WorldWideScience

Sample records for volume reduction unit

  1. Lung protection: an intervention for tidal volume reduction in a teaching intensive care unit

    Science.gov (United States)

    Briva, Arturo; Gaiero, Cristina

    2016-01-01

    Objective To determine the effect of feedback and education regarding the use of predicted body weight to adjust tidal volume in a lung-protective mechanical ventilation strategy. Methods The study was performed from October 2014 to November 2015 (12 months) in a single university polyvalent intensive care unit. We developed a combined intervention (education and feedback), placing particular attention on the importance of adjusting tidal volumes to predicted body weight bedside. In parallel, predicted body weight was estimated from knee height and included in clinical charts. Results One hundred fifty-nine patients were included. Predicted body weight assessed by knee height instead of visual evaluation revealed that the delivered tidal volume was significantly higher than predicted. After the inclusion of predicted body weight, we observed a sustained reduction in delivered tidal volume from a mean (standard error) of 8.97 ± 0.32 to 7.49 ± 0.19mL/kg (p < 0.002). Furthermore, the protocol adherence was subsequently sustained for 12 months (delivered tidal volume 7.49 ± 0.54 versus 7.62 ± 0.20mL/kg; p = 0.103). Conclusion The lack of a reliable method to estimate the predicted body weight is a significant impairment for the application of a worldwide standard of care during mechanical ventilation. A combined intervention based on education and repeated feedbacks promoted sustained tidal volume education during the study period (12 months). PMID:27925055

  2. EPA RREL's mobile volume reduction unit advances soil washing at four Superfund sites

    International Nuclear Information System (INIS)

    Gaire, R.; Borst, M.

    1994-01-01

    Research testing of the US. Environmental Protection Agency (EPA) Risk Reduction Engineering Laboratory's (RREL) Volume Reduction Unit (VRU), produced data helping advance soil washing as a remedial technology for contaminated soils. Based on research at four Superfund sites, each with a different matrix of organic contaminants, EPA evaluated the soil technology and provided information to forecast realistic, full-scale remediation costs. Primarily a research tool, the VRU is RREL's mobile test unit for investigating the breadth of this technology. During a Superfund Innovative Technology Evaluation (SITE) Demonstration at Escambia Wood Treating Company Site, Pensacola, FL, the VRU treated soil contaminated with pentachlorophenol (PCP) and polynuclear aromatic hydrocarbon-laden creosote (PAH). At Montana Pole and Treatment Plant Site, Butte, MT, the VRU treated soil containing PCP mixed with diesel oil (measured as total petroleum hydrocarbons) and a trace of dioxin. At Dover Air Force Base Site, Dover, DE, the VRU treated soil containing JP-4 jet fuel, measured as TPHC. At Sand Creek Site, Commerce City, CO, the feed soil at this site was contaminated with two pesticides: heptachlor and dieldrin. Less than 10 percent of these pesticides remained in the treated coarse soil fractions

  3. BP volume reduction equipment

    International Nuclear Information System (INIS)

    Kitamura, Yoshinori; Muroo, Yoji; Hamanaka, Isao

    2003-01-01

    A new type of burnable poison (BP) volume reduction system is currently being developed. Many BP rods, a subcomponent of spent fuel assemblies are discharged from nuclear power reactors. This new system reduces the overall volume of BP rods. The main system consists of BP rod cutting equipment, equipment for the recovery of BP cut pieces, and special transport equipment for the cut rods. The equipment is all operated by hydraulic press cylinders in water to reduce operator exposure to radioactivity. (author)

  4. Lung volume reduction for emphysema.

    Science.gov (United States)

    Shah, Pallav L; Herth, Felix J; van Geffen, Wouter H; Deslee, Gaetan; Slebos, Dirk-Jan

    2017-02-01

    Advanced emphysema is a lung disease in which alveolar capillary units are destroyed and supporting tissue is lost. The combined effect of reduced gas exchange and changes in airway dynamics impairs expiratory airflow and leads to progressive air trapping. Pharmacological therapies have limited effects. Surgical resection of the most destroyed sections of the lung can improve pulmonary function and exercise capacity but its benefit is tempered by significant morbidity. This issue stimulated a search for novel approaches to lung volume reduction. Alternative minimally invasive approaches using bronchoscopic techniques including valves, coils, vapour thermal ablation, and sclerosant agents have been at the forefront of these developments. Insertion of endobronchial valves in selected patients could have benefits that are comparable with lung volume reduction surgery. Endobronchial coils might have a role in the treatment of patients with emphysema with severe hyperinflation and less parenchymal destruction. Use of vapour thermal energy or a sclerosant might allow focal treatment but the unpredictability of the inflammatory response limits their current use. In this Review, we aim to summarise clinical trial evidence on lung volume reduction and provide guidance on patient selection for available therapies. Copyright © 2017 Elsevier Ltd. All rights reserved.

  5. Design for volume reduction

    NARCIS (Netherlands)

    Wever, R.; Boks, C.; Stevels, A.

    2007-01-01

    Traditionally packaging design-for-sustainability (DfS) strongly focuses on resource conservation and material recycling. The type and amount of materials used has been the driver in design. For consumer electronics (CE) products this weight-based approach is too limited; a volume-based approach is

  6. Modeling the economics of LLW volume reduction

    International Nuclear Information System (INIS)

    Voth, M.H.; Witzig, W.F.

    1986-01-01

    Generators of low-level (radioactive) waste (LLW) are under pressure to implement volume reduction (VR) programs for political and economic reasons. Political reasons include the appearance of generating less waste or meeting quotas. Economic reasons include avoiding high disposal costs and associated surcharges. Volume reduction results in less total volume over which fixed disposal costs are allocated and therefore higher unit costs for disposal. As numerous small compacts are developed, this often overlooked effect becomes more pronounced. The described model presents two unique significant features. First, a feedback loop considers the impact of VR on disposal rates, and second, it appeals to logic without extensive knowledge of VR technology or computer modeling. The latter feature is especially useful in conveying information to students and nontechnical decision makers, demonstrating the impact of each of a complicated set of variables with reproducible results

  7. Modular radwaste volume reduction and solidification systems

    International Nuclear Information System (INIS)

    Miller, E.L.

    1986-01-01

    This paper describes both the modular transportable and the modular mobile liquid radwaste volume reduction and solidification units based on a General Electric Company developed and patented process called AZTECH (a trademark of GE). An AZTECH system removes all water by azeotropic distillation and encapsulates the remaining solids in a polyester compound. The resulting monolith is suitable for either long term above ground storage or shallow land burial. Pilot and demonstration plant testing has confirmed the design parameters. The three processing modules are covered together with data which resulted in Nuclear Regulatory Commission approval on Dec. 30, 1985

  8. Development of batch electrolytic enrichment cells with 100-fold volume reduction, control electronic units and neutralization/distillation unit, to enable better sensitivity to be achieved in low-level tritium measurements when liquid scintillation counting follows the enrichment process

    International Nuclear Information System (INIS)

    Taylor, C.B.

    1980-06-01

    Full details of the batch-cell tritium enrichment system design are provided including electronic control circuits specially developed for these cells. The system incorporates a new type of concentric electrode cell (outer cathode of mild steel, anode of stainless steel, inner cathode of mild steel) with volume reduction capability 1 l to ca 9 ml. Electrolysis of 20 cells is performed in 2 steps. Down to sample volume ca 20 ml, the cells are series connected at constant currents up to 14.5 A, in the 2nd step, each cell is connected to its own individual current supply (2A) and control circuit. Automatic shut-off at the desired final volume is achieved by sensing the drop in current through the inner cathode as the electrolyte level falls below a PTFE insulator. The large electrode surface area and careful dimensioning at the foot of the cell allow operation with low starting electrolyte concentration 1.5 g Na 2 O 2 .l -1 . After electrolysis, quantitative recovery as distilled water of all hydrogen from the enriched residue is achieved by CO 2 -neutralisation and vacuum distillation at 100 0 C in a distillation unit which handles 20 cells simultaneously

  9. Lung volume reduction for emphysema

    NARCIS (Netherlands)

    Shah, Pallav L.; Herth, Felix J.; van Geffen, Wouter H.; Deslee, Gaetan; Slebos, Dirk-Jan

    Advanced emphysema is a lung disease in which alveolar capillary units are destroyed and supporting tissue is lost. The combined effect of reduced gas exchange and changes in airway dynamics impairs expiratory airflow and leads to progressive air trapping. Pharmacological therapies have limited

  10. Volume reduction philosophy and techniques in use or planned

    Energy Technology Data Exchange (ETDEWEB)

    Row, T.H.

    1984-01-01

    Siting and development of nuclear waste disposal facilities is an expensive task. In the private sector, such developments face siting and licensing issues, public intervention, and technology challenges. The United States Department of Energy (DOE) faces similar challenges in the management of waste generated by the research and production facilities. Volume reduction can be used to lengthen the service life of existing facilities. A wide variety of volume reduction techniques are applied to different waste forms. Compressible waste is compacted into drums, cardboard and metal boxes, and the loaded drums are supercompacted into smaller units. Large metallic items are size-reduced and melted for recycle or sent to shallow land burial. Anaerobic digestion is a process that can reduce cellulosic and animal wastes by 80%. Incinerators of all types have been investigated for application to nuclear wastes and a number of installations operate or are constructing units for low-level and transuranic solid and liquid combustibles. Technology may help solve many of the problems in volume reduction, but the human element also has an important part in solving the puzzle. Aggressive educational campaigns at two sites have proved very successful in reducing waste generation. This overview of volume reduction is intended to transfer the current information from many DOE facilities. 44 references, 85 figures, 5 tables.

  11. Volume reduction philosophy and techniques in use or planned

    International Nuclear Information System (INIS)

    Row, T.H.

    1984-01-01

    Siting and development of nuclear waste disposal facilities is an expensive task. In the private sector, such developments face siting and licensing issues, public intervention, and technology challenges. The United States Department of Energy (DOE) faces similar challenges in the management of waste generated by the research and production facilities. Volume reduction can be used to lengthen the service life of existing facilities. A wide variety of volume reduction techniques are applied to different waste forms. Compressible waste is compacted into drums, cardboard and metal boxes, and the loaded drums are supercompacted into smaller units. Large metallic items are size-reduced and melted for recycle or sent to shallow land burial. Anaerobic digestion is a process that can reduce cellulosic and animal wastes by 80%. Incinerators of all types have been investigated for application to nuclear wastes and a number of installations operate or are constructing units for low-level and transuranic solid and liquid combustibles. Technology may help solve many of the problems in volume reduction, but the human element also has an important part in solving the puzzle. Aggressive educational campaigns at two sites have proved very successful in reducing waste generation. This overview of volume reduction is intended to transfer the current information from many DOE facilities. 44 references, 85 figures, 5 tables

  12. Radwaste volume reduction and solidification by General Electric

    International Nuclear Information System (INIS)

    Green, T.A.; Weech, M.E.; Miller, G.P.; Eberle, J.W.

    1982-01-01

    Since 1978 General Electric has been actively engaged in developing a volume reduction and solidifcation system or treatment of radwaste generated in commercial nuclear power plants. The studies have been aimed at defining an integrated system that would be directly responsive to the rapid evolving needs of the industry for the volume reduction and solidification of low-level radwaste. The resulting General Electric Volume Reduction System (GEVRS) is an integrated system based on two processes: the first uses azeotropic distillation technology and is called AZTECH, and the second is controlled-air incineration...called INCA. The AZTECH process serves to remove water from concentrated salt solutions, ion exchange resins and filter sludge slurries and then encapsulates the dried solids into a dense plastic product. The INCA unit serves to reduce combustible wastes to ashes suitable for encapsulation into the same plastic product produced by AZTECH

  13. Waste volume reduction by spray drying

    Energy Technology Data Exchange (ETDEWEB)

    Toscano, Rodrigo A.; Tello, Clédola C. O. de, E-mail: Rodrigotoscano1@gmail.com, E-mail: tellocc@cdtn.br [Centro de Desenvolvimento da Tecnologia Nuclear (CDTN/CNEN-MG), Belo Horizonte, MG (Brazil)

    2017-07-01

    The operation of nuclear facilities generates liquid wastes which require treatment to control the chemical compounds and removal of radioactive contaminants. These wastes can come from the cooling of the primary reactor system, from the reactor pool decontamination, washing of contaminated clothing, among others. The ion exchange resin constitutes the largest fraction of this waste, classified as low and intermediate level of radiation. According to CNEN Standard 8.01, the minimization of the volume and activity of the radioactive waste generated in the operation of a nuclear installation, radiative installation, industrial mining installation or radioactive waste deposit should be ensured. In addition, one of the acceptance criteria for wastes in repositories required by CNEN NN 6.09 is that it be solid or solidified. Thus, these wastes must be reduced in volume and solidified to meet the standards and the safety of the population and the environment. The objective of this work is to find a solution that associates the least generation of packaged waste and the acceptance criteria of waste for the deposition in the national repository. This work presents a proposal of reduction of the volume of the liquid wastes generated by nuclear facilities by drying by for reduction of volume for a greater incorporation of wastes in cement. Using spray dryer, an 18% reduction in the production of cemented waste products was observed in relation to the method currently used with compressive strength measurement above the standard, and it is believed that this value may increase in future tests. (author)

  14. Waste volume reduction by spray drying

    International Nuclear Information System (INIS)

    Toscano, Rodrigo A.; Tello, Clédola C. O. de

    2017-01-01

    The operation of nuclear facilities generates liquid wastes which require treatment to control the chemical compounds and removal of radioactive contaminants. These wastes can come from the cooling of the primary reactor system, from the reactor pool decontamination, washing of contaminated clothing, among others. The ion exchange resin constitutes the largest fraction of this waste, classified as low and intermediate level of radiation. According to CNEN Standard 8.01, the minimization of the volume and activity of the radioactive waste generated in the operation of a nuclear installation, radiative installation, industrial mining installation or radioactive waste deposit should be ensured. In addition, one of the acceptance criteria for wastes in repositories required by CNEN NN 6.09 is that it be solid or solidified. Thus, these wastes must be reduced in volume and solidified to meet the standards and the safety of the population and the environment. The objective of this work is to find a solution that associates the least generation of packaged waste and the acceptance criteria of waste for the deposition in the national repository. This work presents a proposal of reduction of the volume of the liquid wastes generated by nuclear facilities by drying by for reduction of volume for a greater incorporation of wastes in cement. Using spray dryer, an 18% reduction in the production of cemented waste products was observed in relation to the method currently used with compressive strength measurement above the standard, and it is believed that this value may increase in future tests. (author)

  15. Brain volume reductions in adolescent heavy drinkers.

    Science.gov (United States)

    Squeglia, Lindsay M; Rinker, Daniel A; Bartsch, Hauke; Castro, Norma; Chung, Yoonho; Dale, Anders M; Jernigan, Terry L; Tapert, Susan F

    2014-07-01

    Brain abnormalities in adolescent heavy drinkers may result from alcohol exposure, or stem from pre-existing neural features. This longitudinal morphometric study investigated 40 healthy adolescents, ages 12-17 at study entry, half of whom (n=20) initiated heavy drinking over the 3-year follow-up. Both assessments included high-resolution magnetic resonance imaging. FreeSurfer was used to segment brain volumes, which were measured longitudinally using the newly developed quantitative anatomic regional change analysis (QUARC) tool. At baseline, participants who later transitioned into heavy drinking showed smaller left cingulate, pars triangularis, and rostral anterior cingulate volume, and less right cerebellar white matter volumes (pteens. Over time, participants who initiated heavy drinking showed significantly greater volume reduction in the left ventral diencephalon, left inferior and middle temporal gyrus, and left caudate and brain stem, compared to substance-naïve youth (pbrain regions in future drinkers and greater brain volume reduction in subcortical and temporal regions after alcohol use was initiated. This is consistent with literature showing pre-existing cognitive deficits on tasks recruited by frontal regions, as well as post-drinking consequences on brain regions involved in language and spatial tasks. Published by Elsevier Ltd.

  16. The economics of radwaste volume reduction strategies

    International Nuclear Information System (INIS)

    Giuffre, M.; Ensminger, D.; Nalbandian, J.; Naughton, M.

    1984-01-01

    A recently concluded EPRI study has generated much of the information needed by utilities when they consider the purchase of volume reduction equipment. This paper presents some of the study's results on volume reduction economics. The paper contains two types of results. The first is a detailed look at the economics of fourteen equipment options at a hypothetical reactor station. Costs were calculated with VRTECH, a radwaste economics computer program developed by TASC. This analysis illustrates the major points of the project conclusions. Second, the effects of the major assumptions used in the hypothetical case are examined. This analysis shows that the radwaste generation rate and the burial cost escalation rate are primary considerations when evaluating the benefit of each option

  17. Contaminated metallic melt volume reduction testing

    International Nuclear Information System (INIS)

    Deichman, J.L.

    1981-01-01

    Laboratory scale metallic melts (stainless steel) were accomplished in support of Decontamination and Decommissioning's (D and D) contaminated equipment volume reduction and Low-Level Lead Site Waste programs. Six laboratory scale melts made with contaminated stainless steel provided data that radionuclide distribution can be predicted when proper temperature rates and ranges are employed, and that major decontamination occurs with the use of designed slagging materials. Stainless steel bars were contaminated with plutonium, cobalt, cesium and europium. This study was limited to stainless steel, however, further study is desirable to establish data for other metals and alloys. This study represents a positive beginning in defining the feasibility of economical volume reduction or conversion from TRU waste forms to LLW forms for a large portion of approximately 50 thousand tons of contaminated metal waste now being stored at Hanford underground or in deactivated facilities

  18. Radioactive wastes: the challenge of volumes reduction

    International Nuclear Information System (INIS)

    Lepetit, V.

    2005-01-01

    The reduction of radioactive waste volumes is a priority for the French atomic energy commission (CEA) and for the Areva group. This article gives a rapid overview of the equipments and processes used to separate the valorizable materials from the ultimate wastes: pulsed separation columns and evaporators for the liquid-liquid extraction, compactification of spent fuel hulls, remote handling systems, recoverable colloid for surface decontamination, decontaminating foam, hydrothermal oxidation of organic and aqueous effluents, cold crucible vitrification etc. (J.S.)

  19. Fluidized bed volume reduction of diverse radwastes

    International Nuclear Information System (INIS)

    McFee, J.N.; McConnell, J.W.; Waddoups, D.A.; Gray, M.F.; Harwood, L.E.; Clayton, N.J.; Drown, D.C.

    1981-01-01

    Method and apparatus for a fluidized bed radwaste volume reduction system are claimed. Low level radioactive wastes, combustible solids, ion exchange resins and filter sludges, and liquids, emanating from a reactor facility are introduced separately through an integrated waste influent system into a common fluidized bed vessel where volume reduction either through incineration or calcination occurs. Addition of a substance to the ion exchange resin before incineration inhibits the formation of low-melting point materials which tend to form clinkers in the bed. Solid particles are scrubbed or otherwise removed from the gaseous effluent of the vessel in an off-gas system, before the cooled and cleaned off-gas is released to the atmosphere. Iodine is chemically or physically removed from the off-gas. Otherwise, the only egress materials from the volume reduction system are containerized dry solids and tramp material. The bed material used during each mode may be circulated, cleaned, stored and exchanged from within the bed vessel by use of a bed material handling system. An instrumentation and control system provides operator information, monitors performance characteristics, implements start up and shut down procedures, and initiates alarms and emergency procedures during abnormal conditions

  20. Time varying, multivariate volume data reduction

    Energy Technology Data Exchange (ETDEWEB)

    Ahrens, James P [Los Alamos National Laboratory; Fout, Nathaniel [UC DAVIS; Ma, Kwan - Liu [UC DAVIS

    2010-01-01

    Large-scale supercomputing is revolutionizing the way science is conducted. A growing challenge, however, is understanding the massive quantities of data produced by large-scale simulations. The data, typically time-varying, multivariate, and volumetric, can occupy from hundreds of gigabytes to several terabytes of storage space. Transferring and processing volume data of such sizes is prohibitively expensive and resource intensive. Although it may not be possible to entirely alleviate these problems, data compression should be considered as part of a viable solution, especially when the primary means of data analysis is volume rendering. In this paper we present our study of multivariate compression, which exploits correlations among related variables, for volume rendering. Two configurations for multidimensional compression based on vector quantization are examined. We emphasize quality reconstruction and interactive rendering, which leads us to a solution using graphics hardware to perform on-the-fly decompression during rendering. In this paper we present a solution which addresses the need for data reduction in large supercomputing environments where data resulting from simulations occupies tremendous amounts of storage. Our solution employs a lossy encoding scheme to acrueve data reduction with several options in terms of rate-distortion behavior. We focus on encoding of multiple variables together, with optional compression in space and time. The compressed volumes can be rendered directly with commodity graphics cards at interactive frame rates and rendering quality similar to that of static volume renderers. Compression results using a multivariate time-varying data set indicate that encoding multiple variables results in acceptable performance in the case of spatial and temporal encoding as compared to independent compression of variables. The relative performance of spatial vs. temporal compression is data dependent, although temporal compression has the

  1. Lung volume reduction surgery in bronchopulmonary dysplasia.

    Science.gov (United States)

    Siaplaouras, J; Heckmann, M; Reiss, I; Schaible, T; Waag, K L; Gortner, L

    2003-06-01

    We report on a female preterm infant of 29 wk gestational age, who developed acquired lobar emphysema after prolonged artificial ventilation secondary to respiratory disease syndrome and bronchopulmonary dysplasia. The infant underwent atypical segmentectomy at the age of 12 mo because of life-threatening hypoxaemia with pulmonary hypertension and failure of conservative treatment. Lung volume reduction surgery (LVRS) dramatically improved the respiratory function and resulted in adequate weight gain and psychomotor development. In selected cases LVRS can be an option for lobar emphysema in premature infants with severe bronchopulmonary dysplasia.

  2. Volume reduction of contaminated filter wastes

    International Nuclear Information System (INIS)

    Buttedahl, O.I.; Terada, K.

    1976-01-01

    Reported are details of a pilot project to design and construct a compactor to reduce the handling of high efficiency particulate air (HEPA) filters used in air filtration systems at facilities where radioactive materials are processed. In such systems at Rocky Flats Plant, filters require frequent change and removal. Large quantities are used and will be increased for future operations. With the completion of the pilot model, it has been demonstrated that volume reductions of more than 80% can be achieved and cost savings will be realized also

  3. Waste volume reduction by acid digestion

    International Nuclear Information System (INIS)

    Lerch, R.E.; Divine, J.R.

    1975-06-01

    Acid digestion is a process being developed at the Hanford Engineering Development Laboratory (HEDL) in Richland, Washington, to reduce the volume of alpha-contaminated combustible waste by converting it into a non-combustible residue. Typical waste materials such as polyvinylchloride (PVC), polyethylene, paper and other cellulosic materials, ion exchange resin, all types of rubber, etc., are digested in hot (230 0 C--270 0 C) concentrated sulfuric acid containing nitric acid oxidant to form inert residues generally having less than four percent of their original volume and less than twenty-five percent of their original mass. The process is currently being tested using non-radioactive waste in an Acid Digestion Test Unit (ADTU) with all glass equipment. Engineering tests to date have shown acid digestion to be a potentially attractive method for treating combustible waste materials. Based on results of the engineering tests, an acid digestion pilot unit capable of treating radioactive wastes is being designed and constructed. Design capacity of the pilot unit for radioactive waste will be 100 kg of waste per day. (U.S.)

  4. Lung volume reduction in chronic obstructive pulmonary disease ...

    African Journals Online (AJOL)

    Lung volume reduction in chronic obstructive pulmonary disease. ... loss to improve pulmonary mechanics and compliance, thereby reducing the work of breathing. ... of obtaining similar functional advantages to surgical lung volume reduction, ...

  5. The Seabrook Conversion ''the volume reduction decision''

    International Nuclear Information System (INIS)

    Peters, R.W.; Kwasnik, J.; Strum, M.S.

    1984-01-01

    Radioactive Waste Management at commercial power facilities has come under extreme pressure to develop new process systems for the treatment of liquid and resin waste streams. This pressure arose from the elimination of all but three of the commercial radioactive waste burial sites, the increasing cost of transport and burial of the wastes and the elimination of urea-formaldehyde as an acceptable solidification agent. Nuclear plants (operating and under construction) have been forced to reassess their policies and programs regarding waste management. Seabrook Station under construction in Seabrook, New Hampshire, is no exception. Re-evaluation of the radwaste system at Seabrook and the subsequent choice of a new generation system took over three years to make. This paper presents a brief history of this effort and describes the system ultimately chosen as a replacement for the original urea-formaldehyde system. This integrated system features an asphalt extruder-evaporator, a forced circulation crystallizer-evaporator and a resin centrifuge to effect maximum volume reduction of both liquid and spent resin wastes. The full system also includes a supporting drum handling system to move drums throughout process and storage areas and a box compactor for DAW volume reduction. A single vendor was selected as prime contractor to supply this integrated radwaste plant. By choosing a single vendor as prime contractor, PSNH gained the added benefits of having a single contract to manage, uniformity in parts such as instrumentation and controls, and obtained an integrated system warranty

  6. Long-term, low-level radwaste volume-reduction strategies. Volume 4. Waste disposal costs. Final report

    International Nuclear Information System (INIS)

    Sutherland, A.A.; Adam, J.A.; Rogers, V.C.; Merrell, G.B.

    1984-11-01

    Volume 4 establishes pricing levels at new shallow land burial grounds. The following conclusions can be drawn from the analyses described in the preceding chapters: Application of volume reduction techniques by utilities can have a significant impact on the volumes of wastes going to low-level radioactive waste disposal sites. Using the relative waste stream volumes in NRC81 and the maximum volume reduction ratios provided by Burns and Roe, Inc., it was calculated that if all utilities use maximum volume reduction the rate of waste receipt at disposal sites will be reduced by 40 percent. When a disposal site receives a lower volume of waste its total cost of operation does not decrease by the same proportion. Therefore the average cost for a unit volume of waste received goes up. Whether the disposal site operator knows in advance that he will receive a smaller amount of waste has little influence on the average unit cost ($/ft) of the waste disposed. For the pricing algorithm postulated, the average disposal cost to utilities that volume reduce is relatively independent of whether all utilities practice volume reduction or only a few volume reduce. The general effect of volume reduction by utilities is to reduce their average disposal site costs by a factor of between 1.5 to 2.5. This factor is generally independent of the size of the disposal site. The largest absolute savings in disposal site costs when utilities volume reduce occurs when small disposal sites are involved. This results from the fact that unit costs are higher at small sites. Including in the pricing algorithm a factor that penalizes waste generators who contribute larger amounts of the mobile nuclides 3 H, 14 C, 99 Tc, and 129 I, which may be the subject of site inventory limits, lowers unit disposal costs for utility wastes that contain only small amounts of the nuclides and raises unit costs for other utility wastes

  7. Solid waste treatment volume reduction by compaction or incineration

    International Nuclear Information System (INIS)

    Vigreux, B.; Carpentier, S.

    1985-01-01

    A short presentation is made of various techniques available for volume reduction by compaction of solid waste produced during nuclear plant operation. A long industrial experience has been accumulated in France on such compactors. Incineration is the most performing method of volume reduction for combustible waste. The CEA Group and SGN have developed a very reliable, simple and safe incinerator which operates with excess air and at high temperature. Sorting and feeding of the waste, ash discharge and transportation to the conditioning unit, gas treatment, are included in the system. The adding of a programmable controller makes it fully automated. The system is described with some detail and recent performance measurements are given [fr

  8. Solid waste treatment volume reduction by compaction or incineration

    International Nuclear Information System (INIS)

    Vigreux, B.; Carpentier, S.

    1986-01-01

    A short presentation is made of various techniques available for volume reduction by compaction of solid waste produced during nuclear plant operation. A long industrial experience has been accumulated in France on such compactors. Incineration is the most performing method of volume reduction for combustible waste. The CEA Group and SGN have developed a very reliable, simple and safe incinerator which operates with excess air and at high temperature. Sorting and feeding of the waste, ash discharge and transportation to the conditioning unit, gas treatment, are included in the system. The adding of a programmable controller makes it fully automated. The system is described with some detail and recent performance measurements are given [fr

  9. Lung volume reduction surgery for diffuse emphysema.

    Science.gov (United States)

    van Agteren, Joseph Em; Carson, Kristin V; Tiong, Leong Ung; Smith, Brian J

    2016-10-14

    Lung volume reduction surgery (LVRS) performed to treat patients with severe diffuse emphysema was reintroduced in the nineties. Lung volume reduction surgery aims to resect damaged emphysematous lung tissue, thereby increasing elastic properties of the lung. This treatment is hypothesised to improve long-term daily functioning and quality of life, although it may be costly and may be associated with risks of morbidity and mortality. Ten years have passed since the last version of this review was prepared, prompting us to perform an update. The objective of this review was to gather all available evidence from randomised controlled trials comparing the effectiveness of lung volume reduction surgery (LVRS) versus non-surgical standard therapy in improving health outcomes for patients with severe diffuse emphysema. Secondary objectives included determining which subgroup of patients benefit from LVRS and for which patients LVRS is contraindicated, to establish the postoperative complications of LVRS and its morbidity and mortality, to determine which surgical approaches for LVRS are most effective and to calculate the cost-effectiveness of LVRS. We identified RCTs by using the Cochrane Airways Group Chronic Obstructive Pulmonary Disease (COPD) register, in addition to the online clinical trials registers. Searches are current to April 2016. We included RCTs that studied the safety and efficacy of LVRS in participants with diffuse emphysema. We excluded studies that investigated giant or bullous emphysema. Two independent review authors assessed trials for inclusion and extracted data. When possible, we combined data from more than one study in a meta-analysis using RevMan 5 software. We identified two new studies (89 participants) in this updated review. A total of 11 studies (1760 participants) met the entry criteria of the review, one of which accounted for 68% of recruited participants. The quality of evidence ranged from low to moderate owing to an unclear risk

  10. Update on Nonsurgical Lung Volume Reduction Procedures

    Directory of Open Access Journals (Sweden)

    J. Alberto Neder

    2016-01-01

    Full Text Available There has been a surge of interest in endoscopic lung volume reduction (ELVR strategies for advanced COPD. Valve implants, coil implants, biological LVR (BioLVR, bronchial thermal vapour ablation, and airway stents are used to induce lung deflation with the ultimate goal of improving respiratory mechanics and chronic dyspnea. Patients presenting with severe air trapping (e.g., inspiratory capacity/total lung capacity (TLC 225% predicted and thoracic hyperinflation (TLC > 150% predicted have the greatest potential to derive benefit from ELVR procedures. Pre-LVRS or ELVR assessment should ideally include cardiological evaluation, high resolution CT scan, ventilation and perfusion scintigraphy, full pulmonary function tests, and cardiopulmonary exercise testing. ELVR procedures are currently available in selected Canadian research centers as part of ethically approved clinical trials. If a decision is made to offer an ELVR procedure, one-way valves are the first option in the presence of complete lobar exclusion and no significant collateral ventilation. When the fissure is not complete, when collateral ventilation is evident in heterogeneous emphysema or when emphysema is homogeneous, coil implants or BioLVR (in that order are the next logical alternatives.

  11. Emphysema. Imaging for endoscopic lung volume reduction

    International Nuclear Information System (INIS)

    Storbeck, B.; Oldigs, M.; Rabe, K.F.; Weber, C.; University Medical Center Hamburg-Eppendorf

    2015-01-01

    Chronic obstructive pulmonary disease (COPD) is characterized by two entities, the more airway-predominant type (''bronchitis'') on the one hand, and emphysema-predominant type on the other. Imaging via high-resolution computed tomography plays an important role in phenotyping COPD. For patients with advanced lung emphysema, new endoscopic lung volume reduction therapies (ELVR) have been developed. Proper selection of suitable patients requires thin-section reconstruction of volumetric CT image data sets also in coronal and sagittal orientation are required. In the current manuscript we will describe emphysema subtypes (centrilobular, paraseptal, panlobular), options for quantifying emphysema and this importance of regional distribution (homogeneous or heterogeneous, target area) as this is crucial for patient selection. Analysis of the interlobular fissures is obligatory despite the lack of standardization, as incomplete fissures indicate collateral ventilation (CV) via parenchymal bridges, which is an important criterion in choosing endoscopic methods of LVR. Every radiologist should be familiar with modern LVR therapies such as valves and coils, and furthermore should know what a lung doctor expects from radiologic evaluation (before and after ELVR). Finally we present a checklist as a quick reference for all steps concerning imaging for ELVR.

  12. Lung volume reduction surgery for emphysema.

    Science.gov (United States)

    Flaherty, K R; Martinez, F J

    2000-12-01

    Over the past decades, extensive literature has been published regarding surgical therapies for advanced COPD. Lung-volume reduction surgery would be an option for a significantly larger number of patients than classic bullectomy or lung transplantation. Unfortunately, the initial enthusiasm has been tempered by major questions regarding the optimal surgical approach, safety, firm selection criteria, and confirmation of long-term benefits. In fact, the long-term follow-up reported in patients undergoing classical bullectomy should serve to caution against unbridled enthusiasm for the indiscriminate application of LVRS. Those with the worst long-term outcome despite favourable short-term improvements after bullectomy have consistently been those with the lowest pulmonary function and significant emphysema in the remaining lung who appear remarkably similar to those being evaluated for LVRS. With this in mind, the National Heart, Lung and Blood Institute partnered with the Health Care Finance Administration to establish a multicenter, prospective, randomized study of intensive medical management, including pulmonary rehabilitation versus the same plus bilateral (by MS or VATS), known as the National Emphysema Treatment Trial. The primary objectives are to determine whether LVRS improves survival and exercise capacity. The secondary objectives will examine effects on pulmonary function and HRQL, compare surgical techniques, examine selection criteria for optimal response, identify criteria to determine those who are at prohibitive surgical risk, and examine long-term cost effectiveness. It is hoped that data collected from this novel, multicenter collaboration will place the role of LVRS in a clearer perspective for the physician caring for patients with advanced emphysema.

  13. Pseudo tumors of the lung after lung volume reduction surgery.

    Science.gov (United States)

    Oey, Inger F; Jeyapalan, Kanagaratnam; Entwisle, James J; Waller, David A

    2004-03-01

    We describe 2 patients who underwent lung volume reduction surgery, who postoperatively had computed tomographic scans that showed symptomatic mass lesions suggestive of malignancy and an inhaled foreign body. Investigations excluded these conditions with the remaining likely diagnosis of pseudotumor secondary to buttressing material. These potential sequelae of lung volume reduction surgery should be recognized in follow-up investigations.

  14. October 2015 Phoenix pulmonary journal club: lung volume reduction

    Directory of Open Access Journals (Sweden)

    Mathew M

    2015-11-01

    Full Text Available No abstract available. Article truncated at 150 words. The October 2015 pulmonary journal club focused on the review of older studies evaluating lung volume reduction surgery and how this has transitioned toward the development of non-surgical modes of lung volume reduction. The physiology behind dyspnea in chronic obstructive pulmonary disease (COPD is a complex process. One of the proposed mechanisms has been hyperinflation associated with air trapping. In the mid 1990s studies by Cooper and Peterson (1 offered a promising approach in which lung volume reduction (LVR could improve ventilatory mechanics and improve dyspnea. As the procedure gained more popularity, additional larger scale trials were performed to support its validity. We reviewed 2 studies looking at lung volume reduction. The first was "The Effect of Lung Volume Reduction Surgery In Patients With Severe Emphysema” (2 . This was a smaller, randomized controlled trial (RCT that looked at 2 groups of 24 patients. Once group received LVR while the ...

  15. Lung volume reduction in chronic obstructive pulmonary disease

    African Journals Online (AJOL)

    compliance, thereby reducing the work of breathing. ... with the objective of obtaining similar functional advantages to surgical lung volume reduction, .... Any type of antiplatelet or anticoagulant therapy that cannot be discontinued for 7 days.

  16. Disc volume reduction with percutaneous nucleoplasty in an animal model.

    Directory of Open Access Journals (Sweden)

    Richard Kasch

    Full Text Available STUDY DESIGN: We assessed volume following nucleoplasty disc decompression in lower lumbar spines from cadaveric pigs using 7.1Tesla magnetic resonance imaging (MRI. PURPOSE: To investigate coblation-induced volume reductions as a possible mechanism underlying nucleoplasty. METHODS: We assessed volume following nucleoplastic disc decompression in pig spines using 7.1-Tesla MRI. Volumetry was performed in lumbar discs of 21 postmortem pigs. A preoperative image data set was obtained, volume was determined, and either disc decompression or placebo therapy was performed in a randomized manner. Group 1 (nucleoplasty group was treated according to the usual nucleoplasty protocol with coblation current applied to 6 channels for 10 seconds each in an application field of 360°; in group 2 (placebo group the same procedure was performed but without coblation current. After the procedure, a second data set was generated and volumes calculated and matched with the preoperative measurements in a blinded manner. To analyze the effectiveness of nucleoplasty, volumes between treatment and placebo groups were compared. RESULTS: The average preoperative nucleus volume was 0.994 ml (SD: 0.298 ml. In the nucleoplasty group (n = 21 volume was reduced by an average of 0.087 ml (SD: 0.110 ml or 7.14%. In the placebo group (n = 21 volume was increased by an average of 0.075 ml (SD: 0.075 ml or 8.94%. The average nucleoplasty-induced volume reduction was 0.162 ml (SD: 0.124 ml or 16.08%. Volume reduction in lumbar discs was significant in favor of the nucleoplasty group (p<0.0001. CONCLUSIONS: Our study demonstrates that nucleoplasty has a volume-reducing effect on the lumbar nucleus pulposus in an animal model. Furthermore, we show the volume reduction to be a coblation effect of nucleoplasty in porcine discs.

  17. Current status and future potential for advanced volume reduction technologies

    International Nuclear Information System (INIS)

    Rutland, L.; Naughton, M.D.; Papaiya, N.C.

    1984-01-01

    With escalating costs for disposal of low-level radioactive waste (LLW) from nuclear power plants, and the possibility of unavailability of disposal space, some nuclear power utilities responded by commiting to implementing advanced volume reduction (VR) systems. This paper presents recent experience to implement advanced volume reduction technologies; their performance and typical operating and capital costs. This experience in the light of current economic conditions may enable us to predict the direction that future advanced VR technology commitments is taking

  18. Volume reduction techniques for solid radioactive wastes

    International Nuclear Information System (INIS)

    Clarke, J.H.

    1980-01-01

    This report gives an account of some of the techniques in current use in the UK for the treatment of solid radioactive wastes to reduce their volume prior to storage or disposal. Reference is also made to current research and development projects. It is based on a report presented at a recent International Atomic Energy Agency Technical Committee when this subject was the main theme. An IAEA Technical Series report covering techniques in use in all parts of the world should be published within the next two years. (author)

  19. Economic evaluation of volume reduction for Defense transuranic waste

    International Nuclear Information System (INIS)

    Brown, C.M.

    1982-03-01

    The economics of volume reduction of retrievably stored and newly generated DOE transuranic wastes are evaluated by comparing the costs of reduction of the wastes with the savings possible in transportation and disposal. A general approach to the comparison of TRU waste volume reduction costs and cost savings is developed, an initial set of cost data is established, conclusions to support selecting technologies and facilities for the disposal of DOE transuranic waste are developed. Section I outlines the analysis which considers seven types of volume reduction from incineration and compaction of combustibles to compaction, size reduction, shredding, melting, and decontamination of metals. The study considers the volume reduction of contact-handled, newly generated and retrievably stored DOE transuranic wastes. Section II of this report describes the analytical approach, assumptions, and flow of waste material through sites. Section III presents the waste inventories, disposal and transportation savings, and volume reduction techniques and costs. Section IV contains the results and conclusions of the study. The major conclusions drawn from the study are: For DOE sites with a small amount of waste requiring disposal ( 3 /year) the cost of volume reduction is greater than the transportation and disposal savings from volume reduction provided the waste requires little additional preparation to meet transportation and disposal criteria. Wastes that do not meet these criteria require site specific economic analysis outside the general evaluations of this study. For Idaho National Engineering Laboratory, incineration and metal shredding are cost-effective, provided a facility is to be constructed as a consequence of repackaging the fraction of stored waste which may require repackaging and immobilizing chemical process waste to meet disposal criteria

  20. Liquide waste volume reduction by in-drum drying system

    International Nuclear Information System (INIS)

    Volaric, B.; Zorko, M.

    1998-01-01

    The disposal of radioactive waste is becoming increasingly difficult because of the lack of available volume on site, the rising disposal costs and the lack of ultimate disposal sites. Optimized treatment and volume reduction of concentrates and spent resins prior to interim storage, final disposal, and solidification processes are major step to counteract the situation.(author)

  1. Study on the High Volume Reduction of Radioactive Wastes

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Ki Hong; Sik, Kang Il; Seok, Hong Dae [Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of); Ho, Jeon Gil [RADIN Co. Ltd., Daejeon (Korea, Republic of)

    2013-10-15

    The solidification of radioactive wastes by the mixing method always increases their volume due to the limitation of incorporation ratio (waste/solidification agent). But if the powdered wastes can be compacted as the high density pellets and also the pellets can be filled up in a waste drum as much as possible while solidifying them with a very sticky solidification agent including a void formed in the filling step of pellets, it might be more desirable to reduce the waste volume as compared with the mixing method. So in this study, we designed and manufactured a high volume reduction machine which has the special size and shape of a pellet pocket, which the pellets can be extracted from easily and filled up in a large amount in drum, a pressurizing device to press 2 rolls, and the uniform feeding device of powder to the roll tyre. Some operational parameters which affect the formation of pellets from a powder were investigated, and then the volume reduction of a powder was evaluated. The briquetting machine, popular in general industry, was modified to apply for the volume reduction of the powered radioactive wastes (dried concentrate, sludge, spent ion-exchange resin, ash, depleted uranium powder, and etc.). In this developed high volume reduction machine, the capacity was 25 ∼ 62.5 kg/h at the optimum conditions, and the estimated volume reduction was about 2.95 (2.74/0.93) on the basis of between a powder (bulk density = 0.93 g/cm{sup 3}) and the pellet (2.74 g/cm{sup 3}). But on the basis of 200L drum, the calculated volume reduction was about 1.34 in consideration of a void volume originated in the filling step of the pellets.

  2. Volume reduction equipment for low-level radwastes

    International Nuclear Information System (INIS)

    Hofmann, J.; Schlich, E.

    1982-01-01

    Volume reduction of low-level radwaste has been used for years in Germany to reduce the on-site storage capacity which is required until an ultimate disposal site is available. The incineration of trash is a well established cost effective method for dry active waste volume reduction and now liquid radwaste treatment is gaining the operational experience which establishes it as a routine procedure. Resin pyrolysis is a promising new development which when successfully implemented will augment the other systems by safely volume reducing a radwaste which is of increasing concern

  3. Volume reduction, a safer and cheaper way of radwaste management

    International Nuclear Information System (INIS)

    Mergan, L.M.; Cordier, J.P.; Storrer, J.A.

    1979-01-01

    Development of 'Volume Reduction' has demonstrated that it is a safer and cheaper radwaste management method. Safer, because of several advantages: decrease of solidified product volume, satisfactory product properties, absence of free water, better control of process parameters, increased encapsulation efficiency ... The corresponding impact on the waste management costs, results in important savings on different factors, as well as regards the operational costs as the investment expenses. Economy in the range of BF 35.000 per m 3 of incoming waste is achievable. The main volume reduction techniques readily available are briefly reviewed

  4. Trial operation of the advanced volume reduction facilities for LLW at JAEA

    International Nuclear Information System (INIS)

    Nakashio, Nobuyuki; Higuchi, Hidekazu; Momma, Toshiyuki; Kozawa, Kazushige; Touhei, Toshio; Sudou, Tomoyuki; Mitsuda, Motoyuki; Kurosawa, Shigenobu; Hemmi, Kou; Ishikawa, Joji; Kato, Mitsugu; Sato, Motoaki

    2007-01-01

    The Japan Atomic Energy Agency (JAEA) constructed the Advanced Volume Reduction Facilities (AVRF), in which volume reduction techniques are applied and achieved high volume reduction ratio, homogenization and stabilization by means of melting or super compaction processes for low level radioactive solid wastes. It will be able to produce waste packages for final disposal and to reduce the volume of stored wastes by operating the AVRF. The AVRF consist of the Waste Size Reduction and Storage Facilities (WSRSF) and the Waste Volume Reduction Facilities (WVRF); the former has cutting installations for large size wastes and the latter has melting units and a super compactor. Cutting installations in the WSRSF have been operating since July 1999. Radioactive wastes treated so far amount to 750 m 3 and the volume reduction ratio is from 1.7 to 3.7. The WVRF has been operating with non-radioactive wastes since February 2003 for the training and the homogeneity investigation in the melting processes. The operation of the pretreatment system in the WVRF with radioactive wastes has partly started in FY2005. (author)

  5. Aerojet Energy Conversion Company mobile volume reduction system

    International Nuclear Information System (INIS)

    Smith, K.R.

    1984-01-01

    Over the past few years, rapidly increasing costs for the disposal of low level radioactive waste (LLW) have generated the need for utilities to volume-reduce their LLW prior to shipment and burial. Incineration systems have been selected by several utilities to fulfill this need for maximum volume reduction. Until recently, all of the incineration systems selected by utilities were designed to be housed and operated in a facility erected by the utility. Now, however, lack of capital and rising design/erection costs are causing utilities to reevaluate their plans for purchasing incineration systems to process their LLW. The result is a growing demand for incineration services. Once again, Commonwealth Edison Company (Com-Ed) is leading the industry with an ongoing program to utilize incineration services provided by Aerojet Energy Conversion Company (AECC) for the Dresden Quad Cities, LaSalle, and Zion Nuclear Stations. At the stations, combustible dry active waste and contaminated oil will be processed in a Mobile Volume Reduction System (MVRS) designed and fabricated by AECC. The MVRS is a totally self-contained system consisting of a controlled-air incinerator and a liquid offgas cleanup system. No buildings are required to house the system, and the MVRS achieves volume reduction factors similar to systems currently available for permanent in-plant installation. The result is an option for the utility having the benefits of volume reduction without the capital commitment normally required by the utility

  6. Melting metal waste for volume reduction and decontamination

    International Nuclear Information System (INIS)

    Copeland, G.L.; Heshmatpour, B.; Heestand, R.L.

    1980-01-01

    Melt-slagging was investigated as a technique for volume reduction and decontamination of radioactively contaminated scrap metals. Experiments were conducted using several metals and slags in which the partitioning of the contaminant U or Pu to the slag was measured. Concentrations of U or Pu in the metal product of about 1 ppM were achieved for many metals. A volume reduction of 30:1 was achieved for a typical batch of mixed metal scrap. Additionally, the production of granular products was demonstrated with metal shot and crushed slag

  7. Induction melting for volume reduction of metallic TRU wastes

    International Nuclear Information System (INIS)

    Westsik, J.H. Jr.; Montgomery, D.R.; Katayama, Y.B.; Ross, W.A.

    1986-01-01

    Volume reduction of metallic transuranic wastes offers economic and safety incentives for treatment of wastes generated at a hypothetical commercial fuel reprocessing facility. Induction melting has been identified as the preferred process for volume reduction of spent fuel hulls, fuel assembly hardware, and failed equipment from a reprocessing plant. Bench-scale melting of Zircaloy and stainless steel mixtures has been successfully conducted in a graphite crucible inside a large vacuum chamber. A low-melting-temperature alloy forms that has demonstrated excellent leach resistance. The alloy can be used to encapsulate other metallic wastes that cannot be melted using the existing equipment design

  8. Induction melting for volume reduction of metallic TRU wastes

    International Nuclear Information System (INIS)

    Westsik, J.H. Jr.; Montgomery, D.R.; Katayama, Y.B.; Ross, W.A.

    1986-02-01

    Volume reduction of metallic transuranic wastes offers economic and safety incentives for treatment of wastes generated at a hypothetical commercial fuel reprocessing facility. Induction melting has been identified as the preferred process for volume reduction of spent fuel hulls, fuel assembly hardware, and failed equipment from a reprocessing plant. Bench-scale melting of Zircaloy and stainless steel mixtures has been successfully conducted in a graphite crucible inside a large vacuum chamber. A low-melting-temperature alloy forms that has demonstrated excellent leach resistance. The alloy can be used to encapsulate other metallic wastes that cannot be melted using the existing equipment design. 18 refs., 4 figs., 3 tabs

  9. System of the advanced volume reduction facilities for LLW at JAERI

    International Nuclear Information System (INIS)

    Higuchi, Hidekazu; Monma, Toshiyuki; Nakashio, Nobuyuki; Kozawa, Kazushige; Touhei, Toshio; Sudou, Tomoyuki; Mitsuda, Motoyuki; Kurosawa, Shigenobu; Henmi, Kou; Ishikawa, Joji; Kato, Mitsugu; Sato, Motoaki

    2005-01-01

    The Japan Atomic Energy Research Institute (JAERI) constructed the Advanced Volume Reduction Facilities (AVRF), in which volume reduction techniques are applied and achieved high volume reduction ratio, homogenization and stabilization by means of melting or super compaction processes for low level solid wastes. It will be able to produce waste packages for final disposal and to reduce the amount of the wastes by operating the AVRF. The AVRF consist of the Waste Size Reduction and Storage Facilities (WSRSF) and the Waste Volume Reduction Facilities (WVRF); the former have cutting installations for large size wastes and the latter have melting units and a super compactor. Cutting installations in the WSRSF have been operating since June 1999. Radioactive wastes treated so far amount to 600 m 3 and the volume reduction ratio is from 1/2 to 1/3. The WVRF have been operating with non-radioactive wastes since February 2003 for the training and the homogeneity investigation in the melting processes. The operation with radioactive wastes will start in FY2005. (author)

  10. Endoscopic Lung Volume Reduction : An Expert Panel Recommendation - Update 2017

    NARCIS (Netherlands)

    Herth, Felix J. F.; Slebos, Dirk-Jan; Criner, Gerard J.; Shah, Pallav L.

    2017-01-01

    Interest in endoscopic lung volume reduction (ELVR) technologies for emphysema is consistently growing. In the last couple of months, several endoscopic options (e.g., endo-or intrabronchial valves, coil implants, and thermal vapor ablation) that have been evaluated in randomized controlled trials

  11. Minimally invasive non-surgical lung volume reduction

    International Nuclear Information System (INIS)

    Shen Liming; Zhou Dayong; Shen Junkang

    2006-01-01

    Minimally invasive treatment with lung volume reduction is the promising future for severe pulmonary emphysema patients. With emerging and improving of new techniques and instruments, it would become an important choice for managing severe emphysema. A comprehensive review is here documented through the correlative techniques, instruments, new achievements and latest research work. (authors)

  12. Time for the Global Rollout of Endoscopic Lung Volume Reduction

    NARCIS (Netherlands)

    Koegelenberg, Coenraad F. N.; Slebos, Dirk-Jan; Shah, Pallav L.; Theron, Johan; Dheda, Keertan; Allwood, Brian W.; Herth, Felix J. F.

    2015-01-01

    Chronic obstructive pulmonary disease remains one of the most common causes of morbidity and mortality globally. The disease is generally managed with pharmacotherapy, as well as guidance about smoking cessation and pulmonary rehabilitation. Endoscopic lung volume reduction (ELVR) has been proposed

  13. Recycle operations as a methodology for radioactive waste volume reduction

    International Nuclear Information System (INIS)

    Rasmussen, G.A.

    1985-01-01

    The costs for packaging, transportation and burial of low-level radioactive metallic waste have become so expensive that an alternate method of decontamination for volume reduction prior to disposal can now be justified. The operation of a large-scale centralized recycle center for decontamination of selected low level radioactive waste has been proven to be an effective method for waste volume reduction and for retrieving valuable materials for unlimited use. The centralized recycle center concept allows application of state-of-the-art decontamination technology resulting in a reduction in utility disposal costs and a reduction in overall net amount of material being buried. Examples of specific decontamination process activities at the centralized facility will be reviewed along with a discussion of the economic impact of decontamination for recycling and volume reduction. Based on almost two years of operation of a centralized decontamination facility, a demonstrated capability exists. The concept has been cost effective and proves that valuable resources can be recycled

  14. Endobronchial Valves for Endoscopic Lung Volume Reduction : Best Practice Recommendations from Expert Panel on Endoscopic Lung Volume Reduction

    NARCIS (Netherlands)

    Slebos, Dirk-Jan; Shah, Pallav L.; Herth, Felix J. F.; Valipour, Arschang

    Endoscopic lung volume reduction (ELVR) is being adopted as a treatment option for carefully selected patients suffering from severe emphysema. ELVR with the one-way endobronchial Zephyr valves (EBV) has been demonstrated to improve pulmonary function, exercise capacity, and quality of life in

  15. Volume Reduction of Decommissioning Radioactive Burnable and Metal Wastes

    Energy Technology Data Exchange (ETDEWEB)

    Min, B. Y.; Lee, Y. J.; Yun, G. S.; Lee, K. W.; Moon, J. K. [Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of); Choi, Y. K.; Cho, J. H. [SunKwang Atomic Energy Safety Co., Seoul (Korea, Republic of)

    2014-10-15

    A large quantity of radioactive waste was generated during the decommissioning projects. For the purpose of the volume reduction and clearance for decommissioning wastes from decommissioning projects, the incineration and high melting technology has been selected for the decommissioning wastes treatment. The volume reduction of the combustible wastes through the incineration technologies has merits from the view point of a decrease in the amount of waste to be disposed of resulting in a reduction of the disposal cost. Incineration is generally accepted as a method of reducing the volume of radioactive waste. The incineration technology is an effective treatment method that contains hazardous chemicals as well as radioactive contamination. Incinerator burns waste at high temperature. Incineration of a mixture of chemically hazardous and radioactive materials, known as 'mixed waste,' has two principal goals: to reduce the volume and total chemical toxicity of the waste. Incineration itself does not destroy the metals or reduce the radioactivity of the waste. A proven melting technology is currently used for low-level waste (LLW) at several facilities worldwide. These facilities use melting as a means of processing LLW for unrestricted release of the metal or for recycling within the nuclear sector. About 16.4 tons of decommissioning combustible waste has been treated using Oxygen Enriched incineration. The incineration facility operated quite smoothly through the analysis major critical parameters of off-gas.

  16. Volume Reduction of Decommissioning Radioactive Burnable and Metal Wastes

    International Nuclear Information System (INIS)

    Min, B. Y.; Lee, Y. J.; Yun, G. S.; Lee, K. W.; Moon, J. K.; Choi, Y. K.; Cho, J. H.

    2014-01-01

    A large quantity of radioactive waste was generated during the decommissioning projects. For the purpose of the volume reduction and clearance for decommissioning wastes from decommissioning projects, the incineration and high melting technology has been selected for the decommissioning wastes treatment. The volume reduction of the combustible wastes through the incineration technologies has merits from the view point of a decrease in the amount of waste to be disposed of resulting in a reduction of the disposal cost. Incineration is generally accepted as a method of reducing the volume of radioactive waste. The incineration technology is an effective treatment method that contains hazardous chemicals as well as radioactive contamination. Incinerator burns waste at high temperature. Incineration of a mixture of chemically hazardous and radioactive materials, known as 'mixed waste,' has two principal goals: to reduce the volume and total chemical toxicity of the waste. Incineration itself does not destroy the metals or reduce the radioactivity of the waste. A proven melting technology is currently used for low-level waste (LLW) at several facilities worldwide. These facilities use melting as a means of processing LLW for unrestricted release of the metal or for recycling within the nuclear sector. About 16.4 tons of decommissioning combustible waste has been treated using Oxygen Enriched incineration. The incineration facility operated quite smoothly through the analysis major critical parameters of off-gas

  17. Reduction of thyroid volume following radioiodine therapy for functional autonomy

    International Nuclear Information System (INIS)

    Luster, M.; Jacob, M.; Thelen, M.H.; Michalowski, U.; Deutsch, U.; Reiners, C.

    1995-01-01

    In a retrospective study we evaluated the data of 112 patients who underwent radioiodine treatment for functional autonomy of the thyroid at Essen University Hospital from 1988 to 1993. Therapeutic activities of radioiodine were administered after individual determination of activity for intended radiation doses (150-300 Gy) taking into consideration autonomously functioning volume, maximum uptake, and effective half-life. The achieved dose was calculated by means of measurement of the radioiodine kinetics during therapy. Depending on the type of autonomous function of the thyroid (solitary autonomously functioning nodule, multiple autonomously functioning nodules, autonomously functioning thyroid tissue) volume reductions between 39 and 46% were found approximately 6 months after treatment. (orig.) [de

  18. Low-level waste volume reduction--physicochemical systems

    International Nuclear Information System (INIS)

    Ferrigno, D.P.

    1980-01-01

    In some cases, volume reduction (VR) equipment may be called upon to reduce noncombustible liquid wastes to essentially dry salts and/or oxides. In other cases, it may be called upon to reduce combustible solids and liquids to ashes and innocuous gases. In brand terms, four kinds of processes are available to further reduce the volume of waste generated at nuclear facilities. These include high-solids evaporation, alternative evaporative designs, extruders/mixers, and calciner/incinerators. This paper discusses the following VR processes for radioactive wastes at nuclear facilities: evaporator/crystallizer; fluid bed dryer/incinerator; fluid bed calciner/incinerator; inert carrier radwaste processor; and molten glass incinerator

  19. Reduction of waste solution volume generated on electrokinetic remediation

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Gye-Nam; Koo, Dae-Seo; Kim, Seung-Soo; Jeong, Jung-Whan; Han, Gyu-Seong; Moon, Jei-Kwon [Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of)

    2015-05-15

    In this study, for the reduction of volume of metal oxides generated in cathode chamber, the optimum pH of waste electrolyte in cathode chamber were drawn out through several experiments with the manufactured electrokinetic decontamination equipment. Also, the required time to reach to below the clearance concentration level for self- disposal was estimated through experiments using the manufactured electrokinetic decontamination equipment. A diagram of soil decontamination process for the removal of uranium from contaminated soil was drawn out. The optimum pH of waste electrolyte in cathode chamber for the reduction of volume of metal oxides was below 2.35. Also, when the initial uranium concentration of the soils were 7-20 Bq/g, the required times to reach to below the clearance concentration level for self- disposal were 25-40 days. A diagram of soil decontamination process for the removal of uranium from contaminated soil was drawn out.

  20. Activity measurements at a waste volume reduction facility

    International Nuclear Information System (INIS)

    Richardson, J.; Lee, D.A.

    1979-01-01

    The monitoring program for Ontario Hydro's radioactive waste management site will be described, several aspects of which will be discussed in detail. The program at this facility includes categorization, volume reduction processing, and storage of solid radioactive wastes from nuclear generating stations of the CANDU type. At the present time, two types of volume reduction process are in operation - incineration and compaction. Following categorization and processing, wastes are stored in in-ground concrete trenches or tile-holes, or in above-ground quadricells. The monitoring program is divided into three areas: public safety, worker safety, and structural integrity. Development projects with respect to the monitoring program have been undertaken to achieve activity accounting for the total waste management program. In particular, a field measurement for the radioactivity content of radioactive ash containers and compacted waste drums

  1. [Lung volume reduction surgery for severe pulmonary emphysema in Iceland].

    Science.gov (United States)

    Gunnarsson, Sverrir I; Johannsson, Kristinn B; Guðjónsdóttir, Marta; Jónsson, Steinn; Beck, Hans J; Magnusson, Bjorn; Gudbjartsson, Tomas

    2011-12-01

    Lung volume reduction surgery (LVRS) can benefit patients with severe emphysema. The aim of this study was to evaluate the outcome of LVRS performed in Iceland. A prospective study of 16 consecutive patients who underwent bilateral LVRS through median sternotomy between January 1996 and December 2008. All patients had disabling dyspnea, lung hyperinflation, and emphysema with upper lobe predominance. Preoperatively all patients underwent pulmonary rehabilitation. Spirometry, lung volumes, arterial blood gases and exercise capacity were measured before and after surgery. Mean follow-up time was 8.7 years. Mean age was 59.2 ± 5.9 years. All patients had a history of heavy smoking. There was no perioperative mortality and survival was 100%, 93%, and 63% at 1, 5, and 10 years, respectively. The forced expiratory volume in 1 second (FEV1) and the forced vital capacity (FVC) improved significantly after surgery by 35% (plung capacity, residual volume and partial pressure of CO2 also showed statistically significant improvements but exercise capacity, O2 consumption and diffusing capacity of the lung for CO did not change. Prolonged air leak (≥ 7 days) was the most common complication (n=7). Five patients required reoperation, most commonly for sternal dehiscence (n=4). In this small prospective study, FEV1 and FVC increased and lung volumes and PaCO2 improved after LVRS. Long term survival was satisfactory although complications such as reoperations for sternal dehiscence were common and hospital stay therefore often prolonged.

  2. Lung Volume Reduction in Pulmonary Emphysema from the Radiologist's Perspective.

    Science.gov (United States)

    Doellinger, F; Huebner, R H; Kuhnigk, J M; Poellinger, A

    2015-08-01

    Pulmonary emphysema causes decrease in lung function due to irreversible dilatation of intrapulmonary air spaces, which is linked to high morbidity and mortality. Lung volume reduction (LVR) is an invasive therapeutical option for pulmonary emphysema in order to improve ventilation mechanics. LVR can be carried out by lung resection surgery or different minimally invasive endoscopical procedures. All LVR-options require mandatory preinterventional evaluation to detect hyperinflated dysfunctional lung areas as target structures for treatment. Quantitative computed tomography can determine the volume percentage of emphysematous lung and its topographical distribution based on the lung's radiodensity. Modern techniques allow for lobebased quantification that facilitates treatment planning. Clinical tests still play the most important role in post-interventional therapy monitoring, but CT is crucial in the detection of postoperative complications and foreshadows the method's high potential in sophisticated experimental studies. Within the last ten years, LVR with endobronchial valves has become an extensively researched minimally-invasive treatment option. However, this therapy is considerably complicated by the frequent occurrence of functional interlobar shunts. The presence of "collateral ventilation" has to be ruled out prior to valve implantations, as the presence of these extraanatomical connections between different lobes may jeopardize the success of therapy. Recent experimental studies evaluated the automatic detection of incomplete lobar fissures from CT scans, because they are considered to be a predictor for the existence of shunts. To date, these methods are yet to show acceptable results. Today, surgical and various minimal invasive methods of lung volume reduction are in use. Radiological and nuclear medical examinations are helpful in the evaluation of an appropriate lung area. Imaging can detect periinterventional complications. Reduction of lung

  3. Hippocampal volume reduction in congenital central hypoventilation syndrome.

    Directory of Open Access Journals (Sweden)

    Paul M Macey

    Full Text Available Children with congenital central hypoventilation syndrome (CCHS, a genetic disorder characterized by diminished drive to breathe during sleep and impaired CO(2 sensitivity, show brain structural and functional changes on magnetic resonance imaging (MRI scans, with impaired responses in specific hippocampal regions, suggesting localized injury.We assessed total volume and regional variation in hippocampal surface morphology to identify areas affected in the syndrome. We studied 18 CCHS (mean age+/-std: 15.1+/-2.2 years; 8 female and 32 healthy control (age 15.2+/-2.4 years; 14 female children, and traced hippocampi on 1 mm(3 resolution T1-weighted scans, collected with a 3.0 Tesla MRI scanner. Regional hippocampal volume variations, adjusted for cranial volume, were compared between groups based on t-tests of surface distances to the structure midline, with correction for multiple comparisons. Significant tissue losses emerged in CCHS patients on the left side, with a trend for loss on the right; however, most areas affected on the left also showed equivalent right-sided volume reductions. Reduced regional volumes appeared in the left rostral hippocampus, bilateral areas in mid and mid-to-caudal regions, and a dorsal-caudal region, adjacent to the fimbria.The volume losses may result from hypoxic exposure following hypoventilation during sleep-disordered breathing, or from developmental or vascular consequences of genetic mutations in the syndrome. The sites of change overlap regions of abnormal functional responses to respiratory and autonomic challenges. Affected hippocampal areas have roles associated with memory, mood, and indirectly, autonomic regulation; impairments in these behavioral and physiological functions appear in CCHS.

  4. Volume reduction and material recirculation by freon decontamination

    International Nuclear Information System (INIS)

    Berners, O.; Buhmann, D.; Yamashita, Y.; Yoshiaki, M.

    1989-01-01

    This paper discusses the use of freon in a large variety of decontamination in the nuclear and non-nuclear fields. As far as the contamination is loose or smerable, surfaces of nearly all materials can be decontaminated. Freon is electrically non-conductive, chemically neutral and has a low surface tension. So it is capable of creeping under the contaminant and loosening or dissolving it. Used freon can be collected, cleaned and recirculated. Its cleaning can be done easily by evaporation at its lower vapor point of about 48 degrees C (104 degrees F). Good decontamination results could be achieved, expensive materials, tools and equipment could be recirculated. Big volumes of materials could get separated from their contaminants, which is the real radioactive waste. Freon decontamination is an effective, overall economical and approved technology to volume reduction and material recirculation

  5. Volume reduction of ion exchange resin by a pyrolysis technique

    International Nuclear Information System (INIS)

    Matsuda, M.; Funabashi, K.; Uchida, S.; Kikuchi, M.

    1985-01-01

    Volume reduction techniques, such as incineration and acid digestion, of spent ion exchange resins from nuclear power plants are being developed with a view toward reducing radioactive waste volume and also making the final waste form more stable. The authors chose pyrolysis as a technique that can be done at low operating temperatures and low gas flow rates in a reactor vessel. Fundamental experiments were performed to clarify the resin pyrolysis characteristics, and the optimum pyrolysis temperature was determined. Consequently, a pilot plant with a treatment capacity of approx. 50 kg/batch was constructed based on the results. Using the pilot plant, the authors are now performing pyrolysis of the resins and solidification of their residues. This report will give the results of fundamental experiments and pilot plant tests

  6. Volume reduction by crystallization of low-level radioactive wastes

    International Nuclear Information System (INIS)

    Grant, D.C.; Murray, A.P.

    1982-01-01

    Low-level radioactive wastes containing boric acid, borax, or sodium sulfate, with radioactive contaminants, are generated during the operation of nuclear power plants. These wastes require disposal, and as such, it is economically and environmentally desirable to reduce their volume. Crystallization was examined in the laboratory as a means of accomplishing this. The crystallizer was operated in both of two modes: evaporative cooling and total evaporation. A 12 wt% boric acid waste feed was concentrated to a 40 to 45 wt% slurry in both modes of operation. Using pure boric acid, a slurry containing over 60 wt% was obtained. An 18.5 wt% borax waste feed was concentrated to 50 wt% in the total evaporative mode and 70 wt% in the evaporatively cooled mode. A 22 wt% sodium sulfate feed was concentrated to a 78 wt% slurry in the total evaporative mode. For all of the feeds, this represents a 4- to 5-fold volume reduction by the crystallizer

  7. Low cost biological lung volume reduction therapy for advanced emphysema

    Directory of Open Access Journals (Sweden)

    Bakeer M

    2016-08-01

    Full Text Available Mostafa Bakeer,1 Taha Taha Abdelgawad,1 Raed El-Metwaly,1 Ahmed El-Morsi,1 Mohammad Khairy El-Badrawy,1 Solafa El-Sharawy2 1Chest Medicine Department, 2Clinical Pathology Department, Faculty of Medicine, Mansoura University, Mansoura, Egypt Background: Bronchoscopic lung volume reduction (BLVR, using biological agents, is one of the new alternatives to lung volume reduction surgery.Objectives: To evaluate efficacy and safety of biological BLVR using low cost agents including autologous blood and fibrin glue.Methods: Enrolled patients were divided into two groups: group A (seven patients in which autologous blood was used and group B (eight patients in which fibrin glue was used. The agents were injected through a triple lumen balloon catheter via fiberoptic bronchoscope. Changes in high resolution computerized tomography (HRCT volumetry, pulmonary function tests, symptoms, and exercise capacity were evaluated at 12 weeks postprocedure as well as for complications.Results: In group A, at 12 weeks postprocedure, there was significant improvement in the mean value of HRCT volumetry and residual volume/total lung capacity (% predicted (P-value: <0.001 and 0.038, respectively. In group B, there was significant improvement in the mean value of HRCT volumetry and (residual volume/total lung capacity % predicted (P-value: 0.005 and 0.004, respectively. All patients tolerated the procedure with no mortality.Conclusion: BLVR using autologous blood and locally prepared fibrin glue is a promising method for therapy of advanced emphysema in term of efficacy, safety as well as cost effectiveness. Keywords: BLVR, bronchoscopy, COPD, interventional pulmonology

  8. Volume Reduction of Decommissioning Burnable Waste with Oxygen Enrich Incinerator

    Energy Technology Data Exchange (ETDEWEB)

    Min, B. Y.; Yang, D. S.; Lee, K. W.; Choi, J. W. [KAERI, Daejeon (Korea, Republic of)

    2016-05-15

    The incineration technology is an effective treatment method that contains hazardous chemicals as well as radioactive contamination. The volume reduction of the combustible wastes through the incineration technologies has merits from the view point of a decrease in the amount of waste to be disposed of resulting in a reduction of the disposal cost. Incineration is generally accepted as a method of reducing the volume of radioactive waste. The incineration technology is an effective treatment method that contains hazardous chemicals as well as radioactive contamination. This paper covers the general facility operation of an oxygen-enriched incinerator for the treatment of decommissioning wastes generated from a decommissioning project. The combustible wastes have been treated by the utilization of incinerator the capacity of the average 20 kg/hr. The decommissioning combustible waste of about 31 tons has been treated using Oxygen Enriched incinerator by at the end of 2016. The off-gas flow and temperature were maintained constant or within the desired range. The measured gases and particulate materials in the stack were considerably below the regulatory limits.

  9. Volume Reduction of Decommissioning Burnable Waste with Oxygen Enrich Incinerator

    International Nuclear Information System (INIS)

    Min, B. Y.; Yang, D. S.; Lee, K. W.; Choi, J. W.

    2016-01-01

    The incineration technology is an effective treatment method that contains hazardous chemicals as well as radioactive contamination. The volume reduction of the combustible wastes through the incineration technologies has merits from the view point of a decrease in the amount of waste to be disposed of resulting in a reduction of the disposal cost. Incineration is generally accepted as a method of reducing the volume of radioactive waste. The incineration technology is an effective treatment method that contains hazardous chemicals as well as radioactive contamination. This paper covers the general facility operation of an oxygen-enriched incinerator for the treatment of decommissioning wastes generated from a decommissioning project. The combustible wastes have been treated by the utilization of incinerator the capacity of the average 20 kg/hr. The decommissioning combustible waste of about 31 tons has been treated using Oxygen Enriched incinerator by at the end of 2016. The off-gas flow and temperature were maintained constant or within the desired range. The measured gases and particulate materials in the stack were considerably below the regulatory limits.

  10. Korean working towards low and intermediate level waste volume reduction

    International Nuclear Information System (INIS)

    Myung-Jae Song; Jong-Kil Park

    2001-01-01

    The safe management of radioactive waste is a national task required for sustainable generation of nuclear power and for energy self-reliance. This paper describes the results, efforts, and prospects for the safe management of radioactive wastes having been performed by the Nuclear Environment Technology Institute (NETEC) of the Korean Electric Power Corporation (KEPCO). Firstly, KEPCO's efforts and results for waste volume reduction are summarized to show how the number of waste drums generated per reactor-year could be reduced by about 60% during the last 10 years. Secondly, a new treatment technology, a technology for low and intermediate level waste (LILW) vitrification, was introduced to prospect how the technology reduces the waste volume and increases the inherent safety for LILW disposal. It is expected that the vitrification technology will contribute not only to reduce LILW volume to around 1/14 ∼ 1/32 but also to change the 'Not In My Back Yard' (NIMBY) syndrome to the 'Please In My Front Yard' (PIMFY) attitude of local communities/residents for LILW disposal. (author)

  11. [Lung volume reduction surgery for emphysema and bullous pulmonary emphysema].

