Information System (INIS)

    Graham, C.C.; Harrington, J.F.; Cuss, R.J.; Sellin, P.

    2012-01-01

    Document available in extended abstract form only. The SKB safety case for a KBS-3 repository highlights the potential importance of future successive glaciation events on repository functions. One particular uncertainty is the likely affect of elevated pore-water pressures on barrier safety functions. Over the repository lifetime such changes in pore-water pressure are likely to be cyclic in nature, as successive glacial episodes lead to loading and unloading of the engineered barrier. For a clay-water system with the pore-water in thermodynamic equilibrium with an external reservoir of water at pressure, p w , the total stress acting on the surrounding vessel can be expressed as: (1) σ = Π + αp w where Π is the swelling pressure and α is a proportionality constant. We present results from a series of laboratory experiments designed to investigate this relationship, in the context of glacial loading. Blocks of pre-compacted Mx80 bentonite were manufactured by Clay Technology AB (Lund, Sweden), by rapidly compacting bentonite granules in a mould under a one dimensionally applied stress (Johannesson et al., 1995). The blocks were then sub-sampled and cylindrical specimens prepared for testing (120 mm in length and 60 mm in diameter). The experiments were conducted using a specially designed constant volume cell, which allows the evolution of the total stresses acting on the surrounding vessel to be monitored during clay swelling (at three radial and two axial locations). A high precision syringe pump was used to maintain a constant applied pore pressure within the bentonite, while the rate of hydraulic inflow, and consequent stress development, were monitored to determine the point at which hydraulic equilibrium was reached. During the tests each sample was subjected to an incremental series of constant pore-pressure steps, with all samples experiencing at least one loading and unloading cycle. The resulting average total stress data yield alpha values in the

  1. Draft Environmental Impact Statement. MX Deployment Area Selection and Land Withdrawal/Acquisition DEIS. Volume IV. Part I. Environmental Consequences to the Study Regions and Operating Base Vicinities.

    Science.gov (United States)

    1980-12-01

    Aliundance Index. *Cronc:eptUal location of Area Support Centers ( ASCUS ) for the Proposed Action and Alternatives 1-6. Conceptual location of Area Support...oF ARA 6R. ,L I>1_S Sd O - NC .NAME AG E AEBES S,, tu n:ps a ’ .!-X Cllustrs and E7TN Snake ’ . , F sh Surr.ngs _____ 1, rn-% ; I 1: C ’C .csert I...Natural predation may or may not be a significant factor in the decline of this species, depending on age class involved (FR 45; 163). PROPOSED ACTION

  2. Impact of the smoking ban on the volume of bar sales in Ireland: evidence from time series analysis.

    Science.gov (United States)

    Cornelsen, Laura; Normand, Charles

    2012-05-01

    This paper is the first to estimate the economic impact of a comprehensive smoking ban in all enclosed public places of work, on bars in Ireland. The demand in bars, represented by a monthly index of sales volume, is explained by relative prices in bars, prices of alcohol sold in off-licences and the aggregate retail sales (ARS) as a proxy for general economic activity and incomes. The smoking ban is included into the model as a step dummy and the modelling is done using ARIMAX strategy. The results show a reduction in the volume of sales in bars by -4.6% (p<0.01) following the ban. Copyright © 2011 John Wiley & Sons, Ltd.

  3. Impact of the accuracy of automatic tumour functional volume delineation on radiotherapy treatment planning

    International Nuclear Information System (INIS)

    Le Maitre, Amandine; Hatt, Mathieu; Pradier, Olivier; Cheze-le Rest, Catherine; Visvikis, Dimitris

    2012-01-01

    Over the past few years several automatic and semi-automatic PET segmentation methods for target volume definition in radiotherapy have been proposed. The objective of this study is to compare different methods in terms of dosimetry. For such a comparison, a gold standard is needed. For this purpose, realistic GATE-simulated PET images were used. Three lung cases and three H and N cases were designed with various shapes, contrasts and heterogeneities. Four different segmentation approaches were compared: fixed and adaptive thresholds, a fuzzy C-mean and the fuzzy locally adaptive Bayesian method. For each of these target volumes, an IMRT treatment plan was defined. The different algorithms and resulting plans were compared in terms of segmentation errors and ground-truth volume coverage using different metrics (V 95 , D 95 , homogeneity index and conformity index). The major differences between the threshold-based methods and automatic methods occurred in the most heterogeneous cases. Within the two groups, the major differences occurred for low contrast cases. For homogeneous cases, equivalent ground-truth volume coverage was observed for all methods but for more heterogeneous cases, significantly lower coverage was observed for threshold-based methods. Our study demonstrates that significant dosimetry errors can be avoided by using more advanced image-segmentation methods. (paper)

  4. The impact of large tidal volume ventilation on the absorption of inhaled insulin in rabbits

    DEFF Research Database (Denmark)

    Petersen, Astrid Heide; Laursen, Torben; Ahrén, Bo

    2007-01-01

    Previous studies have shown that ventilation patterns affect absorption of inhaled compounds. Thus, the aim of this study was to investigate the effect of large tidal volume ventilation (LTVV) on the absorption of inhaled insulin in rabbits. Mechanically ventilated rabbits were given human insulin...

  5. The economic impact of regional waste disposal on advanced volume reduction technologies

    International Nuclear Information System (INIS)

    McArthur, W.C.; Kniazewycz, B.G.

    1983-01-01

    Waste volume reduction has received increased emphasis over the past decade as annual operating costs have risen from $250,000/year to $3,500,000 for 1983. Emphasis has been given to developing and designing into new nuclear plants process and DAW volume reduction technologies such as fluidized-bed dryers incinerators, and evaporative-solidification systems. The basis for these systems was originally the correct perception that a crisis would be reached with the, then available, shallow land disposal sites which would increase costs substantially and possible jeopardize power plant operations. With the passage of the Low-Level Waste Policy Act of 1980 and increased emphasis on interim on-site storage of low-level waste, the ''economics of volume reduction'' are susceptible to increased uncertainties. This paper reviews some previous volume reduction economic analyses and evaluates the revised economics based upon the development of regional waste disposal sites, improved waste generation and processing practices, and the increased use of interim on-site storage. Several case studies are presented

  6. Cell volume change through water efflux impacts cell stiffness and stem cell fate

    NARCIS (Netherlands)

    Guo, Ming; Pegoraro, Adrian F.; Mao, Angelo; Zhou, Enhua H.; Arany, Praveen R.; Han, Yulong; Burnette, Dylan T.; Jensen, Mikkel H.; Kasza, Karen E.; Moore, Jeffrey R.; Mackintosh, Frederick C.; Fredberg, Jeffrey J.; Mooney, David J.; Lippincott-Schwartz, Jennifer; Weitz, David A.

    2017-01-01

    Cells alter their mechanical properties in response to their local microenvironment; this plays a role in determining cell function and can even influence stem cell fate. Here, we identify a robust and unified relationship between cell stiffness and cell volume. As a cell spreads on a substrate, its

  7. The environmental impact statement for the Nevada Test Site and off-site locations in the State of Nevada. Volume 1, Appendices A-F

    International Nuclear Information System (INIS)

    1996-01-01

    This volume contains appendices to the named document. The Appendices are entitled (A) Description of Projects and Activities, (2) Federal Register Notice, (C) Relevant Regulatory Requirements, (D) Distribution Lists, (E) Impact Assessment Methods, and (F) Project-Specific Environmental Analysis

  8. Neptunium (IV) oxalate solubility

    International Nuclear Information System (INIS)

    Luerkens, D.W.

    1983-07-01

    The equilibrium solubility of neptunium (IV) oxalate in nitric/oxalic acid solutions was determined at 22 0 C, 45 0 C, and 60 0 C. The concentrations of nitric/oxalic acid solutions represented a wide range of free oxalate ion concentration. A mathematical solubility model was developed which is based on the formation of the known complexes of neptunium (IV) oxalate. the solubility model uses a simplified concentration parameter which is proportional to the free oxalate ion concentration. The solubility model can be used to estimate the equilibrium solubility of neptunium (IV) oxalate over a wide range of oxalic and nitric acid concentrations at each temperature

  9. Restless legs syndrome in a community sample of Korean adults: prevalence, impact on quality of life, and association with DSM-IV psychiatric disorders.

    Science.gov (United States)

    Cho, Seong-Jin; Hong, Jin Pyo; Hahm, Bong-Jin; Jeon, Hong Jin; Chang, Sung Man; Cho, Maeng Je; Lee, Hochang B

    2009-08-01

    Conflicting reports on prevalence of RLS exist in Asian countries due to differences in sampling strategies and assessment instruments. We assessed the prevalence, correlates, quality of life, and psychiatric comorbidity of RLS in South Korea. Cross-sectional nationwide survey. Nationally representative sample of 6,509 Korean adults aged 18-64. Face-to-face interviews based on the Korean translation of the four features of RLS defined by the International RLS Study Group (IRLSSG), the Korean version of Composite International Diagnostic Interview (K-CIDI), and EuroQol (EQ-5D) were conducted for all participants. The weighted prevalence of RLS in South Korea was 0.9% (men, 0.6%; women, 1.3%). Subjects with RLS had a lower quality of life according to EQ-5D than those without RLS. Adjusted odds ratio for lifetime diagnosis of DSM-IV major depressive disorder (2.57, 95% confidence interval [1.33, 4.96]), panic disorder (18.9 [4.72, 75.9]) and posttraumatic stress disorder (3.76 [1.32, 10.7]) suggest strong association between RLS and DSM-IV depression and anxiety disorders. Prevalence of RLS estimated based on the IRLSSG diagnostic criteria is substantially lower in South Korea than in Western countries. Differences in culture and risk factors that affect the expression of RLS may vary across the countries.

  10. Locally Advanced Stage IV Squamous Cell Carcinoma of the Head and Neck: Impact of Pre-Radiotherapy Hemoglobin Level and Interruptions During Radiotherapy

    International Nuclear Information System (INIS)

    Rades, Dirk; Stoehr, Monika; Kazic, Nadja; Hakim, Samer G.; Walz, Annette; Schild, Steven E.; Dunst, Juergen

    2008-01-01

    Purpose: Stage IV head and neck cancer patients carry a poor prognosis. Clear understanding of prognostic factors can help to optimize care for the individual patient. This study investigated 11 potential prognostic factors including pre-radiotherapy hemoglobin level and interruptions during radiotherapy for overall survival (OS), metastases-free survival (MFS), and locoregional control (LC) after radiochemotherapy. Methods and Materials: Eleven factors were investigated in 153 patients receiving radiochemotherapy for Stage IV squamous cell head and neck cancer: age, gender, Karnofsky performance score (KPS), tumor site, grading, T stage, N stage, pre-radiotherapy hemoglobin level, surgery, chemotherapy type, and interruptions during radiotherapy >1 week. Results: On multivariate analysis, improved OS was associated with KPS 90-100 (relative risk [RR], 2.36; 95% confidence interval [CI], 1.20-4.93; p = .012), hemoglobin ≥12 g/dL (RR, 1.88; 95% CI, 1.01-3.53; p = .048), and no radiotherapy interruptions (RR, 2.59; 95% CI, 1.15-5.78; p = .021). Improved LC was significantly associated with lower T stage (RR, 2.17; 95% CI, 1.16-4.63; p = .013), hemoglobin ≥12 g/dL (RR, 4.12; 95% CI, 1.92-9.09; p 1 week. It appears important to avoid anemia and radiotherapy interruptions to achieve the best treatment results

  11. Impact of entrainment and impingement on fish populations in the Hudson River estuary. Volume I. Entrainment-impact estimates for six fish populations inhabiting the Hudson River estuary

    International Nuclear Information System (INIS)

    Boreman, J.; Barnthouse, L.W.; Vaughn, D.S.; Goodyear, C.P.; Christensen, S.W.; Kumar, K.D.; Kirk, B.L.; Van Winkle, W.

    1982-01-01

    This volume is concerned with the estimation of the direct (or annual) entrainment impact of power plants on populations of striped bass, white perch, Alosa spp. (blueback herring and alewife), American shad, Atlantic tomcod, and bay anchovy in the Hudson River estuary. Entrainment impact results from the killing of fish eggs, larvae, and young juveniles that are contained in the cooling water cycled through a power plant. An Empirical Transport Model (ETM) is presented as the means of estimating a conditional entrainment mortality rate (defined as the fraction of a year class which would be killed due to entrainment in the absence of any other source of mortality). Most of this volume is concerned with the estimation of several parameters required by the ETM: physical input parameters (e.g., power-plant withdrawal flow rates); the longitudinal distribution of ichthyoplankton in time and space; the duration of susceptibility of the vulnerable organisms; the W-factors, which express the ratios of densities of organisms in power plant intakes to densities of organisms in the river; and the entrainment mortality factors (f-factors), which express the probability that an organism will be killed if it is entrained. Once these values are obtained, the ETM is used to estimate entrainment impact for both historical and projected conditions

  12. Quantifying the potential impacts of fuel treatments on wildfire suppression costs volume

    Science.gov (United States)

    Matthew P. Thompson; Nicole M. Vaillant; Jessica R. Haas; Krista M. Gebert; Keith D. Stockmann

    2013-01-01

    Modeling the impacts and effects of hazardous fuel reduction treatments is a pressing issue within the wildfire management community. Prospective evaluation of fuel treatments allows for comparison of alternative treatment strategies in terms of socioeconomic and ecological impacts and facilitates analysis of tradeoffs across land management objectives (Stockmann et al...

  13. NNDSS - Table IV. Tuberculosis

    Data.gov (United States)

    U.S. Department of Health & Human Services — NNDSS - Table IV. Tuberculosis - 2016.This Table includes total number of cases reported in the United States, by region and by states, in accordance with the...

  14. NNDSS - Table IV. Tuberculosis

    Data.gov (United States)

    U.S. Department of Health & Human Services — NNDSS - Table IV. Tuberculosis - 2014.This Table includes total number of cases reported in the United States, by region and by states, in accordance with the...

  15. NNDSS - Table IV. Tuberculosis

    Data.gov (United States)

    U.S. Department of Health & Human Services — NNDSS - Table IV. Tuberculosis - 2015.This Table includes total number of cases reported in the United States, by region and by states, in accordance with the...

  16. SAGE IV Pathfinder

    Data.gov (United States)

    National Aeronautics and Space Administration — Utilizing a unique, new occultation technique involving imaging, the SAGE IV concept will meet or exceed the quality of previous SAGE measurements at a small...

  17. IMPACT STUDY: MK-0646 (DALOTUZUMAB, INSULIN GROWTH FACTOR 1 RECEPTOR (IGF-1R ANTIBODY COMBINED WITH PEMETREXED AND CISPLATIN IN STAGE IV METASTATIC NON-SQUAMOUS LUNG CANCER

    Directory of Open Access Journals (Sweden)

    Chao H Huang

    2016-01-01

    Full Text Available Background: Insulin-like growth factor 1 receptor (IGF-1R regulates cell growth, proliferation and apoptosis. Adenocarcinoma and never-smokers have a higher expression of IGF-1R, which is associated with worse overall survival. Dalotuzumab-MK0646 (D is a humanized monoclonal antibody that targets IGF-1R. Pemetrexed (P has higher activity in non-squamous lung cancer (NSQL. We initiated a randomized phase II trial to test the combination of P and Cisplatin (C +/- D in NSQL.Methods: Eligibility criteria: untreated NSQL stage IIIB or IV, ECOG 0 or 1, measurable disease, adequate renal, hepatic and hematologic function, and no other intercurrent illness. P at 500mg/m2 and C at 75mg/m2 IV were given every 3 weeks. D was given at 10mg/kg IV weekly on days 1, 8 and 15 of every 3-week cycle in the experimental group. The patients had a radiographic assessment after every 2 cycles and were treated for a maximum of 6 cycles if there was a response or stable disease. The primary objective of the study was to compare the clinical response rates of PC vs PC+D. Results: From 1/2009 to 2/2011, the study accrued 26 subjects: 16 male and 10 female, with a median age of 59; 14 were treated with PC and 12 were treated with PC+D. We observed 2 partial responses (PR, 7 stable disease (SD, 3 progressive disease (PD, and 2 were not evaluable (NE in the PC arm. In comparison, for the PC+D arm there were: 3 PR, 4 SD, 4 PD and 1 NE. The hematologic toxicity was similar in both groups. There higher incidence of hyperglycemia the experimental group; 4 cases with grade 3 and 1 case with grade 4. Conclusion: PC+D had a similar response rate compared to PC, with a higher rate of hyperglycemia. Identification of responders using predictive markers would be key to continuing the study of D in NSQL.

  18. Impact of future remnant liver volume on post-hepatectomy regeneration in non-cirrhotic livers

    Directory of Open Access Journals (Sweden)

    Duilio ePagano

    2014-04-01

    Full Text Available Objective: The purpose of the study is to detect if some parameters can be considered as predictors of liver regeneration in two different patient populations composed of in living donors for adult to adult living donor liver transplant and patients with hepatic malignancies within a single institution.Summary Background Data: Preoperative multi-detector computed tomography volumetry is an essential tool to assess the volume of the remnant liver. Methods: a retrospective analysis from an ongoing clinical study on 100 liver resections, between 2004 and 2010. 70 patients were right lobe living donors for liver transplantation and 30 patients were resected for treatment of tumors. Pre-surgical factors such as age, weight, height, body mass index (BMI, original liver volume, future remnant liver volume (FRLV, spleen volume, liver function tests, creatinine, platelet count, steatosis, portal vein embolization (PVE and number of resected segments were analyzed to evidence potential markers for liver regeneration. Results: Follow-up period did not influence the amount of liver regenerated: the linear regression evidenced that there is no correlation between percentage of liver regeneration and time of follow-up (p=0.88. The pre-surgical variables that resulted markers of liver regeneration include higher preoperative values of BMI (p=0.01, bilirubin(p=0.04, glucose (p=0.05 and GGT (p=0.014; the most important association was revealed regarding the lower FRLV (pConclusions: Liver regeneration follows similar pathway in living donor and in patients resected for cancer. Small FRLV tends to regenerate more and faster, confirming that a larger resections may lead to a greater promotion of liver regeneration in patients with optimal conditions in terms of body habitus, preoperative liver function tests and glucose level.

  19. Target Volume Delineation in Oropharyngeal Cancer: Impact of PET, MRI, and Physical Examination

    International Nuclear Information System (INIS)

    Thiagarajan, Anuradha; Caria, Nicola; Schöder, Heiko; Iyer, N. Gopalakrishna; Wolden, Suzanne; Wong, Richard J.; Sherman, Eric; Fury, Matthew G.; Lee, Nancy

    2012-01-01

    Introduction: Sole utilization of computed tomography (CT) scans in gross tumor volume (GTV) delineation for head-and-neck cancers is subject to inaccuracies. This study aims to evaluate contributions of magnetic resonance imaging (MRI), positron emission tomography (PET), and physical examination (PE) to GTV delineation in oropharyngeal cancer (OPC). Methods: Forty-one patients with OPC were studied. All underwent contrast-enhanced CT simulation scans (CECTs) that were registered with pretreatment PETs and MRIs. For each patient, three sets of primary and nodal GTV were contoured. First, reference GTVs (GTVref) were contoured by the treating radiation oncologist (RO) using CT, MRI, PET, and PE findings. Additional GTVs were created using fused CT/PET scans (GTVctpet) and CT/MRI scans (GTVctmr) by two other ROs blinded to GTVref. To compare GTVs, concordance indices (CI) were calculated by dividing the respective overlap volumes by overall volumes. To evaluate the contribution of PE, composite GTVs derived from CT, MRI, and PET (GTVctpetmr) were compared with GTVref. Results: For primary tumors, GTVref was significantly larger than GTVctpet and GTVctmr (p 0.75), indicating that although the modalities were complementary, the added benefit was small in the context of CECTs. In addition, PE did not aid greatly in nodal GTV delineation. Conclusion: PET and MRI are complementary and combined use is ideal. However, the low CI (ctpetmr vs. ref) particularly for primary tumors underscores the limitations of defining GTVs using imaging alone. PE is invaluable and must be incorporated.

  20. CO2 volume fluxes outgassing from champagne glasses: the impact of champagne ageing.

    Science.gov (United States)

    Liger-Belair, Gérard; Villaume, Sandra; Cilindre, Clara; Jeandet, Philippe

    2010-02-15

    It was demonstrated that CO(2) volume fluxes outgassing from a flute poured with a young champagne (elaborated in 2007) are much higher than those outgassing from the same flute poured with an older champagne (elaborated in the early 1990s). The difference in dissolved-CO(2) concentrations between the two types of champagne samples was found to be a crucial parameter responsible for differences in CO(2) volume fluxes outgassing from one champagne to another. Nevertheless, it was shown that, for a given identical dissolved-CO(2) concentration in both champagne types, the CO(2) volume flux outgassing from the flute poured with the old champagne is, in average, significantly lower than that outgassing from the flute poured with the young one. Therefore, CO(2) seems to "escape" more easily from the young champagne than from the older one. The diffusion coefficient of CO(2) in both champagne types was pointed as a key parameter to thoroughly determine in the future, in order to unravel our experimental observation. Copyright 2009 Elsevier B.V. All rights reserved.

  1. User Instructions for the Systems Assessment Capability, Rev. 0, Computer Codes Volume 2: Impact Modules

    International Nuclear Information System (INIS)

    Eslinger, Paul W.; Arimescu, Carmen; Kanyid, Beverly A.; Miley, Terri B.

    2001-01-01

    One activity of the Department of Energy?s Groundwater/Vadose Zone Integration Project is an assessment of cumulative impacts from Hanford Site wastes on the subsurface environment and the Columbia River. Through the application of a system assessment capability (SAC), decisions for each cleanup and disposal action will be able to take into account the composite effect of other cleanup and disposal actions. The SAC has developed a suite of computer programs to simulate the migration of contaminants (analytes) present on the Hanford Site and to assess the potential impacts of the analytes, including dose to humans, socio-cultural impacts, economic impacts, and ecological impacts. The general approach to handling uncertainty in the SAC computer codes is a Monte Carlo approach. Conceptually, one generates a value for every stochastic parameter in the code (the entire sequence of modules from inventory through transport and impacts) and then executes the simulation, obtaining an output value, or result. This document provides user instructions for the SAC codes that generate human, ecological, economic, and cultural impacts

  2. The impact of surgeon volume on colostomy reversal outcomes after Hartmann's procedure for diverticulitis.

    Science.gov (United States)

    Aquina, Christopher T; Probst, Christian P; Becerra, Adan Z; Hensley, Bradley J; Iannuzzi, James C; Noyes, Katia; Monson, John R T; Fleming, Fergal J

    2016-11-01

    Colostomy reversal after Hartmann's procedure for diverticulitis is a morbid procedure, and studies investigating factors associated with outcomes are lacking. This study identifies patient, surgeon, and hospital-level factors associated with perioperative outcomes after stoma reversal. The Statewide Planning and Research Cooperative System was queried for urgent/emergency Hartmann's procedures for diverticulitis between 2000-2012 in New York State and subsequent colostomy reversal within 1 year of the procedure. Surgeon and hospital volume were categorized into tertiles based on the annual number of colorectal resections performed each year. Bivariate and mixed-effects analyses were used to assess the association between patient, surgeon, and hospital-level factors and perioperative outcomes after colostomy reversal, including a laparoscopic approach; duration of stay; intensive care unit admission; complications; mortality; and 30-day, unscheduled readmission. Among 10,487 patients who underwent Hartmann's procedure and survived to discharge, 63% had the colostomy reversed within 1 year. After controlling for patient, surgeon, and hospital-level factors, high-volume surgeons (≥40 colorectal resections/yr) were independently associated with higher odds of a laparoscopic approach (unadjusted rates: 14% vs 7.6%; adjusted odds ratio = 1.84, 95% confidence interval = 1.12, 3.00), shorter duration of stay (median: 6 versus 7 days; adjusted incidence rate ratio = 0.87, 95% confidence interval = 0.81, 0.95), and lower odds of 90-day mortality (unadjusted rates: 0.4% vs 1.0%; adjusted odds ratio = 0.30, 95% confidence interval = 0.10, 0.88) compared with low-volume surgeons (1-15 colorectal resections/yr). High-volume surgeons are associated with better perioperative outcomes and lower health care utilization after Hartmann's reversal for diverticulitis. These findings support referral to high-volume surgeons for colostomy reversal. Copyright © 2016

  3. Draft Programmatic Environmental Impact Statement for Stockpile Stewardship and Management: Volume 3, Appendix I, Appendix J, Appendix K

    International Nuclear Information System (INIS)

    1996-02-01

    In response to the end of the Cold War and changes in the world's political regimes, United States is no longer producing new nuclear weapons. Instead, the US nuclear weapons program is reducing the size of the nuclear stockpile by dismantling existing weapons. DOE has been directed to maintain the safety and reliability of the reduced nuclear weapons stockpile in the absence of underground testing. Therefore, DOE has developed a stewardship and management program to provide a single highly integrated technical program. The stockpile stewardship portion of the PEIS evaluates the potential impacts of three proposed facilities: the National Ignition Facility, the Contained Firing facility, and the Atlas Facility. This volume contains appendices for these 3 facilities; alternatives affecting LANL, LLNL, SNL, and NTS are addressed. Impacts on land resources, site infrastructure, air qualaity, water resources, geology and soils, biotic resources, cultural resources, etc., are evaluated. This PEIS presents unclassified information only

  4. Impact of spinal anaesthesia on peri-operative lung volumes in obese and morbidly obese female patients.

    Science.gov (United States)

    Regli, A; von Ungern-Sternberg, B S; Reber, A; Schneider, M C

    2006-03-01

    Although obesity predisposes to postoperative pulmonary complications, data on the relationship between body mass index (BMI) and peri-operative respiratory performance are limited. We prospectively studied the impact of spinal anaesthesia, obesity and vaginal surgery on lung volumes measured by spirometry in 28 patients with BMI 30-40 kg.m(-2) and in 13 patients with BMI > or = 40 kg.m(-2). Vital capacity, forced vital capacity, forced expiratory volume in 1 s, mid-expiratory and peak expiratory flows were measured during the pre-operative visit (baseline), after effective spinal anaesthesia with premedication, and after the operation at 20 min, 1 h, 2 h, and 3 h (after mobilisation). Spinal anaesthesia and premedication were associated with a significant decrease in spirometric parameters. Spinal anaesthesia and premedication were associated with a significant decrease in spirometric parameters; mean (SD) vital capacities were - 19% (6.4) in patients with BMI 30-40 kg.m(-2) and - 33% (9.0) in patients with BMI > 40 kg.m(-2). The decrease of lung volumes remained constant for 2 h, whereas 3 h after the operation and after mobilisation, spirometric parameters significantly improved in all patients. This study showed that both spinal anaesthesia and obesity significantly impaired peri-operative respiratory function.

  5. Draft Environmental Impact Statement for the tank waste remediation system. Volume 4

    International Nuclear Information System (INIS)

    1996-04-01

    This appendix describes the current safety concerns associated with the tank waste and analyzes the potential accidents and associated potential health effects that could occur under the alternatives included in this Tank Waste Remediation System (TWRS) Environmental Impact Statement (EIS)

  6. Volume 9 No. 7 2009 October 2009 1452 IMPACT OF HIV AND ...

    African Journals Online (AJOL)

    The impact of HIV/AIDS on household food and nutrition security in Suba .... factors, religion, gender, age, marriage, customs and agro-ecological conditions play a ... stores, malnutrition, weight loss and wasting which can be life threatening.

  7. Age of second language acquisition in multilinguals has an impact on gray matter volume in language-associated brain areas.

    Science.gov (United States)

    Kaiser, Anelis; Eppenberger, Leila S; Smieskova, Renata; Borgwardt, Stefan; Kuenzli, Esther; Radue, Ernst-Wilhelm; Nitsch, Cordula; Bendfeldt, Kerstin

    2015-01-01

    Numerous structural studies have established that experience shapes and reshapes the brain throughout a lifetime. The impact of early development, however, is still a matter of debate. Further clues may come from studying multilinguals who acquired their second language at different ages. We investigated adult multilinguals who spoke three languages fluently, where the third language was learned in classroom settings, not before the age of 9 years. Multilinguals exposed to two languages simultaneously from birth (SiM) were contrasted with multinguals who acquired their first two languages successively (SuM). Whole brain voxel based morphometry revealed that, relative to SuM, SiM have significantly lower gray matter volume in several language-associated cortical areas in both hemispheres: bilaterally in medial and inferior frontal gyrus, in the right medial temporal gyrus and inferior posterior parietal gyrus, as well as in the left inferior temporal gyrus. Thus, as shown by others, successive language learning increases the volume of language-associated cortical areas. In brains exposed early on and simultaneously to more than one language, however, learning of additional languages seems to have less impact. We conclude that - at least with respect to language acquisition - early developmental influences are maintained and have an effect on experience-dependent plasticity well into adulthood.

  8. Age of second language acquisition in multilinguals has an impact on grey matter volume in language-associated brain areas

    Directory of Open Access Journals (Sweden)

    Anelis eKaiser

    2015-06-01

    Full Text Available Numerous structural studies have established that experience shapes and reshapes the brain throughout a lifetime. The impact of early development, however, is still a matter of debate. Further clues may come from studying multilinguals who acquired their second language at different ages. We investigated adult multilinguals who spoke three languages fluently, where the third language was learned in classroom settings, not before the age of 9 years. Multilinguals exposed to 2 languages simultaneously from birth (SiM were contrasted with multinguals who acquired their first two languages successively (SuM. Whole brain voxel based morphometry revealed that, relative to SuM, SiM have significantly lower grey matter volume in several language-associated cortical areas in both hemispheres: bilaterally in medial and inferior frontal gyrus, in the right medial temporal gyrus and inferior posterior parietal gyrus, as well as in the left inferior frontal gyrus. Thus, as shown by others, successive language learning increases the volume of language-associated cortical areas. In brains exposed early on and simultaneously to more than one language, however, learning of additional languages seems to have less impact. We conclude that - at least with respect to language acquisition - early developmental influences are maintained and influence experience-dependent plasticity well into adulthood.

  9. Fingolimod's Impact on MRI Brain Volume Measures in Multiple Sclerosis: Results from MS-MRIUS.

    Science.gov (United States)

    Zivadinov, Robert; Medin, Jennie; Khan, Nasreen; Korn, Jonathan R; Bergsland, Niels; Dwyer, Michael G; Chitnis, Tanuja; Naismith, Robert T; Alvarez, Enrique; Kinkel, Peter; Cohan, Stanley; Hunter, Samuel F; Silva, Diego; Weinstock-Guttman, Bianca

    2018-05-11

    Evidence is needed to understand the effect of fingolimod on slowing down brain atrophy progression in multiple sclerosis (MS) patients in clinical practice. We investigated the effect of fingolimod on brain atrophy in MS patients with active disease (clinically and/or magnetic resonance imaging [MRI]) versus no evidence of active disease (NEAD). MS and clinical outcome and MRI in the United States (MS-MRIUS) is a multicenter, retrospective study that included 590 relapsing-remitting MS patients, who initiated fingolimod, and were followed for a median of 16 months. Patients with active disease at baseline (245, 41.5%) were defined as those who had one or more relapses in the year previous starting fingolimod, and/or displayed gadolinium enhancing lesions(s) at baseline MRI scan, whereas patients with NEAD at baseline (345, 58.5%) did not fulfill these criteria. Annualized percentage brain volume change (PBVC) and percentage lateral ventricle volume change (PLVVC) over the follow-up were analyzed in both groups. Over the follow-up, the rate of PBVC was -.38% in active disease and -.25% in NEAD patients (P = .076), whereas PLLVC was 1.76% in active disease and .28% in NEAD patients (P = .046). No changes in timed 25-foot walk (P = .619) and Expanded Disability Status Scale (P = .275) scores or MRI lesion accumulation (P > 0.08) were detected, although the active disease group had a higher proportion of relapses during the follow-up period (P = .02). The study provides real-world evidence that rate of brain atrophy in MS patients with underlying active disease and NEAD in fingolimod treated patients is below the established pathological cutoff for loss of whole brain volume (>-.4%) or expansion of lateral ventricles (> 3.5%). Copyright © 2018 by the American Society of Neuroimaging.

  10. Impact of partial-volume correction in oncological PET studies. A systematic review and meta-analysis

    Energy Technology Data Exchange (ETDEWEB)

    Cysouw, Matthijs C.F.; Kramer, Gerbrand M.; Hoekstra, Otto S. [VU University Medical Centre, Department of Radiology and Nuclear Medicine, Amsterdam (Netherlands); Schoonmade, Linda J. [VU University Medical Centre, Department of Medical Library, Amsterdam (Netherlands); Boellaard, Ronald [VU University Medical Centre, Department of Radiology and Nuclear Medicine, Amsterdam (Netherlands); University Medical Centre Groningen, Department of Nuclear Medicine and Molecular Imaging, Groningen (Netherlands); Vet, Henrica C.W. de [VU University Medical Centre, Department of Epidemiology and Biostatistics, Amsterdam (Netherlands)

    2017-11-15

    Positron-emission tomography can be useful in oncology for diagnosis, (re)staging, determining prognosis, and response assessment. However, partial-volume effects hamper accurate quantification of lesions <2-3 x the PET system's spatial resolution, and the clinical impact of this is not evident. This systematic review provides an up-to-date overview of studies investigating the impact of partial-volume correction (PVC) in oncological PET studies. We searched in PubMed and Embase databases according to the PRISMA statement, including studies from inception till May 9, 2016. Two reviewers independently screened all abstracts and eligible full-text articles and performed quality assessment according to QUADAS-2 and QUIPS criteria. For a set of similar diagnostic studies, we statistically pooled the results using bivariate meta-regression. Thirty-one studies were eligible for inclusion. Overall, study quality was good. For diagnosis and nodal staging, PVC yielded a strong trend of increased sensitivity at expense of specificity. Meta-analysis of six studies investigating diagnosis of pulmonary nodules (679 lesions) showed no significant change in diagnostic accuracy after PVC (p = 0.222). Prognostication was not improved for non-small cell lung cancer and esophageal cancer, whereas it did improve for head and neck cancer. Response assessment was not improved by PVC for (locally advanced) breast cancer or rectal cancer, and it worsened in metastatic colorectal cancer. The accumulated evidence to date does not support routine application of PVC in standard clinical PET practice. Consensus on the preferred PVC methodology in oncological PET should be reached. Partial-volume-corrected data should be used as adjuncts to, but not yet replacement for, uncorrected data. (orig.)

  11. Quantifying the Impact of Immediate Reconstruction in Postmastectomy Radiation: A Large, Dose-Volume Histogram-Based Analysis

    Energy Technology Data Exchange (ETDEWEB)

    Ohri, Nisha [Department of Radiation Oncology, Memorial Sloan-Kettering Cancer Center, New York, New York (United States); Cordeiro, Peter G. [Department of Plastic Surgery, Memorial Sloan-Kettering Cancer Center, New York, New York (United States); Keam, Jennifer [Department of Radiation Oncology, Memorial Sloan-Kettering Cancer Center, New York, New York (United States); Ballangrud, Ase [Department of Medical Physics, Memorial Sloan-Kettering Cancer Center, New York, New York (United States); Shi Weiji; Zhang Zhigang [Department of Biostatistics and Epidemiology, Memorial Sloan-Kettering Cancer Center, New York, New York (United States); Nerbun, Claire T.; Woch, Katherine M.; Stein, Nicholas F.; Zhou Ying [Department of Medical Physics, Memorial Sloan-Kettering Cancer Center, New York, New York (United States); McCormick, Beryl; Powell, Simon N. [Department of Radiation Oncology, Memorial Sloan-Kettering Cancer Center, New York, New York (United States); Ho, Alice Y., E-mail: HoA1234@mskcc.org [Department of Radiation Oncology, Memorial Sloan-Kettering Cancer Center, New York, New York (United States)

    2012-10-01

    Purpose: To assess the impact of immediate breast reconstruction on postmastectomy radiation (PMRT) using dose-volume histogram (DVH) data. Methods and Materials: Two hundred forty-seven women underwent PMRT at our center, 196 with implant reconstruction and 51 without reconstruction. Patients with reconstruction were treated with tangential photons, and patients without reconstruction were treated with en-face electron fields and customized bolus. Twenty percent of patients received internal mammary node (IMN) treatment. The DVH data were compared between groups. Ipsilateral lung parameters included V20 (% volume receiving 20 Gy), V40 (% volume receiving 40 Gy), mean dose, and maximum dose. Heart parameters included V25 (% volume receiving 25 Gy), mean dose, and maximum dose. IMN coverage was assessed when applicable. Chest wall coverage was assessed in patients with reconstruction. Propensity-matched analysis adjusted for potential confounders of laterality and IMN treatment. Results: Reconstruction was associated with lower lung V20, mean dose, and maximum dose compared with no reconstruction (all P<.0001). These associations persisted on propensity-matched analysis (all P<.0001). Heart doses were similar between groups (P=NS). Ninety percent of patients with reconstruction had excellent chest wall coverage (D95 >98%). IMN coverage was superior in patients with reconstruction (D95 >92.0 vs 75.7%, P<.001). IMN treatment significantly increased lung and heart parameters in patients with reconstruction (all P<.05) but minimally affected those without reconstruction (all P>.05). Among IMN-treated patients, only lower lung V20 in those without reconstruction persisted (P=.022), and mean and maximum heart doses were higher than in patients without reconstruction (P=.006, P=.015, respectively). Conclusions: Implant reconstruction does not compromise the technical quality of PMRT when the IMNs are untreated. Treatment technique, not reconstruction, is the primary

  12. Monterey Peninsula Water Supply Project. Supplemental Draft Environmental Impact Report/Statement II. Volume 2.

    Science.gov (United States)

    1993-02-01

    Fueled 7,634,0(X) 51 Geothermal 1,302,M(K) 9 Nuclear 2,160,(MX) 14 Total Thermal 11,096,(kM) 74 Hydroelectric 3,877,M(X) 26 Solar 0 0t Total Company...Nuclear 16,273,963 17 "Total Thermal 48,094,316 50 Hydroelectric 8,007,631 8 Solar 35 0 Total Company Generation 56,101,982 58 Helms Pumpback Energy...returnable beverage containers, prohibition of disposable diapers , and other measures to reduce the volume of the urban solid waste streams. Appeaidix 19-B

  13. Impact of particle density and initial volume on mathematical compression models

    DEFF Research Database (Denmark)

    Sonnergaard, Jørn

    2000-01-01

    In the calculation of the coefficients of compression models for powders either the initial volume or the particle density is introduced as a normalising factor. The influence of these normalising factors is, however, widely different on coefficients derived from the Kawakita, Walker and Heckel...... equations. The problems are illustrated by investigations on compaction profiles of 17 materials with different molecular structures and particle densities. It is shown that the particle density of materials with covalent bonds in the Heckel model acts as a key parameter with a dominating influence...

  14. Comparing colon cancer outcomes: The impact of low hospital case volume and case-mix adjustment.

    Science.gov (United States)

    Fischer, C; Lingsma, H F; van Leersum, N; Tollenaar, R A E M; Wouters, M W; Steyerberg, E W

    2015-08-01

    When comparing performance across hospitals it is essential to consider the noise caused by low hospital case volume and to perform adequate case-mix adjustment. We aimed to quantify the role of noise and case-mix adjustment on standardized postoperative mortality and anastomotic leakage (AL) rates. We studied 13,120 patients who underwent colon cancer resection in 85 Dutch hospitals. We addressed differences between hospitals in postoperative mortality and AL, using fixed (ignoring noise) and random effects (incorporating noise) logistic regression models with general and additional, disease specific, case-mix adjustment. Adding disease specific variables improved the performance of the case-mix adjustment models for postoperative mortality (c-statistic increased from 0.77 to 0.81). The overall variation in standardized mortality ratios was similar, but some individual hospitals changed considerably. For the standardized AL rates the performance of the adjustment models was poor (c-statistic 0.59 and 0.60) and overall variation was small. Most of the observed variation between hospitals was actually noise. Noise had a larger effect on hospital performance than extended case-mix adjustment, although some individual hospital outcome rates were affected by more detailed case-mix adjustment. To compare outcomes between hospitals it is crucial to consider noise due to low hospital case volume with a random effects model. Copyright © 2015 Elsevier Ltd. All rights reserved.

  15. The impact of acid soil volume of reclaimed minespoils on plant growth in minilysimeters

    International Nuclear Information System (INIS)

    Shahandeh, H.; Hossner, L.R.; Birkhead, J.A.

    1996-01-01

    Limited data are available to assess the influence of randomly distributed acid soil, produced from acid forming materials (AFM), on growth and productivity of crops. This study evaluated the effect of amount and volume of acid soil on the growth of an acid tolerant plant (Coastal bermudga grass, Cynodon dactylon, L.) and an acid intolerant plant (Yuchi arrowleaf clover, Trifolium vesiculosum, Savi) in greenhouse lysimeters. Acid soil (pH=2.5) volumes up to 20% for Yuchi arrowleaf clover and up to 40% for Coastal bermuda grass did not significantly decrease dry matter yield. Concentrations of Al and Mn in plant tissue of clover and bermudagrass were below the toxicity level. In the presence of randomly distributed acid soil, plant roots continued to elongate in non-acid soil, by evading localized areas of low soil pH. These results suggest that the federally mandated zero tolerance for AFM in the top 1.2 m of reclaimed lands may not be reasonable. 18 refs., 7 figs., 2 tabs

  16. The impact of acid soil volume of reclaimed minespoils on plant growth in minilysimeters

    Energy Technology Data Exchange (ETDEWEB)

    Shahandeh, H.; Hossner, L.R.; Birkhead, J.A. [Texas A & M University, College Station, TX (United States). College of Agriculture and Life Science

    1996-06-01

    Limited data are available to assess the influence of randomly distributed acid soil, produced from acid forming materials (AFM), on growth and productivity of crops. This study evaluated the effect of amount and volume of acid soil on the growth of an acid tolerant plant (Coastal bermudga grass, {ital Cynodon dactylon}, L.) and an acid intolerant plant (Yuchi arrowleaf clover, {ital Trifolium vesiculosum}, Savi) in greenhouse lysimeters. Acid soil (pH=2.5) volumes up to 20% for Yuchi arrowleaf clover and up to 40% for Coastal bermuda grass did not significantly decrease dry matter yield. Concentrations of Al and Mn in plant tissue of clover and bermudagrass were below the toxicity level. In the presence of randomly distributed acid soil, plant roots continued to elongate in non-acid soil, by evading localized areas of low soil pH. These results suggest that the federally mandated zero tolerance for AFM in the top 1.2 m of reclaimed lands may not be reasonable. 18 refs., 7 figs., 2 tabs.

  17. Uranium milling: Volume 1, Summary and text: Generic environmental impact statement: Draft

    International Nuclear Information System (INIS)

    1979-04-01

    This generic environmental impact statement on uranium milling has been prepared in accordance with a notice of intent published by the Nuclear Regulatory Commission (NRC). The purpose of the statement is to assess the potential environmental impacts of uranium milling operations, in a programmatic context, including the management of uranium mill tailings, and to provide an opportunity for public participation in decisions on any proposed changes in NRC regulations based on this assessment. The principal objectives of the statement are to assess the nature and extent of the environmental impacts of uranium milling in the United states from local, regional, and national perspectives on both short- and long-term bases, to determine what regulatory actions are needed; to provide information on which to determine what regulatory requirements for management and disposal of mill tailings and mill decommissioning should be; and to support any rule makings that may be determined to be necessary. 39 figs., 130 tabs

  18. Impacts of Outer Continental Shelf (OCS) development on recreation and tourism. Volume 1. Executive summary

    Energy Technology Data Exchange (ETDEWEB)

    1987-04-01

    The study was intended to provide the Mineral Management Service (MMS) with an analytical tool to evaluate possible economic impacts from Outer Continental Shelf (OCS) development. In particular, the study was designed to provide MMS staff who work on lease sale Energy Impact Statements with an objective technique for estimating the impacts to coastal communities from events that might occur as a result of lease sales: oil spills, onshore construction, and construction of platforms offshore. The project had several specific objectives: (1) provide profiles of 1982 socio-economic conditions in coastal communities, including an analysis of the relative importance of the tourist industry in each coastal county; (2) develop a methodology for determining the effects of OCS development on coastal recreation; and recommend mitigation measure that may reduce the negative effect of OCS development on coastal recreation using gravity and economic effects models.

  19. Draft environmental impact statement siting, construction, and operation of New Production Reactor capacity. Volume 4, Appendices D-R

    Energy Technology Data Exchange (ETDEWEB)

    None

    1991-04-01

    This Environmental Impact Statement (EIS) assesses the potential environmental impacts, both on a broad programmatic level and on a project-specific level, concerning a proposed action to provide new tritium production capacity to meet the nation`s nuclear defense requirements well into the 21st century. A capacity equivalent to that of about a 3,000-megawatt (thermal) heavy-water reactor was assumed as a reference basis for analysis in this EIS; this is the approximate capacity of the existing production reactors at DOE`s Savannah River Site near Aiken, South Carolina. The EIS programmatic alternatives address Departmental decisions to be made on whether to build new production facilities, whether to build one or more complexes, what size production capacity to provide, and when to provide this capacity. Project-specific impacts for siting, constructing, and operating new production reactor capacity are assessed for three alternative sites: the Hanford Site near Richland, Washington; the Idaho National Engineering Laboratory near Idaho Falls, Idaho; and the Savannah River Site. For each site, the impacts of three reactor technologies (and supporting facilities) are assessed: a heavy-water reactor, a light-water reactor, and a modular high-temperature gas-cooled reactor. Impacts of the no-action alternative also are assessed. The EIS evaluates impacts related to air quality; noise levels; surface water, groundwater, and wetlands; land use; recreation; visual environment; biotic resources; historical, archaeological, and cultural resources; socioeconomics; transportation; waste management; and human health and safety. The EIS describes in detail the potential radioactive releases from new production reactors and support facilities and assesses the potential doses to workers and the general public. This volume contains 15 appendices.

  20. Cook Inlet Planning Area oil and gas lease sale 149: Final environmental impact statement. Volume 2

    International Nuclear Information System (INIS)

    1996-01-01

    This environmental impact statement discusses a proposed oil and gas lease sale in the Cook Inlet Planning Area, analyzes its potential effects on the environment, describes alternatives, presents major issues determined through the scoping process and staff analyses, and evaluates potential mitigating measures. During the Draft Environmental Impact Statement comment period, written statements and oral testimonies were provided by various governmental agencies, organizations, businesses, and individuals. This report contains a review and analysis of comments received on the above issues. Appendices are included which contain resource estimates and various issues relating to oil spills

  1. BALTICA IV. Plant maintenance for managing life and performance

    Energy Technology Data Exchange (ETDEWEB)

    Hietanen, S.; Auerkari, P. [eds.] [VTT Manufacturing Technology, Espoo (Finland). Operational Reliability

    1998-12-31

    BALTICA IV International Conference on Plant Maintenance Managing Life and performance held on September 7-9, 1998 on board M/S Silja Symphony on its cruise between Helsinki-Stockholm and at Aavaranta in Kirkkonummi. The BALTICA IV conference provides a forum for the transfer of technology from applied research to practice. This is one of the two volumes of the proceedings of the BALTICA IV International Conference on Plant Maintenance Managing Life and Performance. The BALTICA IV conference focuses on new technology, recent experience and applications of condition and life management, and on improvements in maintenance strategies for safe and economical operation of power plants. (orig.)

  2. BALTICA IV. Plant maintenance for managing life and performance

    Energy Technology Data Exchange (ETDEWEB)

    Hietanen, S; Auerkari, P [eds.; VTT Manufacturing Technology, Espoo (Finland). Operational Reliability

    1999-12-31

    BALTICA IV International Conference on Plant Maintenance Managing Life and performance held on September 7-9, 1998 on board M/S Silja Symphony on its cruise between Helsinki-Stockholm and at Aavaranta in Kirkkonummi. The BALTICA IV conference provides a forum for the transfer of technology from applied research to practice. This is one of the two volumes of the proceedings of the BALTICA IV International Conference on Plant Maintenance Managing Life and Performance. The BALTICA IV conference focuses on new technology, recent experience and applications of condition and life management, and on improvements in maintenance strategies for safe and economical operation of power plants. (orig.)

  3. The Impact of Family Violence on Children and Adolescents. Developmental Clinical Psychology and Psychiatry, Volume 37.

    Science.gov (United States)

    Kashani, Javad H.; Allan, Wesley D.

    Violence in the family is being increasingly identified as a societal problem that has multiple short- and long-term effects on children. This book focuses on the relationship between different types of family violence and the resulting impact of violence on the child. Chapter One discusses the definition, history, and societal costs of family…

  4. The impact of uterine artery embolisation on fibroid volume at 43.6 ...

    African Journals Online (AJOL)

    2017-12-05

    Dec 5, 2017 ... The true economic impact on South African (SA) public health systems is likely to be higher than the average estimates owing to high disease burden, limited access to treatment, longer waiting times for surgery, low hysterectomy uptake and the presence of severe symptoms among African black women.[4].

  5. 7727 Volume 13 No. 3 June 2013 SOCIAL IMPACTS OF IPM-FFS ...

    African Journals Online (AJOL)

    Win7Ent

    2013-06-03

    Jun 3, 2013 ... malnutrition have increased along with urban growth [2]. ... from most national, regional and international agricultural research ... groups and often focus on specific crops, the impacts must be analyzed case-by-case. [21]. ... At the time of this survey there were 15 major vegetable gardens in Cotonou, any of.

  6. Screening assessment and requirements for a comprehensive assessment: Volume 1, Draft. Columbia River comprehensive impact assessment

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1997-04-01

    To evaluate the impact to the Columbia River from the Hanford Site-derived contaminants, the U.S. Department of Energy, U.S. Environmental Protection Agency, and Washington State Department of Ecology initiated a study referred to as the Columbia River Comprehensive Impact Assessment (CRCIA). To address concerns about the scope and direction of CRCIA as well as enhance regulator, tribal, stockholder, and public involvement, the CRCIA Management Team was formed in August 1995. The Team agreed to conduct CRCIA using a phased approach. The initial phase, includes two components: 1) a screening assessment to evaluate the potential impact to the river, resulting from current levels of Hanford-derived contaminants in order to support decisions on Interim Remedial Measures, and 2) a definition of the essential work remaining to provide an acceptable comprehensive river impact assessment. The screening assessment is described in Part I of this report. The essential work remaining is Part II of this report. The objective of the screening assessment is to identify areas where the greatest potential exists for adverse effects on humans or the environment. Part I of this report discusses the scope, technical approach, and results of the screening assessment. Part II defines a new paradigm for predecisional participation by those affected by Hanford cleanup decisions.

  7. The Employment Impact of Technological Change. Technology and the American Economy, Appendix Volume II.

    Science.gov (United States)

    National Commission on Technology, Automation and Economic Progress, Washington, DC.

    Eleven descriptive studies prepared by independent experts and dealing with the employment impact of technological change are presented. Part I contains (1) an analysis, at the establishment level, of employment-increasing growth of output and employment-decreasing growth of output per man-hour, (2) case studies of the elapsed time involved in the…

  8. Statements Relating to the Impact of Technological Change. Technology and the American Economy, Appendix, Volume VI.

    Science.gov (United States)

    National Commission on Technology, Automation and Economic Progress, Washington, DC.

    Forty-seven statements by industrial and business spokesmen, union and association representatives, and professors concern the broad impact of technological change on individuals, establishments, and society in general. Some of the longer presentations are (1) "The Poverty and Unemployment Crisis," by Walter Buckingham, (2) "Technological…

  9. Screening assessment and requirements for a comprehensive assessment: Volume 1, Draft. Columbia River comprehensive impact assessment

    International Nuclear Information System (INIS)

    1997-04-01

    To evaluate the impact to the Columbia River from the Hanford Site-derived contaminants, the U.S. Department of Energy, U.S. Environmental Protection Agency, and Washington State Department of Ecology initiated a study referred to as the Columbia River Comprehensive Impact Assessment (CRCIA). To address concerns about the scope and direction of CRCIA as well as enhance regulator, tribal, stockholder, and public involvement, the CRCIA Management Team was formed in August 1995. The Team agreed to conduct CRCIA using a phased approach. The initial phase, includes two components: 1) a screening assessment to evaluate the potential impact to the river, resulting from current levels of Hanford-derived contaminants in order to support decisions on Interim Remedial Measures, and 2) a definition of the essential work remaining to provide an acceptable comprehensive river impact assessment. The screening assessment is described in Part I of this report. The essential work remaining is Part II of this report. The objective of the screening assessment is to identify areas where the greatest potential exists for adverse effects on humans or the environment. Part I of this report discusses the scope, technical approach, and results of the screening assessment. Part II defines a new paradigm for predecisional participation by those affected by Hanford cleanup decisions

  10. Interim report on the development and application of environmental mapped data digitization, encoding, analysis, and display software for the ALICE system. Volume II. [MAP, CHAIN, FIX, and DOUT, in FORTRAN IV for PDP-10

    Energy Technology Data Exchange (ETDEWEB)

    Amiot, L.W.; Lima, R.J.; Scholbrock, S.D.; Shelman, C.B.; Wehman, R.H.

    1979-06-01

    Volume I of An Interim Report on the Development and Application of Environmental Mapped Data Digitization, Encoding, Analysis, and Display Software for the ALICE System provided an overall description of the software developed for the ALICE System and presented an example of its application. The scope of the information presented in Volume I was directed both to the users and developers of digitization, encoding, analysis, and display software. Volume II presents information which is directly related to the actual computer code and operational characteristics (keys and subroutines) of the software. Volume II will be of more interest to developers of software than to users of the software. However, developers of software should be aware that the code developed for the ALICE System operates in an environment where much of the peripheral hardware to the PDP-10 is ANL/AMD built. For this reason, portions of the code may have to be modified for implementation on other computer system configurations. 11 tables.

  11. 2004 Power marketing program. Final environmental impact statement. Volume 1 - summary and environmental analysis

    International Nuclear Information System (INIS)

    1997-02-01

    The Sierra Nevada Region proposes to develop a plan to allocate power within its marketing areas of California and Nevada. Five alternatives were analyzed based on the possible range of operations of the Central Valley Project (CVP) hydroelectric system, levels of power purchases, and customer group allocations. Scheduling of the hydropower generating plants is the key difference across the alternatives. The peaking, preferred, renewables, and no-action alternatives are based on scheduling to emphasize peaking power. The baseload alternative assumes steady water releases. The analysis found no significant impacts overall. However, peaking operations tend to result in the greatest benefits and least negative effects to resources where impacts could be quantified. The peaking alternative was selected as the environmentally preferred alternative. The peaking alternative would add up to 317 MW of load-carrying capacity during August compared to taking no action. The preferred alternative results in up to a 262-MW gain and the baseload alternative results in a loss of 581 MW in comparison to the no-action alternative. Although it is not possible to determine where or when any lost capacity would be made up, building replacement capacity would result in land-use impacts and the use of natural and financial resources. The baseload alternative would result in more stable pool fluctuation within regulating reservoirs, which may benefit resident fish, recreation, and cultural resources; but these effects would be minor and could not be quantified. Environmental impacts within the CVP are limited to fluctuations in the regulating reservoirs. Changes in allocations to customer groups result in negligible regional economic effects. The renewables alternative is similar in CVP operation to the peaking alternative and melds 50 MW of renewables with CVP hydropower. Its environmental impacts vary, depending on the presence of biomass in the resource mix. 84 refs., 44 figs., 27 tabs

  12. IV access in dental practice.

    LENUS (Irish Health Repository)

    Fitzpatrick, J J

    2009-04-01

    Intravenous (IV) access is a valuable skill for dental practitioners in emergency situations and in IV sedation. However, many people feel some apprehension about performing this procedure. This article explains the basic principles behind IV access, and the relevant anatomy and physiology, as well as giving a step-by-step guide to placing an IV cannula.

  13. Replacement Nuclear Research Reactor. Supplement to Draft Environmental Impact Statement. Volume 3

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1999-01-01

    The Draft Environmental Impact Statement for a replacement research reactor at Lucas Heights, was available for public examination and comment for some three months during 1998. A Supplement to the Draft Environmental Impact Statement (Draft EIS) has been completed and was lodged with Environment Australia on 18 January 1999. The Supplement is an important step in the overall environmental assessment process. It reviews submissions received and provides the proponent`s response to issues raised in the public review period. General issues extracted from submissions and addressed in the Supplement include concern over liability issues, Chernobyl type accidents, the ozone layer and health issues. Further studies, relating to issues raised in the public submission process, were undertaken for the Supplementary EIS. These studies confirm, in ANSTO`s view, the findings of the Draft EIS and hence the findings of the Final EIS are unchanged from the Draft EIS

  14. Replacement Nuclear Research Reactor. Supplement to Draft Environmental Impact Statement. Volume 3

    International Nuclear Information System (INIS)

    1999-01-01

    The Draft Environmental Impact Statement for a replacement research reactor at Lucas Heights, was available for public examination and comment for some three months during 1998. A Supplement to the Draft Environmental Impact Statement (Draft EIS) has been completed and was lodged with Environment Australia on 18 January 1999. The Supplement is an important step in the overall environmental assessment process. It reviews submissions received and provides the proponent's response to issues raised in the public review period. General issues extracted from submissions and addressed in the Supplement include concern over liability issues, Chernobyl type accidents, the ozone layer and health issues. Further studies, relating to issues raised in the public submission process, were undertaken for the Supplementary EIS. These studies confirm, in ANSTO's view, the findings of the Draft EIS and hence the findings of the Final EIS are unchanged from the Draft EIS

  15. Super-Efficient Refrigerator Program (SERP) evaluation volume 2: Preliminary impact and market transformation assessment

    Energy Technology Data Exchange (ETDEWEB)

    Lee, A.D.; Conger, R.L.

    1996-08-01

    The Super Efficient Refrigerator Program (SERP) is a collaborative utility program intended to transform the market for energy-efficient and environmentally friendly refrigerators. It is one of the first examples of a large-scale {open_quotes}market transformation{close_quotes} energy efficiency program. This report documents the preliminary impact and market transformation evaluation of SERP ({open_quotes}the Program{close_quotes}). Pacific Northwest National Laboratory (PNNL) conducted this evaluation for the U.S. Department of Energy. This study focuses on the preliminary impact evaluation and market transformation assessment, but also presents limited process evaluation information. It is based on interviews with refrigerator dealers and manufacturers, interviews with utility participants, industry data, and information from the Program administrators. Results from this study complement those from prior process evaluation also conducted by PNNL. 42 refs., 5 figs., 4 tabs.

  16. Software Quality Measurement for Distributed Systems. Volume 3. Distributed Computing Systems: Impact on Software Quality.

    Science.gov (United States)

    1983-07-01

    Distributed Computing Systems impact DrnwrR - aehR on Sotwar Quaity. PERFORMING 010. REPORT NUMBER 7. AUTNOW) S. CONTRACT OR GRANT "UMBER(*)IS ThomasY...C31 Application", "Space Systems Network", "Need for Distributed Database Management", and "Adaptive Routing". This is discussed in the last para ...data reduction, buffering, encryption, and error detection and correction functions. Examples of such data streams include imagery data, video

  17. United States Air Force F-35A Operational Basing Environmental Impact Statement. Volume 2, Appendices

    Science.gov (United States)

    2013-09-01

    the natural soundscapes of parks consistent with our Management Policies. NPS Management Policies, Section 4.9, Soundscape Management, states “the...Department will restore to the natural condition wherever possible those park soundscapes that have become degraded by unnatural sounds (noise...and will protect natural soundscapes from unacceptable impacts.” This is consistent with 40 CFR. §1508-27b, “Unique characteristics of the geographic

  18. Data for the screening assessment. Volume 1: Text, Columbia River Comprehensive Impact Assessment

    International Nuclear Information System (INIS)

    Miley, T.B.; O'Neil, T.K.; Gilbert, R.O.; Klevgard, L.A.; Walters, T.B.

    1996-06-01

    The Columbia River is a critical resource for residents of the Pacific Northwest. This resource drew the Manhattan Project's planners to the site now called Hanford to produce nuclear weapon materials. Production of those materials has left behind a legacy of chemical and radioactive contamination and materials that have, are, and will continue to pose a threat to the Columbia river for the foreseeable future. To evaluate the impact to the river from this Hanford-derived contamination, the US Department of Energy, US Environmental Protection Agency, and State of Washington Department of Ecology (the Tri-Party agencies) initiated a study referred to as the Columbia River Comprehensive Impact Assessment (CRCIA). To address concerns about the scope and direction of CRCIA as well as enhance regulator, stakeholder, tribal, and public involvement, the CRCIA Management Team was formed in August 1995. A major CRCIA Team decision was to organize CRCIA into phases, with additional phases to be identified as warranted after completion of the initial phase. The initial phase is comprised of two parts: (1) a screening assessment to evaluate the current impact to the river resulting from Hanford-derived contamination and (2) identification of requirements considered necessary by the CRCIA Management Team for a comprehensive assessment of impact to the river. The purpose of the screening assessment is to support cleanup decisions. The scope of the screening assessment is to evaluate the current risk to humans and the environment resulting from Hanford-derived contaminants. The screening assessment has the primary components of: identifying contaminants to be assessed; identifying a variety of exposure scenarios to evaluate human contaminant exposure; identifying a variety of other species to evaluate ecological contaminant exposure; and assessing risks posed by exposure of humans and other species to the contaminants

  19. Salt Lake City Area Integrated Projects electric power marketing -- Final environmental impact statement. Volume 1: Summary

    International Nuclear Information System (INIS)

    1996-01-01

    The Colorado River Storage Project Customer Service Office of the Western Area Power Administration (Western) markets electricity produced at hydroelectric facilities operated by the Bureau of Reclamation. The facilities are known collectively as the Salt Lake City Area Integrated Projects (SLCA/IP) and include dams equipped for power generation on the Colorado, Green, Gunnison, and Rio Grande rivers and on Plateau Creek in Arizona, Colorado, Utah, Wyoming, and New Mexico. Of these facilities, only the Glen Canyon Unit, the Flaming Gorge Unit, and the Aspinall Unit (which includes Blue Mesa, Morrow Point, and Crystal dams) are influenced by Western power scheduling and transmission decisions. The environmental impact statement (EIS) alternatives, called commitment-level alternatives, reflect combinations of capacity and energy that would feasibly and reasonably fulfill Western's firm power marketing responsibilities, needs, and statutory obligations. The viability of these alternatives relates directly to the combination of generation capability of the SLCA/IP with energy purchases and interchange. The economic and natural resource assessments in this EIS include an analysis of commitment-level alternatives. Impacts of the no-action alternative are also assessed. Supply options, which include combinations of electrical power purchases and hydropower operational scenarios reflecting different operations of the dams, are also assessed. The EIS evaluates the impacts of these scenarios relative to socioeconomics, air resources, water resources, ecological resources, cultural resources, land use, recreation, and visual resources. Western has identified commitment-level alternative 1, the Post-1989 commitment level, as its preferred alternative. The impact evaluations indicate that this commitment level is also the environmentally preferred alternative

  20. The SILCC project IV. Impact of dissociating and ionizing radiation on the interstellar medium and Ha emission as a tracer of the star formation rate

    Czech Academy of Sciences Publication Activity Database

    Peters, T.; Naab, T.; Walch, S.; Glover, S.C.O.; Girichidis, P.; Pellegrini, E.; Klessen, R.S.; Wünsch, Richard; Gatto, A.; Baczynski, C.

    2017-01-01

    Roč. 466, č. 3 (2017), s. 3293-3308 ISSN 0035-8711 R&D Projects: GA ČR GA15-06012S Institutional support: RVO:67985815 Keywords : formation rate indicators * supernova-driven ism * molecular clouds Subject RIV: BN - Astronomy, Celestial Mechanics, Astrophysics OBOR OECD: Astronomy (including astrophysics,space science) Impact factor: 4.961, year: 2016

  1. Draft Hanford Remedial Action Environmental Impact Statement and Comprehensive Land Use Plan: Volume 1 of 4

    International Nuclear Information System (INIS)

    1996-08-01

    This document analyzes the potential environmental impacts associated with establishing future land-use objectives for the US Department of Energy's Hanford Site. Impact analysis is performed by examining the consequences (primarily from remediation activities) of the actions determined necessary to achieve a desired future land-use objective. It should be noted that site-specific decisions regarding remediation technologies and remediation activities would not be made by this document, but rather by processes specified in the Comprehensive Environmental Response, Compensation and Liability Act of 1980 and the Resource Conservation and Recovery Act of 1976. To facilitate the establishment of future land-use objectives, the Hanford Site was divided into four geographic areas: (1) Columbia River; (2) reactors on the river; (3) central plateau; (4) all other areas. The future land-use alternatives considered in detail for each of the geographic areas are as follows: Columbia River--unrestricted and restricted; reactors on the river--unrestricted and restricted; central plateau--exclusive; all other areas--restricted. A No-Action Alternative also is included to provide a baseline against which the potential impacts of the proposed action can be assessed

  2. Final programmatic environmental impact statement for tritium supply and recycling. Volume III

    International Nuclear Information System (INIS)

    1995-10-01

    Tritium, a radioactive gas used in all of the Nation's nuclear weapons, has a short half-life and must be replaced periodically in order for the weapon to operate as designed. Currently, there is no capability to produce the required amounts of tritium within the Nuclear Weapons Complex. The PEIS for Tritium Supply and Recycling evaluates the alternatives for the siting, construction, and operation of tritium supply and recycling facilities at each of five candidate sites: the Idaho National Engineering Laboratory, the Nevada Test Site, the Oak Ridge Reservation, the Pantex Plant, and the Savannah River Site. Alternatives for new tritium supply and recycling facilities consist of four different tritium supply technologies: Heavy Water Reactor, Modular High Temperature Gas-Cooled Reactor, Advanced Light Water Reactor, and Accelerator Production of Tritium. The PEIS also evaluates the impacts of the DOE purchase of an existing operating or partially completed commercial light water reactor or the DOE purchase of irradiation services contracted from commercial power reactors. Additionally, the PEIS includes an analysis of multipurpose reactors that would produce tritium, dispose of plutonium, and produce electricity. Evaluation of impacts on land resources, site infrastructure, air quality and acoustics, water resources, geology and soils, biotic resources, cultural and paleontological resources, socioeconomics, radiological and hazardous chemical impacts during normal operation and accidents to workers and the public, waste management, and intersite transport are included in the assessment

  3. Final programmatic environmental impact statement for tritium supply and recycling. Volume 1

    International Nuclear Information System (INIS)

    1995-10-01

    Tritium, a radioactive gas used in all of the Nation's nuclear weapons, has a short half-life and must be replaced periodically in order for the weapon to operate as designed. Currently, there is no capability to produce the required amounts of tritium within the Nuclear Weapons Complex. The PEIS for Tritium Supply and Recycling evaluates the alternatives for the siting, construction, and operation of tritium supply and recycling facilities at each of five candidate sites: the Idaho National Engineering Laboratory, the Nevada Test Site, the Oak Ridge Reservation, the Pantex Plant, and the Savannah River Site. Alternatives for new tritium supply and recycling facilities consist of four different tritium supply technologies: Heavy Water Reactor, Modular High Temperature Gas-Cooled Reactor, Advanced Light Water Reactor, and Accelerator Production of Tritium. The PEIS also evaluates the impacts of the DOE purchase of an existing operating or partially completed commercial light water reactor or the DOE purchase of irradiation services contracted from commercial power reactors. Additionally, the PEIS includes an analysis of multipurpose reactors that would produce tritium, dispose of plutonium, and produce electricity. Evaluation of impacts on land resources, site infrastructure, air quality and acoustics, water resources, geology and soils, biotic resources, cultural and paleontological resources, socioeconomics, radiological and hazardous chemical impacts during normal operation and accidents to workers and the public, waste management, and intersite transport are included in the assessment. 550 refs

  4. Stardust Interstellar Preliminary Examination IV: Scanning Transmission X-Ray Microscopy Analyses of Impact Features in the Stardust Interstellar Dust Collector

    Science.gov (United States)

    Butterworth, Anna L.; Westphal, Andrew J.; Frank, David R.; Allen, Carlton C.; Bechtel, Hans A.; Sandford, Scott A.; Tsou, Peter; Zolensky, Michael E.

    2014-01-01

    We report the quantitative characterization by synchrotron soft X-ray spectroscopy of 31 potential impact features in the aerogel capture medium of the Stardust Interstellar Dust Collector. Samples were analyzed in aerogel by acquiring high spatial resolution maps and high energy-resolution spectra of major rock-forming elements Mg, Al, Si, Fe, and others. We developed diagnostic screening tests to reject spacecraft secondary ejecta and terrestrial contaminants from further consideration as interstellar dust candidates. The results support an extraterrestrial origin for three interstellar candidates: I1043,1,30 (Orion) is a 3 pg particle with Mg-spinel, forsterite, and an iron-bearing phase. I1047,1,34 (Hylabrook) is a 4 pg particle comprising an olivine core surrounded by low-density, amorphous Mg-silicate and amorphous Fe, Cr, and Mn phases. I1003,1,40 (Sorok) has the track morphology of a high-speed impact, but contains no detectable residue that is convincingly distinguishable from the background aerogel. Twenty-two samples with an anthropogenic origin were rejected, including four secondary ejecta from impacts on the Stardust spacecraft aft solar panels, nine ejecta from secondary impacts on the Stardust Sample Return Capsule, and nine contaminants lacking evidence of an impact. Other samples in the collection included I1029,1,6, which contained surviving solar system impactor material. Four samples remained ambiguous: I1006,2,18, I1044,2,32, and I1092,2,38 were too dense for analysis, and we did not detect an intact projectile in I1044,3,33. We detected no radiation effects from the synchrotron soft X-ray analyses; however, we recorded the effects of synchrotron hard X-ray radiation on I1043,1,30 and I1047,1,34.

  5. Interfractional variation in bladder volume and its impact on cervical cancer radiotherapy: Clinical significance of portable bladder scanner

    Energy Technology Data Exchange (ETDEWEB)

    Luo, Huanli; Jin, Fu; Yang, Dingyi; Wang, Ying; Li, Chao; Guo, Mingfang; Ran, Xueqi; Liu, Xianfeng; Zhou, Qi; Wu, Yongzhong, E-mail: jfazj@126.com [Department of Radiation Oncology, Chongqing Cancer Institute, No. 181, Han Yu Road, Chongqing 400030 (China)

    2016-07-15

    Purpose: A constant bladder volume (BV) is essential to direct the radiotherapy (RT) of pelvic tumors with precision. The purpose of this study was to investigate changes in BV and their impact on cervical cancer RT and to assess the clinical significance of a portable bladder scanner (BS) in achieving a constant BV. Methods: A standard bladder phantom (133 ml) and measurements of actual urine volume were both used as benchmarks to evaluate the accuracy of the BS. Comparisons of BS with computed tomography (CT), cone-beam CT (CBCT), and an ultrasound diagnostic device (iU22) were made. Twenty-two consecutive patients with cervical cancer treated with external beam radical RT were divided into an experimental group (13 patients) and a control group (9 patients). In the experimental group, the BV was measured multiple times by BS pre-RT until it was consistent with that found by planning CT. Then a CBCT was performed. The BV was measured again immediately post-RT, after which the patient’s urine was collected and recorded. In the control group, CBCT only was performed pre-RT. Interfractional changes in BV and their impact on cervical cancer RT were investigated in both groups. The time of bladder filling was also recorded and analyzed. Results: In measuring the volume of the standard bladder phantom, the BS deviated by 1.4% in accuracy. The difference between the measurements of the BS and the iU22 had no statistical significance (linear correlation coefficient 0.96, P < 0.05). The BV measured by the BS was strongly correlated with the actual urine volume (R = 0.95, P < 0.05), planning CT (R = 0.95, P < 0.05), or CBCT (R = 0.91, P < 0.05). Compared with the BV at the time of CT, its value changed by −36.1% [1 SD (standard deviation) 42.3%; range, −79.1%–29.4%] in the control group, and 5.2% (1 SD 21.5%; range, −13.3%–22.1%) in the experimental group during treatment. The change in BV affected the target position in the superior–inferior (SI) direction

  6. Uranium (IV) carboxylates - I

    Energy Technology Data Exchange (ETDEWEB)

    Satpathy, K C; Patnaik, A K [Sambalpur Univ. (India). Dept. of Chemistry

    1975-11-01

    A few uranium(IV) carboxylates with monochloro and trichloro acetic acid, glycine, malic, citric, adipic, o-toluic, anthranilic and salicylic acids have been prepared by photolytic methods. The I.R. spectra of these compounds are recorded and basing on the spectral data, structure of the compounds have been suggested.

  7. PLATO IV Accountancy Index.

    Science.gov (United States)

    Pondy, Dorothy, Comp.

    The catalog was compiled to assist instructors in planning community college and university curricula using the 48 computer-assisted accountancy lessons available on PLATO IV (Programmed Logic for Automatic Teaching Operation) for first semester accounting courses. It contains information on lesson access, lists of acceptable abbreviations for…

  8. Research in collegiate mathematics education IV

    CERN Document Server

    Dubinsky, Ed; Kaput, Jim

    2001-01-01

    This fourth volume of Research in Collegiate Mathematics Education (RCME IV) reflects the themes of student learning and calculus. Included are overviews of calculus reform in France and in the U.S. and large-scale and small-scale longitudinal comparisons of students enrolled in first-year reform courses and in traditional courses. The work continues with detailed studies relating students' understanding of calculus and associated topics. Direct focus is then placed on instruction and student comprehension of courses other than calculus, namely abstract algebra and number theory. The volume co

  9. Thermodynamic analysis of energy density in pressure retarded osmosis: The impact of solution volumes and costs

    International Nuclear Information System (INIS)

    Reimund, Kevin K.

    2015-01-01

    A general method was developed for estimating the volumetric energy efficiency of pressure retarded osmosis via pressure-volume analysis of a membrane process. The resulting model requires only the osmotic pressure, π, and mass fraction, w, of water in the concentrated and dilute feed solutions to estimate the maximum achievable specific energy density, uu, as a function of operating pressure. The model is independent of any membrane or module properties. This method utilizes equilibrium analysis to specify the volumetric mixing fraction of concentrated and dilute solution as a function of operating pressure, and provides results for the total volumetric energy density of similar order to more complex models for the mixing of seawater and riverwater. Within the framework of this analysis, the total volumetric energy density is maximized, for an idealized case, when the operating pressure is π(1+√w -1 ), which is lower than the maximum power density operating pressure, Δπ/2, derived elsewhere, and is a function of the solute osmotic pressure at a given mass fraction. It was also found that a minimum 1.45 kmol of ideal solute is required to produce 1 kWh of energy while a system operating at "maximum power density operating pressure" requires at least 2.9 kmol. Utilizing this methodology, it is possible to examine the effects of volumetric solution cost, operation of a module at various pressure, and operation of a constant pressure module with various feed.

  10. Impact of Micro Silica on the properties of High Volume Fly Ash Concrete (HVFA)

    Science.gov (United States)

    Sripragadeesh, R.; Ramakrishnan, K.; Pugazhmani, G.; Ramasundram, S.; Muthu, D.; Venkatasubramanian, C.

    2017-07-01

    In the current situation, to overcome the difficulties of feasible construction, concrete made with various mixtures of Ordinary Portland Cement (OPC) and diverse mineral admixtures, is the wise choice for engineering construction. Mineral admixtures viz. Ground Granulated Blast Furnace Slag (GGBS), Meta kaolin (MK), Fly Ash (FA) and Silica Fume (SF) etc. are used as Supplementary Cementitious Materials (SCM) in binary and ternary blend cement system to enhance the mechanical and durability properties. Investigation on the effect of different replacement levels of OPC in M25 grade with FA + SF in ternary cement blend on the strength characteristics and beam behavior was studied. The OPC was partially replaced (by weight) with different combinations of SF (5%, 10%, 15%, 20% and 25%) and FA as 50% (High Volume Fly Ash - HVFA). The amount of FA addition is kept constant at 50% for all combinations. The compressive strength and tensile strength tests on cube and cylinder specimens, at 7 and 28 days were carried out. Based on the compressive strength results, optimum mix proportion was found out and flexural behaviour was studied for the optimum mix. It was found that all the mixes (FA + SF) showed improvement in compressive strength over that of the control mix and the mix with 50% FA + 10% SF has 20% increase over the control mix. The tensile strength was also increased over the control mix. Flexural behaviour also showed a significant improvement in the mix with FA and SF over the control mix.

  11. Impact of aortic root size on left ventricular afterload and stroke volume.

    Science.gov (United States)

    Sahlén, Anders; Hamid, Nadira; Amanullah, Mohammed Rizwan; Fam, Jiang Ming; Yeo, Khung Keong; Lau, Yee How; Lam, Carolyn S P; Ding, Zee Pin

    2016-07-01

    The left ventricle (LV) ejects blood into the proximal aorta. Age and hypertension are associated with stiffening and dilation of the aortic root, typically viewed as indicative of adverse remodeling. Based on analytical considerations, we hypothesized that a larger aortic root should be associated with lower global afterload (effective arterial elastance, EA) and larger stroke volume (SV). Moreover, as antihypertensive drugs differ in their effect on central blood pressure, we examined the role of antihypertensive drugs for the relation between aortic root size and afterload. We studied a large group of patients (n = 1250; 61 ± 12 years; 78 % males; 64 % hypertensives) from a single-center registry with known or suspected coronary artery disease. Aortic root size was measured by echocardiography as the diameter of the tubular portion of the ascending aorta. LV outflow tract Doppler was used to record SV. In the population as a whole, after adjusting for key covariates in separate regression models, aortic root size was an independent determinant of both SV and EA. This association was found to be heterogeneous and stronger in patients taking a calcium channel blocker (CCB; 10.6 % of entire population; aortic root size accounted for 8 % of the explained variance of EA). Larger aortic root size is an independent determinant of EA and SV. This association was heterogeneous and stronger in patients on CCB therapy.

  12. Obesity disproportionately impacts lung volumes, airflow and exhaled nitric oxide in children.

    Science.gov (United States)

    Yao, Tsung-Chieh; Tsai, Hui-Ju; Chang, Su-Wei; Chung, Ren-Hua; Hsu, Jing-Ya; Tsai, Ming-Han; Liao, Sui-Ling; Hua, Man-Chin; Lai, Shen-Hao; Chen, Li-Chen; Yeh, Kuo-Wei; Tseng, Yu-Lun; Lin, Wan-Chen; Chang, Su-Ching; Huang, Jing-Long

    2017-01-01

    The current literature focusing on the effect of obesity and overweight on lung function and fraction of exhaled nitric oxide (FeNO) in children, particularly among healthy children of non-European descent, remains controversial. Furthermore, whether the relationship of obesity and overweight with lung function and FeNO in children is modified by atopy is unclear. The objective of this study was to examine the effect of excess weight on lung function parameters and FeNO among Asian children, with a particular focus on exploring the potential effect modification by atopy. We investigated the effect of excess weight on lung function and FeNO in a population sample of 1,717 children aged 5 to 18 years and explored the potential modifying effect of atopy. There were positive associations of body mass index (BMI) z-score with forced vital capacity (FVC), forced expiratory volume in 1 second (FEV1), peak expiratory flow (PEF), and forced expiratory flow at 25-75% (FEF25-75) (all Pchildren from the general population, independent of atopic status. Excess weight inversely affects FeNO in atopic but not in non-atopic children.

  13. The impact of patient volume on surgical trauma training in a Scandinavian trauma centre.

    Science.gov (United States)

    Gaarder, Christine; Skaga, Nils Oddvar; Eken, Torsten; Pillgram-Larsen, Johan; Buanes, Trond; Naess, Paal Aksel

    2005-11-01

    Some of the problems faced in trauma surgery are increasing non-operative management of abdominal injuries, decreasing work hours and increasing sub-specialisation. We wanted to document the experience of trauma team leaders at the largest trauma centre in Norway, hypothesising that the patient volume would be inadequate to secure optimal trauma care. Patients registered in the hospital based Trauma Registry during the 2-year period from 1 August 2000 to 31 July 2002 were included. Of a total of 1667 patients registered, 645 patients (39%) had an Injury Severity Score (ISS)>15. Abdominal injuries were diagnosed in 205 patients with a median ISS of 30. An average trauma team leader assessed a total of 119 trauma cases a year (46 patients with ISS>15) and participated in 10 trauma laparotomies. Although the total number of trauma cases seems adequate, the experience of the trauma team leaders with challenging abdominal injuries is limited. With increasing sub-specialisation and general surgery vanishing, fewer surgical specialties provide operative competence in dealing with complicated torso trauma. A system of additional education and quality assurance measures is a prerequisite of high quality, and has consequently been introduced in our institution.

  14. Thermodynamic analysis of energy density in pressure retarded osmosis: The impact of solution volumes and costs

    Energy Technology Data Exchange (ETDEWEB)

    Reimund, Kevin K. [Univ. of Connecticut, Storrs, CT (United States). Dept. of Chemical and Biomolecular Engineering; McCutcheon, Jeffrey R. [Univ. of Connecticut, Storrs, CT (United States). Dept. of Chemical and Biomolecular Engineering; Wilson, Aaron D. [Idaho National Lab. (INL), Idaho Falls, ID (United States)

    2015-08-01

    A general method was developed for estimating the volumetric energy efficiency of pressure retarded osmosis via pressure-volume analysis of a membrane process. The resulting model requires only the osmotic pressure, π, and mass fraction, w, of water in the concentrated and dilute feed solutions to estimate the maximum achievable specific energy density, uu, as a function of operating pressure. The model is independent of any membrane or module properties. This method utilizes equilibrium analysis to specify the volumetric mixing fraction of concentrated and dilute solution as a function of operating pressure, and provides results for the total volumetric energy density of similar order to more complex models for the mixing of seawater and riverwater. Within the framework of this analysis, the total volumetric energy density is maximized, for an idealized case, when the operating pressure is π/(1+√w⁻¹), which is lower than the maximum power density operating pressure, Δπ/2, derived elsewhere, and is a function of the solute osmotic pressure at a given mass fraction. It was also found that a minimum 1.45 kmol of ideal solute is required to produce 1 kWh of energy while a system operating at “maximum power density operating pressure” requires at least 2.9 kmol. Utilizing this methodology, it is possible to examine the effects of volumetric solution cost, operation of a module at various pressure, and operation of a constant pressure module with various feed.

  15. Draft site-wide environmental impact statement for Sandia National Laboratories/New Mexico. Volume 2: Appendixes

    International Nuclear Information System (INIS)

    1999-04-01

    The DOE proposes to continue operating the Sandia National Laboratories/New Mexico (SNL/NM) located in central New Mexico. The DOE has identified and assessed three alternatives for the operation of SNL/NM: (1) No Action, (2) Expanded Operations, and (3) Reduced Operations. In the No Action Alternative, the DOE would continue the historical mission support activities SNL/NM has conducted at planned operational levels. In the Expanded Operations Alternative, the DOE would operate SNL/NM at the highest reasonable levels of activity currently foreseeable. Under the Reduced Operations Alternative, the DOE would operate SNL/NM at the minimum levels of activity necessary to maintain the capabilities to support the DOE mission in the near term. Under all of the alternatives, the affected environment is primarily within 50 miles (80 kilometers) of SNL/NM. Analyses indicate little difference in the environmental impacts among alternatives. This volume contains Appendices A--H

  16. Solar Heating And Cooling Of Buildings (SHACOB): Requirements definition and impact analysis-2. Volume 3: Customer load management systems

    Science.gov (United States)

    Cretcher, C. K.; Rountredd, R. C.

    1980-11-01

    Customer Load Management Systems, using off-peak storage and control at the residences, are analyzed to determine their potential for capacity and energy savings by the electric utility. Areas broadly representative of utilities in the regions around Washington, DC and Albuquerque, NM were of interest. Near optimum tank volumes were determined for both service areas, and charging duration/off-time were identified as having the greatest influence on tank performance. The impacts on utility operations and corresponding utility/customer economics were determined in terms of delta demands used to estimate the utilities' generating capacity differences between the conventional load management, (CLM) direct solar with load management (DSLM), and electric resistive systems. Energy differences are also determined. These capacity and energy deltas are translated into changes in utility costs due to penetration of the CLM or DSLM systems into electric resistive markets in the snapshot years of 1990 and 2000.

  17. Medical Isotopes Production Project: Molybdenum-99 and related isotopes: Environmental Impact Statement, Volume I

    International Nuclear Information System (INIS)

    1996-04-01

    This Environmental Impact Statement (EIS) provides environmental and technical information concerning the U.S. Department of Energy's (DOE) proposal to establish a domestic source to produce molybdenum-99 (Mo-99) and related medical isotopes (iodine-131, xenon-133 and iodine-125). Mo-99, a radioactive isotope of the element molybdenum, decays to form metastable technetium-99 (Tc-99m), a radioactive isotope used thousands of times daily in medical diagnostic procedures in the U.S. Currently, all Mo-99 used in the U.S. is obtained from a single Canadian source. DOE is pursuing the Medical Isotopes Production Project in order to ensure that a reliable supply of Mo-99 is available to the U.S. medical community. Under DOE's preferred alternative, the Chemistry and Metallurgy Research Facility at the Los Alamos National Laboratory (LANL) and the Annular Core Research Reactor and Hot Cell Facility at Sandia National Laboratories/New Mexico (SNL/NM) would be used for production of the medical isotopes. In addition to the preferred alternative, three other reasonable alternatives and a no action alternative are analyzed in detail. The sites for the three reasonable alternatives are LANL, Oak Ridge National Laboratory (ORNL), and Idaho National Engineering Laboratory (INEL). The analyses in this EIS indicate no significant difference in the potential environmental impacts among the alternatives. Each of the alternatives would use essentially the same technology for the production of the medical isotopes. Minor differences in environmental impacts among alternatives relate to the extent of activity necessary to modify and restart (as necessary) existing reactors and hot cell facilities at each of the sites, the quantities, of low-level radioactive waste generated, how such waste would be managed, and the length of time needed for initial and full production capacity

  18. Brief report: the impact of changing from DSM-IV 'Asperger's' to DSM-5 'autistic spectrum disorder' diagnostic labels on stigma and treatment attitudes.

    Science.gov (United States)

    Ohan, Jeneva L; Ellefson, Sarah E; Corrigan, Patrick W

    2015-10-01

    In the DSM-5, 'Asperger's Disorder' was incorporated into 'Autistic Spectrum Disorder' (ASD). One key concern in this change has been that the ASD label will increase negative attitudes relative to the Asperger's label. To test this, we asked 465 American adults to read a vignette describing a child with autistic symptoms that included an ASD label, an Asperger's label, or no label, and rate their stigma and treatment attitudes (help-seeking and perceived effectiveness). Contrary to predictions, label did not impact stigma. Label did impact treatment attitudes, with greater help-seeking and perceived treatment effectiveness for both Asperger's and ASD labels. In sum, concern that the ASD label will increase negative perceptions, at least amongst the general public, is not supported.

  19. Failure of misonidazole-sensitized radiotherapy to impact upon outcome among stage III-IV squamous cancers of the head and neck

    International Nuclear Information System (INIS)

    Fazekas, J.; Pajak, T.F.; Wasserman, T.; Marcial, V.; Davis, L.; Kramer, S.; Rotman, M.; Stetz, J.

    1987-01-01

    As part of the RTOG research effort in the treatment of advanced, inoperable squamous cancer of the head and neck region, the hypoxic cell sensitizer, misonidazole, was selected for investigation as an adjuvant to definitive irradiation. Based upon a pilot experience (78-02) showing a 67% complete response rate among 36 AJC Stage III-IV patients receiving full-dose irradiation and 6 weekly p.o. doses of misonidazole, a phase III trial was carried out from '79-'83. Three hundred and six patients were entered, 42% of whom had oropharyngeal primaries and with 78% of all cases representing T3 or T4 (inoperable) lesions. Only 16% of the entire series presented with N0 necks. Fractionation was altered among the misonidazole-receiving patients, in contrast to standard 5 treatments per week among control patients, such that 2 separate treatments were given on each day of p.o. misonidazole administration (2.0 gm/m2/wk X 6 doses, 2.5 Gy in a.m., 2.1 Gy in p.m.). Total tumor doses were identical among the two treatment arms except that a limitation of 40.0 Gy to spinal cord was specified for sensitized radiotherapy vs. 45.0 Gy for control patients. Primary tumor clearance was observed to be 55-60%, with minor variations according to tumor stage and site. The local regional control rate among radiotherapy-alone patients was 26% at 2 years compared to 22% (2 years) within the misonidazole-receiving group. Analysis of survival revealed no advantage to the sensitized patients, with 55 +/- 2% surviving 1 year and 22 +/- 1% living 3 years following treatment in both treatment categories. Distant metastases as first site of failure (12-13%) and the local failure among initial complete responders (46%) showed no advantage to the misonidazole group. Although a misonidazole dosage of 2.0 gm/m2/wk X 6 (12 gm/m2 total) is well tolerated, no clinical benefit was demonstrated in this randomized trial

  20. Gulf of Mexico Sales 139 and 141: Central and western planning areas. Final environmental impact statement. Volume 1: Sections 1 through 4.C. Final report

    International Nuclear Information System (INIS)

    1991-10-01

    The report is Volume I of two volumes. The EIS is a description of the environmental aspects and impacts of oil and gas activities resulting from these lease sales or the States bordering the Gulf of Mexico. It provides a description of the areas, the affected environment, and the environmental consequences; it describes the proposed actions, issues and areas of concern, and the major differences of holding these lease sales

  1. Draft Hanford Remedial Action Environmental Impact Statement and Comprehensive Land Use Plan. Volume 4 of 4

    International Nuclear Information System (INIS)

    1996-08-01

    The US Department of Energy's (DOE) is preparing this ''Hanford Site Comprehensive Land Use Plan'' (Comprehensive Plan), Appendix M to address future land uses for the Hanford Site. The DOE has integrated this land-use planning initiative with the development of the HRA-EIS to facilitate and expedite land-use and remediation decision making, reduce time and cost of remediation, and optimize the usefulness of the planning process. The HRA-EIS is being developed to evaluate the potential environmental impacts associated with remediation, create a remedial baseline for the Environmental Restoration Program, and provide a framework for future uses at the Hanford Site. This Comprehensive Plan identifies current assets and resources related to land-use planning, and provides the analysis and recommendations for future land sues and accompanying restrictions at the Hanford Site over a 50-year period. This Comprehensive Plan relies on the analysis of environmental impacts in the HRA-EIS. The National Environmental Policy Act of 1969 (NEPA) Record of Decision (ROD) issued for the HRA-EIS will be the decision process for finalization and adoption of this Comprehensive Plan. The HRA-EIS and this Comprehensive Plan will provide a basis for remediation decisions to be identified and contained in site- and area-specific Comprehensive Environmental Response, Compensation and Liability Act of 1980 ROD

  2. Final environmental impact statement, construction and operation of the Spallation Neutron Source. Volume 2

    International Nuclear Information System (INIS)

    1999-04-01

    DOE issued the ''Draft Environmental Impact Statement: Construction and Operation of the Spallation Neutron Source'' in December 1998. This document was made available for review by federal agencies; tribal governments; the state of Tennessee, New Mexico, Illinois, and New York; local governments; and the general public. DOE invited comments on the accuracy and adequacy of the DEIS and any other matters pertaining to environmental review of the document. The formal review and comment period extended from December 24, 1998 until February 8, 1999. DOE considered all comments submitted after the review and comment period. This appendix to the Final Environmental Impact Statement (FEIS) contains the 206 comments received and the DOE responses to these comments. It consists of four chapters. Chapter 1 provides an introduction to the contents of this appendix and discusses the general methodology DOE used for documenting, considering, and responding to the review comments on the DEIS. Chapter 2 summarizes the principal issues of public concern collectively reflected by the comments and presents DOE's responses to these issues. The full texts of the comments on the DEIS are presented in Chapter 3. Chapter 4 contains DOE's written responses to these comments and the locations of textual changes in the FEIS that were made in response to the comments

  3. Draft Hanford Remedial Action Environmental Impact Statement and Comprehensive Land Use Plan: Volume 2 of 4

    International Nuclear Information System (INIS)

    1996-08-01

    This appendix discusses the scope of actions addressed in the Draft Hanford Remedial Action Environmental Impact Statement and Comprehensive Land Use Plan. To address the purpose and need for agency action identified in Chapter 2.0 of the HRA-EIS, the scope includes an evaluation of the potential environmental impacts associated with the remedial actions to be conducted by the US Department of Energy (DOE) under the provisions of the Hanford Federal Facility Agreement and Consent Order (Tri-Party Agreement) (Ecology et al. 1989). These remedial actions would bring the Hanford Site into compliance with the applicable requirements of the Comprehensive Environmental Response, Compensation, and Liability Act of 1980 (CERCLA) and the Resource Conservation and Recovery Act of 1976 (RCRA). The DOE program responsible for conducting remedial actions at the Hanford Site is referred to as the Richland Environmental Restoration (ER) Project. The Richland ER Project encompasses the following projects: radiation area remedial actions and underground storage tanks (UST); RCRA closures; single-shell tank (SST) closures; past-practice waste site operable unit (source and groundwater) remedial actions; surplus facility decommissioning; and waste storage and disposal facilities

  4. ESF [Exploratory Shaft Facility] impact evaluation report: Volume 1, Final report

    International Nuclear Information System (INIS)

    1985-08-01

    This report assesses the impacts of integrating an Exploratory Shaft Facility (ESF) with a high-level nuclear waste repository in salt. A general repository subsurface design is described which complies with the Mine Safety and Health Administration regulations for gassy metal and non-metal mines. This design is combined with the ESF into a site-specific subsurface layout with associated shafts and surface facilities for each of seven sites. An evaluation to identify integration impacts is described for two specific ESF configurations (Cases 1 and 2) for each of the seven sites. These configurations are an ESF which uses two of the full size repository shafts, and an ESF with one 10-ft and one 22-ft diameter shaft. An evaluation of an ESF configuration (Case 3) with two 12-ft diameter shafts at three of the seven sites is also described. These sites are Deaf Smith, Davis Canyon, and Richton Dome. A fourth evaluation (Case 4) for the Deaf Smith site only, addresses a ''fast track'' subsurface development plan to allow waste emplacement by 1998. A fifth evaluation (Case 5), provides site-specific ES locations, for the three sites included in Case 3, which are supportive of a shaft siting study prepared by ONWI

  5. ESF [Exploratory Shaft Facility] impact evaluation report: Volume 2: Final report

    International Nuclear Information System (INIS)

    1985-08-01

    This report assesses the impacts of integrating an Exploratory Shaft Facility (ESF) with a high-level nuclear waste repository in salt. An evaluation to identify integration impacts is described for two specific ESF configurations (Cases 1 and 2) for each of the seven sites. These configurations are an ESF which uses two of the full size repository shafts, and an ESF with one 10-ft and one 22-ft diameter shaft. An evaluation of an ESF configuration (Case 3) with two 12-ft diameter shafts at three of the seven sites is also described. These sites are Deaf Smith, Davis Canyon, and Richton Dome. A fourth evaluation (Case 4) for the Deaf Smith site only, addresses a ''fast track'' subsurface development plan to allow waste emplacement by 1998. A fifth evaluation (Case 5), provides site-specific ES locations, for the three sites included in Case 3, which are supportive of a shaft siting study prepared by ONWI. The report presents development schedules depicting construction activities and time frames commencing with receipt of the repository Construction Authorization and proceeding to initiation of emplacement operations. These schedules are site specific and are presented for each of the five cases

  6. Enhanced Design Alternative IV

    International Nuclear Information System (INIS)

    Kramer, N.E.