    Science.gov (United States)

    Le Pimpec-Barthes, F; Das Neves-Pereira, J-C; Cazes, A; Arame, A; Grima, R; Hubsch, J-P; Zukerman, C; Hernigou, A; Badia, A; Bagan, P; Delclaux, C; Dusser, D; Riquet, M

    2012-04-01

    The improvement of respiratory symptoms for emphysematous patients by surgery is a concept that has evolved over time. Initially used for giant bullae, this surgery was then applied to patients with diffuse microbullous emphysema. The physiological and pathological concepts underlying these surgical procedures are the same in both cases: improve respiratory performance by reducing the high intrapleural pressure. The functional benefit of lung volume reduction surgery (LVRS) in the severe diffuse emphysema has been validated by the National Emphysema Treatment Trial (NETT) and the later studies which allowed to identify prognostic factors. The quality of the clinical, morphological and functional data made it possible to develop recommendations now widely used in current practice. Surgery for giant bullae occurring on little or moderately emphysematous lung is often a simpler approach but also requires specialised support to optimize its results. Copyright © 2012 Elsevier Masson SAS. All rights reserved.

  12. EPRI tailored collaboration 3 Calvert Cliffs cost and volume reduction program

    International Nuclear Information System (INIS)

    Rigsby, M.D.; Watson, B.A.

    1995-01-01

    Baltimore Gas ampersand Electric's (BGE) Calvert Cliffs Nuclear Power Plant (CCNPP) is a two unit PWR located approximately 60 miles south of Baltimore, Maryland on the Chesapeake Bay. Both units are of Combustion Engineering design, Unit 1 began commercial operation is 1975 and Unit 2 in 1978. BGE contracted with EPRI to participate in the industry initiative to reduce low-level waste volumes with the expectation to: (1) Reduce O ampersand M costs through LLRW reduction by lowering the volume requiring processing, transportation, and storage/disposal. (2) Manage responsibility available resources; i.e., material, equipment, personnel, etc., through segregation. decontamination, recycling and worker awareness. (3) Improve Calvert Cliff's positive image in the community by minimizing the impact on the environment through generating less LLRW. Baltimore Gas ampersand Electric is committed to effective management of low-level radioactive waste (LLRW) at the Calvert Cliffs Nuclear Power Plant. Established Nuclear Program Policies and Procedures support CCNPP's commitment to minimizing generation of low-level radioactive waste (LLRW). Since the mid 1980's, CCNPP has made progress in reducing the volume of LLRW generated and disposed. EPRI's onsite assessment and subsequent assistance pointed out several areas for improvement

  13. Incineration of Low Level Radioactive Vegetation for Waste Volume Reduction

    International Nuclear Information System (INIS)

    Malik, N.P.S.; Rucker, G.G.; Looper, M.G.

    1995-01-01

    The DOE changing mission at Savannah River Site (SRS) are to increase activities for Waste Management and Environmental Restoration. There are a number of Comprehensive Environmental Response, Compensation and Liability Act (CERCLA) locations that are contaminated with radioactivity and support dense vegetation, and are targeted for remediation. Two such locations have been studied for non-time critical removal actions under the National Contingency Plan (NCP). Both of these sites support about 23 plant species. Surveys of the vegetation show that radiation emanates mainly from vines, shrubs, and trees and range from 20,000 to 200,000 d/m beta gamma. Planning for removal and disposal of low-level radioactive vegetation was done with two principal goals: to process contaminated vegetation for optimum volume reduction and waste minimization, and for the protection of human health and environment. Four alternatives were identified as candidates for vegetation removal and disposal: chipping the vegetation and packing in carbon steel boxes (lined with synthetic commercial liners) and disposal at the Solid Waste Disposal Facility at SRS; composting the vegetation; burning the vegetation in the field; and incinerating the vegetation. One alternative 'incineration' was considered viable choice for waste minimization, safe handling, and the protection of the environment and human health. Advantages and disadvantages of all four alternatives considered have been evaluated. For waste minimization and ultimate disposal of radioactive vegetation incineration is the preferred option. Advantages of incineration are that volume reduction is achieved and low-level radioactive waste are stabilized. For incineration and final disposal vegetation will be chipped and packed in card board boxes and discharged to the rotary kiln of the incinerator. The slow rotation and longer resident time in the kiln will ensure complete combustion of the vegetative material

  14. Modelling the impact of retention-detention units on sewer surcharge and peak and annual runoff reduction.

    Science.gov (United States)

    Locatelli, Luca; Gabriel, Søren; Mark, Ole; Mikkelsen, Peter Steen; Arnbjerg-Nielsen, Karsten; Taylor, Heidi; Bockhorn, Britta; Larsen, Hauge; Kjølby, Morten Just; Blicher, Anne Steensen; Binning, Philip John

    2015-01-01

    Stormwater management using water sensitive urban design is expected to be part of future drainage systems. This paper aims to model the combination of local retention units, such as soakaways, with subsurface detention units. Soakaways are employed to reduce (by storage and infiltration) peak and volume stormwater runoff; however, large retention volumes are required for a significant peak reduction. Peak runoff can therefore be handled by combining detention units with soakaways. This paper models the impact of retrofitting retention-detention units for an existing urbanized catchment in Denmark. The impact of retrofitting a retention-detention unit of 3.3 m³/100 m² (volume/impervious area) was simulated for a small catchment in Copenhagen using MIKE URBAN. The retention-detention unit was shown to prevent flooding from the sewer for a 10-year rainfall event. Statistical analysis of continuous simulations covering 22 years showed that annual stormwater runoff was reduced by 68-87%, and that the retention volume was on average 53% full at the beginning of rain events. The effect of different retention-detention volume combinations was simulated, and results showed that allocating 20-40% of a soakaway volume to detention would significantly increase peak runoff reduction with a small reduction in the annual runoff.

  15. Lung volume reduction surgery: an overview Cirurgia redutora de volume pulmonar: uma revisão

    Directory of Open Access Journals (Sweden)

    Rodrigo Afonso da Silva Sardenberg

    2010-01-01

    Full Text Available This study intends to review the literature on the efficacy, safety and feasibility of lung volume reduction surgery (LVRS in patients with advanced emphysema. Studies on LVRS from January 1995 to December 2009 were included by using Pubmed (MEDLINE and Cochrane Library literature in English. Search words such as lung volume reduction surgery or lung reduction surgery, pneumoplasty or reduction pneumoplasty, COPD or chronic obstructive pulmonary disease and surgery, were used. We also compared medical therapy and surgical technique. Studies consisting of randomized controlled trials, controlled clinical trials (randomized and nonrandomized, reviews and case series were analyzed. Questions regarding validity of the early clinical reports, incomplete follow-up bias, selection criteria and survival, confounded the interpretation of clinical data on LVRS. Patients with upper, lower and diffuse distribution of emphysema were included; we also analyzed as key points perioperative morbidity and mortality and lung function measurement as FEV1. Bullous emphysema was excluded from this review. Surgical approach included median sternotomy, unilateral or bilateral thoracotomy, and videothoracoscopy with stapled or laser ablation. Results of prospective randomized trials between medical management and LVRS are essential before final assessment can be established.O objetivo deste estudo é revisar a literatura acerca da eficácia, segurança e viabilidade da cirurgia redutora de volume pulmonar (CRVP em pacientes com enfisema pulmonar avançado. Estudos de CRVP de janeiro de 1995 a dezembro de 2009 foram incluídos através de pesquisa na Pubmed (MEDLINE e Cochrane Library, na literatura inglesa. Palavras de busca tais como lung volume reduction surgery ou lung reduction surgery, pneumoplasty ou reduction pneumoplasty, COPD ou chronic obstructive pulmonary disease e surgery foram utilizadas. Também realizamos comparação entre terapia médica e cir

  16. Emphysema lung lobe volume reduction: effects on the ipsilateral and contralateral lobes

    Energy Technology Data Exchange (ETDEWEB)

    Brown, Matthew S.; Kim, Hyun J.; Abtin, Fereidoun G.; Galperin-Aizenberg, Maya; Pais, Richard; Da Costa, Irene G.; Ordookhani, Arash; Chong, Daniel; Ni, Chiayi; McNitt-Gray, Michael F.; Goldin, Jonathan G. [David Geffen School of Medicine at UCLA, Center for Computer Vision and Imaging Biomarkers, Department of Radiological Sciences, Los Angeles, CA (United States); Strange, Charlie [Medical University of South Carolina, Department of Pulmonary and Critical Care Medicine, Columbia, SC (United States); Tashkin, Donald P. [David Geffen School of Medicine at UCLA, Division of Pulmonary and Critical Care Medicine, Los Angeles, CA (United States)

    2012-07-15

    To investigate volumetric and density changes in the ipsilateral and contralateral lobes following volume reduction of an emphysematous target lobe. The study included 289 subjects with heterogeneous emphysema, who underwent bronchoscopic volume reduction of the most diseased lobe with endobronchial valves and 132 untreated controls. Lobar volume and low-attenuation relative area (RA) changes post-procedure were measured from computed tomography images. Regression analysis (Spearman's rho) was performed to test the association between change in the target lobe volume and changes in volume and density variables in the other lobes. The target lobe volume at full inspiration in the treatment group had a mean reduction of -0.45 L (SE = 0.034, P < 0.0001), and was associated with volume increases in the ipsilateral lobe (rho = -0.68, P < 0.0001) and contralateral lung (rho = -0.16, P = 0.006), and overall reductions in expiratory RA (rho = 0.31, P < 0.0001) and residual volume (RV)/total lung capacity (TLC) (rho = 0.13, P = 0.03). When the volume of an emphysematous target lobe is reduced, the volume is redistributed primarily to the ipsilateral lobe, with an overall reduction. Image-based changes in lobar volumes and densities indicate that target lobe volume reduction is associated with statistically significant overall reductions in air trapping, consistent with expansion of the healthier lung. (orig.)

  17. Emphysema lung lobe volume reduction: effects on the ipsilateral and contralateral lobes

    International Nuclear Information System (INIS)

    Brown, Matthew S.; Kim, Hyun J.; Abtin, Fereidoun G.; Galperin-Aizenberg, Maya; Pais, Richard; Da Costa, Irene G.; Ordookhani, Arash; Chong, Daniel; Ni, Chiayi; McNitt-Gray, Michael F.; Goldin, Jonathan G.; Strange, Charlie; Tashkin, Donald P.

    2012-01-01

    To investigate volumetric and density changes in the ipsilateral and contralateral lobes following volume reduction of an emphysematous target lobe. The study included 289 subjects with heterogeneous emphysema, who underwent bronchoscopic volume reduction of the most diseased lobe with endobronchial valves and 132 untreated controls. Lobar volume and low-attenuation relative area (RA) changes post-procedure were measured from computed tomography images. Regression analysis (Spearman's rho) was performed to test the association between change in the target lobe volume and changes in volume and density variables in the other lobes. The target lobe volume at full inspiration in the treatment group had a mean reduction of -0.45 L (SE = 0.034, P < 0.0001), and was associated with volume increases in the ipsilateral lobe (rho = -0.68, P < 0.0001) and contralateral lung (rho = -0.16, P = 0.006), and overall reductions in expiratory RA (rho = 0.31, P < 0.0001) and residual volume (RV)/total lung capacity (TLC) (rho = 0.13, P = 0.03). When the volume of an emphysematous target lobe is reduced, the volume is redistributed primarily to the ipsilateral lobe, with an overall reduction. Image-based changes in lobar volumes and densities indicate that target lobe volume reduction is associated with statistically significant overall reductions in air trapping, consistent with expansion of the healthier lung. (orig.)

  18. Lung volume reduction of pulmonary emphysema: the radiologist task.

    Science.gov (United States)

    Milanese, Gianluca; Silva, Mario; Sverzellati, Nicola

    2016-03-01

    Several lung volume reduction (LVR) techniques have been increasingly evaluated in patients with advanced pulmonary emphysema, especially in the last decade. Radiologist plays a pivotal role in the characterization of parenchymal damage and, thus, assessment of eligibility criteria. This review aims to discuss the most common LVR techniques, namely LVR surgery, endobronchial valves, and coils LVR, with emphasis on the role of computed tomography (CT). Several trials have recently highlighted the importance of regional quantification of emphysema by computerized CT-based segmentation of hyperlucent parenchyma, which is strongly recommended for candidates to any LVR treatment. In particular, emphysema distribution pattern and fissures integrity are evaluated to tailor the choice of the most appropriate LVR technique. Furthermore, a number of CT measures have been tested for the personalization of treatment, according to imaging detected heterogeneity of parenchymal disease. CT characterization of heterogeneous parenchymal abnormalities provides criteria for selection of the preferable treatment in each patient and improves outcome of LVR as reflected by better quality of life, higher exercise tolerance, and lower mortality.

  19. Reduction volume of radioactive wastes using natural zeolite

    International Nuclear Information System (INIS)

    Endro Kismolo; Nurimaniwathy; Vemi Ridantami

    2013-01-01

    The aim of this experience was to know of the characteristics of zeolite as the sorbent for reduction volume of liquid waste with the Pb contaminant contain. The experiment was done by sorption method a batch performed by using zeolite from Gedangsari Gunung Kidul with the grain size (-60+80) mesh, (-80+100) mesh dan (-100+120) mesh which was activated by (NH 4 ) CI and NH 4 N0 3 1.0 M. Weight of sorbent was added was variated from 5.0 to 40.0 %, and variation of silica sand to added from 0.5 to 2.5 % of weight sorbent. Stirring speed was varied from 30 to 180 rpm and the stirring time of 10 to 120 minutes, and filtrates from filtering process to analyzed by Absorption Analysis Spectrophotometry utilities. From the experience can be achieved of data that the best sorption to obtained at the condition of zeolite on (-80+100) mesh, sorbent added of 25 %, stirring speed of 120 rpm, time of stirring of 90 minutes, and the setting time of 120 minutes. At this condition to obtained sorption efficiency are 64.162 % for natural zeolite, 7.034 % for zeolite be activated with NH 4 N0 3 and 77.414 % for zeolite be activated with NH 4 Cl 1.0 M. (author)

  20. Incineration method for volume reduction and disposal of transuranic waste

    International Nuclear Information System (INIS)

    Borham, B.M.

    1985-01-01

    The Process Experimental Pilot Plant (PREPP) at Idaho National Engineering Laboratory (INEL) is designed to process 7 TPD of transuranic (TRU) waste producing 8.5 TPD of cemented waste and 4100 ACFM of combustion gases with a volume reduction of up to 17:1. The waste and its container are shredded then fed to a rotary kiln heated to 1700 0 F, then cooled and classified by a trommel screen. The fine portion is mixed with a cement grout which is placed with the coarse portion in steel drums for disposal at the Waste Isolation Pilot Plant (WIPP). The kiln off-gas is reheated to 2000 0 F to destroy any remaining hydrocarbons and toxic volatiles. The gases are cooled and passed in a venturi scrubber to remove particulates and corrosive gases. The venturi off-gas is passed through a mist eliminator and is reheated to 50 0 F above the dew point prior to passing through a High Efficiency Particulate Air (HEPA) filter. The scrub solution is concentrated to 25% solids by an inertial filter. The sludge containing the combustion chemical contaminants is encapsulated with the residue of the incinerated waste

  1. Volume reduction of reactor wastes by spray drying

    International Nuclear Information System (INIS)

    Gay, R.L.; Grantham, L.F.; McKenzie, D.E.

    1983-01-01

    Three simulated low-level reactor wastes were dried using a spray dryer-baghouse system. The three aqueous feedstocks were sodium sulfate waste characteristic of a BWR, boric acid waste characteristic of a PWR, and a waste mixture of ion exchange resins and filter aid. These slurries were spiked with nonradioactive iron, cobalt, and manganese (representing corrosion products) and nonradioactive cesium and iodine (representing fission products). The throughput for the 2.1-m-diameter spray dryer and baghouse system was 160-180 kg/h, which is comparable to the requirements for a full-scale commercial installation. A free-flowing, dry product was produced in all of the tests. The volume reduction factor ranged from 2.5 to 5.8; the baghouse decontamination factor was typically in the range of 10 3 to 10 4 . Using an overall system decontamination factor of 10 6 , the activity of the off-gas was calculated to be one to two orders of magnitude less than the nuclide release limit of the major active species, Cs-137

  2. Porosity, Bulk Density, and Volume Reduction During Drying: Review of Measurement Methods and Coefficient Determinations

    NARCIS (Netherlands)

    Qiu, J.; Khalloufi, S.; Martynenko, A.; Dalen, van G.; Schutyser, M.A.I.; Almeida-Rivera, C.

    2015-01-01

    Several experimental methods for measuring porosity, bulk density and volume reduction during drying of foodstuff are available. These methods include among others geometric dimension, volume displacement, mercury porosimeter, micro-CT, and NMR. However, data on their accuracy, sensitivity, and

  3. Reduction in the volume of water for ingesting orally disintegrating tablets of solifenacin (Vesicare® OD), and the clinical disintegration time of Vesicare® OD after unit-dose packaging.

    Science.gov (United States)

    Uchida, Shinya; Yoshita, Tomohiro; Namiki, Noriyuki

    2013-03-25

    This study aimed to determine the amount of water required for ingesting an orally disintegrating tablet (ODT) of solifenacin (Vesicare(®), VES) and VES conventional tablets (VES-CT). We measured the disintegration time of VES-ODT in the oral cavity (clinical disintegration time) before and after unit-dose packaging. Thirty healthy volunteers participated in this randomized crossover trial. The participants were asked to drink water during the intake placebos of VES and after the disintegration of placebos of VES-ODT in their oral cavity. The amounts of water required for ingesting placebos of VES-CT and of VES-ODT were 42.8±27.0 mL and 20.0±23.7 mL, respectively, which indicated that the amount of water required for ingesting ODTs was significantly lesser than that for ingesting CTs. Furthermore, 5 (16.7%) participants did not require water for ingesting the ODTs. Clinical disintegration time of VES-ODT was 21.4s in 10 healthy volunteers. This clinical disintegration time did not change significantly after unit-dose packaging or subsequent storage for 56 days. This study showed that the amount of water required for ingesting VES-ODT is lower than that for ingesting VES-CT. Crown Copyright © 2013. Published by Elsevier B.V. All rights reserved.

  4. Reduction of radioactive waste volumes by using supercompaction technique

    International Nuclear Information System (INIS)

    Santos, John Wagner A.; Lima, Sandro Leonardo N. de

    2007-01-01

    The Radioactive Waste Management Program from ELETRONUCLEAR comprises the use of techniques and technologies to reduce the volumes of processed radwaste, which aims to improve the storage capacity and also assure the protection for the environment, as part of ELETRONUCLEAR's business strategy. The Angra site stores radwaste in temporary storage facilities, named Store number 1 and Store number 2, which are routinely managed and surveyed periodically by the ELETRONUCLEAR's Radiological Protection Division and submitted to frequent CNEN inspections. Medium level and low level radwastes are stored on those storage facilities. In January 2005, ELETRONUCLEAR decided to realize the Supercompaction of drums with compacted radwaste, mostly from Angra 1 and a little from Angra 2. By that time, the Store 1 was near to achieve its nominal capacity; this situation demanded a prompt response, and the chosen option was to proceed the supercompaction by using a mobile supercompactor unit. In April, 2006, two thousand and twenty seven drums of 200 liters were supercompacted at the plant site, and as a result, the initial storage area became sufficient to store drums for about five more years of operation. The supercompaction process is achieved by using a hydraulic press with extra high force. The pellets (crashed drums) were placed inside a special metallic box with 2500 liters of capacity (the overpack). This operation produced 128 full boxes, varying from 12 to 19 pellets inside each box, and the boxes were stored inside the Store 1. (author)

  5. Data base on dose reduction research projects for nuclear power plants: Volume 3

    Energy Technology Data Exchange (ETDEWEB)

    Khan, T.A.; Baum, J.W.

    1989-05-01

    This is the third volume in a series of reports that provide information on dose-reduction research and health physics technology for nuclear power plants. The information is taken from data base maintained by Brookhaven National Laboratory's ALARA Center for the Nuclear Regulatory Commission. This report presents information on 80 new projects, covering a wide area of activities. Projects on steam generator degradation, decontamination, robotics, improvement in reactor materials, and inspection techniques, among others, are described in the research section. The section on health physics technology includes some simple and very cost-effective projects to reduce radiation exposures. Collective dose data from the United States and other countries are also presented. In the conclusion, we suggest that although new advanced reactor design technology will eventually reduce radiation exposures at nuclear power plants to levels below serious concern, in the interim an aggressive approach to dose reduction remains necessary. 20 refs.

  6. Transuranic (TRU) waste volume reduction operations at a plutonium facility

    International Nuclear Information System (INIS)

    Cournoyer, Michael E.; Nixon, Archie E.; Fife, Keith W.; Sandoval, Arnold M.; Garcia, Vincent E.; Dodge, Robert L.

    2011-01-01

    Programmatic operations at the Los Alamos National Laboratory Plutonium Facility (TA-55) involve working with various amounts of plutonium and other highly toxic, alpha-emitting materials. The spread of radiological contamination on surfaces, airborne contamination, and excursions of contaminants into the operator's breathing zone are prevented through use of a variety of gloveboxes (the glovebox, coupled with an adequate negative pressure gradient, provides primary confinement). Size-reduction operations on glovebox equipment are a common activity when a process has been discontinued and the room is being modified to support a new customer. The Actinide Processing Group at TA-55 uses one-meter or longer glass columns to process plutonium. Disposal of used columns is a challenge, since they must be size-reduced to get them out of the glovebox. The task is a high-risk operation because the glass shards that are generated can puncture the bag-out bags, leather protectors, glovebox gloves, and the worker's skin when completing the task. One of the Lessons Learned from these operations is that Laboratory management should critically evaluate each hazard and provide more effective measures to prevent personnel injury. A bag made of puncture-resistant material was one of these enhanced controls. We have investigated the effectiveness of these bags and have found that they safely and effectively permit glass objects to be reduced to small pieces with a plastic or rubber mallet; the waste can then be easily poured into a container for removal from the glovebox as non-compactable transuranic (TRU) waste. This size-reduction operation reduces solid TRU waste volume generation by almost 2½ times. Replacing one-time-use bag-out bags with multiple-use glass crushing bags also contributes to reducing generated waste. In addition, significant costs from contamination, cleanup, and preparation of incident documentation are avoided. This effort contributes to the Los Alamos

  7. Vitrification process for the volume reduction and stabilization of organic resins

    International Nuclear Information System (INIS)

    Buelt, J.L.

    1982-10-01

    Pacific Northwest Laboratory has completed a series of experimental tests sponsored by the US Department of Energy (DOE) to determine the feasibility of incinerating and vitrifying organic ion-exchange resins in a single-step process. The resins used in this study were identical to those used for decontaminating auxiliary building water at the Three Mile Island (TMI) Unit 2 reactor. The primarily organic resins were loaded with nonradioactive isotopes of cesium and strontium for processing in a pilot-scale, joule-heated glass melter modified to support resin combustion. The feasibility tests demonstrated an average process rate of 3.0 kg/h. Based on this rate, if 50 organic resin liners were vitrified in a six-month campaign, a melter 2.5 times the size of the pilot scale unit would be adequate. A maximum achievable volume reduction of 91% was demonstrated in these tests

  8. Bronchoscopic Lung Volume Reduction Coil Treatment of Patients With Severe Heterogeneous Emphysema

    NARCIS (Netherlands)

    Slebos, Dirk-Jan; Klooster, Karin; Ernst, Armin; Herth, Felix J. F.; Kerstjens, Huib A. M.

    Background: The lung volume reduction coil (LVR-coil), a new experimental device to achieve lung volume reduction by bronchoscopy in patients with severe emphysema, works in a manner unaffected by collateral airflow. We investigated the safety and efficacy of LVR-coil treatment in patients with

  9. Lung Volume Reduction After Stereotactic Ablative Radiation Therapy of Lung Tumors: Potential Application to Emphysema

    Energy Technology Data Exchange (ETDEWEB)

    Binkley, Michael S. [Department of Radiation Oncology, Stanford University School of Medicine, Stanford, California (United States); Shrager, Joseph B. [Division of Thoracic Surgery, Department of Cardiothoracic Surgery, Stanford University School of Medicine, Stanford, California (United States); Stanford Cancer Institute, Stanford University School of Medicine, Stanford, California (United States); Leung, Ann N. [Department of Radiology, Stanford University School of Medicine, Stanford, California (United States); Popat, Rita [Department of Health Research and Policy, Stanford University School of Medicine, Stanford, California (United States); Trakul, Nicholas [Department of Radiation Oncology, Stanford University School of Medicine, Stanford, California (United States); Department of Radiation Oncology, University of Southern California Keck School of Medicine, Los Angeles, California (United States); Atwood, Todd F.; Chaudhuri, Aadel [Department of Radiation Oncology, Stanford University School of Medicine, Stanford, California (United States); Maxim, Peter G. [Department of Radiation Oncology, Stanford University School of Medicine, Stanford, California (United States); Stanford Cancer Institute, Stanford University School of Medicine, Stanford, California (United States); Diehn, Maximilian, E-mail: Diehn@Stanford.edu [Department of Radiation Oncology, Stanford University School of Medicine, Stanford, California (United States); Stanford Cancer Institute, Stanford University School of Medicine, Stanford, California (United States); Institute for Stem Cell Biology and Regenerative Medicine, Stanford University School of Medicine, Stanford, California (United States); Loo, Billy W., E-mail: BWLoo@Stanford.edu [Department of Radiation Oncology, Stanford University School of Medicine, Stanford, California (United States); Stanford Cancer Institute, Stanford University School of Medicine, Stanford, California (United States)

    2014-09-01

    Purpose: Lung volume reduction surgery (LVRS) improves dyspnea and other outcomes in selected patients with severe emphysema, but many have excessive surgical risk for LVRS. We analyzed the dose-volume relationship for lobar volume reduction after stereotactic ablative radiation therapy (SABR) of lung tumors, hypothesizing that SABR could achieve therapeutic volume reduction if applied in emphysema. Methods and Materials: We retrospectively identified patients treated from 2007 to 2011 who had SABR for 1 lung tumor, pre-SABR pulmonary function testing, and ≥6 months computed tomographic (CT) imaging follow-up. We contoured the treated lobe and untreated adjacent lobe(s) on CT before and after SABR and calculated their volume changes relative to the contoured total (bilateral) lung volume (TLV). We correlated lobar volume reduction with the volume receiving high biologically effective doses (BED, α/β = 3). Results: 27 patients met the inclusion criteria, with a median CT follow-up time of 14 months. There was no grade ≥3 toxicity. The median volume reduction of the treated lobe was 4.4% of TLV (range, −0.4%-10.8%); the median expansion of the untreated adjacent lobe was 2.6% of TLV (range, −3.9%-11.6%). The volume reduction of the treated lobe was positively correlated with the volume receiving BED ≥60 Gy (r{sup 2}=0.45, P=.0001). This persisted in subgroups determined by high versus low pre-SABR forced expiratory volume in 1 second, treated lobe CT emphysema score, number of fractions, follow-up CT time, central versus peripheral location, and upper versus lower lobe location, with no significant differences in effect size between subgroups. Volume expansion of the untreated adjacent lobe(s) was positively correlated with volume reduction of the treated lobe (r{sup 2}=0.47, P<.0001). Conclusions: We identified a dose-volume response for treated lobe volume reduction and adjacent lobe compensatory expansion after lung tumor SABR, consistent across

  10. Brain volume reduction after whole-brain radiotherapy: quantification and prognostic relevance.

    Science.gov (United States)

    Hoffmann, Christian; Distel, Luitpold; Knippen, Stefan; Gryc, Thomas; Schmidt, Manuel Alexander; Fietkau, Rainer; Putz, Florian

    2018-01-22

    Recent studies have questioned the value of adding whole-brain radiotherapy (WBRT) to stereotactic radiosurgery (SRS) for brain metastasis treatment. Neurotoxicity, including radiation-induced brain volume reduction, could be one reason why not all patients benefit from the addition of WBRT. In this study, we quantified brain volume reduction after WBRT and assessed its prognostic significance. Brain volumes of 91 patients with cerebral metastases were measured during a 150-day period after commencing WBRT and were compared with their pretreatment volumes. The average daily relative change in brain volume of each patient, referred to as the "brain volume reduction rate," was calculated. Univariate and multivariate Cox regression analyses were performed to assess the prognostic significance of the brain volume reduction rate, as well as of 3 treatment-related and 9 pretreatment factors. A one-way analysis of variance was used to compare the brain volume reduction rate across recursive partitioning analysis (RPA) classes. On multivariate Cox regression analysis, the brain volume reduction rate was a significant predictor of overall survival after WBRT (P < 0.001), as well as the number of brain metastases (P = 0.002) and age (P = 0.008). Patients with a relatively favorable prognosis (RPA classes 1 and 2) experienced significantly less brain volume decrease after WBRT than patients with a poor prognosis (RPA class 3) (P = 0.001). There was no significant correlation between delivered radiation dose and brain volume reduction rate (P = 0.147). In this retrospective study, a smaller decrease in brain volume after WBRT was an independent predictor of longer overall survival. © The Author(s) 2017. Published by Oxford University Press on behalf of the Society for Neuro-Oncology. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com

  11. State of the art review of radioactive waste volume reduction techniques for commercial nuclear power plants

    International Nuclear Information System (INIS)

    1980-04-01

    A review is made of the state of the art of volume reduction techniques for low level liquid and solid radioactive wastes produced as a result of: (1) operation of commercial nuclear power plants, (2) storage of spent fuel in away-from-reactor facilities, and (3) decontamination/decommissioning of commercial nuclear power plants. The types of wastes and their chemical, physical, and radiological characteristics are identified. Methods used by industry for processing radioactive wastes are reviewed and compared to the new techniques for processing and reducing the volume of radioactive wastes. A detailed system description and report on operating experiences follow for each of the new volume reduction techniques. In addition, descriptions of volume reduction methods presently under development are provided. The Appendix records data collected during site surveys of vendor facilities and operating power plants. A Bibliography is provided for each of the various volume reduction techniques discussed in the report

  12. Volume reduction of low-level radioactive waste with a hammermill

    International Nuclear Information System (INIS)

    Gregory, W.D.

    1979-01-01

    A Jacobson Model J-3 Hammermill was recently installed at the University of Rochester to process low-level radioactive wastes from hospital and research laboratories. The hammermill will handle both glass and plastic vials of all types. The waste is poured into a hopper located on the top of the seven foot high assembly. The material is gravity fed into the hammermill which is driven by a 15-horsepower motor at 3600 rpm. The waste is pounded by the rotating hammers into a metal screen perforated with one inch holes. The gound-up product is discharged from the bottom of the unit into a 55-gallon shipping drum. A volume reduction of 4:1 has been acheived on an equal mixture of glass and plastic vials

  13. Application of soil washing system to the volume reduction of radioactively contaminated soils and automated treatment of sludge cake

    International Nuclear Information System (INIS)

    Mouri, Mitsuo; Tsuchida, Mitsuru; Baba, Naoki; Nakajima, Takuma

    2013-01-01

    The pilot plant study was intended to evaluate; a) the removal efficiency of radioactive Cs, b) the volume reduction rate of feed soils, c) the volumetric rate and concentration rate of discharged sludge cake, and d) the effect of radiation exposure reduction by automated filter press unit and automated packing unit of sludge cake. As a result of this study, following observations were made; 1) the radioactive Cs content of clean sands ranged 882∼2,940 Bq/kg as compared to the feed soils of 8,790 to 26,270 Bq/kg, 2) the removal efficiency of radioactive Cs ranged 84∼92% of feed soils, 3) the volume reduction rate of feed soils ranged 70∼86% (ave. 82%), and 4) the automated filter press unit and the automated packing system of sludge cake were helpful for workers in reducing radiation exposure. It is concluded that soil washing system can effectively reduce volume of radioactively contaminated soils and can be practically used in Fukushima for remediation of soils. (author)

  14. Physiological Modeling of Responses to Upper vs Lower Lobe Lung Volume Reduction in Homogeneous Emphysema

    Directory of Open Access Journals (Sweden)

    Arschang eValipour

    2012-10-01

    Full Text Available Rationale: In clinical trials, homogeneous emphysema patients have responded well to upper lobe volume reduction but not lower lobe volume reduction. Materials/Methods: To understand the physiological basis for this observation, a computer model was developed to simulate the effects of upper and lower lobe lung volume reduction on RV/TLC and lung recoil in homogeneous emphysema.Results: Patients with homogeneous emphysema received either upper or lower lobe volume reduction therapy based on findings of radionucleotide scintigraphy scanning. CT analysis of lobar volumes showed that patients undergoing upper (n=18; -265 mL/site and lower lobe treatment (n=11; -217 mL/site experienced similar reductions in lung volume. However, only upper lobe treatment improved FEV1 (+11.1±14.7% vs -4.4±15.8% and RV/TLC (-5.4± 8.1% vs -2.4±8.6%. Model simulations provided an unexpected explanation for this response. Increases in transpulmonary pressure subsequent to volume reduction increased RV/TLC in upper lobe alveoli, while caudal shifts in airway closure decreased RV/TLC in lower lobe alveoli. Upper lobe treatment, which eliminates apical alveoli with high RV/TLC values, lowers the average RV/TLC of the lung. Conversely, lower lobe treatment, which eliminates caudal alveoli with low RV/TLC values, has less effect. Conclusions: Lower lobe treatment in homogeneous emphysema is uniformly less effective than upper lobe treatment.

  15. Waste volume reduction factors for potential 242-A evaporator feed

    International Nuclear Information System (INIS)

    Sederburg, J.P.

    1995-01-01

    Double-shell tank (DST) storage space requirements have been shown to be highly dependent on the end point of 242-A operations. Consequences to the DST of various waste volumes, and concentrations, are evaluated. Only waste streams that are currently planned to be stored in the DST system before the year 2004 are discussed. As of January 1, 1995, approximately 27-million L (7.2-million gal) of dilute wastes are stored in the DSTs available for evaporator processing. Waste streams planned to be transferred to the DSTs before December 31, 2004, are identified. The DST volume for storing slurry from these wastes is presented in this document. At a final slurry specific gravity of -1.35, 22.5-million L (5.93-million gal) of DST space would be needed on December 31, 2004, to store the product from evaporator processing of these feedstocks. The expected volume needed if the resultant slurry were concentrated to the traditional double-shell slurry feed (DSSF) phase boundary (a specific gravity of ∼1.5) would be 17.7-million L (4.67-million gal). An additional 4.8-million L (1.26-million gal) is therefore needed if these wastes are concentrated to a specific gravity of 1.35 instead of the DSSF limit

  16. Biotreatment of produced waters for volume reduction and contaminant removal

    Energy Technology Data Exchange (ETDEWEB)

    Negri, M.C.; Hinchman, R.R. [Argonne National Lab., IL (United States); Mollock, J. [Devon Energy Corp., Oklahoma City, OK (United States)

    1997-10-01

    Produced water is wastewater that is brought to the surface from natural gas wells during natural gas production. Its constituents, mostly salt, with traces of hydrocarbons and heavy metals, are a significant disposal problem. Argonne National Laboratory (ANL), in partnership with the Gas Research Institute (GRI), has developed a low-cost, low-tech method, in which green plants are used to reduce the volume of produced water. The authors have designed an engineered bioreactor system, which is modeled after natural saline wetland ecosystems. The plant bioreactor system maximizes plant evapotranspiration to reduce wastewater volume and, concurrently, may function as a biological filter to enhance contaminant degradation and immobilization in the root/rhizosphere zone. Halophyte plant species having high salt tolerance and high transpiration rates were selected after they tested them in greenhouse experiments. Models obtained by using their greenhouse findings reduced the volume of the wastewater (up to 6% salt) by 75% in about 8 days. A field demonstration of the bioreactor, designed on the basis of the results from the greenhouse study, is successfully under way at a natural gas well site in Oklahoma. The process could offer the petroleum industry a low-cost biological alternative to existing expensive options.

  17. Elemental analysis: Reduction to SI units; Rueckfuehrung in der Elementanalytik

    Energy Technology Data Exchange (ETDEWEB)

    Rienitz, O.; Jaehrling, R.; Schiel, D. [PTB-Arbeitsgruppe ' ' Anorganische Analytik' ' , Braunschweig (Germany); Matschat, R.; Kipphardt, H. [Bundesanstalt fuer Materialforschung und -pruefung, Berlin (Germany); Gernand, W.; Oeter, D. [MercK KGaA (Germany)

    2005-12-15

    In a joint project, PTB, BAM and Merck KGaA worked on a metrological reduction system for all elements relevant to analysis. The BAM certified primary pure substances with a relative error of U{sub rel} {<=} 0.01% for the mass of the main element. This was achieved by measuring the mass components of all potential impurities, i.e. practically all elements of the periodic system except the main element. These pure substances are the national reference standards of elemental analysis. From them, PTB produces primary elementa solutions and transfer solutions which are passed on as reference standards. The industrial partner constructed the DKD calibration laboratory, which certifies commercial secondary calibration solutions on the basis of the reference standard solutions produced by PTB. With this final product, measurements in elemental analysis can be reduced to the SI units system as a routine procedure. (orig.)

  18. Snubber reduction program at the Byron Station, Unit 1

    International Nuclear Information System (INIS)

    Arterburn, J.; Bakhtiari, S.

    1987-01-01

    Commonwealth Edison Company's (CECo's) Byron Station, unit 1, was originally designed with approximately 1200 snubbers supporting the plant's large- and small-bore piping systems. This relatively large number of snubbers is attributed to excessive conservatism in nuclear piping codes and regulations effective during the original piping design. A recent pilot program at CECo's LaSalle County Station, a boiling water reactor plant, demonstrated that a 50% or greater reduction in total snubber population is achievable in plants of this design vintage. Based on the successful results of the pilot program, CECo initiated a full scale snubber reduction program at Byron, a pressurized water reactor plant of the same vintage at the LaSalle County Station. The benefits from a reduced snubber population are described. To realize the maximum potential benefits, all snubbers in the plant were prioritized in order of desirability for removal. The priority designations are discussed. The major results from phase 1 of the Byron program are summarized. The NRC inspection of the project addressed a variety of issues and is discussed. The conclusions that can be drawn from the phase 1 program are summarized

  19. Volume reduction and solidification of liquid and solid low-level radioactive waste

    International Nuclear Information System (INIS)

    May, J.R.

    1979-01-01

    This paper presents a brief background of the development of a method of radioactive waste volume reduction using a unique fluidized bed calciner/incinerator. The volume reduction system is capable of processing a variety of liquid chemical wastes, spent ion exchange resin beads, filter treatment sludges, contaminated lubricating oils, and miscellaneous combustible solids such as paper, rags, protective clothing, wood, etc. All of these wastes are processed in one chemical reaction vessel. Detailed process data is presented that shows the system is capable of reducing the total volume of disposable radioactive waste generated by light water reactors by a factor of 10. Equally important to reducing the volume of power reactor radwaste is the final form of the stored or disposable radwaste. This paper also presents process data related to a new radwaste solidification system, presently being developed, that is particularly suited for immobilizing the granular solids and ashes resulting from volume reduction by calcination and/or incineration

  20. Gamma, x-ray reduction system. Volume I: gamma

    International Nuclear Information System (INIS)

    Zimmer, W.H.

    1976-01-01

    The starting premises for this data reduction system were (a) the individual researcher needs all the accuracy that can be achieved but he has neither the time nor the inclination to learn how to achieve it, and (b) if the data reduction system is to be centralized the people operating it will want to minimize conversation with the computer. This is a working system. All spectral data are stored on Data General 4234 discs after background normalization and strip. Storage is initiated from magnetic tapes loaded by detached pulse height analyzers or directly from Scorpio pulse height analyzers. The only restrictions placed on the individual researchers are that the pulse height analyzer energy scale be set up consistently, that a recovery standard be run at least once every day of use, and the total acquisition system be calibrated to its range of use. In many instances, and if desirable, the latter is provided as a service. At the time of writing this gamma data reduction system is actively being used to calculate net peak areas, activities with or without time correction, activations analysis results, counting precisions, and dynamic limits of detection for the spectral data output of 17 detached pulse height analyzers. To all modes of data reduction are applied background subtraction, random summing correction, detector recovery factor correction, peak interfernce correction (second-order product interference for activation analysis), geometry function correction, acquisition time decay corrections, external and internal sorber correction. All of this is accomplished and a customer report typed in a readable format after a halfline of noninteractive instruction

  1. Produced water volumes and management practices in the United States.

    Energy Technology Data Exchange (ETDEWEB)

    Clark, C. E.; Veil, J. A. (Environmental Science Division)

    2009-09-01

    Produced water volume generation and management in the United States are not well characterized at a national level. The U.S. Department of Energy (DOE) asked Argonne National Laboratory to compile data on produced water associated with oil and gas production to better understand the production volumes and management of this water. The purpose of this report is to improve understanding of produced water by providing detailed information on the volume of produced water generated in the United States and the ways in which produced water is disposed or reused. As the demand for fresh water resources increases, with no concomitant increase in surface or ground water supplies, alternate water sources, like produced water, may play an important role. Produced water is water from underground formations that is brought to the surface during oil or gas production. Because the water has been in contact with hydrocarbon-bearing formations, it contains some of the chemical characteristics of the formations and the hydrocarbons. It may include water from the reservoir, water previously injected into the formation, and any chemicals added during the production processes. The physical and chemical properties of produced water vary considerably depending on the geographic location of the field, the geologic formation, and the type of hydrocarbon product being produced. Produced water properties and volume also vary throughout the lifetime of a reservoir. Produced water is the largest volume by-product or waste stream associated with oil and gas exploration and production. Previous national produced water volume estimates are in the range of 15 to 20 billion barrels (bbl; 1 bbl = 42 U.S. gallons) generated each year in the United States (API 1988, 2000; Veil et al. 2004). However, the details on generation and management of produced water are not well understood on a national scale. Argonne National Laboratory developed detailed national-level information on the volume of produced

  2. Supercompactor force effectiveness as related to dry active waste volume reduction

    International Nuclear Information System (INIS)

    Williams, P.C.; Phillips, W.S.

    1986-01-01

    The first U.S. permanently installed supercompactor is now in operation at the Babcock and Wilcox volume reduction center, Parks Township, Pennsylvania. Tests with various DAW (dry active waste) material have been conducted, recording press force versus drum height as one means of estimating volume reduction capability of this machine at various compaction forces. The results of these tests, as well as other factors, are presented herein

  3. Volume reduction through incineration of low-activity radioactive wastes

    International Nuclear Information System (INIS)

    Eymeri, J.; Gauthey, J.C.; Chaise, D.; Lafite, G.

    1993-01-01

    The aim of the waste treatment plant, designed by Technicatome (CEA) for an Indonesian Nuclear Research Center, is to reduce through incineration the volume of low-activity radioactive wastes such as technological solids (cotton, PVC, paper board), biological solids (animal bones) and liquids (cutting fluids...). The complete combustion is realized with a total air multi-fuel burner (liquid wastes) and flash pyrolysis-complete combustion (solid wastes). A two stage flue gas filtration system, a flue gas washing system, and an ash recovery system are used. A test platform has been built. 3 figs

  4. 77 FR 25760 - Low-Level Radioactive Waste Management and Volume Reduction

    Science.gov (United States)

    2012-05-01

    ... NUCLEAR REGULATORY COMMISSION [NRC-2011-0183] Low-Level Radioactive Waste Management and Volume... Radioactive Waste (LLRW) Volume Reduction (Policy Statement). This statement encouraged licensees to take..., the NRC staff issued SECY-10-0043, ``Blending of Low-Level Radioactive Waste'' (ADAMS Accession No...

  5. The lung volume reduction coil for the treatment of emphysema : a new therapy in development

    NARCIS (Netherlands)

    Klooster, Karin; ten Hacken, Nick H. T.; Slebos, Dirk-Jan

    Lung volume reduction (LVR) coil treatment is a novel therapy for patients with severe emphysema. In this bilateral bronchoscopic treatment, approximately 10 LVR coils per lobe are delivered under fluoroscopic guidance in two sequential procedures. The LVR coil reduces lung volume by compressing the

  6. Reduction in cardiac volume during chemoradiotherapy for patients with esophageal cancer

    Energy Technology Data Exchange (ETDEWEB)

    Lutkenhaus, Lotte J., E-mail: l.j.lutkenhaus@amc.uva.nl; Kamphuis, Martijn; Wieringen, Niek van; Hulshof, Maarten C.C.M.; Bel, Arjan

    2013-11-15

    We investigated the change in cardiac volume over the course of chemoradiotherapy in 26 patients treated for esophageal cancer, using cone beam CT imaging. The cardiac volume reduced significantly, with a median reduction of 8%. A significant relationship with planned cardiac dose was not found.

  7. Reduction in cardiac volume during chemoradiotherapy for patients with esophageal cancer

    International Nuclear Information System (INIS)

    Lutkenhaus, Lotte J.; Kamphuis, Martijn; Wieringen, Niek van; Hulshof, Maarten C.C.M.; Bel, Arjan

    2013-01-01

    We investigated the change in cardiac volume over the course of chemoradiotherapy in 26 patients treated for esophageal cancer, using cone beam CT imaging. The cardiac volume reduced significantly, with a median reduction of 8%. A significant relationship with planned cardiac dose was not found

  8. Reduced astrocyte density underlying brain volume reduction in activity-based anorexia rats

    NARCIS (Netherlands)

    Frintrop, Linda; Liesbrock, Johanna; Paulukat, Lisa; Johann, Sonja; Kas, Martien J; Tolba, Rene; Heussen, Nicole; Neulen, Joseph; Konrad, Kerstin; Herpertz-Dahlmann, Beate; Beyer, Cordian; Seitz, Jochen

    2017-01-01

    OBJECTIVES: Severe grey and white matter volume reductions were found in patients with anorexia nervosa (AN) that were linked to neuropsychological deficits while their underlying pathophysiology remains unclear. For the first time, we analysed the cellular basis of brain volume changes in an animal

  9. Tumor Volume Reduction Rate After Preoperative Chemoradiotherapy as a Prognostic Factor in Locally Advanced Rectal Cancer

    Energy Technology Data Exchange (ETDEWEB)

    Yeo, Seung-Gu [Center for Colorectal Cancer, Research Institute and Hospital, National Cancer Center, Goyang (Korea, Republic of); Department of Radiation Oncology, Soonchunhyang University College of Medicine, Cheonan (Korea, Republic of); Kim, Dae Yong, E-mail: radiopiakim@hanmail.net [Center for Colorectal Cancer, Research Institute and Hospital, National Cancer Center, Goyang (Korea, Republic of); Park, Ji Won; Oh, Jae Hwan; Kim, Sun Young; Chang, Hee Jin; Kim, Tae Hyun; Kim, Byung Chang; Sohn, Dae Kyung; Kim, Min Ju [Center for Colorectal Cancer, Research Institute and Hospital, National Cancer Center, Goyang (Korea, Republic of)

    2012-02-01

    Purpose: To investigate the prognostic significance of tumor volume reduction rate (TVRR) after preoperative chemoradiotherapy (CRT) in locally advanced rectal cancer (LARC). Methods and Materials: In total, 430 primary LARC (cT3-4) patients who were treated with preoperative CRT and curative radical surgery between May 2002 and March 2008 were analyzed retrospectively. Pre- and post-CRT tumor volumes were measured using three-dimensional region-of-interest MR volumetry. Tumor volume reduction rate was determined using the equation TVRR (%) = (pre-CRT tumor volume - post-CRT tumor volume) Multiplication-Sign 100/pre-CRT tumor volume. The median follow-up period was 64 months (range, 27-99 months) for survivors. Endpoints were disease-free survival (DFS) and overall survival (OS). Results: The median TVRR was 70.2% (mean, 64.7% {+-} 22.6%; range, 0-100%). Downstaging (ypT0-2N0M0) occurred in 183 patients (42.6%). The 5-year DFS and OS rates were 77.7% and 86.3%, respectively. In the analysis that included pre-CRT and post-CRT tumor volumes and TVRR as continuous variables, only TVRR was an independent prognostic factor. Tumor volume reduction rate was categorized according to a cutoff value of 45% and included with clinicopathologic factors in the multivariate analysis; ypN status, circumferential resection margin, and TVRR were significant prognostic factors for both DFS and OS. Conclusions: Tumor volume reduction rate was a significant prognostic factor in LARC patients receiving preoperative CRT. Tumor volume reduction rate data may be useful for tailoring surgery and postoperative adjuvant therapy after preoperative CRT.

  10. Waste isolation in the U.S., technical programs and public education. Volume 2 - low level waste, volume reduction methodologies and economics. Vol. 2

    International Nuclear Information System (INIS)

    Post, R.G.

    1984-01-01

    This volume presents information regarding low-level waste, volume reduction methodologies and economics. Topics include: public education on nuclear waste; economics of low-level waste management systems; operating experience with advanced volume reduction techniques; solidification of waste; operating experience with advanced volume reduction techniques--incineration; regional plans for the disposal of low-level waste; radwaste system modifications at nuclear power plants; operating experience with advanced volume reduction techniques--operations and on-site storage issues; and economic impact of 10CFR61

  11. Volume reduction technology of radioactive waste and clearance practice of contaminated material

    International Nuclear Information System (INIS)

    Gao Chao

    2016-01-01

    • One of principles of RW management is minimization and reduction: - Advance process and facilities should be reasonably applied to reduce the waste generation (''Law of the People's Republic of China on Prevention and Control of Radioactive Pollution'', 2003); - Operator of RW storage facilities should dispose or clear up solid waste timely (''Regulations on the safety of RW management'', 2011); • Reduction principle: - Control of generation; - Use of volume reduction technique; - Clearance of slightly contaminated material

  12. Transuranic (Tru) waste volume reduction operations at a plutonium facility

    Energy Technology Data Exchange (ETDEWEB)

    Cournoyer, Michael E [Los Alamos National Laboratory; Nixon, Archie E [Los Alamos National Laboratory; Dodge, Robert L [Los Alamos National Laboratory; Fife, Keith W [Los Alamos National Laboratory; Sandoval, Arnold M [Los Alamos National Laboratory; Garcia, Vincent E [Los Alamos National Laboratory

    2010-01-01

    Programmatic operations at the Los Alamos National Laboratory Plutonium Facility (TA 55) involve working with various amounts of plutonium and other highly toxic, alpha-emitting materials. The spread of radiological contamination on surfaces, airborne contamination, and excursions of contaminants into the operator's breathing zone are prevented through use of a variety of gloveboxes (the glovebox, coupled with an adequate negative pressure gradient, provides primary confinement). Size-reduction operations on glovebox equipment are a common activity when a process has been discontinued and the room is being modified to support a new customer. The Actin ide Processing Group at TA-55 uses one-meter-long glass columns to process plutonium. Disposal of used columns is a challenge, since they must be size-reduced to get them out of the glovebox. The task is a high-risk operation because the glass shards that are generated can puncture the bag-out bags, leather protectors, glovebox gloves, and the worker's skin when completing the task. One of the Lessons Learned from these operations is that Laboratory management should critically evaluate each hazard and provide more effective measures to prevent personnel injury. A bag made of puncture-resistant material was one of these enhanced controls. We have investigated the effectiveness of these bags and have found that they safely and effectively permit glass objects to be reduced to small pieces with a plastic or rubber mallet; the waste can then be easily poured into a container for removal from the glove box as non-compactable transuranic (TRU) waste. This size-reduction operation reduces solid TRU waste generation by almost 2% times. Replacing one-time-use bag-out bags with multiple-use glass crushing bags also contributes to reducing generated waste. In addition, significant costs from contamination, cleanup, and preparation of incident documentation are avoided. This effort contributes to the Los Alamos

  13. Transuranic (Tru) waste volume reduction operations at a plutonium facility

    International Nuclear Information System (INIS)

    Cournoyer, Michael E.; Nixon, Archie E.; Dodge, Robert L.; Fife, Keith W.; Sandoval, Arnold M.; Garcia, Vincent E.

    2010-01-01

    Programmatic operations at the Los Alamos National Laboratory Plutonium Facility (TA 55) involve working with various amounts of plutonium and other highly toxic, alpha-emitting materials. The spread of radiological contamination on surfaces, airborne contamination, and excursions of contaminants into the operator's breathing zone are prevented through use of a variety of gloveboxes (the glovebox, coupled with an adequate negative pressure gradient, provides primary confinement). Size-reduction operations on glovebox equipment are a common activity when a process has been discontinued and the room is being modified to support a new customer. The Actin ide Processing Group at TA-55 uses one-meter-long glass columns to process plutonium. Disposal of used columns is a challenge, since they must be size-reduced to get them out of the glovebox. The task is a high-risk operation because the glass shards that are generated can puncture the bag-out bags, leather protectors, glovebox gloves, and the worker's skin when completing the task. One of the Lessons Learned from these operations is that Laboratory management should critically evaluate each hazard and provide more effective measures to prevent personnel injury. A bag made of puncture-resistant material was one of these enhanced controls. We have investigated the effectiveness of these bags and have found that they safely and effectively permit glass objects to be reduced to small pieces with a plastic or rubber mallet; the waste can then be easily poured into a container for removal from the glove box as non-compactable transuranic (TRU) waste. This size-reduction operation reduces solid TRU waste generation by almost 2% times. Replacing one-time-use bag-out bags with multiple-use glass crushing bags also contributes to reducing generated waste. In addition, significant costs from contamination, cleanup, and preparation of incident documentation are avoided. This effort contributes to the Los Alamos National

  14. Reduction in Acute Myocardial Infarction Mortality in the United States

    Science.gov (United States)

    Krumholz, Harlan M.; Wang, Yun; Chen, Jersey; Drye, Elizabeth E.; Spertus, John A.; Ross, Joseph S.; Curtis, Jeptha P.; Nallamothu, Brahmajee K.; Lichtman, Judith H.; Havranek, Edward P.; Masoudi, Frederick A.; Radford, Martha J.; Han, Lein F.; Rapp, Michael T.; Straube, Barry M.; Normand, Sharon-Lise T.

    2012-01-01

    Context During the last 2 decades, health care professional, consumer, and payer organizations have sought to improve outcomes for patients hospitalized with acute myocardial infarction (AMI). However, little has been reported about improvements in hospital short-term mortality rates or reductions in between-hospital variation in short-term mortality rates. Objective To estimate hospital-level 30-day risk-standardized mortality rates (RSMRs) for patients discharged with AMI. Design, Setting, and Patients Observational study using administrative data and a validated risk model to evaluate 3 195 672 discharges in 2 755 370 patients discharged from nonfederal acute care hospitals in the United States between January 1, 1995, and December 31, 2006. Patients were 65 years or older (mean, 78 years) and had at least a 12-month history of fee-for-service enrollment prior to the index hospitalization. Patients discharged alive within 1 day of an admission not against medical advice were excluded, because it is unlikely that these patients had sustained an AMI. Main Outcome Measure Hospital-specific 30-day all-cause RSMR. Results At the patient level, the odds of dying within 30 days of admission if treated at a hospital 1 SD above the national average relative to that if treated at a hospital 1 SD below the national average were 1.63 (95% CI, 1.60-1.65) in 1995 and 1.56 (95% CI, 1.53-1.60) in 2006. In terms of hospital-specific RSMRs, a decrease from 18.8% in 1995 to 15.8% in 2006 was observed (odds ratio, 0.76; 95% CI, 0.75-0.77). A reduction in between-hospital heterogeneity in the RSMRs was also observed: the coefficient of variation decreased from 11.2% in 1995 to 10.8%, the interquartile range from 2.8% to 2.1%, and the between-hospital variance from 4.4% to 2.9%. Conclusion Between 1995 and 2006, the risk-standardized hospital mortality rate for Medicare patients discharged with AMI showed a significant decrease, as did between-hospital variation. PMID:19690309

  15. Feasibility study report for Operable Unit 4: Volume 2

    International Nuclear Information System (INIS)

    1994-02-01

    This report documents the Feasibility Study (FS) phase of the Fernald Environmental Management Project (FEMP) Operable Unit 4 Remedial Investigation/Feasibility Study (RI/FS) Program. The FEMP, formerly known as the Feed Materials Production Center (FMPC), is a US Department of Energy (DOE) facility that operated from 1952 to 1989. The facility's primarily function was to provide high purity uranium metal products to support United States defense programs. Production operations were suspended in 1989 to focus on environmental restoration and waste management activities at the facility. The RI/FS is being conducted pursuant to the terms of a Consent Agreement between DOE and the US Environmental Protection Agency (EPA) under Sections 120 and 106(a) of the Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA), as amended. The Ohio Environmental Protection Agency (OEPA) is also participating in the RI/FS process at the FEMP through direct involvement in program review meetings and technical review of project documentation. The objective of the RI/FS process is to gather information to support an informed risk management decision regarding which remedy appears to be the most appropriate action for addressing the environmental concerns identified at the FEMP. This volume contains appendices A--E

  16. Scintigraphic method for evaluating reductions in local blood volumes in human extremities

    DEFF Research Database (Denmark)

    Blønd, L; Madsen, Jan Lysgård

    2000-01-01

    in the experiment. Evaluation of one versus two scintigraphic projections, trials for assessment of the reproducibility, a comparison of the scintigraphic method with a water-plethysmographic method and registration of the fractional reduction in blood volume caused by exsanguination as a result of simple elevation......% in the lower limb experiment and 6% in the upper limb experiment. We found a significant relation (r = 0.42, p = 0.018) between the results obtained by the scintigraphic method and the plethysmographic method. In fractions, a mean reduction in blood volume of 0.49+0.14 (2 SD) was found after 1 min of elevation......We introduce a new method for evaluating reductions in local blood volumes in extremities, based on the combined use of autologue injection of 99mTc-radiolabelled erythrocytes and clamping of the limb blood flow by the use of a tourniquet. Twenty-two healthy male volunteers participated...

  17. Development of volume-reduction system for ion exchange resin using inductively coupled plasma

    International Nuclear Information System (INIS)

    Fujisawa, Morio; Katagiri, Genichi

    2002-01-01

    The spent ion exchange resin generated as radioactive waste in water purifying system at nuclear power stations or related facilities of nuclear power has been stored in the site, and its volume has been increasing year by year. We had developed a full-scale system of IC plasma volume-reduction system for the spent resin, and have performed basic performance test using some samples imitating the spent resin. As the results, the imitation of the resin can be reduced in volume by more than 90% so that the processing performance in actual scale was proved to be effective. In addition, it was clarified that the residuum after volume-reduction process is easy to mix with cement, and solidity containing 30wt% residuum provides high strength of 68 MPa. Therefore, we evaluate the application of this process to stabilization of the disposal to be very effective. (author)

  18. Measurement of breast volume is a useful supplement to select candidates for surgical breast reduction

    DEFF Research Database (Denmark)

    Ikander, Peder; Drejøe, Jennifer Berg; Lumholt, Pavia

    2014-01-01

    for breast reduction surgery, thus establishing a standard decision basis that can be shared by surgeons and departments to secure patients fair and equal treatment opportunities. MATERIAL AND METHODS: A total of 427 patients who were referred to three Danish public hospitals with breast hypertrophy...... in the period from January 2007 to March 2011 were included prospectively in the study. The patients' subjective complaints, height, weight and standard breast measurements were registered as well as the decision for or against surgery. Breast volume was measured using transparent plastic cups. RESULTS: Cut......-off values for breast volume were calculated based on whether or not the patients were offered reduction surgery. Most patients (93%) with a breast volume below 800 cc were not offered surgery, while most with a volume exceeding 900 cc were offered surgery (94%). In the grey zone between 800 and 900 cc...

  19. Processing plutonium-contaminated soild for volume reduction using the segmented gate system

    International Nuclear Information System (INIS)

    Moroney, K.S.; Moroney, J.D.; Turney, J.M.; Doane, R.W.

    1994-01-01

    TMA/Eberline has developed and demonstrated an effective method for removing mixed plutonium and americium contamination from a coral soil matrix at the Defense Nuclear Agency's Johnston Atoll site. TMA's onsite soil processing for volume reduction is ongoing at a rate of over 2000 metric tons per week. The system uses arrays of sensitive radiation detectors coupled with sophisticated computer software developed by Eberline Instrument Corporation. The proprietary software controls four soil sorting units operating in parallel that utilize TMA's unique Segmented Gate System technology to remove radiologically contaminated soil from a moving supply on conveyor belts. Clean soil is released for use elsewhere on the island. Contaminated soil is diverted to either a metal drum for collecting higher activity open-quotes hotclose quotes particles (>5000 Becquerels), or to a supplementary soil washing process designed to remove finely divided particles of dispersed low level contamination. Site contamination limits specify maximum dispersed radioactivity of no more than 500 Becquerels per kilogram of soil averaged over no more than 0.1 cubic meter. Results of soil processing at this site have been excellent. After processing over 50,000 metric tons, the volume of contaminated material that would have required expensive special handling, packaging, and disposal as radioactive waste has been successfully reduced by over 98 percent. By mid-January 1994, nearly three million kiloBecquerels of plutonium/americium contamination had been physically separated from the contaminated feed by TMA's Segmented Gate System, and quality control sampling showed no radioactivity above release criteria in the open-quotes cleanclose quotes soil pile

  20. Containment at the Source during Waste Volume Reduction of Large Radioactive Components Using Oxylance High-Temperature Cutting Equipment - 13595

    International Nuclear Information System (INIS)

    Keeney, G. Neil

    2013-01-01

    As a waste-volume reduction and management technique, highly contaminated Control Element Drive Mechanism (CEDM) housings were severed from the Reactor Pressure Vessel Head (RPVH) inside the San Onofre Unit 2 primary containment utilizing Oxylance high-temperature cutting equipment and techniques. Presented are relevant data concerning: - Radiological profiles of the RPVH and individual CEDMs; - Design overviews of the engineering controls and the specialized confinement housings; - Utilization of specialized shielding; - Observations of apparent metallurgical-contamination coalescence phenomena at high temperatures resulting in positive control over loose-surface contamination conditions; - General results of radiological and industrial hygiene air sampling and monitoring; - Collective dose and personnel contamination event statistics; - Lessons learned. (author)

  1. Containment at the Source during Waste Volume Reduction of Large Radioactive Components Using Oxylance High-Temperature Cutting Equipment - 13595

    Energy Technology Data Exchange (ETDEWEB)

    Keeney, G. Neil [Health Physicist, HazMat CATS, LLC (United States)

    2013-07-01

    As a waste-volume reduction and management technique, highly contaminated Control Element Drive Mechanism (CEDM) housings were severed from the Reactor Pressure Vessel Head (RPVH) inside the San Onofre Unit 2 primary containment utilizing Oxylance high-temperature cutting equipment and techniques. Presented are relevant data concerning: - Radiological profiles of the RPVH and individual CEDMs; - Design overviews of the engineering controls and the specialized confinement housings; - Utilization of specialized shielding; - Observations of apparent metallurgical-contamination coalescence phenomena at high temperatures resulting in positive control over loose-surface contamination conditions; - General results of radiological and industrial hygiene air sampling and monitoring; - Collective dose and personnel contamination event statistics; - Lessons learned. (author)

  2. Research and development of improved type radioactive waste volume reduction system

    International Nuclear Information System (INIS)

    Okamoto, Masahiro; Watanabe, Yoshifumi; Yamaoka, Katsuaki; Masaki, Tetsuo; Akagawa, Yoshihiro; Murakami, Tadashi; Miyake, Takashi.

    1985-01-01

    Development and research had been conducted since 1978 on an improved type radioactive waste volume reduction system incorporating calcining and incinerating fluidized bed type furnaces. This system can dispose of concentrated liquid wastes, combustible solid wastes, spent ion exchange resins and so forth by calcination or incineration to turn them into reduced-volume products. Recently a pilot test facility has constructed and tests has been conducted to demonstrate actual performance. Representative results of pilot tests are reported in this paper. (author)

  3. Acute volume expansion attenuates hyperthermia-induced reductions in cerebral perfusion during simulated hemorrhage

    DEFF Research Database (Denmark)

    Schlader, Zachary J; Seifert, Thomas; Wilson, Thad E

    2013-01-01

    Hyperthermia reduces the capacity to withstand a simulated hemorrhagic challenge, but volume loading preserves this capacity. This study tested the hypotheses that acute volume expansion during hyperthermia increases cerebral perfusion and attenuates reductions in cerebral perfusion during...... infusion while hyperthermic. Primary dependent variables were mean middle cerebral artery blood velocity (MCAvmean), serving as an index of cerebral perfusion; mean arterial pressure (MAP); and cardiac output (thermodilution). During baseline, hyperthermia reduced MCAvmean (P = 0.001) by 12 ± 9% relative...

  4. Volume reduction options for the management of low-level radioactive wastes

    International Nuclear Information System (INIS)

    Clark, D.E.; Lerch, R.E.

    1979-01-01

    Volume reduction options that are now or soon will be available for low-level wastes are examined. These wastes generally are in the form of combustible solids, noncombustible solids, and wet wastes (solid/liquid). Initially, the wastes are collected and stored onsite. Preconditioning may be required, e.g., sorting, shredding, and classifying the solids into combustible and noncombustible fractions. The volume of combustible solids can be reduced by compaction, incineration/pyrolysis, acid digestion, or molten salt combustion. Options for reducing the volume of noncombustible solids include compaction, size reduction and decontamination, meltdown-casting, dissolution and electropolishing. Burnable wet wastes (e.g., organic wastes) can be evaporated or combusted; nonburnable wet wastes can be treated by various evaporative or nonevaporative processes. All radioactive waste processing operations result in some equipment contamination and the production of additional radioactively contaminated wastes (secondary wastes). The additional waste quantities must be considered in evaluating performance and overall volume reduction factors for the various systems. In the selection of an optimum waste management plan for a given facility, other important factors (e.g., relative stability of the waste product form) should be considered along with the savings accrued due to volume reduction

  5. Region-specific reduction in brain volume in young adults with perinatal hypoxic-ischaemic encephalopathy.

    Science.gov (United States)

    Bregant, Tina; Rados, Milan; Vasung, Lana; Derganc, Metka; Evans, Alan C; Neubauer, David; Kostovic, Ivica

    2013-11-01

    A severe form of perinatal hypoxic-ischaemic encephalopathy (HIE) carries a high risk of perinatal death and severe neurological sequelae while in mild HIE only discrete cognitive disorders may occur. To compare total brain volumes and region-specific cortical measurements between young adults with mild-moderate perinatal HIE and a healthy control group of the same age. MR imaging was performed in a cohort of 14 young adults (9 males, 5 females) with a history of mild or moderate perinatal HIE. The control group consisted of healthy participants, matched with HIE group by age and gender. Volumetric analysis was done after the processing of MR images using a fully automated CIVET pipeline. We measured gyrification indexes, total brain volume, volume of grey and white matter, and of cerebrospinal fluid. We also measured volume, thickness and area of the cerebral cortex in the parietal, occipital, frontal, and temporal lobe, and of the isthmus cinguli, parahippocampal and cingulated gyrus, and insula. The HIE patient group showed smaller absolute volumetric data. Statistically significant (p right hemisphere, of cortical areas in the right temporal lobe and parahippocampal gyrus, of cortical volumes in the right temporal lobe and of cortical thickness in the right isthmus of the cingulate gyrus were found. Comparison between the healthy group and the HIE group of the same gender showed statistically significant changes in the male HIE patients, where a significant reduction was found in whole brain volume; left parietal, bilateral temporal, and right parahippocampal gyrus cortical areas; and bilateral temporal lobe cortical volume. Our analysis of total brain volumes and region-specific corticometric parameters suggests that mild-moderate forms of perinatal HIE lead to reductions in whole brain volumes. In the study reductions were most pronounced in temporal lobe and parahippocampal gyrus. Copyright © 2013 European Paediatric Neurology Society. All rights reserved.

  6. 76 FR 58543 - Draft Policy Statement on Volume Reduction and Low-Level Radioactive Waste Management

    Science.gov (United States)

    2011-09-21

    ...-Level Radioactive Waste Management AGENCY: Nuclear Regulatory Commission. ACTION: Reopening of comment... for public comment a draft Policy Statement on Volume Reduction and Low-Level Radioactive Waste...-based approaches to managing waste are also needed to safely manage Low-Level Radioactive Waste. The...

  7. Technical evaluation of Aerojet Energy Conversion Company's topical report on a mobile volume reduction system

    International Nuclear Information System (INIS)

    Henscheid, J.W.

    1984-01-01

    This report summarizes EG and G Idaho's review of Aerojet Energy Conversion Company's (AECC's) topical report on a Mobile Volume Reduction System. The review evaluated compliance with pertinent codes, standards and regulations. The initial review was discussed with AECC by EG and G Idaho and the NRC, and all outstanding issues resolved before this final evaluation was made

  8. Lung volume reduction coil treatment for patients with severe emphysema : a European multicentre trial

    NARCIS (Netherlands)

    Deslee, Gaetan; Klooster, Karin; Hetzel, Martin; Stanzel, Franz; Kessler, Romain; Marquette, Charles-Hugo; Witt, Christian; Blaas, Stefan; Gesierich, Wolfgang; Herth, Felix J. F.; Hetzel, Juergen; van Rikxoort, Eva M.; Slebos, Dirk-Jan

    2014-01-01

    Background The lung volume reduction (LVR) coil is a minimally invasive bronchoscopic nitinol device designed to reduce hyperinflation and improve elastic recoil in severe emphysema. We investigated the feasibility, safety and efficacy of LVR coil treatment in a prospective multicentre cohort trial

  9. Treatment of emphysema using bronchoscopic lung volume reduction coil technology : an update on efficacy and safety

    NARCIS (Netherlands)

    Hartman, Jorine E.; Klooster, Karin; ten Hacken, Nick H. T.; Slebos, Dirk-Jan

    2015-01-01

    In the last decade several promising bronchoscopic lung volume reduction (BLVR) treatments were developed and investigated. One of these treatments is BLVR treatment with coils. The advantage of this specific treatment is that it works independently of collateral flow, and also shows promise for

  10. Measurement of breast volume is a useful supplement to select candidates for surgical breast reduction

    DEFF Research Database (Denmark)

    Ikander, Peder; Drejøe, Jennifer Berg; Lumholt, Pavia

    2014-01-01

    INTRODUCTION: The indication for breast reduction in a public welfare or an insurance paid setting depends on the severity of the subjective symptoms and the clinical evaluation. The purpose of this study was to evaluate the use of breast volume as an objective criterion to establish the indication...

  11. 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

  12. Technical evaluation of the ATI volume reduction and bitumen solidification topical report

    International Nuclear Information System (INIS)

    Henscheid, J.W.; Young, T.E.

    1985-01-01

    This report summarizes EG and G Idaho's review of the Associated Technologies Inorporated (ATI) topical report on a Volume Reduction and Bitumen Solidification System. The review evaluated compliance with pertinent codes, standards and regulations. The initial review was discussed with ATI, and all outstanding issues resolved before this final evaluation was made

  13. Volume reduction options for the management of low-level radioactive wastes

    International Nuclear Information System (INIS)

    Clark, D.E.; Lerch, R.E.

    1977-01-01

    This paper examines volume reduction options that are now or soon will be available for low-level wastes. These wastes generally are in the form of combustible solids, noncombustible solids, and wet wastes (solid/liquid). Initially, the wastes are collected and stored onsite. Preconditioning may be required, e.g., sorting, shredding, and classifying the solids into combustible and noncombustible fractions. The volume of combustible solids can be reduced by compaction, incineration/pyrolysis, acid digestion, or molten salt combustion. Options for reducing the volume of noncombustible solids include compaction, size reduction and decontamination, meltdown-casting, dissolution and electropolishing. Burnable wet wastes (e.g., organic wastes) can be evaporated or combusted; nonburnable wet wastes can be treated by various evaporative or nonevaporative processes. All radioactive waste processing operations result in some equipment contamination and the production of additional radioactively contaminated wastes (secondary wastes). 23 figures

  14. Volume reduction and solidification of radioactive waste incineration ash with waste glass

    International Nuclear Information System (INIS)

    Koyama, Hidemi; Kobayashi, Masayuki

    2007-01-01

    The low-level radioactive waste generated from research institutions and hospitals etc. is packed into a container and is kept. The volume reduced state or the unprocessed state by incineration or compression processing are used because neither landfill sites nor disposal methods have been fixed. Especially, because the bulk density is low, and it is easy to disperse, the low-level radioactive waste incineration ash incinerated for the volume reduction is a big issue in security, safety, stability in the inventory location. A safe and appropriate disposal processing method is desired. When the low temperature sintering method in the use of the glass bottle cullet was examined, volume reduction and stabilization of low-level radioactive waste incineration ash were verified. The proposed method is useful for the easy treatment of the low-level radioactive waste incineration ash. (author)

  15. Cost and waste volume reduction in HEPA filter trains by effective pre-filtration

    International Nuclear Information System (INIS)

    Chadwick, Chris; Kaufman, Seth

    2006-01-01

    Data published elsewhere (Moore, et el 1992; Bergman et al 1997) suggests that the then costs of disposable type Glass Fibre HEPA filtration trains to the DOE was USD 55 million per year (based on an average usage of HEPA panels of 11,748 pieces per year between 1987 and 1990), USD 50 million of which was attributable to installation, testing, removal and disposal - although the life cycle costs are themselves based on estimates dating from 1987-1990. The same authors suggest that by 1995 the number of HEPA panels being used had dropped to an estimated 4000 pieces per year due to the ending of the Cold War. The yearly cost to the DOE of 4000 units per year was estimated to be USD 29.5 million using the same parameters that suggested the previously stated USD 55 million for the larger quantity. Within that cost estimate, USD 300 was the value given to the filter and USD 4,450 was given to peripheral activity per filter. Clearly, if the USD 4,450 component could be reduced, tremendous saving could result, in addition to a significant reduction in the legacy burden of waste volumes. This same cost is applied to both the 11,748 and 4000 usage figures. The work up to now has focussed on the development of a low cost, long life (cleanable) direct replacement of the traditional filter train, but this paper will review an alternative strategy, that of preventing the contaminating dust from reaching and blinding the HEPA filters, and thereby removing the need to replace them. What has become clear is that 'low cost' and 'stainless HEPA' are not compatible terms. The original Bergman et al work suggested that 1000 ft 3 /min stainless HEPAs could be commercially available for USD 5000 each after development (although the USD 70,000 development unit may be somewhat exaggerated - the authors have estimated that development units able to be retro-fitted into strengthened standard housings would be available for perhaps USD 30,000). The likely true cost of such an item produced

  16. Cost and waste volume reduction in HEPA filter trains by effective pre-filtration

    International Nuclear Information System (INIS)

    Chadwick, Chris

    2007-01-01

    Data published elsewhere (Moore, et al., 1992; Bergman et al., 1997) suggests that the then costs of disposable type Glass Fibre HEPA filtration trains to the DOE was $55 million per year (based on an average usage of HEPA panels of 11,748 pieces per year between 1987 and 1990), $50 million of which was attributable to installation, testing, removal and disposal. The same authors suggest that by 1995 the number of HEPA panels being used had dropped to an estimated 4000 pieces per year due to the ending of the Cold War. The yearly cost to the DOE of 4000 units per year was estimated to be $29.5 million using the same parameters that previously suggested the $55 million figure. Within that cost estimate, $300 each was the value given to the filter and $4,450 was given to peripheral activity per filter. Clearly, if the $4,450 component could be reduced, tremendous saving could result, in addition to a significant reduction in the legacy burden of waste volumes. This same cost is applied to both the 11,748 and 4000 usage figures. The work up to now has focussed on the development of a low cost, long life (cleanable), direct replacement of the traditional filter train. This paper will review an alternative strategy, that of preventing the contaminating dust from reaching and blinding the HEPA filters, and thereby removing the need to replace them. What has become clear is that 'low cost' and 'Metallic HEPA' are not compatible terms. The original Bergman et al., 1997 work suggested that 1000 cfm (cubic feet per minute) (1690 m 3 /hr) stainless HEPAs could be commercially available for $5000 each after development (although the $70,000 development unit may be somewhat exaggerated - the authors own company have estimated development units able to be retrofitted into strengthened standard housings would be available for perhaps $30,000). The likely true cost of such an item produced industrially in significant numbers may be closer to $15,000 each. That being the case, the

  17. Development of volume reduction method of cesium contaminated soil with magnetic separation

    International Nuclear Information System (INIS)

    Yukumatsu, Kazuki; Nomura, Naoki; Mishima, Fumihito; Akiyama, Yoko; Nishijima, Shigehiro

    2016-01-01

    In this study, we developed a new volume reduction technique for cesium contaminated soil by magnetic separation. Cs in soil is mainly adsorbed on clay which is the smallest particle constituent in the soil, especially on paramagnetic 2:1 type clay minerals which strongly adsorb and fix Cs. Thus selective separation of 2:1 type clay with a superconducting magnet could enable to reduce the volume of Cs contaminated soil. The 2:1 type clay particles exist in various particle sizes in the soil, which leads that magnetic force and Cs adsorption quantity depend on their particle size. Accordingly, we examined magnetic separation conditions for efficient separation of 2:1 type clay considering their particle size distribution. First, the separation rate of 2:1 type clay for each particle size was calculated by particle trajectory simulation, because magnetic separation rate largely depends on the objective size. According to the calculation, 73 and 89 % of 2:1 type clay could be separated at 2 and 7 T, respectively. Moreover we calculated dose reduction rate on the basis of the result of particle trajectory simulation. It was indicated that 17 and 51 % of dose reduction would be possible at 2 and 7 T, respectively. The difference of dose reduction rate at 2 T and 7 T was found to be separated a fine particle. It was shown that magnetic separation considering particle size distribution would contribute to the volume reduction of contaminated soil

  18. Reduced astrocyte density underlying brain volume reduction in activity-based anorexia rats

    Science.gov (United States)

    Frintrop, Linda; Liesbrock, Johanna; Paulukat, Lisa; Johann, Sonja; Kas, Martien J; Tolba, Rene; Heussen, Nicole; Neulen, Joseph; Konrad, Kerstin; Herpertz-Dahlmann, Beate; Beyer, Cordian; Seitz, Jochen

    2018-04-01

    Severe grey and white matter volume reductions were found in patients with anorexia nervosa (AN) that were linked to neuropsychological deficits while their underlying pathophysiology remains unclear. For the first time, we analysed the cellular basis of brain volume changes in an animal model (activity-based anorexia, ABA). Female rats had 24 h/day running wheel access and received reduced food intake until a 25% weight reduction was reached and maintained for 2 weeks. In ABA rats, the volumes of the cerebral cortex and corpus callosum were significantly reduced compared to controls by 6% and 9%, respectively. The number of GFAP-positive astrocytes in these regions decreased by 39% and 23%, total astrocyte-covered area by 83% and 63%. In neurons no changes were observed. The findings were complemented by a 60% and 49% reduction in astrocyte (GFAP) mRNA expression. Volumetric brain changes in ABA animals mirror those in human AN patients. These alterations are associated with a reduction of GFAP-positive astrocytes as well as GFAP expression. Reduced astrocyte functioning could help explain neuronal dysfunctions leading to symptoms of rigidity and impaired learning. Astrocyte loss could constitute a new research target for understanding and treating semi-starvation and AN.

  19. Long-term occupational stress is associated with regional reductions in brain tissue volumes.

    Directory of Open Access Journals (Sweden)

    Eva Blix

    Full Text Available There are increasing reports of cognitive and psychological declines related to occupational stress in subjects without psychiatric premorbidity or major life trauma. The underlying neurobiology is unknown, and many question the notion that the described disabilities represent a medical condition. Using PET we recently found that persons suffering from chronic occupational stress had limbic reductions in the 5-HT1A receptor binding potential. Here we examine whether chronic work-related stress is also associated with changes in brain structure. We performed MRI-based voxel-based morphometry and structural volumetry in stressed subjects and unstressed controls focusing on gray (GM and white matter (WM volumes, and the volumes of hippocampus, caudate, and putamen - structures known to be susceptible to neurotoxic changes. Stressed subjects exhibited significant reductions in the GM volumes of the anterior cingulate cortex and the dorsolateral prefrontal cortex. Furthermore, their caudate and putamen volumes were reduced, and the volumes correlated inversely to the degree of perceived stress. Our results add to previous data on chronic psychosocial stress, and indicate a morphological involvement of the frontostriatal circuits. The present findings of morphological changes in these regions confirm our previous conclusion that symptoms from occupational stress merit careful investigations and targeted treatment.

  20. Long-Term Occupational Stress Is Associated with Regional Reductions in Brain Tissue Volumes

    Science.gov (United States)

    Blix, Eva; Perski, Aleksander; Berglund, Hans; Savic, Ivanka

    2013-01-01

    There are increasing reports of cognitive and psychological declines related to occupational stress in subjects without psychiatric premorbidity or major life trauma. The underlying neurobiology is unknown, and many question the notion that the described disabilities represent a medical condition. Using PET we recently found that persons suffering from chronic occupational stress had limbic reductions in the 5-HT1A receptor binding potential. Here we examine whether chronic work-related stress is also associated with changes in brain structure. We performed MRI-based voxel-based morphometry and structural volumetry in stressed subjects and unstressed controls focusing on gray (GM) and white matter (WM) volumes, and the volumes of hippocampus, caudate, and putamen – structures known to be susceptible to neurotoxic changes. Stressed subjects exhibited significant reductions in the GM volumes of the anterior cingulate cortex and the dorsolateral prefrontal cortex. Furthermore, their caudate and putamen volumes were reduced, and the volumes correlated inversely to the degree of perceived stress. Our results add to previous data on chronic psychosocial stress, and indicate a morphological involvement of the frontostriatal circuits. The present findings of morphological changes in these regions confirm our previous conclusion that symptoms from occupational stress merit careful investigations and targeted treatment. PMID:23776438

  1. Severe and fatal obstetric injury claims in relation to labor unit volume

    DEFF Research Database (Denmark)

    Milland, Maria; Mikkelsen, Kim L; Christoffersen, Jens K

    2015-01-01

    with decreasing annual delivery volume. Face value incidence rate ratios of approved severe injuries increased with decreasing labor unit volume, but the association did not reach statistical significance. CONCLUSION: High volume labor units appear associated with fewer approved and fewer fatal injury claims...... in labor units in 1995-2012. METHODS: Exposure information regarding the annual number of deliveries per labor unit was retrieved from the Danish National Birth Register. Outcome information was retrieved from the Danish Patient Compensation Association. Exposure was categorized in delivery volume...... quintiles as annual volume per labor unit: (10-1377), (1378-2016), (2017-2801), (2802-3861), (3862-6659). MAIN OUTCOME MEASURES: Five primary measures of outcome were used. Incidence rate ratios of (A) Submitted claims, (B) Approved claims, (C) Approved severe injury claims (120% degree of disability), (D...

  2. A logical approach to determine a waste segregation/volume reduction program

    International Nuclear Information System (INIS)

    Shriner, G.D.; Carmel, P.G.; Shimmura, H.

    1986-01-01

    This paper discusses advantages and disadvantages of hand sorting versus use of automated radioactive waste segregation monitors and makes an analysis of costs/versus benefits based on volume with time. Many programs to be employed to prevent unnecessary waste generation with little or no additional cost to the power plant. Parameters needed to perform a cost analysis and methods used to obtain them are discussed. Recommendations on use of vendor-supplied services for segregation, volume reduction, and decontamination are given. The data provided will enable the selection of a program(s) to benefit the individual user's requirements

  3. Analysis of the reduction in waste volumes received for disposal at the low-level radioactive waste site in the State of Washington

    International Nuclear Information System (INIS)

    Ko, S.

    1988-01-01

    The commercial low-level radioactive waste (LLRW) disposal site at Richland, Washington has been receiving waste from generators nationwide since 1965 and is one of the three sites in the nation currently receiving commercial LLRW for disposal. In the past, volumes of LLRW have been increasing steadily, however, this trend has reversed since 1986. This paper addresses waste volume and activity of the waste disposed, factors which have caused this dramatic reduction in LLRW volume, and regulatory concerns regarding environmental protection, and public and occupational health and safety. Future volumes of LLRW that are disposed at the Richland site depend on economic, technological, political and regulatory variables. Provided there is a continual increase in industrial growth, and a demand for medical research and diagnosis, the volume of LLRW increases. However, this volume also offsets by an increase in demand for volume reduction due to economic and institutional pressures. Yet, if all generators continue to volume reduce their LLRW, some time in future, a limit will be reached when the facility site operator needs to increase the unit disposal cost to cover the fixed cost and maintain a profit margin in order to operate the site

  4. MICROBIAL TRANSFORMATIONS OF TRU AND MIXED WASTES: ACTINIDE SPECIATION AND WASTE VOLUME REDUCTION.

    Energy Technology Data Exchange (ETDEWEB)

    FRANCIS, A.J.; DODGE, C.J.

    2006-11-16

    The overall goals of this research project are to determine the mechanism of microbial dissolution and stabilization of actinides in Department of Energy's (DOE) TRU wastes, contaminated sludges, soils, and sediments. This includes (1) investigations on the fundamental aspects of microbially catalyzed radionuclide and metal transformations (oxidation/reduction reactions, dissolution, precipitation, chelation); (2) understanding of the microbiological processes that control speciation and alter the chemical forms of complex inorganic/organic contaminant mixtures; and (3) development of new and improved microbially catalyzed processes resulting in immobilization of metals and radionuclides in the waste with concomitant waste volume reduction.

  5. MICROBIAL TRANSFORMATIONS OF TRU AND MIXED WASTES: ACTINIDE SPECIATION AND WASTE VOLUME REDUCTION

    Energy Technology Data Exchange (ETDEWEB)

    Francis, A.J.; Dodge, C.J.

    2006-06-01

    The overall goals of this research project are to determine the mechanism of microbial dissolution and stabilization of actinides in Department of Energy’s (DOE) TRU wastes, contaminated sludges, soils, and sediments. This includes (i) investigations on the fundamental aspects of microbially catalyzed radionuclide and metal transformations (oxidation/reduction reactions, dissolution, precipitation, chelation); (ii) understanding of the microbiological processes that control speciation and alter the chemical forms of complex inorganic/organic contaminant mixtures; and (iii) development of new and improved microbially catalyzed processes resulting in immobilization of metals and radionuclides in the waste with concomitant waste volume reduction.

  6. MICROBIAL TRANSFORMATIONS OF TRU AND MIXED WASTES: ACTINIDE SPECIATION AND WASTE VOLUME REDUCTION

    Energy Technology Data Exchange (ETDEWEB)

    Francis, A.J.; Dodge, C.J.

    2006-06-01

    The overall goals of this research project are to determine the mechanism of microbial dissolution and stabilization of actinides in Department of Energy's (DOE) TRU wastes, contaminated sludges, soils, and sediments. This includes (1) investigations on the fundamental aspects of microbially catalyzed radionuclide and metal transformations (oxidation/reduction reactions, dissolution, precipitation, chelation); (2) understanding of the microbiological processes that control speciation and alter the chemical forms of complex inorganic/organic contaminant mixtures; and (3) development of new and improved microbially catalyzed processes resulting in immobilization of metals and radionuclides in the waste with concomitant waste volume reduction.

  7. Ozone response to emission reductions in the southeastern United States

    Science.gov (United States)

    Blanchard, Charles L.; Hidy, George M.

    2018-06-01

    Ozone (O3) formation in the southeastern US is studied in relation to nitrogen oxide (NOx) emissions using long-term (1990s-2015) surface measurements of the Southeastern Aerosol Research and Characterization (SEARCH) network, U.S. Environmental Protection Agency (EPA) O3 measurements, and EPA Clean Air Status and Trends Network (CASTNET) nitrate deposition data. Annual fourth-highest daily peak 8 h O3 mixing ratios at EPA monitoring sites in Georgia, Alabama, and Mississippi exhibit statistically significant (p total oxidized nitrogen (NOy) mixing ratios at SEARCH sites declined in proportion to NOx emission reductions. CASTNET data show declining wet and dry nitrate deposition since the late 1990s, with total (wet plus dry) nitrate deposition fluxes decreasing linearly in proportion to reductions of NOx emissions by ˜ 60 % in Alabama and Georgia. Annual nitrate deposition rates at Georgia and Alabama CASTNET sites correspond to 30 % of Georgia emission rates and 36 % of Alabama emission rates, respectively. The fraction of NOx emissions lost to deposition has not changed. SEARCH and CASTNET sites exhibit downward trends in mean annual nitric acid (HNO3) concentrations. Observed relationships of O3 to NOz (NOy-NOx) support past model predictions of increases in cycling of NO and increasing responsiveness of O3 to NOx. The study data provide a long-term record that can be used to examine the accuracy of process relationships embedded in modeling efforts. Quantifying observed O3 trends and relating them to reductions in ambient NOy species concentrations offers key insights into processes of general relevance to air quality management and provides important information supporting strategies for reducing O3 mixing ratios.

  8. Lateral frontal cortex volume reduction in Tourette syndrome revealed by VBM

    Directory of Open Access Journals (Sweden)

    Wittfoth Matthias

    2012-02-01

    Full Text Available Abstract Background Structural changes have been found predominantly in the frontal cortex and in the striatum in children and adolescents with Gilles de la Tourette syndrome (GTS. The influence of comorbid symptomatology is unclear. Here we sought to address the question of gray matter abnormalities in GTS patients with co-morbid obsessive-compulsive disorder (OCD and/or attention deficit hyperactivity disorder (ADHD using voxel-based morphometry (VBM in twenty-nine adult actually unmedicated GTS patients and twenty-five healthy control subjects. Results In GTS we detected a cluster of decreased gray matter volume in the left inferior frontal gyrus (IFG, but no regions demonstrating volume increases. By comparing subgroups of GTS with comorbid ADHD to the subgroup with comorbid OCD, we found a left-sided amygdalar volume increase. Conclusions From our results it is suggested that the left IFG may constitute a common underlying structural correlate of GTS with co-morbid OCD/ADHD. A volume reduction in this brain region that has been previously identified as a key region in OCD and was associated with the active inhibition of attentional processes may reflect the failure to control behavior. Amygdala volume increase is discussed on the background of a linkage of this structure with ADHD symptomatology. Correlations with clinical data revealed gray matter volume changes in specific brain areas that have been described in these conditions each.

  9. Incidental lung volume reduction following fulminant pulmonary hemorrhage in a patient with severe emphysema.

    Science.gov (United States)

    Hetzel, Juergen; Spengler, Werner; Horger, Marius; Boeckeler, Michael

    2015-06-01

    Endoscopic lung volume reduction is an emerging technique meant to improve lung function parameters, quality of life, and exercise tolerance in patients with severe lung emphysema. This is the first report of lung volume reduction by autologous blood in a patient with non-bullous lung emphysema. A 74-year-old woman with heterogeneous lung emphysema developed accidentally diffuse lobar bleeding immediately after valve placement. Due to persistent hemorrhage, the valves had to be removed shortly thereafter. Despite extraction of the valves, respiratory function of the patient improved rapidly indicated also by a drop in the COPD assessment test questionnaire, 3 months later. This was consistent with both improvement of lung function tests and six-minute walking test.

  10. [Prediction of the efficiency of endoscopic lung volume reduction by valves in severe emphysema].

    Science.gov (United States)

    Bocquillon, V; Briault, A; Reymond, E; Arbib, F; Jankowski, A; Ferretti, G; Pison, C

    2016-11-01

    In severe emphysema, endoscopic lung volume reduction with valves is an alternative to surgery with less morbidity and mortality. In 2015, selection of patients who will respond to this technique is based on emphysema heterogeneity, a complete fissure visible on the CT-scan and absence of collateral ventilation between lobes. Our case report highlights that individualized prediction is possible. A 58-year-old woman had severe, disabling pulmonary emphysema. A high resolution thoracic computed tomography scan showed that the emphysema was heterogeneous, predominantly in the upper lobes, integrity of the left greater fissure and no collateral ventilation with the left lower lobe. A valve was inserted in the left upper lobe bronchus. At one year, clinical and functional benefits were significant with complete atelectasis of the treated lobe. The success of endoscopic lung volume reduction with a valve can be predicted, an example of personalized medicine. Copyright © 2016 SPLF. Published by Elsevier Masson SAS. All rights reserved.

  11. Incineration as a radioactive waste volume reduction process for CEA nuclear centers

    International Nuclear Information System (INIS)

    Atabek, R.; Chaudon, L.

    1994-01-01

    Incineration processes represent a promising solution for waste volume reduction, and will be increasingly used in the future. The features and performance specifications of low-level waste incinerators with capacities ranging from 10 to 20 kg - h -1 at the Fontenay-aux-Roses, Grenoble and Cadarache nuclear centers in France are briefly reviewed. More extensive knowledge of low-level wastes produced in facilities operated by the Commissariat a l'Energie Atomique (CEA) has allowed us to assess the volume reduction obtained by processing combustible waste in existing incinerators. Research and development work is in progress to improve management procedures for higher-level waste and to build facilities capable of incinerating α - contaminated waste. (authors). 6 refs., 5 figs., 1 tab

  12. Volume reduction of radioactive concrete waste generated from KRR-2 and UCP

    International Nuclear Information System (INIS)

    Min, B. Y.; Choi, W. K.; Park, J. W.; Lee, K. W.

    2009-01-01

    As a part of a technical development for the volume reduction and stabilization of contaminated concrete wastes generated by dismantling a research reactor and uranium conversion plant, we have developed the volume reduction technology and immobilization of fine powder applicable to an activated heavy weight concrete generated by dismantling KRR-2 and a uranium contaminated light weight concrete produced from a UCP decommissioning. During a decommissioning of nuclear plants and facilities, large quantities of contaminated concrete wastes are generated. The decommissioning of the retired TRIGA MARK II and III research reactors and a uranium conversion plant has been under way. In Korea, two decommissioning projects such as the decommissioning of the retired research reactors (KRR-1 and 2) and a uranium conversion plant (UCP) at the Korea Atomic Energy Research Institute (KAERI) has been carried out. By dismantling KRR-2, more than 260 tons of radioactive concrete wastes are generated among the total 2,000 tons of concrete wastes and more than 60 tons of concrete wastes contaminated with uranium compounds are generated in UCP decommissioning up to now. The volume reduction and recycling of the wastes is essential to reduce the waste management cost with expecting that an approximate disposal cost for low level radioactive waste will be more than 5,000 US dollars per 200 liter waste drum in Korea. It is well known that most of the radioactivity exist in cement mortar and paste composed of concrete. In this context, the volume reduction of concrete waste is based on the separation of radioactive concrete into a clean recyclable aggregates and a radioactive fine cement powder, which can be readily performed by heating to weaken the adherence force between the cement matrix and the aggregates followed by mechanical crushing and milling processes. In this study, we have investigated the characteristics of separation of aggregates and the distribution of radioactivity into

  13. Reductions in Corpus Callosum Volume Partially Mediate Effects of Prenatal Alcohol Exposure on IQ

    Directory of Open Access Journals (Sweden)

    Stevie C. Biffen

    2018-01-01

    Full Text Available Disproportionate volume reductions in the basal ganglia, corpus callosum (CC and hippocampus have been reported in children with prenatal alcohol exposure (PAE. However, few studies have investigated these reductions in high prevalence communities, such as the Western Cape Province of South Africa, and only one study made use of manual tracing, the gold standard of volumetric analysis. The present study examined the effects of PAE on subcortical neuroanatomy using manual tracing and the relation of volumetric reductions in these regions to IQ and performance on the California Verbal Learning Test-Children's Version (CVLT-C, a list learning task sensitive to PAE. High-resolution T1-weighted images were acquired, using a sequence optimized for morphometric neuroanatomical analysis, on a Siemens 3T Allegra MRI scanner from 71 right-handed, 9- to 11-year-old children [9 fetal alcohol syndrome (FAS, 19 partial FAS (PFAS, 24 non-syndromal heavily exposed (HE and 19 non-exposed controls]. Frequency of maternal drinking was ascertained prospectively during pregnancy using timeline follow-back interviews. PAE was examined in relation to volumes of the CC and left and right caudate nuclei, nucleus accumbens and hippocampi. All structures were manually traced using Multitracer. Higher levels of PAE were associated with reductions in CC volume after adjustment for TIV. Although the effect of PAE on CC was confounded with smoking and lead exposure, additional analyses showed that it was not accounted for by these exposures. Amongst dysmorphic children, smaller CC was associated with poorer IQ and CVLT-C scores and statistically mediated the effect of PAE on IQ. In addition, higher levels of PAE were associated with bilateral volume reductions in caudate nuclei and hippocampi, effects that remained significant after control for TIV, child sex and age, socioeconomic status, maternal smoking during pregnancy, and childhood lead exposure. These data confirm

  14. Novel reprocessing methods with nuclide separation for volume reduction of high level radioactive waste

    International Nuclear Information System (INIS)

    Suzuki, Tatsuya

    2015-01-01

    We have proposed the reprocessing system with nuclide separation processes based on the chromatographic technique in the hydrochloric acid solution system. Our proposing system consists of the dissolution process, the reprocessing process, the MA separation process, and nuclide separation processes. In our proposing processes, the pyridine resin is used as a main separation media. We expect that our proposing will contribute to that volume reduction of high level radioactive waste by combining the transmutation techniques, usage of valuable elements, and so on. (author)

  15. Thyroid volume reduction following radioiodine therapy in patients with autonomous goitre and Graves' disease

    International Nuclear Information System (INIS)

    Dederichs, B.; Otte, R.; Klink, J.E.; Schicha, H.

    1996-01-01

    Aim: It is well known that radioiodine therapy (RITh) leads to a significant thyroid volume reduction (TVR). But until now only little data has been presented due to the course of time and the extent of TVR. Method: Therefore the data of 33 patients with Graves' disease (GD), 36 patients with multifocal (MAG) and 31 with solitary (SAG) autonomous goitre were analyzed retrospectively. Results: All the patients showed a highly significant (p [de

  16. Ozone response to emission reductions in the southeastern United States

    Directory of Open Access Journals (Sweden)

    C. L. Blanchard

    2018-06-01

    Full Text Available Ozone (O3 formation in the southeastern US is studied in relation to nitrogen oxide (NOx emissions using long-term (1990s–2015 surface measurements of the Southeastern Aerosol Research and Characterization (SEARCH network, U.S. Environmental Protection Agency (EPA O3 measurements, and EPA Clean Air Status and Trends Network (CASTNET nitrate deposition data. Annual fourth-highest daily peak 8 h O3 mixing ratios at EPA monitoring sites in Georgia, Alabama, and Mississippi exhibit statistically significant (p  <  0.0001 linear correlations with annual NOx emissions in those states between 1996 and 2015. The annual fourth-highest daily peak 8 h O3 mixing ratios declined toward values of ∼ 45–50 ppbv and monthly O3 maxima decreased at rates averaging ∼ 1–1.5 ppbv yr−1. Mean annual total oxidized nitrogen (NOy mixing ratios at SEARCH sites declined in proportion to NOx emission reductions. CASTNET data show declining wet and dry nitrate deposition since the late 1990s, with total (wet plus dry nitrate deposition fluxes decreasing linearly in proportion to reductions of NOx emissions by ∼ 60 % in Alabama and Georgia. Annual nitrate deposition rates at Georgia and Alabama CASTNET sites correspond to 30 % of Georgia emission rates and 36 % of Alabama emission rates, respectively. The fraction of NOx emissions lost to deposition has not changed. SEARCH and CASTNET sites exhibit downward trends in mean annual nitric acid (HNO3 concentrations. Observed relationships of O3 to NOz (NOy–NOx support past model predictions of increases in cycling of NO and increasing responsiveness of O3 to NOx. The study data provide a long-term record that can be used to examine the accuracy of process relationships embedded in modeling efforts. Quantifying observed O3 trends and relating them to reductions in ambient NOy species concentrations offers key insights into processes of general relevance to air quality management and

  17. Considerations in reviewing the waste volume reduction program in a large utility

    International Nuclear Information System (INIS)

    Kohout, R.; Calzolari, L.M.

    1987-01-01

    A program is underway at Ontario Hydro to establish a desirable future scheme for central processing/volume reduction of solid radioactive Low-Level Wastes (LLW) prior to their placement into the centralized storage, and in the future into a disposal facility. The approach being investigated is to furnish the current Waste Volume Reduction Facility (WVRF) with state-of-art processes, reclassify the waste categories and segregate the wastes such that each volume reduction (VR) process is then applied where it would be most effective. The ''optimized'' approach is then compared with other, specific schemes, which basically differ in that each scheme omits one of the major VR processes, thus allowing the next most effective process to take over its role. Each scheme is assessed quantitatively from the viewpoint of cost and VR effectiveness, and qualitatively from the viewpoint of resultant waste form. The economic assessments take into consideration the long term (20 year) impact of selected VR schemes on the overall waste management cost, including construction and operation of the storage facility. This paper highlights the overall study, includes the major results, and identifies aspects that need to be addressed in the selection of a desirable combination of VR processes in absence of knowledge of future waste disposal costs

  18. Economic analysis of a volume reduction/polyethylene solidification system for low-level radioactive wastes

    International Nuclear Information System (INIS)

    Kalb, P.D.; Colombo, P.

    1985-01-01

    A study was conducted at Brookhaven National Laboratory to determine the economic feasibility of a fluidized bed volume reduction/polyethylene solidification system for low-level radioactive wastes. These results are compared with the ''null'' alternative of no volume reduction and solidification of aqueous waste streams in hydraulic cement. The economic analysis employed a levelized revenue requirement (LRR) technique conducted over a ten year period. An interactive computer program was written to conduct the LRR calculations. Both of the treatment/solidification options were considered for a number of scenarios including type of plant (BWR or PWR) and transportation distance to the disposal site. If current trends in the escalation rates of cost components continue, the volume reduction/polyethylene solidification option will be cost effective for both BWRs and PWRs. Data indicate that a minimum net annual savings of $0.8 million per year (for a PWR shipping its waste 750 miles) and a maximum net annual savings of $9 million per year (for a BWR shipping its waste 2500 miles) can be achieved. A sensitivity analysis was performed for the burial cost escalation rate, which indicated that variation of this factor will impact the total levelized revenue requirement. The burial cost escalation rate which yields a break-even condition was determined for each scenario considered. 11 refs., 8 figs., 39 tabs

  19. Shredder and incinerator technology for volume reduction of commercial transuranic wastes

    International Nuclear Information System (INIS)

    Oma, K.H.

    1986-06-01

    Pacific Northwest Laboratory (PNL) is evaluating alternatives and developing technology for treatment of radioactive wastes generated during commercial nuclear activities. Transuranic wastes that require volume reduction include spent HEPA filters, sample and analytical cell waste, and general process trash. A review of current technologies for volume reduction of these wastes led to the selection and testing of several low-speed shredder systems and three candidate incineration processes. The incinerators tested were the electrically heated control-led-air, gas-heated controlled-air, and rotary kiln. Equipment tests were conducted using simulated commercial transuranic wastes to provide a data base for the comparison of the various technologies. The electrically driven, low-speed shredder process was selected as the preferred method for size reduction of the wastes prior to incineration. All three incinerators effectively reduced the waste volume. Based on a technical and economic evaluation on the incineration processes, the recommended system for the commercial waste application is the gas-heated controlled-air incinerator with a single stage of shredding for feed pretreatment

  20. Westinghouse Modular Grinding Process - Enhancement of Volume Reduction for Hot Resin Supercompaction - 13491

    Energy Technology Data Exchange (ETDEWEB)

    Fehrmann, Henning [Westinghouse Electric Germany GmbH, Dudenstr. 44, D-68167 Mannheim (Germany); Aign, Joerg [Westinghouse Electric Germany GmbH, Global D and D and Waste Management, Tarpenring 6, D-22419 Hamburg (Germany)

    2013-07-01

    In nuclear power plants (NPP) ion exchange (IX) resins are used in several systems for water treatment. Spent resins can contain a significant amount of contaminates which makes treatment for disposal of spent resins mandatory. Several treatment processes are available such as direct immobilization with technologies like cementation, bitumisation, polymer solidification or usage of a high integrity container (HIC). These technologies usually come with a significant increase in final waste volume. The Hot Resin Supercompaction (HRSC) is a thermal treatment process which reduces the resin waste volume significantly. For a mixture of powdered and bead resins the HRSC process has demonstrated a volume reduction of up to 75 % [1]. For bead resins only the HRSC process is challenging because the bead resins compaction properties are unfavorable. The bead resin material does not form a solid block after compaction and shows a high spring back effect. The volume reduction of bead resins is not as good as for the mixture described in [1]. The compaction properties of bead resin waste can be significantly improved by grinding the beads to powder. The grinding also eliminates the need for a powder additive.Westinghouse has developed a modular grinding process to grind the bead resin to powder. The developed process requires no circulation of resins and enables a selective adjustment of particle size and distribution to achieve optimal results in the HRSC or in any other following process. A special grinding tool setup is use to minimize maintenance and radiation exposure to personnel. (authors)

  1. Developmentally Stable Whole-Brain Volume Reductions and Developmentally Sensitive Caudate and Putamen Volume Alterations in Those With Attention-Deficit/Hyperactivity Disorder and Their Unaffected Siblings

    NARCIS (Netherlands)

    Greven, Corina U.; Bralten, Janita; Mennes, Maarten; O'Dwyer, Laurence; van Hulzen, Kimm J. E.; Rommelse, Nanda; Schweren, Lizanne J. S.; Hoekstra, Pieter J.; Hartman, Catharina A.; Heslenfeld, Dirk; Oosterlaan, Jaap; Faraone, Stephen V.; Franke, Barbara; Zwiers, Marcel P.; Arias-Vasquez, Alejandro; Buitelaar, Jan K.

    IMPORTANCE Attention-deficit/hyperactivity disorder (ADHD) is a heritable neurodevelopmental disorder. It has been linked to reductions in total brain volume and subcortical abnormalities. However, owing to heterogeneity within and between studies and limited sample sizes, findings on the

  2. Units of Instruction. Health Occupations Education. Volume I. [Teacher's Guide].

    Science.gov (United States)

    East Texas State Univ., Commerce. Occupational Curriculum Lab.

    Ten units on health occupations are presented in this teacher's guide. The units are the following: recording vital signs; job application and interview; grooming and personal hygiene; health careers; medical careers; medical ethics; medical terminology and abbreviations; medical asepsis; basic patient care (e.g., measuring and recording fluid…

  3. An ancient relation between units of length and volume based on a sphere.

    Directory of Open Access Journals (Sweden)

    Elena Zapassky

    Full Text Available The modern metric system defines units of volume based on the cube. We propose that the ancient Egyptian system of measuring capacity employed a similar concept, but used the sphere instead. When considered in ancient Egyptian units, the volume of a sphere, whose circumference is one royal cubit, equals half a hekat. Using the measurements of large sets of ancient containers as a database, the article demonstrates that this formula was characteristic of Egyptian and Egyptian-related pottery vessels but not of the ceramics of Mesopotamia, which had a different system of measuring length and volume units.

  4. Diagnostic imaging procedure volume in the United States

    International Nuclear Information System (INIS)

    Johnson, J.L.; Abernathy, D.L.

    1983-01-01

    Comprehensive data on 1979 and 1980 diagnostic imaging procedure volume were collected from a stratified random sample of U.S. short-term general-care hospitals and private practices of radiologists, cardiologists, obstetricians/gynecologists, orthopedic surgeons, and neurologists/neurosurgeons. Approximately 181 million imaging procedures (within the study scope) were performed in 1980. Despite the rapidly increasing use of newer imaging methods, plain film radiography (140.3 million procedures) and contrast studies (22.9 million procedures) continue to comprise the vast majority of diagnostic imaging volume. Ultrasound, computed tomography, nuclear medicine, and special procedures make up less than 10% of total diagnostic imaging procedures. Comparison of the data from this study with data from an earlier study indicates that imaging procedure volume in hospitals expanded at an annual growth rate of almost 8% from 1973 to 1980

  5. A carbon emissions reduction index: Integrating the volume and allocation of regional emissions

    International Nuclear Information System (INIS)

    Chen, Jiandong; Cheng, Shulei; Song, Malin; Wu, Yinyin

    2016-01-01

    Highlights: • We build a carbon emissions reduction index (CERI). • The aim is to quantify the pressure on policymakers to reduce emissions. • Scale-related effects and carbon emissions allocations are included in the CERI. • Different standards of carbon emissions allocations are also considered. • We decompose the Gini coefficient to evaluate the effects of three factors. - Abstract: Given the acceleration of global warming and rising greenhouse gas emissions, all countries are facing the harsh reality of the need to reduce carbon emissions. In this study, we propose an index to quantify the pressure faced by policymakers to reduce such emissions, termed the carbon emissions reduction index. This index allows us to observe the effect of carbon emissions volume on the pressure faced by policymakers and study the impact of optimizing interregional carbon emissions on reducing this pressure. In addition, we account for several carbon emissions standards in constructing the index. We conclude that the variation in the index is likely to be attributable to carbon emissions volume, regional ranking, and population (population can also be replaced by GDP, resource endowment, or other factors). In addition, based on empirical data on the world’s largest emitter of carbon dioxide (China), this study analyzes the evolution of pressure to reduce emissions on a country’s policymakers. The results show that the growing volume and unsuitable allocation of carbon emissions from 1997 to 2012 imposed increasing pressure on the Chinese government in this regard. In addition, reductions in carbon emissions volume and regional ranking are primary factors that impact pressure on policymakers.

  6. Volume reduction of filter media at Susquehanna steam and electric station

    International Nuclear Information System (INIS)

    Boris, G.F.; Hettinger, J.

    1990-01-01

    This paper describes the joint efforts between Pennsylvania Power ampersand Light (PPQL) and Scientific Ecology Group, Inc. (SEG) to reduce the volume of waste shipped to the burial site by the Susquehanna Steam and Electric Station (SSES) and the resulting savings realized as a result. The filter media used at SSES for its radwaste filters is composed of a mix of anion and cation powered resins, powered carbon, diatomaceous earth and a fibrous overlay. Due to the nature of this waste stream, dewatering was difficult using systems previously available in the industry. Thus, processing was accomplished by decanting (to concentrate the waste) and solidification. In the continuing effort to dewater wastes of this nature, SEG developed a new fabric filter dewatering system (RDU). To investigate its potential use in large containers, this dewatering system was installed in drum-size high integrity containers and used to test its dewatering capabilities on actual SSES waste. Promising results from these tests warranted a full-scale test. This proved successful and implementation of this processing scheme was immediate. Cost savings were substantial in transportation, burial and processing costs as well as personnel exposure. Also, additional waste volume reduction was found due to the volume reduction capability of the dewatering system (equivalent volume of new filter media approximately 1.2 times that of dewatered product volume). Additional savings resulted from SSES's continuing effort to minimize radwaste generation. Combined, these have reduced the number of shipments of filter media in 1989 to sixty percent of the number made in 1988 and have reduced costs by approximately fifty percent. 4 figs., 1 tab

  7. United States Coast Pilot (volume 1 through 9)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The United States Coast Pilot is a series of 9 nautical books that cover a wide variety of information important to navigators of U.S. coastal and intercoastal...

  8. Summary of Notifiable Diseases, United States. Volume 45, Number 53.

    Science.gov (United States)

    1997-10-31

    Trichinosis Tuberculosis Typhoid fever Yellow fever NOTE: Although varicella is not a nationally notifiable disease, the Council of State and...plague among humans, two of which were fatal, were re- ported in the United States (two cases in Arizona, one in Colorado, and two in New Mexico ). Both...13 cases per year) were reported in the United States. Of these cases, 80% occurred in the southwestern states of New Mexico , Arizona, and

  9. The impact of unit cost reductions on gross profit: Increasing or decreasing returns?

    Directory of Open Access Journals (Sweden)

    Ely Dahan

    2011-09-01

    Full Text Available We suggest that marketers actively participate in reducing unit costs during new product development, consistent with the theme of integrated marketing and manufacturing. Most marketing managers misjudge the impact on gross profit of reducing variable unit manufacturing costs, mistakenly believing that such cost reductions yield decreasing or linear returns while they actually generate increasing returns.

  10. Development of volume reduction treatment techniques for low level radioactive wastes

    International Nuclear Information System (INIS)

    Nabatame, Yasuzi

    1984-01-01

    The solid wastes packed in drums are preserved in the stores of nuclear establishments in Japan, and the quantity of preservation has already reached about 60 % of the capacity. It has become an important subject to reduce the quantity of generation of radioactive wastes and how to reduce the volume of generated wastes. As the result of the research aiming at the development of the solidified bodies which are excellent in the effect of volume reduction and physical properties, it was confirmed that the plastic solidified bodies using thermosetting resin were superior to conventional cement or asphalt solidification. The plastic solidifying system can treat various radioactive wastes. After radioactive wastes are dried and powdered, they are solidified with plastics, therefore, the effect of volume reduction is excellent. The specific gravity, strength and the resistance to water, fire and radiation were confirmed to be satisfacotory. The plastic solidifying system comprises three subsystems, that is, drying system, powder storing and supplying system and plastic solidifying system. Also the granulation technique after drying and powdering, acid decomposition technique, the microwave melting and solidifying technique for incineration ash, plasma melting process and electrolytic polishing decontamination are described. (Kako, I.)

  11. Superior temporal gyrus volume reduction and P300 in schizophrenia prior to treatment

    International Nuclear Information System (INIS)

    Hirayasu, Akira; Hokama, Hiroto; Ogura, Chikara; Ohta, Hirokazu; Arakaki, Hajime; Asato, Naohiko; Yamaguchi, Keiichiro

    1998-01-01

    Authors measured the superior temporal gyrus volume by 3D MRI imaging for the schizophrenics and simultaneously recorded the P300 component during the auditory odd-ball exercise. Subjects were 8 cases of schizophrenics and the sex- and age-matched healthy control adults. In schizophrenics, the superior temporal gyrus volume reduction was found. When the superior temporal gyrus was divided into two parts, the anterior part containing the primary auditory area, and the posterior part containing the planum temporale and the Wernicle speech area, the volume reduction of left side in the posterior part was remarkable. There was no difference in the latent time and the P300 amplitude between schizophrenics and healthy controls, suggesting that the superior temporal gyrus abnormalities will appear prior to P300 abnormalities. We could not find any correlation between findings of MRI and P300 and psychic symptoms. We discuss the possible contribution on the elucidation of the pathogenesis of the schizophrenia by simultaneous recordings of 3D MRI imaging and the event-related potentials. (K.H.)

  12. Amplification volume reduction on DNA database samples using FTA™ Classic Cards.

    Science.gov (United States)

    Wong, Hang Yee; Lim, Eng Seng Simon; Tan-Siew, Wai Fun

    2012-03-01

    The DNA forensic community always strives towards improvements in aspects such as sensitivity, robustness, and efficacy balanced with cost efficiency. Therefore our laboratory decided to study the feasibility of PCR amplification volume reduction using DNA entrapped in FTA™ Classic Card and to bring cost savings to the laboratory. There were a few concerns the laboratory needed to address. First, the kinetics of the amplification reaction could be significantly altered. Second, an increase in sensitivity might affect interpretation due to increased stochastic effects even though they were pristine samples. Third, statics might cause FTA punches to jump out of its allocated well into another thus causing sample-to-sample contamination. Fourth, the size of the punches might be too small for visual inspection. Last, there would be a limit to the extent of volume reduction due to evaporation and the possible need of re-injection of samples for capillary electrophoresis. The laboratory had successfully optimized a reduced amplification volume of 10 μL for FTA samples. Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.

  13. Water volume reduction increases eutrophication risk in tropical semi-arid reservoirs

    Directory of Open Access Journals (Sweden)

    Carlos Alberto Nascimento da Rocha Junior

    2018-04-01

    Full Text Available Abstract Aim Global patterns of temperature and precipitation have significantly changed over the last century and nearly all predictions point to even greater changes by the end of 2100. Long periods of drought in semi-arid regions generally reduce reservoirs and lakes water level, increasing the nutrients concentrations in the water. Our principal hypothesis is that water volume reduction, driven by prolonged droughts, will increase reservoirs susceptibility to eutrophication and accordingly an increase in trophic state. To test this hypothesis, we used a comparative analysis of ecosystems in a space-for-time substitution approach, in a Brazilian semi-arid region, to predict the consequences of reservoirs water volume reduction on key limnological variables. Methods We sampled 16 reservoirs located in two sub-basins with contrasting rainfall regimes, inserted on Piranhas-Açu watershed. The Seridó River basin (SB is dry and the Piancó River basin (SB is humid, with annual mean precipitation of 500 and 700 mm, respectively. Linear regressions analyzes were performed to assess whether the percentage of maximum volume stored (%MVS is a good predictor for total phosphorus (TP, total nitrogen (TN and chlorophyll-a (CHLA. In addition, a two factorial analysis of variance (two-way ANOVA was performed to test for period (dry, very dry and extremely dry, basin (SB and PB and their interactions effects on TP, TN, CHLA, conductivity, turbidity, and Secchi depth. Results The results showed a reduction in the reservoirs %MVS both for PB and SB regions. At the extremely dry period, all reservoirs were classified as eutrophic, but TP concentrations reached much higher values in SB than in PB. The linear regressions analyses showed that the TP and TN were negatively related to %MVS during all periods sampled. The two-way ANOVA showed that there were significant basin and period effects on TP, TN, Secchi depth and turbidity, whereas for CHLA and conductivity

  14. Aerodynamic Characteristics of the AFFTC Noseboom Instrumentation Unit. Volume I.

    Science.gov (United States)

    1982-03-01

    soft - ware package for use in data reduction. All curves and fairings presentedl in this memorandum were machine prepared using this software. The...but :1IU true ancle of sideslin equal 3.0 % chancre ir ’ITI" true anole of attack due to dec T:PIT’ true ancle of sideslip 90 Program Description

  15. Electric and Magnetic Fields (EMF) RAPID Program Engineering Project 8: FINAL REPORT, Evaluation of Field Reduction Technologies, Volume 1 (Report) and Volume 2 (Appendices)

    Energy Technology Data Exchange (ETDEWEB)

    Commonwealth Associates, Inc.; IIT Research Institute

    1997-08-01

    This draft report consists of two volumes. Volume 1, the main body, contains an introducto~ sectionj an overview of magnetic fields sectio~ and field reduction technology evaluation section. Magnetic field reduction methods are evalpated for transmission lines, distribution Iines,sulxtations, building wiring applkmd machinery, and transportation systems. The evaluation considers effectiveness, co% and other ftiors. Volume 2 contains five appendices, Append~ A presents magnetic field shielding information. Appendices B and C present design assumptions and magnetic field plots for transmission and distribution lines, respectively. Appendices D and E present cost estimate details for transmission and distribution limes, respectively.

  16. Gray Matter Volume Reduction Is Associated with Cognitive Impairment in Neuromyelitis Optica.

    Science.gov (United States)

    Wang, Q; Zhang, N; Qin, W; Li, Y; Fu, Y; Li, T; Shao, J; Yang, L; Shi, F-D; Yu, C

    2015-10-01

    Whether gray matter impairment occurs in neuromyelitis optica is a matter of ongoing debate, and the association of gray matter impairment with cognitive deficits remains largely unknown. The purpose of this study was to investigate gray matter volume reductions and their association with cognitive decline in patients with neuromyelitis optica. This study included 50 patients with neuromyelitis optica and 50 sex-, age-, handedness-, and education-matched healthy subjects who underwent high-resolution structural MR imaging examinations and a battery of cognitive assessments. Gray matter volume and cognitive differences were compared between the 2 groups. The correlations of the regional gray matter volume with cognitive scores and clinical variables were explored in the patients with neuromyelitis optica. Compared with healthy controls (635.9 ± 51.18 mL), patients with neuromyelitis optica (602.8 ± 51.03 mL) had a 5.21% decrease in the mean gray matter volume of the whole brain (P optica affected the frontal and temporal cortices and the right thalamus (false discovery rate correction, P optica (Alphasim correction, P optica had impairments in memory, information processing speed, and verbal fluency (P optica and is associated with cognitive impairment and disease severity in this group. © 2015 by American Journal of Neuroradiology.

  17. Nonperturbative volume reduction of large-N QCD with adjoint fermions

    International Nuclear Information System (INIS)

    Bringoltz, Barak; Sharpe, Stephen R.

    2009-01-01

    We use nonperturbative lattice techniques to study the volume-reduced 'Eguchi-Kawai' version of four-dimensional large-N QCD with a single adjoint Dirac fermion. We explore the phase diagram of this single-site theory in the space of quark mass and gauge coupling using Wilson fermions for a number of colors in the range 8≤N≤15. Our evidence suggests that these values of N are large enough to determine the nature of the phase diagram for N→∞. We identify the region in the parameter space where the (Z N ) 4 center symmetry is intact. According to previous theoretical work using the orbifolding paradigm, and assuming that translation invariance is not spontaneously broken in the infinite-volume theory, in this region volume reduction holds: the single-site and infinite-volume theories become equivalent when N→∞. We find strong evidence that this region includes both light and heavy quarks (with masses that are at the cutoff scale), and our results are consistent with this region extending toward the continuum limit. We also compare the action density and the eigenvalue density of the overlap Dirac operator in the fundamental representation with those obtained in large-N pure-gauge theory.

  18. Prefrontal cortex volume reductions and tic inhibition are unrelated in uncomplicated GTS adults.

    Science.gov (United States)

    Ganos, Christos; Kühn, Simone; Kahl, Ursula; Schunke, Odette; Brandt, Valerie; Bäumer, Tobias; Thomalla, Götz; Haggard, Patrick; Münchau, Alexander

    2014-01-01

    Tics in Gilles de la Tourette syndrome (GTS) are repetitive patterned movements, resembling spontaneous motor behaviour, but escaping voluntary control. Previous studies hypothesised relations between structural alterations in prefrontal cortex of GTS adults and tic severity using voxel-based morphometry (VBM), but could not demonstrate a significant association. The relation between prefrontal cortex structure and tic inhibition has not been investigated. Here, we used VBM to examine 14 GTS adults without associated comorbidities, and 15 healthy controls. We related structural alterations in GTS to clinical measures of tic severity and tic control. Grey matter volumes in the right inferior frontal gyrus and the left frontal pole were reduced in patients relative to healthy controls. These changes were not related to tic severity and tic inhibition. Prefrontal grey matter volume reductions in GTS adults are not related to state measures of tic phenomenology. © 2013.

  19. New volume reduction conditioning options for solid alpha-bearing waste

    International Nuclear Information System (INIS)

    Jouan, A.; Jacquet-Francillon, N.; Kertesz, C.; Frotscher, H.; Ganser, B.; Klein, M.

    1990-01-01

    The current and future development of nuclear energy requires increasing allowance for nuclear waste treatment: α-bearing wastes destined for geological storage are already conditioned, generally in a cement matrix. Other containment processes producing higher quality matrices and allowing volume reduction have been investigated over the last five years by the General Directorate for Science Research and Development of the Commission of the European Communities. This paper discusses the work on conditioning α-bearing ashes produced by incineration of contaminated combustible materials, and on fuel cladding hulls resulting from spent fuel reprocessing

  20. Effect of volume loading on the Frank-Starling relation during reductions in central blood volume in heat-stressed humans

    DEFF Research Database (Denmark)

    Bundgaard-Nielsen, Morten; Wilson, T E; Seifert, Thomas

    2010-01-01

    During reductions in central blood volume while heat stressed, a greater decrease in stroke volume (SV) for a similar decrease in ventricular filling pressure, compared to normothermia, suggests that the heart is operating on a steeper portion of a Frank-Starling curve. If so, volume loading...... of heat-stressed individuals would shift the operating point to a flatter portion of the heat stress Frank-Starling curve thereby attenuating the reduction in SV during subsequent decreases in central blood volume. To investigate this hypothesis, right heart catheterization was performed in eight males...... from whom pulmonary capillary wedge pressure (PCWP), central venous pressure and SV (via thermodilution) were obtained while central blood volume was reduced via lower-body negative pressure (LBNP) during normothermia, whole-body heating (increase in blood temperature 1 degrees C), and during whole...

  1. Lung Volume Reduction Coil Treatment in Chronic Obstructive Pulmonary Disease Patients with Homogeneous Emphysema : A Prospective Feasibility Trial

    NARCIS (Netherlands)

    Klooster, Karin; ten Hacken, Nick H. T.; Franz, Ina; Kerstjens, Huib A. M.; van Rikxoort, Eva M.; Slebos, Dirk-Jan

    2014-01-01

    Background: In patients with heterogeneous emphysema, surgical and bronchoscopic lung volume reduction (LVR) treatments are available. However, for patients with homogeneous emphysema these treatments are hardly investigated and seem less effective. Bronchoscopic LVR coil treatment has been shown to

  2. Predicting Structure-Function Relations and Survival following Surgical and Bronchoscopic Lung Volume Reduction Treatment of Emphysema.

    Science.gov (United States)

    Mondoñedo, Jarred R; Suki, Béla

    2017-02-01

    Lung volume reduction surgery (LVRS) and bronchoscopic lung volume reduction (bLVR) are palliative treatments aimed at reducing hyperinflation in advanced emphysema. Previous work has evaluated functional improvements and survival advantage for these techniques, although their effects on the micromechanical environment in the lung have yet to be determined. Here, we introduce a computational model to simulate a force-based destruction of elastic networks representing emphysema progression, which we use to track the response to lung volume reduction via LVRS and bLVR. We find that (1) LVRS efficacy can be predicted based on pre-surgical network structure; (2) macroscopic functional improvements following bLVR are related to microscopic changes in mechanical force heterogeneity; and (3) both techniques improve aspects of survival and quality of life influenced by lung compliance, albeit while accelerating disease progression. Our model predictions yield unique insights into the microscopic origins underlying emphysema progression before and after lung volume reduction.

  3. Development of computer program for the economic evaluation of the volume reduction system for the low-level radwaste

    International Nuclear Information System (INIS)

    Yang, Jin Yeong

    1994-02-01

    This study provides the basis for investigating the benefits of purchasing volume reduction equipment and includes the establishment of a volume reduction data base, the creation of the volume reduction cost analysis computer program PEEVR (Program of Economic Evaluation for the Volume Reduction), and a generic analysis designed to identify the major costs influencing the economics of the various equipment options. In treating the plant types and the wastes, this study considers that condensate polishing system is included or not in PWR and precoat condensate polishing system, deep bed condensate polishing system in BWR and the 5 waste streams, i.e., compatible trash (COTRASH), ion exchange resin (IXRESIN), concentrate liquid (CONCLIQ), filter sludge (FSLUDGE), non compatible trash (COTRASH). This study uses the PVRR and LRR methods to create cost analysis and performs sensitivity analysis for the each cost variable and shows that future burial costs increases are the major factors in the economic evaluation

  4. Development of computer program for the economic evaluation of the volume reduction system for the low-level radioactive waste

    International Nuclear Information System (INIS)

    Yang, Jin Yeong; Lee, Kun Jai

    1994-01-01

    This study provides the basis for investigating the benefits of purchasing volume reduction equipment and includes the establishment of a volume reduction data base, the creation of the volume reduction cost analysis computer program PEEVR (Program of Economic Evaluation for the Volume Reduction), and a generic analysis designed to identify the major costs influencing the economics of the various equipment options. In treating the plant types and the wastes, this study considers that condensate polishing system is included or not in PWR and precoatcondensate polishing system, deep bed condensate polishing system in BWR and the 5 waste streams, i. e., compactibIe trash (COTRASH), ion exchange resin (IXRESIN), concentrate liquid (CONCLIQ), filter sludge (FSLUDGE), non compactible trash (COTRASH). This study uses the PVRR and LRR methods to create cost analysis and performs sensitivity analysis for the each cost variables and shows that future burial costs increases are the major factors in the economic evaluation

  5. 2,3-Dihydroxybenzoic acid attenuates kanamycin-induced volume reduction in mouse utricular type I hair cells

    DEFF Research Database (Denmark)

    Severinsen, Stig Åvall; Kirkegaard, Mette; Nyengaard, Jens Randel

    2006-01-01

    injection. Total volume of the utricle, as well as total number of hair and supporting cells, were estimated on light microscopic sections. Total volume and mean volume of hair cell types I and II and supporting cells were estimated on digital transmission electron micrographs. Total volume of the utricular...... macula, hair cell type I and supporting cells decreased significantly in animals injected with kanamycin but not in animals co-treated with DHB. Hair and supporting cell numbers remained unchanged in all three groups. In conclusion, the kanamycin-induced volume reduction of type I hair cells...

  6. TMS communications software. Volume 2: Bus interface unit

    Science.gov (United States)

    Gregor, P. J.

    1979-01-01

    A data bus communication system to support the space shuttle's Trend Monitoring System (TMS) and to provide a basis for evaluation of the bus concept is described. Installation of the system included developing both hardware and software interfaces between the bus and the specific TMS computers and terminals. The software written for the microprocessor-based bus interface units is described. The software implements both the general bus communications protocol and also the specific interface protocols for the TMS computers and terminals.

  7. Scintigraphic method for evaluating reductions in local blood volumes in human extremities

    DEFF Research Database (Denmark)

    Blønd, L; Madsen, Jan Lysgård

    2000-01-01

    were carried out. No significant differences between results obtained by the use of one or two scintigraphic projections were found. The between-subject coefficient of variation was 14% in the lower limb experiment and 11% in the upper limb experiment. The within-subject coefficient of variation was 6......% in the lower limb experiment and 6% in the upper limb experiment. We found a significant relation (r = 0.42, p = 0.018) between the results obtained by the scintigraphic method and the plethysmographic method. In fractions, a mean reduction in blood volume of 0.49+0.14 (2 SD) was found after 1 min of elevation...... of the lower limb and a mean reduction of 0.45+/-0.10 (2 SD) after half a minute of elevation of the upper limb. We conclude that the method is precise and can be used in investigating physiologic and pathophysiologic mechanisms in relation to blood volumes of limbs not subject to research previously....

  8. Methods for volume reduction and recycling of LLW arising from decommissioning of nuclear installations

    International Nuclear Information System (INIS)

    Krause, G.; Bergstroem, L.

    2003-01-01

    Radioactive contaminated waste is a great cost factor for nuclear power plants and other nuclear industry. On the deregulated electricity market the price of produced kWh is an important competition tool. Therefore many power producers in the process to achieve savings and hence low production costs have given waste minimization and volume reduction highest priority. Studsvik RadWaste AB in Nykoeping, Sweden, is successfully providing incineration and scrap metal treatment services for customers from Europe, Japan and the USA. Since 1987 thousands of tonnes of metal have been released for unrestricted re-use and recycling in commercial steel industry. The incineration service, provided since 1976, results in 97% volume reduction and generates biologically inert ash suitable for disposal in a final radioactive waste repository. Both processes, which are quality and environmentally certified, reduce the cost of interim storage and disposal. In addition, the companies within the Studsvik Group offer a wide range of services such as transportation, measurement and safeguard, site assistance, industrial cleaning and decontamination in connection with demolition on site. (authors)

  9. Volume reduction technology development for solid wastes from the nuclear fuel cycle

    International Nuclear Information System (INIS)

    Oh, Won Zin; Lee, Kune Woo; Song, Kee Chan; Choi, Wang Kyu; Kim, Young Min

    1998-07-01

    A great deal of solid wastes, which have various physical, chemical, and radiological characteristics, are generated from the nuclear fuel cycle facility as well as radioactive gaseous and liquid wastes. The treatment of the large quantity of solid wastes from the nuclear fuel cycle have great technical, economical and social effects on the domestic policy decision on the nuclear fuel cycle, such as operation and maintenance of the facility, waste disposal, etc. Cement immobilization, super compaction, and electrochemical dissolution were selected as the volume reduction technologies for solid wastes, which will generated from the domestic nuclear fuel cycle facility in the future. And the assessment of annual arisings and the preliminary conceptual design of volume reduction processes were followed. Electrochemical decontamination of α-radionuclides from the spent fuel hulls were experimentally investigated, and showed the successful results. However, β/γ radioactivity did not reduce to the level below which hulls can be classified as the low-level radioactive waste and sent to the disposal site for the shallow land burial. The effects of the various process variables in the electrochemical decontamination were experimentally analysed on the process. (author). 32 refs., 32 tabs., 52 figs

  10. 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)

  11. Clinical and radiological outcome following pneumothorax after endoscopic lung volume reduction with valves.

    Science.gov (United States)

    Gompelmann, D; Benjamin, N; Kontogianni, K; Herth, Fjf; Heussel, C P; Hoffmann, H; Eberhardt, R

    2016-01-01

    Valve implantation has evolved as a therapy for patients with advanced emphysema. Although it is a minimally invasive treatment, it is associated with complications, the most common being pneumothorax. Pneumothorax occurs due to the rapid target lobe volume reduction and may be a predictor of clinical benefit despite this complication. The objective of this study was to conduct an exploratory data analysis of patients who developed a pneumothorax following endoscopic valve therapy for emphysema. This study performed a retrospective evaluation of pneumothorax management and the impact of pneumothorax on clinical outcomes in 70 patients following valve therapy in 381 consecutive patients. Pneumothorax rate following valve therapy was 18%. Pneumothorax management consisted of chest tube insertion, valve removal, and surgical intervention in 87% (61/70), 44% (31/70), and 19% (13/70) of the patients, respectively. Despite pneumothorax, patients experienced modest but significant improvements in lung function parameters (forced expiratory volume in 1 second: 55±148 mL, residual volume: -390±964 mL, total lung capacity: -348±876; all P pneumothorax, which was associated with relevant clinical improvement, was observed in only 21% (15/70) of the patients. Pneumothorax is a frequent severe complication following valve therapy that requires further intervention. Nevertheless, the pneumothorax does not impair the clinical status in the majority of patients. Patients with lobar atelectasis benefit after recovering from pneumothorax in terms of lung function parameters.

  12. Inspiratory and expiratory computed tomographic volumetry for lung volume reduction surgery.

    Science.gov (United States)

    Morimura, Yuki; Chen, Fengshi; Sonobe, Makoto; Date, Hiroshi

    2013-06-01

    Three-dimensional (3D) computed tomographic (CT) volumetry has been introduced into the field of thoracic surgery, and a combination of inspiratory and expiratory 3D-CT volumetry provides useful data on regional pulmonary function as well as the volume of individual lung lobes. We report herein a case of a 62-year-old man with severe emphysema who had undergone lung volume reduction surgery (LVRS) to assess this technique as a tool for the evaluation of regional lung function and volume before and after LVRS. His postoperative pulmonary function was maintained in good condition despite a gradual slight decrease 2 years after LVRS. This trend was also confirmed by a combination of inspiratory and expiratory 3D-CT volumetry. We confirm that a combination of inspiratory and expiratory 3D-CT volumetry might be effective for the preoperative assessment of LVRS in order to determine the amount of lung tissue to be resected as well as for postoperative evaluation. This novel technique could, therefore, be used more widely to assess local lung function.

  13. Optimization Solutions for Improving the Performance of the Parallel Reduction Algorithm Using Graphics Processing Units

    Directory of Open Access Journals (Sweden)

    Ion LUNGU

    2012-01-01

    Full Text Available In this paper, we research, analyze and develop optimization solutions for the parallel reduction function using graphics processing units (GPUs that implement the Compute Unified Device Architecture (CUDA, a modern and novel approach for improving the software performance of data processing applications and algorithms. Many of these applications and algorithms make use of the reduction function in their computational steps. After having designed the function and its algorithmic steps in CUDA, we have progressively developed and implemented optimization solutions for the reduction function. In order to confirm, test and evaluate the solutions' efficiency, we have developed a custom tailored benchmark suite. We have analyzed the obtained experimental results regarding: the comparison of the execution time and bandwidth when using graphic processing units covering the main CUDA architectures (Tesla GT200, Fermi GF100, Kepler GK104 and a central processing unit; the data type influence; the binary operator's influence.

  14. Minimally invasive lung volume reduction treated with bronchi occlusion emphysema model

    International Nuclear Information System (INIS)

    Zhou Dayong; Shen Liming; Shen Junkang; Jin Yiqi; Chen Lei; Huang Xianchen

    2007-01-01

    Objective: To evaluate the efficacy and feasibility of the coil-and-glue method for the reduction of lung volume in rabbit emphysema model. Methods: Sixteen rabbits of emphysema model were divided into the occlusion group(n=10), in which both anterior bronchi were occluded using the coil-and- glue method, and the control group (n=6). The maximal static pressure of airway (P max ), peak expiratory flow (PEF), end-expiratory volume (EEV) and pressure of oxygen (PO 2 ) were measured at ante- emphysema, post-emphysema, 1 week and 4 week after occlusion respectively. The expectoration (or migration) of coil and collapse of lung were also investigated. Results: P max was (20.0±1.3) and (17.1± 1.4) cm H 2 O (1 cm H 2 O=0.098 kPa) in the occlusion group at ante-emphysema and post-emphysema respectively. P max was (19.2±1.4) cm H 2 O in the occlusion group in the 1 week after the occlusion, while (17.1±1.5)cm H 2 O in the control group (F=6.68, P max was (19.2±1.4) cm H 2 O in the occlusion group, while (16.6±1.2) cm H 2 O in the control group (F=12.10, P max , in the 1 week and 4 week after occlusion were higher than those at post-emphysema (P<0.01, respectively); EEV at post-emphysema was higher than that at ante-emphysema (P<0.01). Conclusion: Coil-and-glue occlusion method for lung volume reduction in rabbit emphysema model can improve the pulmonary function, which can be relatively long lasting. (authors)

  15. Biologic lung volume reduction in advanced upper lobe emphysema: phase 2 results.

    Science.gov (United States)

    Criner, Gerard J; Pinto-Plata, Victor; Strange, Charlie; Dransfield, Mark; Gotfried, Mark; Leeds, William; McLennan, Geoffrey; Refaely, Yael; Tewari, Sanjiv; Krasna, Mark; Celli, Bartolome

    2009-05-01

    Biologic lung volume reduction (BioLVR) is a new endobronchial treatment for advanced emphysema that reduces lung volume through tissue remodeling. Assess the safety and therapeutic dose of BioLVR hydrogel in upper lobe predominant emphysema. Open-labeled, multicenter phase 2 dose-ranging studies were performed with BioLVR hydrogel administered to eight subsegmental sites (four in each upper lobe) involving: (1) low-dose treatment (n = 28) with 10 ml per site (LD); and (2) high-dose treatment (n = 22) with 20 ml per site (HD). Safety was assessed by the incidence of serious medical complications. Efficacy was assessed by change from baseline in pulmonary function tests, dyspnea score, 6-minute walk distance, and health-related quality of life. After treatment there were no deaths and four serious treatment-related complications. A reduction in residual volume to TLC ratio at 12 weeks (primary efficacy outcome) was achieved with both LD (-6.4 +/- 9.3%; P = 0.002) and HD (-5.5 +/- 9.4%; P = 0.028) treatments. Improvements in pulmonary function in HD (6 mo: DeltaFEV(1) = +15.6%; P = 0.002; DeltaFVC = +9.1%; P = 0.034) were greater than in LD patients (6 mo: DeltaFEV(1) = +6.7%; P = 0.021; DeltaFVC = +5.1%; P = 0.139). LD- and HD-treated groups both demonstrated improved symptom scores and health-related quality of life. BioLVR improves physiology and functional outcomes up to 6 months with an acceptable safety profile in upper lobe predominant emphysema. Overall improvement was greater and responses more durable with 20 ml per site than 10 ml per site dosing. Clinical trial registered with www.clinicaltrials.gov (NCT 00435253 and NCT 00515164).

  16. Volume reduction system by soil classifying. Soil-washing system and problems to be solved

    International Nuclear Information System (INIS)

    Oshino, Yoshio

    2016-01-01

    Radioactive contamination of ground surfaces, buildings and forests in a broad area was caused by the accident at the Fukushima Daiichi Nuclear Power Plant in Japan. The national government and municipalities have still been carrying out the decontamination works for livelihood areas after five years from the accident. The government estimated that the amounts of soils and wastes removed by the decontamination works would be about 28,000,000 cubic meters maximum including 20,000,000 cubic meters maximum of soils. The removed soils will be stored in “Interim Storage Facility” then will be finally disposed outside of Fukushima prefecture within 30 years. On the other hand, shortage of the soils as materials needed for the revitalization in Fukushima prefecture is expected. Technical Advisory Council on Remediation and Waste Management, which consists of about 90 companies, started a working group to investigate solutions to these problems. The working group focused on the investigation of the possibility to recycle the soils by washing and classification to use them as the materials for civil engineering works, and to reduce the volume of the interim storage. In the first part of this report, we have evaluated the applicability of various technologies for purification and volume reduction of the removed soils, and have researched usages, required quantities and specifications of the recycled soils. In the second part, we have made trial calculations of the volume reduction effects and costs using the washing and classification system. The calculated results showed the possibilities of reducing the storage capacity of the interim storage facility, as well as the construction and the operation costs by recycling the removed soils with the washing and classification system inside the interim storage facility. At the end of this report, we proposed problems to be solved in order to adopt the washing and classification system. (author)

  17. Feasibility study report for Operable Unit 4: Volume 1

    International Nuclear Information System (INIS)

    1994-02-01

    This report documents the Feasibility Study (FS) phase of the Fernald Environmental Management Project (FEMP) Operable Unit 4 Remedial Investigation/Feasibility Study (RI/FS) Program. The FEMP, formerly known as the Feed Materials Production Center (FMPC), is a US Department of Energy (DOE) facility that operated from 1952 to 1989. The facility's primarily function was to provide high purity uranium metal products to support United States defense programs. Production operations were suspended in 1989 to focus on environmental restoration and waste management activities at the facility. The RI/FS is being conducted pursuant to the terms of a Consent Agreement between DOE and the US Environmental Protection Agency (EPA) under Sections 120 and 106(a) of the Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA), as amended. The Ohio Environmental Protection Agency (OEPA) is also participating in the RI/FS process at the FEMP through direct involvement in program review meetings and technical review of project documentation. The objective of the RI/FS process is to gather information to support an informed risk management decision regarding which remedy appears to be the most appropriate action for addressing the environmental concerns identified at the FEMP

  18. Nicotine reduction as an increase in the unit price of cigarettes: a behavioral economics approach.

    Science.gov (United States)

    Smith, Tracy T; Sved, Alan F; Hatsukami, Dorothy K; Donny, Eric C

    2014-11-01

    Urgent action is needed to reduce the harm caused by smoking. Product standards that reduce the addictiveness of cigarettes are now possible both in the U.S. and in countries party to the Framework Convention on Tobacco Control. Specifically, standards that required substantially reduced nicotine content in cigarettes could enable cessation in smokers and prevent future smoking among current non-smokers. Behavioral economics uses principles from the field of microeconomics to characterize how consumption of a reinforcer changes as a function of the unit price of that reinforcer (unit price=cost/reinforcer magnitude). A nicotine reduction policy might be considered an increase in the unit price of nicotine because smokers are paying more per unit of nicotine. This perspective allows principles from behavioral economics to be applied to nicotine reduction research questions, including how nicotine consumption, smoking behavior, use of other tobacco products, and use of other drugs of abuse are likely to be affected. This paper reviews the utility of this approach and evaluates the notion that a reduction in nicotine content is equivalent to a reduction in the reinforcement value of smoking-an assumption made by the unit price approach. Copyright © 2014 Elsevier Inc. All rights reserved.

  19. Radiation dose reduction: comparative assessment of publication volume between interventional and diagnostic radiology.

    Science.gov (United States)

    Hansmann, Jan; Henzler, Thomas; Gaba, Ron C; Morelli, John N

    2017-01-01

    We aimed to quantify and compare awareness regarding radiation dose reduction within the interventional radiology and diagnostic radiology communities. Abstracts accepted to the annual meetings of the Society of Interventional Radiology (SIR), the Cardiovascular and Interventional Radiological Society of Europe (CIRSE), the Radiological Society of North America (RSNA), and the European Congress of Radiology (ECR) between 2005 and 2015 were analyzed using the search terms "interventional/computed tomography" and "radiation dose/radiation dose reduction." A PubMed query using the above-mentioned search terms for the years of 2005-2015 was performed. Between 2005 and 2015, a total of 14 520 abstracts (mean, 660±297 abstracts) and 80 614 abstracts (mean, 3664±1025 abstracts) were presented at interventional and diagnostic radiology meetings, respectively. Significantly fewer abstracts related to radiation dose were presented at the interventional radiology meetings compared with the diagnostic radiology meetings (162 abstracts [1% of total] vs. 2706 [3% of total]; P radiology abstracts (range, 6-27) and 246±105 diagnostic radiology abstracts (range, 112-389) pertaining to radiation dose were presented at each meeting. The PubMed query revealed an average of 124±39 publications (range, 79-187) and 1205±307 publications (range, 829-1672) related to interventional and diagnostic radiology dose reduction per year, respectively (P radiology community over the past 10 years has not mirrored the increased volume seen within diagnostic radiology, suggesting that increased education and discussion about this topic may be warranted.