    1999-01-01

    This report evaluates Enhanced Design Alternative (EDA) IV as part of the second phase of the License Application Design Selection (LADS) effort. The EDA IV concept was compared to the VA reference design using criteria from the Design Input Request for LADS Phase II EDA Evaluations (CRWMS M and O 1999b) and (CRWMS M and O 1999f). Briefly, the EDA IV concept arranges the waste packages close together in an emplacement configuration known as line load. Continuous pre-closure ventilation keeps the waste packages from exceeding their 350 C cladding and 200 C (4.3.6) drift wall temperature limits. This EDA concept keeps relatively high, uniform emplacement drift temperatures (post-closure) to drive water away from the repository and thus dry out the pillars between emplacement drifts. The waste package is shielded to permit human access to emplacement drifts and includes an integral filler inside the package to reduce the amount of water that can contact the waste form. Closure of the repository is desired 50 years after first waste is emplaced. Both backfill and drip shields will be emplaced at closure to improve post-closure performance. The EDA IV concept includes more defense-in-depth layers than the VA reference design because of its backfill, drip shield, waste package shielding, and integral filler features. These features contribute to the low dose-rate to the public achieved during the first 10,000 years of repository life as shown in Figure 3. Investigation of the EDA IV concept has led to the following general conclusions: (1) The total life cycle cost for EDA IV is about $21.7 billion which equates to a $11.3 billion net present value (both figures rounded up). (2) The incidence of design basis events for EDA IV is similar to the VA reference design. (3) The emplacement of the waste packages in drifts will be similar to the VA reference design. However, heavier equipment may be required because the shielded waste package will be heavier. (4) The heavier

  7. Draft Waste Management Programmatic Environmental Impact Statement for managing treatment, storage, and disposal of radioactive and hazardous waste. Volume 3, Appendix A: Public response to revised NOI, Appendix B: Environmental restoration, Appendix C, Environmental impact analysis methods, Appendix D, Risk

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1995-08-01

    Volume three contains appendices for the following: Public comments do DOE`s proposed revisions to the scope of the waste management programmatic environmental impact statement; Environmental restoration sensitivity analysis; Environmental impacts analysis methods; and Waste management facility human health risk estimates.

  8. Tracheal tube airleak in clinical practice and impact on tidal volume measurement in ventilated neonates.

    Science.gov (United States)

    Mahmoud, Ramadan A; Proquitté, Hans; Fawzy, Naglaa; Bührer, Christoph; Schmalisch, Gerd

    2011-03-01

    To determine the prevalence, size, and factors affecting tracheal tube (TT) leak in clinical practice and their influence on the displayed tidal volume (Vt) in ventilated newborn infants using uncuffed TTs. Monitoring of Vt is important for implementation of lung-protective ventilation strategies but becomes meaningless in the presence of large TT airleaks. Retrospective clinical study. Neonatal intensive care unit. Patient records of 163 neonates ventilated with Babylog 8000 for ≥ 5 hrs with a median (range) gestation age of 31.1 wks (23.3-41.9 wks) and a median birth weight of 1470 g (410-4475 g) were evaluated. : Ventilatory settings, TT leak, and Vt were recorded every 3 hrs. The lowest, median, and highest TT leaks were noted on the day the first TT leak (>5%) occurred, the day on which TT leak peaked, and the day of extubation. A TT leak of >5% was seen in 122 (75%) infants. Neonates with TT leak, compared with those without TT leak, had a longer duration of mechanical ventilation (p 40% commonly seen on the third day of mechanical ventilation. Regression analysis showed that a TT leak of 40% indicated that the displayed Vt was underestimated by 1.2 mL/kg (about 24% of target Vt). TT leak is highly variable, and TT leak of >40% with clinically relevant Vt errors occurred in nearly half of all ventilated neonates. Preterm infants of low birth weight and with small-diameter TTs ventilated for a long period were at greater risk of TT leak.

  9. Final environmental impact statement. Management of commercially generated radioactive waste. Volume 1 of 3

    Energy Technology Data Exchange (ETDEWEB)

    1980-10-01

    This EIS analyzes the significant environmental impacts that could occur if various technologies for management and disposal of high-level and transuranic wastes from commercial nuclear power reactors were to be developed and implemented. This EIS will serve as the environmental input for the decision on which technology, or technologies, will be emphasized in further research and development activities in the commercial waste management program. The action proposed in this EIS is to (1) adopt a national strategy to develop mined geologic repositories for disposal of commercially generated high-level and transuranic radioactive waste (while continuing to examine subseabed and very deep hole disposal as potential backup technologies) and (2) conduct a R and D program to develop such facilities and the necessary technology to ensure the safe long-term containment and isolation of these wastes. The Department has considered in this statement: development of conventionally mined deep geologic repositories for disposal of spent fuel from nuclear power reactors and/or radioactive fuel reprocessing wastes; balanced development of several alternative disposal methods; and no waste disposal action. This EIS reflects the public review of and comments offered on the draft statement. Included are descriptions of the characteristics of nuclear waste, the alternative disposal methods under consideration, and potential environmental impacts and costs of implementing these methods. Because of the programmatic nature of this document and the preliminary nature of certain design elements assumed in assessing the environmental consequences of the various alternatives, this study has been based on generic, rather than specific, systems. At such time as specific facilities are identified for particular sites, statements addressing site-specific aspects will be prepared for public review and comment.

  10. Final environmental impact statement. Management of commercially generated radioactive waste. Volume 1 of 3

    International Nuclear Information System (INIS)

    1980-10-01

    This EIS analyzes the significant environmental impacts that could occur if various technologies for management and disposal of high-level and transuranic wastes from commercial nuclear power reactors were to be developed and implemented. This EIS will serve as the environmental input for the decision on which technology, or technologies, will be emphasized in further research and development activities in the commercial waste management program. The action proposed in this EIS is to (1) adopt a national strategy to develop mined geologic repositories for disposal of commercially generated high-level and transuranic radioactive waste (while continuing to examine subseabed and very deep hole disposal as potential backup technologies) and (2) conduct a R and D program to develop such facilities and the necessary technology to ensure the safe long-term containment and isolation of these wastes. The Department has considered in this statement: development of conventionally mined deep geologic repositories for disposal of spent fuel from nuclear power reactors and/or radioactive fuel reprocessing wastes; balanced development of several alternative disposal methods; and no waste disposal action. This EIS reflects the public review of and comments offered on the draft statement. Included are descriptions of the characteristics of nuclear waste, the alternative disposal methods under consideration, and potential environmental impacts and costs of implementing these methods. Because of the programmatic nature of this document and the preliminary nature of certain design elements assumed in assessing the environmental consequences of the various alternatives, this study has been based on generic, rather than specific, systems. At such time as specific facilities are identified for particular sites, statements addressing site-specific aspects will be prepared for public review and comment

  11. Analysis of potential combustion source impacts on acid deposition using an independently derived inventory. Volume I

    Energy Technology Data Exchange (ETDEWEB)

    1983-12-01

    This project had three major objectives. The first objective was to develop a fossil fuel combustion source inventory (NO/sub x/, SO/sub x/, and hydrocarbon emissions) that would be relatively easy to use and update for analyzing the impact of combustion emissions on acid deposition in the eastern United States. The second objective of the project was to use the inventory data as a basis for selection of a number of areas that, by virtue of their importance in the acid rain issue, could be further studied to assess the impact of local and intraregional combustion sources. The third objective was to conduct an analysis of wet deposition monitoring data in the areas under study, along with pertinent physical characteristics, meteorological conditions, and emission patterns of these areas, to investigate probable relationships between local and intraregional combustion sources and the deposition of acidic material. The combustion source emissions inventory has been developed for the eastern United States. It characterizes all important area sources and point sources on a county-by-county basis. Its design provides flexibility and simplicity and makes it uniquely useful in overall analysis of emission patterns in the eastern United States. Three regions with basically different emission patterns have been identified and characterized. The statistical analysis of wet deposition monitoring data in conjunction with emission patterns, wind direction, and topography has produced consistent results for each study area and has demonstrated that the wet deposition in each area reflects the characteristics of the localized area around the monitoring sites (typically 50 to 150 miles). 8 references, 28 figures, 39 tables.

  12. State policies and requirements for management of uranium mining and milling in New Mexico. Volume IV. The supply of electric power and natural gas fuel as possible constraints on uranium production

    International Nuclear Information System (INIS)

    Page, G.B.

    1980-04-01

    The report contained in this volume considers the availability of electric power to supply uranium mines and mills. The report, submited to Sandia Laboratories by the New Mexico Department of Energy and Minerals (EMD), is reproduced without modification. The state concludes that the supply of power, including natural gas-fueled production, will not constrain uranium production

  13. Impact of surgical experience on management and outcome of pancreatic surgery performed in high- and low-volume centers.

    Science.gov (United States)

    Stella, Marco; Bissolati, Massimiliano; Gentile, Daniele; Arriciati, Alessandro

    2017-09-01

    Pancreaticoduodenectomy (PD) is one of the procedures in general surgery with the highest rate of life-threatening complications. The positive impact of the volume-outcome ratio on outcomes and mortality in pancreatic surgery (PS) has led to policy-level efforts toward centralization of care for PS that is currently under evaluation by some Regional Health Services. The role of the surgeon's experience and training is still under debate. The aim of this paper is to compare the outcomes of PS by the same surgeon in a high volume (HV) and in a low volume (LV) hospital to assess whether a specific training in PS could outdo the benefits of hospital volume. 124 pancreatic resections (98 PD) were conducted by a single surgeon from 2004 to 2014 in two different Italian hospitals with different PS volumes as well as in general surgical activities. The results were retrospectively analyzed. All data regarding demographics, oncological characteristics, surgical parameters and post-operative outcomes were compared between patients operated on in the HV (group A) and LV hospital (group B). The surgical experience in the LV hospital has been then divided into a first period (group B1) and in a second period (group B2). χ 2 test or Fisher's exact test (when variables were dichotomous) was used. The unpaired t test was used to compare continuous data between the two groups. Values are expressed as n. of cases (percent) for categorical data or as mean (standard deviation) for continuous data. A p value less than 0.05 was considered as significant. From 2004 to 2014, 124 patients underwent pancreatic resection by the same surgeon: 69 in an HV hospital (group A) and 55 in an LV hospital (group B). We focused our attention on PD outcomes, 54 in group A and 44 in group B (22 in group B1 and 22 in group B2, accordingly to the aforementioned criteria). A higher incidence of ASA 3 patients, although not statistically significant, was found in group B than in group A (34 vs. 18%; p

  14. Adapting to climate variability and change in Ontario : volume 4 of the Canada country study : climate impacts and adaptation

    Energy Technology Data Exchange (ETDEWEB)

    Smith, J.; Lavender, B. [Smith and Lavender Envrironmental Consultants, ON (Canada); Auld, H.; Broadhurst, D.; Bullock, T. [Environment Canada, Ottawa, ON (Canada). Ontario Region

    1998-03-01

    An assessment of how climate change will affect Ontario over the next century, including its social, biological and economic environment, is presented. The most significant impacts are expected to result from changes in precipitation patterns, in soil moisture, and in greater intensity and frequency of extreme weather events. Some of the major impacts of changing climate discussed in this volume include: (1) more pollution episodes, (2) increased heat stress, (3) lowering of average water levels of the Great Lakes, (4) changes in the hydrologic cycle which could result in variability of water supply for hydroelectric power production, (5) warming waters of the Great Lakes which could cause fish species to shift northward, (6) cool temperate, moderate temperate and grassland regions could expand northwards as the boreal forest retreats, (7) longer crop growing seasons, (8) decreased snow loads, and (9) reduced ice on the Great Lakes which would increase the length of the shipping season. The general conclusion is that adapting to changing climate will require a knowledge of how climate changes occur and how the changes are likely to affect the environment, society and economy. Changes in other key variables such as technology, personal preferences and social values will also influence the rate of climate change and Ontario`s ability to adapt to it. refs., tabs., figs.

  15. Observations of Recent Arctic Sea Ice Volume Loss and Its Impact on Ocean-Atmosphere Energy Exchange and Ice Production

    Science.gov (United States)

    Kurtz, N. T.; Markus, T.; Farrell, S. L.; Worthen, D. L.; Boisvert, L. N.

    2011-01-01

    Using recently developed techniques we estimate snow and sea ice thickness distributions for the Arctic basin through the combination of freeboard data from the Ice, Cloud, and land Elevation Satellite (ICESat) and a snow depth model. These data are used with meteorological data and a thermodynamic sea ice model to calculate ocean-atmosphere heat exchange and ice volume production during the 2003-2008 fall and winter seasons. The calculated heat fluxes and ice growth rates are in agreement with previous observations over multiyear ice. In this study, we calculate heat fluxes and ice growth rates for the full distribution of ice thicknesses covering the Arctic basin and determine the impact of ice thickness change on the calculated values. Thinning of the sea ice is observed which greatly increases the 2005-2007 fall period ocean-atmosphere heat fluxes compared to those observed in 2003. Although there was also a decline in sea ice thickness for the winter periods, the winter time heat flux was found to be less impacted by the observed changes in ice thickness. A large increase in the net Arctic ocean-atmosphere heat output is also observed in the fall periods due to changes in the areal coverage of sea ice. The anomalously low sea ice coverage in 2007 led to a net ocean-atmosphere heat output approximately 3 times greater than was observed in previous years and suggests that sea ice losses are now playing a role in increasing surface air temperatures in the Arctic.

  16. Moderating effects of sex on the impact of diagnosis and amyloid positivity on verbal memory and hippocampal volume.

    Science.gov (United States)

    Caldwell, Jessica Z K; Berg, Jody-Lynn; Cummings, Jeffrey L; Banks, Sarah J

    2017-09-12

    Alzheimer's disease (AD) impacts men and women differently, but the effect of sex on predementia stages is unclear. The objective of this study was to examine whether sex moderates the impact of florbetapir positron emission tomography (PET) amyloid positivity (A + ) on verbal learning and memory performance and hippocampal volume (HV) in normal cognition (NC) and early mild cognitive impairment (eMCI). Seven hundred forty-two participants with NC and participants with eMCI from the Alzheimer's Disease Neuroimaging Initiative (second cohort [ADNI2] and Grand Opportunity Cohort [ADNI-GO]) were included. All had baseline florbetapir PET measured, and 526 had screening visit HV measured. Regression moderation models were used to examine whether A + effects on Rey Auditory Verbal Learning Test learning and delayed recall and right and left HV (adjusted for total intracranial volume) were moderated by diagnosis and sex. Age, cognition at screening, education, and apolipoprotein E ε4 carrier status were controlled. Women with A + , but not those with florbetapir PET amyloid negative (A-),eMCI showed poorer learning. For women with NC, there was no relationship of A + with learning. In contrast, A + men trended toward poorer learning regardless of diagnosis. A similar trend was found for verbal delayed recall: Women with A + , but not A-, eMCI trended toward reduced delayed recall; no effects were observed for women with NC or for men. Hippocampal analyses indicated that women with A + , but not those with A - , eMCI, trended toward smaller right HV; no significant A + effects were observed for women with NC. Men showed similar, though nonsignificant, patterns of smaller right HV in A + eMCI, but not in men with A - eMCI or NC. No interactive effects of sex were noted for left HV. Women with NC showed verbal learning and memory scores robust to A + , and women with A + eMCI lost this advantage. In contrast, A + impacted men's scores less significantly or not at all, and

  17. Cook Inlet Planning Area oil and gas lease sale 149: Final environmental impact statement. Volume 1

    International Nuclear Information System (INIS)

    1996-01-01

    This environmental impact statement (EIS) discusses a proposed oil and gas lease sale in the Cook Inlet Planning Area, analyzes its potential effects on the environment, describes alternatives, presents major issues determined through the scoping process and staff analyses, and evaluates potential mitigating measures. Descriptions of the (1) leasing and scoping process are given in Section 1, (2) alternatives and mitigating measures in Section 2, and (3) description of the environment in Section 3. The potential effects of the lease sale are analyzed in Section 4. Alternative 1, the proposed action, is based on offering for lease 402 blocks (approximately 0.8 million hectares--1.98 million acres) in lower Cook Inlet that range from about 5 to 50 kilometers (3 to 25 mi) offshore. Alterative 2 (No Lease Sale) would cancel the proposed lease sale tentatively scheduled for April 1996. Alternative 2 (Delay the Sale) would delay the proposed sale for 2 years. Alternatives 4, 5, 6, 7, 8, and 9 would defer from leasing areas adjacent to the lower Cook Inlet and northwestern Shelikof Strait: the size of areas deferred ranges from about 5 to 45% of the area proposed for Alternative 1. After a thorough review, the Secretary of the Interior will decide which alternative or combination of alternatives will be included in the Notice of Sale

  18. Final environmental impact statement, construction and operation of the Spallation Neutron Source. Volume 1

    International Nuclear Information System (INIS)

    1999-04-01

    DOE proposes to construct and operate a state-of-the-art, short-pulsed, spallation neutron source comprised of an ion source, a linear accelerator, a proton accumulator ring, and an experiment building containing a liquid mercury target and a suite of neutron scattering instrumentation. The proposed Spallation neutron Source would be designed to operate at a proton beam power of 1 megawatt. The design would accommodate future upgrades to a peak operating power of 4 megawatts. These upgrades may include construction of a second proton accumulator ring and a second target. This document analyzes the potential environmental impacts from the proposed action and the alternatives. The analysis assumes a facility operating at a power of 1 MW and 4 MW over the life of the facility. The two primary alternatives analyzed in this FEIS are: the proposed action (to proceed with building the Spallation Neutron Source) and the No-Action Alternative. The No-Action Alternative describes the expected condition of the environment if no action were taken. Four siting alternatives for the Spallation Neutron Source are evaluated: Oak Ridge National Laboratory, Oak Ridge, TN, (preferred alternative); Argonne National Laboratory, Argonne, IL; Brookhaven National Laboratory, Upton, NY; and Los Alamos National Laboratory, Los Alamos, NM

  19. Portsmouth Gasseous Diffusion Plant site, Piketon, Ohio. Final environmental impact statement. Volume 1

    International Nuclear Information System (INIS)

    1977-05-01

    This environmental statement provides a detailed analysis of the environmental effects associated with continued operation of the Portsmouth Gaseous Diffusion Plant, one of the three government-owned uranium enrichment plants operated by the Energy Research and Development Administration (ERDA). The Portsmouth facility, which has been operating for over twenty years, is located in Pike County, Ohio, on a 4000-acre federally owned reservation. The uranium enrichment capacity of the plant is currently being increased through a cascade improvement program (CIP) and a cascade uprating program (CUP). This environmental statement evaluates the Portsmouth facility at the fully uprated CUP production level. Environmental impacts of the production of offsite electric power for the Portsmouth facility are also assessed. The bulk of this power is supplied by the Ohio Valley Electric Corporation (OVEC) from two coal-fired plants, the Clifty Creek Power Plant near Madison, Indiana, and the Kyger Creek Power Plant near Cheshire, Ohio. The remaining required power will be obtained on a system basis through OVEC from the 15 sponsoring utilities of OVEC. The draft statement was issued for public comment on February 15, 1977, and public hearing to afford the public further opportunity to comment was held in Cincinnati, Ohio, on April 5, 1977

  20. A sputnik IV saga

    Science.gov (United States)

    Lundquist, Charles A.

    2009-12-01

    The Sputnik IV launch occurred on May 15, 1960. On May 19, an attempt to deorbit a 'space cabin' failed and the cabin went into a higher orbit. The orbit of the cabin was monitored and Moonwatch volunteer satellite tracking teams were alerted to watch for the vehicle demise. On September 5, 1962, several team members from Milwaukee, Wisconsin made observations starting at 4:49 a.m. of a fireball following the predicted orbit of Sputnik IV. Requests went out to report any objects found under the fireball path. An early morning police patrol in Manitowoc had noticed a metal object on a street and had moved it to the curb. Later the officers recovered the object and had it dropped off at the Milwaukee Journal. The Moonwarch team got the object and reported the situation to Moonwatch Headquarters at the Smithsonian Astrophysical Observatory. A team member flew to Cambridge with the object. It was a solid, 9.49 kg piece of steel with a slag-like layer attached to it. Subsequent analyses showed that it contained radioactive nuclei produced by cosmic ray exposure in space. The scientists at the Observatory quickly recognized that measurements of its induced radioactivity could serve as a calibration for similar measurements of recently fallen nickel-iron meteorites. Concurrently, the Observatory directorate informed government agencies that a fragment from Sputnik IV had been recovered. Coincidently, a debate in the UN Committee on Peaceful Uses of Outer Space involved the issue of liability for damage caused by falling satellite fragments. On September 12, the Observatory delivered the bulk of the fragment to the US Delegation to the UN. Two days later, the fragment was used by US Ambassador Francis Plimpton as an exhibit that the time had come to agree on liability for damage from satellite debris. He offered the Sputnik IV fragment to USSR Ambassador P.D. Morozov, who refused the offer. On October 23, Drs. Alla Massevitch and E.K. Federov of the USSR visited the

  1. Final Long-Term Management and Storage of Elemental Mercury Environmental Impact Statement Volume 2

    Energy Technology Data Exchange (ETDEWEB)

    2011-01-01

    Pursuant to the Mercury Export Ban Act of 2008 (P.L. 110-414), DOE was directed to designate a facility or facilities for the long-term management and storage of elemental mercury generated within the United States. Therefore, DOE has analyzed the storage of up to 10,000 metric tons (11,000 tons) of elemental mercury in a facility(ies) constructed and operated in accordance with the Solid Waste Disposal Act, as amended by the Resource Conservation and Recovery Act (74 FR 31723). DOE prepared this Final Mercury Storage EIS in accordance with the National Environmental Policy Act of 1969 (NEPA), as amended (42 U.S.C. 4321 et seq.), the Council on Environmental Quality (CEQ) implementing regulations (40 CFR 1500–1508), and DOE’s NEPA implementing procedures (10 CFR 1021) to evaluate reasonable alternatives for a facility(ies) for the long-term management and storage of elemental mercury. This Final Mercury Storage EIS analyzes the potential environmental, human health, and socioeconomic impacts of elemental mercury storage at seven candidate locations: Grand Junction Disposal Site near Grand Junction, Colorado; Hanford Site near Richland, Washington; Hawthorne Army Depot near Hawthorne, Nevada; Idaho National Laboratory near Idaho Falls, Idaho; Kansas City Plant in Kansas City, Missouri; Savannah River Site near Aiken, South Carolina; and Waste Control Specialists, LLC, site near Andrews, Texas. As required by CEQ NEPA regulations, the No Action Alternative was also analyzed as a basis for comparison. DOE intends to decide (1) where to locate the elemental mercury storage facility(ies) and (2) whether to use existing buildings, new buildings, or a combination of existing and new buildings. DOE’s Preferred Alternative for the long-term management and storage of mercury is the Waste Control Specialists, LLC, site near Andrews, Texas.

  2. Construction and operation of the Spallation Neutron Source: Draft environmental impact statement. Volume 1

    International Nuclear Information System (INIS)

    1998-12-01

    DOE proposes to construct and operate a state-of-the-art, short-pulsed spallation neutron source comprised of an ion source, a linear accelerator, a proton accumulator ring, and an experiment building containing a liquid mercury target and a suite of neutron scattering instrumentation. The proposed Spallation Neutron Source would be designed to operate at a proton beam power of 1 megawatt. The design would accommodate future upgrades to a peak operating power of 4 megawatts. These upgrades may include construction of a second proton accumulation ring and a second target. The US needs a high-flux, short-pulsed neutron source to provide the scientific and industrial research communities with a much more intense source of pulsed neutrons for neutron scattering research than is currently available, and to assure the availability of a state-of-the-art facility in the decades ahead. This next-generation neutron source would create new scientific and engineering opportunities. In addition, it would help replace the neutron science capacity that will be lost by the eventual shutdown of existing sources as they reach the end of their useful operating lives in the first half of the next century. This document analyzes the potential environmental impacts from the proposed action and the alternatives. The analysis assumes a facility operating at a power of 1 MW and 4 MW over the life of the facility. The two primary alternatives analyzed in this EIS are: the proposed action (to proceed with building the Spallation Neutron Source) and the No-Action Alternative. The No-Action Alternative describes the expected condition of the environment if no action were taken. Four siting alternatives for the Spallation Neutron Source are evaluated: Oak Ridge National Laboratory, Oak Ridge, TN, (preferred alternative); Argonne National Laboratory, Argonne, IL (US); Brookhaven National Laboratory, Upton, NY; and Los Alamos National Laboratory, Los Alamos, NM

  3. Final Long-Term Management and Storage of Elemental Mercury Environmental Impact Statement Volume1

    Energy Technology Data Exchange (ETDEWEB)

    2011-01-01

    Pursuant to the Mercury Export Ban Act of 2008 (P.L. 110-414), DOE was directed to designate a facility or facilities for the long-term management and storage of elemental mercury generated within the United States. Therefore, DOE has analyzed the storage of up to 10,000 metric tons (11,000 tons) of elemental mercury in a facility(ies) constructed and operated in accordance with the Solid Waste Disposal Act, as amended by the Resource Conservation and Recovery Act (74 FR 31723).DOE prepared this Final Mercury Storage EIS in accordance with the National Environmental Policy Act of 1969 (NEPA), as amended (42 U.S.C. 4321 et seq.), the Council on Environmental Quality (CEQ) implementing regulations (40 CFR 1500–1508), and DOE’s NEPA implementing procedures (10 CFR 1021) to evaluate reasonable alternatives for a facility(ies) for the long-term management and storage of elemental mercury. This Final Mercury Storage EIS analyzes the potential environmental, human health, and socioeconomic impacts of elemental mercury storage at seven candidate locations:Grand Junction Disposal Site near Grand Junction, Colorado; Hanford Site near Richland, Washington; Hawthorne Army Depot near Hawthorne, Nevada; Idaho National Laboratory near Idaho Falls, Idaho;Kansas City Plant in Kansas City, Missouri; Savannah River Site near Aiken, South Carolina; and Waste Control Specialists, LLC, site near Andrews, Texas. As required by CEQ NEPA regulations, the No Action Alternative was also analyzed as a basis for comparison. DOE intends to decide (1) where to locate the elemental mercury storage facility(ies) and (2) whether to use existing buildings, new buildings, or a combination of existing and new buildings. DOE’s Preferred Alternative for the long-term management and storage of mercury is the Waste Control Specialists, LLC, site near Andrews, Texas.

  4. Impact and appreciation of two methods aiming at reducing hazardous drug environmental contamination: The centralization of the priming of IV tubing in the pharmacy and use of a closed-system transfer device.

    Science.gov (United States)

    Guillemette, Annie; Langlois, Hélène; Voisine, Maxime; Merger, Delphine; Therrien, Roxane; Mercier, Genevieve; Lebel, Denis; Bussières, Jean-François

    2014-12-01

    The main objective was to evaluate the impact of two methods aiming at reducing hazardous drug environmental contamination: the centralization of the priming of IV tubing in the pharmacy and the use of a closed-system transfer device. The secondary objective was to evaluate the satisfaction of pharmacy technicians using a survey. Sites in the hematology-oncology satellite pharmacy and care unit were analyzed for the presence of cyclophosphamide, ifosfamide and methotrexate before and after the centralization of the priming of IV tubing in the pharmacy and before and after using a closed-system transfer device. The limits of detection for cyclophosphamide, ifosfamide and methotrexate were, respectively, of 0.0015 ng/cm(2), 0.0012 ng/cm(2) and 0.0060 ng/cm(2). The pharmacy technician satisfaction was evaluated using a questionnaire. A total of 225 samples was quantified. After the centralization of priming in the pharmacy, no significant difference was found in the proportion of positive samples for cyclophosphamide, ifosfamide and methotrexate. Traces of cyclophosphamide found on the floor in patient care areas was significantly reduced (median[min-max] 0.08[0.06-0.09]ng/cm(2) vs. 0.03[0.02-0.05], p tubing in the pharmacy reduced floor contamination in patient care areas without increasing surface contamination in the pharmacy. Closed-system transfer devices reduced contamination in pharmacy, but handling issues were raised by pharmacy technicians. © The Author(s) 2014 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav.

  5. Gender-linked impact of epicardial adipose tissue volume in patients who underwent coronary artery bypass graft surgery or non-coronary valve surgery

    OpenAIRE

    Maimaituxun, Gulinu; Shimabukuro, Michio; Salim, Hotimah Masdan; Tabata, Minoru; Yuji, Daisuke; Morimoto, Yoshihisa; Akasaka, Takeshi; Matsuura, Tomomi; Yagi, Shusuke; Fukuda, Daiju; Yamada, Hirotsugu; Soeki, Takeshi; Sugimoto, Takaki; Tanaka, Masashi; Takanashi, Shuichiro

    2017-01-01

    Background Traditional and non-traditional risk factors for atherosclerotic cardiovascular disease (ASCVD) are different between men and women. Gender-linked impact of epicardial adipose tissue volume (EATV) in patients undergoing coronary artery bypass grafting (CABG) remains unknown. Methods Gender-linked impact of EATV, abdominal fat distribution and other traditional ASCVD risk factors were compared in 172 patients (men: 115; women: 57) who underwent CABG or non-coronary valvular surgery ...

  6. Impact of PET - CT motion correction in minimising the gross tumour volume in non-small cell lung cancer

    Directory of Open Access Journals (Sweden)

    Michael Masoomi

    2013-10-01

    Full Text Available AbstractObjective: To investigate the impact of respiratory motion on localization, and quantification lung lesions for the Gross Tumour Volume utilizing an in-house developed Auto3Dreg programme and dynamic NURBS-based cardiac-torso digitised phantom (NCAT. Methods: Respiratory motion may result in more than 30% underestimation of the SUV values of lung, liver and kidney tumour lesions. The motion correction technique adopted in this study was an image-based motion correction approach using, an in-house developed voxel-intensity-based and a multi-resolution multi-optimisation (MRMO algorithm. All the generated frames were co-registered to a reference frame using a time efficient scheme. The NCAT phantom was used to generate CT attenuation maps and activity distribution volumes for the lung regions. Quantitative assessment including Region of Interest (ROI, image fidelity and image correlation techniques, as well as semi-quantitative line profile analysis and qualitatively overlaying non-motion and motion corrected image frames were performed. Results: the largest transformation was observed in the Z-direction. The greatest translation was for the frame 3, end inspiration, and the smallest for the frame 5 which was closet frame to the reference frame at 67% expiration. Visual assessment of the lesion sizes, 20-60mm at 3 different locations, apex, mid and base of lung showed noticeable improvement for all the foci and their locations. The maximum improvements for the image fidelity were from 0.395 to 0.930 within the lesion volume of interest. The greatest improvement in activity concentration underestimation, post motion correction, was 7% below the true activity for the 20 mm lesion. The discrepancies in activity underestimation were reduced with increasing the lesion sizes. Overlay activity distribution on the attenuation map showed improved localization of the PET metabolic information to the anatomical CT images. Conclusion: The respiratory

  7. Use of Oritavancin in Moderate-to-Severe ABSSSI Patients Requiring IV Antibiotics: A U.S. Payer Budget Impact Analysis.

    Science.gov (United States)

    Jensen, Ivar S; Wu, Elizabeth; Fan, Weihong; Lodise, Thomas P; Nicolau, David P; Dufour, Scott; Cyr, Philip L; Sulham, Katherine A

    2016-06-01

    It is estimated that acute bacterial skin and skin structure infections (ABSSSI) account for nearly 10% of hospital admissions and 3.4-3.8 million emergency department visits per year in the United States. Analyses of hospital discharge records indicate 74% of ABSSSI admissions involve empiric treatment with methicillin-resistant Staphylococcus aureus (MRSA) active antibiotics. Analysis has shown that payer costs could be reduced if moderate-to-severe ABSSSI patients were treated to a greater extent in the observational unit followed by discharge to outpatient parenteral antibiotic therapy (OPAT). Oritavancin is a lipoglycopeptide antibiotic with bactericidal activity against gram-positive bacteria, including MRSA. To estimate the impact on a U.S. payer's budget of using single-dose oritavancin in ABSSSI patients with suspected MRSA involvement who are indicated for intravenous antibiotics. A decision analytic model based on current clinical practice was developed to estimate the economic value of decreased hospital resource consumption by using single-dose oritavancin over a 1-year time horizon. Use of antibiotics was informed by an analysis of the Premier Research Database. Demographic and clinical data were derived from a targeted literature review. Emergency department, observation, laboratory, and administration costs used were Medicare National Limitation amounts. Drug costs were 2014 wholesale acquisition costs. For a hypothetical U.S. payer with 1,000,000 members, it is expected that approximately 14,285 members per year will be diagnosed with ABSSSI severe enough to indicate intravenous antibiotics with MRSA activity. Based on this simulation, use of single-dose oritavancin in 26% of these patients was estimated to reduce the number of inpatient admissions, reduce length of stay for patients requiring admission, and reduce the number of days a patient needs to receive daily infusions in the OPAT clinic. The total patient days decreased from 171,125 to 133

  8. SDSS-IV MaNGA: the impact of diffuse ionized gas on emission-line ratios, interpretation of diagnostic diagrams and gas metallicity measurements

    Science.gov (United States)

    Zhang, Kai; Yan, Renbin; Bundy, Kevin; Bershady, Matthew; Haffner, L. Matthew; Walterbos, René; Maiolino, Roberto; Tremonti, Christy; Thomas, Daniel; Drory, Niv; Jones, Amy; Belfiore, Francesco; Sánchez, Sebastian F.; Diamond-Stanic, Aleksandar M.; Bizyaev, Dmitry; Nitschelm, Christian; Andrews, Brett; Brinkmann, Jon; Brownstein, Joel R.; Cheung, Edmond; Li, Cheng; Law, David R.; Roman Lopes, Alexandre; Oravetz, Daniel; Pan, Kaike; Storchi Bergmann, Thaisa; Simmons, Audrey

    2017-04-01

    Diffuse ionized gas (DIG) is prevalent in star-forming galaxies. Using a sample of 365 nearly face-on star-forming galaxies observed by Mapping Nearby Galaxies at APO, we demonstrate how DIG in star-forming galaxies impacts the measurements of emission-line ratios, hence the interpretation of diagnostic diagrams and gas-phase metallicity measurements. At fixed metallicity, DIG-dominated low ΣHα regions display enhanced [S II]/Hα, [N II]/Hα, [O II]/Hβ and [O I]/Hα. The gradients in these line ratios are determined by metallicity gradients and ΣHα. In line ratio diagnostic diagrams, contamination by DIG moves H II regions towards composite or low-ionization nuclear emission-line region (LI(N)ER)-like regions. A harder ionizing spectrum is needed to explain DIG line ratios. Leaky H II region models can only shift line ratios slightly relative to H II region models, and thus fail to explain the composite/LI(N)ER line ratios displayed by DIG. Our result favours ionization by evolved stars as a major ionization source for DIG with LI(N)ER-like emission. DIG can significantly bias the measurement of gas metallicity and metallicity gradients derived using strong-line methods. Metallicities derived using N2O2 are optimal because they exhibit the smallest bias and error. Using O3N2, R23, N2 = [N II]/Hα and N2S2Hα to derive metallicities introduces bias in the derived metallicity gradients as large as the gradient itself. The strong-line method of Blanc et al. (IZI hereafter) cannot be applied to DIG to get an accurate metallicity because it currently contains only H II region models that fail to describe the DIG.

  9. A Monte Carlo study of the impact of the choice of rectum volume definition on estimates of equivalent uniform doses and the volume parameter

    International Nuclear Information System (INIS)

    Kvinnsland, Yngve; Muren, Ludvig Paul; Dahl, Olav

    2004-01-01

    Calculations of normal tissue complication probability (NTCP) values for the rectum are difficult because it is a hollow, non-rigid, organ. Finding the true cumulative dose distribution for a number of treatment fractions requires a CT scan before each treatment fraction. This is labour intensive, and several surrogate distributions have therefore been suggested, such as dose wall histograms, dose surface histograms and histograms for the solid rectum, with and without margins. In this study, a Monte Carlo method is used to investigate the relationships between the cumulative dose distributions based on all treatment fractions and the above-mentioned histograms that are based on one CT scan only, in terms of equivalent uniform dose. Furthermore, the effect of a specific choice of histogram on estimates of the volume parameter of the probit NTCP model was investigated. It was found that the solid rectum and the rectum wall histograms (without margins) gave equivalent uniform doses with an expected value close to the values calculated from the cumulative dose distributions in the rectum wall. With the number of patients available in this study the standard deviations of the estimates of the volume parameter were large, and it was not possible to decide which volume gave the best estimates of the volume parameter, but there were distinct differences in the mean values of the values obtained

  10. Greater-than-Class C low-level waste characterization. Appendix I: Impact of concentration averaging low-level radioactive waste volume projections

    International Nuclear Information System (INIS)

    Tuite, P.; Tuite, K.; O'Kelley, M.; Ely, P.

    1991-08-01

    This study provides a quantitative framework for bounding unpackaged greater-than-Class C low-level radioactive waste types as a function of concentration averaging. The study defines the three concentration averaging scenarios that lead to base, high, and low volumetric projections; identifies those waste types that could be greater-than-Class C under the high volume, or worst case, concentration averaging scenario; and quantifies the impact of these scenarios on identified waste types relative to the base case scenario. The base volume scenario was assumed to reflect current requirements at the disposal sites as well as the regulatory views. The high volume scenario was assumed to reflect the most conservative criteria as incorporated in some compact host state requirements. The low volume scenario was assumed to reflect the 10 CFR Part 61 criteria as applicable to both shallow land burial facilities and to practices that could be employed to reduce the generation of Class C waste types

  11. Impacts of Outer Continental Shelf (OCS) development on recreation and tourism. Volume 2. Final report and case studies

    Energy Technology Data Exchange (ETDEWEB)

    1987-04-01

    The final report for the project is comprised of five volumes. The volume presents the study conclusions, summarizes the methodology used (more detail is found in Volume 3), discusses four case study applications of the model, and contains profiles of coastal communities in an Appendix.

  12. Impact of baseline BMI on glycemic control and weight change with metformin monotherapy in Chinese type 2 diabetes patients: phase IV open-label trial.

    Directory of Open Access Journals (Sweden)

    Linong Ji

    Full Text Available Differences exist between treatment recommendations regarding the choice of metformin as first-line therapy for type 2 diabetes patients according to body mass index (BMI. This study compared the efficacy of metformin monotherapy among normal-weight, overweight, and obese patients with newly diagnosed type 2 diabetes.In this prospective, multicenter, open-label study in China, patients aged 23-77 years were enrolled 1∶1:1 according to baseline BMI: normal-weight (BMI 18.5-23.9 kg/m(2; n = 125; overweight (BMI 24.0-27.9 kg/m(2; n = 122 or obese (BMI ≥28 kg/m(2; n = 124. Extended-release metformin was administered for 16 weeks (500 mg/day, up-titrated weekly to a maximum 2,000 mg/day. The primary efficacy endpoint was the effect of baseline BMI on glycemic control with metformin monotherapy, measured as the change from baseline in glycosylated hemoglobin (HbA1c at week 16 compared among BMI groups using ANCOVA. Other endpoints included comparisons of metformin's effects on fasting plasma glucose (FPG, lipid levels and body weight.Mean HbA1c decreases at week 16, adjusted for baseline values, were -1.84%, -1.78% and -1.78% in normal-weight, overweight and obese patients, (P = 0.664; body weight decreased by 2.4%, 3.9% and 3.5%, respectively. FPG levels decreased similarly over time in all BMI groups (P = 0.461 and changes from baseline in high-density lipoprotein cholesterol (HDL-C and low-density lipoprotein cholesterol (LDL-C did not differ significantly among BMI groups at week 16 (P = 0.143 and 0.451, respectively.Baseline BMI had no impact on glycemic control, weight change or other efficacy measures with metformin monotherapy. These data suggest that normal-weight type 2 diabetes patients would derive the same benefits from first-line treatment with metformin as overweight and obese patients, and are not at increased risk of excess weight loss.ClinicalTrials.gov NCT00778622.

  13. The impact of dynamic topography on the bedrock elevation and volume of the Pliocene Antarctic Ice Sheet

    Science.gov (United States)

    Austermann, Jacqueline; Pollard, David; Mitrovica, Jerry X.; Moucha, Robert; Forte, Alessandro M.; DeConto, Robert M.

    2015-04-01

    Reconstructions of the Antarctic ice sheet over long timescales (i.e. Myrs) require estimates of bedrock elevation through time. Ice sheet models have accounted, with varying levels of sophistication, for changes in the bedrock elevation due to glacial isostatic adjustment (GIA), but they have neglected other processes that may perturb topography. One notable example is dynamic topography, the deflection of the solid surface of the Earth due to convective flow within the mantle. Numerically predicted changes in dynamic topography have been used to correct paleo shorelines for this departure from eustasy, but the effect of such changes on ice sheet stability is unknown. In this study we use numerical predictions of time-varying dynamic topography to reconstruct bedrock elevation below the Antarctic ice sheet during the mid Pliocene warm period (~3 Ma). Moreover, we couple this reconstruction to a three-dimensional ice sheet model to explore the impact of dynamic topography on the evolution of the Antarctic ice sheet since the Pliocene. Our modeling indicates significant uplift in the area of the Transantarctic Mountains (TAM) and the adjacent Wilkes basin. This predicted uplift, which is at the lower end of geological inferences of uplift of the TAM, implies a lower elevation of the basin in the Pliocene. Relative to simulations that do not include dynamic topography, the lower elevation leads to a smaller Antarctic Ice Sheet volume and a more significant retreat of the grounding line in the Wilkes basin, both of which are consistent with offshore sediment core data. We conclude that reconstructions of the Antarctic Ice Sheet during the mid-Pliocene warm period should be based on bedrock elevation models that include the impact of both GIA and dynamic topography.

  14. Final environmental impact statement. Management of commercially generated radioactive waste. Volume 3. Public comments hearing board report

    International Nuclear Information System (INIS)

    1980-10-01

    This EIS analyzes the significant environmental impacts that could occur if various technologies for management and disposal of high-level and transuranic wastes from commercial nuclear power reactors were to be developed and implemented. This EIS will serve as the environmental input for the decision on which technology, or technologies, will be emphasized in further research and development activities in the commercial waste management program. The action proposed in this EIS is to (1) adopt a national strategy to develop mined geologic repositories for disposal of commercially generated high-level and transuranic radioactive waste (while continuing to examine subseabed and very deep hole disposal as potential backup technologies) and (2) conduct a R and D program to develop such facilities and the necessary technology to ensure the safe long-term containment and isolation of these wastes. The Department has considered in this statement: development of conventionally mined deep geologic repositories for disposal of spent fuel from nuclear power reactors and/or radioactive fuel reprocessing wastes; balanced development of several alternative disposal methods; and no waste disposal action. This volume contains written public comments and hearing board responses and reports offered on the draft statement

  15. Final programmatic environmental impact statement for the uranium mill tailings remedial action ground water project. Volume II

    Energy Technology Data Exchange (ETDEWEB)

    None

    1996-10-01

    Volume II of the programmatic environmental impact statement (PElS) is a comment and response document; it is the collection of the comments received on the draft PElS. The U.S. Department of Energy's (DOE) response to each comment is provided after each comment. If the comment resulted in a change to the PElS, the affected section number of the PElS is provided in the response. Comments 1 through 259 were received at public hearings. The name of the hearing at which the comment was received is listed after each comment. Comments were recorded on flip charts and by notetakers. DOE representatives were present to hear the comments and respond to them. The DOE's written response is provided after each comment. Comments 260 through 576 were received in writing at the hearings, and from various federal, tribal, and state agencies and from individuals during the public comment period. Copies of the written comments follow the comments and responses.

  16. Final programmatic environmental impact statement for the uranium mill tailings remedial action ground water project. Volume II

    International Nuclear Information System (INIS)

    1996-01-01

    Volume II of the programmatic environmental impact statement (PElS) is a comment and response document; it is the collection of the comments received on the draft PElS. The U.S. Department of Energy's (DOE) response to each comment is provided after each comment. If the comment resulted in a change to the PElS, the affected section number of the PElS is provided in the response. Comments 1 through 259 were received at public hearings. The name of the hearing at which the comment was received is listed after each comment. Comments were recorded on flip charts and by notetakers. DOE representatives were present to hear the comments and respond to them. The DOE's written response is provided after each comment. Comments 260 through 576 were received in writing at the hearings, and from various federal, tribal, and state agencies and from individuals during the public comment period. Copies of the written comments follow the comments and responses

  17. Final environmental impact statement. Management of commercially generated radioactive waste. Volume 3. Public comments hearing board report

    Energy Technology Data Exchange (ETDEWEB)

    1980-10-01

    This EIS analyzes the significant environmental impacts that could occur if various technologies for management and disposal of high-level and transuranic wastes from commercial nuclear power reactors were to be developed and implemented. This EIS will serve as the environmental input for the decision on which technology, or technologies, will be emphasized in further research and development activities in the commercial waste management program. The action proposed in this EIS is to (1) adopt a national strategy to develop mined geologic repositories for disposal of commercially generated high-level and transuranic radioactive waste (while continuing to examine subseabed and very deep hole disposal as potential backup technologies) and (2) conduct a R and D program to develop such facilities and the necessary technology to ensure the safe long-term containment and isolation of these wastes. The Department has considered in this statement: development of conventionally mined deep geologic repositories for disposal of spent fuel from nuclear power reactors and/or radioactive fuel reprocessing wastes; balanced development of several alternative disposal methods; and no waste disposal action. This volume contains written public comments and hearing board responses and reports offered on the draft statement.