  20. Data base on dose reduction research projects for nuclear power plants. Volume 5

    Energy Technology Data Exchange (ETDEWEB)

    Khan, T.A.; Yu, C.K.; Roecklein, A.K. [Brookhaven National Lab., Upton, NY (United States)

    1994-05-01

    This is the fifth volume in a series of reports that provide information on dose reduction research and health physics technology or nuclear power plants. The information is taken from two of several databases maintained by Brookhaven National Laboratory`s ALARA Center for the Nuclear Regulatory Commission. The research section of the report covers dose reduction projects that are in the experimental or developmental phase. It includes topics such as steam generator degradation, decontamination, robotics, improvements in reactor materials, and inspection techniques. The section on health physics technology discusses dose reduction efforts that are in place or in the process of being implemented at nuclear power plants. A total of 105 new or updated projects are described. All project abstracts from this report are available to nuclear industry professionals with access to a fax machine through the ACEFAX system or a computer with a modem and the proper communications software through the ACE system. Detailed descriptions of how to access all the databases electronically are in the appendices of the report.

  1. Hippocampal Volume Reduction in Humans Predicts Impaired Allocentric Spatial Memory in Virtual-Reality Navigation.

    Science.gov (United States)

    Guderian, Sebastian; Dzieciol, Anna M; Gadian, David G; Jentschke, Sebastian; Doeller, Christian F; Burgess, Neil; Mishkin, Mortimer; Vargha-Khadem, Faraneh

    2015-10-21

    The extent to which navigational spatial memory depends on hippocampal integrity in humans is not well documented. We investigated allocentric spatial recall using a virtual environment in a group of patients with severe hippocampal damage (SHD), a group of patients with "moderate" hippocampal damage (MHD), and a normal control group. Through four learning blocks with feedback, participants learned the target locations of four different objects in a circular arena. Distal cues were present throughout the experiment to provide orientation. A circular boundary as well as an intra-arena landmark provided spatial reference frames. During a subsequent test phase, recall of all four objects was tested with only the boundary or the landmark being present. Patients with SHD were impaired in both phases of this task. Across groups, performance on both types of spatial recall was highly correlated with memory quotient (MQ), but not with intelligence quotient (IQ), age, or sex. However, both measures of spatial recall separated experimental groups beyond what would be expected based on MQ, a widely used measure of general memory function. Boundary-based and landmark-based spatial recall were both strongly related to bilateral hippocampal volumes, but not to volumes of the thalamus, putamen, pallidum, nucleus accumbens, or caudate nucleus. The results show that boundary-based and landmark-based allocentric spatial recall are similarly impaired in patients with SHD, that both types of recall are impaired beyond that predicted by MQ, and that recall deficits are best explained by a reduction in bilateral hippocampal volumes. In humans, bilateral hippocampal atrophy can lead to profound impairments in episodic memory. Across species, perhaps the most well-established contribution of the hippocampus to memory is not to episodic memory generally but to allocentric spatial memory. However, the extent to which navigational spatial memory depends on hippocampal integrity in humans is

  2. Dissociable contributions of MRI volume reductions of superior temporal and fusiform gyri to symptoms and neuropsychology in schizophrenia.

    Science.gov (United States)

    Nestor, Paul G; Onitsuka, Toshiaki; Gurrera, Ronald J; Niznikiewicz, Margaret; Frumin, Melissa; Shenton, Martha E; McCarley, Robert W

    2007-03-01

    We sought to identify the functional correlates of reduced magnetic resonance imaging (MRI) volumes of the superior temporal gyrus (STG) and the fusiform gyrus (FG) in patients with chronic schizophrenia. MRI volumes, positive/negative symptoms, and neuropsychological tests of facial memory and executive functioning were examined within the same subjects. The results indicated two distinct, dissociable brain structure-function relationships: (1) reduced left STG volume-positive symptoms-executive deficits; (2) reduced left FG-negative symptoms-facial memory deficits. STG and FG volume reductions may each make distinct contributions to symptoms and cognitive deficits of schizophrenia.

  3. Effectiveness and efficacy of minimally invasive lung volume reduction surgery for emphysema.

    Science.gov (United States)

    Pertl, Daniela; Eisenmann, Alexander; Holzer, Ulrike; Renner, Anna-Theresa; Valipour, A

    2014-01-01

    Lung emphysema is a chronic, progressive and irreversible destruction of the lung tissue. Besides non-medical therapies and the well established medical treatment there are surgical and minimally invasive methods for lung volume reduction (LVR) to treat severe emphysema. This report deals with the effectiveness and cost-effectiveness of minimally invasive methods compared to other treatments for LVR in patients with lung emphysema. Furthermore, legal and ethical aspects are discussed. No clear benefit of minimally invasive methods compared to surgical methods can be demonstrated based on the identified and included evidence. In order to assess the different methods for LVR regarding their relative effectiveness and safety in patients with lung emphysema direct comparative studies are necessary.

  4. Effectiveness and efficacy of minimally invasive lung volume reduction surgery for emphysema

    Directory of Open Access Journals (Sweden)

    Pertl, Daniela

    2014-10-01

    Full Text Available [english] Lung emphysema is a chronic, progressive and irreversible destruction of the lung tissue. Besides non-medical therapies and the well established medical treatment there are surgical and minimally invasive methods for lung volume reduction (LVR to treat severe emphysema. This report deals with the effectiveness and cost-effectiveness of minimally invasive methods compared to other treatments for LVR in patients with lung emphysema. Furthermore, legal and ethical aspects are discussed. No clear benefit of minimally invasive methods compared to surgical methods can be demonstrated based on the identified and included evidence. In order to assess the different methods for LVR regarding their relative effectiveness and safety in patients with lung emphysema direct comparative studies are necessary.

  5. Treatment of solid radioactive waste: Volume reduction of non-combustible waste

    International Nuclear Information System (INIS)

    Boehme, G.

    1982-01-01

    Press compaction is very common as for volume reduction of low level radioactive solid waste. In most cases a sorting step and if necessary a fragmenting step are desirable prior to the compaction process. Besides contamination-free loading and unloading techniques are important. Typical technical solutions for mixed solid waste handling and compacting equipment are shown and discussed by means of the lay-out drawings for a medium size radwaste compaction facility. A special technique can be applied if one has to compact active exhaust air filters in a hot cell. KfK has developed a remotely operated mobile equipment for this purpose. As for the nuclear fuel cycle considerable interest is existing in compacting spent fuel halls after fuel dissolution. In various European countries mechanical compaction and high temperature processes are therefore under development. These processes are described and the related equipment is discussed. (orig./RW)

  6. ECO LOGIC INTERNATIONAL GAS-PHASE CHEMICAL REDUCTION PROCESS - THE THERMAL DESORPTION UNIT - APPLICATIONS ANALYSIS REPORT

    Science.gov (United States)

    ELI ECO Logic International, Inc.'s Thermal Desorption Unit (TDU) is specifically designed for use with Eco Logic's Gas Phase Chemical Reduction Process. The technology uses an externally heated bath of molten tin in a hydrogen atmosphere to desorb hazardous organic compounds fro...

  7. A Pilot Study on the Feasibility of Interventional Lung Volume Reduction

    International Nuclear Information System (INIS)

    Wang Wansheng; Dong Yonghua; Liu Bin; Zhu Chi; Yu Yongqiang

    2008-01-01

    The objective of this study was to evaluate the feasibility and safety of lung volume reduction by transbronchial alcohol and lipiodol suspension infusion with the aid of balloon-tipped catheter occlusion. Twenty-six healthy adult rabbits were divided into four treatment groups: alcohol and lipiodol suspension infusion (n = 8), lipiodol infusion (n = 8), alcohol infusion (n = 5), or bronchial lumen occlusion (n = 5). After selective lobar or segmental bronchial catheterization using a balloon-tipped occlusion catheter, the corresponding drug infusion was performed. Bone cement was used to occlude the bronchial lumen in the occlusion group. The animals were followed up for 10 weeks by chest X-ray and computed tomography (CT), and then the whole lungs were harvested for histological examination. Alcohol and lipiodol suspension or lipiodol could be stably retained in alveoli in the first two groups based on chest X-ray and CT, but obvious collapse only occurred in the group receiving alcohol and lipiodol suspension or the bronchial lumen occlusion group. Histological examination revealed damage and disruption of the alveolar epithelium and fibrosis in related lung tissue in the group receiving alcohol and lipiodol suspension. Similar changes were seen in the bronchial lumen occlusion group, apart from obvious marginal emphysema of the target areas in two animals. Interstitial pneumonia and dilated alveoli existed in some tissue in target areas in the lipiodol group, in which pulmonary fibrosis obliterating alveoli also occurred. Chronic alveolitis and pleural adhesion in target areas occurred in the group infused with alcohol alone, whereas visceral pleura of the other three groups was regular and no pleural effusion or adhesion was found. Alcohol and lipiodol suspension that is stably retained in alveoli can result in significant lung volume reduction. Through alcohol and lipiodol suspension infusion, obstructive emphysema or pneumonia arising from bronchial lumen

  8. Mobile encapsulation and volume reduction system for wet low-level wastes

    International Nuclear Information System (INIS)

    Buelt, J.L.

    1985-08-01

    This report describes the results of the program entitled ''A Preconceptual Study for a Transportable Vitrification Process''. The objective of the study is to determine the feasibility of a Mobile Encapsulation and Volume Reduction System (MEVS). The report contains design criteria, a preconceptual design of the system, a comparison of disposal costs with other solidification technologies, and an assessment of utility interests in the transportable volume reduction service MEVS can provide. The MEVS design employs the use of a joule-heated glass melter to convert the wet low-level wastes into glass. The process is self-sufficient, requiring no direct facility services or reactor personnel. It is capable of servicing one waste type from a minimum of three reactors. The design was used to prepare capital and operating cost estimates. The capital cost for the MEVS is $4,680,000, which includes all labor necessary for design, engineering, inspection, and licensing. The operating cost of the system for servicing a minimum of three reactors is $1,530,000/y for resins or $2,280,000/y for concentrated liquids. The cost estimates compared favorably to the more common solidification process of cementation. Total MEVS operating costs which include processing, transportation and burial, are $191 to $218/ft 3 waste, whereas quoted costs for cementation and disposal from reactor operators range from $155 to $350/ft 3 . The report concludes with the requirements for additional development, which can be accomplished for less than one sixth of the capital costs. The report also presents the results of an assessment conducted with utility representatives to obtain their expressions of interest in a service of this type

  9. Insular and Hippocampal Gray Matter Volume Reductions in Patients with Major Depressive Disorder

    Science.gov (United States)

    Kugel, Harald; Krug, Axel; Schöning, Sonja; Ohrmann, Patricia; Uhlmann, Christina; Postert, Christian; Suslow, Thomas; Heindel, Walter; Arolt, Volker; Kircher, Tilo; Dannlowski, Udo

    2014-01-01

    Background Major depressive disorder is a serious psychiatric illness with a highly variable and heterogeneous clinical course. Due to the lack of consistent data from previous studies, the study of morphometric changes in major depressive disorder is still a major point of research requiring additional studies. The aim of the study presented here was to characterize and quantify regional gray matter abnormalities in a large sample of clinically well-characterized patients with major depressive disorder. Methods For this study one-hundred thirty two patients with major depressive disorder and 132 age- and gender-matched healthy control participants were included, 35 with their first episode and 97 with recurrent depression. To analyse gray matter abnormalities, voxel-based morphometry (VBM8) was employed on T1 weighted MRI data. We performed whole-brain analyses as well as a region-of-interest approach on the hippocampal formation, anterior cingulate cortex and amygdala, correlating the number of depressive episodes. Results Compared to healthy control persons, patients showed a strong gray-matter reduction in the right anterior insula. In addition, region-of-interest analyses revealed significant gray-matter reductions in the hippocampal formation. The observed alterations were more severe in patients with recurrent depressive episodes than in patients with a first episode. The number of depressive episodes was negatively correlated with gray-matter volume in the right hippocampus and right amygdala. Conclusions The anterior insula gray matter structure appears to be strongly affected in major depressive disorder and might play an important role in the neurobiology of depression. The hippocampal and amygdala volume loss cumulating with the number of episodes might be explained either by repeated neurotoxic stress or alternatively by higher relapse rates in patients showing hippocampal atrophy. PMID:25051163

  10. The impact of a noise reduction quality improvement project upon sound levels in the open-unit-design neonatal intensive care unit.

    Science.gov (United States)

    Liu, W F

    2010-07-01

    To decrease measured sound levels in the neonatal intensive care unit through implementation of human factor and minor design modification strategies. Prospective time series. Two open-unit-design neonatal centers. Implementation of a coordinated program of noise reduction strategies did not result in any measurable improvement in levels of loudness or quiet. Two centers, using primarily human behavior noise reduction strategies, were unable to demonstrate measurable improvements in sound levels within the occupied open-unit-design neonatal intensive care unit.

  11. A plasma melting technology for volume reduction of noncombustible radioactive waste in Korea

    International Nuclear Information System (INIS)

    Song, Myung Jae; Moon, Young Pyo

    1998-01-01

    In Korea, there is a strong need for the development of radioactive waste volume reduction technology. Korea Electric Power Research Institute (KEPRI) has been searching for ways to reduce the radioactive volume significantly and to produce stable waste forms. In particular, plasma treatment technology has caught KEPR's attention for treating noncombustible radwaste because this technology may far surpass conventional methods. The potential for greater control of temperature, faster reaction times, better control of processing, lower capital costs, greater throughput and more efficient use of energy is there. For the plasma melting study of noncombustible waste, KEPRI has leased a lab scale multipurpose plasma furnace system and performed preliminary tests. Using simulated noncombustible waste based on field survey data from nuclear power plants, lab scale melting experiments have been carried out. The properties of molten slag vary with additives and noncombustible waste materials. KEPRI's current study is focused on finding an optimum composition ratio of various noncombustible wastes for melting, investigating physical properties of molten slag, and obtaining operating parameters for continuous operation. (author)

  12. Data base on dose reduction research projects for nuclear power plants. Volume 4

    Energy Technology Data Exchange (ETDEWEB)

    Khan, T.A.; Vulin, D.S.; Liang, H.; Baum, J.W. [Brookhaven National Lab., Upton, NY (United States)

    1992-08-01

    This is the fourth volume in a series of reports that provide information on dose reduction research and health physics technology for nuclear power plants. The information is taken from a data base maintained by Brookhaven National Laboratory`s ALARA Center for the Nuclear Regulatory Commission. This report presents information on 118 new or updated projects, covering a wide range of activities. Projects including steam generator degradation, decontamination, robotics, improvement in reactor materials, and inspection techniques, among others, are described in the research section of the report. The section on health physics technology includes some simple and very cost-effective projects to reduce radiation exposures. Included in this volume is a detailed description of how to access the BNL data bases which store this information. All project abstracts from this report, as well as many other useful documents, can be accessed, with permission, through our on-line system, ACE. A computer equipped with a modem, or a fax machine is all that is required to connect to ACE. Many features of ACE, including software, hardware, and communications specifics, are explained in this report.

  13. Optimal noise reduction in 3D reconstructions of single particles using a volume-normalized filter

    Science.gov (United States)

    Sindelar, Charles V.; Grigorieff, Nikolaus

    2012-01-01

    The high noise level found in single-particle electron cryo-microscopy (cryo-EM) image data presents a special challenge for three-dimensional (3D) reconstruction of the imaged molecules. The spectral signal-to-noise ratio (SSNR) and related Fourier shell correlation (FSC) functions are commonly used to assess and mitigate the noise-generated error in the reconstruction. Calculation of the SSNR and FSC usually includes the noise in the solvent region surrounding the particle and therefore does not accurately reflect the signal in the particle density itself. Here we show that the SSNR in a reconstructed 3D particle map is linearly proportional to the fractional volume occupied by the particle. Using this relationship, we devise a novel filter (the “single-particle Wiener filter”) to minimize the error in a reconstructed particle map, if the particle volume is known. Moreover, we show how to approximate this filter even when the volume of the particle is not known, by optimizing the signal within a representative interior region of the particle. We show that the new filter improves on previously proposed error-reduction schemes, including the conventional Wiener filter as well as figure-of-merit weighting, and quantify the relationship between all of these methods by theoretical analysis as well as numeric evaluation of both simulated and experimentally collected data. The single-particle Wiener filter is applicable across a broad range of existing 3D reconstruction techniques, but is particularly well suited to the Fourier inversion method, leading to an efficient and accurate implementation. PMID:22613568

  14. Gray matter volume reduction in rostral middle frontal gyrus in patients with chronic schizophrenia.

    Science.gov (United States)

    Kikinis, Z; Fallon, J H; Niznikiewicz, M; Nestor, P; Davidson, C; Bobrow, L; Pelavin, P E; Fischl, B; Yendiki, A; McCarley, R W; Kikinis, R; Kubicki, M; Shenton, M E

    2010-11-01

    The dorsolateral prefrontal cortex (DLPFC) is a brain region that has figured prominently in studies of schizophrenia and working memory, yet the exact neuroanatomical localization of this brain region remains to be defined. DLPFC primarily involves the superior frontal gyrus and middle frontal gyrus (MFG). The latter, however is not a single neuroanatomical entity but instead is comprised of rostral (anterior, middle, and posterior) and caudal regions. In this study we used structural MRI to develop a method for parcellating MFG into its component parts. We focused on this region of DLPFC because it includes BA46, a region involved in working memory. We evaluated volume differences in MFG in 20 patients with chronic schizophrenia and 20 healthy controls. Mid-rostral MFG (MR-MFG) was delineated within the rostral MFG using anterior and posterior neuroanatomical landmarks derived from cytoarchitectonic definitions of BA46. Gray matter volumes of MR-MFG were then compared between groups, and a significant reduction in gray matter volume was observed (p<0.008), but not in other areas of MFG (i.e., anterior or posterior rostral MFG, or caudal regions of MFG). Our results demonstrate that volumetric alterations in MFG gray matter are localized exclusively to MR-MFG. 3D reconstructions of the cortical surface made it possible to follow MFG into its anterior part, where other approaches have failed. This method of parcellation offers a more precise way of measuring MR-MFG that will likely be important in further documentation of DLPFC anomalies in schizophrenia. Copyright © 2010 Elsevier B.V. All rights reserved.

  15. 'EPRI tailored collaboration 2, Crystal River cost and volume reduction program'

    International Nuclear Information System (INIS)

    Genoa, P.H.

    1995-01-01

    During the fall of 1993. Florida Power Corporation joined the EPRI tailored collaboration on the low-level radioactive waste cost and volume reduction. In conjunction with an existing Radwaste Task Force, the EPRI team reviewed past and current waste management practices and developed a prioritized list of opportunities for improvement. In the first quarter of 1994, these opportunities were converted into Action Plans with responsibilities and due dates assigned to support a 60-day refueling outage beginning on April 7, 1994. The Action Plans focussed on: (1) Visible management support in the form of specific plant, department, and worker level radwaste reduction goals. (2) Heightened worker awareness in the form of training (formal and informal), signs, bulletins, and a radwaste awareness video. (3) Material changes from disposable to recyclables, non-incinerables to incinerables, liquid waste processing media replacements and filter use criteria. (4) Work practice changes to reduce valve leaks, reduce contaminated areas, reduce entries to contaminated areas, further segregation of waste streams including 'green is clean' wastes

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

    International Nuclear Information System (INIS)

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

    2012-09-01

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

  17. Per-pack price reductions available from different cigarette purchasing strategies: United States, 2009-2010.

    Science.gov (United States)

    Pesko, Michael F; Xu, Xin; Tynan, Michael A; Gerzoff, Robert B; Malarcher, Ann M; Pechacek, Terry F

    2014-06-01

    Following cigarette excise tax increases, smokers may use cigarette price minimization strategies to continue their usual cigarette consumption rather than reducing consumption or quitting. This reduces the public health benefits of the tax increase. This paper estimates the price reductions for a wide-range of strategies, compensating for overlapping strategies. We performed regression analysis on the 2009-2010 National Adult Tobacco Survey (N=13,394) to explore price reductions that smokers in the United States obtained from purchasing cigarettes. We examined five cigarette price minimization strategies: 1) purchasing discount brand cigarettes, 2) using price promotions, 3) purchasing cartons, 4) purchasing on Indian reservations, and 5) purchasing online. Price reductions from these strategies were estimated jointly to compensate for overlapping strategies. Each strategy provided price reductions between 26 and 99cents per pack. Combined price reductions were possible. Additionally, price promotions were used with regular brands to obtain larger price reductions than when price promotions were used with generic brands. Smokers can realize large price reductions from price minimization strategies, and there are many strategies available. Policymakers and public health officials should be aware of the extent that these strategies can reduce cigarette prices. Published by Elsevier Inc.

  18. Volume reduction of dry active waste by use of a waste sorting table at the Brunswick nuclear power plant

    International Nuclear Information System (INIS)

    Snead, P.B.

    1988-01-01

    Carolina Power and Light Company's Brunswick nuclear power plant has been using a National Nuclear Corporation Model WST-18 Waste Sorting Table to monitor and sort dry active waste for segregating uncontaminated material as a means of low-level waste volume reduction. The WST-18 features 18 large-area, solid scintillation detectors arranged in a 3 x 6 array underneath a sorting/monitoring surface that is shielded from background radiation. An 11-week study at Brunswick showed that the use of the waste sorting table resulted in dramatic improvements in both productivity (man-hours expended per cubic foot of waste processed) and monitoring quality over the previous hand-probe frisking method. Use of the sorting table since the study has confirmed its effectiveness in volume reduction. The waste sorting table paid for its operation in volume reduction savings alone, without accounting for the additional savings from recovering reusable items

  19. Basewide Groundwater Operable Unit. Groundwater Operable Unit Remedial Investigation/Feasibility Study Report. Volume 2

    Science.gov (United States)

    1994-06-01

    Waters Plan Protection of Aquatic Life Freshwater Aquatic ULie Protection Freshwater Freshwater 1-Hour CopudAcute Chronic Average 4-Day...2 of 3 ARARs TB~s Clean Water Act Ambient Water Quality Criteria Inland Surface Waters Plan Protection of Aquatic Life Freshwater Aquatic Life...as a drinking water source. Response: The Air Force concurs with the establishment of a 106 risk target volume as the goal of the interim

  20. Does the pancreatic volume reduction rate using serial computed tomographic volumetry predict new onset diabetes after pancreaticoduodenectomy?

    Science.gov (United States)

    Yun, Sung Pil; Seo, Hyung-Il; Kim, Suk; Kim, Dong Uk; Baek, Dong Hoon

    2017-01-01

    Abstract Volume reduction of the pancreatic tissues following a pancreatectomy can lead to the deterioration of glucose homeostasis. This is defined as pancreatogenic diabetes mellitus (DM). The objective of this study was to investigate the occurrence of new-onset DM (NODM) and evaluate the risk factors, including the pancreas volume reduction rate in patients undergoing pancreaticoduodenectomy (PD). Sixty-six patients without preoperative DM underwent PD for periampullary tumors between August 2007 and December 2012 and were included in this analysis. These patients underwent follow-up tests and abdominal computed tomography (CT) scan 7 days, 6 months, 12 months, 24 months, and 36 months after the operation. The pancreas volume reduction rate was calculated by CT volumetry. The patients were divided into 2 groups according to the postoperative development of DM. After PD, newly diagnosed DM occurred in 16 patients (24.2%). The incidence of DM was highest among patients with carcinomas with an advanced T stage. The pancreatic volume reduction rate after 6 and 12 months in the NODM group was significantly higher than the normal glucose group in the univariate analysis. In the multivariate analysis, the pancreatic volume reduction rate 6 months after PD was the only significant predictive factor for the development of NODM (P = 0.002). This study suggests that the pancreatic volume reduction rate 6 months after PD was the only significant predictive factor for the development of NODM. CT volumetry of the pancreas may be useful as a predictor of NODM after PD. PMID:28353594

  1. Atlas of United States Trees, Volume 2: Alaska Trees and Common Shrubs.

    Science.gov (United States)

    Viereck, Leslie A.; Little, Elbert L., Jr.

    This volume is the second in a series of atlases describing the natural distribution or range of native tree species in the United States. The 82 species maps include 32 of trees in Alaska, 6 of shrubs rarely reaching tree size, and 44 more of common shrubs. More than 20 additional maps summarize environmental factors and furnish general…

  2. Using a Virtual Manipulative Environment to Support Students' Organizational Structuring of Volume Units

    Science.gov (United States)

    O'Dell, Jenna R.; Barrett, Jeffrey E.; Cullen, Craig J.; Rupnow, Theodore J.; Clements, Douglas H.; Sarama, Julie; Rutherford, George; Beck, Pamela S.

    2017-01-01

    In this study, we investigated how Grade 3 and 4 students' organizational structure for volume units develops through repeated experiences with a virtual manipulative for building prisms. Our data consist of taped clinical interviews within a micro-genetic experiment. We report on student strategy development using a virtual manipulative for…

  3. Optimalization studies concerning volume reduction and conditioning of radioactive waste in view of storage and disposal (geological disposal into clay)

    International Nuclear Information System (INIS)

    Dejonghe, P.; Van De Voorde, N.; Bonne, A.

    1984-01-01

    Volume reduction of low-level and medium-level wastes, and simultaneous optimization of the quality of the conditioned end-product is a major challenge in the management of radioactive wastes. Comments will be given on recent achievements in treatment of non-high-level liquid and solid wastes from power reactors and low-level plutonium contaminated wastes. The latter results can contribute to an overall optimization of a radioactive waste management scheme, including the final disposal of the conditioned materials. Some detailed results will be given concerning volume reduction, decontamination factors, degree of immobilization of the contained radioelements, and cost considerations

  4. On the Potential Role of MRI Biomarkers of COPD to Guide Bronchoscopic Lung Volume Reduction.

    Science.gov (United States)

    Adams, Colin J; Capaldi, Dante P I; Di Cesare, Robert; McCormack, David G; Parraga, Grace

    2018-02-01

    In patients with severe emphysema and poor quality of life, bronchoscopic lung volume reduction (BLVR) may be considered and guided based on lobar emphysema severity. In particular, x-ray computed tomography (CT) emphysema measurements are used to identify the most diseased and the second-most diseased lobes as BLVR targets. Inhaled gas magnetic resonance imaging (MRI) also provides chronic obstructive pulmonary disease (COPD) biomarkers of lobar emphysema and ventilation abnormalities. Our objective was to retrospectively evaluate CT and MRI biomarkers of lobar emphysema and ventilation in patients with COPD eligible for BLVR. We hypothesized that MRI would provide complementary biomarkers of emphysema and ventilation that help determine the most appropriate lung lobar targets for BLVR in patients with COPD. We retrospectively evaluated 22 BLVR-eligible patients from the Thoracic Imaging Network of Canada cohort (diffusing capacity of the lung for carbon monoxide = 37 ± 12% predicted , forced expiratory volume in 1 second = 34 ± 7% predicted , total lung capacity = 131 ± 17% predicted , and residual volume = 216 ± 36% predicted ). Lobar CT emphysema, measured using a relative area of concept retrospective analysis, quantitative MRI ventilation and CT emphysema measurements provided different BLVR targets in over 30% of the patients. The presence of large MRI ventilation defects in lobes next to CT-targeted lobes might also change the decision to proceed or to guide BLVR to a different lobar target. Copyright © 2018 The Association of University Radiologists. Published by Elsevier Inc. All rights reserved.

  5. Microbiological airway colonization in COPD patients with severe emphysema undergoing endoscopic lung volume reduction

    Directory of Open Access Journals (Sweden)

    Trudzinski FC

    2017-12-01

    Full Text Available Franziska C Trudzinski,1 Frederik Seiler,1 Heinrike Wilkens,1 Carlos Metz,1 Annegret Kamp,1 Robert Bals,1 Barbara Gärtner,2 Philipp M Lepper,1 Sören L Becker2–4 1Department of Internal Medicine V – Pneumology, Allergology and Critical Care Medicine, ECLS Center Saar, University Medical Center Saarland and Saarland University, 2Institute of Medical Microbiology and Hygiene, Saarland University, Homburg/Saar, Germany; 3Swiss Tropical and Public Health Institute, 4University of Basel, Basel, Switzerland Background: Endoscopic lung volume reduction (eLVR is a therapeutic option for selected patients with COPD and severe emphysema. Infectious exacerbations are serious events in these vulnerable patients; hence, prophylactic antibiotics are often prescribed postinterventionally. However, data on the microbiological airway colonization at the time of eLVR are scarce, and there are no evidence-based recommendations regarding a rational antibiotic regimen.Objective: The aim of this study was to perform a clinical and microbiological analysis of COPD patients with advanced emphysema undergoing eLVR with endobronchial valves at a single German University hospital, 2012–2017.Patients and methods: Bronchial aspirates were obtained prior to eLVR and sent for microbiological analysis. Antimicrobial susceptibility testing of bacterial isolates was performed, and pathogen colonization was retrospectively compared with clinical parameters.Results: At least one potential pathogen was found in 47% (30/64 of patients. Overall, Gram-negative bacteria constituted the most frequently detected pathogens. The single most prevalent species were Haemophilus influenzae (9%, Streptococcus pneumoniae (6%, and Staphylococcus aureus (6%. No multidrug resistance was observed, and Pseudomonas aeruginosa occurred in <5% of samples. Patients without microbiological airway colonization showed more severe airflow limitation, hyperinflation, and chronic hypercapnia compared

  6. Bronchoscopic lung volume reduction by endobronchial valve in advanced emphysema: the first Asian report

    Directory of Open Access Journals (Sweden)

    Park TS

    2015-07-01

    Full Text Available Tai Sun Park,1 Yoonki Hong,2 Jae Seung Lee,1 Sang Young Oh,3 Sang Min Lee,3 Namkug Kim,3 Joon Beom Seo,3 Yeon-Mok Oh,1 Sang-Do Lee,1 Sei Won Lee1 1Department of Pulmonary and Critical Care Medicine and Clinical Research Center for Chronic Obstructive Airway Diseases, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea; 2Department of Internal Medicine, College of Medicine, Kangwon National University, Chuncheon, Korea; 3Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea Purpose: Endobronchial valve (EBV therapy is increasingly being seen as a therapeutic option for advanced emphysema, but its clinical utility in Asian populations, who may have different phenotypes to other ethnic populations, has not been assessed.Patients and methods: This prospective open-label single-arm clinical trial examined the clinical efficacy and the safety of EBV in 43 consecutive patients (mean age 68.4±7.5, forced expiratory volume in 1 second [FEV1] 24.5%±10.7% predicted, residual volume 208.7%±47.9% predicted with severe emphysema with complete fissure and no collateral ventilation in a tertiary referral hospital in Korea.Results: Compared to baseline, the patients exhibited significant improvements 6 months after EBV therapy in terms of FEV1 (from 0.68±0.26 L to 0.92±0.40 L; P<0.001, 6-minute walk distance (from 233.5±114.8 m to 299.6±87.5 m; P=0.012, modified Medical Research Council dyspnea scale (from 3.7±0.6 to 2.4±1.2; P<0.001, and St George’s Respiratory Questionnaire (from 65.59±13.07 to 53.76±11.40; P=0.028. Nine patients (20.9% had a tuberculosis scar, but these scars did not affect target lobe volume reduction or pneumothorax frequency. Thirteen patients had adverse events, ten (23.3% developed pneumothorax, which included one death due to tension pneumothorax.Conclusion: EBV therapy was as effective and safe in Korean

  7. Clinical and radiological outcome following pneumothorax after endoscopic lung volume reduction with valves

    Directory of Open Access Journals (Sweden)

    Gompelmann D

    2016-12-01

    Full Text Available D Gompelmann,1,2 N Benjamin,1 K Kontogianni,1 FJF Herth,1,2 CP Heussel,2–4 H Hoffmann,2,5 R Eberhardt1,2 1Pneumology and Critical Care Medicine, Thoraxklinik at University of Heidelberg, 2German Center for Lung Research, 3Diagnostic and Interventional Radiology, Thoraxklinik at University of Heidelberg, 4Diagnostic and Interventional Radiology, University Hospital Heidelberg, 5Thoracic Surgery, Thoraxklinik at University of Heidelberg, Heidelberg, Germany Introduction: Valve implantation has evolved as a therapy for patients with advanced emphysema. Although it is a minimally invasive treatment, it is associated with complications, the most common being pneumothorax. Pneumothorax occurs due to the rapid target lobe volume reduction and may be a predictor of clinical benefit despite this complication. Objective: The objective of this study was to conduct an exploratory data analysis of patients who developed a pneumothorax following endoscopic valve therapy for emphysema. Materials and methods: This study performed a retrospective evaluation of pneumothorax management and the impact of pneumothorax on clinical outcomes in 70 patients following valve therapy in 381 consecutive patients. Results: Pneumothorax rate following valve therapy was 18%. Pneumothorax management consisted of chest tube insertion, valve removal, and surgical intervention in 87% (61/70, 44% (31/70, and 19% (13/70 of the patients, respectively. Despite pneumothorax, patients experienced modest but significant improvements in lung function parameters (forced expiratory volume in 1 second: 55±148 mL, residual volume: -390±964 mL, total lung capacity: -348±876; all P<0.05. Persistent lobar atelectasis 3 months after recovering from pneumothorax, which was associated with relevant clinical improvement, was observed in only 21% (15/70 of the patients. Conclusion: Pneumothorax is a frequent severe complication following valve therapy that requires further intervention

  8. Proposal for broader United States-Russian transparency of nuclear arms reductions

    International Nuclear Information System (INIS)

    Percival, C.M.; Ingle, T.H.; Bieniawski, A.J.

    1995-01-01

    During the January 1994 Summit Presidents Clinton and Yeltsin agreed on the goal of ensuring the ''transparency and irreversibility'' of the nuclear arms reduction process. As a result, negotiations are presently underway between the United States Government and the Russian Federation to confirm the stockpiles of plutonium and highly enriched uranium removed from nuclear weapons. In December 1994 the United States presented a paper to the Russian Federation proposing additional measures to provide broader transparency of nuclear arms reduction. The US Department of Energy is studying the implementation of these broader transparency measures at appropriate DOE facilities. The results of the studies include draft protocols for implementation, assessments of the implementation procedures and the impacts on the facilities and estimates of the cost to implement these measures at various facilities

  9. Skin-to-skin holding in the neonatal intensive care unit influences maternal milk volume.

    Science.gov (United States)

    Hurst, N M; Valentine, C J; Renfro, L; Burns, P; Ferlic, L

    1997-01-01

    To evaluate the effect of early initiation of skin-to-skin (STS) holding on lactation, we compared 24-hour milk volumes of mothers of ventilated low birth weight infants in an STS group to mothers in a non-STS control group. Mean 24-hour milk volumes at 2, 3, and 4 weeks after delivery of mothers participating in STS holding were compared with those of a retrospective control group from the 12-month period immediately preceding the introduction of STS holding in the neonatal intensive care unit. A repeated-measures analysis of variance adjusting for baseline volumes (1 week after delivery) was used to evaluate the difference in milk volumes between STS and control groups. Sixteen mothers initiated STS holding during the 2-month study period. Eight mothers met study criteria by initiating STS holding during the first 4 weeks after delivery. During a 2-week period the study group had a strong linear increase in milk volume in contrast to no indicative change of the control group's milk volume. STS holding of low birth weight infants initiated in the early intensive care phase can result in a significant increase in maternal milk volume, thereby overcoming the frequently seen insufficient lactation experienced by these mothers.

  10. 75 FR 53261 - Fisheries of the Northeastern United States; Northeast Skate Complex Fishery; Reduction of Skate...

    Science.gov (United States)

    2010-08-31

    ...NMFS announces the reduction of the skate wing fishery possession limit for the Skate Management Unit for the remainder of the 2010 fishing year. Regulations governing the skate fishery require publication of this notification to advise skate-permitted vessels that 80 percent of the annual total allowable landings (TAL) of skate wings is projected to be harvested and to announce that the skate wing possession limit is reduced.

  11. Basewide Groundwater Operable Unit. Groundwater Operable Unit Remedial Investigation/Feasibility Study Report. Volume 1

    Science.gov (United States)

    1994-06-01

    units would be reused in the remedy. Contingency measures to be included in the remedy are potential metals removal prior to water end use, potential...onbase reuse of a portion of the water, and wellhead treatment on offbase supply wells. The contingency measures will only be implemented if necessary...94 LEGEND Ouatmar aluvi dposts agua Frmaion(cosoldatd aluval epoits W iead rdetilnsMhte omtin(neitccnlmeae ansoe9ndkeca F 70 Quvatei-lernayalvu e pk

  12. TMI-2 [Three Mile Island Unit 2] reactor building dose reduction task force

    International Nuclear Information System (INIS)

    Daniels, R.S.

    1988-01-01

    In late October 1982, the director of Three Mile Island Unit 2 (TMI-2) created the dose reduction task force with the objective of identifying the principal radiological sources in the reactor building and recommending actions to minimize the dose to workers on labor-intensive projects. Members of the task force were drawn form various groups at TMI. Findings and recommendations were presented to the US Nuclear Regulatory Commission in a briefing on November 18, 1982. The task force developed a three-step approach toward dose reduction. Step 1 identified the radiological sources. Step 2 modeled the source and estimated its contribution to the general area dose rates. Step 3 recommended actions to achieve dose reductions consistent with general exposure rate goals

  13. Scintigraphic and MR perfusion imaging in preoperative evaluation for lung volume reduction surgery. Pilot study results

    International Nuclear Information System (INIS)

    Johkoh, Takeshi; Mueller, N.L.; Kavanagh, P.V

    2000-01-01

    To compare MR perfusion imaging with perfusion scintigraphy in the evaluation of patients with pulmonary emphysema being considered for lung volume reduction surgery. Six patients with pulmonary emphysema and two normal individuals were evaluated by MR perfusion imaging, perfusion scintigraphy, and selective bilateral pulmonary angiography. MR images were obtained with an enhanced fast gradient recalled echo with three-dimensional Fourier transformation technique (efgre 3D) (6.3/1.3; flip angle, 30 deg C; field of view, 45-48 cm; matrix, 256 x 160). The presence or absence of perfusion defects in each segment was evaluated by two independent observers. Using angiography as the gold standard, the sensitivity, specificity, and accuracy of MR perfusion imaging in detecting focal perfusion abnormalities were 90%, 87%, and 89%, respectively, while those of perfusion scintigraphy were 71%, 76%, and 71%, respectively. The diagnostic accuracy of MR perfusion imaging was significantly higher than that of scintigraphy (p<0.001, McNemar test). There was good agreement between two observers for MR perfusion imaging (kappa statistic, 0.66) and only moderate agreement for perfusion scintigraphy (kappa statistic, 0.51). MR perfusion imaging is superior to perfusion scintigraphy in the evaluation of pulmonary parenchymal perfusion in patients with pulmonary emphysema. (author)

  14. Emphysema. Imaging for endoscopic lung volume reduction; Lungenemphysem. Bildgebung bei endoskopischer Lungenvolumenreduktion

    Energy Technology Data Exchange (ETDEWEB)

    Storbeck, B. [LungenClinic Grosshansdorf (Germany). Dept. of Radiology; Schroeder, T.H. [Amalie Sieveking-Hospital, Diagnostic and Interventional Radiology, Hamburg (Germany); Oldigs, M.; Rabe, K.F. [LungenClinic Grosshansdorf (Germany). Dept. of Pulmonology; Weber, C. [Amalie Sieveking-Hospital, Diagnostic and Interventional Radiology, Hamburg (Germany); University Medical Center Hamburg-Eppendorf (Germany). Diagnostic and Interventional Radiology

    2015-07-15

    Chronic obstructive pulmonary disease (COPD) is characterized by two entities, the more airway-predominant type (''bronchitis'') on the one hand, and emphysema-predominant type on the other. Imaging via high-resolution computed tomography plays an important role in phenotyping COPD. For patients with advanced lung emphysema, new endoscopic lung volume reduction therapies (ELVR) have been developed. Proper selection of suitable patients requires thin-section reconstruction of volumetric CT image data sets also in coronal and sagittal orientation are required. In the current manuscript we will describe emphysema subtypes (centrilobular, paraseptal, panlobular), options for quantifying emphysema and this importance of regional distribution (homogeneous or heterogeneous, target area) as this is crucial for patient selection. Analysis of the interlobular fissures is obligatory despite the lack of standardization, as incomplete fissures indicate collateral ventilation (CV) via parenchymal bridges, which is an important criterion in choosing endoscopic methods of LVR. Every radiologist should be familiar with modern LVR therapies such as valves and coils, and furthermore should know what a lung doctor expects from radiologic evaluation (before and after ELVR). Finally we present a checklist as a quick reference for all steps concerning imaging for ELVR.

  15. The safety of dipyridamole in patients undergoing myocardial perfusion scintigraphy prior to lung volume reduction surgery

    International Nuclear Information System (INIS)

    Roman, M.R.; Angelides, S.; Parker, M.K.; Silva, I. da; Freeman, A.P.

    2001-01-01

    Patients with end-stage chronic obstructive pulmonary disease (COPD) undergoing lung volume reduction surgery (LVRS) are at high risk of peri-operative cardiac complications, and myocardial perfusion scintigraphy (MPS) is commonly used for risk stratification. This study prospectively assessed the safety of dipyridamole in these patients and compared the incidence of side-effects (particularly dyspnoea) with that in patients undergoing dipyridamole MPS prior to elective non-cardiothoracic surgery. Fifty patients were enrolled: 25 in the LVRS cohort (13 males, 12 females), with a mean age of 65 years and a mean FEV 1 of 0.79 l, and 25 (with no history of asthma or COPD) in the control cohort (14 males, 11 females), with a mean age of 66 years. Fourteen patients (56%) in each group developed side-effects. Dyspnoea was reported by five patients (20%) in the LVRS and two patients (8%) in the control cohort (P=NS). One patient in each cohort developed severe hypotension and bradycardia. Eight (32%) other patients developed minor side-effects in the LVRS cohort compared with 11 (44%) in the control group. All side-effects responded promptly to intravenous aminophylline. In summary, there was a statistically non-significant increase in the incidence of dyspnoea in patients with end-stage COPD and all side-effects responded to aminophylline. Thus, dipyridamole can be used safely in these patients. (orig.)

  16. Lung Volume Reduction Surgery for Respiratory Failure in Infants With Bronchopulmonary Dysplasia.

    Science.gov (United States)

    Sohn, Bongyeon; Park, Samina; Park, In Kyu; Kim, Young Tae; Park, June Dong; Park, Sung-Hye; Kang, Chang Hyun

    2018-04-01

    Lung volume reduction surgery (LVRS) can be performed in patients with severe emphysematous disease. However, LVRS in pediatric patients has not yet been reported. Here, we report our experience with 2 cases of pediatric LVRS. The first patient was a preterm infant girl with severe bronchopulmonary dysplasia, pulmonary hypertension, and hypothyroidism. The emphysematous portion of the right lung was removed via sternotomy and right hemiclamshell incision. The patient was discharged on full-time home ventilator support for 3 months after the surgery. Since then, her respiratory function has improved continuously. She no longer needs oxygen supplementation or ventilator care. Her T-cannula was removed recently. The second patient was also a preterm infant girl with bronchopulmonary dysplasia. She was born with pulmonary hypertension and multiple congenital anomalies, including an atrial septal defect. Despite receiving the best supportive care, she could not be taken off the mechanical ventilator because of severe hypercapnia. We performed LVRS on the right lung via thoracotomy. She was successfully weaned off the mechanical ventilator 1 month after the surgery. She was discharged without severe complications at 3 months after the operation. At present, she is growing well with the help of intermittent home ventilator support. She can now tolerate an oral diet. Our experience shows that LVRS can be considered as a treatment option for pediatric patients with severe emphysematous lung. It is especially helpful for discontinuing prolonged mechanical ventilator care for patients with respiratory failure. Copyright © 2018 by the American Academy of Pediatrics.

  17. A catalytic wet oxidation process for mixed waste volume reduction/recycling

    International Nuclear Information System (INIS)

    Dhooge, Patrick M.

    1992-01-01

    Mixed wastes have presented a challenge to treatment and destruction technologies. A recently developed catalytic wet oxidation method has promising characteristics for volume reduction and recycling of mixed wastes. The process utilizes iron (III) as an oxidant in the presence of homogeneous cocatalysts which increase organics' oxidation rates and the rate of oxidation of iron (II) by oxygen. The reaction is conducted in an aqueous mineral acid solution at temperatures of 373 - 573 deg K. The mineral acid should solvate a number of heavy metals, including U and Pu. Studies of reaction rates show that the process can oxidize a wide range of organic compounds including aromatics and chlorinated hydrocarbons. Rate constants in the range of 10 -7 to 10 -4 sec -1 , depending on the cocatalyst, acidity, type of anions, type of organic, temperature, and time. Activation energies ranged from 25. to 32. KJ/mole. Preliminary measurements of the extent of oxidation which could be obtained ranged from 80% for trichloroethylene to 99.8% for 1,2,4-trimethylbenzene; evidence was obtained that absorption by the fluorocarbon liners of the reaction bombs allowed some of the organics to escape exposure to the catalyst solution. The results indicate that complete oxidation of the organics used here, and presumably many others, can be achieved. (author)

  18. Visual grading of emphysema severity in candidates for lung volume reduction surgery

    International Nuclear Information System (INIS)

    Cederlund, K.; Bergstrand, L.; Hoegberg, S.; Rasmussen, E.; Svane, B.; Aspelin, P.

    2002-01-01

    Purpose: To investigate which of three types of CT imaging yielded the best results in estimating the degree of emphysema in patients undergoing evaluation for lung volume reduction surgery (LVRS), whether there was any difference in this regard between the cranial and caudal part of the lung, and whether the degree of emphysema had an impact on the estimation. Material and Methods: Four radiologists visually classified different degrees of emphysema on three different types of CT images into four groups. The degree of emphysema was calculated by a computer. The three types of images were as follows: HRCT images (2-mm slice thickness); spiral CT images (10-mm slice thickness); and density-masked images (spiral CT images printed with pixels below 960 HU, depicted in white). Results: The conventionally presented images from HRCT and spiral CT yielded the same results (60% respective 62% correct classifications) in assessing the degree of emphysema irrespective of localisation. Significantly improved results were obtained when the spiral CT images were presented as density-masked images (74%). Conclusion: There was no difference between HRCT and spiral CT in assessing the degree of emphysema in candidates for LVRS. Improvement can be achieved by the use of density-masked images

  19. Evaluation of patients undergoing lung volume reduction surgery: Ancillary information available from computed tomography

    International Nuclear Information System (INIS)

    Cleverley, Joanne R.; Desai, Sujal R.; Wells, Athol U.; Koyama, Hiroshi; Eastick, Sian; Schmidt, Maria A.; Charrier, Clare L.; Gatehouse, Peter D.; Goldstraw, Peter; Pepper, John R.; Geddes, Duncan M.; Hansell, David M.

    2000-01-01

    AIM: A number of imaging techniques have been used for the pre-operative assessment of patients for lung volume reduction surgery (LVRS). We evaluated whether data currently acquired from perfusion scintigrams and cine MR of the diaphragm are obtainable from high resolution CT (HRCT) of the thorax. MATERIALS AND METHODS: Thirty patients taking part in a randomized controlled trial of LVRS against maximal medical therapy were evaluated. HRCT examinations (n= 30) were scored for (i) the extent and distribution of emphysema; (ii) the extent of normal pulmonary vasculature; and (iii) diaphragmatic contour, apparent defects and herniation. On scintigraphy, (n28), perfusion of the lower thirds of both lungs, as a proportion of total lung perfusion (LZ/T PERF ), was expressed as a percentage of predicted values (derived from 10 normal control subjects). On cine MR (n= 25) hemidiaphragmatic excursion and coordination were recorded. RESULTS: Extensive emphysema was present on HRCT (60% ± 13.2%). There was strong correlation between the extent of normal pulmonary vasculature on HRCT and on perfusion scanning (r s = 0.85, P< 0.00005). Hemidiaphragmatic incoordination on MR was weakly associated with hemidiaphragmatic eventration on HRCT (P0.04). CONCLUSION: The strong correlation between lung perfusion assessed by HRCT and lung perfusion on scintigraphy suggests that perfusion scintigraphy is superfluous in the pre-operative evaluation of patients with emphysema for LVRS. Cleverley, J.R. (2000)

  20. Ethical and equity issues in lung transplantation and lung volume reduction surgery.

    Science.gov (United States)

    Glanville, A R

    2006-01-01

    New medical and scientific disciplines are often developed in haste with rampant enthusiasm and scant regard for the balance between action and thoughtful deliberation. Driven by the desire to prolong life and provide a better quality of life for desperately sick individuals, the twin modalities of lung transplantation and lung volume reduction therapy have only just reached their majority. Both are invested with the capacity to help and to harm so it is right to consider carefully their ethical and equitable distribution. Much has been learned in the last 20 years to assist in these deliberations. First, how can we ensure equity of access to transplant services and equality of outcomes? How do we balance resource allocation of a precious and scarce resource with individual recipient needs? Does the concept of distributive justice prevail in our daily work in this field? How do we honour the donor and their family? How do we as practitioners avoid ethical dilemmas related to personal bias and justifiable reward for services rendered? Finally, how do we learn to incorporate ethical forethought and planning guided by experts in the area into everyday behaviour?

  1. Volume reduction and plutonium recovery in alpha wastes by cryogenic crushing and lixiviation

    International Nuclear Information System (INIS)

    Arnal, T.; Pajot, J.

    1986-06-01

    The industry of plutonium generates solid alpha wastes of medium activity called ''technological wastes''. They are mainly produced during the fabrication and reprocessing of nuclear reactor fuels and they are of a wide variety i.e: vinyl bags, gloves, glass, steel materials used in glove box operation, etc... These wastes contain relevant residual quantities of uranium and plutonium in the form of oxides or nitrates, reaching up to several dozen grams per cubic meter. Up to the beginning of the eighties, they were conditionned without any treatment and stored as such on the production site. However, for an economic and safe storage, recovering of the plutonium contained in these waste streams and reduction of their volume is of obvious importance. At the plutonium ''Complexe de Fabrication des Combustibles de Cadarache'' was developed a new technical solution of this problem that combines cryogenic crushing of the solid waste and plutonium recovery from the crushed material by chemical lixiviation. The first results obtained in applying this system on the industrial scale are reported briefly

  2. Effects of radiation dose reduction in Volume Perfusion CT imaging of acute ischemic stroke

    International Nuclear Information System (INIS)

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

    2015-01-01

    To examine the influence of radiation dose reduction on image quality and sensitivity of Volume Perfusion CT (VPCT) maps regarding the detection of ischemic brain lesions. VPCT data of 20 patients with suspected ischemic stroke acquired at 80 kV and 180 mAs were included. Using realistic reduced-dose simulation, low-dose VPCT datasets with 144 mAs, 108 mAs, 72 mAs and 36 mAs (80 %, 60 %, 40 % and 20 % of the original levels) were generated, resulting in a total of 100 datasets. Perfusion maps were created and signal-to-noise-ratio (SNR) measurements were performed. Qualitative analyses were conducted by two blinded readers, who also assessed the presence/absence of ischemic lesions and scored CBV and CBF maps using a modified ASPECTS-score. SNR of all low-dose datasets were significantly lower than those of the original datasets (p <.05). All datasets down to 72 mAs (40 %) yielded sufficient image quality and high sensitivity with excellent inter-observer-agreements, whereas 36 mAs datasets (20 %) yielded poor image quality in 15 % of the cases with lower sensitivity and inter-observer-agreements. Low-dose VPCT using decreased tube currents down to 72 mAs (40 % of original radiation dose) produces sufficient perfusion maps for the detection of ischemic brain lesions. (orig.)

  3. 76 FR 50500 - Request for Comments on the Draft Policy Statement on Volume Reduction and Low-Level Radioactive...

    Science.gov (United States)

    2011-08-15

    ... issued when disposal space was scarce since two of the three operating low level radioactive waste (LLRW... radioactive waste management program. While the Commission continues to favor the disposal of LLRW over... on Volume Reduction and Low-Level Radioactive Waste Management AGENCY: Nuclear Regulatory Commission...

  4. Bronchoscopic lung-volume reduction with Exhale airway stents for emphysema (EASE trial) : randomised, sham-controlled, multicentre trial

    NARCIS (Netherlands)

    Shah, P. L.; Slebos, D-J; Cardoso, P. F. G.; Cetti, E.; Voelker, K.; Levine, B.; Russell, M. E.; Goldin, J.; Brown, M.; Cooper, J. D.; Sybrecht, G. W.

    2011-01-01

    Background Airway bypass is a bronchoscopic lung-volume reduction procedure for emphysema whereby transbronchial passages into the lung are created to release trapped air, supported with paclitaxel-coated stents to ease the mechanics of breathing. The aim of the EASE (Exhale airway stents for

  5. Volume reduction of low-level contaminated metal waste by melting: selection of method and conceptual plan

    International Nuclear Information System (INIS)

    Copeland, G.L.; Heestand, R.L.; Mateer, R.S.

    1978-06-01

    A review of the literature and prior experience led to selection of induction melting as the most promising method for volume reduction of low-level transuranic contaminated metal waste. The literature indicates that melting with the appropriate slags significantly lowers the total contamination level of the metals by preferentially concentrating contaminants in the smaller volume of slag. Surface contamination not removed to the slag is diluted in the ingot and is contained uniformly in the metal. This dilution and decontamination offers the potential of lower cost disposal such as shallow burial rather than placement in a national repository. A processing plan is proposed as a model for economic analysis of the collection and volume reduction of contaminated metals. Further development is required to demonstrate feasibility of the plan

  6. Occupational dose reduction at nuclear power plants: Annotated bibliography of selected readings in radiation protection and ALARA. Volume 8

    Energy Technology Data Exchange (ETDEWEB)

    Sullivan, S.G.; Khan, T.A.; Xie, J.W. [Brookhaven National Lab., Upton, NY (United States)

    1995-05-01

    The ALARA Center at Brookhaven National Laboratory publishes a series of bibliographies of selected readings in radiation protection and ALARA in a continuing effort to collect and disseminate information on radiation dose reduction at nuclear power plants. This volume 8 of the series. The abstracts in this bibliography were selected form proceedings of technical meetings and conference journals, research reports, and searches of the Energy Science and Technology database of the US Department of Energy. The subject material of these abstracts relates to the many aspects of radiation protection and dose reduction, and ranges form use of robotics, to operational health physics, to water chemistry. Material on the design, planning, and management of nuclear power stations is included, as well as information on decommissioning and safe storage efforts. Volume 8 contains 232 abstracts, an author index, and a subject index. The author index is specific for this volume. The subject index is cumulative and lists all abstract numbers from volumes 1 to 8. The numbers in boldface indicate the abstracts in this volume; the numbers not in boldface represent abstracts in previous volumes.

  7. Occupational dose reduction at nuclear power plants: Annotated bibliography of selected readings in radiation protection and ALARA. Volume 7

    Energy Technology Data Exchange (ETDEWEB)

    Kaurin, D.G.; Khan, T.A.; Sullivan, S.G.; Baum, J.W. [Brookhaven National Lab., Upton, NY (United States)

    1993-07-01

    The ALARA Center at Brookhaven National Laboratory publishes a series of bibliographies of selected readings in radiation protection and ALARA in the continuing effort to collect and disseminate information on radiation dose reduction at nuclear power plants. This is volume 7 of the series. The abstracts in this bibliography were selected from proceedings of technical meetings and conferences, journals, research reports, and searches of the Energy Science and Technology database of the US Department of Energy. The subject material of these abstracts relates to radiation protection and dose reduction, and ranges from use of robotics to operational health physics, to water chemistry. Material on the design, planning, and management of nuclear power stations is included, as well as information on decommissioning and safe storage efforts. Volume 7 contains 293 abstract, an author index, and a subject index. The author index is specific for this volume. The subject index is cumulative and lists all abstract numbers from volumes 1 to 7. The numbers in boldface indicate the abstracts in this volume; the numbers not in boldface represent abstracts in previous volumes.

  8. Occupational dose reduction at nuclear power plants: Annotated bibliography of selected readings in radiation protection and ALARA. Volume 8

    International Nuclear Information System (INIS)

    Sullivan, S.G.; Khan, T.A.; Xie, J.W.

    1995-05-01

    The ALARA Center at Brookhaven National Laboratory publishes a series of bibliographies of selected readings in radiation protection and ALARA in a continuing effort to collect and disseminate information on radiation dose reduction at nuclear power plants. This volume 8 of the series. The abstracts in this bibliography were selected form proceedings of technical meetings and conference journals, research reports, and searches of the Energy Science and Technology database of the US Department of Energy. The subject material of these abstracts relates to the many aspects of radiation protection and dose reduction, and ranges form use of robotics, to operational health physics, to water chemistry. Material on the design, planning, and management of nuclear power stations is included, as well as information on decommissioning and safe storage efforts. Volume 8 contains 232 abstracts, an author index, and a subject index. The author index is specific for this volume. The subject index is cumulative and lists all abstract numbers from volumes 1 to 8. The numbers in boldface indicate the abstracts in this volume; the numbers not in boldface represent abstracts in previous volumes

  9. Magnetic resonance imaging signal reduction may precede volume loss in the pituitary gland of transfusion-dependent beta-thalassemic patients

    Energy Technology Data Exchange (ETDEWEB)

    Hekmatnia, Ali; Rahmani, Ali Asghar; Adibi, Atoosa (Image Processing and Signal Research Center, Dept. of Radiology, Isfahan Univ. of Medical Sciences, Isfahan (Iran)); Radmard, Amir Reza (Dept. of Radiology, Shariati Hospital, Tehran Univ. of Medical Sciences, Tehran (Iran)); Khademi, Hooman (Shariati Hospital, Tehran Univ. of Medical Sciences, Tehran (Iran)), e-mail: radmard@ams.ac.ir

    2010-01-15

    Background: Pituitary iron overload in patients with transfusion-dependent beta-thalassemia may lead to delayed puberty. Magnetic resonance imaging (MRI) has the potential to estimate tissue iron concentration by detecting its paramagnetic effect and hypophyseal damage by measuring its dimensions indirectly. Purpose: To investigate the association of pituitary MRI findings and pubertal status in thalassemic patients as well as to demonstrate any priority in appearance of them. Material and Methods: Twenty-seven beta-thalassemic patients, aged 15-25 years, were divided into 13 with (group A) and 14 without hypogonadism (group B), matched by age, gender, duration of transfusion, and chelation therapy. Thirty-eight age- and sex-adjusted healthy control individuals were also included (group C). All participants underwent pituitary MRI using a 1.5T unit. Pituitary-to-fat signal intensity ratios (SIR) were calculated from coronal T2-weighted images. Estimated pituitary volumes were measured using pituitary height, width, and length on T1-weighted images. Results: The mean values of pituitary-to-fat SIRs were significantly lower in group A as compared with group B (P <0.001), and likewise group B had statistically lower values than group C (P=0.03). The pituitary height and volume were significantly decreased in group A compared to group B (P = 0.006 and P = 0.002, respectively), while these differences did not demonstrate statistically significance between groups B and C. Conclusion: Pituitary MRI findings such as signal intensity reduction and decrease in volume can be useful markers in estimating pituitary dysfunction in beta-thalassemic patients. Compared to healthy controls, lower values of pituitary-to-fat SIRs in thalassemic patients experiencing normal puberty, without marked decrease in volume, indicate that signal reduction may precede volume loss and could be expected first on MRI

  10. Determination of Unit Pressure Force in Material Volume in the Course of Refractory Stamping Press Moulding

    Directory of Open Access Journals (Sweden)

    Orłowicz A.W.

    2016-06-01

    Full Text Available The paper presents results of assessment of the unit pressure force within the refractory material volume in the course press-moulding of stampings for refractory precast shapes. The force was evaluated with the use of physical simulation of deformation undergone by lead balls placed in the raw refractory mass subjected to pressing in a metal die. To determine the value of unit pressure force applied to the aggregate grains in the course of stamping press-moulding, physical model of deformation of a sphere induced by the uniaxial stress state was used.

  11. Volume reduction of low-level, combustible, transuranic waste at Mound Facility

    International Nuclear Information System (INIS)

    Bond, W.H.; Doty, J.W.; Koenst, J.W. Jr.; Luthy, D.F.

    Low-level combustible waste (<100 nCi per g of waste) generated during plutonium-238 processing is collected and stored in 55-gallon (200-liter) drums. The composition of this waste is approximately 32 wt % paper, 46% plastic, 16% rubber and cloth, and 6% metal. Treatment of this waste is initiated by burning in the Mound Cyclone Incinerator, which consists of a burning chamber, deluge tank, venturi scrubber and blower. During the two years of operating the Cyclone Incinerator, experiments have been performed on particle distribution throughout the system using various mixtures of feed material. Measurements were taken at the incinerator outlet, after the spray tank, and after the venturi scrubber. An average emission of 0.23 g of particles per kg of feed at the venturi outlet was determined. The distribution of chlorine from the combustion of polyvinyl chloride was studied. Analyses of the off-gas and scrubber solution show that approximately 75 wt % of the chlorine was captured by the scrubber solution and approximately 17 wt % remained in the off-gas after the venturi scrubber. Measurements of the amount of NO/sub chi/ present in the off-gas were also made during the chloride studies. An average of approximately 200 ppM NO/sub chi/ was produced during each incineration run. Immobilization of the incinerator ash is being studied with regard to long-term behavior of the product. The immobilization matrix which looks most promising is ash mixed with Portland 1A cement in a 65/35 wt % ash-to-cement ratio. This matrix exhibits good mechanical properties while maintaining a maximum volume reduction

  12. Reduction of nutrients, microbes, and personal care products in domestic wastewater by a benchtop electrocoagulation unit

    Science.gov (United States)

    Symonds, E. M.; Cook, M. M.; McQuaig, S. M.; Ulrich, R. M.; Schenck, R. O.; Lukasik, J. O.; van Vleet, E. S.; Breitbart, M.

    2015-03-01

    To preserve environmental and human health, improved treatment processes are needed to reduce nutrients, microbes, and emerging chemical contaminants from domestic wastewater prior to discharge into the environment. Electrocoagulation (EC) treatment is increasingly used to treat industrial wastewater; however, this technology has not yet been thoroughly assessed for its potential to reduce concentrations of nutrients, a variety of microbial surrogates, and personal care products found in domestic wastewater. This investigation's objective was to determine the efficiency of a benchtop EC unit with aluminum sacrificial electrodes to reduce concentrations of the aforementioned biological and chemical pollutants from raw and tertiary-treated domestic wastewater. EC treatment resulted in significant reductions (p < 0.05, α = 0.05) in phosphate, all microbial surrogates, and several personal care products from raw and tertiary-treated domestic wastewater. When wastewater was augmented with microbial surrogates representing bacterial, viral, and protozoan pathogens to measure the extent of reduction, EC treatment resulted in up to 7-log10 reduction of microbial surrogates. Future pilot and full-scale investigations are needed to optimize EC treatment for the following: reducing nitrogen species, personal care products, and energy consumption; elucidating the mechanisms behind microbial reductions; and performing life cycle analyses to determine the appropriateness of implementation.

  13. Normal tissue complication probabilities: dependence on choice of biological model and dose-volume histogram reduction scheme

    International Nuclear Information System (INIS)

    Moiseenko, Vitali; Battista, Jerry; Van Dyk, Jake

    2000-01-01

    Purpose: To evaluate the impact of dose-volume histogram (DVH) reduction schemes and models of normal tissue complication probability (NTCP) on ranking of radiation treatment plans. Methods and Materials: Data for liver complications in humans and for spinal cord in rats were used to derive input parameters of four different NTCP models. DVH reduction was performed using two schemes: 'effective volume' and 'preferred Lyman'. DVHs for competing treatment plans were derived from a sample DVH by varying dose uniformity in a high dose region so that the obtained cumulative DVHs intersected. Treatment plans were ranked according to the calculated NTCP values. Results: Whenever the preferred Lyman scheme was used to reduce the DVH, competing plans were indistinguishable as long as the mean dose was constant. The effective volume DVH reduction scheme did allow us to distinguish between these competing treatment plans. However, plan ranking depended on the radiobiological model used and its input parameters. Conclusions: Dose escalation will be a significant part of radiation treatment planning using new technologies, such as 3-D conformal radiotherapy and tomotherapy. Such dose escalation will depend on how the dose distributions in organs at risk are interpreted in terms of expected complication probabilities. The present study indicates considerable variability in predicted NTCP values because of the methods used for DVH reduction and radiobiological models and their input parameters. Animal studies and collection of standardized clinical data are needed to ascertain the effects of non-uniform dose distributions and to test the validity of the models currently in use

  14. Calculation of normal tissue complication probability and dose-volume histogram reduction schemes for tissues with a critical element architecture

    International Nuclear Information System (INIS)

    Niemierko, Andrzej; Goitein, Michael

    1991-01-01

    The authors investigate a model of normal tissue complication probability for tissues that may be represented by a critical element architecture. They derive formulas for complication probability that apply to both a partial volume irradiation and to an arbitrary inhomogeneous dose distribution. The dose-volume isoeffect relationship which is a consequence of a critical element architecture is discussed and compared to the empirical power law relationship. A dose-volume histogram reduction scheme for a 'pure' critical element model is derived. In addition, a point-based algorithm which does not require precomputation of a dose-volume histogram is derived. The existing published dose-volume histogram reduction algorithms are analyzed. The authors show that the existing algorithms, developed empirically without an explicit biophysical model, have a close relationship to the critical element model at low levels of complication probability. However, it is also showed that they have aspects which are not compatible with a critical element model and the authors propose a modification to one of them to circumvent its restriction to low complication probabilities. (author). 26 refs.; 7 figs

  15. Estimation and reduction of CO2 emissions from crude oil distillation units

    International Nuclear Information System (INIS)

    Gadalla, M.; Olujic, Z.; Jobson, M.; Smith, R.

    2006-01-01

    Distillation systems are energy-intensive processes, and consequently contribute significantly to the greenhouse gases emissions (e.g. carbon dioxide (CO 2 ). A simple model for the estimation of CO 2 emissions associated with operation of heat-integrated distillation systems as encountered in refineries is introduced. In conjunction with a shortcut distillation model, this model has been used to optimize the process conditions of an existing crude oil atmospheric tower unit aiming at minimization of CO 2 emissions. Simulation results indicate that the total CO 2 emissions of the existing crude oil unit can be cut down by 22%, just by changing the process conditions accordingly, and that the gain in this respect can be doubled by integrating a gas turbine. In addition, emissions reduction is accompanied by substantial profit increase due to utility saving and/or export

  16. Postimplantation Analysis Enables Improvement of Dose-Volume Histograms and Reduction of Toxicity for Permanent Seed Implantation

    International Nuclear Information System (INIS)

    Wust, Peter; Postrach, Johanna; Kahmann, Frank; Henkel, Thomas; Graf, Reinhold; Cho, Chie Hee; Budach, Volker; Boehmer, Dirk

    2008-01-01

    Purpose: To demonstrate how postimplantation analysis is useful for improving permanent seed implantation and reducing toxicity. Patients and Methods: We evaluated 197 questionnaires completed by patients after permanent seed implantation (monotherapy between 1999 and 2003). For 70% of these patients, a computed tomography was available to perform postimplantation analysis. The index doses and volumes of the dose-volume histograms (DVHs) were determined and categorized with respect to the date of implantation. Differences in symptom scores relative to pretherapeutic status were analyzed with regard to follow-up times and DVH descriptors. Acute and subacute toxicities in a control group of 117 patients from an earlier study (June 1999 to September 2001) by Wust et al. (2004) were compared with a matched subgroup from this study equaling 110 patients treated between October 2001 and August 2003. Results: Improved performance, identifying a characteristic time dependency of DVH parameters (after implantation) and toxicity scores, was demonstrated. Although coverage (volume covered by 100% of the prescription dose of the prostate) increased slightly, high-dose regions decreased with the growing experience of the users. Improvement in the DVH and a reduction of toxicities were found in the patient group implanted in the later period. A decline in symptoms with follow-up time counteracts this gain of experience and must be considered. Urinary and sexual discomfort was enhanced by dose heterogeneities (e.g., dose covering 10% of the prostate volume, volume covered by 200% of prescription dose). In contrast, rectal toxicities correlated with exposed rectal volumes, especially the rectal volume covered by 100% of the prescription dose. Conclusion: The typical side effects occurring after permanent seed implantation can be reduced by improving the dose distributions. An improvement in dose distributions and a reduction of toxicities were identified with elapsed time between

  17. Resonant Mode Reduction in Radiofrequency Volume Coils for Ultrahigh Field Magnetic Resonance Imaging

    Directory of Open Access Journals (Sweden)

    Xiaoliang Zhang

    2011-07-01

    Full Text Available In a multimodal volume coil, only one mode can generate homogeneous Radiofrequency (RF field for Magnetic Resonance Imaging. The existence of other modes may increase the volume coil design difficulties and potentially decreases coil performance. In this study, we introduce common-mode resonator technique to high and ultrahigh field volume coil designs to reduce the resonant mode while maintain the homogeneity of the RF field. To investigate the design method, the common-mode resonator was realized by using a microstrip line which was split along the central to become a pair of parallel transmission lines within which common-mode currents exist. Eight common-mode resonators were placed equidistantly along the circumference of a low loss dielectric cylinder to form a volume coil. Theoretical analysis and comparison between the 16-strut common-mode volume coil and a conventional 16-strut volume coil in terms of RF field homogeneity and efficiency was performed using Finite-Difference Time-Domain (FDTD method at 298.2 MHz. MR imaging experiments were performed by using a prototype of the common-mode volume coil on a whole body 7 Tesla scanner. FDTD simulation results showed the reduced number of resonant modes of the common-mode volume coil over the conventional volume coil, while the RF field homogeneity of the two type volume coils was kept at the same level. MR imaging of a water phantom and a kiwi fruit showing the feasibility of the proposed method for simplifying the volume coil design is also presented.

  18. Modelling the impact of retention–detention units on sewer surcharge and peak and annual runoff reduction

    DEFF Research Database (Denmark)

    Locatelli, Luca; Gabriel, S.; Mark, O.

    2015-01-01

    . The impact of retrofitting a retention-detention unit of 3.3 m(3)/100 m(2) (volume/impervious area) was simulated for a small catchment in Copenhagen using MIKE URBAN. The retention-detention unit was shown to prevent flooding from the sewer for a 10-year rainfall event. Statistical analysis of continuous...... simulations covering 22 years showed that annual stormwater runoff was reduced by 68-87%, and that the retention volume was on average 53% full at the beginning of rain events. The effect of different retention-detention volume combinations was simulated, and results showed that allocating 20...

  19. Changes in superior mesenteric artery Doppler waveform during reduction of cardiac stroke volume and hypotension

    DEFF Research Database (Denmark)

    Perko, M J; Perko, Grazyna; Just, S

    1996-01-01

    the hypovolemia. Alterations in pV and pulsatility indices were closely related to changes in stroke volume, and a negative correlation was found between diastolic velocities and stroke volume. regression analysis showed no significant relation between variations in velocity parameters and blood pressure. Results...

  20. VALVE BRONCHIAL BLOCK IN THE INTEGRATED TREATMENT OF BRONCHIAL PLEURAL FISTULAS AFTER SURGICAL REDUCTION OF PULMONARY VOLUME

    Directory of Open Access Journals (Sweden)

    E. A. Tseymakh

    2015-01-01

    Full Text Available Formation of bronchopleural fistulas after surgical reduction of pulmonary volume is one of the most frequent complications of surgical treatment of pulmonary emphysema. In order to control bronchopleural fistulas in the patients after surgical reduction of pulmonary volume the technique of valve bronchial block has been o}ered. This technique has been applied in 7 patients, and the favorable outcomes have been achieved in 6 (85.7% patients. The use of endobronchial valve for occlusion of fistulous bronchi allowed stopping air leaking through drainages, reducing time for pleural cavity drain and decreasing duration of patients' hospital stay.

  1. Ion Recognition Approach to Volume Reduction of Alkaline Tank Waste by Separation and Recycle of Sodium Hydroxide and Sodium Nitrate

    International Nuclear Information System (INIS)

    Moyer, Bruce A.; Marchand, Alan P.; Bonnesen, Peter V.; Bryan, Jeffrey C.; Haverlock, Tamara J.

    2004-01-01

    This research was intended to provide the scientific foundation upon which the feasibility of liquid-liquid extraction chemistry for bulk reduction of the volume of high-activity tank waste can be evaluated. Primary focus has been on sodium hydroxide separation, with potential Hanford application. Value in sodium hydroxide separation can potentially be found in alternative flowsheets for treatment and disposal of low-activity salt waste. Additional value can be expected in recycle of sodium hydroxide for use in waste retrieval and sludge washing, whereupon additions of fresh sodium hydroxide to the waste can be avoided. Potential savings are large both because of the huge cost of vitrification of the low-activity waste stream and because volume reduction of high-activity wastes could obviate construction of costly new tanks. Toward these ends, the conceptual development begun in the original proposal was extended with the formulation of eight fundamental approaches that could be undertaken for extraction of sodium hydroxide

  2. Computer simulation of preflight blood volume reduction as a countermeasure to fluid shifts in space flight

    Science.gov (United States)

    Simanonok, K. E.; Srinivasan, R.; Charles, J. B.

    1992-01-01

    Fluid shifts in weightlessness may cause a central volume expansion, activating reflexes to reduce the blood volume. Computer simulation was used to test the hypothesis that preadaptation of the blood volume prior to exposure to weightlessness could counteract the central volume expansion due to fluid shifts and thereby attenuate the circulatory and renal responses resulting in large losses of fluid from body water compartments. The Guyton Model of Fluid, Electrolyte, and Circulatory Regulation was modified to simulate the six degree head down tilt that is frequently use as an experimental analog of weightlessness in bedrest studies. Simulation results show that preadaptation of the blood volume by a procedure resembling a blood donation immediately before head down bedrest is beneficial in damping the physiologic responses to fluid shifts and reducing body fluid losses. After ten hours of head down tilt, blood volume after preadaptation is higher than control for 20 to 30 days of bedrest. Preadaptation also produces potentially beneficial higher extracellular volume and total body water for 20 to 30 days of bedrest.

  3. Ethnomathematics study: uncovering units of length, area, and volume in Kampung Naga Society

    Science.gov (United States)

    Septianawati, T.; Turmudi; Puspita, E.

    2017-02-01

    During this time, mathematics is considered as something neutral and not associated with culture. It can be seen from mathematics learning in the school which adopt many of foreign mathematics learning are considered more advanced (western). In fact, Indonesia is a rich country in cultural diversity. In the cultural activities, there are mathematical ideas that were considered a important thing in the mathematics learning. A study that examines the idea or mathematical practices in a variety of cultural activities are known as ethnomathematics. In Indonesia, there are some ethnic maintain their ancestral traditions, one of them is Kampung Naga. Therefore, this study was conducted in Kampung Naga. This study aims to uncover units of length, area, and volume used by Kampung Naga society. This study used a qualitative approach and ethnography methods. In this research, data collection is done through the principles of ethnography such as observation, interviews, documentation, and field notes. The results of this study are units of length, area, and volume used by Kampung Naga society and its conversion into standard units. This research is expected to give information to the public that mathematics has a relationship with culture and become recommendation to mathematics curriculum in Indonesia.

  4. Sustained Reduction in Bloodstream Infections in Infants at a Large Tertiary Care Neonatal Intensive Care Unit

    Science.gov (United States)

    Neill, Sara; Haithcock, Sarah; Smith, P. Brian; Goldberg, Ronald; Bidegain, Margarita; Tanaka, David; Carriker, Charlene; Ericson, Jessica E.

    2015-01-01

    Purpose Reduction of bloodstream infections (BSI) has emerged as an important patient safety goal. Implementation of central line insertion bundles, standardized line care protocols, and health care provider education programs have reduced BSI in neonatal intensive care units (NICUs) around the country. The ability of large tertiary care centers to decrease nosocomial infections, including BSI, has been demonstrated. However, long-term BSI reductions in infants are not well documented. We sought to demonstrate that a low incidence of BSI can be maintained over time in a tertiary care NICU. Subjects 6,790 infants admitted to a large, tertiary care NICU between 2005 and 2013. Design Retrospective intervention study. Methods A staged, multifaceted infection prevention plan was implemented beginning in October 2007 under nursing leadership. The incidence of BSI was determined annually for 2005-2013. Results Baseline BSI incidence for infants admitted to the NICU was 5.15 and 6.08 episodes per 1,000 infant-days in 2005 and 2006, respectively. After protocol implementation, the incidence of BSI decreased to 2.14/1,000 infant-days and 2.44/1,000 infant-days in 2008 and 2009, respectively. Yearly incidence remained low over the next 4 years and decreased even further to 0.20-0.45 infections/1,000 infant days. This represents a 92% decrease in BSI over a period of >5 years. Conclusions Implementation of a nursing-led comprehensive infection control initiative can effectively produce and maintain a reduction in the incidence of BSI in infants at a large tertiary care NICU. What this study adds Long term reductions in neonatal BSI are possible with implementation of a multidisciplinary team approach and strong nursing leadership. PMID:25915573

  5. Early Life Stress-Related Elevations in Reaction Time Variability Are Associated with Brain Volume Reductions in HIV+ Adults

    Directory of Open Access Journals (Sweden)

    Uraina S. Clark

    2018-01-01

    Full Text Available There is burgeoning evidence that, among HIV+ adults, exposure to high levels of early life stress (ELS is associated with increased cognitive impairment as well as brain volume abnormalities and elevated neuropsychiatric symptoms. Currently, we have a limited understanding of the degree to which cognitive difficulties observed in HIV+ High-ELS samples reflect underlying neural abnormalities rather than increases in neuropsychiatric symptoms. Here, we utilized a behavioral marker of cognitive function, reaction time intra-individual variability (RT-IIV, which is sensitive to both brain volume reductions and neuropsychiatric symptoms, to elucidate the unique contributions of brain volume abnormalities and neuropsychiatric symptoms to cognitive difficulties in HIV+ High-ELS adults. We assessed the relation of RT-IIV to neuropsychiatric symptom levels and total gray and white matter volumes in 44 HIV+ adults (26 with high ELS. RT-IIV was examined during a working memory task. Self-report measures assessed current neuropsychiatric symptoms (depression, stress, post-traumatic stress disorder. Magnetic resonance imaging was used to quantify total gray and white matter volumes. Compared to Low-ELS participants, High-ELS participants exhibited elevated RT-IIV, elevated neuropsychiatric symptoms, and reduced gray and white matter volumes. Across the entire sample, RT-IIV was significantly associated with gray and white matter volumes, whereas significant associations with neuropsychiatric symptoms were not observed. In the High-ELS group, despite the presence of elevated neuropsychiatric symptom levels, brain volume reductions explained more than 13% of the variance in RT-IIV, whereas neuropsychiatric symptoms explained less than 1%. Collectively, these data provide evidence that, in HIV+ High-ELS adults, ELS-related cognitive difficulties (as indexed by RT-IIV exhibit strong associations with global brain volumes, whereas ELS-related elevations in

  6. Reduction of heart volume during neoadjuvant chemoradiation in patients with resectable esophageal cancer

    International Nuclear Information System (INIS)

    Haj Mohammad, Nadia; Kamphuis, Martijn; Hulshof, Maarten C.C.M.; Lutkenhaus, Lotte J.; Gisbertz, Suzanne S.; Bergman, Jacques J.G.H.M.; Bruin-Bon, H.A.C.M. Rianne de; Geijsen, Elisabeth D.; Bel, Arjan; Boekholdt, S. Mathijs; Laarhoven, Hanneke W.M. van

    2015-01-01

    Background and purpose: Neoadjuvant chemoradiation (nCRT) followed by surgery is considered curative intent treatment for patients with resectable esophageal cancer. The aim was to establish hemodynamic aspects of changes in heart volume and to explore whether changes in heart volume resulted in clinically relevant changes in the dose distribution of radiotherapy. Methods: A prospective study was conducted in patients who were treated with nCRT consisting of carboplatin and paclitaxel concomitant with radiotherapy (41.4 Gy/1.8 Gy per fraction). Physical parameters, cardiac volume on CT and Cone beam CT, cardiac blood markers and cardiac ultrasound were obtained. Results: In 23 patients a significant decrease of 55.3 ml in heart volume was detected (95% CI 36.7–73.8 ml, p < 0.001). There was a decrease in both systolic (mean decrease 18 mmHg, 95% CI 11–26 mmHg, p < 0.001) and diastolic blood pressure (mean decrease 8 mmHg, 95% CI 2–14 mmHg, p = 0.008) and an increase in heart rate with 6 beats/min (95% CI 1–11 beats/min, p = 0.021). Except for Troponin T, no change in other cardiac markers and echocardiography parameters were observed. The change in heart volume did not result in a clinically relevant change in radiation dose distribution. Conclusion: Heart volume was significantly reduced, but was not accompanied by overt cardiac dysfunction. All observed changes in hemodynamic parameters are consistent with volume depletion. Adaptation of the treatment plan during the course of radiotherapy is not advocated

  7. Occupational dose reduction at Department of Energy contractor facilities: Bibliography of selected readings in radiation protection and ALARA; Volume 5

    Energy Technology Data Exchange (ETDEWEB)

    Dionne, B.J.; Sullivan, S.G.; Baum, J.W. [Brookhaven National Lab., Upton, NY (United States)

    1994-01-01

    Promoting the exchange of information related to implementation of the As Low as Reasonably Achievable (ALARA) philosophy is a continuing objective for the Department of Energy (DOE). This report was prepared by the Brookhaven National Laboratory (BNL) ALARA Center for the DOE Office of Health. It contains the fifth in a series of bibliographies on dose reduction at DOE facilities. The BNL ALARA Center was originally established in 1983 under the sponsorship of the Nuclear Regulatory Commission to monitor dose-reduction research and ALARA activities at nuclear power plants. This effort was expanded in 1988 by the DOE`s Office of Environment, Safety and Health, to include DOE nuclear facilities. This bibliography contains abstracts relating to various aspects of ALARA program implementation and dose-reduction activities, with a specific focus on DOE facilities. Abstracts included in this bibliography were selected from proceedings of technical meetings, journals, research reports, searches of the DOE Energy, Science and Technology Database (in general, the citation and abstract information is presented as obtained from this database), and reprints of published articles provided by the authors. Facility types and activities covered in the scope of this report include: radioactive waste, uranium enrichment, fuel fabrication, spent fuel storage and reprocessing, facility decommissioning, hot laboratories, tritium production, research, test and production reactors, weapons fabrication and testing, fusion, uranium and plutonium processing, radiography, and accelerators. Information on improved shielding design, decontamination, containments, robotics, source prevention and control, job planning, improved operational and design techniques, as well as on other topics, has been included. In addition, DOE/EH reports not included in previous volumes of the bibliography are in this volume (abstracts 611 to 684). This volume (Volume 5 of the series) contains 217 abstracts.

  8. Occupational dose reduction at Department of Energy contractor facilities: Bibliography of selected readings in radiation protection and ALARA; Volume 5

    International Nuclear Information System (INIS)

    Dionne, B.J.; Sullivan, S.G.; Baum, J.W.

    1994-01-01

    Promoting the exchange of information related to implementation of the As Low as Reasonably Achievable (ALARA) philosophy is a continuing objective for the Department of Energy (DOE). This report was prepared by the Brookhaven National Laboratory (BNL) ALARA Center for the DOE Office of Health. It contains the fifth in a series of bibliographies on dose reduction at DOE facilities. The BNL ALARA Center was originally established in 1983 under the sponsorship of the Nuclear Regulatory Commission to monitor dose-reduction research and ALARA activities at nuclear power plants. This effort was expanded in 1988 by the DOE's Office of Environment, Safety and Health, to include DOE nuclear facilities. This bibliography contains abstracts relating to various aspects of ALARA program implementation and dose-reduction activities, with a specific focus on DOE facilities. Abstracts included in this bibliography were selected from proceedings of technical meetings, journals, research reports, searches of the DOE Energy, Science and Technology Database (in general, the citation and abstract information is presented as obtained from this database), and reprints of published articles provided by the authors. Facility types and activities covered in the scope of this report include: radioactive waste, uranium enrichment, fuel fabrication, spent fuel storage and reprocessing, facility decommissioning, hot laboratories, tritium production, research, test and production reactors, weapons fabrication and testing, fusion, uranium and plutonium processing, radiography, and accelerators. Information on improved shielding design, decontamination, containments, robotics, source prevention and control, job planning, improved operational and design techniques, as well as on other topics, has been included. In addition, DOE/EH reports not included in previous volumes of the bibliography are in this volume (abstracts 611 to 684). This volume (Volume 5 of the series) contains 217 abstracts

  9. Meta-Analysis of Ultrafiltration versus Diuretics Treatment Option for Overload Volume Reduction in Patients with Acute Decompensated Heart Failure.

    Science.gov (United States)

    Barkoudah, Ebrahim; Kodali, Sindhura; Okoroh, Juliet; Sethi, Rosh; Hulten, Edward; Suemoto, Claudia; Bittencourt, Marcio Sommer

    2015-05-01

    Although diuretics are mainly used for the treatment of acute decompensated heart failure (ADHF), inadequate responses and complications have led to the use of extracorporeal ultrafiltration (UF) as an alternative strategy for reducing volume overloads in patients with ADHF. The aim of our study is to perform meta-analysis of the results obtained from studies on extracorporeal venous ultrafiltration and compare them with those of standard diuretic treatment for overload volume reduction in acute decompensated heart failure. MEDLINE, EMBASE, and the Cochrane Central Register of Controlled Trials databases were systematically searched using a pre‑specified criterion. Pooled estimates of outcomes after 48 h (weight change, serum creatinine level, and all-cause mortality) were computed using random effect models. Pooled weighted mean differences were calculated for weight loss and change in creatinine level, whereas a pooled risk ratio was used for the analysis of binary all-cause mortality outcome. A total of nine studies, involving 613 patients, met the eligibility criteria. The mean weight loss in patients who underwent UF therapy was 1.78 kg [95% Confidence Interval (CI): -2.65 to -0.91 kg; p diuretic therapy. The post-intervention creatinine level, however, was not significantly different (mean change = -0.25 mg/dL; 95% CI: -0.56 to 0.06 mg/dL; p = 0.112). The risk of all-cause mortality persisted in patients treated with UF compared with patients treated with standard diuretics (Pooled RR = 1.00; 95% CI: 0.64-1.56; p = 0.993). Compared with standard diuretic therapy, UF treatment for overload volume reduction in individuals suffering from ADHF, resulted in significant reduction of body weight within 48 h. However, no significant decrease of serum creatinine level or reduction of all-cause mortality was observed.

  10. Hippocampal and caudate volume reductions in antipsychotic-naive first-episode schizophrenia

    DEFF Research Database (Denmark)

    Ebdrup, Bjørn Hylsebeck; Glenthøj, Birte; Rasmussen, Hans

    2010-01-01

    of a false discovery rate correction (p brain structure volumes. We grouped patients as those with (n = 9) or without (n = 29) any lifetime substance abuse to examine the possible effects of substance abuse. RESULTS: We found......BACKGROUND: Enlarged ventricles and reduced hippocampal volume are consistently found in patients with first-episode schizophrenia. Studies investigating brain structure in antipsychotic-naive patients have generally focused on the striatum. In this study, we examined whether ventricular...... healthy controls by use of a 3-T scanner. We warped the brain images to each other by use of a high-dimensional intersubject registration algorithm. We performed voxel-wise group comparisons with permutation tests. We performed small volume correction for the hippocampus, caudate and ventricles by use...

  11. 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.

  12. Research and development of treatment techniques for LLW from decommissioning: Decontamination and volume reduction techniques

    International Nuclear Information System (INIS)

    Hirabayashi, T.; Kameo, Y.; Nakashio, N.

    2001-01-01

    For the purpose of reducing the amount and/or volume of low-level radioactive waste (LLW) arising from decommissioning of nuclear reactor, the Japan Atomic Energy Research Institute (JAERI) has been developing four decontamination techniques. They are: (a) Gas-carrying abrasive method, (b) In-situ remote electropolishing method for pipe system before dismantling, (c) Bead reaction - thermal shock method, and (d) Laser induced chemical method for components after dismantling. JAERI in developing techniques are also carrying out melting tests of metal and non-metal. Melting was confirmed to be effective in reducing the volume, homogenizing, and furthermore stabilizing non-metallic wastes. (author)

  13. The trip status and the reduction countermeasure in Kori nuclear power plant unit 1 and 2

    International Nuclear Information System (INIS)

    Kim, Jung-Soo

    1991-01-01

    Nuclear power account for 36% of Korea's total electric capacity and provided over 50% of the net electric power supply by June 1991. These plants supply US with the cheapest and most stable electric supply available. However each units capacity is very large and a plant trip due to failure of a component or a human error has a great influence on the nations electric power supply and drastically decreases the reserve margin. This report will analyze the trip causes and measure the trip frequency from the first commercial operation of Kori unit 1 and 2 to the end of June 1991, reflect to the plant operation, management and facility modification, etc. This will minimize the number of trips or urgent power reductions and thus contribute to an increase in plant capacity factor and safety, and stabilize the electric power demand and supply. The safety and the economy of nuclear power plant have to be secured and raised respectably by increasing the capacity factor. Since the prevention of trips plays an important role in the plant safety and economy, we have to do our best to prevent the unexpected trip

  14. A clip-based protocol for breast boost radiotherapy provides clear target visualisation and demonstrates significant volume reduction over time

    Energy Technology Data Exchange (ETDEWEB)

    Lewis, Lorraine [Department of Radiation Oncology, Northern Sydney Cancer Centre, Royal North Shore Hospital, Sydney, New South Wales (Australia); Cox, Jennifer [Department of Radiation Oncology, Northern Sydney Cancer Centre, Royal North Shore Hospital, Sydney, New South Wales (Australia); Faculty of Health Sciences, University of Sydney, Sydney, New South Wales (Australia); Morgia, Marita [Department of Radiation Oncology, Northern Sydney Cancer Centre, Royal North Shore Hospital, Sydney, New South Wales (Australia); Atyeo, John [Faculty of Health Sciences, University of Sydney, Sydney, New South Wales (Australia); Lamoury, Gillian [Department of Radiation Oncology, Northern Sydney Cancer Centre, Royal North Shore Hospital, Sydney, New South Wales (Australia)

    2015-09-15

    The clinical target volume (CTV) for early stage breast cancer is difficult to clearly identify on planning computed tomography (CT) scans. Surgical clips inserted around the tumour bed should help to identify the CTV, particularly if the seroma has been reabsorbed, and enable tracking of CTV changes over time. A surgical clip-based CTV delineation protocol was introduced. CTV visibility and its post-operative shrinkage pattern were assessed. The subjects were 27 early stage breast cancer patients receiving post-operative radiotherapy alone and 15 receiving post-operative chemotherapy followed by radiotherapy. The radiotherapy alone (RT/alone) group received a CT scan at median 25 days post-operatively (CT1rt) and another at 40 Gy, median 68 days (CT2rt). The chemotherapy/RT group (chemo/RT) received a CT scan at median 18 days post-operatively (CT1ch), a planning CT scan at median 126 days (CT2ch), and another at 40 Gy (CT3ch). There was no significant difference (P = 0.08) between the initial mean CTV for each cohort. The RT/alone cohort showed significant CTV volume reduction of 38.4% (P = 0.01) at 40 Gy. The Chemo/RT cohort had significantly reduced volumes between CT1ch: median 54 cm{sup 3} (4–118) and CT2ch: median 16 cm{sup 3}, (2–99), (P = 0.01), but no significant volume reduction thereafter. Surgical clips enable localisation of the post-surgical seroma for radiotherapy targeting. Most seroma shrinkage occurs early, enabling CT treatment planning to take place at 7 weeks, which is within the 9 weeks recommended to limit disease recurrence.

  15. A clip-based protocol for breast boost radiotherapy provides clear target visualisation and demonstrates significant volume reduction over time

    International Nuclear Information System (INIS)

    Lewis, Lorraine; Cox, Jennifer; Morgia, Marita; Atyeo, John; Lamoury, Gillian

    2015-01-01

    The clinical target volume (CTV) for early stage breast cancer is difficult to clearly identify on planning computed tomography (CT) scans. Surgical clips inserted around the tumour bed should help to identify the CTV, particularly if the seroma has been reabsorbed, and enable tracking of CTV changes over time. A surgical clip-based CTV delineation protocol was introduced. CTV visibility and its post-operative shrinkage pattern were assessed. The subjects were 27 early stage breast cancer patients receiving post-operative radiotherapy alone and 15 receiving post-operative chemotherapy followed by radiotherapy. The radiotherapy alone (RT/alone) group received a CT scan at median 25 days post-operatively (CT1rt) and another at 40 Gy, median 68 days (CT2rt). The chemotherapy/RT group (chemo/RT) received a CT scan at median 18 days post-operatively (CT1ch), a planning CT scan at median 126 days (CT2ch), and another at 40 Gy (CT3ch). There was no significant difference (P = 0.08) between the initial mean CTV for each cohort. The RT/alone cohort showed significant CTV volume reduction of 38.4% (P = 0.01) at 40 Gy. The Chemo/RT cohort had significantly reduced volumes between CT1ch: median 54 cm 3 (4–118) and CT2ch: median 16 cm 3 , (2–99), (P = 0.01), but no significant volume reduction thereafter. Surgical clips enable localisation of the post-surgical seroma for radiotherapy targeting. Most seroma shrinkage occurs early, enabling CT treatment planning to take place at 7 weeks, which is within the 9 weeks recommended to limit disease recurrence

  16. Pizzas and galettes - or how supercompaction has succeeded in Europe [volume reduction

    International Nuclear Information System (INIS)

    Renkin, J.C.

    1989-01-01

    Dry active waste represents the largest portion of the waste volume shipped for burial. The Westinghouse Supercompactor has proved itself an economical means of reducing the disposal costs associated with radioactive wastes. The key element in the Supercompactor is a 1000t hydraulically operated press enclosed in a trailer with its associated equipment. Several safety features are built into this mobile compactor, including the air filtration system. (U.K.)

  17. Radar Derived Spatial Statistics of Summer Rain. Volume 2; Data Reduction and Analysis

    Science.gov (United States)

    Konrad, T. G.; Kropfli, R. A.

    1975-01-01

    Data reduction and analysis procedures are discussed along with the physical and statistical descriptors used. The statistical modeling techniques are outlined and examples of the derived statistical characterization of rain cells in terms of the several physical descriptors are presented. Recommendations concerning analyses which can be pursued using the data base collected during the experiment are included.

  18. Environmental assessment for the off-site volume reduction of low-level radioactive waste from the Savannah River Site

    International Nuclear Information System (INIS)

    1995-07-01

    The Department of Energy (DOE) has prepared an environmental assessment (EA) (DOE/EA-1061) for the proposed off-site volume reduction of low-level radioactive wastes (LLW) generated at the Savannah River Site (SRS), near Aiken, South Carolina. Based on the analyses in the EA, DOE has determined that the proposed action is not a major Federal action significantly affecting the quality of the human environment within the meaning of the National Environmental Policy Act (NEPA) of 1969. Therefore, the preparation of an environmental impact statement (EIS) is not required, and DOE is issuing this Finding of No Significant Impact (FONSI)

  19. Morphological image processing operators. Reduction of partial volume effects to improve 3D visualization based on CT data

    International Nuclear Information System (INIS)

    Beier, J.; Bittner, R.C.; Hosten, N.; Troeger, J.; Felix, R.

    1998-01-01

    Aim: The quality of segmentation and three-dimensional reconstruction of anatomical structures in tomographic slices is often impaired by disturbances due to partial volume effects (PVE). The potential for artefact reduction by use of the morphological image processing operators (MO) erosion and dilation is investigated. Results: For all patients under review, the artefacts caused by PVE were significantly reduced by erosion (lung: Mean SBR pre =1.67, SBR post =4.83; brain: SBR pre =1.06, SBR post =1.29) even with only a small number of iterations. Region dilation was applied to integrate further structures (e.g. at tumor borders) into a configurable neighbourhood for segmentation and quantitative analysis. Conclusions: The MO represent an efficient approach for the reduction of PVE artefacts in 3D-CT reconstructions and allow optimised visualization of individual objects. (orig./AJ) [de

  20. Occupational dose reduction at nuclear power plants: Annotated bibliography of selected readings in radiation protection and ALARA: Volume 4

    International Nuclear Information System (INIS)

    Khan, T.A.; Baum, J.W.

    1989-06-01

    This report is the fourth in the series of bibliographies supporting the efforts at the Brookhaven National Laboratory on dose reduction at nuclear power plants. Abstracts for this bibliography were selected from proceedings of technical meetings, journals, research reports and searches of the DOE's Energy Data Base. The abstracts included in this report to operational health physics as well as other subjects which have a bearing on dose reduction at nuclear power plants, such as stress corrosion, cracking, plant chemistry, use of robotics and remote devices, etc. Material on improved design, materials selection, planning and other topics which are related to dose reduction efforts are also included. The report contains 327 abstracts as well as subject and author indices. All information in the current volume is also available from the ALARA Center's bulletin board service which is accessible by personal computers with the help of a modem. The last section of the report explains the features of the bulletin board. The bulletin board will be kept up-to-date with new information and should be of help in keeping people current in the area of dose reduction

  1. [New container of sample: role in the reduction of bacterial contamination of standard platelet units].

    Science.gov (United States)

    Fehri, S; Tazi, I; Loukhmass, L; Benchemsi, N

    2006-12-01

    Bacterial contamination of unstable blood products constitutes today the most frequent infectious risk transmitted by blood transfusion. Platelet concentrates are often incrimineted. As responsible germs are in general of cutaneous origin, a sample procedure with diversion of the first 20 ml during blood donation is studied. The aim of this study is to evaluate the results of this technique on bacterial contamination rate of standard platelet units prepared at the regional blood transfusion center in Casablanca. A comparative study of two types of sample pockets is made: 500 Standard Platelet concentrates (CPS) are prepared after collection using standard triple bags (Baxter) (group 1) and 560 pockets of CPS were prepared after collection using triple bags with Sample Diversion Pouch sampling system for elimination of the first 20 ml of donation (Macopharma and Terumo) (group 2). The skin was disinfected in two times with alcohol 70%. The bacteriological study was made in the two groups at the third day of conservation. Six CPS of group 1 were contaminated, of which five were staphylococci coagulase negative and one bacillus sp. Six CPS of group 2 were contaminated, of which five were staphylococci coagulase negative and one staphylococcus aureus. The bacteria isolated were those of cutaneous flora at 100%. Diversion of first 20 ml of blood donation results in a 16.6% reduction in bacterial contamination of CPS (P>0.05). The non-significant reduction in the prevalence of the bacterial infection of CP formulates the problem of the indication of the sampling devices with derivation of first 20 ml during blood collection.

  2. Poor man medical pneumoplasty: Bronchoscopic lung volume reduction with hot saline versus dissolved doxycycline as a neoteric remedy of pulmonary emphysema

    Directory of Open Access Journals (Sweden)

    A.M. Abumossalam

    2016-01-01

    Conclusion: Bronchoscopic lung volume reduction by hot saline and dissolved doxycycline comes into sight to be a safe and feasible profile with an acceptable outcome that presents an attractive substitute to COPD patients who are physiologically friable.

  3. Support for immigration reduction and physician distrust in the United States

    Directory of Open Access Journals (Sweden)

    Frank L Samson

    2016-06-01

    Full Text Available Objectives: Health research indicates that physician trust in the United States has declined over the last 50 years. Paralleling this trend is a decline in social capital, with researchers finding a negative relationship between immigration-based diversity and social capital. This article examines whether physician distrust is also tied to immigration-based diversity and declining social capital. Methods: Data come from the 2012 General Social Survey, one of the gold standards of US public opinion surveys, using a national probability sample of 1080 adult US respondents. Key measures included support for reducing levels of immigration to the United States and multiple measures of physician trust. Results: The results of ordinary least squares regressions, using survey weights, indicate that support for reducing immigration is positively linked to physician distrust, bringing physician distrust into the orbit of research on diversity and declining social capital. Models controlled for age, education, income, gender, race, nativity, conservatism, unemployed status, lack of health insurance, and self-rated health. Furthermore, analyses of a subset of respondents reveal that measures of general trust and some forms of institutional trust do not explain away the association between support for immigration reduction and physician distrust, though confidence in science as an institution appears relevant. Conclusion: Consistent with diversity and social capital research, this article finds that an immigration attitude predicts physician distrust. Physician distrust may not be linked just to physician–patient interactions, the structure of the health care system, or health policies, but could also be tied to declining social trust in general.

  4. α(1)-adrenoceptor blocker naftopidil improves sleep disturbance with reduction in nocturnal urine volume.

    Science.gov (United States)

    Yokoyama, Osamu; Aoki, Yoshitaka; Tsujimura, Akira; Takao, Tetsuya; Namiki, Mikio; Okuyama, Akihiko

    2011-04-01

    To examine the mechanism underlying improvements in nocturia by α(1)-blockers, we investigated whether the α(1)-blocker naftopidil acts on nocturia with sleep disturbance using a frequency/volume chart (FVC). A total of 56 male patients with lower urinary tract symptoms were enrolled. The inclusion criteria were as follows: eight or more points on the I-PSS; three or more points on the I-PSS score for nocturia; and prostate volume larger than 20 ml. Patients received 50 mg of naftopidil once daily for 4 weeks, and non-responders received 75 mg for another 4 weeks. All patients were examined, and their data entered into FVC for 2 days before and after administration of naftopidil. Quality of sleep was also evaluated using modified Pittsburgh sleep quality index (PSQI). Patients with sleep quality scores of three or four were assigned to sleep disturbance group (n = 33), while those with scores of less than three were assigned to non-disturbance group (n = 23). After administration of naftopidil, total I-PSS decreased and nocturia score decreased from 3.5 to 2.6 (P < 0.01). Total mean score of modified PSQI in sleep disturbance group became significantly lower after administration of naftopidil (from 16.9 to 14.0; P < 0.01). Naftopidil significantly decreased nocturnal urine volume, resulting in a decrease in the nocturnal polyuria index in both sleep disturbance and non-disturbance groups. These results suggest that α(1)-blockers have the ability to normalize sleep disorders. Naftopidil improved nocturnal polyuria regardless of the presence of sleep disturbance, meaning that it might directly reduce nocturnal urine production.

  5. Large-volume reduction mammaplasty: the effect of body mass index on postoperative complications.

    Science.gov (United States)

    Gamboa-Bobadilla, G Mabel; Killingsworth, Christopher

    2007-03-01

    Eighty-six women underwent modified inferior pedicled reduction mammaplasty. All were grouped according to body mass index (BMI): 14 in the overweight group, 51 in the obese group, and 21 in the morbidly obese group. The mean ages were 34, 35, and 36, respectively, for the 3 groups and were not statistically different. The mean resection weight in the overweight group was 929 g, 1316 g for the obese group, and 1760 g for the morbidly obese group. Wound healing complications increased with BMI; the overweight, obese, and morbidly obese groups had 21%, 43%, and 71% of complications, respectively. The results were not statistically different. The rate of repeat operations increased proportionally with the BMI to 7%, 8%, and 19%, respectively. Postoperative BMI was measured in 30 patients. Fifty percent of this group had limited preoperative activity secondary to breast enlargement. The mean postoperative follow-up period was 43 months. Forty-seven percent of this group continued to have limited activity after breast reduction with a mean BMI of 37.8 kg/m2. The mean BMI of all women was 37.41 kg/m2 with a total BMI change of -0.4 kg/m2, suggesting that most women do not lose a significant amount of weight after breast reduction. There was no statistical difference in long-term BMI.

  6. Method for volume reduction and encapsulation of water-bearing, low-level radioactive wastes

    International Nuclear Information System (INIS)

    1982-01-01

    The invention relates to the processing of water-bearing wastes, especially those containing radioactive materials from nuclear power plants like light-water moderated and cooled reactors. The invention provides a method to reduce the volume of wastes like contaminated coolants and to dispose them safely. According to the invention, azeotropic drying is applied to remove the water. Distilation temperatures are chosen to be lower than the lowest boiling point of the mixture components. In the preferred version, a polymerizing monomer is used to obtain the azeotropic mixture. In doing so, encapsulation is possible by combination with a co-reactive polymer that envelopes the waste material. (G.J.P.)

  7. Mass anomalous dimension of Adjoint QCD at large N from twisted volume reduction

    CERN Document Server

    Pérez, Margarita García; Keegan, Liam; Okawa, Masanori

    2015-01-01

    In this work we consider the $SU(N)$ gauge theory with two Dirac fermions in the adjoint representation, in the limit of large $N$. In this limit the infinite-volume physics of this model can be studied by means of the corresponding twisted reduced model defined on a single site lattice. Making use of this strategy we study the reduced model for various values of $N$ up to 289. By analyzing the eigenvalue distribution of the adjoint Dirac operator we test the conformality of the theory and extract the corresponding mass anomalous dimension.

  8. Mass anomalous dimension of adjoint QCD at large N from twisted volume reduction

    Energy Technology Data Exchange (ETDEWEB)

    Pérez, Margarita García [Instituto de Física Teórica UAM-CSIC, Nicolás Cabrera 13-15, Universidad Autónoma de Madrid,E-28049-Madrid (Spain); González-Arroyo, Antonio [Instituto de Física Teórica UAM-CSIC, Nicolás Cabrera 13-15, Universidad Autónoma de Madrid,E-28049-Madrid (Spain); Departamento de Física Teórica, C-XI, Universidad Autónoma de Madrid,E-28049-Madrid (Spain); Keegan, Liam [PH-TH, CERN,CH-1211 Geneva 23 (Switzerland); Okawa, Masanori [Graduate School of Science, Hiroshima University,Higashi-Hiroshima, Hiroshima 739-8526 (Japan); Core of Research for the Energetic Universe, Hiroshima University,Higashi-Hiroshima, Hiroshima 739-8526 (Japan)

    2015-08-07

    In this work we consider the SU(N) gauge theory with two Dirac fermions in the adjoint representation, in the limit of large N. In this limit the infinite-volume physics of this model can be studied by means of the corresponding twisted reduced model defined on a single site lattice. Making use of this strategy we study the reduced model for various values of N up to 289. By analyzing the eigenvalue distribution of the adjoint Dirac operator we test the conformality of the theory and extract the corresponding mass anomalous dimension.

  9. Reduced Volume Prototype Spacesuit Water Membrane Evaporator; A Next-Generation Evaporative Cooling System for the Advanced Extravehicular Mobility Unit Portable Life Support System

    Science.gov (United States)

    Makinen, Janice V.; Anchondo, Ian; Bue, Grant C.; Campbell, Colin; Colunga, Aaron

    2013-01-01

    Development of the Advanced Extravehicular Mobility Unit (AEMU) portable life support subsystem (PLSS) is currently under way at NASA Johnson Space Center. The AEMU PLSS features a new evaporative cooling system, the reduced volume prototype (RVP) spacesuit water membrane evaporator (SWME). The RVP SWME is the third generation of hollow fiber SWME hardware. Like its predecessors, RVP SWME provides nominal crew member and electronics cooling by flowing water through porous hollow fibers. Water vapor escapes through the hollow fiber pores, thereby cooling the liquid water that remains inside of the fibers. This cooled water is then recirculated to remove heat from the crew member and PLSS electronics. Major design improvements, including a 36% reduction in volume, reduced weight, and a more flight-like backpressure valve, facilitate the packaging of RVP SWME in the AEMU PLSS envelope. The development of these evaporative cooling systems will contribute to a more robust and comprehensive AEMU PLSS.

  10. RPV in-situ segmentation combined with off-site treatment for volume reduction and recycling - Proven In-Situ Segmentation Combined with Off-Site Treatment for Volume Reduction and Recycling. RPV case study

    International Nuclear Information System (INIS)

    Larsson, Arne; Lidar, Per; Segerud, Per; Hedin, Gunnar

    2014-01-01

    Decommissioning of nuclear power plants generates large volumes of radioactive or potentially radioactive waste. The proper management of the large components and the dismantling waste are key success factors in a decommissioning project. A large component of major interest is, due to its size and its span in radioactivity content, the RVP, which can be disposed as is or be segmented, treated, partially free released for recycling and conditioned for disposal in licensed packages. To a certain extent the decommissioning program have to be led by the waste management process. The costs for the plant decommissioning can be reduced by the usage of off-site waste treatment facilities as the time needed for performing the decommissioning project will be reduced as well as the waste volumes for disposal. Long execution times and delays due to problems with on-site waste management processes are major cost drivers for decommissioning projects. This involves also the RPV. In Sweden, the extension of the geological repository SFR plans for a potential disposal of whole RPVs. Disposal of whole RPVs is currently the main alternative but other options are considered. The target is to avoid extensive on-site waste management of RPVs to reduce the risk for delays. This paper describes in-situ RPV segmentation followed by off-site treatment aiming for free release for recycling of a substantial amount of the material, and volume efficient conditioning of the remaining parts. Real data from existing LWR RPVs was used for this study. Proven segmentation methods are intended to be used for the in situ segmentation followed by proven methods for packaging, transportation, treatment, recycling and conditioning for disposal. The expected volume reduction for disposal can be about 90% compared to whole RPV disposal. In this respect the in-situ segmentation of the RVPs to large pieces followed by off-site treatment is an interesting alternative that fits very well with the objective

  11. The volume reduction of low-activity solid wastes. Report of a panel

    International Nuclear Information System (INIS)

    Pradel, J.; Parsons, P.J.; Malasek, E.

    1970-01-01

    The accumulation of large volumes of low-level solid radioactive wastes is a matter of concern to waste management authorities, particularly when the wastes are produced close to urban areas. Some of the older and larger nuclear establishments are situated in relatively sparsely populated regions where the problem of dealing with such wastes can even be solved on-site, usually by burial, with little or no pre-treatment. This is the most economical solution. Now, however, increasing amounts of wastes are being produced in more populated areas, and local storage can constitute a hindrance to urban development. It is therefore often necessary to transport the wastes elsewhere; to effect this economically the volume and, if possible, the weight must be reduced, so that the wastes can be transported in regulation packages. The present report is concerned with the methods by which this can be achieved for a large variety of solid materials that accrue as radioactive wastes. It has been compiled largely from information and experience gained at major establishments dealing with large quantities of waste, but articular attention has been paid to the interests of the waste management specialists working at smaller nuclear centres. The manual supplements the guides which have already appeared in IAEA publications series and have dealt with some specific aspect of waste management and, like them, it is oriented in the operational rather than the research direction

  12. WasteChem Corporation's Volume Reduction and Solidification (VRS) system for low-level radwaste treatment: Final report

    International Nuclear Information System (INIS)

    1988-01-01

    Since 1965, low and medium level radwastes from nuclear power stations, reprocessing plants and nuclear research centers have been stabilized using the Volume Reduction and Solidification (VRS) system. The VRS system uses an extruder/evaporator to evaporate the liquids from waste influents, while simultaneously incorporating the remaining radioactive solids in an asphalt binder. In the period 1965 to 1986 a minimum of 700,000 cubic feet of wastes have been processed with the VRS system. This report provides current operating data from various systems including the volume reduction factors achieved, and the progress of start-ups in the US. The report also provides previously unpublished experience with mixed wastes including uranium raffinate and nitrate-bearing sludges from surface impoundments. VRS systems in the US are currently operating at the Palisades and Hope Creek nuclear stations. These systems produce a variety of waste types including boric acid, bead resin, sodium sulfate and powdered resins. There are three start-ups of VRS systems scheduled in the US in 1987. These systems are at Fermi 2, Seabrook, and Nine Mile Point 2. Overseas, the startup of new systems continues with three VRS process lines coming on-line at the LaHague Reprocessing Center in France in 1986 and a start-up scheduled for 1987 at the Laguna Verde plant in Mexico. The US systems are operating continuously and with little required maintenance. Data on maintenance and the operator exposure are provided in this report. 6 refs., 11 figs., 13 tabs

  13. Timing of low tidal volume ventilation and intensive care unit mortality in acute respiratory distress syndrome. A prospective cohort study.

    Science.gov (United States)

    Needham, Dale M; Yang, Ting; Dinglas, Victor D; Mendez-Tellez, Pedro A; Shanholtz, Carl; Sevransky, Jonathan E; Brower, Roy G; Pronovost, Peter J; Colantuoni, Elizabeth

    2015-01-15

    Reducing tidal volume decreases mortality in acute respiratory distress syndrome (ARDS). However, the effect of the timing of low tidal volume ventilation is not well understood. To evaluate the association of intensive care unit (ICU) mortality with initial tidal volume and with tidal volume change over time. Multivariable, time-varying Cox regression analysis of a multisite, prospective study of 482 patients with ARDS with 11,558 twice-daily tidal volume assessments (evaluated in milliliter per kilogram of predicted body weight [PBW]) and daily assessment of other mortality predictors. An increase of 1 ml/kg PBW in initial tidal volume was associated with a 23% increase in ICU mortality risk (adjusted hazard ratio, 1.23; 95% confidence interval [CI], 1.06-1.44; P = 0.008). Moreover, a 1 ml/kg PBW increase in subsequent tidal volumes compared with the initial tidal volume was associated with a 15% increase in mortality risk (adjusted hazard ratio, 1.15; 95% CI, 1.02-1.29; P = 0.019). Compared with a prototypical patient receiving 8 days with a tidal volume of 6 ml/kg PBW, the absolute increase in ICU mortality (95% CI) of receiving 10 and 8 ml/kg PBW, respectively, across all 8 days was 7.2% (3.0-13.0%) and 2.7% (1.2-4.6%). In scenarios with variation in tidal volume over the 8-day period, mortality was higher when a larger volume was used earlier. Higher tidal volumes shortly after ARDS onset were associated with a greater risk of ICU mortality compared with subsequent tidal volumes. Timely recognition of ARDS and adherence to low tidal volume ventilation is important for reducing mortality. Clinical trial registered with www.clinicaltrials.gov (NCT 00300248).

  14. United States-Chile binational exchange for volcanic risk reduction, 2015—Activities and benefits

    Science.gov (United States)

    Pierson, Thomas C.; Mangan, Margaret T.; Lara Pulgar, Luis E.; Ramos Amigo, Álvaro

    2017-07-25

    In 2015, representatives from the United States and Chile exchanged visits to discuss and share their expertise and experiences dealing with volcano hazards. Communities in both countries are at risk from various volcano hazards. Risks to lives and property posed by these hazards are a function not only of the type and size of future eruptions but also of distances from volcanoes, structural integrity of volcanic edifices, landscape changes imposed by recent past eruptions, exposure of people and resources to harm, and any mitigative measures taken (or not taken) to reduce risk. Thus, effective risk-reduction efforts require the knowledge and consideration of many factors, and firsthand experience with past volcano crises provides a tremendous advantage for this work. However, most scientists monitoring volcanoes and most officials delegated with the responsibility for emergency response and management in volcanic areas have little or no firsthand experience with eruptions or volcano hazards. The reality is that eruptions are infrequent in most regions, and individual volcanoes may have dormant periods lasting hundreds to thousands of years. Knowledge may be lacking about how to best plan for and manage future volcanic crises, and much can be learned from the sharing of insights and experiences among counterpart specialists who have had direct, recent, or different experiences in dealing with restless volcanoes and threatened populations. The sharing of information and best practices can help all volcano scientists and officials to better prepare for future eruptions or noneruptive volcano hazards, such as large volcanic mudflows (lahars), which could affect their communities.

  15. Reduction of Powerplex(®) Y23 reaction volume for genotyping buccal cell samples on FTA(TM) cards.

    Science.gov (United States)

    Raziel, Aliza; Dell'Ariccia-Carmon, Aviva; Zamir, Ashira

    2015-01-01

    PowerPlex(®) Y23 is a novel kit for Y-STR typing that includes new highly discriminating loci. The Israel DNA Database laboratory has recently adopted it for routine Y-STR analysis. This study examined PCR amplification from 1.2-mm FTA punch in reduced volumes of 5 and 10 μL. Direct amplification and washing of the FTA punches were examined in different PCR cycle numbers. One short robotically performed wash was found to improve the quality and the percent of profiles obtained. The optimal PCR cycle number was determined for 5 and 10 μL reaction volumes. The percent of obtained profiles, color balance, and reproducibility were examined. High-quality profiles were achieved in 90% and 88% of the samples amplified in 5 and 10 μL, respectively, in the first attempt. Volume reduction to 5 μL has a vast economic impact especially for DNA database laboratories. © 2014 American Academy of Forensic Sciences.

  16. Reduction of the radioactive waste volume from Belgian NPP: Reality, costs and goals

    International Nuclear Information System (INIS)

    Havard, P.; Lemmens, A.; Mannaerts, K.

    2001-01-01

    The growing awareness of the existence of waste generated by human activities and its environmental impact is one of the critical events of the late twentieth century. All industrial activities produce waste and nuclear industry is no exception. But nuclear power plants produce smaller amount of waste that makes it possible to treat it with particular care. This paper describes the reduction in the amount of waste, the consequences this has had on the associated costs and the action taken to control the development of both objectives. (author)

  17. Lung Volume Reduction in Chronic Obstructive Pulmonary Disease (COPD AND#8211; An Updated Review of Surgical and Endoscopic Procedures

    Directory of Open Access Journals (Sweden)

    Ramakant Dixit

    2012-08-01

    Full Text Available The conventional medical management of emphysema using bronchodilators and anti-inflammatory agents has a limited benefit in patients having advanced hyperinflation of lungs due to destruction of elastic tissue. The natural course of Chronic Obstructive Pulmonary Disease (COPD has been shown to be altered by only smoking cessation and oxygen therapy so far. The lung volume reduction surgery is viewed as another modality to change the natural history of emphysema in recent years. For patients with more generalized emphysema, resection of lung parenchyma improves elastic recoil and chest wall mechanics. An extensive literature search has demonstrated that carefully selected patients of emphysema (i.e. upper lobe predominant disease, low exercise capacity and Forced Expiratory Volume in First Second (FEV1 and DLco and #8804; 20% of predicted receive benefits in terms of symptomatic improvement and physiologic response following Lung Volume Reduction Surgery (LVRS. The resurgent interest in LVRS and National Emphysema Treatment Trial findings for emphysema have stimulated a range of innovative methods, to improve the outcome and reduce complications associated with current LVRS techniques. These novel approaches include surgical resection with compression/banding devices, endobronchial blockers, sealants, obstructing devices and valves and endobronchial bronchial bypass approaches. Experimental data and preliminary results are becoming available for some of these approaches. Most of the published studies so far have been uncontrolled and unblinded. Overall, extensive research in the near future will help to determine the potential clinical applicability of these new approaches to the treatment of emphysema symptoms. [Arch Clin Exp Surg 2012; 1(4.000: 249-257

  18. Volume reduction of the jugular foramina in Cavalier King Charles Spaniels with syringomyelia

    Directory of Open Access Journals (Sweden)

    Schmidt Martin

    2012-09-01

    Full Text Available Abstract Background Understanding the pathogenesis of the chiari-like malformation in the Cavalier King Charles Spaniel (CKCS is incomplete, and current hypotheses do not fully explain the development of syringomyelia (SM in the spinal cords of affected dogs. This study investigates an unconventional pathogenetic theory for the development of cerebrospinal fluid (CSF pressure waves in the subarachnoid space in CKCS with SM, by analogy with human diseases. In children with achondroplasia the shortening of the skull base can lead to a narrowing of the jugular foramina (JF between the cranial base synchondroses. This in turn has been reported to cause a congestion of the major venous outflow tracts of the skull and consequently to an increase in the intracranial pressure (ICP. Amongst brachycephalic dog breeds the CKCS has been identified as having an extremely short and wide braincase. A stenosis of the JF and a consequential vascular compromise in this opening could contribute to venous hypertension, raising ICP and causing CSF jets in the spinal subarachnoid space of the CKCS. In this study, JF volumes in CKCSs with and without SM were compared to assess a possible role of this pathologic mechanism in the development of SM in this breed. Results Computed tomography (CT scans of 40 CKCSs > 4 years of age were used to create three-dimensional (3D models of the skull and the JF. Weight matched groups (7–10 kg of 20 CKCSs with SM and 20 CKCSs without SM were compared. CKCSs without SM presented significantly larger JF -volumes (median left JF: 0.0633 cm3; median right JF: 0.0703 cm3; p 3; median right JF: 0.0434 cm3; p Conclusion A stenosis of the JF and consecutive venous congestion may explain the aetiology of CSF pressure waves in the subarachnoid space, independent of cerebellar herniation, as an additional pathogenetic factor for the development of SM in this breed.

  19. Significant volume reduction of tank waste by selective crystallization: 1994 Annual report

    International Nuclear Information System (INIS)

    Herting, D.L.; Lunsford, T.R.

    1994-01-01

    The objective of this technology task plan is to develop and demonstrate a scaleable process of reclaim sodium nitrate (NaNO 3 ) from Hanford waste tanks as a clean nonradioactive salt. The purpose of the so-called Clean Salt Process is to reduce the volume of low level waste glass by as much as 70%. During the reporting period of October 1, 1993, through May 31, 1994, progress was made on four fronts -- laboratory studies, surrogate waste compositions, contracting for university research, and flowsheet development and modeling. In the laboratory, experiments with simulated waste were done to explore the effects of crystallization parameters on the size and crystal habit of product NaNO 3 crystals. Data were obtained to allows prediction of decontamination factor as a function of solid/liquid separation parameters. Experiments with actual waste from tank 101-SY were done to determine the extent of contaminant occlusions in NaNO 3 crystals. In preparation for defining surrogate waste compositions, single shell tanks were categorized according to the weight percent NaNO 3 in each tank. A detailed process flowsheet and computer model were created using the ASPENPlus steady state process simulator. This is the same program being used by the Tank Waste Remediation System (TWRS) program for their waste pretreatment and disposal projections. Therefore, evaluations can be made of the effect of the Clean Salt Process on the low level waste volume and composition resulting from the TWRS baseline flowsheet. Calculations, using the same assumptions as used for the TWRS baseline where applicable indicate that the number of low level glass vaults would be reduced from 44 to 16 if the Clean Salt Process were incorporated into the baseline flowsheet

  20. Pre-compression volume on flow ripple reduction of a piston pump

    Science.gov (United States)

    Xu, Bing; Song, Yuechao; Yang, Huayong

    2013-11-01

    Axial piston pump with pre-compression volume(PCV) has lower flow ripple in large scale of operating condition than the traditional one. However, there is lack of precise simulation model of the axial piston pump with PCV, so the parameters of PCV are difficult to be determined. A finite element simulation model for piston pump with PCV is built by considering the piston movement, the fluid characteristic(including fluid compressibility and viscosity) and the leakage flow rate. Then a test of the pump flow ripple called the secondary source method is implemented to validate the simulation model. Thirdly, by comparing results among the simulation results, test results and results from other publications at the same operating condition, the simulation model is validated and used in optimizing the axial piston pump with PCV. According to the pump flow ripples obtained by the simulation model with different PCV parameters, the flow ripple is the smallest when the PCV angle is 13°, the PCV volume is 1.3×10-4 m3 at such operating condition that the pump suction pressure is 2 MPa, the pump delivery pressure 15 MPa, the pump speed 1 000 r/min, the swash plate angle 13°. At the same time, the flow ripple can be reduced when the pump suction pressure is 2 MPa, the pump delivery pressure is 5 MPa,15 MPa, 22 MPa, pump speed is 400 r/min, 1 000 r/min, 1 500 r/min, the swash plate angle is 11°, 13°, 15° and 17°, respectively. The finite element simulation model proposed provides a method for optimizing the PCV structure and guiding for designing a quieter axial piston pump.

  1. Volume reduction of the jugular foramina in Cavalier King Charles Spaniels with syringomyelia.

    Science.gov (United States)

    Schmidt, Martin Jürgen; Ondreka, Nele; Sauerbrey, Maren; Volk, Holger Andreas; Rummel, Christoph; Kramer, Martin

    2012-09-06

    Understanding the pathogenesis of the chiari-like malformation in the Cavalier King Charles Spaniel (CKCS) is incomplete, and current hypotheses do not fully explain the development of syringomyelia (SM) in the spinal cords of affected dogs. This study investigates an unconventional pathogenetic theory for the development of cerebrospinal fluid (CSF) pressure waves in the subarachnoid space in CKCS with SM, by analogy with human diseases. In children with achondroplasia the shortening of the skull base can lead to a narrowing of the jugular foramina (JF) between the cranial base synchondroses. This in turn has been reported to cause a congestion of the major venous outflow tracts of the skull and consequently to an increase in the intracranial pressure (ICP). Amongst brachycephalic dog breeds the CKCS has been identified as having an extremely short and wide braincase. A stenosis of the JF and a consequential vascular compromise in this opening could contribute to venous hypertension, raising ICP and causing CSF jets in the spinal subarachnoid space of the CKCS. In this study, JF volumes in CKCSs with and without SM were compared to assess a possible role of this pathologic mechanism in the development of SM in this breed. Computed tomography (CT) scans of 40 CKCSs > 4 years of age were used to create three-dimensional (3D) models of the skull and the JF. Weight matched groups (7-10 kg) of 20 CKCSs with SM and 20 CKCSs without SM were compared. CKCSs without SM presented significantly larger JF -volumes (median left JF: 0.0633 cm3; median right JF: 0.0703 cm3; p stenosis of the JF and consecutive venous congestion may explain the aetiology of CSF pressure waves in the subarachnoid space, independent of cerebellar herniation, as an additional pathogenetic factor for the development of SM in this breed.

  2. Process Improvement to Enhance Quality in a Large Volume Labor and Birth Unit.

    Science.gov (United States)

    Bell, Ashley M; Bohannon, Jessica; Porthouse, Lisa; Thompson, Heather; Vago, Tony

    The goal of the perinatal team at Mercy Hospital St. Louis is to provide a quality patient experience during labor and birth. After the move to a new labor and birth unit in 2013, the team recognized many of the routines and practices needed to be modified based on different demands. The Lean process was used to plan and implement required changes. This technique was chosen because it is based on feedback from clinicians, teamwork, strategizing, and immediate evaluation and implementation of common sense solutions. Through rapid improvement events, presence of leaders in the work environment, and daily huddles, team member engagement and communication were enhanced. The process allowed for team members to offer ideas, test these ideas, and evaluate results, all within a rapid time frame. For 9 months, frontline clinicians met monthly for a weeklong rapid improvement event to create better experiences for childbearing women and those who provide their care, using Lean concepts. At the end of each week, an implementation plan and metrics were developed to help ensure sustainment. The issues that were the focus of these process improvements included on-time initiation of scheduled cases such as induction of labor and cesarean birth, timely and efficient assessment and triage disposition, postanesthesia care and immediate newborn care completed within approximately 2 hours, transfer from the labor unit to the mother baby unit, and emergency transfers to the main operating room and intensive care unit. On-time case initiation for labor induction and cesarean birth improved, length of stay in obstetric triage decreased, postanesthesia recovery care was reorganized to be completed within the expected 2-hour standard time frame, and emergency transfers to the main hospital operating room and intensive care units were standardized and enhanced for efficiency and safety. Participants were pleased with the process improvements and quality outcomes. Working together as a team

  3. Final cost reduction study for the Geysers Recharge Alternative. Volume 1

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1997-11-01

    The purpose of this study is to determine whether or not cost reduction opportunities exist for the Geysers Recharge Alternative as defined in the Santa Rosa Subregional Long-Term Wastewater Project EIR/EIS. The City of Santa Rosa has been directed to have a plan for reclaimed water disposal in place by 1999 which will meet future capacity needs under all weather conditions. A Draft EIR/EIS released in July 1996 and a Final EIR certified in June 1997 examine four primary alternatives plus the No Action Alternative. Two of the primary alternatives involve agricultural irrigation with reclaimed water, either in western or southern Sonoma County. Another involves increased discharge of reclaimed water into the Russian River. The fourth involves using reclaimed water to replenish the geothermal reservoir at the Geysers. The addition of this water source would enable the Geysers operators to produce more steam from the geothermal area and thereby prolong the life and economic production level of the steamfield and the geothermal power plants supplied by the steamfield. This study provides additional refined cost estimates for new scenarios which utilize an alternative pipeline alignment and a range of reclaimed water flows, which deliver less water to the Geysers than proposed in the EIR/EIS (by distributing flow to other project components). Also, electrical power rates were revised to reflect the recent changes in costs associated with deregulation of the power industry. In addition, this report provides information on sources of potential public and private funding available and future environmental documentation required if the cost reduction scenarios were to be selected by the City as part of their preferred alternative.

  4. Volume reduction outweighs biogeochemical processes in controlling phosphorus treatment in aged detention systems

    Science.gov (United States)

    Shukla, Asmita; Shukla, Sanjay; Annable, Michael D.; Hodges, Alan W.

    2017-08-01

    Stormwater detention areas (SDAs) play an important role in treating end-of-the-farm runoff in phosphorous (P) limited agroecosystems. Phosphorus transport from the SDAs, including those through subsurface pathways, are not well understood. The prevailing understanding of these systems assumes that biogeochemical processes play the primary treatment role and that subsurface losses can be neglected. Water and P fluxes from a SDA located in a row-crop farm were measured for two years (2009-2011) to assess the SDA's role in reducing downstream P loads. The SDA treated 55% (497 kg) and 95% (205 kg) of the incoming load during Year 1 (Y1, 09-10) and Year 2 (Y2, 10-11), respectively. These treatment efficiencies were similar to surface water volumetric retention (49% in Y1 and 84% in Y2) and varied primarily with rainfall. Similar water volume and P retentions indicate that volume retention is the main process controlling P loads. A limited role of biogeochemical processes was supported by low to no remaining soil P adsorption capacity due to long-term drainage P input. The fact that outflow P concentrations (Y1 = 368.3 μg L- 1, Y2 = 230.4 μg L- 1) could be approximated by using a simple mixing of rainfall and drainage P input further confirmed the near inert biogeochemical processes. Subsurface P losses through groundwater were 304 kg (27% of inflow P) indicating that they are an important source for downstream P. Including subsurface P losses reduces the treatment efficiency to 35% (from 61%). The aboveground biomass in the SDA contained 42% (240 kg) of the average incoming P load suggesting that biomass harvesting could be a cost-effective alternative for reviving the role of biogeochemical processes to enhance P treatment in aged, P-saturated SDAs. The 20-year present economic value of P removal through harvesting was estimated to be 341,000, which if covered through a cost share or a payment for P treatment services program could be a positive outcome for both

  5. Wildfire risk reduction in the United States: Leadership staff perceptions of local fire department roles and responsibilities

    Science.gov (United States)

    Rachel S. Madsen; Hylton J. G. Haynes; Sarah M. McCaffrey

    2018-01-01

    As wildland fires have had increasing negative impacts on a range of human values, in many parts of the United States (U.S.) and around the world, collaborative risk reduction efforts among agencies, homeowners, and fire departments are needed to improve wildfire safety and mitigate risk. Using interview data from 46 senior officers from local fire departments around...

  6. Expectation and task for constructing the volume reduction system of removed soils. In search of the technical integrity from the intermediate storage to final disposal

    International Nuclear Information System (INIS)

    Mori, Hisaki

    2016-01-01

    The intermediate storage volume of the removed soils and incineration ash in Fukushima is supposed about 22 million cubic meters. Within 30 years after starting the intermediate storage, the final disposal outside Fukushima prefecture to these removed soils and incineration ash is determined by the law. Because these removed soils are the very-very low radio activity, the volume reduction method is most effective to reduce the burden of the final disposal. As the volume reduction technology is the stage of research and development, the possibility of the introduction of the volume reduction technology that has the consistency of the final disposal technology is evaluated from the point of view of cost. Since this business is accompanied by economic and technical risk to implement private companies, this project is considered appropriate to be implemented as a national project. (author)

  7. Volume reduction of waste contaminated by fission product elements and plutonium using molten salt combustion

    International Nuclear Information System (INIS)

    McKenzie, D.E.; Grantham, L.F.; Paulson, R.B.

    1979-01-01

    In the Molten Salt Combustion Process, transuranic or β-γ organic waste and air are continuously introduced beneath the surface of a sodium carbonate-containing melt at a temperature of about 800 0 C. Complete combustion of the organic material to carbon dioxide and steam occurs without the conversion of nitrogen to nitrogen oxides. The noxious gases formed by combustion of the chloride, sulfur or phosphorus content of the waste instantly react with the melt to form the corresponding sodium compounds. These compounds as well as the ash and radionuclides are retained in the molten salt. The spent salt is either fused cast into an engineered disposal container or processed to recover salt and plutonium. Molten salt combustion reduces the waste to about 2% of its original volume. Many reactor or reprocessing wastes which cannot be incinerated without difficulty are readily combusted in the molten salt. A 50 kg/hr molten salt combustion system is being designed for the Radioactive Waste Management Complex at the Idaho National Engineering Laboratory. Construction of the combustor started during 1977, and combustor startup was scheduled for the spring of 1978

  8. Conceptual design of volume reduction system for ITER low level radioactive waste

    Energy Technology Data Exchange (ETDEWEB)

    Chon, Je Keun, E-mail: jekeun.chon@iter.org; Beaudoin, Virginie; Pitcher, Charles S.

    2016-11-01

    For ITER Type A (low-level radwaste) radioactive waste process system, the super-compaction of solid wastes is introduced to reduce the waste volume in order to increase the quantity of waste to be enclosed in a final package. A study has been conducted to develop the conceptual design of super-compaction system by exploring the optimum design features of available equipment. The principal finding of the study is that a compactor with a vertical extrusion die that can apply a compressive force of up to 7000 kN will be fit for purpose of ITER Type A waste treatment. The confinement box has been proposed to limit the spread of aerial effluents that might escape from the compacted pellets. In order to increase the packing efficiency of the disposal containers, the height of each pellet will be recorded, enabling the disposal containers to be filled as close as possible to their limit if pellets of an appropriate size are available. The proposed conceptual design of super-compaction system is capable of meeting the objectives and constraints of target waste streams from ITER operation.

  9. Electrokinetic applications for environmental restoration, waste volume reduction, and contaminant containment systems

    International Nuclear Information System (INIS)

    Lomasney, H.L.; Lomasney, C.A.

    1996-01-01

    In the US and all over the world, following over 50 years of nuclear arms production operations, the magnitude of resultant environmental damage is only beginning to surface. The US Department of Energy estimates that by the year 2070, the total volume of high-level waste, transuranic waste, low-level waste, and low-level mixed waste, generated as a result of past and current nuclear activities, will exceed 20 million cubic meters. In Russia, it is reported that more than 30% of all groundwater is contaminated with agricultural and industrial chemical waste. Government agencies today are faced with the responsibility of developing technologies that are suitable for dealing with severe environmental contamination and accumulating waste inventories. In response to this demand, applications of electrokinetics have emerged in the field of environmental waste management as alternatives for environmental decontamination and ecological protection. Electrokinetics involves the movement of charged species under the influence of an applied electric field and is applicable in several areas of environmental waste management, including cleanup of soil and groundwater, barrier detection, and emergency or protective fencing. The worldwide interest in this technology has steadily escalated over the past decade. Today, state-of-the-art applications of electrokinetics have been demonstrated in the US, The Netherlands, Russia, The Ukraine, and India. This paper addresses the latest advances in the various applications of this technology as well as the most significant breakthroughs in the history of electrokinetics

  10. Advancement in solar evaporation techniques for volume reduction of chemical effluents

    Energy Technology Data Exchange (ETDEWEB)

    Parakasamurthy, K S [Nuclear Fuel Complex, Hyderabad (India); Pande, D P [Process Engineering and Systems Development Division, Bhabha Atomic Research Centre, Mumbai (India)

    1994-06-01

    A typical example of advancement of a unit operation for the given requirement is described. The solar evaporation ponds (SEP) have technical and economic advantages compared to other evaporation methods for concentrating chemical effluents. The operation of SEP is strongly dependent on the environmental and site conditions. Tropical conditions with high solar incidence, good wind speed along with hot and dry weather provide suitable climate for efficient operation of solar evaporation ponds. The particular site selected for the ponds at Nuclear Fuel Complex (NFC) has a rocky terrain with murrum over sheet with very low water table and small velocity of groundwater. During the past twenty five years extensive theoretical and experimental investigations have been carried out for advancement of solar evaporation technique. (author). 7 refs.

  11. Advancement in solar evaporation techniques for volume reduction of chemical effluents

    International Nuclear Information System (INIS)

    Parakasamurthy, K.S.; Pande, D.P.

    1994-01-01

    A typical example of advancement of a unit operation for the given requirement is described. The solar evaporation ponds (SEP) have technical and economic advantages compared to other evaporation methods for concentrating chemical effluents. The operation of SEP is strongly dependent on the environmental and site conditions. Tropical conditions with high solar incidence, good wind speed along with hot and dry weather provide suitable climate for efficient operation of solar evaporation ponds. The particular site selected for the ponds at Nuclear Fuel Complex (NFC) has a rocky terrain with murrum over sheet with very low water table and small velocity of groundwater. During the past twenty five years extensive theoretical and experimental investigations have been carried out for advancement of solar evaporation technique. (author)

  12. Maximized liquid radwaste volume reduction through a total integrated process: A new technology success story

    International Nuclear Information System (INIS)

    Rae, G.A.

    1996-01-01

    A fundamental nuclear industry goal is the minimization of the generation of radioactive waste. This goal has been dramatically reinforced over the past few years due to the spiraling increased costs of both commercial and DOE disposal. To assist in meeting these goals and reducing the industry's costs, NUKEM initiated a new technology program to maximize the reduction of liquid radwaste through the use of a systematic approach or TIPS (Total Integrated Process System). This concept evaluates the total life cycle of various technologies in a combination that results in the final waste form being minimized to the pure solids content of the waste stream. Additionally, it allows for a final waste form that maximizes the utilization of the waste package and is conditioned to be readily acceptable to additional processing to meet new waste form requirements at future disposal sites, should interim storage of the waste be required. The TIPS, although first introduced at commercial facilities, has broad applications for DOE's liquid waste streams

  13. Cigarette price minimization strategies in the United States: price reductions and responsiveness to excise taxes.

    Science.gov (United States)

    Pesko, Michael F; Licht, Andrea S; Kruger, Judy M

    2013-11-01

    Because cigarette price minimization strategies can provide substantial price reductions for individuals continuing their usual smoking behaviors following federal and state cigarette excise tax increases, we examined independent price reductions compensating for overlapping strategies. The possible availability of larger independent price reduction opportunities in states with higher cigarette excise taxes is explored. Regression analysis used the 2006-2007 Tobacco Use Supplement of the Current Population Survey (N = 26,826) to explore national and state-level independent price reductions that smokers obtained from purchasing cigarettes (a) by the carton, (b) in a state with a lower average after-tax cigarette price than in the state of residence, and (c) in "some other way," including online or in another country. Price reductions from these strategies are estimated jointly to compensate for known overlapping strategies. Each strategy reduced the price of cigarettes by 64-94 cents per pack. These price reductions are 9%-22% lower than conventionally estimated results not compensating for overlapping strategies. Price reductions vary substantially by state. Following cigarette excise tax increases, the price reduction available from purchasing cigarettes by cartons increased. Additionally, the price reduction from purchasing cigarettes in a state with a lower average after-tax cigarette price is positively associated with state cigarette excise tax rates and border state cigarette excise tax rate differentials. Findings from this large, nationally representative study of cigarette smokers suggest that price reductions are larger in states with higher cigarette excise taxes, and increase as cigarette excise taxes rise.

  14. Volume reduction/solidification of liquid radioactive waste using bitumen at Ontario Hydro's Bruce Nuclear Generating Station 'A'

    International Nuclear Information System (INIS)

    Day, J.E.; Baker, R.L.

    1995-01-01

    Ontario Hydro at the Bruce Nuclear Generating Station 'A' has undertaken a program to render the station's liquid radioactive waste suitable for discharge to Lake Huron by removing sufficient radiological and chemical contaminants to satisfy regulatory requirements for emissions. The system will remove radionuclide and chemical contaminants from five different plant waste streams. The contaminants will be immobilized and stored at on-site radioactive waste storage facilities and the purified streams will be discharged. The discharge targets established by Ontario Hydro are set well below the limits established by the Ontario Ministry of Environment (MOE) and are based on the Best Available Technology Economically Achievable Approach (B.A.T.E.A.). ADTECHS Corporation has been selected by Ontario Hydro to provide volume reduction/solidification technology for one of the five waste streams. The system will dry and immobilize the contaminants from a liquid waste stream in emulsified asphalt using thin film evaporation technology

  15. Feasibility study of a waste assay system and the possibility of volume reduction at the Puespoekszilagy RWTDF

    International Nuclear Information System (INIS)

    Takats, F.

    2001-05-01

    A review of the types and activities of the waste emplaced at the Pupokszilagy Radioactive Waste Treatment and Disposal Facility (RWTDF) was performed on the basis of the existing operational data. This provided a breakdown of all important parameters of the wastes as well as of the disposal conditions for each disposal unit. Prior to the detailed review, the behaviour of the compacted wastes, simulating those in the repository, was tested with a view to determine the efficiency of a further supercompaction. Based on the evaluation of market data, the cost of purchasing or renting a super-compactor unit and the resulting unit costs were calculated. A detailed review of the free release strategies and the available equipment was prepared. To provide an immediate remedy to the shortage of disposal volume, it is suggested to retrieve the old Institutional wastes and the sealed radioactive sources, and use the existing free space for further waste disposal. As an alternative, the use of residual free space in the vaults for further disposal, without waste recovery, is also reviewed. (author)

  16. Co-registered perfusion SPECT/CT: Utility for prediction of improved postoperative outcome in lung volume reduction surgery candidates

    International Nuclear Information System (INIS)

    Takenaka, Daisuke; Ohno, Yoshiharu; Koyama, Hisanobu; Nogami, Munenobu; Onishi, Yumiko; Matsumoto, Keiko; Yoshikawa, Takeshi; Matsumoto, Sumiaki; Sugimura, Kazuro

    2010-01-01

    Purpose: To directly compare the capabilities of perfusion scan, SPECT, co-registered SPECT/CT, and quantitatively and qualitatively assessed MDCT (i.e. quantitative CT and qualitative CT) for predicting postoperative clinical outcome for lung volume reduction surgery (LVRS) candidates. Materials and methods: Twenty-five consecutive candidates (19 men and six women, age range: 42-72 years) for LVRS underwent preoperative CT and perfusion scan with SPECT. Clinical outcome of LVRS for all subjects was also assessed by determining the difference between pre- and postoperative forced expiratory volume in 1 s (FEV 1 ) and 6-min walking distance (6MWD). All SPECT examinations were performed on a SPECT scanner, and co-registered to thin-section CT by using commercially available software. On planar imaging, SPECT and SPECT/CT, upper versus lower zone or lobe ratios (U/Ls) were calculated from regional uptakes between upper and lower lung fields in the operated lung. On quantitatively assessed CT, U/L for all subjects was assessed from regional functional lung volumes. On qualitatively assessed CT, planar imaging, SPECT and co-registered SPECT/CT, U/Ls were assessed with a 4-point visual scoring system. To compare capabilities of predicting clinical outcome, each U/L was statistically correlated with the corresponding clinical outcome. Results: Significantly fair or moderate correlations were observed between quantitatively and qualitatively assessed U/Ls obtained with all four methods and clinical outcomes (-0.60 ≤ r ≤ -0.42, p < 0.05). Conclusion: Co-registered perfusion SPECT/CT has better correlation with clinical outcome in LVRS candidates than do planar imaging, SPECT or qualitatively assessed CT, and is at least as valid as quantitatively assessed CT.