  18. Impact of traffic volume and composition on the air quality and pedestrian exposure in urban street canyon

    Science.gov (United States)

    Rakowska, Agata; Wong, Ka Chun; Townsend, Thomas; Chan, Ka Lok; Westerdahl, Dane; Ng, Simon; Močnik, Griša; Drinovec, Luka; Ning, Zhi

    2014-12-01

    Vehicle emissions are identified as a major source of air pollution in metropolitan areas. Emission control programs in many cities have been implemented as part of larger scale transport policy interventions to control traffic pollutants and reduce public health risks. These interventions include provision of traffic-free and low emission zones and congestion charging. Various studies have investigated the impact of urban street configurations, such as street canyon in urban centers, on pollutants dispersion and roadside air quality. However, there are few investigations in the literature to study the impact of change of fleet composition and street canyon effects on the on-road pollutants concentrations and associated roadside pedestrian exposure to the pollutants. This study presents an experimental investigation on the traffic related gas and particle pollutants in and near major streets in one of the most developed business districts in Hong Kong, known as Central. Both street canyon and open roadway configurations were included in the study design. Mobile measurement techniques were deployed to monitor both on-road and roadside pollutants concentrations at different times of the day and on different days of a week. Multiple traffic counting points were also established to concurrently collect data on traffic volume and fleet composition on individual streets. Street canyon effects were evident with elevated on-road pollutants concentrations. Diesel vehicles were found to be associated with observed pollutant levels. Roadside black carbon concentrations were found to correlate with their on-road levels but with reduced concentrations. However, ultrafine particles showed very high concentrations in roadside environment with almost unity of roadside/on-road ratios possibly due to the accumulation of primary emissions and secondary PM formation. The results from the study provide useful information for the effective urban transport design and bus route

  19. Impact of endobronchial coiling on segmental bronchial lumen in treated and untreated lung lobes: Correlation with changes in lung volume, clinical and pulmonary function tests.

    Science.gov (United States)

    Kloth, C; Thaiss, W M; Hetzel, J; Ditt, H; Grosse, U; Nikolaou, K; Horger, M

    2016-07-01

    To assess the impact of endobronchial coiling on the segment bronchus cross-sectional area and volumes in patients with lung emphysema using quantitative chest-CT measurements. Thirty patients (female = 15; median age = 65.36 years) received chest-CT before and after endobronchial coiling for lung volume reduction (LVR) between January 2010 and December 2014. Thin-slice (0.6 mm) non-enhanced image data sets were acquired both at end-inspiration and end-expiration using helical technique and 120 kV/100-150 mAs. Clinical response was defined as an increase in the walking distance (Six-minute walk test; 6MWT) after LVR-therapy. Additionally, pulmonary function test (PFT) measurements were used for clinical correlation. In the treated segmental bronchia, the cross-sectional lumen area showed significant reduction (p  0.05). In the ipsilateral lobes, the lumina showed no significant changes. In the contralateral lung, we found tendency towards increased cross-sectional area in inspiration (p = 0.06). Volumes of the treated segments correlated with the treated segmental bronchial lumina in expiration (r = 0.80, p volume of the treated lobe in responders only. Endobronchial coiling causes significant decrease in the cross-sectional area of treated segment bronchi in inspiration and a slight increase in expiration accompanied by a volume reduction. • Endobronchial coiling has indirect impact on cross-sectional area of treated segment bronchi • Volume changes of treated lobes correlate with changes in bronchial cross-sectional area • Coil-induced effects reflect their stabilizing and stiffening impact on lung parenchyma • Endobronchial coiling reduces bronchial collapsing compensating the loss of elasticity.

  20. The impact of preload reduction with head-up tilt testing on longitudinal and transverse left ventricular mechanics: a study utilizing deformation volume analysis.

    Science.gov (United States)

    Schneider, Caroline; Forsythe, Lynsey; Somauroo, John; George, Keith; Oxborough, David

    2018-03-01

    Left ventricular (LV) function is dependent on load, intrinsic contractility and relaxation with a variable impact on specific mechanics. Strain (ε) imaging allows the assessment of cardiac function; however, the direct relationship between volume and strain is currently unknown. The aim of this study was to establish the impact of preload reduction through head-up tilt (HUT) testing on simultaneous left ventricular (LV) longitudinal and transverse function and their respective contribution to volume change. A focused transthoracic echocardiogram was performed on 10 healthy male participants (23 ± 3 years) in the supine position and following 1 min and 5 min of HUT testing. Raw temporal longitudinal ε (Ls) and transverse ε (Ts) values were exported and divided into 5% increments across the cardiac cycle and corresponding LV volumes were traced at each 5% increment. This provided simultaneous LV longitudinal and transverse ε and volume loops (deformation volume analysis - DVA). There was a leftward shift of the ε-volume loop from supine to 1 min and 5 min of HUT ( P  transverse thickening from supine to 1 min, which was further augmented at 5 min ( P  = 0.018). Preload reduction occurs within 1 min of HUT but does not further reduce at 5 min. This decline is associated with a decrease in longitudinal ε and concomitant increase in transverse ε. Consequently, augmented transverse relaxation appears to be an important factor in the maintenance of LV filling in the setting of reduced preload. DVA provides information on the relative contribution of mechanics to a change in LV volume and may have a role in the assessment of clinical populations. © 2018 The authors.

  1. Hepatic imaging in stage IV-S neuroblastoma

    International Nuclear Information System (INIS)

    Franken, E.A. Jr.; Smith, W.L.; Iowa Univ., Iowa City; Cohen, M.D.; Kisker, C.T.; Platz, C.E.

    1986-01-01

    Stage IV-S neuroblastoma describes a group of infants with tumor spread limited to liver, skin, or bone marrow. Such patients, who constitute about 25% of affected infants with neuroblastoma, may expect spontaneous tumor remission. We report 18 infants with Stage IV-S neuroblastoma, 83% of whom had liver involvement. Imaging investigations included Technetium 99m sulfur colloid scan, ultrasound, and CT. Two patterns of liver metastasis were noted: ill-defined nodules or diffuse tumor throughout the liver. Distinction of normal and abnormal liver with diffuse type metastasis could be quite difficult, particularly with liver scans. We conclude that patients with Stage IV-S neuroblastoma have ultrasound or CT examination as an initial workup, with nuclear medicine scans reserved for followup studies. (orig.)

  2. Diaquatetrabromidotin(IV trihydrate

    Directory of Open Access Journals (Sweden)

    Fei Ye

    2012-09-01

    Full Text Available The title compound, [SnBr4(H2O2]·3H2O, forms large colourless crystals in originally sealed samples of tin tetrabromide. It constitutes the first structurally characterized hydrate of SnBr4 and is isostructural with the corresponding hydrate of SnCl4. It is composed of SnIV atoms octahedrally coordinated by four Br atoms and two cis-related water molecules. The octahedra exhibit site symmetry 2. They are arranged into columns along [001] via medium–strong O—H...O hydrogen bonds involving the two lattice water molecules (one situated on a twofold rotation axis while the chains are interconnected via longer O—H...Br hydrogen bonds, forming a three-dimensional network.

  3. Cyclopentadienyluranium(IV) acetylacetonates

    International Nuclear Information System (INIS)

    Bagnall, K.W.; Edwards, J.; Rickard, C.E.F.; Tempest, A.C.

    1979-01-01

    Cyclopentadienyluranium(IV) acetylacetonate complexes, (eta 5 C 5 H 5 )UClsub(3-x)(acac)sub(x), where x = 1 or 2, and the corresponding bis triphenylphosphine oxide (tppo) complexes have been prepared. The bis cyclopentadienyl complexes, (eta 5 C 5 H 5 ) 2 U(acac) 2 and (eta 5 C 5 H 5 ) 2 UCl(acac)(tppo) 2 have also been prepared and are stable with respect to disproportionation, whereas (eta 5 C 5 H 5 ) 2 UCl(acac) is not. The IR and UV/visible spectra of the complexes are reported, together with some additional information on the UCl 2 (acac) 2 thf and -tppo systems. (author)

  4. Volume 9: A Review of Socioeconomic Impacts of Oil Shale Development WESTERN OIL SHALE DEVELOPMENT: A TECHNOLOGY ASSESSMENT

    Energy Technology Data Exchange (ETDEWEB)

    Rotariu, G. J.

    1982-02-01

    recognize that the rate of development, the magnitude of development, and the technology mix that will actually take place remain uncertain. Although we emphasize that other energy and mineral resources besides oil shale may be developed, the conclusions reached in this study reflect only those impacts that would be felt from the oil shale scenario. Socioeconomic impacts in the region reflect the uneven growth rate implied by the scenario and will be affected by the timing of industry developments, the length and magnitude of the construction phase of development, and the shift in employment profiles predicted in the scenario. The facilities in the southern portion of the oil shale region, those along the Colorado River and Parachute Creek, show a peak in the construction work force in the mid-1980s, whereas those f acil it i es in the Piceance Creek Bas into the north show a construction peak in the late 1980s. Together, the facilities will require a large construction work force throughout the decade, with a total of 4800 construction workers required in 1985. Construction at the northern sites and second phase construction in the south will require 6000 workers in 1988. By 1990, the operation work force will increase to 7950. Two important characteristics of oil shale development emerge from the work force estimates: (1) peak-year construction work forces will be 90-120% the size of the permanent operating work force; and (2) the yearly changes in total work force requirements will be large, as much as 900 in one year at one facility. To estimate population impacts on individual communities, we devised a population distribution method that is described in Sec. IV. Variables associated with the projection of population impacts are discussed and methodologies of previous assessments are compared. Scenario-induced population impacts estimated by the Los Alamos method are compared to projections of a model employed by the Colorado West Area Council of Governments. Oil shale

  5. Impact of contrast injection and stent-graft implantation on reproducibility of volume measurements in semiautomated segmentation of abdominal aortic aneurysm on computed tomography

    Energy Technology Data Exchange (ETDEWEB)

    Morin-Roy, Florence; Hadjadj, Sofiane; Thomas, Olivier; Yang, Dan Yang [Centre Hospitalier Universitaire de Montreal (CHUM), Hopital Notre-Dame, Department of Radiology, Montreal, Quebec (Canada); Kauffmann, Claude [University of Montreal, Centre de Recherche, Centre Hospitalier Universitaire de Montreal (CRCHUM), Montreal, Quebec (Canada); Tang, An [University of Montreal, Centre de Recherche, Centre Hospitalier Universitaire de Montreal (CRCHUM), Montreal, Quebec (Canada); Centre Hospitalier Universitaire de Montreal (CHUM), Hopital Saint-Luc, Department of Radiology, Montreal, Quebec (Canada); Piche, Nicolas [Object Research System, Montreal, Quebec (Canada); Elkouri, Stephane [Centre Hospitalier Universitaire de Montreal (CHUM), Hopital Hotel-Dieu, Department of Vascular surgery, Montreal, Quebec (Canada); Therasse, Eric [University of Montreal, Centre de Recherche, Centre Hospitalier Universitaire de Montreal (CRCHUM), Montreal, Quebec (Canada); Centre Hospitalier Universitaire de Montreal (CHUM), Hopital Hotel-Dieu, Department of Radiology, Montreal, Quebec (Canada); Soulez, Gilles [Centre Hospitalier Universitaire de Montreal (CHUM), Hopital Notre-Dame, Department of Radiology, Montreal, Quebec (Canada); University of Montreal, Centre de Recherche, Centre Hospitalier Universitaire de Montreal (CRCHUM), Montreal, Quebec (Canada)

    2014-07-15

    To assess the impact of contrast injection and stent-graft implantation on feasibility, accuracy, and reproducibility of abdominal aortic aneurysm (AAA) volume and maximal diameter (D-max) measurements using segmentation software. CT images of 80 subjects presenting AAA were divided into four equal groups: with or without contrast enhancement, and with or without stent-graft implantation. Semiautomated software was used to segment the aortic wall, once by an expert and twice by three readers. Volume and D-max reproducibility was estimated by intraclass correlation coefficients (ICC), and accuracy was estimated between the expert and the readers by mean relative errors. All segmentations were technically successful. The mean AAA volume was 167.0 ± 82.8 mL and the mean D-max 55.0 ± 10.6 mm. Inter- and intraobserver ICCs for volume and D-max measurements were greater than 0.99. Mean relative errors between readers varied between -1.8 ± 4.6 and 0.0 ± 3.6 mL. Mean relative errors in volume and D-max measurements between readers showed no significant difference between the four groups (P ≥ 0.2). The feasibility, accuracy, and reproducibility of AAA volume and D-max measurements using segmentation software were not affected by the absence of contrast injection or the presence of stent-graft. (orig.)

  6. Draft Programmatic Environmental Impact Statement for alternative strategies for the long-term management and use of depleted uranium hexafluoride. Volume 2: Appendices

    International Nuclear Information System (INIS)

    1997-12-01

    This PEIS assesses the potential impacts of alternative management of alternative management strategies for depleted uranium hexafluoride (UF 6 ) currently stored at three DOE sites: Paducah site near Paducah, Kentucky; Portsmouth site near Portsmouth, Ohio; and K-25 site on the Oak Ridge Reservation, Oak Ridge, Tennessee. The alternatives analyzed in the PEIS include no action, long-term storage as UF 6 , long-term storage as uranium oxide, use as uranium oxide, use as uranium metal, and disposal. The preferred alternative for the long-term management of depleted UF 6 is to use the entire inventory of material. This volume contains the appendices to volume I

  7. Impacts of future climate change on urban flood volumes in Hohhot in northern China: benefits of climate change mitigation and adaptations

    Directory of Open Access Journals (Sweden)

    Q. Zhou

    2018-01-01

    Full Text Available As China becomes increasingly urbanised, flooding has become a regular occurrence in its major cities. Assessing the effects of future climate change on urban flood volumes is crucial to informing better management of such disasters given the severity of the devastating impacts of flooding (e.g. the 2016 flooding events across China. Although recent studies have investigated the impacts of future climate change on urban flooding, the effects of both climate change mitigation and adaptation have rarely been accounted for together in a consistent framework. In this study, we assess the benefits of mitigating climate change by reducing greenhouse gas (GHG emissions and locally adapting to climate change by modifying drainage systems to reduce urban flooding under various climate change scenarios through a case study conducted in northern China. The urban drainage model – Storm Water Management Model – was used to simulate urban flood volumes using current and two adapted drainage systems (i.e. pipe enlargement and low-impact development, LID, driven by bias-corrected meteorological forcing from five general circulation models in the Coupled Model Intercomparison Project Phase 5 archive. Results indicate that urban flood volume is projected to increase by 52 % over 2020–2040 compared to the volume in 1971–2000 under the business-as-usual scenario (i.e. Representative Concentration Pathway (RCP 8.5. The magnitudes of urban flood volumes are found to increase nonlinearly with changes in precipitation intensity. On average, the projected flood volume under RCP 2.6 is 13 % less than that under RCP 8.5, demonstrating the benefits of global-scale climate change mitigation efforts in reducing local urban flood volumes. Comparison of reduced flood volumes between climate change mitigation and local adaptation (by improving drainage systems scenarios suggests that local adaptation is more effective than climate change mitigation in reducing

  8. Impacts of future climate change on urban flood volumes in Hohhot in northern China: benefits of climate change mitigation and adaptations

    Science.gov (United States)

    Zhou, Qianqian; Leng, Guoyong; Huang, Maoyi

    2018-01-01

    As China becomes increasingly urbanised, flooding has become a regular occurrence in its major cities. Assessing the effects of future climate change on urban flood volumes is crucial to informing better management of such disasters given the severity of the devastating impacts of flooding (e.g. the 2016 flooding events across China). Although recent studies have investigated the impacts of future climate change on urban flooding, the effects of both climate change mitigation and adaptation have rarely been accounted for together in a consistent framework. In this study, we assess the benefits of mitigating climate change by reducing greenhouse gas (GHG) emissions and locally adapting to climate change by modifying drainage systems to reduce urban flooding under various climate change scenarios through a case study conducted in northern China. The urban drainage model - Storm Water Management Model - was used to simulate urban flood volumes using current and two adapted drainage systems (i.e. pipe enlargement and low-impact development, LID), driven by bias-corrected meteorological forcing from five general circulation models in the Coupled Model Intercomparison Project Phase 5 archive. Results indicate that urban flood volume is projected to increase by 52 % over 2020-2040 compared to the volume in 1971-2000 under the business-as-usual scenario (i.e. Representative Concentration Pathway (RCP) 8.5). The magnitudes of urban flood volumes are found to increase nonlinearly with changes in precipitation intensity. On average, the projected flood volume under RCP 2.6 is 13 % less than that under RCP 8.5, demonstrating the benefits of global-scale climate change mitigation efforts in reducing local urban flood volumes. Comparison of reduced flood volumes between climate change mitigation and local adaptation (by improving drainage systems) scenarios suggests that local adaptation is more effective than climate change mitigation in reducing future flood volumes. This has

  9. Application of Compressible Volume of Fluid Model in Simulating the Impact and Solidification of Hollow Spherical ZrO2 Droplet on a Surface

    Science.gov (United States)

    Safaei, Hadi; Emami, Mohsen Davazdah; Jazi, Hamidreza Salimi; Mostaghimi, Javad

    2017-12-01

    Applications of hollow spherical particles in thermal spraying process have been developed in recent years, accompanied by attempts in the form of experimental and numerical studies to better understand the process of impact of a hollow droplet on a surface. During such process, volume and density of the trapped gas inside droplet change. The numerical models should be able to simulate such changes and their consequent effects. The aim of this study is to numerically simulate the impact of a hollow ZrO2 droplet on a flat surface using the volume of fluid technique for compressible flows. An open-source, finite-volume-based CFD code was used to perform the simulations, where appropriate subprograms were added to handle the studied cases. Simulation results were compared with the available experimental data. Results showed that at high impact velocities ( U 0 > 100 m/s), the compression of trapped gas inside droplet played a significant role in the impact dynamics. In such velocities, the droplet splashed explosively. Compressibility effects result in a more porous splat, compared to the corresponding incompressible model. Moreover, the compressible model predicted a higher spread factor than the incompressible model, due to planetary structure of the splat.

  10. Draft Environmental Impact Statement on a proposed nuclear weapons nonproliferation policy concerning foreign research reactor spent nuclear fuel. Volume 1

    International Nuclear Information System (INIS)

    1995-03-01

    The United States Department of Energy and United States Department of State are jointly proposing to adopt a policy to manage spent nuclear fuel from foreign research reactors. Only spent nuclear fuel containing uranium enriched in the United States would be covered by the proposed policy. The purpose of the proposed policy is to promote U.S. nuclear weapons nonproliferation policy objectives, specifically by seeking to reduce highly-enriched uranium from civilian commerce. Environmental effects and policy considerations of three Management Alternative approaches for implementation of the proposed policy are assessed. The three Management Alternatives analyzed are: (1) acceptance and management of the spent nuclear fuel by the Department of Energy in the United States, (2) management of the spent nuclear fuel at one or more foreign facilities (under conditions that satisfy United States nuclear weapons nonproliferation policy objectives), and (3) a combination of components of Management Alternatives 1 and 2 (Hybrid Alternative). A No Action Alternative is also analyzed. For each Management Alternative, there are a number of alternatives for its implementation. For Management Alternative 1, this document addresses the environmental effects of various implementation alternatives such as varied policy durations, management of various quantities of spent nuclear fuel, and differing financing arrangements. Environmental impacts at various potential ports of entry, along truck and rail transportation routes, at candidate management sites, and for alternate storage technologies are also examined. For Management Alternative 2, this document addresses two subalternatives: (1) assisting foreign nations with storage; and (2) assisting foreign nations with reprocessing of the spent nuclear fuel. Management Alternative 3 analyzes a hybrid alternative. This document is Vol. 1 of 2 plus summary volume

  11. Impact of image denoising on image quality, quantitative parameters and sensitivity of ultra-low-dose volume perfusion CT imaging

    International Nuclear Information System (INIS)

    Othman, Ahmed E.; Brockmann, Carolin; Afat, Saif; Pjontek, Rastislav; Nikoubashman, Omid; Brockmann, Marc A.; Wiesmann, Martin; Yang, Zepa; Kim, Changwon; Nikolaou, Konstantin; Kim, Jong Hyo

    2016-01-01

    To examine the impact of denoising on ultra-low-dose volume perfusion CT (ULD-VPCT) imaging in acute stroke. Simulated ULD-VPCT data sets at 20 % dose rate were generated from perfusion data sets of 20 patients with suspected ischemic stroke acquired at 80 kVp/180 mAs. Four data sets were generated from each ULD-VPCT data set: not-denoised (ND); denoised using spatiotemporal filter (D1); denoised using quanta-stream diffusion technique (D2); combination of both methods (D1 + D2). Signal-to-noise ratio (SNR) was measured in the resulting 100 data sets. Image quality, presence/absence of ischemic lesions, CBV and CBF scores according to a modified ASPECTS score were assessed by two blinded readers. SNR and qualitative scores were highest for D1 + D2 and lowest for ND (all p ≤ 0.001). In 25 % of the patients, ND maps were not assessable and therefore excluded from further analyses. Compared to original data sets, in D2 and D1 + D2, readers correctly identified all patients with ischemic lesions (sensitivity 1.0, kappa 1.0). Lesion size was most accurately estimated for D1 + D2 with a sensitivity of 1.0 (CBV) and 0.94 (CBF) and an inter-rater agreement of 1.0 and 0.92, respectively. An appropriate combination of denoising techniques applied in ULD-VPCT produces diagnostically sufficient perfusion maps at substantially reduced dose rates as low as 20 % of the normal scan. (orig.)

  12. Influence of the Metal Volume Fraction on the permanent dent depth and energy absorption of GLARE plates subjected to low velocity impact

    Science.gov (United States)

    Bikakis, GSE; Savaidis, A.; Zalimidis, P.; Tsitos, S.

    2016-11-01

    Fiber-metal laminates are hybrid composite materials, consisting of alternating metal layers bonded to fiber-reinforced prepreg layers. GLARE (GLAss REinforced) belongs to this new family of materials. GLARE is the most successful fiber-metal laminate up to now and is currently being used for the construction of primary aerospace structures, such as the fuselage of the Airbus A380 air plane. Impact properties are very important in aerospace structures, since impact damage is caused by various sources, such as maintenance damage from dropped tools, collision between service cars or cargo and the structure, bird strikes and hail. The principal objective of this article is to evaluate the influence of the Metal Volume Fraction (MVF) on the low velocity impact response of GLARE fiber-metal laminates. Previously published differential equations of motion are employed for this purpose. The low velocity impact behavior of various circular GLARE plates is predicted and characteristic values of impact variables, which represent the impact phenomenon, are evaluated versus the corresponding MVF of the examined GLARE material grades. The considered GLARE plates are subjected to low velocity impact under identical impact conditions. A strong effect of the MVF on the maximum impact load and a significant effect on the maximum plate deflection of GLARE plates has been found.

  13. The Impact of Pretreatment Prostate Volume on Severe Acute Genitourinary Toxicity in Prostate Cancer Patients Treated With Intensity-Modulated Radiation Therapy

    International Nuclear Information System (INIS)

    Aizer, Ayal A.; Anderson, Nicole S.; Oh, Steven C.; Yu, James B.; McKeon, Anne M.; Decker, Roy H.; Peschel, Richard E.

    2011-01-01

    Purpose: To assess the impact of pretreatment prostate volume on the development of severe acute genitourinary toxicity in patients undergoing intensity-modulated radiation therapy (IMRT) for prostate cancer. Methods and Materials: Between 2004 and 2007, a consecutive sample of 214 patients who underwent IMRT (75.6 Gy) for prostate cancer at two referral centers was analyzed. Prostate volumes were obtained from computed tomography scans taken during treatment simulation. Genitourinary toxicity was defined using the National Cancer Institute Common Terminology Criteria for Adverse Events Version 3.0 guidelines. Acute toxicity was defined as any toxicity originating within 90 days of the completion of radiation therapy. Patients were characterized as having a small or large prostate depending on whether their prostate volume was less than or greater than 50 cm 3 , respectively. Genitourinary toxicity was compared in these groups using the chi-square or Fisher's exact test, as appropriate. Bivariate and multivariate logistic regression analysis was performed to further assess the impact of prostate volume on severe (Grade 3) acute genitourinary toxicity. Results: Patients with large prostates (>50 cm 3 ) had a higher rate of acute Grade 3 genitourinary toxicity (p = .02). Prostate volume was predictive of the likelihood of developing acute Grade 3 genitourinary toxicity on bivariate (p = .004) and multivariate (p = .006) logistic regression. Every 27.0 cm 3 increase in prostate volume doubled the likelihood of acute Grade 3 genitourinary toxicity. Conclusions: Patients with larger prostates are at higher risk for the development of severe acute genitourinary toxicity when treated with IMRT for prostate cancer.

  14. Congenital bilateral neuroblastoma (stage IV-S): case report

    International Nuclear Information System (INIS)

    Lee, Jeong Hee; Lee, Hee Jung; Woo, Seong Ku; Lee, Sang Rak; Kim, Heung Sik

    2002-01-01

    Congenital neonatal neuroblastoma is not uncommon but bilateral adrenal neuroblastoma is rare, accounting for about ten percent of neuroblastomas in children. We report the US the MR findings of a stage IV-S congenital bilateral neuroblastoma occurring in a one-day-old neonate

  15. Trends in Medicare Service Volume for Cataract Surgery and the Impact of the Medicare Physician Fee Schedule.

    Science.gov (United States)

    Gong, Dan; Jun, Lin; Tsai, James C

    2017-08-01

    To calculate the associations between Medicare payment and service volume for complex and noncomplex cataract surgeries. The 2005-2009 CMS Part B National Summary Data Files, CMS Part B Carrier Summary Data Files, and the Medicare Physician Fee Schedule. Conducting a retrospective, longitudinal analysis using a fixed-effects model of Medicare Part B carriers representing all 50 states and the District of Columbia from 2005 to 2009, we calculated the Medicare payment-service volume elasticities for noncomplex (CPT 66984) and complex (CPT 66982) cataract surgeries. Service volume data were extracted from the CMS Part B National Summary and Carrier Summary Data Files. Payment data were extracted from the Medicare Physician Fee Schedule. From 2005 to 2009, the proportion of total cataract services billed as complex increased from 3.2 to 6.7 percent. Every 1 percent decrease in Medicare payment was associated with a nonsignificant change in noncomplex cataract service volume (elasticity = 0.15, 95 percent CI [-0.09, 0.38]) but a statistically significant increase in complex cataract service volume (elasticity = -1.12, 95 percent CI [-1.60, -0.63]). Reduced Medicare payment was associated with a significant increase in complex cataract service volume but not in noncomplex cataract service volume, resulting in a shift toward performing a greater proportion of complex cataract surgeries from 2005 to 2009. © Health Research and Educational Trust.

  16. Strategies to evaluate the impact of rectal volume on prostate motion during three-dimensional conformal radiotherapy for prostate cancer

    Energy Technology Data Exchange (ETDEWEB)

    Poli, Ana Paula Diniz Fortuna, E-mail: anapaulafortuna@yahoo.com.br [Universidade Estadual de Campinas (CAISM/UNICAMP), Campinas, SP (Brazil). Centro de Atencao Integrada a Saude da Mulher. Divisao de Radioterapia; Dias, Rodrigo Souza; Giordani, Adelmo Jose; Segreto, Helena Regina Comodo; Segreto, Roberto Araujo [Universidade Federal de Sao Paulo (EPM/UNIFESP), Sao Paulo, SP (Brazil). Escola Paulista de Medicina. Divisao de Radioterapia

    2016-01-15

    Objective: To evaluate the rectal volume influence on prostate motion during three-dimensional conformal radiotherapy (3D-CRT) for prostate cancer. Materials and Methods: Fifty-one patients with prostate cancer underwent a series of three computed tomography scans including an initial planning scan and two subsequent scans during 3D-CRT. The organs of interest were outlined. The prostate contour was compared with the initial CT images considering the anterior, posterior, superior, inferior and lateral edges of the organ. Variations in the anterior limits and volume of the rectum were assessed and correlated with prostate motion in the anteroposterior direction. Results: The maximum range of prostate motion was observed in the superoinferior direction, followed by the anteroposterior direction. A significant correlation was observed between prostate motion and rectal volume variation (p = 0.037). A baseline rectal volume superior to 70 cm{sup 3} had a significant influence on the prostate motion in the anteroposterior direction (p = 0.045). Conclusion: The present study showed a significant interfraction motion of the prostate during 3D-CRT with greatest variations in the superoinferior and anteroposterior directions, and that a large rectal volume influences the prostate motion with a cutoff value of 70 cm{sup 3}. Therefore, the treatment of patients with a rectal volume > 70 cm{sup 3} should be re-planned with appropriate rectal preparation. Keywords: Rectal volume; Prostate cancer; Three-dimensional conformal radiotherapy. (author)

  17. Hazardous air pollutant emissions from process units in the synthetic organic chemical manufacturing industry: Background information for proposed standards. Volume 1A. National impacts assessment. Draft report

    International Nuclear Information System (INIS)

    1992-11-01

    A draft rule for the regulation of emissions of organic hazardous air pollutants (HAP's) from chemical processes of the synthetic organic chemical manufacturing industry (SOCMI) is being proposed under the authority of Sections 112, 114, 116, and 301 of the Clean Air Act, as amended in 1990. The volume of the Background Information Document presents the results of the national impacts assessment for the proposed rule

  18. Glycogen Storage Disease Type IV

    DEFF Research Database (Denmark)

    Bendroth-Asmussen, Lisa; Aksglaede, Lise; Gernow, Anne B

    2016-01-01

    molecular genetic analyses confirmed glycogen storage disease Type IV with the finding of compound heterozygosity for 2 mutations (c.691+2T>C and c.1570C>T, p.R524X) in the GBE1 gene. We conclude that glycogen storage disease Type IV can cause early miscarriage and that diagnosis can initially be made...

  19. About the structure and stability of complex carbonates of thorium (IV), cerium (IV), zirconium (IV), hafnium (IV)

    International Nuclear Information System (INIS)

    Dervin, Jacqueline

    1972-01-01

    This research thesis addressed the study of complex carbonates of cations of metals belonging to the IV A column, i.e. thorium (IV), zirconium (IV), hafnium (IV), and also cerium (IV) and uranium (VI), and more particularly focused on ionic compounds formed in solution, and also on the influence of concentration and nature of cations on stability and nature of the formed solid. The author first presents methods used in this study, discusses their precision and scope of validity. She reports the study of the formation of different complex ions which have been highlighted in solution, and the determination of their formation constants. She reports the preparation and study of the stability domain of solid complexes. The next part reports the use of thermogravimetric analysis, IR spectrometry, and crystallography for the structural study of these compounds

  20. Strategies to evaluate the impact of rectal volume on prostate motion during three-dimensional conformal radiotherapy for prostate cancer

    Directory of Open Access Journals (Sweden)

    Ana Paula Diniz Fortuna Poli

    2016-02-01

    Full Text Available Abstract Objective: To evaluate the rectal volume influence on prostate motion during three-dimensional conformal radiotherapy (3D-CRT for prostate cancer. Materials and Methods: Fifty-one patients with prostate cancer underwent a series of three computed tomography scans including an initial planning scan and two subsequent scans during 3D-CRT. The organs of interest were outlined. The prostate contour was compared with the initial CT images considering the anterior, posterior, superior, inferior and lateral edges of the organ. Variations in the anterior limits and volume of the rectum were assessed and correlated with prostate motion in the anteroposterior direction. Results: The maximum range of prostate motion was observed in the superoinferior direction, followed by the anteroposterior direction. A significant correlation was observed between prostate motion and rectal volume variation ( p = 0.037. A baseline rectal volume superior to 70 cm3 had a significant influence on the prostate motion in the anteroposterior direction ( p = 0.045. Conclusion: The present study showed a significant interfraction motion of the prostate during 3D-CRT with greatest variations in the superoinferior and anteroposterior directions, and that a large rectal volume influences the prostate motion with a cutoff value of 70 cm3. Therefore, the treatment of patients with a rectal volume > 70 cm3 should be re-planned with appropriate rectal preparation.

  1. Small-Volume Injections: Evaluation of Volume Administration Deviation From Intended Injection Volumes.

    Science.gov (United States)

    Muffly, Matthew K; Chen, Michael I; Claure, Rebecca E; Drover, David R; Efron, Bradley; Fitch, William L; Hammer, Gregory B

    2017-10-01

    In the perioperative period, anesthesiologists and postanesthesia care unit (PACU) nurses routinely prepare and administer small-volume IV injections, yet the accuracy of delivered medication volumes in this setting has not been described. In this ex vivo study, we sought to characterize the degree to which small-volume injections (≤0.5 mL) deviated from the intended injection volumes among a group of pediatric anesthesiologists and pediatric postanesthesia care unit (PACU) nurses. We hypothesized that as the intended injection volumes decreased, the deviation from those intended injection volumes would increase. Ten attending pediatric anesthesiologists and 10 pediatric PACU nurses each performed a series of 10 injections into a simulated patient IV setup. Practitioners used separate 1-mL tuberculin syringes with removable 18-gauge needles (Becton-Dickinson & Company, Franklin Lakes, NJ) to aspirate 5 different volumes (0.025, 0.05, 0.1, 0.25, and 0.5 mL) of 0.25 mM Lucifer Yellow (LY) fluorescent dye constituted in saline (Sigma Aldrich, St. Louis, MO) from a rubber-stoppered vial. Each participant then injected the specified volume of LY fluorescent dye via a 3-way stopcock into IV tubing with free-flowing 0.9% sodium chloride (10 mL/min). The injected volume of LY fluorescent dye and 0.9% sodium chloride then drained into a collection vial for laboratory analysis. Microplate fluorescence wavelength detection (Infinite M1000; Tecan, Mannedorf, Switzerland) was used to measure the fluorescence of the collected fluid. Administered injection volumes were calculated based on the fluorescence of the collected fluid using a calibration curve of known LY volumes and associated fluorescence.To determine whether deviation of the administered volumes from the intended injection volumes increased at lower injection volumes, we compared the proportional injection volume error (loge [administered volume/intended volume]) for each of the 5 injection volumes using a linear

  2. Impact of retinal pigment epithelium pathology on spectral-domain optical coherence tomography-derived macular thickness and volume metrics and their intersession repeatability.

    Science.gov (United States)

    Hanumunthadu, Daren; Wang, Jin Ping; Chen, Wei; Wong, Evan N; Chen, Yi; Morgan, William H; Patel, Praveen J; Chen, Fred K

    2017-04-01

    To determine the impact of retinal pigment epithelium (RPE) pathology on intersession repeatability of retinal thickness and volume metrics derived from Spectralis spectral-domain optical coherence tomography (Heidelberg Engineering, Heidelberg, Germany). Prospective cross-sectional single centre study. A total of 56 eyes of 56 subjects were divided into three groups: (i) normal RPE band (25 eyes); (ii) RPE elevation: macular soft drusen (13 eyes); and (iii) RPE attenuation: geographic atrophy or inherited retinal diseases (18 eyes). Each subject underwent three consecutive follow-up macular raster scans (61 B-scans at 119 μm separation) at 1-month intervals. Retinal thicknesses and volumes for each zone of the macular subfields before and after manual correction of segmentation error. Coefficients of repeatability (CR) were calculated. Mean (range) age was 57 (21-88) years. Mean central subfield thickness (CST) and total macular volume were 264 and 258 μm (P = 0.62), and 8.0 and 7.8 mm 3 (P = 0.31), before and after manual correction. Intersession CR (95% confidence interval) for CST and total macular volume were reduced from 40 (38-41) to 8.3 (8.1-8.5) and 0.62 to 0.16 mm 3 after manual correction of segmentation lines. CR for CST were 7.4, 23.5 and 66.7 μm before and 7.0, 10.9 and 7.6 μm after manual correction in groups i, ii and iii. Segmentation error in eyes with RPE disease has a significant impact on intersession repeatability of Spectralis spectral-domain optical coherence tomography macular thickness and volume metrics. Careful examination of each B-scan and manual adjustment can enhance the utility of quantitative measurement. Improved automated segmentation algorithms are needed. © 2016 Royal Australian and New Zealand College of Ophthalmologists.

  3. Final programmatic environmental impact statement for the Uranium Mill Tailings Remedial Action Ground Water Project. Volume 1

    Energy Technology Data Exchange (ETDEWEB)

    None

    1996-04-01

    The first step in the UMTRA Ground Water Project is the preparation of this programmatic environmental impact statement (PEIS). This document analyzes the potential impacts of four alternatives for conducting the Ground Water Project. One of these alternatives is the proposed action. These alternatives do not address site-specific ground water compliance strategies because the PEIS is a planning document only. It assesses the potential programmatic impacts of conducting the Ground Water Project, provides a method for determining the site-specific ground water compliance strategies, and provides data and information that can be used to prepare site-specific environmental impacts analyses more efficiently. This PEIS differs substantially from a site-specific environmental impact statement because multiple ground water compliance strategies, each with its own set of potential impacts, could be used to implement all the alternatives except the no action alternative. In a traditional environmental impact statement, an impacts analysis leads directly to the defined alternatives. The impacts analysis for implementing alternatives in this PEIS first involves evaluating a ground water compliance strategy or strategies, the use of which will result in site-specific impacts. This PEIS impacts analysis assesses only the potential impacts of the various ground water compliance strategies, then relates them to the alternatives to provide a comparison of impacts.

  4. Final programmatic environmental impact statement for the Uranium Mill Tailings Remedial Action Ground Water Project. Volume 1

    International Nuclear Information System (INIS)

    1996-04-01

    The first step in the UMTRA Ground Water Project is the preparation of this programmatic environmental impact statement (PEIS). This document analyzes the potential impacts of four alternatives for conducting the Ground Water Project. One of these alternatives is the proposed action. These alternatives do not address site-specific ground water compliance strategies because the PEIS is a planning document only. It assesses the potential programmatic impacts of conducting the Ground Water Project, provides a method for determining the site-specific ground water compliance strategies, and provides data and information that can be used to prepare site-specific environmental impacts analyses more efficiently. This PEIS differs substantially from a site-specific environmental impact statement because multiple ground water compliance strategies, each with its own set of potential impacts, could be used to implement all the alternatives except the no action alternative. In a traditional environmental impact statement, an impacts analysis leads directly to the defined alternatives. The impacts analysis for implementing alternatives in this PEIS first involves evaluating a ground water compliance strategy or strategies, the use of which will result in site-specific impacts. This PEIS impacts analysis assesses only the potential impacts of the various ground water compliance strategies, then relates them to the alternatives to provide a comparison of impacts

  5. The environmental impacts of production and use of energy. Part IV - The comparative assessment of the environmental impacts of energy sources. Phase I - Comparative data on the emissions, residuals and health hazards of energy sources. Report of the Executive Director

    Energy Technology Data Exchange (ETDEWEB)

    Tolba, Mostafa K [United Nations Environment Programme, Nairobi (Kenya)

    1985-01-01

    UNEP has undertaken a number of in-depth reviews of the environmental aspects of production and use of all sources of energy. Three major studies have so far been carried out. The first one, dealing with the environmental impacts of production, transport, processing and use of fossil fuels, was reviewed by an International Panel of Experts that met in Warsaw in April 1978. The second study, which deals with the environmental impacts of nuclear energy, was reviewed by an International Panel of Experts that met in Geneva in November 1978, and was revised at a second meeting held in Nairobi in April 1979. The third study, dealing with the environmental aspects of renewable sources of energy, was reviewed by an International Panel of Experts that met in Bangkok in January 1980. Preparations are already underway to update these three reports. This report was prepared by Dr. Yehia ElMahgary of the UNEP secretariat on the basis of papers prepared for, and discussed in, the course of UNEP's International Panel of Experts on the Comparative Assessment of the Environmental Impacts of Commercial Sources of Energy prepared for by Dr. Essam El-Hinnawi and held in Munich in November 1980, and information provided by participants after the meeting and collected by UNEP from other sources. In the course of the meeting it was realized that our knowledge was not sufficient on several issues, that many approaches existed for tackling the problem, and that it was difficult to agree on unique procedures to undertake the comparison. The draft version of this report was revised again at a second meeting held in December 1983 in New York and additional comments were collected. The Biomedical Laboratory Group of Brookhaven National Laboratory has assisted the UNEP secretariat to collect and update many figures in this cost-benefit analysis of the different sources from the bulk of the report and to treat it in a separate and more comprehensive study. The study is being undertaken by the

  6. The environmental impacts of production and use of energy. Part IV - The comparative assessment of the environmental impacts of energy sources. Phase I - Comparative data on the emissions, residuals and health hazards of energy sources. Report of the Executive Director

    International Nuclear Information System (INIS)

    Tolba, Mostafa K.

    1985-01-01

    UNEP has undertaken a number of in-depth reviews of the environmental aspects of production and use of all sources of energy. Three major studies have so far been carried out. The first one, dealing with the environmental impacts of production, transport, processing and use of fossil fuels, was reviewed by an International Panel of Experts that met in Warsaw in April 1978. The second study, which deals with the environmental impacts of nuclear energy, was reviewed by an International Panel of Experts that met in Geneva in November 1978, and was revised at a second meeting held in Nairobi in April 1979. The third study, dealing with the environmental aspects of renewable sources of energy, was reviewed by an International Panel of Experts that met in Bangkok in January 1980. Preparations are already underway to update these three reports. This report was prepared by Dr. Yehia ElMahgary of the UNEP secretariat on the basis of papers prepared for, and discussed in, the course of UNEP's International Panel of Experts on the Comparative Assessment of the Environmental Impacts of Commercial Sources of Energy prepared for by Dr. Essam El-Hinnawi and held in Munich in November 1980, and information provided by participants after the meeting and collected by UNEP from other sources. In the course of the meeting it was realized that our knowledge was not sufficient on several issues, that many approaches existed for tackling the problem, and that it was difficult to agree on unique procedures to undertake the comparison. The draft version of this report was revised again at a second meeting held in December 1983 in New York and additional comments were collected. The Biomedical Laboratory Group of Brookhaven National Laboratory has assisted the UNEP secretariat to collect and update many figures in this cost-benefit analysis of the different sources from the bulk of the report and to treat it in a separate and more comprehensive study. The study is being undertaken by the

  7. The impact of time between staging PET/CT and definitive chemo-radiation on target volumes and survival in patients with non-small cell lung cancer

    International Nuclear Information System (INIS)

    Everitt, Sarah; Plumridge, Nikki; Herschtal, Alan; Bressel, Mathias; Ball, David; Callahan, Jason; Kron, Tomas; Schneider-Kolsky, Michal; Binns, David; Hicks, Rodney J.

    2013-01-01

    Background and purpose: To investigate the impact of treatment delays on radiation therapy (RT) target volumes and overall survival (OS) in patients with non-small cell lung cancer (NSCLC) who underwent two baseline FDG PET/CT scans. Material and methods: Patients underwent a staging (PET1) and RT planning (PET2) FDG PET/CT scan. At PET1 all patients were eligible for radical chemo-RT. OS and progression-free survival (PFS) were compared for patients remaining eligible for radical RT and those treated palliatively because PET2 showed progression. RT target volumes were contoured using PET1 and PET2. Normal tissue doses were compared for patients remaining eligible for radical RT. Results: Eighty-two patients underwent PET2 scans between October 2004 and February 2007. Of these, 21 had a prior PET1 scan, median 23 days apart (range 8–176 days). Six patients (29%) were unsuitable for radical RT after PET2; five received palliative treatment and one received no treatment. Patients treated palliatively had significantly worse OS and PFS than patients treated radically p < 0.001. Mean RT tumour volume increased from 105cc to 198cc (p < 0.005) between scans. Conclusions: Disease progression while awaiting initiation of curative RT in NSCLC is associated with larger treatment volumes and worse survival

  8. Pilot study: Exposure and materiality of the secondary room and its impact in the impulse response of coupled-volume concert halls

    Science.gov (United States)

    Ermann, Michael; Johnson, Marty E.

    2002-05-01

    What does one room sound like when it is partially exposed to another (acoustically coupled)? More specifically, this research aims to quantify how operational and design decisions impact aural impressions in the design of concert halls with acoustical coupling. By adding a second room to a concert hall, and designing doors to control the sonic transparency between the two rooms, designers can create a new, coupled acoustic. Concert halls use coupling to achieve a variable, longer, and distinct reverberant quality for their musicians and listeners. For this study, a coupled-volume shoebox concert hall was conceived with a fixed geometric volume, form, and primary-room sound absorption. Aperture size and secondary-room sound-absorption levels were established as variables. Statistical analysis of sound decay in this simulated hall suggests a highly sensitive relationship between the double-sloped condition and (1) Architectural composition, as defined by the aperture size exposing the chamber and (2) Materiality, as defined by the sound absorbance in the coupled volume. Preliminary calculations indicate that the double-sloped sound decay condition only appears when the total aperture area is less than 1.5% of the total shoebox surface area and the average absorption coefficient of the coupled volume is less than 0.07.

  9. The Impact of the Hospital Volume on the Performance of Residents on the General Medicine In-Training Examination: A Multicenter Study in Japan.

    Science.gov (United States)

    Mizuno, Atsushi; Tsugawa, Yusuke; Shimizu, Taro; Nishizaki, Yuji; Okubo, Tomoya; Tanoue, Yusuke; Konishi, Ryota; Shiojiri, Toshiaki; Tokuda, Yasuharu

    2016-01-01

    Objective Although several studies have been conducted worldwide on factors that might improve residents' knowledge, the relationship between the hospital volume and the internal medicine residents' knowledge has not been fully understood. We conducted a cross-sectional study to compare the relationships of the hospital volume and hospital resources with the residents' knowledge assessed by the In-training Examination. Methods We conducted a retrospective survey and a clinical knowledge evaluation of postgraduate year 1 and 2 (PGY-1 and -2) resident physicians in Japan by using the General Medicine In-training Examination (GM-ITE) in 2014. We compared the ITE score and the hospital volume. Results A total of 2,015 participants (70.6% men; age, 27.3±2.9 years old) from 208 hospitals were retrospectively analyzed. Generalized estimating equations were used, and the results revealed that an increasing number of hospitalizations, decreasing staff number, decreasing age and PGY-2 were significantly associated with higher GM-ITE scores. Conclusion The hospital volume, such as the number of hospitalizations, is thus considered to have a positive impact on the GM-ITE scores.