  17. Design of the Endobronchial Valve for Emphysema Palliation Trial (VENT: a non-surgical method of lung volume reduction

    Directory of Open Access Journals (Sweden)

    Noppen Marc

    2007-07-01

    Full Text Available Abstract Background Lung volume reduction surgery is effective at improving lung function, quality of life, and mortality in carefully selected individuals with advanced emphysema. Recently, less invasive bronchoscopic approaches have been designed to utilize these principles while avoiding the associated perioperative risks. The Endobronchial Valve for Emphysema PalliatioN Trial (VENT posits that occlusion of a single pulmonary lobe through bronchoscopically placed Zephyr® endobronchial valves will effect significant improvements in lung function and exercise tolerance with an acceptable risk profile in advanced emphysema. Methods The trial design posted on Clinical trials.gov, on August 10, 2005 proposed an enrollment of 270 subjects. Inclusion criteria included: diagnosis of emphysema with forced expiratory volume in one second (FEV1 100%; residual volume > 150% predicted, and heterogeneous emphysema defined using a quantitative chest computed tomography algorithm. Following standardized pulmonary rehabilitation, patients were randomized 2:1 to receive unilateral lobar placement of endobronchial valves plus optimal medical management or optimal medical management alone. The co-primary endpoint was the mean percent change in FEV1 and six minute walk distance at 180 days. Secondary end-points included mean percent change in St. George's Respiratory Questionnaire score and the mean absolute changes in the maximal work load measured by cycle ergometry, dyspnea (mMRC score, and total oxygen use per day. Per patient response rates in clinically significant improvement/maintenance of FEV1 and six minute walk distance and technical success rates of valve placement were recorded. Apriori response predictors based on quantitative CT and lung physiology were defined. Conclusion If endobronchial valves improve FEV1 and health status with an acceptable safety profile in advanced emphysema, they would offer a novel intervention for this progressive and

  18. Co-registered perfusion SPECT/CT: Utility for prediction of improved postoperative outcome in lung volume reduction surgery candidates

    Energy Technology Data Exchange (ETDEWEB)

    Takenaka, Daisuke [Department of Radiology, Kobe University Graduate School of Medicine, 7-5-2 Kusunoki-cho, Chuo-ku, Kobe, Hyogo, 650-0017 (Japan); Ohno, Yoshiharu, E-mail: yosirad@kobe-u.ac.j [Department of Radiology, Kobe University Graduate School of Medicine, 7-5-2 Kusunoki-cho, Chuo-ku, Kobe, Hyogo, 650-0017 (Japan); Koyama, Hisanobu [Department of Radiology, Kobe University Graduate School of Medicine, 7-5-2 Kusunoki-cho, Chuo-ku, Kobe, Hyogo, 650-0017 (Japan); Nogami, Munenobu [Department of Radiology, Kobe University Graduate School of Medicine, 7-5-2 Kusunoki-cho, Chuo-ku, Kobe, Hyogo, 650-0017 (Japan); Division of Image-Based Medicine, Institute of Biomedical Research and Innovation, 2-2, Minatojima Minamimachi Chuo-ku, Kobe, Hyogo, 650-0047 (Japan); Onishi, Yumiko [Department of Radiology, Kobe University Graduate School of Medicine, 7-5-2 Kusunoki-cho, Chuo-ku, Kobe, Hyogo, 650-0017 (Japan); Matsumoto, Keiko [Department of Radiology, Kobe University Graduate School of Medicine, 7-5-2 Kusunoki-cho, Chuo-ku, Kobe, Hyogo, 650-0017 (Japan); Department of Radiology, University of Yamanashi, 1110 Shimogato, Chuo, Yamanashi, 409-3898 (Japan); Yoshikawa, Takeshi; Matsumoto, Sumiaki; Sugimura, Kazuro [Department of Radiology, Kobe University Graduate School of Medicine, 7-5-2 Kusunoki-cho, Chuo-ku, Kobe, Hyogo, 650-0017 (Japan)

    2010-06-15

    Purpose: To directly compare the capabilities of perfusion scan, SPECT, co-registered SPECT/CT, and quantitatively and qualitatively assessed MDCT (i.e. quantitative CT and qualitative CT) for predicting postoperative clinical outcome for lung volume reduction surgery (LVRS) candidates. Materials and methods: Twenty-five consecutive candidates (19 men and six women, age range: 42-72 years) for LVRS underwent preoperative CT and perfusion scan with SPECT. Clinical outcome of LVRS for all subjects was also assessed by determining the difference between pre- and postoperative forced expiratory volume in 1 s (FEV{sub 1}) and 6-min walking distance (6MWD). All SPECT examinations were performed on a SPECT scanner, and co-registered to thin-section CT by using commercially available software. On planar imaging, SPECT and SPECT/CT, upper versus lower zone or lobe ratios (U/Ls) were calculated from regional uptakes between upper and lower lung fields in the operated lung. On quantitatively assessed CT, U/L for all subjects was assessed from regional functional lung volumes. On qualitatively assessed CT, planar imaging, SPECT and co-registered SPECT/CT, U/Ls were assessed with a 4-point visual scoring system. To compare capabilities of predicting clinical outcome, each U/L was statistically correlated with the corresponding clinical outcome. Results: Significantly fair or moderate correlations were observed between quantitatively and qualitatively assessed U/Ls obtained with all four methods and clinical outcomes (-0.60 {<=} r {<=} -0.42, p < 0.05). Conclusion: Co-registered perfusion SPECT/CT has better correlation with clinical outcome in LVRS candidates than do planar imaging, SPECT or qualitatively assessed CT, and is at least as valid as quantitatively assessed CT.

  19. Effectiveness of 131I nor-cholesterol uptake per unit volume of adrenal adenoma in the diagnosis of aldosteronoma

    International Nuclear Information System (INIS)

    Kita, Tamotsu; Tomita, Hiroko; Sakaguchi, Chiharu

    2010-01-01

    Diagnosis of adrenal adenomas for patients with primary aldosteronism is sometimes difficult only by referring to the visualization pattern in adrenocortical scintigraphy without regards to standard scintigraphy or suppression scintigraphy with dexamethasone. We studied if quantitative evaluation of the standard scintigraphy without dexamethasone suppression can be useful to diagnose aldosteronomas. Twenty-nine patients who had undergone adrenalectomy with different clinical manifestations (16 patients with primary aldosteronism, 6 patients with Cushing's syndrome and 7 patients without hormonal abnormality) were included in the study. Volume of the adrenocortical adenomas, 131 I nor-cholesterol uptake of the adrenocortical adenomas, and 131 I nor-cholesterol uptake per unit volume of the adrenocortical adenomas were compared between the 3 groups. The volume of adrenocortical adenomas in the patients with primary aldosteronism was significantly lower than those in the other two groups (Cushing's syndrome p 131 I nor-cholesterol uptake of adrenocortical adenoma. The 131 I nor-cholesterol uptake per unit volume of adrenocortical adenomas was significantly higher in the patients with primary aldosteronism than those in the other two groups (Cushing's syndrome p 131 I nor-cholesterol uptake per unit volume of adenoma obtained from adrenocortical scintigraphy without dexamethasone suppression can be useful in the diagnosis of aldosteronoma. (author)

  20. Per-pack price reductions available from different cigarette purchasing strategies: United States, 2009–2010☆

    Science.gov (United States)

    Pesko, Michael F.; Xu, Xin; Tynan, Michael A.; Gerzoff, Robert B.; Malarcher, Ann M.; Pechacek, Terry F.

    2015-01-01

    Objective Following cigarette excise tax increases, smokers may use cigarette price minimization strategies to continue their usual cigarette consumption rather than reducing consumption or quitting. This reduces the public health benefits of the tax increase. This paper estimates the price reductions for a wide-range of strategies, compensating for overlapping strategies. Method We performed regression analysis on the 2009–2010 National Adult Tobacco Survey (N = 13,394) to explore price reductions that smokers in the United States obtained from purchasing cigarettes. We examined five cigarette price minimization strategies: 1) purchasing discount brand cigarettes, 2) using price promotions, 3) purchasing cartons, 4) purchasing on Indian reservations, and 5) purchasing online. Price reductions from these strategies were estimated jointly to compensate for overlapping strategies. Results Each strategy provided price reductions between 26 and 99 cents per pack. Combined price reductions were possible. Additionally, price promotions were used with regular brands to obtain larger price reductions than when price promotions were used with generic brands. Conclusion Smokers can realize large price reductions from price minimization strategies, and there are many strategies available. Policymakers and public health officials should be aware of the extent that these strategies can reduce cigarette prices. PMID:24594102

  1. Volumization of the Brow at the Time of Blepharoplasty: Treating the Eyebrow Fat Pad as an Independent Unit.

    Science.gov (United States)

    Vrcek, Ivan; Chou, Eva; Somogyi, Marie; Shore, John W

    Loss of volume in the sub-brow fat pad with associated descent of the eyebrow is a common anatomical finding resulting in both functional and aesthetic consequences. A variety of techniques have been described to address brow position at the time of blepharoplasty. To our knowledge, none of these techniques treat the sub-brow fat pad as an isolated unit. Doing so enables the surgeon to stabilize and volumize the brow without resultant tension on the blepharoplasty wound. The authors describe a technique for addressing volume loss in the eyebrow with associated brow descent that treats the sub-brow fat pad as an isolated unit. A retrospective review of all patients undergoing brow ptosis repair by a single surgeon (J.W.S.) over an 11-month period was performed. Eighteen patients and 33 brows underwent the technique described. Patients were followed for an average of 11 weeks (range: 4 weeks to 20 weeks). All patients preoperatively displayed both visually significant dermatochalasis and brow descent below the orbital rim. Evaluation of pre- and postoperative photos demonstrates successful volumization of the brow with skin redraping without focal dimpling or undue tension on the eyelid wound. Performing a dissection that allows the sub-brow fat pad to be elevated in isolation from the overlying orbicularis and underlying periosteum allows for volumization and of the brow without compromising closure. This technique is a safe and effective means of volumizing the brow and treating secondary brow descent.

  2. Determination of the optimal dose reduction level via iterative reconstruction using 640-slice volume chest CT in a pig model.

    Directory of Open Access Journals (Sweden)

    Xingli Liu

    Full Text Available To determine the optimal dose reduction level of iterative reconstruction technique for paediatric chest CT in pig models.27 infant pigs underwent 640-slice volume chest CT with 80kVp and different mAs. Automatic exposure control technique was used, and the index of noise was set to SD10 (Group A, routine dose, SD12.5, SD15, SD17.5, SD20 (Groups from B to E to reduce dose respectively. Group A was reconstructed with filtered back projection (FBP, and Groups from B to E were reconstructed using iterative reconstruction (IR. Objective and subjective image quality (IQ among groups were compared to determine an optimal radiation reduction level.The noise and signal-to-noise ratio (SNR in Group D had no significant statistical difference from that in Group A (P = 1.0. The scores of subjective IQ in Group A were not significantly different from those in Group D (P>0.05. There were no obvious statistical differences in the objective and subjective index values among the subgroups (small, medium and large subgroups of Group D. The effective dose (ED of Group D was 58.9% lower than that of Group A (0.20±0.05mSv vs 0.48±0.10mSv, p <0.001.In infant pig chest CT, using iterative reconstruction can provide diagnostic image quality; furthermore, it can reduce the dosage by 58.9%.

  3. Automated detection of masses on whole breast volume ultrasound scanner: false positive reduction using deep convolutional neural network

    Science.gov (United States)

    Hiramatsu, Yuya; Muramatsu, Chisako; Kobayashi, Hironobu; Hara, Takeshi; Fujita, Hiroshi

    2017-03-01

    Breast cancer screening with mammography and ultrasonography is expected to improve sensitivity compared with mammography alone, especially for women with dense breast. An automated breast volume scanner (ABVS) provides the operator-independent whole breast data which facilitate double reading and comparison with past exams, contralateral breast, and multimodality images. However, large volumetric data in screening practice increase radiologists' workload. Therefore, our goal is to develop a computer-aided detection scheme of breast masses in ABVS data for assisting radiologists' diagnosis and comparison with mammographic findings. In this study, false positive (FP) reduction scheme using deep convolutional neural network (DCNN) was investigated. For training DCNN, true positive and FP samples were obtained from the result of our initial mass detection scheme using the vector convergence filter. Regions of interest including the detected regions were extracted from the multiplanar reconstraction slices. We investigated methods to select effective FP samples for training the DCNN. Based on the free response receiver operating characteristic analysis, simple random sampling from the entire candidates was most effective in this study. Using DCNN, the number of FPs could be reduced by 60%, while retaining 90% of true masses. The result indicates the potential usefulness of DCNN for FP reduction in automated mass detection on ABVS images.

  4. Waterborne Transportation Lines of the United States : calendar year 1999. Volume 2 : vessel company summary

    Science.gov (United States)

    2001-01-01

    The Vessel Company Summary, : Volume 2, is one of three publications for : the annual revision of the WTLUS, which : provides a summary of the vessel : companies detailed in the WTLUS, Vessel : Characteristics, Volume 3. The names of : the vessel com...

  5. Waterborne Transportation Lines of the United States : calendar year 2008. Volume 2 : vessel company summary

    Science.gov (United States)

    2009-11-16

    The Vessel Company Summary, Volume 2, : is one of three publications for the annual : revision of the WTLUS, which provides a summary : of the vessel companies detailed in the : WTLUS, Vessel Characteristics, Volume 3. : The names of the vessel compa...

  6. Comparison of distinctive models for calculating an interlobar emphysema heterogeneity index in patients prior to endoscopic lung volume reduction

    Directory of Open Access Journals (Sweden)

    Theilig D

    2017-06-01

    Full Text Available Dorothea Theilig,1 Felix Doellinger,1 Alexander Poellinger,1 Vera Schreiter,1 Konrad Neumann,2 Ralf-Harto Hubner31Department of Radiology, Charité Campus Virchow Klinikum, Charité, Universitätsmedizin Berlin, Berlin, Germany; 2Institute of Biometrics and Clinical Epidemiology, Charité Campus Benjamin Franklin, Charité, Universitätsmedizin Berlin, Berlin, Germany; 3Department of Pneumology, Charité Campus Virchow Klinikum, Charité, Universitätsmedizin Berlin, Berlin, GermanyBackground: The degree of interlobar emphysema heterogeneity is thought to play an important role in the outcome of endoscopic lung volume reduction (ELVR therapy of patients with advanced COPD. There are multiple ways one could possibly define interlobar emphysema heterogeneity, and there is no standardized definition.Purpose: The aim of this study was to derive a formula for calculating an interlobar emphysema heterogeneity index (HI when evaluating a patient for ELVR. Furthermore, an attempt was made to identify a threshold for relevant interlobar emphysema heterogeneity with regard to ELVR.Patients and methods: We retrospectively analyzed 50 patients who had undergone technically successful ELVR with placement of one-way valves at our institution and had received lung function tests and computed tomography scans before and after treatment. Predictive accuracy of the different methods for HI calculation was assessed with receiver-operating characteristic curve analysis, assuming a minimum difference in forced expiratory volume in 1 second of 100 mL to indicate a clinically important change.Results: The HI defined as emphysema score of the targeted lobe (TL minus emphysema score of the ipsilateral nontargeted lobe disregarding the middle lobe yielded the best predicative accuracy (AUC =0.73, P=0.008. The HI defined as emphysema score of the TL minus emphysema score of the lung without the TL showed a similarly good predictive accuracy (AUC =0.72, P=0.009. Subgroup

  7. Moderately high frequency ventilation with a conventional ventilator allows reduction of tidal volume without increasing mean airway pressure.

    Science.gov (United States)

    Cordioli, Ricardo Luiz; Park, Marcelo; Costa, Eduardo Leite Vieira; Gomes, Susimeire; Brochard, Laurent; Amato, Marcelo Britto Passos; Azevedo, Luciano Cesar Pontes

    2014-12-01

    The aim of this study was to explore if positive-pressure ventilation delivered by a conventional ICU ventilator at a moderately high frequency (HFPPV) allows a safe reduction of tidal volume (V T) below 6 mL/kg in a porcine model of severe acute respiratory distress syndrome (ARDS) and at a lower mean airway pressure than high-frequency oscillatory ventilation (HFOV). This is a prospective study. In eight pigs (median weight 34 [29,36] kg), ARDS was induced by pulmonary lavage and injurious ventilation. The animals were ventilated with a randomized sequence of respiratory rates: 30, 60, 90, 120, 150, followed by HFOV at 5 Hz. At each step, V T was adjusted to allow partial pressure of arterial carbon dioxide (PaCO2) to stabilize between 57 and 63 mmHg. Data are shown as median [P25th,P75th]. After lung injury, the PaO2/FiO2 (P/F) ratio was 92 [63,118] mmHg, pulmonary shunt 26 [17,31]%, and static compliance 11 [8,14] mL/cmH2O. Positive end-expiratory pressure (PEEP) was 14 [10,17] cmH2O. At 30 breaths/min, V T was higher than 6 (7.5 [6.8,10.2]) mL/kg, but at all higher frequencies, V T could be reduced and PaCO2 maintained, leading to reductions in plateau pressures and driving pressures. For frequencies of 60 to 150/min, V T progressively fell from 5.2 [5.1,5.9] to 3.8 [3.7,4.2] mL/kg (p mechanics, auto-PEEP generation, hemodynamics, or gas exchange. Mean airway pressure was maintained constant and was increased only during HFOV. During protective mechanical ventilation, HFPPV delivered by a conventional ventilator in a severe ARDS swine model safely allows further tidal volume reductions. This strategy also allowed decreasing airway pressures while maintaining stable PaCO2 levels.

  8. The Reduction of Ventrolateral Prefrontal Cortex Gray Matter Volume Correlates with Loss of Economic Rationality in Aging.

    Science.gov (United States)

    Chung, Hui-Kuan; Tymula, Agnieszka; Glimcher, Paul

    2017-12-06

    The population of people above 65 years old continues to grow, and there is mounting evidence that as humans age they are more likely to make errors. However, the specific effect of neuroanatomical aging on the efficiency of economic decision-making is poorly understood. We used whole-brain voxel-based morphometry analysis to determine where reduction of gray matter volume in healthy female and male adults over the age of 65 years correlates with a classic measure of economic irrationality: violations of the Generalized Axiom of Revealed Preference. All participants were functionally normal with Mini-Mental State Examination scores ranging between 26 and 30. While our elders showed the previously reported decline in rationality compared with younger subjects, chronological age per se did not correlate with rationality measures within our population of elders. Instead, reduction of gray matter density in ventrolateral prefrontal cortex correlates tightly with irrational behavior. Interestingly, using a large fMRI sample and meta-analytic tool with Neurosynth, we found that this brain area shows strong coactivation patterns with nearly all of the value-associated regions identified in previous studies. These findings point toward a neuroanatomic locus for economic rationality in the aging brain and highlight the importance of understanding both anatomy and function in the study of aging, cognition, and decision-making. SIGNIFICANCE STATEMENT Age is a crucial factor in decision-making, with older individuals making more errors in choices. Using whole-brain voxel-based morphometry analysis, we found that reduction of gray matter density in ventrolateral prefrontal cortex correlates with economic irrationality: reduced gray matter volume in this area correlates with the frequency and severity of violations of the Generalized Axiom of Revealed Preference. Furthermore, this brain area strongly coactivates with other reward-associated regions identified with Neurosynth

  9. Analysis of risk reduction measures applied to shared essential service water systems at multi-unit sites

    International Nuclear Information System (INIS)

    Kohut, P.; Musicki, Z.; Fitzpatrick, R.

    1991-06-01

    This report summarizes a study performed by Brookhaven National Laboratory for the US Nuclear Regulatory Commission in support of the resolution of NRC Generic Issue 130. GI-130 is concerned with the potential core damage vulnerability resulting from failure of the emergency service water (ESW) system in selected multiplant units. These multiplant units are all twin pressurized water reactor designs that have only two ESW pumps per unit (one per train) backed up by a unit crosstie capability. This generic issue applies to seven US sites (14 plants). The study established and analyzed the core damage vulnerability and identified potential improvements for the ESW system. It obtained generic estimates of the risk reduction potential and cost effectiveness of each potential improvement. The analysis also investigated the cost/benefit aspects of selected combinations of potential improvements. 4 figs., 62 tabs

  10. Effect of preload reduction by hemodialysis on left atrial volume and echocardiographic Doppler parameters in patients with end-stage renal disease.

    Science.gov (United States)

    Barberato, Silvio H; Mantilla, Diego E V; Misocami, M Arcio; Gonçalves, Simone M; Bignelli, Alexandre T; Riella, Miguel C; Pecoits-Filho, Roberto

    2004-11-01

    Left atrial (LA) volume has been proposed as a less preload-dependent parameter of diastolic function than Doppler mitral inflow. We hypothesize that in the absence of mitral regurgitation and atrial fibrilation, LA enlargement could be a more practical (and relatively preload-independent) method for the evaluation of left ventricular diastolic function. The aim of the present study was to determine the effects of preload reduction by hemodialysis on LA volume.

  11. Sodium intake status in United States and potential reduction modeling: an NHANES 2007-2010 analysis.

    Science.gov (United States)

    Agarwal, Sanjiv; Fulgoni, Victor L; Spence, Lisa; Samuel, Priscilla

    2015-11-01

    Limiting dietary sodium intake has been a consistent dietary recommendation. Using NHANES 2007-2010 data, we estimated current sodium intake and modeled the potential impact of a new sodium reduction technology on sodium intake. NHANES 2007-2010 data were used to assess current sodium intake. The National Cancer Institute method was used for usual intake determination. Suggested sodium reductions using SODA-LO (®) Salt Microspheres ranged from 20% to 30% in 953 foods and usual intakes were modeled by using various reduction factors and levels of market penetration. SAS 9.2, SUDAAN 11, and NHANES survey weights were used in all calculations with assessment across gender and age groups. Current (2007-2010) sodium intake (mg/day) exceeds recommendations across all age gender groups and has not changed during the last decade. However, sodium intake measured as a function of food intake (mg/g food) has decreased significantly during the last decade. Two food categories contribute about 2/3rd of total sodium intake: "Grain Products" and "Meat, Poultry, Fish & Mixtures". Sodium reduction, with 100% market penetration of the new technology, was estimated to be 230-300 mg/day or 7-9% of intake depending upon age and gender group. Sodium reduction innovations like SODA-LO (®) Salt Microspheres could contribute to meaningful reductions in sodium intake.

  12. No Correlation Between Work-Hours and Operative Volumes--A Comparison Between United States and Danish Operative Volumes Achieved During Surgical Residency.

    Science.gov (United States)

    Kjærgaard, Jane; Sillesen, Martin; Beier-Holgersen, Randi

    2016-01-01

    Since 2003, United States residents have been limited to an 80-hour workweek. This has prompted concerns of reduced educational quality, especially inadequate operating exposure. In contrast, the Danish surgical specialty-training program mandates a cap on working hours of 37 per week. We hypothesize that there is no direct correlation between work-hours and operative volume achieved during surgical residency. To test the hypothesis, we compare Danish and US operative volumes achieved during surgical residency training. Retrospective comparative study. The data from the US population was extracted from the Accreditation Council for Graduate Medical Education database for General Surgery residents from 2012 to 2013. For Danish residents, a questionnaire with case categories matching the Accreditation Council for Graduate Medical Education categories were sent to all Danish surgeons graduating the national surgical residency program in 2012 or 2013, 54 in total. In all, 30 graduated residents (55%) responded to the Danish survey. We found no significant differences in mean total major procedures (1002.4 vs 976.9, p = 0.28) performed during residency training, but comparing average major procedures per year, the US residents achieve significantly more (132.3 vs 195.4, p work-hours and operative volumes achievable. Factors other than work-hours seem to effect on operative volumes achieved during training. Copyright © 2016 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

  13. Comparison of distinctive models for calculating an interlobar emphysema heterogeneity index in patients prior to endoscopic lung volume reduction.

    Science.gov (United States)

    Theilig, Dorothea; Doellinger, Felix; Poellinger, Alexander; Schreiter, Vera; Neumann, Konrad; Hubner, Ralf-Harto

    2017-01-01

    The degree of interlobar emphysema heterogeneity is thought to play an important role in the outcome of endoscopic lung volume reduction (ELVR) therapy of patients with advanced COPD. There are multiple ways one could possibly define interlobar emphysema heterogeneity, and there is no standardized definition. The aim of this study was to derive a formula for calculating an interlobar emphysema heterogeneity index (HI) when evaluating a patient for ELVR. Furthermore, an attempt was made to identify a threshold for relevant interlobar emphysema heterogeneity with regard to ELVR. We retrospectively analyzed 50 patients who had undergone technically successful ELVR with placement of one-way valves at our institution and had received lung function tests and computed tomography scans before and after treatment. Predictive accuracy of the different methods for HI calculation was assessed with receiver-operating characteristic curve analysis, assuming a minimum difference in forced expiratory volume in 1 second of 100 mL to indicate a clinically important change. The HI defined as emphysema score of the targeted lobe (TL) minus emphysema score of the ipsilateral nontargeted lobe disregarding the middle lobe yielded the best predicative accuracy (AUC =0.73, P =0.008). The HI defined as emphysema score of the TL minus emphysema score of the lung without the TL showed a similarly good predictive accuracy (AUC =0.72, P =0.009). Subgroup analysis suggests that the impact of interlobar emphysema heterogeneity is of greater importance in patients with upper lobe predominant emphysema than in patients with lower lobe predominant emphysema. This study reveals the most appropriate ways of calculating an interlobar emphysema heterogeneity with regard to ELVR.

  14. Tumor Volume Reduction Rate Measured by Magnetic Resonance Volumetry Correlated With Pathologic Tumor Response of Preoperative Chemoradiotherapy for Rectal Cancer

    International Nuclear Information System (INIS)

    Yeo, Seung-Gu; Kim, Dae Yong; Kim, Tae Hyun; Jung, Kyung Hae; Hong, Yong Sang; Chang, Hee Jin; Park, Ji Won; Lim, Seok-Byung; Choi, Hyo Seong; Jeong, Seung-Yong

    2010-01-01

    Purpose: To determine whether the tumor volume reduction rate (TVRR) measured using three-dimensional region-of-interest magnetic resonance volumetry correlates with the pathologic tumor response after preoperative chemoradiotherapy (CRT) for locally advanced rectal cancer. Methods and Materials: The study included 405 patients with locally advanced rectal cancer (cT3-T4) who had undergone preoperative CRT and radical proctectomy. The tumor volume was measured using three-dimensional region-of-interest magnetic resonance volumetry before and after CRT but before surgery. We analyzed the correlation between the TVRR and the pathologic tumor response in terms of downstaging and tumor regression grade (TRG). Downstaging was defined as ypStage 0-I (ypT0-T2N0M0), and the TRG proposed by Dworak et al. was used. Results: The mean TVRR was 65.0% ± 22.3%. Downstaging and complete regression occurred in 167 (41.2%) and 58 (14.3%) patients, respectively. The TVRRs according to ypT classification (ypT0-T2 vs. ypT3-T4), ypN classification (ypN0 vs. ypN1-N2), downstaging (ypStage 0-I vs. ypStage II-III), good regression (TRG 3-4 vs. TRG 1-2), and complete regression (TRG 4 vs. TRG 1-3) were all significantly different (p 80%), the rates of ypT0-T2, ypN0, downstaging, and good regression were all significantly greater for patients with a TVRR of ≥60%, as was the complete regression rate for patients with a TVRR >80% (p <.05). Conclusion: The TVRR measured using three-dimensional region-of-interest magnetic resonance volumetry correlated significantly with the pathologic tumor response in terms of downstaging and TRG after preoperative CRT for locally advanced rectal cancer.

  15. Understanding the effectiveness of precursor reductions in lowering 8-hr ozone concentrations--Part II. The eastern United States.

    Science.gov (United States)

    Reynolds, Steven D; Blanchard, Charles L; Ziman, Stephen D

    2004-11-01

    Analyses of ozone (O3) measurements in conjunction with photochemical modeling were used to assess the feasibility of attaining the federal 8-hr O3 standard in the eastern United States. Various combinations of volatile organic compound (VOC) and oxides of nitrogen (NOx) emission reductions were effective in lowering modeled peak 1-hr O3 concentrations. VOC emissions reductions alone had only a modest impact on modeled peak 8-hr O3 concentrations. Anthropogenic NOx emissions reductions of 46-86% of 1996 base case values were needed to reach the level of the 8-hr standard in some areas. As NOx emissions are reduced, O3 production efficiency increases, which accounts for the less than proportional response of calculated 8-hr O3 levels. Such increases in O3 production efficiency also were noted in previous modeling work for central California. O3 production in some urban core areas, such as New York City and Chicago, IL, was found to be VOC-limited. In these areas, moderate NOx emissions reductions may be accompanied by increases in peak 8-hr O3 levels. The findings help to explain differences in historical trends in 1- and 8-hr O3 levels and have serious implications for the feasibility of attaining the 8-hr O3 standard in several areas of the eastern United States.

  16. Methods for Reducing Normal Tissue Complication Probabilities in Oropharyngeal Cancer: Dose Reduction or Planning Target Volume Elimination

    Energy Technology Data Exchange (ETDEWEB)

    Samuels, Stuart E.; Eisbruch, Avraham; Vineberg, Karen; Lee, Jae; Lee, Choonik; Matuszak, Martha M.; Ten Haken, Randall K.; Brock, Kristy K., E-mail: kbrock@med.umich.edu

    2016-11-01

    Purpose: Strategies to reduce the toxicities of head and neck radiation (ie, dysphagia [difficulty swallowing] and xerostomia [dry mouth]) are currently underway. However, the predicted benefit of dose and planning target volume (PTV) reduction strategies is unknown. The purpose of the present study was to compare the normal tissue complication probabilities (NTCP) for swallowing and salivary structures in standard plans (70 Gy [P70]), dose-reduced plans (60 Gy [P60]), and plans eliminating the PTV margin. Methods and Materials: A total of 38 oropharyngeal cancer (OPC) plans were analyzed. Standard organ-sparing volumetric modulated arc therapy plans (P70) were created and then modified by eliminating the PTVs and treating the clinical tumor volumes (CTVs) only (C70) or maintaining the PTV but reducing the dose to 60 Gy (P60). NTCP dose models for the pharyngeal constrictors, glottis/supraglottic larynx, parotid glands (PGs), and submandibular glands (SMGs) were analyzed. The minimal clinically important benefit was defined as a mean change in NTCP of >5%. The P70 NTCP thresholds and overlap percentages of the organs at risk with the PTVs (56-59 Gy, vPTV{sub 56}) were evaluated to identify the predictors for NTCP improvement. Results: With the P60 plans, only the ipsilateral PG (iPG) benefited (23.9% vs 16.2%; P<.01). With the C70 plans, only the iPG (23.9% vs 17.5%; P<.01) and contralateral SMG (cSMG) (NTCP 32.1% vs 22.9%; P<.01) benefited. An iPG NTCP threshold of 20% and 30% predicted NTCP benefits for the P60 and C70 plans, respectively (P<.001). A cSMG NTCP threshold of 30% predicted for an NTCP benefit with the C70 plans (P<.001). Furthermore, for the iPG, a vPTV{sub 56} >13% predicted benefit with P60 (P<.001) and C70 (P=.002). For the cSMG, a vPTV{sub 56} >22% predicted benefit with C70 (P<.01). Conclusions: PTV elimination and dose-reduction lowered the NTCP of the iPG, and PTV elimination lowered the NTCP of the cSMG. NTCP thresholds and the

  17. Defining a Hospital Volume Threshold for Minimally Invasive Pancreaticoduodenectomy in the United States

    Science.gov (United States)

    Adam, Mohamed Abdelgadir; Thomas, Samantha; Youngwirth, Linda; Pappas, Theodore; Roman, Sanziana A.

    2016-01-01

    Importance There is increasing interest in expanding use of minimally invasive pancreaticoduodenectomy (MIPD). This procedure is complex, with data suggesting a significant association between hospital volume and outcomes. Objective To determine whether there is an MIPD hospital volume threshold for which patient outcomes could be optimized. Design, Setting, and Participants Adult patients undergoing MIPD were identified from the Healthcare Cost and Utilization Project National Inpatient Sample from 2000 to 2012. Multivariable models with restricted cubic splines were used to identify a hospital volume threshold by plotting annual hospital volume against the adjusted odds of postoperative complications. The current analysis was conducted on August 16, 2016. Main Outcomes and Measures Incidence of any complication. Results Of the 865 patients who underwent MIPD, 474 (55%) were male and the median patient age was 67 years (interquartile range, 59-74 years). Among the patients, 747 (86%) had cancer and 91 (11%) had benign conditions/pancreatitis. Overall, 410 patients (47%) had postoperative complications and 31 (4%) died in-hospital. After adjustment for demographic and clinical characteristics, increasing hospital volume was associated with reduced complications (overall association P < .001); the likelihood of experiencing a complication declined as hospital volume increased up to 22 cases per year (95% CI, 21-23). Median hospital volume was 6 cases per year (range, 1-60). Most patients (n = 717; 83%) underwent the procedure at low-volume (≤22 cases per year) hospitals. After adjustment for patient mix, undergoing MIPD at low- vs high-volume hospitals was significantly associated with increased odds for postoperative complications (odds ratio, 1.74; 95% CI, 1.03-2.94; P = .04). Conclusions and Relevance Hospital volume is significantly associated with improved outcomes from MIPD, with a threshold of 22 cases per year. Most patients undergo MIPD at low-volume

  18. Clinical evaluation of 99mTc-Technegas SPECT in thoracoscopic lung volume reduction surgery in patients with pulmonary emphysema

    International Nuclear Information System (INIS)

    Imai, Teruhiko; Sasaki, Yoshiaki; Shinkai, Takayuki

    2000-01-01

    99m Tc-Technegas (Tcgas) SPECT is useful for evaluating the patency of the airway and highly sensitive in detecting regional pulmonary function in pulmonary emphysema. The aim of this study is to evaluate regional ventilation impairment by this method pre and post thoracoscopic lung volume reduction surgery (LVRS) in patients with pulmonary emphysema. There were 11 patients with pulmonary emphysema. The mean age of patients was 64.1 years. All patients were males. LVRS was performed bilaterally in 8 patients and unilaterally in 3 patients. Post inhalation of Tcgas in the sitting position, the subjects were placed in the supine position and SPECT was performed. Distribution of Tcgas on axial images was classified into 4 types, homogeneous, inhomogeneous, hot spot, and defect. Three slices of axial SPECT images, the upper, middle and lower fields were selected, and changes in deposition patterns post LVRS were scored (Tcgas score). Post LVRS, dyspnea on exertion and pulmonary function tests were improved. Pre LVRS, inhomogeneous distribution, hot spots and defects were observed in all patients. Post LVRS, improvement in distribution was obtained not only in the surgical field and other fields, but also in the contralateral lung of unilaterally operated patients. In 5 patients some fields showed deterioration. The Tcgas score correlated with improvements in FEV 1.0 , FEV 1.0 % and %FEV 1.0 . Tcgas SPECT is useful for evaluating changes in regional pulmonary function post LVRS. (author)

  19. Visual classification of emphysema heterogeneity compared with objective measurements: HRCT vs spiral CT in candidates for lung volume reduction surgery

    International Nuclear Information System (INIS)

    Cederlund, K.; Hoegberg, S.; Rasmussen, E.; Svane, B.; Bergstrand, L.; Tylen, U.; Aspelin, P.

    2002-01-01

    The aim of this study was to investigate whether spiral CT is superior to high-resolution computed tomography (HRCT) in evaluating the radiological morphology of emphysema, and whether the combination of both CT techniques improves the evaluation in patients undergoing lung volume reduction surgery (LVRS). The material consisted of HRCT (with 2-mm slice thickness) and spiral CT (with 10-mm slice thickness) of 94 candidates for LVRS. Selected image pairs from these examinations were evaluated. Each image pair consisted of one image from the cranial part of the lung and one image from the caudal part. The degree of emphysema in the two images was calculated by computer. The difference between the images determined the degree of heterogeneity. Five classes of heterogeneity were defined. The study was performed by visual classification of 95 image pairs (spiral CT) and 95 image pairs (HRCT) into one of five different classes of emphysema heterogeneity. This visual classification was compared with the computer-based classification. Spiral CT was superior to HRCT with 47% correct classifications of emphysema heterogeneity compared with 40% for HRCT-based classification (p<0.05). The combination of the techniques did not improve the evaluation (42%). Spiral CT is superior to HRCT in determining heterogeneity of emphysema visually, and should be included in the pre-operative CT evaluation of LVRS candidates. (orig.)

  20. Visual classification of emphysema heterogeneity compared with objective measurements: HRCT vs spiral CT in candidates for lung volume reduction surgery

    Energy Technology Data Exchange (ETDEWEB)

    Cederlund, K.; Hoegberg, S.; Rasmussen, E.; Svane, B. [Department of Thoracic Radiology, Karolinska Hospital, Stockholm (Sweden); Bergstrand, L. [Department of Radiology, Danderyds Hospital, Danderyd (Sweden); Tylen, U. [Deparment of Radiology, Sahlgrenska University Hospital, Gothenberg (Sweden); Aspelin, P. [Department of Radiology, Huddinge University Hospital, Huddinge (Sweden)

    2002-05-01

    The aim of this study was to investigate whether spiral CT is superior to high-resolution computed tomography (HRCT) in evaluating the radiological morphology of emphysema, and whether the combination of both CT techniques improves the evaluation in patients undergoing lung volume reduction surgery (LVRS). The material consisted of HRCT (with 2-mm slice thickness) and spiral CT (with 10-mm slice thickness) of 94 candidates for LVRS. Selected image pairs from these examinations were evaluated. Each image pair consisted of one image from the cranial part of the lung and one image from the caudal part. The degree of emphysema in the two images was calculated by computer. The difference between the images determined the degree of heterogeneity. Five classes of heterogeneity were defined. The study was performed by visual classification of 95 image pairs (spiral CT) and 95 image pairs (HRCT) into one of five different classes of emphysema heterogeneity. This visual classification was compared with the computer-based classification. Spiral CT was superior to HRCT with 47% correct classifications of emphysema heterogeneity compared with 40% for HRCT-based classification (p<0.05). The combination of the techniques did not improve the evaluation (42%). Spiral CT is superior to HRCT in determining heterogeneity of emphysema visually, and should be included in the pre-operative CT evaluation of LVRS candidates. (orig.)

  1. Evaluation of virus reduction efficiency in wastewater treatment unit processes as a credit value in the multiple-barrier system for wastewater reclamation and reuse

    OpenAIRE

    Ito, Toshihiro; Kato, Tsuyoshi; Hasegawa, Makoto; Katayama, Hiroyuki; Ishii, Satoshi; Okabe, Satoshi; Sano, Daisuke

    2016-01-01

    The virus reduction efficiency of each unit process is commonly determined based on the ratio of virus concentration in influent to that in effluent of a unit, but the virus concentration in wastewater has often fallen below the analytical quantification limit, which does not allow us to calculate the concentration ratio at each sampling event. In this study, left-censored datasets of norovirus (genogroup I and II), and adenovirus were used to calculate the virus reduction efficiency in unit ...

  2. A State-of-the-Art Report on Technologies of Volume Reduction and Self-Disposal for Large Metal Wastes including the Steam Generator of Nuclear Power Plants

    International Nuclear Information System (INIS)

    Lee, Kune Woo; Choi, W. K.; Kim, G. Y.

    2009-06-01

    This report focuses on technologies of volume reduction and self-disposal for large metal wastes including the steam generator of nuclear power plants. This report consists of the cases of treatments and foreign and domestic technologies for steam generator replacement

  3. Effect of volume loading on the Frank-Starling relation during reductions in central blood volume in heat-stressed humans

    DEFF Research Database (Denmark)

    Bundgaard-Nielsen, Morten; Wilson, T E; Seifert, Thomas

    2010-01-01

    -body heating after intravascular volume expansion. Volume expansion was accomplished by administration of a combination of a synthetic colloid (HES 130/0.4, Voluven) and saline. Before LBNP, SV was not affected by heating (122 +/- 30 ml; mean +/- s.d.) compared to normothermia (110 +/- 20 ml; P = 0...

  4. Reduction of indoor particles concentration using re-circulating filtration units in Danish dwellings

    DEFF Research Database (Denmark)

    Spilak, Michal; Frederiksen, Marie; Karottki, Gabriela D.

    2012-01-01

    air was recirculated through the unit during two weeks in a randomized and double blinded design. The measurements included concentration of PM2.5 and ultrafine particles (UPC), carbon dioxide, temperature and relative humidity, ventilation, air flow through the unit, allergen and fungal levels....... Additional information was collected through questionnaires. Several medical tests were made, however the results are not included in this paper. Preliminary results showed significant decrease in PM2.5 concentration during the filtered period compared to placebo period. Likewise was UPC significantly lower...

  5. Trends in lumber processing in the western United States. Part I: board foot Scribner volume per cubic foot of timber

    Science.gov (United States)

    Charles E. Keegan; Todd A. Morgan; Keith A. Blatner; Jean M. Daniels

    2010-01-01

    This article describes trends in board foot Scribner volume per cubic foot of timber for logs processed by sawmills in the western United States. Board foot to cubic foot (BF/CF) ratios for the period from 2000 through 2006 ranged from 3.70 in Montana to 5.71 in the Four Corners Region (Arizona, Colorado, New Mexico, and Utah). Sawmills in the Four Corners Region,...

  6. The Relationship between the Introvert and Extravert Dichotomy and Small Unit Recruiting Volume Production within the Watertown Recruiting Company

    Science.gov (United States)

    2016-05-22

    RECRUITING COMPANY A thesis presented to the Faculty of the U.S. Army Command and General Staff College in partial fulfillment of the...including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and...Unit Recruiting Volume Production Within The Watertown Recruiting Company 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM ELEMENT NUMBER

  7. A process for containment removal and waste volume reduction to remediate groundwater containing certain radionuclides, toxic metals and organics

    International Nuclear Information System (INIS)

    Buckley, L.P.; Killey, D.R.W.; Vijayan, S.; Wong, P.C.F.

    1992-09-01

    A project to remove groundwater contaminants by an improved treatment process was performed during 1990 October--1992 March by Atomic Energy of Canada Limited for the United States Department of Energy, managed by Argonne National Laboratory. The goal was to generate high-quality effluent while minimizing secondary waste volume. Two effluent target levels, within an order of magnitude, or less than the US Drinking Water Limit, were set to judge the process effectiveness. The program employed mixed waste feeds containing cadmium, uranium, lead, iron, calcium, strontium-85-90, cesium-137, benzene and trichlorethylene in simulated and actual groundwater and soil leachate solutions. A combination of process steps consisting of sequential chemical conditioning, cross-flow microfiltration and dewatering by low temperature-evaporation, or filter pressing were effective for the treatment of mixed waste having diverse physico-chemical properties. A simplified single-stage version of the process was implemented to treat ground and surface waters contaminated with strontium-90 at the Chalk River Laboratories site. Effluent targets and project goals were met successfully

  8. Behavioral Management Leads to Reduction in Aggression in a Child and Adolescent Psychiatric Inpatient Unit

    Science.gov (United States)

    Dean, Angela J.; Duke, Suzanne G.; George, Michelle; Scott, James

    2007-01-01

    Objective: Aggression is common in children and adolescents admitted to psychiatric inpatient units. Few interventions for reducing aggressive behaviors have been identified. This study aimed to evaluate the impact of a milieu-based behavioral management program on the frequency of aggressive behaviors in a child and adolescent mental health…

  9. Deficiencies in public understanding about tobacco harm reduction: results from a United States national survey.

    Science.gov (United States)

    Kiviniemi, Marc T; Kozlowski, Lynn T

    2015-07-02

    Tobacco products differ in their relative health harms. The need for educating consumers about such harms is growing as different tobacco products enter the marketplace and as the FDA moves to regulate and educate the public about different products. However, little is known about the patterns of the public's knowledge of relative harms. Data were analyzed from the Health Information National Trends Survey (HINTS) 4 Cycle 2, a population-representative survey of US adults conducted between October 2012 and January 2013 (N = 3630). Participants reported their perceptions of the relative risks of e-cigarettes, smokeless tobacco, and different types of cigarettes compared to "traditional" cigarettes. Relative risk perceptions for each product type, as well as the consistency and accuracy of harm reduction beliefs, were analyzed. About 65% of the respondents accurately reported that no cigarettes were less harmful than any others. Slightly more than half of U.S. adults perceived e-cigarettes to be safer than regular cigarettes, a belief in line with current scientific evidence. By contrast, only 9% of respondents perceived some smokeless tobacco products to be safer, a belief strongly supported by the evidence. Only 3.5% of respondents had patterns of relative risk perceptions in line with current scientific evidence for all three modalities. The discrepancy between current evidence and public perceptions of relative risk of various tobacco/nicotine products was marked; for most tobacco types, a large proportion of the population held inaccurate harm reduction beliefs. Although there was substantial awareness that no cigarettes were safer than any other cigarettes, there could be benefits from increasing the percentage of the public that appreciates this fact, especially among current smokers. Given the potential benefits of tobacco risk reduction strategies, public health education efforts to increase understanding of basic harm reduction principles are needed to

  10. Evaluation of severe accident risks and the potential for risk reduction: Surry Power Station, Unit 1: Draft report for comment

    International Nuclear Information System (INIS)

    Benjamin, A.S.; Boyd, G.J.; Kunsman, D.M.; Murfin, W.B.; Williams, D.C.

    1987-02-01

    The Severe Accident Risk Reduction Program (SARRP) has completed a rebaselining of the risks to the public from a particular pressurized water reactor with a subatmospheric containment (Surry, Unit 1). Emphasis was placed on determining the magnitude and character of the uncertainties, rather than focusing on a point estimate. The risk-reduction potential of a set of proposed safety option backfits was also studied, and their costs and benefits were also evaluated. It was found that the risks from internal events are generally lower than previously evaluated in the Reactor Safety Study (RSS). However, certain unresolved issues (such as direct containment heating) caused the top of the uncertainty band to appear at a level that is comparable with the RSS point estimate. None of the postulated safety options appears to be cost effective for the Surry power plant. This work supports the Nuclear Regulatory Commission's assessment of severe accidents in NUREG-1150

  11. Evaluation of severe accident risks and the potential for risk reduction: Surry Power Station, Unit 1: Draft report for comment

    Energy Technology Data Exchange (ETDEWEB)

    Benjamin, A.S.; Boyd, G.J.; Kunsman, D.M.; Murfin, W.B.; Williams, D.C.

    1987-02-01

    The Severe Accident Risk Reduction Program (SARRP) has completed a rebaselining of the risks to the public from a particular pressurized water reactor with a subatmospheric containment (Surry, Unit 1). Emphasis was placed on determining the magnitude and character of the uncertainties, rather than focusing on a point estimate. The risk-reduction potential of a set of proposed safety option backfits was also studied, and their costs and benefits were also evaluated. It was found that the risks from internal events are generally lower than previously evaluated in the Reactor Safety Study (RSS). However, certain unresolved issues (such as direct containment heating) caused the top of the uncertainty band to appear at a level that is comparable with the RSS point estimate. None of the postulated safety options appears to be cost effective for the Surry power plant. This work supports the Nuclear Regulatory Commission's assessment of severe accidents in NUREG-1150.

  12. United States Marine Corps Cost Reduction and the Joint Battle Command Platform

    Science.gov (United States)

    2013-09-01

    2013) ...................... 20   Figure 4.   Hierarchical multi- level representation of the JBC-P FoS capability areas and metrics (After Han et...Technician FY Fiscal Year GAO Government Accountability Office GCE Ground Combat Element GOTS Government off the Shelf HMMWV High...widely dispersed units across the battlefield (HQMC, 2013). This control is desired to be extended down to the company level and below. The vision

  13. Proceedings of waste stream minimization and utilization innovative concepts: An experimental technology exchange. Volume 1, Industrial solid waste processing municipal waste reduction/recycling

    Energy Technology Data Exchange (ETDEWEB)

    Lee, V.E. [ed.; Watts, R.L.

    1993-04-01

    This two-volume proceedings summarizes the results of fifteen innovations that were funded through the US Department of Energy`s Innovative Concept Program. The fifteen innovations were presented at the sixth Innovative Concepts Fair, held in Austin, Texas, on April 22--23, 1993. The concepts in this year`s fair address innovations that can substantially reduce or use waste streams. Each paper describes the need for the proposed concept, the concept being proposed, and the concept`s economics and market potential, key experimental results, and future development needs. The papers are divided into two volumes: Volume 1 addresses innovations for industrial solid waste processing and municipal waste reduction/recycling, and Volume 2 addresses industrial liquid waste processing and industrial gaseous waste processing. Selected papers have been indexed separately for inclusion in the Energy Science and Technology Database.

  14. Efficacy of an expanded ventilator bundle for the reduction of ventilator-associated pneumonia in the medical intensive care unit.

    Science.gov (United States)

    Blamoun, John; Alfakir, Maria; Rella, Marie E; Wojcik, Janice M; Solis, Roberto A; Anees Khan, M; DeBari, Vincent A

    2009-03-01

    The ventilator bundle (VB) includes a group of clinical maneuvers (head-of-bed elevation, "sedation vacation," deep vein thrombosis prophylaxis, and peptic ulcer disease prophylaxis) to improve outcomes in patients undergoing mechanical ventilation. We modified the standard VB in our medical intensive care unit to include a group of respiratory therapist-driven protocols and, postimplementation, observed a statistically significant (P = .0006) reduction in ventilator-associated pneumonia (VAP), from a median of 14.1 cases/10(3) ventilator-days (interquartile range [IQR] = 12.1 to 20.6) to 0 cases/10(3) ventilator-days (IQR = 0 to 1.1).

  15. Replacement energy costs for nuclear electricity-generating units in the United States: 1997--2001. Volume 4

    International Nuclear Information System (INIS)

    VanKuiken, J.C.; Guziel, K.A.; Tompkins, M.M.; Buehring, W.A.

    1997-09-01

    This report updates previous estimates of replacement energy costs for potential short-term shutdowns of 109 US nuclear electricity-generating units. This information was developed to assist the US Nuclear Regulatory Commission (NRC) in its regulatory impact analyses, specifically those that examine the impacts of proposed regulations requiring retrofitting of or safety modifications to nuclear reactors. Such actions might necessitate shutdowns of nuclear power plants while these changes are being implemented. The change in energy cost represents one factor that the NRC must consider when deciding to require a particular modification. Cost estimates were derived from probabilistic production cost simulations of pooled utility system operations. Factors affecting replacement energy costs, such as random unit failures, maintenance and refueling requirements, and load variations, are treated in the analysis. This report describes an abbreviated analytical approach as it was adopted to update the cost estimates published in NUREG/CR-4012, Vol. 3. The updates were made to extend the time frame of cost estimates and to account for recent changes in utility system conditions, such as change in fuel prices, construction and retirement schedules, and system demand projects

  16. Impacts of potential CO2-reduction policies on air quality in the United States.

    Science.gov (United States)

    Trail, Marcus A; Tsimpidi, Alexandra P; Liu, Peng; Tsigaridis, Kostas; Hu, Yongtao; Rudokas, Jason R; Miller, Paul J; Nenes, Athanasios; Russell, Armistead G

    2015-04-21

    Impacts of emissions changes from four potential U.S. CO2 emission reduction policies on 2050 air quality are analyzed using the community multiscale air quality model (CMAQ). Future meteorology was downscaled from the Goddard Institute for Space Studies (GISS) ModelE General Circulation Model (GCM) to the regional scale using the Weather Research Forecasting (WRF) model. We use emissions growth factors from the EPAUS9r MARKAL model to project emissions inventories for two climate tax scenarios, a combined transportation and energy scenario, a biomass energy scenario and a reference case. Implementation of a relatively aggressive carbon tax leads to improved PM2.5 air quality compared to the reference case as incentives increase for facilities to install flue-gas desulfurization (FGD) and carbon capture and sequestration (CCS) technologies. However, less capital is available to install NOX reduction technologies, resulting in an O3 increase. A policy aimed at reducing CO2 from the transportation sector and electricity production sectors leads to reduced emissions of mobile source NOX, thus reducing O3. Over most of the U.S., this scenario leads to reduced PM2.5 concentrations. However, increased primary PM2.5 emissions associated with fuel switching in the residential and industrial sectors leads to increased organic matter (OM) and PM2.5 in some cities.

  17. Bone marrow response in treated patients with Gaucher disease: evaluation by T1-weighted magnetic resonance images and correlation with reduction in liver and spleen volume

    International Nuclear Information System (INIS)

    Terk, M.R.; Dardashti, S.; Liebman, H.A.

    2000-01-01

    Purpose. To determine whether T1-weighted magnetic resonance (MR) images can demonstrate response in the marrow of patients with type 1 Gaucher disease treated with enzyme replacement therapy (ERT) and to determine whether a relationship exists between liver and spleen volume reductions and visible marrow changes.Patients. Forty-two patients with type 1 Gaucher disease were evaluated on at least two occasions. Thirty-two patients received ERT. Of these patients, 15 had a baseline examination prior to the initiation of ERT. The remaining 10 patients did not receive ERT.Design. T1-weighted and gradient recalled echo (GRE) coronal images of the femurs and hips were obtained. Concurrently, liver and spleen volumes were determined using contiguous breath-hold axial gradient-echo images. T1-weighted images of the hips and femurs were evaluated to determine change or lack of change in the yellow marrow.Results. Of the 32 patients receiving ERT, 14 (44%) demonstrated increased signal on T1-weighted images suggesting an increase in the amount of yellow marrow. If only the 15 patients with a baseline examination were considered, the response rate to ERT was 67%. Using Student's t-test a highly significant correlation (P<0.005) was found between marrow response and reduction in liver and spleen volume.Conclusions. Marrow changes in patients receiving ERT can be detected by T1-weighted images. This response correlated with reductions in visceral volumes (P<0.0005). (orig.)

  18. Phase I remedial investigation report for the 300-FF-5 operable unit, Volume 1

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1994-01-01

    The focus of this remedial investigation (RI) is the 300-FF-5 operable unit, one of five operable units associated with the 300 Area aggregate of the U.S. Department of Energy`s (DOE`s) Hanford Site. The 300-FF-5 operable unit is a groundwater operable unit beneath the 300-FF-1, 300-FF-2, and 300-FF-3 source operable units. This operable unit was designated to include all contamination detected in the groundwater and sediments below the water table that emanates from the 300-FF-1, 300-FF-2, and 300-FF-3 operable units (DOE-RL 1990a). In November 1989, the U.S. Environmental Protection Agency (EPA) placed the 300 Area on the National Priorities List (NPL) contained within Appendix B of the National Oil and Hazardous Substance Pollution Contingency Plan (NCP, 53 FR 51391 et seq.). The EPA took this action pursuant to their authority under the Comprehensive Environmental Response, Compensation, and Liability Act of 1980 (CERCLA, 42 USC 9601 et seq.). The DOE Richland Operations Office (DOE-RL), the EPA and Washington Department of Ecology (Ecology) issued the Hanford Federal Facility Agreement and Consent Order (Tri-Party Agreement), in May 1989 (Ecology et al. 1992, Rev. 2). This agreement, among other matters, governs all CERCLA efforts at the Hanford Site. In June 1990, a remedial investigation/feasibility study (RI/FS) workplan for the 300-FF-5 operable unit was issued pursuant to the Tri-Party Agreement.

  19. Phase I remedial investigation report for the 300-FF-5 operable unit, Volume 1

    International Nuclear Information System (INIS)

    1994-01-01

    The focus of this remedial investigation (RI) is the 300-FF-5 operable unit, one of five operable units associated with the 300 Area aggregate of the U.S. Department of Energy's (DOE's) Hanford Site. The 300-FF-5 operable unit is a groundwater operable unit beneath the 300-FF-1, 300-FF-2, and 300-FF-3 source operable units. This operable unit was designated to include all contamination detected in the groundwater and sediments below the water table that emanates from the 300-FF-1, 300-FF-2, and 300-FF-3 operable units (DOE-RL 1990a). In November 1989, the U.S. Environmental Protection Agency (EPA) placed the 300 Area on the National Priorities List (NPL) contained within Appendix B of the National Oil and Hazardous Substance Pollution Contingency Plan (NCP, 53 FR 51391 et seq.). The EPA took this action pursuant to their authority under the Comprehensive Environmental Response, Compensation, and Liability Act of 1980 (CERCLA, 42 USC 9601 et seq.). The DOE Richland Operations Office (DOE-RL), the EPA and Washington Department of Ecology (Ecology) issued the Hanford Federal Facility Agreement and Consent Order (Tri-Party Agreement), in May 1989 (Ecology et al. 1992, Rev. 2). This agreement, among other matters, governs all CERCLA efforts at the Hanford Site. In June 1990, a remedial investigation/feasibility study (RI/FS) workplan for the 300-FF-5 operable unit was issued pursuant to the Tri-Party Agreement

  20. 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

  1. 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

  2. The effect of training on noise reduction in neonatal intensive care units.

    Science.gov (United States)

    Calikusu Incekar, Mujde; Balci, Serap

    2017-07-01

    Noise, an environmental stimulus, is especially important in the neurobehavioral development of newborns and brain development of infants at high risk. Conditions in the neonatal intensive care units (NICUs) may cause certain sensory stimuli that are not appropriate for the development of newborns, especially preterm infants. This study was conducted in order to determine noise levels in the NICU and to evaluate the effect of training provided for noise control. This study was conducted as a pretest-posttest quasiexperimental design between September and November 2014 in a 30-bed NICU of a tertiary hospital in Istanbul. A sample group consisting of 30 people (26 nurses, 4 care workers). Noise measurement devices were used in the Training Program of Noise Control. Of the health professionals, 96.7% were women, 86.7% were nurses, and 63.3% were university graduates. Some 36.7% of the health professionals had worked within the unit for more than 5 years. Noise measurements of full implementations were made over three 24-h periods. Noise measurements were taken before and after the training on Monday, Friday, and Sunday. Noise levels after training diminished in all three measurements, and the decrease was found statistically significant (P Noise Control Training for health professionals who work in NICUs is an effective way of reducing noise. We recommend that this training should be given to NICU health professionals and noise levels should be determined through measurements at specific times. © 2017 Wiley Periodicals, Inc.

  3. Quad Cities Unit 2 Main Steam Line Acoustic Source Identification and Load Reduction

    International Nuclear Information System (INIS)

    DeBoo, Guy; Ramsden, Kevin; Gesior, Roman

    2006-01-01

    The Quad Cities Units 1 and 2 have a history of steam line vibration issues. The implementation of an Extended Power Up-rate resulted in significant increases in steam line vibration as well as acoustic loading of the steam dryers, which led to equipment failures and fatigue cracking of the dryers. This paper discusses the results of extensive data collection on the Quad Cities Unit 2 replacement dryer and the Main Steam Lines. This data was taken with the intent of identifying acoustic sources in the steam system. Review of the data confirmed that vortex shedding coupled column resonance in the relief and safety valve stub pipes were the principal sources of large magnitude acoustic loads in the main steam system. Modifications were developed in sub-scale testing to alter the acoustic properties of the valve standpipes and add acoustic damping to the system. The modifications developed and installed consisted of acoustic side branches that were attached to the Electromatic Relief Valve (ERV) and Main Steam Safety Valve (MSSV) attachment pipes. Subsequent post-modification testing was performed in plant to confirm the effectiveness of the modifications. The modifications have been demonstrated to reduce vibration loads at full Extended Power Up-rate (EPU) conditions to levels below those at Original Licensed Thermal Power (OLTP). (authors)

  4. NURE [National Uranium Resource Evaluation] HSSR [Hydrogeochemical and Stream Sediment Reconnaissance] Introduction to Data Files, United States: Volume 1

    International Nuclear Information System (INIS)

    1985-01-01

    One product of the Hydrogeochemical and Stream Sediment Reconnaissance (HSSR) program, a component of the National Uranium Resource Evaluation (NURE), is a data-base of interest to scientists and professionals in the academic, business, industrial, and governmental communities. This database contains individual records for water and sediment samples taken during the reconnaissance survey of the entire United States, excluding Hawaii. The purpose of this report is to describe the NURE HSSR data by highlighting its key characteristics and providing user guides to the data. A companion report, ''A Technical History of the NURE HSSR Program,'' summarizes those aspects of the HSSR Program which are likely to be important in helping users understand the database. Each record on the database contains varying information on general field or site characteristics and analytical results for elemental concentrations in the sample; the database is potentially valuable for describing the geochemistry of specified locations and addressing issues or questions in other areas such as water quality, geoexploration, and hydrologic studies. This report is organized in twelve volumes. This first volume presents a brief history of the NURE HSSR program, a description of the data files produced by ISP, a Users' Dictionary for the Analysis File and graphs showing the distribution of elemental concentrations for sediments at the US level. Volumes 2 through 12 are comprised of Data Summary Tables displaying the percentile distribution of the elemental concentrations on the file. Volume 2 contains data for the individual states. Volumes 3 through 12 contain data for the 1 0 x 2 0 quadrangles, organized into eleven regional files; the data for the two regional files for Alaska (North and South) are bound together as Volume 12

  5. Dissociable contributions of MRI volume reductions of superior temporal and fusiform gyri to symptoms and neuropsychology in schizophrenia ☆

    OpenAIRE

    Nestor, Paul G.; Onitsuka, Toshiaki; Gurrera, Ronald J.; Niznikiewicz, Margaret; Frumin, Melissa; Shenton, Martha E.; McCarley, Robert W.

    2007-01-01

    We sought to identify the functional correlates of reduced magnetic resonance imaging (MRI) volumes of the superior temporal gyrus (STG) and the fusiform gyrus (FG) in patients with chronic schizophrenia. MRI volumes, positive/negative symptoms, and neuropsychological tests of facial memory and executive functioning were examined within the same subjects. The results indicated two distinct, dissociable brain structure-function relationships: (1) reduced left STG volume-positive symptoms-execu...

  6. Reduction in Design Stability Number of Monolayer Armour Units for Singular Conditions of Projects in Rubble Mound Breakwaters

    Directory of Open Access Journals (Sweden)

    Hugo Juan Donini

    2015-07-01

    Full Text Available The evaluation of concrete single layer of breakwaters is based on the application of design coefficients obtained in laboratory tests, primarily two-dimensional and under controlled conditions. With the experience of more than 30 years in structures of this type in the world, it is important to compare the values of stability numbers used in the design with those who are in breakwaters as built. In this paper, update and increase the data collected with respect to previous publications, developing an analysis of particular situations in which the amour layer stability coefficients are reduced. A series of Accropode® and Core-LocTM recommendations concerning the design elements is also made. Also there are conclusions related to increases in the volume and the reduction in the number of blocks needed for different numbers of stability proposed.

  7. Protective Effect of Human Leukocyte Antigen (HLA Allele DRB1*13:02 on Age-Related Brain Gray Matter Volume Reduction in Healthy Women

    Directory of Open Access Journals (Sweden)

    Lisa M. James

    2018-03-01

    Full Text Available Background: Reduction of brain volume (brain atrophy during healthy brain aging is well documented and dependent on genetic, lifestyle and environmental factors. Here we investigated the possible dependence of brain gray matter volume reduction in the absence of the Human Leukocyte Antigen (HLA allele DRB1*13:02 which prevents brain atrophy in Gulf War Illness (James et al., 2017. Methods: Seventy-one cognitively healthy women (32–69 years old underwent a structural Magnetic Resonance Imaging (sMRI scan to measure the volumes of total gray matter, cerebrocortical gray matter, and subcortical gray matter. Participants were assigned to two groups, depending on whether they lacked the DRB1*13:02 allele (No DRB1*13:02 group, N = 60 or carried the DRB1*13:02 allele (N = 11. We assessed the change of brain gray matter volume with age in each group by performing a linear regression where the brain volume (adjusted for total intracranial volume was the dependent variable and age was the independent variable. Findings: In the No DRB1*13:02 group, the volumes of total gray matter, cerebrocortical gray matter, and subcortical gray matter were reduced highly significantly. In contrast, none of these volumes showed a statistically significant reduction with age in the DRB1*13:02 group. Interpretation: These findings document the protective effect of DRB1*13:02 on age-dependent reduction of brain gray matter in healthy individuals. Since the role of this allele is to connect to matching epitopes of external antigens for the subsequent production of antibodies and elimination of the offending antigen, we hypothesize that its protective effect may be due to the successful elimination of such antigens to which we are exposed during the lifespan, antigens that otherwise would persist causing gradual brain atrophy. In addition, we consider a possible beneficial role of DRB1*13:02 attributed to its binding to cathepsin S, a known harmful substance in brain

  8. Reduction of Hospital Physicians' Workflow Interruptions: A Controlled Unit-Based Intervention Study

    Directory of Open Access Journals (Sweden)

    Matthias Weigl

    2012-01-01

    Full Text Available Highly interruptive clinical environments may cause work stress and suboptimal clinical care. This study features an intervention to reduce workflow interruptions by re-designing work and organizational practices in hospital physicians providing ward coverage. A prospective, controlled intervention was conducted in two surgical and two internal wards. The intervention was based on physician quality circles - a participative technique to involve employees in the development of solutions to overcome work-related stressors. Outcome measures were the frequency of observed workflow interruptions. Workflow interruptions by fellow physicians and nursing staff were significantly lower after the intervention. However, a similar decrease was also observed in control units. Additional interviews to explore process-related factors suggested that there might have been spill-over effects in the sense that solutions were not strictly confined to the intervention group. Recommendations for further research on the effectiveness and consequences of such interventions for professional communication and patient safety are discussed.

  9. An evaluation of known remaining oil resources in the United States: Appendix. Volume 10

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1993-11-01

    Volume ten contains the following appendices: overview of improved oil recovery methods which covers enhanced oil recovery methods and advanced secondary recovery methods; the benefits of improved oil recovery, selected data for the analyzed states; and list of TORIS fields and reservoirs.

  10. 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.

  11. Evaluation of potential severe accidents during low power and shutdown operations at Surry: Unit 1, Volume 1

    International Nuclear Information System (INIS)

    Chu, T.L.; Pratt, W.T.

    1995-10-01

    This document contains a summarization of the results and insights from the Level 1 accident sequence analyses of internally initiated events, internally initiated fire and flood events, seismically initiated events, and the Level 2/3 risk analysis of internally initiated events (excluding fire and flood) for Surry, Unit 1. The analysis was confined to mid-loop operation, which can occur during three plant operational states (identified as POSs R6 and R10 during a refueling outage, and POS D6 during drained maintenance). The report summarizes the Level 1 information contained in Volumes 2--5 and the Level 2/3 information contained in Volume 6 of NUREG/CR-6144

  12. Evaluation of potential severe accidents during low power and shutdown operations at Surry: Unit 1, Volume 1

    Energy Technology Data Exchange (ETDEWEB)

    Chu, T.L.; Pratt, W.T. [eds.; Musicki, Z. [Brookhaven National Lab., Upton, NY (United States)

    1995-10-01

    This document contains a summarization of the results and insights from the Level 1 accident sequence analyses of internally initiated events, internally initiated fire and flood events, seismically initiated events, and the Level 2/3 risk analysis of internally initiated events (excluding fire and flood) for Surry, Unit 1. The analysis was confined to mid-loop operation, which can occur during three plant operational states (identified as POSs R6 and R10 during a refueling outage, and POS D6 during drained maintenance). The report summarizes the Level 1 information contained in Volumes 2--5 and the Level 2/3 information contained in Volume 6 of NUREG/CR-6144.

  13. Fukushima Daiichi Unit 1 Uncertainty Analysis-Exploration of Core Melt Progression Uncertain Parameters-Volume II.

    Energy Technology Data Exchange (ETDEWEB)

    Denman, Matthew R. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Brooks, Dusty Marie [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)

    2015-08-01

    Sandia National Laboratories (SNL) has conducted an uncertainty analysi s (UA) on the Fukushima Daiichi unit (1F1) accident progression wit h the MELCOR code. Volume I of the 1F1 UA discusses the physical modeling details and time history results of the UA. Volume II of the 1F1 UA discusses the statistical viewpoint. The model used was developed for a previous accident reconstruction investigation jointly sponsored by the US Department of Energy (DOE) and Nuclear Regulatory Commission (NRC). The goal of this work was to perform a focused evaluation of uncertainty in core damage progression behavior and its effect on key figures - of - merit (e.g., hydrogen production, fraction of intact fuel, vessel lower head failure) and in doing so assess the applicability of traditional sensitivity analysis techniques .

  14. Medical review practices for driver licensing volume 3: guidelines and processes in the United States.

    Science.gov (United States)

    2017-04-01

    This is the third of three reports examining driver medical review practices in the United States and how : they fulfill the basic functions of identifying, assessing, and rendering licensing decisions on medically or : functionally at-risk drivers. ...

  15. United States Air Force Summer Faculty Research Program 1989. Program Technical Report. Volume 1

    Science.gov (United States)

    1989-12-01

    Nebel Limb Radiances Under Sunlit Conditions in the 50-120 KM Altitude Range 61 Estimating Solar Flare Proton Fluences Dr. Hugh Nutley From 1850 with...MCD spectrum. The y axis units are, therefore, absorbance/ Tesla . The sensitivity of the apparatus was estimated to be 0.01 absorbance unit with 1000...the roof and walls, is placed. As a final step the excavated soil is used to cover the structure leaving the entrance and exit ramps open. The

  16. Comparing Generic Drug Markets in Europe and the United States: Prices, Volumes, and Spending.

    Science.gov (United States)

    Wouters, Olivier J; Kanavos, Panos G; McKEE, Martin

    2017-09-01

    Policy Points: Our study indicates that there are opportunities for cost savings in generic drug markets in Europe and the United States. Regulators should make it easier for generic drugs to reach the market. Regulators and payers should apply measures to stimulate price competition among generic drugmakers and to increase generic drug use. To meaningfully evaluate policy options, it is important to analyze historical context and understand why similar initiatives failed previously. Rising drug prices are putting pressure on health care budgets. Policymakers are assessing how they can save money through generic drugs. We compared generic drug prices and market shares in 13 European countries, using data from 2013, to assess the amount of variation that exists between countries. To place these results in context, we reviewed evidence from recent studies on the prices and use of generics in Europe and the United States. We also surveyed peer-reviewed studies, gray literature, and books published since 2000 to (1) outline existing generic drug policies in European countries and the United States; (2) identify ways to increase generic drug use and to promote price competition among generic drug companies; and (3) explore barriers to implementing reform of generic drug policies, using a historical example from the United States as a case study. The prices and market shares of generics vary widely across Europe. For example, prices charged by manufacturers in Switzerland are, on average, more than 2.5 times those in Germany and more than 6 times those in the United Kingdom, based on the results of a commonly used price index. The proportion of prescriptions filled with generics ranges from 17% in Switzerland to 83% in the United Kingdom. By comparison, the United States has historically had low generic drug prices and high rates of generic drug use (84% in 2013), but has in recent years experienced sharp price increases for some off-patent products. There are policy

  17. Effects of emission reductions on organic aerosol in the southeastern United States

    Directory of Open Access Journals (Sweden)

    C. L. Blanchard

    2016-01-01

    Full Text Available Long-term (1999 to 2013 data from the Southeastern Aerosol Research and Characterization (SEARCH network are used to show that anthropogenic emission reductions led to important decreases in fine-particle organic aerosol (OA concentrations in the southeastern US On average, 45 % (range 25 to 63 % of the 1999 to 2013 mean organic carbon (OC concentrations are attributed to combustion processes, including fossil fuel use and biomass burning, through associations of measured OC with combustion products such as elemental carbon (EC, carbon monoxide (CO, and nitrogen oxides (NOx. The 2013 mean combustion-derived OC concentrations were 0.5 to 1.4 µg m−3 at the five sites operating in that year. Mean annual combustion-derived OC concentrations declined from 3.8 ± 0.2 µg m−3 (68 % of total OC to 1.4 ± 0.1 µg m−3 (60 % of total OC between 1999 and 2013 at the urban Atlanta, Georgia, site (JST and from 2.9 ± 0.4 µg m−3 (39 % of total OC to 0.7 ± 0.1 µg m−3 (30 % of total OC between 2001 and 2013 at the urban Birmingham, Alabama (BHM, site. The urban OC declines coincide with reductions of motor vehicle emissions between 2006 and 2010, which may have decreased mean OC concentrations at the urban SEARCH sites by > 2 µg m−3. BHM additionally exhibits a decline in OC associated with SO2 from 0.4 ± 0.04 µg m−3 in 2001 to 0.2 ± 0.03 µg m−3 in 2013, interpreted as the result of reduced emissions from industrial sources within the city. Analyses using non-soil potassium as a biomass burning tracer indicate that biomass burning OC occurs throughout the year at all sites. All eight SEARCH sites show an association of OC with sulfate (SO4 ranging from 0.3 to 1.0 µg m−3 on average, representing  ∼  25 % of the 1999 to 2013 mean OC concentrations. Because the mass of OC identified with SO4 averages 20 to 30 % of the SO4 concentrations, the mean SO4

  18. Reduction of noise in the neonatal intensive care unit using sound-activated noise meters.

    Science.gov (United States)

    Wang, D; Aubertin, C; Barrowman, N; Moreau, K; Dunn, S; Harrold, J

    2014-11-01

    To determine if sound-activated noise meters providing direct audit and visual feedback can reduce sound levels in a level 3 neonatal intensive care unit (NICU). Sound levels (in dB) were compared between a 2-month period with noise meters present but without visual signal fluctuation and a subsequent 2 months with the noise meters providing direct audit and visual feedback. There was a significant increase in the percentage of time the sound level in the NICU was below 50 dB across all patient care areas (9.9%, 8.9% and 7.3%). This improvement was not observed in the desk area where there are no admitted patients. There was no change in the percentage of time the NICU was below 45 or 55 dB. Sound-activated noise meters seem effective in reducing sound levels in patient care areas. Conversations may have moved to non-patient care areas preventing a similar change there. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  19. Radiation dose reduction in a neonatal intensive care unit in computed radiography.

    Science.gov (United States)

    Frayre, A S; Torres, P; Gaona, E; Rivera, T; Franco, J; Molina, N

    2012-12-01

    The purpose of this study was to evaluate the dose received by chest x-rays in neonatal care with thermoluminescent dosimetry and to determine the level of exposure where the quantum noise level does not affect the diagnostic image quality in order to reduce the dose to neonates. In pediatric radiology, especially the prematurely born children are highly sensitive to the radiation because of the highly mitotic state of their cells; in general, the sensitivity of a tissue to radiation is directly proportional to its rate of proliferation. The sample consisted of 208 neonatal chest x-rays of 12 neonates admitted and treated in a Neonatal Intensive Care Unit (NICU). All the neonates were preterm in the range of 28-34 weeks, with a mean of 30.8 weeks. Entrance Surface Doses (ESD) values for chest x-rays are higher than the DRL of 50 μGy proposed by the National Radiological Protection Board (NRPB). In order to reduce the dose to neonates, the optimum image quality was achieved by determining the level of ESD where level noise does not affect the diagnostic image quality. The optimum ESD was estimated for additional 20 chest x-rays increasing kVp and reducing mAs until quantum noise affects image quality. Copyright © 2012 Elsevier Ltd. All rights reserved.

  20. Volume reduction and conditioning campaigns, upon low level solid waste drums, realised in ENEA centres of Trisaia (ITREC plant) and Saluggia (EUTREX plant)

    International Nuclear Information System (INIS)

    Gili, M.

    1995-09-01

    The volume reduction and conditioning campaigns, upon low level solid waste drums, realized between 1989 and 1993 in the ENEA (Italian Agency for New Technologies, Energy and the Environment) centres of Trisaia (ITREC plant) and Saluggia (EUREX plant), by the mean of supercompactation, and cement immobilization inside over packs, are hereby described. The operational techniques and the equipments used, the whole volume reduction factors obtained and some final considerations over this solid rad wastes treatment procedure are shown. This method, where correctly operated and coupled to an accurate radiological characterization, permits to save space for the waste storage in the short period and to obtain final manufacts, certified suitable for shallow burial disposal, according to italian technical guide n. 26

  1. Scale-4 analysis of pressurized water reactor critical configurations: Volume 5, North Anna Unit 1 Cycle 5

    International Nuclear Information System (INIS)

    Bowman, S.M.; Suto, T.

    1996-10-01

    ANSI/ANS 8.1 requires that calculational methods for away-from- reactor (AFR) criticality safety analyses be validated against experiment. This report summarizes part of the ongoing effort to benchmark AFR criticality analysis methods using selected critical configurations from commercial PWRs. Codes and data in the SCALE-4 code system were used. This volume documents the SCALE system analysis of one reactor critical configuration for North Anna Unit 1 Cycle 5. The KENO V.a criticality calculations for the North Anna 1 Cycle 5 beginning-of-cycle model yielded a value for k eff of 1. 0040±0.0005

  2. Indian Point Nuclear Generating Plant Unit No. 3 (Docket No. 50-286): Final environmental statement: Volume 2

    International Nuclear Information System (INIS)

    1975-02-01

    This document contains nine appendices to Volume I, The Final Environmental Impact Statement for the Indian Point Nuclear Generating Plant Unit Number Three. Topics covered include thermal discharges to the Hudson River; supplemental information relating to biological models; radiation effects on aquatic biota; conditions, assumptions, and parameters used in calculating radioactive releases; meteorology for radiological dispersion calculations; life history information of important fish species in the Hudson River near Indian Point; additional information on cooling towers considered as alternatives; data and calculations for assessment of predicted electrical demand; and comments on draft environmental statement

  3. Characteristics and Energy Use of Volume Servers in the United States

    Energy Technology Data Exchange (ETDEWEB)

    Fuchs, H. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Shehabi, A. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Ganeshalingam, M. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Desroches, L. -B. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States); Lim, B. [Fraunhofer Center for Sustainable Energy Systems, Boston, MA (United States); Roth, K. [Fraunhofer Center for Sustainable Energy Systems, Boston, MA (United States); Tsao, A. [Navigant Consulting Inc., Chicago, IL (United States)

    2017-11-01

    Servers’ field energy use remains poorly understood, given heterogeneous computing loads, configurable hardware and software, and operation over a wide range of management practices. This paper explores various characteristics of 1- and 2-socket volume servers that affect energy consumption, and quantifies the difference in power demand between higher-performing SPEC and ENERGY STAR servers and our best understanding of a typical server operating today. We first establish general characteristics of the U.S. installed base of volume servers from existing IDC data and the literature, before presenting information on server hardware configurations from data collection events at a major online retail website. We then compare cumulative distribution functions of server idle power across three separate datasets and explain the differences between them via examination of the hardware characteristics to which power draw is most sensitive. We find that idle server power demand is significantly higher than ENERGY STAR benchmarks and the industry-released energy use documented in SPEC, and that SPEC server configurations—and likely the associated power-scaling trends—are atypical of volume servers. Next, we examine recent trends in server power draw among high-performing servers across their full load range to consider how representative these trends are of all volume servers before inputting weighted average idle power load values into a recently published model of national server energy use. Finally, we present results from two surveys of IT managers (n=216) and IT vendors (n=178) that illustrate the prevalence of more-efficient equipment and operational practices in server rooms and closets; these findings highlight opportunities to improve the energy efficiency of the U.S. server stock.

  4. Radiation dose reduction in a neonatal intensive care unit in computed radiography

    International Nuclear Information System (INIS)

    Frayre, A.S.; Torres, P.; Gaona, E.; Rivera, T.; Franco, J.; Molina, N.

    2012-01-01

    The purpose of this study was to evaluate the dose received by chest x-rays in neonatal care with thermoluminescent dosimetry and to determine the level of exposure where the quantum noise level does not affect the diagnostic image quality in order to reduce the dose to neonates. In pediatric radiology, especially the prematurely born children are highly sensitive to the radiation because of the highly mitotic state of their cells; in general, the sensitivity of a tissue to radiation is directly proportional to its rate of proliferation. The sample consisted of 208 neonatal chest x-rays of 12 neonates admitted and treated in a Neonatal Intensive Care Unit (NICU). All the neonates were preterm in the range of 28–34 weeks, with a mean of 30.8 weeks. Entrance Surface Doses (ESD) values for chest x-rays are higher than the DRL of 50 μGy proposed by the National Radiological Protection Board (NRPB). In order to reduce the dose to neonates, the optimum image quality was achieved by determining the level of ESD where level noise does not affect the diagnostic image quality. The optimum ESD was estimated for additional 20 chest x-rays increasing kVp and reducing mAs until quantum noise affects image quality. - Highlights: ► Entrance surface doses (ESD) in neonates were measured. ► Doses measured in neonates examinations were higher than those reported by literature. ► Reference levels in neonatal studies are required. ► Radiation protection optimization was proposed.

  5. Autologous fibrin sealant reduces the incidence of prolonged air leak and duration of chest tube drainage after lung volume reduction surgery: a prospective randomized blinded study.

    Science.gov (United States)

    Moser, C; Opitz, I; Zhai, W; Rousson, V; Russi, E W; Weder, W; Lardinois, D

    2008-10-01

    Prolonged air leak is reported in up to 50% of patients after lung volume reduction surgery. The effect of an autologous fibrin sealant on the intensity and duration of air leak and on the time to chest drain removal after lung volume reduction surgery was investigated in a randomized prospective clinical trial. Twenty-five patients underwent bilateral thoracoscopic lung volume reduction surgery. In each patient, an autologous fibrin sealant was applied along the staple lines on one side, whereas no additional measure was taken on the other side. Randomization of treatment was performed at the end of the resection on the first side. Air leak was assessed semiquantitatively by use of a severity score (0 = no leak; 4 = continuous severe leak) by two investigators blinded to the treatment. Mean value of the total severity scores for the first 48 hours postoperative was significantly lower in the treated group (4.7 +/- 7.7) than in the control group (16.0 +/- 10.1) (P drainage were also significantly reduced after application of the sealant (4.5% and 2.8 +/- 1.9 days versus 31.8% and 5.9 +/- 2.9 days) (P = .03 and P drainage.

  6. Current state of the technology measures of accident from contamination by the radioactive substance. 4. volume reduction of removing soil treatment technology

    International Nuclear Information System (INIS)

    Ito, Kenichi

    2015-01-01

    The removed materials that were generated via decontamination work and contaminated with radioactive cesium are mainly soil, the total amount of which is estimated at about 16 million to 22 million m3 in Fukushima Prefecture. Since cesium 137 has a short half-life of 30 years, the amount that needs final disposal after 30 years is expected to be 6 million m3 plus. In order to rationally and safely promote the transport, storage, and disposal of removed contaminants, volume reduction as much as possible is important, which requires relevant techniques. The biggest challenge of the volume reduction is an appropriate use of a low concentration of or purified/reproduced soil that occurs in the process. Since the recycled soil is not completely consumed only by intermediate processing facilities, there is a possibility to be used at outside facilities. There are needs for the tests and securement of qualities and standards according to the application, as well as the empirical data of practicality and long-term safety. It includes not only technical problem-solving, technology dissemination, and standardization, but also the construction of social acceptability. To do this, it is important that researchers and engineers in many fields in addition to those of soil jointly own common agenda and perform cross-cutting initiatives. After this, the social acceptance of volume reduction technology and the treatment of decontaminated waste would make a progress. (A.O.)

  7. Reduction in adipose tissue volume using a new high-power radiofrequency technology combined with infrared light and mechanical manipulation for body contouring.

    Science.gov (United States)

    Adatto, Maurice A; Adatto-Neilson, Robyn M; Morren, Grietje

    2014-09-01

    A growing patient demand for a youthful skin appearance with a favorable body shape has led to the recent development of new noninvasive body contouring techniques. We have previously demonstrated that the combination of bipolar radiofrequency (RF) and optical energies with tissue manipulation is an efficient reshaping modality. Here, we investigated the efficacy and safety of a new high-power version of this combined technology, in terms of adipose tissue reduction and skin tightening. Thirty-five patients received one treatment per week over 6 weeks to their abdomen/flank, buttock, or thigh areas and were followed up to 3 months post completion of the treatment protocol. This new device has an increased power in the bipolar RF, as this parameter appears to be the most important energy modality for volume reduction. Patient circumferences were measured and comparisons of baseline and post treatment outcomes were made. Diagnostic ultrasound (US) measurements were performed in 12 patients to evaluate the reduction in adipose tissue volume, and a cutometer device was used to assess improvements in skin tightening. We observed a gradual decline in patient circumferences from baseline to post six treatments. The overall body shaping effect was accompanied with improvement in skin tightening and was clearly noticeable in the comparison of the before and after treatment clinical photographs. These findings correlated with measurements of adipose tissue volume and skin firmness/elasticity using diagnostic US and cutometer, respectively. The thickness of the fat layer showed on average a 29% reduction between baseline and the 1-month follow up. The average reduction in the circumference of the abdomen/flanks, buttocks, and thighs from baseline to the 3-month follow-up was 1.4, 0.5, and 1.2 cm, respectively, and 93% of study participants demonstrated a 1-60% change in fat layer thickness. Patients subjectively described comfort and satisfaction from treatment, and 97% of

  8. Large reductions in urban black carbon concentrations in the United States between 1965 and 2000

    Science.gov (United States)

    Kirchstetter, Thomas W.; Preble, Chelsea V.; Hadley, Odelle L.; Bond, Tami C.; Apte, Joshua S.

    2017-02-01

    Long-term pollutant concentration trends can be useful for evaluating air quality effects of emission controls and historical transitions in energy sources. We employed archival records of coefficient of haze (COH), a now-retired measure of light-absorbing particulate matter, to re-construct historical black carbon (BC) concentrations at urban locations in the United States (U.S.). The following relationship between COH and BC was determined by reinstating into service COH monitors beside aethalometers for two years in Vallejo and one year in San Jose, California: BC (μg m-3) = 6.7COH + 0.1, R2 = 0.9. Estimated BC concentrations in ten states stretching from the East to West Coast decreased markedly between 1965 and 1980: 5-fold in Illinois, Ohio, and Virginia, 4-fold in Missouri, and 2.5-fold in Pennsylvania. Over the period from the mid-1960s to the early 2000s, annual average BC concentrations in New Jersey and California decreased from 13 to 2 μg m-3 and 4 to 1 μg m-3, respectively, despite concurrent increases in fossil fuel consumption from 1.6 to 2.1 EJ (EJ = 1018 J) in New Jersey and 4.2 to 6.4 EJ in California. New Jersey's greater reliance on BC-producing heavy fuel oils and coal in the 1960s and early 1970s and subsequent transition to cleaner fuels explains why the decrease was larger in New Jersey than California. Patterns in seasonal and weekly BC concentrations and energy consumption trends together indicate that reducing wintertime emissions - namely substituting natural gas and electricity for heavy fuel oil in the residential sector - and decreasing emissions from diesel vehicles contributed to lower ambient BC concentrations. Over the period of study, declining concentrations of BC, a potent and short-lived climate warming pollutant, contrast increasing fossil fuel carbon dioxide (CO2) emissions in the U.S. Declining BC emissions may have had the benefit of mitigating some atmospheric warming driven by increased CO2 emissions with

  9. Enhancing the use of coals by gas reburning-sorbent injection: Volume 4 -- Gas reburning-sorbent injection at Lakeside Unit 7, City Water, Light and Power, Springfield, Illinois. Final report

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-03-01

    A demonstration of Gas Reburning-Sorbent Injection (GR-SI) has been completed at a cyclone-fired utility boiler. The Energy and Environmental Research Corporation (EER) has designed, retrofitted and tested a GR-SI system at City Water Light and Power`s 33 MWe Lakeside Station Unit 7. The program goals of 60% NO{sub x} emissions reduction and 50% SO{sub 2} emissions reduction were exceeded over the long-term testing period; the NO{sub x} reduction averaged 63% and the SO{sub 2} reduction averaged 58%. These were achieved with an average gas heat input of 22% and a calcium (sorbent) to sulfur (coal) molar ratio of 1.8. GR-SI resulted in a reduction in thermal efficiency of approximately 1% at full load due to firing natural gas which forms more moisture in flue gas than coal and also results in a slight increase in air heater exit gas temperature. Minor impacts on other areas of unit performance were measured and are detailed in this report. The project at Lakeside was carried out in three phases, in which EER designed the GR-SI system (Phase 1), completed construction and start-up activities (Phase 2), and evaluated its performance with both short parametric tests and a long-term demonstration (Phase 3). This report contains design and technical performance data; the economics data for all sites are presented in Volume 5.

  10. Information as Power: An Anthology of Selected United States Army War College Student Papers. Volume 3

    Science.gov (United States)

    2009-01-01

    some efforts along this path recently when it worked with the Walt Disney Company to produce a seven minute film and hundreds of still images... Disney Parks and Resorts Partners with Departments 53. of State and Homeland Security to Welcome International Visitors to the United States

  11. Outcomes of PCI in Relation to Procedural Characteristics and Operator Volumes in the United States.

    Science.gov (United States)

    Fanaroff, Alexander C; Zakroysky, Pearl; Dai, David; Wojdyla, Daniel; Sherwood, Matthew W; Roe, Matthew T; Wang, Tracy Y; Peterson, Eric D; Gurm, Hitinder S; Cohen, Mauricio G; Messenger, John C; Rao, Sunil V

    2017-06-20

    Professional guidelines have reduced the recommended minimum number to an average of 50 percutaneous coronary intervention (PCI) procedures performed annually by each operator. Operator volume patterns and associated outcomes since this change are unknown. The authors describe herein PCI operator procedure volumes; characteristics of low-, intermediate-, and high-volume operators; and the relationship between operator volume and clinical outcomes in a large, contemporary, nationwide sample. Using data from the National Cardiovascular Data Registry collected between July 1, 2009, and March 31, 2015, we examined operator annual PCI volume. We divided operators into low- (100 PCIs per year) volume groups, and determined the adjusted association between annual PCI volume and in-hospital outcomes, including mortality. The median annual number of procedures performed per operator was 59; 44% of operators performed PCI procedures per year. Low-volume operators more frequently performed emergency and primary PCI procedures and practiced at hospitals with lower annual PCI volumes. Unadjusted in-hospital mortality was 1.86% for low-volume operators, 1.73% for intermediate-volume operators, and 1.48% for high-volume operators. The adjusted risk of in-hospital mortality was higher for PCI procedures performed by low- and intermediate-volume operators compared with those performed by high-volume operators (adjusted odds ratio: 1.16 for low versus high; adjusted odds ratio: 1.05 for intermediate vs. high volume) as was the risk for new dialysis post PCI. No volume relationship was observed for post-PCI bleeding. Many PCI operators in the United States are performing fewer than the recommended number of PCI procedures annually. Although absolute risk differences are small and may be partially explained by unmeasured differences in case mix between operators, there remains an inverse relationship between PCI operator volume and in-hospital mortality that persisted in risk

  12. Phase 1 remedial investigation report for 200-BP-1 operable unit. Volume 1

    Energy Technology Data Exchange (ETDEWEB)

    1993-09-01

    The US Department of Energy (DOE) Hanford Site, in Washington State is organized into numerically designated operational areas including the 100, 200, 300, 400, 600, and 1100 Areas. The US Environmental Protection Agency (EPA), in November 1989 included the 200 Areas of the Hanford Site on the National Priority List (NPL) under the Comprehensive Environmental Response, Compensation and Liability Act of 1980 (CERCLA). Inclusion on the NPL initiated the remedial investigation (RD process for the 200-BP-1 operable unit. These efforts are being addressed through the Hanford Federal Facility Agreement and Consent Order (Ecology et al. 1989) which was negotiated and approved by the DOE, the EPA, and the State of Washington Department of Ecology (Ecology) in May 1989. This agreement, known as the Tri-Party Agreement, governs all CERCLA efforts at Hanford. In March of 1990, the Department of Energy, Richland Operations (DOE-RL) issued a Remedial Investigation/Feasibility Study (RI/FS) work plan (DOE-RL 1990a) for the 200-BP-1 operable unit. The work plan initiated the first phase of site characterization activities associated with the 200-BP-1 operable unit. The purpose of the 200-BP-1 operable unit RI is to gather and develop the necessary information to adequately understand the risks to human health and the environment posed by the site and to support the development and analysis of remedial alternatives during the FS. The RI analysis will, in turn, be used by Tri-Party Agreement signatories to make a risk-management-based selection of remedies for the releases of hazardous substances that have occurred from the 200-BP-1 operable unit.

  13. Remedial investigation/feasibility study of the Clinch River/Poplar Creek operable unit. Volume 5

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-03-01

    This volume is in support of the findings of an investigation into contamination of the Clinch River and Poplar Creek near the Oak Ridge Reservation (for more than 50 years, various hazardous and radioactive substances have been released to the environment as a result of operations and waste management activities there). It addresses the quality assurance objectives for measuring the data, presents selected historical data, contains data from several discrete water characterization studies, provides data supporting the sediment characterization, and contains data related to several biota characterization studies.

  14. Regional Brain Volumes Moderate, but Do Not Mediate, the Effects of Group-Based Exercise Training on Reductions in Loneliness in Older Adults.

    Science.gov (United States)

    Ehlers, Diane K; Daugherty, Ana M; Burzynska, Agnieszka Z; Fanning, Jason; Awick, Elizabeth A; Chaddock-Heyman, Laura; Kramer, Arthur F; McAuley, Edward

    2017-01-01

    Introduction: Despite the prevalence of and negative health consequences associated with perceived loneliness in older adults, few studies have examined interactions among behavioral, psychosocial, and neural mechanisms. Research suggests that physical activity and improvements in perceived social support and stress are related to reductions in loneliness. Yet, the influence of brain structure on these changes is unknown. The present study examined whether change in regional brain volume mediated the effects of changes in social support and stress on change in perceived loneliness after an exercise intervention. We also examined the extent to which baseline brain volumes moderated the relationship between changes in social support, stress, and loneliness. Methods: Participants were 247 older adults (65.4 ± 4.6 years-old) enrolled in a 6-month randomized controlled trial comprised of four exercise conditions: Dance ( n = 69), Strength/Stretching/Stability ( n = 70), Walk ( n = 54), and Walk Plus ( n = 54). All groups met for 1 h, three times weekly. Participants completed questionnaires assessing perceived social support, stress, and loneliness at baseline and post-intervention. Regional brain volumes (amygdala, prefrontal cortex [PFC], hippocampus) before and after intervention were measured with automatic segmentation of each participant's T1-weighted structural MRI. Data were analyzed in a latent modeling framework. Results: Perceived social support increased ( p = 0.003), while stress ( p loneliness ( p = 0.001) decreased over the intervention. Increased social support directly (-0.63, p loneliness. Changes in amygdala, PFC, and hippocampus volumes were unrelated to change in psychosocial variables (all p ≥ 0.44). However, individuals with larger baseline amygdalae experienced greater decreases in loneliness due to greater reductions in stress (0.35, p = 0.02). Further, individuals with larger baseline PFC volumes experienced greater reductions in stress due

  15. Regional Brain Volumes Moderate, but Do Not Mediate, the Effects of Group-Based Exercise Training on Reductions in Loneliness in Older Adults

    Directory of Open Access Journals (Sweden)

    Diane K. Ehlers

    2017-04-01

    Full Text Available Introduction: Despite the prevalence of and negative health consequences associated with perceived loneliness in older adults, few studies have examined interactions among behavioral, psychosocial, and neural mechanisms. Research suggests that physical activity and improvements in perceived social support and stress are related to reductions in loneliness. Yet, the influence of brain structure on these changes is unknown. The present study examined whether change in regional brain volume mediated the effects of changes in social support and stress on change in perceived loneliness after an exercise intervention. We also examined the extent to which baseline brain volumes moderated the relationship between changes in social support, stress, and loneliness.Methods: Participants were 247 older adults (65.4 ± 4.6 years-old enrolled in a 6-month randomized controlled trial comprised of four exercise conditions: Dance (n = 69, Strength/Stretching/Stability (n = 70, Walk (n = 54, and Walk Plus (n = 54. All groups met for 1 h, three times weekly. Participants completed questionnaires assessing perceived social support, stress, and loneliness at baseline and post-intervention. Regional brain volumes (amygdala, prefrontal cortex [PFC], hippocampus before and after intervention were measured with automatic segmentation of each participant's T1-weighted structural MRI. Data were analyzed in a latent modeling framework.Results: Perceived social support increased (p = 0.003, while stress (p < 0.001, and loneliness (p = 0.001 decreased over the intervention. Increased social support directly (−0.63, p < 0.01 and indirectly, through decreased stress (−0.10, p = 0.02, predicted decreased loneliness. Changes in amygdala, PFC, and hippocampus volumes were unrelated to change in psychosocial variables (all p ≥ 0.44. However, individuals with larger baseline amygdalae experienced greater decreases in loneliness due to greater reductions in stress (0.35, p = 0

  16. Evaluation of severe accident risks and the potential for risk reduction: Grand Gulf, Unit 1. Draft for comment, February 1987

    Energy Technology Data Exchange (ETDEWEB)

    Amos, C N [Technadyne Engineering Consultants, Inc., Albuquerque, NM (United States); Benjamin, A S; Kunsman, D M; Williams, D C [Sandia National Laboratories, Albuquerque, NM (United States); Boyd, G J; Lewis, S R [Safety and Reliability Optimization Services, Inc., Knoxville, TN (United States); Smith, L N [Science Applications International Corporation, Albuquerque, NM (United States)

    1987-04-01

    The Severe Accident Risk Reduction Program (SARRP) has completed a rebaselining of the risks to the public from a boiling water reactor with a Mark III containment (Grand Gulf, Unit 1). Emphasis was placed on determining the magnitude and character of the uncertainties, rather than focusing on a point estimate. The risk-reduction potential of a set of proposed safety option backfits was also studied, and their costs and benefits were also evaluated. It was found that the risks from internal events are generally low relative to previous studies; for example, most of the uncertainty range is lower than the point estimate of risk for the Peach Bottom plant in the Reactor Safety Study (RSS). However, certain unresolved issues cause the top of the uncertainty band to appear at a level that is comparable with the RSS point estimate. These issues include the diesel generator failure rate, iodine and cesium revolatilization after vessel breach and the possibility of reactor vessel pedestal failure caused by core debris attack. Some of the postulated safety options appear to be potentially cost effective for the Grand Gulf power plant, particularly when onsite accidents costs are included in the evaluation of benefits. Principally these include procedural modifications and relatively inexpensive hardware additions to insure core cooling in the event of a station blackout. This work supports the Nuclear Regulatory Commission's assessment of severe accidents in NUREG-1150. (author)

  17. Effect of nocturnal sound reduction on the incidence of delirium in intensive care unit patients: An interrupted time series analysis.

    Science.gov (United States)

    van de Pol, Ineke; van Iterson, Mat; Maaskant, Jolanda

    2017-08-01

    Delirium in critically-ill patients is a common multifactorial disorder that is associated with various negative outcomes. It is assumed that sleep disturbances can result in an increased risk of delirium. This study hypothesized that implementing a protocol that reduces overall nocturnal sound levels improves quality of sleep and reduces the incidence of delirium in Intensive Care Unit (ICU) patients. This interrupted time series study was performed in an adult mixed medical and surgical 24-bed ICU. A pre-intervention group of 211 patients was compared with a post-intervention group of 210 patients after implementation of a nocturnal sound-reduction protocol. Primary outcome measures were incidence of delirium, measured by the Intensive Care Delirium Screening Checklist (ICDSC) and quality of sleep, measured by the Richards-Campbell Sleep Questionnaire (RCSQ). Secondary outcome measures were use of sleep-inducing medication, delirium treatment medication, and patient-perceived nocturnal noise. A significant difference in slope in the percentage of delirium was observed between the pre- and post-intervention periods (-3.7% per time period, p=0.02). Quality of sleep was unaffected (0.3 per time period, p=0.85). The post-intervention group used significantly less sleep-inducing medication (psound-reduction protocol. However, reported sleep quality did not improve. Copyright © 2017. Published by Elsevier Ltd.

  18. Proposition of primary methods for nitrogen oxides emissions reduction at coal-fired 200 MW power unit (Yugoslavia)

    International Nuclear Information System (INIS)

    Repic, B.; Mladenovic, R.; Crnomarkovic, N.

    1997-01-01

    The combustion of coal is followed by increased pollution of the environment with toxic products. Together with the generation of other pollutants, the emission of nitrogen oxides (NO x ) represents, due to its high toxicity, a great environmental risk. Appropriate measures must be taken for lowering NO x emission, both on new facilities and those already in operation. Basic technologies (primary reduction methods) of several generations, developed until now and used in practice, are presented in the paper. The technologies applicable on domestic facilities and adjusted to domestic coals have been given particular consideration. Proposition of primary methods for NO x emission reduction at coal-fired 200 MW power unit at TPS 'Nikola Tesla' is analyzed. The following methods have been considered in detail: flue gases recirculation, multi-stage combustion, low-NO x burners, additional over-fire air, multi-stage air intake into the furnace, staged fuel injection, grinding fineness increase, etc. Considerations were performed according to existing constructive characteristics of the furnace and the burners, and characteristics of used fuels, i. e. lignites from Kolubara pit. (Author)

  19. MX Siting Investigation Geotechnical Evaluation Conterminous United States. Volume II. Intermediate Screening.

    Science.gov (United States)

    1977-12-21

    as any earth material which is not rippable by SURFACE ROCK AND ROCK OFTHEGconventional excavation methods. Where available, seismic WITHIN A NOMINAL...calcareous concretions. The unit is considered to be rippable but only marginally where resistant oil shale is encountered (Armstrong, oral communication...1977). The remaining suitable area is underlain by generally rippable -_..rtiary to Cretaceous sediinentary formations of minor extent. The most notable

  20. Significant lung volume reduction with endobronchial valves in a patient despite the presence of microcollaterals masked by low-flow Chartis phenotype

    Directory of Open Access Journals (Sweden)

    Yin Y

    2016-11-01

    Full Text Available Yan Yin,1 Gang Hou,1 Felix J Herth,2 Xiao-bo Wang,1 Qiu-yue Wang,1 Jian Kang1 1Department of Respiratory Medicine, The First Hospital of China Medical University, Shenyang, People’s Republic of China; 2Department of Pneumology and Critical Care Medicine, Thoraxklinik, University of Heidelberg, Heidelberg, Germany Abstract: Satisfactory functional outcomes following bronchoscopic lung volume reduction (BLVR using endobronchial valves (EBVs depend on the absence of collateral ventilation (CV between the target and adjunct lobes. The Chartis system has proven to be useful for determining whether CV is present or absent, but this system can also erroneously indicate the absence of CV, which can lead to BLVR failure. Here, we describe low-flow Chartis phenotype in the target lobe resulted in difficult judgment of existence of CV. Consequently, BLVR with EBVs implanted into the right upper bronchus failed to reduce lung volume or induce atelectasis. Inserting another EBV into the right middle bronchus blocked the latent CV, which led to significant lung volume reduction in the right upper lobe (RUL and right middle lobe (RML and to improve the pulmonary function, 6-min walking distance, and St George respiratory questionnaire scores over a 2-week follow-up period. Low flow in the target lobe is a unique Chartis phenotype and represents the uncertainty of CV, which is a risk factor for the failure of BLVR using EBVs. Clinicians should be aware of this possibility and might be able to resolve the problem by blocking the RUL and RML between which the CV occurs. Keywords: COPD, bronchoscopic lung volume reduction, collateral ventilation, endobronchial valves, Chartis assessment

  1. Performance of current intensive care unit ventilators during pressure and volume ventilation.

    Science.gov (United States)

    Marchese, Andrew D; Sulemanji, Demet; Chipman, Daniel; Villar, Jesús; Kacmarek, Robert M

    2011-07-01

    Intensive-care mechanical ventilators regularly enter the market, but the gas-delivery capabilities of many have never been assessed. We evaluated 6 intensive-care ventilators in the pressure support (PS), pressure assist/control (PA/C), and volume assist/control (VA/C) modes, with lung-model mechanics combinations of compliance and resistance of 60 mL/cm H(2)O and 10 cm H(2)O/L/s, 60 mL/cm H(2)O and 5 cm H(2)O/L/s, and 30 mL/cm H(2)O and 10 cm H(2)O/L/s, and inspiratory muscle effort of 5 and 10 cm H(2)O. PS and PA/C were set to 15 cm H(2)O, and PEEP to 5 and 15 cm H(2)O in all modes. During VA/C, tidal volume was set at 500 mL and inspiratory time was set at 0.8 second. Rise time and termination criteria were set at the manufacturers' defaults, and to an optimal level during PS and PA/C. There were marked differences in ventilator performance in all 3 modes. VA/C had the greatest difficulty meeting lung model demand and the greatest variability across all tested scenarios and ventilators. From high to low inspiratory muscle effort, pressure-to-trigger, time for pressure to return to baseline, and triggering pressure-time product decreased in all modes. With increasing resistance and decreasing compliance, tidal volume, pressure-to-trigger, time-to-trigger, time for pressure to return to baseline, time to 90% of peak pressure, and pressure-time product decreased. There were large differences between the default and optimal settings for all the variables in PS and PA/C. Performance was not affected by PEEP. Most of the tested ventilators performed at an acceptable level during the majority of evaluations, but some ventilators performed inadequately during specific settings. Bedside clinical evaluation is needed.

  2. United States Metric Board. A Study of Metric Measurement and Legislation. Volume 1.

    Science.gov (United States)

    1979-09-10

    nt1 ricchuuiisuin fk~i .e’ting rstoniary uummts to mietric units in statutes. remilat joms. anld otheri laws at- all kI %ls af Tioverninviii. on n...miles", where it appears therein, the elle apparait par celle de oquatre mille sept expression "four thousand seven hundred cents kilom~tres carr~s...kilomitres de such other distance thereof as the Gover- 25 ladite ville, ou dans tel autre rayon de 25 nor in Council determines." celle -ci que le

  3. Data integrity review of Three Mile Island Unit 2. Hydrogen burn data. Volume 3

    International Nuclear Information System (INIS)

    Jacoby, J.K.; Nelson, R.A.; Nalezny, C.L.; Averill, R.H.

    1983-09-01

    About 10 hours after the March 28, 1979 loss-of-coolant accident began at Three Mile Island Unit 2 (TMI-2), a hydrogen burn occurred inside the Reactor Building. This report reviews and presents data from 16 channels of resistance temperature detectors (RTDs), 2 steam generator pressure transmitters, 16 Reactor Building pressure switches, 2 channels of Reactor Building pressure measurements, and measurements of Reactor Building hydrogen, oxygen, and nitrogen concentrations with regard to their usefulness for determining the extent of the burn and the resulting pressure and temperature excursions inside the building

  4. Accounting for density reduction and structural loss in standing dead trees: Implications for forest biomass and carbon stock estimates in the United States

    Directory of Open Access Journals (Sweden)

    Domke Grant M

    2011-11-01

    Full Text Available Abstract Background Standing dead trees are one component of forest ecosystem dead wood carbon (C pools, whose national stock is estimated by the U.S. as required by the United Nations Framework Convention on Climate Change. Historically, standing dead tree C has been estimated as a function of live tree growing stock volume in the U.S.'s National Greenhouse Gas Inventory. Initiated in 1998, the USDA Forest Service's Forest Inventory and Analysis program (responsible for compiling the Nation's forest C estimates began consistent nationwide sampling of standing dead trees, which may now supplant previous purely model-based approaches to standing dead biomass and C stock estimation. A substantial hurdle to estimating standing dead tree biomass and C attributes is that traditional estimation procedures are based on merchantability paradigms that may not reflect density reductions or structural loss due to decomposition common in standing dead trees. The goal of this study was to incorporate standing dead tree adjustments into the current estimation procedures and assess how biomass and C stocks change at multiple spatial scales. Results Accounting for decay and structural loss in standing dead trees significantly decreased tree- and plot-level C stock estimates (and subsequent C stocks by decay class and tree component. At a regional scale, incorporating adjustment factors decreased standing dead quaking aspen biomass estimates by almost 50 percent in the Lake States and Douglas-fir estimates by more than 36 percent in the Pacific Northwest. Conclusions Substantial overestimates of standing dead tree biomass and C stocks occur when one does not account for density reductions or structural loss. Forest inventory estimation procedures that are descended from merchantability standards may need to be revised toward a more holistic approach to determining standing dead tree biomass and C attributes (i.e., attributes of tree biomass outside of sawlog

  5. Effect of operator and institutional volume on clinical outcomes after percutaneous coronary interventions performed in Canada and the United States: a brief report from the Enhanced Suppression of the Platelet glycoprotein IIb/IIIa Receptor with Integrilin Therapy (ESPRIT) study.

    Science.gov (United States)

    Madan, Mina; Nikhil, Janarthan; Hellkamp, Anne S; Pieper, Karen S; Labinaz, Marino; Cohen, E A; Buller, Christopher E; Cantor, Warren J; Seidelin, Peter; Ducas, John; Carere, Ronald G; Natarajan, Madhu K; O'Shea, J Conor; Tcheng, James E

    2009-08-01

    The Enhanced Suppression of the Platelet glycoprotein IIb/IIIa Receptor with Integrilin Therapy (ESPRIT) trial compared the use of eptifibatide with placebo in 2064 coronary intervention patients. It was previously reported that Canadian patients had reduced rates of 30-day and one-year death, myocardial infarction (MI) or target vessel revascularization (TVR) compared with patients in the United States (US). To examine whether operator or institutional volume differences explain the regional variation in clinical outcome. Each site received an operator and institutional volume survey. Fifty-seven sites (62%) returned complete data on 1338 patients. In this smaller cohort, Canadian patients had reduced rates of 30-day and one-year death, MI or TVR compared with US patients (6.3% versus 10.3% and 14.9% versus 20.1%, respectively; PESPRIT study, institutional volume was associated with a modest reduction in risk of death, MI or TVR over short- and long-term follow-up periods. The Canadian and US investigators and institutions selected in ESPRIT had similar annual procedural volumes. Therefore, volume variables did not explain the differential risk of clinical events observed for patients enrolled in the two countries.

  6. Weather data for simplified energy calculation methods. Volume II. Middle United States: TRY data

    Energy Technology Data Exchange (ETDEWEB)

    Olsen, A.R.; Moreno, S.; Deringer, J.; Watson, C.R.

    1984-08-01

    The objective of this report is to provide a source of weather data for direct use with a number of simplified energy calculation methods available today. Complete weather data for a number of cities in the United States are provided for use in the following methods: degree hour, modified degree hour, bin, modified bin, and variable degree day. This report contains sets of weather data for 22 cities in the continental United States using Test Reference Year (TRY) source weather data. The weather data at each city has been summarized in a number of ways to provide differing levels of detail necessary for alternative simplified energy calculation methods. Weather variables summarized include dry bulb and wet bulb temperature, percent relative humidity, humidity ratio, wind speed, percent possible sunshine, percent diffuse solar radiation, total solar radiation on horizontal and vertical surfaces, and solar heat gain through standard DSA glass. Monthly and annual summaries, in some cases by time of day, are available. These summaries are produced in a series of nine computer generated tables.

  7. Risk management study for the Hanford Site facilities: Risk reduction cost comparison for the retired Hanford Site facilities. Volume 4

    Energy Technology Data Exchange (ETDEWEB)

    Coles, G.A.; Egge, R.G.; Senger, E.; Shultz, M.W.; Taylor, W.E.

    1994-02-01

    This document provides a cost-comparison evaluation for implementing certain risk-reduction measures and their effect on the overall risk of the 100 and 200 Area retired, surplus facilities. The evaluation is based on conditions that existed at the time the risk evaluation team performed facility investigations, and does not acknowledge risk-reduction measures that occurred soon after risk identification. This evaluation is one part of an overall risk management study for these facilities. The retired facilities investigated for this evaluation are located in the 100 and 200 Areas of the 1450-km{sup 2} Hanford Site. The Hanford Site is a semiarid tract of land in southeastern Washington State. The nearest population center is Richland, Washington, (population 32,000) 30 km southeast of the 200 Area. This cost-comparison evaluation (1) determines relative costs for reducing risk to acceptable levels; (2) compares the cost of reducing risk using different risk-reduction options; and (3) compares the cost of reducing risks at different facilities. The result is an identification of the cost effective risk-reduction measures. Supporting information required to develop costs of the various risk-reduction options also is included.

  8. Study of advanced fission power reactor development for the United States. Volume I

    International Nuclear Information System (INIS)

    1976-01-01

    This volume summarizes the results and conclusions of an assessment of five advanced fission power reactor concepts in the context of potential nuclear power economies developed over the time period 1975 to 2020. The study was based on the premise that the LMFBR program has been determined to be the highest priority fission reactor program and it will proceed essentially as planned. Accepting this fact, the overall objective of the study was to provide evaluations of advanced fission reactor systems for input to evaluating the levels of research and development funding for fission power. Evaluation of the reactor systems included the following categories: (1) power plant performance, (2) fuel resource utilization; (3) fuel-cycle requirements; (4) economics; (5) environmental impact; (6) risk to the public; and (7) R and D requirements to achieve commercial status. The specific major objectives of the study were twofold: (1) to parametrically assess the impact of various reactor types for various levels of power demand through the year 2020 on fissile fuel utilization, economics, and the environment, based on varying but reasonable assumptions on the rates of installation; and (2) to qualitatively assess the practicality of the advanced reactor concepts, and their research and development. The reactor concepts examined were limited to the following: advanced high-temperature, gas-cooled reactor (HTGR) systems including the thorium/U-233 fuel cycle, gas turbine, and binary cycle (BIHTGR); gas-cooled fast breeder reactor (GCFR); molten salt breeder reactor (MSBR); light water breeder reactor (LWBR); and CANDU heavy water reactor

  9. Study of advanced fission power reactor development for the United States. Volume II

    International Nuclear Information System (INIS)

    1976-01-01

    This report presents the results of a multi-phase research study which had as its objective the comparative study of various advanced fission reactors and evaluation of alternate strategies for their development in the USA through the year 2020. By direction from NSF, ''advanced'' reactors were defined as those which met the dual requirements of (1) offering a significant improvement in fissile fuel utilization as compared to light-water reactors and (2) currently receiving U.S. Government funding. (A detailed study of the LMFBR was specifically excluded, but cursory baseline data were obtained from ERDA sources.) Included initially were the High-Temperature Gas-Cooled Reactor (HTGR), Gas-Cooled Fast Reactor (GCFR), Molten Salt Reactor (MSR), and Light-Water Breeder Reactor (LWBR). Subsequently, the CANDU Heavy Water Reactor (HWR) was included for comparison due to increased interest in its potential. This volume presents the reasoning process and analytical methods utilized to arrive at the conclusions for the overall study

  10. Sound reduction management in the neonatal intensive care unit for preterm or very low birth weight infants.

    Science.gov (United States)

    Almadhoob, Abdulraoof; Ohlsson, Arne

    2015-01-30

    Infants in the neonatal intensive care unit (NICU) are subjected to stress, including sound of high intensity. The sound environment in the NICU is louder than most home or office environments and contains disturbing noises of short duration and at irregular intervals. There are competing auditory signals that frequently challenge preterm infants, staff and parents. The sound levels in NICUs often exceed the maximum acceptable level of 45 decibels (dB), recommended by the American Academy of Pediatrics. Hearing impairment is diagnosed in 2% to 10% of preterm infants versus 0.1% of the general paediatric population. Noise may cause apnoea, hypoxaemia, alternation in oxygen saturation, and increased oxygen consumption secondary to elevated heart and respiratory rates and may, therefore, decrease the amount of calories available for growth. Elevated levels of speech are needed to overcome the noisy environment in the NICU, thereby increasing the negative impacts on staff, newborns, and their families. High noise levels are associated with an increased rate of errors and accidents, leading to decreased performance among staff. The aim of interventions included in this review is to reduce sound levels to 45 dB or less. This can be achieved by lowering the sound levels in an entire unit, treating the infant in a section of a NICU, in a 'private' room, or in incubators in which the sound levels are controlled, or reducing the sound levels that reaches the individual infant by using earmuffs or earplugs. By lowering the sound levels that reach the neonate, the resulting stress on the cardiovascular, respiratory, neurological, and endocrine systems can be diminished, thereby promoting growth and reducing adverse neonatal outcomes. Primary objectiveTo determine the effects of sound reduction on growth and long-term neurodevelopmental outcomes of neonates. Secondary objectives1. To evaluate the effects of sound reduction on short-term medical outcomes (bronchopulmonary

  11. Leito de drenagem: sistema natural para redução de volume de lodo de estação de tratamento de água Draining beds: natural system for sludge volume reduction in the water treatment plant

    Directory of Open Access Journals (Sweden)

    Cali Laguna Achon

    2008-03-01

    Full Text Available As Estações de Tratamento de Água (ETAs tem funcionamento semelhante a uma indústria e podem em diversas etapas gerar resíduos que, na maioria das ETAs, são lançados nos corpos d’água sem tratamento. Neste trabalho avaliou-se o desempenho de Leitos de Drenagem, para o desaguamento de lodo, provenientes de ETAs de ciclo completo que empregam sulfato de alumínio e cloreto de polialumínio (PACl, como coagulantes. Analisou-se as características, a drenagem e secagem dos amostras de lodo e característica do drenado. Os Leitos de Drenagem mostraram-se eficientes para desaguamento e redução de volume de lodo de ETA, de forma natural, sem consumo de energia ou adição de produtos químicos. Obteve-se, aos sete dias, reduções da ordem de 87 % em volume para os lodos de PACl e 83 % para o lodo de Sulfato de Alumínio e teor de sólidos totais 28% e 31% respectivamente.In this work the performance of Draining Beds for sludge dewatering was assessed. The sludge was provided from full cycle Water Treatment Plants (WTPs that employ aluminum sulfate and polyaluminium chloride (PACl as coagulants. The characteristics, drainage and drying of samples of sludge and characteristic of drained were analysed. The Draining Beds were shown to be efficient for dewatering and sludge volume reduction in the WTP, in a natural way, without energy consumption or adding of chemical products. On the seventh day, it was possible to obtain reduction around 87% in volume for PACl sludge and 83% for the aluminum sulfate sludge and total solids content of 28 and 31% respectively.

  12. Revealing the appetite of the marine aquarium fish trade: the volume and biodiversity of fish imported into the United States

    Science.gov (United States)

    Rhyne, Andrew L.; Tlusty, Michael F.; Schofield, Pamela J.; Kaufman, Les; Morris, James A.; Bruckner, Andrew W.

    2012-01-01

    The aquarium trade and other wildlife consumers are at a crossroads forced by threats from global climate change and other anthropogenic stressors that have weakened coastal ecosystems. While the wildlife trade may put additional stress on coral reefs, it brings income into impoverished parts of the world and may stimulate interest in marine conservation. To better understand the influence of the trade, we must first be able to quantify coral reef fauna moving through it. Herein, we discuss the lack of a data system for monitoring the wildlife aquarium trade and analyze problems that arise when trying to monitor the trade using a system not specifically designed for this purpose. To do this, we examined an entire year of import records of marine tropical fish entering the United States in detail, and discuss the relationship between trade volume, biodiversity and introduction of non-native marine fishes. Our analyses showed that biodiversity levels are higher than previous estimates. Additionally, more than half of government importation forms have numerical or other reporting discrepancies resulting in the overestimation of trade volumes by 27%. While some commonly imported species have been introduced into the coastal waters of the USA (as expected), we also found that some uncommon species in the trade have also been introduced. This is the first study of aquarium trade imports to compare commercial invoices to government forms and provides a means to, routinely and in real time, examine the biodiversity of the trade in coral reef wildlife species.

  13. Estimates of the timing of reductions in genital warts and high grade cervical intraepithelial neoplasia after onset of human papillomavirus (HPV) vaccination in the United States.

    Science.gov (United States)

    Chesson, Harrell W; Ekwueme, Donatus U; Saraiya, Mona; Dunne, Eileen F; Markowitz, Lauri E

    2013-08-20

    The objective of this study was to estimate the number of years after onset of a quadrivalent HPV vaccination program before notable reductions in genital warts and cervical intraepithelial neoplasia (CIN) will occur in teenagers and young adults in the United States. We applied a previously published model of HPV vaccination in the United States and focused on the timing of reductions in genital warts among both sexes and reductions in CIN 2/3 among females. Using different coverage scenarios, the lowest being consistent with current 3-dose coverage in the United States, we estimated the number of years before reductions of 10%, 25%, and 50% would be observed after onset of an HPV vaccination program for ages 12-26 years. The model suggested female-only HPV vaccination in the intermediate coverage scenario will result in a 10% reduction in genital warts within 2-4 years for females aged 15-19 years and a 10% reduction in CIN 2/3 among females aged 20-29 years within 7-11 years. Coverage had a major impact on when reductions would be observed. For example, in the higher coverage scenario a 25% reduction in CIN2/3 would be observed with 8 years compared with 15 years in the lower coverage scenario. Our model provides estimates of the potential timing and magnitude of the impact of HPV vaccination on genital warts and CIN 2/3 at the population level in the United States. Notable, population-level impacts of HPV vaccination on genital warts and CIN 2/3 can occur within a few years after onset of vaccination, particularly among younger age groups. Our results are generally consistent with early reports of declines in genital warts among youth. Published by Elsevier Ltd.

  14. Weather data for simplified energy calculation methods. Volume IV. United States: WYEC data

    Energy Technology Data Exchange (ETDEWEB)

    Olsen, A.R.; Moreno, S.; Deringer, J.; Watson, C.R.

    1984-08-01

    The objective of this report is to provide a source of weather data for direct use with a number of simplified energy calculation methods available today. Complete weather data for a number of cities in the United States are provided for use in the following methods: degree hour, modified degree hour, bin, modified bin, and variable degree day. This report contains sets of weather data for 23 cities using Weather Year for Energy Calculations (WYEC) source weather data. Considerable overlap is present in cities (21) covered by both the TRY and WYEC data. The weather data at each city has been summarized in a number of ways to provide differing levels of detail necessary for alternative simplified energy calculation methods. Weather variables summarized include dry bulb and wet bulb temperature, percent relative humidity, humidity ratio, wind speed, percent possible sunshine, percent diffuse solar radiation, total solar radiation on horizontal and vertical surfaces, and solar heat gain through standard DSA glass. Monthly and annual summaries, in some cases by time of day, are available. These summaries are produced in a series of nine computer generated tables.

  15. Influence of thyroid volume reduction on absorbed dose in "1"3"1I therapy studied by using Geant4 Monte Carlo simulation

    International Nuclear Information System (INIS)

    Rahman, Ziaur; Arshed, Waheed; Ahmed, Waheed; Mirza, Sikander M.; Mirza, Nasir M.

    2014-01-01

    A simulation study has been performed to quantify the effect of volume reduction on the thyroid absorbed dose per decay and to investigate the variation of energy deposition per decay due to β- and γ-activity of "1"3"1I with volume/mass of thyroid, for water, ICRP- and ICRU-soft tissue taken as thyroid material. A Monte Carlo model of the thyroid, in the Geant4 radiation transport simulation toolkit was constructed to compute the β- and γ-absorbed dose in the simulated thyroid phantom for various values of its volume. The effect of the size and shape of the thyroid on energy deposition per decay has also been studied by using spherical, ellipsoidal and cylindrical models for the thyroid and varying its volume in 1-25 cm"3 range. The relative differences of Geant4 results for different models with each other and MCNP results lie well below 1.870%. The maximum relative difference among the Geant4 estimated results for water with ICRP and ICRU soft tissues is not more than 0.225%. S-values for ellipsoidal, spherical and cylindrical thyroid models were estimated and the relative difference with published results lies within 3.095%. The absorbed fraction values for beta particles show a good agreement with published values within 2.105% deviation. The Geant4 based simulation results of absorbed fractions for gammas again show a good agreement with the corresponding MCNP and EGS4 results (± 6.667%) but have 29.032% higher values than that of MIRD calculated values. Consistent with previous studies, the reduction of the thyroid volume is found to have a substantial effect on the absorbed dose. Geant4 simulations confirm dose dependence on the volume/mass of thyroid in agreement with MCNP and EGS4 computed values but are substantially different from MIRD8 data. Therefore, inclusion of size/mass dependence is indicated for "1"3"1I radiotherapy of the thyroid. (authors)

  16. Reduction in nosocomial infection with improved hand hygiene in intensive care units of a tertiary care hospital in Argentina.

    Science.gov (United States)

    Rosenthal, Victor D; Guzman, Sandra; Safdar, Nasia

    2005-09-01

    Hand hygiene is a fundamental measure for the control of nosocomial infection. However, sustained compliance with hand hygiene in health care workers is poor. We attempted to enhance compliance with hand hygiene by implementing education, training, and performance feedback. We measured nosocomial infections in parallel. We monitored the overall compliance with hand hygiene during routine patient care in intensive care units (ICUs); 1 medical surgical ICU and 1 coronary ICU, of 1 hospital in Buenos Aires, Argentina, before and during implementation of a hand hygiene education, training, and performance feedback program. Observational surveys were done twice a week from September 2000 to May 2002. Nosocomial infections in the ICUs were identified using the National Nosocomial Infections Surveillance (NNIS) criteria, with prospective surveillance. We observed 4347 opportunities for hand hygiene in both ICUs. Compliance improved progressively (handwashing adherence, 23.1% (268/1160) to 64.5% (2056/3187) (RR, 2.79; 95% CI: 2.46-3.17; P nosocomial infection in both ICUs decreased from 47.55 per 1000 patient-days (104/2187) to 27.93 per 1000 patient days (207/7409) RR, 0.59; 95% CI: 0.46-0.74, P hand hygiene, coinciding with a reduction in nosocomial infection rates in the ICUs.

  17. Earthquake risk reduction in the United States: An assessment of selected user needs and recommendations for the National Earthquake Hazards Reduction Program

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1994-12-31

    This Assessment was conducted to improve the National Earthquake Hazards Reduction Program (NEHRP) by providing NEHRP agencies with information that supports their user-oriented setting of crosscutting priorities in the NEHRP strategic planning process. The primary objective of this Assessment was to take a ``snapshot`` evaluation of the needs of selected users throughout the major program elements of NEHRP. Secondary objectives were to conduct an assessment of the knowledge that exists (or is being developed by NEHRP) to support earthquake risk reduction, and to begin a process of evaluating how NEHRP is meeting user needs. An identification of NEHRP`s strengths also resulted from the effort, since those strengths demonstrate successful methods that may be useful to NEHRP in the future. These strengths are identified in the text, and many of them represent important achievements since the Earthquake Hazards Reduction Act was passed in 1977.

  18. An Investigation of Technologies for Hazardous Sludge Reduction at AFLC (Air Force Logistics Command) Industrial Waste Treatment Plants. Volume 1. Sodium Borohydride Treatment and Sludge Handling Technologies.

    Science.gov (United States)

    1983-12-01

    Fisher Cupric sulfate-CuSO 4 . 5H20, Certified ACS Fisher Sodium Bicarbonate-NaHCO3, Certified ACS Fisher NaOH-Certified ACS Electrolytic Pellets , Fisher...The dryer (D-1), burner , and air handling system are part of a package unit including a 4-foot diameter by 24 foot long free-standing rotary dryer, a...blower with a rated capacity of 6,200 scfm of air at 500C, a burner capable of heating that volume of air to 125*C and a cyclonic dust separator to

  19. Reduction in acute myocardial infarction mortality in the United States: risk-standardized mortality rates from 1995-2006.

    Science.gov (United States)

    Krumholz, Harlan M; Wang, Yun; Chen, Jersey; Drye, Elizabeth E; Spertus, John A; Ross, Joseph S; Curtis, Jeptha P; Nallamothu, Brahmajee K; Lichtman, Judith H; Havranek, Edward P; Masoudi, Frederick A; Radford, Martha J; Han, Lein F; Rapp, Michael T; Straube, Barry M; Normand, Sharon-Lise T

    2009-08-19

    During the last 2 decades, health care professional, consumer, and payer organizations have sought to improve outcomes for patients hospitalized with acute myocardial infarction (AMI). However, little has been reported about improvements in hospital short-term mortality rates or reductions in between-hospital variation in short-term mortality rates. To estimate hospital-level 30-day risk-standardized mortality rates (RSMRs) for patients discharged with AMI. Observational study using administrative data and a validated risk model to evaluate 3,195,672 discharges in 2,755,370 patients discharged from nonfederal acute care hospitals in the United States between January 1, 1995, and December 31, 2006. Patients were 65 years or older (mean, 78 years) and had at least a 12-month history of fee-for-service enrollment prior to the index hospitalization. Patients discharged alive within 1 day of an admission not against medical advice were excluded, because it is unlikely that these patients had sustained an AMI. Hospital-specific 30-day all-cause RSMR. At the patient level, the odds of dying within 30 days of admission if treated at a hospital 1 SD above the national average relative to that if treated at a hospital 1 SD below the national average were 1.63 (95% CI, 1.60-1.65) in 1995 and 1.56 (95% CI, 1.53-1.60) in 2006. In terms of hospital-specific RSMRs, a decrease from 18.8% in 1995 to 15.8% in 2006 was observed (odds ratio, 0.76; 95% CI, 0.75-0.77). A reduction in between-hospital heterogeneity in the RSMRs was also observed: the coefficient of variation decreased from 11.2% in 1995 to 10.8%, the interquartile range from 2.8% to 2.1%, and the between-hospital variance from 4.4% to 2.9%. Between 1995 and 2006, the risk-standardized hospital mortality rate for Medicare patients discharged with AMI showed a significant decrease, as did between-hospital variation.

  20. Functional evaluation of lung by Xe-133 lung ventilation scintigraphy before and after lung volume reduction surgery (LVRS) in patients with pulmonary emphysema

    International Nuclear Information System (INIS)

    Kurose, Taichi; Okumura, Yoshihiro; Sato, Shuhei

    2004-01-01

    We evaluated the respiratory functions of patients with pulmonary emphysema who underwent lung volume reduction surgery (LVRS) by the mean transit time (MTT) with Xe-133 lung ventilation scintigraphy, forced expiration volume in 1 sec (FEV1.0), residual volume (RV), distance walked in 6 min (6-min walk), and the Hugh-Jones classification (H-J classification) before and after LVRS. In 69 patients with pulmonary emphysema (62 men, 7 women; age range, 47-75 years; mean age, 65.4 years±6.1, preoperative H-J classification, III (two were II)-V) who underwent LVRS, all preoperative and postoperative parameters (MTT 3 weeks after LVRS and the others 3 months after LVRS) were judged statistically by the Wilcoxon signed-ranks test and Odds ratio. Every postoperative parameter was improved with a significant difference (P<0.05) compared to preoperative parameters. MTT at 3 weeks after LVRS was not associated with %FEV1.0 and the H-J classification at 3 months after LVRS, but was associated with RV and a 6-min walk at 3 months after LVRS. MTT was useful for the clinical evaluation of aerobic capability after LVRS. (author)

  1. Is a reduction in radiation lung volume and dose necessary with paclitaxel chemotherapy for node-positive breast cancer?

    Science.gov (United States)

    Taghian, Alphonse G; Assaad, Sherif I; Niemierko, Andrzej; Floyd, Scott R; Powell, Simon N

    2005-06-01

    To evaluate and quantify the effect of irradiated lung volume, radiation dose, and paclitaxel chemotherapy on the development of radiation pneumonitis (RP) in breast cancer patients with positive lymph nodes. We previously reported the incidence of RP among 41 patients with breast cancer treated with radiotherapy (RT) and adjuvant paclitaxel-containing chemotherapy. We recorded the central lung distance, a measure of the extent of lung included in the RT volume, in these patients. We used this measure and the historical and observed rates of RP in our series to model the lung tolerance to RT in patients receiving chemotherapy (CHT) both with and without paclitaxel. To evaluate the risk factors for the development of RP, we performed a case-control study comparing paclitaxel-treated patients who developed RP with those who did not, and a second case-control study comparing patients receiving paclitaxel in addition to standard CHT/RT (n = 41) and controls receiving standard CHT/RT alone (n = 192). The actuarial rate of RP in the paclitaxel-treated group was 15.4% compared with 0.9% among breast cancer patients treated with RT and non-paclitaxel-containing CHT. Our mathematical model found that the effective lung tolerance for patients treated with paclitaxel was reduced by approximately 24%. No statistically significant difference was found with regard to the dose delivered to specific radiation fields, dose per fraction, central lung distance, or percentage of lung irradiated in the case-control study of paclitaxel-treated patients who developed RP compared with those who did not. In the comparison of 41 patients receiving RT and CHT with paclitaxel and 192 matched controls receiving RT and CHT without paclitaxel, the only significant differences identified were the more frequent use of a supraclavicular radiation field and a decrease in the RT lung dose among the paclitaxel-treated patients. This finding indicates that the major factor associated with development

  2. Prediction of boiling points of some organic compounds to be used in volume reduction of liquid radioactive wastes

    International Nuclear Information System (INIS)

    Helal, N.L.; Ezz el-Din, M.R.

    2004-01-01

    Boiling points determination may help in the evaporation process used to solidify high-level liquid wastes and to reduce the volume of wastes that require disposal. The problem that always encountered is how to choose an appropriate method to determine the boiling points of the liquid wastes which will be able to solve. We introduce this work with the aim to use mathematical descriptors and their applications in predicting boiling points essential for the evaporation process. This work was applied for diverse database of two sets of chemicals that may exist in radioactive wastes. The first set was 59 alcohols and amines (group a) and the second was 11 aniline compounds (group b). The results show that the used mathematical descriptors give a reasonable predictive model for the diverse sets of molecules

  3. Development of a monolith-type package for transport and storage of radioactive steel with particular respect to volume reduction

    International Nuclear Information System (INIS)

    Pflugrad, K.; Sappok, M.; Schlesinger, H.J.; Stang, W.

    1993-01-01

    In the framework of EC-sponsored research programmes the treatment by melting of various metals originating from decommissioning has been extensively investigated during the last 10 years. In particular, the reuse/recycling of low radioactive steel by special melt techniques has been studied. At present, a monolith type cask is being developed. This cask will be produced from low radioactive steel enveloping higher radioactive steel using an 'onion' melt technique. The developments take into consideration the German requirements for transportation and storage, as well as the IAEA transportation requirements. The application of this technique to the KRB-A reactor decommissioning is described. The monolith cask will combine the recycling of radioactive steel with reduced storage volume and therefore will be cost-effective. (author)

  4. Relationship Between State-Level Google Online Search Volume and Cancer Incidence in the United States: Retrospective Study.

    Science.gov (United States)

    Phillips, Charles A; Barz Leahy, Allison; Li, Yimei; Schapira, Marilyn M; Bailey, L Charles; Merchant, Raina M

    2018-01-08

    In the United States, cancer is common, with high morbidity and mortality; cancer incidence varies between states. Online searches reflect public awareness, which could be driven by the underlying regional cancer epidemiology. The objective of our study was to characterize the relationship between cancer incidence and online Google search volumes in the United States for 6 common cancers. A secondary objective was to evaluate the association of search activity with cancer-related public events and celebrity news coverage. We performed a population-based, retrospective study of state-level cancer incidence from 2004 through 2013 reported by the Centers for Disease Control and Prevention for breast, prostate, colon, lung, and uterine cancers and leukemia compared to Google Trends (GT) relative search volume (RSV), a metric designed by Google to allow interest in search topics to be compared between regions. Participants included persons in the United States who searched for cancer terms on Google. The primary measures were the correlation between annual state-level cancer incidence and RSV as determined by Spearman correlation and linear regression with RSV and year as independent variables and cancer incidence as the dependent variable. Temporal associations between search activity and events raising public awareness such as cancer awareness months and cancer-related celebrity news were described. At the state level, RSV was significantly correlated to incidence for breast (r=.18, P=.001), prostate (r=-.27, P<.001), lung (r=.33, P<.001), and uterine cancers (r=.39, P<.001) and leukemia (r=.13, P=.003) but not colon cancer (r=-.02, P=.66). After adjusting for time, state-level RSV was positively correlated to cancer incidence for all cancers: breast (P<.001, 95% CI 0.06 to 0.19), prostate (P=.38, 95% CI -0.08 to 0.22), lung (P<.001, 95% CI 0.33 to 0.46), colon (P<.001, 95% CI 0.11 to 0.17), and uterine cancers (P<.001, 95% CI 0.07 to 0.12) and leukemia (P<.001, 95

  5. Giant liver hemangioma resected by trisectorectomy after efficient volume reduction by transcatheter arterial embolization: a case report

    Directory of Open Access Journals (Sweden)

    Akamatsu Nobuhisa

    2010-08-01

    Full Text Available Abstract Introduction Liver hemangiomas are the most common benign liver tumors, usually small in size and requiring no treatment. Giant hemangiomas complicated with consumptive coagulopathy (Kasabach-Merritt syndrome or causing severe incapacitating symptoms, however, are generally considered an absolute indication for surgical resection. Here, we present the case of a giant hemangioma, which was, to the best of our knowledge, one of the largest ever reported. Case presentation A 38-year-old Asian man was referred to our hospital with complaints of severe abdominal distension and pancytopenia. Examinations at the first visit revealed a right liver hemangioma occupying the abdominal cavity, protruding into the right diaphragm up to the right thoracic cavity and extending down to the pelvic cavity, with a maximum diameter of 43 cm, complicated with "asymptomatic" Kasabach-Merritt syndrome. Based on the tumor size and the anatomic relationship between the tumor and hepatic vena cava, primary resection seemed difficult and dangerous, leading us to first perform transcatheter arterial embolization to reduce the tumor volume and to ensure the safety of future resection. The tumor volume was significantly decreased by two successive transcatheter arterial embolizations, and a conventional right trisectorectomy was then performed without difficulty to resect the tumor. Conclusions To date, there have been several reports of aggressive surgical treatments, including extra-corporeal hepatic resection and liver transplantation, for huge hemangiomas like the present case, but because of its benign nature, every effort should be made to avoid life-threatening surgical stress for patients. Our experience demonstrates that a pre-operative arterial embolization may effectively enable the resection of large hemangiomas.

  6. CT image quality improvement using adaptive iterative dose reduction with wide-volume acquisition on 320-detector CT

    International Nuclear Information System (INIS)

    Gervaise, Alban; Osemont, Benoit; Lecocq, Sophie; Blum, Alain; Noel, Alain; Micard, Emilien; Felblinger, Jacques

    2012-01-01

    To evaluate the impact of Adaptive Iterative Dose Reduction (AIDR) on image quality and radiation dose in phantom and patient studies. A phantom was examined in volumetric mode on a 320-detector CT at different tube currents from 25 to 550 mAs. CT images were reconstructed with AIDR and with Filtered Back Projection (FBP) reconstruction algorithm. Image noise, Contrast-to-Noise Ratio (CNR), Signal-to-Noise Ratio (SNR) and spatial resolution were compared between FBP and AIDR images. AIDR was then tested on 15 CT examinations of the lumbar spine in a prospective study. Again, FBP and AIDR images were compared. Image noise and SNR were analysed using a Wilcoxon signed-rank test. In the phantom, spatial resolution assessment showed no significant difference between FBP and AIDR reconstructions. Image noise was lower with AIDR than with FBP images with a mean reduction of 40%. CNR and SNR were also improved with AIDR. In patients, quantitative and subjective evaluation showed that image noise was significantly lower with AIDR than with FBP. SNR was also greater with AIDR than with FBP. Compared to traditional FBP reconstruction techniques, AIDR significantly improves image quality and has the potential to decrease radiation dose. (orig.)

  7. Variation in critical care unit admission rates and outcomes for patients with acute coronary syndromes or heart failure among high- and low-volume cardiac hospitals.

    Science.gov (United States)

    van Diepen, Sean; Bakal, Jeffrey A; Lin, Meng; Kaul, Padma; McAlister, Finlay A; Ezekowitz, Justin A

    2015-02-27

    Little is known about cross-hospital differences in critical care units admission rates and related resource utilization and outcomes among patients hospitalized with acute coronary syndromes (ACS) or heart failure (HF). Using a population-based sample of 16,078 patients admitted to a critical care unit with a primary diagnosis of ACS (n=14,610) or HF (n=1467) between April 1, 2003 and March 31, 2013 in Alberta, Canada, we stratified hospitals into high (>250), medium (200 to 250), or low (<200) volume based on their annual volume of all ACS and HF hospitalization. The percentage of hospitalized patients admitted to critical care units varied across low, medium, and high-volume hospitals for both ACS and HF as follows: 77.9%, 81.3%, and 76.3% (P<0.001), and 18.0%, 16.3%, and 13.0% (P<0.001), respectively. Compared to low-volume units, critical care patients with ACS and HF admitted to high-volume hospitals had shorter mean critical care stays (56.6 versus 95.6 hours, P<0.001), more critical care procedures (1.9 versus 1.2 per patient, <0.001), and higher resource-intensive weighting (2.8 versus 1.5, P<0.001). No differences in in-hospital mortality (5.5% versus 6.2%, adjusted odds ratio 0.93; 95% CI, 0.61 to 1.41) were observed between high- and low-volume hospitals; however, 30-day cardiovascular readmissions (4.6% versus 6.8%, odds ratio 0.77; 95% CI, 0.60 to 0.99) and cardiovascular emergency-room visits (6.6% versus 9.5%, odds ratio 0.80; 95% CI, 0.69 to 0.94) were lower in high-volume compared to low-volume hospitals. Outcomes stratified by ACS or HF admission diagnosis were similar. Cardiac patients hospitalized in low-volume hospitals were more frequently admitted to critical care units and had longer hospitals stays despite lower resource-intensive weighting. These findings may provide opportunities to standardize critical care utilization for ACS and HF patients across high- and low-volume hospitals. © 2015 The Authors. Published on behalf of the American

  8. SORL1 rs1699102 polymorphism modulates age-related cognitive decline and gray matter volume reduction in non-demented individuals.

    Science.gov (United States)

    Li, He; Lv, Chenlong; Yang, Caishui; Wei, Dongfeng; Chen, Kewei; Li, Shaowu; Zhang, Zhanjun

    2017-01-01

    SORL1 rs1699102 is associated with the risk of late-onset Alzheimer's disease. However, the effects of this single nucleotide polymorphism on cognition and brain structure during normal aging are unclear. This study aimed to examine the effects of the rs1699102 polymorphism on age-related cognitive decline and cortical gray matter reduction in the Chinese Han population. A total of 780 non-demented adults completed a battery of neuropsychological tests. High-resolution T1-weighted structural magnetic resonance imaging data from 89 of these subjects were also collected using a Siemens Trio 3.0 Tesla scanner. The T allele carriers displayed an accelerated age-related change in episodic memory and processing speed tests relative to the CC genotype. A similar pattern was observed in the age-related gray matter volume (GMV) reduction of the right middle temporal pole. The GMV in this region was significantly positively correlated with the episodic memory scores. The SORL1 gene rs1699102 polymorphism has been found to be associated with age-related cognitive decline and GMV reduction of the right middle temporal pole in older adults. These findings elucidate how the SORL1 variants shape the neural system to modulate age-related cognitive decline and support the hypothesis that SORL1 may represent a candidate gene for late-onset Alzheimer's disease. © 2016 EAN.

  9. Comparison the effect of two ways of tube feeding including bolus and continuous infusion on gastric residual volume and diarrhea in patients hospitalized in Intensive Care Unit

    Directory of Open Access Journals (Sweden)

    Shahriari M

    2015-05-01

    Full Text Available Background and Objective: Proper nutritional support is one of the important caring aspects in patients who were hospitalized in Intensive Care Unit. Although the several studies have been done concerning the selection of proper nutrition method for patients, but there is no agreement on this issue. The aim of current study was the compare the effect of two ways of tube feeding including bolus and continuous infusion on gastric residual volume and diarrhea in patients hospitalized in Intensive Care Unit.  Materials and Method: The current clinical trial was conducted on patients who were hospitalized in intensive care unit in Alzahra hospital in Isfahan, 2013. Fifty patients were selected through convenient sampling and were randomly assigned into two groups of 25 people of intervention and control. Nutrition was done through infusion pump in intervention group and by bolus in control group. Gastric residual volume and diarrhea was assessed each four hours for four days. Data were gathered through checklist and were analyzed by SPSS18 using descriptive and inferential statistics including independent T-test, Fisher's exact test and repeated measures ANOVA.  Results: The results showed that the mean of gastric residual volume in control group was more than the intervention group on the third day (p=0.04. Also, the mean of gastric residual volume did not show significant difference at different times in intervention group, but the mean of gastric residual volume was significantly increased in control group at different times (p=0.04. Fisher's exact test showed no significant difference between two groups concerning the diarrhea frequency.  Conclusion: In nutritional support with continuous infusion method, gastric residual volume was not increased and gastric emptying rate was not diminished. Therefore, this method can be used as an appropriate nutritional support in intensive care unit.

  10. The effect of major adverse renal cardiovascular event (MARCE) incidence, procedure volume, and unit cost on the hospital savings resulting from contrast media use in inpatient angioplasty.