  10. Impact of institutional volume and experience with CT interpretation on sizing of transcatheter aortic valves: A multicenter retrospective study

    Energy Technology Data Exchange (ETDEWEB)

    Verma, Divya Ratan [Cardiovascular Institute, Banner University Medical Center, Phoenix, AZ (United States); Division of Interventional Cardiology, Banner University Medical Center, Phoenix, AZ (United States); Pershad, Yash [Department of Radiology, Banner University Medical Center, Phoenix, AZ (United States); Pershad, Ashish [Cardiovascular Institute, Banner University Medical Center, Phoenix, AZ (United States); Division of Interventional Cardiology, Banner University Medical Center, Phoenix, AZ (United States); Fang, Kenith [Cardiovascular Institute, Banner University Medical Center, Phoenix, AZ (United States); Division of Cardiothoracic Surgery, Banner University Medical Center, Phoenix, AZ (United States); Gellert, George [Cardiovascular Institute, Banner University Medical Center, Phoenix, AZ (United States); Department of Anesthesiology, Banner University Medical Center, Phoenix, AZ (United States); Morris, Michael F., E-mail: mfmorris@mail.arizona.edu [Cardiovascular Institute, Banner University Medical Center, Phoenix, AZ (United States); Department of Radiology, Banner University Medical Center, Phoenix, AZ (United States)

    2016-12-15

    Background: Computed tomography (CT) has become the standard imaging modality for pre-procedural aortic annular sizing prior to transcatheter aortic valve replacement (TAVR). We hypothesized that the accuracy of CT derived annular measurements would be greater at sites with higher TAVR procedural volume. Methods: Within a large integrated health system, TAVR was performed at low (<40 cases), intermediate (40–75 cases), and high-volume sites (>75 cases). 181 patients underwent TAVR with a Sapien XT transcatheter heart valve (THV). Two blinded experienced readers independently remeasured the annulus on CT and compared their measurements to site reported measurements. Hypothetical THV sizes were chosen based on measurements from site CT reports and independent readers’ measurements, and compared to the implanted THV size. Results: Correlation between site reported measurements and independent readers measurements of mean annulus size varied between low-volume (r = 0.31, p = 0.18), intermediate-volume (r = 0.34, p = 0.01), and high-volume sites (r = 0.96, p < 0.01). On multivariate analysis, interpretation of ≥20 CT scans (OR 0.29; 95% CI 0.03–0.81; p 0.02) and high-volume site (OR 0.16; 95% CI 0.10–0.82; p 0.02) were associated with reduced mismatch between the site predicted THV size and independent readers predicted THV size. Mismatch between site predicted THV size and implanted THV size was associated with a worse 30-day composite of mortality, dialysis-dependent renal failure, cerebrovascular accident, new permanent pacemaker, and hospital readmission (55.3 vs. 38.7%; p = 0.05). Conclusions: Accuracy of CT aortic annular sizing is improved with higher individual experience and site TAVR volume. These findings should be confirmed in larger, prospective studies. - Highlights: • Accuracy of CT aortic annular sizing is improved with higher individual experience and site TAVR volume. • CT readers with experience interpreting ≥20 pre-TAVR CT scans had

  11. The impact of glucose disorders on cognition and brain volumes in the elderly: the Sydney Memory and Ageing Study.

    Science.gov (United States)

    Samaras, Katherine; Lutgers, Helen L; Kochan, Nicole A; Crawford, John D; Campbell, Lesley V; Wen, Wei; Slavin, Melissa J; Baune, Bernard T; Lipnicki, Darren M; Brodaty, Henry; Trollor, Julian N; Sachdev, Perminder S

    2014-04-01

    Type 2 diabetes predicts accelerated cognitive decline and brain atrophy. We hypothesized that impaired fasting glucose (IFG) and incident glucose disorders have detrimental effects on global cognition and brain volume. We further hypothesized that metabolic and inflammatory derangements accompanying hyperglycaemia contribute to change in brain structure and function. This was a longitudinal study of a community-dwelling elderly cohort with neuropsychological testing (n = 880) and brain volumes by magnetic resonance imaging (n = 312) measured at baseline and 2 years. Primary outcomes were global cognition and total brain volume. Secondary outcomes were cognitive domains (processing speed, memory, language, visuospatial and executive function) and brain volumes (hippocampal, parahippocampal, precuneus and frontal lobe). Participants were categorised as normal, impaired fasting glucose at both assessments (stable IFG), baseline diabetes or incident glucose disorders (incident diabetes or IFG at 2 years). Measures included inflammatory cytokines and oxidative metabolites. Covariates were age, sex, education, non-English speaking background, smoking, blood pressure, lipid-lowering or antihypertensive medications, mood score, apolipoprotein E genotype and baseline cognition or brain volume. Participants with incident glucose disorders had greater decline in global cognition and visuospatial function compared to normal, similar to that observed in baseline diabetes. Homocysteine was independently associated with the observed effect of diabetes on executive function. Apolipoprotein E genotype did not influence the observed effects of diabetes on cognition. Incident glucose disorders and diabetes were also associated with greater 2-year decline in total brain volume, compared to normal (40.0 ± 4.2 vs. 46.7 ± 5.7 mm(3) vs. 18.1 ± 6.2, respectively, p cognition or brain volumes compared to normal. Incident glucose disorders, like diabetes, are

  12. Impact of Different Tidal Volume Levels at Low Mechanical Power on Ventilator-Induced Lung Injury in Rats

    Directory of Open Access Journals (Sweden)

    Lillian Moraes

    2018-04-01

    Full Text Available Tidal volume (VT has been considered the main determinant of ventilator-induced lung injury (VILI. Recently, experimental studies have suggested that mechanical power transferred from the ventilator to the lungs is the promoter of VILI. We hypothesized that, as long as mechanical power is kept below a safe threshold, high VT should not be injurious. The present study aimed to investigate the impact of different VT levels and respiratory rates (RR on lung function, diffuse alveolar damage (DAD, alveolar ultrastructure, and expression of genes related to inflammation [interleukin (IL-6], alveolar stretch (amphiregulin, epithelial [club cell secretory protein (CC16] and endothelial [intercellular adhesion molecule (ICAM-1] cell injury, and extracellular matrix damage [syndecan-1, decorin, and metalloproteinase (MMP-9] in experimental acute respiratory distress syndrome (ARDS under low-power mechanical ventilation. Twenty-eight Wistar rats received Escherichia coli lipopolysaccharide intratracheally. After 24 h, 21 animals were randomly assigned to ventilation (2 h with low mechanical power at three different VT levels (n = 7/group: (1 VT = 6 mL/kg and RR adjusted to normocapnia; (2 VT = 13 mL/kg; and 3 VT = 22 mL/kg. In the second and third groups, RR was adjusted to yield low mechanical power comparable to that of the first group. Mechanical power was calculated as [(ΔP,L2/Est,L/2]× RR (ΔP,L = transpulmonary driving pressure, Est,L = static lung elastance. Seven rats were not mechanically ventilated (NV and were used for molecular biology analysis. Mechanical power was comparable among groups, while VT gradually increased. ΔP,L and mechanical energy were higher in VT = 22 mL/kg than VT = 6 mL/kg and VT = 13 mL/kg (p < 0.001 for both. Accordingly, DAD score increased in VT = 22 mL/kg compared to VT = 6 mL/kg and VT = 13 mL/kg [23(18.5–24.75 vs. 16(12–17.75 and 16(13.25–18, p < 0.05, respectively]. VT = 22 mL/kg was associated with higher

  13. Direct Bandgap Group IV Materials

    Science.gov (United States)

    2016-01-21

    AFRL-AFOSR-JP-TR-2017-0049 Direct Bandgap group IV Materials Hung Hsiang Cheng NATIONAL TAIWAN UNIVERSITY Final Report 01/21/2016 DISTRIBUTION A...NAME(S) AND ADDRESS(ES) NATIONAL TAIWAN UNIVERSITY 1 ROOSEVELT RD. SEC. 4 TAIPEI CITY, 10617 TW 8. PERFORMING ORGANIZATION REPORT NUMBER 9. SPONSORING...14. ABSTRACT Direct bandgap group IV materials have been long sought for in both academia and industry for the implementation of photonic devices

  14. Impact of diuretic treatment and sodium intake on plasma volume in patients with compensated systolic heart failure

    DEFF Research Database (Denmark)

    Bonfils, Peter K; Damgaard, Morten; Taskiran, Mustafa

    2010-01-01

    AIMS: In patients with heart failure (HF), the use of diuretics may be a double-edged sword that can alleviate symptoms of congestion, but also result in over-diuresis and intravascular volume depletion. The purpose of the present study was to examine plasma volume (PV) in HF patients receiving...... difference in PV between patients with HF and control subjects (37.3 +/- 6.0 and 40.2 +/- 5.8 mL/kg, respectively, P = 0.092) with a significant tendency towards a contraction of PV with increasing use of diuretics (P = 0.031). There was no difference in extracellular volume between patients with HF...... and control subjects (P = 0.844). NT-proBNP plasma concentrations had no correlation to either sodium excretion (P = 0.193) or PV (P = 0.471) in patients with HF. CONCLUSION: Plasma volume in patients with HF was within normal limits, but patients treated with high doses of loop-diuretics tended to have...

  15. The Impact of Comparative Education Research on Institutional Theory. International Perspectives on Education and Society. Volume 7

    Science.gov (United States)

    Baker, David, Ed.; Wiseman, Alex, Ed.

    2006-01-01

    This volume of International Perspectives on Education and Society explores how educational research from a comparative perspective has been instrumental in broadening and testing hypotheses from institutional theory. Institutional theory has also played an increasingly influential role in developing an understanding of education in society. This…

  16. Impact of institutional volume and experience with CT interpretation on sizing of transcatheter aortic valves: A multicenter retrospective study

    International Nuclear Information System (INIS)

    Verma, Divya Ratan; Pershad, Yash; Pershad, Ashish; Fang, Kenith; Gellert, George; Morris, Michael F.

    2016-01-01

    Background: Computed tomography (CT) has become the standard imaging modality for pre-procedural aortic annular sizing prior to transcatheter aortic valve replacement (TAVR). We hypothesized that the accuracy of CT derived annular measurements would be greater at sites with higher TAVR procedural volume. Methods: Within a large integrated health system, TAVR was performed at low ( 75 cases). 181 patients underwent TAVR with a Sapien XT transcatheter heart valve (THV). Two blinded experienced readers independently remeasured the annulus on CT and compared their measurements to site reported measurements. Hypothetical THV sizes were chosen based on measurements from site CT reports and independent readers’ measurements, and compared to the implanted THV size. Results: Correlation between site reported measurements and independent readers measurements of mean annulus size varied between low-volume (r = 0.31, p = 0.18), intermediate-volume (r = 0.34, p = 0.01), and high-volume sites (r = 0.96, p < 0.01). On multivariate analysis, interpretation of ≥20 CT scans (OR 0.29; 95% CI 0.03–0.81; p 0.02) and high-volume site (OR 0.16; 95% CI 0.10–0.82; p 0.02) were associated with reduced mismatch between the site predicted THV size and independent readers predicted THV size. Mismatch between site predicted THV size and implanted THV size was associated with a worse 30-day composite of mortality, dialysis-dependent renal failure, cerebrovascular accident, new permanent pacemaker, and hospital readmission (55.3 vs. 38.7%; p = 0.05). Conclusions: Accuracy of CT aortic annular sizing is improved with higher individual experience and site TAVR volume. These findings should be confirmed in larger, prospective studies. - Highlights: • Accuracy of CT aortic annular sizing is improved with higher individual experience and site TAVR volume. • CT readers with experience interpreting ≥20 pre-TAVR CT scans had significantly improved accuracy in identifying the annulus.

  17. Innovation in gynaecological brachytherapy: new technologies, pulse dose-rate brachytherapy, image, definition of new volumes of interest and their impact on dosimetry: application in a clinical research programme 'S.T.I.C.'

    International Nuclear Information System (INIS)

    Haie-Meder, C.; Peiffert, D.

    2006-01-01

    Brachytherapy plays a fundamental role in the therapeutic approach of patients with stage I-IV cervical carcinoma. Technical modalities have evolved during the last decades: stepping source technology, imaging modalities development, specially IMN, treatment planning system integrating 3D images. Images from CT-Scan and MRI have contributed to a better knowledge of tumoral extension and critical organs. CT and/or MRI compatible applicators allow a sectional image based approach with a better definition of tumour volume compared to traditional approaches. The introduction of 3D image based approach for GTV and CTV requires new definitions and a common language. In 2000, a working group within GEC-ESTRO was created to support 3D image based 3D treatment planning approach in cervix cancer BT. The task was to determine a common terminology enabling various groups to use a common language. Recommendations were described and proposed based on clinical experience and dosimetric concepts of different institutions. Two CTVs were described en relation to the risk for recurrence: high-risk CTV and intermediate risk CTV. In order to better define the role of such definitions and their potential impact on the complication incidence in patients with cervical cancer, a special French programme was developed. The aim of this programme is to study the incidence of the severe 2-year complication rate in two comparable patient populations: one population is treated using PDR brachytherapy with CT-Scan or MRI with the applicators in place allowing a 3D dosimetry with optimization, the second population is treated using standard X-rays radiographs, without any delineation of the target nor optimisation. Each population arm includes 425 patients. A medico-economic assessment is performed, allowing a real cost of the most sophisticated approach compared to a historical dosimetric system. (author)

  18. Sierra Pacific Power Company Alturas Transmission Line Project, Final Environmental Impact Report/Environmental Impact Statement. Volume 2: Comments and responses

    International Nuclear Information System (INIS)

    1995-11-01

    Sierra Pacific Power Company has proposed the construction and operation of a 345,000 volt overhead electric power transmission line from Alturas, California to Reno, Nevada. This Environmental Impact Report/Environmental Impact Statement will assess the potential environmental impacts of the proposed project and alternatives. This report contains public comments which were received on the Draft EIR/S. Significant issues may be identified through public and agency comments

  19. Metabolic impact of partial volume correction of [18F]FDG PET-CT oncological studies on the assessment of tumor response to treatment.

    Science.gov (United States)

    Stefano, A; Gallivanone, F; Messa, C; Gilardi, M C; Gastiglioni, I

    2014-12-01

    The aim of this work is to evaluate the metabolic impact of Partial Volume Correction (PVC) on the measurement of the Standard Uptake Value (SUV) from [18F]FDG PET-CT oncological studies for treatment monitoring purpose. Twenty-nine breast cancer patients with bone lesions (42 lesions in total) underwent [18F]FDG PET-CT studies after surgical resection of breast cancer primitives, and before (PET-II) chemotherapy and hormone treatment. PVC of bone lesion uptake was performed on the two [18F]FDG PET-CT studies, using a method based on Recovery Coefficients (RC) and on an automatic measurement of lesion metabolic volume. Body-weight average SUV was calculated for each lesion, with and without PVC. The accuracy, reproducibility, clinical feasibility and the metabolic impact on treatment response of the considered PVC method was evaluated. The PVC method was found clinically feasible in bone lesions, with an accuracy of 93% for lesion sphere-equivalent diameter >1 cm. Applying PVC, average SUV values increased, from 7% up to 154% considering both PET-I and PET-II studies, proving the need of the correction. As main finding, PVC modified the therapy response classification in 6 cases according to EORTC 1999 classification and in 5 cases according to PERCIST 1.0 classification. PVC has an important metabolic impact on the assessment of tumor response to treatment by [18F]FDG PET-CT oncological studies.

  20. Institute for Fusion Studies newsletter. Volume IV, No. 1

    International Nuclear Information System (INIS)

    Terry, P.W.

    1985-01-01

    This newsletter contains summaries of research in the following areas: (1) elimination of stochasticity in vacuum stellarator fields, (2) particle dynamics beyond the quasilinear regime, (3) nonlinear Landau damping of purely perpendicular Bernstein modes, and (4) resistive dynamics of magnetic islands with curvature and pressure

  1. National Childcare Consumer Study: 1975. Volume IV: Supplemental Documentation.

    Science.gov (United States)

    Unco, Inc., Washington, DC.

    This document is the fourth and final report of a study sponsored by the Office of Child Development of the U.S. Department of Health, Education and Welfare to determine patterns of child care usage and related consumer preferences, attitudes and opinions about child care. The study was based on 4609 personal interviews conducted in 1975 from a…

  2. PISA 2015 Results: Students' Financial Literacy. Volume IV

    Science.gov (United States)

    OECD Publishing, 2017

    2017-01-01

    The OECD Programme for International Student Assessment (PISA) examines not just what students know in science, reading and mathematics, but what they can do with what they know. Results from PISA show educators and policy makers the quality and equity of learning outcomes achieved elsewhere, and allow them to learn from the policies and practices…

  3. MARS CODE MANAUAL VOLUME IV - Developmental Assessment Report

    International Nuclear Information System (INIS)

    Chung, Bub Dong; Jeong, Jae Jun; Hwang, Moon Kyu; Lee, Won Jae; Lee, Young Jin; Lee, Seung Wook; Kim, Kyung Doo; Bae, Sung Won

    2010-02-01

    Korea Advanced Energy Research Institute (KAERI) conceived and started the development of MARS code with the main objective of producing a state-of-the-art realistic thermal hydraulic systems analysis code with multi-dimensional analysis capability. MARS achieves this objective by very tightly integrating the one dimensional RELAP5/MOD3 with the multi-dimensional COBRA-TF codes. The method of integration of the two codes is based on the dynamic link library techniques, and the system pressure equation matrices of both codes are implicitly integrated and solved simultaneously. In addition, the Equation-Of-State (EOS) for the light water was unified by replacing the EOS of COBRA-TF by that of the RELAP5. This assessment manual provides a complete list of code assessment results of the MARS code for various conceptual problem, separate effect test and integral effect test. From these validation procedures, the soundness and accuracy of the MARS code has been confirmed. The overall structure of the input is modeled on the structure of the RELAP5 and as such the layout of the manual is very similar to that of the RELAP. This similitude to RELAP5 input is intentional as this input scheme will allow minimum modification between the inputs of RELAP5 and MARS3.1. MARS3.1 development team would like to express its appreciation to the RELAP5 Development Team and the USNRC for making this manual possible

  4. Energy perspectives 2035 - Volume 2, scenarios I to IV

    International Nuclear Information System (INIS)

    Kirchner, A.

    2007-01-01

    This comprehensive report published by the Swiss Federal Office of Energy (SFOE) takes a look at the four scenarios concerning future developments in Swiss energy supply policy. The four complex scenarios include variants entitled 'business as usual', 'increased co-operation', 'new priorities' and 'on the way to a 2000-Watt society'. These scenarios deal with the development of energy demand and electricity offerings in Switzerland for the period 1990 to 2035. They are reviewed in the light of various sensitivity factors. These sensitivity factors include a high GDP, oil prices of 50 US-dollars per barrel and a warmer climate. The report presents the results of the model calculations made. First of all, the report takes a look at the motivation and aims behind the work and discusses the modelling methods, system limits and conventions used and the possibilities offered by the perspectives as well as the limits encountered. The four scenarios are then presented and discussed in detail. Implementation variants in the private, services, industrial and traffic sectors are discussed and various electricity supply variants are presented, as are the associated environmental issues involved. The scenarios are compared with each other and pricing and security of supply issues are discussed. Finally, a short synopsis of the scenarios is presented and decision criteria are discussed as are implementation instruments. Ethical dilemmas and the risks involved are noted

  5. Annotated Bibliography for Lake Erie. Volume IV. Physical,

    Science.gov (United States)

    1974-10-01

    cruise 69-101, February 6-27; cruise 69-103, May 29-June 4; cruise 69-104, July 2-6; cruise 69-105, July 28-August 2, 1969. Canadian Oceano - graphic...ber 13 and covered 64 sampling locations. 98. Canada Centre for Inland Waters. 1969. Lake Erie cruise 66-11, August 8-14, 1966. Canadian Oceano - 59... sol - uble phosphorus is remarkably uniform at any one place in Lake Erie, with occasional variations. Concentrations gen- erally decrease from shore

  6. Biological Effects of Nonionizing Electromagnetic Radiation. Volume IV. Number 3.

    Science.gov (United States)

    1980-03-01

    29- gauge thermocouples were inserted into the tumor center and in its deepest aspect. Thermocouples 6429 EMPLOYMENT OF MAGNETOTHERAPY IN THE CON...hyperthermia generally ranged from slight to severe erythema. Although good data were difficult to The therapeutic effectiveness of magnetotherapy obtain...subcutaneous tissue can be heated to 41-42 C for received magnetotherapy in addition to the con- periods up to 2 hr after RT without any evidence of I

  7. Biological Effects of Nonionizing Electromagnetic Radiation. Volume IV. Number 4.

    Science.gov (United States)

    1980-06-01

    absorbed power levels. The effect of EMR on CCAs will be evaluated using the following parameters: beat rate, maximum diastolic potential, action 0591...cerebral forma- superior olive were similar to those evoked by tions examined. The swelling of the cytoplasm was acoustic pulses presented binaurally at a

  8. Fast reactor safety and related physics. Volume IV. Phenomenology

    Energy Technology Data Exchange (ETDEWEB)

    1976-01-01

    Separate abstracts are included for 58 papers concerning single-phase flow and sodium boiling; sodium boiling and subassembly flow blockages; transient-overpower and loss-of-flow experiments; fuel and cladding behavior and relocation; fuel and cladding freezing; molten-fuel-coolant interaction; aerosols and fission product release, and post-accident heat removal. Thirteen papers have been perivously abstracted and included in ERA.

  9. Ionizing radiation risk assessment, BEIR IV

    International Nuclear Information System (INIS)

    1991-10-01

    This report of the Subpanel discusses the potential impact on Federal agencies and indicates individual risk factors that could be used by them in risk assessment. The approach used in this CIRRPC report was to consider the risk factors presented in BEIR IV for each radionuclide (or group radioelements) and to make some judgments regarding their validity and/or the uncertainties involved. The coverage of Radon-222 and its progeny dominated the BEIR IV report and this Subpanel felt is was proper to devote more attention to this radionuclide family. This risk factor presented in BEIR IV for radon is 350 cancer deaths per million person-working level months (WLM) of exposure for a lifetime. There is a range of opinions on the conversion from WLM to absorbed dose. As discussed in the text, the use of the WLM concept makes it difficult or infeasible to compare the risk factor for radon with that of other radionuclides which are based on organ dose. This report also includes a discussion of certain fundamental scientific and operational issues that may have decisive effect upon risk factor selection. These adjunct items are dealt with under separate headings and include discussions of threshold dose considerations, extrapolation to low doses, and age at exposure

  10. Impact of obstructive sleep apnea on lung volumes and mechanical properties of the respiratory system in overweight and obese individuals.

    Science.gov (United States)

    Abdeyrim, Arikin; Zhang, Yongping; Li, Nanfang; Zhao, Minghua; Wang, Yinchun; Yao, Xiaoguang; Keyoumu, Youledusi; Yin, Ting

    2015-07-25

    Even through narrowing of the upper-airway plays an important role in the generation of obstructive sleep apnea (OSA), the peripheral airways is implicated in pre-obese and obese OSA patients, as a result of decreased lung volume and increased lung elastic recoil pressure, which, in turn, may aggravate upper-airway collapsibility. A total of 263 male (n = 193) and female (n = 70) subjects who were obese to various degrees without a history of lung diseases and an expiratory flow limitation, but troubled with snoring or suspicion of OSA were included in this cross-sectional study. According to nocturnal-polysomnography the subjects were distributed into OSA and non-OSA groups, and were further sub-grouped by gender because of differences between males and females, in term of, lung volume size, airway resistance, and the prevalence of OSA among genders. Lung volume and respiratory mechanical properties at different-frequencies were evaluated by plethysmograph and an impulse oscillation system, respectively. Functional residual capacity (FRC) and expiratory reserve volume were significantly decreased in the OSA group compared to the non-OSA group among males and females. As weight and BMI in males in the OSA group were greater than in the non-OSA group (90 ± 14.8 kg vs. 82 ± 10.4 kg, p volumes decreases were independent from BMI and associated with the severity of OSA. This result was further confirmed by the female cohort. Significant increases in total respiratory resistance and decreases in respiratory conductance (Grs) were observed with increasing severity of OSA, as defined by the apnea-hypopnea index (AHI) in both genders. The specific Grs (sGrs) stayed relatively constant between the two groups in woman, and there was only a weak association between AHI and sGrs among man. Multiple-stepwise-regression showed that reactance at 5 Hz was highly correlated with AHI in males and females or hypopnea index in females, independently

  11. State policies and requirements for management of uranium mining and milling in New Mexico. Volume V. State policy needs for community impact assistance

    International Nuclear Information System (INIS)

    Vandevender, S.G.

    1980-04-01

    The report contained in this volume describes a program for management of the community impacts resulting from the growth of uranium mining and milling in New Mexico. The report, submitted to Sandia Laboratories by the New Mexico Department of Energy and Minerals, is reproduced without modification. The state recommends that federal funding and assistance be provided to implement a growth management program comprised of these seven components: (1) an early warning system, (2) a community planning and technical assistance capability, (3) flexible financing, (4) a growth monitoring system, (5) manpower training, (6) economic diversification planning, and (7) new technology testing

  12. Final Generic Environmental Impact Statement. Handling and storage of spent light water power reactor fuel. Volume 1. Executive summary and text

    International Nuclear Information System (INIS)

    1979-08-01

    The Generic Environmental Impact Statement on spent fuel storage was prepared by the Nuclear Regulatory Commission staff in response to a directive from the Commissioners published in the Federal Register, September 16, 1975 (40 FR 42801). The Commission directed the staff to analyze alternatives for the handling and storage of spent light water power reactor fuel with particular emphasis on developing long range policy. Accordingly, the scope of this statement examines alternative methods of spent fuel storage as well as the possible restriction or termination of the generation of spent fuel through nuclear power plant shutdown. Volume 1 includes the executive summary and the text

  13. The impact of smoking on thyroid volume and function in relation to a shift towards iodine sufficiency

    DEFF Research Database (Denmark)

    Vejbjerg, Pernille; Knudsen, Nils; Perrild, Hans

    2008-01-01

    The aim of the study was to investigate whether the influence of smoking on thyroid volume and function changes in relation to a higher iodine intake in the population. The study comprised a total of 8,219 individuals each examined in one of two separate cross-sectional studies performed before (n...... = 4,649) and after (n = 3,570) a mandatory iodization of salt in year 2000 in two areas with established mild and moderate iodine deficiency. Participants answered questionnaires regarding life style factors and a thyroid ultrasonography was performed. Blood samples were analysed for serum thyroid...... of smoking on thyroid volume seems to be dependent on iodine intake, whereas the effect on function seems mainly to depend on other factors....

  14. Final Generic Environmental Impact Statement. Handling and storage of spent light water power reactor fuel. Volume 2. Appendices

    International Nuclear Information System (INIS)

    1979-08-01

    This volume contains the following appendices: LWR fuel cycle, handling and storage of spent fuel, termination case considerations (use of coal-fired power plants to replace nuclear plants), increasing fuel storage capacity, spent fuel transshipment, spent fuel generation and storage data, characteristics of nuclear fuel, away-from-reactor storage concept, spent fuel storage requirements for higher projected nuclear generating capacity, and physical protection requirements and hypothetical sabotage events in a spent fuel storage facility

  15. Impact of volume and surface processes on the pre-ionization of dielectric barrier discharges: advanced diagnostics and fluid modeling

    Science.gov (United States)

    Nemschokmichal, Sebastian; Tschiersch, Robert; Höft, Hans; Wild, Robert; Bogaczyk, Marc; Becker, Markus M.; Loffhagen, Detlef; Stollenwerk, Lars; Kettlitz, Manfred; Brandenburg, Ronny; Meichsner, Jürgen

    2018-05-01

    The phenomenology and breakdown mechanism of dielectric barrier discharges are strongly determined by volume and surface memory effects. In particular, the pre-ionization provided by residual species in the volume or surface charges on the dielectrics influences the breakdown behavior of filamentary and diffuse discharges. This was investigated by advanced diagnostics such as streak camera imaging, laser photodetachment of negative ions and laser photodesorption of electrons from dielectric surfaces in correlation with 1D fluid modeling. The streak camera images show that an increasing number of residual charges in the volume changes the microdischarge breakdown in air-like gas mixtures from a cathode-directed streamer to a simultaneous propagation of cathode- and anode-directed streamers. In contrast, seed electrons are important for the pre-ionization if the density of residual charges in the volume is low. One source of seed electrons are negative ions, whose density exceeds the electron density during the pre-phase of diffuse helium-oxygen barrier discharges as indicated by the laser photodetachment experiments. Electrons desorbed from the cathodic dielectric have an even larger influence. They induce a transition from the glow-like to the Townsend-like discharge mode in nominally pure helium. Apart from analyzing the importance of the pre-ionization for the breakdown mechanism, the opportunities for manipulating the lateral structure and discharge modes are discussed. For this purpose, the intensity and diameter of a diffuse discharge in helium are controlled by an illuminated semiconducting barrier. Contribution to the Topical Issue "Fundamentals of Complex Plasmas", edited by Jürgen Meichsner, Michael Bonitz, Holger Fehske, Alexander Piel.

  16. Paradoxical impact of the remnant pancreatic volume and infectious complications on the development of nonalcoholic fatty liver disease after pancreaticoduodenectomy.

    Science.gov (United States)

    Sato, Rie; Kishiwada, Masashi; Kuriyama, Naohisa; Azumi, Yoshinori; Mizuno, Shugo; Usui, Masanobu; Sakurai, Hiroyuki; Tabata, Masami; Yamada, Tomomi; Isaji, Shuji

    2014-08-01

    The aim of the present study was to evaluate perioperative risk factors for development of nonalcoholic fatty liver disease (NAFLD) after pancreaticoduodenectomy (PD), paying special attention to remnant pancreatic volume (RPV) and postoperative infection. We reviewed the charts of 110 patients who had been followed more than 6 months after PD. These patients were classified into the two groups according to RPV measured by CT volumetry at one month: large-volume group (LVG) (10 ml or more, n = 75) and small-volume group (SVG) (less than 10 ml, n = 35). Nonalcoholic fatty liver disease developed in 44 (40.0%), being significantly higher in SVG than in LVG: 54.2% vs. 33.3% (P = 0.037). SVG was characterized as significantly higher incidence of pancreatic adenocarcinoma, while LVG was characterized as significantly higher incidences of soft pancreas, postoperative infection and pancreatic fistula. In LVG, the incidence of NAFLD was significantly higher in patients with suspicion of infection than in those without it: 45.2% vs. 18.1% (P = 0.014), while not different in SVG. By multivariate analysis, independent risk factor was determined as RPV and suspicion of infection in the whole patients, and in LVG it was suspicion of infection, while in SVG it was not identified. After PD, RPV and status of postoperative infection paradoxically influenced the development of NAFLD. © 2014 Japanese Society of Hepato-Biliary-Pancreatic Surgery.

  17. Impact of Plasma Epstein-Barr Virus-DNA and Tumor Volume on Prognosis of Locally Advanced Nasopharyngeal Carcinoma

    Directory of Open Access Journals (Sweden)

    Meng Chen

    2015-01-01

    Full Text Available This retrospective study aims to examine the association of plasma Epstein-Barr virus- (EBV- DNA levels with the tumor volume and prognosis in patients with locally advanced nasopharyngeal carcinoma (NPC. A total of 165 patients with newly diagnosed locally advanced NPC were identified from September 2011 to July 2012. EBV-DNA was detected using fluorescence quantitative polymerase chain reaction (PCR amplification. The tumor volume was calculated by the systematic summation method of computer software. The median copy number of plasma EBV-DNA before treatment was 3790 copies/mL. The median gross tumor volume of the primary nasopharyngeal tumor (GTVnx, the lymph node lesions (GTVnd, and the total GTV before treatment were 72.46, 23.26, and 106.25 cm3, respectively; the EBV-DNA levels were significantly correlated with the GTVnd and the total GTV (P<0.01. The 2-year overall survival (OS rates in patients with positive and negative pretreatment plasma EBV-DNA were 100% and 98.4% (P=1.000, and the disease-free survival (DFS rates were 94.4% and 80.8% (P=0.044, respectively. These results indicate that high pretreatment plasma EBV-DNA levels in patients with locally advanced NPC are associated with the degree of lymph node metastasis, tumor burden, and poor prognosis.

  18. Limited impacts of truck-based ultra-low-volume applications of mosquito adulticides on mortality in honey bees (Apis mellifera).

    Science.gov (United States)

    Rinkevich, F D; Margotta, J W; Pokhrel, V; Walker, T W; Vaeth, R H; Hoffman, W C; Fritz, B K; Danka, R G; Rinderer, T E; Aldridge, R L; Linthicum, K J; Ottea, J A; Healy, K B

    2017-12-01

    Adulticides applied against mosquitoes can reduce vector populations during times of high arbovirus transmission. However, impacts of these insecticides on pollinators and other non-target organisms are of concern to mosquito control professionals, beekeepers and others. We evaluated mortality of Culex quinquefasciatus and Apis mellifera when caged insects were exposed to low and high label rates of four common adulticides (Aqua-Pursuit™ [permethrin], Duet® [prallethrin + sumithrin], Fyfanon® [malathion] and Scourge® [resmethrin]) at six distances up to 91.4 m from a truck-mounted ultra-low-volume sprayer. Honey bee mortality was both absolutely low (61 m had limited impacts on honey bee mortality while providing effective mosquito control.

  19. Final environmental impact statement for the Nevada Test Site and off-site locations in the State of Nevada. Volume 1, Appendices A-F

    International Nuclear Information System (INIS)

    1996-08-01

    This sitewide EIS evaluates the potential environmental impacts of four possible land-use alternatives being considered for the Nevada Test Site (NTS), the Tonopah Test Range, and the formerly operated DOE sites in the state of Nevada: the Project Shoal Area, the Central Nevada Test Area, and portions of the Nellis Air Force Range Complex. Three additional sites in Nevada-Eldorado Valley, Dry Lake Valley, and Coyote Spring Valley-are evaluated for collocation of solar energy production facilities. The four alternatives include Continue Current Operations (No Action, continue to operate at the level maintained for the past 3 to 5 years); Discontinue Operations 1 (discontinue operations and interagency programs); Expanded Use (increased use of NTS and its resources to support defense and nondefense programs); and Alternate Use of Withdrawn Lands (discontinue all defense-related activities at NTS; continue waste management operations in support of NTS environmental restoration efforts; expand nondefense research). Environmental impacts were assessed for each alternative by analyzing, to the extent possible, the discrete and cumulative environmental impacts associated with Defense Waste Management, Environmental Restoration, Nondefense Research and Development, and Work for Others Programs. A framework for a Resource Management Plan is included as Volume 2 of this EIS and represents the development of an ecosystem based planning process closely integrated with the National Environmental Policy Act process. This EIS, among other things, analyzed the impacts of transportation of low level waste, and site characterization activities related to the Yucca Mountain Project but did not analyze the suitability of the site as a repository. This EIS does not analyze the suitability of the Yucca Mountain site as a repository as this is an action beyond the scope of the EIS. Volume 3 of this EIS contains the public comments and the responses to the comments

  20. Final environmental impact statement for the Nevada Test Site and off-site locations in the State of Nevada. Volume 1, Chapters 1-9

    International Nuclear Information System (INIS)

    1996-08-01

    This sitewide EIS evaluates the potential environmental impacts of four possible land-use alternatives being considered for the Nevada Test Site (NTS), the Tonopah Test Range, and the formerly operated DOE sites in the state of Nevada: the Project Shoal Area, the Central Nevada Test Area, and portions of the Nellis Air Force Range Complex. Three additional sites in Nevada-Eldorado Valley, Dry Lake Valley, and Coyote Spring Valley-are evaluated for collocation of solar energy production facilities. The four alternatives include Continue Current Operations (No Action, continue to operate at the level maintained for the past 3 to 5 years); Discontinue Operations 1 (discontinue operations and interagency programs); Expanded Use (increased use of NTS and its resources to support defense and nondefense programs); and Alternate Use of Withdrawn Lands (discontinue all defense-related activities at NTS; continue waste management operations in support of NTS environmental restoration efforts; expand nondefense research). Environmental impacts were assessed for each alternative by analyzing, to the extent possible, the discrete and cumulative environmental impacts associated with Defense Waste Management, Environmental Restoration, Nondefense Research and Development, and Work for Others Programs. A framework for a Resource Management Plan is included as Volume 2 of this EIS and represents the development of an ecosystem based planning process closely integrated with the National Environmental Policy Act process. This EIS, among other things, analyzed the impacts of transportation of low level waste, and site characterization activities related to the Yucca Mountain Project but did not analyze the suitability of the site as a repository. This EIS does not analyze the suitability of the Yucca Mountain site as a repository as this is an action beyond the scope of the EIS. Volume 3 of this EIS contains the public comments and the responses to the comments

  1. Initial Northwest Power Act Power Sales Contracts : Final Environmental Impact Statement. Volume 2, Appendices A--L.

    Energy Technology Data Exchange (ETDEWEB)

    United States. Bonneville Power Administration.

    1992-01-01

    This report consists of appendices A-L of the final environmental impact statement for the Bonneville Power Administration. The appendices provide information on the following: Ninth circuit Court opinion in Forelaws on Board v. Johnson; guide to Northwest Power act contracts; guide to hydro operations; glossary; affected environment supporting documentation; environmental impacts of generic resource types; information on models used; technical information on analysis; public involvement activities; bibliography; Pacific Northwest Electric Power Planning and Conservation Act; and biological assessment. (CBS)

  2. Preliminary final programmatic environmental impact statement for the Uranium Mill Tailings Remedial Action Ground Water Project. Volume 1

    International Nuclear Information System (INIS)

    1996-01-01

    The first step in the UMTRA Ground Water Project is the preparation of this programmatic environmental impact statement (PEIS). This document analyzes the potential impacts of four alternative systems for conducting the ground water program. One of these systems is the proposed action. These alternatives do not address site-specific ground water compliance strategies, because the PEIS is a planning document only. It assesses the potential programmatic impacts of conducting the Ground Water Project, provides a method for determining the site-specific ground water compliance strategies, and provides data and information that can be used to prepare site-specific environmental impacts analyses more efficiently. This PEIS presents multiple ground water compliance strategies, each with its own set of potential impacts, that could be used to implement all the alternatives presented in the PEIS except the no action alternative. The no action alternative must be considered by law. It consists of taking no action to meet EPA standards. Implementing all PEIS alternatives (except no action) means applying a ground water compliance strategy or a combination of strategies that would result in site-specific impacts

  3. Radiological health review of the final environmental impact statement. Waste Isolation Pilot Plant. Volumes 1 and 2

    International Nuclear Information System (INIS)

    1981-01-01

    Pursuant to the requirements of the National Environmental Policy Act of 1969, the Department of Energy has provided in the Final Environmental Impact Statement (FEIS) a comprehensive review of the potential radiological impact of the proposed Waste Isolation Pilot Plant, referred to in the FEIS as, the authorized alternative. The EEG has reviewed this document to determine (a) the changes made in comparison with the Draft Environmental Impact Statement (DEIS); (b) the adequacy of the DOE's evaluation of the potential radiological impact; (c) the thoroughness of the DOE's response to the comments of the EEG on the DEIS; and (d) other issues which should be addressed by DOE more fully prior to beginning construction of the WIPP. Based on our review of the FEIS, the Department of Energy has incorporated and addressed the majority of the concerns, questions and recommendations that the EEG provided to them in our August 1979 review of the Draft Environmental Impact Statement on WIPP and the FEIS provides a generally satisfactory evaluation of the potential radiological impact. There are, however, a number of areas that have yet to be adequately treated by DOE and should be acted upon and resolved prior to beginning construction of the WIPP. The more important issues are included and are discussed in more detail in our December 8, 1980 and January 15, 1981 comments on the FEIS

  4. Impact of FDG-PET/CT on Radiotherapy Volume Delineation in Non-Small-Cell Lung Cancer and Correlation of Imaging Stage With Pathologic Findings

    International Nuclear Information System (INIS)

    Faria, Sergio L.; Menard, Sonia; Devic, Slobodan; Sirois, Christian; Souhami, Luis; Lisbona, Robert; Freeman, Carolyn R.

    2008-01-01

    Purpose: Fluorodeoxyglucose-positron emission tomography (FDG-PET)/computed tomography (CT) is more accurate than CT in determining the extent of non-small-cell lung cancer. We performed a study to evaluate the impact of FDG-PET/CT on the radiotherapy volume delineation compared with CT without using any mathematical algorithm and to correlate the findings with the pathologic examination findings. Methods and Materials: A total of 32 patients with proven non-small-cell lung cancer, pathologic specimens from the mediastinum and lung primary, and pretreatment chest CT and FDG-PET/CT scans were studied. For each patient, two data sets of theoretical gross tumor volumes were contoured. One set was determined using the chest CT only, and the second, done separately, was based on the co-registered FDG-PET/CT data. The disease stage of each patient was determined using the TNM staging system for three data sets: the CT scan only, FDG-PET/CT scan, and pathologic findings. Results: Pathologic examination altered the CT-determined stage in 22 (69%) of 32 patients and the PET-determined stage in 16 (50%) of 32 patients. The most significant alterations were related to the N stage. PET altered the TNM stage in 15 (44%) of 32 patients compared with CT alone, but only 7 of these 15 alterations were confirmed by the pathologic findings. With respect to contouring the tumor volume for radiotherapy, PET altered the contour in 18 (56%) of 32 cases compared with CT alone. Conclusion: The contour of the tumor volume of non-small-cell lung cancer patients with co-registered FDG-PET/CT resulted in >50% alterations compared with CT targeting, findings similar to those of other publications. However, the significance of this change is unknown. Furthermore, pathologic examination showed that PET is not always accurate and histologic examination should be obtained to confirm the findings of PET whenever possible

  5. The long-term impact of early life poverty on orbitofrontal cortex volume in adulthood: results from a prospective study over 25 years.

    Science.gov (United States)

    Holz, Nathalie E; Boecker, Regina; Hohm, Erika; Zohsel, Katrin; Buchmann, Arlette F; Blomeyer, Dorothea; Jennen-Steinmetz, Christine; Baumeister, Sarah; Hohmann, Sarah; Wolf, Isabella; Plichta, Michael M; Esser, Günter; Schmidt, Martin; Meyer-Lindenberg, Andreas; Banaschewski, Tobias; Brandeis, Daniel; Laucht, Manfred

    2015-03-01

    Converging evidence has highlighted the association between poverty and conduct disorder (CD) without specifying neurobiological pathways. Neuroimaging research has emphasized structural and functional alterations in the orbitofrontal cortex (OFC) as one key mechanism underlying this disorder. The present study aimed to clarify the long-term influence of early poverty on OFC volume and its association with CD symptoms in healthy participants of an epidemiological cohort study followed since birth. At age 25 years, voxel-based morphometry was applied to study brain volume differences. Poverty (0=non-exposed (N=134), 1=exposed (N=33)) and smoking during pregnancy were determined using a standardized parent interview, and information on maternal responsiveness was derived from videotaped mother-infant interactions at the age of 3 months. CD symptoms were assessed by diagnostic interview from 8 to 19 years of age. Information on life stress was acquired at each assessment and childhood maltreatment was measured using retrospective self-report at the age of 23 years. Analyses were adjusted for sex, parental psychopathology and delinquency, obstetric adversity, parental education, and current poverty. Individuals exposed to early life poverty exhibited a lower OFC volume. Moreover, we replicated previous findings of increased CD symptoms as a consequence of childhood poverty. This effect proved statistically mediated by OFC volume and exposure to life stress and smoking during pregnancy, but not by childhood maltreatment and maternal responsiveness. These findings underline the importance of studying the impact of early life adversity on brain alterations and highlight the need for programs to decrease income-related disparities.

  6. Free-format RPG IV

    CERN Document Server

    Martin, Jim

    2013-01-01

    This how-to guide offers a concise and thorough introduction to the increased productivity, better readability, and easier program maintenance that comes with the free-format style of programming in RPG IV. Although free-format information is available in IBM manuals, it is not separated from everything else, thereby requiring hours of tedious research to track down the information needed. This book provides everything one needs to know to write RPG IV in the free-format style, and author Jim Martin not only teaches rules and syntax but also explains how this new style of coding has the pot

  7. Waste Isolation Pilot Plant disposal phase final supplemental environmental impact statement. Volume 1, Chapters 1--6

    International Nuclear Information System (INIS)

    1997-09-01

    The purpose of the Waste Isolation Pilot Plant Disposal Final Supplemental Environmental Impact Statement (SEIS-II) is to provide information on environmental impacts regarding the Department of Energy's (DOE) proposed disposal operations at WIPP. The Proposed Action describes the treatment and disposal of the Basic inventory of TRU waste over a 35-year period. The Action Alternatives proposed the treatment of the Basic Inventory and an Additional Inventory as well as the transportation of the treated waste to WIPP for disposal over a 150- to 190-year period. The three Action Alternatives include the treatment of TRU waste at consolidation sites to meet WIPP planning-basic Waste Acceptance Criteria, the thermal treatment of TRU waste to meet Land Disposal Restrictions, and the treatment of TRU waste by a shred and grout process. SEIS-II evaluates environmental impacts resulting from the various treatment options; the transportation of TRU waste to WIPP using truck, a combination of truck and regular rail service, and a combination of truck and dedicated rail service; and the disposal of this waste in the repository. Evaluated impacts include those to the general environment and to human health. Additional issues associated with the implementation of the alternatives are discussed to provide further understanding of the decisions to be reached and to provide the opportunity for public input on improving DOE's Environmental Management Program. Chapters 1--6 include an introduction, background information, description of the proposed action and alternatives, description of the affected environments, environmental impacts, and consultations and permits

  8. Single impacts of keV fullerene ions on free standing graphene: Emission of ions and electrons from confined volume

    Energy Technology Data Exchange (ETDEWEB)

    Verkhoturov, Stanislav V.; Geng, Sheng; Schweikert, Emile A., E-mail: schweikert@chem.tamu.edu [Department of Chemistry, Texas A& M University, College Station, Texas 77843-3144 (United States); Czerwinski, Bartlomiej [Institute of Condensed Matter and Nanosciences–Bio and Soft Matter (IMCN/BSMA), Université Catholique de Louvain, 1 Croix du Sud, B-1348 Louvain-la-Neuve (Belgium); Applied Physics, Division of Materials Science, Department of Engineering Sciences and Mathematics, Luleå University of Technology, SE-971 87 Luleå (Sweden); Young, Amanda E. [Materials Characterization Facility, Texas A& M University, College Station, Texas 77843-3122 (United States); Delcorte, Arnaud [Institute of Condensed Matter and Nanosciences–Bio and Soft Matter (IMCN/BSMA), Université Catholique de Louvain, 1 Croix du Sud, B-1348 Louvain-la-Neuve (Belgium)

    2015-10-28

    We present the first data from individual C{sub 60} impacting one to four layer graphene at 25 and 50 keV. Negative secondary ions and electrons emitted in transmission were recorded separately from each impact. The yields for C{sub n}{sup −} clusters are above 10% for n ≤ 4, they oscillate with electron affinities and decrease exponentially with n. The result can be explained with the aid of MD simulation as a post-collision process where sufficient vibrational energy is accumulated around the rim of the impact hole for sputtering of carbon clusters. The ionization probability can be estimated by comparing experimental yields of C{sub n}{sup −} with those of C{sub n}{sup 0} from MD simulation, where it increases exponentially with n. The ionization probability can be approximated with ejecta from a thermally excited (3700 K) rim damped by cluster fragmentation and electron detachment. The experimental electron probability distributions are Poisson-like. On average, three electrons of thermal energies are emitted per impact. The thermal excitation model invoked for C{sub n}{sup −} emission can also explain the emission of electrons. The interaction of C{sub 60} with graphene is fundamentally different from impacts on 3D targets. A key characteristic is the high degree of ionization of the ejecta.

  9. Rare Examples of Fe(IV) Alkyl-Imide Migratory Insertions: Impact of Fe-C Covalency in (Me2IPr)Fe(═NAd)R2 (R = neoPe, 1-nor).

    Science.gov (United States)

    Jacobs, Brian P; Wolczanski, Peter T; Jiang, Quan; Cundari, Thomas R; MacMillan, Samantha N

    2017-09-06

    The iron(IV) imide complexes, (Me 2 IPr)-R 2 Fe=NAd (R = neo Pe (3a), 1-nor (3b)) undergo migratory insertion to iron(II) amides (Me 2 IPr)RFe{NR(Ad)} (R = neo Pe (4a), 1-nor (4b)) without evidence of imidyl or free nitrene character. By increasing the field strength about iron, odd-electron reactivity was circumvented via increased covalency.

  10. Socioeconomic Impact Assessment. Communications Industry. Phase IV. Impact Assessment.

    Science.gov (United States)

    1981-02-21

    t 1091 - 2=0 1.69M0 .31945 .68055 -. 0040 27001 - 2010 2.4275 .27002 .7209 -. 0001 2011 - � 4.2090 .1455 .8544 -. 0090 ACUMENICS 105 technology...2563 SO 77 135 101 34 40 414 ON4 uAs 178 ’.27 456 320151824 =0 13 IN 7 1?=5 70 149 30 454 P"T 231 254 485152313732M9 15 135 W76 ISO 17 MI 7 675 SUB

  11. Impact of the volume change on the ageing effects in Cu-Al-Ni martensite: experiment and theory.

    Science.gov (United States)

    Kosogor, Anna; Xue, Dezhen; Zhou, Yumei; Ding, Xiangdong; Otsuka, Kazuhiro; L'vov, Victor A; Sun, Jun; Ren, Xiaobing

    2013-08-21

    The time evolution of the physical properties of martensite during martensite ageing is traditionally explained by the symmetry-conforming short-range order (SC-SRO) principle, which requires the spatial configuration of crystal defects to follow the symmetry change of the host lattice. In the present study, we show that the volume change of the host lattice also contributes to the ageing effects in Cu-Al-Ni shape memory alloy besides the symmetry change. To substantiate this statement the gradual increase of the storage modulus with time at constant temperature was measured by dynamic mechanical analysis (DMA) and the experimental results were quantitatively described in the framework of the symmetry-conforming Landau theory of martensitic transformations in a crystal with defects. The comparison of experimental and theoretical results confirmed that the time dependence of the storage modulus is caused by two different physical mechanisms. Evaluations showing that the first mechanism is driven by the spontaneous symmetry change and the second mechanism is caused by the volume change after the martensitic transformation was carried out.

  12. Draft environmental impact statement for the siting, construction, and operation of New Production Reactor capacity. Volume 3, Sections 7-12, Appendices A-C

    Energy Technology Data Exchange (ETDEWEB)

    1991-04-01

    This Environmental Impact Statement (EIS) assesses the potential environmental impacts, both on a broad programmatic level and on a project-specific level, concerning a proposed action to provide new tritium production capacity to meet the nation`s nuclear defense requirements well into the 21st century. A capacity equivalent to that of about a 3,000-megawatt (thermal) heavy-water reactor was assumed as a reference basis for analysis in this EIS; this is the approximate capacity of the existing production reactors at DOE`s Savannah River Site near Aiken, South Carolina. The EIS programmatic alternatives address Departmental decisions to be made on whether to build new production facilities, whether to build one or more complexes, what size production capacity to provide, and when to provide this capacity. Project-specific impacts for siting, constructing, and operating new production reactor capacity are assessed for three alternative sites: the Hanford Site near Richland, Washington; the Idaho National Engineering Laboratory near Idaho Falls, Idaho; and the Savannah River Site. For each site, the impacts of three reactor technologies (and supporting facilities) are assessed: a heavy-water reactor, a light-water reactor, and a modular high-temperature gas-cooled reactor. Impacts of the no-action alternative also are assessed. The EIS evaluates impacts related to air quality; noise levels; surface water, groundwater, and wetlands; land use; recreation; visual environment; biotic resources; historical, archaeological, and cultural resources; socioeconomics; transportation; waste management; and human health and safety. The EIS describes in detail the potential radioactive releases from new production reactors and support facilities and assesses the potential doses to workers and the general public. This volume contains references; a list of preparers and recipients; acronyms, abbreviations, and units of measure; a glossary; an index and three appendices.

  13. Proposed Tenaska Washington II Generation Project : Final Environmental Impact Statement. Volume 1: Environmental Analysis and Technical Appendices.

    Energy Technology Data Exchange (ETDEWEB)

    United States. Bonneville Power Administration.

    1994-01-01

    BPA is considering whether to purchase electrical power from a proposed privately-owned combustion-turbine electrical generation plant in Washington. The plant would be fired by natural gas and would use combined-cycle technology to generate 240 average megawatts (aMW) of energy. The plant would be developed, owned, and operated by Tenaska Washington Partners II, L.P. The project would be located about 19 kilometers (12 miles) southeast of downtown Tacoma in the Frederickson Industrial Area, Pierce County. The proposed plant would occupy about half of a 6.4-hectare (16-acre) parcel and would be consistent with the industrial character of its surroundings. The proposed site is currently undeveloped and zoned for industrial use by the county. Main environmental concerns identified in the scoping process and in comments on the Draft Environmental Impact Statement (EIS) include: (1) potential air quality impacts, such as emissions and their contribution to the {open_quotes}greenhouse{close_quotes} effect; (2) potential health and safety impacts, such as nuisance odors, plant safety, visibility and heat-emission systems which may affect low-flying planes and potential health effects of electric and magnetic fields; and (3) potential water quality and quantity impacts, such as the amount of wastewater to be discharged, the source and amount of water required for plant operation. These and other issues are discussed in detail in the EIS. The proposed project already includes many features designed to reduce environmental impacts. Based on investigations performed for the EIS, no significant unavoidable adverse environmental impacts associated with the proposed project were identified, and no evidence emerged to suggest that the proposed action is controversial. The EIS is being mailed to numerous agencies, groups, and individuals (see Section 8.0). There will be a 30-day no-action period before any decisions are made and the Record of Decision is signed.

  14. Environmental impacts of ocean disposal of CO{sub 2}. Final report volume 2, September 1994--August 1996

    Energy Technology Data Exchange (ETDEWEB)

    Herzog, H.J.; Adams, E.E. [eds.

    1996-12-01

    One option to reduce atmospheric CO{sub 2} levels is to capture and sequester power plant CO{sub 2}. Commercial CO{sub 2} capture technology, though expensive, exists today. However, the ability to dispose of large quantities of CO{sub 2} is highly uncertain. The deep ocean is one of only a few possible CO{sub 2} disposal options (others are depleted oil and gas wells or deep, confined aquifers) and is a prime candidate because the deep ocean is vast and highly unsaturated in CO{sub 2}. Technically, the term `disposal` is really a misnomer because the atmosphere and ocean eventually equilibrate on a time scale of 1000 years regardless of where the CO{sub 2} is originally discharged. However, peak atmospheric CO{sub 2} concentrations expected to occur in the next few centuries could be significantly reduced by ocean disposal. The magnitude of this reduction will depend upon the quantity of CO{sub 2} injected in the ocean, as well as the depth and location of injection. Ocean disposal of CO{sub 2} will only make sense if the environmental impacts to the ocean are significantly less than the avoided impacts of atmospheric release. In this project, we examined these ocean impacts through a multi-disciplinary effort designed to summarize the current state of knowledge. In the process, we have developed a comprehensive method to assess the impacts of pH changes on passive marine organisms. This final report addresses the following six topics: CO{sub 2} loadings and scenarios, impacts of CO{sub 2} transport, near-field perturbations, far-field perturbations, environmental impacts of CO{sub 2} release, and policy and legal implications of CO{sub 2} release.

  15. Final environmental impact statement, Beaufort Sea oil and gas development/Northstar Project. Volume 4: Chapters 8 through 13

    International Nuclear Information System (INIS)

    1999-02-01

    BP Exploration (Alaska) Inc. (BPXA) submitted a permit application to the US Army Engineer District, Alaska to initiate the review process for BPXA's plans to develop and produce oil and gas from the Northstar Unit. This report contains chapters 8--13 of an Environmental Impact Statement which was undertaken to identify and evaluate the potential effects the proposed project may have on the environment. Attention is focused on the following: effects of oil on the physical, biological, and human environments; effects of noise on the biological and human environments; cumulative effects on the environment; and comparison of project alternatives and their impacts

  16. 11. IV avati Draakoni galeriis...

    Index Scriptorium Estoniae

    2005-01-01

    Tanel Saare (sünd. 1979) näitus "Gott und huhn episode IV: seed shower". Eksponeeritakse väljavõtteid aktsioonidest aastatel 2000-2004 Turus, Nürnbergis, Berliinis, Lohusalus ja Soulis. Osa aktsioone toimus koos rühmitusega Non Grata

  17. Assessing the impacts of truck based ultra-low volume applications of mosquito adulticides on honey bees (Apis mellifera)

    Science.gov (United States)

    Mosquito control reduces populations of mosquitoes to minimize the risk of mosquito-borne diseases. As part of an integrated approach to mosquito control, application of adulticides can be effective in rapidly reducing mosquito populations during times of high arbovirus transmission. However, impact...

  18. Final programmatic environmental impact statement for the Uranium Mill Tailings Remedial Action Ground Water Project. Volume 2

    International Nuclear Information System (INIS)

    1996-10-01

    The purpose of the Uranium Mill Tailings Remedial Action (UMTRA) Ground Water Project is to eliminate, reduce, or address to acceptable levels the potential health and environmental consequences of milling activities. One of the first steps in the UMTRA Ground Water Project is the preparation of the Programmatic Environmental Impact Statement (PEIS). This report contains the comments and responses received on the draft PEIS

  19. SLAM: a fast high volume additive manufacturing concept by impact welding; application to Ti6Al4V alloy

    NARCIS (Netherlands)

    Wentzel, C.M.; Carton, E.P.; Kloosterman, A.

    2006-01-01

    Against the manufacturing requirement for both lower lead time and reduced machining time for titanium components, a new concept was conceived assembling sheet material and other stock into semi finished parts by (explosive) impact welding. It is believed that this concept (which we named SLAM)

  20. Great Lakes and St. Lawrence Seaway Navigation Season Extension. Volume 1. Main Report and Final Environmental Impact Statement

    Science.gov (United States)

    1979-08-01

    of navigation season extension. The Federal Clean Air Act sets forth National Ambient Air Quality Standards, defining maximum allowable ambient ...programmatic EIS reduces excessive paper work’by covee-ing a specific p rogram within a broad geological area, su- ..i~gthe environmental impactO within

  1. Potential Impacts of Spilled Hydraulic Fracturing Fluid Chemicals on Water Resources: Types, volumes, and physical-chemical properties of chemicals

    Science.gov (United States)

    Hydraulic fracturing (HF) fluid chemicals spilled on-site may impact drinking water resources. While chemicals generally make up <2% of the total injected fluid composition by mass, spills may have undiluted concentrations. HF fluids typically consist of a mixture of base flui...

  2. Novel inhibitor of DNA ligase IV with a promising cancer therapeutic ...

    Indian Academy of Sciences (India)

    Home; Journals; Journal of Biosciences; Volume 39; Issue 3. Novel inhibitor of DNA ligase IV with a promising cancer therapeutic potential. Ashwin Kotnis Rita Mulherkar. Clipboards Volume 39 Issue 3 June 2014 pp 339-340. Fulltext. Click here to view fulltext PDF. Permanent link:

  3. Daily online localization using implanted fiducial markers and its impact on planning target volume for carcinoma prostate.

    Science.gov (United States)

    Khosa, Robin; Nangia, Sapna; Chufal, Kundan S; Ghosh, D; Kaul, Rakesh; Sharma, Lalit

    2010-01-01

    Aim of the study was to assess prostate motion on daily basis with respect to setup and to compare the shifts based on bony anatomy and gold fiducial markers. Gold fiducial markers were inserted in prostate under U/S guidance and daily portal images were taken and compared with digitally reconstructed images, both using bony landmarks and fiducial markers as reference. A dose of 2 MU was given for two orthogonal images daily. The mean and standard deviation of displacement using gold seeds and bone were calculated. Systematic and random errors were generated. The planning target volume (PTV) was calculated using the Van Herk formula. A total of 180 portal images from 10 patients were studied. The mean displacement along x, y and z axes was 1.67 mm, 3.58 mm, and 1.76 mm using fiducial markers and 2.12 mm, 3.47 mm, and 2.09 mm using bony landmarks, respectively. The mean internal organ motion was 1.23 mm (+1.45), 3.11 mm (+2.69 mm); and 1.87 mm (+1.67 mm) along x, y and z axes, respectively. The PTV to account for prostate motion if daily matching was not done was 4.64 mm, 10.41 mm and 4.40 mm along lateral, superoinferior, and anteroposterior directions, respectively. If bony landmarks were used for daily matching, margins of 3.61 mm, 7.31 mm, and 4.72 mm in lateral, superoinferior, and anteroposterior directions should be added to the clinical target volume. Daily alignment using gold fiducial markers is an effective method of localizing prostate displacement. It provides the option of reducing margins, thus limiting normal tissue toxicity and allowing the possibility of dose escalation for better long-term control.

  4. Draft environmental impact statement for the siting, construction, and operation of New Production Reactor capacity. Volume 2, Sections 1-6

    Energy Technology Data Exchange (ETDEWEB)

    1991-04-01

    This (EIS) assesses the potential environmental impacts, both on a broad programmatic level and on a project-specific level, concerning a proposed action to provide new tritium production capacity to meet the nation`s nuclear defense requirements well into the 21st century. A capacity equivalent to that of about a 3,000-megawatt (thermal) heavy-water reactor was assumed as a reference basis for analysis in this EIS; this is the approximate capacity of the existing production reactors at DOE`s Savannah River Site. The EIS programmatic alternatives address Departmental decisions to be made on whether to build new production facilities, whether to build one or more complexes, what size production capacity to provide, and when to provide this capacity. Project-specific impacts for siting, constructing, and operating new production reactor capacity are assessed for three alternative sites: the Hanford Site near Richland, Washington; the Idaho National Engineering Laboratory near Idaho Falls, Idaho; and the Savannah River Site. For each site, the impacts of three reactor technologies (and supporting facilities) are assessed: a heavy-water reactor, a light-water reactor, and a modular high-temperature gas-cooled reactor. Impacts of the no-action alternative also are assessed. The EIS evaluates impacts related to air quality; noise levels; surface water, groundwater, and wetlands; land use; recreation; visual environment; biotic resources; historical, archaeological, and cultural resources; socioeconomics; transportation; waste management; and human health and safety. The EIS describes in detail the potential radioactive releases from new production reactors and support facilities and assesses the potential doses to workers and the general public. This volume contains the analysis of programmatic alternatives, project alternatives, affected environment of alternative sites, environmental consequences, and environmental regulations and permit requirements.

  5. Application for approval of the Cold Lake Expansion Project: volume 3: environmental impact assessment: socio-economic assessment

    International Nuclear Information System (INIS)

    Anon.

    1997-02-01

    Anticipated social and economic effects from the construction and operation of the proposed Cold Lake Expansion Project in Alberta were described. The regions and communities that would be directly affected by the project were identified and project impacts with respect to the following areas were analyzed: population and demographics, local economy and labour force, education, health, social and recreational services, protective and emergency services, physical community infrastructure, real estate, and current community planning and land use initiatives. The main sources of information used for the analysis were public statistical data compiled by Statistics Canada, provincial government statistics and municipal planning documents. The overall social impact of the project was expected to range from low to medium. 50 refs., 44 tabs., 6 figs

  6. INFLUENCE OF NATURAL AND SYNTHETIC ORGANIC LIGANDS ON THE STABILITY AND MOBILITY OF REDUCED TC(IV)

    Energy Technology Data Exchange (ETDEWEB)

    Nathalie A. Wall; Baohua Gu

    2012-12-20

    The primary objectives were (1) to quantify the interactions of organic ligands with Tc(IV) through the generation of thermodynamic (complexation) and kinetic parameters needed to assess and predict the mobility of reduced Tc(IV) at DOE contaminated sites; and (2) to determine the impact of organic ligands on the mobility and fate of reduced Tc(IV) under field geochemical conditions.

  7. Initial Northwest Power Act Power Sales Contracts : Final Environmental Impact Statement. Volume 3, Appendix M, Contract Copies.

    Energy Technology Data Exchange (ETDEWEB)

    United States. Bonneville Power Administration.

    1992-01-01

    This report, is part of the final environmental impact statement of the Bonneville Power Administration, consists of an appendix of contract copies related to the following: Detailed Index to Generic Utility Power Sales Contracts, Text of Generic Utility Contract, Detailed Index to Generic DSI Power Sales Contracts, Text of Generic DSI Contract, Text of Residential Purchase and Sale Agreement (Residential Exchange), and Detailed Index to General Contract Provisions -- GCP Form PSC-2 (Incorporated into all three types of contracts as an Exhibit).

  8. Economic impacts from energy efficiency programs - Variations in multiplier effects by program type and region. Volume 1

    International Nuclear Information System (INIS)

    Gardner, John; Skumatz, Lisa

    2007-01-01

    Research indicates that the value of omitted program effects - specifically non-energy benefits (NEBs) - represent a significant share of overall program impacts. One of the largest components of societal benefits is the direct and indirect economic and job creation effects stimulated by the investment in conservation on behalf of the program. The literature has indicated that the valuations assigned to this category of these categories can be large, but much of the literature overstates the impact of economic NEBs. We conducted extensive research to develop reliable and defensible estimates of these benefits categories. This study used input-output analysis to update the economic multipliers for NEBs in several ways. Net: Developed 'net' estimates of the multipliers (rather than 'gross' factors)Variations by Region: Estimated multipliers for multiple states and for the entire US; Variations by Program Type: Developed estimates based on different types or categories of programs (e.g weatherization vs. new construction vs. appliance programs, etc.), Variations in Baseline Assumptions: Different assumptions about where the expenditures are transferred 'from' for the net analysis (e.g. from 'generation', from a mixed market basket, etc.); and Variations over Time: Used data from multiple time periods to examine changes in the size of multipliers over time. We examined the results by state, by program type, and over time and found dramatic differences in the economic impacts by program type and territory under consideration. The results provide estimates of the economic impacts derived from the program; however, for communities or utilities with economic development goals, the results can be used to help select between program alternatives. The results are new, and the revised figures have been used to compute more reliable and tailored estimates of economic non-energy benefits that can be applied in regulatory tests

  9. Salt Lake City Utah Integrated Projects electric power marketing. Final environmental impact statement, Volume 5: Appendix E

    International Nuclear Information System (INIS)

    1996-01-01

    The Colorado River Storage Project Customer Service Office of the Western Area Power Administration (Western) markets electricity produced at hydroelectric facilities operated by the Bureau of Reclamation. The facilities are known collectively as the Salt Lake City Area Integrated Projects (SLCA/IP) and include dams equipped for power generation on the Colorado, Green, Gunnison, and Rio Grande rivers and on Plateau Creek in Arizona, Colorado, Utah, Wyoming, and New Mexico. Of these facilities, only the Glen Canyon Unit, the Flaming Gorge Unit, and the Aspinall Unit (which includes Blue Mesa, Morrow Point, and Crystal dams) are influenced by Western power scheduling and transmission decisions. The environmental impact statement (EIS) alternatives, called commitment-level alternatives, reflect combinations of capacity and energy that would feasibly and reasonably fulfill Western's firm power marketing responsibilities, needs, and statutory obligations. The viability of these alternatives relates directly to the combination of generation capability of the SLCA/IP with energy purchases and interchange. The economic and natural resource assessments in this EIS include an analysis of commitment-level alternatives. Impacts of the no-action alternative are also assessed. Supply options, which include combinations of electrical power purchases and hydropower operational scenarios reflecting different operations of the dams, are also assessed. The EIS evaluates the impacts of these scenarios relative to socioeconomics, air resources, water resources, ecological resources, cultural resources, land use, recreation, and visual resources. Western has identified commitment-level alternative 1, the Post-1989 commitment level, as its preferred alternative. The impact evaluations indicate that this commitment level is also the environmentally preferred alternative

  10. Salt Lake City Area Integrated Projects electric power marketing -- Final environmental impact statement. Volume 2: Sections 1--16

    International Nuclear Information System (INIS)

    1996-01-01

    The Colorado River Storage Project Customer Service Office of the Western Area Power Administration (Western) markets electricity produced at hydroelectric facilities operated by the Bureau of Reclamation. The facilities are known collectively as the Salt Lake City Area Integrated Projects (SLCA/IP) and include dams equipped for power generation on the Colorado, Green, Gunnison, and Rio Grande rivers and on Plateau Creek in Arizona, Colorado, Utah, Wyoming, and New Mexico. Of these facilities, only the Glen Canyon Unit, the Flaming Gorge Unit, and the Aspinall Unit (which includes Blue Mesa, Morrow Point, and Crystal dams) are influenced by Western power scheduling and transmission decisions. The environmental impact statement (EIS) alternatives, called commitment-level alternatives, reflect combinations of capacity and energy that would feasibly and reasonably fulfill Western's firm power marketing responsibilities, needs, and statutory obligations. The viability of these alternatives relates directly to the combination of generation capability of the SLCA/IP with energy purchases and interchange. The economic and natural resource assessments in this EIS include an analysis of commitment-level alternatives. Impacts of the no-action alternative are also assessed. Supply options, which include combinations of electrical power purchases and hydropower operational scenarios reflecting different operations of the dams, are also assessed. The EIS evaluates the impacts of these scenarios relative to socioeconomics, air resources, water resources, ecological resources, cultural resources, land use, recreation, and visual resources. Western has identified commitment-level alternative 1, the Post-1989 commitment level, as its preferred alternative. The impact evaluations indicate that this commitment level is also the environmentally preferred alternative

  11. Salt Lake City Area Integrated Projects electric power marketing final environmental impact statement. Volume 4: Appendixes B-D

    International Nuclear Information System (INIS)

    1996-01-01

    The Colorado River Storage Project Customer Office of the Western Area Power Administration (Western) markets electricity produced at hydroelectric facilities operated by the Bureau of Reclamation. The facilities are known collectively as the Salt Lake City Area Integrated Projects (SLCA/IP) and include dams equipped for power generation on the Colorado, Green, Gunnison, and Rio Grande rivers and on Plateau Creek in Arizona, Colorado, Utah, Wyoming, and New Mexico. Of these facilities, only the Glen Canyon Unit, the Flaming Gorge Unit, and the Aspinall Unit (which includes Blue Mesa, Morrow Point, and Crystal dams) are influenced by Western power scheduling and transmission decisions. The environmental impact statement (EIS) alternatives, called commitment-level alternatives, reflect combinations of capacity and energy that would feasibly and reasonably fulfill Western's firm power marketing responsibilities, needs, and statutory obligations. The viability of these alternatives relates directly to the combination of generation capability of the SLCA/IP with energy purchases and interchange. The economic and natural resource assessments in this EIS include an analysis of commitment-level alternatives. Impacts of the no-action alternative are also assessed. Supply options, which include combinations of electrical power purchases and hydropower operational scenarios reflecting different operations of the dams, are also assessed. The EIS evaluates the impacts of these scenarios relative to socioeconomics, air resources, water resources, ecological resources, cultural resources, land use, recreation, and visual resources. Western has identified commitment-level alternative 1, the Post-1989 commitment level, as its preferred alternative. The impact evaluations indicate that this commitment level is also the environmentally preferred alter native

  12. Final environmental impact statement, Beaufort Sea oil and gas development/Northstar Project. Volume 3: Chapters 5 through 7

    International Nuclear Information System (INIS)

    1999-02-01

    BP Exploration (Alaska) Inc. (BPXA) submitted a permit application to the US Army Engineer District, Alaska to initiate the review process for BPXA's plans to develop and produce oil and gas from the Northstar Unit. This report contains chapters 5--7 of an Environmental Impact Statement which was undertaken to identify and evaluate the potential effects the proposed project may have on the environment. Attention is focused on the effects of oil on the physical, biological, and human environments

  13. Salt Lake City Area Integrated Projects Electric Power Marketing. Draft environmental impact statement: Volume 4, Appendixes B-D

    Energy Technology Data Exchange (ETDEWEB)

    1994-02-01

    The Salt Lake City Area Office of the Western Area Power Administration (Western) markets electricity produced at hydroelectric facilities operated by the Bureau of Reclamation. The facilities are known collectively as the Salt Lake City Area Integrated Projects (SLCA/IP) and include dams equipped for power generation on the Green, Gunnison, Rio Grande, and Colorado rivers and on Deer and Plateau creeks in the states of Wyoming, Utah, Colorado, Arizona, and New Mexico. Of these facilities, only the Glen Canyon Unit, the Flaming Gorge Unit, and the Aspinall Unit (which includes Blue Mesa, Morrow Point, and Crystal dams;) are influenced by Western power scheduling and transmission decisions. The EIS alternatives, called commitment-level alternatives, reflect combinations of capacity and energy that would feasibly and reasonably fulfill Westerns firm power marketing responsibilities, needs, and statutory obligations. The viability of these alternatives relates directly to the combination of generation capability of the SLCA/IP with energy purchases and interchange. The economic and natural resource assessments in this environmental impact statement (EIS) include an analysis of commitment-level alternatives. Impacts of the no-action alternative are also assessed. Supply options, which include combinations of electrical power purchases and hydropower operational scenarios reflecting different operations of the dams, are also assessed. The EIS evaluates the impacts of these scenarios relative to socioeconomics, air resources, water resources, ecological resources, cultural resources, land use, recreation, and visual resources.

  14. Final programmatic environmental impact statement for the Uranium Mill Tailings Remedial Action Ground Water Project. Volume 1

    International Nuclear Information System (INIS)

    1996-10-01

    The purpose of the Uranium Mill Tailings Remedial Action (UMTRA) Ground Water Project is to eliminate, reduce, or address to acceptable levels the potential health and environmental consequences of milling activities by meeting Environmental Protection Agency (EPA) ground water standards. One of the first steps in the UMTRA Ground Water Project is the preparation of this Programmatic Environmental Impact Statement (PEIS). The EPA standards allow the use of different strategies for achieving compliance with the standards. This document analyzes the potential impacts of four alternatives for conducting the Ground Water Project. Each of the four alternatives evaluated in the PEIS is based on a different mix of strategies to meet EPA ground water standards. The PEIS is intended to serve as a programmatic planning document that provides an objective basis for determining site-specific ground water compliance strategies and data and information that can be used to prepare site-specific environmental impact analyses more efficiently. DOE will prepare appropriate further National Environmental Policy Act documentation before making site-specific decisions to implement the Ground Water Project. Affected States, Tribes, local government agencies, and members of the public have been involved in the process of preparing this PEIS; DOE encourages their continued participation in the site-specific decision making process

  15. Salt Lake City Area Integrated Projects Electric Power Marketing. Draft environmental impact statement: Volume 2, Sections 1-16

    Energy Technology Data Exchange (ETDEWEB)

    1994-02-01

    The Salt Lake City Area Office of the Western Area Power Administration (Western) markets electricity produced at hydroelectric facilities operated by the Bureau of Reclamation. The facilities are known collectively as the Salt Lake City Area Integrated Projects (SLCA/IP) and include dams equipped for power generation on the Green, Gunnison, Rio Grande, and Colorado rivers and on Deer and Plateau creeks in the states of Wyoming, Utah, Colorado, Arizona, and New Mexico. Of these facilities, only the Glen Canyon Unit, the Flaming Gorge Unit, and the Aspinall Unit (which includes Blue Mesa, Morrow Point, and Crystal dams;) are influenced by Western power scheduling and transmission decisions. The EIS alternatives, called commitment-level alternatives, reflect combinations of capacity and energy that would feasibly and reasonably fulfill Westerns firm power marketing responsibilities, needs, and statutory obligations. The viability of these alternatives relates directly to the combination of generation capability of the SLCA/IP with energy purchases and interchange. The economic and natural resource assessments in this environmental impact statement (EIS) include an analysis of commitment-level alternatives. Impacts of the no-action alternative are also assessed. Supply options, which include combinations of electrical power purchases and hydropower operational scenarios reflecting different operations of the dams, are also assessed. The EIS evaluates the impacts of these scenarios relative to socioeconomics, air resources, water resources, ecological resources, cultural resources, land use, recreation, and visual resources.

  16. Salt Lake City Area Integrated Projects Electric Power Marketing. Draft environmental impact statement: Volume 3, Appendix A

    Energy Technology Data Exchange (ETDEWEB)

    1994-02-01

    The Salt Lake City Area Office of the Western Area Power Administration (Western) markets electricity produced at hydroelectric facilities operated by the Bureau of Reclamation. The facilities are known collectively as the Salt Lake City Area Integrated Projects (SLCA/IP) and include dams equipped for power generation on the Green, Gunnison, Rio Grande, and Colorado rivers and on Deer and Plateau creeks in the states of Wyoming, Utah, Colorado, Arizona, and New Mexico. Of these facilities, only the Glen Canyon Unit, the Flaming Gorge Unit, and the Aspinall Unit (which includes Blue Mesa, Morrow Point, and Crystal dams;) are influenced by Western power scheduling and transmission decisions. The EIS alternatives, called commitment-level alternatives, reflect combinations of capacity and energy that would feasibly and reasonably fulfill Westerns firm power marketing responsibilities, needs, and statutory obligations. The viability of these alternatives relates directly to the combination of generation capability of the SLCA/IP with energy purchases and interchange. The economic and natural resource assessments in this environmental impact statement (EIS) include an analysis of commitment-level alternatives. Impacts of the no-action alternative are also assessed. Supply options, which include combinations of electrical power purchases and hydropower operational scenarios reflecting different operations of the dams, are also assessed. The EIS evaluates the impacts of these scenarios relative to socioeconomics, air resources, water resources, ecological resources, cultural resources, land use, recreation, and visual resources.

  17. Changes in lateral dimensions of irradiated volume and their impact on the accuracy of dose delivery during radiotherapy for head and neck cancer

    International Nuclear Information System (INIS)

    Senkus-Konefka, Elzbieta; Naczk, Edmund; Borowska, Ilona; Badzio, Andrzej; Jassem, Jacek

    2006-01-01

    Background and purpose: To assess changes in lateral dimensions of irradiated volume during head and neck cancer radiotherapy and to determine their impact on the accuracy of dose delivery. Patients and methods: Lateral dimensions of irradiated volumes were measured in five predefined points prior to treatment and then bi-weekly. For each measurement, midline dose was calculated and verified using in vivo dosimetry. Early radiation reactions, patient weight changes and the need to modify radiotherapy accessories were also recorded. The study included 33 head and neck cancer patients irradiated using parallel opposed megavoltage fields. Results: Body mass changes during radiotherapy ranged from -18 to +4 kg (median -5). Lateral dimension changes >5 mm (range -37 to +16) occurred in 32 patients (97%). For axis measurements, the degree of lateral dimension changes were correlated with treatment field size (P=0.022) and degree of mucositis (P=0.017). Axis doses calculated for changed dimensions varied from those prescribed by -2.5 to +6% (median +2%). Differences larger than 5% were present in 4.8% of calculations. In 17 patients (52%), radiotherapy accessories had to be modified during treatment. The need to modify radiotherapy accessories correlated with larger treatment portals (P=0.004), more weight loss during treatment (P=0.01) and higher initial N stage (P=0.04). Conclusions: Changes of irradiated volume lateral dimensions during head and neck cancer radiotherapy may lead to considerable dose delivery inaccuracies. Watchful monitoring, corrections to calculated dose when changes observed are significant and radiotherapy accessories modification during the course of treatment are strongly recommended

  18. Effects of Respiration-Averaged Computed Tomography on Positron Emission Tomography/Computed Tomography Quantification and its Potential Impact on Gross Tumor Volume Delineation

    International Nuclear Information System (INIS)

    Chi, Pai-Chun Melinda; Mawlawi, Osama; Luo Dershan; Liao Zhongxing; Macapinlac, Homer A.; Pan Tinsu

    2008-01-01

    Purpose: Patient respiratory motion can cause image artifacts in positron emission tomography (PET) from PET/computed tomography (CT) and change the quantification of PET for thoracic patients. In this study, respiration-averaged CT (ACT) was used to remove the artifacts, and the changes in standardized uptake value (SUV) and gross tumor volume (GTV) were quantified. Methods and Materials: We incorporated the ACT acquisition in a PET/CT session for 216 lung patients, generating two PET/CT data sets for each patient. The first data set (PET HCT /HCT) contained the clinical PET/CT in which PET was attenuation corrected with a helical CT (HCT). The second data set (PET ACT /ACT) contained the PET/CT in which PET was corrected with ACT. We quantified the differences between the two datasets in image alignment, maximum SUV (SUV max ), and GTV contours. Results: Of the patients, 68% demonstrated respiratory artifacts in the PET HCT , and for all patients the artifact was removed or reduced in the corresponding PET ACT . The impact of respiration artifact was the worst for lesions less than 50 cm 3 and located below the dome of the diaphragm. For lesions in this group, the mean SUV max difference, GTV volume change, shift in GTV centroid location, and concordance index were 21%, 154%, 2.4 mm, and 0.61, respectively. Conclusion: This study benchmarked the differences between the PET data with and without artifacts. It is important to pay attention to the potential existence of these artifacts during GTV contouring, as such artifacts may increase the uncertainties in the lesion volume and the centroid location

  19. Planning magnetic resonance imaging for prostate cancer intensity-modulated radiation therapy: Impact on target volumes, radiotherapy dose and androgen deprivation administration.

    Science.gov (United States)

    Horsley, Patrick J; Aherne, Noel J; Edwards, Grace V; Benjamin, Linus C; Wilcox, Shea W; McLachlan, Craig S; Assareh, Hassan; Welshman, Richard; McKay, Michael J; Shakespeare, Thomas P

    2015-03-01

    Magnetic resonance imaging (MRI) scans are increasingly utilized for radiotherapy planning to contour the primary tumors of patients undergoing intensity-modulated radiation therapy (IMRT). These scans may also demonstrate cancer extent and may affect the treatment plan. We assessed the impact of planning MRI detection of extracapsular extension, seminal vesicle invasion, or adjacent organ invasion on the staging, target volume delineation, doses, and hormonal therapy of patients with prostate cancer undergoing IMRT. The records of 509 consecutive patients with planning MRI scans being treated with IMRT for prostate cancer between January 2010 and July 2012 were retrospectively reviewed. Tumor staging and treatment plans before and after MRI were compared. Of the 509 patients, 103 (20%) were upstaged and 44 (9%) were migrated to a higher risk category as a result of findings at MRI. In 94 of 509 patients (18%), the MRI findings altered management. Ninety-four of 509 patients (18%) had a change to their clinical target volume (CTV) or treatment technique, and in 41 of 509 patients (8%) the duration of hormone therapy was changed because of MRI findings. The use of radiotherapy planning MRI altered CTV design, dose and/or duration of androgen deprivation in 18% of patients in this large, single institution series of men planned for dose-escalated prostate IMRT. This has substantial implications for radiotherapy target volumes and doses, as well as duration of androgen deprivation. Further research is required to investigate whether newer MRI techniques can simultaneously fulfill staging and radiotherapy contouring roles. © 2014 Wiley Publishing Asia Pty Ltd.

  20. Polarized training has greater impact on key endurance variables than threshold, high intensity or high volume training

    Directory of Open Access Journals (Sweden)

    Thomas eStöggl

    2014-02-01

    Full Text Available Endurance athletes integrate four conditioning concepts in their training programs: high-volume training (HVT, ‘threshold-training’ (THR, high-intensity interval training (HIIT and a combination of these aforementioned concepts known as polarized training (POL. The purpose of this study was to explore which of these four training concepts provides the greatest response on key components of endurance performance in well-trained endurance athletes. Methods: Forty eight runners, cyclists, triathletes and cross-country skiers (peak oxygen uptake: (VO2peak: 62.6±7.1 mL∙min-1∙kg-1 were randomly assigned to one of four groups performing over nine weeks. An incremental test, work economy and a VO2peak tests were performed. Training intensity was heart rate controlled. Results: POL demonstrated the greatest increase in VO2peak (+6.8 ml∙min∙kg-1 or 11.7%, P0.05. Conclusion: POL resulted in the greatest improvements in most key variables of endurance performance in well-trained endurance athletes. THR or HVT did not lead to further improvements in performance related variables.

  1. Final programmatic environmental impact statement for alternative strategies for the long-term management and use of depleted uranium hexafluoride. Volume 2: Appendices

    International Nuclear Information System (INIS)

    1999-04-01

    This PEIS assesses the potential impacts of alternative management strategies for depleted uranium hexafluoride (UF 6 ) currently stored at three DOE sites: Paducah site near Paducah, Kentucky, Portsmouth site near Portsmouth, Ohio; and K-25 site on the Oak Ridge Reservation, Oak Ridge, Tennessee. The alternatives analyzed in the PEIS include no action, long-term storage as UF 6 , long-term storage as uranium oxide, use as uranium oxide, use as uranium metal, and disposal. DOE's preferred alternative is to begin conversion of the depleted UF 6 inventory as soon as possible, either to uranium oxide, uranium metal, or a combination of both, while allowing for use of as much of this inventory as possible. This volume contains Appendices A--O

  2. Medical Isotopes Production Project: Molybdenum-99 and related isotopes - environmental impact statement. Volume II, comment response document

    International Nuclear Information System (INIS)

    1996-04-01

    This Environmental Impact Statement (EIS) provides environmental and technical information concerning the U.S. Department of Energy's (DOE) proposal to establish a domestic source to produce molybdenum-99 (Mo-99) and related isotopes (iodine-131, xenon-133, and iodine-125). Mo-99, a radioactive isotope of the element molybdenum, decays to form metastable technetium-99 (Tc-99m), a radioactive isotope used thousands of times daily in medical diagnostic procedures in the U.S. Currently, all Mo-99 used in the U.S. is obtained from a single Canadian source. DOE is pursuing the Medical Isotopes Production Project in order to ensure that a reliable supply of Mo-99 is available to the U.S. medical community as soon as practicable. Under DOE's preferred alternative, the Chemistry and Metallurgy Research Facility at the Los Alamos National Laboratory (LANL) and the Annular Core Research Reactor and Hot Cell Facility at Sandia National Laboratories/New Mexico (SNL/NM) would be used for production of the medical isotopes. In addition, three other reasonable alternatives and a No Action alternative are analyzed in detail, The sites for these three reasonable alternatives are LANL, Oak Ridge National Laboratory (ORNL), and Idaho National Engineering Laboratory (INEL). The analyses in this EIS indicate no significant difference in the potential environmental impacts among the alternatives. Each of the alternatives would use essentially the same technology for the production of the medical isotopes. Minor differences in environmental impacts among alternatives relate to the extent of activity necessary to modify and restart (as necessary) existing reactors and hot cell facilities at each of the sites, the quantities of low-level radioactive waste generated, how such waste would be managed, and the length of time needed for initial and full production capacity. This document contains comments recieved from meetings held regarding the site selection for isotope production

  3. The impact of hospital market structure on patient volume, average length of stay, and the cost of care.

    Science.gov (United States)

    Robinson, J C; Luft, H S

    1985-12-01

    A variety of recent proposals rely heavily on market forces as a means of controlling hospital cost inflation. Sceptics argue, however, that increased competition might lead to cost-increasing acquisitions of specialized clinical services and other forms of non-price competition as means of attracting physicians and patients. Using data from hospitals in 1972 we analyzed the impact of market structure on average hospital costs, measured in terms of both cost per patient and cost per patient day. Under the retrospective reimbursement system in place at the time, hospitals in more competitive environments exhibited significantly higher costs of production than did those in less competitive environments.

  4. Assessment of the Public Health impact from the accidental release of UF6 at the Sequoyah Fuels Corporation Facility at Gore, Oklahoma (Docket No. 40-8027). Volume 2

    International Nuclear Information System (INIS)

    1986-03-01

    Following the accidental release of UF 6 from the Sequoyah Fuels Facility on January 4, 1986, an Ad Hoc Interagency Public Health Assessment Task Force was established. The Task Force consists of technical staff members from various agencies who have prepared this assessment of the public health impact associated with the accidental release. Volume 2 of the report contains Appendices which provide more detailed information used in the assessment and support the discussion in Volume 1

  5. Gender-linked impact of epicardial adipose tissue volume in patients who underwent coronary artery bypass graft surgery or non-coronary valve surgery.

    Directory of Open Access Journals (Sweden)

    Gulinu Maimaituxun

    Full Text Available Traditional and non-traditional risk factors for atherosclerotic cardiovascular disease (ASCVD are different between men and women. Gender-linked impact of epicardial adipose tissue volume (EATV in patients undergoing coronary artery bypass grafting (CABG remains unknown.Gender-linked impact of EATV, abdominal fat distribution and other traditional ASCVD risk factors were compared in 172 patients (men: 115; women: 57 who underwent CABG or non-coronary valvular surgery (non-CABG.In men, EATV, EATV index (EATV/body surface area and the markers of adiposity such as body mass index, waist circumference and visceral fat area were higher in the CABG group than in the non-CABG group. Traditional ASCVD risk factors were also prevalent in the CABG group. In women, EATV and EATV index were higher in the CABG group, but other adiposity markers were comparable between CABG and non-CABG groups. Multivariate logistic regression analysis showed that in men, CABG was determined by EATV Index and other ASCVD risk factors including hypertension, dyslipidemia, adiponectin, high sensitive C-reactive protein (hsCRP and type 2 diabetes mellitus (Corrected R2 = 0.262, p < 0.0001, while in women, type 2 diabetes mellitus is a single strong predictor for CABG, excluding EATV Index (Corrected R2 = 0.266, p = 0.005.Our study found that multiple risk factors, including epicardial adipose tissue volume and traditional ASCVD factors are determinants for CABG in men, but type 2 diabetes mellitus was the sole determinant in women. Gender-specific disparities in risk factors of CABG prompt us to evaluate new diagnostic and treatment strategies and to seek underlying mechanisms.

  6. Gender-linked impact of epicardial adipose tissue volume in patients who underwent coronary artery bypass graft surgery or non-coronary valve surgery.

    Science.gov (United States)

    Maimaituxun, Gulinu; Shimabukuro, Michio; Salim, Hotimah Masdan; Tabata, Minoru; Yuji, Daisuke; Morimoto, Yoshihisa; Akasaka, Takeshi; Matsuura, Tomomi; Yagi, Shusuke; Fukuda, Daiju; Yamada, Hirotsugu; Soeki, Takeshi; Sugimoto, Takaki; Tanaka, Masashi; Takanashi, Shuichiro; Sata, Masataka

    2017-01-01

    Traditional and non-traditional risk factors for atherosclerotic cardiovascular disease (ASCVD) are different between men and women. Gender-linked impact of epicardial adipose tissue volume (EATV) in patients undergoing coronary artery bypass grafting (CABG) remains unknown. Gender-linked impact of EATV, abdominal fat distribution and other traditional ASCVD risk factors were compared in 172 patients (men: 115; women: 57) who underwent CABG or non-coronary valvular surgery (non-CABG). In men, EATV, EATV index (EATV/body surface area) and the markers of adiposity such as body mass index, waist circumference and visceral fat area were higher in the CABG group than in the non-CABG group. Traditional ASCVD risk factors were also prevalent in the CABG group. In women, EATV and EATV index were higher in the CABG group, but other adiposity markers were comparable between CABG and non-CABG groups. Multivariate logistic regression analysis showed that in men, CABG was determined by EATV Index and other ASCVD risk factors including hypertension, dyslipidemia, adiponectin, high sensitive C-reactive protein (hsCRP) and type 2 diabetes mellitus (Corrected R2 = 0.262, p EATV Index (Corrected R2 = 0.266, p = 0.005). Our study found that multiple risk factors, including epicardial adipose tissue volume and traditional ASCVD factors are determinants for CABG in men, but type 2 diabetes mellitus was the sole determinant in women. Gender-specific disparities in risk factors of CABG prompt us to evaluate new diagnostic and treatment strategies and to seek underlying mechanisms.

  7. Uruguay; 2011 Article IV Consultation

    OpenAIRE

    International Monetary Fund

    2011-01-01

    This 2011 Article IV Consultation highlights that the growth momentum in Uruguay has continued into 2011 but a slowdown is under way, led by weaker exports and slower public investment. Uruguay’s economic and financial vulnerabilities are modest, and the government has reduced debt vulnerabilities significantly and built important financial buffers. Executive Directors have commended authorities’ skillful macroeconomic management that has underpinned Uruguay’s excellent economic performance, ...

  8. Austria; 2013 Article IV Consultation

    OpenAIRE

    International Monetary Fund

    2013-01-01

    This paper presents details of Austria’s 2013 Article IV Consultation. Austria has been growing economically but is facing challenges in the financial sector. Full implementation of medium-term fiscal adjustment plans require specifying several measures and plans that need gradual strengthening to take expected further bank restructuring cost into account. It suggests that strong early bank intervention and resolution tools, a better designed deposit insurance system, and a bank-financed reso...