    Science.gov (United States)

    Keuffel, Eric; McCullough, Peter A; Todoran, Thomas M; Brilakis, Emmanouil S; Palli, Swetha R; Ryan, Michael P; Gunnarsson, Candace

    2018-04-01

    To determine the net economic impact of switching from low-osmolar contrast media (LOCM) to iso-osmolar contrast media (IOCM; iodixanol) in patients undergoing inpatient coronary or peripheral angioplasty in the United States (US). A budget impact model (BIM) was developed from a hospital perspective. Nationally representative procedural and contrast media prevalence rates, along with MARCE (major adverse renal cardiovascular event) incidence and episode-related cost data were derived from Premier Hospital Data (October 2014 to September 2015). A previously estimated relative risk reduction in MARCE associated with IOCM usage (9.3%) was applied. The higher cost of IOCM was included when calculating the net impact estimates at the aggregate, hospital type, and per hospital levels. One-way (±25%) and probabilistic sensitivity analyses identified the model's most important inputs. Based on weighted analysis, 513,882 US inpatient angioplasties and 35,610 MARCE cases were estimated annually. Switching to an "IOCM only" strategy from a "LOCM only" strategy increases contrast media cost, but prevents 2,900 MARCE events. The annual budget impact was an estimated saving of $30.71 million, aggregated across all US hospitals, $6,316 per hospital, or $60 per procedure. Net savings were maintained across all univariate sensitivity analyses. While MARCE/event-free cost differential was the most important factor driving total net savings for hospitals in the Northeast and West, procedural volume was important in the Midwest and rural locations. Switching to an "IOCM only" strategy from a "LOCM only" approach yields substantial net global savings to hospitals, both at the national level and within hospital sub-groups. Hospital administrators should maintain awareness of the factors that are likely to be more influential for their hospital and recognize that purchasing on the basis of lower contrast media cost may result in higher overall costs for patients undergoing inpatient

  11. User's guide for PRISM (Plant Risk Status Information Management System) Arkansas Nuclear One-Unit 1: Volume 1, Program for inspectors

    International Nuclear Information System (INIS)

    Campbell, D.J.; Guthrie, V.H.; Kirchner, J.R.; Kirkman, J.Q.; Paula, H.M.; Ellison, B.C.; Dycus, F.M.; Farquharson, J.A.; Flanagan, G.F.

    1988-03-01

    This user's guide is a two-volume document designed to teach NRC inspectors and NRC regulators how to access probabilistic risk assessment information from the two Plant Risk Status Information Management System (PRISIM) programs developed for Arkansas Nuclear One -- Unit One (ANO-1). This document, Volume 1, describes how the PRA information available in Version 1.0 of PRISIM is useful for planning inspections. Using PRISIM, inspectors can quickly access PRA information and use that information to update risk analysis results, reflecting a plant's status at any particular time. Both volumes are stand-alone documents, and each volume presents several sample computer sessions designed to lead the user through a variety of PRISIM applications used to obtain PRA-related information for monitoring and controlling plant risk

  12. User's guide for PRISM (Plant Risk Status Information Management System) Arkansas Nuclear One-Unit 1: Volume 1, Program for inspectors

    Energy Technology Data Exchange (ETDEWEB)

    Campbell, D.J.; Guthrie, V.H.; Kirchner, J.R.; Kirkman, J.Q.; Paula, H.M.; Ellison, B.C.; Dycus, F.M.; Farquharson, J.A.; Flanagan, G.F.

    1988-03-01

    This user's guide is a two-volume document designed to teach NRC inspectors and NRC regulators how to access probabilistic risk assessment information from the two Plant Risk Status Information Management System (PRISIM) programs developed for Arkansas Nuclear One -- Unit One (ANO-1). This document, Volume 1, describes how the PRA information available in Version 1.0 of PRISIM is useful for planning inspections. Using PRISIM, inspectors can quickly access PRA information and use that information to update risk analysis results, reflecting a plant's status at any particular time. Both volumes are stand-alone documents, and each volume presents several sample computer sessions designed to lead the user through a variety of PRISIM applications used to obtain PRA-related information for monitoring and controlling plant risk.

  13. Design of a PWR gaseous effluent treatment system combining delay-storage vessels, volume-reduction and activated-charcoal beds

    International Nuclear Information System (INIS)

    Nuyt, G.; Glibert, R.; Lahaye, J.P.

    1986-01-01

    The usual technique for the treatment of gaseous effluents is to store them in radioactive decay tanks and to carry out a range of operations such as recycling, volume-reduction and discharge. Although presenting undeniable advantages, this technique has a number of weaknesses which have become apparent with experience. This paper describes and analyses a system designed to alleviate these difficulties and to permit greater flexibility in gaseous effluent treatment, especially for power stations in the load-following mode of operation, by means of a combination of storage techniques and retention of short-lived isotopes in activated charcoal beds. The attractiveness of the proposed system is apparent from an analysis of operational, maintenance, safety and cost aspects. (author)

  14. Volume reduction/solidification of liquid radioactive waste using bitumen at Ontario hydro's Bruce nuclear generating station open-quotes Aclose quotes

    International Nuclear Information System (INIS)

    Day, J.E.; Baker, R.L.

    1994-01-01

    Ontario Hydro at the Bruce Nuclear Generating Station open-quotes Aclose quotes has undertaken a program to render the station's liquid radioactive waste suitable for discharge to Lake Huron by removing sufficient radiological and chemical contaminants from five different plant waste streams. The contaminants will be immobilized and stored at on-site radioactive waste storage facilities and the purified streams will be discharged. The discharge targets established by Ontario Hydro are set well below the limits established by the Ontario Ministry of Environment (MOE) and are based on the Best Available Technology Economically Achievable Approach (B.A.T.E.A.). ADTECHS Corporation has been selected by Ontario Hydro to provide volume reduction/solidification technology for one of the five waste streams. The system will dry and immobilize the contaminants from a liquid waste stream in emulsified asphalt using thin film evaporation technology

  15. The effectiveness of environmental strategies on noise reduction in a pediatric intensive care unit: creation of single-patient bedrooms and reducing noise sources.

    Science.gov (United States)

    Kol, Emine; Aydın, Perihan; Dursun, Oguz

    2015-07-01

    Noise is a substantial problem for both patients and healthcare workers in hospitals. This study aimed to determine the effectiveness of environmental strategies (creating single-patient rooms and reducing noise sources) in noise reduction in a pediatric intensive care unit. Noise measurement in the unit was conducted in two phases. In the first phase, measurements aimed at determining the unit's present level of noise were performed over 4 weeks in December 2013. During the month following the first measurement phase, the intensive care unit (ICU) was moved to a new location and noise-reducing strategies were implemented. The second phase, in May 2014, measured noise levels in the newly constructed environment. The noise levels before and after environmental changes were statistically significant at 72.6 dB-A and 56 dB-A, respectively (p noise-reducing strategies can be effective in controlling environmental noise in the ICU. © 2015, Wiley Periodicals, Inc.

  16. Lung volume reduction in pulmonary emphysema from the radiologist's perspective; Lungenvolumenreduktion beim Lungenemphysem aus der Sicht des Radiologen

    Energy Technology Data Exchange (ETDEWEB)

    Doellinger, F.; Poellinger, A. [Charite Universitaetsmedizin Berlin (Germany). Dept. of Radiology; Huebner, R.H. [Charite Universitaetsmedizin Berlin (Germany). Dept. of Internal Medicine/Infectious and Respiratory Diseases; Kuhnigk, J.M. [Fraunhofer MEVIS, Bremen (Germany). Inst. for Medical Image Computing

    2015-08-15

    Pulmonary emphysema causes decrease in lung function due to irreversible dilatation of intrapulmonary air spaces, which is linked to high morbidity and mortality. Lung volume reduction (LVR) is an invasive therapeutical option for pulmonary emphysema in order to improve ventilation mechanics. LVR can be carried out by lung resection surgery or different minimally invasive endoscopical procedures. All LVR-options require mandatory preinterventional evaluation to detect hyperinflated dysfunctional lung areas as target structures for treatment. Quantitative computed tomography can determine the volume percentage of emphysematous lung and its topographical distribution based on the lung's radiodensity. Modern techniques allow for lobebased quantification that facilitates treatment planning. Clinical tests still play the most important role in post-interventional therapy monitoring, but CT is crucial in the detection of postoperative complications and foreshadows the method's high potential in sophisticated experimental studies. Within the last ten years, LVR with endobronchial valves has become an extensively researched minimally-invasive treatment option. However, this therapy is considerably complicated by the frequent occurrence of functional interlobar shunts. The presence of ''collateral ventilation'' has to be ruled out prior to valve implantations, as the presence of these extraanatomical connections between different lobes may jeopardize the success of therapy. Recent experimental studies evaluated the automatic detection of incomplete lobar fissures from CT scans, because they are considered to be a predictor for the existence of shunts. To date, these methods are yet to show acceptable results.

  17. Reduction on high level radioactive waste volume and geological repository footprint with high burn-up and high thermal efficiency of HTGR

    Energy Technology Data Exchange (ETDEWEB)

    Fukaya, Yuji, E-mail: fukaya.yuji@jaea.go.jp; Nishihara, Tetsuo

    2016-10-15

    Highlights: • We evaluate the number of canisters and its footprint for HTGR. • We proposed new waste loading method for direct disposal of HTGR. • HTGR can significantly reduce HLW volume compared with LWR. - Abstract: Reduction on volume of High Level radioactive Waste (HLW) and footprint in a geological repository due to high burn-up and high thermal efficiency of High Temperature Gas-cooled Reactor (HTGR) has been investigated. A helium-cooled and graphite-moderated commercial HTGR was designed as a Gas Turbine High Temperature Reactor (GTHTR300), and that has particular features such as significantly high burn-up of approximately 120 GWd/t, high thermal efficiency around 50%, and pin-in-block type fuel. The pin-in-block type fuel was employed to reduce processed graphite volume in reprocessing. By applying the feature, effective waste loading method for direct disposal is proposed in this study. By taking into account these feature, the number of HLW canister generations and its repository footprint are evaluated by burn-up fuel composition, thermal calculation and criticality calculation in repository. As a result, it is found that the number of canisters and its repository footprint per electricity generation can be reduced by 60% compared with Light Water Reactor (LWR) representative case for direct disposal because of the higher burn-up, higher thermal efficiency, less TRU generation, and effective waste loading proposed in this study for HTGR. But, the reduced ratios change to 20% and 50% if the long term durability of LWR canister is guaranteed. For disposal with reprocessing, the number of canisters and its repository footprint per electricity generation can be reduced by 30% compared with LWR because of the 30% higher thermal efficiency of HTGR.

  18. The association between brain volumes, delirium duration, and cognitive outcomes in intensive care unit survivors: the VISIONS cohort magnetic resonance imaging study*.

    Science.gov (United States)

    Gunther, Max L; Morandi, Alessandro; Krauskopf, Erin; Pandharipande, Pratik; Girard, Timothy D; Jackson, James C; Thompson, Jennifer; Shintani, Ayumi K; Geevarghese, Sunil; Miller, Russell R; Canonico, Angelo; Merkle, Kristen; Cannistraci, Christopher J; Rogers, Baxter P; Gatenby, J Chris; Heckers, Stephan; Gore, John C; Hopkins, Ramona O; Ely, E Wesley

    2012-07-01

    Delirium duration is predictive of long-term cognitive impairment in intensive care unit survivors. Hypothesizing that a neuroanatomical basis may exist for the relationship between delirium and long-term cognitive impairment, we conducted this exploratory investigation of the associations between delirium duration, brain volumes, and long-term cognitive impairment. A prospective cohort of medical and surgical intensive care unit survivors with respiratory failure or shock. Quantitative high resolution 3-Tesla brain magnetic resonance imaging was used to calculate brain volumes at discharge and 3-month follow-up. Delirium was evaluated using the confusion assessment method for the intensive care unit; cognitive outcomes were tested at 3- and 12-month follow-up. Linear regression was used to examine associations between delirium duration and brain volumes, and between brain volumes and cognitive outcomes. A total of 47 patients completed the magnetic resonance imaging protocol. Patients with longer duration of delirium displayed greater brain atrophy as measured by a larger ventricle-to-brain ratio at hospital discharge (0.76, 95% confidence intervals [0.10, 1.41]; p = .03) and at 3-month follow-up (0.62 [0.02, 1.21], p = .05). Longer duration of delirium was associated with smaller superior frontal lobe (-2.11 cm(3) [-3.89, -0.32]; p = .03) and hippocampal volumes at discharge (-0.58 cm(3) [-0.85, -0.31], p Battery for the Assessment of Neuropsychological Status score -11.17 [-21.12, -1.22], p = .04). Smaller superior frontal lobes, thalamus, and cerebellar volumes at 3 months were associated with worse executive functioning and visual attention at 12 months. These preliminary data show that longer duration of delirium is associated with smaller brain volumes up to 3 months after discharge, and that smaller brain volumes are associated with long-term cognitive impairment up to 12 months. We cannot, however, rule out that smaller preexisting brain volumes explain

  19. Reduction in Tumor Volume by Cone Beam Computed Tomography Predicts Overall Survival in Non-Small Cell Lung Cancer Treated With Chemoradiation Therapy

    Energy Technology Data Exchange (ETDEWEB)

    Jabbour, Salma K., E-mail: jabbousk@cinj.rutgers.edu [Department of Radiation Oncology, Rutgers Cancer Institute of New Jersey, Rutgers Robert Wood Johnson Medical School, Rutgers The State University of New Jersey, New Brunswick, New Jersey (United States); Kim, Sinae [Division of Biometrics, Rutgers Cancer Institute of New Jersey, Rutgers Robert Wood Johnson Medical School, Rutgers The State University of New Jersey, New Brunswick, New Jersey (United States); Department of Biostatistics, School of Public Health, Rutgers University, New Brunswick, New Jersey (United States); Haider, Syed A. [Department of Radiation Oncology, Rutgers Cancer Institute of New Jersey, Rutgers Robert Wood Johnson Medical School, Rutgers The State University of New Jersey, New Brunswick, New Jersey (United States); Xu, Xiaoting [Department of Radiation Oncology, Rutgers Cancer Institute of New Jersey, Rutgers Robert Wood Johnson Medical School, Rutgers The State University of New Jersey, New Brunswick, New Jersey (United States); Department of Radiation Oncology, The First Affiliated Hospital of Soochow University, Soochow (China); Wu, Alson [Department of Radiation Oncology, Rutgers Cancer Institute of New Jersey, Rutgers Robert Wood Johnson Medical School, Rutgers The State University of New Jersey, New Brunswick, New Jersey (United States); Surakanti, Sujani; Aisner, Joseph [Division of Medical Oncology, Rutgers Cancer Institute of New Jersey, Rutgers Robert Wood Johnson Medical School, Rutgers The State University of New Jersey, New Brunswick, New Jersey (United States); Langenfeld, John [Division of Surgery, Rutgers Cancer Institute of New Jersey, Rutgers Robert Wood Johnson Medical School, Rutgers The State University of New Jersey, New Brunswick, New Jersey (United States); Yue, Ning J.; Haffty, Bruce G.; Zou, Wei [Department of Radiation Oncology, Rutgers Cancer Institute of New Jersey, Rutgers Robert Wood Johnson Medical School, Rutgers The State University of New Jersey, New Brunswick, New Jersey (United States)

    2015-07-01

    Purpose: We sought to evaluate whether tumor response using cone beam computed tomography (CBCT) performed as part of the routine care during chemoradiation therapy (CRT) could forecast the outcome of unresectable, locally advanced, non-small cell lung cancer (NSCLC). Methods and Materials: We manually delineated primary tumor volumes (TV) of patients with NSCLC who were treated with radical CRT on days 1, 8, 15, 22, 29, 36, and 43 on CBCTs obtained as part of the standard radiation treatment course. Percentage reductions in TV were calculated and then correlated to survival and pattern of recurrence using Cox proportional hazard models. Clinical information including histologic subtype was also considered in the study of such associations. Results: We evaluated 38 patients with a median follow-up time of 23.4 months. The median TV reduction was 39.3% (range, 7.3%-69.3%) from day 1 (D1) to day 43 (D43) CBCTs. Overall survival was associated with TV reduction from D1 to D43 (hazard ratio [HR] 0.557, 95% CI 0.39-0.79, P=.0009). For every 10% decrease in TV from D1 to D43, the risk of death decreased by 44.3%. For patients whose TV decreased ≥39.3 or <39.3%, log-rank test demonstrated a separation in survival (P=.02), with median survivals of 31 months versus 10 months, respectively. Neither local recurrence (HR 0.791, 95% CI 0.51-1.23, P=.29), nor distant recurrence (HR 0.78, 95% CI 0.57-1.08, P=.137) correlated with TV decrease from D1 to D43. Histologic subtype showed no impact on our findings. Conclusions: TV reduction as determined by CBCT during CRT as part of routine care predicts post-CRT survival. Such knowledge may justify intensification of RT or application of additional therapies. Assessment of genomic characteristics of these tumors may permit a better understanding of behavior or prediction of therapeutic outcomes.

  20. Reduction in Tumor Volume by Cone Beam Computed Tomography Predicts Overall Survival in Non-Small Cell Lung Cancer Treated With Chemoradiation Therapy

    International Nuclear Information System (INIS)

    Jabbour, Salma K.; Kim, Sinae; Haider, Syed A.; Xu, Xiaoting; Wu, Alson; Surakanti, Sujani; Aisner, Joseph; Langenfeld, John; Yue, Ning J.; Haffty, Bruce G.; Zou, Wei

    2015-01-01

    Purpose: We sought to evaluate whether tumor response using cone beam computed tomography (CBCT) performed as part of the routine care during chemoradiation therapy (CRT) could forecast the outcome of unresectable, locally advanced, non-small cell lung cancer (NSCLC). Methods and Materials: We manually delineated primary tumor volumes (TV) of patients with NSCLC who were treated with radical CRT on days 1, 8, 15, 22, 29, 36, and 43 on CBCTs obtained as part of the standard radiation treatment course. Percentage reductions in TV were calculated and then correlated to survival and pattern of recurrence using Cox proportional hazard models. Clinical information including histologic subtype was also considered in the study of such associations. Results: We evaluated 38 patients with a median follow-up time of 23.4 months. The median TV reduction was 39.3% (range, 7.3%-69.3%) from day 1 (D1) to day 43 (D43) CBCTs. Overall survival was associated with TV reduction from D1 to D43 (hazard ratio [HR] 0.557, 95% CI 0.39-0.79, P=.0009). For every 10% decrease in TV from D1 to D43, the risk of death decreased by 44.3%. For patients whose TV decreased ≥39.3 or <39.3%, log-rank test demonstrated a separation in survival (P=.02), with median survivals of 31 months versus 10 months, respectively. Neither local recurrence (HR 0.791, 95% CI 0.51-1.23, P=.29), nor distant recurrence (HR 0.78, 95% CI 0.57-1.08, P=.137) correlated with TV decrease from D1 to D43. Histologic subtype showed no impact on our findings. Conclusions: TV reduction as determined by CBCT during CRT as part of routine care predicts post-CRT survival. Such knowledge may justify intensification of RT or application of additional therapies. Assessment of genomic characteristics of these tumors may permit a better understanding of behavior or prediction of therapeutic outcomes

  1. Economical benzene emission reduction

    International Nuclear Information System (INIS)

    Schuetz, R.

    1999-01-01

    Benzene has been classified as a toxic compound under the Canadian Environmental Protection Act. This has prompted the Alberta Energy and Utilities Board (AEUB) to introduce specific reporting and monitoring guidelines for the oil and gas industry regarding excessive benzene emissions. Glycol dehydration units have been determined to be the major single source of benzene emissions causing air and soil pollution. DualTank Corp. has designed a condensation and storage tank unit to enhance emission reduction, odour elimination and liquid recovery from dehydration units. Their newly designed combined tank unit consists of a large, uninsulated surface area for cooling, and an excessive internal volume for increased retention time. The first prototype was installed in December 1998 at an Enerplus Resources Site. The system provides excellent benzene emission reduction and the elimination of odours and visual plumes. Effective January 1, 1999, the petroleum and natural gas industry must either clean up excessive emissions voluntarily or face government imposed regulations, facility shutdowns and/or fines. 1 fig

  2. User's guide for PRISIM (Plant Risk Status Information Management System) Arkansas Nuclear One--Unit 1: Volume 2, Program for regulators

    Energy Technology Data Exchange (ETDEWEB)

    Campbell, D.J.; Guthrie, V.H.; Kirchner, J.R.; Kirkman, J.Q.; Paula, H.M.; Ellison, B.C.; Dycus, F.M.; Farquharson, J.A.; Flanagan, G.F.

    1988-03-01

    This user's guide is a two-volume document designed to teach NRC inspectors and NRC regulators how to access probabilistic risk assessment information from the two Plant Risk Status Information Management System (PRISIM) programs developed for Arkansas Nuclear One--Unit One (ANA-1). This document, Volume 2, describes how the PRA information available in Version 2.0 of PRISIM is useful as an evaluation tool for regulatory activities. Using PRISIM is useful as an evaluation tool for regulatory activities. Using PRISIM, regulators can both access PRA information and modify the information to assess the impact these changes may have on plant safety. Each volume is a stand-alone document.

  3. An investigation of kV CBCT image quality and dose reduction for volume-of-interest imaging using dynamic collimation

    Energy Technology Data Exchange (ETDEWEB)

    Parsons, David, E-mail: david.parsons@dal.ca, E-mail: james.robar@cdha.nshealth.ca [Department of Physics and Atmospheric Science, Dalhousie University, 5820 University Avenue, Halifax, Nova Scotia B3H 1V7 (Canada); Robar, James L., E-mail: david.parsons@dal.ca, E-mail: james.robar@cdha.nshealth.ca [Department of Radiation Oncology and Department of Physics and Atmospheric Science, Dalhousie University, 5820 University Avenue, Halifax, Nova Scotia B3H 1V7 (Canada)

    2015-09-15

    Purpose: The focus of this work was to investigate the improvements in image quality and dose reduction for volume-of-interest (VOI) kilovoltage-cone beam CT (CBCT) using dynamic collimation. Methods: A prototype iris aperture was used to track a VOI during a CBCT acquisition. The current aperture design is capable of 1D translation as a function of gantry angle and dynamic adjustment of the iris radius. The aperture occupies the location of the bow-tie filter on a Varian On-Board Imager system. CBCT and planar image quality were investigated as a function of aperture radius, while maintaining the same dose to the VOI, for a 20 cm diameter cylindrical water phantom with a 9 mm diameter bone insert centered on isocenter. Corresponding scatter-to-primary ratios (SPR) were determined at the detector plane with Monte Carlo simulation using EGSnrc. Dose distributions for various sizes VOI were modeled using a dynamic BEAMnrc library and DOSXYZnrc. The resulting VOI dose distributions were compared to full-field distributions. Results: SPR was reduced by a factor of 8.4 when decreasing iris diameter from 21.2 to 2.4 cm (at isocenter). Depending upon VOI location and size, dose was reduced to 16%–90% of the full-field value along the central axis plane and down to 4% along the axis of rotation, while maintaining the same dose to the VOI compared to full-field techniques. When maintaining constant dose to the VOI, this change in iris diameter corresponds to a factor increase of approximately 1.6 in image contrast and a factor decrease in image noise of approximately 1.2. This results in a measured gain in contrast-to-noise ratio by a factor of approximately 2.0. Conclusions: The presented VOI technique offers improved image quality for image-guided radiotherapy while sparing the surrounding volume of unnecessary dose compared to full-field techniques.

  4. Meats Units for Agricultural Science I and Advanced Livestock Production and Marketing Courses. Instructor's Guide. Volume 18, Number 4.

    Science.gov (United States)

    Stewart, Bob R.; McCaskey, Michael J.

    These two units are designed to aid teachers in lesson planning in the secondary agricultural education curriculum in Missouri. The first unit, on meat identification, is to be taught as part of the first year of instruction in agricultural science, while the second unit, advanced meats, was prepared for use with 11th- and 12th-grade students in…

  5. Pulmonary Perfusion Changes as Assessed by Contrast-Enhanced Dual-Energy Computed Tomography after Endoscopic Lung Volume Reduction by Coils.

    Science.gov (United States)

    Lador, Frédéric; Hachulla, Anne-Lise; Hohn, Olivia; Plojoux, Jérôme; Ronot, Maxime; Montet, Xavier; Soccal, Paola M

    2016-01-01

    Endoscopic lung volume reduction by coils (LVRC) is a recent treatment approach for severe emphysema. Furthermore, dual-energy computed tomography (DECT) now offers a combined assessment of lung morphology and pulmonary perfusion. The aim of our study was to assess the impact of LVRC on pulmonary perfusion with DECT. Seventeen patients (64.8 ± 6.7 years) underwent LVRC. DECT was performed prior to and after LVRC. For each patient, lung volumes and emphysema quantification were automatically calculated. Then, 6 regions of interest (ROIs) on the iodine perfusion map were drawn in the anterior, mid, and posterior right and left lungs at 4 defined levels. The ROI values were averaged to obtain lung perfusion as assessed by the lung's iodine concentration (CLung, μg·cm-3). The CLung values were normalized using the left atrial iodine concentration (CLA) to take into account differences between successive DECT scans. The 6-min walk distance (6MWD) improved significantly after the procedure (p = 0.0002). No lung volume changes were observed between successive DECT scans for any of the patients (p = 0.32), attesting the same suspended inspiration. After LVRC, the emphysema index was significantly reduced in the treated lung (p = 0.0014). Lung perfusion increased significantly adjacent to the treated areas (CLung/CLA from 3.4 ± 1.7 to 5.6 ± 2.2, p < 0.001) and in the ipsilateral untreated areas (from 4.1 ± 1.4 to 6.6 ± 1.7, p < 0.001), corresponding to a mean 65 and 61% increase in perfusion, respectively. No significant difference was observed in the contralateral upper and lower areas (from 4.4 ± 1.9 to 4.8 ± 2.1, p = 0.273, and from 4.9 ± 2.0 to 5.2 ± 1.7, p = 0.412, respectively). A significant correlation between increased 6MWD and increased perfusion was found (p = 0.0027, R2 = 0.3850). Quantitative analysis based on DECT acquisition revealed that LVRC results in a significant increase in perfusion in the coil-free areas adjacent to the treated ones, as

  6. Significantly Reduced Health Burden from Ambient Air Pollution in the United States under Emission Reductions from 1990 to 2016

    Science.gov (United States)

    The 2015 Global Burden of Disease (GBD) study has listed air pollution as the fourth-ranking global mortality risk factor. Few studies have attempted to understand how these burdens change through time, especially in the United States (US). Here we aim to estimate air pollution-r...

  7. Thin-section CT vs spiral CT in candidates for lung volume reduction surgery: a comparison based on radiologists' subjective preferences

    International Nuclear Information System (INIS)

    Cederlund, K.; Hoegberg, S.; Rasmussen, E.; Svane, B.; Bergstrand, L.

    2001-01-01

    The aim of this study was to investigate whether high-resolution (HRCT) or spiral CT was preferred in evaluating severe emphysema in patients undergoing lung volume reduction surgery (LVRS), whether there is any difference in this regard between the cranial and caudal part of the lung, and whether the degree of emphysema has an impact on the radiologists' preference. The study was performed by letting four radiologists compare images obtained with the two techniques (film pairs) and decide which technique they preferred or if the techniques were considered as equal in evaluating emphysema. In evaluation of 188 film pairs, the HRCT images were preferred in 56 %, spiral CT in 19 % and the techniques considered as equal in 25 %. Spiral CT images were preferred more often in the caudal part of the lung and in more advanced emphysema compared with the HRCT images. The study confirms our clinical assumption that use of both CT techniques are valuable in evaluating advanced emphysema and there may be technical as well as histopathological reasons for this. (orig.)

  8. Thin-section CT vs spiral CT in candidates for lung volume reduction surgery: a comparison based on radiologists' subjective preferences

    Energy Technology Data Exchange (ETDEWEB)

    Cederlund, K.; Hoegberg, S.; Rasmussen, E.; Svane, B. [Dept. of Thoracic Radiology, Karolinska Hospital, Stockholm (Sweden); Bergstrand, L. [Dept. of Radiology, Danderyds Hospital (Sweden)

    2001-03-01

    The aim of this study was to investigate whether high-resolution (HRCT) or spiral CT was preferred in evaluating severe emphysema in patients undergoing lung volume reduction surgery (LVRS), whether there is any difference in this regard between the cranial and caudal part of the lung, and whether the degree of emphysema has an impact on the radiologists' preference. The study was performed by letting four radiologists compare images obtained with the two techniques (film pairs) and decide which technique they preferred or if the techniques were considered as equal in evaluating emphysema. In evaluation of 188 film pairs, the HRCT images were preferred in 56 %, spiral CT in 19 % and the techniques considered as equal in 25 %. Spiral CT images were preferred more often in the caudal part of the lung and in more advanced emphysema compared with the HRCT images. The study confirms our clinical assumption that use of both CT techniques are valuable in evaluating advanced emphysema and there may be technical as well as histopathological reasons for this. (orig.)

  9. Reductions in dead space ventilation with nasal high flow depend on physiological dead space volume: metabolic hood measurements during sleep in patients with COPD and controls.

    Science.gov (United States)

    Biselli, Paolo; Fricke, Kathrin; Grote, Ludger; Braun, Andrew T; Kirkness, Jason; Smith, Philip; Schwartz, Alan; Schneider, Hartmut

    2018-05-01

    Nasal high flow (NHF) reduces minute ventilation and ventilatory loads during sleep but the mechanisms are not clear. We hypothesised NHF reduces ventilation in proportion to physiological but not anatomical dead space.11 subjects (five controls and six chronic obstructive pulmonary disease (COPD) patients) underwent polysomnography with transcutaneous carbon dioxide (CO 2 ) monitoring under a metabolic hood. During stable non-rapid eye movement stage 2 sleep, subjects received NHF (20 L·min -1 ) intermittently for periods of 5-10 min. We measured CO 2 production and calculated dead space ventilation.Controls and COPD patients responded similarly to NHF. NHF reduced minute ventilation (from 5.6±0.4 to 4.8±0.4 L·min -1 ; pspace ventilation (from 2.5±0.4 to 1.6±0.4 L·min -1 ; pspace ventilation correlated with baseline physiological dead space fraction (r 2 =0.36; pspace volume.During sleep, NHF decreases minute ventilation due to an overall reduction in dead space ventilation in proportion to the extent of baseline physiological dead space fraction. Copyright ©ERS 2018.

  10. Potential reduction of carbon dioxide emissions from the use of electric energy storage on a power generation unit/organic Rankine system

    International Nuclear Information System (INIS)

    Mago, Pedro J.; Luck, Rogelio

    2017-01-01

    Highlights: • A power generation organic Rankine cycle with electric energy storage is evaluated. • The potential carbon dioxide emissions reduction of the system is evaluated. • The system performance is evaluated for a building in different climate zones. • The system emissions and cost are compared with those of conventional systems. • Use of carbon emissions cap and trade programs on the system is evaluated. - Abstract: This paper evaluates the potential carbon dioxide emissions reduction from the implementation of electric energy storage to a combined power generation unit and an organic Rankine cycle relative to a conventional system that uses utility gas for heating and utility electricity for electricity needs. Results indicate that carbon dioxide emission reductions from the operation of the proposed system are directly correlated to the ratio of the carbon dioxide emission conversion factor for electricity to that of the fuel. The location where the system is installed also has a strong influence on the potential of the proposed system to save carbon dioxide emissions. Finally, it is shown that by using carbon emissions cap and trade programs, it is possible to establish a frame of reference to compare/exchange operational cost gains with carbon dioxide emission reductions/gains.

  11. Residential, Commercial, and Utility-Scale Photovoltaic (PV) System Prices in the United States: Current Drivers and Cost-Reduction Opportunities

    Energy Technology Data Exchange (ETDEWEB)

    Goodrich, A.; James, T.; Woodhouse, M.

    2012-02-01

    The price of photovoltaic (PV) systems in the United States (i.e., the cost to the system owner) has dropped precipitously in recent years, led by substantial reductions in global PV module prices. However, system cost reductions are not necessarily realized or realized in a timely manner by many customers. Many reasons exist for the apparent disconnects between installation costs, component prices, and system prices; most notable is the impact of fair market value considerations on system prices. To guide policy and research and development strategy decisions, it is necessary to develop a granular perspective on the factors that underlie PV system prices and to eliminate subjective pricing parameters. This report's analysis of the overnight capital costs (cash purchase) paid for PV systems attempts to establish an objective methodology that most closely approximates the book value of PV system assets.

  12. Investigation of a vibration-damping unit for reduction in low-frequency vibrations of electric motors

    Science.gov (United States)

    Grigoryey, N. V.; Fedorovich, M. A.

    1973-01-01

    The vibroacoustical characteristics of different types of electric motors are discussed. It is shown that the basic source of low frequency vibrations is rotor unbalance. A flexible damping support, with an antivibrator, is used to obtain the vibroacoustical effect of reduction in the basic harmonic of the electric motor. A model of the electric motor and the damping apparatus is presented. Mathematical models are developed to show the relationships of the parameters. The basic purpose in using a calculation model id the simultaneous replacement of the exciting force created by the rotor unbalance and its inertial rigidity characteristics by a limiting kinematic disturbance.

  13. Survey of fish impingement at power plants in the United States. Volume III. Estuaries and coastal waters

    International Nuclear Information System (INIS)

    Stupka, R.C.; Sharma, R.K.

    1977-03-01

    Impingement of fish at cooling-water intakes of 32 power plants, located on estuaries and coastal waters 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

  14. Survey of fish impingement at power plants in the United States. Volume III. Estuaries and coastal waters

    Energy Technology Data Exchange (ETDEWEB)

    Stupka, Richard C.; Sharma, Rajendra K.

    1977-03-01

    Impingement of fish at cooling-water intakes of 32 power plants, located on estuaries and coastal waters 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.

  15. Erie Nuclear Plant, Units 1 and 2. License application, preliminary safety analysis report, volume 1: chapter 1

    International Nuclear Information System (INIS)

    1977-01-01

    Erie 1 and 2 reactors will be located on a site consisting of 1,740 acres in Berlin Township about 2.4 miles south of Lake Erie and 8.9 miles southeast of Sandusky, Ohio. Lake Erie will provide makeup water. The ultimate heat sink will be a 40 acre cooling reservoir shared by both units. Each unit has a proposed core thermal power level of 3,760 MW(t) and a nominal net capacity of about 1282 MW(e). Unit 1 is scheduled for commercial operation by 4/1/84 and Unit 2 by 4/1/86. Fuel will be Zircaloy-4 clad tubes containing cylindrical fuel pellets of UO 2 . B and W pressurized water reactor units to be employed are described in DOCKET-STN-50561

  16. TH-A-18C-11: An Investigation of KV CBCT Image Quality and Dose Reduction for Volume-Of-Interest Imaging Using Dynamic Collimation

    Energy Technology Data Exchange (ETDEWEB)

    Parsons, D [of Physics and Atmospheric Science, Dalhousie University, Halifax, NS (Canada); Robar, J [of Physics and Atmospheric Science, Dalhousie University, Halifax, NS (Canada); Capital District Health Authority, Halifax, NS (Canada)

    2014-06-15

    Purpose: The focus of this work was to investigate the improvements in image quality and dose reduction for volume-of-interest (VOI) kV-CBCT using dynamic collimation. Methods: A prototype iris aperture was used to track a VOI during a CBCT acquisition. The current aperture design is capable of one-dimensional translation as a function of gantry angle and dynamic adjustment of the iris radius. The aperture occupies the location of the bow-tie filter on a Varian OBI system. CBCT and planar image quality was investigated as a function of aperture radius, while maintaining the same dose to the VOI, for a 20 cm diameter cylindrical water phantom with a 9 mm diameter bone insert centered on isocenter. Corresponding scatter-to-primary ratios (SPR) were determined at the detector plane with Monte Carlo simulation using EGSnrc. Dose distributions for various anatomical sites were modeled using a dynamic BEAMnrc library and DOSXYZnrc. The resulting VOI dose distributions were compared to full-field distributions. Results: SPR was reduced by a factor of 8.4 when decreasing iris diameter from 21.2 cm to 2.4 cm (at isocenter). Similarly, this change in iris diameter corresponds to a factor increase of approximately 1.4 and 1.5 in image contrast for CBCT and planar images, respectively, and similarly a factor decrease in image noise of approximately 1.7 and 1.5. This results in a measured gain in contrast-to-noise ratio of a factor of approximately 2.3 for both CBCT and planar images. Depending upon the anatomical site, dose was reduced to 10%–70% of the full field value along the central axis plane and down to 2% along the axial planes, while maintaining the same dose to the VOI compared to full-field techniques. Conclusion: The presented VOI technique offers improved image quality for image-guided radiotherapy while sparing the surrounding volume of unnecessary dose compared to full-field techniques.

  17. Springtime Flood Risk Reduction in Rural Arctic: A Comparative Study of Interior Alaska, United States and Central Yakutia, Russia

    Directory of Open Access Journals (Sweden)

    Yekaterina Y. Kontar

    2018-03-01

    Full Text Available Every spring, riverine communities throughout the Arctic face flood risk. As the river ice begins to thaw and break up, ice jams—accumulation of chunks and sheets of ice in the river channel, force melt water and ice floes to back up for dozens of kilometers and flood vulnerable communities upstream. Via a comparative analysis between two flood-prone communities in Alaska and Yakutia (Siberia, this study examines key components of flood risk—hazards, exposure, and vulnerability, and existing practices in flood risk reduction in rural Arctic. The research sites are two rural communities—Galena (Yukon River and Edeytsy (Lena River, which sustained major ice-jam floods in May 2013. The data was acquired through a combination of direct observations on site, review of documents and archives, focus group discussions, and surveys. Five focus groups with US and Russian representatives from disaster management agencies revealed a few similar patterns as well as significant differences in flood risk reduction strategies. The main differences included higher reliance on mechanical and short-term ice jam and flood mitigation efforts (e.g., ice-jam demolition in the Russian Arctic, and lack of a centralized flood management model in the US. Surveys conducted among population at risk during the site visits to Edeytsy (November 2015 and Galena (March 2016 revealed higher satisfaction levels with the existing flood risk reduction efforts among Edeytsy residents. Survey respondents in Galena indicated the lack of ice jam removal and other flood prevention measures as the key drawback in the existing flood management. Historical analysis, conducted via the disaster Pressure and Release (PAR model, revealed that springtime flood risk in both regions results from complex interactions among a series of natural processes that generate conditions of hazard, and human actions that generate conditions of communities’ exposure and vulnerability. The analysis

  18. What reductions in dependency costs result from treatment in an inpatient neurological rehabilitation unit for people with stroke?

    Science.gov (United States)

    O'Connor, Rory J; Beden, Rushdy; Pilling, Andrew; Chamberlain, M Anne

    2011-02-01

    This paper examines the reductions in care costs that result from inpatient multidisciplinary rehabilitation for younger people with acquired brain injury. Thirty-five consecutive patients admitted following a stroke over one year were recruited to this observational study. Physical ability, dependency and potential community care costs were measured on admission and discharge. Fifty-one community-dwelling patients were transferred to rehabilitation from acute medical wards in a large teaching hospital; 35 met the inclusion criteria. After a median of 59 days of rehabilitation, 29 patients were discharged home and six to nursing homes. Patients made highly significant gains in physical ability (median Barthel index 50 to 64; p rehabilitation costs was 21 weeks. Savings occurred in those with moderate and severe disability and they have the potential to continue to accrue for over 12 years. Similar results will probably be found for rehabilitation in other forms of acquired brain injury.

  19. Nontraditional Use of Biomass at Certified Forest Management Units: Forest Biomass for Energy Production and Carbon Emissions Reduction in Indonesia

    Directory of Open Access Journals (Sweden)

    Asep S. Suntana

    2012-01-01

    Full Text Available Biomass conversion technologies that produce energy and reduce carbon emissions have become more feasible to develop. This paper analyzes the potential of converting biomass into biomethanol at forest management units experiencing three forest management practices (community-based forest management (CBFM, plantation forest (PF, and natural production forest (NPF. Dry aboveground biomass collected varied considerably: 0.26–2.16 Mg/ha/year (CBFM, 8.08–8.35 Mg/ha/year (NPF, and 36.48–63.55 Mg/ha/year (PF. If 5% of the biomass was shifted to produce biomethanol for electricity production, the NPF and PF could provide continuous power to 138 and 2,762 households, respectively. Dedicating 5% of the biomass was not a viable option from one CBFM unit. However, if all biomasses were converted, the CBFM could provide electricity to 19–27 households. If 100% biomass from two selected PF was dedicated to biomethanol production: (1 52,200–72,600 households could be provided electricity for one year; (2 142–285% of the electricity demand in Jambi province could be satisfied; (3 all gasoline consumed in Jambi, in 2009, would be replaced. The net carbon emissions avoided could vary from 323 to 8,503 Mg when biomethanol was substituted for the natural gas methanol in fuel cells and from 294 to 7,730 Mg when it was used as a gasoline substitute.

  20. An improvement of the base bleed unit on base drag reduction and heat energy addition as well as mass addition

    International Nuclear Information System (INIS)

    Xue, Xiaochun; Yu, Yonggang

    2016-01-01

    Highlights: • A 2D axisymmetric Navier-Stokes equation for a multi-component reactive system is solved. • The coupling of the internal and wake flow field with secondary combustion is calculated. • Detailed data with combined effects of boattailing and post-combustion are obtained. • The mechanism of heat energy addition and thermodynamics performances is investigated. - Abstract: Numerical simulations are carried out to investigate the base drag and energy characteristics of a base-bleed projectile with and without containing the effect of a post-combustion process for a boattailed afterbody in a supersonic flow, and then to analyze the key factor of drag reduction and pressure decreasing of base bleed projectile. Detailed chemistry models for H_2−CO combustion have been incorporated into a Navier-Stokes computer code and applied to flow field simulation in the base region of a base-bleed projectile. Detailed numerical results for the flow patterns and heat energy addition as well as mass addition for different conditions are presented and compared with existing experimental data. The results shows that, the post-combustion contributes to energy addition and base drag reduction up to 78% on account of that the heat energy released from the post-combustion using fuel-rich reaction products as the fuel in the wake region is much higher than for the corresponding cold bleed and hot bleed cases. In addition, the temperature distribution regularities are changed under post-combustion effect, presenting that the peak appears in a couple of recirculation regions. The fuel-rich bleed gas flows into the shear layer along the crack between these two recirculation regions and then those can readily burn when mixing with the freestream, thus causing component changes of H_2 and CO in the base flowfield.

  1. Reduction of duration and cost of mechanical ventilation in an intensive care unit by use of a ventilatory management team.

    Science.gov (United States)

    Cohen, I L; Bari, N; Strosberg, M A; Weinberg, P F; Wacksman, R M; Millstein, B H; Fein, I A

    1991-10-01

    To test the hypothesis that a formal interdisciplinary team approach to managing ICU patients requiring mechanical ventilation enhances ICU efficiency. Retrospective review with cost-effectiveness analysis. A 20-bed medical-surgical ICU in a 450-bed community referral teaching hospital with a critical care fellowship training program. All patients requiring mechanical ventilation in the ICU were included, comparing patients admitted 1 yr before the inception of the ventilatory management team (group 1) with those patients admitted for 1 yr after the inception of the team (group 2). Group 1 included 198 patients with 206 episodes of mechanical ventilation and group 2 included 165 patients with 183 episodes of mechanical ventilation. A team consisting of an ICU attending physician, nurse, and respiratory therapist was formed to conduct rounds regularly and supervise the ventilatory management of ICU patients who were referred to the critical care service. The two study groups were demographically comparable. However, there were significant reductions in resource use in group 2. The number of days on mechanical ventilation decreased (3.9 days per episode of mechanical ventilation [95% confidence interval 0.3 to 7.5 days]), as did days in the ICU (3.3 days per episode of mechanical ventilation [90% confidence interval 0.3 to 6.3 days]), numbers of arterial blood gases (23.2 per episode of mechanical ventilation; p less than .001), and number of indwelling arterial catheters (1 per episode of mechanical ventilation; p less than .001). The estimated cost savings from these reductions was $1,303 per episode of mechanical ventilation. We conclude that a ventilatory management team, or some component thereof, can significantly and safely expedite the process of "weaning" patients from mechanical ventilatory support in the ICU.

  2. Water stress from high-volume hydraulic fracturing potentially threatens aquatic biodiversity and ecosystem services in Arkansas, United States

    Science.gov (United States)

    Entrekin, Sally; Trainor, Anne; Saiers, James; Patterson, Lauren; Maloney, Kelly O.; Fargione, Joseph; Kiesecker, Joseph M.; Baruch-Mordo, Sharon; Konschnik, Katherine E.; Wiseman, Hannah; Nicot, Jean-Philippe; Ryan, Joseph N.

    2018-01-01

    Demand for high-volume, short duration water withdrawals could create water stress to aquatic organisms in Fayetteville Shale streams sourced for hydraulic fracturing fluids. We estimated potential water stress using permitted water withdrawal volumes and actual water withdrawals compared to monthly median, low, and high streamflows. Risk for biological stress was considered at 20% of long-term median and 10% of high- and low-flow thresholds. Future well build-out projections estimated potential for continued stress. Most water was permitted from small, free-flowing streams and “frack” ponds (dammed streams). Permitted 12-h pumping volumes exceeded median streamflow at 50% of withdrawal sites in June, when flows were low. Daily water usage, from operator disclosures, compared to median streamflow showed possible water stress in 7–51% of catchments from June–November, respectively. If 100% of produced water was recycled, per-well water use declined by 25%, reducing threshold exceedance by 10%. Future water stress was predicted to occur in fewer catchments important for drinking water and species of conservation concern due to the decline in new well installations and increased use of recycled water. Accessible and precise withdrawal and streamflow data are critical moving forward to assess and mitigate water stress in streams that experience high-volume withdrawals.

  3. Water Stress from High-Volume Hydraulic Fracturing Potentially Threatens Aquatic Biodiversity and Ecosystem Services in Arkansas, United States.

    Science.gov (United States)

    Entrekin, Sally; Trainor, Anne; Saiers, James; Patterson, Lauren; Maloney, Kelly; Fargione, Joseph; Kiesecker, Joseph; Baruch-Mordo, Sharon; Konschnik, Katherine; Wiseman, Hannah; Nicot, Jean-Philippe; Ryan, Joseph N

    2018-02-20

    Demand for high-volume, short duration water withdrawals could create water stress to aquatic organisms in Fayetteville Shale streams sourced for hydraulic fracturing fluids. We estimated potential water stress using permitted water withdrawal volumes and actual water withdrawals compared to monthly median, low, and high streamflows. Risk for biological stress was considered at 20% of long-term median and 10% of high- and low-flow thresholds. Future well build-out projections estimated potential for continued stress. Most water was permitted from small, free-flowing streams and "frack" ponds (dammed streams). Permitted 12-h pumping volumes exceeded median streamflow at 50% of withdrawal sites in June, when flows were low. Daily water usage, from operator disclosures, compared to median streamflow showed possible water stress in 7-51% of catchments from June-November, respectively. If 100% of produced water was recycled, per-well water use declined by 25%, reducing threshold exceedance by 10%. Future water stress was predicted to occur in fewer catchments important for drinking water and species of conservation concern due to the decline in new well installations and increased use of recycled water. Accessible and precise withdrawal and streamflow data are critical moving forward to assess and mitigate water stress in streams that experience high-volume withdrawals.

  4. Intense volume reduction of mixed and low-level waste, solidification in sulphur polymer concrete, and excellent disposal at minimum cost

    International Nuclear Information System (INIS)

    Darnell, G.R.

    1990-01-01

    Progressive changes in regulations governing the disposal of the nation's radioactive and hazardous wastes demand the development of more advanced treatment and disposal systems. The U.S. Department of Energy's Radioactive Waste Technology Support Program (formerly the Defense Low-Level Waste Management Program) was given the task of demonstrating the degree of excellence that could be achieved at reasonable cost using existing technology. The resulting concept is a Waste Treatment and Disposal Complex that will fully treat contact-handled mixed and low-level radioactive waste to a disposable product that is totally liquid-free and approximately 98% inorganic. An excellent volume reduction factor is achieved through sorting, sizing, incineration, vitrification, and final grouting. Inorganic waste items larger than 1/4 in. will be placed in inexpensive, uniform-sized, smooth-sided, thin-walled steel boxes. The smaller particles will be mixed with sulfur polymer concrete and pumped into the boxes, filling most voids. The appendage-free boxes measuring 1 by 1 by 1 m will be stacked tightly in an abovegrade, earth-mounded, concrete disposal vault where a temporary roof will protect them from rain and snow. A concrete roof poured directly on top of the dense, essentially voidless waste stack will be topped by an engineered, water-shedding earthen cover. Total cost for design, construction, testing, 30 years of treatment and disposal, administration, decontamination and decommissioning, site closure, and postclosure monitoring and maintenance will cost less per cubic foot than is currently expended for subsurface disposal. A radiological performance assessment shows this concept will exceed the nation's existing disposal systems and governmental performance objectives for the protection of the general public by a factor of 30,000

  5. Mathematical modelling in volume per hectare of Pinus caribaea Morelet var. caribaea Barret y Golfari at the «Jazmines» silvicultural unit, Viñales

    Directory of Open Access Journals (Sweden)

    Juana Teresa Suárez Sarria

    2013-12-01

    Full Text Available Mathematical modelling constitutes a very useful tool for the planning and administration of the forest ecosystems. With the objective of predicting the behavior of volume by hectare of Pinus caribaea Moreletvar. caribaea. Barret y Golfari plantations at the «Jazmines» Silvicultural Unit, Viñales, seven non-lineal regression models were evaluated. The best goodness of fit model was the volume per hectare was the one designed by Hossfeld I, with a determining coefficient of 63, 9 % with a high significance parameter (P <0.001. The description curves for the annual mean increment with the time (IMA and the annual periodical increment (ICA of this variables were provided.

  6. A study on the evaluation of vibration effect and the development of vibration reduction method for Wolsung unit 1 main steam piping

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Hyun; Kim, Yeon Whan [Korea Electric Power Corp. (KEPCO), Taejon (Korea, Republic of). Research Center; Kim, Tae Ryong; Park, Jin Ho [Korea Atomic Energy Research Inst., Daeduk (Korea, Republic of)

    1996-08-01

    The main steam piping of nuclear power plant which runs between steam generator and high pressure turbine has been experienced to have a severe effect on the safe operation of the plant due to the vibration induced by the steam flowing inside the piping. The imposed cyclic loads by the vibration could result in the degradation of the related structures such as connection parts between main instruments, valves, pipe supports and building. The objective of the study is to reduce the vibration level of Wolsung nuclear power plant unit 1 main steam pipeline by analyzing vibration characteristics of the piping, identifying sources of the vibration and developing a vibration reduction method .The location of the maximum vibration is piping between the main steam header and steam chest .The stress level was found to be within the allowable limit .The main vibration frequency was found to be 4{approx}6 Hz which is the same as the natural frequency from model test .A vibration reduction method using pipe supports of energy absorbing type(WEAR)is selected .The measured vibration level after WEAR installation was reduced about 36{approx}77% in displacement unit (author). 36 refs., 188 figs.

  7. Reduction of adult fingers visualized on pediatric intensive care unit (PICU) chest radiographs after radiation technologist and PICU staff radiation safety education

    International Nuclear Information System (INIS)

    Tynan, J.R.; Duncan, M.D.; Burbridge, B.E.

    2009-01-01

    A recent publication from our centre revealed a disturbing finding of a significant incidence of adult fingers seen on the pediatric intensive care unit (PICU) chest radiographs. This is inappropriate occupational exposure to diagnostic radiation. We hypothesized that the incidence of adult fingers on PICU chest radiographs would decline after radiation safety educational seminars were given to the medical radiation technologists and PICU staff. The present study's objectives were addressed by using a pretest-posttest design. Two cross-sectional PICU chest radiograph samples, taken before and after the administration of radiation safety education for our medical radiation technologists and PICU staff, were compared by using a χ 2 test. There was a 61.2% and 76.9% reduction in extraneous adult fingers, directly exposed to the x-ray beam and those seen in the coned regions of the film, respectively, on PICU chest radiographs (66.7% reduction overall). This reduction was statistically significant (χ2 = 20.613, P < .001). Limiting unnecessary occupational radiation exposure is a critical issue in radiology. There was a statistically and clinically significant association between radiation safety education and the decreased number of adult fingers seen on PICU chest radiographs. This study provides preliminary evidence in favour of the benefit of radiation safety seminars. (author)

  8. Joint Peru/United States report on Peru/United States cooperative energy assessment. Volume 1. Executive summary, main report and appendices

    Energy Technology Data Exchange (ETDEWEB)

    1979-08-01

    In 1978, the US and Peru conducted a comprehensive assessment of Peru's energy resources, needs, and uses and developed several alternative energy strategies that utilize the available resources to meet their energy requirements. This Volume I reports the findings of the assessment and contains the executive summary, the main report, and five appendices of information that support the integrated energy supply and demand analysis. The following chapters are included: The Energy Situation in Peru (economic context and background, energy resources and production, energy consumption patterns); Reference Supply and Demand Projection (approach, procedures, and assumptions; economic projections; energy demand and supply projections; supply/demand integration; uncertainties); and The Development of Strategies and Options (the analysis of options; strategies; increased use of renewables, hydropower, coal; increased energy efficiency; and financial analysis of strategies).

  9. An initial abstraction and constant loss model, and methods for estimating unit hydrographs, peak streamflows, and flood volumes for urban basins in Missouri

    Science.gov (United States)

    Huizinga, Richard J.

    2014-01-01

    Streamflow data, basin characteristics, and rainfall data from 39 streamflow-gaging stations for urban areas in and adjacent to Missouri were used by the U.S. Geological Survey in cooperation with the Metropolitan Sewer District of St. Louis to develop an initial abstraction and constant loss model (a time-distributed basin-loss model) and a gamma unit hydrograph (GUH) for urban areas in Missouri. Study-specific methods to determine peak streamflow and flood volume for a given rainfall event also were developed.

  10. A psychologist-led educational intervention results in a sustained reduction in neonatal intensive care unit infections

    Directory of Open Access Journals (Sweden)

    Hans eVan Rostenberghe

    2014-11-01

    Full Text Available Even though in the corporate world psychological science has been widely used, the formal use of evidence- based psychology in important areas of clinical medicine has been scanty at best. It was the aim of this study to determine the efficacy of a psychologist-led two-week nurse educator training on the infection rate in the NICU. Materials and methods: Six senior neonatal nurses underwent in 2007 a training course covering the retrieval of evidence and knowledge of psychological principles that would allow them to share the evidence in such a way that evidence is effectively brought into practice. The course was led by a psychologist. The nurses created and delivered their own teaching modules, all focused on infection control. The rates of bacteraemia, 2 years prior to intervention were analyzed and compared with the rate following the intervention for three years.Results: The immediate output of the course included three teaching modules (hand washing, sterile procedures, general measures to control infection. These modules were subsequently administered to the NICU nurses in structured and regular continuous nursing education (CNE sessions. The psychological techniques taught in the course were applied. Bacteraemia in the NICU significantly decreased in the year of the course and the subsequent years when compared to previous years.Conclusion: This study suggests that a psychologist-led course, followed by a structured CNE can lead to a sustainable reduction in infection rates in a NICU.

  11. When renewable energy met sustainable growth. Regulation, cost reduction, and the rise of renewable energy in the United States

    International Nuclear Information System (INIS)

    Stephens, Samantha

    2016-01-01

    Historically and famously fossil-fuel dependent, the U.S. energy and electricity mixes are evolving quickly as costs fall for renewables, regulations mandate their implementation, and fiscal policy incentivizes their installation. The investment and production tax credits (ITC and PTC) as well as power purchase agreements (PPAs) are well-known for their contributions to the development of solar and wind capacity, and the recent extensions of these credits has led to a positive outlook for continued growth in installations and generation. In addition, the green power market is experiencing record participation, as tracking the positive environmental externalities of renewable power has become important to meet renewable portfolio standards, which mandate implementation of renewable energy by state. Cost reduction is further taking place globally due to technological advances and economies of scale, which serves as another key driver for development. Of course, challenges are still present, particularly due to a plentiful and inexpensive domestic fossil fuel supply, uneven application of regulation and incentives state-by-state, and the uncertainty of continued political support. Even so, a progressive lowering of traditional barriers is leading to the potential for widespread deployment of renewables across the American landscape. (author)

  12. P32INCREASED PERCENTAGE RESECTION OF TUMOUR VOLUME USING NEURONAVIGATIONAL 3D INTRAOPERATIVE ULTRASOUND: A SINGLE UNIT EXPERIENCE

    OpenAIRE

    Vaqas, B.; O'Neill, K.; Awad, M.

    2014-01-01

    INTRODUCTION: The use of intraoperative 3D navigational ultrasound (Sonowand) offers a relatively inexpensive method of obtaining imaging of intrinsic brain tumours during resection which takes in account brain shift during surgery and also allows better visualisation of the tumour margin to help control resection. We designed a study to measure the volume of tumour resection in 25 consecutive Sonowand cases compared to 25 matched non-ultrasound guided controls. METHOD: A retrospective consec...

  13. Light-Weight Radioisotope Heater Unit Safety Analysis Report (LWRHU-SAR). Volume II. Accident model document

    International Nuclear Information System (INIS)

    Johnson, E.W.

    1985-10-01

    Purposes of this volume (AMD), are to: Identify all malfunctions, both singular and multiple, which can occur during the complete mission profile that could lead to release outside the clad of the radioisotopic material contained therein; provide estimates of occurrence probabilities associated with these various accidents; evaluate the response of the LWRHU (or its components) to the resultant accident environments; and associate the potential event history with test data or analysis to determine the potential interaction of the released radionuclides with the biosphere

  14. Stereo photo series for quantifying natural fuels. Volume XII: Post-hurricane fuels in forests of the Southeast United States.

    Science.gov (United States)

    Robert E. Vihnanek; Cameron S. Balog; Clinton S. Wright; Roger D. Ottmar; Jeffrey W. Kelly

    2009-01-01

    Two series of single and stereo photographs display a range of natural conditions and fuel loadings in post-hurricane forests in the southeastern United States. Each group of photos includes inventory information summarizing vegetation composition, structure and loading, woody material loading and density by size class, forest floor loading, and various site...

  15. Farmers' objectives toward their woodlands in the upper Midwest of the United States: implications for woodland volumes and diversity

    Science.gov (United States)

    W. Keith Moser; Earl C. Leatherberry; Mark H. Hansen; Brett J. Butler

    2009-01-01

    This paper reports the results of a study that explores the relationship between farm woodland owners' stated intentions for owning woodland, and the structure and composition of these woodlands in the states of Illinois, Indiana and Iowa in the upper Midwest of the United States. Data from two sample-based inventories conducted by the USDA Forest Service, Forest...

  16. Thyroid volume reduction following radioiodine therapy in patients with autonomous goitre and Graves` disease; Volumenreduktion der Schilddruese nach Radiojodtherapie bei Patienten mit Schilddruesenautonomie und Morbus Basedow

    Energy Technology Data Exchange (ETDEWEB)

    Dederichs, B. [Klinik und Poliklinik fuer Nuklearmedizin, Univ. Koeln (Germany); Otte, R. [Klinik und Poliklinik fuer Nuklearmedizin, Univ. Koeln (Germany); Klink, J.E. [Klinik und Poliklinik fuer Nuklearmedizin, Univ. Koeln (Germany); Schicha, H. [Klinik und Poliklinik fuer Nuklearmedizin, Univ. Koeln (Germany)

    1996-10-01

    Aim: It is well known that radioiodine therapy (RITh) leads to a significant thyroid volume reduction (TVR). But until now only little data has been presented due to the course of time and the extent of TVR. Method: Therefore the data of 33 patients with Graves` disease (GD), 36 patients with multifocal (MAG) and 31 with solitary (SAG) autonomous goitre were analyzed retrospectively. Results: All the patients showed a highly significant (p<0.001) TVR, which continued up to 1 year after RITh. Receiving equal effective radiation doses, the extent of TVR was significantly greater for GD than for MAG. This difference developed within six weeks up to 3 months after RITh. Conclusion: This observation suggests that the underlying thyroid disease affects the therapeutic effect of RITh and may be partially explained by the total suppression of non-autonomous thyroid tissue in AG at the time of RITh. In patients with SAG with a 1.7 times higher effective radiation dose than in MAG relative TVR was about 1.6 times stronger in SAG than in MAG. This demonstrates a direct relation between the effective radiation dose and the extent of the TVR after RITh. (orig.) [Deutsch] Ziel: Es ist bekannt, dass die Radiojodtherapie (RJTh) zu einer relvanten Schilddruesenvolumenreduktion (SVR) fuehrt. Bisher wurden jedoch nur vereinzelt systematische Daten zum zeitlichen Verlauf und quantitativen Ausmass der SVR veroeffentlicht. Methode: Daher fuehrten wir eine retrospektive Auswertung der Daten von 33 Patienten mit Morbus Basedow (MB), 36 Patienten mit multifokaler (MFA) und 31 mit unifokaler (UFA) Autonomie der Schilddruese durch. Ergebnisse: Fuer alle Patientengruppen ergab sich eine hochsignifikante (p<0,001) SVR, welche sich bis ein Jahr nach RJTh signifikant fortsetzte. Obwohl die effektive Herddosis nicht signifikant verschieden war, war das Ausmass der SVR fuer Patienten mit MB signifikant groesser als fuer Patienten mit MFA. Dieser Unterschied war bereits innerhalb der ersten 6

  17. Improving disaster risk reduction capacity of District Civil Protection Units in managing veld fires: A case of Mangwe District in Matabeleland South Province, Zimbabwe

    Directory of Open Access Journals (Sweden)

    Ernest Dube

    2015-05-01

    Full Text Available This article analysed disaster risk reduction capacity of District Civil Protection Units (DCPUs in managing veld fires in Mangwe District of Matabeleland South Province, Zimbabwe. Veld fires have resulted in unnecessary material, environmental and economic losses. Communities’ livelihoods and property have been destroyed, and the natural environment depleted. The research sought to improve disaster risk reduction capacity of DCPUs in managing veld fires, through new intervention strategies and a new model. The objectives of the study were to investigate the main causes of veld fires; to analyse their impacts; to examine the effectiveness of the current intervention strategies; and to identify challenges in implementing these interventions. Furthermore, the study sought to recommend new possible intervention strategies. This mainly qualitative study employed self-administered questionnaires, interviews and focus-group discussions. Questionnaires were used to investigate members of the DCPU’s ideas, views and experiences, interviews solicited perceptions of community leaders and their subjects, whilst focus-group discussions assisted with information from members of the District Civil Protection Planning Committee. Veld fires in the district are mainly caused by human activities, and they are prevalent during the months of September and October. They affect livelihoods and the natural environment the most. This study found that DCPUs are not prepared to manage veld fires and therefore recommended new strategies and adoption of the community-based disaster risk reduction model. The new strategies include involving community leaders and members of the communities in DCPUs; regular training and workshops to members of DCPUs on veld fire management; creation of fire protection associations; regular campaigns and rehearsal of emergency drills by the DCPU personnel; the introduction of competitions and incentives in veld fire management; vigorous

  18. Study of the Capability of the United States Textile and Apparel Industries to Support National Defense. Volume 2. Appendix

    Science.gov (United States)

    1983-06-30

    22541-El Men’s Briefs 241,740 " 22541-7i Boys’ Briefs 101,640 23412-13 Women’s, Misses, and Juniors Panties 434,484 785,280 Units 8 Underwear-Woven...and Boys’ Light Outerwear 26,988 23397 pt 22533 pt Women’s Outerwear 42,900 23850 men’s and Boys’ Raincoats 44,472 23850 Women’s and Girls Rainwear

  19. Complications as indicators of quality assurance after 401 consecutive colorectal cancer resections: the importance of surgeon volume in developing colorectal cancer units in India

    Directory of Open Access Journals (Sweden)

    Shetty Guruprasad S

    2012-01-01

    Full Text Available Abstract Background The low incidence of colorectal cancer in India, coupled with absence of specialized units, contribute to lack of relevant data arising from the subcontinent. We evaluated the data of the senior author to better define the requirements that would enable development of specialized units in a country where colorectal cancer burden is increasing. Methods We retrospectively analyzed data of 401 consecutive colorectal resections from a prospective database of the senior author. In addition to patient demographics and types of resections, perioperative data like intraoperative blood loss, duration of surgery, complications, re-operation rates and hospital stay were recorded and analyzed. Results The median age was 52 years (10-86 years. 279 were males and 122 were females. The average duration of surgery was 220.32 minutes (range 50 - 480 min. The overall complication rate was 12.2% (49/401 with a 1.2% (5/401 mortality rate. The patients having complications had an increase in their median hospital stay (from 10.5 days to 23.4 days and the re-operation rate in them was 51%. The major complications were anastomotic leaks (2.5% and stoma related complications (2.7%. Conclusions This largest ever series from India compares favorably with global standards. In a nation where colorectal cancer is on the rise, it is imperative that high volume centers develop specialized units to train future specialist colorectal surgeons. This would ensure improved quality assurance and delivery of health care even to outreach, low volume centers.

  20. Trends of Heller myotomy hospitalizations for achalasia in the United States, 1993-2005: effect of surgery volume on perioperative outcomes.

    Science.gov (United States)

    Wang, Y Richard; Dempsey, Daniel T; Friedenberg, Frank K; Richter, Joel E

    2008-10-01

    Achalasia is a rare chronic disorder of esophageal motor function. Single-center reports suggest that there has been greater use of laparoscopic Heller myotomy for achalasia in the United States since its introduction in 1992. We aimed to study the trends of Heller myotomy and the relationship between surgery volume and perioperative outcomes. The Healthcare Cost and Utilization Project Nationwide Inpatient Sample (NIS) is a 20% stratified sample of all hospitalizations in the United States. It was used to study the macro-trends of Heller myotomy hospitalizations during 1993-2005. We also used the NIS 2003-2005 micro-data to study the perioperative outcomes of Heller myotomy hospitalizations, using other achalasia and laparoscopic cholecystectomy hospitalizations as control groups. The generalized linear model with repeated observations from the same unit was used to adjust for multiple hospitalizations from the same hospital. The national estimate of Heller myotomy hospitalizations increased from 728 to 2,255 during 1993-2005, while its mean length of stay decreased from 9.9 to 4.3 days. Of the 1,117 Heller myotomy hospitalizations in the NIS 2003-2005, 10 (0.9%) had the diagnosis of esophageal perforation at discharge. Length of stay was negatively correlated with a hospital's number of Heller myotomy per year (correlation coefficient -0.171, P Heller myotomy per year was negatively associated with length of stay (coefficient -0.215 to -0.119, both P Heller myotomy for achalasia was associated with greater use of surgery and shorter length of stay. A larger volume of Heller myotomy in a hospital was associated with better perioperative outcomes in terms of shorter length of stay and lower total charges.

  1. Do time of birth, unit volume, and staff seniority affect neonatal outcome in deliveries at ≥34+0 weeks of gestation?

    Science.gov (United States)

    Reif, P; Pichler, G; Griesbacher, A; Lehner, G; Schöll, W; Lang, U; Hofmann, H; Ulrich, D

    2018-06-01

    We investigated whether time of birth, unit volume, and staff seniority affect neonatal outcome in neonates born at ≥34 +0 weeks of gestation. Population-based prospective cohort study. Ten public hospitals in the Austrian province of Styria. A total of 87 065 neonates delivered in the period 2004-2015. Based on short-term outcome data, generalised linear mixed models were used to calculate the risk for adverse and severely adverse neonatal outcomes according to time of birth, unit volume, and staff seniority. Neonatal composite adverse and severely adverse outcome measures. The odds ratio for severely adverse events during the night-time (22:01-07:29 hours) compared with the daytime (07:30-15:00 hours) was 1.35 (95% confidence interval, 95% CI 1.13-1.61). There were no significant differences in neonatal outcome comparing weekdays and weekends, and comparing office hours and shifts. Units with 500-1000 deliveries per year had the lowest risk for adverse events. Adverse and severely adverse neonatal outcomes were least common for midwife-guided deliveries, and became more frequent with the level of experience of the doctors attending the delivery. With increasing pregnancy risks, senior staff attending delivery and delivering in a tertiary centre reduce the odds ratio for adverse events. Different times of delivery were associated with increased adverse neonatal outcomes. The management of uncomplicated deliveries by less experienced staff showed no negative impact on perinatal outcome. In contrast, riskier pregnancies delivered by senior staff in a tertiary centre favour a better outcome. Achieving a better balance in the total number of labour ward staff during the day and the night appears to be a greater priority than increasing the continuous presence of senior obstetrical staff on the labour ward during the out-of-hours period. Deliveries during night time lead to a greater number of neonates experiencing severely adverse events. © 2017 Royal College of

  2. NURE [National Uranium Resource Evaluation] HSSR [Hydrogeochemical and Stream Sediment Reconnaissance] Data Summary Tables, United States: Volume 2

    International Nuclear Information System (INIS)

    1985-01-01

    This volume presents a summary of the distribution of elemental concentrations for water and sediment samples across states. Hawaii is missing from all tables since no sampling was done in that state. The following section briefly outlines the approach used by ISP in preparing these data tables. The third section contains the summary tables organized by sample type (water and sediment) and displaying elements within states and states within elements. These data summary tables show the general ranges of values present in the NURE Hydrogeochemical and Stream Sediment Reconnaissance sample data in each quadrangle or state. As with all summaries, they represent the data according to the best judgement of the professionals doing the analysis. This section gives a general description of the procedures used to produce the quadrangle summary percentiles

  3. In situ nanostructure formation of (micro-hydroxo)bis(micro-carboxylato) diruthenium units in nafion membrane and its utilization for selective reduction of nitrosonium ion in aqueous medium.

    Science.gov (United States)

    Kumar, Annamalai Senthil; Tanase, Tomoaki; Iida, Masayasu

    2007-01-16

    Nanostructured molecular film containing the (micro-hydroxo)bis(micro-carboxylato) diruthenium(III) units, [RuIII2(micro-OH)(micro-CH3COO)2(HBpz3)2]+ ({RuIII2(micro-OH)}), was prepared by an in situ conversion of its micro-oxo precursor, [RuIII2(micro-O)(micro-CH3COO)2(HBpz3)2] ({RuIII2(micro-O)}), in a Nafion membrane matrix, where HBpz3 is hydrotris(1-pyrazolyl)borate. The conversion procedure results in fine nanoparticle aggregates of the {RuIII2(micro-OH)} units in the Nafion membrane (Nf-{RuIII2(micro-OH)}), where an average particle size (4.1 +/- 2.3 nm) is close to the Nafion's cluster dimension of approximately 4 nm. Chemically modified electrodes by using the Nafion molecular membrane films (Nf-{RuIII2(micro-OH)}-MMFEs) were further developed on ITO/glass and glassy carbon electrode (GCE) surfaces, and a selective reduction of nitrosonium ion (NO+), presumably through reaction of a {RuIIRuIII(micro-OH)} mixed-valence state with HNO2, was demonstrated without interference by molecular oxygen in an acidic aqueous solution. The Nf-{RuIII2(micro-OH)}-MMFEs are stable even in a physiological condition (pH 7), where the naked {RuIII2(-OH)} complex is readily transformed into its deprotonated {RuIII2(micro-O)} form, demonstrating an unusual stabilizing effects for the {RuIII2(micro-OH)} unit by the Nafion cluster environment.

  4. Critical evaluation of the nonradiological environmental technical specifications. Volume 3. Peach Bottom Atomic Power Station Units 2 and 3

    International Nuclear Information System (INIS)

    Adams, S.M.; Cunningham, P.A.; Gray, D.D.; Kumar, K.D.; Witten, A.J.

    1976-01-01

    A comprehensive study of the data collected as part of the environmental Technical Specifications program for Units 2 and 3 of the Peach Bottom Nuclear Power Plant was conducted for the Office of Regulatory Research of the U.S. Nuclear Regulatory Commission. The program included an analysis of both the hydrothermal and ecological monitoring data collected from 1967 through 1976. Specific recommendations are made for improving both the present hydrothermal and ecological monitoring programs. Hydrothermal monitoring would be improved by more complete reporting of in-plant operating parameters. In addition, the present boat surveys could be discontinued, and monitoring efforts could be directed toward expanding the present thermograph network. Ecological monitoring programs were judged to be of high quality because standardized collection techniques, consistent reporting formats, and statistical analyses were performed on all of the data and were presented in an annual report. Sampling for all trophic groups was adequate for the purposes of assessing power plant induced perturbations. Considering the extensive period of preoperational data (six years) and operational da