  9. Temporal Lobe Reactions After Carbon Ion Radiation Therapy: Comparison of Relative Biological Effectiveness–Weighted Tolerance Doses Predicted by Local Effect Models I and IV

    Energy Technology Data Exchange (ETDEWEB)

    Gillmann, Clarissa, E-mail: clarissa.gillmann@med.uni-heidelberg.de [Department of Radiation Oncology and Radiation Therapy, Heidelberg University Hospital, Heidelberg (Germany); Jäkel, Oliver [Department of Radiation Oncology and Radiation Therapy, Heidelberg University Hospital, Heidelberg (Germany); Heidelberg Ion Beam Therapy Center (HIT), Heidelberg (Germany); Department of Medical Physics in Radiation Oncology, German Cancer Research Center (DKFZ), Heidelberg (Germany); Schlampp, Ingmar [Department of Radiation Oncology and Radiation Therapy, Heidelberg University Hospital, Heidelberg (Germany); Karger, Christian P. [Department of Medical Physics in Radiation Oncology, German Cancer Research Center (DKFZ), Heidelberg (Germany)

    2014-04-01

    Purpose: To compare the relative biological effectiveness (RBE)–weighted tolerance doses for temporal lobe reactions after carbon ion radiation therapy using 2 different versions of the local effect model (LEM I vs LEM IV) for the same patient collective under identical conditions. Methods and Materials: In a previous study, 59 patients were investigated, of whom 10 experienced temporal lobe reactions (TLR) after carbon ion radiation therapy for low-grade skull-base chordoma and chondrosarcoma at Helmholtzzentrum für Schwerionenforschung (GSI) in Darmstadt, Germany in 2002 and 2003. TLR were detected as visible contrast enhancements on T1-weighted MRI images within a median follow-up time of 2.5 years. Although the derived RBE-weighted temporal lobe doses were based on the clinically applied LEM I, we have now recalculated the RBE-weighted dose distributions using LEM IV and derived dose-response curves with Dmax,V-1 cm³ (the RBE-weighted maximum dose in the remaining temporal lobe volume, excluding the volume of 1 cm³ with the highest dose) as an independent dosimetric variable. The resulting RBE-weighted tolerance doses were compared with those of the previous study to assess the clinical impact of LEM IV relative to LEM I. Results: The dose-response curve of LEM IV is shifted toward higher values compared to that of LEM I. The RBE-weighted tolerance dose for a 5% complication probability (TD{sub 5}) increases from 68.8 ± 3.3 to 78.3 ± 4.3 Gy (RBE) for LEM IV as compared to LEM I. Conclusions: LEM IV predicts a clinically significant increase of the RBE-weighted tolerance doses for the temporal lobe as compared to the currently applied LEM I. The limited available photon data do not allow a final conclusion as to whether RBE predictions of LEM I or LEM IV better fit better clinical experience in photon therapy. The decision about a future clinical application of LEM IV therefore requires additional analysis of temporal lobe reactions in a

  10. Final Environmental Impact Statement for the construction and operation of Claiborne Enrichment Center, Homer, Louisiana (Docket No. 70-3-70). Volume 2, Public comments and NRC response

    International Nuclear Information System (INIS)

    Zeitoun, A.

    1994-08-01

    The Final Environmental Impact Statement (FEIS) (Volume 1), was prepared by the Nuclear Regulatory Commission (NRC) in accordance with regulation 10 CFR Part 51, which implements the National Environmental Policy Act (NEPA), to assess the potential environmental impacts for licensing the construction and operation of a proposed gaseous centrifuge enrichment facility to be built in Claiborne Parish, Louisiana by Louisiana Energy Services, L.P. (LES). The proposed facility would have a production capacity of about 866 metric tons annually of up to 5 weight percent enriched UF 6 , using a proven centrifuge technology. Included in the assessment are co on, both normal operations and potential accidents (internal and external events), and the eventual decontamination and decommissioning of the site. In order to help assure that releases from the operation of the facility and potential impacts on the public are as low as reasonably achievable, an environmental monitoring program was developed by LES to detect significant changes in the background levels of uranium around the site. Other issues addressed include the purpose and need for the facility, the alternatives to the proposed action, potential disposition of the tails, the site selection process, and environmental justice. The NRC staff concludes that the facility can be constructed and operated with small and acceptable impacts on the public and the environment, and proposes to issue a license to the applicant, Louisiana Energy Services, to authorize construction and operation of the proposed facility. The letters in this Appendix have been divided into three sections. Section One contains letters to which the NRC responded by addressing specific comments. Section Two contains the letters that concerned the communities of Forest Grove and Center Springs. Section Three is composed of letters that required no response. These letters were generally in support of the facility

  11. Final Environmental Impact Statement for the construction and operation of Claiborne Enrichment Center, Homer, Louisiana (Docket No. 70-3-70). Volume 2, Public comments and NRC response

    Energy Technology Data Exchange (ETDEWEB)

    Zeitoun, A. [Science Applications International Corp., Germantown, MD (United States)

    1994-08-01

    The Final Environmental Impact Statement (FEIS) (Volume 1), was prepared by the Nuclear Regulatory Commission (NRC) in accordance with regulation 10 CFR Part 51, which implements the National Environmental Policy Act (NEPA), to assess the potential environmental impacts for licensing the construction and operation of a proposed gaseous centrifuge enrichment facility to be built in Claiborne Parish, Louisiana by Louisiana Energy Services, L.P. (LES). The proposed facility would have a production capacity of about 866 metric tons annually of up to 5 weight percent enriched UF{sub 6}, using a proven centrifuge technology. Included in the assessment are co on, both normal operations and potential accidents (internal and external events), and the eventual decontamination and decommissioning of the site. In order to help assure that releases from the operation of the facility and potential impacts on the public are as low as reasonably achievable, an environmental monitoring program was developed by LES to detect significant changes in the background levels of uranium around the site. Other issues addressed include the purpose and need for the facility, the alternatives to the proposed action, potential disposition of the tails, the site selection process, and environmental justice. The NRC staff concludes that the facility can be constructed and operated with small and acceptable impacts on the public and the environment, and proposes to issue a license to the applicant, Louisiana Energy Services, to authorize construction and operation of the proposed facility. The letters in this Appendix have been divided into three sections. Section One contains letters to which the NRC responded by addressing specific comments. Section Two contains the letters that concerned the communities of Forest Grove and Center Springs. Section Three is composed of letters that required no response. These letters were generally in support of the facility.

  12. Prognostic impact of tumour burden assessed by metabolic tumour volume on FDG PET/CT in anal canal cancer

    Energy Technology Data Exchange (ETDEWEB)

    Gauthe, Mathieu [Institut Curie, Medecine Nucleaire, Saint-Cloud (France); Hopital Tenon, Medecine Nucleaire, Paris (France); Richard-Molard, Marion [Institut Curie, Radiotherapie, Saint-Cloud (France); Fayard, Juliette; Cacheux, Wulfran [Institut Curie, Oncologie Medicale, Saint-Cloud (France); Alberini, Jean-Louis [Institut Curie, Medecine Nucleaire, Saint-Cloud (France); Lievre, Astrid [Institut Curie, Oncologie Medicale, Saint-Cloud (France); CHU Pontchaillou, Service des Maladies de l' Appareil Digestif, Rennes (France); Universite Rennes 1, Rennes (France)

    2017-01-15

    The aim of this study was to confirm the prognostic value of metabolic tumour volume (MTV) at the primary site on initial work-up FDG PET/CT in patients with squamous cell carcinoma (SCC) of the anal canal. Patients with a recent diagnosis of SCC of the anal canal without metastases undergoing PET/CT for initial work-up and treated with (chemo)radiotherapy were retrospectively reviewed. Computer-aided MTV and SUVmax were determined. Survival rates were estimated using the Kaplan-Meier method. Cox regression analysis was used to evaluate prognostic variables of progression-free survival and overall survival (OS). The study group comprised 75 patients who had an initial work-up PET/CT. Five patients (6.7 %) had stage I disease, 22 (29.3 %) stage II disease, 20 (26.7 %) stage IIIA disease, and 28 (37.3 %) stage IIIB disease. Median follow-up was 51 months (range 10 - 117 months). Global 4-year OS was 82.7 %, ranging from 100 % in patients with stage I disease to 75 % in patients with stage IIIB disease. MTV at the primary site was significantly and independently correlated with OS (p < 0.05), as patients with MTV less than 7 cm{sup 3} had a better prognosis. SUVmax was not correlated with survival parameters. Metabolic involvement of the inguinal lymph nodes was also correlated with a poor outcome in the univariate analysis (p < 0.05). MTV at the primary site is a prognostic biomarker in anal canal cancer. Hypermetabolic inguinal lymph nodes also appear to be correlated with survival. (orig.)

  13. Molecular detection of blood pathogens and their impacts on levels of packed cell volume in stray dogs from Thailand

    Directory of Open Access Journals (Sweden)

    Supawadee Piratae

    2017-04-01

    Full Text Available Objective: To evaluate the prevalence of blood parasite infection in stray dogs by PCR technique and the association between levels of packed cell volume (PCV and blood parasitic infection in stray dogs. Methods: A total of 65 blood samples were collected from stray dogs in animal quarantine station from Mahasarakham, Thailand to evaluate the levels of PCV before molecular screening for tick-borne pathogens infection. Results: Stray dogs were positive with one or more pathogens in 44 (67.69% out of 65 blood samples. Ehrlichia canis [43.1%, 95% confidence interval (CI: 38.1–48.1] was the most common blood pathogen found infecting in stray dogs in Mahasarakham Province, followed by Anaplasma platys (29.2%, 95% CI: 24.2–34.2, Hepatozoon canis (12.3%, 95% CI: 7.3–17.3 and Babesia canis vogeli (6.2%, 95% CI: 1.2–11.2, respectively. Moreover, co-infections with two pathogens were identified in 11 (16.9% of dogs examined and two (2.9% dogs were coinfections with three pathogens. Statistically significant relationship between the PCV levels and Ehrlichia canis infection was found (P < 0.05. Conclusions: This study indicated that blood pathogens are spreading in stray dogs and they are potentially high risk of agent transmission to human via exposure with tick vectors. It was also the first report of Anaplasma platys infection in dogs in north-eastern part of Thailand.

  14. The impact of available anti-glaucoma therapy on the volume and age profile of patients undergoing glaucoma filtration surgery.

    LENUS (Irish Health Repository)

    Keane, P A

    2012-02-01

    PURPOSE: To investigate whether new classes of glaucoma medication have influenced glaucoma filtration surgery over a 20-year period in the southeast region of Ireland. METHODS: All patients undergoing glaucoma filtration surgery between January 1986 and December 2005 in Waterford Regional Hospital were identified. The following data were recorded for each patient: age; sex; and type of filtration procedure. RESULTS: Over the 20-year study period two consultant ophthalmic surgeons performed a total of 760 glaucoma filtration procedures on patients aged over 20 years. The annual average number of glaucoma surgeries declined steadily, defined by availability of different topical anti-glaucoma medications, from an average of 23.75 surgeries per surgeon per year in the subperiod 1986-1995, to 21 in 1996, 20 in 1997, and 12.69 surgeries per surgeon per year in 1998-2005, these differences being statistically significant (general linear model, P<0.001). The age profile of patients did not change significantly over the course of the study period. CONCLUSIONS: The volume of patients requiring glaucoma filtration surgery under the care of two consultant ophthalmic surgeons decreased over the 20-year study period, an era in which three classes of anti-glaucoma medications were made available. However, an increase in the age profile of patients undergoing glaucoma filtration surgery during the same period was not observed. Further study is required to resolve whether introduction of the new topical anti-glaucoma medications has led to a real reduction in the demand for glaucoma filtration surgery, or has just led to the deferral of such a demand.

  15. Report on the behalf of the special commission for the examination of the bill project, after activation of the accelerated procedure, related to energy transition for a green growth (nr 2188) - Nr 2230. Volume I, Volume II - comparative table, Volume III - hearings, impact study

    International Nuclear Information System (INIS)

    Bareigts, Ericka; Battistel, Marie-Noelle; Buis, Sabine; Baupin, Denis; Plisson, Philippe

    2014-01-01

    The first volume of this huge report reports the general discussion and the detailed examination, discussion and modifications of the French bill project on energy transition. The addressed topics are: the definition of common objectives for a successful energy transition, for a strengthening of France energy independence and for the struggle against global warming; a better renovation of buildings to save energy, to reduce prices and to create jobs; the development of clean transports to improve air quality and to protect health; the struggle against wastage and the promotion of circular economy from product design to product recycling; the promotion of renewable energies to diversify our energies and valorise territorial resources; the strengthening of nuclear safety and citizen information; the simplification and clarification of procedures for efficiency and competitiveness gains; the empowerment of citizen, enterprises, territories and State to act together. The second volume proposes a table which gives a comparative overview between the bill project text and the text modified and adopted by the commission. The third volume reports hearings of the minister and of several representatives of professional, public, and consumer organisations and bodies. It also contains the report of an impact study performed on all the different arrangements and measures contained by the bill project

  16. Final environmental impact statement, Beaufort Sea oil and gas development/Northstar Project. Volume 1: Executive summary

    International Nuclear Information System (INIS)

    1999-02-01

    BP Exploration (Alaska) Inc. (BPXA) submitted a permit application to comply with Section 404 of the Clean Water Act and Section 10 of the Rivers and Harbors Act to the US Army Engineer District, Alaska (Corps). The application initiated the review process for BPXA's proposed project to develop and produce oil and gas from the Northstar Unit. The National Environmental Policy Act (NEPA) requires preparation of an Environmental Impact Statement (EIS) prior to any federal action that may significantly affect the quality of the human environment. The EIS is intended to provide federal agencies with information about the consequences of a proposed project and to disclose that information to the public, soliciting their comments, prior to the agencies making decisions on the project

  17. Final environmental impact statement, Beaufort Sea oil and gas development/Northstar Project. Volume 2: Chapters 1 through 4

    International Nuclear Information System (INIS)

    1999-02-01

    BP Exploration (Alaska) Inc. (BPXA) submitted a permit application to the US Army Engineer District, Alaska (Corps) to initiate the review process for BPXA's plans to develop and produce oil and gas from the Northstar Unit. The Corps determined that issuance of a permit for BPXA's proposed project constituted a major federal action that may significant affect the quality of the human environment pursuant to the National Environmental Policy Act (NEPA). In addition, the US Environmental Protection Agency (EPA), upon review of BPXA's permit application, determined under provisions of the Clean Water Act and 40 CFR Part 6 Subpart F that permitting for BPXA's proposed project constituted a major federal action that may significantly affect the quality of the human environment. As a result, preparation of an Environmental Impact Statement (EIS) under NEPA was undertaken to identify and evaluate a range of reasonable alternatives and evaluate the potential effects the alternatives, including BPXA's proposed project, may have on the human environment

  18. Draft site-wide environmental impact statement for Sandia National Laboratories/New Mexico. Volume 1: Chapters 1-15

    International Nuclear Information System (INIS)

    1999-04-01

    The DOE proposes to continue operating the Sandia National Laboratories/New Mexico (SNL/NM) located in central New Mexico. The DOE has identified and assessed three alternatives for the operation of SNL/NM: (1) No Action, (2) Expanded Operations, and (3) Reduced Operations. In the No Action Alternative, the DOE would continue the historical mission support activities SNL/NM has conducted at planned operational levels. In the Expanded Operations Alternative, the DOE would operate SNL/NM at the highest reasonable levels of activity currently foreseeable. Under the Reduced Operations Alternative, the DOE would operate SNL/NM at the minimum levels of activity necessary to maintain the capabilities to support the DOE mission in the near term. Under all of the alternatives, the affected environment is primarily within 50 miles (80 kilometers) of SNL/NM. Analyses indicate little difference in the environmental impacts among alternatives

  19. Impact of airflow interaction on inhaled air quality and transport of contaminants in rooms with personalized and total volume ventilation

    DEFF Research Database (Denmark)

    Melikov, Arsen Krikor; Cermak, Radim; Kovar, O.

    2003-01-01

    The impact of airflow interaction on inhaled air quality and transport of contaminants between occupants was studied in regard to pollution from floor covering, human bioeffluents and exhaled air, with combinations of two personalized ventilation systems (PV) with mixing and displacement...... quality with personalized and mixing ventilation was higher or at least similar compared to mixing ventilation alone. In the case of PV combined with displacement ventilation, the interaction caused mixing of the room air, an increase in the transport of bioeffluents and exhaled air between occupants and...... ventilation. In total, 80 L/s of clean air supplied at 20°C was distributed between the ventilation systems at different combinations of personalized airflow rate. Two breathing thermal manikins were used to simulate occupants in a full-scale test room. Regardless of the airflow interaction, the inhaled air...

  20. Final programmatic environmental impact statement for the uranium mill tailings remedial action ground water project. Volume I

    Energy Technology Data Exchange (ETDEWEB)

    None

    1996-10-01

    This programmatic environmental impact statement (PElS) was prepared for the Uranium Mill Tailings Remedial Action (UMTRA) Ground Water Project to comply with the National Environmental Policy Act (NEPA). This PElS provides an analysis of the potential impacts of the alternatives and ground water compliance strategies as well as potential cumulative impacts. On November 8, 1978, Congress enacted the Uranium Mill Tailings Radiation Control Act (UMTRCA) of 1978, Public Law, codified at 42 USC §7901 et seq. Congress found that uranium mill tailings " ... may pose a potential and significant radiation health hazard to the public, and that every reasonable effort should be made to provide for stabilization, disposal, and control in a safe, and environmentally sound manner of such tailings in order to prevent or minimize other environmental hazards from such tailings." Congress authorized the Secretary of Energy to designate inactive uranium processing sites for remedial action by the U.S. Department of Energy (DOE). Congress also directed the U.S. Environmental Protection Agency (EPA) to set the standards to be followed by the DOE for this process of stabilization, disposal, and control. On January 5, 1983, EPA published standards (40 CFR Part 192) for the disposal and cleanup of residual radioactive materials. On September 3, 1985, the U.S. Court of Appeals for the Tenth Circuit set aside and remanded to EPA the ground water provisions of the standards. The EPA proposed new standards to replace remanded sections and changed other sections of 40 CFR Part 192. These proposed standards were published in the Federal Register on September 24, 1987 (52 FR 36000). Section 108 of the UMTRCA requires that DOE comply with EPA's proposed standards in the absence of final standards. The Ground Water Project was planned under the proposed standards. On January 11, 1995, EPA published the final rule, with which the DOE must now comply. The PElS and the Ground Water Project are

  1. Final programmatic environmental impact statement for the uranium mill tailings remedial action ground water project. Volume I

    International Nuclear Information System (INIS)

    1996-01-01

    This programmatic environmental impact statement (PElS) was prepared for the Uranium Mill Tailings Remedial Action (UMTRA) Ground Water Project to comply with the National Environmental Policy Act (NEPA). This PElS provides an analysis of the potential impacts of the alternatives and ground water compliance strategies as well as potential cumulative impacts. On November 8, 1978, Congress enacted the Uranium Mill Tailings Radiation Control Act (UMTRCA) of 1978, Public Law, codified at 42 USC §7901 et seq. Congress found that uranium mill tailings ' ... may pose a potential and significant radiation health hazard to the public, and that every reasonable effort should be made to provide for stabilization, disposal, and control in a safe, and environmentally sound manner of such tailings in order to prevent or minimize other environmental hazards from such tailings.' Congress authorized the Secretary of Energy to designate inactive uranium processing sites for remedial action by the U.S. Department of Energy (DOE). Congress also directed the U.S. Environmental Protection Agency (EPA) to set the standards to be followed by the DOE for this process of stabilization, disposal, and control. On January 5, 1983, EPA published standards (40 CFR Part 192) for the disposal and cleanup of residual radioactive materials. On September 3, 1985, the U.S. Court of Appeals for the Tenth Circuit set aside and remanded to EPA the ground water provisions of the standards. The EPA proposed new standards to replace remanded sections and changed other sections of 40 CFR Part 192. These proposed standards were published in the Federal Register on September 24, 1987 (52 FR 36000). Section 108 of the UMTRCA requires that DOE comply with EPA's proposed standards in the absence of final standards. The Ground Water Project was planned under the proposed standards. On January 11, 1995, EPA published the final rule, with which the DOE must now comply. The PElS and the Ground Water Project are in

  2. Activity-based funding of hospitals and its impact on mortality, readmission, discharge destination, severity of illness, and volume of care: a systematic review and meta-analysis.

    Science.gov (United States)

    Palmer, Karen S; Agoritsas, Thomas; Martin, Danielle; Scott, Taryn; Mulla, Sohail M; Miller, Ashley P; Agarwal, Arnav; Bresnahan, Andrew; Hazzan, Afeez Abiola; Jeffery, Rebecca A; Merglen, Arnaud; Negm, Ahmed; Siemieniuk, Reed A; Bhatnagar, Neera; Dhalla, Irfan A; Lavis, John N; You, John J; Duckett, Stephen J; Guyatt, Gordon H

    2014-01-01

    Activity-based funding (ABF) of hospitals is a policy intervention intended to re-shape incentives across health systems through the use of diagnosis-related groups. Many countries are adopting or actively promoting ABF. We assessed the effect of ABF on key measures potentially affecting patients and health care systems: mortality (acute and post-acute care); readmission rates; discharge rate to post-acute care following hospitalization; severity of illness; volume of care. We undertook a systematic review and meta-analysis of the worldwide evidence produced since 1980. We included all studies reporting original quantitative data comparing the impact of ABF versus alternative funding systems in acute care settings, regardless of language. We searched 9 electronic databases (OVID MEDLINE, EMBASE, OVID Healthstar, CINAHL, Cochrane CENTRAL, Health Technology Assessment, NHS Economic Evaluation Database, Cochrane Database of Systematic Reviews, and Business Source), hand-searched reference lists, and consulted with experts. Paired reviewers independently screened for eligibility, abstracted data, and assessed study credibility according to a pre-defined scoring system, resolving conflicts by discussion or adjudication. Of 16,565 unique citations, 50 US studies and 15 studies from 9 other countries proved eligible (i.e. Australia, Austria, England, Germany, Israel, Italy, Scotland, Sweden, Switzerland). We found consistent and robust differences between ABF and no-ABF in discharge to post-acute care, showing a 24% increase with ABF (pooled relative risk  = 1.24, 95% CI 1.18-1.31). Results also suggested a possible increase in readmission with ABF, and an apparent increase in severity of illness, perhaps reflecting differences in diagnostic coding. Although we found no consistent, systematic differences in mortality rates and volume of care, results varied widely across studies, some suggesting appreciable benefits from ABF, and others suggesting deleterious

  3. Activity-based funding of hospitals and its impact on mortality, readmission, discharge destination, severity of illness, and volume of care: a systematic review and meta-analysis.

    Directory of Open Access Journals (Sweden)

    Karen S Palmer

    Full Text Available Activity-based funding (ABF of hospitals is a policy intervention intended to re-shape incentives across health systems through the use of diagnosis-related groups. Many countries are adopting or actively promoting ABF. We assessed the effect of ABF on key measures potentially affecting patients and health care systems: mortality (acute and post-acute care; readmission rates; discharge rate to post-acute care following hospitalization; severity of illness; volume of care.We undertook a systematic review and meta-analysis of the worldwide evidence produced since 1980. We included all studies reporting original quantitative data comparing the impact of ABF versus alternative funding systems in acute care settings, regardless of language. We searched 9 electronic databases (OVID MEDLINE, EMBASE, OVID Healthstar, CINAHL, Cochrane CENTRAL, Health Technology Assessment, NHS Economic Evaluation Database, Cochrane Database of Systematic Reviews, and Business Source, hand-searched reference lists, and consulted with experts. Paired reviewers independently screened for eligibility, abstracted data, and assessed study credibility according to a pre-defined scoring system, resolving conflicts by discussion or adjudication.Of 16,565 unique citations, 50 US studies and 15 studies from 9 other countries proved eligible (i.e. Australia, Austria, England, Germany, Israel, Italy, Scotland, Sweden, Switzerland. We found consistent and robust differences between ABF and no-ABF in discharge to post-acute care, showing a 24% increase with ABF (pooled relative risk  = 1.24, 95% CI 1.18-1.31. Results also suggested a possible increase in readmission with ABF, and an apparent increase in severity of illness, perhaps reflecting differences in diagnostic coding. Although we found no consistent, systematic differences in mortality rates and volume of care, results varied widely across studies, some suggesting appreciable benefits from ABF, and others suggesting

  4. Volume, nature and potential impact of advertisements on Facebook and YouTube by food brands popular in New Zealand.

    Science.gov (United States)

    Vandevijvere, Stefanie; Aitken, Charlotte; Swinburn, Boyd

    2018-04-13

    To analyse extent, nature and potential impact of marketing by food and beverage brands popular in New Zealand on Facebook and YouTube. Popular food and beverage brands in New Zealand were selected from Socialbakers. Posts on Facebook pages of 45 packaged food, beverage and fast food companies over two months and YouTube channels of 15 companies over two years were analysed for nutritional quality and use of activities, promotional strategies (eg, cartoons) and premium offers (eg, competitions). The 45 brands selected made 762 Facebook posts during October-November 2016. About 28% of posts were videos and 2/3 (63%) contained at least one occasional (ie, unhealthy) food. Promotional strategies were used in 41% of posts, with a famous sportsperson/team being the most frequently used. Premium offers were used in 34% of posts, with competitions being the most frequently used. It was estimated some posts could potentially reach 10% of New Zealand adolescents. The 15 food brands selected posted about 300 videos on their YouTube channels during 2015-2016. About 84% of videos contained food marketing and 77% of products marketed were occasional. Promotional strategies and premium offers were used in 61% and 24% of videos respectively, and the most common marketing techniques were the same as on Facebook. Social media is an important medium for food marketers in New Zealand and promotional strategies and premium offers are frequently used. Methodology needs to be developed to monitor actual exposure to such advertisements.

  5. The potential impact of developments in electronic technology on the future conduct of air warfare, volume 3

    Science.gov (United States)

    1986-12-01

    Advances in microelectronics have resulted in circuit densities many orders of magnitude greater than in current usage, making possible higher speed circuitry and greater storage capacity. RF techniques are also leading to monolithic microwave integrated circuits and microstrip antennas with corresponding reductions in size and weight. In addition, rapid advances are taking place in computer architecture and software that will provide improved information processing and control. This, coupled with progress in artificial intelligence and man-machine interface, offers promise of greatly improved battle management in the cockpit. The scale of changes is such that the nature of air warfare should be significantly affected over the next twenty years. This study examined the potential of electronic technology and potential benefits such as improvements in information processing, reduction in size and weight, increased reliability and maintainability; determined the applicability of such improvements to avionics and command and control systems and such functions as navigation and guidance, communications, surveillance, cockpit engineering and electronic warfare; and examined the impact on air warfare in the time period 2000 to 2010.

  6. Tumor Volume Changes Assessed by Three-Dimensional Magnetic Resonance Volumetry in Rectal Cancer Patients After Preoperative Chemoradiation: The Impact of the Volume Reduction Ratio on the Prediction of Pathologic Complete Response

    International Nuclear Information System (INIS)

    Kang, Jeong Hyun; Kim, Young Chul; Kim, Hyunki; Kim, Young Wan; Hur, Hyuk; Kim, Jin Soo; Min, Byung Soh; Kim, Hogeun; Lim, Joon Seok; Seong, Jinsil; Keum, Ki Chang; Kim, Nam Kyu

    2010-01-01

    Purpose: The aim of this study was to determine the correlation between tumor volume changes assessed by three-dimensional (3D) magnetic resonance (MR) volumetry and the histopathologic tumor response in rectal cancer patients undergoing preoperative chemoradiation therapy (CRT). Methods and Materials: A total of 84 patients who underwent preoperative CRT followed by radical surgery were prospectively enrolled in the study. The post-treatment tumor volume and tumor volume reduction ratio (% decrease ratio), as shown by 3D MR volumetry, were compared with the histopathologic response, as shown by T and N downstaging and the tumor regression grade (TRG). Results: There were no significant differences in the post-treatment tumor volume and the volume reduction ratio shown by 3D MR volumetry with respect to T and N downstaging and the tumor regression grade. In a multivariate analysis, the tumor volume reduction ratio was not significantly associated with T and N downstaging. The volume reduction ratio (>75%, p = 0.01) and the pretreatment carcinoembryonic antigen level (≤3 ng/ml, p = 0.01), but not the post-treatment volume shown by 3D MR (≤ 5ml), were, however, significantly associated with an increased pathologic complete response rate. Conclusion: More than 75% of the tumor volume reduction ratios were significantly associated with a high pathologic complete response rate. Therefore, limited treatment options such as local excision or simple observation might be considered after preoperative CRT in this patient population.

  7. Development of Procedures for Assessing the Impact of Vocational Education Research and Development on Vocational Education (Project IMPACT). Volume 8--A Field Study of Predicting Impact of Research and Development Projects in Vocational and Technical Education.

    Science.gov (United States)

    Malhorta, Man Mohanlal

    As part of Project IMPACT's effort to identify and develop procedures for complying with the impact requirements of Public Law 94-482, a field study was conducted to identify and validate variables and their order of importance in predicting and evaluating impact of research and development (R&D) projects in vocational and technical education.…

  8. Remedial actions at the former Vitro Rare Metals plant site, Canonsburg, Washington County, Pennsylvania. Final Environmental Impact Statement. Volume I

    Energy Technology Data Exchange (ETDEWEB)

    1983-07-01

    The environmental impacts associated with remedial actions in connection with residual radioactive materials remaining at the inactive uranium processing site located in Canonsburg, Washington County, Pennsylvania are evaluated. The Canonsburg site is an 18.5-acre property that was formerly owned by the Vitro Rare Metals Company. The expanded Canonsburg site would be 30-acre property that would include the Canonsburg site (the former Vitro Rare Metals plant), seven adjacent private houses, and the former Georges Pottery property. During the period 1942 through 1957 the Vitro Manufacturing Company and its successor, the Vitro Corporation of America, processed onsite residues and ores, and government-owned ores, concentrates, and scraps to extract uranium and other rare metals. The Canonsburg site is now the Canon Industrial Park. In addition to storing the residual radioactive materials of this process at the Canonsburg site, about 12,000 tons of radioactively contaminated materials were transferred to a railroad landfill in Burrell Township, Indiana County, Pennsylvania. This Canonsburg FEIS evaluates five alternatives for removing the potential public health hazard associated with the radioactively contaminated materials. In addition to no action, these alternatives involve various combinations of stabilization of the radioactively contaminated materials in place or decontamination of the Canonsburg and Burrell sites by removing the radioactively contaminated materials to another location. In addition to the two sites mentioned, a third site located in Hanover Township, Washington County, Pennsylvania has been considered as a disposal site to which the radioactively contaminated materials presently located at either of the other two sites might be moved.

  9. Remedial actions at the former Vitro Rare Metals plant site, Canonsburg, Washington County, Pennsylvania. Final Environmental Impact Statement. Volume I

    International Nuclear Information System (INIS)

    1983-07-01

    The environmental impacts associated with remedial actions in connection with residual radioactive materials remaining at the inactive uranium processing site located in Canonsburg, Washington County, Pennsylvania are evaluated. The Canonsburg site is an 18.5-acre property that was formerly owned by the Vitro Rare Metals Company. The expanded Canonsburg site would be 30-acre property that would include the Canonsburg site (the former Vitro Rare Metals plant), seven adjacent private houses, and the former Georges Pottery property. During the period 1942 through 1957 the Vitro Manufacturing Company and its successor, the Vitro Corporation of America, processed onsite residues and ores, and government-owned ores, concentrates, and scraps to extract uranium and other rare metals. The Canonsburg site is now the Canon Industrial Park. In addition to storing the residual radioactive materials of this process at the Canonsburg site, about 12,000 tons of radioactively contaminated materials were transferred to a railroad landfill in Burrell Township, Indiana County, Pennsylvania. This Canonsburg FEIS evaluates five alternatives for removing the potential public health hazard associated with the radioactively contaminated materials. In addition to no action, these alternatives involve various combinations of stabilization of the radioactively contaminated materials in place or decontamination of the Canonsburg and Burrell sites by removing the radioactively contaminated materials to another location. In addition to the two sites mentioned, a third site located in Hanover Township, Washington County, Pennsylvania has been considered as a disposal site to which the radioactively contaminated materials presently located at either of the other two sites might be moved

  10. Crystalline cerium(IV) phosphates

    International Nuclear Information System (INIS)

    Herman, R.G.; Clearfield, A.

    1976-01-01

    The ion exchange behaviour of seven crystalline cerium(IV) phosphates towards some of the alkali metal cations is described. Only two of the compounds (A and C) possess ion exchange properties in acidic solutions. Four others show some ion exchange characteristics in basic media with some of the alkali cations. Compound G does not behave as an ion exchanger in solutions of pH + , but show very little Na + uptake. Compound E undergoes ion exchange with Na + and Cs + , but not with Li+. Both Li + and Na + are sorbed by compounds A and C. The results are indicative of structures which show steric exclusion phenomena. (author)

  11. PREPARATION OF OXOPORPHINATOMANGANESE (IV) COMPLEX

    Energy Technology Data Exchange (ETDEWEB)

    Willner, I.; Otvos, J.; Calvin, M.

    1980-07-01

    Oxo-manganese-tetraphenylporphyrin (O=Mn{sup IV}-TPP) has been prepared by an oxygen-transfer reaction from iodosylbenzene to MnIITPP and characterized by its i.r. and field desorption mass spectra, which are identical to those of the product obtained by direct oxidation of Mn{sup III}(TPP) in an aqueous medium; it transfers oxygen to triphenylphosphine to produce triphenylphosphine oxide, and it is suggested that similar intermediates are important in oxygen activation by cytochrome P-450 as well as in the photosynthetic evolution of oxygen.

  12. The impact of ADHD persistence, recent cannabis use, and age of regular cannabis use onset on subcortical volume and cortical thickness in young adults.

    Science.gov (United States)

    Lisdahl, Krista M; Tamm, Leanne; Epstein, Jeffery N; Jernigan, Terry; Molina, Brooke S G; Hinshaw, Stephen P; Swanson, James M; Newman, Erik; Kelly, Clare; Bjork, James M

    2016-04-01

    Both Attention Deficit Hyperactivity Disorder (ADHD) and chronic cannabis (CAN) use have been associated with brain structural abnormalities, although little is known about the effects of both in young adults. Participants included: those with a childhood diagnosis of ADHD who were CAN users (ADHD_CAN; n=37) and non-users (NU) (ADHD_NU; n=44) and a local normative comparison group (LNCG) who did (LNCG_CAN; n=18) and did not (LNCG_NU; n=21) use CAN regularly. Multiple regressions and MANCOVAs were used to examine the independent and interactive effects of a childhood ADHD diagnosis and CAN group status and age of onset (CUO) on subcortical volumes and cortical thickness. After controlling for age, gender, total brain volume, nicotine use, and past-year binge drinking, childhood ADHD diagnosis did not predict brain structure; however, persistence of ADHD was associated with smaller left precentral/postcentral cortical thickness. Compared to all non-users, CAN users had decreased cortical thickness in right hemisphere superior frontal sulcus, anterior cingulate, and isthmus of cingulate gyrus regions and left hemisphere superior frontal sulcus and precentral gyrus regions. Early cannabis use age of onset (CUO) in those with ADHD predicted greater right hemisphere superior frontal and postcentral cortical thickness. Young adults with persistent ADHD demonstrated brain structure abnormalities in regions underlying motor control, working memory and inhibitory control. Further, CAN use was linked with abnormal brain structure in regions with high concentrations of cannabinoid receptors. Additional large-scale longitudinal studies are needed to clarify how substance use impacts neurodevelopment in youth with and without ADHD. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  13. Test Review: Advanced Clinical Solutions for WAIS-IV and WMS-IV

    Science.gov (United States)

    Chu, Yiting; Lai, Mark H. C.; Xu, Yining; Zhou, Yuanyuan

    2012-01-01

    The authors review the "Advanced Clinical Solutions for WAIS-IV and WMS-IV". The "Advanced Clinical Solutions (ACS) for the Wechsler Adult Intelligence Scale-Fourth Edition" (WAIS-IV; Wechsler, 2008) and the "Wechsler Memory Scale-Fourth Edition" (WMS-IV; Wechsler, 2009) was published by Pearson in 2009. It is a…

  14. Analysis of Phoenix Anomalies and IV and V Findings Applied to the GRAIL Mission

    Science.gov (United States)

    Larson, Steve

    2012-01-01

    Analysis of patterns in IV&V findings and their correlation with post-launch anomalies allowed GRAIL to make more efficient use of IV&V services . Fewer issues. . Higher fix rate. . Better communication. . Increased volume of potential issues vetted, at lower cost. . Hard to make predictions of post-launch performance based on IV&V findings . Phoenix made sound fix/use as-is decisions . Things that were fixed eliminated some problems, but hard to quantify. . Broad predictive success in one area, but inverse relationship in others.

  15. Loading the Saturn I S-IV Stage into Pregnant Guppy

    Science.gov (United States)

    1965-01-01

    The photograph shows the loading operation of the Saturn I S-IV stage (second stage) into the Pregnant Guppy at the Redstone Airfield, Huntsville, Alabama. The Pregnant Guppy was a Boeing B-377 Stratocruiser modified to transport various stages of Saturn launch vehicles. The modification project called for lengthening the fuselage to accommodate the S-IV stage. After the flight test of that modification, phase two called for the enlargement of the plane's cabin section to approximately double its normal volume. The fuselage separated just aft of the wing's trailing edge to load and unload the S-IV and other cargoes.

  16. Astragaloside IV for Experimental Focal Cerebral Ischemia: Preclinical Evidence and Possible Mechanisms

    Directory of Open Access Journals (Sweden)

    Hui-Lin Wang

    2017-01-01

    Full Text Available Astragaloside IV (AST-IV is a principal component of Radix Astragali seu Hedysari (Huangqi and exerts potential neuroprotection in experimental ischemic stroke. Here, we systematically assessed the effectiveness and possible mechanisms of AST-IV for experimental acute ischemic stroke. An electronic search in eight databases was conducted from inception to March 2016. The study quality score was evaluated using the CAMARADES. Rev Man 5.0 software was used for data analyses. Thirteen studies with 244 animals were identified. The study quality score of included studies ranged from 3/10 to 8/10. Eleven studies showed significant effects of AST-IV for ameliorating the neurological function score (P<0.05; seven studies for reducing the infarct volume (P<0.05; and three or two studies for reducing the brain water content and Evans blue leakage (P<0.05, respectively, compared with the control. The mechanisms of AST-IV for ischemic stroke are multiple such as antioxidative/nitration stress reaction, anti-inflammatory, and antiapoptosis. In conclusion, the findings of present study indicated that AST-IV could improve neurological deficits and infarct volume and reduce the blood-brain barrier permeability in experimental cerebral ischemia despite some methodological flaws. Thus, AST-IV exerted a possible neuroprotective effect during the cerebral ischemia/reperfusion injury largely through its antioxidant, anti-inflammatory, and antiapoptosis properties.

  17. Shatavarins (containing Shatavarin IV) with anticancer activity from the roots of Asparagus racemosus

    Science.gov (United States)

    Mitra, Shankar K.; Prakash, Neswi S.; Sundaram, Ramachandran

    2012-01-01

    Objectives: The anticancer activity of shatavarins (containing shatavarin IV) isolated from the roots of Asparagus racemosus (Wild) was evaluated using in vitro and in vivo experimental models. Material and Methods: The shatavarin IV was isolated from ethyl acetate insoluble fraction (AR-2B) of chloroform:methanol (2:1) (AR-2) extract of A. racemosus roots. The cytotoxicity (in vitro) of shatavarin IV and other shatavarins rich fraction was carried out using of MTT assay using MCF-7 (human breast cancer), HT-29 (human colon adenocarcinoma), and A-498 (human kidney carcinoma) cell lines. The in vivo anticancer activity of shatavarins (containing shatavarin IV) was evaluated against Ehrlich ascites carcinoma (EAC) tumor bearing mice. Results: The isolated shatavarin IV (84.69 %) along with shatavarins rich fraction, coded AR-2B containing 5.05% shatavarin IV showed potent cytotoxicity. Oral administration of AR-2B to tumor bearing mice at doses of 250 and 500 mg/kg body weight for 10 days, showed significant reduction in percent increase in body weight, tumor volume, packed cell volume, viable tumor cell count, and increased non-viable cell count when compared to the untreated mice of the EAC control group. The restoration of hematological parameters towards normalcy was also observed. Conclusion: The result suggests that the shatavarins (containing shatavarin IV) rich fraction (AR-2B) exhibits significant anticancer activity in both in vitro and in vivo experimental models. PMID:23248403

  18. Assessment of the public health impact from the accidental release of UF6 at the Sequoyah Fuels Corporation Facility at Gore, Oklahoma (Docket No. 40-8027, License No. SUB-1010). Main report. Volume 1

    International Nuclear Information System (INIS)

    1986-03-01

    Following the accidental release of UF 6 from the Sequoyah Fuels Facility on January 4, 1986, an Ad Hoc Interagency Public Health Assessment Task Force was established. The Task Force consists of technical staff members from various agencies who have prepared this assessment of the public health impact associated with the accidental release. The assessment consists of two volumes and is based on data from the accident available as of February 14, 1986. Volume 1 of the report describes the effects from the intake of uranium and fluoride and summarizes the findings and recommendations of the Task Force. Volume 2 of the report contains Appendices which provide more detailed information used in the assessment and support the discussion in Volume 1. 57 refs., 26 figs., 12 tabs

  19. Data package for the Low-Level Waste Disposal Development and Demonstration Program environmental impact statement: Volume 2, Appendices E-O

    Energy Technology Data Exchange (ETDEWEB)

    Ketelle, R.H.

    1988-09-01

    This volume contains 11 appendices to the main document in Volume 1. Topics in Volume 2 include hydrologic data for a proposed solid waste storage area, soil characterizations, well logs, surface water discharge data, water quality data, atmospheric precipitation and stream flow, a small mammal survey, and general ecological information. (TEM)

  20. Workshop 97. Part IV. Proceedings

    International Nuclear Information System (INIS)

    1996-12-01

    This volume of the Proceedings cover the following branches of science and technology: preservation and creation of the environment, architecture, town planning and visual arts, reliability, production systems and technology, nuclear engineering, transport engineering, and economics and business activities. Out of the contributions, 19 have been input to INIS. (P.A.)

  1. Determinants of Infant Behaviour IV.

    Science.gov (United States)

    Foss, B. M., Ed.

    This volume consists of reports of individual studies and surveys of research work on mother-infant interactions. It is divided into two parts. The first section presents a wide range of studies on mother-infant relations as exhibited in the behavior of animals. The second part, concerning human behavior, includes studies on the natural history of…

  2. Assessment of imatinib as first-line treatment of chronic myeloid leukemia: 10-year survival results of the randomized CML study IV and impact of non-CML determinants.

    Science.gov (United States)

    Hehlmann, R; Lauseker, M; Saußele, S; Pfirrmann, M; Krause, S; Kolb, H J; Neubauer, A; Hossfeld, D K; Nerl, C; Gratwohl, A; Baerlocher, G M; Heim, D; Brümmendorf, T H; Fabarius, A; Haferlach, C; Schlegelberger, B; Müller, M C; Jeromin, S; Proetel, U; Kohlbrenner, K; Voskanyan, A; Rinaldetti, S; Seifarth, W; Spieß, B; Balleisen, L; Goebeler, M C; Hänel, M; Ho, A; Dengler, J; Falge, C; Kanz, L; Kremers, S; Burchert, A; Kneba, M; Stegelmann, F; Köhne, C A; Lindemann, H W; Waller, C F; Pfreundschuh, M; Spiekermann, K; Berdel, W E; Müller, L; Edinger, M; Mayer, J; Beelen, D W; Bentz, M; Link, H; Hertenstein, B; Fuchs, R; Wernli, M; Schlegel, F; Schlag, R; de Wit, M; Trümper, L; Hebart, H; Hahn, M; Thomalla, J; Scheid, C; Schafhausen, P; Verbeek, W; Eckart, M J; Gassmann, W; Pezzutto, A; Schenk, M; Brossart, P; Geer, T; Bildat, S; Schäfer, E; Hochhaus, A; Hasford, J

    2017-11-01

    Chronic myeloid leukemia (CML)-study IV was designed to explore whether treatment with imatinib (IM) at 400 mg/day (n=400) could be optimized by doubling the dose (n=420), adding interferon (IFN) (n=430) or cytarabine (n=158) or using IM after IFN-failure (n=128). From July 2002 to March 2012, 1551 newly diagnosed patients in chronic phase were randomized into a 5-arm study. The study was powered to detect a survival difference of 5% at 5 years. After a median observation time of 9.5 years, 10-year overall survival was 82%, 10-year progression-free survival was 80% and 10-year relative survival was 92%. Survival between IM400 mg and any experimental arm was not different. In a multivariate analysis, risk group, major-route chromosomal aberrations, comorbidities, smoking and treatment center (academic vs other) influenced survival significantly, but not any form of treatment optimization. Patients reaching the molecular response milestones at 3, 6 and 12 months had a significant survival advantage. For responders, monotherapy with IM400 mg provides a close to normal life expectancy independent of the time to response. Survival is more determined by patients' and disease factors than by initial treatment selection. Although improvements are also needed for refractory disease, more life-time can currently be gained by carefully addressing non-CML determinants of survival.

  3. Some oxozirconium(IV) compounds

    Energy Technology Data Exchange (ETDEWEB)

    Paul, R C; Gupta, S K; Parmar, S S; Vasisht, S K [Punjab Univ., Chandigarh (India). Dept. of Chemistry

    1976-01-01

    Some new oxozirconium(IV) complexes, ZrO(An)/sub 2/, ZrO(Gly)/sub 2/, ZrO(HSal)/sub 2/, ZrO(HPth)/sub 2/, ZrO(Pic)/sub 2/(HPic)/sub 2/, and ZrO(Quin)/sub 2/(HQuin)/sub 2/ have been isolated from the reactions of ZrO(CH/sub 3/COO)/sub 2/CH/sub 3/COOH with anthranilic acid (HAn), glycine (HGly), salicylic acid (H/sub 2/Sal), phthalic acid (H/sub 2/Pth), picolinic acid (HPic), and 8-quinolinol (HQuin) respectively. Their important infrared bands and wherever possible molar conductance and molecular weight have been reported.

  4. Impact of minimum contrast media volumes during elective percutaneous coronary intervention for prevention of contrast-induced nephropathy in patients with stable coronary artery disease.

    Science.gov (United States)

    Ebisawa, Soichiro; Kurita, Tairo; Tanaka, Nobuyoshi; Nasu, Kenya; Kimura, Masashi; Ito, Tatsuya; Kinoshita, Yoshihisa; Tsuchikane, Etsuo; Terashima, Mitsuyasu; Suzuki, Takahiko

    2016-01-01

    Contrast-induced nephropathy (CIN) is an important complication following percutaneous coronary intervention (PCI). The clinical importance of a minimum contrast media volume (CMV) for PCI to prevent CIN has not been well evaluated. The purpose of this study was to evaluate the impact of minimum CMV to prevent CIN after PCI. In this study, 2052 consecutive patients who underwent elective PCI in our institute were analyzed. We divided patients into two groups according to CMV: a minimum CMV PCI group [CMV ≤50 ml (n = 94)] and a non-minimum CMV PCI group [CMV >50 ml (n = 1958)]. CIN occurred in 160 (7.8 %) patients. The incidence of CIN was significantly lower in the minimum CMV PCI group than in the non-minimum CMV PCI group (2.1 vs. 8.1 %; P = 0.03). According to multivariate analysis, elderly patients and diabetes mellitus patients were at high risk of developing CIN in this study population. When analyzing only high-risk patients, the incidence of CIN was also significantly lower in the minimum CMV group than in the non-minimum CMV group (2.6 vs. 10.3 %; P = 0.03). Minimum CMV PCI could reduce the incidence of CIN, particularly in high-risk patients; as such, defining the minimum CMV clinical cut-off values may be useful for the prevention of CIN.

  5. The impact of MRI sequence on tumour staging and gross tumour volume delineation in squamous cell carcinoma of the anal canal

    International Nuclear Information System (INIS)

    Prezzi, Davide; Mandegaran, Ramin; Gourtsoyianni, Sofia; Owczarczyk, Katarzyna; Gaya, Andrew; Glynne-Jones, Robert; Goh, Vicky

    2018-01-01

    To compare maximum tumour diameter (MTD) and gross tumour volume (GTV) measurements between T 2 -weighted (T 2 -w) and diffusion-weighted (DWI) MRI in squamous cell carcinoma of the anal canal (SCCA) and assess sequence impact on tumour (T) staging. Second, to evaluate interobserver agreement and reader delineation confidence. The staging MRI scans of 45 SCCA patients (25 females) were assessed retrospectively by two independent radiologists (0 and 5 years' experience of anal cancer MRI). MTD and GTV were delineated on both T 2 -w and high-b-value DWI images and compared between sequences; T staging was derived from MTD. Interobserver agreement was assessed and delineation confidence scored (1 to 5) by each observer. GTV and MTD were significantly and systematically lower on DWI versus T 2 -w sequences by 14.80%/9.98% (MTD) and 29.70%/12.25% (GTV) for each reader, respectively, causing T staging discordances in approximately a quarter of cases. Bland-Altman limits of agreement were narrower and intraclass correlation coefficients higher for DWI. Delineation confidence was greater on DWI: 40/42 cases were scored confidently (4 or 5) by each reader, respectively, versus 31/36 cases based on T 2 -w images. Sequence selection affects SCCA measurements and T stage. DWI yields higher interobserver agreement and greater tumour delineation confidence. (orig.)

  6. The Materials Science and its impact in the Archaeology- Volume 2; La ciencia de Materiales y su impacto en la Arqueologia- Volumen 2

    Energy Technology Data Exchange (ETDEWEB)

    Mendoza A, D. (ed.) [ININ, 52045 Ocoyoacac, Estado de Mexico (Mexico); Arenas A, J.A. (ed.) [IFUNAM, 04510 Mexico D.F. (Mexico); Rodriguez L, V. [Centro Universitario de Vinculacion, BUAP, 72540 Puebla (Mexico)

    2005-07-01

    This book seeks to gather the different investigations carried out in the context of the materials science guided to the archaeometry, presented in the 'International Congress of Materials 2004', looking for with it to facilitate the knowledge transfer related with the application of the modern nuclear analytical techniques for the materials characterization as, X-ray diffraction, Scanning Electron Microscopy, Absorption spectroscopy, PIXE analysis, X-ray fluorescence analysis among other techniques to understand with a bigger depth the characteristics and properties of the materials used in diverse activities in the different stages of the humanity, there have been characterized materials as ceramics, metals, polymers, biomaterials, composite materials, pigments, nano structured materials. Since the articles here presented are of quality and its approach each topic with an original vision, this volume 2 of the book 'The Science of Materials and their Impact in the Archaeology' it will woke up the interest of a wide number of investigators, and that the different presented topics allow to visualize that this methods and techniques here approached its represent powerful tools, to enlarge our knowledge on the different cultures that preceded us. (Author)

  7. Final programmatic environmental impact statement for alternative strategies for the long-term management and use of depleted uranium hexafluoride. Volume 3: Responses to public comments

    International Nuclear Information System (INIS)

    1999-04-01

    This PEIS assesses the potential impacts of alternative management strategies for depleted uranium hexafluoride (UF 6 ) currently stored at three DOE sites: Paducah site near Paducah, Kentucky, Portsmouth site near Portsmouth, Ohio; and K-25 site on the Oak Ridge Reservation, Oak Ridge, Tennessee. The alternatives analyzed in the PEIS include no action, long-term storage as UF 6 , long-term storage as uranium oxide, use as uranium oxide, use as uranium metal, and disposal. DOE's preferred alternative is to begin conversion of the depleted UF 6 inventory as soon as possible, either to uranium oxide, uranium metal, or a combination of both, while allowing for use of as much of this inventory as possible. This volume of the Final PEIS contains the comments and DOE's responses to comments received during the comment period. Chapter 2 contains photocopies of written submissions received by DOE on the Draft PEIS; DOE's responses to those comments are listed in Chapter 3. Chapter 4 provides the oral comments received at the public hearings and DOE's responses. Chapter 5 provides indices to comments and responses arranged by commentor name and by comment number

  8. Survey of fish impingement at power plants in the United States. Volume I. The Great Lakes

    International Nuclear Information System (INIS)

    Sharma, R.K.; Freeman, R.F. III.

    1977-03-01

    Impingement of fish at cooling-water intakes of 20 power plants located on the Great Lakes has been surveyed and data are presented. Descriptions of site, plant, and intake design and operation are provided. Reports in this volume summarize impingement data for individual plants in tabular and histogram formats. Information was available from differing sources such as the utilities themselves, public documents, regulatory agencies, and others. Thus, the extent of detail in the reports varies greatly from plant to plant. Histogram preparation involved an extrapolation procedure that has inadequacies. The reader is cautioned in the use of information presented in this volume to determine intake-design acceptability or intensity of impacts on ecosystems. No conclusions are presented herein; data comparisons are made in Volume IV

  9. Survey of fish impingement at power plants in the United States. Volume II. Inland waters

    International Nuclear Information System (INIS)

    Freeman, R.F. III; Sharma, R.K.

    1977-03-01

    Impingement of fish at cooling-water intakes of 33 power plants located on inland waters other than the Great Lakes has been surveyed and data are presented. Descriptions of site, plant, and intake design and operation are provided. Reports in this volume summarize impingement data for individual plants in tabular and histogram formats. Information was available from differing sources such as the utilities themselves, public documents, regulatory agencies, and others. Thus, the extent of detail in the reports varies greatly from plant to plant. Histogram preparation involved an extrapolation procedure that has inadequacies. The reader is cautioned in the use of information presented in this volume to determine intake-design acceptability or intensity of impacts on ecosystems. No conclusions are presented herein; data comparisons are made in Volume IV

  10. Tethys and Annex IV Progress Report for FY 2012

    Energy Technology Data Exchange (ETDEWEB)

    Hanna, Luke A.; Butner, R. Scott; Whiting, Jonathan M.; Copping, Andrea E.

    2013-09-01

    The marine and hydrokinetic (MHK) environmental Impacts Knowledge Management System, dubbed “Tethys” after the mythical Greek titaness of the seas, is being developed by the Pacific Northwest National Laboratory (PNNL) to support the U.S. Department of Energy’s Wind and Water Power Program (WWPP). Functioning as a smart database, Tethys enables its users to identify key words or terms to help gather, organize and make available information and data pertaining to the environmental effects of MHK and offshore wind (OSW) energy development. By providing and categorizing relevant publications within a simple and searchable database, Tethys acts as a dissemination channel for information and data which can be utilized by regulators, project developers and researchers to minimize the environmental risks associated with offshore renewable energy developments and attempt to streamline the permitting process. Tethys also houses a separate content-related Annex IV data base with identical functionality to the Tethys knowledge base. Annex IV is a collaborative project among member nations of the International Energy Agency (IEA) Ocean Energy Systems – Implementing Agreement (OES-IA) that examines the environmental effects of ocean energy devices and projects. The U.S. Department of Energy leads the Annex IV working with federal partners such as the Federal Energy Regulatory Commission (FERC), the Bureau of Ocean Energy Management (BOEM), and the National Oceanic Atmospheric Administration (NOAA). While the Annex IV database contains technical reports and journal articles, it is primarily focused on the collection of project site and research study metadata forms (completed by MHK researchers and developers around the world, and collected by PNNL) which provide information on environmental studies and the current progress of the various international MHK developments in the Annex IV member nations. The purpose of this report is to provide a summary of the content

  11. Epigenetic and antitumor effects of platinum (IV)-octanoato conjugates

    Czech Academy of Sciences Publication Activity Database

    Novohradský, Vojtěch; Zanellato, I.; Marzano, C.; Prachařová, J.; Kašpárková, Jana; Gibson, D.; Gandin, V.; Osella, D.; Brabec, Viktor

    2017-01-01

    Roč. 7, JUN2017 (2017), č. článku 3751. ISSN 2045-2322 R&D Projects: GA ČR(CZ) GA17-09436S; GA ČR(CZ) GA17-05302S Institutional support: RVO:68081707 Keywords : cancer-cell apoptosis * pt(iv) prodrugs * dna hypermethylation Subject RIV: FD - Oncology ; Hematology OBOR OECD: Oncology Impact factor: 4.259, year: 2016

  12. Genetics Home Reference: glycogen storage disease type IV

    Science.gov (United States)

    ... Home Health Conditions Glycogen storage disease type IV Glycogen storage disease type IV Printable PDF Open All ... Javascript to view the expand/collapse boxes. Description Glycogen storage disease type IV (GSD IV) is an ...

  13. A cerium(IV)-carbon multiple bond

    Energy Technology Data Exchange (ETDEWEB)

    Gregson, Matthew; Lu, Erli; McMaster, Jonathan; Lewis, William; Blake, Alexander J.; Liddle, Stephen T. [Nottingham Univ. (United Kingdom). School of Chemistry

    2013-12-02

    Straightforward access to a cerium(IV)-carbene complex was provided by one-electron oxidation of an anionic ''ate'' cerium(III)-carbene precursor, thereby avoiding decomposition reactions that plague oxidations of neutral cerium(III) compounds. The cerium(IV)-carbene complex is the first lanthanide(IV)-element multiple bond and involves a twofold bonding interaction of two electron pairs between cerium and carbon. [German] Auf direktem Wege zu einem Cer(IV)-Carbenkomplex gelangt man durch die Einelektronenoxidation einer anionischen Carben-Cerat(III)-Vorstufe. So werden Zersetzungsprozesse vermieden, die die Oxidation neutraler Cer(III)-Verbindungen erschweren. Der Cer(IV)-Carbenkomplex enthaelt die erste Lanthanoid(IV)-Element-Mehrfachbindung; dabei binden Cer und Kohlenstoff ueber zwei Elektronenpaare.

  14. iväkoti Riemula

    OpenAIRE

    Alanko, Reetta; Ihanamäki, Katja

    2012-01-01

    Opinnäytetyössä kuvataan yleisesti päivähoidon kehitystä Suomessa sekä päivähoitoa yrittäjän näkökulmasta, tuoden esille sen tämän päivän haasteet ja mahdollisuudet. Työssä on pohdittu yhteistyön merkitystä kunnan kanssa ja sitä, miten kunta voi osaltaan joko rajoittaa tai edesauttaa yksityisen päivähoitoyrityksen toimintaa. Opinnäytetyössä kerrotaan teoriassa Päiväkoti Riemula nimisen, erityispäivähoitopalveluita tarjoavan yrityksen perustamiseen liittyvistä suunnitelmista. Suunnitelluss...

  15. Department of Energy Programmatic Spent Nuclear Fuel Management and Idaho National Engineering Laboratory Environmental Restoration and Waste Management Programs Draft Environmental Impact Statement. Volume 1, Appendix C, Savannah River Site Spent Nuclear Fuel Mangement Program

    Energy Technology Data Exchange (ETDEWEB)

    1994-06-01

    The US Department of Energy (DOE) is engaged in two related decision making processes concerning: (1) the transportation, receipt, processing, and storage of spent nuclear fuel (SNF) at the DOE Idaho National Engineering Laboratory (INEL) which will focus on the next 10 years; and (2) programmatic decisions on future spent nuclear fuel management which will emphasize the next 40 years. DOE is analyzing the environmental consequences of these spent nuclear fuel management actions in this two-volume Environmental Impact Statement (EIS). Volume 1 supports broad programmatic decisions that will have applicability across the DOE complex and describes in detail the purpose and need for this DOE action. Volume 2 is specific to actions at the INEL. This document, which limits its discussion to the Savannah River Site (SRS) spent nuclear fuel management program, supports Volume 1 of the EIS. Following the introduction, Chapter 2 contains background information related to the SRS and the framework of environmental regulations pertinent to spent nuclear fuel management. Chapter 3 identifies spent nuclear fuel management alternatives that DOE could implement at the SRS, and summarizes their potential environmental consequences. Chapter 4 describes the existing environmental resources of the SRS that spent nuclear fuel activities could affect. Chapter 5 analyzes in detail the environmental consequences of each spent nuclear fuel management alternative and describes cumulative impacts. The chapter also contains information on unavoidable adverse impacts, commitment of resources, short-term use of the environment and mitigation measures.

  16. Modelling and mapping of spatial differentiated impacts of nitrogen input to ecosystems within the framework of the UNECE-Convention of Air Pollution Prevention. Part IV. The impact of anthropogenous nitrogen deposition on the diversity and functionality of soil organisms; Modellierung und Kartierung raeumlich differenzierter Wirkungen von Stickstoffeintraegen in Oekosysteme im Rahmen der UNECE-Luftreinhaltekonvention. Teilbericht IV. Der Einfluss anthropogener Stickstoffeintraege auf die Diversitaet und Funktion von Bodenorganismen

    Energy Technology Data Exchange (ETDEWEB)

    Birkhofer, Klaus; Wolters, Volkmar [Giessen Univ. (Germany). Inst. fuer Tieroekologie

    2010-03-15

    Semi-natural ecosystems are exposed to high atmospheric deposition for decades. In contrary to sulphur deposition which could be significantly reduced due to international conventions on air pollution prevention during the last decades, deposition of both, reduced and oxidized nitrogen is still on a very high level in average 40 kg N ha{sup -1} yr{sup -1} in forest ecosystems in Germany. The FuE-Project ''Modelling and mapping of spatial differentiated impacts of nitrogen input to ecosystems within the framework of the UNECE - Convention of Air Pollution Prevention'' was jointly conducted by 4 partner institutions and studied impacts of atmospheric nitrogen deposition and climate change on physicochemical properties of forest soils, nutrient storage and nutrient export (Karlsruhe Research Centre, IMK-IFU) as well as biodiversity of vegetation (OeKO-DATA and Waldkundeinstitut Eberswalde) and soil organisms (Giessen University). Work carried out at Institute of Animal Ecology (Justus Liebig University Giessen) focused on a Meta-Analysis about the impact of N-deposition on the diversity of soil organisms. Based on 1457 relevant publications soil organisms are threatened most in semi-natural ecosystems and experimental increases of nitrogen reduced soil organism diversity in forest ecosystems. Fungi communities were affected most seriously, with a strong decline of diversity in Mycorrhiza communities in response to experimental nitrogen addition. If N-deposition generally affects soil fauna and bacterial communities remains unclear, as the database is either too small or as results are not unequivocal. Those limitations are also present summarizing the impact of N-deposition on functions and services provided by soil organisms, the current literature database does not provide enough results to predict the impact of N-deposition on decomposition processes and nutrient cycling in soils. (orig.)

  17. Modelling and mapping of spatial differentiated impacts of nitrogen input to ecosystems within the framework of the UNECE-Convention of Air Pollution Prevention. Part IV. The impact of anthropogenous nitrogen deposition on the diversity and functionality of soil organisms; Modellierung und Kartierung raeumlich differenzierter Wirkungen von Stickstoffeintraegen in Oekosysteme im Rahmen der UNECE-Luftreinhaltekonvention. Teilbericht IV. Der Einfluss anthropogener Stickstoffeintraege auf die Diversitaet und Funktion von Bodenorganismen

    Energy Technology Data Exchange (ETDEWEB)

    Birkhofer, Klaus; Wolters, Volkmar [Giessen Univ. (Germany). Inst. fuer Tieroekologie

    2010-03-15

    Semi-natural ecosystems are exposed to high atmospheric deposition for decades. In contrary to sulphur deposition which could be significantly reduced due to international conventions on air pollution prevention during the last decades, deposition of both, reduced and oxidized nitrogen is still on a very high level in average 40 kg N ha{sup -1} yr{sup -1} in forest ecosystems in Germany. The FuE-Project ''Modelling and mapping of spatial differentiated impacts of nitrogen input to ecosystems within the framework of the UNECE - Convention of Air Pollution Prevention'' was jointly conducted by 4 partner institutions and studied impacts of atmospheric nitrogen deposition and climate change on physicochemical properties of forest soils, nutrient storage and nutrient export (Karlsruhe Research Centre, IMK-IFU) as well as biodiversity of vegetation (OeKO-DATA and Waldkundeinstitut Eberswalde) and soil organisms (Giessen University). Work carried out at Institute of Animal Ecology (Justus Liebig University Giessen) focused on a Meta-Analysis about the impact of N-deposition on the diversity of soil organisms. Based on 1457 relevant publications soil organisms are threatened most in semi-natural ecosystems and experimental increases of nitrogen reduced soil organism diversity in forest ecosystems. Fungi communities were affected most seriously, with a strong decline of diversity in Mycorrhiza communities in response to experimental nitrogen addition. If N-deposition generally affects soil fauna and bacterial communities remains unclear, as the database is either too small or as results are not unequivocal. Those limitations are also present summarizing the impact of N-deposition on functions and services provided by soil organisms, the current literature database does not provide enough results to predict the impact of N-deposition on decomposition processes and nutrient cycling in soils. (orig.)

  18. Title IV compliance strategies and the incidence of co-pollutants and synergistic pollution controls

    International Nuclear Information System (INIS)

    South, D.W.; Bailey, K.A.

    1993-01-01

    Title 4 of the Clean Air Act Amendments (CAAA) of 1990 (Pub.L. 101-549) authorizes a system of tradeable SO 2 allowances in order to reduce Utility SO 2 emissions in a cost-effective manner. The CAAA also expanded and strengthened regulation of urban ozone nonattainment (Title 1), air toxics (Title 3) and utility NO x emissions (Title 4). Implementation of the requirements of each of these titles will force the utility industry to incur additional control expenditures. Utilities also face the potential for regulation of CO 2 emissions within the next decade, and increased regulation and reclassification of high volume combustion wastes, i.e., scrubber sludge, fly ash and bottom ash. Unfortunately for the utility industry, many of the issues in Titles 1, 3, 4 and other regulations have not been resolved, even though utility Phase 1 compliance planning has begun. This paper will examine compliance conflicts and synergies resulting from utility compliance with Title IV SO 2 requirements. The fundamental question addressed is: what multi-media effects are introduced and what opportunities exist through utility compliance with Title 4-SO 2 . Several issues will be addressed including: (1) the potential impact of non-SO 2 regulation on utility compliance and compliance costs, (2) the flexibility of utility SO 2 compliance options, (3) the synergies and co-pollutant effects associated with particular compliance options, (4) the impact of the timing and uncertainty of the various rules on utility compliance choice

  19. Department of Energy Programmatic Spent Nuclear Fuel Management and Idaho National Engineering Laboratory Environmental Restoration and Waste Management Programs, Draft Environmental Impact Statement. Volume 1, Appendix D: Part A, Naval Spent Nuclear Fuel Management

    Energy Technology Data Exchange (ETDEWEB)

    1994-06-01

    Volume 1 to the Department of Energy`s Programmatic Spent Nuclear Fuel Management and Idaho National Engineering Laboratory Environmental Management Programs Environmental Impact Statement evaluates a range of alternatives for managing naval spent nuclear fuel expected to be removed from US Navy nuclear-powered vessels and prototype reactors through the year 2035. The Environmental Impact Statement (EIS) considers a range of alternatives for examining and storing naval spent nuclear fuel, including alternatives that terminate examination and involve storage close to the refueling or defueling site. The EIS covers the potential environmental impacts of each alternative, as well as cost impacts and impacts to the Naval Nuclear Propulsion Program mission. This Appendix covers aspects of the alternatives that involve managing naval spent nuclear fuel at four naval shipyards and the Naval Nuclear Propulsion Program Kesselring Site in West Milton, New York. This Appendix also covers the impacts of alternatives that involve examining naval spent nuclear fuel at the Expended Core Facility in Idaho and the potential impacts of constructing and operating an inspection facility at any of the Department of Energy (DOE) facilities considered in the EIS. This Appendix also considers the impacts of the alternative involving limited spent nuclear fuel examinations at Puget Sound Naval Shipyard. This Appendix does not address the impacts associated with storing naval spent nuclear fuel after it has been inspected and transferred to DOE facilities. These impacts are addressed in separate appendices for each DOE site.

  20. Extended analysis of Cu IV

    International Nuclear Information System (INIS)

    Meinders, E.; Uijlings, P.

    1980-01-01

    Wavelength data and classifications of 974 Cu IV lines in the region 750-1275 Angstroem are presented. Most of the lines have been classified as transitions from the previously unknown high even configurations 3d 7 5s and 3d 7 4d to 3d 7 4p. The configuration 3d 7 4d is seriously perturbed by 3d 6 4s 2 . The analysis resulted in the identification of 27 levels of 3d 7 5s and 113 levels of (3d 7 4d + 3d 6 4s 2 ) which are reported. The earlier published levels of 3d 7 4s and 3d 7 4p have to be shifted downward as a consequence of improved wavelength data. Radial paramter values, resulting from least-squares fits, are compared to Hartree-Fock values. The eigenvectors obtained in the parametric fitting are used to calculate transition probabilities in intermediate coupling. The relation between the observed intensities of the transitions 3d 7 4d-3d 7 4p and 3d 7 Ss-3d 7 4p is compared to the relation between theoretical values of the transition integrals obtained from Hartree-Fock calculations. A spectroscopic value for the ionization potentials is calculated from the 3d 7 ns configurations. (orig.)

  1. Studies of binary cerium(IV)-praseodymium(IV) and cerium(IV)-terbium(IV) oxides as pigments for ceramic applications

    International Nuclear Information System (INIS)

    Furtado, L.M.L.

    1991-01-01

    It was investigated a series of pigments of general composition Ce 1-x Pr x O 2 , and Ce x Tb y O 2 , exhibiting radish and brown colors, respectively, and high temperature stability. The pigments were obtained by dissolving appropriate amounts of the pure lanthanide oxides in acids and precipitating the rare earths as mixed oxalates, which were isolated and calcined under air, at 1000 0 C. X-Ray powder diffractograms were consistent with a cubic structure for the pigments. Magnetic susceptibility measurements, using Gouy method, indicated the presence of Pr(IV) ions in the Ce 1-x Pr x O 2 pigments and of Terbium predominantly as Tb(III) ions in the Ce-tb mixed oxides. A new method, based on suspension of solid samples in PVA-STB gels (STB = sodium tetradecaborate), was employed for the measurements of the electronic spectra of the pigments. The thermal behaviour the pigments was investigated by the calcination of the oxalates in the temperature range of 500 to 1200 O C, from 10 to 60 minutes. (author)

  2. Grade IV fibrosis interferes in biliary drainage after Kasai procedure.

    Science.gov (United States)

    Salzedas-Netto, A A; Chinen, E; de Oliveira, D F; Pasquetti, A F; Azevedo, R A; da Silva Patricio, F F; Cury, E K; Gonzalez, A M; Vicentine, F P P; Martins, J L

    2014-01-01

    Biliary atresia (BA) is the most common cause of liver transplantation in children. The earlier the treatment is done, the better the prognosis. The aim is to evaluate the impact of late diagnosis in children with BA, including the histopathological findings and success rate of biliary drainage in patients submitted to hepatic portoenterostomy (HPE). A retrospective study of cases of BA in the Department of Pediatric Surgery, Federal University of São Paulo (UNIFESP) between 1998-2011. We found 63 cases of BA; of these, 42 underwent HPE and 21 were referred for liver transplantation. Clinic and pathologic data were evaluated. The HPE was performed with a mean age of 86.5 days, with 16.6% having the operation at 60 days or earlier; 59.2% between 61 and 90 days; and 23.8% after 90 days. Successful biliary drainage occurred in 31% of surgeries, Mean days when HPE drained was 69.1 days, and 94.3 days when the surgery did not drain (P = .05). All patients who were successfully drained, did not have grade IV fibrosis on histology. In cases in which surgery was performed after 60 days that had not drained, 25% had grade IV fibrosis on biopsy (P = .0469). The age of HPE relates to better prognosis of the disease. It was found that the rate of grade IV fibrosis is higher in no drainage patients. All patients with grade IV fibrosis had no biliary drainage. Copyright © 2014 Elsevier Inc. All rights reserved.

  3. Environmental control technology survey of selected US strip mining sites. Volume 2A: Ohio: water quality impacts and overburden chemistry of Ohio study site

    Energy Technology Data Exchange (ETDEWEB)

    Bogner, J E; Henricks, J D; Olsen, R D; Schubert, J P; Sobek, A A; Wilkey, M L; Johnson, D O

    1979-05-01

    An intensive study of water, overburden, and coal chemistry was conducted at a large surface mine in Ohio from May 1976 through July 1977. Sampling sites were chosen to include the final mine effluent at the outflow of a large settling pond and chemically-treated drainage from a coal storage pile. Samples were collected semimonthly and analyzed for total dissolved solids, total suspended solids, alkalinity, acidity, sulfate, chloride, and 16 metals. Field measurements included pH, flow rate, dissolved oxygen, and specific conductance. The final effluent, where sampled, generally complied with Office of Surface Mining reclamation standards for pH, iron, and total suspended solids. Comparison of the final effluent with water quality of an unnamed tributary above the mine suggested that elevated values for specific conductance, total dissolved solids, sulfate, calcium, magnesium, manganese, and zinc were attributable to the mine operation. In general, there were observable seasonal variations in flow rates that correlated positively to suspended solids concentrations and negatively to concentrations of dissolved constituents in the final effluent. Drainage from the coal storage pile contained elevated levels of acidity and dissolved metals which were not reduced significantly by the soda ash treatment. The storage pile drainage was diluted, however, by large volumes of alkaline water in the settling pond. Analysis of overburden and coal indicated that the major impact of mine drainage was pyrite oxidation and hydrolysis in the Middle Kittanning Coal and in the Lower Freeport Shale overlying the coal. However, the presence of a calcite-cemented section in the Upper Freeport Sandstone contributed substantial self-neutralizing capacity to the overburden section, resulting in generally alkaline drainage at this site.

  4. Distribution of lymph node metastases on FDG-PET/CT in inoperable or unresectable oesophageal cancer patients and the impact on target volume definition in radiation therapy

    International Nuclear Information System (INIS)

    Machiels, Melanie; Geijsen, Elisabeth D.; Van Os, Rob M.; Hulshof, Maarten CCM; Wouterse, Sanne J.; Bennink, Roel J.; Van Laarhoven, Hanneke WM.

    2016-01-01

    Definitive chemoradiotherapy (dCRT) is standard care for localised inoperable/unresectable oesophageal tumours. Many surgical series have reported on distribution of lymph node metastases (LNM) in resected patients. However, no data is available on the distribution of at-risk LN regions in this more unfavourable patient group. This study aimed to determine the spread of LNM using FDG-PET/CT, to compare it with the distribution in surgical series and to define its impact on the definition of elective LN irradiation (ENI). FDG-PET/CT images of patients with oesophageal cancer treated with dCRT (from 2003 to 2013) were reviewed to identify the anatomic distribution of FDG-avid LNs. Tumours were divided according to proximal, mid-thoracic or distal localisation. About 105 consecutive patients entered analysis. The highest numbers of FDG-avid LNs in proximal tumours were at LN station 101R (45%) and 106recL (35%). For mid-thoracic tumours at 104R (30%) and 105 (30%). For tumours located in the distal oesophagus, the most common sites were along the lesser curvature of the stomach (21%) and the left gastric artery (21%). Except for the supraclavicular and pretracheal nodes, there were no positive locoregional LNM found outside the standard surgical resection area. Our results show a good correlation between the distribution of nodal volumes at risk in surgical series and on FDG-PET/CT. The results can be used to determine target definition in dCRT for oesophageal cancer. For mid-thoracic tumours, the current target delineation guidelines may be extended based on the risk of node involvement, but more clinical studies are needed to determine if the potential harm of expanding the CTV outweighs the potential benefit.

  5. Distribution of lymph node metastases on FDG-PET/CT in inoperable or unresectable oesophageal cancer patients and the impact on target volume definition in radiation therapy.

    Science.gov (United States)

    Machiels, Melanie; Wouterse, Sanne J; Geijsen, Elisabeth D; van Os, Rob M; Bennink, Roel J; van Laarhoven, Hanneke Wm; Hulshof, Maarten Ccm

    2016-08-01

    Definitive chemoradiotherapy (dCRT) is standard care for localised inoperable/unresectable oesophageal tumours. Many surgical series have reported on distribution of lymph node metastases (LNM) in resected patients. However, no data is available on the distribution of at-risk LN regions in this more unfavourable patient group. This study aimed to determine the spread of LNM using FDG-PET/CT, to compare it with the distribution in surgical series and to define its impact on the definition of elective LN irradiation (ENI). FDG-PET/CT images of patients with oesophageal cancer treated with dCRT (from 2003 to 2013) were reviewed to identify the anatomic distribution of FDG-avid LNs. Tumours were divided according to proximal, mid-thoracic or distal localisation. About 105 consecutive patients entered analysis. The highest numbers of FDG-avid LNs in proximal tumours were at LN station 101R (45%) and 106recL (35%). For mid-thoracic tumours at 104R (30%) and 105 (30%). For tumours located in the distal oesophagus, the most common sites were along the lesser curvature of the stomach (21%) and the left gastric artery (21%). Except for the supraclavicular and pretracheal nodes, there were no positive locoregional LNM found outside the standard surgical resection area. Our results show a good correlation between the distribution of nodal volumes at risk in surgical series and on FDG-PET/CT. The results can be used to determine target definition in dCRT for oesophageal cancer. For mid-thoracic tumours, the current target delineation guidelines may be extended based on the risk of node involvement, but more clinical studies are needed to determine if the potential harm of expanding the CTV outweighs the potential benefit. © 2016 The Royal Australian and New Zealand College of Radiologists.

  6. Technical data summary: Uranium(IV) production using a large scale electrochemical cell

    International Nuclear Information System (INIS)

    Hsu, T.C.

    1984-05-01

    This Technical Data Summary outlines an electrochemical process to produce U(IV), in the form of uranous nitrate, from U(VI), as uranyl nitrate. U(IV) with hydrazine could then be used as an alternative plutonium reductant to substantially reduce the waste volume from the Purex solvent extraction process. This TDS is divided into three parts. The first part (Chapters I to IV) generally describes the electrochemical production of U(IV). The second part (Chapters V to VII) describes a pilot scale U(IV) production facility that was constructed and operated at an engineering semiworks area of SRP, referred to as TNX. The lst part (Chapter VIII) describes a preliminary design for a full-scale facility that would meet the projected need for U(IV) as a reductant in SRP's separations processes. The preliminary design was described in a Basic Data Summary for the U(IV) production facility, and a Venture Guidance Appraisal (VGA) was prepared from the Basic Data Summary. The VGA for the U(IV) process showed that because of the large capital investment required, this approach to waste reduction was not economically competitive with another alternative that required only modifying the ongoing Purex process at no additional capital cost. However, implementing he U(IV) process as part of an overall canyon renovation, presently scheduled for the 1990's, may be economically attractive. The purpose of this TDS is therefore to bring together the information and experience obtained thus far in the U(IV) program so that a useful body of information will be available to support any future development of this process

  7. Zirconium (IV) complexes with some polymethylenediimines | Na ...

    African Journals Online (AJOL)

    The syntheses of zirconium (IV) complexes have been carried out by the reaction of oxozirconium (IV) chloride with the appropriate diimines (Schiff bases). The complexes were isolated as yellow solids which are stable to heat. The complexes were found to be insoluble in most solvents. The infrared spectra, elemental ...

  8. Astragaloside IV liposomes ameliorates adriamycin-induced ...

    African Journals Online (AJOL)

    Methods: The rats were given a single tail intravenous injection of adriamycin (6 mg/kg) within 1 week, and then divided into four groups including normal, model, benazepril and astragaloside IV liposomes group. They were all orally administered dosage of benazepril and astragaloside IV liposomes once daily for 8 weeks.

  9. Generation IV reactors: international projects

    International Nuclear Information System (INIS)

    Carre, F.; Fiorini, G.L.; Kupitz, J.; Depisch, F.; Hittner, D.

    2003-01-01

    Generation IV international forum (GIF) was initiated in 2000 by DOE (American department of energy) in order to promote nuclear energy in a long term view (2030). GIF has selected 6 concepts of reactors: 1) VHTR (very high temperature reactor system, 2) GHR (gas-cooled fast reactor system), 3) SFR (sodium-cooled fast reactor system, 4) SCWR (super-critical water-cooled reactor system), 5) LFR (lead-cooled fast reactor system), and 6) MFR (molten-salt reactor system). All these 6 reactor systems have been selected on criteria based on: - a better contribution to sustainable development (through their aptitude to produce hydrogen or other clean fuels, or to have a high energy conversion ratio...) - economic profitability, - safety and reliability, and - proliferation resistance. The 6 concepts of reactors are examined in the first article, the second article presents an overview of the results of the international project on innovative nuclear reactors and fuel cycles (INPRO) within IAEA. The project finished its first phase, called phase-IA. It has produced an outlook into the future role of nuclear energy and defined the need for innovation. The third article is dedicated to 2 international cooperations: MICANET and HTR-TN. The purpose of MICANET is to propose to the European Commission a research and development strategy in order to develop the assets of nuclear energy for the future. Future reactors are expected to be more multiple-purposes, more adaptable, safer than today, all these developments require funded and coordinated research programs. The aim of HTR-TN cooperation is to promote high temperature reactor systems, to develop them in a long term perspective and to define their limits in terms of burn-up and operating temperature. (A.C.)

  10. Ecological research on offshore wind energy development in the North and Baltic sea. Part: Environmental planning instruments: Environmental Impacts Assessment (EIA), Habitats Assessment and Strategic Environmetnal Assessment (SEA). Volumes 1-4 and final report; Oekologische Begleitforschung zur Windenergienutzung im Offshore-Bereich der Nord- und Ostsee. Teilbereich 'Instrumente des Umwelt- und Naturschutzes: Strategische Umweltpruefung, Umweltvertraeglichkeitspruefung und Flora-Fauna-Habitat-Vertraeglichkeitspruefung'. Band 1-4 und Schlussbericht

    Energy Technology Data Exchange (ETDEWEB)

    Koeppel, J.; Langenheld, A.; Peters, W.; Wende, W.; Sommer, S.; Finger, A.; Koeller, J.; Kraetzschmer, D.; Kerber, N.; Mahlburg, S.; Mueller, C.

    2003-07-01

    Within the licensing procedure of offshore wind farms several environmental planning instruments have to be taken into account to assess the probable effects of turbines on the marine environment. So far only little experiences were available on how to fulfil legal and methodical demands with regard to these environmental planning instruments offshore. Hence it was the principle task of this project to analyse how instruments like the environmental impacts assessment (EIA), the habitats assessment and the strategic environmental assessment (SEA) can be adapted to the special conditions of the marine environment and the legal requirements of the licensing procedure in the German EEZ according to the offshore installations ordinance. Since according to the offshore installations ordinance the construction and operation of offshore wind farms can only be refused for environmental reasons when the marine environment is endangered, the project first investigated for different aspects of the marine environment (e.g. marine mammals, birds, benthos, visual landscape) which kind of conflicts can possibly be caused by the construction and operation of turbines and of which legal significance they are with regard to the licensing procedure. Referring to those environmental impacts which have been considered as relevant for the licensing procedure the state of knowledge has been investigated by means of expert interviews and literature research. Practicable starting points for the impact assessment were suggested. With regard to the required environmental assessment within the licensing procedure one result of the project is a structured documentation of the standard of knowledge (volume I). Further on the project developed proposals for the application of the planning instruments EIA, habitats assessment and SEA offshore based on legal regulations. The result is a catalogue of requirements regarding the content and proceedings of the instruments implementation in connection

  11. Study of electrolytic reduction of uranium VI to uranium IV in nitrate systems

    Energy Technology Data Exchange (ETDEWEB)

    Araujo, B.F. de; Almeida, S.G. de; Forbicini, S; Matsuda, H T; Araujo, J.A. de [Instituto de Pesquisas Energeticas e Nucleares, Sao Paulo (Brazil). Centro de Engenharia Quimica

    1980-01-01

    Experimental parameters are optimized in order to obtain uranium (IV) nitrate solutions at maximum yield, using hydrazine as stabilizer. Uranium (VI) electrolytic reduction was chosen because: there is no increase in the volume of radioactive effluents; there are no secondary reactions; there is no need for further separations; all reagents used are not inflammable. The method is, therefore, efficient and of low cost.

  12. Thermodynamic data for predicting concentrations of Th(IV), U(IV), Np(IV), and Pu(IV) in geologic environments

    Energy Technology Data Exchange (ETDEWEB)

    Rai, Dhanpat; Roa, Linfeng; Weger, H.T.; Felmy, A.R. [Battelle, Pacific Northwest National Laboratory (PNNL) (United States); Choppin, G.R. [Florida State University (United States); Yui, Mikazu [Waste Isolation Research Division, Tokai Works, Japan Nuclear Cycle Development Inst., Tokai, Ibaraki (Japan)

    1999-01-01

    This report provides thermodynamic data for predicting concentrations of Th(IV), U(IV), Np(IV), and Pu(IV) in geologic environments, and contributes to an integration of the JNC chemical thermodynamic database, JNC-TDB (previously PNC-TDB), for the performance analysis of geological isolation system for high-level radioactive wastes. Thermodynamic data for the formation of complexes or compounds with hydroxide, chloride, fluoride, carbonate, nitrate, sulfate and phosphate are discussed in this report. Where data for specific actinide(IV) species was lacking, the data were selected based on chemical analogy to other tetravalent actinides. In this study, the Pitzer ion-interaction model is used to extrapolate thermodynamic constants to zero ionic strength at 25degC. (author)

  13. Materials for generation-IV nuclear reactors

    International Nuclear Information System (INIS)

    Alvarez, M. G.

    2009-01-01

    Materials science and materials development are key issues for the implementation of innovative reactor systems such as those defined in the framework of the Generation IV. Six systems have been selected for Generation IV consideration: gas-cooled fast reactor, lead-cooled fast reactor, molten salt-cooled reactor, sodium-cooled fast reactor, supercritical water-cooled reactor, and very high temperature reactor. The structural materials need to resist much higher temperatures, higher neutron doses and extremely corrosive environment, which are beyond the experience of the current nuclear power plants. For this reason, the first consideration in the development of Generation-IV concepts is selection and deployment of materials that operate successfully in the aggressive operating environments expected in the Gen-IV concepts. This paper summarizes the Gen-IV operating environments and describes the various candidate materials under consideration for use in different structural applications. (author)

  14. Department of Energy Programmatic Spent Nuclear Fuel Management and Idaho National Engineering Laboratory Environmental Restoration and Waste Management Programs draft environmental impact statement. Volume 1, Appendix B: Idaho National Engineering Laboratory Spent Nuclear Fuel Management Program

    Energy Technology Data Exchange (ETDEWEB)

    1994-06-01

    The US Department of Energy (DOE) has prepared this report to assist its management in making two decisions. The first decision, which is programmatic, is to determine the management program for DOE spent nuclear fuel. The second decision is on the future direction of environmental restoration, waste management, and spent nuclear fuel management activities at the Idaho National Engineering Laboratory. Volume 1 of the EIS, which supports the programmatic decision, considers the effects of spent nuclear fuel management on the quality of the human and natural environment for planning years 1995 through 2035. DOE has derived the information and analysis results in Volume 1 from several site-specific appendixes. Volume 2 of the EIS, which supports the INEL-specific decision, describes environmental impacts for various environmental restoration, waste management, and spent nuclear fuel management alternatives for planning years 1995 through 2005. This Appendix B to Volume 1 considers the impacts on the INEL environment of the implementation of various DOE-wide spent nuclear fuel management alternatives. The Naval Nuclear Propulsion Program, which is a joint Navy/DOE program, is responsible for spent naval nuclear fuel examination at the INEL. For this appendix, naval fuel that has been examined at the Naval Reactors Facility and turned over to DOE for storage is termed naval-type fuel. This appendix evaluates the management of DOE spent nuclear fuel including naval-type fuel.

  15. The impact of 3D volume of interest definition on accuracy and precision of activity estimation in quantitative SPECT and planar processing methods

    Science.gov (United States)

    He, Bin; Frey, Eric C.

    2010-06-01

    Accurate and precise estimation of organ activities is essential for treatment planning in targeted radionuclide therapy. We have previously evaluated the impact of processing methodology, statistical noise and variability in activity distribution and anatomy on the accuracy and precision of organ activity estimates obtained with quantitative SPECT (QSPECT) and planar (QPlanar) processing. Another important factor impacting the accuracy and precision of organ activity estimates is accuracy of and variability in the definition of organ regions of interest (ROI) or volumes of interest (VOI). The goal of this work was thus to systematically study the effects of VOI definition on the reliability of activity estimates. To this end, we performed Monte Carlo simulation studies using randomly perturbed and shifted VOIs to assess the impact on organ activity estimates. The 3D NCAT phantom was used with activities that modeled clinically observed 111In ibritumomab tiuxetan distributions. In order to study the errors resulting from misdefinitions due to manual segmentation errors, VOIs of the liver and left kidney were first manually defined. Each control point was then randomly perturbed to one of the nearest or next-nearest voxels in three ways: with no, inward or outward directional bias, resulting in random perturbation, erosion or dilation, respectively, of the VOIs. In order to study the errors resulting from the misregistration of VOIs, as would happen, e.g. in the case where the VOIs were defined using a misregistered anatomical image, the reconstructed SPECT images or projections were shifted by amounts ranging from -1 to 1 voxels in increments of with 0.1 voxels in both the transaxial and axial directions. The activity estimates from the shifted reconstructions or projections were compared to those from the originals, and average errors were computed for the QSPECT and QPlanar methods, respectively. For misregistration, errors in organ activity estimations were

  16. The impact of 3D volume of interest definition on accuracy and precision of activity estimation in quantitative SPECT and planar processing methods

    Energy Technology Data Exchange (ETDEWEB)

    He Bin [Division of Nuclear Medicine, Department of Radiology, New York Presbyterian Hospital-Weill Medical College of Cornell University, New York, NY 10021 (United States); Frey, Eric C, E-mail: bih2006@med.cornell.ed, E-mail: efrey1@jhmi.ed [Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins Medical Institutions, Baltimore, MD 21287-0859 (United States)

    2010-06-21

    Accurate and precise estimation of organ activities is essential for treatment planning in targeted radionuclide therapy. We have previously evaluated the impact of processing methodology, statistical noise and variability in activity distribution and anatomy on the accuracy and precision of organ activity estimates obtained with quantitative SPECT (QSPECT) and planar (QPlanar) processing. Another important factor impacting the accuracy and precision of organ activity estimates is accuracy of and variability in the definition of organ regions of interest (ROI) or volumes of interest (VOI). The goal of this work was thus to systematically study the effects of VOI definition on the reliability of activity estimates. To this end, we performed Monte Carlo simulation studies using randomly perturbed and shifted VOIs to assess the impact on organ activity estimates. The 3D NCAT phantom was used with activities that modeled clinically observed {sup 111}In ibritumomab tiuxetan distributions. In order to study the errors resulting from misdefinitions due to manual segmentation errors, VOIs of the liver and left kidney were first manually defined. Each control point was then randomly perturbed to one of the nearest or next-nearest voxels in three ways: with no, inward or outward directional bias, resulting in random perturbation, erosion or dilation, respectively, of the VOIs. In order to study the errors resulting from the misregistration of VOIs, as would happen, e.g. in the case where the VOIs were defined using a misregistered anatomical image, the reconstructed SPECT images or projections were shifted by amounts ranging from -1 to 1 voxels in increments of with 0.1 voxels in both the transaxial and axial directions. The activity estimates from the shifted reconstructions or projections were compared to those from the originals, and average errors were computed for the QSPECT and QPlanar methods, respectively. For misregistration, errors in organ activity estimations

  17. Policy-induced market introduction of Generation IV reactor systems

    International Nuclear Information System (INIS)

    Heek, Aliki Irina van; Roelofs, Ferry

    2011-01-01

    Almost 10 years ago the U.S. Department of Energy (DOE) started the Generation IV Initiative (GenIV) with 9 other national governments with a positive ground attitude towards nuclear energy. Some of these Generation IV systems, like the fast reactors, are nearing the demonstration stage. The question on how their market introduction will be implemented becomes increasingly urgent. One main topic for future reactor technologies is the treatment of radioactive waste products. Technological solutions to this issue are being developed. One possible process is the transformation of long-living radioactive nuclides into short living ones; a process known as transmutation, which can be done in a nuclear reactor only. Various Generation IV reactor concepts are suitable for this process, and of these systems most experience has been gained with the sodium-cooled fast reactor (SFR). However, both these first generation SFR plants and their Generation IV successors are designed as electricity generating plants, and therefore supposed to be commercially viable in the electricity markets. Various studies indicate that the generation costs of a combined LWR-(S)FR nuclear generating park (LWR: light water reactor) will be higher than that of an LWR-only park. To investigate the effects of the deployment of the different reactors and fuel cycles on the waste produced, resources used and costs incurred as a function of time, a dynamic fuel cycle assessment is performed. This study will focus on the waste impact of the introduction of a fraction of fast reactors in the European nuclear reactor park with a cost increase as described in the previous paragraph. The nuclear fuel cycle scenario code DANESS is used for this, as well as the nuclear park model of the EU-27 used for the previous study. (orig.)

  18. Reducing the volume, exposure and negative impacts of advertising for foods high in fat, sugar and salt to children: a systematic review of the evidence from statutory and self-regulatory actions and educational measures

    OpenAIRE

    Chambers, Stephanie; Freeman, Ruth; Anderson, Annie S.; MacGillivray, Steve

    2015-01-01

    Purpose:\\ud To identify and review evidence on 1) the effectiveness of statutory and self-regulatory actions to reduce the volume, exposure or wider impact of advertising for foods high in fat, sugar and salt (HFSS) to children, and 2) the role of educational measures.\\ud Design/methodology/approach:\\ud A systematic review of three databases (Medline, CINAHL and PsycINFO) and grey literature was carried out. Relevant evidence included studies evaluating advertising bans and restrictions, adve...

  19. Impacts

    NARCIS (Netherlands)

    Hellmuth, M.; Kabat, P.

    2003-01-01

    Even without the impacts of climate change, water managers face prodigious challenges in meeting sus